CH711954A2 - Noise sensor and system group for patient monitoring and alerting. - Google Patents

Abstract

The invention relates to a noise sensor (10x), which allows a good acoustic coupling to the sound source by a possible path compensation and / or a possible biased contact while reducing the ambient noise. The sound sensor (10x) may be in a mobile, non-limiting health monitoring device, used in a local or global system network, which is also part of the invention, and thus, using further inputs and outputs, a manual or automatic data and emergency management and a health check. Various manual or automatic, pre-set or individual settings and controls allow to ensure correct application and functionality. A versatile modular device allows good expandability to various components with different connection solutions and the mounting kit allows different attachments of the body-fixed system parts.

Description

DESCRIPTION OF THE INVENTION Technical Field The present invention relates to a special noise sensor which may be located in a health monitoring device and thus used in a system network.

State of the art

Market Research In the case of adults, monitoring of the circulatory system has first priority with regard to vital functions and monitoring of breathing in children.

In the intensive treatment devices are used which are very accurate and quickly strike alarm in case of abnormalities, but the patient is hardly mobile because he is fixed and sometimes uncomfortable connected to the devices. In non-intensive treatment, the patient is equipped with a semi-mobile solution (e.g., telemetry), which allows him to move in a small amount and to remove the device during certain activities (e.g., toilet visits). In addition, the measurement accuracy is lower and the response slower, such as the breathing measurement with an oximeter. Outside of health facilities, there are mobile devices that monitor the circulation.

In addition, there are various emergency call system, but all based on the manual triggering and have no automatic triggering due to vital signs. This helps if the wearer is still able to trigger the alarm himself (e.g., light fall), in more critical cases the affected person can no longer request help himself (e.g., sleep, unconsciousness or incapacitation).

Especially in infants there are only monitoring systems on the market, which close on the basis of movement on the health of the child. The existing mats use motion sensors to measure the movement of the child (even slight respiratory movements) and trigger a local alarm when there is a long absence of movement. However, this system is not very mobile due to the measurement principles and design.

Neither for health facilities nor for home use, there are mobile devices on the market that detect vital signs in adults by means of noise measurement.

Locations are provided on animals, but no devices for mobile health monitoring. patent search

Background of the Invention US 4 129 125 A: Patient monitoring system (priority date: 27.12.1976, publication date: 12.12.1978) -> A portable health monitoring system with electrodes, temperature sensors, a heartbeat and breathing microphone, and An elastic band around the belly with an audible alarm is state of the art.

US 4,246,906 A: Apparatus for Self-Monitoring of Physiological Variables (Priority Date: 28.06.1979, Publication Date: 27.01.1981)

System for monitoring the physiological state by means of sensors and evaluation is state of the art.

WO 8 700 415 A1: A DEVICE FOR SUPERVISION OF THE RESPIRATION OF INFANTS (priority date: 30.01.1984, published: 29.01.1987)

Recognition of breath sounds with a microphone on the neck is state of the art, even in toddlers.

Differentiation to other patents Differentiation: Special noise sensor, other attachment without chest strap, other functionality and use in the system composite

• US 2013 144 130 A1: SYSTEM METHODAND DEVICE FOR MONITORING A PERSON'S VITAL SIGNS

• US 2014 121 567 A1: ELECTRONIC DEVICE, DISPLAY CONTROL METHOD AND PROGRAM

Differentiation: Special noise sensor, other attachment and no pure collar without support and padding, other functionality and use in system composite

• WO 0 213 697 A1: OBSTRUCTIVE SLEEP APNEA EVENT DETECTING SYSTEM AND METHOD

• WO 0 213 677 A2: SYSTEM AND METHOD FOR TREATING OBSTRUCTIVE SLEEP APNEA

• US 2011 066 059 A1: SYSTEM AND METHOD FOR ANTICIPATING THE ONSET OF AN OBSTRUCTIVE SLEEP APNEA EVENT

Differentiation: Special noise sensor, other attachment without headset or headset, other functionality and use in the system group • CN 25 905 33Y Y: Ear muffs type self-monitoring instrument • DE 10 2010 019 104 A1: Device for the feedback hardly noticeable signals of human body

• WO 2006 008 745 A2: APPARATUS AND METHOD FOR BREATHING PATTERN DETERMINATION USING A NON-CONTACT MICROPHONE

• WO 2014 057 921 A1: ELECTRONIC APPARATUS AND SOUND REPRODUCTION METHOD • GB 2 419 946 A: Mobile phone headset with microphone for measuring cardiac function of user • US 2007 197 881 A1: Wireless Health Monitor Device and System with Cognition [0014] Differentiation : Special noise sensor, other mounting without mask, other functionality and use in system composite

• WO 2012 058 727 A2: ACOUSTIC DETECTION MASK SYSTEMS AND / OR METHODS

• WO 2010 054 481 A1: METHOD AND APPARATUS FOR MONITORING BREATHING CYCLE BY FREQUENCY ANALYSIS OF AN ACOUSTIC DATA STREAM

Differentiation: Special noise sensor, other attachment of the evaluation unit not on the arm, other functionality and use in the system composite • US 2013 218 039 A1: System and Method for Assessing Breathing

• US 2014 257 056 A1: CABLE SYSTEM FOR GENERATING SIGNALS FOR DETECTING MOTION AND MEASURING VITAL SIGNS

invention

DISCLOSURE OF THE INVENTION A special noise sensor with a special construction enables mobile portable use and at the same time a good measurement accuracy and a fast response, since it directly measures the process (eg respiration, heartbeat) and not the time-delayed effects (eg oxygen saturation, blood supply ). Moreover, in contrast to motion sensors, the noise sensor can not be influenced by external forces (for example locomotion).

By virtue of its special design, the sound sensor with a special contact unit can provide good acoustic coupling between the sound pickup location (e.g., sonic site, extrinsic surface at sonic origin site) and the measurement site (e.g., microphone) while reducing or compensating for ambient noise (e.g., by shielding).

Depending on the variant, the special contact unit additionally has a possibility for path compensation (for example for distance bridging) and / or a possibility for slightly prestressed contact with the source surface (for example for puncture and sealing). The contact unit may have a special contact sensor which ensures contact with the wearer. The movement to the carrier and the additional bias against the carrier can be achieved passively (e.g., cocked part or spring) or active (e.g., drive).

A mobile portable, non-limiting device in a communicating health monitoring system network with data and emergency management that itself or within the system network at least measures or receives, processes and monitors one or more parameters through one or more animal and environment sensors and can provide, display and transmit, and trigger a local or global alarm or alert based on critter, environment, and system abnormalities.

The mobile device may be used in general (e.g., health care or home use) and is mobile through a power supply. The device can be worn on the body without restriction and must not be stored for special activities.

A local or global alarm or warning can be triggered manually, but unlike today's emergency call systems also automatically by the device by means of a special living beings, environmental, and system monitoring.

In order to provide health monitoring quality despite personal, environmental and systemic differences, the device may be adjusted by user or automatic settings (e.g., configuration, calibration) and functionality ensured by automatic monitoring and compensation. In addition, a functional check enables a device and / or system interconnection check.

The device has various input, setting and output options (e.g., visual, auditory, haptic). In addition, inputs and settings can also be made on a system device in the system network and transferred to the device, and the outputs can be transmitted from the device to any system device and displayed there.

The device is constructed from a kit and can be scaled as required as required and the items can be connected by different connections, but at least the connections of the connection kit.

A good attachment of the device can be ensured by various options from the mounting kit.

application

People - Children (eg babies because of sudden infant death and Kinderschüttein) - Patients (eg non-intensive patients) - Affected persons (eg persons with vital problems) - Vulnerable persons (eg the elderly) - People at high risk for vital problems ( eg pilots, platoon leaders) - persons who work in dangerous occupations (eg army, police firefighters) - persons in whom the vital signs are to be considered over a longer period - research (eg data collection, cause research) - insurance (eg data collection, quick help with effects) reduce) - any person who has an interest in their health and / or wants to be safe - other people (eg comparing vital signs with other people or sharing vital signs)

Animals - Research (e.g., data collection, causal research) - Species protection - Pets - Animal experiments

Advantages The most important, non-exhaustive advantages are: The support is not limited by the mobile portable device in his freedom of movement and action. - The device and the system network enable a body-fixed and / or location-fixed and / or location-external data and emergency management. By means of data processing and handling in data management, device-fixed and / or location-fixed and / or location-alien living, system or environmental data can be detected, processed, monitored, displayed, stored, transmitted and received, for example. By means of emergency call handling and emergency assistance in emergency management, device-fixed and / or location-fixed and / or location-foreign warnings, alarms or emergency calls on the basis of living organism, system or environment data can be recognized, displayed, stored, transmitted and received, for example. - An automatic and / or manually triggerable emergency call can be organized by means of emergency call handling in the emergency management by means of a device-fixed and / or location-fixed and / or location-foreign alarm help. - In addition to the emergency call, emergency call handling in emergency management can also transmit data (for example, sentient, environment, system, input and output data, personalized data). - In the case of an emergency call, the operator from outside the facility can contact the carrier directly via the device by means of the existing outputs and / or the stored contact data for clarification by means of emergency call handling and actively switch off the emergency call in the event of an unnecessary emergency call. - The passive emergency support of the device in emergency management gives the helper (carrier or helper) information about the state of health of the wearer. In addition, the device can provide the helper himself an emergency manual by default with all display options and / or alternatively can establish a direct contact with the competent expert (e.g., speech connection, video connection) or specified with all display options. - The emergency emergency support of the device in the emergency management, with appropriate escalation, the optional option to perform life-saving remedial action on the carrier itself or by confirmation of a helper, independently or according to an operator. - Using the special noise sensor, the respiratory or pulse or respiration pulse sounds can be accurately detected with just one microphone and abnormalities and additional noise can be detected. Due to the special design and the special evaluation, the measured variable can be reliably detected and disturbances can be greatly reduced or compensated. - The personalization, configuration and calibration options allow for a specific or individual adaptation of the device and the device functions and enable a reliable detection and compensation of disturbances. An additional function control allows an individual control of the device functionality. - The body and equipment kit, as well as the possible living beings and environmental sensors allows a variant and device-based expandability to cover different cases. Additional sensors increase the depth of surveillance and allow for better detection and can better organize and instruct help. - The mounting kit allows attachment to different locations with different types of attachment.

