CN103169474B - Portable monitoring, analysis and treatment supplementary instrument - Google Patents

Portable monitoring, analysis and treatment supplementary instrument Download PDF

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Publication number
CN103169474B
CN103169474B CN201210059153.4A CN201210059153A CN103169474B CN 103169474 B CN103169474 B CN 103169474B CN 201210059153 A CN201210059153 A CN 201210059153A CN 103169474 B CN103169474 B CN 103169474B
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China
Prior art keywords
instrument
person under
under inspection
unit
sensor
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Expired - Fee Related
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CN103169474A (en
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G·L·科埃莫
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Beurer GmbH
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Beurer GmbH
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4836Diagnosis combined with treatment in closed-loop systems or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/56Devices for preventing snoring
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4806Sleep evaluation
    • A61B5/4818Sleep apnoea
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802Sensor mounted on worn items
    • A61B5/6803Head-worn items, e.g. helmets, masks, headphones or goggles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802Sensor mounted on worn items
    • A61B5/681Wristwatch-type devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6813Specially adapted to be attached to a specific body part
    • A61B5/6823Trunk, e.g., chest, back, abdomen, hip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6813Specially adapted to be attached to a specific body part
    • A61B5/6828Leg
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/683Means for maintaining contact with the body
    • A61B5/6831Straps, bands or harnesses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B7/00Instruments for auscultation
    • A61B7/003Detecting lung or respiration noise
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3601Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of respiratory organs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/02Operational features
    • A61B2560/0242Operational features adapted to measure environmental factors, e.g. temperature, pollution
    • A61B2560/0247Operational features adapted to measure environmental factors, e.g. temperature, pollution for compensation or correction of the measured physiological value
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/05Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053Measuring electrical impedance or conductance of a portion of the body
    • A61B5/0537Measuring body composition by impedance, e.g. tissue hydration or fat content
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/0404Electrodes for external use
    • A61N1/0408Use-related aspects
    • A61N1/0452Specially adapted for transcutaneous muscle stimulation [TMS]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/0404Electrodes for external use
    • A61N1/0408Use-related aspects
    • A61N1/0456Specially adapted for transcutaneous electrical nerve stimulation [TENS]

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Nursing (AREA)
  • Otolaryngology (AREA)
  • Vascular Medicine (AREA)
  • Physiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)

Abstract

The present invention relates to a kind of instrument for movable type monitoring person under inspection or patient's sleep, the instrument of analyzing the respiratory disorder relevant to sleep with treatment especially for the sensor (2) of surveying bioacoustics signal by least one, has at least one power supply and the control module (3) for the treatment of signal. At least one distributes at least one for the device (9) near trunk location for surveying the sensor (2) of the noise producing in body, and have can activate by control module (3) excite unit (4),, in the time recognizing the acoustic noise model that can to predetermine appear in person under inspection, can cause and the counteractive stimulation of respiratory disorder by this unit.

Description

Portable monitoring, analysis and treatment supplementary instrument
Technical field
The present invention relates to a kind of instrument, for person under inspection or patient's portable sleep monitor, especially forSurvey the biosensor analysis of bioacoustics signal and treat the respiratory disorder relevant with sleep by least one,There is at least one power supply and the control module for the treatment of signal.
Background technology
The often respiratory disorder of appearance relevant to sleep is the obstructive sleep syndrome (apnea) of suffocating. ThisType for example suffocate and to occur lax in the case of the ring-type muscle around the upper respiratory tract is violent. By exhalingOn inspiratory flow tracheae, form low pressure, wherein, the top of tracheae due to of flaccid muscles can not sufficiently resist again lowPress. Therefore the top of tracheae dwindles, thereby hinders the oxygen content decline of respiratory tract and blood.
This decline of oxygen content can utilize the instrument of the described type of beginning to measure, and this instrument is by DE102008063231A1 is open. Disclose in this regard a kind of for diagnosing and the relevant breathing of sleepingThe method and apparatus of difficulty measurement patient bio signal. This instrument particularly can make within the scope of residential careWith, wherein, detect the performance figure of oxygen saturation, pulse frequency, former pulse wave, oxygen saturation and selectively inspectionSurvey nose breathing air-flow and snoring.
