COORDINATION UNIT AND TREATMENT SYSTEM

20220076823 · 2022-03-10

    Inventors

    Cpc classification

    International classification

    Abstract

    A coordination unit for a group of medical devices, which is configured to execute the following steps: receiving sensor data from at least one of the medical devices the sensor data being associated with a patient, receiving a medical data set which is associated with the patient, and initiating an evaluation of the sensor data and/or the at least one medical data set to derive a treatment scheme. Also provided is a treatment system comprising the coordination unit and at least one medical device, the coordination unit being coupled to the medical device (3) via a data connection.

    Claims

    1. A coordination unit for a group of medical devices, wherein the coordination unit is configured to execute the following steps: receiving sensor data from at least one of the medical devices, the sensor data being associated with a patient, receiving a medical data set which is associated with the patient, and initiating an evaluation of the sensor data and/or the at least one medical data set to derive a treatment scheme.

    2. The coordination unit of claim 1, wherein the coordination unit is furthermore configured to activate at least one of the medical devices so that an implementation of the treatment scheme takes place and/or implementation of the treatment scheme is assisted.

    3. The coordination unit of claim 2, wherein the coordination unit is configured to output the treatment scheme, to receive a confirmation signal, and, only upon receiving the confirmation signal, to activate the at least one of the medical devices so that the implementation of the treatment scheme takes place or the implementation of the treatment scheme is assisted, the treatment scheme including a medical diagnosis.

    4. The coordination unit of claim 1, wherein the coordination unit is configured to initiate an output of the treatment scheme and comprises a display screen to output the treatment scheme.

    5. The coordination unit of claim 1, wherein the coordination unit comprises an input device in the form of touch display screen.

    6. The coordination unit of claim 1, wherein the coordination unit is configured, to evaluate the sensor data and/or the at least one medical data set, to place a request to a calculation service and to receive a treatment scheme or data from which the coordination unit can derive the treatment scheme from the calculation service, and the coordination unit further is configured to place a database inquiry to a patient database.

    7. The coordination unit of claim 1, wherein the coordination unit is configured to request an availability of the medical devices and, upon initiation of the evaluation of the sensor data and/or the at least one medical data set to derive a treatment scheme, to take into consideration the availability of the medical devices.

    8. The coordination unit of claim 1, wherein the sensor data and/or the medical data set comprise measured values from one or more of a device for electrical impedance tomography, a device for blood gas analysis, or a ventilator, wherein the medical data set comprises at least one data value relating to a positioning of a patient, and wherein the treatment scheme derived from the sensor data and/or the at least one medical data set comprises an instruction for the positioning of the patient.

    9. The coordination unit of claim 1, wherein the sensor data and/or the medical data set comprise at least one coagulation blood value and an oxygenation value, wherein the treatment scheme derived from the sensor data and/or the at least one medical data set comprises as a diagnosis a presence of microthrombi in a lung of a patient, and wherein the treatment scheme derived from the sensor data and/or the at least one medical data set provides an administration of an anticoagulant to the patient.

    10. The coordination unit of claim 9, wherein the sensor data furthermore comprise measured values from a device for electrical impedance tomography and/or a ventilator, and wherein the medical data set optionally comprises at least one data value on a positioning of the patient.

    11. The coordination unit of claim 8, wherein the medical data set identifies that the patient is infected with a pathogen from the family of coronaviruses.

    12. The coordination unit of claim 1, wherein the medical data set records that the patient suffers from muscle weakness acquired on an intensive care unit, wherein the sensor data and/or the medical data set comprise measured values from a device for electrical impedance tomography and/or from a ventilator, wherein the medical data set optionally indicates a sedation status of the patient, and wherein a treatment scheme derived from the sensor data and/or the at least one medical data set comprises at least one instruction specific for a withdrawal process from a ventilator.

    13. The coordination unit of claim 12, wherein the at least one instruction specific for the withdrawal process is a starting time for the withdrawal process, an ending time for the withdrawal process, or an instruction for adjusting a ventilation parameter.

