EP4064974A1 - Dispositif de mesure de paramètres vitaux pourvu d'un guidage avantageux du rayonnement - Google Patents

Dispositif de mesure de paramètres vitaux pourvu d'un guidage avantageux du rayonnement

Info

Publication number
EP4064974A1
EP4064974A1 EP20819657.6A EP20819657A EP4064974A1 EP 4064974 A1 EP4064974 A1 EP 4064974A1 EP 20819657 A EP20819657 A EP 20819657A EP 4064974 A1 EP4064974 A1 EP 4064974A1
Authority
EP
European Patent Office
Prior art keywords
light guide
radiation
guide device
area
positioning
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
EP20819657.6A
Other languages
German (de)
English (en)
Inventor
Aaron Weber
André Hein
Thomas Thalmeier
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Pulsion Medical Systems SE
Original Assignee
Pulsion Medical Systems SE
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Pulsion Medical Systems SE filed Critical Pulsion Medical Systems SE
Publication of EP4064974A1 publication Critical patent/EP4064974A1/fr
Pending legal-status Critical Current

Links

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 pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/02141—Details of apparatus construction, e.g. pump units or housings therefor, cuff pressurising systems, arrangements of fluid conduits or circuits
    • 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 pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024—Detecting, measuring or recording pulse rate or heart rate
    • A61B5/02416—Detecting, measuring or recording pulse rate or heart rate using photoplethysmograph signals, e.g. generated by infrared radiation
    • 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 pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/02108—Measuring pressure in heart or blood vessels from analysis of pulse wave characteristics
    • 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 pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/022—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
    • A61B5/02233—Occluders specially adapted therefor
    • A61B5/02241—Occluders specially adapted therefor of small dimensions, e.g. adapted to fingers
    • 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 pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/022—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
    • A61B5/0225—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds
    • A61B5/02255—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds the pressure being controlled by plethysmographic signals, e.g. derived from optical sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801—Arrangements 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
    • A61B5/6813—Specially adapted to be attached to a specific body part
    • A61B5/6825—Hand
    • A61B5/6826—Finger
    • 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
    • A61B5/7271—Specific aspects of physiological measurement analysis
    • A61B5/7278—Artificial waveform generation or derivation, e.g. synthesising signals from measured signals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0233—Special features of optical sensors or probes classified in A61B5/00
    • A61B2562/0238—Optical sensor arrangements for performing transmission measurements on body tissue

