Background technology
The record analysis of electrocardiogram is to fully understand the important method of human heart physiology and pathological state.And electrocardio
The seal record time is short, and unknown cause, the abnormal heart event accidentally broken out, be not easy to capture are difficult to be effectively recorded, for the heart
The early prevention of dirty disease, the diagnosis and treatment difficulty of difficult and complicated illness increase.With microelectronics, super large-scale integration, micro sensing
The fast development of the technologies such as device, miniature power supply device, micro memory, recording the medical instruments and equipment of electrocardiogram tends to be micro-
Type, portable, long time phasing.
Chinese invention patent application CN104545885A discloses a kind of patch type dynamic electrocardiogram recording instrument, including housing with
And including housing and the crosslinking electrode being arranged in the housing, electrocardiosignal modulate circuit, acceleration transducer, microprocessor
Device, the means for disclosing identification motion artifacts are 3-axis acceleration sensors, date storage method:Number first is written in buffering area
According to buffering area writes data into SD card again after expiring.Since the acquisition of electrocardiogram (ECG) data is to continue to carry out, if frequently to storage
A small amount of data are written in equipment, can directly increase system power dissipation.
Chinese invention patent application CN103099615A discloses a kind of method and dress for eliminating exercise electrocardiogram signal interference
It puts, description knows clearly its reference signal collecting unit as acceleration transducer.Chinese invention patent application CN101999936A is disclosed
A kind of signal sensing device for having noise cancellation uses an accelerometer to eliminate the dynamic noise in electrocardiosignal.Fortune
Dynamic interference is noise jamming type the most universal, most intractable in dynamic electrocardiogram drawing system, has become current influence dynamically
One of electrocardio map interpretation accuracy and diagnosis efficiency factor the most main.The prior art is to the processing of Holter motion artifacts
The research of technology is mainly concentrated in effectively eliminating motion artifacts, and ignores crucial motion artifacts identification technology.
In addition, for the demand for development of modern medical service theory, wireless communication will be deep into medical system, can be people
More efficient service is provided.In recent years, portable medical has developed into an important branch in electron medical treatment field, with 3G,
The arriving in 4G epoch and smart mobile phone, tablet computer it is universal, medical data gradually will be focused on intelligent mobile terminal, and in fact
The cloud storage and remote diagnosis of existing electronic databank.Therefore, it allows electrocardiogram that can show, store on mobile terminals and analyzes, have
There is profound significance.
Therefore, a low-power consumption is developed, and electrocardiogram can be shown, stored and be analyzed on intelligent mobile terminal, together
When take into account remote medical consultation with specialists, and can be identified when analyzing data motion artifacts sticking type dynamic electrocardiogram recording instrument and its system tool
There is perspective meaning.
Invention content
The technical problem to be solved in the present invention is to provide the sticking type dynamic electrocardiogram recording instruments and its system of a kind of low-power consumption.
In order to solve the above technical problems, the present invention provides a kind of sticking type dynamic electrocardiogram recording instrument, including housing and set
Signal acquisition and memory module, motion monitoring module, data transmission module and power management module in the housing are put,
In,
The signal acquisition and memory module receive the external electrocardiosignal transmitted;
The motion monitoring module includes 3-axis acceleration sensor, and the motion monitoring module obtains three axis and accelerates
The 3-axis acceleration value that degree sensor generates is sent to the signal acquisition and memory module;
Data transmission module is connect with the signal acquisition and memory module;
Power management module, including rechargeable battery, the power management module monitors the electricity of the rechargeable battery
Information, and provide electric power for the signal acquisition and memory module, the motion monitoring module and data transmission module;
Wherein, the signal acquisition and memory module include electrocardiosignal amplification module, MCU control module and data storage
Module, the electrocardiosignal amplification module carry out operation amplifier and filtering to the electrocardiosignal of reception, and the MCU controls mould
Block receives the electrocardiosignal that the electrocardiosignal amplification module is sent and is converted to electrocardiogram (ECG) data, the MCU control module
It also receives the 3-axis acceleration value that the motion monitoring module is sent and is converted to the exercise intensity data, the electrocardio
Data and the exercise intensity data are stored in the data memory module, and the data can be stored mould by data transmission module
The electrocardiogram (ECG) data and the exercise intensity data stored on block is sent out;
The data memory module includes FRAM memory and eMMC memories, and the data memory module is by the institute of reception
It states on electrocardiogram (ECG) data and exercise intensity data storage to the FRAM memory, treats that the FRAM memory storage is set to one
The electrocardiogram (ECG) data all on the FRAM memory and the exercise intensity data are stored to the eMMC after constant volume
On memory.
