RU2015137775A - Система и способ для определения информации об основных физиологических показателях субъекта - Google Patents

Система и способ для определения информации об основных физиологических показателях субъекта Download PDF

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RU2015137775A
RU2015137775A RU2015137775A RU2015137775A RU2015137775A RU 2015137775 A RU2015137775 A RU 2015137775A RU 2015137775 A RU2015137775 A RU 2015137775A RU 2015137775 A RU2015137775 A RU 2015137775A RU 2015137775 A RU2015137775 A RU 2015137775A
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Александер ДУБЕЛЬЧИК
Рольф НОЙМАНН
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Конинклейке Филипс Н.В.
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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
    • A61B5/0004—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0077—Devices for viewing the surface of the body, e.g. camera, magnifying lens
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
    • 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
    • A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • A61B5/02055—Simultaneously evaluating both cardiovascular condition and temperature
    • 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
    • A61B5/026—Measuring blood flow
    • A61B5/0261—Measuring blood flow using optical means, e.g. infrared light
    • 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
    • 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
    • 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
    • A61B5/684—Indicating the position of the sensor on the body
    • A61B5/6842—Indicating the position of the sensor on the body by marking the skin
    • 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
    • A61B5/6887—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient mounted on external non-worn devices, e.g. non-medical devices
    • A61B5/6898—Portable consumer electronic devices, e.g. music players, telephones, tablet computers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7271—Specific aspects of physiological measurement analysis
    • A61B5/7278—Artificial waveform generation or derivation, e.g. synthesising signals from measured signals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A—HUMAN NECESSITIES
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937—Visible markers
    • A61B2090/3945—Active visible markers, e.g. light emitting diodes
    • 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
    • A61B2560/0406—Constructional details of apparatus specially shaped apparatus housings
    • A61B2560/0412—Low-profile patch shaped housings
    • 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
    • A61B2562/0233—Special features of optical sensors or probes classified in A61B5/00
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/08—Sensors provided with means for identification, e.g. barcodes or memory chips
    • 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
    • A61B5/0024—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system for multiple sensor units attached to the patient, e.g. using a body or personal area network
    • 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
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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
    • A61B5/683—Means for maintaining contact with the body
    • A61B5/6832—Means for maintaining contact with the body using adhesives
    • A61B5/6833—Adhesive patches

Claims (35)

