MEDICAL DEVICE WITH A COMMUNICATIONS INTERFACE CONFIGURED FOR PROTECTION OF PATIENTS AND OPERATORS
20190036619 ยท 2019-01-31
Inventors
- Stefan Saal (Schonungen, DE)
- Frank Hedmann (Volkach, DE)
- Martin Buda (Dittelbrunn, DE)
- Torsten Hochrein (Eschenau, DE)
Cpc classification
A61M1/28
HUMAN NECESSITIES
A61M2205/3569
HUMAN NECESSITIES
A61M2205/3592
HUMAN NECESSITIES
H04B10/807
ELECTRICITY
A61M1/14
HUMAN NECESSITIES
A61M2205/3553
HUMAN NECESSITIES
International classification
H04B10/80
ELECTRICITY
Abstract
A medical device, such as a hemodialysis or peritoneal dialysis machine, has at least one housing, electrical and/or electronic components arranged inside the housing, and a user interface. The medical device has a first receiving device accessible outside of the housing and a first communications interface for receiving a proximal end of a medium carrying communication signals. A distal end of the medium is provided for connection to a second communications interface associated with a communications network. Components of the medical device are communicatively connected to the first communications interface. A communication link between the distal end of the medium and the components of the medical device has at least two segments. At least one of the segments transmits communication signals in an electrically non-conductive manner and has electrical isolation between the input and output and/or between the output and input of the segment with a predetermined first dielectric strength.
Claims
1. A medical device, comprising: a housing; electrical and/or electronic components arranged inside the housing; a user interface; and a first receiving device, accessible outside of the housing, of a first communications interface, wherein the first communications interface is connected to a communications network; wherein the electrical and/or electronic components of the medical device are communicatively connected to the first communications interface; wherein a communications link between the communications network and the electrical and/or electronic components of the medical device has at least two segments; and wherein at least one of the at least two segments is configured for transmission of communication signals in an electrically non-conductive manner and has an electrical separation between an input of the at least one segment and an output of the at least one segment with a predetermined first dielectric strength.
2. The medical device according to claim 1, wherein the at least one segment of the communications link is configured tor optical transmission of communication signals.
3. The medical device according to claim 1, wherein the at least one segment of the communications link is configured tor optical transmission of communication signals in a spectrum comprising infrared light and/or visible light.
4. The medical device according to claim 1, wherein the at least one segment of the communications link is disposed inside the housing of the medical device.
5. The medical device according to claim 4, further comprising: a media converter, disposed in or on the medical device and supplied with power from a power supply, wherein the first media converter is configured to convert electrical signals into optical signals and/or optical signals into electrical signals; wherein the power supply is configured to provide electrical isolation of the media converter from electrical and/or electronic components outside of the medical device, with a dielectric strength corresponding at least to the predetermined first dielectric strength.
6. The medical device according to claim 4, further comprising: a media converter, disposed in or on the medical device and supplied with power from a power supply disposed outside of the medical device, wherein the supplied power is provided at a voltage level below a predetermined maximum voltage level.
7. The medical device according to claim 4, further comprising: a media converter, disposed in or on the medical device, configured to convert electrical signals into optical signals and/or optical signals into electrical signals, wherein the media converter is supplied with power via a connection that also carries communication signals, and wherein the supplied power is provided at a voltage level below a predetermined maximum voltage level.
8. The medical device according to claim 1, wherein the first receiving device is configured to receive a connection carrying optical communication signals.
9. A system, comprising: a medical device, wherein the medical device comprises: a housing; electrical and/or electronic components arranged inside the housing; a user interface; and a first receiving device, accessible outside of the housing, of a first communications interface, wherein the first communications interface is connected to a communications network; an optical connection, configured to carry optical communication signals; and a converter device, configured to converter electrical signals into optical signals and/or optical signals into electrical signals; wherein the electrical and/or electronic components of the medical device are communicatively connected to the first communications interface; wherein a communications link between the communications network and the electrical and/or electronic components of the medical device has at least two segments; and wherein at least one of the at least two segments is configured for transmission of communication signals in an electrically non-conductive manner and has an electrical separation between an input of the at least one segment and an output of the at least one segment with a predetermined first dielectric strength; wherein the first receiving device is configured to receive a first end of the optical connection; wherein the converter device comprises a power supply at a second end of the optical connection, wherein the power supply is supplied with power from a power source situated outside of the medical device.
