TR201921911A2 - Heart attack detection and emergency response system. - Google Patents

Heart attack detection and emergency response system.

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Publication number
TR201921911A2
TR201921911A2 TR2019/21911A TR201921911A TR201921911A2 TR 201921911 A2 TR201921911 A2 TR 201921911A2 TR 2019/21911 A TR2019/21911 A TR 2019/21911A TR 201921911 A TR201921911 A TR 201921911A TR 201921911 A2 TR201921911 A2 TR 201921911A2
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Turkey
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heart
patient
heart attack
person
ecg device
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TR2019/21911A
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Turkish (tr)
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Bayburt Mehmet
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Selcuk Ueniversitesi
Selçuk Üni̇versi̇tesi̇
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Priority to TR2019/21911A priority Critical patent/TR201921911A2/en
Priority to PCT/TR2020/051396 priority patent/WO2021133360A1/en
Publication of TR201921911A2 publication Critical patent/TR201921911A2/en

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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
    • A61B5/0006—ECG or EEG signals
    • 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
    • A61B5/0245—Detecting, measuring or recording pulse rate or heart rate by using sensing means generating electric signals, i.e. ECG signals
    • 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
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    • A61B5/1112—Global tracking of patients, e.g. by using GPS
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • 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
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • G—PHYSICS
    • G08—SIGNALLING
    • G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B21/00—Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
    • G08B21/02—Alarms for ensuring the safety of persons
    • G08B21/04—Alarms for ensuring the safety of persons responsive to non-activity, e.g. of elderly persons
    • G08B21/0407—Alarms for ensuring the safety of persons responsive to non-activity, e.g. of elderly persons based on behaviour analysis
    • G08B21/043—Alarms for ensuring the safety of persons responsive to non-activity, e.g. of elderly persons based on behaviour analysis detecting an emergency event, e.g. a fall
    • G—PHYSICS
    • G08—SIGNALLING
    • G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B21/00—Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
    • G08B21/02—Alarms for ensuring the safety of persons
    • G08B21/04—Alarms for ensuring the safety of persons responsive to non-activity, e.g. of elderly persons
    • G08B21/0438—Sensor means for detecting
    • G08B21/0453—Sensor means for detecting worn on the body to detect health condition by physiological monitoring, e.g. electrocardiogram, temperature, breathing
    • G—PHYSICS
    • G08—SIGNALLING
    • G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B25/00—Alarm systems in which the location of the alarm condition is signalled to a central station, e.g. fire or police telegraphic systems
    • G08B25/01—Alarm systems in which the location of the alarm condition is signalled to a central station, e.g. fire or police telegraphic systems characterised by the transmission medium
    • G08B25/016—Personal emergency signalling and security systems
    • 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
    • G16H40/20—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 management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • 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
    • G16H40/63—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 local operation
    • 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
    • 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
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/70—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04M—TELEPHONIC COMMUNICATION
    • H04M11/00—Telephonic communication systems specially adapted for combination with other electrical systems
    • H04M11/04—Telephonic communication systems specially adapted for combination with other electrical systems with alarm systems, e.g. fire, police or burglar alarm systems
    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04W—WIRELESS COMMUNICATION NETWORKS
    • H04W4/00—Services specially adapted for wireless communication networks; Facilities therefor
    • H04W4/90—Services for handling of emergency or hazardous situations, e.g. earthquake and tsunami warning systems [ETWS]

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  • Business, Economics & Management (AREA)
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  • Cardiology (AREA)
  • Pathology (AREA)
  • Heart & Thoracic Surgery (AREA)
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  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)

Abstract

Buluş en temel halinde; ritim ve iletim bozuklukları; iskemi (yeterli kanlanmama) veya lezyon (zararlanma) veya nekroz gibi kalbin (miyokard) kanlanması; kalp adalesinin durumu (hipertrofi) ile Ca, K, Mg gibi kan iyonları dengesizliklerinin takip edilmesi ve kalp krizi riskinin erken aşamada tespit edilmesi için geliştirilmiş; kişinin deri yüzeyine bağlanan elektrotlar tarafından ölçülen değerlerin kaydedilmesi ve hastayla ilgili elektrokardiyografi dosyasının oluşturulması için hastanın üzerinde taşıdığı EKG cihazı; GPS sistemi içeren ve EKG cihazının anomali tespit etmesi durumunda hastanın anlık durumu ile birlikte konumunu sağlık ekipleri veya kontrol merkezine ileten kontrol ünitesi içeren kalp krizi algılama ve acil müdahale sistemi ile ilgilidir.The invention in its most basic form; rhythm and conduction disorders; blood supply to the heart (myocardium) such as ischemia (not enough blood supply) or lesion (damage) or necrosis; developed to monitor the state of the heart muscle (hypertrophy) and blood ion imbalances such as Ca, K, Mg, and to detect the risk of heart attack at an early stage; ECG device that the patient wears to record the values measured by the electrodes attached to the skin surface of the person and to create the electrocardiography file related to the patient; It is related to the heart attack detection and emergency response system, which includes a GPS system and a control unit that transmits the instant status of the patient and the location of the patient to the health teams or control center in case the EKG device detects an anomaly.

