CN102283671A - Device and method for acquiring heart sound - Google Patents

Device and method for acquiring heart sound Download PDF

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Publication number
CN102283671A
CN102283671A CN2011101908833A CN201110190883A CN102283671A CN 102283671 A CN102283671 A CN 102283671A CN 2011101908833 A CN2011101908833 A CN 2011101908833A CN 201110190883 A CN201110190883 A CN 201110190883A CN 102283671 A CN102283671 A CN 102283671A
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auscultation
clothes
head
elastic webbing
fixed
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CN102283671B (en
Inventor
刘锦群
王海滨
刘武昌
房玉
张近宝
马杨林
陶婷
郭双
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Xihua University
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Xihua University
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Abstract

The invention discloses a device and a method for acquiring heart sound. The device comprises auscultation clothes and four auscultation heads fixed on the auscultation clothes, wherein the auscultation clothes comprise a first elastic band, elastic lining cloth, a second elastic band and a fixed piece; the four auscultation heads comprise a first auscultation head, a second auscultation head, a third auscultation head and a fourth auscultation head respectively; the first auscultation head and the second auscultation head are fixed on the first elastic band; and the third auscultation head and the fourth auscultation head are fixed on the second elastic band. When the device for acquiring the heart sound is used for acquiring a heart sound signal, the auscultation heads can be directly fixed in the precordial region of a patient, and a doctor is not required to auscultate by handholding the auscultation heads, so that interference in auscultation caused by factors such as hand trembling of the doctor, body wobbling of the patient and the like can be prevented to acquire relatively pure heart sound signals, and the hear sound signals at four clinical auscultation positions can be synchronously acquired to provide more abundant clinical information.

