TW201206397A - Pulse detector - Google Patents

Pulse detector Download PDF

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Publication number
TW201206397A
TW201206397A TW099126534A TW99126534A TW201206397A TW 201206397 A TW201206397 A TW 201206397A TW 099126534 A TW099126534 A TW 099126534A TW 99126534 A TW99126534 A TW 99126534A TW 201206397 A TW201206397 A TW 201206397A
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Taiwan
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light
signal
sensing
pulse
sensing device
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TW099126534A
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Chinese (zh)
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TWI409050B (en
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fu-xuan Huang
Zheng-Lun Cai
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Univ Chung Yuan Christian
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Abstract

The present invention relates to a pulse detector. The pulse detector comprises a light source, a light sensor and a sensing circuit. The light source is configured on a skin tissue of a living body, and generates at least a first light to irradiate on the skin tissue, and the first light will form a first light by reflection of the skin tissue; the light sensor is configured on the skin tissue, and there is an interval between the light sensor and the light source, and the light sensor received the second light; and, the sensing circuit is connected with the light sensor, and correspondingly generates a sensing signal according to the second light received by the light sensor, and the sensing signal is corresponded to a pulse variation of the living body; in which, the interval is corresponded to a wavelength or brightness of the first light and the second light. Thus, the present invention may be used for realtime preliminary pulse determination, and the detector according to the present invention is simple and more convenient than the ordinary pulse detector.

Description

201206397 六、發明說明: 【發明所屬之技術領域】 [0001] 本發明係有關於一種光感測裝置,特別是指一種脈 搏感測裝置,其利用感測反射光之偵測方式感測脈搏。 【先前技術】 [0002] ❹ ❹ 脈動感測技術是一種非侵入式偵測組織内血管床血 量變化的光學計量技術,而一般採用穿透式與反射式兩 種型態的感測探頭,運用不同光源與光感測器組合以操 取血液脈動生理訊號。穿透式脈動感測器的機構設計中 ,光源與感測器分別在受測組織的兩端,必須選擇可穿 透光的身體部位來進行檢測。通常感測探頭是以鉗夾手 指、耳朵、或鼻子等可穿透邹位來進行檢測,光源也需 選擇穿透組織能力較強的光波長作為光源。反射式的探 頭設計是將光源與感測器放置於同一側的方式來檢測, 可在身體任一部位進行檢測。其設計上必須考慮不同待 測部位的組織光學性質’考選擇適當光源波長與適當的 功率,才能偵測到進入組織再從組織反射回來的脈動訊 號。 099126534 非侵入式反射探頭較易於固定,所以較方便使用在 長時間的檢測,而量測部位不限於身體可穿透光的部位 ,例如額頭,所以可不影響手部活動。因為反射式探頭 所偵測到的散射光,通常是行徑比較短的距離,光被吸 收較少,所以可使用較低的光源功率,也使安全性提高 。如蔡正倫博士等人所於2001年所提出之論文「生物組 織之光分佈模擬及其量測」所揭示,光在組織内的分佈 狀態與細穿行路徑㈣,並揭示使用不 第3頁/共30頁 表單編號A0101 —— 仅 < 九 0992046543-0 201206397 源在檢測之用途的應用,如美國專利編號第US 57661 31 號之「Pulse-wave measuring apparatus」以及美國 專利編號第 US 5906582 號之「Organism information measuring method and arm wear type pu1se-wave measuring method」係揭示使用藍光450奈米與 綠光5 5 0奈米作為反射式脈動感測器之光源。再者,如「 Mendelson, Yitzhak, and Burt D. Ochs, “Non-invasive Pulse Oximetry Utilizing Skin Reflectance Photop1ethysmography,M IEEE Transactions on Bioffiedieal Engineering,vol. 35,pp. 798-805,1988· j 所揭示,Mendelson等人 係使用紅光與近紅外光作為感測之光源,其對應之感測 器與光源的間距R在4到11毫米的距離下,量測皮膚組織 的表面反射光亮度,分析脈動交流訊號與直流訊號的變 化。又如「Reuss,James L·,and Daniel Siker, “The pulse in reflectance pulse oximetry:201206397 VI. Description of the Invention: [Technical Field] [0001] The present invention relates to a light sensing device, and more particularly to a pulse sensing device that senses a pulse using a method of detecting reflected light. [Prior Art] [0002] ❹ ❹ Pulsation sensing technology is a non-invasive optical metrology technique for detecting changes in blood volume in vascular beds in tissues. Generally, both transmissive and reflective types of sensing probes are used. Use different light sources in combination with light sensors to manipulate blood pulsation physiological signals. In the mechanism design of the penetrating pulsation sensor, the light source and the sensor are respectively at the two ends of the tested tissue, and the body part that can be transmitted through the light must be selected for detection. Usually, the sensing probe is used to detect the penetrating finger, ear, or nose, etc., and the light source also needs to select a light wavelength that has a strong penetrating ability as a light source. The reflective probe design is designed to place the light source and sensor on the same side and can be detected at any part of the body. It must be designed to take into account the optical properties of the tissue to be tested. The appropriate source wavelength and appropriate power are chosen to detect the pulsation signal that enters the tissue and is reflected back from the tissue. 099126534 Non-invasive reflective probes are easier to fix, so they are easier to use for long-term detection, and the measurement site is not limited to areas where the body can penetrate light, such as the forehead, so it does not affect hand activity. Because the scattered light detected by the reflective probe is usually a short distance and the light is absorbed less, the lower light source power can be used and the safety is improved. As published in 2001 by Dr. Cai Zhenglun and others in the paper "Simulation and Measurement of Light Distribution in Biological Tissues", the distribution of light in tissues and the fine path (4) reveals that the use is not page 3 / A total of 30 pages of the form number A0101 - only < 九 0992046543-0 201206397 The application of the source of the test, such as the "Pulse-wave measuring apparatus" of US Patent No. US 57661 31 and the US Patent No. US 5906582 The "Organism information measuring method and arm wear type pu1se-wave measuring method" discloses a light source using a blue light 450 nm and a green light 505 nm as a reflection type pulsation sensor. Furthermore, Mendelson, Yitzhak, and Burt D. Ochs, "Non-invasive Pulse Oximetry Utilizing Skin Reflectance Photop1ethysmography, M IEEE Transactions on Bioffiedieal Engineering, vol. 35, pp. 798-805, 1988. j, Mendelson The person uses red light and near-infrared light as the light source for sensing, and the distance between the sensor and the light source R is measured at a distance of 4 to 11 mm, and the brightness of the surface reflected light of the skin tissue is measured, and the pulsed alternating current signal is analyzed. Changes with DC signals. Another example is "Reuss, James L., and Daniel Siker, "The pulse in reflectance pulse oximetry:

Modeling and experimental studies,M Journal ·Modeling and experimental studies, M Journal ·