Description

TARIFNAME KALP KRIZI ALGILAMA VE ACIL MÜDAHALE SISTEMI Teknik Alan Bulus, kisinin kalp ritminin anlik olarak takip edilerek riskli durumlar tespit edildiginde kisiye acil müdahalenin gerçeklestirilmesi amaciyla gelistirilmis bir sistem ile ilgilidir. Bulus özellikle, EKG ölçümlerini anlik olarak gerçeklestiren, bu ölçümlerde kisinin kalp ritminde herhangi bir anomali tespit edilmesi durumunda önceden belirlenmis telefon numaralarini arayarak kalp krizi riskini haber veren kalp krizi algilama ve acil müdahale sistemi ile ilgilidir. Teknigin Bilinen Durumu Günümüzde gerçeklesen ani ölümlerin birçogu kalp rahatsizliklarindan kaynaklanmaktadir. Koroner arter rahatsizliklari, mitral ve aort kapak sorunlari, aort genislemesi ve kalp delikleri en sik görülen kalp rahatsizliklaridir. Kalp krizi, Miyokard Enfarktüsü olarak adlandirilmaktadir. Eger koroner arter aniden tikanir ise, kalbin o bölgesine kan akimi tamamen kesilmektedir. Bu durumda bir miktar kalp kasi kalici olarak zarara ugramaktadir. Bu durum çogunlukla geçmeyip uzun süre devam eden gögüs agrisi ile birlikte meydana gelmekte ve miyokard enfarktüsü veya kalp krizi olarak adlandirilmaktadir. Bu rahatsizliklarin tespit edilmesi için gelistirilen cihazlar ile kalbin elektriksel faaliyeti ölçülebilmektedir. Vücuda yapistirilan MR uyumlu Elektrokardiyografi (EKG) elektrotu kablolar yardimiyla elektriksel aktivite EKG cihazina aktarmaktadir. Kalp damar hastaliklarinin tanisi için kullanilan EKG, kalbin kasilmasi sirasinda ortaya çikan elektriksel aktivitenin grafiksel olarak kaydedilmesini saglayan bir cihazdir. Kalp atimi olarak da bilinen atriyum ve ventriküllerinin kasilmasi ve gevsemesi sirasinda zayif bir elektriksel aktivite olusmaktadir. Bu aktivite, kalp ritmi, frekansi ve yayilimi hakkinda pek çok veri içermektedir. Elektriksel aktivitenin ölçülmesi için elektrokardiyografi (EKG) cihazi kullanilmaktadir. Gögüs, kol ve bacak bölgesine, cilt üzerine yapistirilan elektrotlar, kalbin yarattigi elektriksel aktiviteyi ölçmekte ve elektrotlarin bagli oldugu cihaz, bu aktiviteyi grafiksel sekillere dönüstürerek özel bir kâgida basmaktadir. Böylece doktor, hastanin kalp ile ilgili sikayetini kolayca degerlendirebilmektedir. Özellikle ritim ve iletim bozukluklari, kalbin kanlanmasi, hipertrofi ya da farkli bir deyisle kalp kasinin büyümesi gibi anormal durumlarin tespitinde kullanilan EKG bir muayene yöntemidir. Elektrokardiyografi, çogunlukla gögüs agrisi, çarpinti, nefes darligi, bas dönmesi, göz kararmasi ve bayilma gibi sikayetler ile kardiyoloji uzmanina basvuran kisilere çekilmektedir. Herhangi bir riski bulunmayan ve tamamen güvenli bir test yöntemi olan EKG, yalnizca kalbin olusturdugu elektriksel aktiviteyi kaydetmektedir. Hastada sikâyet olusmadigi durumlarda EKG çekimi söz konusu olmadigi gibi sadece kisinin muayenesi için kullanilmaktadir. Hastanin, çarpinti, göz kararmasi, bayilma gibi sikayetlerin varliginda ve kalp ritim bozukluklarinin gözlenmesinde yaklasik telefon büyüklügünde olan ve holter EKG adi verilen bir cihaz kullanilmaktadir. Pille çalisan bu cihaz, kisinin beline ya da boynuna bir aski ile takilmaktadir. Cihaza bagli elektrotlar gögüs bölgesine, cilt üzerine yapistirilmaktadir. Cihaz takildiktan sonra kisi normal günlük yasamina dönmekte ve normalde yaptigi tüm hareketleri yapmaktadir. Bu noktada amaç, dönemsel olarak var olan sikayetlerin, anlik olarak takip edilmesidir. 24 saat boyunca cihaz, kalbin yarattigi elektriksel aktivitenin yani sira nabiz ve tansiyon gibi verilerin ölçümünü yaparak bu verileri kaydetmektedir. Bu sürenin sonunda hekim, holter EKG cihazini çikarmakta ve elde edilen verileri bilgisayara aktarmaktadir. Holter EKG sonucuna göre hekim, var olan dönemsel sikayetler sirasinda kalpte ne gibi bir durum yasandigini grafikler araciligiyla gözlemektedir. Holter EKG cihazi kisinin rutin hayatina devam ederken kalp ritminin belli bir süre için takip edilmesini sagliyor olsa da 24 saat sonunda çikarilmaktadir. Diger taraftan holter EKG takiliyken kalp ritminde olusa anomali sadece kaydedilmekte müdahale Için bir uyari sistemi bulunmamaktadir. Cihaz takiliyken olusan kalp ritmi anomalisi ancak 24 saat sonunda cihazin bilgileri aktarildiktan sonra tespit edilebilmektedir. Günümüzde kalp rahatsizliklarinin erken dönemde tespit edilmesi ve kisinin kalp krizi riskinden korunmasi amaciyla çalismalar yapilmis ve bu çalismalarin sonucunda kisinin kalp fonksiyonlarinin kesintisiz olarak takip edilmesi için devamli üzerinde patente konu olan bulustur. Bulus, klinik düzeyde bir EKG sinyali gibi elektriksel hayati sinyalleri algilamak için degisken elastikiyete ve en az bir iletken tekstil elektrotuna sahip bir akilli giysi ile ilgilidir. Bulus konusu gerçek zamanli saglik izleme sistemi, kisinin klinik seviye EKG gibi fizyolojik sinyallerini toplayan 12 elektrot içermektedir. hamile kadinlarin kullanimi için gelistirilmis ve bebegin kalp ritmini takip eden kesintisiz, akilli bir fetal izleme giysisi ile ilgilidir. Bulus konusu giysi, maternal ve fetal elektriksel hayati sinyalleri algilamak için iletken elektrotlara sahiptir. Maternal ve fetal elektriksel hayati sinyaller, maternal kalp hizi, fetal kalp hizi ve uterus aktiviteleri içeren elektromiyogram (EMG) aktiviteleri içeren bir gruptan seçilmektedir. Bulus, çok sayida tekstil elektrotunu kullanarak hamile bir kadinin karin yüzey bölgesinden elektriksel ortak, maternal ve fetal hayati sinyallerin alinmasi; elde edilen sinyallerin optimum sekilde toplanmasi; böylece maternal sinyali ve fetal sinyali çikarmak için toplanan sinyallerin analiz edilmesi, kalp hizlarinin belirlenmesi, saglik tehlikelerinin tespit edilmesi ve dogum için hastaneye yatirilmasi