WO2021124979A1 - 携帯型心電波形計測装置、情報管理システム、携帯型心電波形計測装置の制御方法、及び、プログラム - Google Patents

携帯型心電波形計測装置、情報管理システム、携帯型心電波形計測装置の制御方法、及び、プログラム Download PDF

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Publication number
WO2021124979A1
WO2021124979A1 PCT/JP2020/045632 JP2020045632W WO2021124979A1 WO 2021124979 A1 WO2021124979 A1 WO 2021124979A1 JP 2020045632 W JP2020045632 W JP 2020045632W WO 2021124979 A1 WO2021124979 A1 WO 2021124979A1
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WO
WIPO (PCT)
Prior art keywords
electrocardiographic waveform
measuring device
communication
portable
waveform measuring
Prior art date
Legal status (The legal status 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 status listed.)
Ceased
Application number
PCT/JP2020/045632
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English (en)
French (fr)
Japanese (ja)
Inventor
美佳 江副
充 鮫島
心哉 小高
美穂 平木
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Omron Healthcare Co Ltd
Original Assignee
Omron Healthcare Co Ltd
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 Omron Healthcare Co Ltd filed Critical Omron Healthcare Co Ltd
Priority to CN202080079864.0A priority Critical patent/CN114727787A/zh
Priority to DE112020005317.2T priority patent/DE112020005317T5/de
Publication of WO2021124979A1 publication Critical patent/WO2021124979A1/ja
Priority to US17/804,886 priority patent/US12029569B2/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/332—Portable devices specially adapted therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/282—Holders for multiple electrodes
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01R—MEASURING ELECTRIC VARIABLES; MEASURING MAGNETIC VARIABLES
    • G01R19/00—Arrangements for measuring currents or voltages or for indicating presence or sign thereof
    • G01R19/165—Indicating that current or voltage is either above or below a predetermined value or within or outside a predetermined range of values
    • G01R19/16533—Indicating that current or voltage is either above or below a predetermined value or within or outside a predetermined range of values characterised by the application
    • G01R19/16538—Indicating that current or voltage is either above or below a predetermined value or within or outside a predetermined range of values characterised by the application in AC or DC supplies
    • G01R19/16542—Indicating that current or voltage is either above or below a predetermined value or within or outside a predetermined range of values characterised by the application in AC or DC supplies for batteries
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01R—MEASURING ELECTRIC VARIABLES; MEASURING MAGNETIC VARIABLES
    • G01R31/00—Arrangements for testing electric properties; Arrangements for locating electric faults; Arrangements for electrical testing characterised by what is being tested not provided for elsewhere
    • G01R31/36—Arrangements for testing, measuring or monitoring the electrical condition of accumulators or electric batteries, e.g. capacity or state of charge [SoC]
    • G01R31/3644—Constructional arrangements
    • G01R31/3646—Constructional arrangements for indicating electrical conditions or variables, e.g. visual or audible indicators

Definitions

  • the present invention belongs to the technical field related to healthcare, and particularly relates to a portable electrocardiographic waveform measuring device, an information management system, a control method of the portable electrocardiographic waveform measuring device, and a program.
  • a portable electrocardiographic measuring device that immediately measures the electrocardiographic waveform when an abnormality such as chest pain or palpitation occurs in daily life has been proposed, and early detection of heart disease or It is expected to contribute to appropriate treatment (for example, Patent Document 1).
  • Patent Document 2 a technique for notifying the abnormality by sound or vibration when an abnormality in the condition is observed (Patent Document 2), and a technique for notifying the start and end of electrocardiographic measurement by sound or vibration (Patent Document 3).
  • Patent Document 4 A technique for notifying an abnormality of an electrocardiographic waveform or a decrease in battery voltage due to vibration (Patent Document 4) has been proposed.
  • the present invention provides a technique for a portable electrocardiographic measuring device that can be recognized while clearly distinguishing the start time and the end time of the electrocardiographic measurement process without visually recognizing it.
  • the purpose is.
  • the portable electrocardiographic waveform measuring device executes a plurality of electrodes for measuring the electrocardiographic waveform, a vibrating means for generating vibration, and a measurement process of the electrocardiographic waveform. It is a portable electrocardiographic waveform measuring device that is equipped with a control means for operating and is powered by a battery.
  • the control means At the start of the electrocardiographic waveform measurement process, the vibrating means is vibrated in the first vibration pattern. At the end of the electrocardiographic waveform measurement process, the vibrating means is vibrated in the second vibration pattern. It is characterized by that.
