• Title/Summary/Keyword: Patient Monitor

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Use of ADMSTM during sedation for dental treatment of an intellectually disabled patient: a case report

  • Chi, Seong In;Kim, Hyun Jeong;Seo, Kwang-Suk;Yang, Martin;Chang, Juhea
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.16 no.3
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    • pp.217-222
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    • 2016
  • Dental treatment is often performed under general anesthesia or sedation when an intellectually disabled patient has a heightened fear of treatment or has difficulty cooperating. When it is impossible to control the patient due to the severity of intellectual disability, conscious sedation is not a viable option, and only deep sedation should be performed. Deep sedation is usually achieved by propofol infusion using the target controlled infusion (TCI) system, with deep sedation being achieved at a slightly lower concentration of propofol in disabled patients. In such cases, anesthesia depth monitoring using EEG, as with a Bispectral Index (BIS) monitor, can enable dental treatment under appropriate sedation depth. In the present case, we performed deep sedation for dental treatment on a 27-year-old female patient with mental retardation and severe dental phobia. During sedation, we used BIS and a newly developed Anesthetic Depth Monitor for Sedation (ADMS$^{TM}$), in addition to electrocardiography, pulse oximetry, blood pressure monitoring, and capnometry for patient safety. Oxygen was administered via nasal prong to prevent hypoxemia during sedation. The BIS and ADMS$^{TM}$ values were maintained at approximately 70, and dental treatment was successfully performed in approximately 30 min.

The Implementation of Patient Vital Sign Information Telemedicine System using TMO in Distributed Network Enviroment (분산 네트워크 환경하에서 TMO를 이용한 중환자 생체정보 원격 진료 시스템 구현)

  • Kim, Gwang-Jun
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.13 no.6
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    • pp.1128-1140
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    • 2009
  • In this paper, we present a patient real-time vital sign information transmission system to effectively support developing real-time communication service by using a real-time object model named TMO (Time-Triggered Message-Triggered Object). Also, we describe the application environment as the ICU(Intensive Care Unit) to guarantee real-time service message with TMO structure in distributed network systems. We have to design to obtain useful vital sign information, which is generated at parsing data receiver modulor of HIS with TMO structure, that is offered by the central monitor. Vital sign informations of central monitor is composed of the raw data of several bedsite patient monitors. We are willing to maintain vital sign information of real time and continuity that is generated from the bedsite patient monitor. It is able to apply to remote medical examination and treatment. we proposed integration method between a vital sign database systems and hospital information systems. In the real time simulation techniques based on TMO object modeling, We have observed several advantages to the TMO structuring scheme. TMO object modeling has a strong traceability between requirement specification and design.

Monitoring Service Model of Dementia Patients (치매환자의 모니터링 서비스 모델 연구)

  • Cho, Young-bok;Woo, Sung-Hee;Lee, Young-Sung
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2014.10a
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    • pp.648-651
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    • 2014
  • In this paper, we introduce the trends in age-related health care services for dementia research due to the rapid aging society. In Korea, the current increase in dementia patients and the disappearance of runaway because social welfare policy is insufficient state and requires a lot of effort in order to protect the patient's guardian. Therefore, In this paper, we propose the need for a monitoring service for dementia patients. The attachment by the wearable sensor and monitor the mobility of the patient causes the protector as possible to trace the location of the patient to monitor the safety of the patient standing with the system provides.

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Development of ECG-NIBP Patient Monitoring System (ECG-NIBP 환자감시장치 개발)

  • Kim, N.H.;Shin, W.H.;Lee, G.K.;Ra, S.W.;Kim, G.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.315-318
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    • 1997
  • The ECG-NIBP patient monitor consist of Noninvasive Blood Pressure(NIBP) module that have micro controller inside. This module transfer data by serial communication to the main processor. This system apply the fuzzy inflating method to reduce the blood pressure measuring time, and moving artifact removing algorithm, several parameters used or more accurate measurement. The ECG monitor use the Digital Signal Processor(DSP) or digital filtering, peak detection, heart rate calculation. This system also offer convenient user interface by rotary key, menu bar. With 7" CRT display, auxiliary TFT LCD display adapted to display information on wide screen.

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Two-Channel EEG Analysis and Data Management Software (2-채널 뇌파분석 및 데이터 관리 소프트웨어)

  • Kang, D.K.;Kim, D.J.;Yoo, S.K.;Kim, S.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1998 no.11
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    • pp.193-194
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    • 1998
  • This paper describes a multi-functional EEG (electroencephalogram) software. The software manages the patient's EEG data systematically and analyzes the signal and display the parameters on a PC monitor in real-time. Since the software provides various parameters simultaneously, user can observe patients multilaterally. Reference patterns of CSA and DSA can be captured and displayed on top of the monitor. And user can mark events of surgical operation or patient's conditions, so it is possible to jump to the points of events directly, when reviewing the recorded file afterwards. Many convenient functions are equipped and these are operated by mouse clicks.