gerektigini düsünen bir uterus kasilma sekansinin tespit edilmesi dahil olmak üzere analiz edilmesi islemlerini yerine getirmektedir. saglik izlemesi için bir giysiye entegre "akilli tekstil" üretimi ile ilgilidir. Bahsedilen akilli tekstil, iletken dirençli ve iletken olmayan izolasyon ipliklerinden ve iletken olmayan elastomerik ipliklerden üretilen örme dirençli kumastir. Bahsedilen kumas, vücut kisimlarindaki deformasyonlari, eklem hareketlerini, solunum, EKG ve diger hayati parametrelerin kontrolünde kullanilmaktadir. düzeyde bir EKG sinyali gibi bir elektriksel hayati sinyali algilamak için en az bir iletken tekstil elektroduna sahip bir giysidir. Burada, EKG ölçümleriyle birlikte kullanildigi sekliyle "klinik seviye EKG" ifadesi, çogu kardiyoloji doktorunun riskli bir kardiyak sorundan süphelenmesi için kesin bir sonuç için gereken profesyonel olarak kabul edilebilir sayida elektrot uç, hassasiyet ve duyarliligi ifade etmektedir. Bulus konusu giysi kullanildiginda, kisinin normal yasam tarzina önemli bir sinirlama getirmemekte ve tercihen hiç kimsenin göremedigi bir yapidadir. Ayrica, sistem aritmi, arastirma veya müdahale gerektiren miyokard iskemisi, kalp yetmezligi gibi durumlarda kisisel bir uyari vermektedir. Sonuç olarak mevcut teknikte var olan dezavantajlari ortadan kaldiran kalp krizi algilama ve acil müdahale sistemine olan gereksinimin varligi ve mevcut çözümlerin yetersizligi ilgili teknik alanda bir gelistirme yapmayi zorunlu kilmistir. Bulusun Kisa Açiklamasi Bulusun amaci, gelistirilen kalp krizi algilama ve acil müdahale sisteminin kisinin devamli taktigi bir EKG cihazi ve bu cihazla toplanan verileri degerlendiren bir kontrol ünitesi içermesi sayesinde kisinin anlik kalp ritminin takip edilmesinin ve anomali tespit edilen riskli durumlarda saglik ekiplerine haber verilerek acil müdahale edilmesinin saglanmasidir. Bulusun amacii kalp krizi algilama ve acil müdahale sisteminde kullanilan EKG cihazi sayesinde kisinin kalbinin elektriksel faaliyetlerinin deri yüzeyinden ölçülmesinin saglanmasidir. Bulusun diger bir amaci, kalp krizi algilama ve acil müdahale sisteminde kullanilan kontrol ünitesi sayesinde kisinin kalp ritmi ile ilgili verilerin toplanmasinin ve anlik ölçülen degerlerin bu veriler ile karsilastirilmasinin saglanmasidir. Bulusun diger bir amaci, kontrol ünitesinin GPS modülü içermesi sayesinde acil durumlarda kisinin durumu ile beraber konum bilgisinin de iletilmesinin saglanmasidir. Bulusun diger bir amaci' kalp krizi algilama ve acil müdahale sisteminin olasi kalp krizi riskini tespit etmesi ve bu tip riskli durumlarda acil müdahale için saglik ekiplerini hastaya yönlendirmesi sayesinde kalp krizine bagli ölümlerin engellenmesinin saglanmasidir. Bulusun yapisal ve karakteristik özellikleri ve tüm avantajlari asagida verilen detayli açiklama sayesinde daha net olarak anlasilacaktir, bu nedenle degerlendirmenin de bu detayli açiklamalari göz önüne alinarak yapilmasi gerekmektedir. Bulusun Detayli Açiklamasi Bu detayli açiklamada, bulus konusu kisinin kalp ritminin anlik olarak takip edilerek riskli durumlar tespit edildiginde kisiye acil müdahalenin gerçeklestirilmesi amaciyla gelistirilmis bir kalp krizi algilama ve acil müdahale sistemi sadece konunun daha iyi anlasilmasina yönelik örnek olarak ve hiçbir sinirlayici etki olusturmayacak sekilde anlatilmaktadir. Bulus en temel halinde; ritim ve iletim bozukluklari; iskemi (yeterli kanlanmama) veya lezyon (zararlanma) veya nekroz gibi kalbin (miyokard) kanlanmasi; kalp adalesinin durumu (hipertrofi) ile Ca, K, Mg gibi kan iyonlari dengesizliklerinin takip edilmesi ve kalp krizi riskinin erken asamada tespit edilmesi için gelistirilmis; kisinin deri yüzeyine baglanan elektrotlar tarafindan ölçülen degerlerin kaydedilmesi ve hastayla ilgili elektrokardiyografi dosyasinin olusturulmasi için hastanin üzerinde tasidigi EKG cihazi; GPS sistemi içeren ve EKG cihazinin anomali tespit etmesi durumunda hastanin anlik durumu ile birlikte konumunu saglik ekipleri veya kontrol merkezine ileten kontrol ünitesi içeren kalp krizi algilama ve acil müdahale sistemi ile ilgilidir. Kisinin deri yüzeyine baglanarak kesintisiz olarak kalp ritmini takip eden, olasi kalp krizi riskini önceden tespit ederek saglik ekiplerine haber veren kalp krizi algilama ve acil müdahale sistemi; EKG cihazinin elektrotlarinin hastanin deri yüzeyine baglanmasi; elektrotlar tarafindan algilanan kalp ritmi sinyallerinin EKG cihazina aktarilmasi; EKG cihazinda sinyal ritminin bir gauss egrisine giydirilerek kisinin normal kalp ritim grafigi elde edilmesi; hastadan anlik elde edilen ölçümlerin EKG cihazinin hafizasinda saklanmasi ve hastayla ilgili elektrokardiyografi dosyasinin olusturulmasi; EKG cihazinin anlik olarak aldigi ölçümleri bu kayitli elektrokardiyografi dosyasi ile karsilastirmasi ve anlik ölçümlerde tespit edilen sapmalarin anomali olarak kabul edilmesi; EKG cihazi tarafindan anomali tespit edilmesi durumunda kontrol ünitesine sinyal gönderilmesi; EKG cihazinin ölçümleri dogrultusunda kontrol ünitesi tarafindan gönderilen anomali sinyali ile kontrol merkezinin devreye girmesi ve hastanin bulundugu konuma saglik ekiplerinin yönlendirilmesi islem adimlarini içermektedir. Bulus konusu kalp krizi algilama ve acil müdahale sistemi, kullanici/hasta üzerine yerlestirilmis bir EKG cihazi, bu EKG cihazinin yaptigi ölçümlerin aktarildigi ve kaydedildigi bir kontrol ünitesi içermektedir. Bahsedilen kontrol Ünitesi ayni zamanda EKG cihazi tarafindan ölçülen kalp ritminde bir anomali olmasi durumunda acil müdahale için saglik birimlerine veya daha önceden belirlenmis kisi veya kisilere sinyal göndermektedir. Bahsedilen EKG cihazi, kisinin vücuduna yerlestirilmis