1. Система (1) для определения информации (7) об основных физиологических показателях субъекта (100), содержащая
маркер (10, 10', 30, 40, 50, 60, 70) для наложения на кожу (104) субъекта, при этом упомянутый маркер дополнительно содержит первую маркерную область (11, 11', 23, 34b, 41, 54b, 61b, 71b), выполненную с возможностью пропускания света (A, B) на первой длине волны, а также вторую маркерную область (12, 12', 24, 35b, 42, 55b, 62b, 72b), выполненную с возможностью пропускания света (C, D) на второй длине волны,
блок (2, 22) обнаружения для детектирования излучения, принятого от первой маркерной области и от второй маркерной области маркера, а также
блок (6) анализа для определения информации об основных физиологических показателях субъекта из обнаруженного излучения от первой маркерной области и от второй маркерной области.
2. Система по п. 1,
дополнительно содержащая блок (4) обработки изображений для распознавания первой маркерной области (11, 11', 23, 34b, 41, 54b, 61b, 71b) и второй маркерной области (12, 12', 24, 35b, 42, 55b, 62b, 72b) в обнаруженном излучении.
3. Система по п. 1,
дополнительно содержащая несущий элемент (31, 51), несущий на себе маркер.
4. Система по п. 3,
в которой несущий элемент (31, 51) дополнительно содержит адгезив (52) для закрепления несущего элемента на коже (104) субъекта (100).
5. Система по п. 3,
в которой первая маркерная область (11, 11', 23, 34b, 41, 54b, 61b, 71b) и/или вторая маркерная область (12, 12', 24, 35b, 42, 55b, 62b, 72b) содержат пластину (56, 57) оптического фильтра, прикрепленную к несущему элементу (31, 51).
6. Система по п. 1,
в которой маркер (40) содержит первый краситель, наносимый на кожу субъекта в первой маркерной области (41), и/или второй краситель, наносимый на кожу субъекта во второй маркерной области (42).
7. Система по п. 1,
в которой маркер (30, 40, 60, 70) дополнительно содержит референсную область (34a, 35a, 36a, 54a, 55a, 61a, 62a, 71a, 72a) с заданной характеристикой отражения.
8. Система по п. 7,
в которой референсная область является светонепроницаемой.
9. Система по п. 1,
в которой маркер дополнительно содержит графический паттерн (32, 33).
10. Система по п. 1,
в которой первая маркерная область (61b, 71b) и/или вторая маркерная область (62b, 72b) содержат подобласти.
11. Система по п. 1,
в которой маркер дополнительно содержит стимулятор (52) для увеличения перфузия крови в ткани (104) субъекта (100), соприкасающейся с маркером (50).
12. Маркер (10, 10', 30, 40, 50, 60, 70) для использования в системе (1) по п. 1, содержащий
первую маркерную область (11, 11', 23, 34b, 41, 54b, 61b, 71b), выполненную с возможностью пропускания света (A, B) на первой длине волны,
вторую маркерную область (12, 12', 24, 35b, 42, 55b, 62b, 72b), выполненную с возможностью пропускания света (C, D) на второй длине волны,
при этом маркер приспособлен для наложения на кожу (104) субъекта (100).
13. Устройство для использования в системе (1) по п. 1, содержащее
блок (2, 22) обнаружения для детектирования излучения, принятого от первой маркерной области (11, 11', 23, 34b, 41, 54b, 61b, 71b), выполненной с возможностью пропускания света (A, B) на первой длине волны, а также от второй маркерной области (12, 12', 24, 35b, 42, 55b, 62b, 72b), выполненной с возможностью пропускания света (C, D) на второй длине волны, маркера (10, 10', 30, 40, 50, 60, 70), наложенного на кожу (104) субъекта (100), а также
блок (6) анализа для определения информации (7) об основных физиологических показателях субъекта из обнаруженного излучения от первой маркерной области и от второй маркерной области.
14. Способ для определения информации (7) об основных физиологических показателях субъекта (100), содержащий этапы
детектирования излучения, принятого от первой маркерной области (11, 11', 23, 34b, 41, 54b, 61b, 71b), выполненной с возможностью пропускания света (A, B) на первой длине волны, а также от второй маркерной области (12, 12', 24, 35b, 42, 55b, 62b, 72b), выполненной с возможностью пропускания света (C, D) на второй длине волны, маркера (10, 10', 30, 40, 50, 60, 70), наложенного на кожу (104) субъекта, а также
определения информации об основных физиологических показателях субъекта из обнаруженного излучения от первой маркерной области и от второй маркерной области.
15. Компьютерная программа, содержащая средство программного кода для выполнения компьютером этапов способа по п. 14, когда упомянутая компьютерная программа выполняется на компьютере.
RU2015137775A 2013-02-05 2014-02-04 Система и способ для определения информации об основных физиологических показателях субъекта RU2688445C2 (ru)

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US201361760683P 2013-02-05 2013-02-05
EP13154017.1 2013-02-05
US61/760,683 2013-02-05
EP13154017.1A EP2762066A1 (en) 2013-02-05 2013-02-05 System and method for determining vital sign information of a subject
PCT/EP2014/052143 WO2014122126A1 (en) 2013-02-05 2014-02-04 System and method for determining vital sign information of a subject

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JP6525890B2 (ja) 2019-06-05
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WO2014122126A1 (en) 2014-08-14
CN104981200B (zh) 2018-10-16
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