FR2729072A1

FR2729072A1 - Pocket electronic spirometer with connection to computer for readout

Info

Publication number: FR2729072A1
Application number: FR9413061A
Authority: FR
Original assignee: Individual
Current assignee: Individual
Priority date: 1994-11-02
Filing date: 1994-11-02
Publication date: 1996-07-12

Abstract

The appts. consists of a package (7), a liq. crystal display screen (8) and an aperture (15) into which the patient exhales rapidly. All measurements are stored in memory (12). A programmable audible alarm (9) draws attention to a need for medical treatment. A musical buzzer may encourage children to exhale at their peak rate. An output connection (19) provides for all stored measurements to be transmitted to a computer for editing or display of curves. The exact instant of fall or rise of a curve caused by introduction of a new drug can be displayed.

Description

La présente invention conceme un appareil scientifique électronique de poche pour le contrôle d'expiration force (7),Fîg:1. The present invention relates to a pocket electronic scientific apparatus for force exhalation control (7), Fg: 1.

La pollution atmosphérique est responsable de nombreuses maladies respiratoires dont les cibles privilégiées sont les enfants et les personnes âgées chez qui l'on trouve: les maladies broncho-pulmonaires, bronchites chroniques, mucoviscidoses, emphysèmes, cancers broncho-pulmonaires.Air pollution is responsible for many respiratory diseases whose primary targets are children and the elderly in whom we find: bronchopulmonary diseases, chronic bronchitis, cystic fibrosis, emphysema, bronchopulmonary cancers.

obstructions, et maladies d'asthmes.(autres maladies...).obstructions, and diseases of asthma (other diseases ...).

Il permet aussi aux malades d'effectuer eux-mêmes des contrôles, et répéter quotidiennement pendant une période prolongée, permettant d'établir, des scores fonctionnels joumaliers et pouvant être mis en mémoire, pour une periode plus ou moins longue (moyenne sur 60 j x 6 prisespur) en appuyant simplement sur le bouton (2),Fig:1.It also allows the patients to carry out their own tests, and to repeat daily for a prolonged period, making it possible to establish functional daily scores that can be stored in memory for a longer or shorter period (average over 60 days). 6 taps) by simply pressing the button (2), Fig: 1.

Le D.EPN.EMs à mémoire est une nécessité pour toutes les maladies, broncho-pulmonaires ainsi que d'autres maladies, pouvant etre determinees par la chute de V.RJ, V.R.E, V.C, V. E.Ms Flg:5.The D.EPN.EMs with memory is a necessity for all diseases, bronchopulmonary as well as other diseases, being able to be determined by the fall of V.RJ, V.R.E, V.C, V. E.Ms Flg: 5.

Les médecins, Professeurs en Pneumologie, Pneumologues, Médecins du travail et, surtout, les Pédiatres, ont besoin, de courbes de D.EPNEMs pour juger de l'efficacité de leurs traitements; Il faut donc éduquer les patients à une auto-surveillance. Physicians, Professors in Pneumology, Pneumologists, Occupational Physicians and, especially, Pediatricians, need curves of D.EPNEMs to judge the effectiveness of their treatments; It is therefore necessary to educate patients to self-monitoring.

Dans certains cas, les maladies bronchopulmonaires, ainsi que l'asthme peuventetre graves, voir mortelles, une insuffisance de surveillance ou de traitement est la cause majeure de décès.In some cases, bronchopulmonary diseases, as well as asthma can be serious or lethal, a deficiency of surveillance or treatment is the leading cause of death.

Les rechutes sont presque toutes liées à une faute thérapeutique.Relapses are almost all linked to a therapeutic fault.

II se produit souvent un arrêt précoce de traitement chez un patient non coopérant mais aussi, I'emploi de produits inadaptés, est la cause du décès. There is often an early cessation of treatment in a non-cooperating patient but also the use of unsuitable products is the cause of death.

II est indispénsable que le patient asthmatique (ou autres) puisse connaitre ainsi, jour comme nuit, son taux d'expiration par un contrôle systématique sur 24 h. It is indisposable that the asthmatic patient (or others) can know well, day or night, its rate of exhalation by a systematic control over 24 hours.

