HRP20211142T1 - Uređaj za automatizirano otkrivanje aritmije pulsa - Google Patents
Uređaj za automatizirano otkrivanje aritmije pulsa Download PDFInfo
- Publication number
- HRP20211142T1 HRP20211142T1 HRP20211142TT HRP20211142T HRP20211142T1 HR P20211142 T1 HRP20211142 T1 HR P20211142T1 HR P20211142T T HRP20211142T T HR P20211142TT HR P20211142 T HRP20211142 T HR P20211142T HR P20211142 T1 HRP20211142 T1 HR P20211142T1
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- Prior art keywords
- pulse
- comparison
- periods
- statistical
- amplitudes
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- 238000001514 detection method Methods 0.000 title claims 12
- 206010003119 arrhythmia Diseases 0.000 title claims 10
- 230000006793 arrhythmia Effects 0.000 title claims 10
- 238000000034 method Methods 0.000 title claims 2
- 206010003658 Atrial Fibrillation Diseases 0.000 claims 4
- 230000008602 contraction Effects 0.000 claims 3
- 230000002028 premature Effects 0.000 claims 3
- 238000006243 chemical reaction Methods 0.000 claims 1
- 238000005259 measurement Methods 0.000 claims 1
Classifications
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- 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
-
- 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
- A61B5/7275—Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
-
- 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
-
- 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
- A61B5/02405—Determining heart rate variability
-
- 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
- A61B5/02422—Detecting, measuring or recording pulse rate or heart rate using photoplethysmograph signals, e.g. generated by infrared radiation within occluders
-
- 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
- A61B5/1107—Measuring contraction of parts of the body, e.g. organ, muscle
-
- 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
- A61B5/7246—Details of waveform analysis using correlation, e.g. template matching or determination of similarity
-
- 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
-
- 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
- A61B5/7282—Event detection, e.g. detecting unique waveforms indicative of a medical condition
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/742—Details of notification to user or communication with user or patient ; user input means using visual displays
-
- 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
- A61B5/0255—Recording instruments specially adapted therefor
-
- 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
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Physics & Mathematics (AREA)
- Surgery (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Biophysics (AREA)
- Pathology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Cardiology (AREA)
- Physiology (AREA)
- Artificial Intelligence (AREA)
- Computer Vision & Pattern Recognition (AREA)
- Psychiatry (AREA)
- Signal Processing (AREA)
- Vascular Medicine (AREA)
- Dentistry (AREA)
- Ophthalmology & Optometry (AREA)
- Evolutionary Computation (AREA)
- Mathematical Physics (AREA)
- Fuzzy Systems (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
- Electrotherapy Devices (AREA)
Claims (6)
1. Uređaj za otkrivanje aritmije (1), koji sadrži:
manšetu (12), za omatanje ruke ispitanika radi mjerenja niza otkucaja pulsa;
procesnu jedinicu (11), električno spojenu na manžetu (12), te koja sadrži:
modul za pretvorbu analognih signala u digitalne (111), koji izvršava analogno digitalnu pretvorbu niza otkucaja pulsa;
modul za mjerenje razdoblja i amplitude pulsa (112), za dobivanje niza razdoblja pulsa koji sadrži mnoštvo razdoblja pulsa i za dobivanje niza amplitude pulsa koji obuhvaća mnoštvo amplituda pulsa iz digitaliziranog niza otkucaja pulsa, te je procesna jedinica naznačena time što sadrži:
modul za generiranje usporedbe (113), koji je konfiguriran da sekvencijalno uspoređuje svaka dva razdoblja pulsa ili svake dvije amplitude pulsa radi utvrđivanja sličnosti i generiranja statističkih vrijednosti usporedbe na temelju uspoređenih rezultata, pri čemu svaka od generiranih statističkih vrijednosti usporedbe iznosi 1 ako je za dva uspoređena pulsna razdoblja ili dvije uspoređene amplitude pulsa utvrđeno da su slične, a svaka od generiranih statističkih vrijednosti usporedbe iznosi 0 ako su dva uspoređena pulsna razdoblja ili dvije uspoređene amplitude pulsa različite;
modul za generiranje prosudbe (114), koji je konfiguriran za izračunavanje statističke vrijednosti koja sadrži prvi skup statističkih vrijednosti usporedbe sličnosti koje odgovaraju sličnostima razdoblja pulsa i statističke vrijednost koja sadrži drugi skup statističkih vrijednosti usporedbe sličnosti koje odgovaraju sličnostima amplituda pulsa; i
modul za određivanje tipa (115), koji je konfiguriran za određivanje jednog od sljedećih uvjeta u skladu sa ZP, ZA, PPi, Ai i jedinstvene statističke analize praga, pri čemu Zp je statistička vrijednost koja obuhvaća prvi skup statističkih vrijednosti usporedbe sličnosti koja odgovara sličnostima pulsnih razdoblja, ZA je statistička vrijednost koja obuhvaća drugi skup statističkih vrijednosti usporedbe sličnosti koji odgovara sličnostima amplituda pulsa, PPi je niz pulsnih razdoblja, i Ai je niz amplituda pulsa:
koji je konfiguriran za određivanje atrijalne fibrilacije kada se utvrdi da je koeficijent varijacije Var(ZP) veći od prve vrijednosti praga atrijalne fibrilacije AF-1, prosječna srednja vrijednost pulsnog razdoblja (PPi) se utvrđuje veća od druge vrijednosti praga atrijalne fibrilacije PPmin, AF ili se koeficijent varijacije Var(ZA) određuje između minimalne i maksimalne vrijednosti praga atrijalne fibrilacije (AF-2min, AF-2max); ili
je konfiguriran da se utvrdi postoji li ili ne postoji mnoštvo neprekidnih različitih pulsnih razdoblja kada se koeficijent varijacije Var(ZP) određuje između prve minimalne i maksimalne vrijednosti praga razdoblja prijevremene kontrakcije pulsa (APC-1min, APC-1max), ili se koeficijent varijacije Var(ZA) određuje između druge minimalne i maksimalne vrijednosti praga prijevremene kontrakcije amplitude pulsa (APC-2min, APC-2max), i određivanje prijevremene kontrakcije ako se otkrije mnoštvo neprekidnih različitih pulsnih razdoblja.
2. Uređaj za otkrivanje aritmije prema patentnom zahtjevu 1, naznačen time što je broj mnoštva pulsnih razdoblja n-1, broj statističkih vrijednosti usporedbe sličnosti koji odgovara sličnostima pulsnih razdoblja je
[image]
broj mnoštva pulsnih amplituda je n, a broj statističkih vrijednosti usporedbe sličnosti koje odgovaraju sličnostima pulsnih amplituda je
[image]
3. Uređaj za otkrivanje aritmije prema patentnom zahtjevu 2, naznačen time što modul za generiranje usporedbe (113) uspoređuje sličnosti svaka dva pulsna razdoblja unoseći svaka dva pulsna razdoblja u uvjet za usporedbu pulsnog razdoblja, koji je: (1-K) * PPi < PPj <(1+K) * PPi, pri čemu K je 0.02 do 0.2, PP je pulsno razdoblje, PPi je jedno od uspoređenih pulsnih razdoblja, a i je pozitivni cijeli broj od 1 do n, PPj je drugo od uspoređenih pulsnih razdoblja, a j je pozitivni cijeli broj od 1 do n.
4. Uređaj za otkrivanje aritmije prema patentnom zahtjevu 2, naznačen time što modul za generiranje usporedbe (113) uspoređuje sličnosti svake dvije amplitude pulsa unosom svake dvije amplitude pulsa u uvjet usporedbe amplitude pulsa, koji je: (1-L) * Ai < Aj <(1+L) * Ai, pri čemu L je 0.005 do 0.25, A je amplituda pulsa, Ai je jedna od uspoređenih amplituda pulsa, a i je pozitivni cijeli broj od 1 do n, Aj je druga od uspoređenih amplituda pulsa, i j je pozitivni cijeli broj od 1 do n.
