TW201626941A - Wearable ECG detection device - Google PatentsWearable ECG detection device Download PDF
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本發明相關於一種穿戴式心電檢測裝置，更特別地是，相關於一種穿戴式心電檢測裝置，其具有對電極主動施力的結構，以提供更佳的心電訊號品質。 The present invention relates to a wearable electrocardiographic detecting device, and more particularly to a wearable electrocardiographic detecting device having a structure for actively applying a force to an electrode to provide better ECG signal quality.
已知，心電檢測裝置是用於檢查各種心臟疾病的主要途徑，例如，是否有心律不整、因高血壓或心臟瓣膜疾病所引起的心肌肥厚、心肌梗塞、或是狹心症等病症。 It is known that an electrocardiographic detecting device is a main route for examining various heart diseases, for example, whether there is arrhythmia, cardiac hypertrophy caused by hypertension or heart valve disease, myocardial infarction, or a disorder of the heart.
當人們感受到心臟不適而至醫院進行檢查時，多採用的是傳統的心電檢測裝置，例如，十二導程心電圖檢測，可較詳盡的檢測出各種心臟問題，但若心臟不適的來源是偶發性的症狀，例如，心律不整，則很可能無法在檢測期間測得發病時的心臟情況，因此，因應此種偶發性症狀，多會採用配戴霍特式(Holter)心電圖機進行長時間檢測的方式，例如，配戴24小時至數天的時間，希望以這種方式記錄下出現症狀時的心電圖，而與霍特式心電圖機類似的，心電事件記錄器(ECG event recorder)也是採用長期配戴的方式，但不同地是，其讓使用者自行決定記錄的時間，例如，心臟覺得不舒服的時候，並透過按鈕啟動的方式而記錄下心電圖，例如，裝置平常不進行記錄，而是在使用者按下按鈕時才記錄下按壓時間前後各30秒的心電圖。而除了用來記錄偶發性症狀外，霍特式心電圖機也常用於 監控心臟手術或服用治療藥物後的心臟情形，以確認治療效果。 When people feel the heart discomfort and go to the hospital for examination, the traditional ECG detection device is used. For example, 12-lead ECG detection can detect various heart problems in more detail, but if the source of heart discomfort is Occasional symptoms, such as arrhythmia, may not be able to measure the heart condition at the time of onset during the test. Therefore, in response to such sporadic symptoms, a Holter electrocardiograph is used for a long time. The method of detection, for example, wearing 24 hours to several days, is expected to record the electrocardiogram when symptoms appear in this way, and similar to the Hult electrocardiograph, the ECG event recorder is also The long-term wearing method, but differently, allows the user to determine the recording time, for example, when the heart feels uncomfortable, and records the electrocardiogram through the button activation method, for example, the device usually does not record, Instead, the ECG is recorded for 30 seconds before and after the pressing time when the user presses the button. In addition to recording sporadic symptoms, the Hult ECG is also commonly used. Monitor the heart condition after heart surgery or taking a therapeutic drug to confirm the treatment effect.
無論是霍特式心電圖機或心電事件記錄器，其設置方式都必須在身上黏貼多個用以取得心電圖的電極，並透過連接線連接至一裝置，因此，使用者在測量期間必須一直黏貼著電極且將裝置配戴於身上，相當不便，也容易因長時間黏貼電極而產生皮膚不適，這些都是讓使用者卻步的原因，再加上，有時也會出現即使經過長時間配戴檢測後，卻因沒有發病而未記錄下任何可供分析偶發性症狀的心電圖。而且，這樣的檢測，必須透過專業醫護人員的協助才能完成設置，例如，電極的黏貼必須在醫院內設置完成，並且，通常是在完成長時間的測量後，再由醫生下載記錄下來的心電圖進行分析，需要至少數天後才能知道心臟出了什麼問題，所以，不但複雜度高，亦缺乏即時性。 Whether it is a Hotter ECG machine or an ECG event recorder, it is necessary to attach a plurality of electrodes for obtaining an electrocardiogram to the body and connect to a device through a connecting wire. Therefore, the user must always stick during the measurement. It is quite inconvenient to wear the electrode and wear the device on the body, and it is easy to cause skin discomfort due to sticking to the electrode for a long time. These are the reasons for the user to deter, and sometimes, even after wearing for a long time. After the test, no electrocardiogram for analyzing sporadic symptoms was recorded because there was no disease. Moreover, such testing must be done with the assistance of a professional medical staff member. For example, the electrode paste must be set up in the hospital, and usually after the long-term measurement is completed, the doctor can download and record the recorded electrocardiogram. Analysis, it takes at least a few days to know what is wrong with the heart, so it is not only complicated, but also lacks immediacy.
因此，針對上述的這些缺點，進一步提出的改進是手持式心電檢測裝置，其透過採用不需黏貼於身上的乾式電極而解決必須將裝置長期配戴於身上的困擾，以及簡化進行檢測時的複雜度。如US7149571以及US7197351所揭示，手持式心電檢測裝置在裝置的表面設置有乾式電極，可隨時在有需求時透過接觸手及/或體表的方式而進行心電檢測，因此，不再受限於配戴於身上的時間以及電極黏貼，故可更具彈性地用來監控心臟的情形，而且，這樣的心電檢測裝置通常亦配置有分析程式及顯示螢幕，可讓使用者在測量的當下即得知檢測結果，無須等到至醫院回診，因此，相當適合居家使用，並且，也提供了對自身心臟健康有高度關心之使用者平時可自行定時瞭解心臟情形的簡易途徑。 Therefore, in view of the above disadvantages, a further improvement is a hand-held ECG detecting device which solves the problem of having to wear the device for a long time by using a dry electrode which does not need to be adhered to the body, and simplifies the detection. the complexity. As disclosed in US Pat. No. 7,419,571 and US Pat. No. 7,197,351, the handheld ECG detecting device is provided with a dry electrode on the surface of the device, and the ECG can be detected at any time by contacting the hand and/or the body surface when needed, and thus is no longer restricted. It is more flexible to monitor the heart when it is worn on the body and the electrode is attached. Moreover, such an ECG detection device is usually equipped with an analysis program and a display screen, which allows the user to measure the current moment. That is to say, the test results are not necessary to wait until the hospital is returned to the hospital. Therefore, it is quite suitable for home use, and it also provides an easy way for users who are highly concerned about their heart health to regularly understand the heart condition.
之後，隨著隨身攜帶之電子裝置，例如，智慧型手機的普及， 近年來出現的是與手機相結合的心電檢測裝置，如US8615290所揭示，其與手持式心電檢測裝置類似，同樣是採用乾式電極，差別只在於是透過手機的操作介面進行裝置的操控，這樣的方式讓有監控心臟需求的使用者可減少隨身攜帶之裝置的數量。 After that, with the popularity of electronic devices that are carried around, for example, smart phones, What has emerged in recent years is an electrocardiographic detection device combined with a mobile phone. As disclosed in US8615290, it is similar to a handheld ECG detection device, and also uses a dry electrode, the only difference being that the device is operated through the operation interface of the mobile phone. This approach allows users with monitoring heart needs to reduce the number of devices they carry with them.
只是，上述無論是手持形式、或是與手機相結合形式的心電檢測裝置，雖然可隨身攜帶，但由於必須由手握持而操作，故在符合人體工學的需求下，再加上需要顯示結果，尺寸上無法過小，攜帶上仍是一定的負擔；而且，由於電極並未一直設置於身上，因此，欲進行檢測時，需要較多的步驟，例如，先取出裝置後再開機，才能開始進行檢測，故亦有可能因此而錯失檢測的時機。 However, the above-mentioned ECG detecting device, whether in the form of a hand-held device or in combination with a mobile phone, can be carried around, but since it must be handled by a hand, it is ergonomically required, plus The result is not too small in size, and it is still a certain burden on the carrier; moreover, since the electrode is not always placed on the body, more steps are required to perform the detection, for example, after the device is removed and then turned on, The detection is started, so it is possible to miss the timing of the detection.
而且，以雙手進行測量的方式很容易在測量時發生如手部晃動等不穩定的現象，因而造成所測得之心電圖出現基線飄移、波形變形等影響分析的狀況，再者，當使用者希望手部維持穩定而肌肉緊張、或是特意用力以確保與電極間接觸時，也很容易因用力而產生影響訊號分析的肌電訊號。 Moreover, the measurement by the two hands is easy to cause an unstable phenomenon such as hand sway during measurement, thereby causing a situation in which the measured electrocardiogram exhibits influences such as baseline drift and waveform deformation, and further, when the user I hope that when the hand is stable and the muscles are tense, or if you deliberately use force to ensure contact with the electrodes, it is easy to exert a myoelectric signal that affects the signal analysis.
因此，有需要一種穿戴式心電檢測裝置，能解決上述的缺點，讓使用者可更方便地使用的同時，亦可將操作時之各種不確定因素的影響降至最低。 Therefore, there is a need for a wearable electrocardiographic detection device that solves the above-mentioned disadvantages, allows the user to use it more conveniently, and minimizes the effects of various uncertainties in operation.
並且，當心電檢測裝置可穿戴於身上時，就可透過所取得的心電訊號而進一步獲得其他的生理資訊，例如，可根據心電圖取得心跳間隔的時間序列，以進行HRV(Heart Rate Variability，心率變異率)分析，而得知自律神經的活動情形，也可透過分析該時間序列而獲得相關RSA (Respiratory Sinus Arrhythmia，竇性心律不整)的資訊，進而得知使用的呼吸變化，而透過這些資訊，就可引導使用者進行有助於改善自律神經平衡的呼吸訓練。 Moreover, when the ECG detecting device can be worn on the body, other physiological information can be further obtained through the obtained ECG signal. For example, the time series of the heartbeat interval can be obtained according to the electrocardiogram to perform HRV (Heart Rate Variability). Mutation rate) analysis, and knowing the activity of the autonomic nerve, can also obtain the relevant RSA by analyzing the time series (Respiratory Sinus Arrhythmia, information on sinus arrhythmia), and then learn about the changes in breathing used, and through this information, can guide the user to perform breathing training that helps improve the balance of autonomic nerves.
由於心律不整的重要成因之一是自律神經失調，因此，當使用者希望藉由穿戴式的心電檢測裝置而即時記錄下發生心律不整時之心電圖時，若同一裝置可提供改善心律不整症狀之功能，對使用者而言，將會是更為完整的解決方案。 Since one of the important causes of arrhythmia is autonomic nervous disorder, when the user wants to immediately record the electrocardiogram when arrhythmia occurs through the wearable ECG detection device, the same device can provide symptoms of arrhythmia improvement. The function, for the user, will be a more complete solution.
本發明的目的在於提供一種穿戴式心電檢測裝置，其用以擷取心電訊號的電極係實施為穿戴形式，可在無須使用者施力的情形下，達成電極與皮膚間的接觸。 It is an object of the present invention to provide a wearable electrocardiographic detecting device in which an electrode system for extracting an electrocardiographic signal is implemented in a wearable form, and the contact between the electrode and the skin can be achieved without the user's application of force.
本發明的另一目的在於提供一種穿戴式心電檢測裝置，其透過指戴結構而將裝置設置於手指上，並在配戴的同時達成電極與手指皮膚間的接觸。 Another object of the present invention is to provide a wearable electrocardiographic detecting device which is provided on a finger through a finger-wearing structure and which makes contact between the electrode and the skin of the finger while being worn.
本發明的再一目的在於提供一種穿戴式心電檢測裝置，其透過耳戴結構而將裝置設置於耳朵上，並在配戴的同時達成電極與耳朵、或耳朵附近區域之皮膚間的接觸。 It is still another object of the present invention to provide a wearable electrocardiographic detecting device that is placed on an ear through an ear-wearing structure and that achieves contact between the electrode and the ear, or the skin in the vicinity of the ear, while being worn.
本發明的又一目的在於提供一種穿戴式心電檢測裝置，其同時透過指戴結構以及耳戴結構而將擷取心電訊號所需的二個電極分別設置於手指上以及耳朵上，以在便於穿戴的同時，亦達到最小化肌電訊號干擾的效果，更進一步提供長時間連續取得心電訊號的途徑。 Another object of the present invention is to provide a wearable electrocardiographic detecting device, which simultaneously disposes two electrodes required for capturing an electrocardiogram on a finger and an ear through a finger wearing structure and an ear wearing structure, respectively. It is easy to wear, and it also minimizes the effect of myoelectric signal interference, and further provides a way to continuously obtain ECG signals for a long time.
本發明的又一目的在於提供一種穿戴式心電檢測裝置，其透 過腕戴結構而將裝置設置於手腕上，並在配戴的同時達成電極與手腕附近皮膚間的接觸。 Another object of the present invention is to provide a wearable electrocardiogram detecting device which is transparent The device is placed on the wrist through the wrist wearing structure, and the contact between the electrode and the skin near the wrist is achieved while being worn.
本發明的又一目的在於提供一種穿戴式生理檢測裝置，其同時具有心電訊號以及腦電訊號檢測功能，且在透過頭戴結構而將裝置設置於頭部的同時，可達成電極與頭部皮膚間的接觸。 Another object of the present invention is to provide a wearable physiological detecting device which has both an electrocardiogram signal and an electroencephalogram signal detecting function, and can realize the electrode and the head while the device is placed on the head through the head-wearing structure. Contact between the skin.
本發明的又一目的在於提供一種穿戴式心電檢測裝置，其具有二種操作模式，以提供不同心臟投影角度的心電圖，並讓使用者可根據使用環境及操作習慣而選擇操作模式。 It is still another object of the present invention to provide a wearable electrocardiographic detecting device that has two modes of operation to provide an electrocardiogram of different cardiac projection angles, and allows the user to select an operating mode according to the use environment and operating habits.
本發明的又一目的在於提供一種穿戴式心電檢測裝置，其可提供心率序列的HRV分析結果，以瞭解使用者自律神經活動情形。 It is still another object of the present invention to provide a wearable electrocardiographic detecting device that provides an HRV analysis result of a heart rate sequence to understand a user's autonomic nervous activity.
本發明的又一目的在於提供一種穿戴式心電檢測裝置，其可根據心率序列而取得RSA資訊，以作為引導使用者進行呼吸訓練的基礎，進而達到影響自律神經的效果。 It is still another object of the present invention to provide a wearable electrocardiographic detecting device that can acquire RSA information according to a heart rate sequence as a basis for guiding a user to perform breathing training, thereby achieving an effect of affecting the autonomic nervous system.
本發明的又一目的在於提供一種穿戴式生理檢測裝置，其可根據心率序列而取得相關使用者呼吸模式的資訊，以進行腦電訊號、呼吸以及心率之間的同步性分析。 It is still another object of the present invention to provide a wearable physiological detecting device that can obtain information on a breathing pattern of a user according to a heart rate sequence for synchronizing analysis between EEG signals, respiration, and heart rate.