Description

A kind of hear sounds harvester and method
Technical field
The application relates to the armarium technical field, particularly relates to a kind of hear sounds harvester and method.
Background technology
Show according to " Chinese cardiovascular diseases's report (2008~2009) ": China cardiovascular diseases (coronary heart disease, apoplexy, heart failure, hypertension) morbidity and mortality rate all are growing trend, estimate that China cardiovascular diseases now suffers from number at least 2.3 hundred million, become " the No.1 killer " of Chinese's health.Along with the development of the globalization of mankind nowadays society, urbanization and aging, the cardiovascular disease problem becomes increasingly conspicuous.Therefore, how to find the sign of cardiovascular disease pathological changes as early as possible, in time understand its state of development, the prevention of cardiovascular disease and diagnosis and treatment are in time had great importance.
Hear sounds is the diastole contraction owing to valvular switch, tendon and muscle, the impact of blood flow and a kind of compound tone that the cardiovascular wall vibrations produces.The a large amount of pathological informations about heart various piece such as atrium, ventricle, trunk, cardiovascular and each valvular function state that it comprises are basic parameters of clinical assessment heart function state.When cardiovascular disease do not develop into as yet be enough to produce clinical and pathological change (changing) as electrocardiogram before, noise that occurs in the hear sounds and distortion are exactly important diagnostic information.Therefore, hear sounds has the irreplaceable important clinical diagnosis of electrocardio advantage.Simultaneously, easy to detect, noinvasive, the cost of cardiechema signals are minimum, can be used as that the cardiovascular diseases detects, the conventional means of prevention.
When clinically heart being carried out auscultation at present, the doctor needs hand-held stethoscope to move around at the auscultation position to determine the strongest position of sound and conduction orientation thereof usually.Because the cardiac auscultation effect is subjected to directly influencing of stethoscope sensitivity, people's ear audition state, doctor's clinical experience and auscultation technology, even if skilled doctor also needs by changing the stethoscopic position of contact on one side, carrying out auscultation repeatedly at the strongest position of sound comes the identification hear sounds on one side, and this often is difficult to the written in water sound detection that produces in the cardiomotility process is arrived.In addition, long-time auscultation also causes audition fatigue easily, and the hand-held auscultation head of doctor carries out auscultation, also the interference that can bring auscultation owing to factors such as the shake of doctor's hands and patient body rock.
Summary of the invention
In view of this, the embodiment of the present application provides a kind of hear sounds harvester and method, this hear sounds harvester is when gathering cardiechema signals, can be fixed on one's body the patient, and four auscultation heads that are provided with on it can the synchronous acquisition cardiechema signals, adopts hand-held stethoscope and singly leads the problem that bring tin clinic to solve.
To achieve these goals, the technical scheme that provides of the embodiment of the present application is as follows:
A kind of hear sounds harvester comprises: auscultation clothes and be fixed on four auscultation heads on the described auscultation clothes, wherein:
Described auscultation clothes comprise first elastic webbing, elasticity lining cloth, second elastic webbing and fixture, described first elastic webbing and second elastic webbing lay respectively at two sides of described elasticity lining cloth, two ends at described first elastic webbing and second elastic webbing fix respectively, described fixture is arranged on the two ends of described auscultation clothes, and described auscultation clothes annular can be connected;
Four described auscultation heads are respectively the first auscultation head, the second auscultation head, the 3rd auscultation head and the 4th auscultation head, wherein: the described first auscultation head and the second auscultation head are fixed on described first elastic webbing, and described the 3rd auscultation head and the 4th auscultation head are fixed on second elastic webbing.
Preferably, described first auscultation head and the described second auscultation head lay respectively at the both sides of the centrage of described auscultation clothes, and described the 3rd auscultation head and the 4th auscultation head are positioned at the same side of the centrage of described auscultation clothes.
Preferably, described first elastic webbing and second elastic webbing are by sewing up or being adhesively fixed on described elasticity lining cloth.
Preferably, described fixture is hasp or sticking chain.
Preferably, described auscultation head comprises: bowl type vibration cavity, vibrating diaphragm, sealing ring, guiding tube and mike, wherein:
Described vibrating diaphragm is coated on the edge of described bowl type vibration cavity, and described sealing ring is with described vibrating diaphragm and described bowl of type vibration cavity edge sealing and fixing mutually;
Described guiding tube is fixed on the bottom of described bowl type vibration cavity, and be positioned at the outside of described bowl type vibration cavity, described guiding tube is connected with described bowl type vibration cavity inside, the end of described guiding tube is passed described auscultation clothes and is fixed with described auscultation clothes, and the bowl type vibration cavity of four described auscultation heads all is positioned on the same side of described auscultation clothes;
Described mike is arranged in the described guiding tube, is used to amplify and gathers cardiechema signals in the described bowl type vibration cavity.
Preferably, the end of described guiding tube is provided with external screw thread, and described auscultation clothes back is passed in the end of described guiding tube and nut fixes.
A kind of hear sounds acquisition method comprises:
Respectively on body surface corresponding to aortic valve, valve of pulmonary trunk, Tricuspid valve and four auscultation heads of mitral four clinical auscultation fixed-site;
Gather the cardiechema signals that four described auscultation heads are collected simultaneously.
By above technical scheme as seen, this hear sounds harvester that the embodiment of the present application provides, the auscultation clothes are provided with four auscultation heads, in use, can be by being arranged on the fixture at auscultation clothes two ends, annular is obeyed in auscultation is fixed on patient's chest, and make that the first auscultation head on the auscultation clothes is corresponding with aortic valve clinical auscultation position, the second auscultation head and valve of pulmonary trunk clinical auscultation position is corresponding, the 3rd auscultation head and Tricuspid valve clinical auscultation position is corresponding and the 4th auscultation head and Bicuspid valve clinical auscultation position are corresponding.