birden fazla elektrotlar sayesinde kalbin elektriksel faaliyeti sonucu deri üzerinde olusan sinyal genligi yaklasik 1mV olan elektriksel sinyal algilamaktadir. EKG cihazi ve elektrotlar hastanin tenine temas edecek ve kolay tasinabilecek saat, bileklik veya benzeri formda olup, elektrot tarafindan alinan sinyaller direkt EKG cihazina aktarilmaktadir. EKG cihazi kisinin kesintisiz olarak üzerinde tasiyabilecegi büyüklükte tasarlanmistir. EKG cihazi, kesintisiz olarak kisinin nabiz atislarini ve kalp sinyallerini takip ederek daha önce kendi hafizasina ve akilli sisteme kaydedilen kisiye ait normal degerler ile karsilastirmaktadir. EKG cihazi, kisiyle ilgili ölçülen biyopotansiyel sinyallerini takip ederek bu degerlerde herhangi bir anomali olmasi durumunda kisinin sagligini korumak ve olusabilecek riskleri önlemek için kontrol ünitesine sinyal göndermektedir. Kontrol ünitesi tercihen sisteme harici baglanan akilli telefon olabilecegi gibi EKG cihazina tümlesik bir yapida da olabilmektedir. Buradaki kontrol ünitesinin görevi EKG cihazi tarafindan ölçülen degerleri kaydetmek ve kisiyle ilgili anlik ölçülen degerlerde bir anomali olmasi durumunda saglik ekiplerine acil durum sinyali göndermektir. Bulus konusu kalp krizi algilama ve acil müdahale sistemi kullanilirken öncelikle, EKG cihazinin elektrotlari kisinin vücudundaki, bilek içi, boyun veya kalp üzeri gibi nabzin kolayca alinabildigi bölgelerine baglanmaktadir. EKG cihazinda kullanilan elektrotlar titresim sensörleri olup algiladiklari kalp ritmine bagli ürettikleri sinyaller ilgili EKG cihaziyla genlik bakimindan yükseltilerek bu sinyallerin izlenmesi saglanmaktadir. Söz konusu sinyal ritmi, bir gauss egrisine giydirilerek kisinin normal kalp ritim grafigi elde edilmektedir. EKG cihazinin saat, bileklik veya benzeri bir aksesuar büyüklügünde olmasi hastanin gün boyunca rahatsizlik üzerinde tasiyabilmesini saglamaktadir. EKG cihazi ile hastanin ritm ve iletim bozukluklari; iskemi (yeterli kanlanmama) veya lezyon (zararlanma) veya nekroz gibi kalbin (miyokard) kanlanmasi; kalp adalesinin durumu (hipertrofi) ile Ca, K, Mg gibi kan iyonlari dengesizlikleri ölçülebilmektedir. Ölçülen bu degerler EKG cihazinin hafizasinda saklanmakta ve hastayla ilgili elektrokardiyografi dosyasi olusturulmaktadir. Elektrokardiyografi, kalp kasinin ve ileti aginin çalismasini incelemek üzere, kalpte meydana gelen elektriksel faaliyetin kaydedilmesi ile elde edilen ileti kaydidir. EKG cihazi anlik olarak aldigi ölçümleri bu kayitli elektrokardiyografi dosyasi ile karsilastirmaktadir. Elektrokardiyografi dosyasi kisiye ait normal degerleri ifade etmekte oldugundan anlik ölçümlerde tespit edilen sapmalar anomali olarak kabul edilmektedir. EKG cihazinin anomali tespit etmesi durumunda bagli oldugu kontrol ünitesine sinyal göndermektedir. Kalp krizi algilama ve acil müdahale sisteminde kullanilan kontrol ünitesi, GPS sistemi içeren bir akilli telefon veya tablet bilgisayardir. Kontrol ünitesine yüklenen yazilim gelen EKG sinyallerini sürekli kontrol altinda tutmakta ve herhangi bir anomalide saglik merkezine bilgi ve konum vermektedir. Bulus konusu kalp krizi algilama ve acil müdahale sistemi tüm hastalara baglanmis olan EKG cihazlarindan toplanan verilerin aktarildigi bir kontrol merkezine sahiptir. Kontrol merkezi hasta üzerindeki EKG cihazinin ölçümleri dogrultusunda kontrol ünitesi tarafindan gönderilen anomali sinyali ile devreye girmekte ve en yakin motorize saglik ekibini hastanin bulundugu konuma yönlendirmektedir. Kontrol merkezi, kontrol ünitesinden gönderilen kalp krizi riski bilgisi ile mevcut acil saglik personelini yönlendirebilecegi gibi kendine bagli özel motorize saglik ekiplerini de hastaya yönlendirebilmektedir. Kontrol merkezi talep edilmesi durumunda saglik ekipleri ile birlikte hastanin daha önceden kaydedilmis yakinlarina da hastanin durumu ile ilgili bilgi vermektedir. Bulus konusu sistemde kisinin sehir içinde veya disinda konumuna bakilmaksizin, kalp ritminde herhangi bir anomali tespit edilmesi halinde en yakin saglik birimi acil müdahale için kisinin anlik durumu hakkinda bilgilendirilerek bulundugu konuma yönlendirilmektedir. Söz konusu EKG cihazinda, toplanan verilerin hem kendi hafizasinda hem de kontrol ünitesinde tutulmasi sayesinde hastanin kontrol ünitesine ulasiminin olmamasi durumunda saglik durumunun kesintisiz olarak takip edilmeye devam edilmesi saglanmaktadir. Herhangi bir durumda kontrol ünitesi ile baglanti kurulamamasi halinde EKG cihazi kendi hafizasinda kayitli olan geçmis veriler üzerinden hastanin anlik kalp ritmini kontrol ve takip etmeye devam etmektedir. Bu takip sirasinda kalp ritminde bir anomali tespit edilmesi halinde kontrol ünitesi ile baglanti olmasa dahi EKG cihazinin içerdigi bir SlM kart vasitasiyla saglik ekipleri aranarak hastanin bulundugu konuma yönlendirilmektedir. EKG cihazinin içerdigi SllVi kart sayesinde kontrol ünitesinden bagimsiz haberlesme özelligi kazandirilmistir. Kontrol ünitesi olarak kullanilan bir mobil telefonun pilinin bitmesi, unutulmasi veya sebeke baglantisinin bulunmamasi durumunda EKG cihazi tek basina saglik ekipleri veya acil durumda aranacak numaralar ile baglantiya geçebilmektedir. Bulusun tercih edilen bir uygulamasinda, kalp krizi algilama ve acil müdahale sistemi sadece kisinin kalp ritminin takip edilmesi için degil ayni zamanda anlik konum kontrolünün yapilmasi için de kullanilmistir. Özellikle bunama, Alzheimer gibi rahatsizliklara sahip kisiler kolayca yollarini kaybedebilmekte ve geri evlerine dönememektedir. Ayni zamanda kalp krizi geçirme riski yüksek olan bu kisilere takilan kalp krizi algilama ve acil müdahale sistemi hem anlik olarak kalp ritmini kontrol etmekte hem