Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B5/00—Measuring for diagnostic purposes; Identification of persons
  • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
  • A61B5/021—Measuring pressure in heart or blood vessels
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
  • A61B2560/04—Constructional details of apparatus
  • A61B2560/0475—Special features of memory means, e.g. removable memory cards
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B5/00—Measuring for diagnostic purposes; Identification of persons
  • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
  • A61B5/7203—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal
  • A61B5/7207—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal of noise induced by motion artifacts
  • A61B5/721—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal of noise induced by motion artifacts using a separate sensor to detect motion or using motion information derived from signals other than the physiological signal to be measured

Definitions

• the present invention relates to a sphygmomanometer, in particular a wrist device, having a measuring device for determining blood pressure data and a control device for controlling the measuring device and / or evaluating, processing and / or displaying the blood pressure data.
• the invention further relates to a chip card for such a sphygmomanometer.
• the blood pressure data measured by sphygmomanometers are today usually kept in volatile memories, wherein in some cases when using by several persons, a switching of the memory banks takes place.
• the date and time are also stored so that a temporal assignment to the daily profiles can take place.
• the possibilities in this regard are limited, since on the one hand a corresponding PC program is required in order to process the blood pressure data appropriately in the format that has been read out.
• the right hardware is required in order to be able to read out the data via the interface provided on the sphygmomanometer.
• the present invention is therefore based on the object to provide an improved sphygmomanometer of the type mentioned and an improved chip card for this, avoid the disadvantages of the prior art and further develop the latter in an advantageous manner.
• an increased variability of the application spectrum of the sphygmomanometer is to be achieved and / or a simplification of the data management is to be achieved.
• the invention thus proposes to expand or change the functionality of the control of the sphygmomanometer by inserting a chip card.
• the chip card is not only used as a memory extension as in the prior art, but serves as an intervention in the control of the sphygmomanometer itself.
• the control device according to the invention has a chip card reading device for reading in a control chip card which can be inserted into the sphygmomanometer, wherein the control device is designed such that at least a control function of the control device influencing the device operation can only be activated, activated and / or executed by data read in via the chip card reading device.
• an upgrade of the sphygmomanometer is possible, i.
• the scope of the device can be extended accordingly. In this way, the base unit can be kept relatively simple. By purchasing the corresponding card function, it can be upgraded to a higher-level device with additional device functions.
• control means for executing the additional control functions can already be implemented in the control device present on the device side. From the chip card used only corresponding control data, in particular a code, read in, which activates or activates the existing in the device-side control device control function. Alternatively or additionally, control means for carrying out such additional control functions may be provided on the chip card, so that the device-side control device accesses the control means stored on the chip card when executing the respective control function, ie the chip card becomes part of the control.
• an alarm function on the sphygmomanometer can be realized by means of such a control chip card.
• an alarm device provided on the sphygmomanometer may be activated to remind the patient, by an audible alarm or a vibrating alarm, that the next measurement is due.
• alarm control means may be provided which activate the alarm device when the control device detects measured values beyond a tolerance range.
• a position detection device for example in the form of an inclination sensor
• the activation and / or evaluation of a position detection device can also be implemented by inserting the control chip card.
• the correct position of the sphygmomanometer is detected relative to the heart, so that the control device, for example, can trigger an alarm when leaving a desired position and / or receives measured values only when the desired position is assumed.
• the determination of movement artifacts can also be enabled, activated and / or additionally provided by inserting the control chipcard.
• a movement and / or acceleration detection device artifacts in the blood pressure data due to undesired movements or accelerations are determined and can be taken into account in the evaluation of the blood pressure data.
• a suitable control chip card into the control of the display of the sphygmomanometer can intervene.
• an extended display representation can be provided, which visualizes an extended evaluation of the acquired blood pressure data. So you can get additional information about the course of the blood pressure data over several measurements are shown on the display, which are not displayed by the base unit without a chip card.
• a memory extension of the sphygmomanometer can also be brought about with the chip card.
• the chip card reading device is designed as a read / write device, so that the blood pressure data determined by the measuring device and / or data derived therefrom can be written by the control device of the device into the memory of the chip card provided for this purpose.
• the blood pressure meter is characterized in that the chip card receiving device of the sphygmomanometer is designed such that a standardized chip card according to ISO / IEC 7816 (in particular ISO / IEC 7816-2) and / or in accordance with ISO7810, and that the control device of the sphygmomanometer is a chip card writing and / or reading device for reading and / or writing the standardized chip card with a contact arrangement according to ISO / IEC 7816 (in particular ISO / IEC 7816-2) and / or according to I-SO7810.
• Such a design of the sphygmomanometer allows the use of smart cards that are used per se for other purposes.
• data written on the chip card of the sphygmomanometer can be read by card readers usually present in medical practices, which are in themselves available for the reading of electronic health cards.
• the chip card writing and / or reading device of the sphygmomanometer is designed such that the blood pressure data are written to those memory tags of the smart card according to the aforementioned standards, which according to the official specification of the electronic health card for storing patient and / or insurance data in Framework of so-called voluntary applications.
