JP4995962B2 - Stethoscope - Google Patents

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JP4995962B2
JP4995962B2 JP2010238072A JP2010238072A JP4995962B2 JP 4995962 B2 JP4995962 B2 JP 4995962B2 JP 2010238072 A JP2010238072 A JP 2010238072A JP 2010238072 A JP2010238072 A JP 2010238072A JP 4995962 B2 JP4995962 B2 JP 4995962B2
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stethoscope
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博司 行俊
太郎 行俊
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博司 行俊
太郎 行俊
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Description

本発明は電子回路を介した聴診器に関する。 The present invention relates to a stethoscope via an electronic circuit.

従来の電子回路を介した聴診器には体内で発生音を正確に聴診し、それ以外の不要な音を聴音しないようにすることが目的であった。その為各種電子処理、回路を加えて聴音をよりよくする工夫があった。また接触ノイズ、擦過ノイズなどの過大な音量を電子的に押さえる装置もあった。 The purpose of the conventional stethoscope via an electronic circuit is to accurately auscultate the generated sound in the body and prevent other unnecessary sounds from being heard. For this reason, various electronic processes and circuits were added to improve the listening sound. There are also devices that electronically suppress excessive volume such as contact noise and scratching noise.

また、2つの集音装置を備えた集音部を用いる電子回路を介した聴診器もあった。 There was also a stethoscope via an electronic circuit using a sound collection unit equipped with two sound collection devices.

また、電子回路を介した聴診器には電子回路により聴音特性を旧来の聴診器に近似させ、一般の聴診器を使い慣れた使用者が違和感なく使用できるようにしたものもあった。 In addition, some stethoscopes via an electronic circuit have an auditory characteristic approximate to that of a conventional stethoscope using an electronic circuit so that a user who is familiar with a general stethoscope can use it without a sense of incongruity.

また、聴診器の集音部と、聴音部の間に、信号処理部を設け、無線で聴診器の集音部と、聴音部の間を分離したものもあった。 In some cases, a signal processing unit is provided between the sound collection unit and the sound collection unit of the stethoscope, and the sound collection unit and the sound collection unit of the stethoscope are wirelessly separated.

また、ステレオで聴診し、使用者に提供する物もあった。 There were also items that were auscultated in stereo and provided to the user.

また別の技術として、従来から多チャンネルステレオやそのためのヘッドホンがあった。 As another technique, there has been a multi-channel stereo and headphones for that purpose.

また、前記のステレオでは、電子的に近似して2チャンネルヘッドホンから、多チャンネルの音場を造り出す装置もあった。
特開2004−261264 特開2002−165292 特許第3626198 実開平6−61208 特開2009−49844 特表2004−509541 特表2004−500219 特開平11−220797
In the stereo, there is also a device that creates a multi-channel sound field from two-channel headphones by electronic approximation.
JP 2004-261264 A JP2002-165292 Patent 3626198 6-61208 JP 2009-49844 A Special table 2004-509541 Special table 2004-500219 JP-A-11-220797

従来の電子回路を介した聴診器における2つの聴診用集音部を用いる聴診器は、左右の音場感はあるが上下の音場感はなく、また一般に良く用いられる既存の機械的な聴診器とは使用間隔が異なった。 A conventional stethoscope using two auscultatory sound collectors in a stethoscope through an electronic circuit has a left and right sound field feeling but no upper and lower sound field feelings, and an existing mechanical auscultation commonly used. The use interval was different from the vessel.

また、そうした電子回路を介した聴診器には集音部の擦過音などのノイズを除去したり、過大な音量を制御し使用者の耳を保護する物はなかった。 In addition, there is no such stethoscope through such an electronic circuit that removes noise such as scratching of the sound collecting section or controls the excessive sound volume to protect the user's ear.

また、そうした上記従来の聴診器には聴診器の集音部と聴音部を無線で繋ぎ利便性を確保したものがなかった。 In addition, there is no such conventional stethoscope that secures convenience by wirelessly connecting the sound collection section and the sound collection section of the stethoscope.

また、非使用時には、専用のクレードル等に聴診器の集音部をおき、充電と機器の保護を行うようなものはなかった。 Also, when not in use, there was no such thing as placing a sound collecting part of a stethoscope in a dedicated cradle or the like to charge and protect the equipment.

