論文 Secure Buddy System in Highly Managed Medical IoT for Patients with Intractable Diseases 2021 IEEE 10th Global Conference on Consumer Electronics (GCCE),:187-190 2021 Author:Kentaro Yoshikawa, Akinori Nakamura and Masahiro Kuroda Abstract:Telemedicine for chronic disease management is extending to the home due to the coronavirus pandemic and patients with intractable diseases, such as amyotrophic lateral sclerosis (ALS) disease, are returning to their homes. Sophisticated alarm delivery for condition changes of patients and burden reduction of their families are foundations of telemedicine. This paper discusses reliable and flexible alarm delivery system for caregivers including patient’s family and introduces a buddy system which manage clinically necessary alarms from highly managed medical devices in the system. We discuss alarm analysis and reduction, zero-admin security, 920MHz radio integration, and degeneration operation in alarm delivery. We design a buddy system and an alarm delivery system taking advantage of the buddy and evaluate the alarm traffic when 920MHz wireless network is used. We, then, investigate the system with multi-hop 920MHz configuration intended for floor-wide alarm delivery system and raise issues of the system for further works. We conclude with our further work for interface standardization of medical buddy IoT systems.
Empirical study of medical IoT for patients with intractable diseases at home 11th ITU Academic Conference ITU Kaleidoscope Atlanta 2019,:1-6 2019 Author:Kentaro Yoshikawa, Masaomi Takizawa, Akinori Nakamura, Masahiro Kuroda Abstract:Telemedicine for chronic disease management is extending to the home through the use of medical devices and ICT technologies. Patients with intractable diseases, such as amyotrophic lateral sclerosis (ALS) and lethal neurodegenerative diseases, have been returning to their homes rather than remaining hospitalized. Reliable alarms for condition changes of patients and burden reduction of their families are taking root as foundations of telemedicine for patients with intractable diseases. This paper discusses reliable alarm delivery and expected medical IoT features for those patients. A patient's family has difficulty in setting optimal parameters of life-support medical devices following patient condition changes. Also, caregivers and patients' families expect reliable alarms and false alarm reduction from tele-alarm systems used at home. We need to provide both anxiety relief for patients' families and patient safety by reliably monitoring the patients. We designed and implemented an alarm delivery system for patients with intractable diseases, and here we propose a prototype false-alarm reduction mechanism for highly-controlled medical device systems including an artificial ventilator. We investigated alarms of a patient for one year, cooperating with the patient's family. We need both hardware standard interfaces and consistent alarm functions between artificial ventilators. We conclude with our further work for patients with different types of intractable diseases and for standardization of medical IoT networks integrating false-alarm reduction systems.
院内利用の汎用人工呼吸器のアラーム複数伝送の試み In-hospital Trials for alert transmission of Mechanical Ventilators 医療 = Japanese journal of National Medical Services : 国立医療学会誌,72(12):499-504 2018(Dec.) Author:中村 昭則;吉川 健太郎;滝沢 正臣 Keywords:人工呼吸器;アラーム;遠隔伝送;院内利用;mechanical ventilator;alert;transmission system;in-hospital trial
人工呼吸器のアラーム伝送の試み(第3報) (JTTA 2016 YONAGO 第20回日本遠隔医療学会学術大会) -- (分科会) Remote alert system of artificial ventilator 日本遠隔医療学会雑誌(Japanese Journal of Telemedicine and Telecare),12(2):90-93 2016(Oct.) Author:中村 昭則;滝沢 正臣;宮崎 大吾;日根野 晃代;吉川 健太郎 Keywords:在宅医療;人工呼吸器;information and communications technology (ICT);遠隔監視;アラーム通報
在宅利用人工呼吸器開発のための国内調査 (JTTA 2016 YONAGO 第20回日本遠隔医療学会学術大会) -- (分科会) Surveillance reports of the respirator for home patients 日本遠隔医療学会雑誌(Japanese Journal of Telemedicine and Telecare),12(2):94-97 2016(Oct.) Author:滝沢 正臣;中村 昭則;吉川 健太郎;日根野 晃代 Keywords:人工呼吸器;国内利用状況調査;メーカー;医療者;respirator;questionnaire survey;vender;medical staff
現用人工呼吸器のアラーム外部伝送の試み(第1報) (JTTA 2016 YONAGO 第20回日本遠隔医療学会学術大会) -- (分科会) Alarm transmission sytem of artificial respirator currently used 日本遠隔医療学会雑誌(Japanese Journal of Telemedicine and Telecare),12(2):98-101 2016(Oct.) Author:吉川 健太郎;滝沢 正臣;中村 昭則 Keywords:アラーム;人工呼吸器;在宅医療;ナースコール信号;遠隔モニタリング
在宅医療総合支援システムの構築に向けたリアルタイム多地点遠隔生体モニタリングシステムの開発 (JTTA 2015 SENDAI 第19回日本遠隔医療学会学術大会) Development of real time multipoint telemonitoring of vital signs for architecture of general home care system. 日本遠隔医療学会雑誌(Japanese Journal of Telemedicine and Telecare),11(2):129-131 2015(Oct.) Author:吉川 健太郎;滝沢 正臣 Keywords:在宅医療;遠隔モニタリング;VPN;パルスオキシメータ;SpO₂;home care;telemonitoring;Virtual Private Network;pulsoximeter
在宅医療総合支援システムの構築に向けたリアルタイム遠隔生体モニタリング開発の試み Development of real time telemonitoring of vital signs for architecture of general home care system 日本遠隔医療学会雑誌(Japanese Journal of Telemedicine and Telecare),10(2):213-214 2014(Oct.) Author:吉川 健太郎、滝沢 正臣
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