JP2021514742A - 血圧を制御するためのシステム及び方法 - Google Patents
血圧を制御するためのシステム及び方法 Download PDFInfo
- Publication number
- JP2021514742A JP2021514742A JP2020545104A JP2020545104A JP2021514742A JP 2021514742 A JP2021514742 A JP 2021514742A JP 2020545104 A JP2020545104 A JP 2020545104A JP 2020545104 A JP2020545104 A JP 2020545104A JP 2021514742 A JP2021514742 A JP 2021514742A
- Authority
- JP
- Japan
- Prior art keywords
- blood pressure
- subject
- limb
- energy
- wearable
- Prior art date
- Legal status (The legal status 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 status listed.)
- Pending
Links
- 230000036772 blood pressure Effects 0.000 title claims abstract description 190
- 238000000034 method Methods 0.000 title description 25
- 230000000638 stimulation Effects 0.000 claims description 27
- 230000002526 effect on cardiovascular system Effects 0.000 claims description 16
- 239000000017 hydrogel Substances 0.000 claims description 7
- 230000008859 change Effects 0.000 claims description 6
- 210000001367 artery Anatomy 0.000 claims description 4
- 206010005746 Blood pressure fluctuation Diseases 0.000 claims description 3
- 238000013186 photoplethysmography Methods 0.000 claims description 3
- 230000000295 complement effect Effects 0.000 claims description 2
- 238000005516 engineering process Methods 0.000 claims description 2
- 229910044991 metal oxide Inorganic materials 0.000 claims description 2
- 150000004706 metal oxides Chemical class 0.000 claims description 2
- 238000000718 qrs complex Methods 0.000 claims description 2
- 239000004065 semiconductor Substances 0.000 claims description 2
- 238000002604 ultrasonography Methods 0.000 claims description 2
- 238000010586 diagram Methods 0.000 abstract 1
- 210000003414 extremity Anatomy 0.000 description 46
- 210000001617 median nerve Anatomy 0.000 description 28
- 210000000707 wrist Anatomy 0.000 description 22
- 230000006835 compression Effects 0.000 description 16
- 238000007906 compression Methods 0.000 description 16
- 238000011282 treatment Methods 0.000 description 15
- 238000005259 measurement Methods 0.000 description 13
- 230000001225 therapeutic effect Effects 0.000 description 12
- 239000000463 material Substances 0.000 description 9
- 239000000853 adhesive Substances 0.000 description 8
- 230000001070 adhesive effect Effects 0.000 description 8
- 239000004020 conductor Substances 0.000 description 8
- 239000000758 substrate Substances 0.000 description 8
- 206010020772 Hypertension Diseases 0.000 description 7
- 210000004556 brain Anatomy 0.000 description 7
- 230000000694 effects Effects 0.000 description 7
- 230000006870 function Effects 0.000 description 7
- 239000004593 Epoxy Substances 0.000 description 6
- 210000002979 radial nerve Anatomy 0.000 description 6
- 238000009530 blood pressure measurement Methods 0.000 description 5
- 230000035487 diastolic blood pressure Effects 0.000 description 5
- 230000004048 modification Effects 0.000 description 5
- 210000000658 ulnar nerve Anatomy 0.000 description 5
- 230000002051 biphasic effect Effects 0.000 description 4
- 238000004364 calculation method Methods 0.000 description 4
- 238000004891 communication Methods 0.000 description 4
- 229910052451 lead zirconate titanate Inorganic materials 0.000 description 4
- HFGPZNIAWCZYJU-UHFFFAOYSA-N lead zirconate titanate Chemical compound [O-2].[O-2].[O-2].[O-2].[O-2].[Ti+4].[Zr+4].[Pb+2] HFGPZNIAWCZYJU-UHFFFAOYSA-N 0.000 description 4
- 238000012986 modification Methods 0.000 description 4
- 210000005036 nerve Anatomy 0.000 description 4
- 230000002093 peripheral effect Effects 0.000 description 4
- 230000004044 response Effects 0.000 description 4
- 230000001953 sensory effect Effects 0.000 description 4
- 230000035488 systolic blood pressure Effects 0.000 description 4
- QJVKUMXDEUEQLH-UHFFFAOYSA-N [B].[Fe].[Nd] Chemical compound [B].[Fe].[Nd] QJVKUMXDEUEQLH-UHFFFAOYSA-N 0.000 description 3
- 230000009471 action Effects 0.000 description 3
- 230000004913 activation Effects 0.000 description 3
- 230000006978 adaptation Effects 0.000 description 3
- 206010003119 arrhythmia Diseases 0.000 description 3
- 230000004872 arterial blood pressure Effects 0.000 description 3
- 238000010009 beating Methods 0.000 description 3
- 239000011248 coating agent Substances 0.000 description 3
- 238000000576 coating method Methods 0.000 description 3
- 208000010247 contact dermatitis Diseases 0.000 description 3
- 239000013078 crystal Substances 0.000 description 3
- 239000010410 layer Substances 0.000 description 3
- 229910001172 neodymium magnet Inorganic materials 0.000 description 3
- -1 polyethylene terephthalate Polymers 0.000 description 3
- 230000010349 pulsation Effects 0.000 description 3
- 238000002560 therapeutic procedure Methods 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 238000012384 transportation and delivery Methods 0.000 description 3
- 239000004831 Hot glue Substances 0.000 description 2
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 description 2
- 239000012790 adhesive layer Substances 0.000 description 2
- 230000006793 arrhythmia Effects 0.000 description 2
- 210000003169 central nervous system Anatomy 0.000 description 2
- 239000000919 ceramic Substances 0.000 description 2
- 238000001816 cooling Methods 0.000 description 2
- 230000008878 coupling Effects 0.000 description 2