また、そうした聴診器にあってクレードルあるいは聴診器の集音部に保温機能をもたせ、人体接触時の冷感を起こさないようにするものもなかった。 In addition, there is no such stethoscope that has a heat-retaining function in the sound collecting part of the cradle or the stethoscope so as not to cause a cold sensation upon human contact.

また、使用と同時に信号処理によって対象の心拍数を測定し、それを表示する聴診器はなかった。

Also, there was no stethoscope that measured and displayed the heart rate of the subject by signal processing at the same time as use.

本発明では、3つ以上、望ましくは4つ以上の集音装置を同時に備えた集音部を用い、各集音装置の信号を処理する
ことで、立体的な三次元の音場で聴音することができる聴診器を作る。
In the present invention, a sound collecting unit provided with three or more, preferably four or more sound collecting devices at the same time is used, and the sound from each sound collecting device is processed to listen to a three-dimensional sound field. Make a stethoscope that can.

また、信号の処理により聴診器の接触ノイズや、過大な音量を制御し聴診者の耳の保護を出来る物にする。 In addition, by processing the signal, the contact noise of the stethoscope and excessive sound volume are controlled so that the ear of the stethoscope can be protected.

また、信号の処理により使用者の耳の左右の聴感特性の差を補正し、また旧来の機械的な単一の集音装置を用いた聴診器の使用感から、本発明の複数の集音装置を用いた聴診器の使用感までつなぎ目無く可変出来るようにする。 In addition, the signal processing corrects the difference between the left and right audibility characteristics of the user's ear, and the sense of use of the stethoscope using the conventional mechanical single sound collecting device makes it possible to obtain a plurality of sound collecting devices of the present invention. To make it possible to seamlessly change the feeling of use of the stethoscope using the device.

また、複数の集音装置からの信号の位相差を調整することで聴音の焦点を三次元的に移動可能にする。 In addition, the focal point of the listening sound can be moved three-dimensionally by adjusting the phase difference of the signals from the plurality of sound collecting devices.

また、上記の聴音の焦点の移動と使用感の可変を、パソコンのマウスに使われているようなホイールやジョイスティックなどの操作媒体を集音部に取り付け、聴音中に簡便に変更を行えるようにする。 In addition, the movement of the focus of the listening sound and the change in the feeling of use can be easily changed during listening by attaching an operation medium such as a wheel or joystick used in a PC mouse to the sound collection unit. To do.

また、聴診器の聴音部と集音部の間を無線で繋ぎ、非使用時には集音部の充電と保護を行う専用クレードルを用いる。 In addition, a dedicated cradle is used that connects the sound collection unit and the sound collection unit of the stethoscope wirelessly and charges and protects the sound collection unit when not in use.

また、集音部もしくは上記クレードルに保温機能をもたせる。 Further, the sound collecting unit or the cradle is provided with a heat retaining function.

また、集音部の保温及び保護のために保護カバーを用いても良い。 Moreover, you may use a protective cover for the heat insulation and protection of a sound collection part.

また、集音部に心拍数の表示装置を設ける。
In addition, a heart rate display device is provided in the sound collection unit.

上記の手段により、受音チャンネル数が増え立体音場となることで、使用者が聴音を特定したい部位に集中出来ることにより、ノイズとの判別がつきやすく、より効果的な聴音をすることができる。 By the above means, the number of sound receiving channels is increased and a three-dimensional sound field is created, so that the user can concentrate on the part where the user wants to specify the listening sound. it can.

また、内臓のDSPにより信号処理が容易に行えるので、特別な周波数の強調などのイコライジング、心拍数の計数表示、立体聴音による正確な聴音、位相制御による焦点を定めた聴音、多数の検診者による総合判断、データのロギング、多数の生徒に対する教育等、現場で有益である。 In addition, because signal processing can be easily performed by the built-in DSP, equalization such as special frequency emphasis, heart rate counting display, accurate listening sound by stereophonic sound, focused listening sound by phase control, by many examiners It is useful in the field such as comprehensive judgment, data logging, and education for many students.