5. Uređaj za otkrivanje aritmije prema patentnom zahtjevu 3 ili 4, naznačen time što modul za generiranje usporedbe (113) uzastopno unosi svaka dva pulsna razdoblja ili svake dvije amplitude pulsa u uvjet usporedbe pulsnog razdoblja ili uvjet usporedbe amplitude pulsa, određuje da li su dva unesena pulsna razdoblja ili dvije unesene amplitude pulsa slične i generira vrijednost statističke usporedbe sličnosti kao 1 kada je zadovoljen uvjet usporedbe pulsnog razdoblja ili uvjet usporedbe amplitude pulsa, te određuje kada su dva ulazna pulsna razdoblja ili dvije ulazne amplitude pulsa različite i generira statističku vrijednost usporedbe sličnosti kao 0 kada uvjet usporedbe pulsnog razdoblja ili uvjet usporedbe amplitude pulsa nije zadovoljen.
6. Uređaj za otkrivanje aritmije prema patentnom zahtjevu 3 ili 4, naznačen time što je uređaj za otkrivanje aritmije (1) elektronički sfigmomanometar, te uključuje:
jedinicu za napajanje (13), električno povezanu s procesorskom jedinicom (11), koja isporučuje potrebnu električnu energiju;
memorijsku jedinicu (15), električno povezanu s procesorskom jedinicom (11), koja bilježi rezultat otkrivanja i podatke uređaja za otkrivanje aritmije (1); i
jedinicu za prikaz (14), električno povezanu s procesorskom jedinicom (11), koja prikazuje rezultat otkrivanja i podatke uređaja za otkrivanje aritmije (1).
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TW103139201A TWI533839B (zh) | 2014-11-12 | 2014-11-12 | 心律不整的檢測設備與檢測方法 |
| EP15192871.0A EP3020330B1 (en) | 2014-11-12 | 2015-11-04 | Apparatus for automated detection of pulse arrhythmia |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| HRP20211142T1 true HRP20211142T1 (hr) | 2021-10-15 |
Family
ID=54476769
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| HRP20211142TT HRP20211142T1 (hr) | 2014-11-12 | 2021-07-19 | Uređaj za automatizirano otkrivanje aritmije pulsa |
Country Status (12)
| Country | Link |
|---|---|
| US (1) | US9724046B2 (hr) |
| EP (1) | EP3020330B1 (hr) |
| CN (1) | CN105581792B (hr) |
| DK (1) | DK3020330T3 (hr) |
| ES (1) | ES2881394T3 (hr) |
| HR (1) | HRP20211142T1 (hr) |
| HU (1) | HUE055661T2 (hr) |
| LT (1) | LT3020330T (hr) |
| PL (1) | PL3020330T3 (hr) |
| PT (1) | PT3020330T (hr) |
| SI (1) | SI3020330T1 (hr) |
| TW (1) | TWI533839B (hr) |
Families Citing this family (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TW201800052A (zh) * | 2016-06-24 | 2018-01-01 | 雅柏斯健康事業股份有限公司 | 心房顫動偵測方法、心房顫動偵測裝置及心房顫動偵測系統 |
| WO2018010107A1 (zh) * | 2016-07-13 | 2018-01-18 | 悦享趋势科技（北京）有限责任公司 | 判断脉搏波是否有效的方法及装置 |
| TWI655929B (zh) * | 2016-12-01 | 2019-04-11 | 深禾醫學科技股份有限公司 | 具血壓量測功能的穿戴式裝置 |
| TWI663959B (zh) | 2018-01-10 | 2019-07-01 | 金寶電子工業股份有限公司 | 運算裝置、其心律不整評估方法及非暫態電腦可讀取記錄媒體 |
| CN110833403A (zh) * | 2018-08-16 | 2020-02-25 | 佳纶生技股份有限公司 | 血压测量系统、方法及装置 |
| TWI674879B (zh) * | 2018-08-16 | 2019-10-21 | 佳綸生技股份有限公司 | 血壓測量系統、方法及裝置 |