- 238000010168 coupling process Methods 0.000 description 2
- 238000005859 coupling reaction Methods 0.000 description 2
- 230000003247 decreasing effect Effects 0.000 description 2
- 230000037213 diet Effects 0.000 description 2
- 235000005911 diet Nutrition 0.000 description 2
- 239000012530 fluid Substances 0.000 description 2
- 239000000499 gel Substances 0.000 description 2
- 238000001802 infusion Methods 0.000 description 2
- 238000002347 injection Methods 0.000 description 2
- 239000007924 injection Substances 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 230000035479 physiological effects, processes and functions Effects 0.000 description 2
- 229920000139 polyethylene terephthalate Polymers 0.000 description 2
- 239000005020 polyethylene terephthalate Substances 0.000 description 2
- 239000010453 quartz Substances 0.000 description 2
- 230000009467 reduction Effects 0.000 description 2
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N silicon dioxide Inorganic materials O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 2
- 230000004873 systolic arterial blood pressure Effects 0.000 description 2
- 238000012546 transfer Methods 0.000 description 2
- 208000031104 Arterial Occlusive disease Diseases 0.000 description 1
- 206010003658 Atrial Fibrillation Diseases 0.000 description 1
- 206010003662 Atrial flutter Diseases 0.000 description 1
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 description 1
- 208000001953 Hypotension Diseases 0.000 description 1
- HBBGRARXTFLTSG-UHFFFAOYSA-N Lithium ion Chemical compound [Li+] HBBGRARXTFLTSG-UHFFFAOYSA-N 0.000 description 1
- 239000004677 Nylon Substances 0.000 description 1
- 239000004952 Polyamide Substances 0.000 description 1
- 239000004642 Polyimide Substances 0.000 description 1
- BQCADISMDOOEFD-UHFFFAOYSA-N Silver Chemical compound [Ag] BQCADISMDOOEFD-UHFFFAOYSA-N 0.000 description 1
- 229910021607 Silver chloride Inorganic materials 0.000 description 1
- 208000001871 Tachycardia Diseases 0.000 description 1
- 206010047281 Ventricular arrhythmia Diseases 0.000 description 1
- 230000003044 adaptive effect Effects 0.000 description 1
- 208000021328 arterial occlusion Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000002146 bilateral effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000008081 blood perfusion Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000036471 bradycardia Effects 0.000 description 1
- 208000006218 bradycardia Diseases 0.000 description 1
- 230000007211 cardiovascular event Effects 0.000 description 1
- 229910010293 ceramic material Inorganic materials 0.000 description 1
- GTKRFUAGOKINCA-UHFFFAOYSA-M chlorosilver;silver Chemical compound [Ag].[Ag]Cl GTKRFUAGOKINCA-UHFFFAOYSA-M 0.000 description 1
- KPLQYGBQNPPQGA-UHFFFAOYSA-N cobalt samarium Chemical compound [Co].[Sm] KPLQYGBQNPPQGA-UHFFFAOYSA-N 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 229910052802 copper Inorganic materials 0.000 description 1
- 239000010949 copper Substances 0.000 description 1
- 238000007405 data analysis Methods 0.000 description 1
- 230000034994 death Effects 0.000 description 1
- 231100000517 death Toxicity 0.000 description 1
- 230000008021 deposition Effects 0.000 description 1
- 230000000881 depressing effect Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 230000004882 diastolic arterial blood pressure Effects 0.000 description 1
- 230000003828 downregulation Effects 0.000 description 1
- 230000035622 drinking Effects 0.000 description 1
- 235000021271 drinking Nutrition 0.000 description 1
- 229920001971 elastomer Polymers 0.000 description 1
- 239000004744 fabric Substances 0.000 description 1
- 235000020828 fasting Nutrition 0.000 description 1
- 210000000245 forearm Anatomy 0.000 description 1
- 230000004927 fusion Effects 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 1
- 229910052737 gold Inorganic materials 0.000 description 1
- 239000010931 gold Substances 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 208000019622 heart disease Diseases 0.000 description 1
- 239000012943 hotmelt Substances 0.000 description 1
- 230000001631 hypertensive effect Effects 0.000 description 1
- 208000021822 hypotensive Diseases 0.000 description 1
- 230000001077 hypotensive effect Effects 0.000 description 1
- 238000002847 impedance measurement Methods 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 229910052742 iron Inorganic materials 0.000 description 1
- 230000007794 irritation Effects 0.000 description 1
- 239000004973 liquid crystal related substance Substances 0.000 description 1
- 229910001416 lithium ion Inorganic materials 0.000 description 1
- 239000000696 magnetic material Substances 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 230000007257 malfunction Effects 0.000 description 1
- 238000007726 management method Methods 0.000 description 1
- 239000011159 matrix material Substances 0.000 description 1
- 235000012054 meals Nutrition 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 208000010125 myocardial infarction Diseases 0.000 description 1
- 210000000653 nervous system Anatomy 0.000 description 1
- 210000000118 neural pathway Anatomy 0.000 description 1
- 230000010004 neural pathway Effects 0.000 description 1