Compared with prior art, use this hear sounds harvester when gathering cardiechema signals, can directly the auscultation head be fixed on patient's pareordia, need not the hand-held auscultation head of doctor and carry out auscultation, not only can avoid the interference that auscultation brought because the shake of doctor's hands and patient body such as rock at factor, obtain more purified cardiechema signals, the cardiechema signals of all right four clinical auscultation positions of synchronous acquisition provides abundant more clinical information.
When actual auscultation, because there are certain positive correlation in spacing and buman body type between each auscultation position of human heart, and because patient health situation or individual variation, the auscultation position slightly changes.The auscultation clothes of this hear sounds harvester adopt elastomeric material to make, and can be applicable to the fat or thin individuality of height preferably, and the fluffy method of sewing of elasticity lining cloth employing fold of auscultation clothes, make the men and women all can use.When auscultation, after auscultation clothes were fixed on patient's chest, the doctor can flexibly, freely adjust the auscultation head according to actual needs, the position of auscultation head is moved to the strongest position of hear sounds carry out auscultation, to obtain best auscultation effect.Therefore the scope of application of these auscultation clothes is bigger, can be used for the health screening of large tracts of land crowd cardiac function.
Description of drawings
In order to be illustrated more clearly in the embodiment of the present application or technical scheme of the prior art, to do to introduce simply to the accompanying drawing of required use in embodiment or the description of the Prior Art below, apparently, the accompanying drawing that describes below only is some embodiment that put down in writing among the application, for those of ordinary skills, under the prerequisite of not paying creative work, can also obtain other accompanying drawing according to these accompanying drawings.
The structural representation of the hear sounds harvester that Fig. 1 provides for the embodiment of the present application.
The structural representation of the hear sounds harvester that Fig. 2 provides for the embodiment of the present application when clinical trial;
Fig. 3 is along the cross-sectional structure sketch map of AP line among Fig. 2;
The schematic flow sheet of the hear sounds acquisition method that Fig. 4 provides for the embodiment of the present application.
The specific embodiment
In order to make those skilled in the art person understand technical scheme among the application better, below in conjunction with the accompanying drawing in the embodiment of the present application, technical scheme in the embodiment of the present application is clearly and completely described, obviously, described embodiment only is the application's part embodiment, rather than whole embodiment.Based on the embodiment among the application, those of ordinary skills are not making the every other embodiment that is obtained under the creative work prerequisite, all should belong to the scope of the application's protection.
The structural representation of the hear sounds harvester that Fig. 1 provides for the embodiment of the present application.
As shown in Figure 1, this hear sounds harvester comprises: auscultation clothes 100 and be fixed on first auscultation, 11, second auscultation the 12, the 3rd auscultation the 13, the 4th auscultation 14 on the auscultation clothes 100.
As shown in Figure 1, auscultation clothes 100 comprise: first elastic webbing 101, elasticity lining cloth 102 and second elastic webbing 102, wherein: first elastic webbing 101 is fixed on the upside of elasticity lining cloth 102, second elastic webbing 101 is fixed on the downside of elasticity lining cloth 102, and the two ends of first elastic webbing 101 and second elastic webbing 102 fix.
In the embodiment of the present application, the material of first elastic webbing 101 and second elastic webbing 103 is an elastic bandage, the material of elasticity lining cloth 102 is an elasticity PVC material, and first elastic webbing 101 and second elastic webbing 103 are by sewing up or adherent mode is fixed on the elasticity lining cloth 102.Two ends at auscultation clothes 100 also are provided with fixture 104, are used for that 100 annulars are obeyed in this auscultation and are fixed up, and when using this auscultation clothes auscultation, can be fixed on patient's chest easily like this, and fixture 104 can be hasp or adhesion etc.As shown in Figure 1, in the embodiment of the present application, fixture 104 is preferably sticking chain.
Because first elastic webbing 101, second elastic webbing 103 and elasticity lining cloth 102 are elastomeric material, and it is the fold puffy that elasticity lining cloth 102 is sewed up the back, institute is so that this auscultation clothes can be applicable to the fat or thin individuality of height preferably, and the men and women all can use, promptly the scope of application of these auscultation clothes is bigger, can be used for the health screening of large tracts of land crowd cardiac function.In addition, because there are certain positive correlation in spacing and buman body type between each auscultation position of human heart, and because patient health situation or individual variation, the auscultation position slightly changes, cause patient's cardiophony position slightly to change, after these auscultation clothes are fixed on patient's chest, because these auscultation clothes have certain elasticity, so the doctor can be according to actual needs, flexible mobile auscultation head, the position of auscultation head is moved to the strongest position of hear sounds carry out auscultation, to obtain best auscultation effect.
The structural representation of the hear sounds harvester that Fig. 2 provides for the embodiment of the present application when clinical trial.
300 is the patient among the figure, 200 centrages for the auscultation clothes.As shown in Figure 2, first auscultation, 11, second auscultation 12 is fixed on first elastic webbing 101, and the 3rd auscultation the 13 and the 4th auscultation 14 is fixed on second elastic webbing 103.
In the embodiment of the present application, first auscultation 11 is mainly used in the cardiechema signals of gathering patient's aortic valve clinical auscultation position, second auscultation 12 is mainly used in the cardiechema signals of gathering patient's valve of pulmonary trunk clinical auscultation position, so the fixed position of first auscultation, 11 and second auscultation 12 lays respectively at the both sides of centrage 200, and preferably, first auscultation, 11 and second auscultation 12 can be symmetrical about centrage 200, and first auscultation, 11 and second auscultation, 12 horizontal alignment.In addition, the 3rd auscultation 13 is mainly used in the cardiechema signals of gathering patient's Tricuspid valve clinical auscultation position, the 4th auscultation 14 is mainly used in the cardiechema signals of gathering patient's Bicuspid valve clinical auscultation position, so the 3rd auscultation the 13 and the 4th an auscultation head all is positioned at the same side that 100 centrages 200 are obeyed in auscultation, and the 4th auscultation 14 is a little less than the 3rd auscultation 13.
