WO2015180707A1 - Stimulateur respiratoire acoustique mobile et procédé de prise en charge de troubles respiratoires, y compris à titre préventif - Google Patents

Stimulateur respiratoire acoustique mobile et procédé de prise en charge de troubles respiratoires, y compris à titre préventif Download PDF

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Publication number
WO2015180707A1
WO2015180707A1 PCT/DE2015/100140 DE2015100140W WO2015180707A1 WO 2015180707 A1 WO2015180707 A1 WO 2015180707A1 DE 2015100140 W DE2015100140 W DE 2015100140W WO 2015180707 A1 WO2015180707 A1 WO 2015180707A1
Authority
WO
WIPO (PCT)
Prior art keywords
acoustic
respiratory
pacemaker
mobile
mobile acoustic
Prior art date
Application number
PCT/DE2015/100140
Other languages
German (de)
English (en)
Inventor
Maik RIEDL
Niels Wessel
Original Assignee
Humboldt-Universität Zu Berlin
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Humboldt-Universität Zu Berlin filed Critical Humboldt-Universität Zu Berlin
Priority to EP15727539.7A priority Critical patent/EP3148405A1/fr
Publication of WO2015180707A1 publication Critical patent/WO2015180707A1/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
    • A61B5/68—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
    • A61B5/6814—Head
    • A61B5/6815—Ear
    • A61B5/6816—Ear lobe
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37252—Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
    • A61N1/37258—Alerting the patient
    • 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
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024—Detecting, measuring or recording pulse rate or heart rate
    • A61B5/02438—Detecting, measuring or recording pulse rate or heart rate with portable devices, e.g. worn by the patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
    • A61B5/0816—Measuring devices for examining respiratory frequency
    • 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
    • A61B5/4806—Sleep evaluation
    • A61B5/4818—Sleep apnoea
    • 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
    • A61B5/746—Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms

Definitions

  • the invention relates to a mobile acoustic respiratory disorders, also preventive, remedial respiratory pacemaker and a method directed thereto.
  • Sleep-related breathing disorders range from snoring, sleep apnea, to life-threatening respiratory distress in newborns or patients with neurodegenerative diseases. Although sleep apnea are not life-threatening, their increased incidence is a risk factor for a number of folk diseases, such as: Hypertension and diabetes, viewed. In addition to the deterioration in health, especially snoring and sleep apnea lead to a deterioration in the quality of life of those affected and their partners.
  • Sleep-disordered breathing manifests itself either in a pathological prolongation of the respiratory interval, such as central apnea and respiratory misfires, or a reduction in upper respiratory muscle tone, resulting in snoring, partial or complete obstruction.
  • the respiratory control is therefore of particular importance, since in addition to the autonomic function of a connection to higher brain regions than the brainstem, which allows a conscious influence on breathing.
  • the effect of the inventive mobile acoustic breathing pacemaker utilizes this connection. It is targeted by means of acoustic stimuli on the Connections to higher brain regions affects the autonomic respiratory center and prevents the mentioned dysfunctions.
  • the generated acoustic stimulus consists of a pulsatile sound emitted by the inventive mobile acoustic respiratory pacemaker.
  • the pulse rate and volume of the acoustic stimulus as a tone sequence are thereby varied by the inventive mobile acoustic breathing pacemaker presettable by an integrated control unit. It is taken into account by an individual adjustability that on the one hand the volume must not be too strong, so that no cortical wake-up reaction, ie a sleep phase change, is triggered and on the other hand the acoustic stimulus is sufficient to achieve the desired effect. It is spoken in this case of an acoustic stimulation.
  • the pulse rate is related to the metabolic needs, e.g. a sufficient supply of oxygen to the user, individually adjustable and can thus be adapted to changing situations.
  • the prediction of the respiratory distress events and the estimation of the metabolic needs and the sleep phase are determined by physiological quantities, e.g. Heart rate and body temperature, made. These physiological measured values are recorded non-invasively in the ear areas via sensors and further processed via a control device, e.g. analyzed, processed, stored and provided via a signal generator of the acoustic stimulus.
  • the wearer of the inventive mobile acoustic breathing pacemaker is similarly independent as in the use of conventional hearing aids that are limited to the amplification of acoustic signals.
  • the object of the invention is to provide a mobile acoustic respiratory pacemaker, which enables prevention of respiratory disorders prior to their entry and thus eliminates the deficiencies of the known prior art.
  • bringing about a rhythm change in the respiration should prevent a coordination of the rhythm of the heart and the respiration, which correlates with the formation of sequences of apnea / hypopnea.
  • the object of the invention is to provide a mobile acoustic respiratory pacemaker, in which an active influencing of the respiratory frequency ensures a continuous breathing, so that the respiration does not have to be awakened.
  • Another object is to provide a mobile acoustic respiratory pacemaker that combines comfort and a compact design. The required power consumption is covered by rechargeable batteries and / or thermal generators and thus no external supply via lines or cable connections is necessary.
  • Another object is to provide an inventive mobile acoustic respiratory pacemaker, which applies an acoustic impulse directly in the ear canal and is so quiet that only the user perceives this and the possibly lying next to the user partner is not disturbed in his sleep.
  • the mobile acoustic respiratory disorders, also preventive, pacemaker-repairing respirator is provided with a body, comprising: a arranged in the body sensor assembly with at least one sensor for measuring at least the heart rate and / or pulse rate and / or body temperature and / or respiratory cycle length, at least a control unit integrated in the body, wherein the control unit is connected to the sensor arrangement and evaluates the measured values of the sensor arrangement and at least one actuator integrated in the body, wherein the actuator is connected to the control unit and wherein an acoustic pulse can be generated by the control unit is controlled.
  • the inventive mobile acoustic breathing pacemaker is preferably placed behind the ear or in the ear entrance, whereby the freedom of movement and a high level of comfort are guaranteed, both of which significantly contribute to undisturbed sleep.
  • the inventive mobile acoustic respiratory pacemaker enables prevention of respiratory disorders through acoustic stimulation. By deliberately influencing the respiratory rhythm, the sequences of apneas and hypopneas are prevented.
  • the inventive mobile acoustic respiratory pacemaker influences the respiratory rhythm without awakening the patient and thus can not only prevent the apnea / hypopnea but also improve the quality of sleep at the same time.
  • the mobile acoustic respiration pacemaker for, also preventive, correction of respiratory disorders with a body has a arranged in the body sensor assembly for measuring the heart rate / pulse rate and other physiological variables, such as the body temperature and / or respiratory cycle length, at least one integrated in the body control unit and at least one actuator integrated in the body, with which an acoustic pulse can be generated.
  • the body can be placed behind the ear or in the ear entrance and the acoustic impulse can be applied directly in the auditory canal.
  • the sensor arrangement is designed such that a non-invasive, continuous measurement, preferably in the ear, can be carried out.
  • the acoustic pulse is an acoustic stimulus, which is a pulse-like sound.
  • the sensor arrangement comprises exactly one sensor.
  • the body is hypoallergenic and flexible.
  • the material of the body is silicone, photopolymer and / or Neutacryl is. Furthermore, the object is achieved by a method according to the
  • FIG. 1 shows an inventive device, which is worn on the outside of the ear, with a connection to the interior of the ear,
  • Fig. 2 shows an inventive device carried in the auricle with a connection to the interior of the ear and exemplarily the acoustic stimulus of a sleeping subject in a lying position with the correlating measuring curves.
  • Figure 1 shows an inventive device, which is worn on the outside of the ear, with a connection to the interior of the ear.
  • FIG. 3 shows the correlation of an acoustic stimulus (4) (above: acoustic stimulation - on / off), in a sleeping subject in a lying position, with the measurement curve of the mean duration of the respiratory cycle (5) (middle) and the measurement curve of the heartbeat intervals (6) (below).
  • the arrows (7) mark the respective beginning of acoustic stimulation.
  • the arrows (8) indicate the decrease in the length of the respiratory cycles due to acoustic stimulation.

