TWI806521B - Method for obtaining electrocardiogram data - Google Patents

Method for obtaining electrocardiogram data Download PDF

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TWI806521B
TWI806521B TW111111272A TW111111272A TWI806521B TW I806521 B TWI806521 B TW I806521B TW 111111272 A TW111111272 A TW 111111272A TW 111111272 A TW111111272 A TW 111111272A TW I806521 B TWI806521 B TW I806521B
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ecg signal
relay device
portable
detector
ecg
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TW202337394A (en
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洪銘為
邱奕元
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準訊生醫股份有限公司
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Abstract

A method for obtaining electrocardiogram data is disclosed. It comprises the steps of: attaching a portable electrocardiographic signal detector to the skin of the human chest to continuously detect electrocardiographic signals; connecting the portable electrocardiographic signal detector with a relay device for wireless signals; sending detected electrocardiographic signals to the relay device for storage, and temporarily storing a part of the electrocardiographic signals in the portable electrocardiographic signal detector if the part of the electrocardiographic signals cannot be received by the routing device, sending the electrocardiographic signals stored by the relay device to a computing system wirelessly connected to the routing device; and reorganizing and analyzing the received electrocardiographic signals in time series and infers abnormal heart rhythm by the computing system.

Description

取得心電圖資料的方法 How to get ECG data

本發明關於一種,特別是一種取得資料的方法,特別是一種利用可攜式心電訊號偵測器來取得心電圖資料的方法。 The present invention relates to a method, especially a method for obtaining data, especially a method for obtaining electrocardiogram data by using a portable ECG signal detector.

根據美國心臟協會的資料顯示,普通人的心臟每天約跳動十萬次。如果某個人的心跳數遠比這更快或更慢,或者速度不規律,那麼該人可能患有心律失常(Arrhythmia)。心律失常引發的表象症狀,輕則造成暈眩,嚴重的情況則會引發死亡。因此,對於心律的監測以及適時的診斷治療是預防心律失常帶來健康威脅最有效的手段,同時也可監測預防其他與心臟相關的疾病,如心肌缺氧、心室肥厚等。 According to the American Heart Association, the average person's heart beats about 100,000 times a day. If a person's heart beats much faster or slower than this, or if the rate is irregular, the person may have arrhythmia (Arrhythmia). Symptoms caused by arrhythmia can cause dizziness in mild cases, and death in severe cases. Therefore, heart rhythm monitoring and timely diagnosis and treatment are the most effective means to prevent arrhythmia from posing health threats. At the same time, it can also monitor and prevent other heart-related diseases, such as myocardial hypoxia and ventricular hypertrophy.

監測心律最好的做法是讓病人靜躺在床上進行靜態心電圖監測。然而,心律失常或心臟缺氧等狀況並不一定會在病人受檢時候出現。為了要抓住這些隨時發生的變化,便有了將心電圖監測儀器全天裝在身上以取得動態心電圖的裝置。成熟常用的動態心電圖裝置是霍特監測器(Holter Monitor)。病患可在胸前佩掛一個輕便的電子記錄器,該電子記錄器透過安裝於胸部皮膚上的數個電極以取得心律數據。霍特監測器可以一天24小時持續運作,並在記錄二個星期以上的資料後才將所有數據一次傳送給醫療機構,以進行後續分析處理。此外,常見的類似裝置還有移動心臟遙測(Mobile Cardiac Telemetry,MCT)監視器。使用上此裝置較霍特監測器更為便捷,因其可以自動傳輸心電圖數據,無需病人參與操作。 The best way to monitor heart rhythm is to have the patient lie still in bed for resting ECG monitoring. However, conditions such as cardiac arrhythmia or lack of oxygen to the heart may not necessarily be present at the time the patient is being tested. In order to grasp these changes that take place at any time, there is a device for having an electrocardiogram monitoring instrument on the body throughout the day to obtain a dynamic electrocardiogram. The mature and commonly used Holter monitor is the Holter Monitor. Patients can wear a portable electronic recorder on the chest, and the electronic recorder can obtain heart rhythm data through several electrodes installed on the chest skin. The Hult monitor can continue to operate 24 hours a day, and only after recording data for more than two weeks will it transmit all data to medical institutions for subsequent analysis and processing. In addition, common similar devices include mobile cardiac telemetry (Mobile Cardiac Telemetry, MCT) monitors. This device is more convenient to use than the Hult monitor, because it can automatically transmit the ECG data without the need for the patient to participate in the operation.

這些現有心律監測器在與管理主機,比如醫院的醫療資訊系統的伺服器連接時,通常會藉由獨立的傳輸裝置經過網路來上傳監測數據。對於無線傳輸裝置來說,數據傳輸會受限於環境的噪訊。如果環境噪訊過大,傳輸的數據會丟失,這對於要以完整資料來分析病人病況的後續處理程序來說十分不利。 When these existing heart rhythm monitors are connected to a management host, such as a server of a hospital's medical information system, monitoring data is usually uploaded via a network through an independent transmission device. For wireless transmission devices, data transmission is limited by environmental noise. If the environmental noise is too large, the transmitted data will be lost, which is very unfavorable for the follow-up processing procedures to analyze the patient's condition with complete data.

為了解決前述的資料遺漏的問題,本發明提出一種創新的取得心電圖資料的方法。 In order to solve the aforementioned problem of data omission, the present invention proposes an innovative method for obtaining electrocardiogram data.

本段文字提取和編譯本發明的某些特點。其它特點將被揭露於後續段落中。其目的在涵蓋附加的申請專利範圍之精神和範圍中,各式的修改和類似的排列。 This paragraph extracts and compiles certain features of the present invention. Other features will be disclosed in subsequent paragraphs. It is intended to cover various modifications and similar arrangements within the spirit and scope of the appended claims.

為了滿足前述需求,本發明揭露一種取得心電圖資料的方法,其包含步驟:將一可攜式心電訊號偵測器貼附於人體胸腔肌膚,以持續偵測心電訊號;將該可攜式心電訊號偵測器與一中繼裝置無線訊號連接;將偵測到的心電訊號傳送至該中繼裝置中儲存,其中若某部分心電訊號無法為該中繼裝置所接收,則將該部分心電訊號暫存於該可攜式心電訊號偵測器中;將該中繼裝置儲存的心電訊號傳送至與該中繼裝置無線訊號連接的一計算系統;及由該計算系統將所接收的心電訊號依時間序重組分析並推斷心律異常情況。 In order to meet the aforementioned needs, the present invention discloses a method for obtaining electrocardiogram data, which includes the steps of: attaching a portable ECG signal detector to the skin of the chest cavity of a human body to continuously detect ECG signals; The ECG signal detector is wirelessly connected with a relay device; the detected ECG signal is transmitted to the relay device for storage, and if some part of the ECG signal cannot be received by the relay device, the The part of the ECG signal is temporarily stored in the portable ECG signal detector; the ECG signal stored in the relay device is transmitted to a computing system wirelessly connected to the relay device; and by the computing system Reorganize and analyze the received ECG signals according to time sequence and infer the abnormality of heart rhythm.

於前述取得心電圖資料的方法中,可將暫存於該可攜式心電訊號偵測器中的心電訊號傳送至該計算系統,或是檢查該計算系統所接收的心電訊號是否完整,若為不完整,則通過該中繼裝置請求該可攜式心電訊號偵測器將暫存的心電訊號再次通過該中繼裝置傳送至該計算系統,以確保計算系統擁有所有的心電訊號。 In the aforementioned method of obtaining ECG data, the ECG signal temporarily stored in the portable ECG signal detector can be sent to the computing system, or the ECG signal received by the computing system can be checked for completeness, If it is incomplete, request the portable ECG detector to send the temporarily stored ECG signal to the computing system again through the relay device to ensure that the computing system has all the ECG signals Number.

本發明亦揭露另一種取得心電圖資料的方法,其包含步驟:將一可攜式心電訊號偵測器貼附於人體胸腔肌膚,以持續偵測心電訊號;將該可攜式心電訊號偵測器與一中繼裝置無線訊號連接;將偵測到的心電訊號傳送至該中繼裝置中儲存,其中若一第一部分心電訊號無法為該中繼裝置所接收,則將該第一部分心電訊號暫存於該可攜式心電訊號偵測器中;將該中繼裝置接收到的心電訊號傳送至與該中繼裝置無線訊號連接的一計算系統中儲存,其中若一第二部分心電訊號無法為該計算系統所接收,則將該第二部分心電訊號暫存於該中繼裝置中;及由該計算系統將所接收的心電訊號依時間序重組、分析並推斷心律異常情況。 The present invention also discloses another method for obtaining electrocardiogram data, which includes the steps of: attaching a portable electrocardiogram detector to the skin of the chest cavity of a human body to continuously detect electrocardiogram signals; The detector is wirelessly connected with a relay device; the detected ECG signal is transmitted to the relay device for storage, and if a first part of the ECG signal cannot be received by the relay device, the second Part of the ECG signal is temporarily stored in the portable ECG signal detector; the ECG signal received by the relay device is transmitted to a computing system connected to the relay device by wireless signal for storage, wherein if one The second part of the ECG signal cannot be received by the computing system, then temporarily store the second part of the ECG signal in the relay device; and the computing system reorganizes and analyzes the received ECG signal according to time sequence And infer the abnormality of heart rhythm.