Le Praticien peut reconnaitre les sujets dont l'obstruction s'aggrave de nuit et adapter un traitement utile, ou modifier celui-ci.The Practitioner can recognize the subjects whose obstruction worsens at night and adapt a useful treatment, or modify it.

L'utilisation du D.EP sur les lieux de travail peut- être aussi une aide précieuse au diagnostic, car sa petite taille permet de le mettre dans sa poche.The use of DWP in the workplace may also be a valuable aid to diagnosis because it is small enough to put it in his pocket.

De nombreuses personnes présentent des troubles voire des crises sur leur lieu de travail; notre machine va donner les indications avec les heures des chutes. Many people have problems or even crises in their workplace; our machine will give the indications with the hours of the falls.

Le Pneumologue aura un atout majeur, pour le traitement, ce qui est impossible a savoir actuellement.The Pulmonologist will have a major advantage, for the treatment, which is impossible to know now.

D.E.P : DEBIT D'EXPIRATION DE POINTE. Fig.:5. D.E.P: EXPIRY RATE OF POINT. Fig.:5.

V.E.Ms: VOLUME D'EXflRAT?ON MAXIMAL SECONDE Fig:5. V.E.Ms: EXPRESS VOLUME ON MAXIMUM SECOND Fig: 5.

Cet appareil est particulièrement destiné à toutes les personnes, enfants inclus, sous surveillance du taux de D.E.PN.E.Ms. Fig:1.This device is particularly intended for all persons, including children, under the supervision of the rate of D.E.PN.E.Ms. Fig: 1.

II s'applique aussi aux services Hospitaliers de Pneumologie, de Réanimation,
Services Mobiles de Réanimation, praticiens, Kinésithérapeutes, Professeurs d'Education Physique pour la surveillance d'enfants, Pédiatres, et Nourrices.It also applies to the Hospital Services of Pulmonology, Resuscitation,
Mobile Resuscitation Services, Practitioners, Physiotherapists, Teachers of Physical Education for the Supervision of Children, Pediatricians, and Nannies.

Grâce à ce système les Pneumologues pourront suivre les courbes de traitement Fig:5-6.Thanks to this system Pneumologists can follow the treatment curves Fig: 5-6.

S'ils introduisent un Bêtaz ou autres, ils sauront exactement l'effet de ce dit médicament par la croissance de la courbe de volume ou sa chute.If they introduce a Betaz or others, they will know exactly the effect of this drug by the growth of the volume curve or its fall.

Ils pourront donc augmenter les prises des dits médicaments ou leurs arrets immédiats, et en prescrire d'autres.They can therefore increase the intake of the said drugs or their immediate stops, and prescribe others.

Au stade actuel des choses nul n'est capable de dire avec exactitude si un médicament ou une inhalation buccale est adapté à un malade et s'il lui convient..! Mis à part notre système. ! il est utile pour le praticien comme pour le malade, en espérant que cet appareil fera descendre la courbe des décès...?
L'appareil va permettre d'annoncer des anomalies constitutionnelles souvent invisibles à la radio ou seulement décelées au niveau des apex grâce à des tomographies, car elles sont de petite taille.At the present stage of things, no one is able to say exactly whether a drug or an oral inhalation is suitable for a patient and whether it suits him. Apart from our system. ! it is useful for the practitioner as for the patient, hoping that this device will lower the curve of deaths ...?
The device will allow to announce constitutional anomalies often invisible on the radio or only detected at the level of the apices thanks to tomographies, because they are of small size.

Notre appareil va donner des chiffres inquiétants donc: (voir médecin, pneumologue).Our device will give disturbing figures so: (see doctor, pulmonologist).

L'appareil est muni d'un écran à cristaux liquides Fig:1-3(8). Alimenté par deux piles au lithium de 3 vcc Fig:1-3(18).The device is equipped with a liquid crystal display Fig: 1-3 (8). Powered by two 3-volt lithium batteries Fig: 1-3 (18).

Une alarme sonore programmable Fig:1 (1S9), et un buzzer musical Fig:2-3 pour enfants qui stimulera celui à expirer au maximum pour avoir une musique de triomphe.A programmable sound alarm Fig: 1 (1S9), and a musical buzzer Fig: 2-3 for children that will stimulate the one to expire to the maximum to have a music of triumph.

