TWI519274B - Wound monitoring system - Google Patents

Description

Wound monitoring system

The present invention relates to a medical care operating system, and more particularly to a wound monitoring system.

There are many different wounds during hospitalization, such as accidental burns, burns, surgical wounds, pressure sores, ulcers or other ischemic wounds, flap wounds or diabetic foot wounds, etc., when these wounds are in care. Often, because of the location or coverage of the dressing, the medical care team is not easy to observe immediately, but must rely on the record of the text to describe the condition of the wound, so it is inevitable that there will be a record of distortion.

Take the most common pressure sore as an example. The pressure sore is caused by long-term compression of the patient's body, or damage to the tissue caused by shearing and friction caused by equipment and sheets, and the skin is often damaged. For example, the occipital bone, the scapula, the sacrum, the hip bone, the ischial bone, etc., the wound has an irregular appearance due to compression. Therefore, in the care of care, once the pressure sore is formed, continuous treatment and evaluation are needed to grasp the condition of wound bleeding and healing at any time to adjust the treatment measures and eliminate the factors that may cause deterioration. However, because the wound is difficult to be clearly described in words, it is currently clinically based on the evaluation criteria of the National Pressure Ulcer Advisory Panel (NPUAL), according to the location of the pressure ulcer, the number of stages, the size, the orientation of the channel, the wound tissue, Ten items, such as exudate, smoothness around the wound, taste, pain, and wound progression, are used to describe the condition of the wound.

However, there are still many inconveniences in the above-mentioned way of recording pressure sores. First, every time a nursing record and a doctor's consultation are required It is necessary to open the patient's wound dressing and expose it for about 10 to 15 minutes, increasing the possibility of wound infection. Second, the same pressure sore wound may result in different interpretation results due to differences in observation angles and experience between different caregivers, thus also causing difficulties in the evaluation of care effectiveness and care delivery. Third, the care of pressure ulcers requires a lot of medical expenses, and the use of high-cost artificial dressings is subject to strict review. Therefore, in order to accurately report medical insurance costs, a detailed medical record is even more important.

The main object of the present invention is to provide a wound monitoring system which can effectively reduce the time of wound exposure, improve the quality of medical care, and establish wound medical record data.

To achieve the foregoing objective, the present invention provides a wound monitoring system including a database, a data processing module, an image capturing module, a measuring module, and an evaluation item input module, wherein the database stores The medical record data or the wound data is connected to at least one first terminal device; the data processing module is connected to the database for storing or reading the medical record data or the wound data, and connecting at least one second terminal device; the image capturing The module is connected to the data processing module for capturing the wound image; the measuring module is connected to the data processing module for measuring the size of the wound of the patient; and the input module of the evaluation item is connected to the data processing module. Used to enter one of the preset evaluation items.

In this way, the way the wound image is taken can effectively reduce the time for the medical care staff to record the wound, and through the image storage and standardized evaluation items, it can help the interpretation of the wound, improve the quality of medical care, and finally, the wound image. Establishing medical records can establish a more complete medical record.

Detailed features of the invention will be described in the detailed description which follows. However, it should be understood by those of ordinary skill in the art that the present invention is not limited by the scope of the invention.

10, 70‧‧‧ wound monitoring system

11‧‧‧ wounds

12‧‧‧ wound image

13‧‧‧PC

14‧‧‧Mobile

15‧‧‧ Tablet PC

20, 110‧‧ ‧ database

22, 112‧‧‧ first terminal device

30, 100‧‧‧ data processing module

32‧‧‧Second terminal device

40‧‧‧Image capture module

50‧‧‧Measurement module

52‧‧‧Baseline segment

54‧‧‧ length line segment

56‧‧‧Width line segment

58‧‧‧ benchmark

60‧‧‧Evaluation project input module

80‧‧‧ Patient Identification Module

90‧‧‧Parallel display module

BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 is a block diagram of a wound monitoring system provided by a preferred embodiment of the present invention.

Figure 2 is a block diagram of a wound monitoring system provided by another preferred embodiment of the present invention.

Figure 3 is a schematic view showing the operation of the wound monitoring system provided by a preferred embodiment of the present invention, mainly showing the situation of capturing the wound image of the patient.

4 and 5 are schematic views showing the operation of the wound monitoring system according to a preferred embodiment of the present invention, mainly showing the operation on a personal computer.

6 to 12 are schematic views showing the operation of the wound monitoring system according to a preferred embodiment of the present invention, mainly showing the operation on a tablet computer.

The technical contents and features of the present invention will be described in detail below with reference to the accompanying drawings.

1 is a wound monitoring system 10 according to a preferred embodiment of the present invention, which includes a database 20, a data processing module 30, an image capturing module 40, a measuring module 50, and an evaluation. The project input module 60.