description

The system architecture consists at least of body-fixed (or close-to-home) [X1] system devices [1xx - 4xx] which are located on the carrier [00] (eg, living beings, adults, children, infants) or body objects [01] ( For example, all adult, children and baby clothing, overshirt, vest, collar, scarf, band, strap, pencil, carrying strap) are worn. The body-fixed sensors [1xx] (for example, sound sensor, pulse oximeter, acceleration sensors, temperature sensors, image acquisition, GPS) measure living beings, environment or system values. The body-fixed input options [2xx] (eg emergency call, switch, push-button, rotary knob, touch-screen) enable settings on the device. The body-fixed outputs / actuators [3xx] (for example, Acoustic: Loudspeaker / Buzzer, Visual: LED, Segment, Screen, Vibration: Vibration Module, Electrical or Temperature Pulse) allow device output or action. Each component of the body-fixed system devices [1xx, 2xx, 3xx, 4xx] can each be individually and / or together and designed to be body-fixed on or in the device and / or external to the device or in satellites. Certain body-fixed system devices may alternatively or additionally also be present or external to the location and connected by means of communication with the device connected directly or indirectly.

The system architecture can be extended by possible location-stable [X2] system devices [5xx] and non-location [X3] system devices [6xx]. Each system device may communicate directly or indirectly with one or more other system devices through a fixed connection (e.g., cable, fiber) or free connection (e.g., wireless, WLAN, Bluetooth, cellular, radio). By one-sided or mutual communication between the device-fixed, location-fixed and / or location-foreign system devices data can be exchanged by means of data handling.

The single or multiple, optional, stationary system devices [5xx] (eg receiver, baby monitor, radio receiver, cell phone, cell tower, WLAN receiver, Bluetooth receiver, wireless router) receive the information from the body-fixed system devices [4xx] and This makes data and / or emergency management or transmits them to other fixed location system devices [5xx] or to one or more non-location system devices [6xx] and / or vice versa.

The single or multiple, optional, non-local system devices [6xx] (eg receiver, radio receiver, cell phone, cell tower, WLAN receiver, Bluetooth receiver, wireless router) receive the information directly from the body-fixed system devices [4xx] or indirectly via the fixed-location system devices [5xx] and thus make data and / or emergency management or they can be sent to other non-location system devices [6xx] and / or vice versa.

Each device in the system network can make data and emergency management. The emergency management can, for example, issue a body-fixed and / or location-independent emergency call, alarm or warning (SOS) and help, as well as inform, guide with the help and initiate remedial measures via the device.

Functional Architecture The functional architecture consists of functional building blocks, which can consist of all representable functions with the described parts and at least the described functions, wherein the functions individually or combined, single or multiple, body-fixed, location-fixed and / or non-location, respectively device internally or external to the device. Each individual function and each component can be present or not available in any variant. The function module and the overall functionality should be constructed as fail-safe as possible and can represent the function with any circuits and software functions.

Data management A data management consisting of data processing, handling and thus allows, for example, a body and / or location-fixed and / or location-external health monitoring on the device or a system device in the system network.

Data preparation [0036] The data preparation on the device resp. System devices in the system network determines specific or configurable, current or general, body and / or location-fixed and / or location-foreign data from the raw data (eg living beings, environment, system, input and output data, personalized data) and provides this data handling to disposal. The data processing includes for certain or configurable input and output variables, for example, measurement, prefiltering, conversion, signal monitoring and -Plibilisierung, filtering, preparation, Gegenplausibilisierung, degradation, Reproduction, evaluation, analysis, marking, trend detection, characteristic size extraction, DatenVSignalberechnung, information processing, abnormality and Additional detection and monitoring, of single or multiple or grouped measurements of one or more inputs of one or more input types. In addition, further information based on the input variables, for example by signal resp. Information fusion (e.g., with an observer). The data can be recorded within the device, at a fixed location or outside the location and be available in different quality and quality.

The conspicuity and additional detection and monitoring can be made with respect to all data (eg, living beings, environment, system, input and output data, personalized data) of the data and emergency management, are grouped individually or differently - / ausschaltbare and / or lockable and can be adjusted by settings (eg configuration, personalization, calibration or direct default) per measured value individually or differently grouped (eg simultaneous shift of lower limit). Each monitor may be made simple or variable-dependent of other quantities (e.g., parameters, values) by a check (e.g., threshold or band checking). For this purpose, one piece of information alone and / or several pieces of information may be used together and / or dependent and each piece of information may be preprocessed with a function (e.g., value, derivation, integration). The device resp. The system composite may include, for example, the following single and / or combined detection and monitoring: signals, plausibility, conditions, impairments, abnormalities, extra sizes, functionality and functionality (e.g., problems, faults, noise), mounts (e.g., contact sensor) and interference. In the case of a relevant problem, remedial action and / or degradation may be initiated first, for a short time, and for longer periods.

Based on this, automatic or manual event generation, warnings, alarms, and the need for emergency management can be created and represented differently (e.g., different outputs or output forms for cause or urgency). Analogous and / or by emergency call handling also sequentially escalating device-fixed, location-fixed or location-different shown.

An optional measurement Interference (e.g., ambient noise, outputs measured in inputs) allows for adjustment, compensation or degradation of the inputs and outputs to avoid errors and remain noticeable in the event of disturbances.

Data handling In optional data handling, the device resp. System devices in the system network specific or configurable, body and / or location-fixed and / or location-external data, from all current or general data (eg, living beings, environment, system, input and output data, personalized data), in particular or configurable Form and in certain or configurable measuring intervals or determined or configurable event-based, for example, prepare, provide, assemble, store, display, display, print, and receive and communicate.

The storage of data with or without timestamp can be fixed or dynamic or rotating (eg ring buffer), volatile or non-volatile, open or encrypted, simple or redundant on a fixed or removable data storage (eg internal memory, external memory device, EEPROM , Memory stick, memory card) in certain or configurable memory configurations (eg data log, event log, message log, status log). The stored data may be obtained by direct access (e.g., removable data storage) and / or the device resp. System device can be read by communication.

The can be communicated by communication freely or safely on one or more, specific or configurable channels and received vice versa, to allow data and / or emergency management between body-fixed, location-fixed and / or non-location devices. Unilateral or mutual communication may be free or encrypted, monitored or unmonitored by one or more devices to one or more devices, in a specific or configurable form and protocols (eg SMS, Email, Mobile Data Transfer, WLAN Data Transfer) and to specific or configurable recipients specific or configurable data. All functions can be executed at specific or configurable, regular or event-based intervals. In addition, a communication and reception failure management allows to deal with disturbances (e.g., last position with timestamp, degradation).

The transmitted data can be received with the associated application and thus data management can be done. By exchanging data with another system device, a device-fixed, location-fixed and / or location-external data and / or emergency management can be realized and, for example, a location-stable and / or location-external health data processing and monitoring can be made. An operator or a system has the possibility to contact the carrier via the device directly or other deposited connections depending on the urgency.

If the contact is no longer, a display / warning (e.g., other such as frequency / melody as an alarm) can be issued by data management. This allows the urgency of people in the area to be rated and reduces unnecessary stress.

Emergency Management An emergency management consisting of emergency call handling and emergency assistance support on the device and / or on one or more system devices in the system network is present and can be activated or deactivated individually or jointly per location.

Emergency Call Handling Through the optional emergency call handling, the device or any system device in the system group can determine an emergency call (eg warning, alarm) in different forms or in a sequential manner escalating first on the device if the system, environment or health problems are independently detected by the monitoring (eg device alarm with alarm display and buzzer / loudspeaker) and then further escalating via direct or indirect communication on different fixed locations (eg alarm on local radio receiver, mobile phone, tablet, baby monitor) or non-location recipients (eg alarm with relatives, with emergency call center) on different channels (eg Bluetooth, mobile, wireless, WLAN). In addition to the automatic device triggering, an escalating alarm can also be triggered "manually" by means of a physical and / or location-fixed and / or location-alien emergency call trigger (eg contact, switch, button). The emergency management may have a function that prevents unwanted emergency calls and allows desired ones (e.g., debouncing). The various monitors and / or various urgencies (e.g., alarm, alarm, emergency call) can be distinguished and represented differently by different outputs and / or output representations. The transmission of the distress call may optionally be augmented with data from the data handling (e.g., sentient, environment, system, input and output data, personalized data, last timestamped location) and made by data handling (e.g., free or encrypted dispatch). The operator from outside the location can first contact the carrier directly via the device via the available outputs and / or via the stored contact data for clarification and, in the event of an unnecessary emergency call, actively switch off the emergency call. The emergency call may be terminated or paused by means of coded input via the emergency call trigger or an additional emergency call station (e.g., contact, button or switch) alone and / or in connection with a reparation check.

When triggered, additional, more comprehensive data storage can be made. This makes it possible to evaluate the data afterwards to obtain information for helpers, operators and the device.

Emergency Assistance A local helper can provide self-help and / or be assisted by the device through passive emergency assistance so that the helper can provide quick and convenient assistance. The passive emergency support of the device gives the helper (wearer or helper) information about the health status and / or problem of the wearer.