Definitions

  • the present invention relates to a measuring device and a provision device for such a measuring device, in particular for recording vital parameters of living beings.
  • the recording of vital parameters can preferably be carried out non-invasively by the measuring device.
  • the provision device is particularly preferably a device which provides radiation and / or pressure for determining blood pressure, in particular a provision device for providing radiation and / or pressure for continuous determination of the intra-arterial blood pressure on at least one finger of a hand.
  • the measuring device is preferably a blood pressure measuring device, in particular a measuring device for the continuous determination of the intra-arterial blood pressure on at least one finger of a hand.
  • the (in particular arterial) blood pressure of a patient is one of the most important measured variables in medical technology, and the known associated, in particular also non-invasive, measurement technology is extremely diverse. This applies above all to measurement technology for the continuous monitoring of blood pressure over a longer period of time, for example in intensive care medicine but also in emergency medicine and during surgical interventions.
  • the blood pressure measuring device is often attached to the patient's limbs, for example an applanation tonometric sensor in the radial artery on the forearm or a photoplethysmographically based on the so-called “sogn. "Vascular Unloading Technique” according to Pegoz operated finger sensor.
  • Such pressure measuring devices are for example from US 4,406,289, US 4,524,777, US 4,726,382, WO 2010/050798 A1, WO 2000/059369 A1, WO 2011/045138 A1, WO 2011/051819 A1, WO 2011/051822 A1, WO 2012/032413 A1 and WO 2017/143366 A1 known.
  • near-infrared light is radiated into a finger and the pulsatile (pulse-shaped) blood flow (actually the changing blood volume) in the finger is determined using the non-absorbed portion captured by a photodetector.
  • the (near-infrared) light is usually generated with the help of one or more light-emitting diodes (LED) that work with one or more wavelengths and with the help of one or more light-sensitive receiver diodes (photodiodes) detected.
  • LED light-emitting diodes
  • photodiodes light-sensitive receiver diodes
  • a control system now keeps the plethysmographically registered flow (or the detected blood volume) and thus the resulting photoplethysmographic signal (volume signal v (t)) constant by applying counter pressure in a cuff (cuff pressure) pc (t) to the finger.
  • This counter pressure pc (t) is usually regulated by a fast valve or valve system in conjunction with a pump.
  • the related control of the valve or the valve system is carried out by a control unit, which is preferably implemented with a microcomputer.
  • the main input signals are the PPG signal v (t) and the cuff pressure pc (t).
  • the pressure pc (t) necessary to keep the PPG signal v (t) constant now corresponds to the intra-arterial blood pressure pa (t).
  • the cuff pressure pc (t) can be changed at least as quickly as the intra-arterial blood pressure pa (t) changes, so that the real-time condition is fulfilled.
  • the upper limit frequency of pa (t) and thus the highest rate of pressure change is above at least 20 Hz, which is definitely a challenge for a pressure control system. It follows from this that the pressure regulation by means of a valve or valve system is advantageously located in the immediate vicinity of the cuff. If the air lines are too long, there is a risk of losing this cut-off frequency condition due to the low-pass effect of the lines.
  • a mechanical valve is known from US Pat. No. 4,406,289 which regulates the counter pressure in the finger cuff with the desired accuracy when it is supplied with a linearly operating pump.
  • the valve is housed in a housing on the distal forearm and thus supplies the finger cuff with the pressure pc (t) via a short tube.
  • No. 4,524,777 describes a pressure generation system for the Vascular Unloading Technique, a constant cuff pressure Pc also being generated with a linear pump, which is superimposed with pressure fluctuations ⁇ pc (t) from a parallel-connected "Shaker” or a "Driving Actuator".
  • US Pat. No. 4,726,382 discloses a finger cuff for the Vascular Unloading Technique which has hose connections for the supply of the cuff pressure pc (t). The length of the air tubes extends to the pressure generation system, which in turn is attached to the distal forearm.
  • WO 2000/059369 A1 also describes a pressure generation system for the Vascular Unloading Technique.
  • the valve system here consists of a separate inlet and a separate outlet valve. While a relatively linear proportional pump must be used in US Pat. No. 4,406,289 and US Pat. No. 4,524,777, this system allows the use of simple, inexpensive pumps, since disruptive harmonics can be eliminated by the arrangement of the valves. Furthermore, the energy consumption of the simple pump can be significantly reduced by the valve principle.
  • a system for the vascular unloading technique is known from WO 2004/086963 A1, in which the blood pressure can be continuously determined in one finger, while the measurement quality is checked in the adjacent finger ("watch dog" function). After a while, the system automatically changes the "measuring finger” with the "monitoring finger”.
  • WO 2005/037097 A1 describes a control system for the vascular unloading technique with several interlinked control loops.
  • WO 2010/050798 A1 discloses a pressure generation system ("front end") attached to the distal forearm with only one valve, to which a finger cuff for the vascular unloading technique can be attached.
  • WO 2011/051819 A1 discloses an implementation of the Vascular Unloading Technique which has been improved by means of digital electronics to increase stability and for further miniaturization.
  • WO 2011/051822 A1 describes a method for the vascular unloading technique in which the measured signals v (t) and pc (t) are processed to increase long-term stability and to determine further hemodynamic parameters.
  • a method for eliminating effects resulting from vasomotor changes in the finger arteries and a method for determining cardiac output (Cardiac Output CO) are disclosed.
  • WO 2012/032413 A1 describes novel finger sensors that are a disposable part
  • the pressure generation and pressure control system in the prior art is attached to the distal forearm, proximal to the wrist, which has significant disadvantages: This point is often used for intravenous access and the intra-arterial access at the distal end of the radial emperor should also be used for emergencies be free.
  • Such accesses can be blocked by the pressure generation and pressure control system and its attachment.
  • the system can slip or tilt during operation. This can have a detrimental effect on the fit of the sensors.
  • the fit of the sensors would also improve if the finger to be measured or the corresponding hand is in a certain rest position.
  • the publication WO 2017/143366 A1 proposes a measuring system for the continuous determination of the intra-arterial blood pressure on at least one finger of a hand, with at least one finger sensor, with a plethysmographic system, with at least one light source, preferably LED, with one or several wavelengths and at least one light sensor and at least one inflatable cuff, as well as with a pressure generation system with at least one
  • the measuring system having a housing with a surface that serves as a support surface for the at least one finger and the adjacent areas of the palm.
  • the hand rests here on a support under which there are essential components that were attached to the forearm in conventional systems.
  • the cuff is accommodated in a disposable part that can be separated from the housing (and thus from the hand rest).
  • a separable pneumatic connection between the disposable part and the reusable part must again be provided.
  • the light-emitting diodes and photodiodes for emitting and detecting the near-infrared measurement radiation are arranged directly on the finger.
  • the light emitting diodes and photodiodes are arranged in a reusable part there is the problem that the exposed light-emitting Elements must be cleaned and disinfected before re-use.
  • the need for an easy-to-clean design restricts the degree of freedom in the design. Otherwise, the need to accommodate the light-emitting diodes and photodiodes in the immediate vicinity of the finger is a limitation of the geometric configuration of the device.
  • this object is achieved with a device according to claim 1.
  • This device relates to a positioning and application device for the defined arrangement on at least one body part of a living being and preferably for applying radiation to the body part in order to determine at least one vital parameter of the living being.
  • the positioning and loading device preferably has at least: A guide support structure for delimiting an examination area, wherein the body part can be positioned in the examination area during the loading.
  • the guide support structure preferably forms at least one radiation entry area in a section delimiting the examination area. Radiation can preferably be introduced into the examination area through the radiation entry area.
  • the guide / support structure preferably forms a radiation exit area in a further section delimiting the examination area. At least some of the radiation that can be introduced into the examination region via the radiation entry region can preferably be diverted through the radiation exit region from the examination region.
  • a first elongated light guide device is preferably arranged in the beam path of the radiation, at least before it enters the examination area.
  • the first light guide device is particularly preferably curved at least in sections for at least one deflection of the beam path of the radiation that can be introduced into the first light guide device.
  • a second elongated light guide device is arranged in the beam path of the radiation, at least after the radiation exit region.
  • the second light guide device is preferred curved at least in sections for at least one deflection of the beam path of the radiation which can be introduced into the second light guide device.
  • the light guide device or the light guide devices or several light guide devices can have deflection devices which cause the beam path to be deflected without the respective light guide device having to be curved.
  • Curved here preferably describes a shape deviating from a straight shape and can also be understood as curved or curved or curved. Alternatively or additionally, curved can describe the presence of a deflection surface or a deflection component for deflecting the radiation introduced into the respective light guide device.
  • the present invention can relate to a positioning and application device for defined arrangement on at least one body part of a living being and for applying radiation and / or pressure to the body part to determine at least one vital parameter of the living being.
  • This positioning and loading device preferably has at least:
  • a guide support structure for delimiting an examination area and preferably for holding at least one force application device, wherein the body part can be positioned in the examination area during the application, in particular the application of radiation and / or pressure.
  • the force application device is preferably connected to the guide / support structure, it being possible for the body part to be subjected to pressure by means of the force application device.
  • the guide / support structure preferably forms at least one radiation entry area in a section delimiting the examination area, with radiation being able to be introduced into the examination area through the radiation entry area.
  • the guide support structure preferably forms a radiation exit area in a further section delimiting the examination area, at least part of the radiation that can be introduced into the examination area via the radiation exit area being diverted from the examination area through the radiation exit area.
  • a first, preferably elongated, light guide device is preferably arranged in the beam path of the radiation at least before it enters the examination area, the first light guide device being curved at least in sections for at least one deflection of the beam path of the radiation that can be introduced into the first light guide device.
  • a second, preferably elongate, light guide device is arranged in the beam path of the radiation at least after the radiation exit area, the second light guide device at least in sections for at least one time Deflecting the beam path of the radiation which can be introduced into the second light guide device is curved.
  • the first light guide device has a first entry surface, a first main body and a first exit surface, the first main body and the first exit surface being aligned such that a main emission direction out of the first light guide device is defined.
  • the second light guide device has a second entry surface, a second main body and a second exit surface, the second main body and the second entry surface preferably being aligned such that a main direction of radiation into the second light guide device is defined.
  • the main radiation direction and the main radiation direction are particularly preferably inclined to one another at an angle between 65 ° and 115 °, in particular at an angle between 75 ° and 105 ° or at an angle between 85 ° and 95 °.
  • positioning and loading devices can be provided for receiving body parts of different sizes (in terms of volume), in particular fingers.
  • These positioning and loading devices preferably all have at least the first and / or the second light guide device.
  • the positioning and loading devices can be coupled, in particular releasably, to a supply device one after the other or alternately.
  • the first light guide devices of the various positioning and impingement devices preferably have a first radiation entry surface which, in a state coupled to the provision device, are always arranged in the same position relative to the provision device.
  • the first entry surface or radiation entry surface is preferably always arranged in the region of the radiation source.
  • the second light guide devices of the various positioning and loading devices preferably have a second exit surface or radiation exit surface which, when coupled to the supply device, are always arranged in the same position relative to the supply device.
  • the second radiation exit surface is preferably always arranged in the area of the detection device.
  • the positioning and application device preferably has at least: A guide and support structure for delimiting an examination area and preferably for holding at least one force application device, the body part being positionable in the examination area during the application, in particular the application of radiation and / or pressure.
  • the force application device is preferably connected to the guide-support structure, wherein the body part can be subjected to pressure by means of the force application device.
  • the guide / support structure preferably forms at least one radiation entry area in a section delimiting the examination area, with radiation being able to be introduced into the examination area through the radiation entry area. Additionally or alternatively, the guide support structure forms a radiation exit area in a further section delimiting the examination area, radiation that can be introduced into the examination area via the radiation exit area being diverted from the examination area through the radiation exit area.
  • the first light guide device preferably has a first entry surface, a first main body and a first exit surface, the first main body and the first exit surface being aligned in such a way that a main emission direction out of the first light guide device is defined.
  • the second light guide device has a second entry surface, a second main body and a second exit surface, the second main body and the second entry surface being aligned such that a main direction of radiation into the second light guide device is defined.
  • the main radiation direction and the main radiation direction are particularly preferred at an angle between 65 ° and 115 °, in particular at an angle between 75 ° and 105 ° or at an angle between 85 ° and 95 ° or at an angle between 90 ° and 96 ° inclined.