また、ホイールやジョイスティックなどのような操作媒体を用いているため操作は容易である。 Further, since an operation medium such as a wheel or a joystick is used, the operation is easy.

また聴診器の集音部の保護カバー、クレードルに配置したヒーターは、聴診器を当てるときの冷感、幼児における恐怖感も取り除くことが出来る。 In addition, the protective cover of the sound collecting part of the stethoscope and the heater arranged in the cradle can remove the cold feeling when the stethoscope is applied and the fear of the infant.

また集音部や保護カバー、クレードルに意匠性を与えることにより、幼児における恐怖感を取り除くのにいっそう効果を発揮する。これは本発明の聴診器は形状の自由度が高いため、高い効果を期待することが出来る。 In addition, by giving design to the sound collection part, protective cover, and cradle, it is more effective in removing the fear of infants. Since the stethoscope of the present invention has a high degree of freedom in shape, a high effect can be expected.

また上記の自由度にともなって、集音部の接触部分は容易に消毒あるいは洗浄できるように出来る。

In addition, with the above degree of freedom, the contact portion of the sound collection unit can be easily disinfected or cleaned.

聴診器の集音部には、最低限3つ望ましくは4つ以上の集音装置を患者体表に、一度に圧接出来る位置であって、適宜な距離を取って取り付けておく。 In the sound collecting part of the stethoscope, at least three, preferably four or more sound collecting devices are attached to the patient's body surface at a position where they can be pressed together at an appropriate distance.

この聴診器の集音部は、例えばパソコンの小型マウスのような形の筐体の底面の各部に集音マイクがついていると考えればよい。この上部に操作部であるボタン、スイッチ部、データ表示部、また内部に信号処理回路と充電型の電源が付いた物である。 The sound collecting part of this stethoscope may be considered to have a sound collecting microphone attached to each part of the bottom surface of a casing shaped like a small mouse of a personal computer, for example. The upper part is a button, a switch part, a data display part as an operation part, and a signal processing circuit and a rechargeable power source inside.

また、最低限3点の入力があるため、必要に応じて、この各受信装置からの入力音の位相を合わせることにより、聴診したい音源のある位置に焦点を結ぶようにDSPで位相を調整し体内の各深さ、位置から発生する音を、明瞭に聞くようにする。 In addition, since there are at least three points of input, the phase of the input sound from each receiving device is adjusted as necessary, and the phase is adjusted by the DSP so as to focus on the position of the sound source to be auscultated. Try to hear clearly the sounds generated from each depth and position in the body.

聴診者はこれを動かして、患者の体内音を聴音する、この時患者体表が筐体にふれるときの雑音、衝撃は集音装置と聴診器集音部との間に防震材やゴム状材で固定し減衰させればよい。 The auscultator moves this to listen to the patient's body sound. At this time, the noise and impact when the patient's body surface touches the housing are shockproof or rubbery between the sound collector and the stethoscope sound collector. What is necessary is just to fix and attenuate with a material.

また、患者体表への圧接の瞬間や、動かすときの過大な音響入力が発生した場合は内部回路で減音、消音すればよい。 In addition, when an excessive sound input occurs when the patient is pressed against the patient's body surface or when the patient moves, the sound may be reduced or silenced by an internal circuit.

また、この時のゴム状材は、患者の体表面に、各集音装置を密着させる機能を果たすようにする弾力を持つことがよい。 Further, the rubber-like material at this time preferably has elasticity so as to fulfill the function of bringing the sound collecting devices into close contact with the body surface of the patient.

集音装置としては、既存の聴診器の集音部を改良、小型化し電気信号に変換する物であっても良いが、ポリフッ化ビニリデンなどの圧電性素材を用いて専用の接触マイクを使用することもよい、いずれの場合も衝撃や擦過、消毒などの表面の負荷に耐えるものであればよい。 The sound collection device may be a device that improves and reduces the sound collection part of an existing stethoscope and converts it into an electrical signal, but uses a dedicated contact microphone using a piezoelectric material such as polyvinylidene fluoride. In any case, any material can be used as long as it can withstand a load on the surface such as impact, abrasion, and disinfection.