In the prior art, the doctor needs hand-held stethoscope to move around at the auscultation position to determine the strongest position of sound and conduction orientation thereof usually, this hear sounds acquisition mode of singly leading, when gathering, the experimenter may be because nervous, health, reasons such as surrounding environment influence, make its cardiomotility state different, cause the comparative of heart sound data between each position to weaken, and the hear sounds harvester that the embodiment of the present application provides, adopt four to lead the synchronous acquisition heart sound data, at first, the time difference in the time of can getting rid of each position hear sounds and gather strengthens the data comparative under the same terms, secondly, this hear sounds harvester can write down two hear sounds with the upper part simultaneously, can correctly identify the composition of S1 and S2, finds out the relation of noise and hear sounds, but and the strongest position of estimation voice and conduction orientation thereof, and when carrying out the hear sounds collection, the doctor need not different parts is carried out repetitive operation, auscultation makes diagnosis efficiency improve to determine the cardiac valve damaged part repeatedly.
Fig. 3 is along the cross-sectional structure sketch map of AP line among Fig. 2.
As shown in Figure 3, in the embodiment of the present application, the auscultation head comprises: bowl type vibration cavity 20, vibrating diaphragm 21, sealing ring 22, guiding tube 23 and mike 24, wherein:
Bowl type vibration cavity 20 be shaped as a bowl type, in the bottom of bowl type vibration cavity 20 through hole is set; Vibrating diaphragm 21 is coated on bowl edge of type vibration cavity 20, and vibrating diaphragm 21 is by sealing ring 22 and bowl edge of type vibration cavity 20 sealing and fixing mutually, and vibrating diaphragm 21 is used to collect patient's cardiechema signals; Guiding tube 23 is fixed on bowl through hole of type vibration cavity 20, and is positioned at bowl outside of type vibrating diaphragm 20, so just makes guiding tube 23 be connected with the inside of bowl type vibration cavity 20, promptly can be with the sound conduction in the bowl type vibration cavity 20 in guiding tube 23.Mike 24 is fixed in the guiding tube 23, preferably, is positioned at the end of guiding tube 23, and mike 24 is used for amplifying and gathering cardiechema signals.Leading note line 26 can be transferred to the cardiechema signals that mike 24 collects in storage device or the processor, so that the cardiechema signals that collects is carried out subsequent treatment.
In the embodiment of the present application, end at guiding tube 23 is provided with external screw thread, when fixing auscultation, as shown in Figure 3, auscultation is passed in the end of guiding tube 23 obeyed for 100 (comprising elasticity lining cloth 102 and elastic webbing), and the nut 25 of screwing in the end of guiding tube 23 just can be fixed on the auscultation head on the auscultation clothes 100.In addition, in the embodiment of the present application, the bowl type vibration cavity 20 of four auscultation heads all is positioned on the same side of auscultation clothes 100.
The schematic flow sheet of the hear sounds acquisition method that Fig. 4 provides for the embodiment of the present application.
As shown in Figure 4, this hear sounds acquisition method comprises:
Step S100: respectively on body surface corresponding to aortic valve, valve of pulmonary trunk, Tricuspid valve and four auscultation heads of mitral four clinical auscultation fixed-site.
Step S200: gather the cardiechema signals that four described auscultation heads are collected simultaneously.
By above technical scheme as seen, this hear sounds harvester that the embodiment of the present application provides, the auscultation clothes are provided with four auscultation heads, in use, can be by being arranged on the fixture at auscultation clothes two ends, annular is obeyed in auscultation is fixed on patient's chest, and make that the first auscultation head on the auscultation clothes is corresponding with aortic valve clinical auscultation position, the second auscultation head and valve of pulmonary trunk clinical auscultation position is corresponding, the 3rd auscultation head and Tricuspid valve clinical auscultation position is corresponding and the 4th auscultation head and Bicuspid valve clinical auscultation position are corresponding.
Compared with prior art, use this hear sounds harvester when gathering cardiechema signals, can directly the auscultation head be fixed on patient's pareordia, need not the hand-held auscultation head of doctor and carry out auscultation, not only can avoid the interference that auscultation brought because the shake of doctor's hands and patient body such as rock at factor, obtain more purified cardiechema signals, the cardiechema signals of all right four clinical auscultation positions of synchronous acquisition provides abundant more clinical information.
When actual auscultation, because there are certain positive correlation in spacing and buman body type between each auscultation position of human heart, and because patient health situation or individual variation, the auscultation position slightly changes.The auscultation clothes of this hear sounds harvester adopt elastomeric material to make, and can be applicable to the fat or thin individuality of height preferably, and the fluffy method of sewing of elasticity lining cloth employing fold of auscultation clothes, make the men and women all can use.When auscultation, after auscultation clothes were fixed on patient's chest, the doctor can flexibly, freely adjust the auscultation head according to actual needs, the position of auscultation head is moved to the strongest position of hear sounds carry out auscultation, to obtain best auscultation effect.Therefore the scope of application of these auscultation clothes is bigger, can be used for the health screening of large tracts of land crowd cardiac function.
The above only is the application's a preferred implementation, makes those skilled in the art can understand or realize the application.Multiple modification to these embodiment will be conspicuous to one skilled in the art, and defined herein General Principle can realize under the situation of the spirit or scope that do not break away from the application in other embodiments.Therefore, the application will can not be restricted to these embodiment shown in this article, but will meet and principle disclosed herein and features of novelty the wideest corresponding to scope.

