WO2014118022A1 - Dispositif de mesure de la douleur et/ou de détermination de la douleur - Google Patents

Dispositif de mesure de la douleur et/ou de détermination de la douleur Download PDF

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Publication number
WO2014118022A1
WO2014118022A1 PCT/EP2014/050941 EP2014050941W WO2014118022A1 WO 2014118022 A1 WO2014118022 A1 WO 2014118022A1 EP 2014050941 W EP2014050941 W EP 2014050941W WO 2014118022 A1 WO2014118022 A1 WO 2014118022A1
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Prior art keywords
pain
subject
detector
severity
measurement
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PCT/EP2014/050941
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German (de)
English (en)
Inventor
Rüdiger Bösel
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Rüdiger Bösel
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Publication of WO2014118022A1 publication Critical patent/WO2014118022A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4824—Touch or pain perception evaluation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient ; user input means
    • A61B5/7475—User input or interface means, e.g. keyboard, pointing device, joystick
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/01—Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • A61B5/0531—Measuring skin impedance
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • A61B5/0531—Measuring skin impedance
    • A61B5/0533—Measuring galvanic skin response
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/22—Ergometry; Measuring muscular strength or the force of a muscular blow
    • A61B5/224—Measuring muscular strength
    • A61B5/225—Measuring muscular strength of the fingers, e.g. by monitoring hand-grip force
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/42—Detecting, measuring or recording for evaluating the gastrointestinal, the endocrine or the exocrine systems
    • A61B5/4261—Evaluating exocrine secretion production
    • A61B5/4266—Evaluating exocrine secretion production sweat secretion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6813—Specially adapted to be attached to a specific body part
    • A61B5/6825—Hand
    • A61B5/6826—Finger
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7271—Specific aspects of physiological measurement analysis
    • A61B5/7275—Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor

Definitions

  • the invention relates to a device for measuring pain and / or pain and a method for measuring pain and / or pain, according to the preamble of patent claim 1.
  • Pain is something subjective in the general definition, but if one can measure this subjective pain of a single client over a longer period of time, with a constant (device for measuring pain and / or pain) and thus determine standardized, the subjective event becomes an objective result ,
  • the subjective pain and its accompanying pain is the expression of emotional sensation and associated mental manifestation.
  • test person ie the human being
  • his mood disorders vary from uncommon (unspecific causes) to normal (as a sign of physical and mental strain).
  • biopsychosocial factors depending on the emotional and mental mood, in conjunction with pain triggers, in the sense of cognitive processes in relation to the aggravation of the course of the disease or symptoms, are subjectively interpreted by humans.
  • the device for measuring pain and / or pain it is possible by means of the device for measuring pain and / or pain, to evaluate the pain intensity, its duration and the time of the pain event. Through the determination, as well as the exactly formulated question from the screening in connection with the device for pain measurement and / or pain determination, and the naming of the target variables, a clearly defined evaluated individual user profile results, in which the user himself is the manipulated variable.
  • the device for measuring pain and / or pain is a self-testing controller.
  • the user is able to create a pain intensity diagram and by presenting further information in connection with the diagrams of the three main components to document his personal, ie individual control variables with a standardized result measurement and z , B. in a three-column diagram graphically.
  • the effective defined intervention can be performed and monitored.
  • Correlation in the sense of the device for measuring pain and / or pain, means to relate the acquired self-testing parameters of an individual.
  • each module, the database and the device for pain measurement and / or pain detection can then be linked to other existing networks or databases to integrate and evaluate existing data.
  • the doctor is interviewed and / or examined by a doctor, for example, during a pain consultation hour with regard to his pain situation.
  • the respective doctor can have a self-created subjective grid and / or classification scheme, which is answered and / or generated by the subject with regard to his pain situation.
  • the answers provided by the subject can therefore usually be classified by the physician in terms of his severity and value scale, so that the doctor after the questioning can assess the subject in terms of its pain situation and its severity.
  • the present invention makes use, inter alia, of the idea that the device has at least one pain detector for pain measurement. at least one measurement of pain on a subject, wherein the pain detector (2) measured on the subject biological pain indicators, which are clearly attributable to a severity of the respective pain of the subject, and / or at least medium - Bar inputs of the subject in the pain detector (2), which in turn is clearly attributable to a severity of pain, detected and then processed.
  • the device described here offers the possibility, in a technically particularly simple and, in particular, reliable manner, of making a subjectively perceived and perceived pain perceived by the test person purely objectively measurable by the device.
  • Such a (measuring) device is therefore neither known nor suggested by the prior art.
  • the device for measuring pain and / or pain comprises at least one pain detector for measuring pain and configured to carry out at least one pain measurement on a subject, the at least one pain detector being arranged for pain measurement and provided with at least one pain measurement to make a subject, the pain detector having biological pain indicators measured on the subject which are unambiguously assignable to a severity of the subject's pain, and / or at least indirect input of the subject into the pain detector, which in turn clearly indicates a severity of the respective pain "biological pain indicators" are externally visible to an observer and / or a meter perceptible signs of pain and / or their severity.
  • the biological pain indicators are skin sweat and / or a skin resistance or a pupil change by means of which the subject reacts physically to the perceived pain.
  • the pain detector comprises at least one thrust regulator which comprises a number beam, wherein numbers of the number beam respectively indicate a degree of severity of the respective pain situation of the subject and / or can be unambiguously assigned to a severity of the respective pain of the subject and therefore are set up to identify the current individual pain situation.
  • the number beam comprises a number of at least 1 to at most 10 numbers.
  • the number 1 may represent a low pain level and the number 10 a maximum pain level.
  • the thrust reindeer is continuously or discontinuously, for example in the form of thrust levels or thrust scrapers along the number beam specifiable guidable, for example, slidably mounted on the pain detector.
  • the pain detector is set up and provided for directing a standardized query to the respective pain subject who requests the subject to measure the severity of the pain situation in and / or by the pain detector (s) indicated by the numbers of the numerical beam by moving a slider of the thrust controller to one of the numbers of the number beam.
  • an ever-increasing number corresponds to a correspondingly higher pain level of the subject.
  • the pain detector is operated by a query and / or diagnostic program and is in electrical communication with such.
  • the pain detector is operated by a query and / or diagnostic program and is in electrical communication with such.