The shortcoming of this instrument is must lay a large amount of measuring instruments with it patient for detecting above-mentioned parameter. CauseFor relevant to this type of sleep monitor be to patient's stube cable, surprisingly like this affect its sleep quality alsoTherefore measurement result. There is in this regard respiratory air flow snoring asoscope and be clipped in the pulse blood oxygen on patient's fingerSensor. First be that to carry out the asoscope of patient's face of daily sleep state measurement very inconvenient in this regard.Although such sleep monitor for sleep disease diagnosis good result is provided, in long-time monitoringProcess in repeatedly there is the measure error disturbed, these measure errors are for example due to patient posture in sleepChange and produce.
Although this instrument declares to be applicable to family, the data of instrument record need to be read all the time in hospitalAnd analyzing and processing. Just taken measures by doctor subsequently, treatment diagnose to the relevant respiratory disorder of sleep withMake Rehabilitation.
In addition from prior art, disclose as arm band form instrument, its in the time detecting the sound of snoring by warpCutaneous nerve stimulation is sent alarm signal to user. Snore not dangerous from the angle of medical science, becauseAs long as user's snoring, just ensures the continuous flow that passes in and out respiratory apparatus. In the time of apnea, this gasStream interrupts and snoring also temporarily stops, and user's alarm signal stops thus. Therefore utilize this instrument notCan determine and dangerous suffocate and therefore they can only be considered as disturbing people, but worrying beating not medicallyThe arrester of snore.
Summary of the invention
Therefore object of the present invention is, a kind of instrument that starts alleged type is provided, and this instrument is except specialDiagnosis with sleep outside relevant respiratory disorder, also for person under inspection or patient provide medically important treatment or againRaw possibility.
This object with regard to a kind of for regard to the instrument of movable type monitoring person under inspection or patient's sleep according to the present invention byThis is achieved, and at least one is used at least one for the sensor assignment of surveying the sound producing in bodyIn the device near trunk location, and there is the unit that excites that can activate by control module, single by thisUnit, in the time recognizing the acoustic noise model that can to predetermine appear in person under inspection, can cause with respiratory disorder anti-The stimulation of effect.
Advantage related to the present invention is that person under inspection and patient for example make its posture change by stimulating in the time suffocatingBecome. By this postural change and the tracheae reaction of dwindling, make thus respiratory tract again unimpeded. In addition,By making to be upset around the ring-type muscle of the upper respiratory tract with the counteractive stimulation of respiratory disorder, therebyThis muscle is no longer lax also to be discharged thus respiratory tract or keeps unimpeded. In this case, needn't be by stimulatingMake patient completely clear-headed because enough be make its from the sound sleep stage move to its health domination enough with breatheThe higher stage of the counteractive muscle tone of obstacle. Bioacoustics sensor is preferably disposed in this regard itselfIt is surveyed on the tracheae height of lung turnover pneumatic noise. But this sensor also can be arranged on person under inspection's healthOn the position of other important close trunks, on these positions, send and can detect and breathe barrier from acousticsThe noise hindering. Control module checks and can predetermine continuously or in definite time period and/or durationDetermine whether noise model occurs. For example, if the noise of lung turnover air-flow should be quiet in definite time,Control module excites unit so.
Therefore the acoustical signal of surveying by sensor can be associated with the oxygen saturation of blood. Therefore utilize thisThe bright oxygen saturation that can survey by acoustical signal definite blood, cancels complicated optics pulse and surveys blood oxygen. DrawPlay that oxygen in blood reduces and the bioacoustics suffocating that carbon dioxide increases generation is measured in addition also than the arteries and veins of opticsFighting, it is rapider to survey blood oxygen. Can whether determine lung rapidly by the bioacoustics sensor being arranged on tracheaeTurnover air-flow. If this air-flow interrupts, the oxygen saturation in blood starts progressively to decline and is further precious soExpensive time lapse, until the blood of anoxic is pumped into patient's finger, there by pulse oximetry sensingDevice can detect and suffocate.
