LT6599B - Mobile virtual reality system for carrying out subjective visual vertical test - Google Patents
Mobile virtual reality system for carrying out subjective visual vertical test Download PDFInfo
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Abstract
Description
TECHNIKOS SRITISTECHNICAL FIELD
Išradimas priklauso medicininės įrangos sričiai, o konkrečiai - sistema ir būdas regos vertikalės suvokimo tyrimui atlikti.BACKGROUND OF THE INVENTION The invention relates to the field of medical equipment, and more particularly to a system and method for conducting a visual vertical perception study.
TECHNIKOS LYGISTECHNICAL LEVEL
Aprašoma sistema ir būdas skirti pacientų, kurie skundžiasi galvos svaigimu, ligoms diagnozuoti, o konkrečiau - sistema ir būdas skirti kompleksiškai vertinti vestibulinės funkcijos sutrikimo atvejus. Sistemą sudaro paciento naudojami virtualios realybės įtaisas, įtaisas rankos judesiams fiksuoti (pvz., elektroninė apyrankė arba kitoks manipuliatorius), gydytojo įtaisas, skirtas valdyti ir kontroliuoti diagnozės seansą, nutolusio gydytojo įtaisas, skirtas diagnozės duomenims gauti, analizuoti. Pateikiamas techninis sprendimas leidžia atlikti tyrimą be įprastos tamsios patalpos, įranga lengvai transportuojama, todėl gali būti naudojama paciento buvimo vietoje, šioje sistemoje yra dinaminio subjektyvios regos vertikalės suvokimo tyrimo galimybė, panaudotas virtualios dinaminės realybės testas, naudojamas valdymas rankos judesiu, panaudotas belaidis ryšys duomenims perduoti.A system and method for diagnosing diseases of patients who suffer from dizziness are described, and more specifically, a system and method for the complex evaluation of vestibular dysfunction. The system consists of a virtual reality device used by the patient, a device to record hand movements (eg electronic bracelet or other manipulator), a physician device to control and control the diagnosis session, a remote physician device to obtain diagnosis data. The technical solution provided allows the examination without the usual dark room, the equipment is easily transported and therefore can be used at the patient's place, it has dynamic subjective visual vertical perception examination, used virtual dynamic reality test, hand-operated control, used wireless data transmission .
US2012218285 (paskelbtas 2012-08-30) pateikia metodus ir sistemas vestibuliniams susirgimams nustatyti ir gydyti. Sistema turi vaizdavimo modulį, judesių modulį, stebėjimo modulį ir modifikavimo modulį. Sistemos veikimas pagrįstas demonstruojamų vaizdų ir paciento galvos judesio tarpusavio sąryšiu. Iš pateikiamo sprendimo akivaizdu, kad nėra pritaikyta duomenimis dalintis internetu, nėra kitokios galimybės, nei tik matuojant galvos judesį, nustatyti paciento ligos parametrus. Panašus įrenginys, kur paciento ligos parametrus galima nustatyti matuojant galvos ir akies judesius pateikiamas dokumente US20160262608 (paskelbtas 2016 09 15).US2012218285 (Published 08/30/2012) provides methods and systems for identifying and treating vestibular disorders. The system has an imaging module, a motion module, a tracking module, and a modification module. System performance is based on the relationship between the displayed images and the patient's head motion. It is evident from the above solution that data sharing is not adapted and there is no other option than to determine the patient's disease parameters by measuring head motion. A similar device where the patient's disease parameters can be determined by measuring head and eye movements is disclosed in US20160262608 (published September 15, 2016).
Dokumentas US2012089049 (paskelbtas 2012 04 12) pateikia virtualios realybės akiniais pagrįstą sistemą galvos pokrypio atsako testui atlikti. Dokumente pateikiamoje sistemoje paciento matomo objekto padėtis valdoma galvos orientacijos keitimu.Document US2012089049 (issued April 12, 2012) provides a virtual reality glasses based system for performing a head tilt response test. In the documented system, the position of the patient's visible object is controlled by changing the orientation of the head.
Šiuo aprašymu pateikiama sistema, kur virtualios realybės ekrane matomo virtualaus trimačio objekto padėtis keičiama gestais kontroliuojamu valdikliu. Akiniuose esantis inercinis orientacijos jutiklis naudojamas nustatyti ortogonaliai galvos padėčiai Žemės gravitacijos vektoriaus atžvilgiu.This description introduces a system where the position of the virtual 3D object visible on the virtual reality screen is changed by a gesture-controlled control. The inertial orientation sensor in the glasses is used to determine the orthogonal position of the head relative to the Earth's gravity vector.