According to one embodiment of present invention, before not storing the setting capacity on the FRAM memory, institute
EMMC memories are stated to be closed.
According to one embodiment of present invention, the signal acquisition and memory module further include control switch and display mould
Block, wherein,
The control switch is for allowing user input instruction;
The MCU control module connection control switch, different operating modes is entered according to described instruction;
The display module connects the MCU control module.
According to one embodiment of present invention, when described instruction is the first instruction, the MCU control module enters normal work
Operation mode, the MCU control module analyze the electrocardiogram (ECG) data by electrocardio recognizer, when the discovery electrocardio number
According to for exception, then the electrocardiogram (ECG) data is sent out by the data transmission module;When described instruction for second instruction, it is described
MCU control module enters mark function pattern, and the MCU control module is by capturing the triggering mode of the control switch to institute
It states electrocardiogram (ECG) data to be handled, the storage before and after the control switch is triggered in certain period of time is marked to be stored to the data
The electrocardiogram (ECG) data of module generates a high level signal to the display module after R waves are detected;When described instruction is the
Three instructions, the MCU control module enter park mode, and sticking type dynamic electrocardiogram described in user is reminded by the display module
Recorder is in the park mode.
According to one embodiment of present invention, described in the motion monitoring module acquires in regular hour T three groups
3-axis acceleration value is sent to the MCU control module, and adding up after high-pass filtering and low-pass filtering obtains the exercise intensity
Data are simultaneously stored;Wherein,
The low-pass filtering uses median filtering method, and the formula of the high-pass filtering is:
Pn=Δs P+aPn-1
Wherein, Δ P is current acceleration sampled value and the difference of the acceleration sampled value Pn-1 of last time, and Pn is the high pass
Filtered value;Parameter a depends on the cutoff frequency of high-pass filtering.
According to one embodiment of present invention, the motion monitoring module passes through SPI interface or I2C interface and the MCU
Control module connects.
The present invention also provides a kind of sticking type dynamic electrocardiogram recording instrument system, including on electrode, charging and digital independent
Device, mobile terminal and aforementioned any sticking type dynamic electrocardiogram recording instrument are passed, the electrode acquires electrocardiosignal and sends
To the signal acquisition and memory module, the charging and digital independent upload device and connect with the signal acquisition and memory module
It connects to read the electrocardiogram (ECG) data stored in the signal acquisition and memory module and the exercise intensity data, the charging
And digital independent uploads device and is also connect with the power management module to charge to the rechargeable battery, the mobile terminal
Both-way communication can be carried out with the data transmission module.
According to one embodiment of present invention, PC machine is further included, the PC machine is uploaded with the charging and digital independent and filled
It puts and is connected by USB port mode to obtain the electrocardiogram (ECG) data and the exercise intensity data, through what is run in the PC machine
Diagnosis report can be obtained after application software processing.
According to one embodiment of present invention, the mobile terminal opens specific program to connect the data transmission mould
Block receives and processes the electrocardiogram (ECG) data obtained by the data transmission module and the exercise intensity data.
According to one embodiment of present invention, far-end server is further included, the digital independent, which uploads device, can pass through nothing
The electrocardiogram (ECG) data and the exercise intensity data are sent to the far-end server by line network router.
Sticking type dynamic electrocardiogram recording instrument provided by the invention and its system have the function of low-power consumption and identification motion artifacts,
And electrocardiogram can be shown, stored and be analyzed on mobile terminals, while takes into account remote medical consultation with specialists.
Specific embodiment
With reference to specific embodiments and the drawings, the invention will be further described, elaborates in the following description more
Details to fully understand the present invention, but the present invention obviously can be come with a variety of other manners different from this description it is real
It applies, those skilled in the art can make similar popularization according to practical situations without violating the connotation of the present invention, drill
It unravels silk, therefore should not be limited the scope of the invention with the content of this specific embodiment.
