FI92139B - Ranteeseen kiinnitettävä terveydentilan seurantalaite - Google Patents

Ranteeseen kiinnitettävä terveydentilan seurantalaite Download PDF

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Publication number
FI92139B
FI92139B FI920896A FI920896A FI92139B FI 92139 B FI92139 B FI 92139B FI 920896 A FI920896 A FI 920896A FI 920896 A FI920896 A FI 920896A FI 92139 B FI92139 B FI 92139B
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FI
Finland
Prior art keywords
alarm
skin
timer
electrical conductivity
monitoring
Prior art date
Application number
FI920896A
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English (en)
Swedish (sv)
Other versions
FI92139C (fi
FI920896A (fi
FI920896A0 (fi
Inventor
Matti Myllymaeki
Original Assignee
Matti Myllymaeki
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 Matti Myllymaeki filed Critical Matti Myllymaeki
Publication of FI920896A0 publication Critical patent/FI920896A0/fi
Priority to FI920896A priority Critical patent/FI92139C/fi
Priority to US08/290,971 priority patent/US5515858A/en
Priority to DK93904063T priority patent/DK0630208T3/da
Priority to DE69325445T priority patent/DE69325445T2/de
Priority to PCT/FI1993/000067 priority patent/WO1993016636A1/en
Priority to JP51456993A priority patent/JP3224231B2/ja
Priority to AU35020/93A priority patent/AU3502093A/en
Priority to AT93904063T priority patent/ATE181492T1/de
Priority to EP93904063A priority patent/EP0630208B1/en
Priority to ES93904063T priority patent/ES2134838T3/es
Publication of FI920896A publication Critical patent/FI920896A/fi
Application granted granted Critical
Publication of FI92139B publication Critical patent/FI92139B/fi
Priority to NO943160A priority patent/NO309404B1/no
Publication of FI92139C publication Critical patent/FI92139C/fi

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Classifications

    • G—PHYSICS
    • G08—SIGNALLING
    • G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B29/00—Checking or monitoring of signalling or alarm systems; Prevention or correction of operating errors, e.g. preventing unauthorised operation
    • G08B29/18—Prevention or correction of operating errors
    • G08B29/185—Signal analysis techniques for reducing or preventing false alarms or for enhancing the reliability of the system
    • G08B29/186—Fuzzy logic; neural networks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
    • A61B5/0022—Monitoring a patient using a global network, e.g. telephone networks, internet
    • 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
    • A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • A61B5/02055—Simultaneously evaluating both cardiovascular condition and temperature
    • 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
    • A61B5/0245—Detecting, measuring or recording pulse rate or heart rate by using sensing means generating electric signals, i.e. ECG signals
    • A61B5/02455—Detecting, measuring or recording pulse rate or heart rate by using sensing means generating electric signals, i.e. ECG signals provided with high/low alarm devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • A61B5/0531—Measuring skin impedance
    • A61B5/0533—Measuring galvanic skin response
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • 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
    • A61B5/6802—Sensor mounted on worn items
    • A61B5/681—Wristwatch-type devices
    • G—PHYSICS
    • G08—SIGNALLING
    • G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B21/00—Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
    • G08B21/02—Alarms for ensuring the safety of persons
    • G08B21/04—Alarms for ensuring the safety of persons responsive to non-activity, e.g. of elderly persons
    • G08B21/0438—Sensor means for detecting
    • G08B21/0453—Sensor means for detecting worn on the body to detect health condition by physiological monitoring, e.g. electrocardiogram, temperature, breathing
    • G—PHYSICS
    • G08—SIGNALLING
    • G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B21/00—Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
    • G08B21/02—Alarms for ensuring the safety of persons
    • G08B21/04—Alarms for ensuring the safety of persons responsive to non-activity, e.g. of elderly persons
    • G08B21/0438—Sensor means for detecting
    • G08B21/0492—Sensor dual technology, i.e. two or more technologies collaborate to extract unsafe condition, e.g. video tracking and RFID tracking
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • 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
    • A61B5/7235—Details of waveform analysis
    • A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems

