JP6272238B2 - 体表又はその近くの条件の集積された遠隔モニタリングおよびデータ収集に関するセンサ、インタフェースおよびセンサシステム - Google Patents
体表又はその近くの条件の集積された遠隔モニタリングおよびデータ収集に関するセンサ、インタフェースおよびセンサシステム Download PDFInfo
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- A43—FOOTWEAR
- A43D—MACHINES, TOOLS, EQUIPMENT OR METHODS FOR MANUFACTURING OR REPAIRING FOOTWEAR
- A43D1/00—Foot or last measuring devices; Measuring devices for shoe parts
- A43D1/02—Foot-measuring devices
- A43D1/027—Shoe fit indicating devices
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- A—HUMAN NECESSITIES
- A43—FOOTWEAR
- A43B—CHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
- A43B17/00—Insoles for insertion, e.g. footbeds or inlays, for attachment to the shoe after the upper has been joined
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/01—Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
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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
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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
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/1036—Measuring load distribution, e.g. podologic studies
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- 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
- A61B5/1036—Measuring load distribution, e.g. podologic studies
- A61B5/1038—Measuring plantar pressure during gait
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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
- A61B5/103—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
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- A—HUMAN NECESSITIES
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- 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
- A61B5/6804—Garments; Clothes
- A61B5/6807—Footwear
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01L—MEASURING FORCE, STRESS, TORQUE, WORK, MECHANICAL POWER, MECHANICAL EFFICIENCY, OR FLUID PRESSURE
- G01L1/00—Measuring force or stress, in general
- G01L1/18—Measuring force or stress, in general using properties of piezo-resistive materials, i.e. materials of which the ohmic resistance varies according to changes in magnitude or direction of force applied to the material
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
- A61B2560/02—Operational features
- A61B2560/0223—Operational features of calibration, e.g. protocols for calibrating sensors
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
- A61B2560/04—Constructional details of apparatus
- A61B2560/0443—Modular apparatus
- A61B2560/045—Modular apparatus with a separable interface unit, e.g. for communication
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- 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
- A61B2562/0247—Pressure sensors
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- 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
- A61B2562/22—Arrangements of medical sensors with cables or leads; Connectors or couplings specifically adapted for medical sensors
- A61B2562/225—Connectors or couplings
- A61B2562/227—Sensors with electrical connectors
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
- A61B5/002—Monitoring the patient using a local or closed circuit, e.g. in a room or building
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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
- A61B5/44—Detecting, measuring or recording for evaluating the integumentary system, e.g. skin, hair or nails
- A61B5/441—Skin evaluation, e.g. for skin disorder diagnosis