聴診器集音部筐体は手のひらに収まるサイズであればよいが、これに、トラックボール、ホイール、ジョイスティック、回転式つまみ、スイッチ、ディスプレイ装置などを必要に応じて取り付け、機能の制御をするようにすればよい。 The stethoscope sound collector housing can be any size that fits in the palm of your hand, but you can attach a trackball, wheel, joystick, rotary knob, switch, display device, etc. as necessary to control the function. You can do it.

これらの操作部を操作して音量、音質、焦点位相の変更などを行うことにすれば、片手で作業でき、便利である。 By operating these operation units to change the volume, sound quality, focus phase, etc., it is convenient to work with one hand.

集音装置のイコライジング、その他前記の機能制御はデジタルシグナルプロセッサ(以降DSPと表現)を用い、聴診器集音部筐体内で行っても良いし、聴診器聴音部で行っても良い。また、DSPにより聴診器集音部よりのデータを2倍速、や3倍速などに逓倍して低周波の信号を聞き取りやすくすることも出来る(とくに心音などの低周波域)。 The equalization of the sound collecting device and other function controls described above may be performed in a stethoscope sound collecting unit housing using a digital signal processor (hereinafter referred to as DSP) or in a stethoscope sounding unit. In addition, it is possible to make it easy to hear low-frequency signals by multiplying the data from the stethoscope sound collection unit by a DSP to double speed or triple speed (particularly in the low frequency range such as heart sounds).

また、無線で聴診器集音部と聴診器聴音部を繋ぐ場合双方にアドレスを持たせ一致したアドレス同士でのみ、信号が受信されるようにすればよい。こうすることで、1つの聴診器集音部から、多数の聴診器受信部に信号を送ることが出来る、これは教育の現場や、複数の聴診者、あるいはデータロガーなどに信号を送る場合にも有利である。 In addition, when the stethoscope sound collection unit and the stethoscope sounding unit are connected wirelessly, it is only necessary to provide both addresses so that signals are received only at the matching addresses. By doing this, it is possible to send a signal from a single stethoscope sound collector to a number of stethoscope receivers. This is useful when sending signals to educational sites, multiple auscultators, or data loggers. Is also advantageous.

また、この聴診器集音部筐体は専用のクレードルにのせることによって充電、保温するようにすればよい。このクレードルは充電機能と保温機能を持つようにしておく。 The stethoscope sound collector housing may be charged and kept warm by placing it on a dedicated cradle. The cradle should have a charging function and a heat retaining function.

充電は誘導コイルによる充電などを利用し、金属接触部をなくし、消毒や洗浄に耐える物がよりよい。 Charging uses an induction coil or the like to eliminate the metal contact portion and is better able to withstand disinfection and cleaning.

本装置の再生音は、旧来の聴診器と、同様に聞こえるモードから複数の聴診器集音部からなる立体音場となるモードへと変更でき、この間には音質変化のつなぎ目がない方がよいことは言うまでもない、そしてこれはDSPで行うことが出来る。 The playback sound of this device can be changed from a mode that can be heard in the same way as a conventional stethoscope to a mode that provides a three-dimensional sound field consisting of a plurality of stethoscope sound collectors, and there should be no connection between sound quality changes during this period. Needless to say, this can be done with a DSP.

また、この操作には前述した、トラックボール、ホイールやスイッチ、回転式つまみなどを使用すればよい、これらは聴診器集音部筐体にあってもよいし、ヘッドホンを含む聴診器受信部にあっても良い。 In addition, the trackball, wheel, switch, rotary knob, etc., described above may be used for this operation. These may be in the stethoscope sound collector housing, or in the stethoscope receiver including headphones. There may be.

また、聴診者の聴覚の補正に関する機能は、聴診器聴音部で行っておくと、データロギングや多人数での聴診に便利と考えられる。 In addition, it is considered that the functions related to the auscultation person's hearing correction are convenient for data logging and auscultation by a large number of people if they are performed in the stethoscope sounding part.

この聴診器聴音部を筐体化するならば、据え置きあるいは胸ポケットにはいるような形状でよい。またヘッドホンやイヤホンに内蔵される物でもよい。 If this stethoscope sounding part is made into a case, it may be in a shape that can be placed stationary or in a breast pocket. Moreover, the thing built in a headphone or an earphone may be sufficient.