Horloge Fig:1(5-4)- Dateur Fig:1(4'-6). Sortie Périphérique avec bouton
Fig:1(19) d'un débit de base de 64b/s de données, connectable sur interface d'ordinateur à processeur 80386 et +, 68000 et plus, grâce aux cordon/Rack
Fig:2 (19J) et Logiciels adequate Fig:2 (19") conçus pour chaque configuration d'ordinateur pour l'affichage des courbes de DEPNEMs Fig:6 Enregistrée en mémoire et le transfert de données se fera par l'intermédiaire des Racks fig:2 (19'), donc un Rack pour le transfert de donnees dX PcIPs et autre compatible ainsi que le transfert sur @AG. Clock Fig: 1 (5-4) - Dator Fig: 1 (4'-6). Device Output with Button
Fig: 1 (19) with a base rate of 64b / s of data, connectable on computer interface with 80386 and + processor, 68000 and more, thanks to the cord / Rack
Fig: 2 (19J) and Adequate software Fig: 2 (19 ") designed for each computer configuration for displaying DEPNEM curves Fig: 6 Saved in memory and data transfer via Racks fig: 2 (19 '), thus a rack for the transfer of data dX PcIPs and other compatible as well as the transfer on @AG.

L'ordinateur ou l'imprimante affichera les valeurs obtenues nécessaires pour connaître la gravité des obstructions bronchiques Fig:6
A cet effet, il a été étudié un appareil de poche, simple d'emploi, léger permettant de mesurer le débit d'expiration forcée maximal émis par le sujet au cours d'une expiration forcée et de mettre en memoire le plus haut point de la courbe fig:5.The computer or printer will display the values obtained needed to know the severity of the bronchial obstructions Fig: 6
For this purpose, a lightweight, easy-to-use, pocket-sized device has been studied to measure the maximal forced expiration rate emitted by the subject during a forced exhalation and to put in memory the highest point of the curve fig: 5.

La mesure du D.E.P se fait lors d'une expiration forcée le débit passe par un maximum pour chuter de suite, il s'agit donc d'un débit instantané.The measurement of the D.E.P is done during a forced expiry the flow passes by a maximum to fall immediately, it is thus of an instantaneous flow.

La mesure du V. E. Ms se fait lors d'une expiration forcée à l'extrême et calculée sur la première seconde. Fig:5.The measurement of the V. E. Ms is done during a forced expiration to the extreme and calculated on the first second. Fig: 5.

L'affichage à l'ecran est immediat, la lecture est rapide et compréhensible de tous Fig:1 (8).The display on the screen is immediate, the reading is fast and understandable of all Fig: 1 (8).

L'avantage essentiel d'un tel appareil reside dans la facilite a etre utilise par le patient lui-même.The essential advantage of such a device lies in the ease of use by the patient himself.

Un apprentissage par le patient est simple, mais nécessaire, il importe qu'il inspire à fond avant d'expirer brutalement, les lèvres serrées autour de l'embout fig:1 (14)- II est préférable que le patient fasse deux ou trois essais avant de mettre en memoire le chiffre le plus grand Fig;1(12), si l'appareil est en mode manuel.A patient learning is simple, but necessary, it is important that it inspires thoroughly before exhaling suddenly, the lips tight around the tip fig: 1 (14) - It is preferable that the patient do two or three before entering the largest digit Fig; 1 (12), if the device is in manual mode.

(2 > Fig:2
L'appareil est muni d'un orifice Fig:1-34 (15) dont les embouts Fig:1X3 (14) sont adaptés et interchangeables. (2> Fig: 2
The apparatus is provided with an orifice Fig: 1-34 (15) whose tips Fig: 1X3 (14) are adapted and interchangeable.

L'embout est marqué à son extrémité par un trait rouge Fig:1-3-4(14') pour qu'il soit mis toujours dans le même sens, afin d'empêcher la propagation de microbes résultant du contact entre (14')"(15) Fig:1-3-4.The tip is marked at its end by a red line Fig: 1-3-4 (14 ') so that it is always in the same direction, to prevent the spread of microbes resulting from the contact between (14' ) (15) Fig. 1-3-4.