    14. The coordination unit of claim 12, wherein the treatment scheme comprises an instruction for setting a ventilation rate, for setting a level of a ventilation pressure, and/or for setting a tidal volume to enable spontaneous respiration.

    15. The coordination unit of any claim 1, wherein the sensor data originate from one or more of a device for electrical impedance tomography, a ventilator, a device for pulse oximetry, a hemoglobin meter, an esophageal pressure sensor, a device for blood pressure measurement, a computer tomography device, an x-ray device, an ultrasound device, a capnometer, an EEG device, or a device for blood gas analysis, and wherein a treatment scheme derived from the sensor data and/or the medical data set comprises at least one specific instruction for a treatment of an acute respiratory insufficiency of the patient.

    16. The coordination unit of claim 15, wherein the at least one specific instruction for the treatment of the acute respiratory insufficiency of the patient comprises one or more of an instruction for setting an inspirational O2 concentration, an instruction for setting an inspiration time, an instruction for setting a PEEP value, an instruction for setting a mandatory ventilation rate, an instruction for setting an individual trigger or an instruction for setting a sedation parameter.

    17. A treatment system, wherein the treatment system comprises the coordination unit of claim 1 and at least one medical device, the coordination unit being coupled to the medical device via a data connection.

    18. The treatment system of claim 17, wherein the treatment system comprises a calculation service, the coordination unit being coupled to the calculation service via a data connection, and the calculation service being formed by computers distributed in a communication network.

    19. The treatment system of claim 17, wherein the treatment system comprises an assistance computer, which is coupled to the coordination unit via a data connection and comprises a database, the assistance computer being configured to execute calculations for the coordination unit and/or to provide medical data sets and/or to provide sensor data to the coordination unit.

    20. The treatment system of claim 19, wherein the assistance computer is configured to request items of information from a hospital information system via a data connection and provide retrieved items of information to the coordination unit, the items of information comprising the sensor data and/or the medical data sets.

    Description

    BRIEF DESCRIPTION OF THE DRAWINGS

    [0044] An advantageous embodiment of the invention is explained by way of example in the drawings. In the figures:

    [0045] FIG. 1 shows a schematic illustration of a treatment system; and

    [0046] FIG. 2 shows a flow chart having steps which are executed by a coordination unit to derive a treatment scheme.

    DETAILED DESCRIPTION OF EXEMPLARY EMBODIMENT

    [0047] The particulars shown herein are by way of example and for purposes of illustrative discussion of the embodiments of the present invention only and are presented in the cause of providing what is believed to be the most useful and readily understood description of the principles and conceptual aspects of the present invention. In this regard, no attempt is made to show details of the present invention in more detail than is necessary for the fundamental understanding of the present invention, the description in combination with the drawings making apparent to those of skill in the art how the several forms of the present invention may be embodied in practice.

    [0048] FIG. 1 shows a schematic illustration of a treatment system 1. The treatment system 1 has a coordination unit 2. The coordination unit 2 is connected to multiple medical devices 3 via a coupling unit 4. The coupling unit 4 is connected via wired data connections 5 to the medical devices 3. The coordination unit 2 is connected via a radio connection 6, which is a WLAN connection, to the coupling unit 4. The coordination unit 2 can thus receive sensor data from the medical devices 3 by means of the coupling unit 4 and also activate the medical devices 3.

    [0049] The coordination unit 2 is connected via a further radio connection 6 to an assistance computer 7. The assistance computer 7 is used as an anesthesia server and permits the documentation of treatment steps during anesthesia. In addition, the assistance computer 7 can also store further treatment data, however. Furthermore, it provides treatment data and programs to the coordination unit 2. The assistance computer 7 can take over complex calculations which cannot be executed by the coordination unit 2. The assistance computer 7 is connected via an Internet connection 8 to a calculation service 9. The coordination unit 2 can thus send an inquiry to the calculation service 9 via the assistance computer 7. The inquiry can contain, for example, sensor data and a medical data set such as an excerpt from a patient file. The calculation service 9 is implemented by networked computers in a cloud system. The calculation service 9 provides services using methods from the field of artificial intelligence. It can thus derive treatment schemes, which contain medical diagnoses and action recommendations, from the sensor data and further medical data.