Additionally, the device may provide the helper himself with emergency help instructions by default with all display capabilities (e.g., visual and audible) and / or provide one or more informational locations (e.g., Internet links). In addition, direct contact with a trusted or suitable expert (e.g., voice connection, video connection) may be established, and / or any contact information (e.g., telephone number) of a trusted or suitable expert may be provided with all display capabilities.

The emergency emergency support of the device can autonomously and / or by default life-saving remedial action on the carrier and / or by confirmation of a helper to perform an appropriate escalation (for example, matching electrical impulse in circulatory problems, Awakening in Sudden Infant Death). The remedial measures and the precise characteristics can be specified by the device itself and / or the local helper and / or the operator outside the location. A remedial action may be implemented by the device directly (e.g., without confirmation but with body-fixed and / or location-aware advance notice and abort capability) and / or provided to the device for the local helper and / or operator (e.g., device ready but helpered response).

A remedial action is indicated in advance by available outputs and can be aborted. In principle, all display options that are used for the display can also be used as actuators.

Application (Settings / Control) Various possible hardware and / or software technical settings and control options (eg configuration, personalization, calibration, function control) of the device and the total and / or individual functionality (eg data, emergency management) which via body and / or location-fixed and / or location-foreign (eg on the device by switch or button, by means of system device at the location or at the location foreign control center), automatic and / or selection-related (eg different device settings) and / or input-related (eg input of personalized information ) and / or individual (eg teaching by device's own measurement and evaluation, setting based on a non-device measurement and evaluation of carrier, measurement position, environment) adjustment and control options (eg on the carrier or on a test device, by the device's own testing and / or by Confirmation of a user) ügt. The inputs are individually and / or grouped and / or jointly einVschaltschaltbar resp. Lockout.

The configuration allows for automatic or selection-based selection of various specific device settings (e.g., data, emergency management, device sensitivity, warm thresholds, turning on and off, and locking of inputs and outputs).

Personalization allows the device to be customized based on personalized information (e.g., name, address, contact information, age, weight, height, alarm thresholds, abnormalities). The personalization can alternatively also be stored in the system network and allows, for example, a simplified person-device assignment.

The calibration allows the device (eg data, emergency management) automatically or by choice individually (eg with respect to carrier, measurement, environment) per function individually or differently grouped or overall in the normal state adapt (eg teaching by device's own measurement and evaluation or setting based a device-external measurement and evaluation). The newly calculated calibration can be automatically applied or made available to the user for selection.

The function control allows the device functionality automatically, due to triggering and / or change settings individually (eg with respect carrier, measurement position, environment) in the normal state per function individually or in total to check (eg on the carrier after a change of setting or a test device by the device's own measurement and Reaction) and thus ensure a correct application, positioning and environment.

An optional measurement of environmental input-related disturbances (e.g., ambient noise) allows for compensation or degradation of the inputs to avoid errors in the event of disturbances.

Health examination [0057] A body-fixed and / or location-fixed and / or location-independent triggering resp. Selection option for a health examination process, in which the living being receives one or more actions and / or exercises individually, sequentially or grouped, via any outputs and then has to execute them sequentially and, optionally, must confirm each. The device can announce the beginning, the duration and the end of an exercise as well as hints and corrections during the exercise. After each exercise, individually or at the end of all exercises, the data can be processed in a firm and / or fixed location and / or non-location and results, abnormalities and / or peculiarities body and / or fixed location and / or displayed outside the site and / or a central office. The health check may optionally be performed by the device itself and / or by the user and / or operator on the device or by a connected system device. The transmission from and to the system device can be free or encrypted.

Device network The device architecture consists of a device construction kit consisting of the following main parts and can be extended as desired: Mechanical device design [Oxx] with mounting option [05x], sensors [1 xx], inputs [2xx], outputs / actuators [3xx], electronics [ 4xx] with power [43x] and software. The main parts may be in their entirety or in or on the device or alone or with other main parts form a satellite, which is fixed or free connected to the device or is at least connected wirelessly to a system device in the system network. The device construction boxes and the overall functionality should be as fail-safe as possible.

Mechanical device construction [Oxx] The mechanical device construction [Oxx] contains all mechanical parts which do not belong to the other skin parts and at least consists of the housing with the housing bottom [01 x], the housing cover [02x] and a mounting option [05x ] and built-in recording and mounting options for the other parts of the skin.

Inputs and Outputs The device may have different inputs (e.g., sensors, inputs, communication) and different outputs (e.g., sensors, inputs, communication).

Different or identical inputs and outputs can be detected several times with the same and / or different principles and can optionally be preprocessed with the same and / or different circuits (for example evaluation, amplifiers, filters). Each individual input and output can be installed in or on the device or connected to the device alone or with other parts of the device as a fixed satellite [39x] or free [41 x, 42x]. In the case of fixed connection, it must be ensured that very short and / or guided cables are used so that there is no danger of strangulation. In special cases, individual sensors resp. Inputs also be wirelessly connected.

In addition to the inputs and outputs installed in the device or in device satellites, data from further inputs and outputs in other system devices in the system architecture can also be used by communication. Each input and output of other, stationary or -fremdes system devices (eg mobile phone, computer, tablet, wireless router) via fixed (eg cable, USB port) and / or free (eg WLAN, Bluetooth, wireless, mobile) connected be. The transmission from another device can be free or encrypted.

The data and / or emergency management can be extended by the body and / or location-fixed and / or location-foreign inputs and outputs. The device as well as the data and / or emergency management are manually and / or automatically, individually or differently grouped with other inputs and outputs for the individual, body and / or location fixed and / or non-location inputs and outputs, off and / or lockable.

Optionally, combined inputs and outputs can be used. Depending on the measurand, mechanical or metrological decoupling (e.g., other alignment, attachment, isolation, absorber) and / or compensation (e.g., phase-aligned subtraction) to the carrier, device and environment, as well as other inputs and outputs can be ensured. In addition, the inputs and outputs and the transmission medium can be combined by appropriate measures (for example, external contact contact, contact bridging to the outside via conductive intermediate part, housing slots).

A possible measurement of the interference (eg ambient noise, ambient light) by existing and / or additional sensors or in application and / or use breaks (eg no measurement noise, LED current monitoring, photodiode) allows monitoring, compensation or degradation of inputs and Outputs to prevent errors due to the interference and to ensure the functionality (eg perceptibility).

Sensors [1xx] Sensors [1xx] can be used to record different or the same living organism, system and environmental values, thus making data and emergency management possible. The device resp. The system group can contain at least the following sensors [1xx]: Pulse oximeter [12x], blood pressure measurement [19x], temperature sensors [11 x] (eg temperature variable components, NTC) used as body temperature sensor [110] or ambient temperature sensor [111], motion sensor [13x] eg acceleration sensors, rate sensors, rate sensors), muscle activity sensor [17x] (eg electrogram) used for example as respiratory muscle activity sensor [170] or cardiac muscle activity sensor [171], ambient humidity sensor [140], position sensor [15x] (eg GPS, mobile phone location, WLAN location, mobile device relative location ), Image sensor [16x] (eg, camera and / or film camera) and electric radiation sensor [18x].

By means of electronic control (e.g., clocking, on / off) and evaluation (e.g., amplification, evaluation logic), one or more signals will be prepared for further processing (e.g., A / D converter or direct processing).

Noise sensor [10x]

Introduction The special noise sensor [10x] measures living and / or ambient sounds by means of a sound electric transducer (e.g., microphone, miniaturized MEMS, piezo microphone). A special contact unit can provide good acoustic coupling (e.g., horn, extendible microphone) between sound pickup location (e.g., sound location, extrinsic surface at sound source location) and measurement location (e.g., microphone) while reducing or compensating for ambient noise (e.g., by shielding). Depending on the variant, the special contact unit additionally has a possibility for path compensation (for example for distance bridging) and / or a possibility for slightly prestressed contact with the source surface (for example for tightening and sealing). The contact unit may have a special contact sensor which ensures contact with the wearer.

The acoustic input and acoustic resp. Haptic outputs can be decoupled, coordinated and / or compensated by means of measures.

The special noise sensor can measure all noise-generating or -producing vital signs and recognize abnormalities and additional noise with a special evaluation method and thus expand the data and / or emergency management. In particular, the noise sensor respiratory resp. Measure pulse noises individually or together. Breathing pulse measurement can be combined with just one sound sensor and one microphone, or a two-microphone noise sensor or two separate noise sensors.

Construction Basically, always all possible parts are shown. In general, of course, individual parts can be omitted, combined or simplified for optimization.

In the case of the special sound sensor [10x], there are two types of construction; in the case of the "fixed construction", the contact unit is firmly connected to the housing fastened to the support, or in the case of the "movable structure", the contact unit is movably connected to the housing fastened to the support.

In both basic types of construction, the microphone [10x, 81] can be mounted both on the outside of the device or on the inside of the device. With the mobile body type, the microphone [10x.86] can additionally be mounted in the device or in the movable contact unit and therefore also movable. The microphone may include characteristics of a directional microphone [1 Ox.89] (e.g., side openings or longitudinal slots in the contact unit and device guide) to reduce side noise from the frontal measurement sounds.

The movement to the carrier and the additional bias against the carrier can be achieved passively (e.g., cocked part or spring) or active (e.g., drive).

In order to ensure the guidance over the path of movement in the movable body type, the contact unit has a guide [10x.62] in the elongated microphone spring body [10x.21] and a guide in the housing bottom and / or cover [10X.61]. The microphone is held in place by a microphone holder [10x.8x]. When the microphone is movably mounted to the housing, the mount is on the contact unit, otherwise on the housing bottom [01 x], cover [02x] or with all other components (e.g., circuit board). A non-conclusive possibility is that the microphone by means of microphone holding device [10x.83 / 10x.87] by means of all types of connection described according to connection kit (e.g., clamping teeth, Radialpresssitz, gluing) is attached. An axial displacement can optionally be prevented by a microphone end stop (with cable hole) [10x.82 / 10x.86]. The microphone can be inserted from either side in the direction of the microphone end stop (with or without cable hole) [10x.82 / 10x.86].

