CZ2016731A3 - A portable monitor - Google Patents

Abstract

The universal monitor receives heart signals when placed on the chest belt or in the holster.

Description

The invention relates to a universal cardiac signal monitor.

BACKGROUND OF THE INVENTION

The prior art heart signal monitors allow either short-term application of fingers or other parts of the human body to the electrodes, or they are fixed for a long time by means of a chest strap or other means to the human body. Monitors that would allow short-term monitoring by applying, for example, a finger, and, if longer or continuous measurements are required, permanent attachment to the chest or both arms or wrists for long-term monitoring do not exist. The prior art also does not offer, in the case of a chest strap to be attached to the chest, the placement of the strap in a box with a monitor for easy storage and carrying with the ability to use the monitor by finger or on the chest or monitor box without removing it; manipulation with removing the monitor.

SUMMARY OF THE INVENTION

These shortcomings of the present art are overcome and improved by a universal heart rate monitor that is detachably placed on a chest strap, movable into the housing, where it is conductively connected to the contact surfaces outside the heart rate housing, or the universal monitor is inserted into the housing a chest strap which is open for both hands to pick up the heart signals or sensing is realized by means of contact surfaces with the fingers of both hands, which surfaces are interconnected with the surfaces on the chest strap.

The monitor is displaceable between different cardiac signal sensors with contact surfaces and / or has contact surfaces disposed thereon for short-term sensing of heart signals from fingers or wrists, or for long-term sensing from both wrists and / or chest, preferably using bonded electrodes, or a combination of shooting methods ..

The control and display module, to which the monitor transmits the scanned data, allows the monitored person to monitor the progress of the measurement and adjust its activity accordingly, for example by actions leading to minimizing arrhythmia or achieving fitness to drive a vehicle or adjusting the correct dose of medication.

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It is thus possible to feed back for these and other activities that can be customized based on the results obtained on the displays of, for example, control and display modules, and, preferably, as needed, data and monitoring results are transferred to the central supervisory console where they are further processed automatically. they are sent back to the control and display modules, where they are available to the monitored person, or these results are available to medical professionals.

Clarification of the figures in the drawings

Giant. 1 shows a heart rate monitor inserted into a box and mounted on a chest strap

Giant. 1 det. 1 shows an open door for short-term monitoring

Giant. 1 det. 2 illustrates removing the monitor from the long-term monitoring box

Giant. 2 shows a monitor connected detachably to a chest strap by means of fastening elements

Giant. 2 det. 1 shows a disconnected monitor

Giant. 2 det. 2 illustrates a monitor inserted into a housing and snapped into a mount

Giant. 2 det. 3 illustrates a monitor with a conductively snap-on plate for mounting elements

Giant. 2 det. 4 shows a monitor with a snap-on plate inserted into a housing

Giant. 2 det. 5 illustrates a monitor inserted into a housing with an opening for accessing the contact surfaces

Giant. 3 shows a monitor connected by a connector

Giant. 3 det. 1 shows a side view of a control and display module

Giant. 3 det. 2 shows a monitor connected to a module by a connector and a slip-on housing

Giant. 4 illustrates a monitor located on an actuator

Giant. 4 det. 1 shows a block diagram of the connection of a monitor to a control and display module

Giant. 4 det. 2 illustrates variants of monitor placement

Giant. 4 det. 3 shows an add-on module that can be placed in a control and display module or in a monitor

Giant. 4 det. 4 illustrates variants of the location of the monitor on a two-wheeled vehicle

Giant. 4 det. 5 shows gloves with contact surfaces inside the gloves

Giant. 4 det. 6 shows a monitor mounted on a glove or bracelet

Giant. 4 det. 7 shows the location of the monitor in the control and display module

Giant. 5 illustrates an add-on module located in a monitor or module

Giant. 6 shows a control and display module positioned detachably on the wristband.

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Giant. 7 shows a display element comprising a display with curves and numerical values displayed thereon

Giant. 8 shows a chest strap with a monitor under the garment and a thrust strap

Giant. 8 det. 1 shows a thrust with one winch in the backrest

Giant. 8 det. 2 shows a pressure belt with a flexible part wearable outside the vehicle

Giant. 8 det. 3 shows a chest strap with electrodes and a monitor inserted under the garment

Giant. 8 det. 4 shows a chest strap with a monitor preferably fastened with snap fasteners

Giant. 8 det. 5 shows a thrust belt whose U-profile secures the correct position

Giant. 8 det. 6 shows a halved pressure belt whose halves are connectable by a buckle and tongue

Giant. 8 det. 7 illustrates a chest strap adapted to be attached to a pressure strap by a web

Giant. 8 det. 8 shows a thrust belt with a chest strap attachment at one location

Giant. 8 det. 9 shows insertion of the chest strap with the garment unbuttoned

Giant. 8 det. 10 shows the displacement of the chest strap already inserted under the garment in the direction of the arrow B into the center of the chest, followed by closing the garment

Giant. 8 det. 11 shows a chest and pressure belt provided with magnets for fixing their connection

Giant. 8 det. 12 illustrates the realization of a sash in the form of a sash at an angle across the chest by means of two pressure belts

Giant. 8 det. 13 shows a combination of a safety belt guided obliquely across the chest with a pressure belt

Giant. 8 det. 14 illustrates a safety belt guided obliquely across the chest, which at the same time serves to press the chest belt inserted under the garment. FIG. 9 shows a test device

Giant. 9 det. 1 shows a display element of a monitor formed by a display

Giant. 9 det. 2 shows a wait display after pressing a button

Giant. 9 det. 3 shows a test display with values and / or curves of pulse, ECG, arrhythmia and variability

Giant. 9 det. 4 shows the resultant test display summarizing good OK

Giant. 9 det. 5 shows a poor "NO GOOD" condition requiring some action

Giant. 9 det. 6 how to perform a long-term test at the push of a button

Giant. 9 det. 7 illustrates how, in a short-term testing, the test is initiated automatically by placing hands on the electrodes

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Giant. 9 det. 8 shows a detailed initial view

Giant. 9 det. 9 shows a detailed example of a wait display after pressing a button

Giant. 9 det. 10 shows how the test progress is displayed after the initialization of the test

Giant. 9 det. 11 shows how the test result is displayed after the test

Giant. 9 det. 12 shows negative result "NO GOOD"

Giant. 9 det. 13 shows a negative result display and a test result evaluating heart rate, arrhythmia, fitness

Giant. 10 illustrates an add-on device of an operating control and display module consisting of add-on units disposed on one or more wristbands

Giant. 10 det. 1 shows an additional device consisting of additional units placed on separate bracelets

Giant. 10 det. 2 shows a compact embodiment of the attachment, wherein the attachment units are detachably connected to each other by a fastening element and a connector

Giant. 10 det. 3 shows an additional device which is connected directly to the operating module by a cableless connector and fastening elements

Giant. 10 det. 4 illustrates a monitor built into an operating module with contact areas on the top and bottom of the monitor

Giant. 11 depicts a wrist pressure meter and a blood oxygen detector that are connected by a cable or wireless link to a separate monitor and an operating module on the wristband

Giant. 11 det. 1 illustrates a pressure gauge placed on a pressure sensing sleeve, forearm or wrist with a monitor and an operating module thereon, alternatively connected by a sleeve tube

Giant. 12 shows the connection of a pressure gauge, a blood oxygen monitor and a monitor, by cable or wireless connection directly or via the coupler unit to a module mounted on a rack.