    [0050] The assistance computer 7 is furthermore coupled to a hospital information system 10 via a further wired data connection 5. The hospital information system 10 assists tasks from the fields of administration, documentation, and coordination and is formed by a plurality of computers. The coordination unit 2 can request patient data from the hospital information system 10. Since at least some computers of the hospital information system 10 are also connected to medical devices 3, sensor values of the medical devices 3 can also be retrieved via this.

    [0051] FIG. 2 shows a flow chart having steps which are executed by the coordination unit to derive a treatment scheme. In a first receiving step 11, the coordination unit receives sensor data. The sensor data originate from medical devices which are connected directly or indirectly to the coordination unit. In a second receiving step 12, the coordination unit receives a medical data set. The medical data set can originate, for example, from an electronic patient file. In a subsequent evaluation step 13, the coordination unit evaluates the sensor data and the medical data set. Processing steps required for this purpose can be executed directly by the coordination unit. In dependence on the processed stated object, processing steps can also be taken over by the assistance computer or by the calculation service, however. The result of the evaluation step 13 is a treatment scheme. The treatment scheme contains steps which are necessary for the medical treatment of a patient. In a first instruction step 14, the coordination unit activates at least one medical device so that the treatment scheme is implemented. In a second instruction step 15, the coordination unit outputs the treatment scheme on a display screen of the coordination unit, wherein instructions to medical personnel are contained in the treatment scheme. The coordination unit can thus also initiate treatment steps which cannot be implemented by the medical devices. In a diagnosis step 16, the coordination unit finally outputs a medical diagnosis which has been derived from the sensor data and the medical data set. The coordination unit thus assists the medical professionals in the diagnosis of diseases and can initiate the required steps for the treatment of patients.

    [0052] To sum up, the instant invention provides the following items:

    [0053] 1. A coordination unit for a group of medical devices, wherein the coordination unit is configured to execute the following steps: [0054] receiving sensor data from at least one of the medical devices, the sensor data being associated with a patient, [0055] receiving a medical data set which is associated with the patient, and [0056] initiating an evaluation of the sensor data and/or the at least one medical data set to derive a treatment scheme.

    [0057] 2. The coordination unit of item 1, wherein the coordination unit is furthermore configured to activate at least one of the medical devices so that an implementation of the treatment scheme takes place and/or implementation of the treatment scheme is assisted.

    [0058] 3. The coordination unit of item 2, wherein the coordination unit is configured to output the treatment scheme, to receive a confirmation signal, and, only upon receiving the confirmation signal, to activate the at least one of the medical devices so that the implementation of the treatment scheme takes place or the implementation of the treatment scheme is assisted, the treatment scheme including a medical diagnosis.

    [0059] 4. The coordination unit of any one of the preceding items, wherein the coordination unit is configured to initiate an output of a treatment scheme, and the coordination unit comprises a display screen to output the treatment scheme.

    [0060] 5. The coordination unit of any one of the preceding items, wherein the coordination unit comprises an input device in the form of touch display screen.

    [0061] 6. The coordination unit of any one of the preceding items, wherein the coordination unit is configured, to evaluate the sensor data and/or the at least one medical data set, to place a request to a calculation service and to receive a treatment scheme or data from which the coordination unit can derive the treatment scheme from the calculation service, and the coordination unit further is configured to place a database inquiry to a patient database.

    [0062] 7. The coordination unit of any one of the preceding items, wherein the coordination unit is configured to request an availability of the medical devices and, upon initiation of the evaluation of the sensor data and/or the at least one medical data set to derive a treatment scheme, to take into consideration the availability of the medical devices.

    [0063] 8. The coordination unit of any one of items 1 to 6, wherein the sensor data and/or the medical data set comprise measured values from a device for electrical impedance tomography, a device for blood gas analysis, and/or a ventilator, wherein the medical data set comprises at least one data value relating to a positioning of a patient, and wherein a treatment scheme derived from the sensor data and/or the at least one medical data set comprises an instruction for the positioning of the patient.