10. The system according to claim 9, wherein the power supply is supplied with power via a connection that also carries communication signals between a second communications interface, corresponding to the communications network, and the converter device.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0031] Exemplary embodiments of the present invention will be described in even greater detail below based on the exemplary figures. The invention is not limited to the exemplary embodiments. All features described and/or illustrated herein can be used alone or combined in different combinations in embodiments of the invention. Features and advantages of various embodiments of the present invention will become apparent by reading the following detailed description with reference to the attached drawings which illustrate the following:
[0032]
[0033]
[0034]
[0035]
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[0037]
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[0039]
DETAILED DESCRIPTION
[0040] Exemplary embodiments of the invention provide a communications interface of a medical device configured for protecting patients and/or operating personnel from hazardous electrical voltages and/or leakage currents. Exemplary embodiments of the invention further provide a communications interface of a medical device having reduced sensitivity to electromagnetic interference.
[0041] Some embodiments of an arrangement for a communications interface described below with reference to a medical device provide for protection of patients and/or operating personnel from hazardous electrical voltages.
[0042] Some embodiments of an arrangement for a communications interface described below with reference to a medical device provide for reduced sensitivity to electromagnetic interference.
[0043] Some embodiments of an arrangement for a communications interface described below with reference to a medical device provide for protection of patients and/or operating personnel from hazardous electrical voltages and for reduced sensitivity to electromagnetic interference.
[0044] In the interests of better legibility and comprehensibility, the present disclosure will in some places describe only the conversion of an electrical signal into an optical signal or the conversion of an optical signal into an electrical signal. It is self-evident that such a conversion also takes place in the other direction in the case of a bidirectional communications interface.
[0045] In an exemplary embodiment, a medical device with a communications interface comprises at least one housing, electrical and/or electronic components arranged inside the housing, and a user interface. The user interface may comprise a display and operating elements, which are operated by touch, to operate the medical device. One example of such a medical device is a dialysis machine, such as that described in detail further above.
[0046] The medical device also has a first receiving device, which is accessible outside of the housing and is part of a first communications interface for receiving a proximal end of a medium that carries communication signals. The first receiving device, which is accessible from the outside, may be a bushing of a network connection, for example, and the medium carrying the communication signals is a corresponding network cable, for example, a cable for a local area network (LAN) according to the IEEE 802.3 standard (Ethernet) or an optical connecting line for a fiber-optic network, for example, according to any one of the standards of the IEC 61754 family
[0047] The first communications interface is communicatively connected to one or more processors, so that the one processor or the multiple processors can send and/or receive data. The first communications interface may also be implemented with the one processor or the multiple processors together as part of a system integrated on a computer chip (system-on-chip, SOC). One processor or multiple processors are also connected so they can communicate with volatile or nonvolatile memories, so that program instructions of computer programs as well as data can be read out, saved and processed.
[0048] The distal end of the medium carrying the communication signals is provided for connection to a corresponding second receiving device, which is connected via a communications network to a second communications interface. The second communications interface and/or the communications network are not part of the medical device here.
[0049] A communication link between the communications network and the electrical and/or electronic components of the medical device that are inside the device and are connected so they can communicate with the first communications interface has at least two segments. At least one of the segments transmits communication signals in an electrically non-conductive manner and has an electrical and/or galvanic separation between the input and output and/or between the output and input, respectively, of the segment with a predetermined first dielectric strength.
[0050] A communication connection can be established permanently or optionally via the communication link when the distal and proximal ends of the medium carrying the communication signals are connected to the respective receiving devices.