於前述取得心電圖資料的方法中,可將該暫存的第一部分或第二部分心電訊號傳送至該計算系統,或是檢查該計算系統所接收的心電訊號是否完整,若為不完整,則請求將該暫存的第一部分或第二部分心電訊號通過該中繼裝置傳送至該計算系統,以確保計算系統擁有所有的心電訊號。 In the method for obtaining electrocardiogram data mentioned above, the temporarily stored first part or the second part of the ECG signal can be sent to the computing system, or it can be checked whether the ECG signal received by the computing system is complete, if it is not complete, Then request the temporarily stored first part or second part of ECG signals to be transmitted to the computing system through the relay device, so as to ensure that the computing system has all the ECG signals.

最好,該心電訊號的傳送或暫存動作係由該可攜式心電訊號偵測器判斷是否收到該中繼裝置的要求或回饋訊息而執行。 Preferably, the transmission or temporary storage of the ECG signal is performed by the portable ECG signal detector judging whether it has received a request or a feedback message from the relay device.

依照本發明,該可攜式心電訊號偵測器可進一步包含:一本體,具有一空腔;一可拋棄式安裝裝置,包括:至少一貼附器,安裝於該本體的一側,用以可拆卸地貼附於人體胸腔肌膚;及至少二電極,與該至少一貼附器安裝於本體的同一側,透過一連接電路連接到該本體中;以及一心電訊號偵測裝置,可取下地安裝於該空腔中,包括:一儲存單元,儲存心電訊號;一無線傳輸單元,設定以與該中繼裝置無線訊號連接;一處理器,與該至少二電極通過該連接電路電訊號連接,將來自該至少二電極的電位變化轉化為心電訊號,並將該心電訊號通過該無線傳輸單元傳送至該中繼裝置;及一電力單元,與該儲存單元、該無線傳輸單元及該處理器電連接,提供該些元件運作時所需的電力。 According to the present invention, the portable ECG signal detector may further include: a body having a cavity; a disposable installation device including: at least one sticker installed on one side of the body for Detachably attached to the skin of the chest cavity of a human body; and at least two electrodes, installed on the same side of the body as the at least one applicator, connected to the body through a connecting circuit; and an electrocardiographic signal detection device, detachably installed In the cavity, it includes: a storage unit for storing electrocardiographic signals; a wireless transmission unit configured to be connected to the relay device for wireless signals; a processor connected to the at least two electrodes through the connection circuit for electrical signals, Convert the potential changes from the at least two electrodes into electrocardiographic signals, and transmit the electrocardiographic signals to the relay device through the wireless transmission unit; and a power unit, the storage unit, the wireless transmission unit and the processing electrical connection to provide the power required for the operation of these components.

所述之取得心電圖資料的方法可進一步包含步驟:在貼附經過一使用時間後,將該可攜式心電訊號偵測器取下;將該可攜式心電訊號偵測器的該可拋棄式安裝裝置更換為新的;及將更換新的可拋棄式安裝裝置的可攜式心電訊號偵測器貼附於人體胸腔肌膚,以執行該可攜式心電訊號偵測器的工作。 The method for obtaining electrocardiogram data may further include the steps of: removing the portable ECG signal detector after a period of use; Replace the disposable installation device with a new one; and attach the portable ECG detector of the new disposable installation device to the skin of the chest cavity of the human body to perform the work of the portable ECG detector .

所述之取得心電圖資料的方法也進一步將該心電訊號偵測裝置的該儲存單元於執行貼附前格式化以及進行可偵測時間的設定。 The method for obtaining electrocardiogram data also further formats the storage unit of the electrocardiogram detection device and performs detection time setting before executing the attachment.

依照本發明,前述檢查該計算系統所接收的心電訊號是否完整係依據該心電訊號在時間序上是否有不連續的中斷情形。 According to the present invention, the aforesaid checking whether the ECG signal received by the computing system is complete is based on whether there is a discontinuous interruption in the time sequence of the ECG signal.

所述之取得心電圖資料的方法可進一步包含步驟:在貼附經過一使用時間後,將該可攜式心電訊號偵測器從人體胸腔肌膚取下,並將另一可攜式心電訊號偵測器貼附於人體胸腔肌膚,以執行原可攜式心電訊號偵測器的工作。 The method for obtaining electrocardiogram data may further include the step of: removing the portable electrocardiogram detector from the skin of the chest cavity of a human body after adhering for a period of use, and sending another portable electrocardiogram detector The detector is attached to the skin of the chest cavity of the human body to perform the work of the original portable ECG detector.

由於可攜式心電訊號偵測器與中繼裝置具有暫存遺漏心電訊號資料的功能,配合以上的操作,可確保可攜式心電訊號偵測器偵測的所有心電訊號,不會遺漏地為計算系統所接收,從而解決了當下心律監測器面臨的資料遺漏問題。 Since the portable ECG signal detector and the relay device have the function of temporarily storing missing ECG signal data, with the above operations, it can ensure that all ECG signals detected by the portable ECG signal detector It will be missed by the computing system, thus solving the data missing problem faced by the current heart rate monitor.

10:可攜式心電訊號偵測器 10: Portable ECG detector

11:本體 11: Ontology

111:空腔 111: cavity

12:可拋棄式安裝裝置 12: Disposable installation device

121:軟性電路板 121: Flexible printed circuit board

122:貼附器 122: Applicator

123:電極 123: electrode

13:心電訊號偵測裝置 13: ECG signal detection device

131:儲存單元 131: storage unit

132:無線傳輸單元 132: Wireless transmission unit

133:處理器 133: Processor

134:輸入單元 134: input unit

135:電力單元 135: Power unit

20:閘道器 20: Gateway

20a:智慧型手機 20a: Smartphone

21:天線模組 21: Antenna module

22:接收訊號處理電路 22: Receive signal processing circuit

23:發送訊號處理電路 23: Send signal processing circuit

24:處理模組 24: Processing module

25:儲存模組 25: Storage module

30:計算系統 30: Computing system

40:IP分享器 40:IP sharer

50:網路 50: Network

51:行動通訊網路 51:Mobile communication network

圖1為依照本發明之取得心電圖資料的方法之第一實施方式的流程圖。 FIG. 1 is a flow chart of the first embodiment of the method for obtaining electrocardiogram data according to the present invention.

圖2繪示實施該取得心電圖資料的方法之一種硬體架構。 FIG. 2 illustrates a hardware architecture for implementing the method for obtaining ECG data.

圖3繪示實施該取得心電圖資料的方法之另一種硬體架構。 FIG. 3 illustrates another hardware architecture for implementing the method for obtaining ECG data.

圖4為硬體架構中之可攜式心電訊號偵測器的剖面圖。 FIG. 4 is a cross-sectional view of the portable ECG detector in the hardware structure.

圖5為一心電訊號偵測裝置的元件方框圖。 FIG. 5 is a block diagram of components of an electrocardiogram detection device.

圖6為硬體架構中之中繼裝置的元件方框圖。 FIG. 6 is a block diagram of elements of a relay device in a hardware architecture.

圖7繪示第一實施方式中的一操作實例。 FIG. 7 shows an operation example in the first embodiment.

圖8繪示第一實施方式中的另一操作實例。 FIG. 8 shows another operation example in the first embodiment.

圖9為依照本發明之取得心電圖資料的方法之第二實施方式的流程圖。 FIG. 9 is a flow chart of the second embodiment of the method for obtaining ECG data according to the present invention.

圖10繪示第二實施方式中的一操作實例。 FIG. 10 shows an operation example in the second embodiment.

圖11繪示第二實施方式中的另一操作實例。 FIG. 11 shows another operation example in the second embodiment.

圖12為依照本發明之取得心電圖資料的方法之輔助步驟的流程圖。 Fig. 12 is a flow chart of auxiliary steps of the method for obtaining electrocardiogram data according to the present invention.

本發明將藉由參照下列的實施方式而更具體地描述。 The present invention will be described more specifically by referring to the following embodiments.

請見圖1,該圖為依照本發明之取得心電圖資料的方法之第一實施方式的流程圖。本發明的取得心電圖資料的方法是為了解決現有可攜式心電訊號偵測器與終端計算系統間訊號傳輸時發生資料遺漏的問題。為了對該方法有較佳的理解,必先得了解其實施所需的相關硬體架構。請見圖2,該圖繪示實施該取得心電圖資料的方法之一種硬體架構。基於本發明的精神,主要牽涉的硬體有三個:可攜式心電訊號偵測器10、中繼裝置(中繼裝置是在不同網域範圍內傳輸訊息的裝置,型態上有很多種。在本實施例中,以一閘道器20為例來說明)與計算系統30。為了達成本發明的目的,這三個技術元件的硬體要特定,也須配合相關的軟體控制。 Please refer to FIG. 1 , which is a flow chart of the first embodiment of the method for obtaining electrocardiogram data according to the present invention. The method for obtaining electrocardiogram data of the present invention is to solve the problem of data omission during signal transmission between the existing portable electrocardiogram detector and the terminal computing system. In order to have a better understanding of this method, it is necessary to understand the relevant hardware architecture required for its implementation. Please refer to FIG. 2 , which shows a hardware architecture for implementing the method for obtaining ECG data. Based on the spirit of the present invention, there are three main pieces of hardware involved: a portable ECG signal detector 10, a relay device (the relay device is a device for transmitting messages within different network domains, and there are many types In this embodiment, a gateway 20 is used as an example to illustrate) and a computing system 30 . In order to achieve the purpose of the present invention, the hardware of these three technical components must be specific, and must cooperate with related software control.