  • control means may be one that vibrates the vibrating means with a third vibration pattern when the measurement process of the electrocardiographic waveform cannot be completed normally.
  • the portable electrocardiographic waveform measuring device further includes a communication means for communicating with the information processing terminal, and the control means further executes a communication process with the information processing terminal and during the communication process.
  • the vibrating means may be vibrated by the fourth vibration pattern.
  • the portable electrocardiographic measuring device can be used in cooperation with the information processing terminals, and when a communication error occurs with the information processing terminals, it is visually recognized. It can be recognized without depending on the information processing or hearing.
  • control means may further execute a communication setting process for switching the communication means between an ON state in which communication is possible and an OFF state in which communication is not possible.
  • control means may be a device that vibrates the vibrating means in a fifth vibration pattern when the communication means is switched to the ON state.
  • control means may be one that vibrates the vibrating means in a sixth vibration pattern when the communication means is switched to the OFF state.
  • switching of communication settings of the portable electrocardiographic measuring device can be recognized without visual or auditory sense.
  • the portable electrocardiographic measuring device further includes an input means for receiving an input from a user, and when the control unit receives an instruction to execute the communication process via the input means, the communication means. May vibrate the vibrating means in the seventh vibration pattern when is in the OFF state.
  • the portable electrocardiographic measuring device further includes a storage means for storing at least information for registering the information processing terminal as a device, and the control means further performs a pairing process for registering the information processing terminal as a device. It may be executed and the vibrating means may be vibrated by the eighth vibration pattern at the start of the pairing process execution. With such a configuration, the transition to the pairing mode can be easily recognized regardless of sight or hearing.
  • control means may be one that vibrates the vibrating means in a ninth vibration pattern when the discharge voltage of the battery becomes equal to or less than a predetermined threshold value.
  • the portable electrocardiographic measuring device includes an LED display means, and when the vibrating means is vibrated, the control means displays the LED display means with a predetermined blinking pattern associated with each of the vibration patterns. It may be a device that controls blinking. With such a configuration, if the blinking of the LED display unit can be visually recognized (even through clothes), it is possible to more clearly grasp the occurrence of the event and its contents.
  • the information management system includes the portable electrocardiographic waveform measuring device provided with communication means and an information processing terminal provided with communication means capable of communicating with the portable electrocardiographic waveform measuring device.
  • control method of the portable electrocardiographic waveform measuring device is a method of controlling the portable electrocardiographic waveform measuring device provided with the vibration means for generating vibration.
  • the step of vibrating the vibrating means with the first vibration pattern and Steps to perform ECG waveform measurement is characterized by having.
  • the present invention can be regarded as a program for causing the electrocardiographic measuring device to execute the above method, and as a computer-readable recording medium in which such a program is recorded non-temporarily.
  • a portable electrocardiographic measuring device in a portable electrocardiographic measuring device, it is possible to provide a technique capable of recognizing the start time and the end time of the electrocardiographic measurement process while clearly distinguishing them without visually recognizing them.
  • FIG. 1A is a front view showing the configuration of the portable electrocardiographic measuring device according to the embodiment.
  • FIG. 1B is a rear view showing the configuration of the portable electrocardiographic measuring device according to the embodiment.
  • FIG. 1C is a left side view showing the configuration of the portable electrocardiographic measuring device according to the embodiment.
  • FIG. 1D is a right side view showing the configuration of the portable electrocardiographic measuring device according to the embodiment.
  • FIG. 1E is a plan view showing the configuration of the portable electrocardiographic measuring device according to the embodiment.
  • FIG. 1F is a bottom view showing the configuration of the portable electrocardiographic measuring device according to the embodiment.
  • FIG. 2 is a block diagram illustrating a functional configuration of the portable electrocardiographic measuring device according to the embodiment.
  • FIG. 3 is a flowchart showing the flow of the electrocardiographic waveform measurement process in the portable electrocardiographic measuring device according to the embodiment.
  • FIG. 4A is a first diagram showing an example of a vibration pattern and an LED blinking pattern in the portable electrocardiographic measuring device according to the embodiment.
  • FIG. 4B is a second diagram showing an example of a vibration pattern and an LED blinking pattern in the portable electrocardiographic measuring device according to the embodiment.
  • FIG. 4C is a third diagram showing an example of a vibration pattern and an LED blinking pattern in the portable electrocardiographic measuring device according to the embodiment.