  • the diagnostic program can be, in particular, such a program which, on the basis of at least one query to the test person, asks him about his pain situation and classifies the test person into a pain group after a final questionnaire, for example, in order to objectively measure and / or represent the subjectively perceived pain to be able to.
  • the diagnostic program is operated centrally or decentrally, for example, from a central server. It is conceivable that the test person answers via a touch screen or arranged outside of an illustrative screen input keyboard ordering questions in terms of usievels. In addition, questions about a living environment or a subject's history can be given in the diagnostic program.
  • the touchscreen may be a touch-sensitive, for example manually conditionable, LCD or plasma screen. Also conceivable is an OLED screen as a touch screen.
  • lettering and / or static and / or moving images can be predefined in a particularly simple and individually representable manner.
  • the display is partially flexible, so that it can adapt to the outer shape, for example, the pain detector. In this respect, the display can be arranged on a part or the entire outer surface of the Schmerdetektors.
  • the display comprises at least one radiation-emitting organic light-emitting diode (OLED). It is a luminous thin-film component made of organic semiconductive materials.
  • organic light emitting diodes are composed of several organic layers. Here, between an anode and a cathode, at least one organic layer which emits radiation under electrical contacting is arranged.
  • An organic light-emitting diode differs from an inorganic light-emitting diode (LED) in that current density and luminance are lower and no monocrystalline materials are required, but compared to conventional inorganic light-emitting diodes, the organic light-emitting diodes are for a much cheaper to produce and also a power consumption in the Compared to LEDs can be lower.
  • An advantage of organic light-emitting diodes can also be seen in the fact that a very high contrast can be generated in comparison to inorganic light-emitting diodes and a very high degree of saturation, that is, a very colored and rich light can be generated. A much easier for the subject input is thus, among other things, allows, as for example, classification questions can be easily recognized visually.
  • the device for powering the display comprises at least one energy source, in particular a battery and / or solar cells.
  • the energy source is at least one rechargeable battery which, for example, is detachably fastened to the pain detector.
  • the energy source is, for example, solar cells, it is possible in a particularly simple manner that the display can always be supplied with electrical energy independently of non-regenerative energies, so that it is advantageously not absolutely necessary to, for example, charge the at least one rechargeable battery after a consumption period to change.
  • the solar cells can be arranged on a predeterminable locations on an outer surface device.
  • the at least one battery that the display is supplied with a particularly high power so that the display is indeed supplied for a shorter period of time than using solar cells with power, but this lights up the brighter.
  • the standardized query is that the subject indicates a magnitude of his pain at the moment of interrogation with a number between 0 and 10, where 0 stands for pain relief and 10 for unbearable pain and his number for the particular pain level Assessment serves.
  • 0 stands for pain relief and 10 for unbearable pain and his number for the particular pain level Assessment serves.
  • a clear correlation between pain level that is, the strength of the pain, and given by the subject and / or measured by the Schmerdetektor number given.
  • this greatly facilitates a doctor's assessment of the pain and allows a purely objective adjustment of the subject's pain level.
  • the pain detector comprises at least one thrust regulator which has a predetermined length scale, wherein a position of the thrust regulator along the length scale which can be predefined by the subject can be unambiguously assigned to a degree of severity of the respective pain of the subject.
  • a throttle control can be one to the above-described numerical beam alternative or even an additional embodiment to the length scale described here. It is therefore conceivable that the subject to objectively express his subjective pain on a scale to be able to choose between two scales, ie the number and the length scale - depending on what the subject rather addresses - to be able to indicate his level of pain, for example, the doctor.
  • the thrust regulator comprising the predetermined length scale has a length of, for example, at most 10 cm, a left end of the thrust regulator seen by the subject being "no pain” and a right end of the thrust regulator being “the worst possible pain", with optically underlined highlighting means
  • "smiley faces” can be provided as visual metaphor for the description of the respective degree of pain (digital, visual analogue scale, VAS) .In other words, a numerical value can be obtained for the subject that quantifies the subjective perception of pain.
  • optically underlined highlighting means are provided as pictorial metaphors for describing the respective degree of pain (digital, visual analogue scale, VAS).
  • the pain detector comprises at least one sensor and / or a detector for determining and / or measuring with the severity of the subject's pain situation biological pain indicators such as body temperature, skin resistance, perspiration of the subject.
  • biological pain indicators such as body temperature, skin resistance, perspiration of the subject.
  • the sensor may be in the form of a skin resistance measuring device.
  • this sensor indicates pathological / painful areas on the subject and also indicates and / or induces organic changes when applied to acupuncture points on the subject.
