KR101808918B1 - Sleep apnea diagnostic system - Google Patents

Sleep apnea diagnostic system Download PDF

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KR101808918B1
KR101808918B1 KR1020150163810A KR20150163810A KR101808918B1 KR 101808918 B1 KR101808918 B1 KR 101808918B1 KR 1020150163810 A KR1020150163810 A KR 1020150163810A KR 20150163810 A KR20150163810 A KR 20150163810A KR 101808918 B1 KR101808918 B1 KR 101808918B1
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unit
wind speed
sound
subject
respiration
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KR1020150163810A
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Korean (ko)
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KR20170059633A (en
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이화민
이주성
김유성
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순천향대학교 산학협력단
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Priority to KR1020150163810A priority Critical patent/KR101808918B1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Detecting, measuring or recording devices for evaluating the respiratory organs
    • A61B5/0826Detecting or evaluating apnoea events
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Detecting, measuring or recording devices for evaluating the respiratory organs
    • A61B5/082Evaluation by breath analysis, e.g. determination of the chemical composition of exhaled breath
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4803Speech analysis specially adapted for diagnostic purposes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4806Sleep evaluation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4806Sleep evaluation
    • A61B5/4818Sleep apnoea
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802Sensor mounted on worn items
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Physiology (AREA)
  • Pulmonology (AREA)
  • Audiology, Speech & Language Pathology (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)

Abstract

The present invention relates to a sleep apnea diagnosis system capable of diagnosing a sleep apnea symptom while a subject is sleeping in a comfortable space desired by the subject.
A feature of the present invention resides in that a mask 100 to be worn on the face of a subject, a respiration detection unit 200 provided in the mask 100 for sensing respiration of the subject, A respiratory information management module 300 for informing and managing the breathing state of the subject, a sleep apnea determining module 300 for receiving respiration information managed by the breathing information managing module 300 and determining a sleep state of the subject and sleep apnea symptoms during sleep, (400).

Description

Sleep Apnea Diagnosis System {SLEEP APNEA DIAGNOSTIC SYSTEM}

The present invention relates to a sleep apnea diagnosis system capable of diagnosing a sleep apnea symptom while a subject is sleeping in a comfortable space desired by the subject.

Public interest in sleep apnea has recently increased. It is generally known to occur in 6-7% of men and in 3-4% of women.

In the past, only snoring was known, but this is a mistake. Snoring is the principle that the sound narrows as the airway narrows. In the case of sleep apnea, the breathing is stopped for a certain period of time because the airway is completely closed.

As a result, symptoms such as fatigue, sleepiness, personality change (aggressive personality, irritability, anxiety, depressive reaction, etc.), decrease in sexual activity, erectile dysfunction and severe headache due to accumulation of carbon dioxide may occur during the day.

Pediatric patients may experience symptoms such as poor learning, delayed development, and lengthening of the face, such as breathing through the mouth. In addition, sleep apnea may aggravate or induce cardiopulmonary diseases such as arrhythmia, hypertension, ischemic heart disease, left ventricular failure, pulmonary disease (pulmonary hypertension, pulmonary heart, respiratory failure).

Sleep apnea, which gives rise to these serious symptoms and complications, is a burden to diagnose even if it is suspected. In the case of the sleep polyvalence test, which can be diagnosed at present, high diagnostic cost of 600,000 won is formed. In addition, there is a growing concern that diagnosis in unfamiliar settings may reduce objective accuracy.

The background art of the present invention is disclosed in Korean Patent Registration No. 10-1096089 (Dec. 23, 2011) filed and filed with the Korean Intellectual Property Office.

The object of the present invention is to provide a sleep apnea diagnosis system in which a subject can be diagnosed with sleep apnea symptoms while sleeping in a comfortable space he or she desires.

The sleep apnea diagnosis system according to an embodiment of the present invention includes a mask 100 to be worn on a face of a subject, a respiration detection unit 200 provided in the mask 100 to sense respiration of the subject, 200), a respiration information management module (300) for informing and managing the respiration state of the subject based on the detection of the respiration state of the subject, and respiration information managed by the respiration information management module (300) And a sleep apnea judging module 400 for judging the sleep apnea.

Preferably, the mask 100 comprises a mask body 110 covering the mouth and nose of the subject, and a wearing member 120 for holding the mask body 110 in a state of being worn on the subject's face do.

Preferably, the mask 100 is formed on the mask body 110 and includes a mounting hole 130 on which the breathing detection unit 200 is detachably mounted.