Claims (7)

1. a hear sounds harvester is characterized in that, comprising: auscultation clothes and be fixed on four auscultation heads on the described auscultation clothes, wherein:
Described auscultation clothes comprise first elastic webbing, elasticity lining cloth, second elastic webbing and fixture, described first elastic webbing and second elastic webbing lay respectively at two sides of described elasticity lining cloth, two ends at described first elastic webbing and second elastic webbing fix respectively, described fixture is arranged on the two ends of described auscultation clothes, and described auscultation clothes annular can be connected;
Four described auscultation heads are respectively the first auscultation head, the second auscultation head, the 3rd auscultation head and the 4th auscultation head, wherein: the described first auscultation head and the second auscultation head are fixed on described first elastic webbing, and described the 3rd auscultation head and the 4th auscultation head are fixed on second elastic webbing.
2. device according to claim 1 is characterized in that, described first auscultation head and the described second auscultation head lay respectively at the both sides of the centrage of described auscultation clothes, and described the 3rd auscultation head and the 4th auscultation head are positioned at the same side of the centrage of described auscultation clothes.
3. device according to claim 1 is characterized in that, described first elastic webbing and second elastic webbing are by sewing up or being adhesively fixed on described elasticity lining cloth.
4. device according to claim 1 is characterized in that, described fixture is hasp or sticking chain.
5. device according to claim 1 is characterized in that, described auscultation head comprises: bowl type vibration cavity, vibrating diaphragm, sealing ring, guiding tube and mike, wherein:
Described vibrating diaphragm is coated on the edge of described bowl type vibration cavity, and described sealing ring is with described vibrating diaphragm and described bowl of type vibration cavity edge sealing and fixing mutually;
Described guiding tube is fixed on the bottom of described bowl type vibration cavity, and be positioned at the outside of described bowl type vibration cavity, described guiding tube is connected with described bowl type vibration cavity inside, the end of described guiding tube is passed described auscultation clothes and is fixed with described auscultation clothes, and the bowl type vibration cavity of four described auscultation heads all is positioned on the same side of described auscultation clothes;
Described mike is arranged in the described guiding tube, is used to amplify and gathers cardiechema signals in the described bowl type vibration cavity.
6. device according to claim 5 is characterized in that the end of described guiding tube is provided with external screw thread, and described auscultation clothes back is passed in the end of described guiding tube and nut fixes.
7. a hear sounds acquisition method is characterized in that, comprising:
Respectively on body surface corresponding to aortic valve, valve of pulmonary trunk, Tricuspid valve and four auscultation heads of mitral four clinical auscultation fixed-site;
Gather the cardiechema signals that four described auscultation heads are collected simultaneously.
CN 201110190883 2011-07-08 2011-07-08 Device and method for acquiring heart sound Expired - Fee Related CN102283671B (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102860839A (en) * 2012-10-25 2013-01-09 天津工业大学 Distributed wearable dynamic heart sound collecting device
CN102920475A (en) * 2012-10-31 2013-02-13 中国人民解放军总医院 Gastrointestinal sound monitor system
CN104367336A (en) * 2014-11-06 2015-02-25 姜立福 Stethoscope and use method thereof
CN106982399A (en) * 2017-01-20 2017-07-25 纳智源科技(唐山)有限责任公司 Sound collector and the audio collecting device with it
WO2021004345A1 (en) * 2019-07-10 2021-01-14 东南大学 Heart sound acquisition and analysis system and method employing cloud architecture