10‧‧‧第一電極 10‧‧‧First electrode
12‧‧‧第二電極 12‧‧‧Second electrode
16‧‧‧第三電極 16‧‧‧ third electrode
90‧‧‧腕戴結構 90‧‧‧Wrist wearing structure
92‧‧‧指戴結構 92‧‧‧ fingers wearing structure
94、95‧‧‧表面 94, 95‧‧‧ surface
第1A-1B圖顯示根據本發明之指戴式心電檢測裝置的示意圖；第2A-2C圖顯示根據本發明之指戴式心電檢測裝置的操作示意圖；第3圖顯示取得標準十二導極心電圖的電極接觸位置示意圖；第4A-4G圖顯示根據本發明之指戴式心電檢測裝置的示範性實例； 第5A圖顯示根據本發明之耳戴式心電檢測裝置的示意圖；第5B圖顯示根據本發明之耳戴式心電檢測裝置的操作示意圖；第5C-5D圖顯示根據本發明之耳戴式心電檢測裝置的示範性實例；第6A-6C圖顯示根據本發明之耳戴式心電檢測裝置，電極配置位置示範性實例；第7圖顯示根據本發明之耳戴式心電檢測裝置，其電極可接觸之耳朵附近皮膚的示意圖；第8A-8B圖顯示根據本發明穿戴式心電檢測裝置，同時採用指戴結構以及耳戴結構的示範性實例；第9A-9B圖顯示根據本發明之腕戴式心電檢測裝置的示意圖；第9C-9D圖顯示根據本發明之腕戴式心電檢測裝置的操作示意圖；第9E-9F圖顯示根據本發明之穿戴式心電檢測裝置，同時採用腕戴結構以及指戴結構的示範性實例；第10A-10D圖顯示根據本發明之腕戴式心電檢測裝置，透過連接埠外接電極的示範性實例；第11A圖顯示根據本發明之指戴式心電檢測裝置，透過連接埠外接指戴電極的示範性實例；第11B圖顯示根據本發明之耳戴式心電檢測裝置，透過連接埠外接指戴電極的示範性實例；第11C圖顯示根據本發明之指戴式心電檢測裝置，透過連接埠外接耳戴電極的示範性實例；以及第12A-12B圖根據本發明之穿戴式心電檢測裝置，透過二個心電檢測迴 路取得心電訊號的示範性實例。 1A-1B is a schematic view showing a finger-mounted electrocardiographic detecting device according to the present invention; 2A-2C is a view showing the operation of the finger-mounted electrocardiographic detecting device according to the present invention; and FIG. 3 is a view showing the standard 12-lead Schematic diagram of the electrode contact position of the electrocardiogram; FIGS. 4A-4G are diagrams showing an exemplary example of the finger-mounted electrocardiographic detecting device according to the present invention; 5A is a schematic view showing an ear-worn electrocardiac detecting device according to the present invention; FIG. 5B is a view showing the operation of the ear-worn electrocardiographic detecting device according to the present invention; and FIG. 5C-5D is a view showing an ear-worn type according to the present invention; An exemplary embodiment of an electrocardiographic detecting device; FIGS. 6A-6C are diagrams showing an exemplary embodiment of an electrode-arranged position of an ear-mounted electrocardiographic detecting device according to the present invention; and FIG. 7 shows an ear-worn electrocardiographic detecting device according to the present invention, A schematic view of the skin in the vicinity of the ear to which the electrode can be contacted; FIGS. 8A-8B are diagrams showing an exemplary embodiment of the wearable electrocardiographic detecting device according to the present invention, while employing a finger-wearing structure and an ear-wearing structure; FIGS. 9A-9B are shown in accordance with the present invention. Schematic diagram of a wrist-worn electrocardiographic detecting device; FIG. 9C-9D is a schematic view showing the operation of the wrist-worn electrocardiographic detecting device according to the present invention; and FIG. 9E-9F is a view showing the wearable electrocardiographic detecting device according to the present invention, An exemplary embodiment using a wrist-worn structure and a finger-wearing structure; FIGS. 10A-10D are diagrams showing an exemplary embodiment of a wrist-worn electrocardiographic detecting device according to the present invention through an external electrode of the connecting port; FIG. 11A shows the root An exemplary embodiment of the finger-mounted electrocardiographic detecting device of the present invention, which is connected to the external finger through the connecting port; FIG. 11B shows an exemplary example of the ear-worn electrocardiographic detecting device according to the present invention, through which the finger is externally connected to the finger FIG. 11C is a view showing an exemplary embodiment of a finger-mounted electrocardiographic detecting device according to the present invention, through an external ear-earing electrode through a connection port; and a wearable electrocardiographic detecting device according to the present invention in FIGS. 12A-12B, through two hearts Electrical detection The road obtains an exemplary example of an ECG signal.
第13圖顯示根據本發明之頭戴式心電檢測裝置的操作示意圖。 Figure 13 is a view showing the operation of the head-mounted electrocardiographic detecting device according to the present invention.
根據本發明的穿戴式心電檢測裝置，包括一控制模組，一穿戴結構，一第一電極以及一第二電極，以及一資訊提供單元，其中，該電路系統包括一處理器，以控制裝置的整體運作，例如，經由該第一電極以及該第二電極而執行心電訊號的擷取等，該穿戴結構用於在進行心電訊號擷取時將裝置設置於使用者身上，以提供使用方便性，至於該資訊提供單元則是用以將資訊提供給使用者，例如，操作相關資訊，生理資訊，以及分析結果等。 The wearable electrocardiograph device according to the present invention includes a control module, a wearable structure, a first electrode and a second electrode, and an information providing unit, wherein the circuit system includes a processor to control the device The overall operation, for example, performing the extraction of the electrocardiogram signal through the first electrode and the second electrode, and the wearing structure is configured to set the device on the user when the ECG signal is captured, to provide use Convenience, the information providing unit is used to provide information to the user, for example, to operate related information, physiological information, and analysis results.
其中，該電路系統可實施為容置於該穿戴結構內，或者，進一步地，根據本發明的裝置亦可再包括一殼體，此時，該電路系統就可容置於該殼體及/或該穿戴結構中，因此，可視實際實施情形而定，沒有限制；此外，該殼體的材質則是可實施為與該穿戴結構相同或不同，例如，若實施為相同材質時，就可形成為一體成型的形式，另外，若實施為不同材質時，就可依照穿戴位置的不同而選擇適合的材質，同樣沒有限制。 Wherein, the circuit system can be implemented to be housed in the wearing structure, or, further, the device according to the present invention can further include a housing, and the circuit system can be accommodated in the housing and/or Or in the wearing structure, therefore, there is no limitation depending on the actual implementation; in addition, the material of the housing can be implemented to be the same as or different from the wearing structure, for example, if implemented as the same material, it can be formed. In the form of integral molding, if it is implemented as a different material, a suitable material can be selected according to the position to be worn, and there is no limitation.
另外，由於根據本發明的心電檢測裝置係實施為穿戴的形式，因此，該資訊提供單元提供資訊的方式可以有更多的選擇，包括，但不限於，視覺、聽覺、以及觸覺等方式，舉例而言，該資訊提供單元可實施為顯示元件及/或發光元件，以利用文字顯示、圖形變化、及/或燈號變化等方式而提供資訊；或者，該資訊提供單元也可實施為發聲模組，以透過聲音頻率或音量的改變、或語音的方式而提供資訊；又或者，該資訊提供 單元亦可實施為振動模組，並利用如振動的強弱、長短等變化方式而提供資訊。 In addition, since the electrocardiographic detecting device according to the present invention is implemented in a wearable form, the manner in which the information providing unit provides information may have more options, including, but not limited to, visual, auditory, and tactile, and the like. For example, the information providing unit can be implemented as a display element and/or a light-emitting element to provide information by means of text display, graphic change, and/or light number change; or the information providing unit can also be implemented as sounding a module that provides information by changing the frequency or volume of the sound, or by means of voice; or, the information is provided The unit can also be implemented as a vibration module and provide information using changes such as the strength and length of the vibration.
再者，該資訊提供單元亦可進一步實施為，經由一有線傳輸模組、或一無線傳輸模組而將資訊輸出至一外部裝置，以透過該外部裝置而將該資訊提供予使用者，其中，該外部裝置可以是，但不限於，一個人電腦、一智慧型手機、一平板電腦、或是一智慧手錶等，只需是能夠將該資訊提供給使用者的裝置即可，因此，沒有限制。 Further, the information providing unit can be further configured to output information to an external device via a wired transmission module or a wireless transmission module to provide the information to the user through the external device, wherein The external device may be, but is not limited to, a personal computer, a smart phone, a tablet computer, or a smart watch, etc., and only needs to be able to provide the information to the user, so there is no limit. .
在根據本發明的穿戴式心電檢測裝置中，特別地是，該第一電極係實施為位在當整個心電檢測裝置透過該穿戴結構而被設置於使用者身上時，會接觸使用者皮膚的一表面上，也就是，該第一電極與皮膚間的接觸是透過將穿戴結構設置於身上的動作而達成，因此，在使用者無須自行施力的情形下，該第一電極就可達成與皮膚間的接觸，所以，因操作動作帶來之肌肉緊張所引發的肌電干擾將可被顯著地降低，相當有助於獲得良好的訊號品質。 In the wearable electrocardiographic detecting device according to the present invention, in particular, the first electrode is implemented to contact the user's skin when the entire electrocardiographic detecting device is disposed on the user through the wearing structure. On one surface, that is, the contact between the first electrode and the skin is achieved by the action of placing the wearing structure on the body, so that the first electrode can be achieved without the user having to apply force by himself. Contact with the skin, so the myoelectric interference caused by the muscle tension caused by the operation action can be significantly reduced, which is quite helpful for obtaining good signal quality.
至於該第二電極，其則是有數種實施上的選擇，例如，可實施為位在裝置上除了該表面以外的另一表面上，以供使用者其他部分皮膚進行觸碰，例如，手指、胸膛等部分的皮膚，而需要注意地是，用以設置該第一電極的表面以及用以設置該第二電極的另一表面，可以是該穿戴結構的任一表面，或是該殼體的任一表面，沒有限制，只需注意，該第一電極與該第二電極不會接觸使用者身上同一部份的皮膚即可。或者，替代地，也可實施為透過一另一穿戴結構而被設置於使用者身上，如此一來就同樣可利用穿戴結構的主動施力而達成與皮膚間的接觸，因此，沒有限制。 As for the second electrode, there are several implementation options, for example, it can be implemented on another surface of the device other than the surface for the user to touch other parts of the skin, for example, a finger, a part of the skin such as the chest, and it should be noted that the surface for arranging the first electrode and the other surface for arranging the second electrode may be any surface of the wearing structure or the housing There is no limitation on any surface. It is only necessary to note that the first electrode and the second electrode do not contact the same part of the skin of the user. Alternatively, it may be implemented to be placed on the user through a further wearing structure, so that the active contact force of the wearing structure can also be utilized to achieve contact with the skin, and thus, there is no limitation.
據此，在使用時，使用者可透過該穿戴結構而將根據本發明的穿戴式心電檢測裝置設置於身上，例如，手指上、耳朵上、或是手腕上等，而在此情形下，該第一電極與皮膚間的接觸即已達成，然後，當出現測量心電圖的需求時，只需再透過將第二電極觸碰其他部分皮膚的動作，擷取心電訊號的迴路即可達成，使用者可在隨時有需要時方便且容易地取得心電圖。 Accordingly, in use, the wearable ECG detecting device according to the present invention can be placed on the body by the user, for example, on a finger, on the ear, or on the wrist, etc., in this case, The contact between the first electrode and the skin is achieved, and then, when the need to measure the electrocardiogram occurs, the circuit of the ECG signal can be obtained by simply touching the second electrode to the other part of the skin. The user can easily and easily obtain an electrocardiogram whenever necessary.
另外，當該第二電極亦實施為透過該另一穿戴結構而設置於使用者身上時，則使用者只需將兩個穿戴結構皆設置於身上，用以擷取心電訊號的電極設置即已完成，因此，使用者可在有需要紀錄下心電圖時按下啟動鍵進行一段時間的訊號擷取，例如，30秒或1分鐘，或者，也可實施為心電訊號的擷取在裝置配戴於身上後隨即開始記錄及/或分析，以省下為了記錄下突發心臟狀況而按壓啟動測量的動作，所以，沒有限制，可依實際需求而選擇適合的方式。 In addition, when the second electrode is also disposed on the user through the other wearing structure, the user only needs to set the two wearing structures on the body, and the electrode setting for capturing the electrocardiogram signal is Completed, therefore, the user can press the start button to record the signal for a period of time when it is necessary to record the ECG, for example, 30 seconds or 1 minute, or can also be implemented as an ECG signal capture device. After being worn on the body, recording and/or analysis is started to save the action of pressing the start measurement in order to record the sudden cardiac condition. Therefore, there is no limitation, and the appropriate method can be selected according to actual needs.
在此，同樣地，該另一穿戴結構上亦可結合有另一殼體，而該第二電極則同樣可實施為位在該另一穿戴結構或該另一殼體的任一表面上，只需能在該另一穿戴結構被設置於使用者身上時達成該第二電極與皮膚的接觸即可，因此，沒有限制。 In this case, the other wearing structure may also be combined with another housing, and the second electrode may also be implemented on any surface of the other wearing structure or the other housing. It suffices that the contact of the second electrode with the skin can be achieved only when the other wearing structure is placed on the user, and therefore, there is no limitation.
由於根據本發明的心電檢測裝置是採用穿戴的形式，因此，配合穿戴於身上的操作行為，裝置及/或心電檢測的啟動，除了一般開啟電源及/或啟動檢測的方式外，還可有各種選擇，例如，可在該第二電極附近設置一開關，其可因第二電極與皮膚接觸的施力而被觸發，以使裝置進入可進行心電訊號擷取的狀態，以接著啟動裝置及/或心電檢測；或者，作為 替代，可將該第二電極連接至一物理狀態偵測單元，以偵測電極在接觸皮膚時所產生的一物理變化，並透過該物理變化而得知電極與皮膚間的接觸是否足夠穩定，因而可知裝置是否已可進行心電訊號擷取，另外，該第一電極同樣也可實施為連接至一物理狀態偵測單元，沒有限制。 Since the electrocardiographic detecting device according to the present invention is in the form of wearing, the operation of the device and/or the detection of the electrocardiogram can be activated in addition to the manner of generally turning on the power and/or starting the detection. There are various options. For example, a switch can be disposed near the second electrode, which can be triggered by the biasing force of the second electrode in contact with the skin, so that the device enters a state in which the electrocardiographic signal can be extracted, and then starts. Device and / or ECG detection; or, as Alternatively, the second electrode may be connected to a physical state detecting unit to detect a physical change of the electrode when contacting the skin, and through the physical change, whether the contact between the electrode and the skin is sufficiently stable, Therefore, it can be known whether the device can perform ECG signal acquisition. In addition, the first electrode can also be implemented to be connected to a physical state detection unit, without limitation.
在此，該物理變化包括，但不限於，壓力變化以及阻抗變化，舉例而言，該物理狀態偵測單元可包括壓力感測模組，以得知壓力變化，而判斷電極所受到的按壓是否足夠，或是該物理狀態偵測單元也可實施為一開關，同樣可得知電極所承受的壓力大小，又或者，該物理狀態偵測單元亦可包括阻抗感測電路、或電容感測電路，以得知電極的阻抗、電容變化，而判斷是否可進行心電檢測，因此，不受限制。 Here, the physical change includes, but is not limited to, a pressure change and a change in impedance. For example, the physical state detecting unit may include a pressure sensing module to know the pressure change, and determine whether the electrode is pressed. Sufficient, or the physical state detecting unit can also be implemented as a switch, and the pressure of the electrode can be also known. Alternatively, the physical state detecting unit can also include an impedance sensing circuit or a capacitive sensing circuit. In order to know whether the impedance and capacitance of the electrode are changed, it is determined whether or not the electrocardiogram can be detected, and therefore, it is not limited.
故在進行判斷時，若該開關未完全切換，及/或該物理變化不符合一預設範圍，即表示該第二電極與皮膚間的接觸狀態不足以進行心電訊號擷取，因此，裝置處於心電訊號擷取無法被啟動的狀態，若該開關已完全切換及/或該物理變化符合一預設範圍時，則表示該第二電極與皮膚間達成了足以進行心電訊號擷取的接觸，因此，裝置轉換為該心電訊號擷取可被啟動的狀態。 Therefore, when the determination is made, if the switch is not completely switched, and/or the physical change does not meet a predetermined range, it means that the contact state between the second electrode and the skin is insufficient for ECG signal extraction, therefore, the device In a state in which the ECG signal cannot be activated, if the switch has been completely switched and/or the physical change conforms to a predetermined range, it indicates that the second electrode and the skin are sufficient for ECG acquisition. Contact, therefore, the device transitions to a state in which the ECG signal can be activated.