Preferably, the mounting port 130 includes an insertion port 131 into which the breathing detection unit 200 is inserted and a support limb 132 that supports the breathing detection unit 200 inserted into the insertion port 131 .

Preferably, the mask 100 includes a protection member 140 provided on the mounting hole 130 to protect the respiration sensing unit 200 mounted on the mounting hole 130, and the protection member 140 may include air and / And a mesh or a perforated plate through which sound is penetrated.

Preferably, the breath sensing unit 200 includes a wind speed sensor 210 for sensing wind and a microphone 220 for sensing sound.

Preferably, the breathing information management module 300 includes a sleep time setting unit 310 for setting a sleeping time, a wind speed signal recognizing unit 320 for recognizing a wind speed signal from a respiration signal sensed by the breath sensing unit 200, A sound signal recognition unit 330 for recognizing a sound signal from a respiration signal sensed by the respiration sensing unit 200 and a sound signal recognition unit 330 for sensing a wind speed signal in the wind speed signal recognition unit 320 during a sleep time set by the sleep time setting unit 310. [ A wind speed check unit 340 for checking the wind speed cycle every time the wind speed is recognized, a wind speed check unit 340 for checking the wind speed every time the acoustic signal is recognized by the acoustic signal recognition unit 330 during the sleep time set by the sleep time setting unit 310 A total wind speed cycle based on the wind speed cycle checked by the wind speed cycle check unit 340 and a total wind speed based on the acoustic sizes checked in the acoustic size check unit 350 And a signal information management unit 360, a signal information management unit 360, And an information transmission unit 370 for transmitting the overall sound velocity and the overall sound velocity to the outside.

Preferably, the sleep apnea determination module 400 includes an information receiving unit 410 receiving the entire wind speed cycle and total sound size transmitted from the breathing information management module 300, A wind speed determination unit 420 for determining whether the wind speed cycle exceeds a partial reference time in comparison with a preset reference time for each wind speed cycle, An airspeed frequency determination unit 430 for recognizing an excess frequency exceeding a partial reference time during the set total reference time and determining whether the excess frequency exceeds a preset reference apnea frequency number, A sound determination unit 440 for determining whether the sound size is larger or smaller than a reference sound size by comparing the sound size with a preset reference sound size, And an acoustic abnormality determination unit 450 for determining that the acoustic abnormality is abnormal if the acoustic sizes larger than the incense size exceed the predetermined total reference acoustic volume number.

Preferably, the partial reference time is set to 10 to 50 seconds, the total reference time is set to 7 hours, and the excess time is set to 30 times.

Preferably, the wind speed frequency determination unit 430 determines that the wind speed is greater than or equal to 30 times for the total reference time of 7 hours, and if the wind speed exceeds 5 times for one hour from the total reference time of 7 hours, As shown in FIG.

Preferably, the sound determining unit 440 calculates an average of the sizes of the sound signals recognized for a predetermined time from the beginning through the sound signal recognizing unit 340, and sets the average to a reference sound size.

The sleep apnea diagnosis system according to an embodiment of the present invention can diagnose sleep apnea symptoms while the subject is sleeping in a comfortable space that the user desires, so that he or she can not diagnose sleep apnea symptoms, There is an advantage.

1 is a perspective view showing a sleep apnea diagnosis system according to an embodiment of the present invention;
2 is a sectional view showing an internal configuration of the present invention;
3 is a front view of the present invention.
4 is a block diagram showing the use state of the present invention.
FIG. 5 is a block diagram schematically showing a breathing information management module applied to the present invention. FIG.
FIG. 6 is a block diagram schematically illustrating a sleep apnea judgment module applied to the present invention. FIG.

Hereinafter, a sleep apnea diagnosis system according to an embodiment of the present invention will be described in detail with reference to the accompanying drawings.

1 to 6, the present invention includes a mask 100, a breathing detection unit 200, a breathing information management module 300, and a sleep apnea determination module 400.

The mask 100 is worn on the face of the subject and includes a mask body 110 covering the mouth and nose of the subject and a wearing member 120 for holding the mask body 110 in a state where the mask body 110 is worn on the face of the subject . Therefore, when the wearer 120 is put on the head in a state in which the mask body 110 covers the nose and the mouth from the face, the mask body 110 is worn on the face of the subject.

The mask body 110 is formed in a cap shape so as to cover the nose and the mouth and is composed of an outer skin made of a hard and light material and an inner skin made of a material having a cushion so as to be smoothly brought into contact with the face of the subject, . The outer skin may be composed of a hard synthetic resin, and the inner skin may be composed of a sponge or a cloth.