在圖2的硬體架構中,可攜式心電訊號偵測器10是一種整合式、部分可拋棄的心電偵測裝置。可攜式心電訊號偵測器10貼附於人體胸腔肌膚,以持續偵測心電訊號。進一步來說,可攜式心電訊號偵測器10蒐集接近心臟部位的人體皮膚因為心跳造成的電位變化,將這些連續的電位值數位化,調變為無線訊號向計算系統30傳送,以便計算系統30可以還原受測者的實際心跳狀況,進而分析受測者的健康問題。相較於傳統的霍特監測器與監視器,除了在偵測原理上相同,考慮到可以重複使用、不受汙染以及不斷訊無線傳輸數據,可攜式心電訊號偵測器10有不同的改進。請見圖4,該圖為可攜式心電訊號偵測器10的剖面圖。可攜式 心電訊號偵測器10包含了一本體11、一可拋棄式安裝裝置12及一心電訊號偵測裝置13。本體11是一個保護裝置,其中具有一空腔111,空腔111中安放並保護用於處理偵測到偵測心電訊號的心電訊號偵測裝置13。可拋棄式安裝裝置12是單次貼附於人體胸腔肌膚,直接獲取人體肌膚的電位變化,並在使用一段時間後可拋棄的裝置。可拋棄式安裝裝置12包括了一軟性電路板121、至少一貼附器122及至少二電極123。軟性電路板121內含數條電路(未繪示),連接電極123與心電訊號偵測裝置13,至少一貼附器122安裝於本體11的一側,用以可拆卸地貼附於人體胸腔肌膚。實作上,貼附器122可以是吸盤或膠帶,能將本體11、心電訊號偵測裝置13、軟性電路121及電極123部分可拆卸地黏附到人體胸腔肌膚上。當要更換可攜式心電訊號偵測器10的受測者,或是遇到同一個受測者因為流汗或皮膚脫落而造成可攜式心電訊號偵測器10掉落的情況時,可拋棄式安裝裝置12可與本體11及心電訊號偵測裝置13脫離,另外更新。此時,可攜式心電訊號偵測器10便可再恢復使用狀態。在本實施例中,電極123的數量有2個。實作上,電極123的數量可以更多,比如4個。該些電極123與該至少一貼附器122安裝於本體11的同一側,該些電極123透過一連接電路(經由軟性電路板121)連接到本體11中,與心電訊號偵測裝置13電訊號連接。 In the hardware structure of FIG. 2 , the portable ECG detector 10 is an integrated and partially disposable ECG detection device. The portable ECG signal detector 10 is attached to the skin of the chest cavity of a human body to continuously detect ECG signals. Furthermore, the portable ECG detector 10 collects the potential changes of the human skin near the heart due to the heartbeat, digitizes these continuous potential values, modulates them into wireless signals and transmits them to the computing system 30 for calculation The system 30 can restore the actual heartbeat condition of the subject, and then analyze the health problems of the subject. Compared with traditional Hult monitors and monitors, in addition to the same detection principle, the portable ECG detector 10 has different features in consideration of reusability, non-pollution and continuous wireless transmission of data. Improve. Please refer to FIG. 4 , which is a cross-sectional view of the portable ECG signal detector 10 . Portable The ECG signal detector 10 includes a body 11 , a disposable installation device 12 and an ECG signal detection device 13 . The main body 11 is a protection device, which has a cavity 111 in which the ECG signal detection device 13 for processing detected ECG signals is placed and protected. The disposable installation device 12 is attached to the skin of the chest cavity of the human body once, directly obtains the potential change of the human skin, and can be discarded after a period of use. The disposable installation device 12 includes a flexible circuit board 121 , at least one sticker 122 and at least two electrodes 123 . The flexible circuit board 121 contains several circuits (not shown), connects the electrodes 123 and the ECG signal detection device 13, and at least one attachment device 122 is installed on one side of the main body 11 for detachable attachment to the human body Chest skin. In practice, the applicator 122 can be a suction cup or an adhesive tape, which can detachably adhere the body 11 , the ECG signal detection device 13 , the flexible circuit 121 and the electrodes 123 to the skin of the chest cavity of a human body. When the subject of the portable ECG signal detector 10 is to be replaced, or when the portable ECG signal detector 10 falls due to sweating or skin shedding of the same subject , the disposable installation device 12 can be separated from the main body 11 and the ECG signal detection device 13, and can be updated separately. At this point, the portable ECG signal detector 10 can be restored to the use state. In this embodiment, there are two electrodes 123 . In practice, the number of electrodes 123 can be more, such as four. The electrodes 123 and the at least one sticker 122 are installed on the same side of the main body 11, and the electrodes 123 are connected to the main body 11 through a connection circuit (via the flexible circuit board 121), and communicate with the ECG signal detection device 13. connection number.

心電訊號偵測裝置13可取下地安裝於空腔111中,是一個特製的電子產品。關於心電訊號偵測裝置13的硬體架構,請見圖5,該圖為心電訊號偵測裝置13的元件方框圖。為了方便說明,圖5中元件間為訊號連接者以虛線繪示,電連接者以實線繪示。心電訊號偵測裝置13包括了一儲存單元131、一無線傳輸單元132、一處理器133、一輸入單元134與一電力單元135。儲存單元131包含了隨機存取存儲器與固態晶片儲存裝置,可儲存心電訊號及運行於處理器133上軟體的程式碼。無線傳輸單元132可設定以與閘道器20無線訊號連接,實作上可以是個藍芽通訊模組或Wi-Fi模組。透過閘道器20,無線傳輸單元132可將心電訊號偵測 裝置13初步處理過的心電訊號,分批次傳送至計算系統30。處理器133與該至少二電極123通過連接電路電訊號連接,可將來自該至少二電極123的電位變化轉化為心電訊號,並如前所述將該心電訊號通過無線傳輸單元132傳送至閘道器20。輸入單元134與處理器133電訊號連接,可讓受測者使用以對心電訊號偵測裝置13的某些功能,比如開啟關閉、連接閘道器20等進行設定。電力單元135與儲存單元131、無線傳輸單元132及處理器133電連接,提供該些元件運作時所需的電力。實作上,電力單元135可以是一次性的水銀電池或可充電重複使用的鋰電池。 The electrocardiogram detection device 13 is detachably installed in the cavity 111 and is a special electronic product. Regarding the hardware structure of the ECG signal detection device 13 , please refer to FIG. 5 , which is a block diagram of components of the ECG signal detection device 13 . For the convenience of description, in FIG. 5 , signal connections between components are shown by dotted lines, and electrical connections between components are shown by solid lines. The ECG signal detection device 13 includes a storage unit 131 , a wireless transmission unit 132 , a processor 133 , an input unit 134 and a power unit 135 . The storage unit 131 includes a random access memory and a solid-state chip storage device, which can store ECG signals and program codes of software running on the processor 133 . The wireless transmission unit 132 can be configured to connect with the gateway 20 through wireless signals, and can be a Bluetooth communication module or a Wi-Fi module in practice. Through the gateway 20, the wireless transmission unit 132 can detect the ECG signal The ECG signals preliminarily processed by the device 13 are sent to the computing system 30 in batches. The processor 133 is electrically connected to the at least two electrodes 123 through a connection circuit, and can convert the potential change from the at least two electrodes 123 into an electrocardiographic signal, and transmit the electrocardiographic signal through the wireless transmission unit 132 to the Gateway 20. The input unit 134 is electrically connected to the processor 133, and can be used by the subject to set certain functions of the ECG signal detection device 13, such as opening and closing, connecting to the gateway 20, and the like. The power unit 135 is electrically connected to the storage unit 131 , the wireless transmission unit 132 and the processor 133 to provide the power required for these components to operate. In practice, the power unit 135 can be a disposable mercury battery or a rechargeable and reusable lithium battery.