在此，特別地，還可透過開關是否切換完全、或物理變化是否符合預設範圍的判斷來控制電極是否可被使用，例如，導通與否，也就是，電極先處於不可使用的狀態，直到開關完全被切換後、或該物理變化符合該預設範圍後，電極才轉換為可使用的狀態，例如，被導通，如此一來，將可進一步確保所取得之心電訊號的清晰度，更有利於分析結果的準確性。 Here, in particular, whether the electrode can be used can be controlled by whether the switch is completely switched, or whether the physical change conforms to the preset range, for example, whether the electrode is turned on or not, that is, the electrode is in an unusable state until After the switch is completely switched, or the physical change meets the preset range, the electrode is converted into a usable state, for example, turned on, so that the clarity of the obtained ECG signal can be further ensured. Conducive to the accuracy of the analysis results.
而更進一步地，在判斷為可進行心電訊號擷取後，如何啟動裝置及/或檢測，同樣有各種選擇，舉例而言，在一較佳實施例中，根據本發明的裝置可設計為，裝置會在一定時間後，例如，3秒後，自動開始進行檢測心電訊號；或在一另一較佳實施例中，裝置在一定時間後，例如，3秒後，才會轉換為可進行心電訊號擷取的狀態，之後，若可擷取狀態仍持續，則啟動心電訊號檢測，因此，有各種可能，可是實際需求而變化，沒有限制。 Furthermore, there are various options for how to activate the device and/or detect after determining that ECG signal acquisition is possible. For example, in a preferred embodiment, the device according to the present invention can be designed as The device will automatically start detecting the ECG signal after a certain period of time, for example, 3 seconds; or in another preferred embodiment, the device will not be converted to a certain time after, for example, 3 seconds later. The status of the ECG signal acquisition is performed. After the status of the ECG signal is continued, the ECG signal detection is started. Therefore, there are various possibilities, but the actual demand changes, and there is no limitation.
此外，配合上述的啟動及判斷方式，根據本發明的裝置亦可實施為一直處於訊號擷取的狀態，但僅在偵測到心電訊號特徵時才進行記錄，或是才調整取樣頻率或訊號放大倍率，以更加完整的記錄下所有可能的心電訊號變化。 In addition, in accordance with the above-mentioned manner of starting and judging, the device according to the present invention can also be implemented in the state of signal capture, but only when the ECG signal feature is detected, or the sampling frequency or signal is adjusted. Magnification to record all possible ECG changes more completely.
以下即舉例說明根據本發明之穿戴式心電檢測裝置的較佳實施方式。 Hereinafter, preferred embodiments of the wearable electrocardiographic detecting device according to the present invention will be exemplified.
首先，根據本發明第一方面的構想，該穿戴結構係實施為一指戴結構，因此，根據本發明的穿戴式心電檢測裝置係由該指戴結構所承載，並藉以設置於使用者的一手指上，在此，可實施為如第1A圖所示，由該指戴結構容置電路系統的形式，或者，也可實施為如第1B圖所示，該指戴結構上再結合一殼體20的形式，而該電路系統則可容置於該殼體及/或該指戴結構中，因此，可視實際實施情形而定，沒有限制。 First of all, according to the concept of the first aspect of the present invention, the wearing structure is implemented as a finger-wearing structure, and therefore, the wearable electrocardiographic detecting device according to the present invention is carried by the finger-wearing structure and is provided to the user. In one finger, here, as shown in FIG. 1A, the finger receiving structure may be in the form of a circuit system, or may be implemented as shown in FIG. 1B, and the finger wearing structure is further combined with In the form of the housing 20, the circuit system can be accommodated in the housing and/or the finger-wearing structure, and thus, depending on the actual implementation, there is no limitation.
其中，該第一電極10係位在當該指戴結構被設置於手指上時，該裝置上可因穿戴動作而與該手指皮膚接觸的一表面上，至於該第二電極12則是位在該裝置上除了該表面外的另一表面上，例如，可以是與該 表面相對的表面，或是與其相鄰的表面上，只需注意是不會接觸該手指皮膚的位置即可。 Wherein, the first electrode 10 is in a position on the device that can be in contact with the skin of the finger due to the wearing action when the finger-wearing structure is disposed on the finger, and the second electrode 12 is located on the surface On the other surface of the device other than the surface, for example, The surface opposite to the surface, or the surface adjacent to it, only needs to be careful not to touch the position of the skin of the finger.
在此，選擇手指作為設置心電檢測裝置之位置的主要原因係在於，指戴形式對一般使用者而言，就如同配戴戒指一樣，是熟悉且無須重新學習的使用方式，直接將指戴結構結合於手指上即可完成第一電極與皮膚間的接觸，之後，當隨時有需要紀錄下心電圖時，只需再進行將該第二電極與該手指所在肢體以外的其他部分皮膚的接觸就可馬上進行心電訊號擷取，操作流程及動作簡單、自然又方便。而且，藉由指戴結構對手指施力，該第一電極與皮膚間的接觸無須使用者施力即可達成，可讓肌肉緊張度對於心電訊號的影響降至最低。 Here, the main reason for selecting a finger as the position for setting the electrocardiac detecting device is that the finger wearing form is similar to the general user, and is a familiar and no need to re-learn the use mode. The structure is bonded to the finger to complete the contact between the first electrode and the skin. Then, when it is necessary to record the electrocardiogram at any time, it is only necessary to make contact with the skin of the second electrode and other parts of the limb other than the finger. The ECG signal can be taken immediately, and the operation flow and action are simple, natural and convenient. Moreover, by applying force to the finger by the finger-wearing structure, the contact between the first electrode and the skin can be achieved without the user's exertion of force, and the effect of muscle tension on the ECG signal can be minimized.
實際操作的方式有許多可能，例如，可由另一手去觸碰位在表面的該第二電極，如第2A圖所示，或者，也可藉由移動戴有該裝置之手的方式而觸碰其他部分的皮膚，如第2B圖顯示了將戒指接觸臉頰的操作情形，以及第2C圖顯示了將戒指接觸軀幹的心電訊號擷取方式，因此，沒有限制。 There are many possibilities for the actual operation, for example, the second electrode located on the surface can be touched by the other hand, as shown in FIG. 2A, or can be touched by moving the hand wearing the device. Other parts of the skin, such as Figure 2B, show the operation of touching the ring to the cheek, and Figure 2C shows the way the ECG signal is taken to contact the torso, so there is no limit.
在此，特別地是，由於是採用指戴形式，因此讓使用者可藉由移動戴有該裝置的手去接觸身體其他部位的方式而達成心電訊號擷取迴路，帶來了更多操作可能性，也讓使用者可根據使用環境及需求的不同，而選擇適合的接觸位置，更具便利性。 Here, in particular, since the finger-wearing form is adopted, the user can achieve the ECG signal capture circuit by moving the hand wearing the device to contact other parts of the body, thereby bringing more operations. The possibility also allows the user to select a suitable contact position according to the use environment and needs, and is more convenient.
所以，透過這樣的概念，使用者將可很方便地藉由接觸不同的位置，而取得不同投影角度的心電圖，有助於更精準地判斷心臟的狀況，第3圖顯示了一般取得標準十二導極心電圖的接觸位置，藉由根據本發明的 指戴式心電檢測裝置，使用者將可很方便地將裝置配戴於左手手指上，並透過接觸V1~V6各個量測點，而分別取得不同角度心臟的心電圖投影。 Therefore, through such a concept, the user can easily obtain an electrocardiogram with different projection angles by contacting different positions, which helps to judge the condition of the heart more accurately. FIG. 3 shows the general standard 12 Contact position of the electrocardiogram, by means of the invention Refers to the wearing ECG detection device, the user will be able to easily wear the device on the left hand finger, and through the contact points of V1 ~ V6, respectively, to obtain ECG projection of the heart at different angles.
在進行心電圖測量時，每兩電極就可得出一個角度的心電圖，也就是，電極的設置位置決定了心電圖所反應之心臟電氣活動的投影角度，而由於心臟是立體的，且產生病變的心臟部位可能位在任何心臟位置，例如，心肌梗塞的檢查需要察看心電波形中是否出現因心肌壞死而出現的ST飄移，但往往可能因為其發生位置的關係而在某些角度下無法被察覺，此時，就需要透過不同角度的心電圖才有可能檢查得出來，因此，取得不同角度之心電圖對於判斷心臟疾病有很大的幫助。 In the measurement of electrocardiogram, an electrocardiogram of one angle can be obtained for each two electrodes, that is, the position of the electrode determines the projection angle of the electrical activity of the heart reflected by the electrocardiogram, and since the heart is three-dimensional and produces a diseased heart The site may be located at any heart position. For example, the examination of myocardial infarction needs to see if there is ST drift in the ECG waveform due to myocardial necrosis, but it may not be noticeable at certain angles due to its positional relationship. At this point, it is necessary to check through the ECG of different angles. Therefore, obtaining an ECG with different angles is very helpful for judging heart disease.
在此，根據本發明的指戴結構於手指上的設置位置，較佳為近節指骨或中節指骨所在的指節，以避免因位置接近手指末端而發生因手部動作脫落的情形，舉例而言，該指戴結構可如第4A圖所示，採用如一般戒指的形式，或者如第4B圖所示，實施為環繞手指的可撓曲帶體上戴有殼體的形式，或是如第4C圖所示，實施為僅可撓曲帶體的形式，或是實施為開放的C型環形式，沒有限制；在此，無論採用何種形式，都可進一步具有可調整環繞直徑的結構，以進一步確保電極與皮膚間的接觸穩定性，例如，戒指可實施為具有可變化戒圍的機構，以適應不同配戴者的手指，以及帶體可實施為具有可調整的固定位置，例如，透過設置魔鬼氈，以讓使用者選擇環繞時的緊度等，同樣可依實際情形而變化實施方式，沒有限制；另外，亦可採用夾子的形式，以夾住指節或是指尖，並透過夾子本身的彈性而達到固定的效果，同樣是很好的選擇。 Here, the position of the finger-wearing structure according to the present invention on the finger is preferably a knuckle where the proximal phalanx or the middle phalanx is located, so as to avoid the situation in which the hand is detached due to the position approaching the end of the finger, for example. In terms of the wearing structure, as shown in FIG. 4A, in the form of a general ring, or as shown in FIG. 4B, the flexible tape body surrounding the finger is in the form of a casing, or As shown in FIG. 4C, the embodiment is implemented only in the form of a flexible strip or in the form of an open C-ring, and there is no limitation; here, regardless of the form, the outer diameter can be further adjusted. Structure to further ensure contact stability between the electrodes and the skin, for example, the ring can be implemented as a mechanism with a variable ring to accommodate different wearer's fingers, and the belt can be implemented with an adjustable fixed position, For example, by setting the devil's felt so that the user can select the tightness when wrapping, etc., the embodiment can be changed according to the actual situation, and there is no limitation; in addition, the form of a clip can be used to clamp the knuckle or It is also a good choice for fingertips and for achieving a fixed effect through the elasticity of the clip itself.
再者，也可實施為設置於指尖的指套，如第4D圖所示，亦 即，一可供手指伸入的凹槽結構，例如，環狀或凹洞的形式，而該第一電極則是設置於該凹槽結構的內表面上，並且，該內表面係實施為符合手指的表面，以在手指伸入時達成該第一電極與手指皮膚間的接觸，在此，該凹槽結構可由具彈性的材質所製成，例如，橡膠或矽膠，以達成電極與皮膚間的接觸，或者，也可形成為具有塑膠殼體，並於內部設置彈性材質而包覆手指，或是採用可提供向內施力的結構設計等方式，以確保內部電極與指尖皮膚間的良好接觸，因此，沒有限制。而這樣的形式則具優勢地讓接觸不同位置以取得不同投影角度心電圖的操作顯得更為容易。所以，根據本發明之指戴式心電檢測裝置可依實際需求而實施為各種形式，沒有限制。 Furthermore, it can also be implemented as a finger sleeve provided at the fingertip, as shown in FIG. 4D. That is, a groove structure into which a finger can be inserted, for example, in the form of a ring or a cavity, and the first electrode is disposed on an inner surface of the groove structure, and the inner surface is configured to conform to a surface of the finger to achieve contact between the first electrode and the skin of the finger when the finger is extended, wherein the groove structure can be made of a resilient material, such as rubber or silicone, to achieve an electrode to the skin The contact, or alternatively, may be formed with a plastic casing, and an elastic material is provided inside to cover the finger, or a structural design that provides an inward force to ensure the internal electrode and the skin of the fingertip. Good contact, therefore, no restrictions. Such a form is advantageous in that it is easier to access different positions to achieve an ECG of different projection angles. Therefore, the finger-type ECG detecting device according to the present invention can be implemented in various forms according to actual needs without limitation.
另外，在一較佳實施例中，該殼體20亦可透過一連接線而連接至該指戴結構，並透過一腕戴結構而設置於該手指所在肢體的手腕上，如第4E圖所示，如此一來，原本位於手指附近與指戴結構結合的硬體配置，例如，電路、電池等，可被移至手腕上，以減少手指在配戴裝置時的負擔，並且，該腕戴結構及/或該殼體不與該腕部接觸的表面上，也可作為設置該第二電極的位置，提供使用者另一種接觸選擇，或者，如第4F圖所示，也可實施為該指戴結構以及該腕戴結構上皆具有殼體，因此，沒有限制。 In addition, in a preferred embodiment, the housing 20 can also be connected to the finger wearing structure through a connecting wire and disposed on the wrist of the limb where the finger is located through a wrist wearing structure, as shown in FIG. 4E. In this way, a hardware configuration, such as a circuit, a battery, or the like, which is originally placed in the vicinity of the finger and coupled to the finger-wearing structure, can be moved to the wrist to reduce the burden of the finger when the device is worn, and the wrist wear The structure and/or the surface of the housing that is not in contact with the wrist may also serve as a position for the second electrode to provide another contact option for the user or, as shown in FIG. 4F, Both the wearing structure and the wrist wearing structure have a housing, and therefore, there is no limitation.
再者，在一另一較佳實施例中，該殼體20也可實施為透過連接器而與該指戴結構相結合，如第4G圖所示，在此情形下，第一電極10接觸右手手指，以及第二電極12接觸左手手腕附近皮膚，而且，由於指戴結構是透過與設置於手腕上之殼體相結合而靠置於手腕上，因此，當使用者將雙手放置於固定的表面上，例如，桌面上，進行測量時，將可形成非常 穩定的測量姿勢，而使得肌電訊號的產生被降至最低，另外，藉由連接器連接的形式，心電檢測的迴路可被縮短，因此可讓因連接線而感應之環境中電磁干擾雜訊減至最少，因此，亦是一種相當有利的選擇。 Furthermore, in another preferred embodiment, the housing 20 can also be implemented to be coupled to the finger-wearing structure through a connector, as shown in FIG. 4G, in which case the first electrode 10 is in contact. The right hand finger and the second electrode 12 contact the skin near the wrist of the left hand, and since the finger wearing structure is placed on the wrist by being combined with the housing disposed on the wrist, when the user places the hands on the fixed On the surface, for example, on the table, when measuring, it will form very Stable measurement posture, so that the generation of myoelectric signals is minimized. In addition, the circuit of ECG detection can be shortened by the form of connector connection, so that the electromagnetic interference in the environment induced by the connection line can be mixed. The news is reduced to a minimum, so it is also a very favorable option.