The mask 100 is formed on the mask body 110 and includes a mounting hole 130 on which the breathing detection unit 200 is detachably mounted.

The mouthpiece 130 is formed in a shape of a body and is connected to the mask body 110 so as to be connected to the mouthpiece 130. The mouthpiece 131 is inserted into the mouthpiece 131, And a support jaw 132 for supporting the part 200.

Therefore, when the respiratory sensing unit 200 is inserted into the insertion port 131 and is caught by the support jaw 132, the proximity of the subject can be maintained without contacting the nose or mouth of the subject.

The mask 100 includes a protection member 140 provided on the mounting hole 130 and protecting the respiration sensing unit 200 mounted on the mounting hole 130. The protection member 140 may be a mesh or a perforated plate through which air and sound pass. Therefore, the protection member 140 can prevent the nose or mouth of the subject from being in contact with the breathing detection unit 200 mounted on the mounting port 130 while preventing the contamination by the secretions ejected from the nose or mouth of the subject. Of course, the protective member 140 can pass through the respiration air of the subject and can also pass the noise generated in the nose or mouth.

In this way, it is convenient that the respiratory sensing part 200 can be mounted and used only when necessary, and the replacement operation of the respiratory sensing part 200 can be conveniently performed .

The wearing member 120 is composed of a band having elasticity, and both ends are fixed to both sides of the mask body 110. Such a band brings the mask body 110 into close contact with the face of the subject, so that air loss through the periphery of the mask body 110 can be prevented.

The respiration sensing unit 200 is provided in the mask 100 to sense respiration of the subject. The respiration sensing unit 200 includes a wind speed sensor 210 for sensing wind and a microphone 220 for sensing sound.

The wind speed sensor 210 senses wind generated by the respiration of the subject.

The microphone 220 senses a sound generated by the respiration of the subject.

The respiration sensing unit 200 may be detachably mounted on the mounting hole 130 of the mask 100 to sense the wind and sound of the subject placed inside the mask 100 by the respiration.

The breathing detection unit 200 may transmit a respiration signal to the respiration information management module 300 through wired or wireless communication. Here, the respiration signal is the wind speed signal to the wind and the acoustic signal to the sound.

The respiration information management module 300 includes an Arduino for informing and managing the breathing state of the subject based on the detection of the respiration sensing unit 200 and having a micro controller embedded therein.

The respiration information management module 300,

A sleep time setting unit 310 for setting a sleep time,

A wind speed signal recognition unit 320 for recognizing a wind speed signal from a respiration signal sensed by the breath sensing unit 200,

An acoustic signal recognition unit 330 for recognizing an acoustic signal from a respiration signal sensed by the breath sensing unit 200,

A wind speed check unit 340 for checking the wind speed cycle every time the wind speed signal is recognized by the wind speed signal recognition unit 320 during the sleep time set by the sleep time setting unit 310,

An acoustic size check unit 350 for checking the size of the sound every time the acoustic signal is recognized by the acoustic signal recognition unit 330 during the sleeping time set by the sleeping time setting unit 310,

A signal information management unit 360 for storing and managing the overall wind speed based on the wind speed cycle checked by the wind speed cycle unit 340, and the overall sound size based on the acoustic magnitudes checked by the sound magnitude check unit 350,

And an information transmission unit 370 for transmitting the entire wind speed cycle and total sound volume managed by the signal information management unit 360 to the outside.

Here, the sleeping time set by the sleeping time setting unit can be set to about 7 hours as the time during which the subject takes sleep.

Accordingly, the total wind speed cycle and total sound intensity stored and managed in the signal information management unit 360 can be transmitted to the external sleep apnea determination module 400 through the information transmission unit 370 using wireless communication such as wire, RF communication, Lt; / RTI >

The sleep apnea determination module 400 may be configured as a mobile device such as a smart phone for receiving respiration information managed by the respiration information management module 300 to determine the sleep state of the subject and the sleep apnea symptom during sleep.