- A61B5/447—Skin evaluation, e.g. for skin disorder diagnosis specially adapted for aiding the prevention of ulcer or pressure sore development, i.e. before the ulcer or sore has developed
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/683—Means for maintaining contact with the body
- A61B5/6831—Straps, bands or harnesses
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- D—TEXTILES; PAPER
- D10—INDEXING SCHEME ASSOCIATED WITH SUBLASSES OF SECTION D, RELATING TO TEXTILES
- D10B—INDEXING SCHEME ASSOCIATED WITH SUBLASSES OF SECTION D, RELATING TO TEXTILES
- D10B2401/00—Physical properties
- D10B2401/18—Physical properties including electronic components
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- 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
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
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- Health & Medical Sciences (AREA)
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- Animal Behavior & Ethology (AREA)
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- Epidemiology (AREA)
- Dermatology (AREA)
- Computer Networks & Wireless Communication (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
- Measuring And Recording Apparatus For Diagnosis (AREA)
- Force Measurement Appropriate To Specific Purposes (AREA)
- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
- Professional, Industrial, Or Sporting Protective Garments (AREA)
- Arrangements For Transmission Of Measured Signals (AREA)
Description
著者らは、機械的なオフロードが増加し、生体力学的ストレス潰瘍に対する治療の礎石であると結論した(参照:Diabetes Metab Res Rev 2008、24(Suppl 1):S181―S187)。高リスク患者のためのカスタムメイドの履物のオフロード能力が効果的に向上し、圧力関連糖尿病性足潰瘍のリスクを減少させるはずである履物改質のためのガイダンスとして、靴の足底の圧力分析を使用して保存できることが実証されている(例えば、Diabet Med. 2012 Dec;29(12): 1542-9、参照)。
圧力および他の本体パラメータをモニタすることに関し組み込まれる検出装置およびはきものを有しているセンサが提案された。一つには低い患者コンプライアンスの結果、これらの装置は、潰瘍化を防止するかまたは損傷の治癒を加速することに全般的に成功しなかった。いくつかの圧力検知システムの存在にも関わらず、発生率、糖尿病性潰瘍と関連した辛抱する痛みおよび経費は、下落しなかった。例えばサイトからのデータの収集および分析に関し一態様、コンポーネントおよびアセンブリにおいて、体表が本願明細書において、記載した足および他は、潰瘍および他の損傷の発生率およびひどさを低減させて、ペースおよび損傷治癒の質を加速することのために本体位置で本体条件(例えば圧力)の断続的であるか連続モニタリングおよび報告を提供することに向けられる。例えばサイトから生理的および生体力学的データの収集および分析に関し本願明細書において、記載される他の態様、センサ、インタフェース、システムおよび材料において、足および他の部位が、スポーツ関連のものの種類、軍隊、適合性、診断および治療的な目的に関し使うことができる。
DEDおよび被接続関連したセンサシステムが特定のユーザに関し最適に動くように適切に構成されることを確実にするために、校正ルーチンを、提供できる。データ収集を容易にするためにユーザ情報またはデータを入力するためにユーザ(または暫定的であるか医学専門家)を案内するために、構成および準備ルーチンを、提供できる。そして、特定のユーザに目標とされるデータ収集および分析を提供するように、さまざまなプロトコル、ルーチン、データ分析および/または表示特性、などはユーザ(または暫定的であるか医学専門家)により選択されることができる。具体例は、下に提供される。検知データに基づいて、通知およびアラーム・システムは、提供されることができ、ユーザに対し、および/または管理人および/または、実質的にリアルタイムに、医学プロバイダに対する警告、警報、などを選択的に、メッセージを提供するように使用可能である。
図22Kは、明らかにリアルタイム及び歴史的な位置を検出することで動作する過剰な圧力を示していて、提供される通知および警報の歴史を提供しているデータ表示を処分している患者に関して略図で例示する。詳細に、相関および結果を観察して、患者の反応を分析するためにならびにそれらの挙動についての患者との正直な対話およびそれが治癒プロセスに影響を及ぼす方法に関し基礎を提供するために、このデータが、医師または医療助手によって、使われることがありえる。良好な習慣の強調および付着を改良して、治癒プロセスを助けるポジティブな補強については、同一データは、患者に報告を送るために用いることもありえる。
Claims (15)
- 圧力センサ(2;S1、S2)と、センサから延びる少なくとも2つの電気伝導リード(3;L1,L2)と、伝導リードの各々に接続している少なくとも一つの電気伝導トレース(3;T1,T2)と、伝導トレースの各々に電気的に接続された少なくとも一つの信号転送ターミナル(4;CT1,CT2)と、を有する検出装置であって、
圧力センサ(2;S1、S2)、各々の伝導リード(3;L1,L2)、および、各々の伝導トレース(3;T1,T2)は、可撓性で非電気的に伝導性の基体と関係し、
信号転送ターミナル(4;CT1,CT2)の各々が取り付けられ、圧力センサ(2;S1、S2)が可撓性で、伸縮性のファブリックからつくられ、電気伝導リード(3;L1,L2)の各々および伝導トレース(3;T1,T2)の各々が、電気伝導ファブリックからつくられ、電気伝導ファブリックのトレースの各々が、圧力センサのファブリックとは異なる特徴を備えたファブリックからなることを特徴とする検出装置。 - 非電気伝導性の基体が、着用できる衣服のフォームファクタにあることを特徴とする請求項1に記載の検出装置。
- 非電気伝導性の基体が、靴下(1)のフォームファクタにあることを特徴とする請求項2に記載の検出装置。
- 非電気伝導性の基体が、包帯または損傷ドレッシングのフォームファクタにあることを特徴とする請求項1に記載の検出装置。