de kisinin anlik konumuna ulasilmasini saglamaktadir. Bulusun tercih edilen bir diger uygulamasinda kalp krizi algilama ve acil müdahale sistemi kalp hastaligi bulunan veya risk grubunda olan kisilerin yaninda sporcular tarafindan kullanilabilecek sekilde tasarlanmistir. Sporcu, tüm gün veya sadece spor yaparken EKG cihazini vücuduna baglamakta ve kalp ritminin kontrol edilmesini saglamaktadir. Spor esnasinda kalbin asiri zorlanmasi sonucu ortaya çikan ve sporcular arasinda yaygin olan kalp büyümesi riskine karsi korunmak amaciyla kontrol ünitesinde bulunan yazilim kisiye özgü olarak yüklenen kalp ritim araligi disinda bir deger okundugunda sinyal vererek sporcunun ikaz edilmesini saglamaktadir. Bulusun tercih edilen diger bir uygulamasinda kalp krizi algilama ve acil müdahale sisteminde bulunan EKG cihazi elektrotlari kablo yerine akilli tekstil ürünlerine entegre edilerek vücuda baglanmistir. TR TR DESCRIPTION HEART ATTACK DETECTION AND EMERGENCY INTERVENTION SYSTEM Technical Field The invention relates to a system developed for the purpose of instantly monitoring the person's heart rhythm and providing emergency intervention to the person when risky situations are detected. The invention is particularly related to the heart attack detection and emergency response system, which instantly performs ECG measurements and informs you of the risk of heart attack by calling predetermined phone numbers if any anomaly in the person's heart rhythm is detected in these measurements. State of the Art: Most of the sudden deaths occurring today are caused by heart diseases. Coronary artery disorders, mitral and aortic valve problems, aortic enlargement and heart holes are the most common heart diseases. Heart attack is called Myocardial Infarction. If the coronary artery is suddenly blocked, blood flow to that area of the heart is completely cut off. In this case, some heart muscle is permanently damaged. This condition often occurs with chest pain that does not go away and continues for a long time and is called myocardial infarction or heart attack. The electrical activity of the heart can be measured with devices developed to detect these disorders. The MR-compatible Electrocardiography (ECG) electrode, which is attached to the body, transfers electrical activity to the ECG device with the help of cables. ECG, used for the diagnosis of cardiovascular diseases, is a device that allows graphical recording of the electrical activity that occurs during heart contraction. A weak electrical activity occurs during the contraction and relaxation of the atria and ventricles, also known as heartbeat. This activity contains a lot of data about heart rhythm, frequency and propagation. An electrocardiography (ECG) device is used to measure electrical activity. Electrodes attached to the skin on the chest, arm and leg area measure the electrical activity created by the heart, and the device to which the electrodes are connected converts this activity into graphical shapes and prints them on a special paper. Thus, the doctor can easily evaluate the patient's heart-related complaints. ECG is an examination method used to detect abnormal conditions such as rhythm and conduction disorders, blood flow to the heart, hypertrophy or, in other words, enlargement of the heart muscle. Electrocardiography is mostly performed by people who apply to a cardiologist with complaints such as chest pain, palpitations, shortness of breath, dizziness, blackouts and fainting. ECG, which is a risk-free and completely safe test method, records only the electrical activity of the heart. In cases where the patient does not have any complaints, ECG recording is not possible and is used only for the examination of the person. A device called holter ECG, which is approximately the size of a phone, is used to monitor the patient's complaints such as palpitations, blackouts, fainting, and heart rhythm disorders. This battery-operated device is worn with a strap around the person's waist or neck. Electrodes connected to the device are attached to the skin on the chest area. After the device is inserted, the person returns to his normal daily life and performs all the movements he normally does. At this point, the aim is to instantly monitor the complaints that occur periodically. For 24 hours, the device measures the electrical activity created by the heart as well as data such as pulse and blood pressure and records these data. At the end of this period, the physician removes the Holter ECG device and transfers the obtained data to the computer. According to the Holter ECG result, the physician observes through graphs what kind of situation is happening in the heart during the existing periodic complaints. Although the Holter ECG device allows the heart rhythm to be monitored for a certain period of time while the person continues his routine life, it is removed after 24 hours. On the other hand, when a Holter ECG is installed, any anomaly in the heart rhythm is only recorded and there is no warning system for intervention. Heart rhythm anomalies that occur while the device is worn can only be detected after 24 hours after the device information is transferred. Nowadays, studies have been carried out to detect heart diseases at an early stage and to protect the person from the risk of heart attack, and as a result of these studies, a patentable invention has been made to continuously monitor the person's heart functions. The invention relates to a smart garment having variable elasticity and at least one conductive textile electrode for detecting electrical vital signals such as a clinical-grade ECG signal. The real-time health monitoring system of the