JP6898364B2 - 人間の肢の生理学的パラメータを測定するためのデバイス及び方法 - Google Patents
人間の肢の生理学的パラメータを測定するためのデバイス及び方法 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
- A61B5/68—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
- A61B5/6838—Clamps or clips
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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
- 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
- A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
- A61B5/1455—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters
- A61B5/14551—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters for measuring blood gases
- A61B5/14552—Details of sensors specially adapted therefor
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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
- A61B5/6825—Hand
- A61B5/6826—Finger
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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
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Description
Claims (9)
- 人間の肢の生理学的パラメータを測定するデバイスであって、
前記肢を受け入れる調整可能なサイズを備える開口を定めるように互いに対して移動可能である第1の本体部及び第2の本体部を含む、本体と、
前記開口内に受け入れられる前記肢と相互作用する生理学的センサを受ける受け要素とを含み、
前記開口のサイズを調整する目的のために、
前記第1の本体部及び前記第2の本体部は、互いに少なくとも部分的に係合又は交差している間に互いに対して摺動可能であり、或いは、
前記第1の本体部及び前記第2の本体部は、前記開口内に受け入れられるときに前記肢を少なくとも部分的に取り囲むL形状の端区画を有するクリップを形成するように構成され、
当該デバイスは、前記受け要素に対して前記本体の前記開口内の前記肢を整列させる中心化要素を更に含み、該中心化要素は、前記第1の本体部と前記第2の本体部との間を接続するよう配置される接続要素によって提供され、
前記接続要素は、前記第1の本体部を前記第2の本体部と接続する弾性スリーブを含む、
デバイス。 - 前記第1の本体部は、外側本体部である前記第2の本体部内である長さに沿って係合的に摺動可能な内側本体部であり、且つ/或いは、前記第2の本体部は、前記肢の受け入れ可能な深さを制限する遮断要素を含む、請求項1に記載のデバイス。
- 前記開口は、円周を定め、前記第1の本体部は、前記開口の前記円周の少なくとも一部分に亘って前記第2の本体部と交差するように構成される、請求項1に記載のデバイス。
- 前記第2の本体部は、2つの摺動穴を含み、該2つの摺動穴は、前記第1の本体部の2つのアームが前記摺動穴を貫通するように配置されるときに、前記第1の本体部を摺動的に案内する、請求項1に記載のデバイス。
- 前記本体部が互いに対するリセット位置にあるようにさせるために前記本体部をリセット力で荷重するリセット要素、及び/又は前記本体に連結される前記生理学的センサを更に含む、請求項1に記載のデバイス。
- 前記受け要素は、前記生理学的センサを含む、請求項1に記載のデバイス。
- 前記生理学的センサは、測定光信号を生成する光源と、その相互作用後に前記測定光信号を検出する光検出器とを含む、請求項6に記載のデバイス。
- 前記光源は、前記第1及び第2の本体部のうちの一方の本体部の表面に接続され、前記光検出器は、前記第1及び第2の本体部のうちの他方の本体部の表面に接続される、請求項7に記載のデバイス。
- 人間の肢の生理学的パラメータを測定するデバイスを製造する方法であって、
前記肢を受け入れる調整可能なサイズを備える開口を定めるように互いに対して移動可能である第1の本体部と第2の本体部とを含む本体を提供するステップと、
前記開口内に受け入れられる前記肢と相互作用する生理学的センサを前記デバイスの受け要素で受けるステップと、
前記第1及び第2の本体部が互いに少なくとも部分的に係合し或いは交差する間に前記第1及び第2の本体部を互いに対して摺動させることによって、或いは、前記開口内に受け入れられるときに前記肢を少なくとも部分的に取り囲むL形状の端区画を有するクリップを形成するように前記第1及び第2の本体部を構成することによって、前記開口のサイズを調整するステップとを含み、
当該方法は、中心化要素を使用して、前記本体の前記開口内の前記肢を前記受け要素に対して整列させるステップを更に含み、前記中心化要素は、前記第1の本体部と第2の本体部との間を接続するために配置される接続要素によって提供され、
当該方法は、前記接続要素の弾性スリーブを使用して、前記第1の本体部を前記第2の本体部と接続するステップを更に含む、
方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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EP16178672.8 | 2016-07-08 | ||
EP16178672 | 2016-07-08 | ||
PCT/EP2017/067108 WO2018007593A1 (en) | 2016-07-08 | 2017-07-07 | Device and method for measuring a physiological parameter of a human limb |
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JP2019520151A JP2019520151A (ja) | 2019-07-18 |
JP6898364B2 true JP6898364B2 (ja) | 2021-07-07 |
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US (1) | US11134894B2 (ja) |
