JP2014517759A - 心電図監視システムおよび方法 - Google Patents
心電図監視システムおよび方法 Download PDFInfo
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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
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6887—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient mounted on external non-worn devices, e.g. non-medical devices
- A61B5/6898—Portable consumer electronic devices, e.g. music players, telephones, tablet computers
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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
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/332—Portable devices specially adapted therefor
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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
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0004—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted
- A61B5/0006—ECG or EEG signals
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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
- A61B5/0002—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
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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
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/25—Bioelectric electrodes therefor
- A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
- A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
- A61B5/282—Holders for multiple electrodes
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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
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/339—Displays specially adapted therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/486—Bio-feedback
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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
- A61B5/68—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
- A61B5/6823—Trunk, e.g., chest, back, abdomen, hip
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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
- A61B5/68—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
- A61B5/6824—Arm or wrist
-
- 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
- A61B5/6828—Leg
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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
- A61B5/68—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
- A61B5/683—Means for maintaining contact with the body
- A61B5/6831—Straps, bands or harnesses
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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
- A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
- A61B5/7221—Determining signal validity, reliability or quality
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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
- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/7465—Arrangements for interactive communication between patient and care services, e.g. by using a telephone network
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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
- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/7475—User input or interface means, e.g. keyboard, pointing device, joystick
Abstract
Description
-(移動通信デバイスから)心電図データパケットを受信し、(通信チャネルを介したデジタルデータの確実な供給を可能にする任意の適切なエラー制御技法を使用することによって)エラーチェックを実行すること。
-心電図データを処理し、12誘導心電図および/またはリズムストリップ記録を作成すること。
-心電図記録を記憶すること。
-要求時に、心電図記録および/またはその他の関連データを様々な形式で他のデータデバイス(たとえば、ファックス、eメール、プリンタ、携帯電話、スマートフォンなど)に送信すること。
デバイスハウジングおよびベルトは、胸部および四肢における12誘導心電図用の従来の解剖学的電極位置から電気信号を取得するための電極(すなわち、1組の皮膚電極)を含む。たとえば、各電極は、PC ABSと銀/塩化銀(Ag/AgCl)で被覆された20%ガラス繊維とから製造されてよい。
本発明の実施形態によれば、個人用心電図デバイスは、導線によってハウジングの底部に取り付けられた電極をさらに備える(「浮動」電極と呼ばれる)。この「浮動」電極は、「浮動」電極をどこに配置すべきであるかを示す「腰部」という名称を有する。浮動(「腰部」)は、ユーザの臍部から左臀部に至る部分の中間のベルトラインにおいて素肌に接触して位置付けられる。浮動電極は、電極ベルトの正面の電極と一緒に3つの四肢電極を構成する。四肢電極およびベルト上のその他の電極がハウジングデバイス上の電極と組み合わされることによって、リズムストリップおよび12誘導心電図に関する心電図データを取得することができ、そのデータを遠隔地にいる資格のある医療の専門家によって解釈することができる。
本明細書において図7〜図11に関して図示し説明するスマートフォンアプリケーションの例示的な画面構成、外観、および用語は、実例および典型例を示すためのものであり、決して請求する発明の範囲を限定するものではない。
2 移動通信デバイス
3 遠隔データセンタ
10 心電図監視システム
11 ハウジング
12 視覚的インジケータ
13 開始ボタン
14 腰部電極
16 電極ベルト
18 ベルト閉め部材
19 バックル
20 コンパートメント
27 身体基準電極
31 電極
32 アナログモジュール
33 デジタルモジュール
34 ユーザインターフェース
36 Bluetooth(登録商標)モジュール
V1、V2、V3、V4、V5、V6 電極
Claims (14)
a.各電極が、個人用心電図デバイスに直接かつ/または電極ベルトを介して電気的に接続された、ユーザの心臓の電気的活動に関する情報を取り込むための少なくとも9つの皮膚電極を、前記ユーザの身体上に位置付けるステップと、
b.12誘導心電図およびリズムストリップに関する心電図データを前記個人用心電図デバイスから生成するステップであって、前記生成される心電図データが前記皮膚電極によって得られる前記ユーザの前記心臓の前記電気的活動を表す、ステップと、
c.前記心電図データをローカルで処理し、かつ/または前記心電図データを遠隔データセンタ(たとえば、遠隔医療センタ)に転送するための移動通信デバイス(たとえば、スマートフォン)に前記心電図データを無線によって転送するステップとを含む方法。
b.前記個人用心電図デバイス内に埋め込まれ、スマートフォンとデータ通信する近距離ワイヤレス通信モジュールと、
c.前記スマートフォンによって実行され、前記供給される12誘導心電図に関する情報を視覚的に表示し、遠隔データセンタとデータ通信する専用スマートフォンアプリケーションとを備える心電図監視システム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US201161488913P | 2011-05-23 | 2011-05-23 | |
US61/488,913 | 2011-05-23 | ||
PCT/IL2012/000200 WO2012160550A1 (en) | 2011-05-23 | 2012-05-21 | An electrocardiographic monitoring system and method |
Publications (3)
Publication Number | Publication Date |
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JP2014517759A true JP2014517759A (ja) | 2014-07-24 |
JP2014517759A5 JP2014517759A5 (ja) | 2015-07-09 |
JP6038897B2 JP6038897B2 (ja) | 2016-12-07 |
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Application Number | Title | Priority Date | Filing Date |
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JP2014512001A Expired - Fee Related JP6038897B2 (ja) | 2011-05-23 | 2012-05-21 | 心電図監視システムおよび方法 |
Country Status (5)
Country | Link |
---|---|
US (1) | US9215998B2 (ja) |
EP (1) | EP2713865B1 (ja) |
JP (1) | JP6038897B2 (ja) |
CN (1) | CN103607945B (ja) |
WO (1) | WO2012160550A1 (ja) |
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US9215998B2 (en) | 2015-12-22 |
US20140081118A1 (en) | 2014-03-20 |
JP6038897B2 (ja) | 2016-12-07 |
EP2713865A4 (en) | 2014-10-22 |
EP2713865A1 (en) | 2014-04-09 |
CN103607945A (zh) | 2014-02-26 |
WO2012160550A1 (en) | 2012-11-29 |
CN103607945B (zh) | 2016-08-17 |
EP2713865B1 (en) | 2017-10-18 |
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