In addition tool is advantageous, and the shell with sensor has use at it on the face near person under inspection's healthIn the transfer surface of transmission bioacoustics signal and have for sound insulation on the face away from person under inspection's healthInsulating surface. Ensure that thus environmental noise obtains decaying as far as possible doughtily and to pass through bioacoustics sensor mainOr only survey the noise from person under inspection's health. Therefore meaningfully at least one sensor assignment is given in additionTransfer surface, because body noise can obtain according to the stethoscopic type of doctor by the position of sensorGood detection.
Particularly advantageously, at least another sensor assignment to insulating surface. Therefore one of them biological soundSensor can arrange near person under inspection's health can be away from person under inspection with one of them bioacoustics sensorHealth arranges. Not can be judged to be clearly environmental noise from the noise of person under inspection's health thus. AlsoBe to say, if there is environmental noise, first this noise is detected away from the sensor of person under inspection's health so,Then just detected by the sensor near person under inspection's health. Two noise models of surveying can be surveyed thusThe progressive error of amount draws the conclusion of environmental noise. Also can clearly judge in this manner on the contrary body noise,Because the sensor of close person under inspection's health is than the more Zao body noise that detects of sensor away from person under inspection's healthSignal. In addition preferably on insulating surface and/or form sound channel in transfer surface, because make thus environmental noiseSurvey and obviously become easy. This sound channel for example can be used as simple hole and forms on shell wall.
In addition be suitable in shell sound panel is set. Like this can be right well near the sensor of person under inspection's healthEnvironmental noise completely cuts off and can be isolated to person under inspection's body noise well away from the sensor of person under inspection's health.Sound panel is preferably made up of foamed material and/or plastics. In addition preferably can be by disclosed material in prior artMaterial is for sound panel.
Also tool is advantageous, excites between unit and control module, to have at least one-way communication and be connected and/or selectLogical possibility. Ensureing thus to excite unit first can and be reliable activation by control module safety. CommunicationBe connected to can be in this respect traditional wired connection or by bluetooth, WLAN, radio or all soConnecting and composing of class.
In addition preferably excite unit to realize as the parts that separate with miscellaneous part, because excite like this unit canBe arranged on the different parts of person under inspection's health or even with its non-contact type setting.
In addition tool is advantageous, excite unit setting in the enclosure or with for locating by belt near trunkThe apparatus integration that system forms. Ensureing thus that instrument is compact especially forms and sleeping of person under inspection or patient thusSleep and can not be subject to the impact of instrument. Shell itself in this regard can be by the known material of professional, bestThe alloy of being accepted by plastics, aluminium or skin forms.
Particularly suitable excites unit as the executing agency of bed and/or as moving-member alarm unit and/or tightThe excitation band that adjacent person under inspection or the sound transmitter in its duct and/or conduct are arranged on limbs forms. Like thisIn the time there is respiratory disorder, can change patient's a posture by tune bed, to discharge respiratory tract. Moving-memberAlarm unit can be to have the mobile phone of vibration alarming and/or the tinkle of bells or can be also for example to be protected by other peopleThe instrument that scholar uses. Being set directly near the sound transmitter of person under inspection's duct can be earphone, and it is being breathedWhen obstacle, report to the police to person under inspection by sound noise. Excitation band can be used as arm band and forms, and has band above and wakes upAnd/or the table of warning function.
Another kind of preferred embodiment is characterised in that, excites unit by for stinging by endermic electric nerveSwash and form the EMS-/TENS instrument formation stimulating. EMS-/TENS instrument also can be for muscular irritation.Such nerve or muscular irritation be highly suitable for annular on the lax reaction of respiratory muscle. Do not say andAnalogy, EMS-/TENS instrument also can be arranged on other positions of person under inspection's health, preferably on four limbs.EMS-/TENS instrument has the electrode that can be placed on person under inspection's health, and wherein, tool is advantageous is electricityThe utmost point and the apparatus integration for locating, carry out the compact instrument that is configured for portable sleep monitor.EMS-/TENS instrument can be distributed to equally for being fixed on arm band and/or the bottom bands of trouser legs on four limbs. Stimulate electricityStream treatment provides the particularly low noise of a kind of person under inspection of prompting or patient respiratory obstacle with effective in this regardMechanism. In addition tool is advantageous, and the other staff that sleep in same room with person under inspection or patient are not subject toApply the interference of stimulation or be even waken up.
