JP6118234B2 - 聴覚心臓モニタ装置及び方法 - Google Patents
聴覚心臓モニタ装置及び方法 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
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/024—Detecting, measuring or recording pulse rate or heart rate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/024—Detecting, measuring or recording pulse rate or heart rate
- A61B5/02438—Detecting, measuring or recording pulse rate or heart rate with portable devices, e.g. worn by the patient
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- A—HUMAN NECESSITIES
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- 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
- A61B5/0245—Detecting, measuring or recording pulse rate or heart rate by using sensing means generating electric signals, i.e. ECG signals
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- A—HUMAN NECESSITIES
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- 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
- A61B5/026—Measuring blood flow
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- 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]
- A61B5/346—Analysis of electrocardiograms
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- A—HUMAN NECESSITIES
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- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/346—Analysis of electrocardiograms
- A61B5/349—Detecting specific parameters of the electrocardiograph cycle
- A61B5/361—Detecting fibrillation
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- A—HUMAN NECESSITIES
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- A61B5/48—Other medical applications
- A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
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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
- A61B5/6814—Head
- A61B5/6815—Ear
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- A—HUMAN NECESSITIES
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- 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
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- A61B5/6815—Ear
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- A61B5/7203—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B7/00—Instruments for auscultation
- A61B7/02—Stethoscopes
- A61B7/04—Electric stethoscopes
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- 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
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
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- 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
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3987—Heart defibrillators characterised by the timing or triggering of the shock
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Veterinary Medicine (AREA)
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- Heart & Thoracic Surgery (AREA)
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- Radiology & Medical Imaging (AREA)
- Artificial Intelligence (AREA)
- Hematology (AREA)
- Computer Vision & Pattern Recognition (AREA)
- Psychiatry (AREA)
- Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
- Electrotherapy Devices (AREA)
- Headphones And Earphones (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
- Circuit For Audible Band Transducer (AREA)
- Measuring And Recording Apparatus For Diagnosis (AREA)
Description
(付記1) 携帯型メディア再生装置であって、
ユーザの耳に配置するよう構成されたイヤピースに取り付けられた電子音響トランスデューサと、
前記トランスデューサに結合した、前記トランスデューサからの信号の受信に応じて出力信号を生成する受信回路と、
メディアリーダと、
前記トランスデューサと受信回路とメディアリーダとに結合したコントローラであって、前記メディアリーダからデータを受け取り、前記データによりオーディオ信号を生成し、前記オーディオ信号を前記トランスデューサに結合するようプログラムされ、さらに、前記受信回路から前記出力信号を受け取り、それを処理して前記ユーザの拍動血流を決定するようにプログラムされたコントローラとを有する、携帯型メディア再生装置。
(付記2) 前記メディアリーダはメモリアクセス装置である、付記1に記載の携帯型メディア再生装置。
(付記3) 前記受信回路は前記トランスデューサにより生成された信号をフィルタするように動作可能である、付記1に記載の携帯型メディア再生装置。