    [0064] 9. The coordination unit of any one of items 1 to 6, wherein the sensor data and/or the medical data set comprise at least one coagulation blood value and an oxygenation value, wherein a treatment scheme derived from the sensor data and optionally from the at least one medical data set comprises as a diagnosis a presence of microthrombi in a lung of a patient, and wherein the treatment scheme derived from the sensor data and/or the at least one medical data set provides an administration of an anticoagulant to the patient.

    [0065] 10. The coordination unit of item 9, wherein the sensor data furthermore comprise measured values from a device for electrical impedance tomography and/or a ventilator, and wherein the medical data set optionally comprises at least one data value on a positioning of the patient.

    [0066] 11. The coordination unit of any one of items 8 to 10, wherein the medical data set identifies that the patient is infected with a pathogen from the family of coronaviruses.

    [0067] 12. The coordination unit of any one of items 1 to 6, wherein the medical data set records that the patient suffers from muscle weakness acquired on an intensive care unit, wherein the sensor data and/or the medical data set comprise measured values from a device for electrical impedance tomography and/or from a ventilator, wherein the medical data set optionally indicates a sedation status of the patient, and wherein the treatment scheme derived from the sensor data and optionally from the at least one medical data set comprises at least one instruction specific for a withdrawal process from a ventilator.

    [0068] 13. The coordination unit of item 12, wherein the at least one instruction specific for the withdrawal process is a starting time for the withdrawal process, an ending time for the withdrawal process, or an instruction for adjusting a ventilation parameter.

    [0069] 14. The coordination unit of any one of items 12 or 13, wherein the treatment scheme comprises an instruction for setting a ventilation rate, for setting a level of a ventilation pressure, and/or for setting a tidal volume to enable spontaneous respiration.

    [0070] 15. The coordination unit of any one of items 1 to 6, wherein the sensor data originate from one or more of a device for electrical impedance tomography, a ventilator, a device for pulse oximetry, a hemoglobin meter, an esophageal pressure sensor, a device for blood pressure measurement, a computer tomography device, an x-ray device, an ultrasound device, a capnometer, an EEG device, or a device for blood gas analysis, and wherein a treatment scheme derived from the sensor data and/or the medical data set comprises at least one specific instruction for the treatment of an acute respiratory insufficiency of the patient.

    [0071] 16. The coordination unit of item 15, wherein the at least one specific instruction for the treatment of the acute respiratory insufficiency of the patient comprises one or more of an instruction for setting an inspirational O2 concentration, an instruction for setting an inspiration time, an instruction for setting a PEEP value, an instruction for setting a mandatory ventilation rate, an instruction for setting an individual trigger or an instruction for setting a sedation parameter.

    [0072] 17. A treatment system, wherein the treatment system comprises the coordination unit according to any one of items 1 to 16 and at least one medical device, the coordination unit being coupled to the medical device via a data connection.

    [0073] 18. The treatment system of item 17, wherein the treatment system comprises a calculation service, the coordination unit being coupled to the calculation service via a data connection, and the calculation service being formed by computers distributed in a communication network.

    [0074] 19. The treatment system of any one of items 17 and 18, wherein the treatment system comprises an assistance computer, which is coupled to the coordination unit via a data connection and comprises a database, the assistance computer being configured to execute calculations for the coordination unit and/or to provide medical data sets and/or to provide sensor data to the coordination unit.

    [0075] 20. The treatment system of item 19, wherein the assistance computer is configured to request items of information from a hospital information system via a data connection and provide the items of information to the coordination unit, the items of information comprising the sensor data and/or the medical data sets.

    LIST OF REFERENCE NUMERALS

    [0076] 1. treatment system

    [0077] 2. coordination unit

    [0078] 3. medical device

    [0079] 4. coupling unit

    [0080] 5. wired data connection

    [0081] 6. radio connection

    [0082] 7. assistance computer

    [0083] 8. Internet connection

    [0084] 9. calculation service

    [0085] 10. hospital information system

    [0086] 11. first receiving step

    [0087] 12. second receiving step

    [0088] 13. evaluation step

    [0089] 14. first instruction step

    [0090] 15. second instruction step

    [0091] 16. diagnosis step