Le mécanisme (15) Fig:4' est démontable simplement, en dévissant celui-ci, la valve se retire des deux tiges a résistance et peut-être nettoyé en le trempant quelques minutes dans un anti-septisant détruisant les microbes.The mechanism (15) Fig: 4 'is simply dismountable, by unscrewing it, the valve is removed from the two resistance rods and can be cleaned by soaking for a few minutes in an anti-septic destroying microbes.

L'embout (14) en plastique ou en carton est prévu pour la fermeture correcte des lèvres.The tip (14) of plastic or cardboard is provided for the correct closure of the lips.

Les valeurs du D.EPsont inscrites en litres/minute de 0.10 litres à 999 Vm Fg:1 (3).The values of D.EP are reported in liters / minute from 0.10 liters to 999 Vm Fg: 1 (3).

Les valeurs du V.E. Ms sont inscrites en litres/seconde de 0.01 litres à 9.99 litres convenant donc parfaitement aux enfants. aux personnes âgées et aux grands malades Fig:1(3').The values of V.E. Ms are written in liters / second from 0.01 liters to 9.99 liters, so they are perfect for children. to the elderly and to the sick Fig: 1 (3 ').

Le verso de l'appareil comporte un Tableau F41 (17) de valeurs de références intégré dans le bloc de l'appareil.The reverse side of the device has a table F41 (17) of reference values integrated into the unit block.

II suffit au sujet de faire glisser par l'intermédiaire d'un clip l'age, la taille, le sexe. It is enough for the subject to drag through the clip age, size, sex.

Le Tableau indiquera une référence de base du D. E. P. exp: H 35 ans, 190 cm, taux normal 6551/m.The Table will show a basic reference of D. E. P. exp: H 35 years, 190 cm, normal rate 6551 / m.

Avant toutes manipulations de l'appareil, il convient d'abord de le mettre en fonction Fg:1 (1), I'horloge doitetre mise à l'heure Fig:1 (5+10). Before any operation of the device, first switch it on Fg: 1 (1), the clock must be set to the time Fig: 1 (5 + 10).

Pour le réglage de la date Fig:1, il faudra appuyer sur le (6+10).To set the date Fig: 1, press (6 + 10).

Les alarmes programmables sont là pour nous rappeler les impératifs d'un traitement médical, quelle qu'en soit la durée.Programmable alarms are there to remind us of the imperatives of medical treatment, whatever the duration.

Aux horaires programmés un bip se déclenche, I'opération se répète quotidiennement, il suffit pour cela d'appuyer une première fois (13) Fig:1 pour la première alarme, l'écran indiquera, @ Fig:1(9) clignotant II suffira d'appuyer sur "heure" Fig:1 (5) pour inscrire les heures des alarmes et suivre la même procédure que le réglage des "h/m" détaillé plus haut.At the programmed times a beep sounds, the operation is repeated daily, it suffices to press a first time (13) Fig: 1 for the first alarm, the display will indicate, @ Fig: 1 (9) flashing II just press "time" Fig: 1 (5) to enter the alarm times and follow the same procedure as the "h / m" setting detailed above.

Quatre programmes différents sont possibles, si cela est nécessaire.Four different programs are possible, if necessary.

Le bip (bunker) se déclenche pendant 10 secondes maximum. pour stopper le buter pendant les 10 secondes, il faut appuyer sur le bouton (13') Fig:1, ce qui n'affecte en rien les alarmes déja programmée, le bip se mettre en attente pour la prochaine alarme.The beep (bunker) sounds for up to 10 seconds. to stop the buter during the 10 seconds, it is necessary to press the button (13 ') Fig: 1, which does not affect the alarms already programmed, the beep to put on hold for the next alarm.

Pour arrêter totalement celui, il faut basculer le bouton (13) de droite à gauche, le zdit' bouton à deux fonctions: il se bascule de droite à gauche, tout en étant bouton-poussoir soit: contact à impulsion, soit contact à ouverture-fermeture "stop" fig:1 (13-13').To completely stop the one, it is necessary to switch the button (13) from right to left, the zdit 'button with two functions: it switches from right to left, while being push button either: impulse contact or opening contact -closing "stop" fig: 1 (13-13 ').