除了可攜式心電訊號偵測器10外,閘道器20也是個特製的電子產品。一般來說,閘道器是連接2個以上個別網路(比如家庭網路與網際網路)的裝置,可以決定資料封包傳輸的路徑。本發明的閘道器20除了以上的基本功能外,還需要有暫存資料並於特定情況下將儲存的資料上傳的功能。為此,典型的閘道器20的元件方框圖如圖6所示。閘道器20包含了一天線模組21、一接收訊號處理電路22、一發送訊號處理電路23、一處理模組24及一儲存模組25。天線模組21是接收或發射特定頻段電磁波的工具。接收到的外部電磁波經過與天線模組21電訊號連接的接收訊號處理電路22的解調變後,其搭載的訊號會被傳送到與接收訊號處理電路22電訊號連接的處理模組24。處理模組24會依照接收訊號中封包的指示,將封包的資料傳輸到另一個網路中的目的地。因此,處理模組24會將重新封裝過的封包傳給電訊號連接的發送訊號處理電路23,發送訊號處理電路23將該封包調變到發送訊號中,最終由天線模組21轉換為電磁波而向外發射。依照本發明,如果封包中帶有心電訊號,處理模組24可以在未獲接收端(計算系統30)的接收通知的情況下,暫存該心電訊號到儲存模組25中,以便於設定的情況下再次發送。這些發送的設定情況細節將於後文中說明。計算系統30是至少一台伺服器,專門用來分析來自受測者的心電訊號。計算系統30的工作包含,但不限於接 收心電訊號、依時間序重組心電訊號、通過分析心電訊號並推斷心律異常情況,以及當有遺漏的心電訊號情況發生時,向閘道器20或可攜式心電訊號偵測器10要求重新傳送。 In addition to the portable ECG detector 10, the gateway 20 is also a special electronic product. Generally speaking, a gateway is a device that connects two or more individual networks (such as a home network and the Internet), and can determine the path for data packet transmission. In addition to the above basic functions, the gateway 20 of the present invention also needs to have the function of temporarily storing data and uploading the stored data under specific circumstances. To this end, a block diagram of components of a typical gateway 20 is shown in FIG. 6 . The gateway 20 includes an antenna module 21 , a receiving signal processing circuit 22 , a sending signal processing circuit 23 , a processing module 24 and a storage module 25 . The antenna module 21 is a tool for receiving or emitting electromagnetic waves of specific frequency bands. After the received external electromagnetic wave is demodulated by the receiving signal processing circuit 22 electrically connected to the antenna module 21 , the signal carried therein will be sent to the processing module 24 electrically connected to the receiving signal processing circuit 22 . The processing module 24 transmits the data of the packet to another destination in the network according to the instruction of the packet in the received signal. Therefore, the processing module 24 will pass the repackaged packet to the transmission signal processing circuit 23 connected to the electric signal, and the transmission signal processing circuit 23 will modulate the packet into the transmission signal, and finally the antenna module 21 converts the packet into an electromagnetic wave to send outside launch. According to the present invention, if there is an ECG signal in the packet, the processing module 24 can temporarily store the ECG signal in the storage module 25 without receiving notification from the receiving end (computing system 30), so as to facilitate setting resend in case. The details of the settings for these transmissions will be described later. The computing system 30 is at least one server, which is specially used to analyze the ECG signals from the subject. The work of the computing system 30 includes, but is not limited to receiving Receive ECG signals, reconstruct ECG signals according to time sequence, analyze ECG signals and infer abnormal heart rhythm, and report to gateway 20 or portable ECG signal detection when missing ECG signals occur. The device 10 requires a retransmission.

要注意的是,圖2是實施取得心電圖資料的方法的諸多硬體架構中的一種。閘道器20被設計成了可掛載在受測者衣物上(比如腰間),透過IP分享器40連上網路50,進而與計算系統30訊號連接。近年來,由於行動通訊技術的提升,許多智慧型手機也有路由功能。因此,應用於本發明的閘道器20也可以是智慧型手機。請見圖3,該圖繪示實施取得心電圖資料的方法之另一種硬體架構。智慧型手機20a取代了圖2中的閘道器20與IP分享器40,可直接通過行動通訊網路51與計算系統30訊號連接。在實作上,本發明不局限於中繼裝置的實體型態,而是著重於具有說明書中詳述的功能之硬體。 It should be noted that FIG. 2 is one of many hardware architectures for implementing the method for obtaining ECG data. The gateway 20 is designed to be mounted on the subject's clothing (eg waist), connected to the network 50 through the IP sharer 40 , and then connected to the computing system 30 by signal. In recent years, due to the improvement of mobile communication technology, many smart phones also have routing functions. Therefore, the gateway 20 applied to the present invention can also be a smart phone. Please refer to FIG. 3 , which shows another hardware structure for implementing the method for obtaining ECG data. The smart phone 20a replaces the gateway 20 and the IP sharer 40 in FIG. 2 , and can be directly connected to the computing system 30 via the mobile communication network 51 . In practice, the present invention is not limited to the physical form of the relay device, but focuses on the hardware having the functions detailed in the specification.

請復見圖1,一種取得心電圖資料的方法,包含了以下步驟。第一步驟為將一可攜式心電訊號偵測器10貼附於人體胸腔肌膚,以持續偵測心電訊號(S01)。可攜式心電訊號偵測器10的功能及操作方式以說明如上,不予重複說明。第二步驟為將該可攜式心電訊號偵測器10與一中繼裝置(閘道器20)無線訊號連接(S02)。此步驟為連接兩個裝置,以確定其間訊號可以相互傳輸。 Please refer to Fig. 1 again, a method for obtaining electrocardiogram data includes the following steps. The first step is to attach a portable ECG signal detector 10 to the skin of the chest cavity of a human body to continuously detect ECG signals (S01). The function and operation method of the portable ECG signal detector 10 are described as above, and will not be repeated. The second step is to wirelessly connect the portable ECG detector 10 with a relay device (gateway 20) (S02). This step is to connect the two devices to ensure that the signals can be transmitted to each other.

第三步驟為將偵測到的心電訊號傳送至閘道器20中儲存,其中若某部分心電訊號無法為該中繼裝置(閘道器20)所接收,則將該部分心電訊號暫存於可攜式心電訊號偵測器10中(S03)。為了對該步驟有較佳的理解,請參見圖7,該圖繪示第一實施方式中的一操作實例。時間由T0開始,可攜式心電訊號偵測器10持續偵測心電訊號,並分段發送給計算系統30。可攜式心電訊號偵測器10可設定一段時間(T0到T1之間的時間,比如5分鐘)將累積偵測的心電訊號發送給閘道器20,讓閘道器20暫存。閘道器20在T2時確認接收到來自可攜式心電訊號偵測器10的第一心電訊號,並發出確認接收第一心電訊號的反饋通知給可攜式 心電訊號偵測器10,同時儲存該第一心電訊號。可攜式心電訊號偵測器10在T1到T3間持續偵測心電訊號並取得第二心電訊號。依照設定,可攜式心電訊號偵測器10在T1過後的一個預設時間(包含傳送完成第一心電訊號及等待閘道器20回復的時間,落於T2到T3間)內,期待接收到該反饋通知。因為接收到了反饋通知,可攜式心電訊號偵測器10便會在T1後設定的時間點T3上,向閘道器20傳送第二心電訊號。相同地,閘道器20在T4時確認接收到來自可攜式心電訊號偵測器10的第二心電訊號,並發出確認接收第二心電訊號的反饋通知給可攜式心電訊號偵測器10,同時儲存該第二心電訊號。然而,在T5時可攜式心電訊號偵測器10傳送給閘道器20偵測於T3到T5間的第三心電訊號,閘道器20因為通訊環境不佳而遺漏未收到。因此,可攜式心電訊號偵測器10便不能於預設時間內收到來自閘道器20的反饋通知。依照本發明,此時可攜式心電訊號偵測器10的做法是於T6將第三心電訊號暫存,但T5到T7間還是持續偵測並取得第四心電訊號。時間到了T7,可攜式心電訊號偵測器10向閘道器20傳送第四心電訊號,同時結束偵測作業。閘道器20在T8時確認接收到來自可攜式心電訊號偵測器10的第四心電訊號,並發出確認接收第四心電訊號的反饋通知給可攜式心電訊號偵測器10,同時儲存該第四心電訊號。較佳地,可同步將閘道器20儲存的心電訊號傳送至計算系統30,抑或是透過觸發閘道器20來傳送。另一方面,心電訊號的傳送或暫存動作係由可攜式心電訊號偵測器10判斷是否收到中繼裝置(閘道器20)的要求或回饋訊息而執行,即若收到閘道器20的要求或回饋訊息則執行該傳送動作,以及若超過特定時間未收到閘道器20的要求或回饋訊息則執行該暫存動作。此外,該要求或回饋訊息係由中繼裝置持續以特定頻率主動產生。 The third step is to transmit the detected ECG signals to the gateway 20 for storage, wherein if a certain part of the ECG signals cannot be received by the relay device (gateway 20), then the part of the ECG signals Temporarily stored in the portable ECG detector 10 (S03). For a better understanding of this step, please refer to FIG. 7 , which shows an operation example in the first embodiment. The time starts from T0, and the portable ECG signal detector 10 continues to detect the ECG signals, and sends them to the computing system 30 in segments. The portable ECG detector 10 can set a period of time (the time between T0 and T1, such as 5 minutes) to send the accumulated detected ECG signals to the gateway 20 for temporary storage. The gateway 20 confirms receiving the first ECG signal from the portable ECG signal detector 10 at T2, and sends a feedback notification to the portable ECG signal detector 10 confirming the receipt of the first ECG signal. The ECG signal detector 10 simultaneously stores the first ECG signal. The portable ECG signal detector 10 continuously detects ECG signals from T1 to T3 and obtains a second ECG signal. According to the setting, the portable ECG signal detector 10 falls within a preset time after T1 (including the time for completing the transmission of the first ECG signal and waiting for the reply of the gateway 20, falling between T2 and T3), expecting The feedback notification was received. Because of receiving the feedback notification, the portable ECG detector 10 will transmit the second ECG signal to the gateway 20 at the time point T3 set after T1. Similarly, the gateway 20 confirms receiving the second ECG signal from the portable ECG signal detector 10 at T4, and sends a feedback notification to the portable ECG signal detector 10 confirming receipt of the second ECG signal The detector 10 stores the second ECG signal at the same time. However, at T5, the portable ECG detector 10 sends the third ECG signal to the gateway 20 to detect the third ECG signal between T3 and T5, but the gateway 20 misses it due to poor communication environment. Therefore, the portable ECG detector 10 cannot receive the feedback notification from the gateway 20 within the preset time. According to the present invention, the portable ECG signal detector 10 temporarily stores the third ECG signal at T6, but continues to detect and obtain the fourth ECG signal from T5 to T7. When the time comes to T7, the portable ECG detector 10 transmits the fourth ECG signal to the gateway 20, and at the same time ends the detection operation. The gateway 20 confirms receiving the fourth ECG signal from the portable ECG signal detector 10 at T8, and sends a feedback notification confirming the receipt of the fourth ECG signal to the portable ECG signal detector 10. Simultaneously store the fourth ECG. Preferably, the ECG signal stored in the gateway 20 can be transmitted to the computing system 30 synchronously, or can be transmitted by triggering the gateway 20 . On the other hand, the transmission or temporary storage of ECG signals is carried out by the portable ECG signal detector 10 judging whether a request or a feedback message from the relay device (gateway 20) is received. The request or feedback message from the gateway 20 executes the transmission action, and if the request or feedback message from the gateway 20 is not received within a specified time, the temporary storage action is executed. In addition, the request or feedback message is continuously and actively generated by the relay device at a specific frequency.