• This design of the chip card writing and / or reading device of the sphygmomanometer further simplifies the use of the reading devices, which are themselves provided for reading the health cards, in medical practices, in particular, it is entirely possible to dispense with special software.
• the blood pressure data is written to the memory locations of the smart card, which are read by the readers for the health card in any case.
• the average systole pressure are written.
• the insurance company can write the trend of the morning readings between 06:00 and 09:00.
• abbreviations are prefixed to the corresponding numerical values and corresponding units are attached, so that the display of the information is self-explanatory and can also be understood despite the wrong reading mask of the health card readers.
• the reading mask of the health card readers is, so to speak, misused and used for the quick output of the data of the sphygmomanometer in the doctor's office.
• the dataset of the sphygmomanometer can be read out in almost all medical practices independently of the hardware available there for blood pressure measurement.
• the chip card of the sphygmomanometer can advantageously have a code which identifies it as a health insurance card. This prevents the health card readers present in medical practices from refusing to read the chip card as an unknown data medium, so to speak.
• FIG. 1 shows a schematic perspective view of a wrist blood pressure measuring device according to a preferred embodiment of the invention, which can be expanded by means of a retractable chip card with respect to its functionality and in terms of its storage capacity.
• the sphygmomanometer shown in FIG. 1 comprises a cuff 1, which can be placed around a wrist of a patient and fixed there, for example, by means of a positive hook closure 2.
• the cuff 1 can be filled with fluid in a manner known per se and vice versa can be emptied again in order to bring about pressure build-up and pressure reduction at the wrist in the desired manner.
• a pump 4 is provided in the device housing 3, which is mounted on the top of the sleeve 1, which is powered by an energy source 5, for example in the form of batteries or a battery, which in a corresponding battery or battery compartment in the device housing 3 can be accommodated.
• the pump 4 is controlled by a control device 6, which is also housed in the device housing 3, so that the cuff 1 is inflated to a predeterminable by the controller drain and then discharged again.
• the sphygmomanometer comprises a pressure sensor 7, with the aid of which pressures occurring in the cuff 1 during a measuring process are detected and corresponding pressure signals can be output, which are then evaluated by the control device 6. Furthermore, a position, motion and / or acceleration sensor 8 is provided in the device housing 3, based on the signal the control device 6 can recognize whether the sphygmomanometer is kept sufficiently close to its desired position at the heart and sufficiently quiet.
• FIG. 1 shows, a display 9 for displaying the measured blood pressure and / or for displaying signals or commands to the user, as well as a plurality of operating buttons 10 for inputting control commands, which are both connected to the control device 6, are furthermore provided on the device housing 3.
• the device housing 3 comprises an interface 11 into which a chip card 12 can be inserted, by means of which the sphygmomanometer can be expanded with regard to its control functions and additional storage space is made available for storing the blood pressure data.
• an insertion slot 13 is provided in the housing 3 for the memory card 12.
• the chip card receiving device 14 is designed such that a standardized chip card according to ISO / IEC 7816 or according to ISO7810 can be used accurately.
• Chip surelyschreib- and -lesevorges 15 is provided, which is connected to the control device 6, on the one hand to transfer data from the sphygmomanometer on the smart card 12 and conversely read information stored on the smart card 12 information in the sphygmomanometer.
• the insertion slot for the chip card in the housing can also be formed differently than shown here on one of the other 3 end faces alternatively. So especially not on the illustrated side of the housing is stopped for measurement on the chest.
• the chip card 12 forms a storage device in which blood pressure data generated in the sphygmomanometer can be stored.
• the chip card 12 also forms part of the control device of the sphygmomanometer.
• control means can be stored in particular, which are read when inserting the chip card and cause activation and / or activation and / or updating of a control function of the control device 6.
• control algorithms can also be stored on the chip card 12, which interact with the control device 6 in the device housing 3 and adapt them for additional control functions, ie control functions can also be executed on the chip card 12.
• the chip cards 12 obtainable as refill can advantageously have a writable field, which may optionally have a form, so that the name of the patient and the date can be noted on the card.
• a writable field which may optionally have a form, so that the name of the patient and the date can be noted on the card.
• the data management of the sphygmomanometer can be considerably improved by the smart card 12.
• the smart card 12 When inserting the card can be programmatically determined the existing data and then appended to the current memory data, so that subsequently stored in the non-removable memory of the sphygmomanometer data can be deleted. As soon as the chip card 12 is full in its memory, a corresponding message can be output on the sphygmomanometer.
• the blood pressure measuring device read / write device 15 is designed such that the corresponding data are written into a memory area for patient data which is read by the health card readers present in medical practices. In this way, in the manner described above, the reading mask of the practical computer connected to the health card readers can be used for other purposes.
• the smart card 12 also advantageously has a ROM code that identifies the smart card as a health insurance card in the health card readers.
• the smart card 12 can be used to program the device properties of the sphygmomanometer.
• special chip cards 12 which can possibly dispense with a RAM, control functions of the control device 6 recoded, so that annoying inputs via the control buttons 10 can be omitted.
• alarm functions, an extended evaluation and display representation of the blood pressure data, a position detection and - consideration, an artifact monitoring during the blood pressure measurements and / or further data analysis can be switched on.
• control device 6 may also be designed such that the entire sphygmomanometer is blocked without inserted suitable chip card 12 and only the insertion of a matching chip card 12 unlocks the device. As a result, device abuse, eg. As by children, be prevented.