Clinical Monitoring and Computing, vol. 18’ no· 4,pp. 289-299,2004」,其揭示利用蒙地 卡羅光學模擬法,以分析光源與光感測器之間距從1毫米 至17毫米之情況下,波長660奈米的紅光與波長奈米 的近紅外光在照射至多層的皮膚組織(如上皮組織、真 皮組織與皮下組織)所得之反射亮度。 上述之感測方式及感測裝置在長時間量測時,常會 因為活體之總灌流量隨活體之生理變化而形成量測結果 之低頻訊號產生大幅度之變化,故容易造成脈搏感測所 099126534 表單編號A0101 第4頁/共30頁 0992046543-0 201206397 關聯之感測訊號發生飽和失真之情形《反之,光源與光 感測器之間距較大時,光穿透行徑較長,所以光於活體 内的血液量較多吸收也較大’而使活體之量測部位因光 散射使反射光之亮度減弱’使得訊號較小所以訊雜比較 差,但路徑中血量的變動量也較多,所以無論是高頻灌 流指數或低頻灌流指數都增大。如此造成脈動變化之感 測結果失真,而失去其檢測精確度。 針對上述的問題,本發明提出一種脈搏感測裝置,Clinical Monitoring and Computing, vol. 18' no. 4, pp. 289-299, 2004", which discloses the use of Monte Carlo optical simulation to analyze the distance between the source and the photosensor from 1 mm to 17 mm. In the case, the reflectance of the red light of a wavelength of 660 nm and the near-infrared light of a wavelength nanometer are irradiated to a plurality of layers of skin tissue (such as a dermis tissue, a dermal tissue, and a subcutaneous tissue). In the above-mentioned sensing method and sensing device, when the total perfusion flow of the living body changes with the physiological changes of the living body, the low-frequency signal of the measurement result greatly changes, so it is easy to cause the pulse sensing station 099126534 Form No. A0101 Page 4 / Total 30 Page 0992046543-0 201206397 The situation of saturation distortion caused by the associated sensing signal. Conversely, when the distance between the light source and the light sensor is large, the light penetrates the path longer, so the light is in the living body. The amount of blood in the inside is also relatively large, and the measurement of the living body is weakened by the light scattering, so that the signal is small, so the signal is relatively poor, but the amount of blood in the path is also large. Therefore, both the high frequency perfusion index and the low frequency perfusion index increase. The resulting measurement of the pulsation is distorted and loses its detection accuracy. In view of the above problems, the present invention provides a pulse sensing device,

G 其利用光感測器與光源之間距控制光線之波長或亮度, 以避免光線行徑於皮膚組織内畴受到先散射的影響,而 避免脈搏感測裝置之精確度與穩定度受到影響。 【發明内容】 4^ [0003] 本發明之主要目的,在於提供一種轉搏感測裝置, 其係利用間距控制用於偵測之光線的波長或亮度,以讓 脈搏感測獲得較佳之精確度與穩定性。 Ο 本發明之次要目的,在於提供一種脈搏感測裝置, 其更利用脈搏感測裝置整合於—積體電路,以讓脈搏感 測裝置可適用各種位置之脈搏感測。 本發明提供一種脈搏感測裝置,其包含:一光源、 -光感測^與-感測電路。該光源與該錢測器設置於 一活體之一皮膚組織上,且該光感測器與該光源之間具 有一間距,又,該感測電路連接於該光感測H。該光源 產生至少一第一光線而照射至該皮膚組織,該第一光線 經該皮膚組織反射而形成一第二光線,以讓該光感測器 接收該第一光線’而該感測電路連接該光感測器並依據 099126534 該光感測ϋ所接收之該第二光線而對應產生__感測訊號G It uses the distance between the light sensor and the light source to control the wavelength or brightness of the light to avoid the influence of the first path scattering of the light in the skin tissue, and avoid the accuracy and stability of the pulse sensing device. SUMMARY OF THE INVENTION [0003] The main object of the present invention is to provide a tactile sensing device that uses a pitch to control the wavelength or brightness of light used for detection to achieve better accuracy of pulse sensing. And stability. A secondary object of the present invention is to provide a pulse sensing device that is further integrated with an integrated circuit using a pulse sensing device to allow the pulse sensing device to be applied to pulse sensing at various locations. The invention provides a pulse sensing device, comprising: a light source, a light sensing and sensing circuit. The light source and the money detector are disposed on a skin tissue of a living body, and the light sensor has a distance between the light source and the light source. Further, the sensing circuit is connected to the light sensing H. The light source generates at least a first light to be irradiated to the skin tissue, the first light is reflected by the skin tissue to form a second light, so that the light sensor receives the first light' and the sensing circuit is connected The photo sensor correspondingly generates the __sensing signal according to the second light received by the light sensing unit 099126534

表單編號删1 ^ 5 30 I 0992046543-0 201206397 ,該感測訊號對應於該活體之-脈搏·。再者,本發 明之脈搏感測裝置之該转與該城顚之關距係關 聯於該第-級與該第二光線之波長或亮度,因此本發 明可與藉由該間距控制該第—光線與該第二光線之波長 或亮度。 热為使貴審查委員對本發明之結構特徵及所達成 之功效更有進一步之瞭解與認識,謹佐以較佳之實施例 圖及配合詳細之說明,說明如後: 【實施方式】 [0004] 099126534 明參閱第一 A與第一 β圖,其為本發明之一較佳實施 例之脈搏感測裝置的方塊圖。如圖所示,本發明為一種 脈搏感測裝置1 〇,其包含一感測模組〗2、十控制處理電 路14、一顯示單元ι6與一電源18,其中該感測模組12包 含有一光源122、一光感測器124與一感測電路126。該 光源12 2與該光感測器12 4設置於一活體3 〇之一皮膚組織 32上’且該感測電路126連接讓光感測器124,該光源 1 22與該光感測器124之間真肴一間距R,其即為該光源 1 2 2所發出之光線行徑至該光感測器1 2 4的直線路徑距離 ,再者,隨著該間距R的改變,光源122在間距R的較短時 所量測到的光亮度較強,在間距R較長時所量測到的光亮 度則較弱,但光感測器124本身的電子雜訊幅度大小則是 固定的,因此在光感測器124在接收到低亮度之第二光線 224時所得到的訊號雜訊比也就較差。 其中,該光源122產生至少一第一光線222而照射至 該皮膚組織32,該第一光線222經該皮膚組織32反射而形 成一第二光線224,即皮膚組織32包含一上皮組織322、 表單編號Α0101 0992046543-0 第6頁/共30頁 201206397 —真皮組織324與一皮下級織326,該光感測器124接收 該第二光線224,該感測電路126依據該光感測器124所 接收之該第二光線224而對應產生一感測訊號,該感測訊 號對應於該活體30之一脈搏變化,即該皮膚組織32内至 少一血管之血液的體積變化關聯於該第二光線324之亮度 變化或波長變化, 再者,其中該間距R係關聯於該光感測器124所接收 之該第二光線224之波長或亮度。 Ο 復參閱第一Α圖,該脈搏感測裝置1〇更包含一電路基 .. .. ......... .The form number is deleted 1 ^ 5 30 I 0992046543-0 201206397 , and the sensing signal corresponds to the pulse of the living body. Furthermore, the distance between the rotation of the pulse sensing device of the present invention and the barrier is associated with the wavelength or brightness of the first level and the second light, and thus the present invention can control the first by the spacing. Light and the wavelength or brightness of the second light. 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 Referring to the first A and first beta diagrams, which are block diagrams of a pulse sensing device in accordance with a preferred embodiment of the present invention. As shown in the figure, the present invention is a pulse sensing device 1 that includes a sensing module 2, a ten control processing circuit 14, a display unit ι6, and a power source 18, wherein the sensing module 12 includes a The light source 122, a light sensor 124 and a sensing circuit 126. The light source 12 2 and the light sensor 12 4 are disposed on a skin tissue 32 of a living body 3 ′ and the sensing circuit 126 is connected to a light sensor 124 , the light source 12 22 and the light sensor 124 . Between the true food and the distance R, which is the linear path distance of the light path emitted by the light source 12 2 to the light sensor 1 24, and further, as the pitch R changes, the light source 122 is spaced. When the R is shorter, the measured brightness is stronger, and when the distance R is longer, the measured brightness is weaker, but the electronic noise amplitude of the photosensor 124 itself is fixed. Therefore, the signal noise ratio obtained by the photo sensor 124 when receiving the low-light second light 224 is also poor. The light source 122 generates at least a first light ray 222 and is irradiated to the skin tissue 32. The first light ray 222 is reflected by the skin tissue 32 to form a second light ray 224, that is, the skin tissue 32 includes an epithelial tissue 322, a form. No. 101 0101 0992046543-0 Page 6 of 30 201206397 - dermis tissue 324 and a sub-level woven 326, the light sensor 124 receives the second light ray 224, the sensing circuit 126 is based on the light sensor 124 The second light ray 224 is received to generate a sensing signal corresponding to a pulse change of the living body 30, that is, a volume change of blood of at least one blood vessel in the skin tissue 32 is associated with the second light 324. The change in brightness or the change in wavelength, wherein the pitch R is associated with the wavelength or brightness of the second light ray 224 received by the light sensor 124. Referring to the first diagram, the pulse sensing device 1 further includes a circuit base .. . . . . .