The optional horn [10x.22] may be implemented as a rigid part (e.g., normal funnel, stethoscope) or as a flexible part (e.g., harmonic suspension). The horn directs the sound waves from a larger area of the carrier [00] to the microphone and at the same time limits sound from ambient noise. In order to ensure a good wearing comfort and fewer pressure points for the wearer, the support surface can optionally be increased by a fixed support surface [10x.23]. To further increase the wearer's comfort, a soft, flexible padding [10x.24] can optionally be applied to the support surface. By means of a slight preload or misalignment, the soft, flexible support padding [1 Ox.24] can additionally serve as an adaptation and seal between the support [00] and the bell [10x.22]. Specifically, horn may be attached to the carrier with a holding force (e.g., patch or horn as a suction cup).

A thin, sound-permeable seal [10x.25] is optional to protect the microphone and the inside of the device from contamination. If the microphone is inserted from the inside into the holder, the device wall may also contain an integrated grid at the location of the microphone which protects against coarse contamination. An optional housing seal [10x.02] between contact unit and housing bottom and / or cover is intended to protect the inside of the device from contamination. The housing seal [10x.02] can be either on the contact unit, the housing bottom or ceiling) with different mounting resp. Be fixed types of connection (e.g., groove, gluing). The housing seal [10x.02] can additionally help with the guidance of the contact unit.

A contact sensor [10x.26] can be used to check that the microphone (or the microphone funnel) is in contact with the carrier, so that the noises are well trimmed and at the same time the ambient noise is well suppressed. Both a correct attachment and the correct whereabouts can be monitored. The contact sensor [10x.26] can be constructed from the most diverse position / path (eg push switch, Hall, capacitive, inductive or light sensors) and / or force sensors (eg piezo) and can be activated by a contact sensor trigger [10x.27 ] (eg magnet, metal).

The contact sensor [10x.26] can either measure the full deflection and thus the contactlessness or the contact sensor [10x.26] can measure the non-full deflection and thus measure a secure contact and thus have a different structure and in different positions be attached. The contact sensor [10x.26] itself can each be executed again with a signal level high or low on the existing or nonexistent event. If the contact is no longer, data management can be used to issue a display / warning (e.g., other than frequency / melody as alarm).

Alternatively, contact attachment [10x.29] (e.g., patch, sucker) may provide sustained contact between carrier [00] and the device, respectively. the contact unit resp. the microphone can be ensured and the contact sensor can be optionally saved.

Fixed construction There are two fixed basic construction types in which the attachment to the housing bottom (support-facing housing side, [10x.0x]) or to the housing cover (support-remote housing side, [1 Ox. 1 x]) takes place. The fixed structure is simple and inexpensive, but can ensure an acoustic coupling and / or an ideal contact only in a small area between the microphone and the carrier.

In addition, there are two variants per each fixed Grundaufbautypen. In the first variant of the horn [10x.22] is rigid, in the second variant flexible (for example, as a harmonica suspension) is formed.

A possible contact sensor [10x.26] is mounted so that the sensor is actuated (e.g., by reversible deformation) via the force due to contact with the support [00] acting on the contact unit. An optional contact sensor actuator [1 Ox.27] (e.g., magnet, metal) is attached to measure the reaction produced by the force.

Movable Construction In the movable variant, only the contact unit without microphone or the contact unit with the microphone can move with respect to the housing fastened to the support. The contact unit is biased relative to the housing, so that it extends maximum without counterforce by the wearer to make sure contact between the microphone and the carrier. The mobile structure is more complex and therefore more expensive, can ensure the ideal contact between microphone and carrier over a larger distance range. The movement of the contact unit can be used to check contact with a contact sensor.

There are two basic types of movable construction, in which one or more springs of any spring type either with a tension or compression spring against the housing bottom (wearer facing side, [10x.0x]) or with a tension or compression spring against the housing cover ( Carrier facing away, [10x, 1 xj) springs.

In addition, there are two variants per Mobile Grundaufbautypen. In the first variant of the horn [10x.22] is rigid, in the second variant flexible (for example, as a harmonica suspension) is formed.

In addition, there are two subvariants per movable variant. In the first sub-variant, the microphone [10x.81] is firmly fixed to the housing bottom or cover, while in the second sub-variant the microphone [10x.85] is firmly connected to the contact unit and thus movable.

The flexibility and prestressing can be achieved with all types of springs (eg screw [10x.31], blade or ring [10x.32] cone, shaft, limb, bend, diaphragm, plate, air). , Elastomer, Evolutfeder) or other flexible materials can be achieved. The spring can be outside, inside or between the guide.

Optionally, axial alignment and positioning of the spring may optionally be accomplished by a spring fixture [10x.35] (e.g., snap, pinch, glue). The required position with the required preload of the spring can be achieved by an optional spring fixation pedestal [10x.36]. When the spring is guided in or over a component (such as the bottom of the device, the cover, the contact unit), an insertion bevel [1 Ox.39] prevents the component from hitting the component. The spring fixing [10x.35] can be combined with the front end stop [10x.51] or the rear end stop [1 Ox.52].

[0090] The guide of the contact unit [10x.62] can be extended and guided with a complete guide or guide parts from the housing bottom or from the housing cover [10x.61]. In this case, in the guide in each case the Ge-housing bottom / housing cover or the contact unit be inside to prevent tilting or poor alignment of the contact unit. So that the guide parts can be inserted well and do not begin to "eat" over time, the guide parts can be provided with guide bevels [10x.39].

The contact unit can be secured against rotation either from the housing base (support facing side, [1 Ox.Ox]) and / or from the housing cover (carrier side facing, [1 Ox. 1 x]), for example, a cable damage or spring damage excluded. A first possible anti-rotation lock [10x.40] is that the contact unit is connected via the spring to the housing bottom or cover and the spring has a sufficiently high and durable torsional rigidity. A second possibility is that used for the two guides non-circular cross-sections. Ideally, the non-round cross section may also just include the cable routing. A third possibility is that of the two guides one part has an anti-rotation groove [10x.45] (e.g., one, one or both sides, notched groove, notch or

Rail) and the other part has an anti-rotation nose [10x.41] (e.g., fixed or snapping nose, screw, pin, nose-piece, bills).

The contact unit can either against the housing bottom [10x.0x] and / or against the [10x.1x] each have a front end stop [10x51] and optional rear end stop [1 Ox.52] to the drop respectively. prevent unwanted contact of the contact unit. A first possibility is that the contact unit is directly supported in the end stop against the housing bottom or housing cover. A second possibility is that a previously existing access is mechanically closed (for example, by caulking, pressing) so that the two guides can no longer slide apart. A third possibility is to attach a fixture (e.g., screw cotter pin, attachments, glue) to prevent the two guides from sliding apart. A fourth possibility is that one guide piece has a one-sided or two-sided limited end stop groove [10x.55 / 56] and the other has an end stop nose [IOx.51 / 52]. Ideally, the anti-rotation groove is at the same time the Endanschlagsnut and anti-rotation nose at the same time the Endanschlagsnase.

The contact sensor [10x.26] can measure the movement of the contact unit with a contact sensor trigger [10x.27] which may be attached to another component. The contact sensor [10x.26] can be attached to the bottom of the case, lid, contact unit, or any other component (such as a microphone or circuit board), common or independent of other components.

Depending on the structure, there are different cable guides [10x.7x]. In the case of the microphone-fixed structure, the cable can already be inside the device (for example, a microphone on the device floor or cover on the inside of the device) or can be led directly into the device through a sealed cable hole (for example in the optional microphone end stop). In the case of the microphone-mobile structure, the cable can be routed inside or outside of the microphone tube directly to the inside of the device or to the cable exit [10x.72] by means of a cable guide [10x.71]. At the cable exit, the cable is led out of the contact unit and, if necessary, through a wider cable groove [10x.73] through the guide of the housing to the outside or inside and from there into the housing. In order to protect the cable during movements and to prevent buckling forces, the cable may be at least additionally reinforced (e.g., cable reinforcement, shrink tubing jacket) or specially arranged (e.g., cable play prevention of buckling forces). Body Temperature Sensor A body temperature sensor [110] may be connected to the instrument by means of a temperature sensor [11 x] (e.g., temperature variable components, NTC) on the instrument. A satellite may be attached to a location which ideally has good body contact and by means of measures (e.g., slight overhang of the actual contact area, path compensation) contact can be ensured.

Optionally, the body temperature sensor can be used simultaneously as a contact sensor and thus the contact sensor can be saved. Optionally, a combined temperature / humidity sensor can be used. As a contact criterion, for example, the measured body temperature can be used with a tolerance and, optionally, can be made plausible for safety against the ambient temperature sensor. This evaluation can be realized as electronics or software.

Motion Sensors By means of an optional motion sensor [13x] (for example acceleration sensors, rate sensors, rate sensors) it can be monitored with a special evaluation in which position the wearer is located, whether movements resp. Activity (for example, breathing) is present and at the same time not too much movement resp. Movement change (for example, fall, shaking of the child) acts on the wearer and accordingly the manual or automatic data and / or emergency management are made. In addition, the motion sensors can be used for plausibility of the other values (e.g., increased pulse / breathing by movement). It is on a decoupling between motion sensors and haptic resp. pay attention to acoustic output.

Position sensor With the optional position sensor [15x] (eg GPS sensor, GPS module, mobile phone location, WLAN localization, mobile device relative location), the carrier position, direction and speed can be determined with a special evaluation and the manual or automatic Data and / or emergency management are made. In addition, the storage of the last valid position with timestamp allows a plausibility check and always ensures a last valid position. In general or especially in emergency call handling, this information can be helpful and enable faster and more targeted help. In addition, the position can also optionally be used to check whether the wearer is in a certain or configurable area (for example in dementia, protected areas) and otherwise deposit and / or warn information. The position sensor may be only the receiver with an additional or co-used and thereby freely positionable antenna, or a position sensor module including position sensor, antenna and driver.