- 229920001778 nylon Polymers 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 238000005457 optimization Methods 0.000 description 1
- 239000003973 paint Substances 0.000 description 1
- 230000002085 persistent effect Effects 0.000 description 1
- 230000035790 physiological processes and functions Effects 0.000 description 1
- 229920002647 polyamide Polymers 0.000 description 1
- 229920001721 polyimide Polymers 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 239000004814 polyurethane Substances 0.000 description 1
- 238000003825 pressing Methods 0.000 description 1
- 238000007639 printing Methods 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 210000002321 radial artery Anatomy 0.000 description 1
- 229910052761 rare earth metal Inorganic materials 0.000 description 1
- 150000002910 rare earth metals Chemical class 0.000 description 1
- 238000010223 real-time analysis Methods 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 229910000938 samarium–cobalt magnet Inorganic materials 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 238000009958 sewing Methods 0.000 description 1
- 229920002379 silicone rubber Polymers 0.000 description 1
- 229910052709 silver Inorganic materials 0.000 description 1
- 239000004332 silver Substances 0.000 description 1
- 210000001013 sinoatrial node Anatomy 0.000 description 1
- 125000006850 spacer group Chemical group 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 230000003068 static effect Effects 0.000 description 1
- 230000004936 stimulating effect Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000002889 sympathetic effect Effects 0.000 description 1
- 230000000946 synaptic effect Effects 0.000 description 1
- 230000001360 synchronised effect Effects 0.000 description 1
- 230000006794 tachycardia Effects 0.000 description 1
- 230000001052 transient effect Effects 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
- 238000011269 treatment regimen Methods 0.000 description 1
- 210000000623 ulna Anatomy 0.000 description 1
- 210000002559 ulnar artery Anatomy 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 239000013598 vector Substances 0.000 description 1
- 206010047302 ventricular tachycardia Diseases 0.000 description 1
- 238000003466 welding Methods 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/36014—External stimulators, e.g. with patch electrodes
- A61N1/3603—Control systems
- A61N1/36031—Control systems using physiological parameters for adjustment
-
- 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
- A61B5/021—Measuring pressure in heart or blood vessels
- A61B5/02108—Measuring pressure in heart or blood vessels from analysis of pulse wave characteristics
-
- 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
- A61B5/02233—Occluders specially adapted therefor
- A61B5/02241—Occluders specially adapted therefor of small dimensions, e.g. adapted to fingers
-
- 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
-
- 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
-
- 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
- A61B5/16—Devices for psychotechnics; Testing reaction times ; Devices for evaluating the psychological state
- A61B5/163—Devices for psychotechnics; Testing reaction times ; Devices for evaluating the psychological state by tracking eye movement, gaze, or pupil change
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/16—Devices for psychotechnics; Testing reaction times ; Devices for evaluating the psychological state
- A61B5/165—Evaluating the state of mind, e.g. depression, anxiety
-
- 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]
-
- 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
- A61B5/369—Electroencephalography [EEG]
-
- 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
- A61B5/398—Electrooculography [EOG], e.g. detecting nystagmus; Electroretinography [ERG]
-
- 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
-
- 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
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/04—Measuring blood pressure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/42—Details of probe positioning or probe attachment to the patient
- A61B8/4209—Details of probe positioning or probe attachment to the patient by using holders, e.g. positioning frames
- A61B8/4227—Details of probe positioning or probe attachment to the patient by using holders, e.g. positioning frames characterised by straps, belts, cuffs or braces
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/52—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/5215—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data
- A61B8/5223—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data for extracting a diagnostic or physiological parameter from medical diagnostic data
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H23/00—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
- A61H23/02—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive
- A61H23/0245—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive with ultrasonic transducers, e.g. piezoelectric
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H9/00—Pneumatic or hydraulic massage
- A61H9/005—Pneumatic massage
- A61H9/0078—Pneumatic massage with intermittent or alternately inflated bladders or cuffs
- A61H9/0092—Cuffs therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N7/00—Ultrasound therapy