Fig. 1 is the structure diagram of one embodiment of the sticking type dynamic electrocardiogram recording instrument of the present invention.Fig. 2 is of the invention
The structure diagram of signal acquisition and memory module.As depicted in figs. 1 and 2, a kind of sticking type dynamic electrocardiogram recording instrument 100 includes shell
Body (not shown) and the signal acquisition being arranged in housing and memory module 110, motion monitoring module 120, data transmission module
130 and power management module 140.
Signal acquisition and memory module 110 receive the external electrocardiosignal transmitted and are converted to electrocardiogram (ECG) data and store, external
The electrocardiosignal transmitted is by the signal of the electrode acquisition of attaching human body.
Motion monitoring module 120 includes 3-axis acceleration sensor 121, and motion monitoring module 120 obtains 3-axis acceleration
The 3-axis acceleration value of the generation of sensor 121 is simultaneously sent in signal acquisition and memory module 110 and is converted to exercise intensity number
According to and stored, 3-axis acceleration value here refers to multiple sampled values of 3-axis acceleration.
Data transmission module 130 is connect with signal acquisition and memory module 110, can be by signal acquisition and memory module
The electrocardiogram (ECG) data and exercise intensity data stored on 110 is sent out.Bluetooth communication association may be used in data transmission module 130
View, the data transmission module 130 of low-power consumption can realize with the mobile terminal of the external Bluetooth transmission function with low-power consumption into
The both-way communication of row data, is described later.
Power management module 140 can be rechargeable lithium battery including rechargeable battery 141.Power management module 140
The information about power of rechargeable battery 141 is monitored, and is passed for signal acquisition and memory module 110, motion monitoring module 120 and data
Defeated module 130 provides electric power.
Wherein, signal acquisition and memory module 110 include electrocardiosignal amplification module 111,112 sum number of MCU control module
According to memory module 113, electrocardiosignal amplification module 111 is responsible for carrying out the electrocardiosignal of reception operation amplifier and filtering, MCU controls
Molding block 112 is responsible for receiving the electrocardiosignal that electrocardiosignal amplification module 111 is sent and is converted to electrocardiogram (ECG) data, MCU control moulds
Block 112 also receives the 3-axis acceleration value of the transmission of motion monitoring module 120 and is converted to exercise intensity data.Electrocardiogram (ECG) data and fortune
Fatigue resistance data are stored in data memory module 113.
Data memory module 113 includes FRAM memory 1131 and eMMC memories 1132.Data memory module 113 will connect
In electrocardiogram (ECG) data and exercise intensity the data storage to FRAM memory 1131 of receipts, treat that FRAM memory 1131 is stored to a setting
It will be on electrocardiogram (ECG) data all on FRAM memory 1131 and the storage to eMMC memories 1132 of exercise intensity data after capacity.
Data memory module 113 employs the form that FRAM memory 1131 is combined and deposited with eMMC memories 1132.
FRAM memory 1131 realizes that data store using the ferroelectric effect of ferroelectric crystal, can equally be used with common ROM memory,
With non-volatile storage characteristics.Feature is that speed is fast, can be operated as RAM, and read-write power consumption is extremely low, and there is no such as
The problem of maximum write-in number of E2PROM.EMMC memories 1132 are made of an embedded storage solution, with MMC
(multimedia card) interface, flash memory device and master controller, all elements are all in a small-sized BGA package, quite
It is packaged together in Flash and control circuit, function is similar to SD card.But due to being BGA package, 1132 volume of eMMC memories
It is much smaller.The advantages of eMMC memories 1132 is simplified system design, reduces system bulk.The power consumption of FRAM memory 1131 is
Several uA, and the power consumption of eMMC memories 1132 will reach 200uA or so, therefore reduce the access times of eMMC memories 1132
It is the essential condition for reducing whole system power consumption.Because the gatherer process of electrocardiogram (ECG) data is to continue to carry out, if directly by number
According to being stored in eMMC memories 1132, then eMMC memories 1132 can be frequently accessed, and need always on eMMC memories
1132, and a small amount of data are only stored every time, the power consumption actually generated is very big.In the present embodiment, electrocardiogram (ECG) data is deposited first
Storage is in FRAM memory 1131, and at this moment eMMC memories 1132 are closed, without power consumption.Treat FRAM memory 1131
EMMC memories 1132 are opened again after depositing enough certain spaces, and data are uniformly transplanted on eMMC memories 1132, in this way
The access times of eMMC memories 1132 can be reduced, extend the service life of eMMC memories 1132 and reduce power consumption.Compared with
Goodly, eMMC memories 1132 can meet the needs of massive store using the capacity of 4GByte.