Giant. 13 shows a magnetic holder of an operative and display module

Giant. 13 det. 1 illustrates the addition of a magnetic holder for operative and imaging fixation flaps

Giant. 13 det. 2 shows a magnetic holder with lockable valves

Giant. 13 det. 3 shows a mobile watch with a loudspeaker, earpiece and microphone removable from the holder. · · Hodinky hodinky hodinky hodinky hodinky hodinky · · · · · · · · · · ·

DETAILED DESCRIPTION OF THE INVENTION

Giant. 1 illustrates a heart signal monitor 349 inserted into housing 886 and mounted on a chest strap 749 with contact areas 224 on a skin band preferably serving as heart signal electrodes that are conductively connected to monitor 349. Against falling out of housing 886, this monitor 349 preferably secured by stops 477.

The chest strap 749, preferably made of rubber material, is folded from both sides into the housing 886 and secured by the door 708 hinged against opening. Preferably, this door 708 is secured against opening by a stop 477.

Removable terminals 476 on the electrodes conductively mounted on the contact surfaces 224, the cables 234 are briefly routed to the ECG electrodes 143, located outside the housing 886, for placing the fingers of both hands or for placing on the chest for short-term monitoring.

Giant. 1 det. 1 illustrates an open door 708 hinged for short-term monitoring when both sides of the chest strap 749 are opened, to be gripped with both hands or placed on the chest for better contact than placing the fingers on the contact surfaces 224.

Giant. 1 det. 2 illustrates how, for long term monitoring, the monitor 349 with the chest strap 749 is removed from the housing 886. An elastic strap 478, preferably removed from the storage 479 shown in detail 1, is attached to this chest strap. on the chest for sensing heart signals using contact surfaces 224 on the housing.

The monitor 349 processes the heart signals and, in the form of data, sends the heart pulses and / or ECG waveform via the communication unit 275 via a wireless link 153, preferably made of bluetooth, for detailed display and evaluation live and / or memory to the local control and display module 358. Or, it sends them directly or via a control and display module 358 to a remote evaluation block 359, preferably constituted by a server 806, preferably via a data network 490 preferably comprised of a WiFi network 131 or a mobile operator network 484. Elected subscribers 483 have access to the server 806, preferably via an Internet link 360.

Preferably, the communication unit 275 connects the monitor simultaneously with the watch 416 for operative imaging.

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Giant. 2 illustrates a monitor 349 connected removably to the chest belt 749 by means of fastening elements 486 preferably formed by snap fasteners 487 for long-term sensing of heart signals from the chest.

Giant. 2 det. 1 illustrates a detached monitor 349. Preferably, the monitor 349 includes contact surfaces 224 for sensing heart signals by fingering or touching the chest without attaching to the chest strap 749.

Giant. 2 det. 2 illustrates a monitor 349 inserted into housing 886 snapped into retaining elements 486, preferably formed by snap fasteners 487, connected to contact surfaces 224 disposed on housing 886 for short-term measurement of heart signals by fingering or applying to the chest. The removed belt 749 is placed under the door 708.

Giant. 2 det. 3 shows a monitor 349 with a plate 488 snapped onto the retaining elements 486 connected to contact surfaces 224 for short-term measurement of heart signals.

Giant. 2 det. 4 illustrates a snap-fit monitor 349 snapped into a housing 886 having an aperture 489 for accessing the contact surfaces 224 for short-term measurement by fingering the fingers of both hands.

Giant. 2 det. 5 illustrates a monitor 349 inserted into a housing 886 with an aperture 489 for accessing the contact surfaces 224 located on the monitor 349 for short-term measurement by fingering the fingers of both hands.

Giant. 3 illustrates a monitor 349, preferably connected by a connector 480, preferably constituted by a USB connector from the side, to a control and display operating module 357, preferably a mobile phone 100, for operatively evaluating and displaying heart rate signals scanned by short-term measurements from contact areas 224 The monitor 349 is preferably mounted on the operating module 357 by the control and display connector 480, and preferably for greater reinforcement by a gripping mechanism 481, preferably formed by a sliding sleeve 482 surrounding the monitor 349 and the module 357 preferably provided with a bracelet 485 for the monitor. placing on the wrist, preferably removably from the wristband by the fastening mechanism 40.

The heart signals are sensed from the contact surfaces 224 or electrodes 143 which are in an optional number, and thus the scanning of a single-lead ECG from the contact surfaces 224 is extendable optionally up to a desired number of leads, up to a maximum of 12. monitor 349 for one-finger contact. The wrist of the second hand is preferably in contact with the second contact surface 224 located at the bottom of the monitor 349 as shown by det. 1. Both contact surfaces 224 are connected to a frontend 362 of an ECG monitor 349 for sensing and digitizing heart signals. Alternatively, the heart signals are sensed by electrodes 143, preferably glued to the chest, connected by a wire joint 492 to the electrode connector 42 of the monitor 349. When the monitor 349 is disconnected from the operating module 357, the second hand signals are preferably read from the finger of the second contact. on the top of the monitor. The monitor 349 comprises a control unit 960, a memory 961, preferably a removable storage medium 964, preferably an SD card, for storing the scanned values of the body of the monitored person in the form of data. This allows the monitored person to be monitored from the currently transferred data and also from the data stored in memory. These are preferably processed within the required period of time, preferably within 24 hours, until the "Holter" type evaluation. Preferably, the monitoring can be performed for a period other than 24 hours, after which the results are converted to 24 hours

Preferably, the module 357, preferably of a smaller size, preferably located detachably on the wrist bracelet 485 for operative wrist imaging, preferably communicates via a wireless link 153 with a module 358 of a control and display freely, of larger dimensions for detailed imaging.

Giant. 3 det. 1 illustrates how a monitor 349 disconnected from the operating and display module 357 and positioned on the chest of the monitored person, shown in dashed lines, preferably communicates wirelessly through the operating module 357 and the control and display module 358, and preferably simultaneously with the sports watch 416. The wireless link 153 is preferably a Bluetooth or ANT inductive link, preferably about 5 kHz. And / or the monitor 349 communicates preferably directly or via a control and display module 358 with a server 806, preferably via a data network 490 preferably comprised of a WiFi network 131 or a mobile operator network 484 for evaluating and displaying numeric data and / or curves preferably pulse limits with regular pulse, arrhythmia, variability, and ECG curves that can be evaluated and displayed on modules 357 and 358. These are displayed individually or simultaneously in optional clusters.

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Giant. 3 det. 2 illustrates a monitor 349 connected to a module 358 by a connector 480 and preferably a plug sleeve 482. Heart signals are sensed by the contact surfaces 224 on the top of the monitor 349 with the fingers of both hands.

Giant. 4 shows a monitor 349 located on an actuator 31 preferably comprised of a steering wheel 934 or handlebar 48, or levers 49, or an aircraft control 55 or machine buttons 57 or machine contact surfaces 224 of a device 32 controlled by a monitored person preferably constituted by a vehicle. 33 or by plane, or by train, or by motorcycle, or by, or by tracked vehicle, or by tractor, or preferably, by a machine controlled by the monitored person.

The monitor 349 is fixed or detachable to the actuator 31 by a fastening element 35, preferably formed by snap fasteners 487, or preferably by a sleeve 34 onto which the monitor is fixed or removably fastened by snap fasteners 487.

The monitor 349 is preferably wirelessly connected to a control and display module 358 preferably positioned removably in a holder 36 attached preferably removably to the means 32 preferably on the windshield 41 or on the panel 37 of the vehicle 32 and / or attached to the module. 358 built into the means 32, preferably into a panel 37 with a control element 38 and a display element 7 preferably comprising a display 28. The monitor 349 is alternatively connected to a wired connection 492 to the built-in module 358. 416 and / or module 357 on the bracelet preferably of smaller dimensions for operative imaging. By wireless link 153, the module 358 is also preferably connected to the evaluation block 359, preferably via the data network 490, preferably also the network 898 of the mobile operator. The built-in module 358 is preferably connected by a wireless link 135 to a control and display module 358 in the holder 36. These modules together with the operative module 357 are adapted to coincide display preferably based on data from the module 358 preferably in the holder 36 or freely stored, e.g. . in pocket.