-
- 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
- G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
- A61B2562/02—Details of sensors specially adapted for in-vivo measurements
- A61B2562/029—Humidity sensors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/01—Constructive details
- A61H2201/0103—Constructive details inflatable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/02—Characteristics of apparatus not provided for in the preceding codes heated or cooled
- A61H2201/0207—Characteristics of apparatus not provided for in the preceding codes heated or cooled heated
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/02—Characteristics of apparatus not provided for in the preceding codes heated or cooled
- A61H2201/0214—Characteristics of apparatus not provided for in the preceding codes heated or cooled cooled
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/10—Characteristics of apparatus not provided for in the preceding codes with further special therapeutic means, e.g. electrotherapy, magneto therapy or radiation therapy, chromo therapy, infrared or ultraviolet therapy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/12—Driving means
- A61H2201/1207—Driving means with electric or magnetic drive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/14—Special force transmission means, i.e. between the driving means and the interface with the user
- A61H2201/1409—Hydraulic or pneumatic means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/16—Physical interface with patient
- A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
- A61H2201/1635—Hand or arm, e.g. handle
- A61H2201/1638—Holding means therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/16—Physical interface with patient
- A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
- A61H2201/164—Feet or leg, e.g. pedal
- A61H2201/1642—Holding means therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/16—Physical interface with patient
- A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
- A61H2201/165—Wearable interfaces
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/50—Control means thereof
- A61H2201/5007—Control means thereof computer controlled
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/50—Control means thereof
- A61H2201/5023—Interfaces to the user
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/50—Control means thereof
- A61H2201/5023—Interfaces to the user
- A61H2201/5038—Interfaces to the user freely programmable by the user
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/50—Control means thereof
- A61H2201/5023—Interfaces to the user
- A61H2201/5043—Displays
- A61H2201/5046—Touch screens
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2230/00—Measuring physical parameters of the user
- A61H2230/04—Heartbeat characteristics, e.g. E.G.C., blood pressure modulation
- A61H2230/045—Heartbeat characteristics, e.g. E.G.C., blood pressure modulation used as a control parameter for the apparatus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2230/00—Measuring physical parameters of the user
- A61H2230/30—Blood pressure
- A61H2230/305—Blood pressure used as a control parameter for the apparatus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/0404—Electrodes for external use
- A61N1/0408—Use-related aspects
- A61N1/0456—Specially adapted for transcutaneous electrical nerve stimulation [TENS]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/0404—Electrodes for external use
- A61N1/0472—Structure-related aspects
- A61N1/0484—Garment electrodes worn by the patient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
- A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
- A61N1/36114—Cardiac control, e.g. by vagal stimulation
- A61N1/36117—Cardiac control, e.g. by vagal stimulation for treating hypertension
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Biophysics (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Pathology (AREA)
- Physics & Mathematics (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Cardiology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Physiology (AREA)
- Psychiatry (AREA)
- Vascular Medicine (AREA)
- Dermatology (AREA)
- Psychology (AREA)
- Epidemiology (AREA)
- Hematology (AREA)
- Ophthalmology & Optometry (AREA)
- Dentistry (AREA)
- Computer Vision & Pattern Recognition (AREA)
- Physical Education & Sports Medicine (AREA)
- Rehabilitation Therapy (AREA)
- Pain & Pain Management (AREA)
- Artificial Intelligence (AREA)
- Social Psychology (AREA)
- Child & Adolescent Psychology (AREA)
- Developmental Disabilities (AREA)
- Educational Technology (AREA)
- Hospice & Palliative Care (AREA)
- Evolutionary Computation (AREA)
- Pulmonology (AREA)
- Oral & Maxillofacial Surgery (AREA)
Abstract
Description
Claims (35)
- 血圧を制御するためのシステムであって、
内側接触面を有する装着型インタフェースであって、前記装着型インタフェースが被検者の第1の肢の第1の部分を少なくとも部分的に取り囲むように構成されている、装着型インタフェースと、
前記装着型インタフェースによって支持され、少なくとも前記被検者の前記第1の肢の血圧の変化を決定するように構成されている感知モジュールと、
前記装着型インタフェースによって支持され、前記被検者の前記第1の肢に対して2つ以上のタイプのエネルギーを印加するように構成されているエネルギー印加モジュールと
を備える、システム。 - 前記感知モジュールが前記被検者の前記第1の肢から心電図データを測定するように更に構成されている、請求項1に記載のシステム。
- 前記感知モジュールが、血圧を測定するように構成されている第1のセンサ要素と、心電図データを測定するように構成されている第2のセンサ要素とを備える、請求項2に記載のシステム。
- 前記2つ以上のタイプのエネルギーが振動エネルギー及び電気刺激エネルギーを含む、請求項1に記載のシステム。