接著,取得心電圖資料的方法的第一實施方式之第四步驟為將中繼裝置(閘道器20)儲存的心電訊號傳送至與中繼裝置(閘道器20)無線訊號連接的一計算系統30(S04)。在圖7中,由於可攜式心電訊號偵測器10在時間點T8已經 結束了偵測作業,接著閘道器20便是要向計算系統30傳送它儲存的資料(第一心電訊號、第二心電訊號與第四心電訊號)。因此,依照設定,閘道器20於時間點T9(T8到T9間的時長不限)將第一心電訊號、第二心電訊號與第四心電訊號傳送給計算系統30。如果心電訊號沒有遺漏,那麼第一實施方式便可以進行最終步驟:由計算系統30將所接收的心電訊號依時間序重組分析並推斷心律異常情況(S05)。很明顯,計算系統30漏掉了第三心電訊號。為了補齊計算系統30所欠缺的資料,步驟S04與步驟S05間有兩種處理方法。 Next, the fourth step of the first embodiment of the method for obtaining electrocardiogram data is to transmit the ECG signal stored by the relay device (gateway 20) to a computer connected to the relay device (gateway 20) with wireless signals. System 30 (S04). In FIG. 7, since the portable ECG detector 10 has already After the detection operation is finished, the gateway 20 then transmits its stored data (the first ECG, the second ECG and the fourth ECG) to the computing system 30 . Therefore, according to the setting, the gateway 20 transmits the first ECG signal, the second ECG signal and the fourth ECG signal to the computing system 30 at the time point T9 (the time period from T8 to T9 is not limited). If the ECG signal is not missed, then the first embodiment can proceed to the final step: the computing system 30 reorganizes and analyzes the received ECG signal according to time sequence and infers abnormal heart rhythm ( S05 ). Obviously, the computing system 30 missed the third ECG signal. In order to supplement the missing data in the computing system 30, there are two processing methods between step S04 and step S05.

第一種處理方法為將暫存於可攜式心電訊號偵測器10中的心電訊號傳送至計算系統30。請復見圖7,依照設定,可攜式心電訊號偵測器10在時間點T10(T9到T10間的時長不限)將本身儲存的第三心電訊號重傳給閘道器20,讓閘道器20將第三心電訊號中繼傳送給計算系統30。相似地,閘道器20在T11時確認接收到來自可攜式心電訊號偵測器10重傳的第三心電訊號,並發出確認接收到重傳的第三心電訊號的反饋通知給可攜式心電訊號偵測器10。此時閘道器20不同時儲存第三心電訊號,只是直接將該第三心電訊號再次發送給計算系統30。以上的處理方法是由可攜式心電訊號偵測器10主動為之。 The first processing method is to transmit the ECG signals temporarily stored in the portable ECG signal detector 10 to the computing system 30 . Please see Fig. 7 again, according to the setting, the portable ECG signal detector 10 retransmits the third ECG signal stored by itself to the gateway 20 at the time point T10 (the time between T9 and T10 is not limited). , so that the gateway 20 relays the third ECG signal to the computing system 30 . Similarly, the gateway 20 confirms receiving the retransmitted third ECG signal from the portable ECG signal detector 10 at T11, and sends a feedback notification confirming receipt of the retransmitted third ECG signal to A portable ECG detector 10 . At this time, the gateway 20 does not store the third ECG signal at the same time, but directly sends the third ECG signal to the computing system 30 again. The above processing method is automatically performed by the portable ECG signal detector 10 .

關於第二種處理方法,請見圖8,該圖繪示第一實施方式中的另一操作實例。圖8中的T0到T9所發生的事項,與圖7相同。依照本發明,第二種處理方法為檢查該計算系統30所接收的心電訊號是否完整,若為不完整,則通過閘道器20請求可攜式心電訊號偵測器10將暫存的心電訊號再次通過閘道器20傳送至計算系統30。檢查計算系統30所接收的心電訊號是否完整係依據該心電訊號在時間序上是否有不連續的中斷情形。如圖8所繪示,依照設定,計算系統30在時間點T10’(T9到T10’間的時長不限)整理資料,並在時序上發現遺漏了第三心電訊號,所接收的心電訊號有不連續的中斷情形。因此,計算系統30在時間點T11’(可依實際情況設定)通過閘道器20請求可攜式心電訊號偵測器10將暫存的心電訊 號再次通過閘道器20傳送至計算系統30。接收到需求,可攜式心電訊號偵測器10於T12’向閘道器20重傳第三心電訊號。閘道器20在T13’時確認接收到來自可攜式心電訊號偵測器10重傳的第三心電訊號,並發出確認接收到重傳的第三心電訊號的反饋通知給可攜式心電訊號偵測器10,同時將接收到重傳的第三心電訊號傳給計算系統30。以上的處理方法是由計算系統30發起,可攜式心電訊號偵測器10配合為之。 Regarding the second processing method, please refer to FIG. 8 , which shows another operation example in the first embodiment. The events at T0 to T9 in FIG. 8 are the same as those in FIG. 7 . According to the present invention, the second processing method is to check whether the ECG signal received by the computing system 30 is complete, and if it is incomplete, request the portable ECG signal detector 10 through the gateway 20 to temporarily store the ECG signal The ECG signal is sent to the computing system 30 through the gateway 20 again. Checking whether the ECG signal received by the computing system 30 is complete is based on whether there is a discontinuous interruption in the time series of the ECG signal. As shown in Figure 8, according to the setting, the computing system 30 sorts out the data at the time point T10' (the time between T9 and T10' is not limited), and finds that the third ECG signal is missing in time series, and the received ECG There are discontinuous interruptions in electrical signals. Therefore, the computing system 30 requests the portable ECG detector 10 through the gateway 20 at the time point T11' (which can be set according to the actual situation) to transfer the temporarily stored ECG The number is transmitted to the computing system 30 through the gateway 20 again. Upon receiving the request, the portable ECG detector 10 retransmits the third ECG signal to the gateway 20 at T12'. The gateway 20 confirms the receipt of the retransmitted third ECG signal from the portable ECG signal detector 10 at T13', and sends a feedback notification confirming the receipt of the retransmitted third ECG signal to the portable The type ECG detector 10 transmits the retransmitted third ECG signal to the computing system 30 at the same time. The above processing method is initiated by the computing system 30 and carried out by the portable ECG detector 10 .