EP (1) | EP3481281B1 (ja) |
JP (1) | JP6898364B2 (ja) |
CN (1) | CN109414195B (ja) |
WO (1) | WO2018007593A1 (ja) |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2020260365A1 (en) * | 2019-06-24 | 2020-12-30 | Robert Bosch Gmbh | A bioanalyte monitoring device |
CN113662539B (zh) * | 2021-09-23 | 2024-04-30 | 江西凯曼医疗技术有限公司 | 一种包裹式重复性血氧探头 |
Family Cites Families (42)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE3810411A1 (de) | 1988-03-26 | 1989-10-12 | Nicolay Gmbh | Vorrichtung zum fixieren eines messaufnehmers, insbesondere eines messaufnehmers fuer oximetrische messungen |
DE69211986T2 (de) * | 1992-05-15 | 1996-10-31 | Hewlett Packard Gmbh | Medizinischer Sensor |
US5452717A (en) * | 1993-07-14 | 1995-09-26 | Masimo Corporation | Finger-cot probe |
JP3567319B2 (ja) * | 1997-12-26 | 2004-09-22 | 日本光電工業株式会社 | パルスオキシメータ用プローブ |
DE10005526A1 (de) * | 2000-02-08 | 2001-08-30 | Klaschka Gmbh & Co | Vorrichtung zur Überwachung von physiologischen Funktionen an einem lebenden Objekt |
DE10030862B4 (de) * | 2000-06-23 | 2006-02-09 | Nicolay Verwaltungs-Gmbh | Vorrichtung zum Fixieren einer medizintechnischen Messeinrichtung, insbesondere eines Pulsoximetriesensors, sowie Verwendung einer derartigen Vorrichtung |
US6716165B1 (en) * | 2001-03-02 | 2004-04-06 | Ge Medical Systems Information Technologies, Inc. | Patient telemetry device and leadset designs for providing antenna diversity |
US6754516B2 (en) * | 2001-07-19 | 2004-06-22 | Nellcor Puritan Bennett Incorporated | Nuisance alarm reductions in a physiological monitor |
CN2500256Y (zh) | 2001-08-24 | 2002-07-17 | 赵东红 | 台阶试验脉频测定仪 |
US6654621B2 (en) * | 2001-08-29 | 2003-11-25 | Bci, Inc. | Finger oximeter with finger grip suspension system |
ATE369788T1 (de) * | 2002-01-31 | 2007-09-15 | Univ Loughborough | Venöse pulsoxymetrie |
CN1259889C (zh) * | 2003-01-23 | 2006-06-21 | 欧姆龙健康医疗事业株式会社 | 脉搏波测定装置 |
ATE475355T1 (de) * | 2003-02-05 | 2010-08-15 | Koninkl Philips Electronics Nv | Medizinischer fingersensor |
JP4259251B2 (ja) * | 2003-09-25 | 2009-04-30 | オムロンヘルスケア株式会社 | 脈波計測装置 |
US20050228248A1 (en) * | 2004-04-07 | 2005-10-13 | Thomas Dietiker | Clip-type sensor having integrated biasing and cushioning means |
JP4549900B2 (ja) * | 2005-03-10 | 2010-09-22 | シャープ株式会社 | 生体信号測定装置、生体信号測定方法、およびコンピュータプログラム |
US7881762B2 (en) * | 2005-09-30 | 2011-02-01 | Nellcor Puritan Bennett Llc | Clip-style medical sensor and technique for using the same |
US7486979B2 (en) * | 2005-09-30 | 2009-02-03 | Nellcor Puritan Bennett Llc | Optically aligned pulse oximetry sensor and technique for using the same |
EP1795116A1 (de) * | 2005-12-12 | 2007-06-13 | F. Hoffmann-La Roche AG | System mit einem tragbaren Patientengerät und externem Bedienteil |
DE102006015291B4 (de) * | 2006-04-01 | 2015-10-29 | Drägerwerk AG & Co. KGaA | Verfahren zur Einstellung eines Patientenmonitors |
JP2007330638A (ja) * | 2006-06-16 | 2007-12-27 | Sharp Corp | 生体信号測定装置 |
US8145288B2 (en) * | 2006-08-22 | 2012-03-27 | Nellcor Puritan Bennett Llc | Medical sensor for reducing signal artifacts and technique for using the same |