再者，根據本發明另一方面的構想，該穿戴結構係實施為一耳戴結構，因此，根據本發明的穿戴式心電檢測裝置係由該耳戴結構所承載，並藉以設置於使用者的一耳朵上，而該電路系統則是容置於該耳戴結構內，及/或另外包括的一殼體內。 Furthermore, according to another aspect of the present invention, the wearing structure is implemented as an ear wearing structure, and therefore, the wearable electrocardiographic detecting device according to the present invention is carried by the ear wearing structure, and is thereby provided to the user. On one of the ears, the circuitry is housed within the ear-worn structure and/or additionally included in a housing.
其中，如第5A圖所示，該第一電極10係位在當該耳戴結構被設置於耳朵上時，該裝置上可因穿戴動作而與該耳朵或該耳朵附近區域之皮膚接觸的一表面上，至於該第二電極12則是位在該裝置上除了該表面外的另一表面上，例如，可以是與該表面相對的表面，或是與其相鄰的表面上，只需注意是不會接觸該耳朵或該耳朵附近區域皮膚的位置即可。在此，該第一電極10亦可實施為具有二個電極，如第6A圖所示，並將其中一個電極作為接地或參考電極，以抑制共模雜訊，例如，來自電源之雜訊，因此，實施上沒有限制。 Wherein, as shown in FIG. 5A, the first electrode 10 is tied to a skin on the device that can be in contact with the skin of the ear or the vicinity of the ear due to the wearing action when the ear wearing structure is disposed on the ear. On the surface, the second electrode 12 is located on the other surface of the device except the surface, for example, may be the surface opposite to the surface, or the surface adjacent thereto, only need to pay attention to Do not touch the position of the ear or the skin near the ear. Here, the first electrode 10 can also be implemented to have two electrodes, as shown in FIG. 6A, and one of the electrodes is used as a ground or reference electrode to suppress common mode noise, for example, noise from a power source. Therefore, there is no limit to implementation.
在此，利用耳朵作為接觸電極的位置有一個優勢是，耳朵及其附近是肌電訊號極小的區域，再加上其與頭部之間相當穩定的相對位置關係，因此即使使用者在測量期間身體出現移動，例如，稍微轉動身體、或轉動脖子，電極與皮膚間的接觸仍可維持穩定，不會產生太多影響測量結果的干擾。 Here, the advantage of using the ear as the position of the contact electrode is that the ear and its vicinity are areas where the myoelectric signal is extremely small, and a relatively stable relative positional relationship with the head, even if the user is in the measurement period. The body moves, for example, slightly turning the body, or turning the neck, the contact between the electrodes and the skin remains stable, and does not cause too much interference that affects the measurement results.
另外，在一般日常生活中，相較於其他身體部位，耳朵是較少受到衣物覆蓋的部位，可以較容易地在有需要時直接接觸，再者，耳朵 及其周圍的皮膚還具有毛髮較少的特性，電極與皮膚間的接觸可輕鬆無障礙的達成，因此，對使用者而言是相當方便的選擇。 In addition, in general daily life, the ear is a part that is less covered by the clothing than other body parts, and can be easily contacted directly when needed, and further, the ear The skin around it and the skin also have less hair characteristics, and the contact between the electrodes and the skin can be easily achieved without barriers, and is therefore a convenient choice for the user.
所以，在實際操作時，如第5B圖所示，使用者只要利用手接觸配戴於耳朵上之裝置上的該第二電極，就可輕易地達成心電訊號擷取迴路，相當方便。 Therefore, in actual operation, as shown in FIG. 5B, the user can easily achieve the ECG signal capture circuit by simply touching the second electrode on the device worn on the ear by hand, which is quite convenient.
另外，在一較佳實施例中，該殼體20亦可透過一連接線而連接至該耳戴結構，並透過一腕戴結構而設置於一手腕上，如第5C圖所示，如此一來，原本位於耳朵附近與耳戴結構結合的硬體配置，例如，電路、電池等，可被移至手腕上，以耳朵在配戴裝置時的負擔，並且，該腕戴結構及/或該殼體也可作為設置該第二電極的位置，例如，可供使用者另一手接觸的位置，或是可接觸該殼體所在手腕的位置等，提供使用者另一種接觸選擇，或者，也可實施為該耳戴結構以及該腕戴結構上皆具有殼體，如第5D圖所示，因此，沒有限制。 In addition, in a preferred embodiment, the housing 20 can also be connected to the ear wearing structure through a connecting wire and disposed on a wrist through a wrist wearing structure, as shown in FIG. 5C. A hardware configuration, such as a circuit, a battery, or the like, that is originally associated with the ear-worn structure near the ear, can be moved to the wrist, with the burden of the ear when the device is worn, and/or the wrist-worn structure and/or the The housing can also be used as a position for arranging the second electrode, for example, a position for the user to touch the other hand, or a position where the wrist of the housing can be contacted, etc., to provide another contact option for the user, or Both the ear-wearing structure and the wrist-worn structure have a housing as shown in Fig. 5D, and therefore, there is no limitation.
在此，根據本發明耳戴結構的實施形式可以有各種選擇，例如，一般日常生活中常見的固定方式，如第6A-6C圖所示之耳掛、耳塞、耳夾等形式，讓使用者不需要重新學習，可以很自然的進行配置，因此，使用者只需簡單地如平時戴耳機的動作，即可完成電極設置；而且，當透過上述之固定方式而將電極設置於耳朵上時，電極與皮膚的接觸不需使用者施力即可達成，肌電訊號的干擾可被降至最低，可獲得品質良好的訊號。 Here, the embodiment of the ear-wearing structure according to the present invention may have various options, for example, a fixing method commonly used in daily life, such as ear hooks, earplugs, ear clips, etc. shown in Figures 6A-6C, for the user. It does not need to be re-learned, and it can be configured naturally. Therefore, the user can simply complete the electrode setting by simply wearing the earphones; and when the electrodes are placed on the ear through the above fixed manner, The contact between the electrode and the skin can be achieved without the user's exertion of force, and the interference of the myoelectric signal can be minimized, and a good quality signal can be obtained.
另外，特別地是，在一較佳實施例中，該耳戴結構係實施為利用磁力的方式而附著於耳朵上，舉例而言，可利用隔著耳朵彼此磁性相吸的兩個部件，並將電極設置於其中一部件上，且兩個部件可實施為兩者 皆具有磁性，或是一個部件具有磁力，而另一個部件可被磁力吸引，沒有限制，在此，磁力可以透過於部件的內部設置磁性物質，或是直接由磁性物質製成部件而達成，另外，同樣地，受磁力吸引的物質亦可設置於部件內部或用以形成部件。 In addition, in particular, in a preferred embodiment, the earwear structure is implemented to be attached to the ear by means of a magnetic force, for example, two components that are magnetically attracted to each other across the ear, and The electrode is disposed on one of the components, and the two components can be implemented as both All of them are magnetic, or one part has a magnetic force, and the other part can be attracted by a magnetic force, and there is no limitation. Here, the magnetic force can be made by disposing a magnetic substance inside the part or directly by a magnetic substance, and Similarly, the substance attracted by the magnetic force may be disposed inside the component or used to form the component.
至於要在耳朵上的哪個位置取得心電訊號，則是沒有限制，可以是耳朵本身的任何位置，例如，耳道內，耳垂，耳廓內面，例如，耳甲腔、耳道口等，耳輪，以及耳廓背面，以及如第7圖所示，耳朵附近的區域，例如，耳朵與頭殼交界處附近的皮膚等，這些位置都是可用以接觸電極並取得心電訊號的位置。 As for the position on the ear to obtain the ECG signal, there is no limit, and it can be any position of the ear itself, for example, in the ear canal, the earlobe, the inner surface of the auricle, for example, the ear cavity, the ear canal, etc., the ear wheel And the back of the auricle, as shown in Fig. 7, the area near the ear, for example, the skin near the junction of the ear and the head, etc. These positions are the locations where the electrodes can be contacted and the ECG signal is obtained.
另外，由於設置位置為耳朵，因此，根據本發明的耳戴式心電檢測裝置亦很適合與耳機相結合，例如，有線或無線耳機，如此一來，除了可讓心電檢測更融入日常生活外，也可透過耳機的發聲功能而發揮更大的效果，例如，可藉由聲音及/或語音而提供使用者分析結果，例如，提醒出現心電訊號異常，或是定時提醒使用者記錄下心電圖等，更為便利。 In addition, since the setting position is an ear, the ear-mounted electrocardiographic detecting device according to the present invention is also suitable for combination with an earphone, for example, a wired or wireless earphone, in addition to allowing the electrocardiographic detection to be more integrated into daily life. In addition, it can also exert greater effects through the sounding function of the earphone. For example, the user can provide the result of the analysis by sound and/or voice, for example, to remind the user that the ECG signal is abnormal, or to remind the user to record the time. Electrocardiogram, etc., is more convenient.
在此，需要注意地是，兩個耳朵都是可以選擇的配戴位置，然而，經實驗後得知，第二電極的接觸位置對於訊號品質有相當程度的影響，其中，當第二電極實施為接觸左上肢時，所獲得之心電訊號的品質遠優於接觸右上肢所取得的訊號，因此，在以接觸耳朵之方式而進行心電訊號測量時，較佳地是利用左上肢接觸該第二電極，以避免因接觸右上肢而造成訊號品質不良，進而導致分析產生誤判。 Here, it should be noted that both ears are selectable wearing positions. However, it has been experimentally found that the contact position of the second electrode has a considerable influence on the signal quality, wherein when the second electrode is implemented In order to contact the left upper limb, the quality of the ECG signal obtained is much better than that obtained by contacting the right upper limb. Therefore, when the ECG measurement is performed in contact with the ear, it is preferable to contact the left upper limb. The second electrode prevents the signal quality from being bad due to contact with the right upper limb, which leads to misjudgment in the analysis.
並且，特別地，根據本發明再一方面的構想，還可進一步地，將該第一電極以及該第二電極實施為分別藉由指戴結構以及耳戴結構而達 成與皮膚的接觸，如第8A-8B圖所示，如此一來，使用者只需將穿戴結構分別配戴於在耳朵及手指上，即已完成測量心電訊號所需的電極配置，相當方便，而且，二個電極與皮膚間的接觸皆是由穿戴結構主動施力所達成，更使因肌肉緊張度所造成的肌電訊號干擾可被降至最低。 And, in particular, according to another aspect of the present invention, the first electrode and the second electrode may be further implemented by the finger-wearing structure and the ear-wearing structure, respectively. In contact with the skin, as shown in Figures 8A-8B, the user only needs to wear the wearing structure on the ear and the finger respectively, that is, the electrode configuration required for measuring the ECG signal is completed, which is equivalent. Conveniently, the contact between the two electrodes and the skin is achieved by the active application of the wear structure, and the myoelectric signal interference caused by muscle tension can be minimized.
在此，可如第8A圖及第8B圖所示，只在單個穿戴結構上結合有殼體，或者，也可二個穿戴結構上皆設有殼體，沒有限制，並且，電路系統也同樣沒有限制地可容置於任一個穿戴結構以及殼體中，依實際需求而改變。 Here, as shown in FIGS. 8A and 8B, the housing may be combined only on a single wearing structure, or the housing may be provided on both wearing structures, without limitation, and the circuit system is also the same. It can be accommodated in any wearable structure and housing without limitation, and is changed according to actual needs.
此外，除了配合指戴結構上的心電電極以外，設置於耳朵上的心電電極亦可配合設置於其他位置的心電電極而取得心電訊號，例如，頸部、肩膀、上臂、前臂等位置，例如，可透過如項鍊、項圈的頸戴結構而設置於頸部及肩膀附近，也可透過臂戴結構或腕戴結構而設置於手臂上，同樣相當方便。因此，只要能夠投影出心電圖的電極設置位置皆屬本發明所欲規範的範疇。 In addition, in addition to the electrocardiographic electrodes on the finger-wearing structure, the electrocardiographic electrodes disposed on the ear can also be combined with the electrocardiographic electrodes disposed at other locations to obtain ECG signals, such as the neck, shoulders, upper arms, forearms, etc. The position, for example, can be placed around the neck and shoulders through a neck-wearing structure such as a necklace or a collar, or can be placed on the arm through an arm-worn structure or a wrist-worn structure, which is also quite convenient. Therefore, any electrode placement position capable of projecting an electrocardiogram is within the scope of the present invention.
根據本發明又一方面的構想，該穿戴結構係實施為一腕戴結構，因此，根據本發明的穿戴式心電檢測裝置係由該腕戴結構所承載，並藉以設置於使用者的一手腕上，而該電路系統則是容置於該腕戴結構內，及/或進一步包括的一殼體內。 According to a further aspect of the present invention, the wearing structure is implemented as a wrist-worn structure, and therefore, the wearable electrocardiographic detecting device according to the present invention is carried by the wrist-worn structure and is disposed on a wrist of the user. And the circuitry is housed within the wrist-worn structure and/or further included in a housing.
其中，如第9A圖所示，該第一電極10係位在當該腕戴結構被設置於手腕上時，該裝置上可因穿戴動作而與該手腕附近皮膚接觸的一表面上，至於該第二電極12則是位在該裝置上除了該表面外的另一表面上，例如，可以是與該表面相對的表面，或是與其相鄰的表面上，只需注 意是不會接觸該手腕所在肢體皮膚的位置即可。在此，該第一電極10亦可實施為具有二個電極，如第9B圖所示，並將其中一個電極作為接地或參考電極，以抑制共模雜訊，例如，來自電源之雜訊，因此，實施上沒有限制。 Wherein, as shown in FIG. 9A, the first electrode 10 is tied to a surface of the device that can be in contact with the skin near the wrist due to the wearing action when the wrist-worn structure is disposed on the wrist. The second electrode 12 is located on the other surface of the device other than the surface, for example, may be the surface opposite to the surface, or the surface adjacent thereto, only need to note This means that you will not touch the position of the skin of the wrist where the wrist is located. Here, the first electrode 10 can also be implemented to have two electrodes, as shown in FIG. 9B, and one of the electrodes is used as a ground or reference electrode to suppress common mode noise, for example, noise from a power source. Therefore, there is no limit to implementation.
在此，選擇手腕作為設置心電檢測裝置之位置的主要原因係在於，因為腕戴形式對一般使用者而言，就如同配戴手錶一樣，是熟悉且無須重新學習的使用方式，直接將腕戴結構結合於手腕上即可完成第一電極與皮膚間的接觸，之後，當隨時有需要紀錄下心電圖時，只需再進行將該第二電極與該手指所在肢體以外的其他部分皮膚的接觸就可馬上進行心電訊號擷取，操作流程及動作簡單、自然又方便。而且，藉由腕戴結構對手腕施力，該第一電極與皮膚間的接觸無須使用者施力即可達成，可讓肌肉緊張度對於心電訊號的影響降至最低。 Here, the main reason for selecting the wrist as the position for setting the electrocardiographic detecting device is that since the wrist-worn form is the same as the wearing of the watch, it is familiar and does not need to be re-learned, and the wrist is directly worn. The wearing structure is combined with the wrist to complete the contact between the first electrode and the skin. Then, when it is necessary to record the electrocardiogram at any time, it is only necessary to contact the second electrode with the skin other than the limb of the finger. The ECG signal can be taken immediately, and the operation process and action are simple, natural and convenient. Moreover, by applying a force to the wrist of the wrist wearing structure, the contact between the first electrode and the skin can be achieved without the user's exertion, and the influence of the muscle tension on the ECG signal can be minimized.