  • a first elongated light guide device is arranged in the beam path of the radiation at least before it enters the examination area, the first light guide device being curved at least in sections to deflect the beam path of the radiation that can be introduced into the first light guide device at least once.
  • a second elongated light guide device is arranged in the beam path of the radiation at least after the radiation exit area, the second light guide device being curved at least in sections for at least one deflection of the beam path of the radiation that can be introduced into the second light guide device.
  • the guide-support structure is preferably a plastic component, in particular an inelastic plastic component, in particular an injection-molded component.
  • the guide-support structure preferably forms one, exactly one or at least one, in particular two, exactly two or more than two, preferably ring-shaped wall structures, the wall structure (s) preferably through openings or through holes for introducing the body part or parts of the body, in particular one or multiple fingers, limited.
  • Each passage opening is preferably used to accommodate precisely one body part, in particular fingers.
  • the force application device is arranged or formed on the inside of the through opening delimited by the wall structure. At least one force application device is preferably provided for each passage opening.
  • the wall structure forms the radiation entry area and the radiation exit area, in particular in the form of windows or through holes.
  • the wall structure forms the radiation entry area and the radiation exit area in the case of a plurality of through openings, in particular in the case of at least two through openings or precisely two through openings or all of the through openings.
  • the conductive support structure can be designed as a preferably flexible cuff.
  • At least the first light guide device and / or the second light guide device is / are fiber-free. This embodiment is advantageous because the radiation runs through a preferably homogeneous body and therefore no refraction effects occur.
  • a first portion of the beam path is at an angle of more than 5 °, in particular more than 10 ° or more than 15 °, in particular in one area, compared to a second portion of the beam path between 5 ° and 85 ° and preferably in a range between 20 ° and 75 ° or in a range between 30 ° and 60 °.
  • the first part of the beam path extends in the course of the beam path preferably at least immediately in front of a first deflection area and wherein the second portion of the beam path extends in the course of the beam path preferably at least immediately after the first deflection area.
  • the deflection area is preferably designed as a component of the first light guide device, in particular as a surface or coating.
  • This embodiment is advantageous because the radiation introduced or coupled into the light guide device can be deflected in a defined manner and can thus be fed to the examination area in a defined manner.
  • curvature and bend are to be used synonymously.
  • a third portion of the beam path compared to a fourth portion of the beam path is at an angle of more than 5 °, in particular more than 10 ° or more than 15 °, in particular in one area between 5 ° and 85 ° and preferably in a range between 20 ° and 75 ° or in a range between 30 ° and 60 °.
  • the third portion of the beam path preferably extends in the course of the beam path at least immediately in front of a second deflection area and the fourth portion of the beam path in the course of the beam path preferably extends at least immediately after the second deflection area.
  • the second deflection region is particularly preferably designed as a component of the second light guide device, in particular as a surface or coating.
  • This embodiment is advantageous because the distance between the center of the first exit surface of the first light guide device and the center of the second input surface of the second light guide device (analogously for the further or second examination area) can be greater than the distance between the center of the first input surface of the first light guide device and the Center of the second exit surface of the second light guide device.
  • the distance between the center of the first exit surface of the first light guide device and the center of the second entrance surface of the second light guide device can be at least 1.2 times or exactly 1.2 times or up to 1.2 times or at least 1.5 times or exactly 1.5 times or up to 1.5 times or at least 1.8 times or exactly 1.8 times or up to 1.8 times or at least 2 times or exactly 2 times or up to 2 times or at least 2.5 times or exactly 2.5 times or up to 2.5 times greater than the distance between the center of the first entry surface of the first light guide device and the center of the second exit surface of the second light guide device.
  • the light guide device and / or the fourth light guide device is / are preferably each formed in one piece.
  • the first light guide device and / or the second light guide device and / or the third light guide device and / or the fourth is particularly preferred
  • Light guide device for light radiation in particular at least or precisely in the wavelength range from 500 nm to 2600 nm
  • at least partially transparent body in particular made of glass, ceramic and / or plastic.
  • the body can have one or more elements that act reflectively and / or diffractively on the radiation. These reflective and / or diffractive elements can be completely or partially enclosed or form a partial or complete coating.
  • Another preferred radiation range can be, for example, between 1000 nm and 2600 nm, in particular between 1000 nm and 1600 nm or between 1600 nm and 2600 nm. This area can be used, for example, to determine lactate and / or glucose.
  • Another additional or alternative radiation range can be, for example, between 600 nm and 1200 nm, in particular 750 nm and 1100 nm, in particular between 800 nm and 925 nm, in particular between 805 nm and 905 nm.
  • This area can be used e.g. for plethysmographic procedures.
  • the Vascular Unloading Technique in this method radiation in the range between 800nm and 940nm, in particular between 880nm and 900nm, in particular with 890nm, essentially 890nm or exactly 890nm, is used.
  • multi-wavelength diagnostics in which radiation in the range between 500 nm and 1100 nm, in particular in the range between 600 nm and 1000 nm, in particular in the range between 700 nm and 900 nm, is used.
  • pulse oximetry red visible light and NIR near-infrared range
  • pulse oximetry red visible light and NIR near-infrared range
  • radiation in the range between 640nm and 680nm, in particular in the range between 650nm and 660nm, in particular at 660nm or essentially 660nm or exactly 660nm, and / or in the range between 890 nm and 970 nm, in particular in the range between 910 nm and 950 nm, in particular at 940 nm or essentially 940 nm or exactly 940 nm.
  • the radiation source can thus preferably emit radiation with the wavelength ranges 500-1100 nm.
  • a vital parameter determination in the sense of pulse oximetry and / or pulse plethysmography can be carried out.
  • Pulse plethysmography is preferably carried out in the range 800-940 nm, in particular in the range 880-900 nm or essentially or precisely at 890 nm.
  • Pulse oximetry is preferably carried out in one or more areas.
  • the radiation source is thus preferably designed to emit radiation in the range 640-680 nm, in particular in the range between 650 and 660 nm or in the range between 655 and 665 nm or essentially or precisely at 660 nm.
  • the radiation source is designed to emit radiation in the range 910-950 nm, in particular in the range 920-945 nm or 935-945 nm or essentially or precisely at 940 nm.
  • the radiation source can thus preferably emit radiation in several areas; the radiation source thus preferably has several radiation elements, in particular LEDs or OLEDs, through which radiation can be emitted in one, two, three, several or all of the aforementioned areas.
  • vital parameters are, for example, the activity of organs, in particular blood pressure, and / or the saturation and / or concentration of substances in the body, in particular in body fluids, e.g. blood, urine, saliva or sperm, and / or or in body tissue, such as muscle or fat tissue and / or organ tissue and / or bone, head, nail, hair and / or tooth composition, in particular, for example, oxygen saturation, lactate concentration and / or glucose concentration.
  • body fluids e.g. blood, urine, saliva or sperm
  • body tissue such as muscle or fat tissue and / or organ tissue and / or bone, head, nail, hair and / or tooth composition, in particular, for example, oxygen saturation, lactate concentration and / or glucose concentration.
  • the first light guide device and / or a further first light guide device has portions with cross-sectional areas of different sizes in its longitudinal direction.
  • the cross-sectional area in the area of the first entry surface is preferably larger than in a central portion formed between the first entry surface and the first exit surface.
  • the first light guide device or the further first light guide device particularly preferably forms a tapering portion extending from the first entry surface in the direction of the first exit surface, the cross-sectional area preferably decreasing starting from the first entry surface, in particular continuously, in the direction of the first exit surface.
  • the second light guide device and / or the further second light guide device has portions with cross-sectional areas of different sizes in their direction of longitudinal extent.
  • the cross-sectional area in the region of the second entry surface is preferably larger than in one between the second entry surface and the second exit surface educated middle proportion.
  • the second light guide device and / or the further second light guide device forms a tapering portion extending from the second entry surface in the direction of the second exit surface, the cross-sectional area preferably decreasing starting from the second entry surface, in particular continuously, in the direction of the second exit surface.
  • the first light guide device preferably has a constant cross-sectional component in its longitudinal extension direction, the constant cross-sectional component preferably being formed between the tapering component and the first exit surface.
  • the path of an ideally emitted and ideally transmitted light wave, in particular a directed light wave is particularly preferably understood as the beam path.
  • At least a first surface portion of the first light guide device and / or at least a second surface portion of the second light guide device is matted, structured and / or coated.
  • Structured can mean, for example, increased friction.
  • structured can mean the presence of grooves and / or linear elevations, in particular rounded at the ends, and / or knobs or depressions.
  • the structuring of the first light guide device can particularly preferably form a Fresnel structure or Fresnel lens.
  • the “second” surface portion of the second light guide device generally describes a surface portion.
  • the first light guide device essentially only has “first” surface portions (entry surface, etc.) and the second light guide device essentially only has “second” surface portions (entry surface, etc.).
  • the “second surface” of the second light guide device only represents a name for the surface, but can also be the “first” surface of the second light guide device in terms of quantity. This also applies analogously to other facilities and elements.
  • the first light guide device and the second light guide device differ in at least one and preferably in two, exactly two or more than two or three or exactly three or more than three or up to three of the following parameters: shape, in particular curvature, volume, mass, length and / or material.
  • shape in particular curvature, volume, mass, length and / or material.
  • the first light guide device has a converging lens, the converging lens preferably forming the first entry surface.
  • This embodiment is advantageous because it allows a large proportion of the radiation emitted by the radiation source to be conducted into the examination area.
  • the first light guide pair is preferably formed by the first light guide device and the second light guide device and the second light guide pair is preferably formed by a further first light guide device and the second light guide device or a further second light guide device.
  • the first pair of light guides and the second pair of light guides are preferably arranged for the alternating exposure of radiation to different parts of the body, in particular fingers.
  • the light guide devices of the second light guide pair can also be referred to as the first light guide device and the second light guide device.
  • both body parts can be arranged in two examination areas at the same time.
  • Both body parts can preferably be exposed to radiation and / or pressure for analyzing the vital parameters at the same time or at different times. That is to say, the radiation can preferably be coupled into both body parts at the same time or with a time delay. Additionally or alternatively, each body part can be exposed to a pressure force at the same time or with a time offset, or a pressure force for compressing the body parts is generated, in particular with force application devices.
  • the second light guide pair is formed by a further first light guide device and the second light guide device, the second light guide device is preferably arranged between the first light guide device and the further first light guide device.
  • the first light guide device and the second light guide device and / or the first light guide device and the further first light guide device and / or all light guide devices are preferably arranged in the same plane or run at least in sections in the same plane or extend at least in sections in the same plane.
  • the axial center of the individual light guide devices preferably extends in the same plane or in planes which are spaced apart from one another by less than 20 mm, in particular less than 10 mm or less than 5 mm or less than 1 mm.
  • the radiation entry area and the radiation exit area and the force application device lie at least in sections in the same plane. This embodiment is advantageous because the vessels in the interior of the body part can be compressed by the force application device in the area in which the radiation also penetrates the respective body part.
  • the radiation, which is transmitted, reflected and / or scattered through the compressed area of the body part is thereby preferably guided to the detection device.
  • a radiation entry area and a radiation exit area are preferably provided or formed in the guide / support structure for each light guide pair.
  • At least one force application device is preferably provided for each pair of light guides.
  • the first light guide device and the second light guide device and / or the first light guide device and the further first light guide device and / or all light guide devices and each radiation entry area and each radiation exit area and the force application device are particularly preferably arranged in the same plane or run at least in sections in the same plane or at least extend in sections on the same level.
  • a holder device is provided.
  • the holder device is preferably designed for the defined arrangement of at least two pairs of light guides.
  • the holder device preferably has a functional material, in particular pigment, the functional material having radiation in the wave range of at least 500 nm to 1100 nm, in particular in the range between 600 nm and 960 nm or in the range between 600 nm and 800 nm, in particular in the range between 630 nm and 700 nm, or in the range between 800nm and 1000nm, in particular in the range between 820nm and 960nm, in particular in the range between 840nm and 940nm, in particular in the range between 870nm and 910nm, in particular in the range between 885nm and 895nm, in particular essentially or exactly 890nm.
  • the functional material can absorb radiation in several, in particular spaced apart, wavelength ranges.