"P5" Fig:2-7, est la mémoire des alarmes, il ne peut fonctionner qu'avec le concours de "P2" Fig:2-7, il influence le buzzer + "P4" Fig:2-7 qui transmet les informations à l'écran (8) Fig;1-3-7."P5" Fig: 2-7, is the alarm memory, it can only work with the help of "P2" Fig: 2-7, it influences the buzzer + "P4" Fig: 2-7 which transmits the information on the screen (8) Fig; 1-3-7.

Les réglages terminés, placer l'embout (14)Fig:1, à l'endroit prévu à cet effet Fig:i (15), inspirer à fond et mettre l'embout dans la bouche, il faut faire en sorte que les lévres soient bien refermées sur l'embout sans laisser l'air passer sur les côtés.Once the adjustments are complete, place the tip (14) Fig: 1, in the place provided for this purpose Fig: i (15), inhale thoroughly and put the mouthpiece in the mouth, make sure that the lips be well closed on the mouthpiece without letting the air pass on the sides.

Expirer brutalement et totalement: l'expiration fait avancer la valve à l'intérieur de la machine Fig:34 (21), ce qui fera augmenter les ohms des résistances R, 8 R2 Fig:7 (20).Exhale abruptly and completely: the expiration causes the valve to advance inside the machine Fig: 34 (21), which will increase the ohms of the resistors R, 8 R2 Fig: 7 (20).

La valve montera à son maximum sous la pression de l'air expiré tout en laissant l'air passer à travers sa paroi et sortir à l'extérieur fig:3 (16).The valve will rise to its maximum under the pressure of exhaled air while letting the air pass through its wall and out to the outside fig: 3 (16).

Le frottement de la valve (21) fig:4 contre les tige des résistances (20s) Fig:4 augmentera les ohms des resistances "R, & R2" et la valve retournera à sa place initiale grâce au ressort, (22) le résultat des résistances (R., R2) sera converti en litres/minutes par l'intermédiaire du processeur "PI" Fig:2-7.The friction of the valve (21) fig: 4 against the rod of the resistors (20s) Fig: 4 will increase the ohms of the resistances "R, & R2" and the valve will return to its original place thanks to the spring, (22) the result resistors (R., R2) will be converted to liters / minute via processor "PI" Fig: 2-7.

Le Processeur "P1" donnera des informations à "P4" Fig:2-7 qui transformera ces informations en impulsions électriques capables d'influencer les cristaux liquides de l'écran qui inscrira immédiatement le D.E.P Fig:1-7 (3). The processor "P1" will give information to "P4" Fig: 2-7 which will transform this information into electrical pulses capable of influencing the liquid crystal of the screen which will immediately register the D.E.P Fig: 1-7 (3).

Par l'intermédiaire de l'horloge "P2" et de la tempo de "P1" le résultat de "P1,P2" Fig:2-7 donnera le V.E.Ms Fig:1(3') en basculant le bouton (2) [AUTO-Manuel] Fig:1-7 les résultats de "P1,PZ' seront en memoire, "P3".Through the clock "P2" and the tempo of "P1" the result of "P1, P2" Fig: 2-7 will give the VEMs Fig: 1 (3 ') by switching the knob (2) [AUTO-Manual] Fig: 1-7 The results of "P1, PZ" will be in memory, "P3".

"P4" influence l'écran (12)."P4" influences the screen (12).

Les seules informations qui parviennent au Rack Fig:2 (19') par l'intermédiaire du bouton Edit Fig:1 (19) et du Port Sérié dont l'interface est conforma à la norme "RS 232" Fig:1-2-7(19), sont les informations "P3-P1-P2" Fig:2-7 le
Rack(19') sert à relier la machine (D.E.P.) à un certain nombre de
Peripheriques d'ordinateur Pc/Ps. @AG et autres compatibles IBM.The only information that reaches the Rack Fig: 2 (19 ') via the Edit button Fig: 1 (19) and the Serial Port whose interface conforms to the standard "RS 232" Fig: 1-2- 7 (19), are the information "P3-P1-P2" Fig: 2-7 the
Rack (19 ') serves to connect the machine (DEP) to a number of
Pc / Ps computer peripherals. @AG and other IBM compatible.