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A Development of Blood Pressure and Blood Sugar Monitor Using the Bluetooth and Tele-monitoring System (블루투스를 이용한 혈압, 혈당 측정 단말기 제작 및 원격건강관리시스템 개발)

  • Hong, Seung-Beom;Kim, Sung-Jin;Lee, Won-Keun;Lee, Moo-Ho
    • Proceedings of the Korea Contents Association Conference
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    • 2008.05a
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    • pp.80-83
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    • 2008
  • We propose the tele-monitoring system to real-time medical signal system and implemented the blood-pressure and blood-sugar monitoring system with bluetooth communication system. And, it transmits patient's data blood pressure, blood sugar to doctor and doctor sends the result of medical treatment to patient's phone, hand-phone or PDA. We developed the measurer as portable type in order to non-restrained monitor.

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Development of a Prototype of a Module-Based Patient Monitor (모듈형 환자 모니터 시제품의 개발)

  • Woo, Eung-Je;Park, Seung-Hun;Kim, Kyung-Soo;Choi, Keun-Ho;Kim, Seung-Tae;Moon, Chang-Wook;Jun, Byung-Moon;Lee, Hee-Cheol;Kim, Hyung-Jin;Seo, Jae-Joon;Park, Jong-Chan
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.05
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    • pp.353-357
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    • 1997
  • We have developed a prototype of a module-based patient monitor. In this paper, we describe the design methodology and specifications of the developed module-based patient monitors. The monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases, each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and $SpO_2$ with plethysmograph.

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Real-Time Vital Sign Information System Implementation uisng TMO(Time-Triggered and Message-Triggered Object) (시간구동 및 메시지 구동 객체를 이용한 실시간 생체정보 시스템 구현)

  • Kim, Chun-Suk;Kim, Gwang-Jun;Jo, Ui-Ju
    • The Journal of the Korea institute of electronic communication sciences
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    • v.5 no.6
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    • pp.678-685
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    • 2010
  • One of the computer application fields which started showing noticeable new growth trends in recent years is the real time communication distributed computing application field. Object-oriented(OO) real time(RT) distributed computing is a form of real-time distributed computing realized with a distributed computer system structured in the form of an object network. In this paper, we describes the application environment as the patient monitor telemedicine system with TMO structure. Vital sign information web viewer systems is also the standard protocol for medical image and transfer. In order to embrace new technologies as telemedicine service, it is important to develope the standard protocol between different systems in the hospital, as well as the communication with external hospital systems. We implemented integration patient monitor telemedicine system between vital sign web viewer systems and hospital information systems.

Comparison of Monitor Units Obtained from Measurements and ADAC Planning System for High Energy Electrons (측정과 ADAC 치료계획 시스템에서 계산된 고에너지 전자선의 Monitor Unit Value 비교)

  • Lee, Re-Na;Choi, Jin-Ho;Suh, Hyun-Suk
    • Progress in Medical Physics
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    • v.13 no.4
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    • pp.202-208
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    • 2002
  • The purpose of this study is to evaluate the monitor unit obtained from various methods for the treatment of superficial cancers using electron beams. Thirty-three breast cancer patients who were treated in our institution with 6, 9, and 12 MeV electron beams, were selected for this study. For each patient, irregularly shaped treatment blocks were drawn on simulation film and constructed. Using the irregular blocks, monitor units to deliver 100 cGy to the dose maximum (dmax) were calculated from measurement and three-dimensional radiation treatment planning (3D RTP) system (PINNACLE 6.0, ADAC Laboratories, Milpitas CA) Measurements were made in solid water phantom with plane parallel (PP) chamber (Roos, OTW Germany) at 100 cm source-to surface distances. CT data was used to investigate the effect of heterogeneity. Monitor units were calculated by overriding CT values with 1 g/㎤ and in the presence of heterogeneity. The monitor unit values obtained by the above methods were compared. The dose, obtained from measurement in solid water phantom was higher than that of RTP values for irregularly shaped blocks. The maximum differences between monitor unit calculated in flat water phantom at gantry zero position were 4% for 6 MeV and 2% for 9 and 12 MeV electrons. When CT data was used at a various gantry angle the agreement between the TPS data with and without density correction was within 3% for all energies. These results indicate that there are no significant difference in terms of monitor unit when density is corrected for the treatment of breast cancer patients with electrons.

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A FSK Radio-telemetry System for Monitoring Vital Signs in UHF Band (UHF 대역 FSK에 의한 생체신호 무선 전송장치의 개발)

  • Park D.C.;Lee H.K.
    • Journal of Biomedical Engineering Research
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    • v.21 no.3 s.61
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    • pp.255-260
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    • 2000
  • This paper presents a radio-telemetry patient monitor. which is used for intensive cal?e units. emergency and surgical operation rooms to monitor continuously patients' vital signs. The radio-telemetry patient monitor consists of a vital sign acquisition unit. wireless data transmission units and a vital sign-monitoring unit. The vital sign acquisition unit amplifies biological signals, performs analog signal to serial digital data conversion using the one chip micro-controller. The converted digital data is modulated FSK in UHF band using low output power and transmitted to a remote site in door. In comparison with analog modulation. FSK has major advantages to improve performance with respect to noise resistance with fower error and the potential ability to process and Improve quality of the received data. The vital sign-monitoring unit consists of the receiver to demodulate the modulated digital data, the LCD monitor to display vital signs continuously and the thermal head printer to record a signal.

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