  • the holder device preferably has a light blocker batch which preferably contains inorganic and / or organic pigments, in particular carbon black and / or titanium dioxide, in particular in a volume fraction of 2-15%, in particular 3-8%, or in a weight fraction of 2-15%, in particular 3-8%.
  • the holder device encloses the light guide devices at least in sections, preferably exactly or at least two sides, at least in sections, preferably mostly, in particular to more than 50% (based on the area of the respective light guide device) or to more than 75% or to more than 90% or completely.
  • the second light guide device and the further second light guide device are spaced closer to one another than the second light guide device is spaced from the further first light guide device or than the first light guide device is spaced from the further second light guide device.
  • the light guide devices are arranged in the holder device in such a way that the axial center of the individual light guide devices is in the same plane or in planes that are less than 20mm, in particular less than 10mm or less than 5mm or less than 1mm from each other are spaced, extend.
  • the holder device has a radiation barrier, in particular a wall, between the second light device and the further second holder device.
  • the radiation barrier preferably prevents the further second light guide device from being exposed to leakage radiation which escapes from the first light guide device. Additionally or alternatively, the radiation barrier prevents the second light guide device from being exposed to leakage radiation which escapes from the further first light guide device.
  • Leakage radiation denotes radiation that does not exit a light guide device via the first exit surface or the second exit surface.
  • Functional material pigment: which and in which concentration (% / vol or% / kg)
  • the holder device encloses the light guide devices only in the area between the entry surface and the exit surface, in particular partially or completely.
  • the present invention can relate to a positioning and application device for defined arrangement on at least one body part of a living being and for applying radiation and pressure to the body part, in particular for determining at least one vital parameter of the living being.
  • the positioning and loading device preferably has at least:
  • a guide support structure for delimiting an examination area and preferably for holding at least one force application device, wherein the body part can be positioned in the examination area during the application, in particular the application of radiation and / or pressure.
  • the force application device is preferably connected to the guide-support structure, the body part preferably being able to be subjected to pressure by means of the force application device.
  • the guide / support structure preferably forms at least one radiation entry area in a section delimiting the examination area, with radiation being able to be introduced into the examination area through the radiation entry area.
  • the guide support structure forms a radiation exit area in a further section delimiting the examination area. Radiation which can be introduced or introduced into the examination region can preferably be guided out of the examination region through the radiation exit region.
  • a holder device is provided or is part of the positioning and loading device.
  • the holder device is preferably designed for the defined arrangement of at least two pairs of light guides.
  • the holder device preferably has a functional material, in particular pigment, the functional material having radiation in the wave range of at least 500 nm to 1040 nm, in particular in the range between 600 nm and 960 nm or in the range between 600 nm and 800 nm, in particular in the range between 630 nm and 700 nm, or in the range between 800nm and 1000nm, in particular in the range between 820nm and 960nm, in particular in the range between 840nm and 940nm, in particular in the range between 870nm and 910nm, in particular in the range between 885nm and 895nm, in particular essentially or exactly 890nm.
  • the functional material can absorb radiation in several, in particular spaced apart, wavelength ranges.
  • the holder device preferably encloses the light guide device (s) at least in sections on at least two sides.
  • the holder device preferably encloses the light guide device (s) at least in sections, preferably mostly, in particular more than 50% (based on the area of the respective light guide device) or more than 75% or more than 90% or completely (based on the area of the respective light guide device).
  • the second light guide device and the further second light guide device are spaced closer to one another than the second light guide device is spaced apart from the further first light guide device or the first light guide device is spaced apart from the further second light guide device.
  • the light guide devices are preferably arranged in the holder device in such a way that the axial center of the individual light guide devices extend in the same plane or in planes that are less than 20mm, in particular less than 10mm or less than 5mm or less than 1mm apart.
  • At least one light guide device is preferred, and several or all light guide devices are preferably fixed or detachable and / or in one piece or in several pieces in the holder device or on the holder device.
  • the holder device preferably forms a radiation barrier, in particular a wall, between the second light device and the further second light guide device, the radiation barrier preventing the exposure of the further second light guide device with leakage radiation which escapes from the first light guide device or which prevents the action on the second light guide device Leakage radiation which escapes from the further first light guide device is prevented.
  • the present invention can relate to a provision device for providing radiation and preferably a functional fluid, in particular for determining vital parameters, in particular for coupling with a positioning and loading device described herein, in particular a positioning and loading device according to claim 1.
  • the provision device preferably has at least:
  • a first radiation source and a first detection device in particular a radiation detection device, and a holder device.
  • the holder device is preferably designed for the defined arrangement of at least two pairs of light guides,
  • the holder device is preferably designed for the defined arrangement of at least two pairs of light guides.
  • the holder device preferably has a functional material, in particular pigment, the functional material having radiation in the wave range of at least 500 nm to 1040 nm, in particular in the range between 600 nm and 960 nm or in the range between 600 nm and 800 nm, in particular in the range between 630 nm and 700nm, or in the range between 800nm and 1000n, in particular in the range between 820nm and 960nm, in particular in the range between 840nm and 940nm, in particular in the range between 870nm and 910nm, in particular in the range between 885nm and 895nm, in particular essentially or exactly 890nm, absorbed.
  • the functional material can absorb radiation in several, in particular spaced apart, wavelength ranges.
  • the holder device preferably encloses the light guide device (s) at least in sections on at least two sides.
  • the holder device preferably encloses the light guide device (s) at least in sections, preferably mostly, in particular more than 50% (based on the area of the respective light guide device) or more than 75% or more than 90% or completely (based on the area of the respective light guide device) Light guide device).
  • the second light guide device and the further second light guide device are spaced closer to one another than the second light guide device is spaced apart from the further first light guide device or the first light guide device is spaced apart from the further second light guide device.
  • the light guide devices are preferably arranged in the holder device in such a way that the axial center of the individual light guide devices extend in the same plane or in planes that are less than 20mm, in particular less than 10mm or less than 5mm or less than 1mm apart.
  • At least one light guide device is preferred, and several or all light guide devices are preferably fixed or detachable and / or in one piece or in several pieces in the holder device or on the holder device.
  • the holder device preferably forms a radiation barrier, in particular a wall, between the second light device and the further second light guide device, the radiation barrier preventing the exposure of the further second light guide device with leakage radiation which escapes from the first light guide device or which prevents the action on the second light guide device Leakage radiation which escapes from the further first light guide device is prevented.
  • the supply device can provide or have or comprise a functional fluid supply device.
  • the functional fluid supply device is preferably provided for supplying a fluid to a force application device, in particular the positioning and / or supply device.
  • the provision device preferably forms a housing or has a housing, the Functional fluid supply device is preferably arranged in the interior of the housing.
  • the radiation source and / or the detection device, in particular the first detection device and / or second detection device, are additionally or alternatively preferably arranged in the housing of the provision device.
  • the present invention can relate to a measuring device for determining at least one vital parameter of a living being, in particular for continuously determining the intra-arterial blood pressure on at least one finger of a hand.
  • the measuring device preferably has at least:
  • the provision device and the positioning and loading device can preferably be physically coupled and / or decoupled to one another without tools and / or non-destructively.
  • the measuring device preferably has a holder device and at least one pair of light guides, the pair of light guides having a first light guide device and a second light guide device.
  • the first light guide device preferably has a first entry surface, a first main body adjoining the first inlet surface, and a first exit surface adjoining the first main body.
  • the second light guide device preferably has a second entry surface, a second main body adjoining the second inlet surface, and a second exit surface adjoining the second main body.
  • the holder device is preferably provided for, in particular in a defined manner, arranging the at least one light guide pair and preferably at least or precisely two light guide pairs.
  • the holder device preferably positions the first entry surface adjacent to the radiation source and / or the first exit surface in front of the examination area or adjacent to the examination area. Additionally or alternatively, the Holding device, the second entry surface in front of the examination area or adjacent to the examination area and / or the second exit surface adjacent to the detection device.
  • the holder device is preferably designed for the defined arrangement of at least two pairs of light guides.
  • the holder device preferably has a functional material, in particular pigment, the functional material having radiation in the wave range of at least 500 nm to 1040 nm, in particular in the range between 600 nm and 960 nm or in the range between 600 nm and 800 nm, in particular in the range between 630 nm and 700 nm, or in the range between 800nm and 1000nm, in particular in the range between 820nm and 960nm, in particular in the range between 840nm and 940nm, in particular in the range between 870nm and 910nm, in particular in the range between 885nm and 895nm, in particular essentially or exactly 890nm.
  • the functional material can absorb radiation in several, in particular spaced apart, wavelength ranges.
  • the holder device preferably encloses the light guide device (s) at least in sections on at least two sides.
  • the holder device preferably encloses the light guide device (s) at least in sections, preferably mostly, in particular more than 50% (based on the area of the respective light guide device) or more than 75% or more than 90% or completely (based on the area of the respective light guide device) Light guide device).
  • the second light guide device and the further second light guide device are spaced closer to one another than the second light guide device is spaced apart from the further first light guide device or the first light guide device is spaced apart from the further second light guide device.
  • the light guide devices are preferably arranged in the holder device in such a way that the axial center of the individual light guide devices extend in the same plane or in planes that are less than 20mm, in particular less than 10mm or less than 5mm or less than 1mm apart.
  • At least one light guide device is preferred, and several or all light guide devices are preferably fixed or detachable and / or in one piece or in several pieces in the holder device or on the holder device.
  • the holder device preferably forms a radiation barrier, in particular a wall, between the second light device and the further second light guide device, the radiation barrier exposing the further second light guide device to leakage radiation from the first light guide device prevents leakage, or which prevents the exposure of the second light guide device with leakage radiation which escapes from the further first light guide device.
  • At least one first radiation source and one first detection device, in particular radiation detection device are arranged in a provision device.
  • the radiation source is preferably arranged in the beam path of the radiation that can be generated by the first radiation source in front of the first entry surface and the detection device is preferably arranged in the beam path of the radiation that can be generated by the first radiation source after the second exit surface.
  • the provision device can alternatively be referred to as a base part.
  • the positioning and loading device, in particular the guide-support structure, can alternatively be referred to as a sleeve part within the scope of the present invention.
  • a coupling device is provided for the at least positive and / or at least non-positive, releasable coupling of the guide / support structure and the provision device.
  • At least the first light guide device and / or the second light guide device and / or a further first light guide device and / or a further second light guide device is preferably arranged in a decoupled state on the guide-support structure.
  • a coupling device is provided for the at least positive and / or at least non-positive, releasable coupling of the guide / support structure and the provision device.
  • At least the first light guide device and / or the second light guide device and / or a further first light guide device and / or a further second light guide device is preferably arranged in a decoupled state on the provision device.
  • the decoupling and / or a coupling between the guide-support structure and the provision device is preferably possible without tools and / or non-destructively, in particular repeatable.
  • the positioning and loading device and / or the supply device preferably has a pressure control system for controlling a fluid pressure of the
  • a functional fluid is to be understood as a gas, in particular air, or a liquid, in particular water or deionized water.
  • a provision device is preferably used to provide radiation and preferably to provide a functional fluid, in particular for determining vital parameters, in particular for coupling with a positioning and loading device described herein, in particular a positioning and loading device according to claim 1.
  • the provision device preferably has at least: A first radiation source and a first detection device, in particular a radiation detection device, a first light guide device and / or a second light guide device.
  • the first light guide device is preferably arranged in such a way that the radiation from the radiation source can be introduced into the first light guide device via a first entry surface of the first light guide device, wherein the radiation can be guided out of the first light guide device via a first exit surface of the first light guide device.