Further preferably excite unit be egersimeter and/or vibrator and/or sound transmitter and/or signal lamp and/Or thermal stimulus transmitter and/or scent signal transmitter and/or machinery impact unit and/or crash unit and/orAcupuncture cell formation. Therefore ensure that each person under inspection all can wear his the vital unit that excites, because ofFor or or person under inspection definite stimulation is produced to reaction in various degree. Particularly for example electro photoluminescence can not suffered fromThere are the personnel of heart or heart contraction dysrhythmia and personnel or pregnant woman with pacemaker to use with it. PortionDivide and be therefore also suitable for the sense of smell that stimulates reflection evolution experience by special gas componant. Can use as movementThe vibrator using on phone because this vibrator have during this period especially little size and therefore forPosition and compactness are saved in the maintenance of instrument of portable sleep monitor own very much.
For determining the position of other noise sources of interfering noise in space, fact proved in addition preferredBe, just in time there are three sensors, because can carry out thus triangulation.
For making control module compactness and especially little formation especially, fact proved that particularly suitable control module is as micro-Controller or ASIC (special IC) or FPGA the gate circuit setting of field programming (can) or FPAAThe simulation setting of field programming (can) forms.
In addition advantageously there is at least one for storing and/or the memory cell of reading out data. Thus canRecord the data at night, within special second day, for example by outside PC, it is carried out to analyzing and processing. On instrument, go backCan have can sense data or the interface of tele-medicine is provided. These interfaces can be used as USB or LANOr such interface formation, wherein, also can use as bluetooth, W-LAN or such wirelessConnect. Memory cell also can be used as interactive data carrier as Flash-EEPROM (Flash-electricallyErasableprogrammableread-onlymemory) form, preferably as SecureDigitalMemoryCard (SD card), CompactFlash card, SmartMedia card (SM card) or such card form.In so a kind of embodiment, plug-in position and the shell on microprocessor with corresponding card have accordinglyPut Ka Chu.
In addition tool is advantageous, for microcontroller distributes at least one system of the filtering for filtering man-made noiseSystem. Environmental noise in thus can filtering space, the human body noise of stack respiratory air flow, for example, as heartbeatAnd also have person under inspection to exhale and motion when air-breathing in the noise that produces.
Preferably filtering system forms as the wave filter on list or multichannel, hardware and/or basis of software. ManuallyNoise filtering in this regard can by corresponding configuration can field programming simulation setting (FPAA) carry out.For manually eliminating the different CAB of FPAA (" configurableanalogblogs ") at one or more dimensionsIn matrix, locate. These CAB have input and output and at least one operational amplifier, configurableElectric capacity and resistance, configurable connection resource (electric wire, circuit) and configuration data memory. FPAA'sEach CAB is logical or as band resistance configuration as band, defeated so that filtering is determined as manual frequency scope before thisEnter definite frequency range of signal. The FPAA input noise for example, producing while moving in patient's sleep passes throughOne of CAB filtering, the output signal of FPAA is not containing the man-made noise moving thus.
In addition tool is advantageous, have be connected with microcontroller or ASIC or FPGA or FPAA inPortion or outside analog-digital converter. Therefore the analyzing and processing of data also can be at the instrument for portable sleep monitorIn device, carry out. Bioacoustics sensor in this regard with the integrated formation of analog-digital converter. This point is carried in additionHeight is the compatibility from a large amount of different microcontrollers according to instrument of the present invention. Microcontroller also can from its that aspectWith the integrated formation of gate circuit setting (FPGA) that can field programming, wherein, this digital integrated electronic circuitCan configure like this, make its basis on the basis of miniaturization can learn calculation that can play and/or alternativeMethod is carried out complex calculations operation.
In addition preferably there is the device that preferably can automatically move for verification. Can record in advance thus measurementEnvironmental noise that can filtering by filtering system when person under inspection.