Image Recording By means of an optional image recording [16x] (eg photographic and / or film camera with any wide angle), with a special evaluation of the carrier itself, the position, location and environment around the carrier (eg location, situation, helpers, hazards , Perpetrator) in general or in special situations are recorded and evaluated (eg manually by operator or automatically by image processing). In general or especially in emergency call handling, this information can be helpful and enable faster and more targeted help. In addition, the image information can also be used to automatically or manually detect helpers on site and to automatically or manually check the correct implementation of emergency response with or without emergency help.

Inputs [2xx] [0100] Individual inputs [2xx [(eg emergency call triggering, switch, push-button, rotary knob, touch-screen) can be used to provide the device or the system group with different information from one or more users. The individual input options can individually and / or differently grouped and / or encoded communicate information and trigger reactions. All information can be stored volatile or non-volatile on the device or system network. Each input provides one or more choices, and can be made individually or differently grouped by the device itself or by the user on the device, or by a system operator, or by a system or non-location system device.

For example, settings (e.g., configuration, personalization, calibration) may be made or functions (e.g., functional control, emergency call handling) may be started, paused and / or aborted, and thus the device (e.g., data, emergency management) controlled.

By means of electronic control (e.g., clocking, on / off) and evaluation (e.g., amplification, evaluation logic), one or more signals will be prepared for further processing (e.g., A / D converter or direct processing).

Configuration By means of an optional configuration [20x] of the device, device settings can be selected automatically or by selection on the device or via a connected system device between different, specific device settings.

Personalization By means of optional personalization [21 x] of the device, device settings can be adjusted automatically or by selection based on personalized information (e.g., name, address, contact information, age, weight, height, alarm thresholds, abnormalities). The personalization can alternatively also be stored in the system network and allows, for example, a simplified person-device assignment.

Calibration [0105] By means of an optional calibration [22x] (eg teaching, teaching) of the device, device settings can be selected individually or individually (eg on carrier, carrying or measuring position, environment) in the normal state per function individually or as a whole (eg by a Device measurement or device-external measurement) and / or possible improvement instructions for selection or confirmation are displayed. For calibration, for example, the device can be calibrated by means of body-fixed and / or device-external device measurement and / or evaluation. The calibration can be done automatically by the instrument or after selection and / or confirmation.

Function check [0106] By means of a possible function check [23x], all or parts of the device resp. System composite functionality in the normal state (e.g., on carrier, carrying or measuring position, environment) per function are checked individually or collectively (e.g., by a device measurement on the carrier or test bench). For example, the device can check specific or configurable sensors, inputs, outputs and actuators as well as data and emergency management. The device may include functions for autonomous functional testing (e.g., current measurement on displays) or may enable functional control by assistance (e.g., by acknowledgment) from a user (e.g., wearer, operator).

Emergency Triggering [0107] One possible emergency triggering [25x] is a triggering sensor (e.g., contact, pushbutton, or switch) that is accessible directly or through something (e.g., clothing) on the device or a satellite, and can be easily found and operated. A manually triggered emergency call, as well as an automatic emergency call triggered by the emergency call handling, for example, a sequentially or directly escalating, device-bound and / or location-fixed and / or location-alien emergency call, which is displayed. Upon triggering, data and emergency management functions (e.g., non-volatile data storage) may be invoked. By means of a coded input via the emergency call release or a separate input, an assistant can report his presence and control the emergency assistance. By means of a coded input via emergency call release or a separate input, the emergency management can be paused and / or aborted, for example.

Outputs: Outputs / Actuators [3xx] [0108] Optional outputs resp. Actuators [30x] allow an operator to be alerted to the critical subject, environment, system, input and output states by a fixed and / or fixed location output, the carrier itself or local help, and / or by a non-location output , At the same time, the outputs resp. Actuators output information and instructions from the device itself or from a non-location operator. In principle, each output can be used as an actor at the same time by attracting attention while also providing remedies for passive (e.g., emergency response, emergency) and active (e.g., electrical impulse in cardiovascular disorders, awakening deep sleep in sudden infant death).

[0109] The device resp. The system group can contain at least the following sensors [1xx]: acoustic outputs / actuators [30x] (eg loudspeakers, piezo loudspeakers, buzzers), visual outputs / actuators [31 x, 32x] (eg LED, laser, laser LED, segment, Display, touch screen, laser), haptic outputs / actuators [35x] (eg vibration module), electrical outputs / actuators [36x] (eg electronic impulse via electrodes or contacts) and thermal outputs / actuators [37x] (eg temperature impulse over Contacts). By means of an electronic control (for example, clocking, on / off switching) and conditioning (for example amplification, output logic), one or more outputs resp. Actuators preparing for an issue.

Electronics Electronics [40x], communications [41x / 42x], and power components [43x] may be mounted on one or more boards [400] (e.g., PCBs) or detached from boards. If it has multiple boards, these may be directly or indirectly connected or unconnected. The connections can be made for example via cables, ribbon cables or connectors.

The processor [401] (e.g., 8-bit, 16-bit, 32-bit, 64-bit) executes the program containing the functional logic. Part of the functional logic may also be mapped by external logic devices [405] in processor-near or remote. The processor can operate with internal or external clocking. The processor may have a watchdog to detect and fix the snagging in the program (e.g., unwanted infinite loop). The processor may have energy saving measures (e.g., low energy oscillator, low power output, low power ADO, sleep mode). The processor may include comparators, programmable timers, a USB and / or communication interface, and a dedicated reference voltage. The code on the processor can be protected against access, modification and read-out. A processor internal or external temperature sensor may be present for electronic temperature monitoring.

Various memories [406] (eg RAM, ROM, EEPROM, SD card, memory element) may be used by the processor and other modules for data (eg program code, variables, program results, raw sensor data, input values, output values, system state, communication state, living beings -, environment, system, input and output data, personalized data, events, emergency call data, calibration, personalization, configuration, functional checks) short-term or long-term storage. The long-term data can be used for analysis and display. The storage data can be different per storage medium and each determined differently or configurable event-based and also regularly stored at selectable intervals. The memory may also provide a means for continuous data storage (e.g., circular memory).

The processor has digital inputs and outputs and can have analog and digital inputs and outputs. These processor-internal or external analog-to-digital converters [403] and digital-to-analog converters [404] allow conversion between analog and digital signals at a specific or configurable data resolution.

The processor may make multiple use of certain inputs and outputs by multiplexing certain signals (402), such as time-frequency, code, polarization, space-division, multiplexing with an in-processor or external multiplexer [402].

Communication [41x / 42x] In the optional communication [41x / 42x] to non-body-fixed system devices of the system architecture, a wireless connection by means of receive and / or transmit antenna (s) [421] is preferable, since this one is the mobility carrier allows and prevents the risk of entanglement (eg strangulation by cable). In addition to the free, wireless connection of the non-body-fixed system devices [55] (for example, computer, tablet, mobile phone), an additional optional fixed-connection communication can facilitate a simplified connection of the device to other system devices.

The communication unit is ideally bundled on or integrated with the device or other satellites (e.g., pulse oximeter or sound sensor), but may also be a standalone satellite. The communication should ideally be installed so that it has a short and little disturbed way to communication output. The

Antennas (or alternatively the receiving and / or transmitting antennas) [421] should be designed and installed so that they have a good radiation in the room and at the same time no strong radiation in the direction of the carrier and the electronics.

The other devices of the system architecture [5x] may be used as additional inputs (eg GPS information or movement or temperature from the mobile) and / or as additional output (eg display) and / or for additional processing and / or storage and / or be used for simplified setting options (eg configuration, personalization, calibration) or functional tests and at the same time help to exchange information between two system devices (eg living things, environment, system, input and output data, personalized data from the device via at least fixed mobile phone to the operator outside the location ). In addition, the other system architecture devices may be used for further communication of data and emergency call, as well as for receiving remedial and emergency assistance and / or emergency assistance and / or additional inputs (e.g., sensor measurement).

The wired communication may be combined with the direct power supply in a plug and cable (e.g., USB cable).

An optional communication element [420] (e.g., UART) puts the processor data in an appropriate form for transmission and unpacks the data from the sent form and provides it to the processor. In addition, the communication element with one or more receivers enables secure communication through communication management and redundancy. The communication element may be a separate component or integrated in the processor.

[0120] The optional Inputs Communication [410] and optional Outputs Communication [411] are used for data preparation. For example, the data between processor are provided to the communication element in both directions respectively appropriate. In the case of multiple receivers and / or multiple transmitters, the input / outputs communication ensures multiplexing and provides the additional information so that the data from the processor resp. can be processed correctly by the communication element.

The data for transmission and reception are optionally buffered to decouple communication and processor flow. The storage can be made in the processor memory, in the communication element, in the inputs / outputs communication or in an additional component.

Energy [43x] The required energy [43x] is provided to the device through the energy store (e.g., battery) [432]. The energy storage is ideally integrated into or into the device or other satellites (e.g., pulse oximeter or sound sensor), but may also be a standalone satellite. Since the energy storage has a high weight, a positioning in the lower part of the device / satellite is to be preferred in order to prevent tilting of the device / satellite.

The device has an optional device-fixed or location-fixed or location-external on and off option [439] (for example, switch, suspend or remove energy storage) and with it or with an additional function, a reset can be made. This can prevent unnecessary energy loss and alarm when not wearing and problem can be solved. The power state may optionally be indicated by a power state indicator [438] (e.g., power indicator on / off and / or low voltage and / or voltage dependent).