  • the device may be a mobile measuring device, for example in a plastic housing.
  • the voltage source can be a block battery.
  • the device may have an on / off switch and a suitable status indicator and battery monitoring indicator.
  • the advises on an analog and / or digital pointer which represents a scale range of, for example, 0 to 10.
  • the two measuring leads are at most 2 m long. The length is not crucial for the measurement, but purely optional, to reach the entire human body with the measuring tips. It is therefore conceivable also a length of the test leads of less than 2 m, for example 50 cm.
  • the rash of the pointer is observed and thus the disturbed point, that is the pain site on the subject body localized.
  • Digital display - operation with accumulator - installation of a charging electronics - lighting for the display - accessories marking pen and measuring points suitable for marking - flexible measuring cables (spiral cable) - finer measuring tips for finding acupuncture points - pressure sensor virtual glasses.
  • the pain detector may be in the form of a human-machine communication interface such that the subject, along with residual components of the pain detector, is an active element of the entire pain detector.
  • the pain detector described here has proven itself in each case in order to be able to classify only subjective pain objectively by measuring parameters to be detected.
  • the pain detector described here is suitable and configured for, for example, to document the course of pain symptoms of a test person in a time-dependent manner and to perform before / after comparisons.
  • the measurement results are stored in at least one database with respect to the severity of the subject's pain and can also be retrieved centrally or decentrally therefrom.
  • the query and / or diagnostic program already described at the outset can also be stored in the database and / or by or be playable by this.
  • Such a database therefore makes it possible, for example, to centrally access different user computers to the different pain results and, moreover, to store the pain results over a particularly long period of time.
  • pain measurements on subjects at a given time rhythm such as a 10-day rhythm, may be graphed to allow for adequate assessment of diagnostic results.
  • the database described here allows temporal documentation of the respective course of pain. Such documentation may be presented in appropriate bar graphs or other graphic designs for the physician and / or other practitioner.
  • the database can be stored, generated and / or stored on at least one central computer (server).
  • This central computer may be equipped with at least one central processing unit and is preferably programmed to first read in and / or temporarily or permanently store the individual pain information of the pain detector.
  • the central computer described here can be designed to manage the pain information of at least one, but preferably at least two, different subjects.
  • the central computer may comprise two subsystems, namely an operational subsystem and a data evaluation subsystem.
  • the operative subsystem stores operational data, such as pain points and / or scores of individual subjects, but not detailed transaction pain (individual) data.
  • the data evaluation subsystem stores the detailed transaction pain (individual) data but, for example, stores meaningful identification data of the test person who belongs to the respective individual pain transaction only in encrypted form. Bit number, data volume) of a transmission and / or storage of the pain data in the database on the central computer.
  • the device comprises at least one means for predicting a probability of chronification of the respective pain.
  • "chronification probability” means a numerical, statistical probability assessment that the respective pain increases develop chronic pain for each subject.
  • a prediction of the probability of chronicity can be realized on the basis of a validated and evaluated grid which is stored in the device for measuring pain and / or pain, for example.
  • Such a grid may include, in particular, a questionnaire.
  • the grid, and in particular the prediction of the probability of chronicity can be determined and predicted in relation to work, activity and / or work resumption of the respective subject.
  • the prediction in percentages may indicate a likelihood of whether the present pain affects (and / or is caused by) work, activity and / or work recovery (chronic).
  • Such an analysis and the prediction of the probability of chronification described above also fall under the concept of a factor analysis and can be represented graphically in the form of a visual and / or numerical daily rhythm and / or stored in the described database.
  • the daily rhythm may be a four-day rhythm
  • the graphical representation may be, for example, a (three) column diagram, with one pillar unambiguously assignable, for example one to one of labor, activity or work recovery.
  • the device for determining pain and / or measuring pain comprises a means for classifying and / or determining a respective training group set up and provided for the subject.
  • "educationion group” is a respective diagnosis and / or set of measures which are specific to the respective pain situation and the corresponding probability of chronification is tuned and set up.
  • subjects with a high probability of chronicity using the means of determining the education group, may be more likely to achieve meaningful improvements in their anxiety avoidance beliefs and disability experience.
  • the device for determining pain and / or measuring pain comprises a means for making a decision regarding one
  • Pain detection and / or pain therapy may be implemented by exclusion criteria and / or signs and / or another set of questions. Such exclusion marks are also nameable under the technical term "red flags”.