- 前記振動エネルギーが前記エネルギー印加モジュールの1つ以上の圧電素子によって与えられる、請求項4に記載のシステム。
- 前記電気刺激エネルギーが前記エネルギー印加モジュールの1つ以上の電極によって与えられる、請求項4に記載のシステム。
- 前記1つ以上の電極のそれぞれが前記被検者の前記第1の肢の前記第1の部分で皮膚と接触するように構成されている、請求項6に記載のシステム。
- 前記エネルギー印加モジュールが、ヒドロゲルを備え、前記装着型インタフェースに取り外し可能に取り付けることができ、前記装着型インタフェースの前記内側接触面の少なくとも一部を形成するように構成されている、請求項1に記載のシステム。
- 前記内側接触面が様々な肢サイズで機能的な適合をもたらすように調整可能である、請求項1に記載のシステム。
- 第1の位置で前記内側接触面に結合された第1の電極と、第2の位置で前記内側接触面に結合される第2の電極とを更に備え、
前記第1及び第2の電極が前記第1の肢の前記第1の部分のインピーダンスを測定するように構成されている、請求項9に記載のシステム。 - 前記内側接触面に結合される第1の電極と、前記システムの外側に面する表面上に支持される第2の電極とを更に備え、
前記第1の電極が、前記被検者の前記第1の肢の前記第1の部分で皮膚と接触するように構成され、前記第2の電極が、前記被検者の前記第1の肢以外の前記被検者の部分から皮膚により接触されるように構成されている、請求項1に記載のシステム。 - 前記第1の電極が前記被検者の前記第1の肢の前記第1の部分で皮膚と接触し、前記第2の電極が前記被検者の第2の肢の指から皮膚と接触するときに、前記第1の電極及び前記第2の電極が前記被検者から心電図データを得るように構成されている、請求項11に記載のシステム。
- 前記感知モジュールからデータを受けるように構成され、第1の所定のパターンで前記被検者の前記第1の肢に対して前記2つ以上のタイプのエネルギーを印加するように更に構成されているコントローラを更に備え、
前記第1の所定のパターンが前記感知モジュールから受けられる前記データによって少なくとも部分的に決定される、請求項1に記載のシステム。 - 前記2つ以上のタイプのエネルギーが振動エネルギー及び電気刺激エネルギーを含み、前記第1の所定のパターンが、開始時間、持続時間、及び、終了時間を有する、請求項13に記載のシステム。
- 前記第1の所定のパターンの前記持続時間の少なくとも一部が前記振動エネルギー及び前記電気刺激エネルギーを同時に印加することを含む、請求項14に記載のシステム。
- 前記第1の所定のパターンの前記持続時間が約15分未満である、請求項14に記載のシステム。
- 前記コントローラが前記エネルギー印加モジュールの動作を経時的に変更するように構成されている、請求項13に記載のシステム。
- 前記エネルギー印加モジュールの動作の前記変更が前記被検者の心血管パラメータの少なくとも幾つかの測定された変化に基づく、請求項17に記載のシステム。
- 前記感知モジュールが、前記被検者の前記肢における1つ以上の動脈を圧迫するように構成されている可膨張カフである、請求項1に記載のシステム。
- 前記感知モジュールが、ヒドロゲルを備え、前記装着型インタフェースに取り外し可能に取り付けることができ、前記装着型インタフェースの前記内側接触面の少なくとも一部を形成するように構成されている、請求項1に記載のシステム。
- 前記感知モジュールが、フォトプレチスモグラフィ又は超音波から成るリストから選択される少なくとも1つのモダリティを含む、請求項1に記載のシステム。
- 前記感知モジュールが1つ以上の心血管パラメータを測定するように構成されている、請求項1、4、5又は6に記載のシステム。
- 前記1つ以上の心血管パラメータが前記被検者の心拍数を含む、請求項22に記載のシステム。
- 前記1つ以上の心血管パラメータが前記被検者の心拍数変動を含む、請求項22に記載のシステム。
- 前記被検者の前記心拍数変動が時間領域におけるパラメータを介して測定される、請求項24に記載のシステム。
- 前記被検者の前記心拍数変動が周波数領域におけるパラメータを介して測定される、請求項24に記載のシステム。
- 前記被検者の前記心拍数変動が時間領域におけるパラメータを介して測定される、請求項24に記載のシステム。
- 前記心拍数が心電図のQRS群の連続するR点に基づいて計算される、請求項23〜27のいずれか一項に記載のシステム。
- 血圧を制御するためのシステムであって、
内側接触面を有する装着型インタフェースであって、前記装着型インタフェースが被検者の肢の第1の部分を少なくとも部分的に取り囲むように構成されている、装着型インタフェースと、
前記装着型インタフェースによって支持され、少なくとも前記被検者の前記肢の血圧の変化を決定するように構成されている感知モジュールであって、前記感知モジュールが流れ特性を決定するための少なくとも1つのセンサを含む、感知モジュールと、
前記装着型インタフェースによって支持され、前記被検者の前記肢に対してエネルギーを印加するように構成されているエネルギー印加モジュールと
を備える、システム。 - 前記感知モジュールがCMOS(相補型金属酸化物半導体)技術を含む、請求項29に記載のシステム。
- 前記エネルギー印加モジュールが可膨張カフを備える、請求項29又は30に記載のシステム。
- 前記エネルギー印加モジュールが振動要素を備える、請求項29〜31のいずれか一項に記載のシステム。
- 前記振動要素が圧電素子を備える、請求項32に記載のシステム。
- 前記エネルギー印加モジュールが、1つ以上の圧電素子及び1つ以上の電極、前記1つ以上の圧電素子のうちの少なくとも1つ、及び、層状形態で支持される前記1つ以上の電極のうちの少なくとも1つを備える、請求項1に記載のシステム。
- 前記1つ以上の電極のうちの少なくとも1つが導電性ヒドロゲル電極である、請求項34に記載のシステム。
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2023214575A JP2024029043A (ja) | 2018-03-01 | 2023-12-20 | 血圧を制御するためのシステム及び方法 |
Applications Claiming Priority (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201862637100P | 2018-03-01 | 2018-03-01 | |
US62/637,100 | 2018-03-01 | ||
US201862674832P | 2018-05-22 | 2018-05-22 | |
US62/674,832 | 2018-05-22 | ||
US16/288,605 | 2019-02-28 | ||
US16/288,605 US11357981B2 (en) | 2018-03-01 | 2019-02-28 | Systems and methods for controlling blood pressure |
PCT/US2019/020240 WO2019169240A1 (en) | 2018-03-01 | 2019-03-01 | Systems and methods for controlling blood pressure |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2023214575A Division JP2024029043A (ja) | 2018-03-01 | 2023-12-20 | 血圧を制御するためのシステム及び方法 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2021514742A true JP2021514742A (ja) | 2021-06-17 |
JPWO2019169240A5 JPWO2019169240A5 (ja) | 2022-03-07 |
Family
ID=67767929
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2020545104A Pending JP2021514742A (ja) | 2018-03-01 | 2019-03-01 | 血圧を制御するためのシステム及び方法 |
JP2023214575A Pending JP2024029043A (ja) | 2018-03-01 | 2023-12-20 | 血圧を制御するためのシステム及び方法 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2023214575A Pending JP2024029043A (ja) | 2018-03-01 | 2023-12-20 | 血圧を制御するためのシステム及び方法 |
Country Status (5)
Country | Link |
---|---|
US (4) | US11357981B2 (ja) |
EP (1) | EP3758595A4 (ja) |
JP (2) | JP2021514742A (ja) |
CN (1) | CN111989035A (ja) |
WO (1) | WO2019169240A1 (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2024018666A1 (ja) * | 2022-07-22 | 2024-01-25 | オムロンヘルスケア株式会社 | 生体情報測定装置 |
Families Citing this family (29)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2017053847A1 (en) | 2015-09-23 | 2017-03-30 | Cala Health, Inc. | Systems and methods for peripheral nerve stimulation in the finger or hand to treat hand tremors |
IL286747B2 (en) | 2016-01-21 | 2024-05-01 | Cala Health Inc | A wearable device for the treatment of symptoms related to the urinary system |
WO2019143790A1 (en) | 2018-01-17 | 2019-07-25 | Cala Health, Inc. | Systems and methods for treating inflammatory bowel disease through peripheral nerve stimulation |
US11357981B2 (en) * | 2018-03-01 | 2022-06-14 | Adventus Ventures, Llc | Systems and methods for controlling blood pressure |
JP7230369B2 (ja) * | 2018-08-22 | 2023-03-01 | オムロンヘルスケア株式会社 | 測定装置、測定方法及び測定プログラム |
US10860103B2 (en) * | 2018-09-19 | 2020-12-08 | Dell Products, L.P. | Enhancing virtual reality with physiological sensing |
CN113728333A (zh) * | 2019-04-24 | 2021-11-30 | 京瓷株式会社 | Rfid标签 |
US20220249055A1 (en) * | 2019-07-25 | 2022-08-11 | DP Holding (U.K) Limited | Non-invasive, real-time, beat-to-beat, ambulatory blood pressure monitoring |
