JP2018509958A - 生命徴候モニタリング装置およびその使用用法 - Google Patents
生命徴候モニタリング装置およびその使用用法 Download PDFInfo
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Abstract
Description
本願は、PCT8条(1)項に基づき、2015年2月25日出願の米国特許出願第62/120,545号および2015年3月23日出願の米国特許出願第62/136,741号の優先権を主張し、その開示は、参照により本明細書に組み込まれる。
次に、上記の説明とともにいくつかの実施形態を非限定的に例示する、以下の実施例について述べる。
Claims (38)
- 患者の生命徴候測定のためのシステムであって、
前記患者の第1の身体部分に取り外し可能に装着可能であって、動作可能位置にあるときに前記患者の生命徴候を測定するように構成された第1のセンサと、
前記患者の第2の身体部分に取り外し可能に装着可能であって、動作可能位置にあるときに前記患者の生命徴候を測定するように構成された少なくとも1つの追加のセンサと、
前記第1のセンサと前記少なくとも1つの追加のセンサとによって提供される前記生命徴候の測定値間の対応度を記述するデータを提供するように構成されたプロセッサとを含む、システム。 - 前記第1のセンサは、患者の第1の指に取り外し可能に装着される第1のプレチスモグラフを含み、
前記少なくとも1つの追加のセンサは、前記患者の第2の指に取り外し可能に装着される第2のプレチスモグラフを含み、
前記システムは、
前記第1のプレチスモグラフと前記患者の同側の手のひらとの間に取り外し可能に装着される圧力カフと、
前記圧力カフを加圧するように構成された加圧デバイスとをさらに含み、
前記プロセッサは、前記第1および第2のプレチスモグラフから受信した信号間の対応度を記述するデータを提供するように構成された、請求項1に記載の生命徴候測定のためのシステム。 - 前記少なくとも1つの追加のセンサは、加速度計、体温計、音響計またはデジタル圧力センサあるいはこれらの組合せのうちの少なくとも1つである、請求項1または2に記載のシステム。
- 前記プロセッサは、前記加圧デバイスに命令を出すことと、前記センサおよび前記少なくとも1つの追加のセンサとの間で信号を送受信することと、前記圧力カフとの間で信号を送受信することと、前記第1のセンサおよび前記少なくとも1つの追加のセンサからの受信信号を補正または重み付けすることとのうちの少なくとも1つを実行するようにさらに構成された、請求項1から3のいずれかに記載のシステム。
- 前記プロセッサは、前記患者から遠隔に位置する、請求項1から4のいずれかに記載のシステム。
- 前記システム内の信号が無線で通信される、請求項1から5のいずれかに記載のシステム。
- 前記システムは前記患者により着用可能に構成される、請求項1から6のいずれかに記載のシステム。
- 前記システムの少なくとも一部が、担当医療専門家により着用可能に構成される、請求項1から7のいずれかに記載のシステム。
- 制御可能な方式で前記圧力カフを減圧するための減圧デバイスをさらに含む、請求項1から8のいずれかに記載のシステム。
- 前記プロセッサは受信信号から、前記患者の収縮期血圧と、拡張期血圧と、平均動脈圧と、脈拍数と、呼吸数と、呼吸パターンと、ヘモグロビン酸素飽和度と、運動機能と、体温と、認識能力とのうちの少なくとも1つを判定する、請求項1から9のいずれかに記載のシステム。
- 前記対応度は相関として表される、請求項1から10のいずれかに記載のシステム。
- 前記プロセッサは、モータコントローラと、マイクロコントローラと、アナログフロントエンドとのうちの少なくとも1つを含む、請求項1に記載のシステム。
- 前記加圧デバイスはポンプとバルブとのうちの少なくとも1つを含む、請求項2に記載のシステム。
- 患者の生命徴候を測定するために前記患者の第1の身体部分に動作可能な位置に配置される第1のセンサを取り外し可能に装着することと、
前記患者の生命徴候を測定するために前記患者の第2の身体部分に動作可能な位置に配置される少なくとも1つの追加のセンサを取り外し可能に装着することと、
前記第1のセンサからの第1の信号と前記少なくとも1つの追加のセンサから受信した少なくとも1つの追加の信号との対応度を判定することとを含む、生命徴候測定方法。 - 前記第1のセンサは患者の第1の指に取り外し可能に装着可能な第1のプレチスモグラフを含み、
前記少なくとも1つの追加のセンサは、前記患者の第2の指に取り外し可能に装着可能な第2のプレチスモグラフを含み、
前記方法は、
前記第1の指の前記第1のプレチスモグラフと前記患者のそれぞれの同側の手のひらとの間に装着された圧力カフを加圧することと、
前記第1のプレチスモグラフからの第1の信号と前記第2のプレチスモグラフからの第2の信号との対応度を判定することと、
前記対応度の変化に基づいて前記患者の収縮期血圧を判定することとをさらに含む、請求項14に記載の生命徴候測定方法。 - 前記少なくとも1つの追加のセンサは、前記患者の少なくとも一部の動きを検出するための加速度計を含む、請求項14に記載の方法。
- 前記少なくとも1つの追加のセンサは、前記患者の前記少なくとも一部の温度上昇に応答して血管拡張を評価するための体温計を含む、請求項14に記載の方法。
- 前記少なくとも1つの追加のセンサは、前記患者の音響レベルを測定するための音響メータを含む、請求項14に記載の方法。
- 前記少なくとも1つの追加のセンサは、前記第1のセンサから受信した信号を記述するデータを補正するために、前記患者の生命徴候に関連する追加の情報を検出するように第2の身体部分に取り外し可能に装着される、請求項14に記載の方法。