依照本發明,心電訊號的傳送除了是由可攜式心電訊號偵測器10主動發送給中繼裝置(閘道器20),也可以是由中繼裝置(閘道器20)持續發送要求訊息以通知可攜式心電訊號偵測器10進行心電訊號傳送。舉例來說,在T1之前,閘道器20主動可發出要求訊息給可攜式心電訊號偵測器10,讓可攜式心電訊號偵測器10在T1時將第一心電訊號傳給閘道器20;閘道器20在T2、T4、T6確認接收到來自可攜式心電訊號偵測器10的心電訊號並發出確認反饋通知給可攜式心電訊號偵測器10之後,發出要求訊息給可攜式心電訊號偵測器10,讓可攜式心電訊號偵測器10繼續發送後續的心電訊號。當可攜式心電訊號偵測器10有收到要求訊息,則會傳送對應的心電訊號給閘道器20,若未收到則不傳送,當可攜式心電訊號偵測器10偵測超過某特定時間仍未收到要求訊息,則將心電訊號儲存。 According to the present invention, the transmission of the ECG signal can be continuously sent by the relay device (gateway 20) in addition to being actively sent by the portable ECG signal detector 10 to the relay device (gateway 20). The request message is used to notify the portable ECG signal detector 10 to transmit the ECG signal. For example, before T1, the gateway 20 can actively send a request message to the portable ECG detector 10, so that the portable ECG detector 10 can transmit the first ECG signal at T1. To the gateway 20; the gateway 20 confirms receiving the ECG signal from the portable ECG detector 10 at T2, T4, T6 and sends a confirmation feedback notification to the portable ECG detector 10 Afterwards, a request message is sent to the portable ECG detector 10, so that the portable ECG detector 10 continues to send subsequent ECG signals. When the portable ECG signal detector 10 receives the request message, it will send the corresponding ECG signal to the gateway 20, if it does not receive it, it will not send it. When the portable ECG signal detector 10 If the request message is not received within a certain time period, the ECG signal is stored.

在以上的第一實施方式中,傳送中遺漏的心電訊號是備份儲存在可攜式心電訊號偵測器10。然而,依照本發明,遺漏的心電訊號可以依照發生位置,分別儲存在可攜式心電訊號偵測器10與閘道器20。以下以一第二實施方式來說明這種技術。 In the above first embodiment, the ECG signals missed during the transmission are backed up and stored in the portable ECG signal detector 10 . However, according to the present invention, the missed ECG signals can be stored in the portable ECG signal detector 10 and the gateway 20 respectively according to the location of occurrence. This technique is described below with a second embodiment.

請見圖9,該圖為依照本發明之取得心電圖資料的方法之第二實施方式的流程圖。在本實施例中,取得心電圖資料的方法包含了以下步驟。第一步驟為將一可攜式心電訊號偵測器10貼附於人體胸腔肌膚,以持續偵測心電訊號(S11)。本步驟的內容與目的同前一實施例的步驟S01,不予重複說明。第二步 驟為將該可攜式心電訊號偵測器10與一中繼裝置(閘道器20)無線訊號連接(S12),此步驟亦同步驟S02。 Please refer to FIG. 9 , which is a flow chart of the second embodiment of the method for obtaining ECG data according to the present invention. In this embodiment, the method for obtaining ECG data includes the following steps. The first step is to attach a portable ECG signal detector 10 to the skin of the chest cavity of a human body to continuously detect ECG signals (S11). The content and purpose of this step are the same as the step S01 of the previous embodiment, and will not be described repeatedly. second step The step is to wirelessly connect the portable ECG detector 10 with a relay device (gateway 20) (S12), and this step is also the same as step S02.

第三步驟為將偵測到的心電訊號傳送至中繼裝置(閘道器20)中儲存,其中若一第一部分心電訊號無法為中繼裝置(閘道器20)所接收,則將該第一部分心電訊號暫存於可攜式心電訊號偵測器10中(S13)。為了對該步驟有較佳的理解,請參見圖10,該圖繪示第二實施方式中的一操作實例。圖10中的T0到T9發生的事項與圖7相同,也就是可攜式心電訊號偵測器10成功地將第一、第二與第四心電訊號重送到並儲存於閘道器20中。第三心電訊號因失誤而無法為閘道器20所接收,因而暫存於可攜式心電訊號偵測器10中。這裡,第一部分心電訊號指的就是第三心電訊號。 The third step is to transmit the detected ECG signal to the relay device (gateway device 20) for storage, wherein if a first part of the ECG signal cannot be received by the relay device (gateway device 20), the The first part of the ECG signal is temporarily stored in the portable ECG signal detector 10 (S13). For a better understanding of this step, please refer to FIG. 10 , which shows an operation example in the second embodiment. The events from T0 to T9 in FIG. 10 are the same as those in FIG. 7, that is, the portable ECG signal detector 10 successfully resends the first, second and fourth ECG signals and stores them in the gateway. 20 in. The third ECG signal cannot be received by the gateway 20 due to an error, and thus is temporarily stored in the portable ECG signal detector 10 . Here, the first part of the ECG signal refers to the third ECG signal.

取得心電圖資料的方法的第二實施方式之第四步驟為將該中繼裝置(閘道器20)接收到的心電訊號傳送至與中繼裝置(閘道器20)無線訊號連接的一計算系統30中儲存,其中若一第二部分心電訊號無法為計算系統30所接收,則將該第二部分心電訊號暫存於中繼裝置(閘道器20)中(S14)。在圖10中。在T10時,計算系統30通知閘道器20確認接收到第一與第四心電訊號,也就是第二心電訊號在閘道器20與計算系統30間傳送時遺失了,第二心電訊號即為前述的第二部分心電訊號。和前一實施例相同,心電訊號暫存動作係由可攜式心電訊號偵測器10判斷是否收到中繼裝置(閘道器20)的要求或回饋訊息而執行。如果心電訊號沒有遺漏,那麼第二實施方式便可以進行最終步驟:由計算系統30將所接收的心電訊號依時間序重組、分析並推斷心律異常情況(S15)。但由於可攜式心電訊號偵測器10停止了偵測作業且計算系統30遺漏了來自可攜式心電訊號偵測器10的第二與第三心電訊號,接著便是要補齊計算系統30遺漏的心電訊號。相似地,步驟S14與步驟S15間有兩種處理方法。 The fourth step of the second embodiment of the method for obtaining ECG data is to transmit the ECG signal received by the relay device (gateway 20) to a computer connected to the relay device (gateway 20) with wireless signals. If a second part of the ECG signal cannot be received by the computing system 30, the second part of the ECG signal is temporarily stored in the relay device (gateway 20) (S14). In Figure 10. At T10, the computing system 30 notifies the gateway 20 to confirm the receipt of the first and fourth ECG signals. The signal is the aforementioned second part of the ECG signal. Same as the previous embodiment, the ECG signal temporary storage operation is performed by the portable ECG signal detector 10 judging whether it receives a request or a feedback message from the relay device (gateway 20 ). If the ECG signal is not missed, then the second embodiment can proceed to the final step: the computing system 30 reorganizes, analyzes and infers the abnormality of the heart rhythm from the received ECG signal according to time sequence ( S15 ). However, since the portable ECG detector 10 has stopped the detection operation and the computing system 30 has missed the second and third ECG signals from the portable ECG detector 10, it is necessary to make up ECG signals missed by the system 30 are calculated. Similarly, there are two processing methods between step S14 and step S15.

第一種處理方法為將暫存的第一部分或第二部分心電訊號傳送至計算系統30。請復見圖10,依照設定,可攜式心電訊號偵測器10在時間點T11(T10到T11間的時長不限)將本身儲存的第三心電訊號重傳給閘道器20,閘道器20在接收到第三心電訊號後,於T12時回覆確認接收到第三心電訊號,並將第三心電訊號中繼傳送給計算系統30。此時閘道器20不儲存第三心電訊號。計算系統30在收到第三心電訊號後,於T13回覆閘道器20確認接收第三心電訊號。接著,輪到閘道器20將其儲存的第四心電訊號於T14重傳給計算系統30,直到時間點T15時收到由計算系統30傳來的確認接收第四心電訊號之回覆,全部作業結束。依照本發明,閘道器20也可先於可攜式心電訊號偵測器10向計算系統30重傳暫存的心電訊號。以上的處理方法是由可攜式心電訊號偵測器10與閘道器20主動為之。 The first processing method is to transmit the temporarily stored first part or second part of the ECG signal to the computing system 30 . Please refer to FIG. 10 again. According to the setting, the portable ECG signal detector 10 retransmits the third ECG signal stored by itself to the gateway 20 at the time point T11 (the time between T10 and T11 is not limited). After receiving the third ECG signal, the gateway 20 replies at T12 to confirm the receipt of the third ECG signal, and relays the third ECG signal to the computing system 30 . At this moment, the gateway 20 does not store the third ECG signal. After receiving the third ECG signal, the computing system 30 replies to the gateway 20 to confirm receiving the third ECG signal at T13. Then, it is the turn of the gateway 20 to retransmit the stored fourth ECG signal to the computing system 30 at T14, until the time point T15 receives a reply from the computing system 30 confirming the receipt of the fourth ECG signal, All work is over. According to the present invention, the gateway 20 can also retransmit the temporarily stored ECG signal to the computing system 30 before the portable ECG signal detector 10 . The above processing methods are actively performed by the portable ECG signal detector 10 and the gateway 20 .