US11923134B2 (en) * | 2019-09-09 | 2024-03-05 | Apple Inc. | Magnet alternating pole array magnetized by one side magnetization to boost magnetic attraction force |
CN110584708A (zh) * | 2019-09-26 | 2019-12-20 | 重庆琨大医疗科技有限公司 | 一种基于耳迷走神经刺激的便携式智能超声血压监控系统 |
US11890468B1 (en) | 2019-10-03 | 2024-02-06 | Cala Health, Inc. | Neurostimulation systems with event pattern detection and classification |
KR102430239B1 (ko) * | 2019-10-07 | 2022-08-08 | 한국 한의학 연구원 | 혈압 관리용 웨어러블 디바이스 및 혈압 관리용 웨어러블 디바이스의 운용 방법 |
US20210106470A1 (en) * | 2019-10-15 | 2021-04-15 | Ramin Shahidi | Dynamic compression garment and uses thereof |
US11701023B1 (en) * | 2019-10-30 | 2023-07-18 | Brigham Young University | Miniaturized impedance sensors for wearable devices |
CN112914532A (zh) * | 2019-12-06 | 2021-06-08 | 研能科技股份有限公司 | 血压测量模块 |
TWI722701B (zh) * | 2019-12-06 | 2021-03-21 | 研能科技股份有限公司 | 血壓測量模組 |
US11478606B1 (en) * | 2020-01-08 | 2022-10-25 | New Heights Energy, LLC | Wearable devices and methods for providing therapy to a user and/or for measuring physiological parameters of the user |
US20210290482A1 (en) * | 2020-03-18 | 2021-09-23 | The Board Of Regents Of The University Of Oklahoma | Wearable Focal Vibration Device and Methods of Use |
EP3888721A1 (en) * | 2020-04-01 | 2021-10-06 | Fenwal, Inc. | Blood flow assist device |
US20220108796A1 (en) * | 2020-10-07 | 2022-04-07 | Physio-Control, Inc. | Systems Enabling Doctors to Access Medical Device Data |
CN112617365A (zh) * | 2020-12-17 | 2021-04-09 | 苏州谷威医疗科技有限公司 | 一种具有温差发电功能的手环表带 |
WO2022155015A1 (en) * | 2021-01-16 | 2022-07-21 | Jeffrey Loh | Non-invasive non-compressive blood pressure monitoring device |
EP4277699A1 (en) * | 2021-01-18 | 2023-11-22 | Ziv Healthcare Ltd. | Monitoring and treating atrial fibrillation, arrythmia, and additional conditions |
US12036065B2 (en) * | 2021-02-04 | 2024-07-16 | Orbicor Technologies Sociedad Anonima | Modular wireless system for multi-point synchronous measurement of cardiac and vascular indicators, their function and the differences over time |
JP2022155162A (ja) * | 2021-03-30 | 2022-10-13 | ミネベアミツミ株式会社 | ポンプシステムおよび電子機器 |
CN115553763A (zh) * | 2021-07-01 | 2023-01-03 | 疆域康健创新医疗科技成都有限公司 | 壳体及血糖仪 |
CN113288217B (zh) * | 2021-07-06 | 2024-05-24 | 北京大学深圳医院 | 超声弹性成像可穿戴血压测量设备 |
US20230034934A1 (en) * | 2021-07-30 | 2023-02-02 | Inno Health Technology Co., Ltd. | Two-way diagnosis and treatment device capable of connecting blood pressure measurement |
CN114601237B (zh) * | 2022-03-29 | 2024-08-20 | 歌尔股份有限公司 | 一种表带和电子设备 |
Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2019531775A (ja) * | 2016-08-25 | 2019-11-07 | カラ ヘルス, インコーポレイテッドCala Health, Inc. | 末梢神経刺激による心機能不全の治療のためのシステムおよび方法任意の優先権出願への参照による組込み |
Family Cites Families (75)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPS6185241U (ja) | 1984-11-09 | 1986-06-04 | ||
JPH08275980A (ja) | 1995-04-04 | 1996-10-22 | O G Giken Kk | 振動温熱導子付治療器 |
JP3164114B2 (ja) | 1998-01-13 | 2001-05-08 | オムロン株式会社 | 手首用血圧計 |
US6178352B1 (en) * | 1999-05-07 | 2001-01-23 | Woodside Biomedical, Inc. | Method of blood pressure moderation |
US20080077192A1 (en) | 2002-05-03 | 2008-03-27 | Afferent Corporation | System and method for neuro-stimulation |
US7337012B2 (en) | 2003-04-30 | 2008-02-26 | Lawrence Livermore National Security, Llc | Stretchable polymer-based electronic device |
US20060195035A1 (en) | 2005-02-28 | 2006-08-31 | Dehchuan Sun | Non-invasive radial artery blood pressure waveform measuring apparatus system and uses thereof |
JP2006271689A (ja) | 2005-03-29 | 2006-10-12 | Terumo Corp | 刺激装置およびその制御方法 |
US10786669B2 (en) | 2006-10-02 | 2020-09-29 | Emkinetics, Inc. | Method and apparatus for transdermal stimulation over the palmar and plantar surfaces |
US8845968B2 (en) * | 2006-12-28 | 2014-09-30 | Highland Biosciences Limited | Biosensor |
US8233976B2 (en) | 2007-12-05 | 2012-07-31 | The Invention Science Fund I, Llc | System for transdermal chemical modulation of neural activity |
JP2009136585A (ja) | 2007-12-07 | 2009-06-25 | Kochi Univ | 腹筋電気刺激による血圧制御装置 |
US9727139B2 (en) * | 2008-12-12 | 2017-08-08 | Immersion Corporation | Method and apparatus for providing a haptic monitoring system using multiple sensors |
US20160001096A1 (en) | 2009-11-11 | 2016-01-07 | David J. Mishelevich | Devices and methods for optimized neuromodulation and their application |
SE534365C2 (sv) | 2010-04-27 | 2011-07-26 | Inerventions Ab | System och klädesplagg för avslappning av en spastisk muskel |
US10856752B2 (en) | 2010-12-28 | 2020-12-08 | Sotera Wireless, Inc. | Body-worn system for continuous, noninvasive measurement of cardiac output, stroke volume, cardiac power, and blood pressure |
US9649511B2 (en) | 2011-03-31 | 2017-05-16 | Katsunori Nonogaki | Method of irradiating supersonic waves |
US9066845B2 (en) | 2012-03-06 | 2015-06-30 | Valencia Technologies Corporation | Electrode configuration for an implantable electroacupuncture device |
US8965511B2 (en) | 2011-08-30 | 2015-02-24 | Valencia Technologies Corporation | Implantable electroacupuncture system and method for reducing hypertension |
US8805512B1 (en) | 2011-08-30 | 2014-08-12 | Valencia Technologies Corporation | Implantable electroacupuncture device and method for reducing hypertension |
US20150209564A1 (en) * | 2011-09-02 | 2015-07-30 | Drexel University | Ultrasound device and therapeutic methods |