所以，在實際操作時，如第9C圖所示，使用者只要利用手接觸該第二電極，就可輕易地達成心電訊號擷取迴路，相當方便。而除了穿戴結構上承載有殼體的形式外，亦可如第9D圖所示，將電路容置於腕戴式結構中，因此，沒有限制。 Therefore, in actual operation, as shown in FIG. 9C, the user can easily reach the ECG signal capture circuit by using the hand to contact the second electrode, which is quite convenient. In addition to the form in which the housing is carried on the wearing structure, the circuit can be accommodated in the wrist-worn structure as shown in FIG. 9D, and thus, there is no limitation.
並且，特別地，根據本發明又一方面的構想，還可進一步地，如第9E-9F圖所示，將該第一電極10以及該第二電極12實施為分別藉由腕戴結構90以及指戴結構92而達成與皮膚的接觸，如此一來，使用者只需將穿戴結構分別配戴於在手指及手腕上，即已完成測量心電訊號所需的電極配置，相當方便，而且，二個電極與皮膚間的接觸皆是由穿戴結構主動施力所達成，使用者無須施力即可達成與電極的接觸，再加上，若使用者可在進行測量時將雙手皆放置於固定的平面上，將可使因肌肉緊張度所造成的 肌電訊號干擾可被降至最低，相當具有優勢。 And, in particular, according to the concept of still another aspect of the present invention, further, as shown in FIG. 9E-9F, the first electrode 10 and the second electrode 12 are implemented by the wrist-worn structure 90 and Refers to wearing the structure 92 to achieve contact with the skin, so that the user only needs to wear the wearing structure on the finger and the wrist, that is, the electrode configuration required for measuring the ECG signal is quite convenient, and The contact between the two electrodes and the skin is achieved by the active application of the wearing structure, and the user can reach the contact with the electrode without applying force, and if the user can put both hands in the measurement On a fixed plane, it will be caused by muscle tension EMG interference can be minimized and is quite advantageous.
再者，進一步地，根據本發明的腕戴式心電檢測裝置亦可包括一連接埠14，如第10A-10C圖所示，以透過一連接線而電連接一第三電極16，在此，該第三電極可進一步實施為取代該第二電極的功能，例如，可實施為該第二電極會在該第三電極連接至該連接埠時自動被失能，或者，也可透過一切換開關而讓使用者自行決定要啟動的是哪一個電極，實施方式不受限制，此外，該第三電極16也可實施為藉由穿戴結構而達成與皮膚接觸，例如，耳戴結構(如第10B圖所示)、指戴結構(如第10C圖所示)、或腕戴結構等。 Furthermore, the wrist-worn electrocardiographic detecting device according to the present invention may further include a connecting port 14 electrically connected to a third electrode 16 through a connecting wire as shown in FIGS. 10A-10C. The third electrode may be further implemented to replace the function of the second electrode. For example, the second electrode may be automatically disabled when the third electrode is connected to the connection port, or may be switched through a switch. The switch allows the user to decide which electrode to activate, and the embodiment is not limited. In addition, the third electrode 16 can also be implemented to achieve skin contact by wearing the structure, for example, an ear wearing structure (eg, Figure 10B shows), refers to the wearing structure (as shown in Figure 10C), or the wrist-worn structure.
替代地，該第三電極16亦可實施為透過連接器的方式連接，如第10D圖所示，此時，第一電極10會因配戴該腕戴結構而接觸使用者的手腕，以及第三電極16會位在該指戴結構之中，在此情形下，由於指戴結構是透過連接器而與手腕上的裝置相結合，因此，可達成相當穩定的測量姿勢，更有助於取得高品質的心電訊號。 Alternatively, the third electrode 16 can also be connected through a connector, as shown in FIG. 10D. At this time, the first electrode 10 contacts the wrist of the user by wearing the wrist-worn structure, and The three electrodes 16 are positioned in the finger-wearing structure. In this case, since the finger-wearing structure is combined with the device on the wrist through the connector, a relatively stable measurement posture can be achieved, which is more helpful to obtain. High quality ECG signal.
當如第10B-10C圖所示透過連接線而延伸出第三電極時，相較於位在裝置表面的第二電極，本發明的裝置將可提供更多的接觸位置選擇，以取得不同心臟角度投影的心電圖，舉例而言，當使用第二電極時之心臟投影角度是透過兩隻手(配戴腕戴結構的手腕以及接觸第二電極的手部)而取得時，使用第三電極就可提供利用耳戴結構接觸耳朵(例如，配戴腕戴結構的左手以及配戴耳戴結構的左耳)以取得不同心臟投影角度心電圖的選擇。 When the third electrode is extended through the connecting wire as shown in Figs. 10B-10C, the device of the present invention can provide more contact position selection to obtain different hearts than the second electrode positioned on the surface of the device. An angle-projected electrocardiogram, for example, when the second electrode is used, the angle of projection of the heart is obtained by both hands (the wrist wearing the wrist-worn structure and the hand contacting the second electrode), and the third electrode is used. An ear-wearing structure can be provided to contact the ear (eg, a left hand wearing a wrist-worn structure and a left ear wearing an ear-worn structure) to achieve an electrocardiogram of different cardiac projection angles.
如前所述地，由於產生病變的心臟部位可能位在任何心臟位 置，例如，心肌梗塞的檢查需要察看心電波形中是否出現因心肌壞死而出現的ST飄移，但當病變發生位置在某些角度下無法被察覺時，不同角度的心電圖就有其必要性。 As mentioned earlier, the heart part of the lesion may be located in any heart position. For example, the examination of myocardial infarction needs to see whether there is ST drift in the ECG waveform due to myocardial necrosis, but when the location of the lesion cannot be detected at certain angles, the ECG of different angles is necessary.
因此，本發明的裝置透過延伸出第三電極的方式，讓使用者除了可藉由接觸位在表面之第二電極而進行心電訊號測量外，亦可在有需求時，簡單地透過再連接一電極的方式，而得到更多有關心臟的資訊。 Therefore, the device of the present invention allows the user to perform electrocardiographic signal measurement by contacting the second electrode on the surface by means of extending the third electrode, and can simply reconnect the connection when needed. An electrode way to get more information about the heart.
另外，延伸出的第三電極亦進一步提供了其他使用上的優勢。 In addition, the extended third electrode further provides other advantages in use.
在本發明中，第二電極的設置讓使用者可以很簡單且迅速地在有需要時藉由觸碰表面電極的方式而取得心電訊號，而延伸而出的第三電極則提供了使用者取得穩定訊號的另一個選擇。由於在使用第三電極時，其是藉由穿戴結構而使第三電極與使用者身體一部分皮膚接觸，因此，可將最容易影響心電訊號品質的肌肉緊張度、手部晃動等因素排除，進而獲得更為穩定且高品質的心電訊號。 In the present invention, the arrangement of the second electrode allows the user to easily and quickly obtain the ECG signal by touching the surface electrode as needed, and the extended third electrode provides the user. Another option to get a stable signal. Since the third electrode is in contact with a part of the skin of the user's body when the third electrode is used, the muscle tension and the hand shaking which are most likely to affect the quality of the electrocardiographic signal can be excluded. In turn, a more stable and high quality ECG signal is obtained.
此外，相對於觸碰第二電極的手，如第10B-10C圖所示透過連接線延伸而出的第三電極也讓使用者可選擇心電訊號較強的測量位置，例如，距離心臟較近的位置，以讓干擾訊號的影響變小，例如，相同大小的肌電訊號在心電訊號較強的情形下可被排除，但在心電訊號較微弱的情形下就很可能會因無法與心電訊號做出區別而產生誤判，所以，使用者就可透過將第三電極設置於可取得較強心電訊號的位置，進而生分析結果的正確性。 In addition, with respect to the hand touching the second electrode, the third electrode extending through the connecting line as shown in FIG. 10B-10C also allows the user to select a measurement position with a strong ECG signal, for example, from the heart. Close position, so that the influence of the interference signal is reduced. For example, the same size of the myoelectric signal can be excluded in the case of a strong ECG signal, but in the case of a weak ECG signal, it is likely to be incompatible with the heart. The difference between the electrical signals and the misjudgment is made. Therefore, the user can set the third electrode to a position where a strong ECG signal can be obtained, thereby generating the correctness of the analysis result.
所以，根據本發明的腕戴式心電檢測裝置乃會具有二種操作 模式，第一操作模式以及第二操作模式，在該第一操作模式中，由該第一電極以及該第二電極一起形成第一心電訊號擷取迴路，以取得第一種心電圖，以及在該第二操作模式中，該第一電極以及該第三電極一起形成第二心電訊號擷取迴路，進而取得第二種心電圖，而透過如此可供選擇的操作模式設計，即使面臨不同的操作環境以及使用習慣，都可取得穩定且高品質心電訊號。 Therefore, the wrist-worn electrocardiographic detecting device according to the present invention has two operations. a mode, a first mode of operation, and a second mode of operation, in the first mode of operation, the first electrode and the second electrode are combined to form a first electrocardiographic signal capture circuit to obtain a first electrocardiogram, and In the second mode of operation, the first electrode and the third electrode together form a second ECG acquisition circuit, thereby obtaining a second electrocardiogram, and through such an optional operation mode design, even if facing different operations A stable and high-quality ECG signal is available for both the environment and the habits of use.
而除了腕戴式心電檢測裝置外，同樣地，上述之根據本發明的指戴式心電檢測裝置以及耳戴式心電檢測裝置亦可實施為具有一連接埠，以連接一第三電極，取代該第二電極。 In addition to the wrist-worn electrocardiographic device, the finger-mounted ECG detecting device and the ear-mounted ECG detecting device according to the present invention may be implemented to have a connection port for connecting a third electrode. , replacing the second electrode.
舉例而言，如第11A圖所示，指戴式心電檢測裝置可透過連接線而連接一指戴式第三電極，以及如第11B圖，耳戴式心電檢測裝置也可透過連接線而連接一指戴式第三電極，此兩種情況皆讓原本需利用手接觸電極的操作模式被可提供主動施力的指戴結構所取代，如此一來，因手部接觸而可能產生的不穩定因子就可被排除，有助於取得更穩定的訊號；另外，如第11C圖所示，指戴式心電檢測裝置也可連接一耳戴式第三電極，除了提供無須施力的測量方式外，也取得與雙手接觸電極不同的心臟投影角度心電圖。因此，沒有限制。 For example, as shown in FIG. 11A, the wearable electrocardiographic detecting device can connect a finger-type third electrode through a connecting wire, and as shown in FIG. 11B, the ear-mounted electrocardiographic detecting device can also pass through the connecting wire. And connecting a finger-type third electrode, both of which make the operation mode that originally needs to be contacted with the hand electrode replaced by a finger-wearing structure that can provide an active force, so that it may be generated due to hand contact. The instability factor can be eliminated to help achieve a more stable signal; in addition, as shown in Fig. 11C, the wearable ECG detection device can also be connected to an ear-mounted third electrode, except that no force is applied. In addition to the measurement method, a cardiac projection angle electrocardiogram different from the two-hand contact electrode is also obtained. Therefore, there is no limit.
再進一步地，根據本發明的穿戴式心電檢測裝置亦可實施為，可同時透過第一電極與第二電極取得第一種心電圖，以及透過第一電極與第三電極取得第二種心電圖，如第12A圖以及第12B圖所示，亦即，該第一電極在進行測量時，同時與該第二電極以及與該第三電極形成心電檢測迴路，如此一來，使用者就可依照不同的需求而選擇不同的操作模式， 以獲得最接近自身需求的心臟資訊。 Further, the wearable electrocardiogram detecting device according to the present invention may be configured to obtain a first electrocardiogram through the first electrode and the second electrode, and obtain a second electrocardiogram through the first electrode and the third electrode. As shown in FIG. 12A and FIG. 12B, that is, the first electrode forms an electrocardiographic detection circuit with the second electrode and the third electrode simultaneously when the measurement is performed, so that the user can follow the Choose different modes of operation for different needs, Get the heart information closest to your needs.
再者，根據本發明再一方面的構想，該穿戴結構係實施為一頭戴結構，因此，根據本發明的穿戴式心電檢測裝置係由該頭戴結構所承載，並藉以設置於使用者的頭部，而該電路系統則是容置於該頭戴結構內，及/或另外包括的一殼體內。 Furthermore, according to a further aspect of the present invention, the wearing structure is implemented as a head-mounted structure, and therefore, the wearable electrocardiographic detecting device according to the present invention is carried by the head-mounted structure and is provided to the user. The circuitry is housed within the housing and/or additionally included in a housing.
如第13圖所示，該第一電極係位在當該頭戴結構被設置於頭部時，該裝置上可因穿戴動作而與頭部之皮膚接觸的一表面上，至於該第二電極12則是位在該裝置上除了該表面外的另一表面上，以接觸上肢(例如，手指、手臂)、頸部、肩膀等位置的皮膚，進而達成心電訊號擷取迴路。在此，需注意地是，該第二電極的設置位置可以有各種選擇，舉例而言，可以位在與該頭戴結構之該表面相對的表面、或是與其相鄰的表面上，以供上肢進行觸碰，或是透過一指戴結構、腕戴結構、或臂戴結構而接觸上肢的皮膚；或者，替代地，也可連接可固定於耳朵上的一耳戴結構，並將該第二電極設置於該耳戴結構的外露表面，以供使用者利用上肢進行接觸；或者，替代地，也可透過連接線而將該第二電極延伸至頸部或肩膀等位置，例如，透過如項圈、項鍊的頸戴結構，同樣亦可取得心電訊號。因此，可以有各種可能，沒有限制。 As shown in FIG. 13, the first electrode is located on a surface of the device that can be in contact with the skin of the head due to the wearing action when the head structure is disposed on the head, and the second electrode 12 is located on the other surface of the device except the surface to contact the skin of the upper limb (eg, finger, arm), neck, shoulder, etc., thereby achieving an ECG signal capture circuit. Here, it should be noted that the second electrode can be disposed at various positions, for example, on a surface opposite to the surface of the head structure or on a surface adjacent thereto. Touching the upper limb or touching the skin of the upper limb through a finger-worn structure, a wrist-worn structure, or an arm-worn structure; or, alternatively, an ear-worn structure that can be attached to the ear, and the first The second electrode is disposed on the exposed surface of the ear-wearing structure for the user to make contact with the upper limb; or alternatively, the second electrode may be extended to a position such as a neck or a shoulder through the connecting wire, for example, The neck-wearing structure of the collar and necklace can also obtain the ECG signal. Therefore, there are various possibilities and no restrictions.
在此，該頭戴結構亦可實施為各種形式，例如，帶體，頭罩(headgear)，或是具調整機構的硬式頭框，或是眼鏡形式等，重點在於可達成電極與皮膚的接觸，因此，沒有限制。 Here, the head-wearing structure can also be implemented in various forms, for example, a belt body, a headgear, or a hard head frame with an adjustment mechanism, or a form of glasses, etc., with an emphasis on achieving electrode-to-skin contact. Therefore, there is no limit.
頭部與耳朵有類似的特性，不容易產生會對心電訊號造成干擾的肌電訊號，因此，同樣是適合設置心電電極的位置，而且，透過頭戴 結構，還可進一步設置腦電電極，以取得腦電訊號，舉例而言，只需於頭戴結構的內側設置至少二個腦電電極，或是於配合有耳戴結構時，在頭戴結構以及耳戴結構的內側分設一腦電電極，以接觸頭上的腦電訊號取樣點，例如，常見的取樣點包括Fp1、Fp2、O1、O2、A1、A2等、或是任何根據10-20系統所定義的位置，就可在幾乎不增加負擔的情形下，提供使用者更多的檢測功能，相當具有優勢。 The head and the ear have similar characteristics, and it is not easy to generate a myoelectric signal that interferes with the ECG signal. Therefore, it is also suitable for setting the position of the electrocardiographic electrode, and The structure may further include an EEG electrode to obtain an EEG signal. For example, only at least two EEG electrodes are disposed on the inner side of the head-mounted structure, or in the head-wearing structure when the ear-wearing structure is fitted And an EEG electrode is disposed on the inner side of the ear-wearing structure to contact the EEG sampling point on the head. For example, common sampling points include Fp1, Fp2, O1, O2, A1, A2, etc., or any basis according to 10-20 The position defined by the system can provide users with more detection functions without increasing the burden, which is quite advantageous.