- 拡張期血圧を判定することをさらに含む、請求項14から19のいずれかに記載の方法。
- 拡張期血圧または拡張期血圧あるいはその両方を判定するためにオシロメトリック法を使用することをさらに含む、請求項14から20のいずれかに記載の方法。
- 拡張期血圧を判定するために前記圧力カフの加圧と減圧を複数回繰り返すことをさらに含む、請求項15に記載の方法。
- 拡張期血圧が、前記第1の信号の急上昇が発生するところであると判定される、請求項22に記載の方法。
- 前記複数回のそれぞれの回における前記加圧は、その前の加圧より少なくともわずかに高い圧までであり、減圧は加圧により血管外組織内に蓄積している可能性のある流体が血管内腔内に帰流するような減圧である、請求項22に記載の方法。
- 患者の第1の手に少なくとも1つの加速度計を取り外し可能に装着することと、
前記患者の腹部または胸部に前記患者の前記第1の手を置くことと、
前記患者の呼吸パターンと呼吸数とのうちの少なくとも1つを判定するために、前記少なくとも1つの加速度計によって検出された動きを測定することとを含む、生命徴候測定方法。 - 前記患者の第2の手に少なくとも第2の加速度計を取り外し可能に装着することと、前記患者の呼吸パターンを判定するために前記患者に前記第2の手を、前記第1の手とは異なる前記患者の身体の場所に置かせることとをさらに含む、請求項25に記載の方法。
- 前記呼吸パターンは呼吸数を含む、請求項26に記載の方法。
- 第1のフィンガースリーブと第2のフィンガースリーブと手のひら部とを含む少なくとも部分的グローブ被覆と、
前記第1のフィンガースリーブに結合される第1のプレチスモグラフと、
前記第2のフィンガースリーブに結合される第2のプレチスモグラフと、
前記第1のプレチスモグラフと前記グローブの手のひら部との間の前記第1の指に結合される圧力カフと、
前記被覆に結合され、前記圧力カフを加圧するように構成された加圧デバイスとを含む、生命徴候測定のためのウェアラブルシステム。 - それぞれ前記第1および第2のフィンガースリーブに、またはハーネスに結合された前記第1および第2のプレチスモグラフから受信される信号の対応度を判定するように構成されたプロセッサをさらに含む、請求項28に記載のウェアラブルシステム。
- 人の精神状態を判定するためのシステムであって、
少なくとも1つの加速度計と、
前記少なくとも1つの加速度計に結合され、前記加速度計から受信される信号を記述するデータに基づいて前記患者の精神状態を判定するように動作するプロセッサとを含むシステム。 - 活動中にウェアラブル生命徴候測定システムを使用して患者の1つまたは複数の生命徴候をモニタリングすることを含む、生命徴候パラメータ計測方法。
- 生命徴候が、患者の収縮期血圧と、拡張期血圧と、平均動脈圧と、脈拍数と、呼吸数と、呼吸パターンと、ヘモグロビン酸素飽和レベルと、運動機能と、体温と、認識能力とのうちの少なくとも1つである、請求項31に記載の方法。
- 活動が、歩行と、運動の実行と、休息と、睡眠とのうちの少なくとも1つである、請求項31または32に記載の方法。
- 前記活動中の前記患者のモニタリングされた生命徴候を記憶することをさらに含む、請求項31から33のいずれかに記載の方法。
- モニタリングされる前記患者の現在の活動を考慮に入れて、生命徴候パラメータの値が期待値に対応するかを確定することをさらに含む、請求項31から34のいずれかに記載の方法。
- 記憶された生命徴候値を記述するデータに基づいて、1つまたは複数の治療選択肢の予測または提案のうちの少なくとも1つを示す出力を提供することをさらに含む、請求項34に記載の方法。
- 患者の能力を評価する方法であって、
前記患者に参照動作を行うように指示することと、
ウェアラブル生命徴候測定システムを使用して、前記参照動作の模倣を試みるときに前記患者によって行われた前記動作を記述する第1の患者動作データセットを記録することとを含む方法。 - 前記参照動作の模倣を試みるときに前記患者によって行われた前記動作を記述する第2の患者動作データセットを記録することと、前記第2の患者動作データセットを前記第1の患者動作データセットと比較することとをさらに含む、請求項37に記載の方法。
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JP2022088330A (ja) * | 2020-12-02 | 2022-06-14 | ドレーゲルヴェルク アクチェンゲゼルシャフト ウント コンパニー コマンディートゲゼルシャフト アウフ アクチェン | 経時的な測定値推移を出力するための出力装置 |
JP7239665B2 (ja) | 2020-12-02 | 2023-03-14 | ドレーゲルヴェルク アクチェンゲゼルシャフト ウント コンパニー コマンディートゲゼルシャフト アウフ アクチェン | 経時的な測定値推移を出力するための出力装置 |
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US20200214582A1 (en) | 2020-07-09 |
US10531802B2 (en) | 2020-01-14 |
EP3261538A1 (en) | 2018-01-03 |
IL254087A0 (en) | 2017-10-31 |
WO2016135731A1 (en) | 2016-09-01 |
CN107530029A (zh) | 2018-01-02 |
US20180042501A1 (en) | 2018-02-15 |
EP3261538A4 (en) | 2018-08-29 |
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