Pateikti technikos lygio sprendimai pasižymi tokiais trūkumais, palyginus su šiame aprašyme pateikiamu sprendimu:The following state-of-the-art solutions have the following disadvantages compared to the solution in this description:
- nėra dinaminio regos vertikalės suvokimo tyrimo galimybės,- there is no possibility of dynamic visual vertical perception examination,
- pateikiamos sistemos neturi virtualaus realistiško dinaminio regos stimulo galimybės,- the presented systems do not have the capability of a virtual realistic dynamic visual stimulus,
- tyrimui atlikti reikalinga tamsi patalpa;- dark room required for examination;
- nenaudojamas belaidis ryšys duomenims perduoti,- no wireless data transmission is used,
- iš tyrimo rezultatų nieko negalima spęsti apie paciento elgesį testavimo metu, paciento užtikrintumą pasirenkamais sprendimais.- the results of the study do not give any indication as to the patient's behavior during testing or the patient's confidence in the choices made.
Šiame aprašyme pateikiamas techninis sprendimas neturi aukščiau išvardintų trūkumų.The technical solution presented in this description does not have the drawbacks listed above.
IŠRADIMO ESMĖTHE SUBSTANCE OF THE INVENTION
Šiuo aprašymu pateikiami sistema ir būdas žmogaus subjektyvios regos vertikalės suvokimui nustatyti. Tyrimo priemonė skirta įvairių specialybių gydytojams ir/ar kitiems medicinos specialistams, kurie savo praktikoje dirba su pacientais, besiskundžiančiais galvos svaigimu. Sistemą sudaro paciento naudojami virtualios realybės įtaisas ir manipuliatorius; gydytojo naudojamas gydytojo išmanusis įtaisas; nutolusio gydytojo naudojamas įtaisas tyrimo rezultatų peržiūrai ir analizei. Diagnozės būdą sudaro tokie pagrindiniai režimai: kalibravimo režimas, statinio testo režimas, dinaminio testo režimas, realaus vaizdo testo režimas.This description provides a system and method for determining the perception of the subject's vertical line of sight. The research tool is intended for physicians of various specialties and / or other medical professionals who work with patients with dizziness in their practice. The system consists of a virtual reality device and manipulator used by the patient; physician smart device used by a physician; a device used by a remote physician to review and analyze the test results. The diagnostic mode consists of the following basic modes: calibration mode, static test mode, dynamic test mode, real image test mode.
Tyrimo priemonė neužima daug vietos, ją galima nesunkiai transportuoti, tyrimui atlikti nereikalinga tamsi patalpa, paciento naudojami įtaisai veikia belaidžiu būdu, todėl neribojami paciento judesiai, tyrimo rezultatus galima perduodi internetu.The research tool does not take up much space, is easy to transport, does not require a dark room, the patient's devices operate wirelessly, so the patient's movements are not restricted, and the research results can be transmitted online.
TRUMPAS BRĖŽINIŲ APRAŠYMAS pav. pateikia sistemą sudarančių sudedamųjų dalių schematinį vaizdą.BRIEF DESCRIPTION OF THE DRAWINGS Fig. provides a schematic view of the components that make up the system.
Pateikti paveikslai - daugiau iliustracinio pobūdžio, mastelis, proporcijos ir kiti aspektai nebūtinai atitinka realų techninį sprendimą.The illustrations presented are more illustrative, the scale, proportions and other aspects do not necessarily correspond to the actual technical solution.
TINKAMIAUSI {GYVENDINIMO VARIANTAIPREFERRED {LIVING OPTIONS
Šiuo aprašymu pateikiama sistema skirta įvairių specialybių gydytojams (pvz., otorinolaringologams, neurologams, reabilitologams, geriatrams, šeimos gydytojams) ir/ar kitiems medicinos specialistams, kurie savo praktikoje dirba su pacientais, besiskundžiančiais galvos svaigimu. Tai saityno technologijomis paremta sistema veikianti internete ir teikianti tinklalapio sąsają. Sistemą sudaro mažiausiai šie įtaisai:The system presented in this description is intended for physicians of various specialties (eg otolaryngologists, neurologists, rehabologists, geriatricians, family physicians) and / or other medical professionals who work with patients with dizziness in their practice. It is a web technology based system that operates on the Internet and provides a web page interface. The system shall comprise at least the following devices:
Paciento naudojami:Patient used:
- virtualios realybės įtaisas (1);- virtual reality device (1);
- manipuliatorius (2);- a manipulator (2);
gydytojo naudojami:used by the doctor:
- gydytojo išmanusis įtaisas (3);- a doctor's smart device (3);
nutolusio gydytojo naudojami:used by a remote doctor:
- įtaisas tyrimo rezultatų peržiūrai ir analizei (5).- a device for viewing and analyzing test results (5).