  • the second light guide device is preferably arranged in such a way that radiation which has exited the first light guide device via the first exit surface of the first light guide device can be introduced into the second light guide device via a second entry surface of the second light guide device, the second light guide device via the second entry surface introduced radiation can be guided out of the second light guide device via a second exit surface and can be fed to the detection device.
  • the first light guide device and / or the second light guide device is / are preferably curved.
  • a first main body extends between the first entry surface and the first exit surface, the first main body and the first exit surface being aligned such that a main emission direction is defined
  • a second main body extends between the second entry surface and the second exit surface , wherein the second main body and the second exit surface are aligned in such a way that a main radiation direction is defined, the main radiation direction and the main radiation direction at an angle between 65 ° and 115 °, in particular at an angle between 75 ° and 105 ° or at an angle between 85 ° and 95 °, are inclined to each other.
  • the supply device can provide or have or comprise a functional fluid supply device.
  • the functional fluid supply device is preferably provided for supplying a fluid to a force application device, in particular the positioning and / or supply device.
  • the Provision device has a housing or has a housing, the functional fluid provision device preferably being arranged in the interior of the housing.
  • the radiation source and / or the detection device, in particular the first detection device and / or second detection device, are additionally or alternatively preferably arranged in the housing of the provision device.
  • the functional fluid supply device is preferably designed as a valve device which regulates, in particular enables, limits or prevents the forwarding or the onward flow of the functional fluid preferably provided via a supply line.
  • the functional fluid is preferably provided via the supply line at a pressure that is higher than the ambient pressure.
  • the present invention can relate to a measuring device for determining at least one vital parameter of a living being, in particular for continuously determining the intra-arterial blood pressure on at least one finger of a hand.
  • This measuring device preferably has at least:
  • the provision device and the positioning and loading device can preferably be physically coupled and / or decoupled to one another without tools and / or non-destructively.
  • the measuring device preferably has a first light guide device and a second light guide device and particularly preferably a further first light guide device and a further second light guide device.
  • the first light guide device is preferably arranged in such a way that the radiation from the radiation source can be introduced into the first light guide device via a first entry surface of the first light guide device, wherein the radiation can be guided out of the first light guide device via a first exit surface of the first light guide device.
  • the second light guide device is arranged in such a way that radiation which passes over the first exit surface of the first The light guide device has emerged from the first light guide device, can be introduced into the second light guide device via a second entry surface of the second light guide device, wherein the radiation introduced into the second light guide device via the second entry surface can be passed out of the second light guide device via a second exit surface and fed to the detection device.
  • the first light guide device and / or the second light guide device is / are preferably curved. Additionally or alternatively, a first main body extends between the first entry surface and the first exit surface, the first main body and the first exit surface being aligned such that a main emission direction is defined, and a second main body extends between the second entry surface and the second exit surface , wherein the second main body and the second exit surface are aligned in such a way that a main radiation direction is defined, the main radiation direction and the main radiation direction at an angle between 65 ° and 115 °, in particular at an angle between 75 ° and 105 ° or at an angle between 85 ° and 95 °, are inclined to each other.
  • a coupling device is preferably provided for at least positive and / or at least non-positive, releasable coupling of the positioning and loading device, in particular the guide-support structure, and the supply device, with at least the first light guide device being arranged on the positioning and loading device in a decoupled state .
  • at least the first light guide device is arranged in a decoupled state on the supply device.
  • at least the first light guide device is arranged in a decoupled and / or coupled state on a holder device and / or is arranged physically separated from the supply device and the positioning and loading device.
  • One or more of the aforementioned embodiments can additionally or alternatively have the following features.
  • the positioning and loading device can, however, have an electronic component for wireless identification of the positioning and loading device, for example an RFID tag, so that by means of an associated query element, which is preferably arranged in the supply device, it can be ensured that only suitable positioning and loading devices are used in operation.
  • an electronic component for wireless identification of the positioning and loading device for example an RFID tag
  • a component can be used to identify the positioning and Acting device advantageously serve to prevent the reuse of a positioning and acting device designed as a disposable component.
  • Dispensing with electrical contacts between the supply device and the positioning and loading device can increase both patient safety and functional reliability.
  • the positioning and loading device can advantageously also have an electronic component for identifying the positioning and loading device, and there is an interface for querying the electronic component as the only electrical line connection between the supply device and the positioning and loading device.
  • the radiation source and the detection device which is preferably designed as an optical detection device, in particular as a photodetector, can be arranged on a common circuit board.
  • a driver switch for the radiation source and / or an amplifier circuit for the detection device, in particular the photodetector can particularly advantageously be arranged on the board. Due to the typically low currents in the mA range, short line lengths, in particular between the detection device, in particular the photodiode (photodetector), and the amplifier circuit are advantageous, which, in addition to cost-effective production and compact design, also speaks in favor of equipping a common circuit board with the corresponding electronic components .
  • the detection device can have one or more photodiodes, for example.
  • the detection device is preferably an optical detection device, in particular a photodetector.
  • a detection device is preferably assigned to every second light guide device, i.e. light guide devices through which radiation from the examination area is guided to the detection device.
  • the number of second light guide devices preferably correlates with the number of detection devices.
  • two second light guide devices are guided through the radiation from the examination area to the detection device, are assigned to a detection device or the radiation guided by the respective light guide device is fed to one or precisely one detection device.
  • the radiation source and the associated light guide connection or light guide device and / or between the detection device, in particular the photodetector, and the associated light guide connection or light guide device preferably exactly one or at least one lens, in particular up to two or up to three lenses, in particular one or more converging lenses / n and / or one or more diverging lenses, provided or be formed, additionally or alternatively, a lens geometry can be integrated into the light guide device at the transition.
  • one or more photocells and / or one or more photomultiplier and / or one or more CMOS sensors and / or one or more CCD sensors and / or one or more Photodiodes and / or one or more phototransistors and / or one or more photoresistors can be used.
  • the optical contact point for coupling light from the supply device into the positioning and impingement device and / or the optical contact point for coupling out near-infrared light from the positioning and impingement device into the supply device can advantageously additionally or alternatively with exactly one or at least one lens, in particular up to two or up to three lenses, in particular one or more converging lenses and / or one or more diverging lenses, can be provided; additionally or alternatively, a lens geometry can be integrated into the light guide device at the transition.
  • an optical interface for coupling light from the supply device into the positioning and loading device and / or an optical interface for coupling light from the positioning and loading device into the supply device is preferably with at least or precisely one cover glass, in particular with several cover slips, in particular with up to two or one additional or up to three cover slips.
  • the cover glasses are preferably at least for radiation in a wave range of at least 500 nm to 1040 nm, in particular in the range between 600 nm and 960 nm or in the range between 600 nm and 800 nm, in particular in the range between 630 nm and 700 nm, or in the range between 800 nm and 1000 nm, in particular in the range between 820 nm and 960 nm, in particular in the range between 840 nm and 940 nm, in particular in the range between 870 nm and 910 nm, in particular in the range between 885 nm and 895 nm, in particular essentially or exactly 890 nm transparent.
  • a cover slip or several cover slips can be optical filters for filtering out defined radiation components, in particular radiation outside the wavelength range from 500 nm to 1040 nm, in particular outside the range from 600 nm to 960 nm or outside the range from 600 nm to 800 nm, in particular outside the range from 630 nm to 700 nm, or outside the range from 800 nm to 1000 nm, in particular outside the range from 820 nm to 960 nm, in particular outside the range from 840 nm to 940 nm, in particular outside the range from 870 nm to 910 nm, in particular outside the range from 885 nm to 895 nm, in particular essentially or exactly deviating from 890 nm, or be equipped with it.
  • This is advantageous since exposure of the detection device to ambient light can be prevented by one or more optical filters.
  • a cover glass or several cover glasses are preferably coated, in particular with an anti-reflective coating, which is preferably applied in the PVD process or by means of sputter deposition and which preferably comprises single-crystalline germanium or zinc selenide.
  • the coating is preferably an IR AR coating, which is preferably matched to the range 840-940 nm, in particular precisely or essentially 890 nm.
  • the optical emission surface or first or second radiation exit surface and / or the optical collector surface or first or second radiation entrance surface is equipped with a Fresnel structure for the directed coupling in and out of the measuring radiation.
  • the above-mentioned object is also achieved by a method according to claim 16.
  • the method preferably relates to the exposure of living beings with radiation, in particular for the determination of at least one vital parameter, and preferably with pressure.
  • the method preferably has at least the following steps:
  • a measuring device for determining at least one vital parameter of a living being in particular for continuously determining the intra-arterial blood pressure on at least one finger of a hand, at least having a supply device for providing at least one radiation source for providing radiation and preferably for providing a functional fluid supply device, in particular a functional fluid pump, and for providing at least one detection device, and a positioning and loading device for the defined arrangement on at least one body part of a living being and for subjecting the body part with the radiation and preferably with pressure, the positioning and loading device having a guide support structure for delimiting an examination area and preferably for holding at least one force application device.
  • the provision device and the positioning and loading device can preferably be physically coupled and / or decoupled to one another without tools and / or non-destructively.
  • the measuring device preferably has a first light guide device and a second light guide device and particularly preferably a further first light guide device and / or a further second light guide device.
  • the first light guide device is preferably arranged in such a way that the radiation from the radiation source can be introduced into the first light guide device via a first entry surface of the first light guide device, wherein the radiation can be guided out of the first light guide device via a first exit surface of the first light guide device.
  • the second light guide device is preferably arranged such that at least part of the radiation that exited the first light guide device via the first exit surface of the first light guide device can be introduced into the second light guide device via a second entry surface of the second light guide device.
  • the radiation introduced into the second light guide device via the second entry surface can be led out of the second light guide device via a second exit surface and fed to the detection device.
  • the first light guide device and / or the second light guide device are preferably curved and particularly preferably the further first light guide device and / or the further second light guide device is / are curved.
  • a first main body extends between the first entry surface and the first exit surface, the first main body and the first exit surface being aligned such that a main emission direction is defined
  • a second main body extends between the second entry surface and the second exit surface , wherein the second main body and the second exit surface are aligned such that a main radiation direction is defined.
  • the main radiation direction and the main radiation direction are preferably inclined to one another at an angle between 65 ° and 115 °, in particular at an angle between 75 ° and 105 ° or at an angle between 85 ° and 95 °. This applies analogously to the further first light guide device and the further second light guide device.
  • the method also has the following steps: emitting radiation by the radiation source, guiding the radiation to an examination area, the radiation being guided through the first light guide device, introducing radiation from the examination area into the second light guide device, and feeding it into the second light guide device introduced radiation to the detection device.
  • the above-mentioned object is also achieved by a method according to claim 17.
  • the method preferably relates to the exposure of living beings with radiation, in particular for the determination of at least one vital parameter, and preferably with pressure.
  • the method preferably has at least the following steps:
  • the positioning and application device has a guide support structure for delimiting an examination area and preferably for holding at least one force application device, the body part being positioned in the examination area during the application, in particular the application of radiation and / or pressure.
  • the force application device is preferably connected to the guide support structure, the guide support structure forming at least one radiation entry region in a section delimiting the examination region.
  • the guide / support structure preferably forms a radiation exit area in a further section delimiting the examination area.
  • a first elongate light guide device is preferably arranged in the beam path of the radiation at least before it enters the examination area, the first light guide device being curved at least in sections for at least one deflection of the beam path of the radiation that can be introduced into the first light guide device.