JP5011901B2 (ja) | 2006-09-12 | 2012-08-29 | パナソニック株式会社 | 血液センサユニットとこれを用いた血液検査装置 |
JP2009089818A (ja) | 2007-10-05 | 2009-04-30 | Panasonic Corp | 血液検査装置とその検査方法 |
JP2010099107A (ja) | 2008-10-21 | 2010-05-06 | Panasonic Corp | 血液検査装置 |
US20100168531A1 (en) * | 2008-10-22 | 2010-07-01 | Dr. Phillip Andrew Shaltis | Rapidly deployable sensor design for enhanced noninvasive vital sign monitoring |
WO2010143083A1 (en) * | 2009-06-09 | 2010-12-16 | Koninklijke Philips Electronics N.V. | Disposable spo2 grips |
JP4792540B1 (ja) * | 2010-02-24 | 2011-10-12 | 有限会社エクセルプラン | パルスオキシメータ |
FR2963226A1 (fr) * | 2010-07-30 | 2012-02-03 | Centre Nat Rech Scient | Outil de depistage d'une anomalie telle qu'une arteriopathie obliterante des membres inferieurs. |
SG192835A1 (en) * | 2011-02-18 | 2013-09-30 | Sotera Wireless Inc | Optical sensor for measuring physiological properties |
WO2013076722A1 (en) * | 2011-11-24 | 2013-05-30 | Itamar Medical Ltd. | Apparatus for monitoring arterial pulse waves in diagnosing various medical conditions |
FR2985656B1 (fr) * | 2012-01-13 | 2015-02-20 | Kaptalia Monitoring | Oxymetre |
US8792952B2 (en) * | 2012-06-20 | 2014-07-29 | General Elecric Company | Sensor holder to be applied on an appendage of a subject |
CN203252647U (zh) * | 2012-09-29 | 2013-10-30 | 艾利佛公司 | 用于判定生理特征的可佩带的设备 |
US20150327809A1 (en) * | 2012-12-06 | 2015-11-19 | Konica Minolta, Inc. | Biological information measuring device, measuring unit of biological information measuring device, finger accommodating unit of biological information measuring device, and pulse oxymeter |
JP2016521173A (ja) * | 2013-05-07 | 2016-07-21 | ウェーブ バイオテック プロプライエタリー リミテッドWave Biotech Pty Ltd | 静脈血流を減少させるためのクランプデバイス |
CN104683569B (zh) * | 2013-11-27 | 2017-07-14 | 菲特比特公司 | 用于将活动跟踪设备自动链接到用户设备的方法、系统和设备 |
CN204889961U (zh) * | 2014-03-31 | 2015-12-23 | 皇家飞利浦有限公司 | 用于将传感器装置保持在生物的身体部分处的一体成型夹子保持器 |
WO2016003268A2 (en) * | 2014-06-30 | 2016-01-07 | Scint B.V. | Method and device for measuring a health status and physiological parameters of an user at rest and under movement |
CN104287746B (zh) | 2014-09-24 | 2017-09-19 | 潘卫江 | 指腹式血氧饱和度传感器及其测量系统 |
WO2017009233A1 (en) | 2015-07-10 | 2017-01-19 | Koninklijke Philips N.V. | Gear for holding a physiological sensor |
CN105640513A (zh) * | 2015-12-31 | 2016-06-08 | 中国科学院微电子研究所 | 脉搏波阵列式传感器采集系统及方法 |
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- 2017-07-07 WO PCT/EP2017/067108 patent/WO2018007593A1/en unknown
- 2017-07-07 JP JP2018568878A patent/JP6898364B2/ja active Active
- 2017-07-07 US US16/315,681 patent/US11134894B2/en active Active
- 2017-07-07 CN CN201780042488.6A patent/CN109414195B/zh active Active
- 2017-07-07 EP EP17739537.3A patent/EP3481281B1/en active Active
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US11134894B2 (en) | 2021-10-05 |
CN109414195A (zh) | 2019-03-01 |
WO2018007593A1 (en) | 2018-01-11 |
US20190239809A1 (en) | 2019-08-08 |
EP3481281A1 (en) | 2019-05-15 |
CN109414195B (zh) | 2022-08-26 |
JP2019520151A (ja) | 2019-07-18 |
EP3481281B1 (en) | 2021-09-08 |
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