The database 20 can be a medical record database or a wound database, storing medical records or wound data, and connecting at least one first terminal device 22, including a personal computer, a notebook computer, and a tablet computer, by wire or wirelessly. The smart phone or the like causes each of the first terminal devices 22 to read the database 20.

The data processing module 30 is connected to the database 20 for storing or reading medical record data or wound data of a specific patient from medical record data or wound data, and can connect at least one second terminal device 32 by wire or wirelessly. The utility model comprises a personal computer, a notebook computer, a tablet computer, a smart phone, etc., and replies the processing result according to the instruction output by the second terminal device 32.

The image capturing module 40 is wired or wireless Connecting the data processing module 30, as shown in FIGS. 1 and 3, the patient's wound 11 is photographed by the image capturing module 40, and then transmitted to the data processing module processing 30, and the image is displayed. The module 40 can be used for camera functions of various portable electronic products, such as a smart phone, a tablet, or a camera module of a notebook computer.

The measuring module 50 is connected to the data processing module 30 to measure the size of the patient's wound 11 through the measuring module 50, including the length, the width and the area. As shown in FIGS. 1 and 4, The measurement module 50 includes a reference line segment 52, a length line segment 54 and a width line segment 56. The length of the reference line segment 52 is the same as a reference object 58 in the wound image 12, and the length line segment 54 and the width line segment 56 The length is about the same as the length and width of the wound 11 in the wound image 12, and the actual length of the reference 58 is used as a reference for converting the actual length, and the ratio of the reference line segment 52 to the length line segment 54 and the width line segment 56 is calculated. The actual length of the length line segment 54 and the width line segment 56 is multiplied to obtain the actual area of the wound 11 in the wound image 12, wherein the reference material 58 utilizes the patient's identity bar code label.

The evaluation item input module 60 is connected to the data processing module 30 for inputting a preset evaluation item, the evaluation item includes a wound type, and the wound type is pre-configured with more than one type of wound option, including pressure Various types of sores, ulcers, and other ischemic wounds, surgical wounds, flap wounds, and diabetic foot wounds, each of which is pre-equipped with a corresponding evaluation item, and the evaluation item input module 60 further produces according to the selected wound type. Corresponding evaluation items.

The pressure sore assessment program includes items such as location, number of stages, wound tunnel, basal tissue, taste, fluid volume, around the wound (within 4 cm), pain (turning over or changing dressing), and healing conditions. Ischial, right ischial bone, sacral bone, left femur trochanter, right femur trochanter, left calcaneus, right calcaneus, left ankle, right ankle, left scapula, right scapula, occipital bone, others, and medical devices cause facial pressure sores Project Several items include one level (skin intact, reddened for 10 seconds without reversing), secondary (defective damaged or long blisters), tertiary (wound to dermis), level 4 (wound damage) Four options, such as yellow rot or black eschar, often appear below the muscle layer to describe the level of the wound; the wound tunnel item contains options such as one to twelve o'clock to describe the direction of the wound deep into the skin. The basal tissue contains granulation tissue (clean wounds begin to heal, the base appears rough and echinoderma), necrosis (gray black but moist), burnt skin (black and dry), succulent (yellow tissue covering the wound), and epithelial tissue ( The project is about to heal the epithelium in pink) to describe the condition of the wound tissue; the taste item contains and has no two options to describe the taste of the wound; the amount of exudate contains no, a small amount (less than 25% of the exudate) Dressing area), medium amount (dressing area less than 25~75% exudate) and a large number of dressing area (more than 75% dressing area), etc., to describe the condition of wound exudation; around the wound (4CM) project Contains pink, deep red, Five options, such as pus, infiltration, lumps, and normal, describe the condition around the wound; the pain (turn over or dressing change) item includes an inapplicable, pain index of 1 to 10 points to describe the pain of the wound. The healing situation project includes three options, progression, no change, and worse, to describe the condition of wound recovery.

The evaluation items for ulcers and other ischemic wounds include items such as location, taste, exudate volume, and infection. The options for the taste and exudate items are the same as those for the aforementioned ulcers and other ischemic wounds; There are 1~6 parts for the medical staff to prepare the wound number by themselves; there are two options for the infection project.

The evaluation item of the surgical wound is the same as the evaluation item of the aforementioned ulcer and other ischemic wounds, and will not be described again.

The evaluation items of the flap wound include items such as location, taste, fluid volume, infection and pulsation. The options for the site, taste, fluid volume, infection and other items are the same as those for the aforementioned ulcer and other ischemic wounds; The pulsation project contains or not, there are two options to describe and monitor the post-transplant Whether the flap has a pulsation.