Be aukščiau išvardintų įtaisų, sistemą dar sudaro serveris (4), interneto tinklo infrastruktūra, techninės priemonės, užtikrinančios išvardintų įtaisų tarpusavio ryšį duomenims keistis.In addition to the devices listed above, the system also comprises a server (4), an Internet network infrastructure, and technical means for interconnecting the said devices for data exchange.
Paciento naudojamas virtualios realybės įtaisas (1) (1 pav.) - kompiuterio parengtą vaizdinę informaciją paciento akims teikiantis įtaisas, dažniausiai dedamas, prisegamas, tvirtinamas ant galvos, galintis atlikti ir kitas tokiems įtaisams būdingas funkcijas, kaip pvz., galvos pokrypio, orientacijos matavimas, aplinkos vaizdinės informacijos registravimas ir kt. Tokio įtaiso (1) funkciją gali atlikti virtualios realybės šalmas, specialūs virtualios realybė akiniai, kiti išmanieji įtaisai, kurie gali būti naudojami minėtu būdu, pasižymi minėtomis funkcijomis. Paciento virtualios realybės įtaise (1) (ar jį valdančiame atskirame įrenginyje) įdiegta tyrimo metodą įgyvendinanti programinė įranga, tyrimo metodo eigą valdo ir kontroliuoja gydytojo išmanusis įtaisas (3). Virtualios realybės įtaisas (1) artimojo belaidžio ryšio būdu (Bluetooth, ar kt.) siunčia ir gauna duomenis j/iš gydytojo išmanųjį įtaisą (3). Virtualios realybės įtaiso (1) programinė įranga šio išradimo atveju gali dirbti tokiais režimais:Patient Virtual Reality Device (1) (Figure 1) - A device providing computer-generated visual information to the patient's eyes, usually placed, clamped, mounted on the head, and can perform other functions such as head tilt and orientation. , registration of environmental visual information, etc. The function of such a device (1) can be performed by a virtual reality helmet, special virtual reality goggles, other smart devices which can be used in the aforementioned manner, have the mentioned functions. The patient's virtual reality device (1) (or a separate device controlling it) is embedded with software that implements the test method, and is controlled and controlled by the physician's smart device (3). The virtual reality device (1) sends and receives data to / from the physician's smart device (3) via short-range wireless communication (Bluetooth, etc.). The virtual reality device (1) software of the present invention can operate in the following modes:
- kalibravimo režimas, kurio metu paciento prašoma sureguliuoti virtualios realybės įtaisą (1) pagal nurodytas instrukcijas, kad vaizduojama virtualios realybės scena būtų aiškiai matoma;- a calibration mode in which the patient is asked to adjust the virtual reality device (1) according to the instructions provided so that the virtual reality scene displayed is clearly visible;
- statinio testo režimas, kurio metu pacientui demonstruojamos rodyklės padėtį manipuliatoriaus pagalba reikia padaryti vertikalia. Šio testo metu taip pat įgyvendintos priemonės, leidžiančios pradėti testą tik tuo atveju, kai paciento galvos padėtis yra tinkama;- static test mode, in which the position of the arrow displayed to the patient is to be vertical by means of a manipulator. This test also implements measures that allow the test to start only when the patient's head position is appropriate;
- dinaminio testo režimo metu statinis testas papildomas erdvinėmis sferomis (ar kitomis geometrinėmis figūromis), kurios juda, sukasi pagal arba prieš laikrodžio rodyklę, sferų kiekis, sukimosi greitis parenkami gydytojo išmaniuoju įtaisu (3);- in the dynamic test mode, the static test is supplemented with spherical spheres (or other geometric shapes) that move, rotate or counterclockwise, the number of spheres and the rotation speed are selected by a physician's smart device (3);
- realaus vaizdo testo režimo metu pacientui demonstruojama realaus gyvenimo scena, pvz.: bangų supamas laivas, tokiu būdu pacientas mato kintantį horizontą ir neturi tikslaus atskaitos taško vertikalei nustatyti.- In real-life video test mode, the patient is presented with a real-life scene, such as a ship surrounded by waves, so that the patient sees a changing horizon and has no exact reference point to determine the vertical.