In addition tool is advantageous, has at least one and is preferably disposed on the operating parts on shell. This operating partsCan, for being switched on or switched off instrument, wherein, pressing instrument by for example long period in addition and carry out verification.
Therefore being also suitable for operating parts forms as unicontrol part. Instrument maintenance compactness and operating parts can thusAs common rotating switch, slide switch, key switch or from other switch structures commonly known in the artBecome.
In addition fact proved particularly advantageously, excite unit to be switched on or switched off by operating parts, becauseSometimes in the scope of diagnosis, do not wish to trigger and the counteractive stimulation of respiratory disorder for patient or person under inspection,To can determine the respiratory disorder relevant to sleep.
A kind of preferred embodiment is characterised in that, is used by textile material and the preferred device forming as pectoral girdleIn location. This point guarantees that bioacoustics sensor can best be fixed on person under inspection's health. Weaving materialMaterial on skin ratio as plastic material feel more comfortable, thereby for the device of locating make person under inspection relaxSuitable wearing. Particularly the long period wears in the situation of perspiring, and textile material is also best. AntimicrobialAgent, mould and bacterium also can not occur fast in the pectoral girdle situation of weaving. In this regard particularly advantageously,For can taking off and wash near the device of trunk location. This clean possibility is defended for person under inspection providesRaw advantage. Aspect the device for locating, special tool is advantageous, and this device can longitudinally regulate groundForm and have the button for definite length of for example belt fastener or other fixture forms.
For reducing or eliminating completely between the instrument of portable sleep monitor and quilt or person under inspection's nightwearNoise, fact proved preferred shell and/or for the device near trunk location away from person under inspection's bodysideOn there is slidingsurface.
Ultimate facts proves also having in shell and/or for having at least one on the device of locating of particularly suitableBiofeedback sensor. Survey thus other signals, for example, as surveying body temperature by temperature sensor, perspireIn time, is surveyed humidity and surveys eye movement by eyes or eyelid sensor by humidity sensor. Particularly profitCan survey and study REM sleep stage (Rapid-Eye-Movement) with last described sensor.In addition can use muscle sensor, so that monitoring person under inspection's contraction of muscle. This instrument also can as selectingTo have cardiomotility unit, it is guaranteed to wear unit according to cardiomotility definite and is correctly placed on person under inspectionWith it. In this manner, person under inspection is reported to the police in the time placing instrument, points out this instrument not put in accordance with regulationsPut on health. In addition can remind person under inspection's instrument to come off between sleep period.
Brief description of the drawings
By embodiment shown in the drawings, the present invention is described in detail below. Wherein:
Fig. 1 illustrates according to the instrument of first embodiment of the invention and is arranged on person under inspection's front view with it;Fig. 2 illustrates the side view of the instrument cut-away section of Fig. 1; And
Fig. 3 illustrates that the instrument of another embodiment is arranged on person under inspection's front view with it.
Detailed description of the invention
Fig. 1 and 3 illustrates two embodiment according to instrument of the present invention, and this instrument is subject to for portable monitoringInspection person and patient's sleep, especially for analyzing the respiratory disorder relevant to sleep with treatment. In shell 1Two sensors of surveying bioacoustics signals 2/7, power supply and the control for the treatment of signal are setUnit 3. Power supply forms as battery in this regard, but also can be used as simple removable batteriesOr in prior art, disclosed other electric memory cell form. One of sensor 2 is generation in detection bodySound is distributed to the device 9 for locating near trunk forming as pectoral girdle 15. This device particularly canBy pectoral girdle, BH or there is BH that instrument holds place, there is instrument and hold the shirt at place or there is instrument and holdThe nightwear of Na Chu forms. Have can activate by control module 3 excite unit 4, be subject to by this unitInspection person can cause and the counteractive stimulation of respiratory disorder with it. This stimulation is recognizing and can predetermineWhen acoustic noise model, produce.