板20與一固定件22 ’其中電路基板2 〇設置該感測模組12 、該控制處理電路14、該顯示單元16與該電源18,固定 件22用於固定該脈搏感測裝置1〇於皮膚組織32上,本發 明之固定件22可為一〇k繃或一貼紙或一繃帶。該控制處 理電路14連接經該感測電路126,並接收該感測電路126 所產生之該感測訊號,該控制處理電路14依據該感測電 路126所產生之該感測訊號產生一輸出〔訊號,且該輸出訊 號對應於該脈搏變化。該顯示單元126依據該輸出訊號對 應顯示一輸出影像。該電源18產生複數電源訊號並分別 傳送至該感測模組12、該控制處理電路14與該顯示單元 16 ’以供應電源。 請一併參閱第二A圖與第二B圖,其為本案之另一較 佳實施例之結構示意圖。如圖所示,本發明之脈搏感測 装置10經整合為一小型電路。如第二A圖所示,該電路基 板20之一面設置該感測模組12之該光源122、該光感測器 124與該感測電路126 ’該感測模組12之該光感測器124 係設置於感測電路126 ’且該光源122為一發光二極體’ 099126534 表單編號A0101 第7頁/共30頁 0992046543-0 201206397 該感測電路126為—積體電路(Integrated仏心, ic)。如第二B圖所示’該電路板2〇之另一面設置該控制 處理電路14與該顯示單元16,且控制處理電路14亦為一 積體電路,於此實施例中,顯示單元16亦為-發光二極 體除此之外,顯不單元16亦可為一液晶顯示器或一七 段顯示器再者,该電源i 8為一薄型電池,其嵌設於電 路板20。此外’本發明更可將誠測電路⑶與該控制處 理電路14整合為-積體電路中。該間距R之範圍為2毫米 至8毫米。 光源122所產生之第一光線222,其波長範圍為40〇 奈米至11〇〇奈米,且本發明中光源122之較佳實施例的光 譜分別為藍光(463奈米±25奈米)、綠光(543奈米±5〇奈 米)、黃綠光(571奈米土25奈米)、與紅光(634奈米±15 奈米)。光源波長所對應的血液吸收係數越大,代表該波 長的光被血液吸收的能力越大。而光源波長所對應皮膚 散射係數越大,代表光前進遲動時散開程度越大,該波 長的光穿透皮膚組織的能力也越小,光可以達到的深度 也較淺。上述四種光源中,463奈米藍光穿透進入皮膚的 /朱度約0.2毫米,543奈米綠光穿透進入皮膚的深度約 0.4毫米,571奈米黃綠光穿透進入皮膚的深度約〇. 5毫 米,而紅光634奈米穿透進入皮膚的深度約〇 62毫米 ,上述穿透的深度僅代表光的強度衰減至入射光亮度的 37%之深度,實際上光仍舊能進入更深的部位。此外,上 述四種波長的光源中,其經散射後所得之反射亮度都隨 著間距R的增加而減弱,紅光的衰減明顯地比其他三種顏 色的哀減來付平緩’因此,光源12 2為紅光時,間距r可 099126534 表單編號A0101 第8頁/共30頁 0992046543-0 201206397 最遠達8毫米,而光源122為黃綠光或綠光或藍光時,間 距R可最遠達到4至5毫米。 第一光線222在皮膚組織32内是由淺至深逐漸被皮 膚組織32所吸收,並且經皮膚組織32之真皮層324的反射 後,而形成第二光線224,皮膚組織32的表面反射光瞬間 就會達到動態平衡,光線之亮度呈現穩定而不再變化, 此部分為感測訊號中的直流訊號(DC ),如第三圖所示 ,感測訊號之交流訊號中,其包含高頻脈動訊號 (achi(;h)與低頻變動訊號,且如左上角所框選放 大的波形圖,其中高頻脈動訊號為頻率在0. 5Hz到4Hz的 大幅度變化之波形,低頻脈動訊號為頻率在0. 5Hz以下而 較為平滑之波形,而當局部動脈血管收縮或靜脈受到擠 壓時,影響了血液流動而改變血液的流量,也就是血液 在血管中的體積受到血管收縮變化的影響,而造成行徑 於皮膚組織中的光訊號產生相對的改變,即為形成低頻 脈動訊號,亦即該低頻脈動訊號之振幅變化係關聯於血 管内之血液的體積變化。當心臟每.次收縮時,血管中的 血液會受到壓迫而向管壁推擠,因而形成血管的脈動, 相對地影響光訊號的變化,即為形成高頻脈動訊號,亦 即該高頻脈動訊號之振幅變化係關聯於血管内之血液的 體積變化。灌流指數為脈動交流訊號與脈動直流訊號的 百分比值中脈動交流訊號又可分為0. 5Hz以下的低頻變動 訊號與0. 5到4Hz的高頻脈動訊號。如此,該感測訊號所 包含之至少一交流訊號的振幅變化係關聯於血管内之血 液的體積變化。 如第四圖所示,低頻血量變化所造成的光亮度改變 099126534 表單編號A0101 第9頁/共30頁 0992046543-0 201206397 與直流光亮度的比例關係可以用低頻灌流指數p i來表示 ,其中使用低頻灌流指數的數值來判斷所量 ^ 頻變動訊號漂移的幅度大小,且,當該間距為3毫米至5 毫米時,該低頻灌流指數大於5%。再者,針對低頻變動 訊號與脈動直流訊號的百分比定義係如下列低頻灌流指 數05、)方程式1所示。 ΡΙι=^^χ100« — -----—__ ( 1 ) 且,低頻灌流指數PIl隨著間距!^越遠時,低頻灌流 指數卩^隨著越大,亦即交流脈動訊號變化鴨度對直流脈 動訊號的比例越大。為了方便比較,將各個光波長的低 頻灌流指數皆以指數函數做趨勢線迴歸分析。其中綠光G 、藍光B的上升趨勢比黃綠光YG與紅光R快,而黃綠光YG 的指數則比紅光R約大了 5倍。 如第五圖所示,不同光波長的高頻灌流指數(P、)隨 著間距R之變化的量測結果每—個量測雜是2 〇秒脈動訊 號中,高頻脈動訊號的振幅平均值,各種波長的高頻灌 流指數同樣使用指數函數作迴歸分#繪出趨勢線,而四 種光波長都有隨間距R增大而增加的趨勢,光的波長越長 則增大的趨勢就越平緩’其中,當該間距R為3毫采至5毫 米時,該南頻灌流指數大於5 %。高頻脈動訊號主要是用 於分析心跳速率的主要脈動机號,如此在高頻脈動訊號 對直流脈動訊號的比例越大’高頻脈動訊號就越穩定, 也越容易檢測出心跳速率’使用高頻灌流指數的數值來 判斷所量測部位的高頻脈動訊號之振幅大小,而對應高 頻脈動訊號與脈動直流訊號的百分比定義如下列之高頻 099126534 表單編號A0101 第10頁/共30頁 0992046543-0 -------------(2) 201206397 灌流指數(pih)方程式2所示。 當光源122所產生之該第一光線222之波長為 560-580奈米時’其對應之該間距{{為3_4毫米該感測 訊號對應之一高頻灌流指數為大於5〇/〇。 如第六圖所示,其為四種光波長的訊號雜訊比與間 距R的關係,每個量測點的訊雜比數值使用線性函數作趨 勢迴歸分析,其中在近距離時黃綠光YG、綠光G與藍光& 〇 的趨勢線斜率較紅光R要大。並且黃綠光YG的訊雜比數值 約比藍光B與綠光G夫7dB,其中該間距R係對應於該訊號 雜訊比SNR,當該間距為2毫米至5毫米時,該訊號雜訊比 為10分貝(dB)至45分貝(邙)。再者,光脈動訊號除 了會受到所感測部位的生理變動影響之$,訊號的好壞 取決於上述光感測器124本身的電路雜減,所以在訊號評 估指標中的訊號訊雜比(SNR) ’ 一般以振-大小為訊雜比 定義,其方程式如下方程式3所示,以分貝(dB)值為訊 Q 號雜訊比的單位,此指標反應了脈動訊號品質的好壞程 度。 SNR=2〇xl 馆 ίο jACmcal |Nojse|The board 20 and a fixing member 22' are disposed on the circuit board 2, the sensing module 12, the control processing circuit 14, the display unit 16, and the power source 18. The fixing member 22 is used to fix the pulse sensing device. On the skin tissue 32, the fastener 22 of the present invention can be a 绷k stretch or a sticker or a bandage. The control processing circuit 14 is connected to the sensing circuit 126 and receives the sensing signal generated by the sensing circuit 126. The control processing circuit 14 generates an output according to the sensing signal generated by the sensing circuit 126. a signal, and the output signal corresponds to the pulse change. The display unit 126 displays an output image according to the output signal. The power source 18 generates a plurality of power signals and transmits them to the sensing module 12, the control processing circuit 14 and the display unit 16' to supply power. Please refer to the second A diagram and the second B diagram together, which is a schematic structural diagram of another preferred embodiment of the present invention. As shown, the pulse sensing device 10 of the present invention is integrated into a small circuit. As shown in FIG. 2A, the light source 122 of the sensing module 12, the light sensor 124, and the sensing circuit 126 of the sensing module 12 are disposed on one surface of the circuit substrate 20. The device 124 is disposed in the sensing circuit 126 ′ and the light source 122 is a light emitting diode. 099126534 Form No. A0101 Page 7 / Total 30 Page 0992046543-0 201206397 The sensing circuit 126 is an integrated circuit (Integrated ,, Ic). As shown in FIG. 2B, the control processing circuit 14 and the display unit 16 are disposed on the other side of the circuit board 2, and the control processing circuit 14 is also an integrated circuit. In this embodiment, the display unit 16 is also In addition to the LED, the display unit 16 can also be a liquid crystal display or a seven-segment display. The power supply i 8 is a thin battery embedded in the circuit board 20. Further, the present invention can integrate the measurement circuit (3) and the control processing circuit 14 into an integrated circuit. The spacing R ranges from 2 mm to 8 mm. The first light 222 generated by the light source 122 has a wavelength ranging from 40 nanometers to 11 nanometers, and the spectrum of the preferred embodiment of the light source 122 in the present invention is blue light (463 nm ± 25 nm). , green light (543 nm ± 5 〇 nanometer), yellow green light (571 nanometer soil 25 nm), and red light (634 nm ± 15 nm). The larger the blood absorption coefficient corresponding to the wavelength of the light source, the greater the ability of the light representing the wavelength to be absorbed by the blood. The larger the scattering coefficient of the skin corresponding to the wavelength of the light source, the greater the degree of scattering when the light advances, and the smaller the ability of the wavelength of light to penetrate the skin tissue, the shallower the light can reach. Among the above four light sources, 463 nm blue light penetrates into the skin/Zhudu about 0.2 mm, 543 nm green light penetrates into the skin to a depth of about 0.4 mm, and 571 nm yellow-green light penetrates into the depth of the skin. 5 mm, while the red light 634 nm penetrates into the skin to a depth of about 毫米62 mm. The depth of the above penetration only represents the intensity of the light decaying to a depth of 37% of the incident light. In fact, the light can still enter deeper. Part. In addition, in the light sources of the above four wavelengths, the reflected brightness obtained by scattering