[0051] In one embodiment of the medical device, the segment transmitting communication signals in an electrically non-conductive manner is a fiber-optic data connection, for example. In the case of a fiber-optic data connection inside the device, electrical data signals arriving at the medical device are converted into optical data signals in a corresponding converter and sent to at least one processor or multiple processors or additional electrical and/or electronic components inside the medical device for further processing or forwarding, optionally after being converted back into electrical data signals via corresponding converters. The fiber-optic data connection may comprise monomode or multimode glass fibers or non-conductive multimode plastic fibers, also known as plastic optical fiber or POF. Step index fibers as well as gradient index fibers may also be used. A fiber-optic connection can also be established by the medium carrying the communication signals, and insulation of the touchable parts of the communications interface of the medical device is ensured by the fiber-optic connection and the first receiving device for receiving a medium carrying the optical communication signals. The first receiving device may be configured to receive fiber-optic connections according to one of the standards of the IEC 61754 family, for example.
[0052] The fiber-optic data connection may have a separate optical line for the transmitting and/or receiving directions for bidirectional operation in order to permit so-called full-duplex operation, in which a transmitter at one end of an optical line is connected to a receiver at the other end of the optical line. If the medium carrying the communication signals transmits optical signals, the first receiving device is configured to receive two light-conducting fibers accordingly. Full-duplex describes the option of transmitting and receiving at the same time. Alternatively, light of another wavelength sent over a shared optical line may be used for the transmitting direction and/or receiving direction (wavelength duplex and/or multiplex). Again in this case, a full-duplex mode is possible. Input and/or output of light of the respective wavelength take(s) place in corresponding combined transmitter-receiver modules (transceiver=transmitter-receiver). If full-duplex operation is not necessary, bidirectional data communication may also take place in so-called half-duplex operation, in which transmission and reception take place in alternation. To do so, data to be transmitted may be stored temporarily, until the respective transmitter can transmit the data. Alternatively, data to be transmitted can be created via synchronized control, so that storage of data at the transmitter end may be unnecessary. Control may be provided via a suitable protocol, which in this case may exclude simultaneous transmission.
[0053] In an exemplary embodiment of the medical device, the communication signals are transmitted optically in a spectrum including both infrared and/or visible light.
[0054] In an exemplary embodiment of the medical device, at least one segment of the communication zone, which transmits communication signals in an electrically non-conductive manner is disposed inside the medical device.
[0055] In an exemplary embodiment of the medical device, at least one segment of the communication link that transmits communication signals in an electrically non-conductive manner is disposed inside the medical device, and a circuit supplied with power from a first voltage supply is provided in or on the device for converting electrical signals into optical signals and/or optical signals into electrical signals. The first voltage supply is configured to ensure a galvanic and/or electrical separation of the circuit for conversion of electrical signals into optical signals and/or optical signals into electrical signals from other electrical and/or electronic components inside the device which have a dielectric strength corresponding at least to the predetermined first dielectric strength. The receiving device of the first communications interface, which is accessible from outside of the housing of the medical device, is configured to receive a medium carrying electrical communication signals. The converter circuit, which is separated electrically and/or galvanically from other electrical and/or electronic components inside the device, converts the electrical communication signals into optical communication signals and forwards them over a suitable line to another converter circuit inside the device. In the additional internal converter circuit, the optical signals are converted into electrical signals and sent at least to the one processor or the multiple processors or additional electrical or electronic components inside the medical device.
[0056] The first voltage power supply may in turn be supplied with power from a voltage power supply of the medical device or independently thereof by an external power source disposed outside of the medical device.
[0057] In the case of supplying power to the first voltage power supply from a voltage power supply of the medical device, the first voltage power supply may comprise a DC voltage converter (DC-DC converter) connected to a suitable voltage rail of a voltage power supply of the medical device.
[0058] In the case of supplying power to the first voltage power supply from an external power source, the external voltage power supply may comprise a corresponding network part connected to a power supply network provided at an installation site of the medical device.