From control module 3 to here by for by form through TENS/Tens stimulateWhat EMS-/TENS instrument 11 formed excites the one-way communication connection of unit 4 is effective. EMS-/TENSThe electrode 16 of instrument 11 is integrated with pectoral girdle 15. In the patient's situation having a weak heart, these electrodes 16Substitute by vibrator. Two shown embodiment have a display unit 17 separately, show moment aboveThe parameters,acoustic, the charged state that is arranged on the electric memory cell in shell 1, measurement pattern measured-for exampleBe switched on or switched off and excite the operation of unit 4-or show in known manner for professional as instrumentOther numerical value.
As seeing from Fig. 2, shown shell 1 has in the side near person under inspection's health at itFor transmitting the transfer surface 5 of bioacoustics signal. In an illustrated embodiment, the inside of shell 1 arrange everySoundboard 8, its absorbing environmental noise, namely from outside and from the body noise of inner person under inspection's health.In this case, in two sensors 2 distributes to transfer surface 5 Hes near person under inspection's healthAnother sensor 7 is distributed to the face of shell 1 away from person under inspection's health.
Control module 3 is made up of microcontroller 12 and instrument has in addition for storing and the storage of reading out dataUnit 13. On microcontroller 12, there is the wave filter of the random adaptation of filtering man-made noise. Definite on shell 1Ground has an operating parts being made up of unicontrol part 14. This operating parts can be pressed and/or rotate, thusCan automatically switch on and off instrument or excite unit 4.
In the second embodiment of Fig. 3, excite unit 4 conducts and the parts that remaining part separates to realize. SwashBill unit 4 is on the one hand by the EMS-/TENS instrument 11 many parts structures that are arranged on arm band 18 and the bottom bands of trouser legs 19Become, and on the other hand by be set directly at the additional sound transmitter 10 of person under inspection's duct with the form of earphone 20Form. Electrode on swivel of hand forms in an illustrated embodiment as arm band or wrist-watch.
Need only in this case and occur the respiratory disorder relevant with sleep, just can be by passing through EMS-/TENS instrumentThe electro photoluminescence of the electrode 16 of device 11 by by the alarm song of earphone 20, patient being stimulated.EMS-/TENS instrument 11 is equipped electrode 16, and it also can be for carrying out muscle on the arm patient or legElectro photoluminescence (EMS).
Introduce the operation principle for the instrument of movable type monitoring person under inspection sleep according to Fig. 1 below.
Two sonic transducer 2/7 continuous probe noises, wherein, can distinguish noise or the ring of person under inspection's healthBorder noise. Survey the noise of person under inspection's health near the sensor 2 of person under inspection's health here and away from being examinedThe sensor 7 acquisition environment noises of person's health. If environmental noise arrives built-in sensor 2, so by withThe filtering system that the wave filter of machine adaptation forms leaches above-mentioned noise model, the noise for example changing as posture.Storage data storehouse for this reason in memory cell 13, this database stores most man-made noises in advance. But theseMan-made noise also can be stored in memory cell 13 by prior verification.
The noise producing in the built-in main probe gas body of sensor 2. If there is suffocating, so innerThat sensor 2 is surveyed precognition and be stored in the noise model in memory cell 13, for example certain rest. ThisPlant noise model and identified by microcontroller 12, then it is connected and is activated EMS-/TENS instrument by one-way communicationDevice 11. The electro photoluminescence of the electrode 16 of EMS-/TENS instrument 11 to person under inspection's health, the short time is to person under inspectionApply and the counteractive stimulation of respiratory disorder, person under inspection changes its posture thus. The simple posture of person under inspection changesBecome and discharge so continually respiratory tract.