is weakened as the pitch R increases, and the attenuation of the red light is significantly flatter than the sorrow of the other three colors. Therefore, the light source 12 2 For red light, the spacing r can be 099126534. Form number A0101 Page 8 / Total 30 pages 0992046543-0 201206397 Up to 8 mm, and when the light source 122 is yellow-green or green or blue, the spacing R can be as far as 4 to 5 Millimeter. The first light ray 222 is gradually absorbed by the skin tissue 32 from the shallow to the deep in the skin tissue 32, and after being reflected by the dermis layer 324 of the skin tissue 32, forms a second light ray 224, and the surface of the skin tissue 32 reflects light instantaneously. The dynamic balance is achieved, and the brightness of the light is stable and does not change. This part is the DC signal (DC) in the sensing signal. As shown in the third figure, the AC signal of the sensing signal contains the high frequency pulsation. Signal (achi(;h) and low frequency variation signal, and as shown in the upper left corner of the enlarged waveform diagram, wherein the high frequency pulsation signal is a waveform with a frequency varying from 0. 5 Hz to 4 Hz, and the low frequency pulsation signal is at a frequency a smoother waveform below 0.5 Hz, and when the local arterial vasoconstriction or vein is squeezed, affecting blood flow and changing the flow of blood, that is, the volume of blood in the blood vessel is affected by the change of blood vessel contraction, resulting in The relative change of the optical signal in the skin tissue is to form a low frequency pulsation signal, that is, the amplitude change of the low frequency pulsation signal is associated with blood in the blood vessel. The change in volume. When the heart contracts every time, the blood in the blood vessel is pressed and pushed toward the wall, thus forming a pulsation of the blood vessel, which relatively affects the change of the optical signal, that is, the formation of a high-frequency pulsation signal, that is, The amplitude change of the high frequency pulsation signal is related to the volume change of the blood in the blood vessel. The perfusion index is a percentage value of the pulsating alternating current signal and the pulsating direct current signal, and the pulsating alternating current signal can be further divided into a low frequency variation signal of 0. 5 Hz or less and 0. 5 to 4 Hz high frequency pulsation signal. Thus, the amplitude change of at least one alternating current signal included in the sensing signal is related to the volume change of blood in the blood vessel. As shown in the fourth figure, the low frequency blood volume changes The brightness change 099126534 Form No. A0101 Page 9 / Total 30 Page 0992046543-0 201206397 The proportional relationship with DC brightness can be expressed by the low frequency perfusion index pi, which uses the value of the low frequency perfusion index to determine the quantity of the frequency change signal The magnitude of the drift, and when the spacing is 3 mm to 5 mm, the low frequency perfusion index is greater than 5%. It defines the percentage of the pulsating DC signal and the signal lines such as low perfusion index below 05,) as shown in Equation 1. ΡΙι=^^χ100« — -----___ ( 1 ) Moreover, the far-frequency perfusion index PI1 increases with the distance! ^, the higher the low-frequency perfusion index 卩^, that is, the AC pulsation signal changes the duck degree The greater the proportion of DC pulse signals. For the convenience of comparison, the low-frequency perfusion indexes of the respective light wavelengths were subjected to trend line regression analysis by an exponential function. Among them, the rising trend of green light G and blue light B is faster than yellow green light YG and red light R, while the index of yellow green light YG is about 5 times larger than red light R. As shown in the fifth figure, the measurement results of the high-frequency perfusion index (P,) of different light wavelengths with the change of the spacing R are the average amplitude of the high-frequency pulsation signal in the 2 〇 second pulsation signal. The value, the high-frequency perfusion index of various wavelengths also uses the exponential function as the regression point to draw the trend line, and the four wavelengths of light all increase with the increase of the spacing R. The longer the wavelength of the light, the larger the trend. The more gradual, wherein the south frequency perfusion index is greater than 5% when the spacing R is from 3 milliseconds to 5 millimeters. The high-frequency pulsation signal is mainly used to analyze the main pulse number of the heart rate. Thus, the higher the ratio of the high-frequency pulsation signal to the DC pulsation signal, the more stable the high-frequency pulsation signal is, and the easier it is to detect the heart rate. The value of the frequency perfusion index is used to determine the amplitude of the high frequency pulsation signal of the measured portion, and the percentage of the corresponding high frequency pulsation signal and the pulsating DC signal is defined as the following high frequency 099126534 Form No. A0101 Page 10 / Total 30 Page 0992046543 -0 -------------(2) 201206397 Perfusion index (pih) Equation 2 is shown. When the wavelength of the first light 222 generated by the light source 122 is 560-580 nm, the corresponding pitch {{ is 3_4 mm. One of the sensing signals corresponds to a high frequency perfusion index of more than 5 〇/〇. As shown in the sixth figure, it is the relationship between the signal-to-noise ratio of the four optical wavelengths and the spacing R. The signal-to-noise ratio value of each measuring point is subjected to a trend regression analysis using a linear function, wherein the yellow-green light YG at a close distance The slope of the trend line of green light G and blue light & 要 is larger than that of red light R. And the signal-to-noise ratio of the yellow-green YG is about 7 dB higher than that of the blue light B and the green light G. The pitch R corresponds to the signal noise ratio SNR. When the pitch is 2 mm to 5 mm, the signal noise ratio is 10 decibels (dB) to 45 decibels (邙). Furthermore, the optical pulsation signal is affected by the physiological change of the sensed portion. The quality of the signal depends on the circuit variation of the photosensor 124 itself, so the signal-to-noise ratio (SNR) in the signal evaluation index is ) ' Generally, the vibration-size is defined as the signal-to-noise ratio. The equation is as shown in Equation 3 below. The decibel (dB) value is the unit of the noise-to-Q ratio. This indicator reflects the quality of the pulse signal. SNR=2〇xl Pavilion ίο jACmcal |Nojse|