  • the exclusion characters can be subdivided into two groups, that is to say into a group of positive exclusion marks (positive red flags) and negative exclusion marks (negative red flags), whereby positive exclusion marks stand for the fact that the respective subject at least does not have an arrangement and / or measure is qualified without restriction and insofar as a positive exclusion mark or a positive exclusion mark requires a clarification by a doctor, for example, whereas a negative red flag means that it is fully suitable for the measure envisaged.
  • positive exclusion marks stand for the fact that the respective subject at least does not have an arrangement and / or measure is qualified without restriction and insofar as a positive exclusion mark or a positive exclusion mark requires a clarification by a doctor, for example, whereas a negative red flag means that it is fully suitable for the measure envisaged.
  • a method for pain measurement and / or pain detection is specified.
  • the method described here can be carried out by means of the device for pain measurement and / or joke determination described here, as described in connection with one or more of the abovementioned embodiments. That is, the features listed for the apparatus for measuring pain and / or pain described herein are also disclosed for the method described herein and vice versa.
  • the method according to the invention advantageously makes it possible to continuously record the applied or measured pressure and / or the measure of the pain. This is not possible or only to a very limited extent in the method according to the prior art. The provision of this feature thus allows continuous continuous recording.
  • a further advantageous embodiment of the method provides that the pressure exerted by the hand or palm or parts of the hand, in particular the fingers of the subject on the measuring device (device for measuring pain and / or pain), in particular the pressure inside the Fist, measured and used as a measure of the pain.
  • the measuring device device for measuring pain and / or pain
  • the use of such a measuring device is hygienic, non-invasive and easy to use.
  • the pressure exerted by the person's jaw and / or teeth on the measuring device in the course of a biting movement is measured and used as a measure of the pain. In this way, a reliable, intuitive and accurate detection of the pain is also possible.
  • a, preferably cylindrical and / or elastic, measuring device which has at least one pressure-sensitive element, for example a capacitive or piezoresitive sensor, the measured variable of the pressure-sensitive element being a measure of the pain is used.
  • a calibration measurement is carried out, wherein the person loosely holds the measuring device, without exerting pressure according to their subjective feeling, while the pressure exerted on the measuring device is measured and used as a holding pressure, and the subsequently measured pressure minus the predetermined holding pressure is used as a measure of the pain.
  • the method described here comprises a further defined, effective diagnostic section comprising at least the steps of selecting a range of the individual pain measurement and control techniques by subject test evaluations (PTBs) and resulting pain evaluation controllers (SER).
  • PTBs subject test evaluations
  • SER resulting pain evaluation controllers
  • a pain evaluation controller (level) is determined by means of the subject test evaluations described here already with the determination of the subject status 1.0 described above and the further defined, effective diagnostic portion.
  • a first reading of the Screening 1.0 can be displayed on the same day, but in the case of time shifts a renewed first VAS value may be required in order to be able to document the actual pain condition precisely.
  • the actual pain condition using VAS / NRS is not within a predefinable time frame (measured or measured), then a new VAS value is determined without the subject test scores described here.
  • a double-screen 2.0 can be realized or realized.
  • a subject status 2.0 results from the results of the simple screening 1.0 and the above-mentioned review and / or iteration.
  • a subject status 2.0 can be formed from or result from the following components:
  • the method described here and the device described here offer the possibility of carrying out a pain measurement and / or pain detection in a particularly simple and cost-effective and time-saving manner, without the health insurance system and the healthcare system being burdened in a special way as a whole.
  • FIGS. 1A to 1C exemplary embodiments of a device for pain measurement and / or pain detection described here are described in schematic views.
  • FIG. 2 shows in the form of a bar chart a result of a query and diagnostic program described here.
  • FIG. 1A schematically shows an exemplary embodiment of a device 100 for pain measurement and / or pain detection described here for carrying out the method described here.
  • the device 100 comprises at least one pain detector 2 for pain measurement, the pain detector 2 being set up and provided for carrying out at least one pain measurement on a subject.
  • the pain detector 2 detects and then processes biological pain indicators measured on the subject, which can be unambiguously assigned to a degree of severity of the respective pain of the subject and / or via at least indirect inputs of the subject into the pain detector 2, which in turn can be unambiguously assigned to a severity of the respective pain ,
  • the pain detector 2 comprises a thrust regulator 21 which in turn comprises a number beam 21A, wherein numbers of the number beam 21A each indicate a degree of severity of the respective pain situation of the subject and / or clearly a severity of the respective pain of the subject can be assigned and therefore set up to identify the current individual pain situation.
  • the number beam 21 A comprises a number of sets of at least 1 and at most 10, and it can be seen that the number beam counts in integer numbers between 1 and 10.