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CN2691491Y (en) * 2004-01-13 2005-04-13 合世生医科技股份有限公司 Electronic stethophone having contacting type microphone
CN201375523Y (en) * 2009-02-25 2010-01-06 冷飞燕 Silica gel tape for fixing stethoscope with double hearing heads

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Publication number Priority date Publication date Assignee Title
US3543875A (en) * 1967-08-25 1970-12-01 Minnesota Mining & Mfg Monitoring devices
US4637075A (en) * 1986-04-07 1987-01-20 Med-Vest Inc. Emergency medical services system
CN2061316U (en) * 1988-06-24 1990-08-29 湛江医学院附属医院 Multiterminal heart auscultation human body simulated device
CN2691491Y (en) * 2004-01-13 2005-04-13 合世生医科技股份有限公司 Electronic stethophone having contacting type microphone
CN201375523Y (en) * 2009-02-25 2010-01-06 冷飞燕 Silica gel tape for fixing stethoscope with double hearing heads

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102860839A (en) * 2012-10-25 2013-01-09 天津工业大学 Distributed wearable dynamic heart sound collecting device
CN102920475A (en) * 2012-10-31 2013-02-13 中国人民解放军总医院 Gastrointestinal sound monitor system
CN104367336A (en) * 2014-11-06 2015-02-25 姜立福 Stethoscope and use method thereof
CN106982399A (en) * 2017-01-20 2017-07-25 纳智源科技(唐山)有限责任公司 Sound collector and the audio collecting device with it
WO2021004345A1 (en) * 2019-07-10 2021-01-14 东南大学 Heart sound acquisition and analysis system and method employing cloud architecture

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