關於第二種處理方法,請見圖11,該圖繪示第二實施方式中的另一操作實例。圖8中的T0到T10所發生的事項,與圖10相同。依照本發明,第二種處理方法為檢查該計算系統30所接收的心電訊號是否完整,若為不完整,則請求將該暫存的第一部分或第二部分心電訊號通過閘道器20傳送至計算系統30。相同地,檢查計算系統30所接收的心電訊號是否完整係依據該心電訊號在時間序上是否有不連續的中斷情形。如圖11所繪示,依照設定,計算系統30在時間點T11’(T10到T11’間的時長不限)整理資料,並在時序上發現遺漏了第三心電訊號與第四心電訊號,所接收的心電訊號有不連續的中斷情形。因此,計算系統30在時間點T11’通過閘道器20向可攜式心電訊號偵測器10請求將暫存的第三心電訊號再次傳送至計算系統30。接收到需求,可攜式心電訊號偵測器10於T12’向閘道器20重傳第三心電訊號。閘道器20在T13’時確認接收到來自可攜式心電訊號偵測器10重傳的第三心電訊號,並發出確認接收到重傳的第三心電訊號的反饋通知給可攜式心電訊號偵測器10,同時將接收到重傳的第三心電訊號傳給計算系統30。計算系統30在接收到第三心電訊號,於T14’發出確認接收第三心電訊號的回 覆給閘道器20。接著,計算系統30於T15’向閘道器20請求將第四心電訊號重傳一次給計算系統30。閘道器20於T16’重傳第四心電訊號,並於T17’時接收到計算系統30確認接收第四心電訊號的回覆後,所有作業結束。相同地,要求重傳心電訊號的請求也可以先向閘道器20發出,然後再向可攜式心電訊號偵測器10(通過閘道器20)發出重傳心電訊號的請求。以上的處理方法是由計算系統30發起,可攜式心電訊號偵測器10及閘道器20配合為之。 Regarding the second processing method, please refer to FIG. 11 , which shows another operation example in the second embodiment. The events at T0 to T10 in FIG. 8 are the same as those in FIG. 10 . According to the present invention, the second processing method is to check whether the ECG signal received by the computing system 30 is complete, and if it is incomplete, request the temporarily stored first or second part of the ECG signal to pass through the gateway 20 to the computing system 30. Similarly, checking whether the ECG signal received by the computing system 30 is complete is based on whether there is a discontinuous interruption in the time series of the ECG signal. As shown in Figure 11, according to the setting, the computing system 30 organizes the data at the time point T11' (the time between T10 and T11' is not limited), and finds that the third ECG and the fourth ECG are missing in time series No., the received ECG signal has discontinuous interruption. Therefore, the computing system 30 requests the portable ECG detector 10 to transmit the temporarily stored third ECG signal to the computing system 30 again through the gateway 20 at the time point T11'. Upon receiving the request, the portable ECG detector 10 retransmits the third ECG signal to the gateway 20 at T12'. The gateway 20 confirms the receipt of the retransmitted third ECG signal from the portable ECG signal detector 10 at T13', and sends a feedback notification to the portable The type ECG detector 10 transmits the retransmitted third ECG signal to the computing system 30 at the same time. Computing system 30 is received the 3rd electrocardiogram signal, at T14 ' send the reply that confirms to receive the 3rd electrocardiogram signal Cover the gateway 20. Then, the computing system 30 requests the gateway 20 to retransmit the fourth ECG signal to the computing system 30 at T15'. The gateway 20 retransmits the fourth ECG signal at T16', and receives a reply from the computing system 30 confirming receipt of the fourth ECG signal at T17', and all operations are completed. Similarly, the request for retransmitting the ECG signal can also be sent to the gateway 20 first, and then the request for retransmitting the ECG signal is sent to the portable ECG detector 10 (through the gateway 20). The above processing method is initiated by the computing system 30 , and the portable ECG signal detector 10 and the gateway 20 cooperate for it.

在前述的實施方式中,有個需要注意的地方。可攜式心電訊號偵測器10與閘道器20工作時最好維持距離在10公尺以內。以避免訊號遺失的問題。畢竟,重傳心電訊號花費時間及電力,並非好事。 In the foregoing embodiments, there is a point that needs attention. When the portable ECG detector 10 and the gateway 20 work, it is preferable to keep the distance within 10 meters. To avoid the problem of signal loss. After all, retransmitting ECG signals takes time and power, which is not a good thing.

如前所述,可拋棄式安裝裝置12可能會因為長時間的使用而失去原先設定的功能,需要被更換。因此,在前些實施方式的第三及第五步驟間以及第一步驟之前,可以設置一些輔助步驟。請參閱圖12,該圖為依照本發明之取得心電圖資料的方法之輔助步驟的流程圖。首先,在貼附經過一使用時間後,將可攜式心電訊號偵測器10取下(SA1)。接著,將可攜式心電訊號偵測器10的可拋棄式安裝裝置12更換為新的(SA2)。最後,將更換新的可拋棄式安裝裝置12的可攜式心電訊號偵測器10貼附於人體胸腔肌膚,以執行可攜式心電訊號偵測器10的工作(SA3)。依照本發明,最好可將心電訊號偵測裝置13的儲存單元131於執行貼附前格式化以及進行可偵測時間的設定。 As mentioned above, the disposable installation device 12 may lose its original function due to long-term use and needs to be replaced. Therefore, some auxiliary steps may be provided between the third and fifth steps and before the first step in the previous embodiments. Please refer to FIG. 12 , which is a flow chart of auxiliary steps of the method for obtaining electrocardiogram data according to the present invention. First, the portable ECG detector 10 is removed after being pasted for a period of use (SA1). Next, replace the disposable installation device 12 of the portable ECG detector 10 with a new one (SA2). Finally, the portable ECG detector 10 replaced with a new disposable installation device 12 is pasted on the skin of the chest cavity of the human body to perform the work of the portable ECG detector 10 (SA3). According to the present invention, preferably, the storage unit 131 of the ECG detection device 13 can be formatted and the detectable time can be set before attaching.

如有必要,在前些實施方式的第五步驟前也可包含另一輔助步驟:在貼附經過一使用時間後,將可攜式心電訊號偵測器10從人體胸腔肌膚取下,並將另一可攜式心電訊號偵測器10貼附於該人體胸腔肌膚,以執行原可攜式心電訊號偵測器10的工作。此乃整組可攜式心電訊號偵測器10全部一次更新。 If necessary, another auxiliary step may also be included before the fifth step of the previous embodiments: after a period of use, the portable ECG detector 10 is removed from the skin of the chest cavity of the human body, and Attach another portable ECG detector 10 to the skin of the chest cavity of the human body to perform the work of the original portable ECG detector 10 . This is an update of the entire group of portable ECG detectors 10 at one time.

雖然本發明已以實施方式揭露如上,然其並非用以限定本發明,任何所屬技術領域中具有通常知識者,在不脫離本發明之精神和範圍內,當可作些許之更動與潤飾,因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。 Although the present invention has been disclosed above in terms of implementation, it is not intended to limit the present invention. Anyone with ordinary knowledge in the technical field may make some changes and modifications without departing from the spirit and scope of the present invention. Therefore, The scope of protection of the present invention should be defined by the scope of the appended patent application.

Claims (10)