  • the pain detector 2, that is to say in the present exemplary embodiment of the pain detector 2 designed as a thrust regulator 21 can be positioned, for example displaceable, on or in the region of the respective number of the number beam 21A.
  • the severity of the pain over the arrangement of the thrust regulator 21 in the region of the respective number of the pain is directly and directly readable by the thrust regulator 21, for example for a physician or a test procedure Number beam 21A indicated.
  • This means subjectively perceived pain of the test person can be read about the regulation of the thrust regulator 21 to the pain detector objectively for the doctor or the test executor.
  • the pain detector 2 is set up and provided for directing a standardized query to the respective subject, asking the subject to enter and / or determine the severity of the pain situation in relation to the numbers of the patient Numeric beam by moving a slider of the thrust controller 21 to one of the numbers of the numerical beam or by simple input query to identify.
  • the standardized query can be operated by a query and / or diagnostic program, with which the pain detector 2 is either in electrical communication or which is already an element of the pain detector 2.
  • the standardized query may be that the subject indicates a strength of his pain at the moment of interrogation with a number between at least 0 and at most 10, where 0 stands for pain relief and 10 for unbearable pain and his number for the respective degree of pain as an estimate ,
  • the standardized query is performed by means of an electronic representation.
  • Such an electronic representation may be in the form of a polling screen in the form of a touch screen or other electronically operated polling means.
  • the standardized query in a query program and / or query mode iterating, depending on the respective answer branching query program exist, which modifies depending on the given in the query sub-responses corresponding to these already given sub-responses a subsequent question and question or design separately.
  • the standardized query takes into account a health history and / or other environmental factors of the subject.
  • FIG. 1B schematically shows a further exemplary embodiment of a device 100 for pain measurement and / or pain determination described here for carrying out the method described here.
  • the pain detector 2 comprises a sensor 5 for determining and / or measuring biological pain indicators directly or indirectly connected with the severity of the pain situation of the subject such as body temperature, skin resistance, perspiration of the subject.
  • the sensor 5 is designed in the form of a finger-group sensor.
  • the sensor 5 comprises a plastic housing which has a recess into which a fingertip of a finger can be inserted.
  • a detector 6 which can detect, for example biological signals, emitted by the subject with regard to his pain situation.
  • the pain detector 2 is able to store the measurement results relating to the degree of severity of the subject's pain in at least one database 3, whereby the measurement results stored in the database 3 can also be retrieved centrally or decentrally therefrom.
  • FIG. 1B indicates a means 7 for predicting a probability of chronification of the particular pain of the subject.
  • a prediction of a probability of chronicity can be a technical device and / or a technical device on which a data processing program processes data of the standardized query and then, from the technical element via the program for the prediction of a chonification probability, information about it, for example Physician, thereby allowing a likelihood of future chronic development of the subject's pain.
  • FIG. 1C shows in an alternative embodiment a further embodiment of a device 100 described here, in which, unlike the embodiment according to FIG. 1A, the pain detector 2 comprises a thrust regulator 21 which has a predetermined length scale, one of the subject predeterminable position of the thrust regulator 21 along the length scale clearly a severity of the respective pain of the subject is assigned.
  • the representation of a number beam is dispensed with and set up instead a length scale.
  • the thrust regulator has a length of at most 10 cm, with a left end of the thrust regulator being "pain relief” and a right end of the thrust regulator being the “worst possible pain”, with optically underlined highlighting means 4 in the form of "smileys” the length of the thrust regulator 21 are shown, wherein the face of each "Smileys" starting from the left side, which corresponds to a smile and quasi pain relief points out to the right side and therefore with decreasing smile immediately an increased level of pain can be expressed by the subject.
  • a (numerical) value can be obtained invisibly for the subject that quantifies the subjective perception of pain.
  • FIG. 2 shows in the form of a bar chart a result of a query and diagnostic program described here in which a level of pain corresponding to a scale of at least 0 to at most 10 is plotted against a time course. Each bar corresponds to an individual query time point one pain level.
  • Trend line 8 provides information about the course of the respective pain situation, for example during a diagnosis and / or therapy program.
  • the respective pain of the test person can be absolutely and graphically observed and represented over its course over time as well as graphically.
  • This therefore gives the doctor a particularly simple way to determine the type and a possible form of therapy of the pain as easily as possible.
  • the invention is not limited by the description with reference to the embodiments. Rather, the invention encompasses any novel feature as well as any combination of features, which in particular includes any combination of features in the patent claims, even if this feature or combination itself is not explicitly stated in the patent claims or the exemplary embodiments.