  • a second elongated light guide device is arranged in the beam path of the radiation at least after the radiation exit area, the second light guide device being curved at least in sections for at least one deflection of the beam path of the radiation that can be introduced into the second light guide device.
  • the method also preferably has the following steps:
  • the method can furthermore have the step of applying pressure to the body part, the force application device applying pressure to the body part. This step is preferably carried out at the same time as the body part is exposed to radiation.
  • the above-mentioned object is also achieved by a method according to claim 18.
  • the method preferably relates to the exposure of living beings to radiation, in particular for the determination of at least one vital parameter, and preferably with pressure.
  • the method preferably has at least the following steps:
  • the positioning and loading device having a guide support structure for delimiting an examination area and preferably for holding at least one force application device, the body part being positioned in the examination area during the application, in particular radiation and / or pressure application.
  • the force application device is preferably connected to the guide-support structure.
  • the guide support structure preferably forms at least one radiation entry area in a section delimiting the examination area. Additionally or alternatively, the guide support structure forms a radiation exit area in a further section delimiting the examination area.
  • a first elongated light guide device is preferably arranged at least before entering the examination area, the first light guide device having a first entry surface, a first main body and a first exit surface, the first main body and the first exit surface being aligned such that a Main emission direction is defined.
  • a second elongated light guide device is arranged in the beam path of the radiation at least after the radiation exit area, the second light guide device having a second entrance surface, a second main body and a second exit surface, the second main body and the second entrance surface being aligned in such a way that a main direction of irradiation is defined.
  • the main radiation direction and the main radiation direction are particularly preferably inclined to one another at an angle between 65 ° and 115 °, in particular at an angle between 75 ° and 105 ° or at an angle between 85 ° and 95 °.
  • the method preferably also has at least the following steps:
  • Exposure of the body part with radiation wherein radiation is introduced through the first radiation entry area and out of the first light guide device into the examination area to act on the body part and with at least parts of the radiation introduced into the examination area via the radiation entry area through the radiation exit area and into the second light guide device are passed in, wherein the radiation introduced into the second light guide device is passed on in a defined manner by the second light guide device.
  • the method can furthermore have the step of applying pressure to the body part, the force application device applying pressure to the body part. This step is preferably carried out at the same time as the body part is exposed to radiation.
  • the above-mentioned object is also achieved by a method according to claim 19.
  • the method preferably relates to the exposure of living beings with radiation, in particular for the determination of at least one vital parameter, and preferably with pressure.
  • the method preferably has at least the following steps:
  • the provision device for providing radiation and a functional fluid, the provision device having at least one radiation source and a detection device, in particular
  • the supply device can preferably also have a functional fluid supply device.
  • the first light guide device is preferably arranged in such a way that the radiation from the radiation source can be introduced into the first light guide device via a first entry surface of the first light guide device.
  • the radiation can preferably be guided out of the first light guide device via a first exit surface of the first light guide device.
  • the second light guide device is preferably arranged such that radiation which has exited the first light guide device via the first exit surface of the first light guide device can preferably be introduced into the second light guide device via a second entry surface of the second light guide device.
  • the radiation introduced into the second light guide device via the second entry surface can be led out of the second light guide device via a second exit surface and fed to the detection device.
  • the first light guide device and / or the second light guide device and / or a further first light guide device and / or a further second light guide device is / are preferably curved.
  • a first main body extends between the first entry surface and the first exit surface, the first main body and the first exit surface being aligned in such a way that a main emission direction is defined.
  • a second main body preferably extends between the second entry surface and the second exit surface, the second main body and the second exit surface preferably being aligned in such a way that a main irradiation direction is defined.
  • the main radiation direction and the main radiation direction are particularly preferably inclined to one another at an angle between 65 ° and 115 °, in particular at an angle between 75 ° and 105 ° or at an angle between 85 ° and 95 °.
  • the method also preferably has the following steps:
  • the method prefferably has the step of providing the functional fluid by the functional fluid supply device.
  • the devices according to the invention ie the measuring device, the supply device and / or the positioning and loading device, and / or the method according to the invention are designed or designed without a functional fluid supply device and / or without a force application device and / or without a functional fluid can.
  • a force application device for applying pressure to the body part is preferably provided as a component of one of the positioning and applying device (s) described herein.
  • the positioning and loading device can, for example, be part of a measuring device or a device that can be coupled to a supply device.
  • the force application device is preferably connected to the guide support structure of the positioning and application device and is particularly preferably held by the guide support structure.
  • the present invention further relates to a set according to claim 20.
  • the set preferably has at least one first positioning and loading device according to one of claims 1 to 9 and at least one second positioning and loading device according to one of claims 1 to 9, the shape and / or alignments of the light guide devices of the first positioning and loading device is different from the shape and / or orientations of the light guide devices of the second positioning and application device.
  • the set can have a provision device.
  • the provision device preferably has a coupling point to which the first positioning and loading device can be releasably coupled and to which the second positioning and loading device can be releasably coupled.
  • a third positioning and loading device according to one of Claims 1 to 9 can be part of the set.
  • the third positioning and loading device is preferred can also be releasably coupled to the coupling point of the provision device.
  • the light guide devices of the third positioning and application device have an orientation and / or shape which deviates from the orientation and / or shape of the first and / or second positioning and application device. Any change in shape or alignment that causes a different course of the beam path through the first and second light guide device of the respective positioning and application device can be understood as a deviation in shape or alignment.
  • the beam path of the first positioning and loading device differs from the beam path of the second positioning and loading device and the third positioning and loading device.
  • the measuring device 84 preferably has at least one and preferably more than one, in particular two or more than two or three or more than three, positioning and loading device 1 and a supply device 74.
  • the positioning and loading device 1 preferably has at least one guide support structure 6 for delimiting the examination area 8 or the examination areas 8 and 9.
  • the guide support structure is preferably used to hold at least one force application device, in particular at least or precisely one force application device 82 per examination area 8, 9, the body part 2, 3 being positionable in the examination area 2, 3 during exposure, in particular radiation exposure and / or pressure application.
  • the force application device 82 is preferably connected to the guide support structure 6, with the body part being able to be subjected to pressure by means of the force application device 82.
  • the force application device 82 is preferably designed as a bladder, in particular as a plastic bladder.
  • the bladder is preferably arranged on the guide support structure and delimiting the examination area.
  • the bladder is preferably arranged opposite the radiation entry area and / or the radiation exit area.
  • the radiation entry area and / or the radiation exit area per examination area (in the case of one examination area or several examination areas) is preferably arranged or formed on the one hand of the examination area and the bubble or bubbles are preferably arranged or formed opposite, in particular on the other hand, the examination area.
  • the bubble is preferably arranged in the vertical direction above the radiation entry area and / or the radiation exit area.
  • the supply device 74 preferably also provides at least one functional fluid, a functional fluid supply device 90 preferably being arranged in the receiving space 89, the functional fluid supply device 90 being designed to provide the functional fluid as a function of the detection radiation detected by the detection device 78, with the receiving space 89
  • a control device 88 is preferably arranged, the control device 88 preferably causing the control of the first radiation source 76 (cf. FIG. 3a) and / or the function providing device 90, the line connection 96 having a first supply line 92 for providing electricity for operating the control device 88 , the first radiation device 76 (cf. FIG.
  • the line connection 96 has a second or alternative supply line to the ready Llen of the functional fluid to the functional fluid supply device 90. It is additionally or alternatively possible for the functional fluid to be provided via the first supply line. Furthermore, it is additionally or alternatively possible that a further line connection, in particular a detachable line connection, for providing power to operate the control device 88, the first radiation device 76 (cf. FIG. 3a) and / or the first detection device 78 and / or for Exchange of data is provided or designed. Additionally or alternatively, it is possible that an interface 98 (cf. FIG.
  • the functional fluid supply device 90 is preferably designed as a valve device which regulates, in particular enables, limits or prevents the forwarding or the onward flow of the functional fluid preferably provided via a supply line 92, 96.
  • the functional fluid is preferably provided via the supply line at a pressure that is higher than the ambient pressure.
  • exposure radiation is preferably understood to mean the radiation which is provided by a radiation source 76 (cf. FIG. 3a), in particular the first radiation source and / or a further radiation source, and / or which is provided to a body part 2, 3 is fed or emitted in the direction of an exposure point or an examination area 8, 9.
  • detection radiation 78 is understood to be the portion of the exposure radiation that was scattered or deflected by body part 2, 3, or passed through the body part and is fed or fed to detection device 78 or reaches detection device 78.
  • the first light guide device 18 has an entry surface 24 and an exit surface 28 spaced apart from one another in its longitudinal direction.
  • the entry surface 24 and the exit surface 28 are preferably inclined to one another at an angle between 3 ° and 85 °, in particular at an angle between 10 ° and 80 °, in particular at an angle between 45 ° and 80 °.
  • a main body 26 extends between the inlet surface 24 and the outlet surface 28.
  • the main body In a sectional view, in particular in a longitudinal sectional view, the main body has a first, in particular outside, contour which extends between the inlet surface 24 and the outlet surface 28.
  • the main body 26 has a second, in particular inside, contour.
  • “Inside” is preferably to be understood as facing another light guide device of the same light guide pair and “outside” is preferably to be understood as facing away from the further light guide device of the same light guide pair.
  • the same understanding can apply to light guides of a further light guide pair, in particular if a further light guide pair is provided.
  • the entry surface 24 preferably has a curved shape.
  • the entry surface 24 is particularly preferably part or part of a lens-shaped portion of the Main body 26.
  • a preferably tapering portion 54 or an at least partially conical portion adjoins the entry surface 24, in particular the lens-shaped portion, preferably in the region of a transition 180.
  • the tapering portion 54 or the conical portion can have one or more partially flattened or flat surfaces 181.
  • the reference numeral 183 denotes an end of the tapering portion 54 or the conical portion and / or the beginning of a further, in particular at least partially tubular or cylindrical portion 182.
  • the portion 182 preferably forms a deflection area 44 for deflecting the radiation.
  • the deflection region 44 can preferably be coated and / or structured.
  • a further preferably cylindrical and / or tubular and / or conical region 186 preferably adjoins the portion 182 via a transition point 185.
  • the area 186 is preferably shorter than the deflecting portion 44.
  • the deflection portion 44 is preferably longer or shorter than the taper portion 54.
  • the taper portion 54 and the deflection portion 44 can be of the same length.
  • at least or precisely one further portion can be formed between the deflection portion 44 and the taper portion 54.
  • the tapering portion 54 and / or the deflecting portion 44 and / or the region 186 can be designed to be curved.
  • the tapering portion 54 is preferably inclined at an angle of less than 85 °, in particular less than 80 ° or less than 70 ° or less than 60 ° or less than 50 ° or less than 45 ° with respect to the deflection portion.
  • the contour starting from the exit area 28, preferably has an end area 187, in particular a straight or curved area 187.
  • the end area 187 is preferably followed by a transition point 188, via which the end area 187 is connected to a further, preferably further, straight area 189, in particular the ear-shaped or cylindrical part.
  • One, two or more than two or up to two or three or exactly three or up to three or more than three or all of these portions and / or areas can be coated and / or structured.
  • FIG. 2b shows an example of a second light guide device 22, in particular a light guide device as shown in FIG. 5b.
  • This light guide device 22 has a second entry surface 32, a second main body 34 and a second exit surface 36.
  • the entry surface 32 and the exit surface 36 are preferably spaced apart from one another in the longitudinal direction of the main body 34.
  • the inlet surface 32 and the outlet surface 36 are preferably aligned inclined to one another, in particular in an angular range between 85 ° and 3 °, in particular in an angular range between 80 ° and 45 ° or in an angular range between 75 ° and 50 °.