また、必要に応じて聴診器受信部筐体や集音部に保護部材であるカバーを設ける。これは洗浄、消毒に耐えられる物、あるいは簡単に取り替えられる物で音響インピーダンスが集音部分で人体に近い物が望ましい。このカバーは小児科医用においては子供の恐怖感を和らげるために動物等を模した物が良いだろうし、一般の成人に用いる物では機能を優先したコンピュータのマウスの様な形が考えられ、また精神科医用には牛型などが考えられる。

Moreover, a cover which is a protective member is provided on the stethoscope receiver housing or the sound collector as necessary. This is preferably a thing that can withstand cleaning and disinfection, or a thing that can be easily replaced and that has an acoustic impedance close to that of the human body at the sound collection portion. For pediatricians, a cover that mimics an animal or the like would be good for a child's fear, and for a general adult, a cover like a computer mouse that gives priority to functions could be considered. For doctors, cows are considered.

本発明の基本的な形状を図1で示す。聴診器集音部筐体1の底面に少しばかりの集音装置2の突出部をもつ、小型マウス状であり、指先でつかみ用いることが出来る。 The basic shape of the present invention is shown in FIG. Stethoscope sound collection unit A small mouse-like shape having a protruding portion of the sound collection device 2 on the bottom surface of the housing 1 and can be used with a fingertip.

より人間工学的に指先に挟んだりするつまみや、安定用リング4などを持つことも良い。 It is also possible to have a knob that is more ergonomically pinched between the fingertips, a stabilizing ring 4 or the like.

上部には聴診器集音部筐体1を保持しながら操作できるコントローラスイッチ郡であるジョイスティック5やスイッチ6を持つ。 The upper part has a joystick 5 and a switch 6 which are controller switch groups that can be operated while holding the stethoscope sound collector housing 1.

図2は本実施例の聴診器集音部筐体1を底面から見た図であり、集音装置2が三次元の焦点を持ち得るように配置されている。 FIG. 2 is a view of the stethoscope sound collecting unit housing 1 of this embodiment as viewed from the bottom, and the sound collecting device 2 is arranged so as to have a three-dimensional focal point.

また、図5は同時に用いる聴診器受信部9および使用者が音を聞くためのヘッドホン10である。聴診器受信部9をポケットに入れるなどして用いる。 FIG. 5 shows a stethoscope receiver 9 used simultaneously and headphones 10 for the user to listen to the sound. The stethoscope receiving unit 9 is used in a pocket.

図3及び図4は意匠性を重視した本発明の実施の形態を示す。 3 and 4 show an embodiment of the present invention with emphasis on designability.

図2は、親猫の上に子猫が乗っているような形状であり、親猫がクレードル8であって、子猫が聴診器集音部筐体1である、子猫の足先に当たる部分が集音装置2である。 FIG. 2 shows a shape in which a kitten is on top of the parent cat. The parent cat is the cradle 8 and the kitten is the stethoscope sound collector housing 1. The sound device 2.

また、聴診器集音部筐体1である子猫の頭部に心拍数表示ディスプレイ7が設けられ、これにより対象の心拍数が表示される。 In addition, a heart rate display 7 is provided on the head of the kitten which is the stethoscope sound collection unit housing 1, and the target heart rate is thereby displayed.

また図3で示される物は聴診器集音部筐体1に牛の意匠を施したカバーを施したものであり、荷馬車型のクレードル8に聴診器集音部筐体1を置いた状態の図である。本発明の実施においてはこのように充電、保温を行う。 3 is a stethoscope sound collector housing 1 with a cow design cover, and a stethoscope sound collector housing 1 placed in a wagon-type cradle 8. FIG. In the practice of the present invention, charging and heat insulation are performed in this way.

本実施例では、足先の各四点と乳房部に集音装置2を付けている。
In this embodiment, the sound collecting device 2 is attached to each of the four points on the toes and the breast.

聴診器において、より聞き取りやすく、患者に恐怖感を与えず、診察、教育、データ管理などに便利な電子聴診器を提供する。
A stethoscope is provided that is easier to hear, does not give fear to patients, and is convenient for diagnosis, education, data management, etc.