The evaluation of diabetic foot wounds includes items such as location, taste, exudate volume, around the wound (within 4 cm), and infections. The site, taste, exudate volume, and site of infection are evaluated with the aforementioned ulcers and other ischemic wounds. The project is the same; the project around the wound (within 4 cm) is the same as the evaluation item for the aforementioned pressure sore wound.

The condition of the wound monitoring system 10 provided by the present invention operating as a personal computer is as shown in Figs. 3 to 5, and the operation of the smart phone or tablet is as shown in Figs. 3 and 6 to 12.

As shown in Figures 1 and 3, when operating on the personal computer 13, the medical care worker can use the electronic device such as the smart phone 14 and the tablet computer 15 to take photos of the wound 11 of the patient, and then take the cable after taking the photo. Alternatively, it is transmitted to the database 20 in a wireless manner, and then the personal computer 13 is used to log into the database 20 to input the wound size and evaluation items. As shown in FIGS. 1 and 4, when the measurement module 50 is operated on the personal computer 10, the mouse is used to manipulate the wound image 12 to draw a line segment. First, with the patient's identity barcode label as the reference 58, a reference line segment 52 of the same length as the identity barcode label is drawn, and then the actual length of the identity barcode label is entered on the screen. According to the size of the wound 11, a length line segment 54 and a width line segment 56 are drawn. After the measurement module 50 performs calculation, the measured results, including the length, width and area of the wound, are displayed. Picture. Finally, after selecting the wound type, the evaluation items are sequentially filled in according to the evaluation options preset by the different wound types, and the evaluation data can be input through the evaluation item input module 60, and then the information is processed through the data processing module 30. After being integrated into a complete wound assessment record, it is stored in the database 20 and becomes part of the medical record data for other medical care personnel to review and refer to at any time.

As shown in FIGS. 1 and 3, when the mobile phone 14 or the tablet computer 15 is operated, the photo of the patient's wound 11 is first photographed. As shown in Figures 6-12, the reference line segment 52, the length line segment 54 and the width line segment 56 are drawn according to the wound image 12 directly on the screen by finger touch, and finally the wound type is selected in the menu 16 and input into the evaluation item. The wound can be recorded. It should be noted that the reference material 58 can be used in one or two ways. When a reference material 58 is used, as shown in FIG. 4, the reference material 58 is adhered to the wound as a reference for the measurement comparison; When using two datums, as shown in Figure 6, one is pasted in the direction of the width of the wound, and the other is pasted in the direction of the length of the wound, as a measure of the width and length, which can be accurately measured. The size of the wound.

Therefore, the wound monitoring system provided by the present invention can record the wound image by simply taking a picture, and then performing the evaluation through the established evaluation item. One can concentrate on the care of the wound, and the second doctor can only observe the wound photo when it is consulted, which can effectively reduce the time of wound exposure and reduce the discomfort of the patient. Furthermore, through the storage of images and standardized evaluation projects, it is possible to effectively reduce the interpretation of wounds between different medical care workers, which not only helps the nursing staff to understand the patient's condition more quickly and consistently during the shift, but also effectively improve the medical treatment. The quality of care. Finally, through the establishment of wound medical records, a clear understanding of the use of wound dressings can be used as a basis for health insurance reporting.

2 is a wound detection system 70 according to another preferred embodiment of the present invention, further comprising a patient identification module 80 and a parallel display module 90.

The patient identification module 80 is connected to the data processing module 100, and can read the one-dimensional barcode on the patient identification barcode label to identify the patient identity, and further access the data processing module 100 from the database 110. Access the medical records or wound data of the specific patient. The parallel display module 90 is connected to the database 110 and each of the first terminal devices 112 for displaying one or more wound images 12 side by side on the screen, wherein each of the first ends The end device 112 can be a smart phone, a tablet, a notebook, or a desktop computer.

In actual operation, as shown in Figures 2 and 3, before the medical caregiver uses the smart phone 14 or the tablet 15 to take a picture of the wound, first align the patient identification barcode label next to the wound 11 to allow the patient to The identification module 80 performs identification and accesses the medical record data or wound data of the specific patient from the database 110 for further editing or storage. In this embodiment, the patient's identity barcode label can be used not only as a reference for drawing the reference line segment, but also for directly accessing the specific patient medical record data or wound data for updating records. For medical care personnel, It can save the procedures and time for recording work, and it is quite convenient. In addition, as shown in Figure 5, medical care personnel can view more than one wound image 12 at a time when viewing the wound record data in the database, so that the medical caregiver can easily assess the wound care condition of the patient. The photos taken at different times are aligned side by side to provide a clearer understanding of the recovery of the wound.

It should also be noted that the wound monitoring system of the present invention can be applied to all wounds commonly seen in medical care, such as pressure sores, burns, wounds, and the like.