Reference numeral
1 shell
2 sensors
3 control modules
4 excite unit
5 transfer surface
6 insulating surfaces
7 another sensors
8 sound panels
9 for the device near trunk location
10 sound transmitters
11EMS-/TENS-instrument
12 microcontrollers
13 memory cell
14 operating parts
15 pectoral girdles
16 electrodes
17 display units
18 arm bands
19 bottom bands of trouser legs
20 earphones

Claims (20)

1. instrument, for person under inspection's portable sleep monitor, for survey the biosensor analysis respiratory disorder relevant to sleep with treatment of bioacoustics signal by least one, there is at least one power supply and the control module (3) for the treatment of signal, it is characterized in that, the sensor of described at least one detection bioacoustics signal is distributed at least one for the device near trunk location in order to survey the sound producing in body, and described instrument have can activate by control module (3) excite unit (4), excite unit in the time recognizing the acoustic noise model that can to predetermine appear in person under inspection by this, can cause and the counteractive stimulation of respiratory disorder, wherein, the described unit (4) that excites is by forming for form the EMS-/TENS instrument (11) stimulating by the nerve stimulation of endermic electricity, wherein, the shell (1) of the sensor that comprises described at least one detection bioacoustics signal has the transfer surface (5) for transmitting bioacoustics signal and in the side away from person under inspection's health, has the insulating surface (6) for sound insulation in the side near person under inspection's health at it, wherein, described at least one sensor assignment of surveying bioacoustics signal is to transfer surface (5), wherein, at least one other sensor assignment is to insulating surface (6), wherein in the inside of described shell (1), sound panel (8) is set, described sound panel absorbs from outside environmental noise with from the body noise of inner person under inspection's health.
2. by instrument claimed in claim 1, it is characterized in that, on insulating surface (6) and/or in transfer surface (5), form sound channel.
3. by the instrument described in claim 1 or 2, it is characterized in that, excite between unit (4) and control module (3), to there is at least one-way communication and be connected and/or gating unit.
4. by instrument claimed in claim 3, it is characterized in that, the parts that excite unit (4) conduct and miscellaneous part to separate are realized.
5. by instrument claimed in claim 1, it is characterized in that, excite unit (4) to be arranged in shell (1) or with integrated for close trunk device (9) location, that formed by belt system.
6. by instrument claimed in claim 4, it is characterized in that, excite unit (4) by the executing agency of bed and/or by moving-member alarm unit and/or be set directly near the sound transmitter (10) person under inspection or in duct and/or formed by the excitation band being arranged on four limbs.
7. by instrument claimed in claim 1, it is characterized in that, excite unit (4) to impact unit and/or crash unit and/or acupuncture cell formation by egersimeter and/or vibrator and/or sound transmitter (10) and/or signal lamp and/or thermal stimulus transmitter and/or scent signal transmitter and/or machinery.
8. by instrument claimed in claim 1, it is characterized in that accurately thering are three sensors of surveying bioacoustics signal.
9. by instrument claimed in claim 1, it is characterized in that, control module (3) is by microcontroller (12) or ASIC or FPGA or FPAA formation.
10. by instrument claimed in claim 1, it is characterized in that thering is at least one for storing and/or the memory cell (13) of reading out data.
11. by instrument claimed in claim 9, it is characterized in that, for microcontroller (12) distributes at least one filtering system for the artificial filtering of noise.
12. by the instrument described in claim 11, it is characterized in that, filtering system is made up of the wave filter on list or multichannel, hardware and/or basis of software.
13. by instrument claimed in claim 9, it is characterized in that, has the inside or the outside analog-digital converter that are connected with microcontroller (12) or ASIC or FPGA or FPAA.
14. by instrument claimed in claim 10, it is characterized in that having the device for verification.
15. by instrument claimed in claim 1, it is characterized in that having at least one operating parts (14).
16. by instrument claimed in claim 1, it is characterized in that, for forming as the pectoral girdle (15) of being made up of textile material near the device (9) of trunk location.
17. by instrument claimed in claim 1, it is characterized in that, shell (1) and/or the device (9) for close trunk location have slidingsurface in the side away from person under inspection's health.
18. by instrument claimed in claim 1, it is characterized in that, in shell (1) and/or for having at least one biofeedback sensor on the device near trunk location.
19. by the instrument described in claim 14, it is characterized in that, the described device for verification can move automatically.
20. by the instrument described in claim 15, it is characterized in that, described operating parts (14) is arranged on shell (1).
CN201210059153.4A 2011-12-20 2012-01-13 Portable monitoring, analysis and treatment supplementary instrument Expired - Fee Related CN103169474B (en)

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EP11194660.4 2011-12-20

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CN103491878B (en) 2016-10-12
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CN103491878A (en) 2014-01-01
CN103169474A (en) 2013-06-26

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