(付記4) 前記受信回路はローパスフィルタを含む、付記1に記載の携帯型メディア再生装置。
(付記5) 前記受信回路は30Hzより低い信号を通過させるローパスフィルタを含む、付記4に記載の携帯型メディア再生装置。
(付記6) 前記トランスデューサは、第1のイヤホンを有し、前記受信回路に結合した第2のイヤホンをさらに有し、前記受信回路は前記第1と第2のイヤホンからの信号を用いてコモンモードノイズ除去を行うよう動作可能である、付記1に記載の携帯型メディア再生装置。
(付記7) 自動体外除細動器(AED)であって、
被術者にコンタクトするように構成された一組の電極と、
前記電極に結合した、ECG信号を分析するように動作するECGプロセッサと、
エネルギー源と、
前記エネルギー源に結合した高電圧回路と、
前記ECGプロセッサと高電圧回路と電極とに結合したショック生成回路と、
前記被術者の耳の音響信号を検出するように構成されたイヤホンと、
前記イヤホンに結合し、前記イヤホンが受信した信号から拍動血流の存否を検知するよう動作するイヤホン信号プロセッサとを有する、自動体外除細動器。
(付記8) 前記信号プロセッサは前記ショック生成回路に結合し、
前記ショック生成回路は、前記ECGプロセッサとイヤホン信号プロセッサとからの入力に基づきショックを与える決定をする、
付記7に記載の自動体外除細動器。
(付記9) 前記イヤホン信号プロセッサは、前記イヤホンが生成した信号に応じて信号調整回路をさらに有する、付記8に記載の自動体外除細動器。
(付記10) 前記ショック回路は、拍動ECG信号がなく、前記イヤホンによる検知により拍動血流がないときショックを与える決定をする、付記8に記載の自動体外除細動器。
(付記11) 前記ショック回路は、前記イヤホンによる検知により拍動血流があるとき、ショックを与える決定をしない、付記8に記載の自動体外除細動器。
(付記12) 拍動のない電気的活動が、前記ECGプロセッサによるECG信号の検出と、前記イヤホンによる検知される拍動血流がないことにより示される、付記8に記載の自動体外除細動器。
(付記13) 人の拍動血流の検出方法であって、
その人の耳にイヤホンを挿入する段階と、
メディア源から第1のメディアファイルを読み出す段階と、
前記第1のメディアファイルを第1の電気信号に変換する段階と、
前記第1の電気信号を前記イヤホンに結合する段階と、
前記第1の電気信号を前記イヤホンに結合した後、前記イヤホンから信号を受信する段階と、
前記受信信号を処理してその人の拍動血流に対応するデータを抽出する段階と、
前記抽出データを出力する段階と、
前記受信信号を処理した後、前記メディア源から第2のメディアファイルを読み出す段階と、
前記第2のメディアファイルを第2の電気信号に変換する段階と、
前記第2の電気信号を前記イヤホンに結合する段階と、を有する方法。
(付記14) 前記メディア源はデジタルメモリ装置である、付記13に記載の方法。
12 トランスデューサ
14 レシーバ
16 イヤピース
18 信号調整モジュール
20 コントローラ
22 抽出モジュール
24 モニタモジュール
26 出力モジュール
46 携帯型メディア再生装置
48 イヤホン
50 メディアリーダ
52 メディア記憶装置
54 オーディオドライバ
56 コントローラ
58 ディスプレイ
60 入力装置
62 メディア選択モジュール
64 モード選択モジュール
100 自動体外除細動器
102 電源
104 電源
106 コントローラ
108 ディスプレイ
Claims (4)
- 自動体外除細動器(AED)であって、
被術者にコンタクトするように構成された一組の電極と、
前記電極に結合した、ECG信号を分析するように動作するECGプロセッサと、
エネルギー源と、
前記エネルギー源に結合した高電圧回路と、
前記ECGプロセッサと高電圧回路と電極とに結合したショック生成回路と、
前記被術者の2つの耳の音響信号を検出するように構成されたイヤホンと、
前記イヤホンに結合し、前記イヤホンが受信した2つの信号から、前記2つの信号の重み付け合成を用いて、または前記2つの信号の相関を取ることにより、拍動血流の存否を検知するよう動作するイヤホン信号プロセッサとを有し、
前記イヤホン信号プロセッサは前記ショック生成回路に結合し、
前記ショック生成回路は、前記ECGプロセッサからの拍動ECG信号がなく、前記イヤホン信号プロセッサにより検知された拍動血流がないことに基づき、ショックを与える決定をする、
自動体外除細動器。 - 前記イヤホン信号プロセッサは、前記イヤホンが生成した信号に応じて信号調整回路をさらに有する、請求項1に記載の自動体外除細動器。
- 前記ショック生成回路は、前記イヤホンによる検知により拍動血流があるとき、ショックを与える決定をしない、請求項1に記載の自動体外除細動器。
- 拍動のない電気的活動が、前記ECGプロセッサによるECG信号の検出と、前記イヤホンによる検知される拍動血流がないことにより示される、請求項1に記載の自動体外除細動器。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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US99045607P | 2007-11-27 | 2007-11-27 | |
US60/990,456 | 2007-11-27 |
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JP2010534581A Division JP5513401B2 (ja) | 2007-11-27 | 2008-11-18 | 聴覚心臓モニタ装置及び方法 |
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JP2014076372A JP2014076372A (ja) | 2014-05-01 |
JP6118234B2 true JP6118234B2 (ja) | 2017-04-19 |
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JP2010534581A Active JP5513401B2 (ja) | 2007-11-27 | 2008-11-18 | 聴覚心臓モニタ装置及び方法 |
JP2013235559A Active JP6118234B2 (ja) | 2007-11-27 | 2013-11-14 | 聴覚心臓モニタ装置及び方法 |
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US (2) | US9386929B2 (ja) |
EP (2) | EP2314212A1 (ja) |
JP (2) | JP5513401B2 (ja) |
CN (1) | CN101873826B (ja) |
AT (1) | ATE541507T1 (ja) |
ES (1) | ES2380881T3 (ja) |
PL (1) | PL2214554T3 (ja) |
WO (1) | WO2009069037A2 (ja) |
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ATE541507T1 (de) | 2012-02-15 |
US20100324615A1 (en) | 2010-12-23 |
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ES2380881T3 (es) | 2012-05-21 |
PL2214554T3 (pl) | 2012-06-29 |
EP2214554A2 (en) | 2010-08-11 |
US9877661B2 (en) | 2018-01-30 |
US20160106324A1 (en) | 2016-04-21 |
ES2380881T8 (es) | 2015-04-29 |
CN101873826A (zh) | 2010-10-27 |
JP2014076372A (ja) | 2014-05-01 |
CN101873826B (zh) | 2012-12-12 |
JP5513401B2 (ja) | 2014-06-04 |
EP2214554B1 (en) | 2012-01-18 |
WO2009069037A3 (en) | 2009-09-03 |
WO2009069037A2 (en) | 2009-06-04 |
JP2011504761A (ja) | 2011-02-17 |
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