請參閱第七圖至第九圖’其為本發明之脈動感測裝 置感測指頭、額頭、前臂之脈動的一較佳實施例的波形 圖。如第七圖至第九圖所示,分別依本發明之脈搏感測 裝置ίο於指頭、額頭、前臂的感測情況並針對高頻灌流 指數、訊號雜訊比與穿透率進行分析,其中如第七圖所 示,其為針對高頻灌流指數分析所得之波形圖,本發明 099126534 表單編號A0101 第11頁/共30頁 0992046543-0 201206397 尤以黃綠光之效果為佳,因此本實施例為脈搏感測裝置 1一〇以黃綠光在食指、額頭'與前臂内側而隨間糾改變之 高頻灌流指數,分別反應這三種組織之第二光線m之亮 度”皮膚組織32之散射光度的比例,以及隨間糾而改變 的,勢。各不同部位的量測數值以指數函數作迴歸分析 ’別述三部位的高頻灌流指數皆隨著間距R的增加而有增 大的現象’其中以躺部位的上升變化料最大,食指 部位與前心側純的上升速輪為平緩且食指部位的 南頻權流指數皆大於前臂内側的高㈣流指數。 •如第八圖所不’本實翁例為脈搏感測裝置1 0以黃綠 光在A、額頭、與前臂内侧之訊號雜訊比隨間距R改變 的情形’經由線性趨勢迴歸分析,三個部位在間距R越大 時訊號雜訊比皆有越小的趨勢,其中以前臂内側部位的 δίΐ號雜訊比最差。 如第九圖所示,本實施例為脈搏感測裝置10以黃綠 光在食指、額頭、與前臂内側乏皮廣龜織3 2的光穿透率 隨間距R改變的情形,將食指、額頭、與前臂内侧之各組 織部位富含Α液時的組織反射光亮Α值除以*含血液時 的組織反射光亮度值,取其百分比再以指數函數做趨勢 刀析®間距R越遠時,三種部位的組織光穿透率皆有往 下降的趨勢’其巾在卿部位的下降速率較大,代表組 織光穿透率的變化幅度較大,而前臂内側的組織光穿透 率趨勢線皆大於食指的組織光穿透率趨勢線,兩部位的 組織光穿透率約相差2 5 %。 099126534 如第十圖所示,由於本發明之感測訊號包含高頻脈 動讯號,其可應用針對心臟的感測,因此本發明與專門 表單編號A0101 第12頁/共30頁 0992046543-0 201206397 之心臟量測儀器進行長時間同步量測,以實證本發明確 實可應用於心臟之量測中’本實施例係以三導程霍式心 電圖機的心電圖診斷報告與本發明之高頻脈動訊號相比 較,分別以記錄24小時之感測結果進行分析,其中上 方波形為心電圖(ECG) ’下方波形為脈動波形圖(PPG ),特別是在ECG之波形有連續出現早期心房收縮(APC:Please refer to the seventh to ninth views, which are waveform diagrams of a preferred embodiment of the pulsation sensing device of the present invention for sensing the pulsation of the finger, forehead and forearm. As shown in the seventh to ninth embodiments, the pulse sensing device according to the present invention analyzes the sensing condition of the finger, the forehead, and the forearm, and analyzes the high frequency perfusion index, the signal noise ratio, and the transmittance. As shown in the seventh figure, it is a waveform diagram obtained by analyzing the high frequency perfusion index, and the invention is 099126534, the form number A0101, the 11th page, the total 30 page 0992046543-0 201206397, especially the effect of yellow-green light, so this embodiment is The pulse sensing device 1 〇 高频 高频 黄 黄 黄 黄 黄 黄 黄 黄 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉 脉And the changes in the situation, the measurement values of different parts are analyzed by exponential function. The high-frequency perfusion index of the three parts is increased with the increase of the spacing R. The ascending change of the site is the largest, the pure rising speed wheel of the index finger and the anterior heart is gentle and the south frequency weight flow index of the index finger is greater than the high (four) flow index of the inner side of the forearm. In the case of the pulse-sensing device, the pulse-sensing device 10 changes the signal-to-noise ratio of A, forehead, and the forearm with the spacing R as a yellow-green light. The linear trend regression analysis shows that the distance between the three parts is larger. The time signal noise ratio has a smaller trend, and the δίΐ noise ratio of the inner side of the forearm is the worst. As shown in the ninth figure, the pulse sensing device 10 is yellow and green light on the index finger, forehead, and When the light transmittance of the inner side of the forearm is changed with the spacing R, the tissue reflection light Α value when the index finger, forehead, and the inner tissue of the forearm are rich in sputum is divided by * blood content The tissue reflects the brightness value, taking the percentage and then using the exponential function to make the trend. The farther the distance R is, the lower the tissue light transmittance of the three parts has a tendency to decrease. The representative light transmission rate of the tissue is larger, and the tissue light transmittance trend line on the inner side of the forearm is larger than the tissue light transmittance trend line of the index finger. The tissue light transmittance of the two parts is about 25%. 099126534 as shown in the tenth Since the sensing signal of the present invention includes a high frequency pulsation signal, which can be applied to the sensing of the heart, the present invention is performed with a cardiac measuring instrument of the special form number A0101, page 12 of 30, 0992046543-0 201206397. Long-term simultaneous measurement, in order to prove that the present invention can be applied to the measurement of the heart'. This embodiment compares the electrocardiogram diagnosis report of the three-lead Huoer electrocardiograph with the high-frequency pulsation signal of the present invention, respectively, to record The 24-hour sensing results were analyzed, in which the upper waveform was an electrocardiogram (ECG), and the waveform below was a pulsation waveform (PPG), especially in the ECG waveform with continuous early atrial contraction (APC:

Atrial premature contraction)與早期心室收縮 (VPC: Ventricular premature contraction)的Atrial premature contraction) with early ventricular contraction (VPC: Ventricular premature contraction)

ECG波形,且本發明所產生之ppG有相對應之APC與 VPC的脈動波形,因此本發明確實可應廉於較簡單之心 電量測,以加快心電量測效率並可簡化初步心電量測之 方式。 ” 本發明較佳實施例之脈搏感測裝置可用最小的光亮 度,檢測到最大的訊號強度’也就是有救大的高頻灌流ECG waveform, and the ppG generated by the present invention has corresponding pulsation waveforms of APC and VPC, so the present invention can be used for a simpler power measurement to speed up the measurement of heart rate and simplify the initial electrocardiogram. The way of measurement. The pulse sensing device of the preferred embodiment of the present invention can detect the maximum signal intensity with minimum brightness, which is a large-scale high-frequency perfusion.

指數,並且也能讓低頻變動訊號有夠大的動態範圍,同 時光穿透率應在37%左右奴得到最精球的光吸收度量測 值。考慮測量企液灌流的先及;分式減釦感測器在設計上 ,應以脈動的低頻變動訊號能有較夫的動態範圍,且應 避免超過儀器偵測上限而使訊號飽和,並使其具有較高 的灌流指數與較好的訊雜比為目標。由上述可知,當四 種可見光光源的亮度在相同條件下,距離光源越遠時, 組織表面的散射反射光亮度也就越小。組織的光吸收係 數與散射係數越小時,光在組織的亮度分佈區域就越大 ,而選擇光源的波長時,必須同時衡量穿入組織的深度 與該波長在受測部位的光散射反射亮度,並選擇血液對 該光波長有較大吸收係數者作為光源。當組織内有相同 099126534 0992046543-0 表單編號A0101 第13頁/共30頁 201206397 血量變化時,可在組織表面的散射反射光中產生較強的 亮度變化,也較容易由光檢測器量測到明顯的脈動交流 訊號成分。在間距R與脈動訊號的關係上,當間距R較小 時,雖然組織散射反射光的亮度較強,所以訊雜比會較 好,但是由於光穿透行徑會較短’所以行徑的血液較少 ,血液的吸收度也較小,因此高頻灌流指數與低頻灌流 指數都較小。一般狀況下,低頻變動訊號的擺幅遠大於 高頻脈動訊號的幅度,在長時間量測時’常會因為組織 總灌流量隨生理的變化而形成低頻的大幅變動,故容易 造成感測訊號的飽和失真。反之間距R較大時光穿透行徑 霞The index, and also allows the low frequency variation signal to have a large dynamic range, while the light penetration rate should be about 37% to get the best light absorption metric. Consider the measurement of the perfusion of the liquid perfusion; the fractional deceleration sensor should be designed to have a dynamic range of pulsating low-frequency fluctuation signals, and should avoid exceeding the upper limit of the detection of the instrument and saturating the signal, and It has a higher perfusion index and a better signal-to-noise ratio. It can be seen from the above that when the brightness of the four visible light sources is under the same conditions, the further the distance from the light source, the smaller the brightness of the scattered reflected light on the surface of the tissue. The smaller the light absorption coefficient and the scattering coefficient of the tissue, the larger the light distribution area of the light in the tissue. When selecting the wavelength of the light source, it is necessary to simultaneously measure the depth of the penetrating tissue and the light scattering reflection brightness of the wavelength at the measured portion. And the blood is selected as a light source having a large absorption coefficient for the wavelength of the light. When there is the same 099126534 0992046543-0 in the organization Form No. A0101 Page 13 / Total 30 Page 201206397 When the blood volume changes, it can produce strong brightness changes in the scattered reflected light on the tissue surface, and it is easier to measure by the photodetector. To the obvious pulsating communication signal component. In the relationship between the spacing R and the pulsation signal, when the spacing R is small, although the brightness of the tissue scattered reflected light is strong, the signal-to-noise ratio is better, but since the light penetration path is shorter, the blood diameter is smaller. Less, the blood absorption is also small, so the high-frequency perfusion index and the low-frequency perfusion index are small. Under normal conditions, the swing of the low-frequency fluctuation signal is much larger than the amplitude of the high-frequency pulsation signal. In the long-term measurement, it often causes a large fluctuation of the low frequency due to the change of the total perfusion flow of the tissue, so it is easy to cause the sensing signal. Saturation distortion. On the contrary, when the distance R is large, the light penetrates the path.

較長,所以光行徑組織内的血液量較多吸收也較大,而 使組織散射反射光亮度減弱,使得訊號較小所以訊雜比 較差,但路徑中血量的變動量也較多,所以無論是高頻 灌流指數或低頻灌流指數都增大。在四種不同的可見光 中量測食指部位時,高頻灌流指數大於5%以上的只有黃 綠光’以黃綠光的光源且間距R在3毫米到3. 5毫米之間 量測食指部位的高頻灌流指數可達5%至6%,符合脈動 訊说品質良好的設計條件。…… ILonger, so the amount of blood in the light path tissue is more absorbed, and the brightness of the scattered light reflected by the tissue is weakened, so that the signal is smaller, so the signal is relatively poor, but the amount of blood in the path is also large, so Both the high frequency perfusion index and the low frequency perfusion index increase. When measuring the index finger in four different visible light, the high-frequency perfusion index is greater than 5%, only the yellow-green light source is yellow-green light, and the spacing R is between 3 mm and 3.5 mm. The index can reach 5% to 6%, in line with Pulse Design's good quality design conditions. ...... I

同樣以黃綠光的作為光源,間距R在3毫米到3. 5毫 米之間量測食指部位的訊雜比為呈逐漸下降的趨勢。不 同光源波長在手指部位的量測結果顯示,黃綠光在間距R 小於4. 6毫米時’其訊雜比都比其他顏色高,而在間距R 小於3. 3毫米時,高頻灌流指數也都比其他顏色高。黃 綠光在不同部位的量測結果則顯示,不同組織因為微血 管含量的不同,灌流指數與訊號雜訊比隨著間距R改變的 趨勢也明顯不同。額頭部位因為頭骨外的軟組織較薄, 099126534 表單編號A0101 第14頁/共30頁 0992046543-0 201206397 為了維持頭部的溫度,所以微血管密度明顯較高以維持 高血液灌流量,因此光穿透率隨著間距R的增加會迅速衰 減且灌流指數快速上升,以致於無法檢測到間距R大於 3. 5毫米時的訊號,但在前臂内侧與手指部位則可量測到 間距R大至5毫米的光反射訊號。Similarly, the yellow-green light is used as the light source, and the signal-to-noise ratio of the index finger portion is gradually decreasing as the distance R is between 3 mm and 3.5 mm. The measurement results of the wavelengths of the different light sources in the finger portion show that the yellow-green light has a higher signal-to-noise ratio than the other colors when the spacing R is less than 4.6 mm, and the high-frequency perfusion index is also used when the spacing R is less than 3.3 mm. Higher than other colors. The measurement results of yellow-green light in different parts showed that the tendency of perfusion index and signal-to-noise ratio to change with the spacing R was also significantly different in different tissues due to different micro-vascular contents. The forehead is thinner than the soft tissue outside the skull. 099126534 Form No. A0101 Page 14 of 30 0992046543-0 201206397 In order to maintain the temperature of the head, the microvessel density is significantly higher to maintain high blood perfusion, so the light transmittance As the distance R increases, it will rapidly decay and the perfusion index will rise rapidly, so that the signal with the spacing R greater than 3.5 mm cannot be detected, but the spacing R can be measured up to 5 mm on the inside of the forearm and the finger. Light reflection signal.