本発明を実施例1に掛かる聴診器集音部ならびに受信部の本体およびクレードル俯瞰図Stethoscope sound collection unit and receiver main body and cradle overhead view according to the first embodiment of the present invention 聴診器集音部を裏から見た図A view of the stethoscope sound collector from the back 本発明の実施例2に掛かる意匠性のある筐体およびクレードルの俯瞰図3 is an overhead view of a case and a cradle having a design property according to Embodiment 2 of the present invention. 本発明の実施例2に掛かる意匠性のある筐体をクレードルに置いた俯瞰図The bird's-eye view which put the case with the design nature concerning Example 2 of the present invention on the cradle 聴診器受信部の例の図Example of stethoscope receiver

1 聴診器集音部筐体
2 集音装置
3 作動ランプ
4 安定用リング
5 ジョイスティック
6 スイッチ
7 心拍数表示ディスプレイ
8 クレードル
9 聴診器受信部
10 ヘッドホン
DESCRIPTION OF SYMBOLS 1 Stethoscope sound-collecting part housing | casing 2 Sound collector 3 Actuation lamp 4 Stabilizing ring 5 Joystick 6 Switch 7 Heart rate display display 8 Cradle 9 Stethoscope receiving part 10 Headphone

Claims (3)

手に持って使用するステレオ音響の電子聴診器において、3つ以上の複数の集音装置を一体として筐体に取り付け集音部とし、聴診音を電子的に位相処理して立体音場とする信号処理装置を備え、電子的な受信部を用いて使用者にステレオの立体音場で聴診音を提供する聴音部を備えたことを特徴とする聴診器。
In a stereophonic electronic stethoscope that is used by hand, three or more sound collectors are integrated into a housing and used as a sound collection unit, and the auscultation sound is electronically phased into a three-dimensional sound field. A stethoscope comprising a signal processing device and a sounding unit that provides an auscultatory sound to a user in a stereo three-dimensional sound field using an electronic receiving unit.
請求項1記載の聴診器において、各集音装置からの信号を位相処理し、集音部の集音の焦点を操作できる操作部を設けることにより、聴音対象の体内で三次元的に聴音の焦点を可変できるようにしたことを特徴とする聴診器。
The stethoscope according to claim 1, wherein a phase processing is performed on the signal from each sound collecting device, and an operation unit capable of operating a focus of the sound collecting of the sound collecting unit is provided, so that the sound can be heard three-dimensionally in the body of the sound object. A stethoscope characterized by the ability to change the focus.
請求項2記載の聴診器において、聴音の焦点を操作できる操作部としてトラックボール、ホイール、ジョイスティックなどの操作部材を用いることで、音響の焦点を簡便に操作できるようにしたことを特徴とする聴診器。
The stethoscope according to claim 2, wherein an operating member such as a trackball, a wheel, or a joystick is used as an operation unit capable of operating the focus of the acoustic sound, so that the acoustic focus can be easily operated. vessel.
JP2010238072A 2010-10-23 2010-10-23 Stethoscope Expired - Fee Related JP4995962B2 (en)

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JP2012223509A (en) * 2011-04-22 2012-11-15 Sharp Corp Stethoscopic sound analyzer, and stethoscopic sound analyzing program
CN206910344U (en) 2014-05-15 2018-01-23 艾伦·斯科特·珀尔曼 Package structure and its application on stethoscope

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JPS54126484U (en) * 1978-02-23 1979-09-04
DE3521019A1 (en) * 1985-06-12 1987-01-08 Coplan Fa Stethoscope
JPH10216123A (en) * 1996-11-18 1998-08-18 Yasuto Takeuchi Stereophonic bioacoustic signal system
JPH11220797A (en) * 1998-02-03 1999-08-10 Sony Corp Headphone system
NO20002091L (en) * 2000-04-19 2001-10-22 Meditron As Electronic auscultation equipment kit
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JP3604127B2 (en) * 2000-11-27 2004-12-22 日本電信電話株式会社 Multi-channel sound signal collection device
JP2004261264A (en) * 2003-02-28 2004-09-24 Hirona Gi Electrostethoscope and remote monitoring system
JP2009049844A (en) * 2007-08-22 2009-03-05 Nec Tokin Corp Bone conduction headphone apparatus

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