The power (e.g., electrical voltage) may optionally be conditioned (e.g., voltage or current level) by a power board [430] and fused (e.g., fuse, voltage, or current limit). The power supply [431] (e.g., charger) may charge the energy storage directly in the device (e.g., charging port via cable or wireless charge) or charge the remote energy storage device (e.g., battery charger). The power supply may be made by the power grid (e.g., AC) and / or other devices (e.g., USB to computer). The direct power supply may be combined with the wired communication in a plug and cable (e.g., USB cable). Accordingly, the power supply [431] or the power board [430] should provide a power supply adapted conversion (e.g., AC / DC or voltage or current level) and protection (e.g., fuse, voltage, or current limit). For example, a dedicated energy management system [433] ensures that the energy storage device will not become overcharged and, through the option of allowing the batteries to charge quickly, still have a long life (for example, through special charge / discharge cycles).

Construction The overall body-fixed device consists of one device and may additionally have external, physically fixed satellites. A mobile wearable structure allows health monitoring in everyday life is no restriction. For mobility, the device has a wireless, optionally low-energy communication to one or more location-fixed or directly outside the location bases (eg radio receiver, baby monitor, mobile phone, tablet, computer, wireless router) and thus simultaneously prevents the risk of strangulation by the cable from the device to the base , The device can be accessed securely via external communication and / or via an external electronic interface. Simplified device access for a system device (e.g., for configuration, personalization, calibration, performance control, and data export) may be facilitated by a plug-in wired or wireless connection to the device. The mobile device has at least one energy store (e.g., battery). The device may be charged directly via a power supply (e.g., charger) by cable or wirelessly (e.g., inductively), or the energy storage may be removed for charging, respectively. be replaced. An energy management system (such as power, voltage monitoring, fuse, battery level and battery charge monitoring, battery management) ensures safe operation.

Specifically, the cable connection to the system device and the power supplies are packaged in a cable and plug (e.g., USB cable).

Device Construction Boxes The device construction kit and thus the sum of all possibilities described are composed of all combinations of the device parts and combinations of the groupings in inputs / sensors, outputs / actuators, electronics, communication and energy with all variants at different positions. Each individual part of the device may have variants with different characteristics, be present or not, and either be installed in the device, combined with other parts of the device external to the device or be alone. The device structure should preferably be constructed according to the fail-safe principle.

EXEMPLARY EMBODIMENTS For better illustration, in the figures, some possible embodiments of all possible device design variants according to the device construction kit.

The embodiments and stages of development are similar for adults and children, but in adults the monitoring of the circulation and in the children the monitoring of the breathing is more important. Therefore, as a remedial measure in adults, the electrical impulse can be used and in children an acoustic or haptic solution. In children, too high or too low ambient temperature and / or humidity is a greater risk.

Display [0130] The device resp. The system group can contain at least different displays and / or display forms for the following information: status (off, normal, teaching), input value (eg breathing), detection (eg respiration detection), attachment problem (eg contact sensor), interference (eg ambient noise), combined display (eg, current breathing state segment display, general breathing state, respiratory failure, respiratory arrest, peculiarities / abnormalities, and extraneous sounds), alarm, alert, emergency and energy state, as well as configuration, personalization, calibration, function control process.

Noise Sensor The optional Breathing Sound Sensor [100] can measure respiration with a Noise Sensor [10x] around the airway. The breath sound sensor can process respiratory sounds with a special evaluation in the data management, for example, the respiratory flow and thus respiratory abnormalities (e.g., tidal volume, frequency, irregularities, disorders, misfires, types, shapes, patterns). In addition, any additional respiratory sounds (e.g., whistling, hawking, nursing, coughing, snoring, clicking, hiccuping, burping, speaking) may also be processed by data management. In order to impair the wearer as little as possible and to be able to hide the device as possible, the microphone is positioned in particular on the neck, ideally between the larynx and sternum.

The pulse noise sensor [101] can measure the pulse with a sound sensor [1 Ox] in the area of all arteries and the heart. The pulse noise sensor can from the Blutfluss- resp. Pulse sounds with a special evaluation in the data management, for example, the blood flow and thus heartbeat abnormalities (such as heartbeat volume, frequency, irregularities, disorders, misfires, types, forms, patterns) process. In addition, pulse addition sounds (e.g., flap sounds) may also be processed. In order to minimize the possibility of affecting the wearer and to keep the device as hidden as possible, the microphone is positioned on a major artery (e.g., carotid artery) or at the heart.

The breath-pulse sound sensor [102] can with a noise sensor [10x] by a lateral deviation from the Halsatemwegen (eg between the larynx and sternum) in the direction of the carotid artery in addition to the respiratory noise and the same time the pulse noises with only one microphone [Fig , 5] and process it with a special evaluation in data management. The more the lateral deviation from the frontal orientation is chosen, the clearer the pulse becomes, but the lower the respiratory sounds.

Detection / Monitoring The device has at least the following optional interchangeable and plausibility alarms: input signal, input plausibility, input functionalities, input abnormalities, input attachments, input perturbations, output signal, output plausibility, output functionalities, output abnormalities, output fixings, output perturbations, living item information (eg Health status), environmental information (eg high ambient temperature, humidity), system information (eg processor temperature), energy storage (eg battery level monitoring) and energy supply (eg battery charge monitoring), communication (eg communication status, transmission, reception), electronics (eg critical component failures, control of control ), Program code (eg watchdog) and change and readout of the software from the processor.

General comments on the examples All technical design ideas apply independently of: number, arrangement, types, shape, proportions and design of the inputs and outputs; Number, shape, proportions, dimensions and design of components; Use or removal of all components; Arrangement, location and type of fastening of all components; Connection and mounting option; as well as sealing options.

Fastening Kit In addition, the body-fixed device and body-fixed satellites can be fastened at different attachment locations and by different types of attachment individually or together, single or multiple times. The device resp. The satellites can be mounted inside or outside body objects [01] and directly or by an additional attachment to the body objects [01]. At least through additional devices on the body objects [01] (e.g., clip loop), masking of the device can be achieved in all examples.

Types of fastening [05x] The types of fastening are for illustration only and are not exhaustive. The following types of fastening (eg fixed attachment, insert, clip, closure, adhesive connection, zipper connection, magnetic connection, pin, straps, buckles, push / push latch, screw latch, button, body attachments) are basically at all mounting locations and both for the Devices as well as for any satellite inside or outside of the body objects [01] possible. There are fixed or removable fasteners and the fasteners may be continuous or non-continuous on the device and body articles [01]. If the fastening parts on the device and the body objects are different, they can be interchanged. It is also possible the device resp. attach the satellites directly to the body of the wearer [00] (e.g., with plaster, sucker or clip). The attachment between the device and the body objects resp. Carrier can be in different designs and in different places, single or multiple and with different orientation. In order to obtain further degrees of freedom, single identical or different types of fastening can be combined simply or multiply.

Fixed attachment In the case of fixed attachment (for example, incorporation, sewing, riveting, welding, gluing), the device resp. the satellites are firmly connected to the body object [01].

Insertion Attachment In the insert attachment, the body article [01] has one or more narrow openings (e.g., internal clamping by body item, ribbon, loop, pocket) into which the device resp. the satellites can be introduced into the body object. Also the reverse construction can be made.

Clip fastening [0140] When attaching the clip, the device resp. on the satellites one or more clips that are clamped directly (or a fixed or variable length additional attachment (eg tape, loop, bag) to the body object.The reverse construction can also be made.The clip can, for example, as a reversible-bendable part with a restoring force be realized in the closing direction or as a solid item with restoring force by a spring in the closing direction.

Lock fastening [0141] For the lock fastening (for example, suspenders buckle, screw clamp) are on the device resp. on the satellites one or more closures, which are clamped directly or via a fixed or length-adjustable additional attachment to the body object .. The reverse construction can be made. The closure holds itself by a fixation in the closed resp. Connected state and can be reopened with force resp. be screwed on.

Velcro Attachment When attaching Velcro fasteners are on the body object [01] and the device resp. The satellites each one or more mutually adhesive velcro fasteners attached.

Zipper fastening Attaching the zipper fastener on the body object [01] and the device resp. The satellites each one or more matching zippered attached.

Magnetic fastening In the case of the magnetic fastening, resp. in the satellites, one or more magnets mounted or integrated with one or more counter-bodies (e.g., metal or attracting magnets) mounted on the other side of the body article or mounted or integrated in the body article. Also the reverse construction can be made.

Pin attachment [0145] When the pin attachment are in the device resp. attached or integrated in the satellites one or more pins that can be attached by attaching to the body object. Also the reverse construction can be made. Bändel Befestigungs [0146] When the Bändel attachment are on the body object [01] and the device resp. One or more band holes (e.g., eyelets, holes) are attached to the satellites, which are then connected to a ribbon by any desired design. Also the reverse construction can be made.

Buckles Fastening [0147] In the case of the buckle attachment (for example snap, band or hook-in buckle), the device resp. on the satellites, one or more buckles hooked to the body item via a fixed or variable length accessory attachment (e.g., strap, loop, buckle portion, eyelet). Also the reverse construction can be made. The buckle holds by a fixation in the closed resp. connected state and can be reopened with force.

Push / push latch attachment [0148] In the push / push latch attachment is on the device resp. attached to the satellite one or more noses with slightly thickened end, these can be pressed in slightly smaller eyelets in the body object or inserted via tapered or narrow paths in the body object. Also the reverse construction can be made. The latching nose holds through the narrowing in the end position and can be reopened with force resp. be screwed on.