而心臟早期收縮的心電波形與脈動波形如第十圖所 示,可分為心房早期收縮(APC)與心室早期收縮(VPC), 當發生心臟早期收縮時其心跳間隔時間會呈現一短一長 的現象且心房早期收縮所發生的時間間隔比心室早期收 縮要短,由其對映的脈動波形可觀察到當Θ臟發生心房 早期收縮跳動時,手指部位啲灌流血量比心名早期收縮 略少,所以心房早期收縮時的脈動波形振幅會比心室早 期收縮時的脈動波形振幅要小。由心率同章量測實驗的 比對結果顯示,光反射式脈動心率量測的心率變異度分 析趨勢可與市售心電圖機有一致性的結果,所以可應用 在心臟病患的心率變異度量測分析’做為心臟功能評估 的辅助工具。光反射式脈動長時間量琪,|中,可用來記錄 受測者處於睡眠狀態時的脈動波形,其中含有許多不同 生理意義’如睡覺打呼、睡眠呼吸終止等,也常結合影 像記錄、呼吸感測、心電圖、肌電圖、與腦波圖等,做 同步的檢測以進行睡眠生理的應用研究。 光反射式脈動感測器適合使用在身體不同位置的表 面進行量測’當使用較短波長可見光做為光源時,可縮 減穿透行徑及縮小感測器的大小,方便固定黏貼,但也 必須選擇企液具有高吸收的波長以獲得明顯的光脈動訊 號。因此以金紅素在560-580奈米附近的光吸收波長進行 099126534 表單編號A0101 第15頁/共30頁 0992046543-0 201206397 量測可得到較高的域灌流指數。光源與感測器之間的 距離’同時影響著灌流指數及訊雜比當間距尺增大時,灌 流指數隨光路徑的增長而增大,但訊雜比卻隨著光反射 亮度的減弱而降低。採用波長56G_58Q奈米之黃綠光為光 源在最低發光功率與間距R為3_4毫米的條件下,以額頭 為感測部位所設計的光反射式脈動感測器,在使用上具 便利性’最不影響身體活動並且較不受環境溫度下降變 化的影響。 此光反射式脈動感測器的高頻灌流指數達7. 5%, 訊雜比為28dB ’組織光穿透率於3?%錢吸收度最準 碟線性範圍附近的光反射式脈動感漁丨探頭。 綜上所述,本發明係為—種脈搏感測裝置其係利 用感測自皮膚組織反射之光線,以藉由血管脈動變化影 響光行徑之變化,進-步得知心血管脈動,且藉由積體 電路使本發明之❹化,又可迅速得知並判斷 心血管脈動,以做初步卿,故,本發啦進-步提高 心企管脈動的判斷效率,且可增加脈搏量測的便利性。 故本發明實為-具有_性、進步性及可供產業上 利用者’應符合_專職專利巾請要件錢,疫依法 提出發明專射請’析鈞局早日賜至准專利,至感為禱 0 惟以上所述者,僅為本發明—較佳實施例而已,並 非用來蚊本發明實施之範圍’故舉凡依本發明申請專 利範圍所述之形狀、構造、特徵及精神所為之均等變化 與修飾’均應包括於本發明之申請專利範圍内。 【圖式簡單說明】 表單編號A0101 099126534 第16貢/共30頁 0992046543-0 201206397 [0005] 第一 A圖為本發明之脈搏感測裝置之一實施例的方塊圖 第一 B圖為本發明之感測模組之一實施例的方塊圖; 第二A圖為本發明之另一較佳實施例的結構示意圖; 第二B圖為本發明之另一較佳實施例的結構示意圖; 第三圖為本發明之一較佳實施例的波形圖; 第四圖為本發明之另一較佳實施例的波形圖; 第五圖為本發明之另一較佳實施例的波形圖; 第六圖為本發明之另一較佳實施例的波形圖; 第七圖為本發明之另一較佳實施例的波形圖; 〇 第八圖為本發明之另一較佳實施例的波形圖; 第九圖為本發明之另一較佳實施例的波形圖;以及 第十圖為本發明之另一較佳實施例的波形圖。The early cardiac contraction of the ECG waveform and pulsation waveform, as shown in the tenth figure, can be divided into early atrial contraction (APC) and early ventricular contraction (VPC). When the early contraction of the heart occurs, the heartbeat interval will be a short one. The long phenomenon and the time interval of early atrial contraction are shorter than the early contraction of the ventricle. It can be observed that the pulsation waveform of the enemies is observed. When the anterior atrial contraction occurs, the blood flow in the finger area is earlier than the heart name. Slightly less, the amplitude of the pulsation waveform at the early contraction of the atrium is smaller than the amplitude of the pulsation waveform at the early contraction of the ventricle. The comparison of the heart rate and the same chapter measurement experiment shows that the heart rate variability analysis trend of the light reflection pulse heart rate measurement can be consistent with the commercially available electrocardiograph, so it can be applied to the heart rate variability measurement of heart disease patients. Measurement analysis as an aid to cardiac function assessment. Light-reflective pulsation for a long time, Qi, can be used to record the pulsation waveform of the subject while in sleep, which contains many different physiological meanings such as sleep snoring, sleep breathing termination, etc., often combined with image recording, breathing Sensing, electrocardiogram, electromyogram, and brain wave map are used for simultaneous detection to study the application of sleep physiology. The light-reflective pulsation sensor is suitable for measurement on surfaces at different positions of the body. When using shorter-wavelength visible light as a light source, the diameter of the penetration path can be reduced and the size of the sensor can be reduced to facilitate the fixation, but it is also necessary The liquid solution is selected to have a high absorption wavelength to obtain a distinct optical pulsation signal. Therefore, the light absorption wavelength of ruthenium is around 560-580 nm. 099126534 Form No. A0101 Page 15 of 30 0992046543-0 201206397 The measurement can obtain a higher domain perfusion index. The distance between the light source and the sensor' affects both the perfusion index and the signal-to-noise ratio. When the spacing rule increases, the perfusion index increases with the increase of the light path, but the signal-to-noise ratio decreases with the brightness of the light reflection. reduce. The light-reflective pulsation sensor designed with the forehead as the sensing part under the condition of the minimum luminous power and the spacing R of 3_4 mm using the yellow-green light of the wavelength of 56G_58Q nanometer is convenient in use. Physical activity and less affected by changes in ambient temperature. The high-frequency perfusion index of the light-reflective pulsation sensor is 7.5%, and the signal-to-noise ratio is 28dB. The light transmittance of the tissue is 100%. The light absorption is near the linear range of the most accurate disk.丨 Probe. In summary, the present invention is a pulse sensing device that utilizes light that is reflected from skin tissue to affect the change of light path by pulsation changes of the blood vessel, and further learns cardiovascular pulsation by The integrated circuit makes the invention degenerate, and can quickly know and judge the cardiovascular pulsation, so as to make a preliminary Qing, therefore, the present invention improves the efficiency of the judgment of the heart-to-tube pulsation, and can increase the convenience of the pulse measurement. Sex. Therefore, the present invention is actually - has _ sex, progress and available to the industrial users 'should be in line with the _ full-time patent towel, please ask for the money, the epidemic according to the law, the invention of the special shot, please analyze the 钧 bureau to grant the patent as soon as possible, to the sense Prayer 0, but the above is only the present invention - the preferred embodiment, and is not intended to be used in the scope of the invention, which is equivalent to the shape, structure, features and spirit described in the patent application scope of the present invention. Variations and modifications are to be included in the scope of the patent application of the present invention. BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1A is a block diagram of an embodiment of a pulse sensing device of the present invention. FIG. FIG. 2 is a block diagram of another preferred embodiment of the present invention; FIG. 2B is a schematic structural view of another preferred embodiment of the present invention; 3 is a waveform diagram of a preferred embodiment of the present invention; a fourth diagram is a waveform diagram of another preferred embodiment of the present invention; and a fifth diagram is a waveform diagram of another preferred embodiment of the present invention; 6 is a waveform diagram of another preferred embodiment of the present invention; seventh embodiment is a waveform diagram of another preferred embodiment of the present invention; and FIG. 8 is a waveform diagram of another preferred embodiment of the present invention Figure 9 is a waveform diagram of another preferred embodiment of the present invention; and a tenth diagram is a waveform diagram of another preferred embodiment of the present invention.