L'interface "RS 232" est une interface entrée/sortie, elle permet d'entrer et de sortir des informations d'un ordinateur Fig:7. mode de transmission série (dans les bits d'un octet sont transmises l'une après l;autre à une vitesse maximum de 56 k-bits/s et 5 k-octets/s. 9 broches de connexion, tension de sortie-12/ +12 vcc a la connexion du Rack a l'ordinateur. le Logiciel (19") Fig:2 réclamera l'information au Rack qui, lui-même, débloquera le "Pe"" et fait une lecture.The interface "RS 232" is an interface input / output, it allows to enter and exit information from a computer Fig: 7. serial transmission mode (in one-byte bits are transmitted one after the other at a maximum speed of 56 k-bits / s and 5 k-bytes / s 9-pin connection, output voltage-12 / +12 vcc has the Rack connection to the computer The Software (19 ") Fig: 2 will request information from the Rack which will unblock the" Pe "and make a reading.

L'affichage indiquera immédiatement le taux du D.E.P et une seconde plus tard le V.E.Ms Fig:1 (3-3'); II est possible de souffler trois fois. les trois essais accomplis, appuyer brièvement sur le bouton mémoire. celui inscrira les meilleurs donnees. Six mesures sont possible par jour sur 60 jours. The display will immediately indicate the rate of D.E.P and a second later the V.E.Ms Fig: 1 (3-3 '); It is possible to blow three times. after three attempts, briefly press the memory button. he will write the best data. Six measurements are possible per day over 60 days.

Claims

CLAIM

Hospitals to make accurate measurements of D.E.PN.E.Ms for forced expiration control for all Broncho-pulmonary diseases.

1> This pocket device allows patients, doctors and

D.E.P: Peak Expiration Rate Fig: 5.

The patients themselves can carry out checks and follow the evolution of their disease Fig: 1 (33 '), Fig: 6, this device will prevent bronchial obstruction by the fall of the DEPNEMs Fig: 5.

V.E.Ms:; Second Maximal Expiration Volume Fig: 5

Thanks to this system Pneumologists will be able to follow the treatment curves Fig: 6, if they introduce a Beta2 or other, they will know exactly the effect of this medicine, by the growth of the volume curve or its fall. 6. The device will make it possible to announce constitutional anomalies often invisible on the radio or only detected at the Apex level.

It is designed with a hole (15) Fig: 1-3-4-4 ', where the subject will expire suddenly.

The values of the resistances R1 - R2, will have been modified by the push of the valve (21) Fig: 3-4.

Thus the chips "P1" P2 "P3" P4 "will be activated, the result of 'P1, P2, P4Z will be seen on the screen (8) Fig: 1 (3-3').

This device will keep in memory in "P3" all the measurements made Fig: 1 (12).

A programmable audible alarm Fig: 1-2-7 (9-13-13 ') and Fig: 3 (9-13) is there to remind you of the imperatives of a medical treatment, and a musical buner for children, which will stimulate the to expire to the maximum of its abilities to have a music of triumph, and which will allow the Doctors to have a maximum value and to adapt an effective treatment if it is necessary.

Thanks to its output vT Fig: 1-2-3-7 (19), it will be able to transmit to a computer connected by Rack Fig: 2 (19 '), all the measures stored in Processor "P3".

The computer will be able to edit or visualize the measurement curves stored in Fig: 6, and visualize the exact moment of change (fall or growth) of the curve due to introduction of a new drug or some other effects.

The Rack (19J) also allows the live capture between the computer and the subject via the device, it will be possible to live view its DEPNEMs, C. V Fig: 5;

The contact (2) Fig: 1-2-3-7, can also be done in automatic data recording.

This apparatus is provided with an orifice for forced expiration Fig: 1-244 '(15), whose Figs (14) are suitable and interchangeable.

The tip is marked at its end by a red line Fig: 1-3-4 (14 '), so that it is always in the same direction, to prevent the spread of microbes resulting from contact between (14 (Fig. 144)

Valve (21) removes from the two Resistance rods Fig: 3-4 (20), and can be cleaned by soaking for a few minutes in an anti-septant destroying microbes.

The mechanism (15) Fig: 4 'is removable simply by unscrewing it, the

The tip (14) Fig: 1-3-4, plastic or cardboard is provided for the correct closure of the lips.