Signal acquisition and memory module 110 further include control switch 114 and display module 115.Display module 115 can be
LED display module.Control switch 114 is for allowing user input instruction.The connection control of MCU control module 112 switch 114, according to
The instruction that control switch 114 receives enters different operating modes.Display module 115 connects MCU control module 112, receives MCU
The instruction that control module 112 is sent out.
When the instruction that control switch 114 receives is the first instruction, MCU control module 112 enters normal mode of operation, MCU
Control module 112 analyzes electrocardiogram (ECG) data by electrocardio recognizer, when finding that electrocardiogram (ECG) data is abnormal, then passes through data
Transmission module 130 is sent out electrocardiogram (ECG) data.
When the instruction that control switch 114 receives is the second instruction, MCU control module 112 enters mark function pattern.Work as finger
It enables and being instructed for second, MCU control module 112 enters mark function pattern.MCU control module 112 is by capturing control switch 114
Triggering mode electrocardiogram (ECG) data is handled, mark storage before and after triggering control switch 114 in certain period of time to counting
According to the electrocardiogram (ECG) data of memory module 113, a high level signal is generated after R waves are detected to display module 115, is converted to intuitive
Optical signal, user is facilitated to detect R waves and T waves in real time.It should be understood that the triggering mode of control switch 114 refers to
Can judge it is into before and after different working modes or mark triggers according to the length and/or continuous trigger number in triggered time
Electrocardiogram (ECG) data in time.
When the instruction that control switch 114 receives is instructed for third, MCU control module 112 enters park mode, passes through display
The sticking type dynamic electrocardiogram recording instrument 100 that module 115 reminds user current is in park mode.
In order to monitor whether the user of sticking type dynamic electrocardiogram recording instrument 100 is kept in motion, the intensity of movement is such as
What, and identify motion artifacts, three groups of 3-axis acceleration values that motion monitoring module 120 acquires in regular hour T are sent
To MCU control module 112.The cumulative exercise intensity data that obtain after high-pass filtering and low-pass filtering of MCU control module 112 are gone forward side by side
Row storage;Wherein, low-pass filtering uses median filtering method, and the formula of high-pass filtering is:
Pn=Δs P+aPn-1
Wherein, Δ P is current acceleration sampled value (X-axis, Y-axis or Z axis) and last acceleration sampled value Pn-1
Difference, Pn be high-pass filtering after value;Parameter a depends on the cutoff frequency of high-pass filtering.
Since the processing capacity of MCU control module 112 is limited, it is impossible to complete the algorithm of intensive.Therefore it is controlled by MCU
It is little that module 112 calculates the income that the motion state result for judging to obtain is brought to reduction motion artifacts.In addition, it is desirable to obtain standard
True motion state needs higher acceleration sample rate, i.e., the acceleration of three axis is all completely recorded, but meeting in this way
Generate a huge data volume or even more than electrocardiogram (ECG) data.Therefore above-mentioned data reduction algorithm is devised to reduce number
According to amount of storage and achieve the effect that judge motion artifacts.Because for judging the motion artifacts of electrocardiosignal, the direction of acceleration
It is unessential, it is only necessary to judge in the range of certain time, whether acceleration value has been more than certain threshold value, and pass through and be more than
The fore-aft acceleration state of value of the point of threshold value and duration judge the motion state of user with reference to electrocardiogram (ECG) data.Low pass filtered
Wave is used to remove the High-frequency Interference in acceleration gatherer process using median filtering method, and high-pass filtering accelerates for getting rid of gravity
Spend g.The filtered value of all three groups of X, Y, Z axis in T time is accumulated in together, obtained value can reflect that the movement of user is strong
Degree, without the direction of motion, which is stored in data memory module 113.Wherein, the size of T values, directly
Connecing influences the sensitivity that exercise intensity judges, T is smaller, and sensitivity is higher, but data volume is bigger.