| CN114040705A (zh) * | 2019-07-30 | 2022-02-11 | 深圳迈瑞生物医疗电子股份有限公司 | 规则性评价信息的分析方法、监护设备及监护系统 |
| CN112971798B (zh) * | 2021-02-10 | 2023-05-30 | 武汉心络科技有限公司 | 心电信号处理方法、装置、终端及存储介质 |
| CN115919274B (zh) * | 2022-12-30 | 2024-05-31 | 深圳市捷美瑞科技有限公司 | 一种脉搏状态检测方法、装置、电子设备及介质 |
Family Cites Families (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4262674A (en) * | 1978-11-27 | 1981-04-21 | Nippon Colin Co., Ltd. | Sphygmomanometer with an arrhythmia detecting mechanism |
| CN1155332C (zh) * | 1996-04-17 | 2004-06-30 | 精工爱普生株式会社 | 心律失常检测设备 |
| US20130060110A1 (en) * | 1997-01-27 | 2013-03-07 | Lawrence A. Lynn | System and method for automatic detection of a plurality of spo2 time series pattern types |
| JP3114142B2 (ja) | 1998-05-28 | 2000-12-04 | マイクロライフ システムズ エージー | 血圧の測定と不整脈の検出とを同時に行うための装置 |
| US6519490B1 (en) * | 1999-12-20 | 2003-02-11 | Joseph Wiesel | Method of and apparatus for detecting arrhythmia and fibrillation |
| JP2002017687A (ja) | 2000-07-07 | 2002-01-22 | Canon Inc | 生体信号解析方法 |
| US6423010B1 (en) | 2000-10-04 | 2002-07-23 | Critikon Company, L.L.C. | Oscillometric blood pressure monitor with improved performance in the presence of arrhythmias |
| JP3603036B2 (ja) * | 2001-03-16 | 2004-12-15 | コーリンメディカルテクノロジー株式会社 | 自動血圧測定装置 |
| CN101006916A (zh) * | 2006-01-23 | 2007-08-01 | 柯顿（天津）电工电器有限公司 | 可实现心律不齐测量的电子血压计 |
| US7806832B2 (en) * | 2007-04-30 | 2010-10-05 | The General Electric Company | False positive reduction in SPO2 atrial fibrillation detection using average heart rate and NIBP |
-
2014
- 2014-11-12 TW TW103139201A patent/TWI533839B/zh active
-
2015
- 2015-10-15 CN CN201510667039.3A patent/CN105581792B/zh active Active
- 2015-10-29 US US14/926,165 patent/US9724046B2/en active Active
- 2015-11-04 HU HUE15192871A patent/HUE055661T2/hu unknown
- 2015-11-04 SI SI201531658T patent/SI3020330T1/sl unknown
- 2015-11-04 PT PT151928710T patent/PT3020330T/pt unknown
- 2015-11-04 DK DK15192871.0T patent/DK3020330T3/da active
- 2015-11-04 ES ES15192871T patent/ES2881394T3/es active Active
- 2015-11-04 EP EP15192871.0A patent/EP3020330B1/en active Active
- 2015-11-04 LT LTEP15192871.0T patent/LT3020330T/lt unknown
- 2015-11-04 PL PL15192871T patent/PL3020330T3/pl unknown
-
2021
- 2021-07-19 HR HRP20211142TT patent/HRP20211142T1/hr unknown
Also Published As
| Publication number | Publication date |
|---|---|
| CN105581792B (zh) | 2018-09-21 |
| CN105581792A (zh) | 2016-05-18 |
| TW201617025A (zh) | 2016-05-16 |
| HUE055661T2 (hu) | 2021-12-28 |
| TWI533839B (zh) | 2016-05-21 |
| SI3020330T1 (sl) | 2021-11-30 |
| ES2881394T3 (es) | 2021-11-29 |
| PT3020330T (pt) | 2021-07-07 |
| DK3020330T3 (da) | 2021-07-26 |
| EP3020330A1 (en) | 2016-05-18 |
| US20160128640A1 (en) | 2016-05-12 |
| LT3020330T (lt) | 2021-07-26 |
| US9724046B2 (en) | 2017-08-08 |
| PL3020330T3 (pl) | 2021-11-02 |
| EP3020330B1 (en) | 2021-06-23 |
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