Description

921 39
Ranteeseen kiinnitettävä terveydentilan seurantalaite. -övervakningsanordning för hälsotillständet, vilken fästs vid handled.
Keksinnön kohteena on ranteessa pidettävä valvontalaite, joka itsenäisesti tarkkailee henkilön terveyden tilaa liikeaktivi-teetin ja ihon sähkönjohtavuuden avulla. Poikkeavat tilatiedot välitetään tunnetulla tekniikalla radiotaajuisella viestillä yhteen tai useampaan vastaanottimeen, joka antaa joko paikallisen hälytyksen tai tieto siirretään tunnetulla tekniikalla keskitettyyn hälytysten vastaanottopisteeseen.
Ranteessa pidettävää laitetta, joka valvoo itsenäisesti ja reaaliaikaisesti liikkumista ja terveydentilaa ei toistaiseksi ole näköpiirissä. Perinteisesti valvonta on toteutettu henkilön ulkopuolisilla antureilla, kuten oven käytön valvonnalla. Ongelmana on pitkä valvonta-aika, kalliit asennuskustannukset sekä turhat hälytykset, kun valvottava poistuu tilasta kytkemättä valvontaa pois päältä. On myös mukana kannettavia radio-lähettimiä, joissa on henkilön asennon tunnistava kytkin; ongelmana tällaisilla laitteilla on turhat hälytykset, koska käyttäjän täytyy muistaa riisua laite käydessään makuulle. Ongelmana on myös se, että valvonta on aktiivinen vain jalkeilla ollessa. Tunnettua on myös sydämen seuranta, mutta se ei välitä tietoa liikeaktiviteetista ja ei sovellu kulunvalvontaan. Sydämenseurantalaitteet ovat myös perinteisesti kalliita ja vaativat usein paristonvaihtoa ja eivät sovellu kohteisiin missä on paljon käyttäjiä pienellä alueella tai seuranta on pitkäaikaista.
Keksinnön tarkoituksena on aikaansaada rannekellon tyyppinen laite, jota käyttäjä pitää jatkuvasti ranteessaan ja joka tarkkailee terveydentilaa itsenäisesti ja reaaliaikaisesti sekä lähettää hälytyksen havaitessaan poikkeavan tilanteen. Tämä tarkoitus saavutetaan keksinnöllä oheisessa patenttivaatimuk- 92139 2 sessa 1 esitettyjen tunnusmerkkien perusteella. Ranteessa pidettävä laite siirtää hälytyksen lähettävän laitteen yksilöivällä ID-tunnuksella varustettuna erilliseen vastaanottimeen tai useisiin vastaanottimiin, jotka voivat kattaa vaikka kokonaisen sairaalan tai alueen. Vastaanottimet voidaan liittää erilaisiin paikallisiin hälyttimiin tai turvapuhelimeen. Laite mahdollistaa käyttäjän itsensä tekemän hälytyksen painonapilla, terveydentilan valvonnan liikeaktiviteetin ja ihon sähkönjohtavuuden avulla. Laitteen avulla voidaan toteuttaa vanhuksien ns. toiminnallinen aikavalvonta eli tilanteet, joissa valvottava kaatuu, menettää tajuntansa tai ei pysty liikuttamaan itseään tunnistetaan ja laite tekee automaattisesti hälytyksen. Ranne-hälytin soveltuu myös karkailevien dementiapotilaiden valvontaan sekä päällekarkaushälyttimeksi. Kaikki aktiivinen päättely ja anturiviestien käsittely tapahtuu rannehälyttimessä yksinkertaisella ja erittäin pienivirtaisella tekniikalla, jolloin sitä voidaan käyttää hyvin pitkiä aikoja samoilla paristoilla.
Seuraavassa keksintöä havainnollistetaan viittaamalla oheisiin piirrustuksiin, joissa
Kuvio 1 esittää keksinnön mukaista laitetta, johon kuuluu ranteeseen kiinnitettävä ilmaisin- ja lähetinyksikkö 1 ja erillinen vastaanotinyksikkö 2.
Kuvio 2 esittää ilmaisin- ja lähetysyksikköä pohjan puolelta nähtynä.
Kuvio 3 esittää keksinnön mukaisen laitteen yleislohkokaaviota ja
Kuvio 4 esittää laitteen toimintaan liittyvien signaalien ja pulssien loogista vuokaaviota.
Keksinnön mukaiseen laitteeseen kuuluu rannekellon kokoinen li • « 92139 3 ilmaisin- ja lähetinyksikkö 1, jonka pohjaan on kiinnitetty hopeoidut kosketinpinnat/lämpötila-anturi 4 ja johon on sijoitettu kiihtyvyysanturi 5, ja kiihtyvyysanturin pulssinilmaisin 6, aikalaskuri 7, ja radiolähetin 9. Erillinen vastaanotinyk-sikkö 2 on varustettu hälytyksen relelähdöllä 11 ja radiovas-taanottimella 10.
Ihon sähkönjohtavuus mitataan kosketinpinnoilla 4, jolloin sähkönjohtavuus kuvaa terveydentilaa, ollen normaalikuntoisella ihmisellä suuri ja normaalista poikkeavassa tilassa pieni.
Ihon sähkönjohtavuudella ohjataan aikalaskurin 7 nopeutta siten, että suuri ihon vastus hidastaa aikalaskuria ja pieni ihon vastus nopeuttaa aikalaskuria. Kiihtyvyysanturi 5 ilmaisee käden liikkeet ja antaa pulssi-ilmaisimen 6 välityksellä nol-lauspulssin aikalaskurille aina kun riittävän suuri liike havaitaan. Jos aikalaskuria ei nollata määritellyn ajan kuluessa käynnistää se radiolähettimen 9, joka lähettää hälytyksen vastaanottimelle 10. Laskurilla 8 lasketaan ennalta määritelty määrä kiihtyvyysanturin antamia pulsseja, jolloin käynnistetään radiolähetin 9 ja lähetetään ns. dementiatieto siitä, että valvottava liikkuu. Jos vastaanotin joka on rajaamassa valvottavaa aluetta saa ko. tiedon, käynnistetään hälytys. Käyttäjän riisuessa rannehälyttimen ihon sähkönjohtavuutta ja lämpötilaa mittaavat kosketinpinnat säätävät laskurin nopeuden niin • hitaalle, ettei hälytystä anneta, jos käyttäjä ottaa laitteen esim. suihkuun tai saunaan mennessään pois. Kotoa poistuttaessa laitteen annetaan olla ranteessa, jolloin vikahälytyksiä ei synny pitkänkään poissaolon seurauksena.
Laitteen rannehälyttimen 1 ja ilmaistavien tekijöiden looginen toiminta on esitetty kuvassa 4. Rannehälyttimen ohjaavana signaalina on ihon sähkönjohtavuus joka saadaan kosketuspinnoilta 4, joka säätää aikalaskurin 7 nopeutta, laskuri saavuttaa ihon suurella sähkönjohtavuudella nopeammin hälytysrajan 8 jolloin hälytys käynnistää radiolähettimen 9. Käyttäjän liikuttaessa 92139 4 kättään antaa kiihtyvyysanturi 5 nollauspulssin aikalaskurille 7 ja laskenta aloitetaan alusta. Laskuri 8 lähettää dementia-tiedon saatuaan riittävän määrän pulsseja.
* «
II