By the algorithm, the basic exercise intensity of user, and data volume and completely recorded three can be come out substantially
The acceleration value comparison of a axis will be much less.In the overlength time-histories dynamic ECG analysis software of the PC machine referred to later, institute
The exercise intensity data of storage can be read out, and medical worker can be according to the state of the electrocardiogram (ECG) data of user, and dynamic adjusts
Judge the threshold value of motion artifacts, so as to more judge accurately and targetedly motion artifacts, after editing by analysis, obtain more
Add pure accurate electrocardiogram (ECG) data.
Preferably, motion monitoring module 120 is connect by SPI interface or I2C interface with MCU control module 112.
Invention further describes a kind of sticking type dynamic electrocardiogram recording instrument systems.Fig. 3 is the sticking type dynamic heart of the present invention
The structure diagram of one embodiment of electrographic recording instrument system.As shown in the figure, sticking type dynamic electrocardiogram recording instrument system 200 includes electricity
Pole 210, charging and digital independent upload device 220, mobile terminal 230 and aforementioned any sticking type dynamic electrocardiogram
Recorder 100.Electrode 210 uses disposable electrode piece.Disposable electrode piece soft comfortable, it is easy to use, need not sterilize, paste
Securely, cross-infection can be avoided.Disposable electrode piece can be connect with sticking type dynamic electrocardiogram recording instrument 100 using button, side
Just it replaces.In order to preferably be bonded skin, 210 shape of electrode that the present invention uses uses and sticking type dynamic electrocardiogram recording instrument
The similar design of the bottom shape of 100 shell.Electrode 210 moves for acquiring electrocardiosignal and being sent to the sticking type in Fig. 2
The signal acquisition of state electrocardiogram recording instrument 100 and memory module 110.
Charging and digital independent upload device 220 and connect to read data storage mould with signal acquisition and memory module 110
The electrocardiogram (ECG) data and exercise intensity data stored on block 113, charges and digital independent upload device 220 is gone back and power management module
140 connect to charge to rechargeable battery 141.It is independently of sticking type dynamic electrocardiogram that charging and digital independent, which upload device 220,
The external device (ED) of recorder 100 is built-in with rechargeable battery 141, and on the shell in sticking type dynamic electrocardiogram recording instrument 100
Charging and digital independent contact have been reserved, need to charge in recorder or has needed to read the electrocardio on data memory module 113
When data and exercise intensity data, recorder can be placed on to charging and digital independent is uploaded on the fixed position of device 220, filled
The metal spring contacts that electricity and digital independent are uploaded on device 220 are in contact with external contact out on recorder, so as to complete
Into charging or digital independent.
Mobile terminal 230 can carry out both-way communication with the data transmission module 130 of sticking type dynamic electrocardiogram recording instrument 100.
Bluetooth communication protocol may be used in data transmission module 130, to realize and the mobile terminal with low-power consumption bluetooth transfer function
230 carry out the both-way communication of data.Data transmission module 130 can be broadcasted automatically after starting, and open application-specific
Mobile terminal 230 data transmission module 130 can be scanned and be docked, success after can pass through low-power consumption bluetooth
Agreement is monitored the data transmission module 130.The data that MCU control module 112 stores after having handled can be passed by data
In the analysis application program that defeated 130 pieces of module is transferred to mobile terminal 230.Analysis application program can logarithm after receiving data
According to being handled, stored, shown including electrocardiogram (ECG) data and exercise intensity data, and can be according to the behaviour of application program operator
Make certain segment data specified of far-end server upload connected to it, can also set when electrocardiosignal is parsed out exception from
The electrocardiogram (ECG) data or warning message that dynamic this part of upload is labeled are to emergency contact or relevant departments.