而且，設置於頭戴結構上用以接觸頭部皮膚的心電電極，亦即，第一電極，還可進一步共用作為腦電電極，而與該第二電極形成心電訊號擷取電路，以及與一另一腦電電極形成腦電擷取電路。 Moreover, the electrocardiographic electrode disposed on the head structure for contacting the skin of the head, that is, the first electrode, may further share as an electroencephalogram electrode, and form an electrocardiographic signal extraction circuit with the second electrode, and Forming an EEG circuit with an other EEG electrode.
或者，替代地，共用的方式也可實施為，由兩個電極同時用於取得心電訊號以及腦電訊號，亦即，心電訊號以及腦電訊號透過同一個生理訊號擷取電路而取得，在此，可以這樣執行的原因是，心電訊號遠大於腦電訊號，其中，心電訊號約落在毫伏(mV)的範圍，而腦電訊號則落在微伏(μV)的範圍，因此，即使進入生理訊號擷取電路的同一個輸入端，兩者仍可彼此區分。 Alternatively, the shared method can also be implemented by using two electrodes simultaneously for obtaining the ECG signal and the EEG signal, that is, the ECG signal and the EEG signal are obtained through the same physiological signal acquisition circuit. Here, the reason for this can be that the ECG signal is much larger than the EEG signal, wherein the ECG signal falls within the range of millivolts (mV), and the EEG signal falls within the range of microvolts (μV). Therefore, even if they enter the same input of the physiological signal capture circuit, the two can be distinguished from each other.
在實施時，舉例而言，可利用一個接觸頭部的電極，配合上另一個可同時接觸頭部及手部的電極而來達成心電訊號以及腦電訊號的取得，其中，該同時接觸頭部及手部的電極，以最常見的金屬電極片為例，可實施為接觸手部以及頭部的二個電極片彼此電連接，也可實施為一個電極片的二個部分分別接觸手部以及頭部，例如，當設置於頭戴結構上時，於內側接觸頭部的皮膚以及外側手部的皮膚，因此，實施形式不受限。 In the implementation, for example, an electrode contacting the head can be used to cooperate with another electrode that can simultaneously contact the head and the hand to obtain the ECG signal and the EEG signal, wherein the simultaneous contact head The electrode of the part and the hand, for example, the most common metal electrode piece can be electrically connected to the two electrode pieces contacting the hand and the head, or can be implemented as two parts of one electrode piece respectively contacting the hand And the head, for example, when placed on the headgear structure, contacts the skin of the head and the skin of the outside hand on the inside, and therefore, the embodiment is not limited.
據此，腦電電極也同樣適合設置於如第5-6圖以及第8圖的耳 戴結構上。首先，耳朵及耳朵附近區域有可偵測到大腦皮質活動的位置，例如，顳葉區(temporal lobe)，再者，在腦電檢測領域中，耳朵由於構造以及位置皆與頭部相分離，不易受腦部活動的影響，故一直被視為是設置參考電極的最佳位置之一，所以，將參考電極結合於耳戴結構中而與耳朵接觸，原本即為腦電檢測時所常見，因此，根據本發明的耳戴式心電檢測裝置上亦相當適合於結合設置腦電電極，以取得腦電訊號，並且，也與同樣適合採用共用電極的方式，亦即，將第一電極同時實施為腦電電極。 Accordingly, the electroencephalogram electrode is also suitable for the ear as shown in Figures 5-6 and 8 Wear the structure. First, there are areas in the vicinity of the ears and ears that detect the activity of the cerebral cortex, for example, the temporal lobe. Furthermore, in the field of EEG detection, the ears are separated from the head due to their structure and position. It is not easily affected by brain activity, so it has always been regarded as one of the best positions for setting the reference electrode. Therefore, the reference electrode is combined with the ear in the ear-wearing structure, which is common in EEG detection. Therefore, the ear-mounted electrocardiographic detecting device according to the present invention is also quite suitable for combining and providing an electroencephalogram electrode to obtain an electroencephalogram signal, and is also suitable for adopting a common electrode, that is, simultaneously using the first electrode Implemented as an EEG electrode.
更進一步，在第5-6圖以及第8圖的實施例中，除了將二個腦電電極皆設置於耳戴結構上以外，還可另外連接一頭戴結構，以將一腦電電極設置於其中，如此一來，就可透過分別設置於頭戴結構以及耳戴結構上的腦電電極取得腦電訊號，並透過設置於耳戴結構內的心電電極配合上設置於耳戴結構外露表面上的心電電極(第5-6圖)、或是設置於指戴結構上的心電電極(第8圖)的心電電極而取得心電訊號，進而提供各種可能的實施選擇。 Further, in the embodiments of FIGS. 5-6 and 8 , in addition to the two electroencephalogram electrodes being disposed on the ear-wearing structure, a head-mounted structure may be additionally connected to set an electroencephalogram electrode. In this way, the EEG signal can be obtained through the EEG electrodes respectively disposed on the head-mounted structure and the ear-wearing structure, and the ear-wearing structure is exposed through the ECG electrode disposed in the ear-wearing structure. The electrocardiographic electrodes on the surface (Figs. 5-6) or the electrocardiographic electrodes of the electrocardiographic electrodes (Fig. 8) placed on the finger-like structure obtain ECG signals, thereby providing various possible implementation options.
在實際使用時，根據本發明的心電檢測裝置由於採用穿戴形式的設計，因此提供了於穿戴期間方便地連續取得心電訊號的可能性，也因此提供使用者更多的便利功能。 In actual use, the electrocardiographic detecting device according to the present invention provides a possibility of continuously and continuously obtaining an electrocardiographic signal during wear due to the design of the wearable form, and thus provides the user with more convenient functions.
首先，由於採用穿戴的形式可讓使用者無負擔地穿戴於身上，因此，相當適合在日常生活中配戴使用，舉例而言，使用者可在日常生活中將裝置戴於耳朵上、手指上、或手腕上，而在隨時有需要時，例如，覺得心臟不舒服時，即時地啟動心電訊號檢測，或是每天定期地進行心電圖檢測，有效地掌握自身的心臟變化。 Firstly, since the wearable form allows the user to wear on the body without burden, it is quite suitable for wearing in daily life. For example, the user can wear the device on the ear and on the finger in daily life. On the wrist, or on the wrist, when you need it at any time, for example, when you feel uncomfortable, start the ECG detection immediately, or perform ECG detection regularly every day to effectively control your heart changes.
尤其，心律不整的發生常常是無預警的，因此，透過這樣穿戴於身上的心電檢測裝置，就可即時地紀錄下發生心律不整時的心電圖、或是使用者感覺心跳不規則時的心電圖，以作為醫生判斷是否患有心律不整時的依據。 In particular, the occurrence of arrhythmia is often unwarranted. Therefore, the electrocardiogram detecting device worn on the body can instantly record the electrocardiogram when the arrhythmia occurs, or the electrocardiogram when the user feels that the heartbeat is irregular. As a basis for doctors to determine whether they have arrhythmia.
舉例而言，無論是採用指戴、耳戴、或腕戴形式的心電檢測裝置，使用者皆可在感到不舒服時、或是想要記錄下心電圖，藉由手部接觸第二電極的方式而即時取得心電圖，如第2A圖，第5B圖，以及第9C圖所示；替代地，若採用第二電極透過穿戴結構而設置於身上、或是使用第三電極的情況時，由於取得心電訊號的二個電極皆已完成接觸，因此，使用者只需啟動心電訊號測量，例如，透過按壓啟動鍵，就可即時地記錄下心電圖。無論何種情形，在使用上皆相當簡單且方便。 For example, whether using an electrocardiographic device in the form of finger-wearing, ear-wearing, or wrist-worn, the user may feel uncomfortable or want to record an electrocardiogram by touching the second electrode with the hand. Obtaining an electrocardiogram in a timely manner, as shown in FIG. 2A, FIG. 5B, and FIG. 9C; alternatively, if the second electrode is disposed on the body through the wearing structure or the third electrode is used, The two electrodes of the ECG signal are all in contact, so the user only needs to activate the ECG measurement. For example, by pressing the start button, the ECG can be recorded instantly. In any case, it is quite simple and convenient to use.
在此，根據本發明的裝置可設定為會在心電測量被啟動後自動地記錄下一固定時間的心電圖，例如，30秒或1分鐘，以讓使用者可輕鬆地即時記錄下心臟感到不適時，例如，發生心律不整時，的心電圖。 Here, the device according to the present invention can be set to automatically record the next fixed time electrocardiogram after the electrocardiographic measurement is activated, for example, 30 seconds or 1 minute, so that the user can easily record the heart immediately when it feels uncomfortable. For example, when an arrhythmia occurs, the electrocardiogram.
另外，使用者也可選擇長時間紀錄下連續的心電圖，尤其是當二個電極皆透過穿戴結構而設置於身上的時候，而藉由分析長時間連續取得的心電圖，使用者可獲得更多的資訊。 In addition, the user can also choose to record a continuous electrocardiogram for a long time, especially when both electrodes are placed on the body through the wearing structure, and by analyzing the electrocardiogram continuously obtained for a long time, the user can obtain more News.
舉例而言，可根據連續心電圖而取得連續心率序列的資訊，以進行HRV(Heart Rate Variability，心率變異率)分析。HRV分析是觀察自律神經活動最主要的方法，透過HRV分析所產生的分析結果，可詳細的瞭解自律神經活動的情形，例如，交感神經的活性，副交感神經的活性，自律神經的平衡狀況，以及自律神經整體的活性大小等，且已有越來越多的 研究顯示，許多疾病，例如，頭痛、腸胃道不適、高血壓、失眠、憂鬱症等，都可能是由於自律神經失調所導致。所以，透過長時間連續HRV分析結果就可得知在日常作息中，自律神經活動的變化情形，進而探討日常生活中哪些行為或情緒是否導致自律神經失調，以及上述的疾病是否導因於自律神經失調等。 For example, information on a continuous heart rate sequence can be obtained from a continuous electrocardiogram for HRV (Heart Rate Variability) analysis. HRV analysis is the most important method for observing autonomic nervous activity. Through the analysis results produced by HRV analysis, detailed information on autonomic nervous activity can be obtained, for example, sympathetic activity, parasympathetic activity, autonomic balance, and The activity of the autonomic nervous system as a whole, and more and more Studies have shown that many diseases, such as headache, gastrointestinal discomfort, high blood pressure, insomnia, depression, etc., may be caused by autonomic nervous disorders. Therefore, through the long-term continuous HRV analysis results, we can know the changes of autonomic nerve activity in daily routine, and then explore whether any behaviors or emotions in daily life lead to autonomic nervous disorders, and whether the above diseases are caused by autonomic nerves. Disorders, etc.
而且，由於根據本發明的裝置是採用穿戴的形式，因此，透過該資訊提供單元，還可將即時HRV分析的結果提供予使用者，因此，使用者就可即時地得知有哪些行為或情緒可能造成自律神經失衡，且更進一步地，透過本發明這樣的設計，使用者還可即時進行身心調整，例如，放鬆身心，而得知自律神經是否因此而恢復至較為協調的狀態。 Moreover, since the device according to the present invention is in the form of wear, the result of the instant HRV analysis can also be provided to the user through the information providing unit, so that the user can immediately know which behaviors or emotions are present. It is possible to cause an autonomic nervous imbalance, and further, with the design of the present invention, the user can immediately perform physical and mental adjustments, for example, relaxing the body and mind, and knowing whether the autonomic nerve has returned to a more coordinated state.
此外，當於睡眠期間使用時，透過對睡眠期間連續心電圖進行HRV分析，也可瞭解睡眠期間的生理變化，例如，可以判斷睡眠週期，可以了解睡眠品質等，相當具便利性。 In addition, when used during sleep, the HRV analysis of the continuous electrocardiogram during sleep can also be used to understand the physiological changes during sleep. For example, the sleep cycle can be judged, and the sleep quality can be understood, which is quite convenient.
在此，需注意地是，在取得心電訊號後，根據本發明的裝置可實施為將心電訊號先儲存下來，待測量結束後，再輸出進行進一步的處理，例如，輸出至電腦裝置進行儲存以及分析等；及/或，由於本發明之裝置具有資訊提供單元，故亦可即時地將相關的資訊、或分析結果提供予使用者，例如，平均心率、HRV分析結果等，及/或，該資訊提供單元也可實施為將所記錄下的心電訊號及/或資料即時地傳輸至一外部裝置，例如，手機、平板電腦等，而由該外部裝置進行即時顯示及/或分析，因此，沒有限制。 Here, it should be noted that after the ECG signal is obtained, the device according to the present invention can be implemented to store the ECG signal first, and after the measurement is completed, output the signal for further processing, for example, output to a computer device. Storage and analysis, etc.; and/or, since the device of the present invention has an information providing unit, relevant information or analysis results can be immediately provided to the user, for example, average heart rate, HRV analysis results, etc., and/or The information providing unit can also be implemented to instantly transmit the recorded ECG signals and/or data to an external device, such as a mobile phone, a tablet computer, etc., for immediate display and/or analysis by the external device. Therefore, there is no limit.
再者，根據本發明的穿戴式心電檢測裝置亦提供了讓使用者 可隨身進行呼吸訓練的途徑。透過穿戴於身上的形式，根據本發明的裝置可取得連續心電訊號，並獲得心跳間隔的時間序列，亦即，心率序列，而透過分析該心率序列，就可獲得相關竇性心律不整(Respiratory Sinus Arrhythmia，RSA)的資訊，所謂的RSA是指，在心率是受自律神經控制的情形下，呼吸因對自律神經系統產生影響而使得心跳出現變化的現象，一般而言，吸氣期間會使心跳加速，而呼吸期間則使心跳減緩，故可藉由觀察RSA而得知呼吸的變化模式以及自律神經的活動情形。 Furthermore, the wearable electrocardiographic detecting device according to the present invention also provides a user The means of breathing training can be carried out with you. By wearing the body, the device according to the present invention can obtain a continuous ECG signal and obtain a time series of heartbeat intervals, that is, a heart rate sequence, and by analyzing the heart rate sequence, relevant sinus arrhythmia can be obtained (Respiratory) Sinus Arrhythmia (RSA), the so-called RSA refers to the phenomenon that the heartbeat changes due to the influence of the autonomic nervous system in the case where the heart rate is controlled by the autonomic nervous system. Generally, the inhalation period will occur. The heartbeat is accelerated, and the heartbeat is slowed down during breathing, so the pattern of changes in breathing and the activity of the autonomic nerve can be known by observing the RSA.