Such a sleep apnea judging module 400

An information receiving unit 410 receiving the entire wind speed cycle and the overall sound size transmitted from the breathing information management module 300,

A wind speed determination unit 420 for determining whether the wind speed cycle exceeds a partial reference time compared with a predetermined reference time for each wind speed cycle in the entire wind speed cycle received by the information receiving unit 410,

The number of times that the wind speed cycles exceed the partial reference time for a predetermined total reference time in the entire wind speed cycle judged by the wind speed cycle judging unit 420 and determines the number of wind speeds for judging whether the excess frequency exceeds the predetermined reference number of times A determination unit 430,

A sound determining unit 440 for comparing the sound size of the entire sound received by the information receiving unit 410 with a preset reference sound size to determine whether the sound size is larger or smaller than a reference sound size;

And an acoustic abnormality determination unit 450 that determines that the information is received by the information receiving unit 410 if the acoustic sizes larger than the reference acoustic size exceed the preset total reference acoustic size.

Here, the wind speed cycle is a cycle in which the wind generated by the subject breathes. That is, if the wind speed is constant, it is judged that it takes a good sleep, and if the wind speed is not constant, it can be judged that it can not take a good sleep.

If the sound abnormality determination unit 450 determines that the abnormality is abnormal, it can be determined that the subject does not take a good sleep by determining that he or she is going to sleep while snoring.

The partial reference time may be set to about 10 to 50 seconds. At this time, it can be divided into 10 ~ 30 seconds mild and 30 ~ 60 seconds severely. Then, the total reference time can be set to 7 hours, and the exceeding number can be set to 30 times.

The wind speed frequency determination unit 430 determines that the wind speed is higher than 30 times for the total reference time of 7 hours, and if the wind speed exceeds 5 times for one hour from the total reference time of 7 hours, Can be set.

The sound size is the size of the sound or snoring that occurs each time the subject breathes. That is, the sound size can be used to determine whether the sound is breathing or snoring. The total number of reference sound sizes may be set to a number corresponding to 30 to 50% of the total reference time. Therefore, if the sound magnitudes exceed the predetermined total reference sound intensity number, it can be judged that the user has not taken a good sleep.

And, the acoustic size may be the magnitude of the amplitude.

The sound determining unit 440 may calculate an average of the sizes of the sound signals recognized for a predetermined time from the beginning through the sound signal recognizing unit 340 to set the reference sound size. That is, the breath sounds generated when the subject takes the first sleep state are recognized for a predetermined time and the reference sound size is set based on the breath sounds. Therefore, it is determined whether the subject takes a sleep state or not, can do.

Since the information determined by the wind speed cycle determiner 420, the wind speed frequency determiner 430, the sound determiner 440, and the sound abnormality determiner 450 is output through the screen of the smartphone, You can self-diagnose your own sleep apnea and snoring by yourself.

As described above, the present invention can be applied to a sleep apnea diagnosis system and can be widely used as a very useful invention.

It will be understood by those skilled in the art that the present invention may be embodied in other specific forms without departing from the spirit or essential characteristics thereof. It is to be understood, therefore, that the embodiments described above are to be considered in all respects as illustrative and not restrictive, the scope of the invention being indicated by the appended claims rather than by the foregoing description, All changes or modifications that come within the scope of the equivalent concept are to be construed as being included within the scope of the present invention.

100: mask 110: mask body
120: Wearing member 130: Mounting hole
131: insertion port 132: support jaw
140: protective member 200: breathing detection unit
210: wind speed sensor 220: microphone
300: breathing information management module 310: sleeping time setting unit
320: wind velocity signal recognition unit 330: acoustic signal recognition unit
340: wind speed cycle check unit 350: acoustic size check unit
360: signal information management unit 370: information transmission unit
400: sleep apnea judging module 410: information receiving unit
420: wind speed cycle determination unit 430: wind speed frequency determination unit
440: Acoustic judgment unit 450: Acoustic abnormality judgment unit

Claims (11)