Preferably, sticking type dynamic electrocardiogram recording instrument system 200 further includes PC machine 240.PC machine 240 is read with charging and data
Upload device 220 is taken to be connected by USB port 241 to obtain electrocardiogram (ECG) data and exercise intensity data, through what is run in PC machine 240
Diagnosis report can be obtained after application software processing.The application software can be overlength time-histories dynamic ECG analysis software, mainly
Management and analysis are stored in the electrocardiogram (ECG) data on sticking type dynamic electrocardiogram recording instrument 100.Sticking type dynamic electrocardiogram recording instrument 100 is logical
The USB port that overcharge and digital independent are uploaded on device 220 communicates with PC machine 240, and the data being stored on recorder are read
It gets in the overlength time-histories dynamic ECG analysis software installed in PC machine 240, can the data of reading be established with personal case, led to
Case can be inquired, looks back and edit by crossing account information, and the different hearts claps type and includes normal, room morning, Fang Zao, artifact, with not
Same color shows, and the motion state being recorded on electrocardiogram recording instrument is read into software, judges the threshold of motion artifacts
Value can be adjusted manually.High-pass filtering and low-pass filtering can be selected electrocardiogram (ECG) data, what changeable every type page electrical waveform was shown
Time span may be selected display gain and chart drive speed, can also check case statistical data and be clinical report editor.Overlength
Time-histories dynamic cardiograph analysis system shows all continuous electrocardiosignals of electrocardiogram recording instrument record, motion state and related divides
Analysis, data, chart, including whole heart rate trendgram (with per minute, 30 seconds, the statistics of the times such as 1 second), R -- R interval histogram, mark
Account part electrocardiogram;Using mouse or keyboard man-machine conversation mode input parameter and instruction;Ambulatory ECG analysis is carried out, is completed
The processing such as confirmation, modification, editor, ultimately generate diagnosis report.Overlength time-histories ambulatory ECG analysis software can be equipped with laser
Holter word, data, chart report and the printing of attached drawing that printer completion edits.Examining report is believed including patient
Breath, record start, end time, actually active analysis time, total heart beats, room are early total, room is early total, the most fast and most slow heart
The time of rate and generation, average heart rate, early (single, the pairs of, bunchiness) number in room and proportion, room it is early (it is single, pairs of, into
String) number and proportion, bradycardia number and proportion, longest bradycardia continue and time of origin, stop number of fighting
And proportion, longest asystolic interval continue and time of origin, clinical report conclusion, the hour statistics of analysis result, Huan Zhebiao
Account part clinical diagnosis list and electrocardiogram figure item, heart rate/exception heartbeat tendency chart, R -- R interval histogram etc..
Preferably, sticking type dynamic electrocardiogram recording instrument system 200 further includes far-end server 250, charging and digital independent
Electrocardiogram (ECG) data and exercise intensity data can be sent to by the wireless network module uploaded in device 220 by wireless router 260
Far-end server 250.Charging and digital independent upload in device 220 can built-in wifi (802.11) wireless network module,
In the sphere of action of wireless routing, the data read out are transferred to PC machine 240 except through USB line, can also be by setting
The control upload button on device 220 is uploaded in charging and digital independent, and remote service is uploaded directly by wifi wireless networks
Device 250.The SmartConnect SAM W25 of Atmel companies may be used in wireless network module, it provides one and incorporates
The single source unified platform of low-power consumption microcontroller, hardware security and the wireless connecting function through FCC certifications is one complete
The safe wireless MCU module of integrated-type, has aerial upgrade function, can reduce wireless and security solution complexity.
The sticking type dynamic electrocardiogram recording instrument and its data memory module of system that the present invention describes use FRAM memory
With eMMC memories and the form deposited, electrocardiogram (ECG) data and exercise intensity data are initially stored in FRAM, are deposited and are got at setting appearance
By on these data migrations to eMMC memories after amount, reduction power consumption can be reached, extend the effect of life of storage.Institute
The motion monitoring module of use can analyze motion artifacts situation according to the acceleration value of three axis, be MCU controller designs
Unique algorithm is filtered collected acceleration information, and greatly reduces on the basis of accurate judgement exercise intensity
The amount of storage of data.
Although the present invention is disclosed as above with preferred embodiment, it is not for limiting the present invention.Any this field skill
Art personnel without departing from the spirit and scope of the present invention, can make possible variation and modification.Therefore, it is every without departing from
The content of technical solution of the present invention, any modification that technical spirit according to the present invention makees above example, equivalent variations
And modification, it each falls within the protection domain that the claims in the present invention are defined.