Kitas paciento naudojamas įtaisas - manipuliatorius (2). Šio išradimo atveju manipuliatorius (2) - tai paciento rankomis valdomas, žmogus-mašina sąsajos įtaisas, perduodantis informaciją virtualios realybės įtaisui (1) ir tokiu būdu valdantis testo pradžią ir pabaigą bei virtualaus objekto pokrypio kampą. Manipuliatorius (2) gali būti įgyvendintas kaip išmanioji gestų ir posūkio kampo atpažinimo apyrankė panaudojanti elektromiogramos ir inercinį (akcelerometrą) jutiklius. Pirmuoju atveju pacientas rankomis rodo tam tikrus sutartus ženklus (pvz.: suspaudžia kumštį, tam tikra kryptimi rodo delną ar kt.), kuriuos identifikuoja gestų atpažinimo programinė įranga. Atpažintos komandos siunčiamos į virtualios realybės įtaisą (1) valdantį paciento išmanųjį įrenginį. Antruoju įgyvendinimo atveju manipuliatorius (2) gali būti mechaninis-elektroninis įtaisas (pvz., kompiuteriniuose žaidimuose naudojami žaidimų pultai, vairalazdės ir/ar kt.), kur paciento judinama manipuliatoriaus (2) dalis generuoja elektrinį signalą perduodamą į virtualios realybės įtaisą (1) valdantį paciento išmanųjį įrenginį.Another device used by the patient is the manipulator (2). In the present invention, the manipulator (2) is a patient-operated, human-machine interface device that transmits information to the virtual reality device (1) and thereby controls the start and end of the test and the tilt angle of the virtual object. The manipulator (2) can be implemented as a smart gesture and turn recognition bracelet using electromyogram and inertia (accelerometer) sensors. In the first case, the patient shows by hand certain agreed marks (eg clenched fist, hand in a certain direction, etc.) that are recognized by gesture recognition software. The recognized commands are sent to the patient's smart device controlling the virtual reality device (1). In the second embodiment, the manipulator (2) may be a mechanical-electronic device (e.g., game consoles, joysticks, etc. used in computer games), wherein the patient-movable portion of the manipulator (2) generates an electrical signal transmitted to the virtual reality device (1). controlling the patient’s smart device.
Gydytojo išmaniojo įtaiso (3) funkcijas gali atlikti įvairūs išmanieji įtaisai (pvz., išmanusis telefonas, planšetinis kompiuteris, išmanusis laikrodis, ar kt.) turintis technines priemones ryšiui su interneto tinklu užtikrinti, turintis įdiegtą sistemos programinę įrangą, valdančią minėtą gydytojo įtaisą (3) ir užtikrinančią duomenų apsikeitimą tarp paciento įtaisų, gydytojo įtaiso (3) ir sistemos serverio (4). Kitu įgyvendinimo atveju, gydytojas gali naudotis dviem išmaniais įtaisais, pvz.: išmaniuoju telefonu ir išmaniuoju laikrodžiu. Gydytojo išmaniojo įtaiso (3) programinė įranga valdo paciento virtualios realybės įtaiso (1) programinę įrangą.The functions of a physician's smart device (3) can be performed by various smart devices (e.g., smartphone, tablet, smart watch, etc.) having technical means of communication with the Internet network, having installed system software controlling said physician device (3). ) and enables data exchange between the patient device, the doctor device (3) and the system server (4). In another embodiment, the doctor may use two smart devices, such as a smartphone and a smart watch. The software of the physician smart device (3) controls the software of the patient's virtual reality device (1).
Interneto ryšiu (https ir/ar kitomis technologijomis) gydytojo išmanusis įtaisas (3) jungiasi prie serverio (4), kuriame įdiegta sistemos programinė įranga skirta duomenų apsikeitimui tarp įtaisų, duomenims saugoti, apdoroti, vizualizuoti ir formuoti ataskaitas. Serveris (4) taip pat aprūpintas saugiomis vartotojų prisijungimo, identifikavimo techninėmis priemonėmis.Via an internet connection (https and / or other technologies), the physician's smart device (3) connects to the server (4), which incorporates system software for data exchange between devices, for data storage, processing, visualization, and reporting. The server (4) is also equipped with secure means of user login and identification.