  • This light guide device 22 preferably has an inside contour portion which, starting from the entry surface 32, extends preferably curved or curved in sections or in sections or completely straight. This is then followed, preferably via a transition point 213, by a portion 212 that preferably extends straight or in sections straight or in sections or in a completely curved manner. Furthermore, it is alternatively possible that the portion 214 or only the portion 214 connects the entry surface 32 with the exit surface 36. Alternatively, it is also possible that the portion 212 or only the portion 212 connects the entry surface 32 with the exit surface 36. Furthermore, a further part or several further parts can be formed between the part 212 and the part 214.
  • the second light guide device 22 preferably has a first, preferably curved, portion 211 and a second, preferably curved, portion 210 adjoining it, in particular continuously.
  • the portion 211 preferably has a greater curvature than the portion 210. Alternatively, however, it is also possible that one or more areas are provided. Additionally or alternatively, the portion 211 and / or portion 210 can be designed in a straight line. Furthermore, the portion 210 preferably has a length which corresponds to a multiple, in particular at least 1.5 times or at least 2 times or at least 3 times, the length of the portion 211.
  • FIG. 3 a schematically shows a representation according to which the radiation from the first light guide device 18 is introduced into a body part 2.
  • the body part 2 deflects portions of the radiation, as a result of which they penetrate into the second light guide device 22.
  • FIG. 3b shows an ideal or preferred beam path 20 starting from the radiation source 76 and ending at the detection device 78. This illustration also shows that an angle 39 is formed between the main radiation direction 30 and the main radiation direction 36.
  • the second light guide device 22 (and, analogously, a further second light guide device 23) is preferably aligned in such a way that a main irradiation direction 36 is specified on the basis of the alignment and the design.
  • FIG. 4a shows a pair of light guides which can preferably correspond to the pair of light guides shown in FIG. 5a.
  • the second light guide device 22 has a preferably straight portion 232 on the inside and an adjoining curved portion 233, which preferably merge continuously into one another.
  • the straight portion 232 ends on the one hand at the exit surface 36 and the curved portion 232 ends on the one hand at the entry surface 32.
  • Light guide device 22 can also only be formed in a curved manner.
  • the curved one is preferred Part 233 by a multiple, in particular at least 1.5 times or at least 2 times or at least 3 times, longer than the straight-line part 232.
  • the outer contour of the light guide device 22 preferably also has a curved portion 231 and a straight portion 230, which preferably merge continuously into one another.
  • the rectilinear portion 230 ends on the one hand at the exit surface 36 and the curved portion 231 ends on the one hand at the entry surface 32.
  • the contour of the light guide device 22 can also preferably only be curved on the outside.
  • the curved portion 231 is preferably a multiple, in particular at least 1.5 times or at least 2 times or at least 3 times, longer than the straight-line portion 230.
  • the light guide device 22 preferably has a continuous thickness.
  • FIG. 4b shows a pair of light guides which can preferably correspond to the pair of light guides shown in FIG. 5c.
  • the light guide device 22 extends in its longitudinal direction from an entry surface 32 of an exit surface 36.
  • a straight portion 228 preferably adjoins the entry surface on the inside.
  • the portion 228 merges into a bend 227 in the direction of the exit surface 36.
  • the bend 227 is preferably followed by a turning point 226, which is preferably followed by a further bend 225.
  • the further bend 225 is preferably bent in a different direction than the first bend 227.
  • the bend 225 preferably extends a multiple, in particular at least 1.5 times or at least 2 times or at least 3 times, longer than the bend 227 and 227 / or the straight portion 228.
  • the inside contour has only one bend 227 or 225 or further bends in addition to the bends 227 and 225.
  • the portion 228 can also be curved and / or the portion 225 can be straight.
  • the inlet surface 32 is preferably adjoined by a bend 224, which is preferably followed by a straight portion 223.
  • the straight portion 223 is preferably followed by a curved portion 222, the portion 222 preferably being bent in the same direction as the portion 224.
  • the portion 222 is preferably followed by a straight portion 221, which preferably has or forms a turning point.
  • the straight portion 221 is then followed by a further bent portion 220, this further bent portion 220 being bent in a different direction than the portion 224 and / or the portion 222.
  • the entire outer contour has or forms a bend or two opposite bends which preferably merge directly into one another.
  • the thickness of the light guide device 22 preferably changes in the longitudinal direction of the light guide device 22.
  • a first length portion of the light guide device 22, which extends from the entry surface in the direction of the exit surface and extends over 50% of the length, has more mass and / or volume forming the light guide device 22 Material as a second length portion, which extends from the exit surface in the direction of the entry surface over 50% of the length of the light guide device.
  • a first length portion of the light guide device 22, which extends from the entry surface in the direction of the exit surface and over 50% of the length has less material forming the light guide device 22 in terms of mass and / or volume than a second length portion, which extends from the exit surface in Direction of the entrance surface extends over 50% of the length of the light guide device.
  • FIG. 4c shows a pair of light guides which can preferably correspond to the pair of light guides shown in FIG. 5b.
  • a first portion 40 of the beam path 20 is preferably at an angle of more than 5 °, in particular more than 10 ° or more than 15 °, in particular in a Range between 5 ° and 85 ° and preferably in a range between 20 ° and 75 ° or in a range between 30 ° and 60 °, inclined.
  • the first portion 40 of the beam path 20 preferably extends in the course of the beam path 20 at least immediately in front of a first deflection area 44 and the second portion 42 of the beam path 20 in the course of the beam path 20 extends at least immediately after the first deflection area 44.
  • Figures 5a to 5c show three differently designed pairs of light guides.
  • the light guide pair of FIG. 5a is preferably part of a first positioning and loading device 1.
  • the light guide pair of FIG. 5b is preferably part of a second positioning and loading device 1.
  • the light guide pair of FIG. 5c is preferably part of a third positioning and loading device 402 .
  • the angle 301 is smaller than the angle 304 or the angle 307, the angle 304 being smaller than the angle 307.
  • the distance 302 is smaller than the distance 305 or the distance 308, where the distance 305 is smaller than the distance 308.
  • the height 303 is smaller than the height 306 and the height 309, the height 306 being smaller than the height 309.
  • the angles 301, 304 and 307 each give an angle between the main radiation direction 30 and the main radiation direction 36.
  • the distances 302, 305 and 308 each indicate a distance from the center of the first exit surface 28 and the second entry surface 32.
  • the heights 303, 306 and 309 preferably indicate the distance between a point of intersection between the main radiation direction 30 and the main radiation direction 36 from a surface of a cover glass 99.
  • the first positioning and loading device 1 has at least one light guide pair which is different in shape and / or orientation from a light guide pair of the second positioning and loading device 400.
  • the second positioning and loading device 400 preferably has at least one pair of light guides that is different from a pair of light guides of the third positioning and loading device 402 in terms of its shape and / or alignment.
  • the first positioning and loading device 1 preferably has at least one light guide pair which is different from a light guide pair of the third positioning and loading device 402 in terms of its shape and / or alignment.
  • the guide support structure 6 of the individual positioning and loading devices 1, 400, 402 can be of identical design, but to have different holder devices 70 in each case.
  • the first positioning and loading device 1 can have a holder device 70 which has one or more pairs of light guides which are aligned and / or formed in a first configuration, in particular in the configuration shown in FIG. 5a.
  • the second positioning and loading device 400 can have a holder device 70 which has one or more pairs of light guides which are aligned and / or formed in a second configuration, in particular in the configuration shown in FIG. 5b.
  • the third positioning and loading device 402 can have a holder device 70 which has one or more pairs of light guides which are aligned and / or formed in a third configuration, in particular in the configuration shown in FIG. 5c.
  • the first, second and third configurations preferably differ.
  • 6 shows an example of a positioning and supply device 1, 400, 402.
  • the positioning and supply device 1, 400, 402 has a holder device 70 for holding the light guides, in particular two pairs of light guides.
  • the holder device 70 has receiving points 712, 714 for receiving the first light guide device 18 and the second light guide device 22. Particularly preferably, the holder device 70 likewise has receiving points 713, 715 for receiving the further first light guide device 19 and the further second light guide device 23.
  • the receiving points 712, 714 (cf. FIG. 6) and / or 713, 715 are preferably an integral part of the first part 710 of the holder device 70 and / or of the second part 711 of the holder device 70.
  • the holder device 70 preferably has a radiation barrier 72 between the receiving points for receiving the first pair of light conductors and the receiving points of the second light conductor pair.
  • the radiation barrier 72 is preferably an integral part of the holder device, in particular of the first part 710 of the holder device 70 and / or the second part 711 of the holder device 70.
  • the receiving points 712, 714 and / or 713, 715 are preferably used for positive and / or non-positive and / or holding the respective light guide device 18, 19, 22, 23 in a materially bonded manner.
  • FIG. 7a shows an example of a first part 710 of the holder device 70 and / or a second part 711 of the holder device 70 as well as two light guide pairs 62 and 64.
  • the two light guide pairs 62 and 64 are shown in FIG. 7b as with the first part 706 of the holder device 70 shown in sections or only in sections in contact.
  • the holder device 70 has two pairs of light guides 18, 22 and 19, 23. Furthermore, the holder device 70 has radiation coupling-in points 702, 703 and radiation coupling-out points 704, 705.
  • the radiation coupling point 702 is formed in a usage configuration between the first light guide device 18 and the radiation source 76.
  • the radiation decoupling point 704 is arranged in a usage configuration between the second light guide device 22 and the detection device 78.
  • the holder device 70 can additionally have a second radiation coupling-in point 703 and a second radiation coupling-out point 705.
  • the second radiation coupling point 703 is in a usage configuration between the further first one Light guide device 19 and the radiation source 76 or a further radiation source formed.
  • the second radiation decoupling point 705 is arranged in a usage configuration between the further second light guide device 23 and the detection device 78 or a further detection device.
  • the holder device 70 preferably comprises a plurality of parts, one part can be a rear holder part 706, for example. Another part can be, for example, a front holder part 708 (see Fig. 8b)
  • FIG. 9a shows a perspective view of an example of a holder device 70.
  • the holder device 70 has two pairs of light guides.
  • the holder device 70 can additionally or alternatively have a radiation coupling-in point 702 and a radiation coupling-out point 704, the holding device can have a further first radiation coupling-in point 703 and a further second radiation coupling-out point 705.
  • the 10a shows an example of a positioning and supply device 1 and a holding device 70.
  • the positioning and supply device 1 preferably has a holding device 709 for holding the holding device 70 be trained.
  • the holding device 709 preferably has a first and / or a second part, which can interact with the holding device 70 for holding the holding device 70 in a form-fitting, material-locking, non-positive and / or field-fitting manner.
  • 10b shows a state in which the holder device 70 is coupled to the positioning and loading device 1, 400, 402, in particular is arranged in an area partially or largely delimited by the guide support structure 6.
  • the reference numeral 801 identifies a coupling component on the part of the positioning and loading device 1, 400, 402, which is preferably formed by the guide support structure 6, in particular in one piece.
  • the reference numerals 82 and 83 schematically designate force application devices, with at least one force application device preferably being provided for each examination area 8, 9.
  • 10c schematically shows an example of a supply device 74.
  • This supply device 74 preferably has a further coupling part 802 as part of the housing or a housing part.
  • the further coupling component 802 is preferably used for the detachable coupling of the first coupling component 801 of the positioning and loading device 1, 400, 402.
  • the present invention thus relates to a positioning and loading device 1 for a defined arrangement on at least one body part 2,
  • the positioning and applying device 1 preferably has at least: a guide support structure 6 for delimiting an examination area 8, the Body part 2 can be positioned in the examination area 8 during exposure, the guide support structure 6 forming at least one radiation entry area 12 in a section 10 delimiting the examination area 8, with radiation being able to be introduced through the radiation entry area 12 into the examination area 8 and with the guide support structure 6 forms a radiation exit area 16 in a further section 14 delimiting the examination area 8, at least part of the radiation that can be introduced into the examination area 8 via the radiation entry area 12 through the radiation exit area 16 from the examination area 8 is divertible.
  • a first elongated light guide device 18 is preferably arranged in the beam path 20 of the radiation at least before it enters the examination area 8, the first light guide device 18 being curved at least in sections for at least one deflection of the beam path 20 of the radiation that can be introduced into the first light guide device 18.
  • a second elongated light guide device 22 is arranged in the beam path 20 of the radiation at least after the radiation exit region 16, the second light guide device 22 being curved at least in sections for at least one deflection of the beam path 20 of the radiation that can be introduced into the second light guide device 22.
  • the first light guide device 18 has a first entry surface 24, a first main body 26 and a first exit surface 28, the first main body 26 and the first exit surface 28 being aligned such that a main emission direction 30 out of the first light guide device 18 is defined and the second light guide device 22 has a second entrance surface 32, a second main body 34, and a second exit surface 36, the second Main body 34 and the second entry surface 32 are aligned in such a way that a main radiation direction 38 is defined into the second light guide device 22.
  • the main radiation direction 30 and the main radiation direction 38 being inclined to one another at an angle between 65 ° and 115 °, in particular at an angle between 75 ° and 105 ° or at an angle between 85 ° and 95 °.
  • Provision device with a cylindrical portion
  • Force application device 220 lower bend on outer contour
  • Cover glass 222 average amount of bend on the outer contour, further cover glass
  • Loading device loading device 1 third positioning and 802 coupling part of the