一種取得心電圖資料的方法,包含步驟:將一可攜式心電訊號偵測器貼附於人體胸腔肌膚,以持續偵測心電訊號;將該可攜式心電訊號偵測器與一中繼裝置無線訊號連接;將偵測到的心電訊號傳送至該中繼裝置中儲存,其中若某部分心電訊號無法為該中繼裝置所接收,則將該部分心電訊號暫存於該可攜式心電訊號偵測器中;將該中繼裝置儲存的心電訊號傳送至與該中繼裝置無線訊號連接的一計算系統;將暫存於該可攜式心電訊號偵測器中的心電訊號傳送至該計算系統;及由該計算系統將所接收的心電訊號依時間序重組分析並推斷心律異常情況。 A method for obtaining electrocardiogram data, comprising the steps of: attaching a portable electrocardiogram detector to the skin of the chest cavity of a human body to continuously detect electrocardiogram signals; combining the portable electrocardiogram detector with a The wireless signal connection of the relay device; the detected ECG signal is transmitted to the relay device for storage, and if a part of the ECG signal cannot be received by the relay device, the part of the ECG signal is temporarily stored in the relay device In the portable ECG detector; transmit the ECG signal stored by the relay device to a computing system connected wirelessly with the relay device; it will be temporarily stored in the portable ECG signal detector The ECG signals in the computer are sent to the computing system; and the computing system reorganizes and analyzes the received ECG signals according to time series and infers the abnormality of heart rhythm. 一種取得心電圖資料的方法,包含步驟:將一可攜式心電訊號偵測器貼附於人體胸腔肌膚,以持續偵測心電訊號;將該可攜式心電訊號偵測器與一中繼裝置無線訊號連接;將偵測到的心電訊號傳送至該中繼裝置中儲存,其中若某部分心電訊號無法為該中繼裝置所接收,則將該部分心電訊號暫存於該可攜式心電訊號偵測器中;將該中繼裝置儲存的心電訊號傳送至與該中繼裝置無線訊號連接的一計算系統;檢查該計算系統所接收的心電訊號是否完整,若為不完整,則通過該中繼裝置請求該可攜式心電訊號偵測器將暫存的心電訊號再次通過該中繼裝置傳送至該計算系統;由該計算系統將所接收的心電訊號依時間序重組分析並推斷心律異常情況。 A method for obtaining electrocardiogram data, comprising the steps of: attaching a portable electrocardiogram detector to the skin of the chest cavity of a human body to continuously detect electrocardiogram signals; combining the portable electrocardiogram detector with a The wireless signal connection of the relay device; the detected ECG signal is transmitted to the relay device for storage, and if a part of the ECG signal cannot be received by the relay device, the part of the ECG signal is temporarily stored in the relay device In the portable ECG signal detector; transmit the ECG signal stored by the relay device to a computing system wirelessly connected to the relay device; check whether the ECG signal received by the computing system is complete, if If it is incomplete, request the portable ECG signal detector to transmit the temporarily stored ECG signal to the computing system through the relay device through the relay device; the computing system will send the received ECG signal The number is reorganized according to time sequence to analyze and infer the abnormality of cardiac rhythm. 一種取得心電圖資料的方法,包含步驟: 將一可攜式心電訊號偵測器貼附於人體胸腔肌膚,以持續偵測心電訊號;將該可攜式心電訊號偵測器與一中繼裝置無線訊號連接;將偵測到的心電訊號傳送至該中繼裝置中儲存,其中若一第一部分心電訊號無法為該中繼裝置所接收,則將該第一部分心電訊號暫存於該可攜式心電訊號偵測器中;將該中繼裝置接收到的心電訊號傳送至與該中繼裝置無線訊號連接的一計算系統中儲存,其中若一第二部分心電訊號無法為該計算系統所接收,則將該第二部分心電訊號暫存於該中繼裝置中;將該暫存的第一部分或第二部分心電訊號傳送至該計算系統;及由該計算系統將所接收的心電訊號依時間序重組、分析並推斷心律異常情況。 A method for obtaining electrocardiogram data, comprising the steps of: Attach a portable ECG signal detector to the skin of the chest cavity of the human body to continuously detect the ECG signal; connect the portable ECG signal detector with a relay device for wireless signals; detect the The ECG signal is sent to the relay device for storage, and if a first part of the ECG signal cannot be received by the relay device, the first part of the ECG signal is temporarily stored in the portable ECG signal detector in the device; the ECG signal received by the relay device is transmitted to a computing system wirelessly connected to the relay device for storage, wherein if a second part of the ECG signal cannot be received by the computing system, the The second part of the ECG signal is temporarily stored in the relay device; the temporarily stored first or second part of the ECG signal is sent to the computing system; and the computing system sends the received ECG signal according to time Program recombination, analysis and inference of cardiac rhythm abnormalities. 一種取得心電圖資料的方法,包含步驟:將一可攜式心電訊號偵測器貼附於人體胸腔肌膚,以持續偵測心電訊號;將該可攜式心電訊號偵測器與一中繼裝置無線訊號連接;將偵測到的心電訊號傳送至該中繼裝置中儲存,其中若一第一部分心電訊號無法為該中繼裝置所接收,則將該第一部分心電訊號暫存於該可攜式心電訊號偵測器中;將該中繼裝置接收到的心電訊號傳送至與該中繼裝置無線訊號連接的一計算系統中儲存,其中若一第二部分心電訊號無法為該計算系統所接收,則將該第二部分心電訊號暫存於該中繼裝置中;檢查該計算系統所接收的心電訊號是否完整,若為不完整,則請求將該暫存的第一部分或第二部分心電訊號通過該中繼裝置傳送至該計算系統;由該計算系統將所接收的心電訊號依時間序重組、分析並推斷心律異常情況。 A method for obtaining electrocardiogram data, comprising the steps of: attaching a portable electrocardiogram detector to the skin of the chest cavity of a human body to continuously detect electrocardiogram signals; combining the portable electrocardiogram detector with a The wireless signal connection of the relay device; the detected ECG signal is transmitted to the relay device for storage, and if a first part of the ECG signal cannot be received by the relay device, the first part of the ECG signal is temporarily stored In the portable ECG detector; the ECG signal received by the relay device is transmitted to a computing system wirelessly connected to the relay device for storage, wherein a second part of the ECG signal If it cannot be received by the computing system, temporarily store the second part of the ECG signal in the relay device; check whether the ECG signal received by the computing system is complete, and if it is incomplete, request the temporary storage The first part or the second part of the ECG signal is transmitted to the computing system through the relay device; the computing system reorganizes, analyzes and infers the abnormality of the cardiac rhythm according to the time sequence of the received ECG signal. 如請求項1至4中任一項所述之取得心電圖資料的方法,其中該心電訊號的傳送或暫存動作係由該可攜式心電訊號偵測器判斷是否收到該中繼裝置的要求或回饋訊息而執行。 The method for obtaining electrocardiogram data as described in any one of claims 1 to 4, wherein the transmission or temporary storage of the electrocardiogram is determined by the portable electrocardiogram detector whether it has received the relay device request or feedback. 如請求項1至4中任一項所述之取得心電圖資料的方法,其中該可攜式心電訊號偵測器進一步包含:一本體,具有一空腔;一可拋棄式安裝裝置,包括:至少一貼附器,安裝於該本體的一側,用以可拆卸地貼附於人體胸腔肌膚;及至少二電極,與該至少一貼附器安裝於本體的同一側,透過一連接電路連接到該本體中;以及一心電訊號偵測裝置,可取下地安裝於該空腔中,包括:一儲存單元,儲存心電訊號;一無線傳輸單元,設定以與該中繼裝置無線訊號連接;一處理器,與該至少二電極通過該連接電路電訊號連接,將來自該至少二電極的電位變化轉化為心電訊號,並將該心電訊號通過該無線傳輸單元傳送至該中繼裝置;及一電力單元,與該儲存單元、該無線傳輸單元及該處理器電連接,提供該儲存單元、該無線傳輸單元及該處理器運作時所需的電力。 The method for obtaining electrocardiogram data as described in any one of claims 1 to 4, wherein the portable ECG signal detector further comprises: a body having a cavity; a disposable installation device comprising: at least An applicator installed on one side of the body for detachably attaching to the skin of the chest cavity of a human body; and at least two electrodes installed on the same side of the body as the at least one applicator and connected to the In the body; and an electrocardiogram detection device, which can be detachably installed in the cavity, including: a storage unit for storing electrocardiographic signals; a wireless transmission unit, set to connect with the relay device for wireless signals; a processing A device, connected to the at least two electrodes via the connecting circuit, converts the potential changes from the at least two electrodes into electrocardiographic signals, and transmits the electrocardiographic signals to the relay device through the wireless transmission unit; and a The power unit is electrically connected with the storage unit, the wireless transmission unit and the processor, and provides the power required for the operation of the storage unit, the wireless transmission unit and the processor. 如請求項6所述之取得心電圖資料的方法,進一步包含步驟:在貼附經過一使用時間後,將該可攜式心電訊號偵測器取下;將該可攜式心電訊號偵測器的該可拋棄式安裝裝置更換為新的;及將更換新的可拋棄式安裝裝置的可攜式心電訊號偵測器貼附於人體胸腔肌膚,以執行該可攜式心電訊號偵測器的工作。 The method for obtaining electrocardiogram data as described in claim item 6 further includes the steps of: removing the portable ECG signal detector after a period of use after the attachment; detecting the portable ECG signal replace the disposable installation device of the device with a new one; and attach the portable ECG signal detector of the new disposable installation device to the skin of the chest cavity of the human body to perform the portable ECG signal detection work of the detector. 如請求項7所述之取得心電圖資料的方法,進一步將該心電訊號偵測裝置的該儲存單元於執行貼附前格式化以及進行可偵測時間的設定。 According to the method for obtaining electrocardiogram data described in claim 7, the storage unit of the electrocardiogram detection device is further formatted and detectable time setting is performed before attaching. 如請求項2或4所述之取得心電圖資料的方法,檢查該計算系統所接收的心電訊號是否完整係依據該心電訊號在時間序上是否有不連續的中斷情形。 For the method of obtaining electrocardiogram data as described in claim 2 or 4, checking whether the electrocardiogram signal received by the computing system is complete is based on whether there is a discontinuous interruption in the time series of the electrocardiogram signal. 如請求項1至4中任一項所述之取得心電圖資料的方法,進一步包含步驟:在貼附經過一使用時間後,將該可攜式心電訊號偵測器從人體胸腔肌膚取下,並將另一可攜式心電訊號偵測器貼附於人體胸腔肌膚,以執行原可攜式心電訊號偵測器的工作。 The method for obtaining electrocardiogram data as described in any one of claims 1 to 4 further includes the step of: removing the portable ECG signal detector from the skin of the chest cavity of a human body after being attached for a period of time, And another portable ECG detector is pasted on the skin of the chest cavity of the human body to perform the work of the original portable ECG detector.
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108353296A (en) * 2015-10-29 2018-07-31 皇家飞利浦有限公司 The reliable communication of algorithms for wireless medical devices and sensor in monitoring system
TW202011891A (en) * 2018-06-15 2020-04-01 美商普羅托斯數位健康公司 Re-wearable physiological monitoring device

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108353296A (en) * 2015-10-29 2018-07-31 皇家飞利浦有限公司 The reliable communication of algorithms for wireless medical devices and sensor in monitoring system
TW202011891A (en) * 2018-06-15 2020-04-01 美商普羅托斯數位健康公司 Re-wearable physiological monitoring device

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