Prie serverio (4) interneto ryšiu jungiasi nutolusio gydytojo įtaisas (5). Nutolusio gydytojo įtaisas (5) - elektroninis įtaisas, turintis galimybę jungtis prie interneto tinklo ir pateikti duomenis interneto naršyklėje (pvz.: išmanusis telefonas, planšetinis kompiuteris, kompiuteris ar kt.). Programinė įranga turi visas reikiamas priemones vartotojų ir jų teisių valdymui bei kitų administravimo veiksmų atlikimui. Nutolęs gydytojas gali stebėti paciento būklės matavimo rezultatus, juos analizuoti, apdoroti, siųsti. Naudojant šią sistemą galima gauti detalią informaciją, kaip pacientas elgėsi testo metu. Tokia informacija pateikiama diagnozės ataskaitoje. Testų sprendimo rezultatuose pateikiamas ne tik pačio testo sprendinio priėmimo faktas, tačiau ir kita informacija, susijusi su sprendimo priėmimu. Naudojant šią informaciją galima spręsti ar pacientas padarė klaidą, ar pacientas užtikrintas savo sprendimu ar, priešingai, testo metu darė spėjimus, veikė neužtikrintai, ilgai dvejojo prieš pasirinkdamas sprendimą.A remote medical device (5) connects to the server (4) via an Internet connection. Remote medical device (5) means an electronic device which is capable of connecting to the Internet and of presenting data in a web browser (eg smartphone, tablet, computer, etc.). The software has all the necessary tools to manage users and their rights and perform other administrative tasks. The remote doctor can monitor the patient's measurement results, analyze them, process them, and send them. This system provides detailed information on how the patient behaved during the test. Such information shall be included in the diagnosis report. In addition to the fact that the test decision itself is made, the test decision results include other information relevant to the decision. Using this information, it is possible to judge whether the patient has made a mistake, whether the patient is self-assured or, on the contrary, has made guesses, acted uncertainly during the test, and has long hesitated before making a decision.
Siekiant iliustruoti ir aprašyti šį išradimą, aukščiau pateiktas tinkamiausių įgyvendinimo variantų aprašymas. Tai nėra išsamus arba ribojantis aprašymas, siekiantis nustatyti tikslią formą arba įgyvendinimo variantą, j aukščiau pateiktą aprašymą reikia žiūrėti daugiau kaip j iliustraciją, o ne kaip j apribojimą. Suprantama, kad srities specialistams gali būti akivaizdžios daugybė modifikacijų ir variacijų, įgyvendinimo variantas yra parinktas ir aprašytas tam, kad srities specialistai suprastų šio išradimo principus ir jų geriausią praktinį pritaikymą, skirtą skirtingiems įgyvendinimo variantams su skirtingomis modifikacijomis, tinkančiomis konkrečiam panaudojimui arba įgyvendinimo pritaikymui. Numatyta, kad išradimo apimtis apibrėžiama prie jo pridėta apibrėžtimi ir jos ekvivalentais, kuriuose visi minėti terminai turi prasmę plačiose ribose, nebent nurodyta kitaip.In order to illustrate and describe the present invention, the following description of preferred embodiments is provided. This is not a detailed or restrictive description intended to determine the exact form or embodiment, the description above should be viewed as an illustration rather than a limitation of j. It will be appreciated that many modifications and variations may be apparent to those skilled in the art, and an embodiment has been selected and described to enable those skilled in the art to understand the principles of the invention and their best practical application for different embodiments with different modifications suitable for a particular application or implementation. The scope of the invention is intended to be defined by the appended definition and its equivalents, in which all the foregoing terms have a broad meaning, unless otherwise stated.
Įgyvendinimo variantuose, aprašytuose srities specialistų, gali būti sukurti pakeitimai, nenukrypstantys nuo šio išradimo apimties, kaip tai nurodyta toliau pateiktoje apibrėžtyje.In embodiments described by those of ordinary skill in the art, changes may be made within the scope of the present invention as defined in the following definition.
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US20120089049A1 (en) | 2010-10-06 | 2012-04-12 | Laboratorio De Otoneurologia | Head tilt response |
US20120218285A1 (en) | 2011-02-25 | 2012-08-30 | University Of Rochester | Methods and systems for treatment of vestibular disorders |
US20160262608A1 (en) | 2014-07-08 | 2016-09-15 | Krueger Wesley W O | Systems and methods using virtual reality or augmented reality environments for the measurement and/or improvement of human vestibulo-ocular performance |
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US20120089049A1 (en) | 2010-10-06 | 2012-04-12 | Laboratorio De Otoneurologia | Head tilt response |
US20120218285A1 (en) | 2011-02-25 | 2012-08-30 | University Of Rochester | Methods and systems for treatment of vestibular disorders |
US20160262608A1 (en) | 2014-07-08 | 2016-09-15 | Krueger Wesley W O | Systems and methods using virtual reality or augmented reality environments for the measurement and/or improvement of human vestibulo-ocular performance |
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