- 各々の伝導ファブリックのリード(3;L1,L2;L3,L4)が、圧力センサ(2;S1、S2)の延長として設けられることを特徴とする請求項1の検出装置。
- 各々の伝導ファブリックのリード(L1,L2)が、圧力センサ(S1)の対向側から延びるように配置されることを特徴とする請求項1の検出装置。
- 各々の伝導ファブリックのリード(L3,L4)が、圧力センサ(S2)の共通の側から延びるように配置されることを特徴とする請求項1の検出装置。
- 圧力センサ(2;S1、S2)は、一般的に長方形であることを特徴とする請求項1の検出装置。
- 圧力センサ(2;S1、S2)が、センサに及ぼされる圧力、力、および、剪断のうちの少なくとも1つを検出することができることを特徴とする請求項1の検出装置。
- 少なくとも圧力センサ(S)および各々の電気伝導リード(L1,L2)を囲んでいる実質的に液体不浸透性のバリア(30)を更に有することを特徴とする請求項1に記載の検出装置。
- 検出装置の信号転送ターミナル(4;CT1,CT2,CT3,CT4)と適合する信号受け取りターミナル(RT1,RT2,RT3,RT4)を有している専用の電子装置を更に有し、前記専用の電子装置が、ユーザの足首の周りに部分的に適合するように構成されたカーブするハウジングコンポーネント(40)と、ハウジングコンポーネントの中で位置決めされる信号処理および通信コンポーネントとを有することを特徴とする請求項1の検出装置。
- 信号受け取りターミナル(RT1,RT2,RT3,RT4)を有する専用の電子装置を更に有し、
信号転送ターミナル(4;CT1,CT2,CT3,CT4)および信号受け取りターミナルが、着脱自在かつ磁気的に適合可能であることを特徴とする請求項1に記載の検出装置。 - 信号転送ターミナル(CT1,CT2,CT3,CT4)および信号受け取りターミナル(RT1,RT2,RT3,RT4)の磁気部品(23,28)の極性が、予め定められた方位において、信号転送ターミナルと信号受け取りターミナルとのマッチングを容易にするように構成されることを特徴とする請求項12に記載の検出装置。
- 信号転送ターミナル(CT1,CT2,CT3,CT4)および信号受け取りターミナル(RT1,RT2,RT3,RT4)は、伝導性の磁気スナップスイッチとして作動し、専用の電子装置が、磁気接続の有無に基づいて自動的にデータ収集をオン/オフすることを特徴とする請求項12に記載の検出装置。
- 信号転送ターミナル(CT1,CT2,CT3,CT4)と適合する信号受け取りターミナル(RT1,RT2,RT3,RT4)を有している専用の電子装置を更に有し、前記専用の電子装置が、専用の電子装置からデータを受信し、プログラムおよび/またはプログラム可能な命令およびルーチンに従ってデータ解析を実行するように構成されたリモートコンピューティング施設にデータを送信することができる信号処理および通信コンポーネントを有することを特徴とする請求項1の検出装置。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201261592333P | 2012-01-30 | 2012-01-30 | |
US61/592,333 | 2012-01-30 | ||
US201261747877P | 2012-12-31 | 2012-12-31 | |
US61/747,877 | 2012-12-31 | ||
PCT/US2013/023686 WO2013116242A2 (en) | 2012-01-30 | 2013-01-29 | Sensors, interfaces and sensor systems for data collection and integrated remote monitoring of conditions at or near body surfaces |
Publications (3)
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JP2015509028A JP2015509028A (ja) | 2015-03-26 |
JP2015509028A5 JP2015509028A5 (ja) | 2016-03-17 |
JP6272238B2 true JP6272238B2 (ja) | 2018-01-31 |
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JP2014555628A Active JP6272238B2 (ja) | 2012-01-30 | 2013-01-29 | 体表又はその近くの条件の集積された遠隔モニタリングおよびデータ収集に関するセンサ、インタフェースおよびセンサシステム |
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US (2) | US8925392B2 (ja) |
EP (1) | EP2809232B1 (ja) |
JP (1) | JP6272238B2 (ja) |
KR (1) | KR20140123977A (ja) |
CN (1) | CN104219999A (ja) |
AU (1) | AU2013215287A1 (ja) |
CA (1) | CA2862732A1 (ja) |
ES (1) | ES2618728T3 (ja) |
HK (1) | HK1204898A1 (ja) |
WO (1) | WO2013116242A2 (ja) |
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US20160345902A1 (en) * | 2009-10-23 | 2016-12-01 | Bend Tech, LLC | System to measure foot function |
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EP2629705B1 (en) | 2010-10-22 | 2018-10-10 | Össur HF | Adjustable socket system |
US8763261B1 (en) * | 2011-01-12 | 2014-07-01 | Adam Kemist | Apparatus for measuring the internal fit of footwear |
US9305120B2 (en) | 2011-04-29 | 2016-04-05 | Bryan Marc Failing | Sports board configuration |
CA2839954A1 (en) * | 2011-06-20 | 2012-12-27 | Yoram Romem | Independent non-interfering wearable health monitoring and alert system |
EP2581701B1 (en) * | 2011-10-11 | 2013-05-29 | King Saud University | An apparatus for determining a dimension of a selected surface of an object |
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WO2013116242A2 (en) | 2013-08-08 |
HK1204898A1 (en) | 2015-12-11 |
CN104219999A (zh) | 2014-12-17 |
US8925392B2 (en) | 2015-01-06 |
EP2809232B1 (en) | 2016-10-12 |
JP2015509028A (ja) | 2015-03-26 |
WO2013116242A3 (en) | 2014-10-23 |
US20130192071A1 (en) | 2013-08-01 |
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