On the control member 31, preferably the steering wheel 934 or the sleeve 34, contact surfaces 224 are preferably formed forming electrodes 143 for sensing heart signals from both hands while actuating the means 32 by the monitored person for processing to a pulse value or / and arrhythmia and / or variability and / or ECG. They are connected to the monitor 349 directly or via the fastening element 35, preferably formed by the snap-fasteners 487. Preferably, the monitoring results are automatically or by medical personnel evaluated on the PC server or remote subscribers and sent back to the monitored person data via mobile

4 4 4 44 44 4 490 data network 490 preferably by the mobile operator's network 484 or by phone . Advantageously, the occupants are monitored by other monitors 349 connected to the module 358 and further to the evaluation block 359. Preferably, an emergency call button 14 and a resume button 13 can be disposed on the control panel 38 and can be canceled by the monitored person for use in medical and traffic readiness. . Advantageously, an accident detector 925 is connected to the module 358, preferably monitoring the collision, roll-over of the vehicle, an air bag fired and other events indicative of an accident. The accident detector 925 preferably transmits the accident data via the module 358 to the server 806, and preferably the data from the health condition sensors of the monitored person sensed by the monitor 349 or the multifunctional chest band 749 preferably with the heart rate monitor 349 on the chest belt or by separate sensors. sensing the physiological values of the human body such as temperature, breath, blood oxygen content, and others described in the other figures. The chest strap 749 is connected to the monitor 358 in the bracket 36 or embedded. Alternatively, the heart signals are sensed by a monitor 349 displaceable from the chest strap to the plate 488, a bracelet 43 of the housing 886, or operating independently with contacts 244 mounted thereon. Preferably, the out-of-limit medical condition or accident causes a warning signal transmits to the supervisory center server 806. In the case of permanent connection of the monitored person to the monitor 349 or the sensor, this is under constant control, in the case of connection to the monitoring center, which in case of health data outside the limit is preferably connected with the monitored person using mobile phones 100 or hands free data connection microphone 56 and loudspeaker 47. These are preferably associated with module 358. The system transmits GPS coordinates automatically in the event of an accident or medical data beyond the limit or upon request. The monitor 358 is preferably coupled to a vehicle computer for coordinated data sharing and transmission to the server 806 and to the vehicle accident monitoring center. Preferably, the module 358 is connected to an external GPS antenna 20 of the vehicle, preferably located on the roof of the vehicle. Advantageously, the contact surfaces 224 are located on the passenger side and connected to the passenger testing monitor 349.

Giant. 4 det. 1 illustrates a block diagram of a monitor 349 disposed preferably on a sleeve 34 communicating with a control and display operating module 357 preferably comprised of a smaller cell phone preferably located on an operative tracking bracelet and communicating with a module 358 preferably larger for detailed monitoring and evaluation block 359 Preferably, the operating module 357 communicates with the module 358 ·· ··· ·

· ♦ · t t t t t t t t t t t t t The wireless link 153 is adapted to display data from the module 358, preferably about phone calls, SMS, and to take over phone calls.

Giant. 4 det. 2A illustrates both for continuous monitoring even when the means 32 is not operated by both hands, preferably the detachably mounted monitor 349 is removed from the actuator 31 or sleeve 34 and is attached to the chest strap 749 as already shown in FIG. 3 or in detail 2B on a wrist bracelet 485 connectable via a connector 42 to the electrodes by a wire joint 492 with electrodes 143 preferably glued to the chest or in detail 2C mounted on an operating module 357 preferably of smaller size for mounting on a wrist bracelet 485 preferably formed by a mobile phone 100; a watch 416 for continuous sensing of heart signals by electrodes 143, preferably glued to the chest, or for occasional sensing by contact surfaces 224 as already shown in Fig. 3.

Giant. 4 det. 2D illustrates how, for occasional monitoring, preferably the monitor 349 is movable into the housing 886.

Giant. 4 det. 2E illustrates a monitor 349 with one contact surface 224 at the lower portion of the wrist of one hand and a second contact surface 224 at its upper portion for contact with the fingers of the other hand or alternatively coupled to an electrode 143 preferably glued to the chest as an alternative for second hand contact or connected to an electrode preferably of a second hand bracelet 43 by a wire connection 492.

Giant. 4 det. 2F shows a monitor 349 with contact surfaces 224 on housing 886 or on plate 488 via a connector.

Giant. 4 det. 2G shows a module 358 with a monitor 349 with contact surfaces 224 connected to the module 358 via a connector 480.

Giant. 4 det. 2H illustrates detachably the placement of a monitor 349 on a garment 46 preferably formed by a trick connected by a wire jumper 84 to the contact surfaces 224 on the garment located in the chest region. The monitor 349, shown in dashed lines, is alternatively positioned below the waist and connected wired to the contact areas 224 located in the chest region.

Giant. 4 det. 3 illustrates an add-on module module 410 disposable in a module 357, 358 or monitor 349 to which sensors 361 and electrodes 143 are coupled to read and process human body biometric data, which are further evaluated and displayed in module 358 or evaluation block 359.

Giant. 4 det. 4A shows a monitor 349 mounted on a means 32 preferably comprised of a two-wheeled bicycle or motorcycle vehicle on a handlebar 39 firmly or removably, preferably by means of snap fasteners 487 or on a sleeve 34 firmly or removably. This monitor is connectable via a wireless link 153 to a module 358 secured by a handlebar holder 36 firmly or removably. By connection 153, this module is also connectable to watch 416 and / or evaluation block 359.

Giant. 4 det. 4B illustrates the positioning of the monitor 349 on the bracket 36 preferably with the handlebars 39 with contact surfaces 224 connected by a wire connection 492 thereto mounted on or in the display element module 358 further connected by the wireless link 153. The handlebars 39 on the bracket are preferably used for scanning of heart signals by placing both hands.

Giant. 4 det. 5 illustrates the glove hand 45 with the contact surfaces 224 inside the glove contacting the hand connected to the outer contact surfaces 224 of the glove by a wire connection 492 providing a conductive connection of the hands to the outer contact surfaces 224 applied to the contact surfaces 224 of the handlebar 39 or sleeve 34 gloves are placed on them. The contact surfaces on the handlebar are interconnected by a cable 234 on the monitor 349. Or, the monitor 349 is located on the wrist, or one of the gloves 45, on the bracelet connected by a wire connection 492 to the contact surface in the other glove. These are connected by a wired connection 492 to the monitor 349.

Giant. 4 det. 6 illustrates a monitor 349 mounted on a glove 45 or a bracelet 485 and connected to a one-hand contact surface 224 and connected by a wire connection 492 over the glove arms 45 or a bracelet 485 to a second hand contact surface 224 for sensing heart signals.

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Giant. 4 det. 7 illustrates the location of the monitor 349 in a module 357 or 358, preferably by a mobile phone, wherein the heart signals are preferably sensed through contact areas 224 disposed thereon or by electrodes 143 wired by a wire link 492.