US8996125B2 (en) | 2011-09-23 | 2015-03-31 | Valencia Technologies Corporation | Implantable electroacupuncture system and method for treating cardiovascular disease |
US8938297B2 (en) | 2011-09-23 | 2015-01-20 | Valencia Technologies Corporation | Implantable electroacupuncture device and method for treating cardiovascular disease |
US9173811B2 (en) | 2011-09-29 | 2015-11-03 | Valencia Technologies Corporation | Implantable electroacupuncture system and method for treating depression and similar mental conditions |
US9198828B2 (en) | 2011-09-29 | 2015-12-01 | Valencia Technologies Corporation | Implantable electroacupuncture device and method for treating depression, bipolar disorder and anxiety |
WO2013059658A1 (en) | 2011-10-19 | 2013-04-25 | Sympara Medical Inc. | Methods and devices for treating hypertension |
US9078801B2 (en) | 2012-03-06 | 2015-07-14 | Valencia Technologies Corporation | Implantable electroacupuncture device and method for treating erectile dysfunction |
US9364390B2 (en) | 2012-03-06 | 2016-06-14 | Valencia Technologies Corporation | Implantable electroacupuncture device and method for treating obesity |
US9314399B2 (en) | 2012-03-06 | 2016-04-19 | Valencia Technologies Corporation | Implantable electroacupuncture system and method for treating dyslipidemia and obesity |
US8954143B2 (en) | 2012-03-06 | 2015-02-10 | Valencia Technologies Corporation | Radial feed through packaging for an implantable electroacupuncture device |
US9433786B2 (en) | 2012-03-06 | 2016-09-06 | Valencia Technologies Corporation | Implantable electroacupuncture system and method for treating Parkinson's disease and essential tremor |
US8942816B2 (en) | 2012-03-06 | 2015-01-27 | Valencia Technologies Corporation | Implantable electroacupuncture device and method for treating dyslipidemia |
US8942808B2 (en) | 2012-03-12 | 2015-01-27 | Valencia Technologies Corporation | Stimulation paradigm to improve blood pressure dipping in an implantable electroacupuncture device |
US9089716B2 (en) | 2012-03-12 | 2015-07-28 | Valencia Technologies Corporation | Circuits and methods for using a high impedance, thin, coin-cell type battery in an implantable electroacupuncture device |
US9327134B2 (en) | 2012-03-12 | 2016-05-03 | Valencia Technologies Corporation | Implantable electroacupuncture device and method |
FR2993675B1 (fr) | 2012-07-18 | 2015-05-22 | Valeo Etudes Electroniques | Dispositif et procede d'emission d'un faisceau lumineux destine a former une image, systeme de projection et afficheur utilisant ledit dispositif |
US11167154B2 (en) | 2012-08-22 | 2021-11-09 | Medtronic, Inc. | Ultrasound diagnostic and therapy management system and associated method |
KR101349680B1 (ko) | 2012-09-06 | 2014-01-13 | 대구한의대학교산학협력단 | 인체 부착형 치료 장치 |
US9724512B2 (en) | 2012-09-28 | 2017-08-08 | Valencia Technologies Corporation | Implantable electroacupuncture system and method for treating parkinson's disease and essential tremor through application of stimului at or near an acupoint on the chorea line |
AU2014207265B2 (en) | 2013-01-21 | 2017-04-20 | Cala Health, Inc. | Devices and methods for controlling tremor |
US20190001129A1 (en) * | 2013-01-21 | 2019-01-03 | Cala Health, Inc. | Multi-modal stimulation for treating tremor |
ES2959159T3 (es) * | 2013-02-15 | 2024-02-21 | Senzime Ab Publ | Sistemas de electrodos para su utilización con sistemas de monitorización médica |
US10071015B2 (en) | 2013-04-18 | 2018-09-11 | Uwm Research Foundation, Inc. | Wearable device for improving tactile sensitivity |
JP2015066286A (ja) | 2013-09-30 | 2015-04-13 | ブラザー工業株式会社 | 経穴刺激装置、経穴刺激方法、及び、経穴刺激プログラム |
US10052035B2 (en) * | 2013-10-25 | 2018-08-21 | Qualcomm Incorporated | System and method for obtaining bodily function measurements using a mobile device |
EP3077044B1 (en) * | 2013-12-05 | 2018-08-29 | Cardiac Pacemakers, Inc. | System for dosed delivery of autonomic modulation therapy |
WO2015099090A1 (ja) | 2013-12-26 | 2015-07-02 | 国立大学法人名古屋大学 | 血管内皮機能改善装置 |
CN106415610B (zh) | 2014-01-21 | 2019-07-26 | 奇尔库雷私人有限公司 | 个人识别系统和方法 |
JP6007358B2 (ja) | 2014-02-27 | 2016-10-12 | 日信工業株式会社 | 回路基板および車両用ブレーキ液圧制御装置 |
EP3119534A4 (en) * | 2014-03-15 | 2018-01-03 | Cerevast Medical Inc. | Thin and wearable ultrasound phased array devices |
WO2015164658A1 (en) * | 2014-04-24 | 2015-10-29 | Sympara Medical, Inc. | Methods and devices for treating hypertension |
AU2015271774B2 (en) | 2014-06-02 | 2020-04-16 | Cala Health, Inc. | Systems and methods for peripheral nerve stimulation to treat tremor |
JP6373647B2 (ja) | 2014-06-06 | 2018-08-15 | 国立大学法人東北大学 | 超音波照射装置及び診断システム |
US9603569B2 (en) | 2014-07-11 | 2017-03-28 | Verily Life Sciences Llc | Positioning a wearable device for data collection |
US20160058133A1 (en) | 2014-08-28 | 2016-03-03 | Joseph Fournier | Analog watch with digital wearable system |
EP3237081B1 (en) | 2014-12-22 | 2020-10-07 | Gyrogear Limited | Tremor stabilisation apparatus and methods |
TWI586319B (zh) * | 2015-01-26 | 2017-06-11 | chang-an Zhou | Cardiovascular health monitoring device and method |
RU2720666C2 (ru) | 2015-02-03 | 2020-05-12 | Конинклейке Филипс Н.В. | Способы, системы и носимое устройство для получения множества показателей состояния здоровья |
CN115227969A (zh) * | 2015-02-24 | 2022-10-25 | 伊莱拉股份有限公司 | 使用电极皮肤贴实现食欲调节或改善饮食依从性的方法 |