A mask 100 to be worn on the face of the subject,
A respiration detection unit 200 provided in the mask 100 for sensing respiration of the subject,
A respiration information management module 300 for informing and managing the respiratory state of the subject based on the detection of the respiration sensing unit 200,
And a sleep apnea determining module 400 for receiving respiration information managed by the respiration information managing module 300 and determining a sleep state of the subject and sleep apnea symptoms during sleep,
The sleep apnea judging module 400
An information receiving unit 410 receiving the entire wind speed cycle and the overall sound size transmitted from the breathing information management module 300,
A wind speed determination unit 420 for determining whether the wind speed cycle exceeds a partial reference time compared with a predetermined reference time for each wind speed cycle in the entire wind speed cycle received by the information receiving unit 410,
The number of times that the wind speed cycles exceed the partial reference time for a predetermined total reference time in the entire wind speed cycle determined by the wind speed cycle determination unit 420 and determines the number of wind speeds for determining whether the excess frequency exceeds the preset reference number of times of apnea A determination unit 430,
A sound determining unit 440 for comparing the sound size of the entire sound received by the information receiving unit 410 with a preset reference sound size to determine whether the sound size is larger or smaller than a reference sound size;
And an acoustical abnormality determination unit (450) for determining that the acoustical magnitudes larger than the reference acoustical size in the information receiving unit (410) exceed the preset total reference acoustic acoustical frequency.
The lithographic apparatus of claim 1, wherein the mask (100)
A mask body 110 covering the mouth and nose of the subject,
And a wearer (120) for holding the mask body (110) worn on the face of the subject.
The system for diagnosing sleep apnea according to claim 1, wherein the mask (100) is formed on the mask body (110) and includes a mount (130) to which the breathing detection part (200) is detachably mounted.
The mounting port 130 may include an insertion port 131 into which the respiratory sensing unit 200 is inserted and a supporting protuberance 132 that supports the respiratory sensing unit 200 inserted into the insertion port 131 Wherein the sleep apnea diagnosis system comprises:
The mask 100 according to claim 1, wherein the mask 100 includes a protective member 140 provided on the mount 130 to protect the respiratory sense unit 200 mounted on the mount 130,
Wherein the protection member (140) comprises a mesh or a perforated plate through which air and sound pass.
The breathing apparatus according to claim 1, wherein the breath sensing unit (200)
A wind speed sensor 210 for detecting the wind,
And a microphone (220) for sensing sound.
The breathing information management system according to claim 1, wherein the respiration information management module (300)
A sleep time setting unit 310 for setting a sleep time,
A wind speed signal recognition unit 320 for recognizing a wind speed signal from a respiration signal sensed by the breath sensing unit 200,
An acoustic signal recognition unit 330 for recognizing an acoustic signal from a respiration signal sensed by the breath sensing unit 200,
A wind speed check unit 340 for checking the wind speed cycle every time the wind speed signal is recognized by the wind speed signal recognition unit 320 during the sleep time set by the sleep time setting unit 310,
An acoustic size check unit 350 for checking the size of the sound every time the acoustic signal is recognized by the acoustic signal recognition unit 330 during the sleeping time set by the sleeping time setting unit 310,
A signal information management unit 360 for storing and managing the overall wind speed based on the wind speed cycle checked by the wind speed cycle unit 340, and the overall sound size based on the acoustic magnitudes checked by the sound magnitude check unit 350,
And an information transmission unit (370) for transmitting the entire wind speed cycle and total sound size managed by the signal information management unit (360) to the outside.
delete The method according to claim 1,
The partial reference time is set to 10 to 50 seconds,
The total reference time is set to 7 hours,
And the number of times exceeded is set to 30 times.
[7] The method of claim 9, wherein the wind speed frequency determination unit (430) determines that the wind speed is greater than or equal to 30 times for the total reference time of 7 hours, and that the wind speed exceeding 5 times The sleep apnea diagnosis system is configured to judge it as a high-risk group.
The sound determining unit (440) according to claim 1, wherein the sound determining unit (440) calculates an average of sizes of sound signals recognized for a predetermined time from the beginning through the sound signal recognizing unit (340) Apnea diagnostic system.
KR1020150163810A 2015-11-23 2015-11-23 Sleep apnea diagnostic system KR101808918B1 (en)

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KR20240065856A (en) 2022-11-07 2024-05-14 아이쓰리시스템 주식회사 System for diagnosing sleep apnea using ir camera and method the same

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2004275690A (en) * 2003-03-17 2004-10-07 Atsushi Takebe Detector for sleep apnea syndrome
JP2014064675A (en) * 2012-09-25 2014-04-17 Yamaguchi Prefectural Industrial Technology Institute Non-constraint apnea detection system, method therefor and program therefor
WO2014107798A1 (en) * 2013-01-14 2014-07-17 University Health Network Mask and method for breathing disorder identification, characterization and/or diagnosis

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2004275690A (en) * 2003-03-17 2004-10-07 Atsushi Takebe Detector for sleep apnea syndrome
JP2014064675A (en) * 2012-09-25 2014-04-17 Yamaguchi Prefectural Industrial Technology Institute Non-constraint apnea detection system, method therefor and program therefor
WO2014107798A1 (en) * 2013-01-14 2014-07-17 University Health Network Mask and method for breathing disorder identification, characterization and/or diagnosis

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