【主要元件符號說明】 [0006] 10 脈搏感測裝置 12 感測模組 122 光源 124 光感測器 126 感測電路 14 控制處理電路 16 顯示單元 18 電源 20 電路基板 22 固定件 30 活體 32 皮膚組織 322 上皮組織 099126534 表單編號A0101 第17頁/共30頁 0992046543-0 201206397 324 326 真皮組織 皮下組織 099126534 表單編號A0101 第18頁/共30頁 0992046543-0[Main component symbol description] [0006] 10 pulse sensing device 12 sensing module 122 light source 124 light sensor 126 sensing circuit 14 control processing circuit 16 display unit 18 power supply 20 circuit substrate 22 fixing member 30 living body 32 skin tissue 322 Epithelial tissue 099126534 Form No. A0101 Page 17 of 30 0992046543-0 201206397 324 326 Subcutaneous tissue of dermis tissue 099126534 Form No. A0101 Page 18 of 30 0992046543-0

Claims (1)

201206397 七、申請專利範圍: 1 ·—種脈搏感測裝置,其包含: —光源’其設置於一活體之一皮膚組織上,並產生至少一 第一光線而照射至該皮膚組織,該第一光線經該皮膚組織 反射而形成一第二光線,該皮膚組織内至少一血管之血液 的體積變化關聯於該第二光線之亮度變化或波長變化; —光感測器’其設置於該皮膚組織上,該光感測器與該光 源之間具有一間距,該光感測器接收該第二光線;以及 —感測電路,其連接該光感測器,並依據該光感測器所接 收之該第二光線產...生.一感測訊號; 其申,該間距係關聯於該第二光婊之波長或亮度。 2 .如申請專利範圍第1項所述之脈搏感測裝置,更包含: —控制處理電路’其連接該感測電路,並摻收該感測訊號 ’而依據該感測訊號產生一輸出訊號,該輸出訊號對應於 該脈搏變化; ··· '·. 一顯示單元,依據該輸出訊號對應顧示二輪出影像;以及 一電源’產生複數電源訊號並分別傳送至該光源、該光感 測器、該感測電路、該控制篇理電路與該顯示單元。 3 .如申請專利範圍第1項所述之脈搏感測裝置,其中該感測 訊號係包含一低頻灌流指數,當該間距為3毫米至5毫米時 ,該低頻灌流指數大於5%。 4 .如申請專利範圍第1項所述之脈搏感測裝置,其中該感測 訊號係包含一高頻灌流指數,當該間距為3毫米至5毫来時 ,該高頻灌流指數大於5°/〇。 5 .如申請專利範圍第1項所述之脈搏感測裝置,其中該間距 099126534 表單編號A0101 第19頁/共30頁 0992046543-0 201206397 係對應於一訊號雜訊比’當該間距為2毫米至5毫米時,該 訊號雜訊比為10分貝(dB)至45分貝(dB)。 6 .如申請專利範圍第1項所述之脈搏感測裝置,其中該第一 光線與該第二光線之波長範圍為400奈米至奈米。 7 .如申請專利範圍第1項所述之脈搏感測裝置,其中該間距 之範圍為2毫米至8毫米。 8 ·如申請專利範圍第1項所述之脈搏感測裝置,其中該第一 光線之波長為5 6 0 - 5 8 0奈米時,其對應之該間距為3 _ 4毫 米,該感測訊號對應之一高頻灌流指數為大於5%。 9 .如申請專利範圍第1項所述之脈搏感測裝置,其中該光線 之該波長係與該間距呈正比。 10 ·如申請專利範圍第1項所述之脈搏感測裝置,其中該光線 之該亮度係與該間距呈反比。 11 .如申請專利範圍第1項所述之脈搏感測裝置,其中該感測 訊號之一振幅變化係關聯於該血管之血液的體積變化。 099126534 表單編號A0101 第20頁/共30頁 0992046543-0201206397 VII. Patent application scope: 1 - a pulse sensing device, comprising: - a light source 'which is disposed on a skin tissue of a living body and generates at least a first light to be irradiated to the skin tissue, the first The light is reflected by the skin tissue to form a second light, wherein a volume change of blood of at least one blood vessel in the skin tissue is associated with a change in brightness or a change in wavelength of the second light; - a light sensor disposed on the skin tissue The light sensor has a spacing from the light source, the light sensor receives the second light; and a sensing circuit is coupled to the light sensor and received according to the light sensor The second light produces a sensing signal; the spacing is associated with the wavelength or brightness of the second aperture. 2. The pulse sensing device of claim 1, further comprising: - a control processing circuit 'connecting the sensing circuit and incorporating the sensing signal' to generate an output signal according to the sensing signal The output signal corresponds to the pulse change; ··· '·. a display unit according to the output signal corresponding to the second round of the image; and a power source 'generating a plurality of power signals and respectively transmitting to the light source, the light sensing The sensing circuit, the control logic circuit and the display unit. 3. The pulse sensing device of claim 1, wherein the sensing signal comprises a low frequency perfusion index, and the low frequency perfusion index is greater than 5% when the spacing is from 3 mm to 5 mm. 4. The pulse sensing device of claim 1, wherein the sensing signal comprises a high frequency perfusion index, and the high frequency perfusion index is greater than 5 when the spacing is from 3 mm to 5 mm. /〇. 5. The pulse sensing device according to claim 1, wherein the spacing 099126534 form number A0101 page 19/total 30 page 0992046543-0 201206397 corresponds to a signal noise ratio 'when the spacing is 2 mm The signal noise ratio is 10 decibels (dB) to 45 decibels (dB) up to 5 mm. 6. The pulse sensing device of claim 1, wherein the first light and the second light have a wavelength ranging from 400 nm to nanometer. 7. The pulse sensing device of claim 1, wherein the spacing ranges from 2 mm to 8 mm. The pulse sensing device of claim 1, wherein the first light has a wavelength of 560 - 580 nm, and the corresponding spacing is 3 _ 4 mm, the sensing One of the signals corresponds to a high frequency perfusion index of more than 5%. 9. The pulse sensing device of claim 1, wherein the wavelength of the light is proportional to the spacing. The pulse sensing device of claim 1, wherein the brightness of the light is inversely proportional to the distance. 11. The pulse sensing device of claim 1, wherein the amplitude change of one of the sensing signals is related to a volume change of blood of the blood vessel. 099126534 Form No. A0101 Page 20 of 30 0992046543-0
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