US10172757B2 (en) | 2015-05-13 | 2019-01-08 | Hive Concepts, LLC | Devices, systems, and methods for muscle recovery |
US20170000416A1 (en) * | 2015-07-01 | 2017-01-05 | i-calQ, LLC | Point of wear device |
US20200093400A1 (en) * | 2015-07-31 | 2020-03-26 | Cala Health, Inc. | Systems, devices, and method for the treatment of osteoarthritis |
CN108289630A (zh) | 2015-10-05 | 2018-07-17 | Mc10股份有限公司 | 用于神经调节和刺激的方法和系统 |
CA2952485A1 (en) * | 2015-12-21 | 2017-06-21 | Robert Andre Amelard | System and method for spatial cardiovascular monitoring |
EP4385350A3 (en) * | 2016-04-29 | 2024-08-07 | LifeLens Technologies, Inc. | Monitoring and management of physiologic parameters of a subject |
US20180000685A1 (en) * | 2016-07-01 | 2018-01-04 | NeuroRhythmics, Inc. | Neurologic therapy devices, systems, and methods |
IL264116B2 (en) | 2016-07-08 | 2024-01-01 | Cala Health Inc | Systems and methods for nerve stimulation using electrodes having the same number as the number of nerves and improved dry electrodes |
US20170173262A1 (en) | 2017-03-01 | 2017-06-22 | François Paul VELTZ | Medical systems, devices and methods |
CA3058786A1 (en) | 2017-04-03 | 2018-10-11 | Cala Health, Inc. | Systems, methods and devices for peripheral neuromodulation for treating diseases related to overactive bladder |
AU2017100994B4 (en) | 2017-06-20 | 2017-12-14 | Cellaed Life Saver Pty Ltd | A portable single use automated external defibrillator device |
JP7255071B2 (ja) | 2017-09-01 | 2023-04-11 | アドベンタス ベンチャーズ, エルエルシー | 振戦の影響を制御するためのシステムおよび方法 |
US10905328B2 (en) | 2017-11-29 | 2021-02-02 | Verily Life Sciences Llc | Continuous detection and monitoring of heart arrhythmia using both wearable sensors and cloud-resident analyses |
US11357981B2 (en) * | 2018-03-01 | 2022-06-14 | Adventus Ventures, Llc | Systems and methods for controlling blood pressure |
EP3801237A1 (en) | 2018-05-25 | 2021-04-14 | Zoll Medical Corporation | Wearable cardiac device to monitor physiological response to activity |
US20200121258A1 (en) | 2018-10-18 | 2020-04-23 | Alayatec, Inc. | Wearable device for non-invasive administration of continuous blood pressure monitoring without cuffing |
-
2019
- 2019-02-28 US US16/288,605 patent/US11357981B2/en active Active
- 2019-03-01 EP EP19760770.8A patent/EP3758595A4/en active Pending
- 2019-03-01 JP JP2020545104A patent/JP2021514742A/ja active Pending
- 2019-03-01 WO PCT/US2019/020240 patent/WO2019169240A1/en unknown
- 2019-03-01 CN CN201980026494.1A patent/CN111989035A/zh active Pending
-
2022
- 2022-03-28 US US17/706,528 patent/US11590348B2/en active Active
-
2023
- 2023-01-24 US US18/100,728 patent/US11890469B2/en active Active
- 2023-12-20 JP JP2023214575A patent/JP2024029043A/ja active Pending
- 2023-12-27 US US18/397,985 patent/US20240226550A1/en active Pending
Patent Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2019531775A (ja) * | 2016-08-25 | 2019-11-07 | カラ ヘルス, インコーポレイテッドCala Health, Inc. | 末梢神経刺激による心機能不全の治療のためのシステムおよび方法任意の優先権出願への参照による組込み |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2024018666A1 (ja) * | 2022-07-22 | 2024-01-25 | オムロンヘルスケア株式会社 | 生体情報測定装置 |
Also Published As
Publication number | Publication date |
---|---|
EP3758595A4 (en) | 2021-04-14 |
US11590348B2 (en) | 2023-02-28 |
US20220218991A1 (en) | 2022-07-14 |
US11890469B2 (en) | 2024-02-06 |
JP2024029043A (ja) | 2024-03-05 |
CN111989035A (zh) | 2020-11-24 |
US11357981B2 (en) | 2022-06-14 |
US20230158298A1 (en) | 2023-05-25 |
US20240226550A1 (en) | 2024-07-11 |
US20190269914A1 (en) | 2019-09-05 |
WO2019169240A1 (en) | 2019-09-06 |
EP3758595A1 (en) | 2021-01-06 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US11890469B2 (en) | Systems and methods for therapeutic application of energy | |
CN108697890B (zh) | 一种通过同步激活神经治疗各种神经疾病的系统和方法 | |
JP5128764B2 (ja) | 統合された蘇生 | |
US20180272147A1 (en) | Wearable defibrillator integrated with remote ischemic conditioning protocol | |
US7460899B2 (en) | Apparatus and method for monitoring heart rate variability | |
US11766569B2 (en) | Pacing device with acoustic sensor | |
US20210275131A1 (en) | Patient monitoring and treatment systems and methods | |
JP2006136707A5 (ja) | ||
JP2015504321A (ja) | 高血圧症治療方法及び装置 | |
KR101349680B1 (ko) | 인체 부착형 치료 장치 | |
US20220192600A1 (en) | Implantable cardiac monitor | |
US12064640B2 (en) | Response mechanisms | |
US20230165539A1 (en) | Non-invasive detection of anomalous physiologic events indicative of hypovolemic shock of a subject | |
CN105491987A (zh) | 包括灌注监测器的集成复苏装置和方法 | |
WO2024013267A1 (en) | Wearable and automated ultrasound therapy devices and methods | |
US20180116906A1 (en) | Wearable Situational Stress Management Device | |
JP2023165611A (ja) | 評価および治療のための外圧反射の活性化 |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20220225 |
|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20220225 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20230106 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20230110 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20230324 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20230704 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20231004 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20231204 |
|
A02 | Decision of refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A02 Effective date: 20240227 |