Screw snap-in fastening [0149] When screwing snap-fastening is on the device resp. attached to each of the satellites and the body of the object, which interlock by rotation with friction against each other. Also the reverse construction can be made. The friction and / or a latching mechanism hold the fixation in the end position and can be reopened with force resp. Button attachment [0150] When the button is attached to the device resp. one or more buttons (e.g., buttons and push buttons) attached to the satellites may be attached thereto by counterparts to the body item or slits in the body article. Also the reverse construction can be made. The button holds through the narrowing in the end position and can be reopened with force resp. be screwed on. Body Attachment [0151] When attaching the body, the device resp. the satellites are attached directly to the wearer's body by means of one of the shown or other types of attachment (e.g., plaster, sucker or clip).

Fastening Locations The attachment locations are for illustration purposes only and are not exhaustive. The following attachment locations [Figures 5x] (eg all adult, children and baby clothing, overshirt, vest, collar, scarf, ribbon, belt, figures, carrying strap) are basically with all types of attachment and both for the device and for any satellite inside and on the outside of the body object [01] possible.

[0153] The device resp. The satellites may be attached directly or via attachment (e.g., counterparts, loop, tape) to existing body items [01] or directly to the wearer's body [00]. In addition, the device resp. the satellites are also attached to an additional body item in connection with the device.

The attachment between the device and the body objects resp. Carrier can be in different designs and in different places, single or multiple and with different orientation. It must be ensured that the body object, the attachment and the device resp. the satellites do not adversely affect the wearer (e.g., breathing, pulse, and blood flow).

Normal clothing [0155] The device resp. The satellites can be attached to all adult, child and baby clothing available at the desired location. Depending on the type of attachment, counterparts may still have to be attached to the body objects [01] or the counterparts are already integrated in the garments.

Special Fastening Clothing: Body Items for Opening and / or Covering / Tightening A special fastening clothing associated with the appliance may be any additional body item which may be opened or closed (e.g., vest, jacket, shirt) and / or overcoat, respectively. Pull (e.g., shirt, sweater) on the wearer's body. It is important to ensure that the body does not or only slightly impair the respiration, the pulse and the blood circulation. This additional body item allows a better and secure attachment, position and orientation of the device resp. the satellite. To open and close one of the indicated or other types of attachment can be applied. An optional collar on the body item allows for better attachment in the transition from the shoulders to the neck. The body item may be worn alone, over or under clothing.

Special Fastening Clothing: Neck / Shoulder Covering A special fastening garment associated with the device may be any additional body item in the area of the neck shoulder (e.g., scarf, neck brace, collar). The article may be pulled over or opened without having its own shape (e.g., fabric scarf) or flexible in shape (e.g., bendable scarf). It is important to ensure that the body object, the attachment and the device resp. the satellites do not adversely affect the wearer (e.g., breathing, pulse, and blood flow). This additional body item allows a better and secure attachment, position and orientation of the device resp. the satellite. To open and close the flexible mold one of the indicated or other types of fastening can be used. An optional collar on the body item allows for better attachment in the transition from the shoulders to the neck. The body item may be worn alone, over or under clothing.

Special Fastening Clothing: Strap / Carrying Strap / Carrying Rack A special fastening garment associated with the device may be any additional body item in the form of a belt and / or a carrying strap and / or a carrying rack (e.g., neck strap, shoulder frame, shoulder strap). The article may not have its own form (e.g., fabric tape) or be flexible in shape (e.g., bendable plastic tape). It is important to ensure that the body does not or only slightly impair the respiration, the pulse and the blood circulation. This can optionally be achieved for example by fixed recesses with optional padding at least in the area of the carotid arteries or the breathing tube. This additional body item allows a better and secure attachment, position and orientation of the device resp. the satellite. To open and close the flexible mold one of the indicated or other types of fastening can be used. An optional collar or neck mount on the body allows better attachment in the transition from the shoulders to the neck. The body item may be worn alone, over or under clothing.

Figure list [0159] General

Fig. 1: embodiment of a possible device in a possible system composite with a possible, special sensor and with a possible attachment

Fig. 5: Measurement of respiratory sounds (inhale and exhale doppelentingerahmt) and pulse (gray behind sets) with a common microphone embodiments of possible architectures

Fig. 10: Embodiment of a possible system composite of body-fixed (or -nahen) and optional location-fixed and nonlocal system devices

15: exemplary embodiment of a possible device architecture with inputs / sensors, outputs / actuators, electronics,

Communication and Energy [0161] Exemplary embodiments of possible device design variants

Fig. 20: embodiment of a possible device design variant Fig. 22: embodiment of a possible

Device Design Variant [0162] Exemplary Embodiments for Possible Fastening Variants

Fig. 30: embodiment of a possible, fixed attachment

Fig. 31: embodiment of a possible insertion attachment

Fig. 32: embodiment of a possible clip attachment

Fig. 33: embodiment of a possible closure attachment

Fig. 34: embodiment of a possible hook and loop fastening

Fig. 35: embodiment of a possible magnetic attachment

Fig. 37: embodiment of a possible pin attachment

Fig. 39: embodiment of a possible buckle attachment

Fig. 40: embodiment of a possible DruckVSchub snap-fastening

Fig. 41: embodiment of a possible screw snap-fastening

Fig. 42: embodiment of a possible button attachment

Fig. 45: Embodiment for a possible body attachment Examples of possible special fastening clothing

FIG. 50: exemplary embodiment of possible variants for body objects for opening or covering. FIG

Fig. 52: embodiment of possible variants for Flals- / Schulterbedeckung

FIG. 53: exemplary embodiment of possible variants for strap / carrying strap / carrying frame [0164] exemplary embodiments of possible contact units and sound funnels

Fig. 60: Longitudinal section through embodiments of possible variant for fixed basic body types with rigid

Bell mouth variants and contact attachment with internally or externally mounted microphone

Fig. 61: Longitudinal section through embodiments of possible variant for fixed basic body types with fle ible Schalltrichtervarianten and contact attachment with internally or externally mounted microphone

Fig. 62: Front view (in bell) for embodiments of possible variants of the contact unit under different microphone holder variants

Fig. 66: Longitudinal section through exemplary embodiments of possible variants for movable basic construction types with rigid bell-tower variants and contact fastening with / without (deletion 10x.8x and 10x.7x) in the contact unit-mounted microphone

Fig. 69: longitudinal section and front view for embodiments of possible variant of the contact unit with the

Temperature sensor and temperature sensor holder and insertion direction (double arrow) [0165] Exemplary embodiments of possible fixed contact units

Fig. 70: Embodiments of possible variant of fixed basic types with microphone and fixed and rigid contact unit fixed to the housing bottom

Fig. 71: Embodiments of possible variant of fixed basic body types with microphone and fixed and flexible contact unit firmly connected to the housing bottom

Claims (12)