It is to be understood that the foregoing detailed description of the drawings is merely illustrative of the technical aspects and features of the present invention, and those who have ordinary knowledge in the field of the invention </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt;

10‧‧‧Wound Monitoring System

20‧‧‧Database

22‧‧‧First terminal device

300‧‧‧Data Processing Module

32‧‧‧Second terminal device

40‧‧‧Image capture module

50‧‧‧Measurement module

60‧‧‧Evaluation project input module

Claims (20)

A wound monitoring system includes: a database storing medical record data or wound data, and connecting at least one first terminal device; a data processing module connected to the database for storing or reading medical record data or wounds And connecting at least one second terminal device; an image capturing module connected to the data processing module for capturing a wound image; a measuring module connected to the data processing module for measuring a patient The size of the wound, wherein the measuring module further comprises a reference line segment, a length line segment and a width line segment, the length of the reference line segment being the same as a reference object in the wound image, the length line segment and the length of the width line segment being approximately The length and width of the wound in the wound image are the same, and the measuring module calculates the length line segment and the width line segment according to the ratio of the reference line segment to the length line segment and the width line segment based on the actual length of the reference object. The actual length, and multiplied to obtain the actual area of the wound in the wound image, which is the identity barcode label of the patient; an evaluation item The module is connected to the data processing module for inputting a preset evaluation item; and a patient identification module, the patient identification module is connected to the data processing module for reading the patient The identity barcode label is used to identify the patient's identity; the medical record module or the wound data of the specific patient is accessed from the database through the data processing module. The wound monitoring system of claim 1, wherein the evaluation item comprises a wound type, and the wound type is pre-positioned with more than one type of wound, and each wound type is pre-equipped with a corresponding evaluation item, and the evaluation item input module A corresponding evaluation item is produced based on the type of wound selected. The wound monitoring system of claim 2, wherein the wound species comprises pressure sores, ulcers, and other ischemic wounds, surgical wounds, and flap wounds. And diabetic foot wounds. The wound monitoring system of claim 3, wherein the evaluation item of the pressure sore wound comprises a site, a number of stages, a wound tunnel, a basal tissue, a taste, a fluid volume, a wound, a pain, and a healing condition. The wound monitoring system of claim 3, wherein the evaluation item of the ulcer and other ischemic wounds comprises a site, a taste, a fluid volume, and an infection. The wound monitoring system of claim 3, wherein the evaluation item of the surgical wound comprises a site, a taste, a fluid volume, and an infection. The wound monitoring system of claim 3, wherein the evaluation item of the flap wound comprises a site, a taste, a fluid volume, an infection, and a pulsation. The wound monitoring system of claim 3, wherein the evaluation item of the diabetic foot wound comprises a site, a taste, a fluid volume, a wound, and an infection. The wound monitoring system of claim 4, wherein the site item comprises a left ischial bone, a right ischial bone, a sacral bone, a left femur trochanter, a right femoral trochanter, a left calcaneus, a right calcaneus, a left ankle, and a right ankle. The left shoulder blade, the right shoulder blade, the occipital bone, and other medical devices cause facial pressure sores. The wound monitoring system of claim 4, wherein the wound tunneling project comprises none, one o'clock, two o'clock, three o'clock, four o'clock, five o'clock, six o'clock, seven o'clock, eight o'clock, 9 o'clock, 10 o'clock, eleven o'clock and twelve o'clock. The wound monitoring system of claim 4, wherein the basal tissue item comprises granulation tissue, necrosis, burnt skin, rot, and epithelial tissue. The wound monitoring system of any of claims 4 to 8, wherein the taste item comprises, without,. The wound monitoring system of any one of claims 4 to 8, wherein the liquid leakage amount item comprises no, small, medium and large amounts. The wound monitoring system of claim 4 or 8, wherein the item surrounding the wound comprises pink, deep red, pus-like, infiltrating, hard, and normal. The wound monitoring system of claim 4, wherein the pain item Including not applicable, pain index 1 point, pain index 2 points, pain index 3 points, pain index 4 points, pain index 5 points, pain index 6 points, pain index 7 points, pain index 8 points, pain index 9 points, pain The index is 10 points. The wound monitoring system of claim 4, wherein the healing condition item comprises progression, no change, and deterioration. The wound monitoring system of any one of claims 5-8, wherein the site item comprises 1, 2, 3, 4, 5, and 6. The wound monitoring system of any of claims 5, 6 or 8, wherein the infection item comprises none, yes. The wound monitoring system of claim 7, wherein the pulsating item comprises none, yes. The wound monitoring system of claim 1, further comprising a parallel display module, wherein the parallel display module is connected to the database and each of the first terminal devices for displaying one or more wound images side by side on the screen.