invention includes 12 electrodes that collect the person's physiological signals, such as clinical level ECG. It is about an uninterrupted, intelligent fetal monitoring garment developed for the use of pregnant women and monitoring the baby's heart rhythm. The garment of the invention has conductive electrodes to detect maternal and fetal electrical vital signals. Maternal and fetal electrical vital signals are selected from a group of electromyogram (EMG) activities, including maternal heart rate, fetal heart rate, and uterine activities. The invention provides the ability to receive electrical common, maternal and fetal vital signals from the abdominal surface area of a pregnant woman using a plurality of textile electrodes; optimal collection of the obtained signals; Thus, it performs the functions of analyzing the signals collected to extract the maternal signal and the fetal signal, including determining heart rates, detecting health hazards, and detecting a uterine contraction sequence that suggests the need for hospitalization for labor. It is about the production of "smart textiles" integrated into a garment for health monitoring. The said smart textile is a knitted resistant fabric produced from conductive-resistant and non-conductive insulation yarns and non-conductive elastomeric yarns. The mentioned fabric is used to control deformations in body parts, joint movements, breathing, ECG and other vital parameters. A garment having at least one conductive textile electrode for detecting an electrical vital signal, such as a high-level ECG signal. The term “clinical level ECG,” as used here with ECG measurements, refers to a professionally acceptable number of electrode leads, sensitivity, and sensitivity required for a definitive result before most cardiologists suspect a risky cardiac problem. When used, the garment of the invention does not impose any significant restrictions on the person's normal lifestyle and preferably has a structure that no one can see. In addition, the system gives a personal warning in cases such as arrhythmia, myocardial ischemia and heart failure that require investigation or intervention. As a result, the need for a heart attack detection and emergency response system that eliminates the disadvantages of the current technique and the inadequacy of existing solutions have made it necessary to make a development in the relevant technical field. Brief Description of the Invention The purpose of the invention is to monitor the person's instantaneous heart rhythm and to provide emergency intervention by notifying the medical team in risky situations where an anomaly is detected, thanks to the developed heart attack detection and emergency response system containing an ECG device that the person wears constantly and a control unit that evaluates the data collected by this device. is to ensure. The purpose of the invention is to measure the electrical activities of a person's heart from the skin surface, thanks to the ECG device used in the heart attack detection and emergency response system. Another purpose of the invention is to collect data about the person's heart rhythm and compare instantly measured values with these data, thanks to the control unit used in the heart attack detection and emergency response system. Another purpose of the invention is to ensure that location information is transmitted along with the person's condition in emergency situations, thanks to the control unit containing a GPS module. Another purpose of the invention is to prevent deaths due to heart attack by detecting the possible risk of heart attack and directing medical teams to the patient for emergency intervention in such risky situations. The structural and characteristic features and all the advantages of the invention will be more clearly understood thanks to the detailed explanation given below, so the evaluation should be made taking these detailed explanations into consideration. Detailed Description of the Invention In this detailed description, a heart attack detection and emergency response system developed for the purpose of instantly monitoring the heart rhythm of the person subject to the invention and providing emergency intervention when risky situations are detected is described only as an example for a better understanding of the subject and in a way that does not create any limiting effect. The invention in its most basic form; rhythm and conduction disorders; ischemia (insufficient blood supply) or loss of blood supply to the heart (myocardium), such as lesion (damage) or necrosis; It was developed to monitor the condition of the heart muscle (hypertrophy) and blood ion imbalances such as Ca, K, Mg and to detect the risk of heart attack at an early stage; ECG device carried by the patient to record the values measured by electrodes attached to the person's skin surface and to create an electrocardiography file about the patient; It is related to the heart attack detection and emergency response system, which includes a GPS system and a control unit that transmits the patient's current status and location to the medical teams or control center in case the ECG device detects an anomaly. Heart attack detection and emergency response system, which connects to the person's skin surface and monitors the heart rhythm uninterruptedly, detects the risk of a possible heart attack in advance and notifies medical teams; Connecting the electrodes of the ECG device to the patient's skin surface; transferring the heart rhythm signals detected by the electrodes to the ECG device; Obtaining the person's normal heart rhythm graph by fitting the signal rhythm to a Gaussian curve