Landscapes

• Health & Medical Sciences (AREA)
• Life Sciences & Earth Sciences (AREA)
• Cardiology (AREA)
• Engineering & Computer Science (AREA)
• Heart & Thoracic Surgery (AREA)
• Physiology (AREA)
• Biophysics (AREA)
• Pathology (AREA)
• Vascular Medicine (AREA)
• Biomedical Technology (AREA)
• Physics & Mathematics (AREA)
• Medical Informatics (AREA)
• Molecular Biology (AREA)
• Surgery (AREA)
• Animal Behavior & Ethology (AREA)
• General Health & Medical Sciences (AREA)
• Public Health (AREA)
• Veterinary Medicine (AREA)
• Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)

Applications Claiming Priority (2)

Publications (1)

Family

ID=36572299

Family Applications (1)

Country Status (7)

Families Citing this family (7)

Citations (1)

Family Cites Families (20)

• 2005
  • 2005-04-28 DE DE102005019753A patent/DE102005019753A1/de not_active Ceased
• 2006
  • 2006-03-10 CA CA002607748A patent/CA2607748A1/en not_active Abandoned
  • 2006-03-10 JP JP2008508097A patent/JP2008538943A/ja active Pending
  • 2006-03-10 EP EP06723333A patent/EP1887928A1/de not_active Withdrawn
  • 2006-03-10 CN CNA2006800181848A patent/CN101193589A/zh active Pending
  • 2006-03-10 WO PCT/EP2006/002205 patent/WO2006114158A1/de not_active Ceased
• 2008
  • 2008-11-07 US US12/266,750 patent/US20090131808A1/en not_active Abandoned

Patent Citations (1)

Non-Patent Citations (1)

Also Published As

Similar Documents

Legal Events