Giant. 5 illustrates an add-on module 410 disposed in a monitor 349 or control and display module 358, which preferably includes an internal sensor module 910 preferably equipped with body temperature sensors 751, a pressure detector 917, a sleep phase detector 921, a light oxygen detector 923 and a detector 924 acoustic signals. A set of external sensors, preferably complementary to internal sensors, are attached to the module 410, which are preferably an alcohol level detector 906, an addictive substance detector 907, a body temperature sensor 751, a breath sensor 752, a pressure detector 917, a ECG detector 918, a EEG detector 919 920 EMG (electromyograph), sleep phase detector 921, light detector 923 preferably blood oxygen and pulse sensing, acoustic signal detector 924, preferably supplementing or replacing the internal sensor module 910, which is connected to sensors 910 located on mobile phone 100 or sensors located outside of it, connected via a connection 153 or wired via a detector and probe connector 291 '. Preferably, the sensors 908 are located on the trunk 905 for sensing signals and values from selected locations on the upper torso of the person being monitored, being wired or wireless to the module 410 and supplementing or replacing the sensors in a set of internal or external sensors and / or a chest strap 749 connected wired or wireless to the module 410. Preferably, the ECG sensors and / or external electrodes 143 are located on the steering wheel of a human vehicle, preferably a steering wheel, and the signals therefrom are fed to the mobile phone by a wired link 492 or wireless link 153. Preferably, the ECG signals fed to the ECG detector 918 are also sensed. Preferably, the add-on module module 410 is located in a vehicle or other means, wherein the driver or operator has a chest strap 749 attached thereto with a sensor block 911 or sensors that communicates remotely via a radio link in the device built-in module 410, preferably in module 358. and through it and via the mobile operator's data network 490, a connection is made to the server 806 and to the central driver or operator supervision desk. The control and display for the operator or driver of the transport or other device is effected preferably by a built-in touch screen module 358. Alternatively, the elements described are not built-in, but are separate.

Giant. 6 illustrates an preferably smaller size operating module 357 preferably displaceably mounted on an operative display bracelet 485 preferably comprised of a mobile phone 100 or a watch 416 or a monitoring watch 44 or an operative 853 control and display operative unit.

Further, the module 358 shows preferably larger dimensions for detailed display, preferably consisting of a mobile phone 100 or a tablet 373 or a PC 889 or a control and display unit 853.

Further, the evaluation block 359 preferably comprises a server 806 and / or a PC 889 and / or a mobile phone 100 and / or a tablet 373 and / or another unit.

Giant. 7 shows a display element 1 preferably comprising a display 28 with curves and numerical values displayed thereon. These include, in particular, a pulse rate of 7, a degree of arrhythmia of 52 in degrees or% of the arrhythmic pulses of the total number of pulses per selected unit of time, a value of 863 in degrees and variability of pulse rate 6 with regular pulse limits. variability and ECG curve 875 displayed simultaneously or sequentially individually or in optional clusters.

In the event that it deviates from the adjustable range, a warning signal is preferably triggered which, when not set by the reset button, will preferably turn into an alarm or immediately trigger an alarm transmitted to an optional destination by telephone and / or data and / or SMS e.g. to the server 806.

Along with the warning signal, the type of alarm that triggered it is displayed. In the case of heart rate sensing in the form of a pulse, variability, arrhythmia, pulse, pulse skipping are preferably evaluated.

The alarm is triggered by too low a value of variability indicating poor psychological and / or physical condition of the subject and requiring caution or avoidance in controlling or controlling the means 32 or in athletes in sport performance. The display element 7, preferably the display 28, in particular for the monitoring of a person, preferably displays, for example, "Condition" instead of "Variability", which is better for the layman expressing the status indicated by the value. A low variability, approximately less than 2, also indicates tachycardia or flutter, especially when the pulse is elevated above the normal value measured at rest. It requires ECG to verify that only one P wave is present to confirm this diagnosis.

The alarm is also triggered by a pulse value that is too low or too high above the adjustable value, or that the adjustable beat rate is exceeded. In arrhythmia when the arrhythmia rises above

• An adjustable value that indicates atrial fibrillation that needs to be verified by the occurrence of P waveform on the ECG.

On the other hand, in the observed decrease in the usual degree of arrhythmia and concomitant decrease in variability, flutter or tachycardia is emphasized, emphasizing eventual increased pulse at rest and it is necessary to verify the P wave on the ECG to confirm the diagnosis.

The alarm can also be triggered by an increase in the number of extrasystoles compared to the adjustable value and it is necessary to check the ECG for dangerous ventricular extrasystoles particularly dangerous during physical activity.

Simultaneous monitoring of variability and arrhythmia is important for assessing heart condition. The variability curve and the arrhythmia curve give an overview of the condition of the monitored person with respect to the activity performed over time. From these values it is determined whether the monitored person is capable of driving the device 32 or for sporting performance and is to undergo a medical examination there to eliminate a deterioration in health or to avoid a life threat.

The pulse sensing and evaluation is performed automatically in the monitor control unit 365 of the monitor 349 and / or the modules 357, 358 and / or the evaluation block 359 and / or visually by sequentially or simultaneously displaying said values and / or curves on the display element 1. It extends the evaluation and imaging of the ECG curve, where network and ventricular extrasystoles, infarct indications, and transmission, missing or multiplied P wave and other pathological phenomena are evaluated.

For these diagnoses, the simultaneous or sequential display of said values and curves on the illustrated element 1 is advantageously applied, where the automatic evaluation from the control unit 365 is preferably verified.

The assessment of the condition confirms the ability of the monitored person to control or control the means 32, preferably traffic, and reduce the risk of an accident caused by dangerous conditions such as micro-sleep, heart attack, stroke, heart failure, heart rate loss, where arrhythmias, ECG.

For athletes, monitoring these values and curves will reduce health risks during exercise and ensure effective training.

For the monitored persons, the preventively monitored persons reduce the risks from the mentioned pathological conditions and support their prevention or treatment.

Giant. 8 shows a chest strap 749 with a monitor 349 beneath the garment 46 preferably comprised of a shirt 270 or a trick 905 pressed against the chest by a pressure strap 65 preferably consisting of two parts in the middle attachable by buckles 75 which are wound on reels 66 with feathers 67; · ·

which, when retracted upon re-release, winds the parts of the pressure belt 65 back onto the winches 66. Preferably, therefore, the pressure belt 65 consists of two parts, each wound on one winch disposed on both sides of the seat back 68 of the vehicle 33. in the middle between the reels. This arrangement is adapted to allow free movement of the driver. As it moves forward or laterally, the pressure belt 65 unwinds or winds on the reel 66 accordingly. The springs 67 provide tension on the pressure belt to press the chest belt 749 to sense heart signals. Alternatively, the belt is pulled out of one winch and slid on the other side of the backrest with a tongue 69 into the opening of the grip 70 with a releasable anti-punch safety device as shown in Det. 1.

Giant. 8 det. 2 illustrates a thrust belt 65 that surrounds the chest and is wearable outside the vehicle. The elastic portion 82 presses the chest strap 749 to the chest of the person to be watched.

Giant. 8 det. 3 illustrates a chest belt 749 inserted beneath the garment 46 preferably comprising a shirt 270 with electrodes 950 and a monitor 349 preferably removably fastened by snap fasteners 487 with U-shaped extensions 71 with U-shaped profiles 72 that hold the pressure belt 65 urging the chest belt to the chest in a position above. in that the pressure belt 65 fits over the garment 46 into the U-profiles 72.

Giant. 8 det. 4 shows a chest strap 749 with a monitor 349 preferably fastened with snap-fasteners 487, with holes 73 for matching adapters 71 with U-profiles 72 or magnets, which are preferably placed in place of a bandage strap 74 used for chest fastening when a pressure strap 65 is not used.

In the case of using a magnet, the pressure belt holds the magnets 77 on top of the chest belt 749 on it and below the garment 46 positioned on the chest belt.

Giant. 8 det. 5 illustrates a thrust belt 65 that has snapped into the U-profile extension 71.