另，由於呼吸是一種受自律神經控制又可受意識影響的生理活動，因此，可透過有意識地調整呼吸而影響自律神經，以達到放鬆身心的效果，其中，根據研究顯示，呼吸速率(respiration rate)、潮氣量、以及呼氣期間/吸氣期間比例皆是影響交感與副交感神經活性的因子，其中，速率變慢可降低交感神經的活性，而速率變快則會使交感神經活性增加，舉例而言，一般成人的呼吸速率約落在每分鐘10-18次的範圍內，當呼吸的速率可降低至每分鐘5-8次的範圍時，可有助於增加副交感神經活性，另外，當呼氣期間/吸氣期間比例增加時，亦即，當具有相對於吸氣期間而言較長的呼氣期間時，副交感神經的活性同樣可獲得提升。 In addition, since breathing is a physiological activity that is controlled by autonomic nerves and can be affected by consciousness, it can affect the self-regulating nerve by consciously adjusting the breathing to achieve the effect of relaxing the body and mind. Among them, according to research, the breathing rate (respiration) Rate), tidal volume, and ratio during expiration/inhalation are factors that affect sympathetic and parasympathetic activity. Among them, slower rate can reduce the activity of sympathetic nerves, while faster rate will increase sympathetic nerve activity. For example, the average adult's breathing rate falls within the range of 10-18 times per minute. When the rate of breathing can be reduced to 5-8 times per minute, it can help increase parasympathetic activity. The activity of the parasympathetic nerve can also be improved when the ratio during the exhalation/inhalation period is increased, that is, when there is a longer exhalation period relative to the inspiratory period.
所以，一般而言，呼吸訓練即是藉由提供使用者具有有助於放鬆身心之呼吸模式的一呼吸導引而進行，例如，呼吸導引會提供落在可降低交感神經活性之每分鐘5-8次的呼吸速率，及/或在可自然呼吸的前提下，增長的呼氣期間，以導引使用者降低呼吸速率及/或增長呼氣期間，進而增加副交感神經活性，抑制交感神經，而讓人體可從緊張狀態中解除，恢復放鬆。 Therefore, in general, breathing training is performed by providing a breathing guide that the user has a breathing pattern that helps to relax the body and mind. For example, the breathing guide provides a minute per minute that reduces sympathetic activity. -8 times of breathing rate, and / or in the case of natural breathing, during the extended exhalation period, to guide the user to lower the breathing rate and / or increase the exhalation period, thereby increasing parasympathetic nerve activity, inhibiting sympathetic nerves, And the body can be lifted from tension and relaxed.
而且，由於自律神經失調亦是心律不整的重要成因之一，因此，在使用本裝置之使用者的目的之一是希望即時記錄下心律不整發生時之心電圖的情形下，本發明裝置提供呼吸導引訓練功能，以讓使用者藉由控制呼吸而改變自律神經平衡的方式，將有助於改善心律不整症狀，兩者相輔相成，更具意義。 Moreover, since autonomic nervous disorder is also one of the important causes of arrhythmia, the device of the present invention provides a respiratory guide in the case where one of the purposes of the user using the device is to immediately record the electrocardiogram when arrhythmia occurs. Introducing the training function to allow the user to change the way of autonomic nerve balance by controlling breathing will help to improve the symptoms of arrhythmia, which complement each other and make more sense.
當利用根據本發明的穿戴式心電檢測裝置而進行呼吸訓練時，使用者只需將裝置穿戴於身上，並維持兩個電極與皮膚間的接觸即可，而在進行呼吸訓練的期間，該資訊提供單元則是用以將呼吸導引訊號提供予使用者，以讓使用者跟隨調整呼吸，另外，該資訊提供單元亦可提供有關使用者於呼吸訓練期間的生理狀態變化，例如，交感神經與負交感神經的活性變化，心率的變化，以及實際呼吸模式的變化等，以作為使用者進行呼吸訓練的參考。 When breathing training is performed using the wearable electrocardiographic detecting device according to the present invention, the user only needs to wear the device on the body and maintain contact between the two electrodes and the skin, and during the breathing training, the The information providing unit is configured to provide a breathing guide signal to the user to allow the user to follow the adjustment of the breathing. In addition, the information providing unit can also provide a physiological state change during the breathing training of the user, for example, sympathetic nerve. Changes in activity with negative sympathetic nerves, changes in heart rate, and changes in actual breathing patterns are used as a reference for breathing training for users.
在此，由於執行呼吸訓練的時間較長，因此，較佳地是，使用者可選擇二個電極皆透過穿戴結構而設置於身上的形式，例如，利用可透過穿戴結構而設置的第二電極，或是利用第三電極配合第一電極進行心電訊號擷取，而以更輕鬆的方式進行呼吸訓練。 Here, since the breathing exercise is performed for a long time, it is preferable that the user can select a form in which both electrodes are disposed on the body through the wearing structure, for example, using the second electrode disposed through the wearable structure. Or use the third electrode to cooperate with the first electrode for ECG signal extraction, and perform breathing training in an easier way.
另外，該呼吸導引訊號亦可以是根據由心率序列所取得之呼吸變化模式而進行作為調整的一動態導引訊號，也就是，透過即時獲得之使用者的呼吸狀況，以得知呼吸速率為何、及/或是否落在有利於放鬆身心的速率範圍中，並據以動態調整導引訊號，而讓使用者能以最輕鬆舒適的方式達到呼吸導引訓練的效果。 In addition, the breathing guide signal may also be a dynamic guiding signal adjusted according to the breathing change pattern obtained by the heart rate sequence, that is, the breathing state of the user obtained through the instant, so as to know the breathing rate. And/or whether it falls within the range of speeds that are conducive to relaxation, and dynamically adjusts the guidance signal so that the user can achieve the effect of breathing guidance training in the most relaxed and comfortable way.
或者，由於加大RSA的振幅有助於觸發放鬆反應(Relaxation Response)，解除累積的壓力，而達到提高副交感神經/交感神經活性比例的效果，因此，可透過觀察使用者的心率變化模式，並在心率開始加速時，透過導引告知使用者可以開始吸氣，以及在心率開始減緩時，透過導引告知使用者可以開始吐氣，以達到增大RSA振幅的效果，也達到放鬆身心的目的。 Or, because increasing the amplitude of the RSA helps trigger a relaxation response (Relaxation) Response), relieves the cumulative pressure, and achieves the effect of increasing the proportion of parasympathetic/sympathetic nerve activity. Therefore, by observing the user's heart rate change pattern, and guiding the user to start inhaling through the guidance when the heart rate starts to accelerate, And when the heart rate begins to slow down, the user is informed through the guide that the exhalation can be started, so as to increase the amplitude of the RSA and achieve the purpose of relaxing the body and mind.
更進一步地，還可透過對心率序列進行頻域分析的結果而得知呼吸與心率是否和諧及同步，而呼吸與心率間較好的和諧及同步性則代表著較有秩序且協調的心跳節律，也就是，人體處於比較放鬆、安穩的狀態，因此，當使用者在進行訓練時獲得相關的資訊時，就可透過意識而改變自身的生理狀態。 Furthermore, it is also possible to know whether the breathing and heart rate are harmonious and synchronized by the frequency domain analysis of the heart rate sequence, and the better harmony and synchronization between breathing and heart rate represents a more orderly and coordinated heartbeat rhythm. That is, the human body is in a state of relaxation and stability. Therefore, when the user obtains relevant information while performing training, the physiological state of the person can be changed through consciousness.
此外，當配合上腦電電極而可取得腦電訊號時，可觀察心率，呼吸以及腦電訊號間的同步性(synchronization)，而瞭解使用者的生理狀態。因為，根據研究顯示，呼氣與吸氣會造成血管內血流量的波動，且此波動亦會隨著血流到達腦部，進而造成腦波於低頻區段的波動，因此，除了可得知兩者間是否因共振作用而達成同步性外，亦可因此透過觀察腦波而得知呼吸模式，另外，由於心臟的竇房節及血管系統受自律神經系統的調控，而且，自律神經系統亦會透過壓力受器(baroreceptor)將心率及血壓的改變而回饋給腦部，進而影響腦部的功能與運作，再加上有意識地控制呼吸可因影響自律神經而造成心率改變，因此，三者間存在著彼此影響的關係，是故，三者間良好的同步性即可代表人體處於較為放鬆的狀態，據此，此相關同步性的分析結果同樣可作為提供使用者進行自我意識調整的資訊，以進行生理回饋。 In addition, when the EEG signal can be obtained by cooperating with the EEG electrode, the heart rate, the respiration and the synchronization between the EEG signals can be observed to understand the physiological state of the user. Because, according to research, exhalation and inspiration cause fluctuations in blood flow in the blood vessels, and this fluctuation also reaches the brain with blood flow, which causes fluctuations in brain waves in the low-frequency segment. Whether the synchronization between the two is achieved by resonance, the breathing pattern can be known by observing the brain waves, and the sinus node and vascular system of the heart are regulated by the autonomic nervous system, and the autonomic nervous system is also The heart rate and blood pressure will be fed back to the brain through the baroreceptor, which will affect the function and operation of the brain. In addition, consciously controlling the breathing can cause heart rate changes due to the influence of the autonomic nerve. Therefore, There is a relationship between the two, so the good synchronicity between the three can represent the human body in a more relaxed state. According to this, the analysis result of the related synchronization can also be used as a self-consciousness adjustment for the user. Information for physiological feedback.
舉例而言，該資訊提供單元在提供該呼吸導引訊號的同時，亦可即時提供相關心率的資訊，及/或透過頻譜計算而獲得之相關呼吸與心率的同步性的資訊，藉此，使用者就可即時得知呼吸調整對於自律神經所造成的影響，例如，副交感神經的活性是否獲得提升，或是交感神經的活性是否已降低等，如此一來，將可讓利用呼吸導引訊號而進行的生理回饋程序更具效率。 For example, the information providing unit can provide the information about the heart rate and/or the synchronization of the related breathing and heart rate obtained through spectrum calculation while providing the breathing guide signal. You can immediately know the effects of breathing adjustment on the autonomic nervous system, for example, whether the activity of the parasympathetic nerve is improved, or whether the activity of the sympathetic nerve has decreased, etc., so that the respiratory guidance signal can be used. The physiological feedback program performed is more efficient.
另外，還可進一步透過HRV的分析結果讓使用者得知呼吸訓練的成效，例如，可以在進行呼吸訓練的前後分別執行HRV分析，而得知呼吸訓練對於自律神經所帶來的影響，甚至，也可實施為即時HRV分析，並透過該資訊提供單元即時地讓使用者得知自律神經的活動情形，而以類似生理回饋的方式而讓使用者即時瞭解自身的生理狀況，進一步有助於達成放鬆身心的效果。 In addition, the results of the HRV analysis can be further used to inform the user of the effectiveness of the breathing training. For example, the HRV analysis can be performed before and after the breathing training, and the effect of the breathing training on the autonomic nerve is learned, even It can also be implemented as an instant HRV analysis, and through the information providing unit, the user can immediately know the activity of the autonomic nerve, and the user can instantly understand the physiological state of the patient in a physiologically similar manner, which further helps to achieve Relax and unwind.
由於HRV分析是對一段時間內心率序列進行分析，因此，即時HRV分析的進行可透過移動時間窗格(Moving Window)的概念而實施，亦即，先決定一計算時間區段，例如，1分鐘、或2分鐘，之後，透過不斷將此時間區段向後推移的方式，例如，每5秒計算一次，就可持續地得到HRV分析結果，例如，每5秒獲得一HRV分析結果，因而達成提供即時HRV分析結果的目的，另外，亦可採用加權計算(weighting)的概念，適度地增加較接近分析時間之生理訊號的計算比重，以讓分析結果更貼近即時的生理狀況。 Since the HRV analysis analyzes the heart rate sequence over a period of time, the real-time HRV analysis can be performed by moving the concept of the Moving Window, that is, first determining a time period, for example, 1 minute. Or 2 minutes, after that, by continuously changing the time zone backwards, for example, every 5 seconds, the HRV analysis result can be obtained continuously, for example, an HRV analysis result is obtained every 5 seconds, thus achieving the offer For the purpose of real-time HRV analysis results, in addition, the concept of weighting can also be used to moderately increase the proportion of physiological signals closer to the analysis time, so that the analysis results are closer to the immediate physiological condition.
該資訊提供單元在提供該呼吸導引訊號時可以有各種選擇，例如，可採用視覺、聽覺、及/或觸覺的方式進行導引，沒有限制。視 覺導引的選擇包括，但不限於，圖形變化，文字顯示，發光亮度變化，及/或燈號變化等，皆為合適的方式，舉例而言，可在顯示元件上利用符合呼吸變化模式的圖案而導引使用者進行吸氣及吐氣；或者由LED燈的數量變化代表吸氣及吐氣；又或者可利用文字直接告知使用者進行吸氣及吐氣等。 The information providing unit can have various choices when providing the breathing guide signal, for example, it can be guided in a visual, audible, and/or tactile manner without limitation. Vision The choice of the sense guide includes, but is not limited to, a graphical change, a text display, a change in the brightness of the light, and/or a change in the number of the light, etc., all of which are suitable means, for example, utilizing a pattern of breathing change in the display element. The pattern guides the user to inhale and exhale; or the amount of LED light changes to represent inhalation and exhalation; or the text can be used to directly inform the user to inhale and exhale.
另外，當採用聽覺導引的方式時，選擇則包括，但不限於，聲音變化以及語音，舉例而言，可由聲音的強弱代表吸氣及吐氣變化；或者由不同的聲音種類代表吸氣及吐氣，而讓使用者跟隨，例如，鳥叫聲、海浪聲、不同的音樂曲目等；或者也可以透過語音而告知使用者該進行吸氣或吐氣，例如，當剛開始進行呼吸導引訓練時，可透過符合呼吸變化模式的「吸氣」及「吐氣」語音指示而導引使用者的呼吸模式，而當偵測到使用者的呼吸已符合欲達到的變化模式時，即告知使用者「繼續維持現在的吸吐速率」，而停止「吸氣」「吐氣」的語音導引。因此，可以有各種選擇，可依實際實施的需求而變化，沒有限制。 In addition, when the method of auditory guidance is adopted, the selection includes, but is not limited to, sound changes and voices, for example, the intensity of the sound may represent the inhalation and exhalation changes; or the different sound types represent the inhalation and exhalation. And let the user follow, for example, bird sounds, sea waves, different music tracks, etc.; or the user can be informed by voice to inhale or exhale, for example, when breathing instruction training is just started, The user's breathing mode can be guided through the "inhalation" and "exhalation" voice instructions that match the breathing pattern, and the user is informed that the user's breathing has been consistent with the desired mode of change. Maintain the current breathing rate, and stop the voice guidance of "inhalation" and "exhalation". Therefore, there are various options that can be varied depending on the actual implementation requirements, without limitation.
而當根據本發明的裝置實施為與耳機結合的情形時，上述的聽覺引導將顯得更為自然，並且，由於聲音及/或語音直接經由耳機進入耳朵，完全不會打擾到身邊的人，故亦進一步提供了隱蔽性，讓呼吸訓練的進行可不受時間地點限制，例如，乘坐交通工具時也可進行呼吸訓練，更為便利。 When the device according to the present invention is implemented as a combination with the earphone, the above-described auditory guidance will appear more natural, and since the sound and/or voice directly enters the ear via the earphone, it does not disturb the person around, so It also provides concealment so that breathing training can be carried out regardless of time and place. For example, breathing training can also be performed when riding a vehicle.
再者，當採用觸覺導引的方式時，則較佳地是透過與使用者身體接觸的部件，例如，穿戴結構，相結合的形式而提供振動的變化，至於振動的變化方式，則同樣沒有限制，例如，可實施為利用振動訊號來提醒使用者正確的呼氣及/或吸氣起始時間點，或是只在發現使用者之呼吸模 式偏離預設的目標導引訊號過多時才產生振動導引等。 Moreover, when the tactile guidance method is employed, it is preferable to provide a change in vibration through a combination of components that are in contact with the user's body, for example, a wear structure, and the manner in which the vibration changes is also absent. Limitations, for example, can be implemented to use a vibration signal to alert the user to the correct exhalation and/or inspiratory start time point, or to only find the user's breathing pattern. When the deviation from the preset target guidance signal is too large, vibration guidance or the like is generated.