The information will be visible immediately on the screen of this machine Fig: 1 (8).

The back of the device has a table Fig: 1 (17), reference values integrated into the block of the device, allowing to have a reference value (minimum, maximum) of the expirations, according to the size, the age, and the gender of the user.

The Eprom is there to generate the RAM screen it would be possible to include an identification N; see: service, area, room ...

2> The Spyrometric apparatus according to claim 1 is distinguished first by its small size (pocket device); Able to draw two-volume curves of DEP / KEMs Fig: 6, to any computer equipped with Serine RS 232 plug.

At the present stage, no one is able to say exactly whether a medicine is suitable for a patient or not.

The Fig: 6 curves, are an excellent visual way to know exactly when day or night, before or after absorption, inhalation, or taking a drug, the fall or progression of DEPAZEMs is .

To do this: The patient must blow into the tip (14) Fig: 144.

The sudden expiration will push the valve (21) Fig: 34, which itself will vary the potential difference of the bars (20 ') Fig: 34.

The spring (22) Fig: 3-4-4 ', is a return spring after each sudden expiration, it will push the valve (21) to its starting point, it will reset the parameters and the device in waiting for new data (new expirations).

Resistors R 1 and R 2 Fig: 2-3-4-7 (20) will transmit the information received from the bars (20 ') to chip 1 "P1", "P1" which will directly transmit the value of "R1" to "P4 which itself will retransmit it to the screen (8) Fig: 1-2-7 under electrical impulse.

The same value of "R," will stay in "P @" If the knob (2) is in manual mode Fig: 2 (2).

"P, will pass the value of" R2 "directly to his Tempo '.

The tempo of "P1" is directly powered by the clock of "P2" (5 ') Fig: 2-7.

"P2" (being a chip with clock / time transistors @).

"R2" + "tempo" (P1 + P2 (5 ')) will give for 1 second Fig; 5, the result of forced expiration VEMs (3') Fig: 2-5-7.

This result will be collected by "P4" Fig: 2-3, will send this information under electrical impulse to the screen (8) Fig; 2-7 in (3 ').

Pulse on (2) where the automatic recording influencer "P3" (chip to charge and discharge) which is the memory processor Fîg: 2-7.

Software (19 ") Fig: 2-7 via Rack cable (19 ') and socket (19) Fig: 2.

It will send the information to "P which will transform it into electrical impulses capable of influencing the screen (8), under the terminal" P4 "(2 = 12) Fig: 2-3-7." P3 "will keep its information in memory "charge!" waiting for the exit token

The received token, the processor tP3a will send the information of "P1 P2 + P3" as well as (5'- 6 ') these information will be decompiled by the software and recorded by that in ASCII codes.

The software will increment the screen that will display its style sheet (curves).

the software return token will set the received parameters and wait for the pulse to print, it will not be necessary to print since the results can be stored.

It will be possible to make annual impressions that will make it possible to judge the progression of the DEP / VEMs and CV (vital curves) Fig: 5, for the monitoring of treatment of Periods, (autumn, spring), Places (altitude), of Pollution (City, Work), Shortness of breath (Sport) etc ... etc ...

3> Device according to claim 1. Programmable alarms are there to remind us of the imperatives of medical treatment, regardless of its duration.

They are characterized by a pulse on (13) Fig: 1-2-7, this pulse will trigger the processor "P5" Fig: 2-7 ((5-10)), which will wait for the following clocking pulses on the clock processor "P2" (10) Fig: 2-7 (5-10).

From this moment "P5" will send its information to "P 4" terminal (13).

"P S will activate for up to 10 seconds the Buzzer Fig: 2.

The display will increment an alarm 3 * x (9) Fig: 1-2, At the programmed time

"P 4a will convert its information into electrical pulses bound (13-9) Fig: 2

a beep sounds. The operation is repeated daily.

To cancel the information it is necessary to deactivate it with the help of the button (13) Fig: 1: 2.

Four different programs are possible, this is necessary.

4) - Device according to claim 1-3. A sick child is always hesitant to exhale as much as possible, especially during bronchopulmonary attacks or asthma attacks.

The values collected are often false, since the child hesitating, worried, or simply ill, will not give his own possibilities to forced expiration.