Giant. 8 det. 6 illustrates a halved pressure belt 65 pulled from winches 66 preferably positioned in the backrest 68, the halves of which are connectable by a buckle 75 and a tongue 69 slidable into the buckle 75 with a releasable safety catch. The chest belt 749 is preferably attached to the pressure belt 65, preferably by fastening the belt 749, preferably formed by a bridge 79. Alternatively, the pressure belt 65 passes the joint 80 to the monitor 349 located preferably in the backrest 68 from where it transmits the wireless link 153 or wire 492.

Giant. 8 det. 7 illustrates a chest belt 749 adapted to be attached to a pressure belt 65 by means of a web 79 which can be inserted from outside after opening the garment 46, preferably a shirt, thereby ensuring that the chest belt 749 is pressed against the chest of the person. The pressure belt 65 is fastened with a buckle 75.

Giant. 8 det. 8 illustrates, for clarity, without showing the garment 46, one side of the pressure belt 65 with the chest belt 749 fastened by the bridge 79 at one location.

Giant. 8 det. 9 shows the insertion of the chest belt 749 with the unbuttoned garment 46, preferably a shirt, first in the direction of arrow A.

Giant. 8 det. 10 shows the displacement of an already inserted chest strap 749 in the direction of arrow B into the center of the chest, followed by closing the garment 46, and the chest strap is now ready to be locked in position by a thrust strap 65 which applies force towards the backrest 68 and is fixed on the other side of the backrest 68 with the tongue 69 inserted into the buckle 75.

Giant. 8 det. 11 shows the chest belt 749 and the pressure belt 65 provided to fix the connection of the chest belt 749 and the pressure belt 65 instead of the U-profiles magnets 77 which are fastened to both the chest belt 749 and the pressure belt 65 so that they act on each other and belt in the desired position on the chest.

Giant. 8 det. 12 depicts the realization of the safety belts, instead of the conventional sash-like method by means of two waist belts 65 at the waist and chest for increased safety, while pressing the chest strap 749 against the chest with one of the belts 65, preferably the top, at the same time, they serve as a safety belt, while the second belt 65, preferably the lower one, preferably serves only as a safety belt.

Giant. 8 det. 13 illustrates a combination of a safety belt 78 guided obliquely across the chest with a thrust belt 65 extending horizontally across the chest to press the chest belt, which preferably serves as a safety belt for increased safety.

Giant. 8 det. 14 illustrates a safety belt 78 extending diagonally across the chest, which at the same time serves to press the chest belt 749 inserted under the garment 46 secured in a position preferably by magnets 77 on the chest belt with the counterpart preferably on the outside of the garment 46.

Giant. 9 illustrates a test device 85 for a one-time test of immediate medical condition, in particular of heart and mental condition, in particular for determining fitness to drive vehicles or to operate machines or to perform a certain activity given job description requiring fitness or preventive health check; eg before sporting activity or in case of nausea.

The test device 85, adapted for mass testing of a plurality of monitored persons, preferably consists of a stand 87 with electrodes 143 preferably formed by contact surfaces 224, preferably in the form of a handlebar 39, on which a preferably 349 powered monitor preferably is fixed or removably mounted. battery 90 with a rechargeable battery charger 89.

The output of the monitor 349 is connected by a conductor 492 and / or a wireless link 153 to a control and display module 358 on the rack 87 and / or remotely located to the dispatcher. The test device is adapted for short pulse tests, preferably within 1 minute, also suitable for mass testing, by placing both hands on the electrodes in a sitting position, but also in a standing position when the monitored person need not be absolutely at rest.

Preferably, the pulse-derived values are tested in the initial test, and the ECG is preferably not tested in the initial test, since a simpler and therefore cheaper device is sufficient for the pulse test and will also be faster and handheld. In contrast, quality ECG tests are performed in absolute rest, preferably lying or sitting. At the same time, the evaluation of the monitored person's heart rate is mostly sufficient and due to the simplicity of the test and because of the complexity of performing the ECG test, it is preferred.

Giant. 9 det. 1 illustrates how the display element of the monitor 1 preferably comprises a display 28 in the initial phase of the initial test with an initial display 101 with the instruction to initiate the test by pressing the "Start" button 99 and resting both hands on the electrodes 143 preferably formed by the contact surfaces 224.

Giant. 9 det. 2 illustrates how after pressing the Start button 99 for an adjustable period of time necessary to stabilize the pulse curves and others, the display element 1 preferably displays a wait display 103 with a count down display 28 of the residual time to start the test.

Giant. 9 det. 3 shows a test display 105 with values and / or curves of optionally pulse and / or ECG and / or arrhythmia and / or variability, or optionally test display 105 does not appear and the wait display 103 is displayed until the end of the test and goes straight to the result of display 93 shown in det. 4, 5.

Giant. 9 det. 4 shows how after a configurable time, preferably short to 1 minute, in order to be able to change a large number of persons in the test in a short period of time, a test result 93 summarizing good OK is displayed with test result 102 allowing to drive or operate a machine indicating good health.

Giant. 9 det. 5 shows a poor "NO GOOD" condition (N.G.) requiring some action, e.g., verification of the ECG test described on the display element 7 before performing the desired operation. vehicle control.

Preferably, in a non-compliant NG state, the test is repeated preferably for a longer period of time to eliminate the error, the initial test, preferably on another copy of the test device 85, for which the subject is prompted to repeat the test on the result display 93. In a second test performed on the same specimen of the test device 85, the resultant display 93 has a second test button 92 to press for which the monitored time is prompted by instruction 97. In the case of a NG test result, one of the other recommended actions is to undergo an ECG on a test stand 349 on a rack, if equipped, or on another monitor 349, preferably with chest-enhanced electrodes and preferably equipped with electrodes up to 12-lead ECG, which is evaluated automatically in module 358 and / or evaluated by a trained worker and / or evaluated by medical personnel, preferably by a physician at the site of the test facility. Alternatively, the heart signals picked up by the monitor 349 preferably by the module 358 are sent via a remote link 94 preferably via a WiFi network 131 or a mobile operator network 484 to an evaluation block 359 preferably to an evaluation block 359 preferably to a server 806 and / or remote subscribers. for evaluation. This is preferably done automatically at the server 806 and the data is sent back to the display element 1 of the module 358 and / or judged by a medical professional who communicates with the dispatcher preferably at the test site and / or the person monitored, by telephone or data .

The test device is out of position of the monitor 349 and the electrodes 143 on the stand 87 are feasible with another preferred embodiment, with the electrodes 143 preferably comprised of contact surfaces 224 and a monitor 349 positioned optionally on other devices or parts described in e.g. Det. 2C, 2D, 2F, 2G

The disposable test test device 85 may be adapted for an individual test, eg in a vehicle or on a device monitored by a person controlled, or other suitable location where the electrodes 143 preferably formed by the contact surfaces 224 are adapted to briefly place fingers or palms of both hands simultaneously, e.g. 4 on the steering wheel 934 or the sleeve 34 or the control levers of the device or adapted for a one-off test 86 as shown in FIG. 2D, 2D, 2F, 2G.

For the long-term test, the electrodes 143 connected to the monitor 349 are adapted for continuous contact with the body for sensing heart signals, e.g. by placing on the chest strap 749, wristbands 485, or gluing to the chest.

Giant. 9 det. 6 illustrates how, in long-term testing, the momentary test result is triggered by pressing a button 92 preferably labeled " RESULT " on the display element 1 of the module 358, which displays continuously measured curve values. During long-term testing, it senses heart signals from electrodes 143 permanently applied to the body of the monitored person, for example on a chest strap 749 with a monitor, and the processed data is displayed and / or stored in a storage medium 106 of eg module 358. advantageously, the button 92 in the module 358 processes and displays the result of the current test shown in FIG. 4, 5, 11, 12.