on the ECG device; Storing the instantaneous measurements obtained from the patient in the memory of the ECG device and creating an electrocardiography file about the patient; The ECG device compares the instantaneous measurements taken with this recorded electrocardiography file and the deviations detected in the instantaneous measurements are accepted as anomalies; If an anomaly is detected by the ECG device, a signal is sent to the control unit; The process steps include activating the control center with the anomaly signal sent by the control unit in line with the measurements of the ECG device and directing the medical teams to the location of the patient. The heart attack detection and emergency response system of the invention includes an ECG device placed on the user/patient and a control unit to which the measurements made by this ECG device are transferred and recorded. The said control unit also sends a signal to healthcare units or a pre-determined person or persons for emergency intervention in case of an anomaly in the heart rhythm measured by the ECG device. The ECG device in question detects the electrical signal with a signal amplitude of approximately 1mV generated on the skin as a result of the electrical activity of the heart, thanks to multiple electrodes placed on the person's body. The ECG device and electrodes are in the form of a watch, bracelet or similar that can be easily carried and in contact with the patient's skin, and the signals received by the electrode are transferred directly to the ECG device. The ECG device is designed to be large enough for a person to carry it without interruption. The ECG device continuously monitors the person's pulse and heart signals and compares them with the person's normal values that were previously recorded in its memory and the smart system. The ECG device follows the biopotential signals measured about the person and in case of any anomaly in these values, it sends a signal to the control unit to protect the person's health and prevent possible risks. The control unit can preferably be a smartphone connected externally to the system, or it can be integrated into the ECG device. The task of the control unit here is to record the values measured by the ECG device and to send an emergency signal to the medical teams in case of an anomaly in the instantaneous measured values of the person. When using the heart attack detection and emergency response system of the invention, first of all, the electrodes of the ECG device are connected to parts of the person's body where the pulse can be easily taken, such as inside the wrist, neck or above the heart. The electrodes used in the ECG device are vibration sensors, and the signals they produce depending on the heart rhythm they detect are amplified in terms of amplitude by the relevant ECG device, allowing these signals to be monitored. The signal rhythm in question is fitted to a Gaussian curve to obtain the person's normal heart rhythm graph. The fact that the ECG device is the size of a watch, wristband or similar accessory allows the patient to carry it without discomfort throughout the day. Rhythm and conduction disorders of the patient with the ECG device; ischemia (insufficient blood supply) or loss of blood supply to the heart (myocardium), such as lesion (damage) or necrosis; The condition of the heart muscle (hypertrophy) and imbalances of blood ions such as Ca, K, Mg can be measured. These measured values are stored in the memory of the ECG device and an electrocardiography file is created for the patient. Electrocardiography is a conduction recording obtained by recording the electrical activity occurring in the heart in order to examine the functioning of the heart muscle and conduction network. The ECG device compares the instantaneous measurements it takes with this recorded electrocardiography file. Since the electrocardiography file represents the normal values of the individual, deviations detected in instantaneous measurements are considered anomalies. If the ECG device detects an anomaly, it sends a signal to the control unit to which it is connected. The control unit used in the heart attack detection and emergency response system is a smartphone or tablet computer with a GPS system. The software installed on the control unit constantly keeps the incoming ECG signals under control and provides information and location to the health center in case of any anomaly. The heart attack detection and emergency response system of the invention has a control center where the data collected from the ECG devices connected to all patients are transferred. The control center is activated with the anomaly signal sent by the control unit in line with the measurements of the ECG device on the patient and directs the nearest motorized healthcare team to the patient's location. The control center can direct the existing emergency medical personnel with the heart attack risk information sent from the control unit, as well as direct its own special motorized medical teams to the patient. If requested, the control center provides information about the patient's condition to the medical teams and the patient's previously registered relatives. In the system of the invention, regardless of the person's location in the city or outside the city, if any anomaly is detected in the heart rhythm, the nearest health unit is informed about the person's current situation and directed to the person's current location for emergency intervention. Thanks to the ECG device in question, the collected data is kept both in its own memory and in the control unit, it is ensured that the patient's health status