[0059] In another exemplary embodiment, a voltage that is considered reliable is available at the installation site of the medical device, this voltage being lower than the line voltage, for example, a low DC voltage of 12 VDC of a nurse calling system, which is supplied to and/or looped through the medical device. In the latter case, a trigger element of the nurse calling system is connected to the medical device. If this low DC voltage is supplied at a sufficient power and/or at a low ohmage level, then the first voltage power supply can either be supplied directly to the circuit for converting electrical signals into optical signals and/or optical signals into electrical signals or supplied after a corresponding reduction or increase to a suitable or required voltage, for example, through a linear regulator or a switch converter. The voltage adjustment does not require any particular electrical and/or galvanic separation between the input and output and can therefore be implemented inexpensively.
[0060] Alternatively, the first voltage power supply can be supplied with electric power via the medium conducting the communication signals, for example, via power over Ethernet (PoE) together with data over an Ethernet line through the communications network. The power supply voltage can be fed into the Ethernet line at a central location in the communications network, for example, a router or switch set up for this purpose. In another exemplary embodiment, the feed of the power supply voltage into the Ethernet line may take place only in the vicinity of the installation site of the medical device, for example, directly at the network terminal of the communications network. The latter approach can subsequently be implemented easily and without any great effort.
[0061] In an exemplary emdodiment, a system comprises the medical device described above, wherein the first receiving device, which is accessible from outside of the housing of the metidal device is configured to receive a proximal end of an optical connecting line of a fiber-optic network, convert electrical data signals into optical data signals, and/or convert optical data signals into electrical data signals. The system receives electrical data signals from the second communications interface connected to the communications network at the device, which is connected to the distal end of the optical connecting line for converting electrical data signals into optical data signals and conducting them over the optical connecting line to the first accessible receiving device outside of the housing of the medical device. A converter is communicatively connected to the first receiving device of the medical device and converts the optical signals into electrical signals and supplies them for forwarding to the one processor or the multiple processors as well as optionally additional internal electrical and/or electronic components of the medical device. Similarly, the converter that is communicatively connected to the receiving device of the medical device receives electrical signals from the one processor or the multiple processors as well as optionally the additional internal electrical and/or electronic components of the medical device and converts them into optical signals. These optical signals are sent over the optical connecting line to the device connected to the distal end of the optical connecting line for converting electrical data signals into optical data signals and/or optical data signals into electrical data signals, where they are converted into electrical data signals and forwarded to the second communications interface connected to the communications network.
[0062] The device for converting electrical signals into optical signals and/or optical signals into electrical signals comprises a second power supply voltage, which is supplied with power from a power source situated outside of the medical device. The power source situated outside of the medical device may be, for example, a power supply unit that is connected to a power supply network available at the installation site. It is also possible to use a DC power supply voltage available at the installation site, for example, associated with a nurse calling system.
[0063] In an exemplary embodiment of the system, the power is supplied to the second power supply voltage over the second communications interface associated with the communications network, for example, via PoE over the medium conducting the communication signals, said medium being arranged between the second communications interface associated with the communications network and the device for converting electrical data signals into optical data signals and/or optical data signals into electrical data signals.
[0064] The PoE power feed, as in the embodiment described above, may take place at a central location in the communications network, for example, in a router or switch set up for this purpose. In another example, the power supply voltage may be fed into the Ethernet line only in the vicinity of the installation site of the medical device, for example, directly at the network connection of the communications network. The latter approach can also be implemented subsequently and easily without any great complexity, as already mentioned above.