Giant. 9 det. 7 illustrates how, in the short-term testing, the test is preferably initiated automatically by applying hands to the electrodes 143 preferably formed by contact surfaces 224 e.g. on the steering wheel 934, which registers the heart signal detector 98 preferably contained in the monitor 349. as the START button does not have to be pressed for the test.

Alternatively, the test is preferably initiated by a voice command removed by a voice decoder 96, with a microphone 56 connected to the module 358, which is particularly advantageous when driving or operating the machine.

Giant. 9 det. 8 shows a detailed initial display 101, display element 1, preferably on module 358, which is preferably displayed when initializing the preparation phase for a short-term fitness test by the appropriate command given, e.g., module 358, which displays instruction 97 e.g. Press the "START" button to test your fitness

Instead of pressing the start button, the test is preferably initiated automatically upon gripping electrodes 143, for example, on the steering wheel 934, with both hands, which registers the heart rate detector 98, preferably in the monitor 349, or by voice command registered by voice decoder 96 as described. in det. 7, to which the instruction 97 on the initial display 101 invites. Preferably, the initial display 101 also has an extended test button 109, e.g., doubled, where, for example, each time it is tapped, the test length doubles and held.

Giant. 9 det. 9 shows a detailed example of a wait display 103 after pressing the button 92 on the initial display on det. 8 or after an alternative start of the test described in det. 7. In the wait display 103, an instruction 97 is displayed, eg "Hold the handlebar with both hands at the electrodes and wait for the test measurement to start". Furthermore, there is preferably instruction 97, e.g., "Wait, test setup in progress". Preferably, a count down timer of the time to start the test is displayed.

Giant. 9 det. 10 illustrates how after the initialization of the test, e.g. by the button 92, after the holding display 103 has passed, the display of the test 105 preferably appears on the display element 1, where the measurement progress is preferably displayed with pulse curves 6 and / or values with regular pulse limits 53 , arrhythmia 54, and / or variability 863 and / or ECG 19. Preferably, this screen is displayed with an adjustable delay after a button 92 is displayed, for which a wait display 103 is displayed to hide distorted curves while the test device 85 is stabilized, for example by noise. , after placing hands on electrodes 950.

Giant. 9 det. 11 shows how, after a test, preferably lasting up to 1 minute, a result 93 appears with a test result 102, e.g., " Test OK ". Advantageously, in instruction 97, a message 108 terminating the test will appear, e.g., "Press OK to be ready for the next test."

Giant. 9 det. 12 shows the result of a negative "NO GOOD" abbreviated N.G. Preferably, in the resulting image 93 there is an instruction 97 to repeat the test, preferably for an extended period of time, e.g., up to 3 minutes, to avoid testing error. If the test is again N.G. and, if the ECG has not been tested in the initial or retest, this retest screen 93 will display out of the ECG test recommendations and evaluation results.

Advantageously, the ECG is not tested during the initial test, since a simpler and therefore cheaper device is sufficient for the pulse test and also runs faster and can be scanned with the hand, for example, when the monitored person does not need to be absolutely calm. ECG. However, for initial monitoring of the condition of the person being monitored, heart rate evaluation is predominantly sufficient, and given the simplicity of the test and the complexity of performing the ECG test, it is preferred.

Preferably, the ECG test is performed on an ECG monitor 349 other than the initial fitness test. This makes it possible to use a cheaper non-ECG monitor 349 for the initial test, and moreover, in mass measurement, the monitor 349 does not block as it would if the monitor were used for an ECG that lasts longer than the pulse test.

For the ECG test, the monitored person is brought to a maximum lying position or at least seated and the monitor 349 is connected to electrodes 143 preferably formed by contact areas 224 for sensing heart signals from the chest e.g. on a chest strap 749 or chest electrodes 143.

In order to be able to carry out the test without removing the garment, e.g. a shirt, the chest strap of FIG. 8.

Preferably, an initial pulse and / or repeat and / or ECG measurement result is sent data to the evaluation block 359, preferably to a server 806 where it is evaluated automatically and sent back to the monitored person module 358 or to a dispatcher PC. Or it can be evaluated by medical professionals such as a doctor who reports the result in a data message or by phone to a dispatcher who organizes mass testing or a monitored person.

For the ECG test, the monitor 349 in the test device is preferably provided with multiple electrodes, up to 10 to capture up to 12 lead ECGs. Alternatively, another ECG device is used allowing the result to be sent to the evaluation block 359, the server 806 and / or the remote subscribers 88.

Giant. 9 det. 13 shows a table for display on a display element 1 from which the results are taken according to the measured values, preferably in numbers and verbal in the case of a negative result test. Test result 102 preferably evaluates heart rate, arrhythmia, fitness, which is preferably a value of variability calculated from the heart rate and a combination of values.

The initial test is preferably performed using a simplified pulse method and a degree of arrhythmia, or even a degree of variability, with a subsequent ECG test in the case of a negative result, or a complete ECG method. In the initial simplified test, the sinusoidal waveform is evaluated, which at zero degree of arrhythmia means OK. Or, arrhythmia occurs when the degree of arrhythmia is not zero, which means NG, a negative result. In the event of an arrhythmia, the degree of arrhythmia from negligible to high is evaluated. The degree of arrhythmia is considered to be 10% of the% irregular pulses of the total number of pulses, ie maximum 10 degrees.

Verbally, pulse rates are preferably expressed as follows: <35 = very low pulse, 35-40 = low pulse, 40-45 = low pulse, 45-85 = pulse good, 85-100 = increased pulse, 100-115 = high pulse,> 115 = very high pulse.

In verbal terms, the degrees of arrhythmia are preferably expressed as follows: Ar = 0 none, 0 <Ar <0.5 low, 0.5 <Ar <1 increased, 1 <Ar <2 high, 2 <Ar <3 very high, 3 <Ar extremely high arrhythmia.

Verbally, fitness levels preferably given by variability are preferably expressed as follows:> 7 = exceptional, 5.0 - 7.0 = excellent, 4.0 - 5.0 = very good, 3.0 - 4.0 = good, 2 , 5 - 3.0 = satisfactory, 2.0 - 2.5 = unsatisfactory, 1.2 = poor, <1.2 very poor.

The combination of the above values is preferably expressed in words as follows:

Ar = 0.1 <K <2 Possibility of arrhythmia type (see 4.5) 2. Ar = 0; K <1 Probability of arrhythmia type (see 4.5) 3. Ar = 0; K <2; T> 100 Increased probability of type arrhythmia (see 4.5) 4. T <200 Tachycardia 5. T> 200 Flutter

Further, individual extrasystols and salvo, pulse missions and cardiac arrest are preferably evaluated from the pulse.

13% of irregular beats are allowed to be considered sinusoidal and regular beats are delimited by the limit curves 17 of the regular beat in Fig. 7.

An absolutely regular pulse with 0 arrhythmias does not mean that the pulse is sinusoidal, but it must be tested for tachycardia-type arrhythmias when the pulse is below 200 beats / min or flutter when it is higher. Therefore, not only arrhythmia with tolerance tolerance is tested, but also pulse, which if not changed, ie the graph beats a straight line for a certain number of pulses suspects arrhythmia, which is confirmed by low variability below 2 measured over a longer period of time than is a straight line.

Therefore, if the result of the test on the displayed element 1 varies less than 2, it is recommended to repeat the test and to perform an ECG test when the result is confirmed, especially when the pulse is a straight line.

In addition, heartbeats greater than 85 are evaluated, when it is recommended to repeat the test after a period of rest.

When confirmed, the ECG test is recommended as with a pulse that is too low, preferably less than 45, or missed pulse.