Abstract

L'invention concerne un stimulateur respiratoire (1) acoustique mobile, destiné à la prise en charge de troubles respiratoires, y compris à titre préventif, qui possède un corps (2) comprenant un système de détection disposé dans le corps (2) et équipé d'au moins un capteur servant à mesurer au moins la fréquence cardiaque et/ou la fréquence du pouls et/ou la température corporelle et/ou la longueur du cycle respiratoire, d'au moins un module de régulation intégré dans le corps (2), ce module étant relié au système de détection et évaluant les valeurs de mesure du système de détection, et d'au moins un actionneur intégré dans le corps (2). L'actionneur est relié au module de régulation qui peut commander la génération d'une impulsion acoustique (4). L'invention concerne en outre un procédé de prise en charge de troubles respiratoires, y compris à titre préventif, au moyen d'un stimulateur respiratoire acoustique mobile (1).
PCT/DE2015/100140 2014-05-28 2015-04-01 Stimulateur respiratoire acoustique mobile et procédé de prise en charge de troubles respiratoires, y compris à titre préventif WO2015180707A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP15727539.7A EP3148405A1 (fr) 2014-05-28 2015-04-01 Stimulateur respiratoire acoustique mobile et procédé de prise en charge de troubles respiratoires, y compris à titre préventif

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102014107535.8A DE102014107535A1 (de) 2014-05-28 2014-05-28 Mobiler akustischer Atmungsschrittmacher sowie Verfahren zur, auch präventiven, Behebung von Atmungsstörungen
DE102014107535.8 2014-05-28

Publications (1)

Publication Number Publication Date
WO2015180707A1 true WO2015180707A1 (fr) 2015-12-03

Family

ID=53365683

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/DE2015/100140 WO2015180707A1 (fr) 2014-05-28 2015-04-01 Stimulateur respiratoire acoustique mobile et procédé de prise en charge de troubles respiratoires, y compris à titre préventif

Country Status (3)

Country Link
EP (1) EP3148405A1 (fr)
DE (1) DE102014107535A1 (fr)
WO (1) WO2015180707A1 (fr)

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3604986A1 (de) 1986-02-17 1987-08-20 Hellige Gmbh Einrichtung zur verhinderung von sauerstoffmangelschaeden
US6498652B1 (en) * 2000-02-08 2002-12-24 Deepak Varshneya Fiber optic monitor using interferometry for detecting vital signs of a patient
WO2007143535A2 (fr) * 2006-06-01 2007-12-13 Biancamed Ltd. Appareil, système et procédé de surveillance de signaux physiologiques
WO2008135985A1 (fr) * 2007-05-02 2008-11-13 Earlysense Ltd Suivi, prévision et traitement d'épisodes cliniques
US20130030257A1 (en) * 2010-05-14 2013-01-31 Kai Medical, Inc. Systems and methods for non-contact multiparameter vital signs monitoring, apnea therapy, apnea diagnosis, and snore therapy
US8502679B2 (en) * 2008-10-08 2013-08-06 The Board Of Regents Of The University Of Texas System Noninvasive motion and respiration monitoring system

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3322571A1 (de) * 1983-06-23 1984-04-05 Wolfhart 4600 Dortmund Nemitz Vorrichtung zur verhinderung und unterbrechung von schnarchgeraeuschen einer person
DE8328640U1 (de) * 1983-10-05 1984-03-15 Nemitz, Wolfhart, 4600 Dortmund Vorrichtung zur Korrektur der Schlafhaltung einer Person
DE4406860C2 (de) * 1993-03-17 1995-08-31 Lux Wellenhof Gabriele Vorrichtung zum Verhindern bzw. Unterbrechen von Schnarchen
WO2010102312A1 (fr) * 2009-03-13 2010-09-16 Infactory Innovations & Trade Gmbh Procédé et système de réveil

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3604986A1 (de) 1986-02-17 1987-08-20 Hellige Gmbh Einrichtung zur verhinderung von sauerstoffmangelschaeden
US6498652B1 (en) * 2000-02-08 2002-12-24 Deepak Varshneya Fiber optic monitor using interferometry for detecting vital signs of a patient
WO2007143535A2 (fr) * 2006-06-01 2007-12-13 Biancamed Ltd. Appareil, système et procédé de surveillance de signaux physiologiques
WO2008135985A1 (fr) * 2007-05-02 2008-11-13 Earlysense Ltd Suivi, prévision et traitement d'épisodes cliniques
US8502679B2 (en) * 2008-10-08 2013-08-06 The Board Of Regents Of The University Of Texas System Noninvasive motion and respiration monitoring system
US20130030257A1 (en) * 2010-05-14 2013-01-31 Kai Medical, Inc. Systems and methods for non-contact multiparameter vital signs monitoring, apnea therapy, apnea diagnosis, and snore therapy

Also Published As

Publication number Publication date
DE102014107535A1 (de) 2015-12-03
EP3148405A1 (fr) 2017-04-05

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