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Public Health (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Vascular Medicine (AREA)
  • Ophthalmology & Optometry (AREA)
  • Artificial Intelligence (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Psychiatry (AREA)
  • Signal Processing (AREA)
  • Dentistry (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)

Abstract

La présente invention concerne un dispositif de positionnement et d'exposition (1) pour l'agencement défini sur au moins une partie corporelle (2, 3) d'un être vivant (4) et pour l'exposition de la partie corporelle (2, 3) à un rayonnement pour déterminer au moins un paramètre vital de l'être vivant (4). Le dispositif de positionnement et d'exposition (1) de l'invention comprend au moins : une structure de guidage et de support (6) pour délimiter une zone d'examen (8), la partie corporelle (2) pouvant être positionnée pendant l'exposition dans la zone d'examen (8), la structure de guidage et de support (6) dans une section (10) délimitant la zone d'examen (8) formant au moins une zone d'entrée de rayonnement (12), un rayonnement pouvant être introduit à travers la zone d'entrée de rayonnement (12) dans la zone d'examen (8) et la structure de guidage et de support (6) formant une zone de sortie de rayonnement (16) dans une autre partie (14) délimitant la zone d'examen (8), au moins une partie du rayonnement qui peut être introduite à travers la zone d'entrée de rayonnement (12) dans la zone d'examen (8) pouvant être guidée hors de la zone d'examen (8) à travers la zone de sortie de rayonnement (16) et un premier guide optique allongé (18) étant agencé dans le trajet (20) du rayonnement au moins avant l'entrée dans la zone d'examen (8), le premier guide optique (18) étant incurvé au moins par sections pour au moins une déviation du trajet (20) du rayonnement qui peut être introduit dans le premier guide optique (18).
EP20819657.6A 2019-12-01 2020-11-30 Dispositif de mesure de paramètres vitaux pourvu d'un guidage avantageux du rayonnement Pending EP4064974A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102019008332.6A DE102019008332B4 (de) 2019-12-01 2019-12-01 Vorrichtung zum messen von vitalparametern mit vorteilhafter strahlungsführung
PCT/EP2020/083973 WO2021110603A1 (fr) 2019-12-01 2020-11-30 Dispositif de mesure de paramètres vitaux pourvu d'un guidage avantageux du rayonnement

Publications (1)

Publication Number Publication Date
EP4064974A1 true EP4064974A1 (fr) 2022-10-05

Family

ID=73698796

Family Applications (1)

Application Number Title Priority Date Filing Date
EP20819657.6A Pending EP4064974A1 (fr) 2019-12-01 2020-11-30 Dispositif de mesure de paramètres vitaux pourvu d'un guidage avantageux du rayonnement

Country Status (5)

Country Link
US (1) US20230018584A1 (fr)
EP (1) EP4064974A1 (fr)
CN (1) CN115038378A (fr)
DE (1) DE102019008332B4 (fr)
WO (1) WO2021110603A1 (fr)

Family Cites Families (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
NL8005145A (nl) 1980-09-12 1982-04-01 Tno Inrichting voor de indirekte, niet-invasieve, continue meting van de bloeddruk.
JPS59156325A (ja) 1983-02-25 1984-09-05 株式会社　ウエダ製作所 間接的血圧測定装置
US4726382A (en) 1986-09-17 1988-02-23 The Boc Group, Inc. Inflatable finger cuff
US5218966A (en) * 1987-06-12 1993-06-15 Omron Tateisi Electronics Co. Electronic blood pressure meter
US5355880A (en) * 1992-07-06 1994-10-18 Sandia Corporation Reliable noninvasive measurement of blood gases
AT408066B (de) 1999-03-30 2001-08-27 Juergen Dipl Ing Fortin Kontinuierliches nicht-invasives blutdruckmessgerät
US6835923B2 (en) * 2001-11-16 2004-12-28 Nokia Corporation Method and apparatus for self-monitoring of proximity sensors
AT412613B (de) 2003-04-01 2005-05-25 Cnsystems Medizintechnik Gmbh Vorrichtung und verfahren zur kontinuierlichen, nicht-invasiven messung des blutdruckes
AT412702B (de) 2003-10-21 2005-06-27 Cnsystems Medizintechnik Gmbh Vorrichtung und verfahren zur regelung des druckes in einer aufblasbaren manschette eines blutdruckmessgerätes
US20090306519A1 (en) * 2006-07-31 2009-12-10 Koninklijke Philips Electronics N.V. Measurement with multiplexed detection
US8433382B2 (en) * 2008-09-30 2013-04-30 Covidien Lp Transmission mode photon density wave system and method
US20110263992A1 (en) 2008-10-29 2011-10-27 Ilja Guelen blood pressure measurement device, a front end, an inflatable body and a computer program product
US10156686B2 (en) * 2009-06-09 2018-12-18 Koninklijke Philips N.V Disposable SpO2 grips
EP2319408A1 (fr) 2009-10-15 2011-05-11 Finapres Medical Systems B.V. Dispositif pour le contrôle de la pression dans un coussin à pression gonflable
US8814800B2 (en) 2009-10-29 2014-08-26 Cnsystems Medizintechnik Ag Apparatus and method for enhancing and analyzing signals from a continuous non-invasive blood pressure device
CN103200865B (zh) * 2010-09-07 2016-04-06 Cn体系药物技术有限公司 用于连续无创动脉血压监测的用后可弃和可拆卸传感器
DE102010043792A1 (de) * 2010-11-11 2012-05-16 Kaltenbach & Voigt Gmbh Zahnärztliches System zum Transilluminieren von Zähnen
CN107249444B (zh) * 2015-01-08 2020-10-23 Cn体系药物技术股份公司 可穿戴血液动力传感器
WO2017143366A1 (fr) * 2016-02-22 2017-08-31 Cnsystems Medizintechnik Ag Procédé et système de mesure pour la détermination continue de la pression sanguine intra-artérielle
US20190133465A1 (en) * 2017-11-03 2019-05-09 Edwards Lifesciences Corporation Device for a non-invasive blood pressure measurement
DE102018006844B3 (de) * 2018-08-29 2020-02-13 Pulsion Medical Systems Se Verfahren und Vorrichtung zum Korrigieren einer an einem Messort vorgenommenen Blutdruckmessung
DE102018006845B4 (de) * 2018-08-29 2020-04-16 Pulsion Medical Systems Se Nichtinvasive Blutdruck-Messvorrichtung

Also Published As

Publication number Publication date
CN115038378A (zh) 2022-09-09
DE102019008332B4 (de) 2021-07-01
US20230018584A1 (en) 2023-01-19
WO2021110603A1 (fr) 2021-06-10
DE102019008332A1 (de) 2021-06-02

Similar Documents

Publication Publication Date Title
EP0093927B1 (fr) Dispositif de mesure spectrale dans les vaisseaux sanguins
EP0914601B1 (fr) Procede de determination non invasive de la saturation en oxygene de tissus vascularises
DE60221841T2 (de) Druckmanschette mit körperbeleuchtung zur verwendung bei der optischen nichtinvasiven messung von blutparametern
DE69428696T2 (de) Extrakorporal-anwendbare einmalleitung zur überwachung von blut-bestandteilen
DE69925825T2 (de) Kupplung für faseroptisches oximeter mit anzeige der wellenlängenverschiebung
DE10213692B4 (de) Verfahren zur Steuerung einer Vorrichtung und Vorrichtung zur Messung von Inhaltsstoffen im Blut
DE69033694T2 (de) Vorrichtung zum Überwachen von Körperfunktionen
EP2144555B1 (fr) Dispositif et procédé de détermination par voie transcutanée de gaz sanguins
EP2416699B1 (fr) Dispositif et procédé de mesure d'un composant sanguin dans le sang pour un dispositif extracorporel de traitement du sang
DE3938759A1 (de) Nichtinvasive oximeteranordnung
DE102018006845B4 (de) Nichtinvasive Blutdruck-Messvorrichtung
WO2005094668A1 (fr) Procede pour mesurer le diametre de vaisseaux sanguins optiquement accessibles
US20050228253A1 (en) Photoplethysmography with a spatially homogenous multi-color source
EP3843622B1 (fr) Dispositif en plusieurs parties permettant d'acquérir des paramètres vitaux de façon non invasive
WO2018130590A1 (fr) Dispositif et procédé pour détecter du sang ou un constituant sanguin ou déterminer la concentration en sang ou en un constituant sanguin dans un liquide
DE102008002741B4 (de) Optoelektronische Durchblutungsmessvorrichtung für funktionelle Kreislaufdiagnostik
DE102019008332B4 (de) Vorrichtung zum messen von vitalparametern mit vorteilhafter strahlungsführung
DE102020202590A1 (de) Vorrichtung zum messen von vitalparametern mit vorteilhafter linseneinrichtung
DE102019008320B4 (de) Vorrichtung zum messen von vitalparametern mit vorteilhafter dichtungsanordnung
EP3705041A1 (fr) Dispositif de détection
DE19502662C1 (de) Vorrichtung zur kontinuierlichen Infusion oder Instillation und zur Steueung der Konzentration eines Medikaments
DE102008017403A1 (de) Messvorrichtung
DE212016000234U1 (de) Optischer Sensor für menschliche Pulswellenform
DE3723880A1 (de) Optoelektronische vorrichtung zum durchstrahlen lebenden gewebes
DE202008005840U1 (de) Messvorrichtung

Legal Events

Date Code Title Description
STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: UNKNOWN

STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: THE INTERNATIONAL PUBLICATION HAS BEEN MADE

PUAI Public reference made under article 153(3) epc to a published international application that has entered the european phase

Free format text: ORIGINAL CODE: 0009012

STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: REQUEST FOR EXAMINATION WAS MADE

17P Request for examination filed

Effective date: 20220609

AK Designated contracting states

Kind code of ref document: A1

Designated state(s): AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR

DAV Request for validation of the european patent (deleted)
DAX Request for extension of the european patent (deleted)
STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: EXAMINATION IS IN PROGRESS

17Q First examination report despatched

Effective date: 20230525