In pulse testing, the simplified pulse method and the degree of arrhythmia and variability are evaluated for their combinations listed in the table for det. 12. Variability is considered to be less than 2.5 as NG, as this indicates a weaker condition due to the risk of micro-sleep when driving vehicles or operating machinery. This risk increases with decreasing degree of • variability. Verbal grading is given in the table on det for pulse, arrhythmia or variability. 12. For NG results due to low variability, it is recommended to repeat another test after relaxation. When confirming the NG result, an ECG test is recommended.

The ECG evaluates QRS complex, AV block, AV block, PAC, PUC, AF, FLUTTER, TACHYCARDIE and other pathological conditions in addition to the initial test. The evaluation is performed automatically in monitor 349 or module 358 or more precisely in evaluation block 359 806 or remote subscriber PC, and is preferably sent back to the monitored person module 358. Alternatively, the assessment is performed manually by medical professionals, preferably by a physician, and sent to module 358 by data or reported to the monitored person or dispatcher conducting bulk tests by phone or email. In the case of a negative 1st test, the further test is preferably performed using the 92 second test button.

For long-term or continuous tests, an automatic evaluation of the NG states in the monitor 349 and / or the modules 357, 358 and / or the evaluation block 359 is preferably set, with an alarm initialization if they occur. In order to save on transmitted data, data is transmitted to the evaluation block 359 in batch or only out of set limits or only occasionally, on the instruction of the monitored person or not transmitted and recorded on the storage medium 106 in the monitor 349 and / or modules 357, 358, s. advantage of an SD card that is played on a PC. For evaluation from a PC it can be transferred via the Internet, which is cheaper than via a mobile operator. Or it is sent from monitor 349 or module 357, 358 over a local WiFi network.

The tests are preferably evaluated for various activities. For example, for driving a vehicle, the dangers of microsleeping may be warned at a condition of <2.5, by reflection, in sport, the possibility of overtraining at low fitness, long after training in general, of the risk of stroke in arrhythmia.

Giant. 10 shows an additional device 104 of the operating and display module 357 preferably comprising additional units 121 preferably disposed on one or more bracelets 485, 43. The monitor 349 is preferably detachably mounted on a fastening element 35, preferably comprised of snap fasteners 487, on the bracelet. 485 on the wrist, preferably interconnected by cable 234 via connector 480 or wireless link 153 to operative module 357 disposed preferably removably on the same or other wristband 485, which preferably consists of a mobile phone of a small size about 1 cm narrower than the wrist for comfortable and aesthetic wearing.

Preferably, the monitor 349 has a contact surface 224 preferably forming a single-hand ECG electrode 143 on a portion attached to the arm or wrist, and a second finger contact surface 224 preferably a second-hand ECG electrode 143 on top. Advantageously, signals for processing into heart pulse and / or ECG are collected from these electrodes 143.

Alternatively, the second hand electrode 143, instead of the monitor 349, is located on the second hand bracelet 485 coupled by cable 234 via connector 480 to the monitor 349 or the second hand electrode 143 is glued and placed on the chest, preferably at a location suitable for sensing a second hand heart signal. and connected electrically to the connector 80, the electrodes being extendable by additional electrodes for sensing up to 12 lead ECGs, in this case preferably without the use of contact surfaces 224 on the monitor. Alternatively, the contact surfaces 224 are located from the bottom of the wrist contact bracelet and from the top of the second hand finger contact bracelet, preferably one above the other, preferably over one another so that two fingers, preferably a thumb and a second hand index finger lower forearm or wrist contacts.

The monitor 349 preferably has an accumulator 90 therein, preferably adapted to power the operative module 357 via a cable 234, to which it is preferably connected for a data connection. Preferably, additional devices 104 consisting of additional units 121, such as additional accumulators, detectors, communication units 275 are mounted, preferably removably, on the wristband 485 of the monitor 349 or on the other wristbands 485 next to the monitor 349.

The operating module 357 on the bracelet 485 with the display element 1, with the control unit and preferably is equipped with an optical front end 363 for sensing pulse and oxygen content in the blood by radiating the skin of the forearm, preferably has additional attachments 104 disposed externally on the bracelet 485 on the clip 9 or is to be placed internally, such as a communication unit 275 preferably comprised of a receiver of about 5.3 kHz and / or "Bluetooth" and / or ANT, additional devices such as an additional battery 120, preferably removably housed in the housing 886 on the accumulator and / or further by, for example, a voice unit 266 preferably mounted detachably on the bracelet 485, preferably by means of a clip 9.

The operating module 357, preferably of a smaller size, communicates via a wireless link 153 with a module 358, preferably of a larger size and with the advantage of a mobile or tablet, and these modules are adaptable to receive and display each other data, in particular cards in module 358 and preferably initialized in operating module 357. The operating module 357 is preferably adaptable to receive telephone calls or SMS arriving at module 357 and / or module 358 and to carry out calls in hands-free mode or by tapping on the ear after disconnecting from the wristband 458 or by means of a voice unit 266 adapted to be applied to the ear preferably removably mounted on the operating module 357 or its wristband and communicating with the operating module via a wireless link 153. It comprises an accumulator, preferably a replaceable microphone 56, a loudspeaker 47, control unit 130 amplified vačem. Advantageously, the voting is performed using a microphone 56 embedded in the operating module 357 so that the audio transmission to the voice unit is only unidirectional to the loudspeaker, and preferably a wireless limited range unidirectional radio signal that does not require coded connection and is energy efficient . In this case, the microphone is preferably located in module 357. Instead of the voice module, a removable module 357 is used for communication, which is placed on the ear after removal. Advantageously, in the fastening element 35 for fastening to remove the module 357, a connector is provided for detachably connecting the connected units. The module 357 is adaptable to operate independently of the module 358. In this case, for telephone traffic, it preferably has a SIM card therein.

The operating module 357 is preferably adaptable to attach other external devices such as a temperature, pulse and oxygen oxygen detector 112 mounted preferably on a finger, or a pressure gauge 113 mounted preferably on an arm or wrist.

Giant. 10 det. 1 illustrates an additional device 104 preferably consisting of additional units 121 disposed preferably on separate wristbands 485 interconnected by cables 234 or wireless links 153 to the operating module 357.

Of the pulse thus removed, the operative module 357 or module 358 processes them into pulse values and / or curves, arrhythmia, variability, or the operative module 357 is preferably adaptable to processing a pulse removed, for example, by the monitor 349.

Giant. 10 det. 2 shows a compact embodiment of the attachment 104, wherein the attachment units 121 are removably connected to each other by a retaining element 486 and a connector 480 serving to connect the attachment to the operating module 357 at the same time. connected directly by the cable-free connector 480 and the fastening elements 486 as shown in det.

3.

• * * «

Giant. 10 det. 4 illustrates a monitor 349 embedded in an operating module 357 with contact surfaces 224 at the top and bottom of the monitor 349 for contact with the forearm of one hand and the fingers of the other hand, which are preferably replaceable by the contact surface 224 on the other hand bracelet or contact surfaces replaceable by two glued electrodes 143 on the chest. Alternatively, the contact surfaces 224 are positioned from below and above on the bracelet for contact with the forearm of one hand and the fingers of the other. Preferably, the contact surfaces 224 of the electrode 143 are connected by cables to the ECG front end 362 and to the control unit 119 of the processing monitor 349 and from there forwarded to the operating module 357 preferably for display. Alternatively, the monitor 349 is detachably connected to the operative module 357 via a connector 480 and a gripping element 486, as shown in dashed lines.