Claims (5)

  1. 92139
  2. 1. Terveydentilan seurantalaite, johon kuuluu ranteeseen kiinnitettävä ilmaisin ja lähetinyksikkö (1), jossa on ilmaisinelimet (4, 5) terveydentilan tarkkailua varten ja radiolähetin (9) valvonta- tai hälytyssignaalin lähettämiseksi, sekä ainakin yksi erillinen vastaanotin (2), joka antaa joko paikallisen valvontatiedon tai hälytyksen, tai valvontatieto tai hälytys siirretään keskitettyyn hälytysten vastaanottopisteeseen, tunnettu siitä, että mainittuihin ilmaisin-elimiin kuuluu: - ihon sähkönjohtavuuden mitta-anturi (4); - aikalaskuri (7), jonka nopeutta mainittu mitta-anturi (4) ohjaa ihon sähkönjohtavuudesta riippuvaisesti; - käden liikkeet ilmaiseva kiihtyvyysanturi (5), joka on kytketty pulssi-ilmaisimen (6) välityksellä nollaamaan aikalaskuri aina kun riittävän suuri liike havaitaan.
  3. 2. Patetenttivaatimuksen 1 mukainen laite, tunnettu siitä, että aikalaskuri (7) käynnistää radiolähettimen (9), joka lähettää hälytyksen vastaanottimelle (10), jos aikalaskuria (7) ei nollata ennaltamäärätyn ajan kuluessa.
  4. 3. Patenttivaatimuksen 1 tai 2 mukainen laite, tunnettu siitä, että ilmaisin ja lähetinyksikköön (1) kuuluu lisäksi laskuri (8), jolla lasketaan ennalta määrätty määrä kiihtyvyysanturin (5) antamia pulsseja, jolloin käynnistetään radiolähetin (9) ja lähetetään ns. dementiatieto siitä, että valvottava liikkuu. ·· 4. Patetenttivaatimuksen 1 mukainen laite, tunnettu siitä, että ihon sähkönjohtavuuden mitta-anturiin (4) liittyy myös lämpötilan mitta-anturi. » 92139
  5. 5. Patetenttivaatimuksen 1 mukainen laite, tunnettu siitä, että suuri ihon sähkövastus hidastaa aikalaskuria (7) ja pieni ihon sähkövastus nopeuttaa aikalaskuria (7). > 1 · « « ϋ 92139
FI920896A 1992-02-28 1992-02-28 Ranteeseen kiinnitettävä terveydentilan seurantalaite FI92139C (fi)