[0065]
[0066] The network cable 116 establishes an electrically conductive connection between the medical device 100 and devices and equipment connected to the communications network 118. Data transmission device 106 creates a functional insulation of the network interface, for example, in order to keep DC cycle disruptions away from the first communications interface. Furthermore, the data transmission device 106 is situated far inside the medical device 100. Connecting line 122, connecting the receiving device 114 for the network cable 116 to the data transmission device 106 internally is electrically connected to the network cable 116 and carries the same voltage as the latter. If the insulation is damaged, then parts of the medical device 100 may become live (carrying voltage) and may constitute a threat to an operator or a patient connected to the medical device 100. The region at risk of DC voltage disruptions applied to the network cable 116 is indicated by the region outlined with a broken line and not colored in gray in the figure. Furthermore, electromagnetic interference received over the network cable 116 can be carried through the connection to the connecting line 122 into the interior of the housing 102 of the medical device 100, where it can have an adverse effect on measurement and/or control circuits, among other things.
[0067]
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[0069] The network cable 116 establishes an electrically conductive connection between the receiving device 114 for the network cable 116 and devices and equipment connected to the communications network 118. The data transmission device 106 connected to the receiving device 114 produces a functional insulation of the network interface, for example, in order to keep DC cycle interference away from the first communications interface, and it may be omitted, depending on the type and arrangement of the other circuit parts. Electrical signals sent over the network cable 116 and the receiving device 114 to the medical device are converted from electrical signals into optical signals in a first circuit (O-TX) 130 for conversion of electrical signals into optical signals and are sent over a medium 132, conducting optical signals to a second circuit (O-TX) 134 for converting optical signals into electrical signals, where they are converted and relayed over additional interface components (PHY) 108 to the microprocessor 110. Accordingly, signals sent from the microprocessor 110 pass over the additional interface components 108 to the second circuit (O-TX) 134 for conversion of electrical signals into optical signals, then over the medium 132 that conducts optical signals to the first circuit (O-TX) 130 for conversion of optical signals into electrical signals, are converted there and sent via the receiving device 114 to the network cable 116. The medium 132 conducting optical signals may be a medium that is used jointly for both communication directions or may comprise two separate media, each of which is used for signals of one communication direction.
[0070] A power supply to the first circuit 130 is provided by way of a DC voltage converter (DC/DC) 136, which is supplied with power by an internal power supply unit and ensures the electrical and/or galvanic separation with the predetermined first dielectric strength. The DC voltage converter 136 may also supply one or more additional power supply voltages as needed. The first circuit 130, the DC voltage converter 136 and optionally the data transmission device 106 are preferably set up near one another in space and at a distance from other electrical and/or electronic components situated in the housing 102 or separated from them by other structural measures, for example, by non-conductive and/or shielding encapsulation, so that electrical and/or galvanic separation is ensured with the given first dielectric strength.
[0071] In the exemplary embodiment described above, dangerous voltages can travel over the communications network and/or electrical devices and equipment associated therewith only up to the input circuit, which is separated by an adequate distance or other structural measures, for example, a non-conductive and/or shielding encapsulation, and cannot have an effect on other internal components of the medical device. Propagation of interference input over the network cable 116 in the interior of the medical device is reduced or prevented. The area at risk due to the dangerous voltages and interference applied to the network cable 116 is indicated by the area shown with dashed lines but not shaded in gray.
[0072]
[0073] The first circuit 130, the circuit 137 for separation of power and data and optionally the data transmission device 106 are preferably disposed in proximity to one another and at such a distance from other electrical and/or electronic components in the housing 102 or separated from them by other structural measures, for example, by non-conductive and/or shielding encapsulation, so that the electrical and/or galvanic separation is ensured with the predetermined first dielectric strength.
[0074] Supplying electricity to circuits over a network cable includes feeding electricity into the network cable at some location. Such circuits are available commercially for PoE and are also known as PoE injectors. The figure illustrates a PoE injector 138 connected to the second receiving device 120 and feeds electricity at this point into the network cable to supply power to the first circuit 130. Alternatively, a PoE injection may also take place in a central network component, for example, a suitably configured router or switch.