Giant. 11 shows a pressure gauge 113 and a blood oxygen detector 112 that are connected by a cable 234 or a wireless link 153 to an operating module 357 that is preferably connected to a monitor 349 for ECG or pulse data. Especially when the monitor 349 is not used, preferably the operating module 357 alternatively receives the heart rate values from the detector 112 instead of the monitor 349,

Preferably, alternatively, the pressure monitor 114 senses the pulse from the pressure in the pulse changing sleeve 116 changing to the rhythm of the pulse, wherein the pressure drop in the sleeve 116 is preferably slowed down for longer pulse recording or the sleeve pressure 116 is raised again. when the heart rate is measurable to achieve a longer record of heart rate values. The pressure gauge data is sent to the operative module 357 on the arm or wrist via cable 234 or wireless link 153.

Of the pulse thus removed, the operative module 357 or module 358 is, for example, processing pulse readings and / or curves, arrhythmia, variability, or the operative module 357 is preferably adaptable to processing a pulse removed by, for example, monitor 349. Monitor 349 and / or module 357 and / or the pressure gauge 113 is preferably connectable to a module 358 for displaying data and measurement results. From the modules 357, 358 the pressure gauge is operable. Similarly, other meters are connected to scan health data from the monitored person's body.

Giant. 11 det. 1 illustrates a pressure gauge 113 preferably positioned on the forearm or wrist pressure sensing sleeve 116, or the pressure gauge 113 is located on the wrist separately from the sleeve and is connectable through a tube. On it, preferably removably, is a monitor 349 or a monitor 349 is incorporated into a pressure meter. One-hand ECG 143 electrode is «· · * · ·

Disposed from below on the sleeve 116 for contact with the arm of one hand and the second contact surface 224 preferably on the surface of the monitor 349 or from the top to the sleeve 116, preferably forming the electrode 143 for the fingers of the other hand for sensing heart signals, preferably pulse or ECG, these electrodes 143 are coupled to a heart signal processing monitor 349. The pressure gauge control unit 115 processes the pressure data and forwards it to the operating module 357, where pulse or ECG data from the monitor 349 are also transmitted. These may advantageously be displayed on the display 1 of the pressure meter 113. In the operating module 357, the data processed and stored in memory and / or displayed on the display element 1 and / or transmitted to the module 358 and / or the block 359 for evaluation. Preferably, data from the blood oxygen detector 112 and the body temperature sensor 751, preferably located on a finger, interconnected by cable 234 or wireless link 153, are also transferred to the operative module 357. an induction link of 5.3 kHz, which is energy efficient and only in the case of deviations of monitored variables from the adjustable standard will begin to transmit full ECG data by a link capable of transmitting them, for example Bluetooth, which is energy-intensive. Preferably, Bluetooth Low Energy is used, or another principle that is energy-efficient when transmitting pulse information only, and its energy intensity is only increased by initiating the transmission of the data flow required for ECG transmission. Evaluation from the pulse curve to detect pathological phenomena as arrhythmia instead of ECG, to capture these phenomena, is not only energy efficient but also has the advantage of controllability over a longer period of time. The ECG curve can only be transmitted when the monitored data deviates from the adjustable limits. Advantageously, the ECG curve is not transmitted but stored continuously in the memory of the monitor 349 so that, if necessary, it is transmitted not only from the moment a deviation in the pulse curve has been detected, but also the optional segment before it is retrospectively. The data storage is preferably performed on a removable storage medium, preferably an SD card, so that the data can be transferred not only electronically but also by moving the SD card to the selected device. Thus, the monitor 349 functions as a Holter with optionally long recording, useful for long-term monitoring over a period of months.

Giant. 12 shows the cable connection 234 or the wireless connection 153 of the pressure gauge 113, the blood oxygen detector 112 and the monitor 349 directly or via the coupler 117 to the module 358, preferably located on the stand 87. From the module 358 data is preferably transferred to the evaluation block 359 and evaluated back on the dispatcher PC, preferably located at the rack. The fastening of the contact surfaces and the described units is preferably adaptable by other suitable arrangements than on the stand 87.

The described device including a chest strap 749 with a monitor 349 alone or moved there from the stand 87 is adaptable with the advantage of measuring and evaluating blood pressure, blood oxygen content, temperature, pulse, ECG and variables derived therefrom including variability, arrhythmia and all functions and deviations heart activities detectable from them such as PVC, PAC, AV block, pulse skip, heart attack, arrhythmia, flutter, bradycardia, tachycardia.

These are processed automatically either in the monitor 349, module 357, 358, where they are also viewable on the display element 1, or are processed more precisely in the evaluation block 359, from which they are sent back to the monitored person's module 357, 358 or the images on the display element 1 and / or stored in memory or are evaluated by a physician and communicated vocally preferably via a telephone connection or by email or other suitable means. The described device is preferably also mounted in a vehicle, eg a vehicle or an aircraft.

Giant. 13 illustrates a mechanism 1003 for detachably mounting an operating module 357, preferably constituted by a magnetic holder 1000 of an operating and display module 357, preferably comprising a mobile phone or a mobile watch preferably provided with a SIM card for telephone operation, provided with a magnet system 1001, preferably formed by a magnet 922, which may advantageously be doubled or tripled for greater holding force, the anti-magnets 974 are disposed within the module body 357.

Preferably, the magnet system 1001 is comprised of at least two magnets, a magnet 971 and a magnet 972 second on the holder body, and oppositely oriented counter magnets, a magnet 973 and a second magnet 974 second on the module body 357 in such a configuration that there is such a force that the module 657 is automatically pulled into the correct position in the holder and then the monitor clicks into the holder in such a way that each pair of magnets 971, 973 and 972, 974 are always tightly connected by opposite poles.

Giant. 13 det. 1 illustrates an embedded operating module 357 in a holder 1000 secured outside a magnet system 1001, preferably a mechanical flap 1007 that can be used to secure the position of the module 357 in the holder 1000 under extreme conditions, such as in sports.

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Giant. 13 det. 2 illustrates a holder 1000 where the operating module 357 is removed, with unlocked flaps rotatable about the hinges 1002, lockable in both open and closed positions, preferably by a notch on the hinge axis 1002 with a protrusion on the hinge body. The flap is preferably operated by the thumb and forefinger. For better grip of the flap when opening it is provided with a protrusion 1009.

Giant. 13 det. 3 illustrates a mobile watch 1006 embedded in a smaller mechanism 1003 having the appearance and dimensions, and preferably the watch function.

Preferably, they communicate with another mobile phone, which preferably controls, receives or initiates telephone calls, displays caller or dialed numbers, SMS messages, an overview of missed or missed calls that were made or missed from the mobile phone and / or watch 1006, and data from the mobile phone in function of module 357, moreover, the watch 1006 preferably receives medical data from the body of the person being monitored via the mobile phone or directly, and preferably transmits to the mobile phone. Upon receipt of a telephone call, they communicate as a conventional telephone or after removal, they can be zoomed in to the ear and utilize the speaker loudspeaker 1004 as a handset and microphone 1005. The 1006 watch preferably operates independently, without module 357, as a mobile phone removable by mechanism and preferably receive medical data from the body of the monitored person and preferably control the monitor 349 and the sensors. Preferably, the watch 1006 has on its underside earbud headphones 1008 after the watch 1006 has been removed, and on the top the speaker 1004 audible even when inserted into the mechanism 1003. The watch 1006 is adapted to operate as a module 357 and mobile phone components are customizable to work as a module 357, then they are equipped with all the parts and functions.

Industrial applicability

The universal chest strap can be used both for sport and for the prevention of arrhythmia as well as for medical use.

Claims (2)

A universal monitor, characterized in that it is removably disposed on a chest strap (749) movable to a housing (880) for sensing heart signals, where it is conductively connected to contact surfaces (224) outside the housing for sensing these heart signals. A universal monitor, characterized in that it is inserted into a sleeve (880) with a chest strap (749) which is open to either hand for cardiac signal acquisition or is sensed by contact surfaces (224) with fingers of both hands, these areas are interconnected with the areas on this chest belt (749). • · · ·