在此，具優勢地是，當採用聽覺及/或觸覺導引的方式時，使用者可於呼吸導引訓練期間闔上雙眼，更有助於身體放鬆及呼吸調整。 Here, it is advantageous that when the hearing and/or tactile guidance is adopted, the user can pry the eyes during the breathing guide training, which is more conducive to body relaxation and breathing adjustment.
另外，在一較佳實施例中，該呼吸導引訊號亦可實施為經由該資訊提供單元以及有線/無線傳輸模組而輸出至該外部裝置後，例如，智慧型手機，平板電腦，智慧手錶等，再由該外部裝置將該呼吸導引訊號提供給使用者，以供使用者進行呼吸訓練。 In addition, in a preferred embodiment, the breathing guide signal can also be implemented to be output to the external device via the information providing unit and the wired/wireless transmission module, for example, a smart phone, a tablet computer, or a smart watch. And then, the external device provides the breathing guide signal to the user for breathing training.
而特別地，在另一較佳實施例中，該呼吸導引訊號則是實施為由該外部裝置產生並提供給使用者，此時，該外部裝置會進一步自該資訊提供單元接收相關使用者自律神經活動、或呼吸模式的資訊，以在提供該呼吸導引訊號的同時提供給使用者，或是用來作為調整該呼吸導引訊號的依據，另外，該外部裝置也可進一步將所需接收之相關使用者呼吸模式的資訊儲存下來，以作為之後察看記錄時的參考。 In particular, in another preferred embodiment, the breathing guide signal is implemented to be generated by the external device and provided to the user. At this time, the external device further receives the relevant user from the information providing unit. Information on autonomic nervous activity, or breathing pattern, to provide the respiratory guidance signal to the user, or as a basis for adjusting the respiratory guidance signal, and the external device may further require Information about the breathing patterns of the relevant users received is stored as a reference for subsequent viewing of the records.
再者，根據本發明的穿戴式心電檢測裝置，除了可進行心電訊號的擷取，以及上述所提及的腦電訊號檢測外，亦可包括其他的生理感測器，以在穿戴於身上時取得其他的生理訊號。 Furthermore, the wearable electrocardiographic detecting device according to the present invention may include other physiological sensors in addition to the electrocardiographic signal extraction and the above-mentioned electroencephalogram signal detection. Get other physiological signals on your body.
舉例而言，可具有至少一光感測器，在此，光感測器是指具有光發射元件以及光接收元件，並利用PPG(photoplethysmography)原理而取得光訊號的感測器，例如，利用穿透方式或反射方式進行測量者，而其同樣是透過配戴穿戴結構的動作而完成設置，例如，可位在該第一電極所在的表面上，因而使得其可因穿戴該穿戴結構的動作而與該第一電極一起被設置於使用者身上，例如，手指、耳朵或耳朵附近、腕部附近、或 頭部等。 For example, there may be at least one photo sensor, where the photo sensor refers to a sensor having a light emitting element and a light receiving element and utilizing the principle of PPG (photoplethysmography) to obtain an optical signal, for example, utilizing The measure is performed in a penetrating manner or in a reflective manner, and the setting is also performed by the action of wearing the wearing structure, for example, on the surface on which the first electrode is located, thereby making it possible to wear the wearing structure. And being disposed on the user together with the first electrode, for example, near a finger, an ear or an ear, near a wrist, or Head and so on.
光感測器主要在於偵測因心臟搏動所產生的脈搏，而藉由所取得的連續脈搏變化，就可獲得使用者的心率序列，並用以進行相關的分析，由於只需單個光感測器即可取得生理訊號，設置簡單，使用者僅需配戴上該穿戴結構配戴即可，故相當有利於連續訊號取得，以進行長時間生理狀態監控。 The light sensor is mainly used to detect the pulse generated by the heart beat, and the continuous pulse change obtained can obtain the user's heart rate sequence and be used for correlation analysis, since only a single light sensor is needed. The physiological signal can be obtained, and the setting is simple. The user only needs to wear the wearing structure to wear, so it is quite beneficial for continuous signal acquisition for long-term physiological state monitoring.
當本發明的裝置同時具有利用電極取得心電訊號以及利用光感測器取得心率序列的功能時，將特別有利於心律不整的預警以及判斷。這是因為，雖然完整之心律不整資訊，例如，不同類型的心律不整，如發生於心房的早發性心房收縮(Premature atrial contractions，PAC)，以及發生在心室的早發性心室收縮(Premature ventricular contractions，PVC)，在傳統上需要透過觀察心電圖而進行判定，但透過觀察心率的變化，仍可解讀出是否出現心律不整的特徵，例如，早發性收縮(Premature Beats)，心室顫動(AF，Atrial Fibrillation)，心跳過快(Tachycardia)、心跳過慢(Bradycardia)、心跳暫停(Pause)等各種症狀，因此，透過本發明如此的配置，就可達到利用光感測器長時間連續取得心率序列而預先篩選是否出現心律不整可能事件，之後，當出現心律不整可能事件時，再通知使用者進行心電檢測，以進一步確認該心律不整可能事件的正確與否，以及獲得進一步的詳細資訊。 When the device of the present invention has the function of acquiring an electrocardiogram signal by using an electrode and acquiring a heart rate sequence by using a photo sensor, it is particularly advantageous for early warning and judgment of arrhythmia. This is because, despite complete heart rhythm information, for example, different types of arrhythmia, such as premature atrial contractions (PAC) occurring in the atria, and premature ventricular contractions occurring in the ventricle (Premature ventricular) Contractions, PVC), traditionally need to be judged by observing the electrocardiogram, but by observing changes in heart rate, you can still understand whether there are arrhythmia features, such as premature beats, ventricular fibrillation (AF, Atrial Fibrillation), various symptoms such as Tachycardia, Bradycardia, and Pause. Therefore, with the configuration of the present invention, it is possible to continuously obtain a heart rate sequence by using a photosensor for a long time. Pre-screening for arrhythmia may occur, and then, when arrhythmia may occur, the user is notified to perform an electrocardiogram to further confirm the correctness of the arrhythmia event and obtain further detailed information.
所以，在實際實施時，使用者將裝置藉由穿戴結構而設置於身上，例如，手指、耳朵、或手腕上，此時，該穿戴結構上的光感測器即執行連續的脈波偵測，並取得心率序列，之後，所取得的心率序列會持續 地與心律不整可能事件的時間特徵進行比較，並在出現相符時，決定一心律不整可能事件，此時，係透過該資訊提供單元通知使用者已出現心律不整可能事件，並提醒使用者進行心電訊號測量，因此，使用者在收到通知後，就可很簡單地透過接觸該第二電極而進行心電訊號擷取，立即取得可能出現心律不整的心電訊號。在此，該心電訊號可以直接進行分析而得知是否出現心律不整症狀，並將結果通知使用者，或者，可即時傳輸至一外部裝置，例如，手機或平板電腦，進行儲存及/或分析等，或者，也可先行儲存下來，待之後再行分析，例如，下載至電腦進行分析等，不受限制。 Therefore, in actual implementation, the user places the device on the body by the wearing structure, for example, on a finger, an ear, or a wrist. At this time, the light sensor on the wearing structure performs continuous pulse wave detection. And get the heart rate sequence, after which the acquired heart rate sequence will continue The ground is compared with the temporal characteristics of the possible events of the arrhythmia, and when a coincidence occurs, a possible event of arrhythmia is determined. At this time, the information providing unit notifies the user that a possible arrhythmia event has occurred, and reminds the user to perform the heart. The electrical signal is measured. Therefore, after receiving the notification, the user can easily obtain the ECG signal by touching the second electrode, and immediately obtain an ECG signal that may have arrhythmia. Here, the ECG signal can be directly analyzed to know whether there is arrhythmia symptom, and the result is notified to the user, or can be immediately transmitted to an external device, such as a mobile phone or a tablet, for storage and/or analysis. Etc., or, you can save it first, and then analyze it later, for example, download it to a computer for analysis, etc., without restriction.
另外，透過光感測器所取得的心率序列，亦可如前所述地用於進行連續HRV分析以及呼吸訓練，由於其執行程序與前述類似，不同處僅在於據以進行HRV分析以及呼吸訓練的生理訊號是由光感測器所取得的心率序列，因此，即不再贅述；而且，也可配合取得腦電訊號，而連續地進行呼吸、心率及腦電訊號三者間的同步性分析，以在不增加負擔的情形下提供使用者更多的資訊。 In addition, the heart rate sequence obtained by the light sensor can also be used for continuous HRV analysis and breathing training as described above. Since the execution procedure is similar to the foregoing, the difference lies only in the HRV analysis and the breathing training. The physiological signal is the heart rate sequence obtained by the light sensor, so it will not be described again. Moreover, it can also cooperate with the acquisition of the EEG signal, and continuously perform the synchronization analysis between the respiratory, heart rate and EEG signals. To provide users with more information without increasing the burden.
再者，當實施為同時取得心電訊號以及脈搏時，還可得出脈波從心臟傳至光感測器之感測位置所需的時間，也就是所謂的脈波傳遞時間(Pulse Transit Time，PTT)，且由於PTT與影響血壓高低之動脈血管硬度有關，因此就可透過PTT與血壓值間特定的關係而計算出參考的血壓值。 Furthermore, when it is implemented to simultaneously obtain the electrocardiogram signal and the pulse, it is also possible to obtain the time required for the pulse wave to pass from the heart to the sensing position of the photo sensor, that is, the pulse transit time (Pulse Transit Time). , PTT), and because PTT is related to the arterial vessel hardness that affects blood pressure, the reference blood pressure value can be calculated through a specific relationship between PTT and blood pressure values.
另外，類似地，也可藉由將光感測器設置於不同位置，例如，當實施為二個電極皆藉由穿戴結構而進行設置時，可在分別的穿戴結構中皆另外設置光感測器，如此一來，透過計算兩處脈波傳遞的時間差就可獲得相關脈波傳播速度(Pulse Wave Velocity，PWV)的資訊，進而透過已知 的計算理論即可得到參考血壓值。 In addition, similarly, the light sensor can be disposed in different positions, for example, when the two electrodes are disposed by the wearing structure, the light sensing can be separately set in the respective wearing structures. In this way, by calculating the time difference between the two pulse waves, the information about the Pulse Wave Velocity (PWV) can be obtained, and then the known The calculation theory can obtain the reference blood pressure value.
或者，也可配合使用壓脈帶及充氣幫浦而直接取得血壓值，且在此情形下，還可透過壓脈帶取得脈搏連續變化，進而執行如上所述的心律不整可能事件的分析，同樣相當具有優勢。 Alternatively, the blood pressure value can be directly obtained by using the cuff and the inflated pump, and in this case, the pulse pulse can be continuously changed through the cuff, thereby performing the analysis of the arrhythmia possible event as described above. Quite has an advantage.
更進一步，根據本發明的穿戴式心電檢測裝置亦適合於運動期間使用，舉例而言，使用者可在運動過程中戴著根據本發明的裝置而不會感到負擔，並在運動中間休息的時間直接進行測量而得知運動對心臟所造成的影響，例如，可透過手接觸電極而取得心電圖、或是當已直接配戴二個穿戴結構時直接取得心電訊號、或是在配置有光感測器的情形下由光感測器取得心率序列等，藉此，就可根據資訊提供單元所提供的資訊而得知，例如，是否達到了足夠的運動強度(心跳是否達到預期目標)，或是心臟是否出現異常等，尤其運動是心律不整的好發時間，因此，透過本發明的裝置也可很即時的紀錄下發生心律不整時的心電圖。 Furthermore, the wearable electrocardiographic detecting device according to the present invention is also suitable for use during exercise, for example, the user can wear the device according to the present invention during exercise without feeling a burden and rest in the middle of exercise. The time is measured directly to know the effect of exercise on the heart. For example, the ECG can be obtained by touching the electrode by hand, or when the two wearing structures are directly worn, the ECG signal is directly obtained, or the light is configured. In the case of the sensor, the heart rate sequence and the like are obtained by the light sensor, whereby the information provided by the information providing unit can be known, for example, whether sufficient exercise intensity is reached (whether the heartbeat reaches the desired target), Whether the heart is abnormal or not, especially exercise is a good time for arrhythmia. Therefore, the electrocardiogram when arrhythmia occurs can be recorded immediately by the device of the present invention.
另外，除了較激烈的運動期間外，其他可能出現心跳異常的時間，例如，爬山、搭飛機的時候，亦適合使用根據本發明的穿戴式心電檢測裝置，以更加即時地掌握自身的心臟狀況。 In addition, in addition to the intense exercise period, other time when the heartbeat abnormality may occur, for example, when climbing a mountain or flying a plane, it is also suitable to use the wearable electrocardiographic detecting device according to the present invention to more accurately grasp the heart condition of the heart. .
綜上所述，根據本發明的穿戴式心電檢測裝置透過穿戴結構而將裝置設置於使用者身上的形式，使得心電電極與皮膚間的接觸藉由穿戴動作而完成，達到減少使用者施力，以及降低肌電訊號干擾的效果，尤其，當用以取得心電訊號所需的二個電極皆藉由穿戴結構而設置於使用者身上時，更是讓肌肉緊張度的干擾降至最低；而且，無論是採用指戴、耳戴、腕戴、及/或頭戴的方式，都是一般日常生活中常見的配戴方式，在使 用上不會顯得突兀，更有利於使用者於平時配戴於身上，以在有需要時隨時記錄下生理訊號，例如，出現心律不整時記錄下心電圖等，及/或獲得自身的生理資訊，例如，即時HRV分析結果，及/或藉以進行生理調控，例如，進行呼吸訓練等，因此，不但配置容易、使用方便，更是應用廣泛。 In summary, the wearable electrocardiographic detecting device according to the present invention has a device disposed on the user through the wearing structure, so that the contact between the electrocardiographic electrode and the skin is completed by the wearing action, thereby reducing the user's application. Force, and reduce the effect of myoelectric signal interference, especially when the two electrodes needed to obtain the ECG signal are placed on the user by wearing the structure, the interference of muscle tension is minimized. Moreover, whether it is wearing, wearing, wearing, and/or wearing, it is a common way of wearing in everyday life. It doesn't look awkward, it is more conducive to the user to wear on the body at any time, to record the physiological signal at any time when necessary, for example, to record the electrocardiogram when the arrhythmia occurs, and / or to obtain their own physiological information, For example, the results of real-time HRV analysis, and/or by physiological regulation, for example, breathing training, etc., are not only easy to configure, but also easy to use, and are widely used.
再者，根據本發明的穿戴式心電檢測裝置亦提供二種操作模式，在第一種操作模式中，二個電極皆位於裝置之表面，以及在第二種操作模式中，其中一個電極透過連接線延伸而出，因此，除了使用者可讓根據使用環境以及操作習慣的不同而進行選擇操作模式外，在第二操作模式中，延伸而出的電極亦提供了設置於不同身體位置而取得不同角度投影心電圖的可能，並且，由於該延伸而出的電極係透過穿戴結構而設置於使用者身上，故亦更進一步提供了無須使用者主動施力的操作模式，相當具有優勢。 Furthermore, the wearable electrocardiographic detecting device according to the present invention also provides two modes of operation. In the first mode of operation, both electrodes are located on the surface of the device, and in the second mode of operation, one of the electrodes is transmissive. The connecting line extends out. Therefore, in addition to the user's selection of the operating mode depending on the use environment and operating habits, in the second operating mode, the extended electrodes are also provided in different body positions. The possibility of projecting an electrocardiogram at different angles, and because the extended electrode is disposed on the user through the wearing structure, further provides an operation mode that does not require active force of the user, and is quite advantageous.
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