[0075]
[0076] A release switch 140 for the nurse calling system is usually connected to a corresponding terminal SR at a treatment station via a plug connection. The release switch 140 may also include additional operating elements, for example, for operation of electrical facilities in a room, for example, for lighting or for control of blinds or the like (not shown in the figure). The room-side connection SR may be disposed in or on a wall of the room or on a so-called connection panel and/or a connection column, for example, the latter providing several connections for electricity, data connections, oxygen and/or compressed air supply and the like, which are provided via the treatment station.
[0077] The first circuit 130, connections SRin, SRout and optionally the data transmission device 106 are preferably disposed in spatial proximity to one another and at a distance from other electrical and/or electronic components in the housing 102 or separated from them by other structural measures, for example, by non-conductive and/or shielding encapsulation, so that the electrical and/or galvanic separation with the predefined first dielectric strength is ensured.
[0078]
[0079] The system in this embodiment comprises a device 150 situated outside of the medical device 100 and having a first circuit 130 for conversion of electrical signals into optical signals and/or for conversion of optical signals into electrical signals which is connected via a medium 132 that conducts optical signals to the second circuit (O-TX) 134 for conversion of optional signals into electrical signals and/or for conversion of electrical signals into optical signals. The medium 132 conducting the optical signals may be a medium used jointly for both communication directions or may comprise two separate media, each of which is used for signals of one communication direction.
[0080] The first circuit 130 converts optical signals coming from the medical device 100 into electrical signals and forwards them to the communications network 118. For this purpose the first circuit 130 may be connected to the communications network 118 via a receiving device 114 for a network cable 116 and the network cable 116 to the communications network 118. Network cable 116 establishes an electrically conducting connection between the receiving device 114 for the network cable 116 and devices and equipment connected to the communications network 118. The data transmission device 106 connected to the receiving device 114 causes functional isolation of the network interface, for example, to keep DC interference away from the first communications interface and may be omitted, depending on the type and arrangement of the additional circuit parts.
[0081] The first circuit 130 and circuit parts electrically connected thereto are part of a device 150 arranged in a housing. The housing provides protection against contact with voltage-carrying parts. A power supply of the first circuit 130 is provided via a network part 152 which is independent of the medical device 100 and which ensures an electrical and/or galvanic separation with the predefined first dielectric strength. The network part 152 may be arranged in the housing or may be embodied as an external plug network part. The network part 152 is supplied with electricity from a network voltage connection 160 which is supplied locally. In an alternate exemplary embodiment, power is supplied to the first circuit 130 and the additional circuit parts via the network cable 116, for example, via PoE, as described above with reference to
[0082] The first circuit and the components connected directly to it, which are indicated by the dashed line in the figure, can be arranged close to the medical device 100 or close to the room-side network connections and network voltage connections, depending on the respective length of the network cable 116 and the medium 132 conducting the optical signals.
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[0085] While the invention has been illustrated and described in detail in the drawings and foregoing description, such illustration and description are to be considered illustrative or exemplary and not restrictive. It will be understood that changes and modifications may be made by those of ordinary skill within the scope of the following claims. In particular, the present invention covers further embodiments with any combination of features from different embodiments described above and below. Additionally, statements made herein characterizing the invention refer to an embodiment of the invention and not necessarily all embodiments.
[0086] The terms used in the claims should be construed to have the broadest reasonable interpretation consistent with the foregoing description. For example, the use of the article a or the in introducing an element should not be interpreted as being exclusive of a plurality of elements. Likewise, the recitation of or should be interpreted as being inclusive, such that the recitation of A or B is not exclusive of A and B, unless it is clear from the context or the foregoing description that only one of A and B is intended. Further, the recitation of at least one of A, B and C should be interpreted as one or more of a group of elements consisting of A, B and C, and should not be interpreted as requiring at least one of each of the listed elements A, B and C, regardless of whether A, B and C are related as categories or otherwise. Moreover, the recitation of A, B and/or C or at least one of A, B or C should be interpreted as including any singular entity from the listed elements, e.g., A, any subset from the listed elements, e.g., A and B, or the entire list of elements A, B and C.