The Buner Musical Fig: 2-3. is there to stimulate a child to blow into the device.

By toggling the button (13) from left to right, one will activate "P5" which will put on hold "P3 Fig: 2.

The first expiry of the child will be recorded in "P3" F: Z will only produce a single beep even if the expiration is good, since the device will have no reference parameter.

The second will trigger the Musical Buzzer if the result of the second is greater than the first.

The Musical result is broken down as follows: Action on (13) (2), ("P5 + P3" (on)), ##> "P1" #> "P2" #> "P3" #> "P4 (2) +12) "= [result] in (8) DEP / VEMs + Buzzer Musical 'P3' 'waiting for the token (19").

5) -Dispositif according to claims 1,2,3, and 4. The memory "P3" can be done in -N registration or in Manual according to the position of the button (2) Fig: 1-2.

DEP / VEMs generated by the processor "P1 # P2.

This memory will keep in it date / time information,

Fig: 2-3.

It will unblock its information in recognition of the software token (19 ")

It goes to zeros after each information. The reset button Fwg: 1-2 (11) can set all the parameters of this memory to zero.

It communicates the result of the DEPA / EMs put in position (12) Fig: 1.

It also generates the Musical buzzer of (2-> 13) under "P4" Fig: 2.

Device according to claims 1-2-5. The output v, v (19) Fig: 1-24 allows the introduction of the Rack plug (19 ') Fig: 2.

The output button EDIT (19) Fig: 1 is there to prevent the decision from being disconnected. This output will allow the connection between the two modules (device, computer) via the Rack plug (19 ').

It therefore allows: i the information transfer connection between the device and the computer. 2) - the direct tests between: Patients, Devices, Modules in real time, Ce, which will give an impression of curves of the volumes Fig: 5.

These characteristics are simple, it allows the entry and the exit of information, by conveying the following information: "P1, P2, P3 + Eprom" Fig: 2-7.

Fig: 2 (19 '). This cable is designed to integrate into a RS 232 serial output of a computer and the EDIT socket (19) Fig: 1-2 of our device.

7) -Dispositif according to claims 1,2,5,6 With the cord Rack

It will allow to transfer the output software (19 ") Fig: 2 to R3 and the re-transfer of the stock information in" P3 (5'-6 ') Fig: 2.7, on another pin, to take the information "P1, P2, P3 "stored, in" P3 (3-3 ') "Fig. 2-7.

Thanks to the Rack cord a patient can blow directly into (14) Fig: 1 and see the result directly on the computer screen in real time.

As well as the transfer of eprom information that will double its screen to that of the computer, or to reconfigure itself with new attributes: example: service, hospital, sector ...!

These characteristics are simple: They carry all kinds of information.

9) Device according to claims 1, Z7. In order to prevent the propagation of microbes resulting from the contact between (14) and (15) F; : 1-34 we thought it would be healthier to mark the tip (14) at one of its ends with a red line so that it can be always in the same direction (14 ') Fig : 1-34. This would allow the same device to be used by multiple users since (14 ') Fig: 1-3-4, will always insert into (15).

It would be preferable that (14 ') always be against the orifice (15).

The tip (14-14 ') is designed for a correct closure of the lips, it can be cardboard or plastic.

9) - Device according to any one of the preceding claims.

The device is designed for the Individual, Practitioners, Hospitals, Clinic, Mobile Rescue Service, Occupational Medicine, gyms ... etc ... ecl ..

10) Device according to any one of the preceding claims.

DEP / VEMs controller As a result it was thought that it would be better to equate the machine of a dismountable system easily, to be able to clean it in an anti-septant, in order to destroy the microbes engendered by expirations.

In general, these organizations do not have the chance to see their client come with the

The values of the DEPNEMs vary according to the person's age, size and sex.

We have introduced at the back of the apparatus a reference table Fig: 1 (17) It will suffice for the subject to introduce his own information by sliding the clips, He will immediately obtain an average of DEP according to the information he will introduce, exp: H, 35 years, 190 cm, = 655 Uminute.

This table is useful, if the same device will be intended for, several patients.

The advantage of this table is that it can be given at any time, whatever the age, sex, the person, an average of DEP.