continues to be monitored uninterruptedly if the patient does not have access to the control unit. If in any case a connection cannot be established with the control unit, the ECG device continues to control and monitor the patient's instantaneous heart rhythm through the past data stored in its memory. If an anomaly in heart rhythm is detected during this follow-up, even if there is no connection with the control unit, medical teams are called and directed to the patient's location via an SLM card contained in the ECG device. Thanks to the SllVi card contained in the ECG device, it has a communication feature independent of the control unit. If the battery of a mobile phone used as a control unit runs out, is forgotten, or does not have a network connection, the ECG device alone can contact healthcare teams or emergency numbers. In a preferred embodiment of the invention, the heart attack detection and emergency response system is used not only to monitor the person's heart rhythm but also to perform instant location control. Especially people with diseases such as dementia and Alzheimer's can easily lose their way and cannot return home. At the same time, the heart attack detection and emergency response system installed in these people who are at high risk of having a heart attack both instantly controls the heart rhythm and provides access to the person's current location. In another preferred application of the invention, the heart attack detection and emergency response system is designed to be used by athletes as well as people with heart disease or in the risk group. The athlete connects the ECG device to his body all day or only while doing sports and allows his heart rhythm to be checked. In order to protect against the risk of heart enlargement, which occurs as a result of excessive strain on the heart during sports and is common among athletes, the software in the control unit warns the athlete by giving a signal when a value outside the heart rhythm range specifically loaded for the person is read. In another preferred application of the invention, the ECG device electrodes in the heart attack detection and emergency response system are integrated into smart textile products and connected to the body instead of cables.TR TR

Claims (1)

1.ISTEMLER Kalp krizi algilama ve acil müdahale sistemi olup, özelligi; ritm ve iletim bozukluklari, iskemi (yeterli kanlanmama) veya lezyon (zararlanma) veya nekroz gibi kalbin (miyokard) kanlanmasi, kalp adalesinin durumu (hipertrofi) ile kan iyonlari dengesizliklerinin takip edilmesi ve kalp krizi riskinin erken asamada tespit edilmesi için, - kisinin deri yüzeyine baglanan elektrotlar tarafindan ölçülen degerlerin kaydedilmesi ve hastayla ilgili elektrokardiyografi dosyasinin olusturulmasi için hastanin üzerinde tasidigi EKG cihazini; - EKG cihazinin, hastanin bilek içi, boyun veya kalp üzeri gibi nabzin kolayca alinabildigi bölgelerine baglanan ve kalbin elektriksel faaliyeti sonucu deri üzerinde olusan elektriksel sinyali algilayan birden fazla elektrotu, - GPS sistemi içeren ve EKG cihazinin anomali tespit etmesi durumunda hastanin anlik durumu ile birlikte konumunu saglik ekipleri veya kontrol merkezine ileten kontrol ünitesini içermesidir. Kalp krizi algilama ve acil müdahale sisteminin çalisma yöntemi olup özelligi, EKG cihazi, kisinin deri yüzeyine baglanan elektrotlar tarafindan ölçülen degerleri kendi üzerinde toplamasi ve beraberinde akilli sisteme göndermesi, anomali aninda akilli sistem ile baglanti kurmasi ile motorize yardim sistemine haber verip yardim istemesi islem adimlarini içermesidir. Kalp krizi algilama ve acil müdahale sisteminin çalisma yöntemi olup özelligi, bahsi geçen akilli sistemin devre disi olmasi durumunda, kendi Üzerindeki sim karti kullanarak acil yardim çagrisi yapmasi ile karakterize edilmesidir. TR TR1. CLAIMS It is a heart attack detection and emergency response system, and its features are; - To monitor the blood supply of the heart (myocardium) such as rhythm and conduction disorders, ischemia (insufficient blood supply) or lesion (damage) or necrosis, the condition of the heart muscle (hypertrophy) and blood ion imbalances and to detect the risk of heart attack at an early stage, - to the skin surface of the person ECG device carried by the patient to record the values measured by the connected electrodes and to create an electrocardiography file about the patient; - Multiple electrodes of the ECG device that are connected to areas of the patient where the pulse can be easily taken, such as inside the wrist, neck or over the heart, and detect the electrical signal formed on the skin as a result of the electrical activity of the heart, - Includes a GPS system and provides the current status and location of the patient in case the ECG device detects an anomaly. It includes the control unit that transmits it to medical teams or the control center. It is the working method of the heart attack detection and emergency response system and its feature is that the ECG device collects the values measured by the electrodes attached to the person's skin surface and sends them to the smart system, establishes a connection with the smart system in the event of an anomaly, and includes the steps of notifying the motorized assistance system and asking for help. . It is the working method of the heart attack detection and emergency response system and its feature is that it calls for emergency help using its own SIM card in case the said smart system is disabled. TR TR
TR2019/21911A 2019-12-27 2019-12-27 Heart attack detection and emergency response system. TR201921911A2 (en)

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