Embodiments of possible movable contact units microphone in the housing bottom guide housing bottom inside Fig. 80: embodiments of possible variant for movable basic types with microphone in hous seboden, coil spring as a compression spring inside to the housing bottom, guide through the device bottom inside, end stop by fixing to of the contact unit [0168] Guide caseback outer Fig. 87: Possible embodiments for movable basic body types with microphone in the housing bottom, helical spring as compression spring inside to the housing bottom, guide through outside of the device, end stop by fixation on the device bottom Microphone in the device cover Fig. 90: embodiments of possible variant for movable basic body types with microphone in the device cover, coil spring as a compression spring outside to the device cover, guide through the device cover outside, end stop by fixing to the contact unit microphone in the Konta inner housing Fig. 102: Examples of possible variants for movable basic body types with microphone in the contact unit, helical spring as pressure spring inside to the device base, guide through device base inside, end stop by fixation on the device bottom guide caseback outer Fig. 105 : Embodiments of possible variant for movable basic body types with microphone in the contact unit, coil spring as a compression spring inside to the bottom of the device, guide through the bottom of the device, end stop by fixing to the contact unit guide housing cover outer Fig. 113: embodiments of possible variant for movable basic types with Microphone in the contact unit, coil spring as a compression spring outside to the device cover, guidance through the device cover outside, end stop by fixing to the contact unit claims 1. Main claims Device claim 1) A special sound sensor, which may be in the mobile, non-limiting device (or device external parts) for health monitoring, can be attached directly to the body of the wearer and / or its body objects and thus by further input. and exits can provide at least data and emergency management. Use Claim 2) A system composite consisting of at least one or more body-fixed system equipment parts (e.g., equipment or satellites). The system network can be extended by possible, location-fixed and non-location system devices. Each system device in the system network can exchange information with one or more other system devices through direct or indirect communication. Each system device in the system network can optionally perform data or emergency management automatically or provide it to an operator. 2. Nebenansprüche 3) A noise sensor in a possible device according to claim 1, in a possible system composite according to claim 2, wherein the special noise sensor has a special contact unit, the good acoustic coupling (eg horn, retractable microphone) between Schallauffangort (eg Schallentstehungsort, aussenzugängliche surface in Sound generation site) and location (eg schallelektrischen transducer, sealed microphone, directional microphone) and at the same time can reduce the ambient noise or compensate (eg by shielding, lateral sound inlets). To this end, the particular contact unit may be rigid, flexible and / or movable and have a path compensation capability (e.g., distance bridging) and / or a possibility of slightly biased contact with the source surface (e.g., for tightening and sealing). When you build the microphone on the lid or bottom of the housing resp. Satellite or in a contact unit by means of a microphone holder [10x.8x] be attached. The rigid or flexible bell [10x.22] establishes contact with the beam through an enlarged solid and / or soft and flexible surface [10x23, 10x.24]. In the movable contact unit, the movement and / or bias can be achieved by an active (e.g., motor) or passive (e.g., any type of spring bias). The contact unit can be guided by the housing [10x.61, 10x.62] and an anti-twist device [10x.4x], secured with front and rear end stops [10x.51, 10x.52] and with a housing seal [10x.02 ] are sealed. The movable contact unit can ensure contact with the wearer by means of a special contact sensor and release [10x.26, 10x.27] or a contact attachment [1 Ox.29] (eg plaster, suction cup) and by a cable guides and measures [10x. 7x] prevent cable damage. The special noise sensor can individually or simultaneously measure one or more vitalising or generating vital signs (for example, breathing, pulse) and, with a special evaluation method, detect abnormalities and additional noises and thus expand the data and / or emergency management. 4) A noise sensor in a possible device according to claim 1, in a possible system composite according to claim 2, characterized by a data management consisting of a regular or event-based data processing, handling and thus allows, for example, a body and / or location-fixed and / or location-external health monitoring on the device or a system device in the system network. The data processing determines specific or configurable, current or general, body and / or location-fixed and / or location-foreign data from the raw data (eg living beings, environment, system, input and output data, personalized data) and makes available, The Data processing includes for certain or configurable input and output quantities such as measurement, prefiltering, conversion, signal monitoring and plausibility, filtering, preparation, Gegenplausibilisierung, degradation, Reparation, merger, evaluation, analysis, marking, trend detection, characteristic size extraction, data / signal calculation, information processing , Conspicuity and additional detection and monitoring, of individual or grouped measurements. The conspicuity and additional detection and monitoring can be switched on, off and / or locked individually or differently grouped. In addition, automatic or manual event generation, warnings, alarms can be created and displayed differently and analogously and / or by emergency call handling can also be sequentially displayed device-fixed, fixed or different locations. An optional measurement Interference (such as ambient noise, outputs measured in inputs) allows the inputs and outputs to be adjusted, compensated or degraded to avoid errors and remain noticeable in the event of disturbances. In optional data handling, the device may provide, compile, store, display, display, or display, specific, or configurable, body and / or location-fixed and / or location-foreign data, from any current or general data and in a particular or configurable form and, for example, print, receive and communicate. By means of free or secure communication on one or more specific or configurable channels, certain or configurable data may be transmitted and received in reverse order to permit data and / or emergency management between body-fixed, fixed-location and / or non-locational devices. The storage of the data can take place in various ways on a fixed or removable data memory, on the device or in the system network. An operator or a system has the possibility to contact the carrier via the device directly or other deposited connections depending on the urgency. 5) A noise sensor in a possible device according to claim 1, in a possible system composite according to claim 2, characterized by an emergency management consisting of emergency call handling and passive and active emergency assistance support on the device and / or on one or more system devices in the system network is present and individually or can be activated or deactivated together per location. With the optional emergency call handling, the device or any system device in the system group can determine an emergency call (eg warning, alarm) in different forms and displays, or sequentially escalate first on the device and then in case of system, environment or health problems independently identified by the monitoring continue escalating via direct or indirect communication on different location-fixed or non-location recipients on different channels trigger. In addition to the device-automatic triggering, an escalating alarm can also be triggered manually by means of a body and / or location-fixed and / or location-independent emergency call trigger. Depending on the cause and urgency of the emergency, the nature of the emergency call can vary and the transmission of the emergency call can be enriched with data from the data management system. The operator from outside the location can first contact the carrier directly via the device via the available outputs and / or via the stored contact data for clarification and, in the event of an unnecessary emergency call, actively switch off the emergency call. The emergency call can be device-fixed, location-fixed and / or non-location alone and / or terminated or paused in connection with a reimbursement test. Upon triggering, additional, more extensive data storage can be made. A local helper can provide help independently and be supported by the device through passive emergency assistance. The passive emergency assistance of the device provides the helper (e.g., wearer or helper) with information about the health and / or problem of the wearer. In addition, the device can provide the helper himself an emergency manual by default with all display options and / or specify one or more information sites. In addition, direct contact with an expert (e.g., voice connection, video connection) may be established, and / or any indication may be provided with the contact details (e.g., telephone number) of a trusted or suitable expert. The active emergency aid support of the device can autonomously and / or by default make life-saving remedial action on the carrier in a corresponding escalation and / or by confirmation of a helper. The remedial measures and the precise characteristics can be specified by the device itself and / or the local helper and / or the operator outside the location. A corrective action can be implemented by the device directly or only after confirmation and is indicated in advance by available outputs and can be aborted. 6) A noise sensor in a possible device according to claim 1, in a possible system composite according to claim 2, characterized by a body-fixed and / or location-fixed and / or location alien trigger resp. Selection, execution and evaluation for a health examination process, in which the living being receives one or more actions (e.g., action, exercises, rest) individually sequentially or grouped over any outputs and then has to execute them sequentially and optionally confirm each. The device can announce the beginning, the duration and the end of an exercise as well as hints and corrections during the exercise. After each action, individually or at the end of all actions, the data can be stored in a firm and / or fixed location and / or external location and results, abnormalities and / or peculiarities can be displayed in a firm and / or fixed location and / or location and / or a center can be informed. 7) A noise sensor in a possible device according to claim 1, in a possible system composite according to claim 2, characterized by an expandability of the inputs to one or more, same or different, inside and / or outside mounted, built in the device or satellite living beings sensors (eg body temperature sensors, pulse oximeters, motion sensors, muscle activity sensors, blood pressure sensors) or environmental sensors (eg ambient temperature sensors, ambient humidity sensor, electromagnetic radiation sensor, position sensor, image recording) or system sensors (eg processor temperature) or inputs (eg emergency call, switch, button, rotary knob, touch-screen). Additionally characterized by a special, hardware and / or software technical evaluations, which records for each sensor or input one or more measured variables and the Meßgössen are processed individually and / or combined, whereby different sizes or equal sizes one or more times with the same and / or or different sensors or inputs resp. Principles can be measured. The monitoring of the inputs are individually and / or grouped and / or jointly on / off switchable and lockable. 8) A noise sensor in a possible device according to claim 1, in a possible system composite according to claim 2, characterized by an extensible adaptability of the application to various possible, hardware and / or software engineering settings and control options (eg configuration, personalization, calibration, Function control) of the device and the total and / or individual functionality (eg data, emergency management) which about body and / or location-fixed and / or non-location (eg on the device by switch or push button, by means of system device at the site or at the non-location control center) , automatic and / or selection-related (eg different device settings) and / or input-related (eg input of personalized information) and / or individual (eg teaching by device's own measurement and evaluation, setting based on a non-device measurement and evaluation regarding carrier, measurement position, environment) - and Kon control options (e.g. on the wearer or on a test device, through in-device testing and / or by validating a user) to ensure proper application, device and system interconnect functionality. For example, the configuration allows you to choose between different device settings. Personalization allows the device to be customized with personalized information. The calibration makes it possible to adapt the device individually, for example by measurement (for example with respect to carrier, measurement, environment) in the normal state. The functional check allows the device functionality to be checked individually in the normal state. 9) A noise sensor in a possible device according to claim 1, in a possible system composite according to claim 2, characterized by an expandability of the outputs to one or more, the same or different, inside and / or outside attached, installed in the device or in satellite outputs and / or actuators (eg acoustically, visually, haptically, electrically, thermally) which provide the wearer or other persons with arbitrary, body and / or location-fixed and / or location-external information or actions (eg data, warning, alarms, analyzes, results, Recommendations, active emergency measures) on the basis of current or general data (eg, living beings, environment, system data), for example, from the data and / or emergency management can make. The output data can be prepared before use by the outputs and / or actuators hardware and / or software technology and the outputs and / or actuators are individually and / or grouped and / or jointly switched on / off and lockable. 10) A noise sensor in a possible device according to claim 1, in a possible system composite according to claim 2, characterized by a construction / equipment kit. The body-fixed overall device consists of one device and may additionally have external satellites. A mobile wearable structure allows health monitoring in everyday life is no restriction. The mobile device has at least one energy store can be charged via a power supply inside or outside the device and directly or indirectly. An energy management system (such as power, voltage monitoring, fuse, battery level and battery charge monitoring, battery management) enables safe operation. The device can optionally be switched on and off via a user input and can thus also be reset. The device consists at least of the described device parts and should be constructed as fail-safe as possible. The device construction kit can consist of at least all conceivable main parts variants (eg inputs / sensors, out-puts / actuators, electronics, communication, energy) and all imaginable body part variants (eg breath sound sensor, pulse oximeter, acoustic output, evaluation logic, energy storage) and from all imaginable Individual component variants (eg noise cone, microphone for noise sensor) exist (based on the technical setups according to examples, including all modifications). In this case, each main body variant and / or body part variants and / or individual component variants in all its different variants may be present or absent individually. It is important to ensure that input and output are decoupled and / or coordinated and / or compensated for by means of suitable measures. 11) A noise sensor in a possible device according to claim 1, in a possible system composite according to claim 2, characterized by a mounting kit at least from all conceivable types of attachment regardless of their design and from all imaginable mounting locations may be independent of their execution (based on the technical Structures according to examples, including all modifications). In this case, each type of attachment individually or as a group of one or more types of attachment can be combined with each attachment location individually or as a group of one or more attachment locations. All types of fastening can on the device resp. the satellite carrier facing for external mounting or attached or integrated. In addition, with different fasteners, each of the parts both on the device resp. the satellite or the mounting location carrier facing away for external fastening resp. be placed facing the carrier for internal mounting. 12) A noise sensor in a possible device according to claim 1, in a possible system composite according to claim 2, characterized by a connection kit, in addition to the shown connection possibilities and the mounting kit, two parts at least in addition by the following, arbitrarily executed connection options (either individually or as a combination) can be fixed to each other: Pressfitverbindung, nailing, screws, pin connection, swivel or sliding joints, self-screwing, snap device, fixation device, clinching, caulking, pressing, soldering, welding, gluing, vulcanization, connections, riveting, gluing, Velcro, tacking , Joining / dovetail and finger tines, joining / slot and tenon, spring, tongue and groove connection, feather key, zipper, dovetail connection, connection fitting and / or gear coupling and serve for additional sealing, for example, follow en Procedure individually or in combination: O-rings, press-fit, gluing, welding, labyrinth.