Priority Applications (11)

Application Number Priority Date Filing Date Title
FI920896A FI92139C (fi) 1992-02-28 1992-02-28 Ranteeseen kiinnitettävä terveydentilan seurantalaite
AU35020/93A AU3502093A (en) 1992-02-28 1993-02-26 Wrist-held monitoring device for physical condition
EP93904063A EP0630208B1 (en) 1992-02-28 1993-02-26 Wrist-held monitoring device for physical condition
DE69325445T DE69325445T2 (de) 1992-02-28 1993-02-26 Am handgelenk zu tragende überwachungsvorrichtung für die körperliche verfassung
PCT/FI1993/000067 WO1993016636A1 (en) 1992-02-28 1993-02-26 Wrist-held monitoring device for physical condition
JP51456993A JP3224231B2 (ja) 1992-02-28 1993-02-26 手首装着式の体調モニタ装置
US08/290,971 US5515858A (en) 1992-02-28 1993-02-26 Wrist-held monitoring device for physical condition
AT93904063T ATE181492T1 (de) 1992-02-28 1993-02-26 Am handgelenk zu tragende überwachungsvorrichtung für die körperliche verfassung
DK93904063T DK0630208T3 (da) 1992-02-28 1993-02-26 På håndleddet bærbart overvågningsapparat til overvågning af fysisk legemlig tilstand
ES93904063T ES2134838T3 (es) 1992-02-28 1993-02-26 Dispositivo de muñeca para la monitorizacion del estado fisico.
NO943160A NO309404B1 (no) 1992-02-28 1994-08-26 Håndleddbåret overvåkningsanordning for fysisk tilstand

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FI920896 1992-02-28
FI920896A FI92139C (fi) 1992-02-28 1992-02-28 Ranteeseen kiinnitettävä terveydentilan seurantalaite

Publications (4)

Publication Number Publication Date
FI920896A0 FI920896A0 (fi) 1992-02-28
FI920896A FI920896A (fi) 1993-08-29
FI92139B true FI92139B (fi) 1994-06-30
FI92139C FI92139C (fi) 1994-10-10

Family

ID=8534842

Family Applications (1)

Application Number Title Priority Date Filing Date
FI920896A FI92139C (fi) 1992-02-28 1992-02-28 Ranteeseen kiinnitettävä terveydentilan seurantalaite

Country Status (11)

Country Link
US (1) US5515858A (fi)
EP (1) EP0630208B1 (fi)
JP (1) JP3224231B2 (fi)
AT (1) ATE181492T1 (fi)
AU (1) AU3502093A (fi)
DE (1) DE69325445T2 (fi)
DK (1) DK0630208T3 (fi)
ES (1) ES2134838T3 (fi)
FI (1) FI92139C (fi)
NO (1) NO309404B1 (fi)
WO (1) WO1993016636A1 (fi)

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US5515858A (en) 1996-05-14
EP0630208A1 (en) 1994-12-28
DE69325445D1 (de) 1999-07-29
FI92139C (fi) 1994-10-10
DK0630208T3 (da) 1999-12-27
NO943160L (no) 1994-10-26
ES2134838T3 (es) 1999-10-16
EP0630208B1 (en) 1999-06-23
WO1993016636A1 (en) 1993-09-02
FI920896A (fi) 1993-08-29
NO943160D0 (no) 1994-08-26
NO309404B1 (no) 2001-01-29
AU3502093A (en) 1993-09-13
ATE181492T1 (de) 1999-07-15
JPH07504102A (ja) 1995-05-11
DE69325445T2 (de) 1999-12-23
JP3224231B2 (ja) 2001-10-29
FI920896A0 (fi) 1992-02-28

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