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  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

L'invention concerne un dispositif (100) de mesure de la douleur et/ou de détermination de la douleur. Au moins un détecteur de douleur servant à mesurer la douleur est réalisé et prévu pour effectuer au moins une mesure de la douleur sur un sujet. Le détecteur de douleur effectue la détection puis le traitement des données par l'intermédiaire d'indicateurs de douleur biologiques mesurés sur le patient et pouvant être associés de manière univoque à un degré de douleur des différentes douleurs du sujet, et/ou par l'intermédiaire au moins de données indirectes entrées par le sujet dans le détecteur de douleur et pouvant également être associées de manière univoque à un degré de douleur des différentes douleurs.
PCT/EP2014/050941 2013-01-29 2014-01-17 Dispositif de mesure de la douleur et/ou de détermination de la douleur WO2014118022A1 (fr)

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DE102013001448 2013-01-29
DE102013001448.4 2013-01-29
DE102013009785.1 2013-06-12
DE102013009785.1A DE102013009785B4 (de) 2013-01-29 2013-06-12 Vorrichtung zur Schmerzmessung und/oder Schmerzermittlung

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WO2014118022A1 true WO2014118022A1 (fr) 2014-08-07

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DE (2) DE102013009785B4 (fr)
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CN112911993A (zh) * 2018-12-29 2021-06-04 深圳迈瑞生物医疗电子股份有限公司 监护设备、监护方法及计算机可读存储介质
CN113446896A (zh) * 2021-06-28 2021-09-28 中国人民解放军陆军特色医学中心 应用于非致命动能弹警用实验的疼痛分级判定方法以及变初速控制应用方法
CN115813591A (zh) * 2022-10-25 2023-03-21 哈尔滨工程大学 一种牙齿咬合应力分布检测方法

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US6571124B1 (en) * 1999-06-01 2003-05-27 Hanne Storm Apparatus and method for monitoring skin conductance and method for controlling a warning signal
WO2003073937A1 (fr) * 2002-03-06 2003-09-12 Euro-Celtique S.A. Echelle analogique pour mesurer la douleur
US20040267099A1 (en) * 2003-06-30 2004-12-30 Mcmahon Michael D. Pain assessment user interface
JP2005021461A (ja) * 2003-07-03 2005-01-27 Masao Sakaguchi 痛み計
USD561821S1 (en) * 2004-12-15 2008-02-12 Euro-Celtique S.A. Four-in-one pain scale
US20110158912A1 (en) * 2008-08-13 2011-06-30 Tony Wright Method and device for determining the severity of a pain disorder

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US5897505A (en) * 1997-05-13 1999-04-27 Feinberg; Barry I. Selective tissue conductance/thermography sensor apparatus
US6571124B1 (en) * 1999-06-01 2003-05-27 Hanne Storm Apparatus and method for monitoring skin conductance and method for controlling a warning signal
JP2003010136A (ja) * 2001-04-27 2003-01-14 K & S:Kk 痛覚測定システム
WO2003073937A1 (fr) * 2002-03-06 2003-09-12 Euro-Celtique S.A. Echelle analogique pour mesurer la douleur
US20040267099A1 (en) * 2003-06-30 2004-12-30 Mcmahon Michael D. Pain assessment user interface
JP2005021461A (ja) * 2003-07-03 2005-01-27 Masao Sakaguchi 痛み計
USD561821S1 (en) * 2004-12-15 2008-02-12 Euro-Celtique S.A. Four-in-one pain scale
US20110158912A1 (en) * 2008-08-13 2011-06-30 Tony Wright Method and device for determining the severity of a pain disorder

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112911993A (zh) * 2018-12-29 2021-06-04 深圳迈瑞生物医疗电子股份有限公司 监护设备、监护方法及计算机可读存储介质
CN113446896A (zh) * 2021-06-28 2021-09-28 中国人民解放军陆军特色医学中心 应用于非致命动能弹警用实验的疼痛分级判定方法以及变初速控制应用方法
CN113446896B (zh) * 2021-06-28 2022-11-08 中国人民解放军陆军特色医学中心 应用于非致命动能弹警用实验的疼痛分级判定方法以及变初速控制应用方法
CN115813591A (zh) * 2022-10-25 2023-03-21 哈尔滨工程大学 一种牙齿咬合应力分布检测方法

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DE102013009785B4 (de) 2018-08-30
DE202013005843U1 (de) 2013-08-29

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