  • FIG. 5 is a flowchart showing another example of the flow of the electrocardiographic waveform measurement process in the portable electrocardiographic measuring device according to the embodiment.
  • FIG. 4A is a first diagram showing an example of a vibration pattern and an LED blinking pattern in the portable electrocardiographic measuring device according to the embodiment.
  • FIG. 4B is a second diagram showing an example of a vibration pattern and an LED blinking pattern in the portable electro
  • FIG. 6 is a first flowchart relating to the processing of communication settings in the portable electrocardiographic measuring device according to the embodiment.
  • FIG. 7 is a second flowchart relating to the processing of communication settings in the portable electrocardiographic measuring device according to the embodiment.
  • FIG. 8 is a third flowchart relating to the processing of communication settings in the portable electrocardiographic measuring device according to the embodiment.
  • FIG. 9 is a flowchart showing a subroutine of processing when performing BLE communication with the portable electrocardiographic measuring device according to the embodiment.
  • FIG. 10 is a flowchart showing another example of the flow of the electrocardiographic waveform measurement process in the portable electrocardiographic measuring device according to the embodiment.
  • FIG. 11 is a block diagram illustrating an outline of the information management system according to the embodiment.
  • FIG. 12 is a first flowchart showing a part of the flow of each process when the portable electrocardiograph and the smartphone are connected by communication in the information management system according to the embodiment.
  • FIG. 13 is a second flowchart showing a part of the flow of each process when the portable electrocardiograph and the smartphone are connected by communication in the information management system according to the embodiment.
  • FIG. 14 is a third flowchart showing a part of the flow of each process when the portable electrocardiograph and the smartphone are connected by communication in the information management system according to the embodiment.
  • FIG. 15 is a flowchart showing a processing subroutine when performing BLE communication with the information processing terminal according to the embodiment.
  • FIG. 16 is a flowchart showing a processing flow when managing a communication error in the portable electrocardiographic measuring device according to the embodiment.
  • FIG. 1 is a diagram showing a configuration of a portable electrocardiograph 10 according to the present embodiment.
  • 1A is a front view showing the front of the main body, similarly, FIG. 1B is a rear view, FIG. 1C is a left side view, FIG. 1D is a right side view, FIG. 1E is a plan view, and FIG. 1F is a bottom view. ..
  • the bottom surface of the portable electrocardiograph 10 is provided with a left electrode 12a that contacts the left side of the body during electrocardiography measurement, and the upper surface side of the opposite side surface also contacts the middle phalanx of the index finger of the right hand.
  • a second right electrode 12c that brings the right electrode 12b into contact with the proximal phalanx of the index finger of the right hand is provided.
  • the first right electrode 12b is an electrode that functions as a GND electrode.
  • the portable electrocardiograph 10 is held by the right hand, and the index finger of the right hand is placed on the upper surface of the portable electrocardiograph 10 so as to make correct contact with the first right electrode 12b and the second right electrode 12c. .. Then, the left electrode 12a is brought into contact with the skin at a portion corresponding to the desired induction type. For example, when measuring with the so-called I lead, the left electrode 12a is brought into contact with the palm of the left hand, and when measuring with the so-called V4 lead, the skin slightly to the left and below the nipple is in the epigastric region of the left chest. To contact.
  • various operation units and indicators are arranged on the left side surface of the portable electrocardiograph 10. Specifically, it includes a measurement switch 16, a measurement mode LED 16a, a BLE (Bluetooth (registered trademark) Low Energy) communication button 17, a BLE communication LED 17a, a memory remaining display LED 18, a battery replacement LED 19, and the like.
  • a measurement switch 16 a measurement mode LED 16a
  • BLE communication LED 17a a BLE communication LED 17a
  • memory remaining display LED 18 a battery replacement LED 19, and the like.
  • a measurement status notification LED 13 and an analysis result notification LED 14 are provided on the front surface of the portable electrocardiograph 10, and a battery storage port (not shown) and the storage thereof are provided on the back surface of the portable electrocardiograph 10.
  • a battery cover 15 that covers the mouth is arranged.
  • FIG. 2 shows a block diagram showing the functional configuration of the portable electrocardiograph 10.
  • the portable electrocardiograph 10 includes a control unit 101, an electrode unit 12, an amplifier unit 102, an AD (Analog to Digital) conversion unit 103, a timer unit 104, a storage unit 105, a display unit 106, and an operation unit. It is configured to include each functional unit of the analysis unit 110 and the vibration unit 111 of the 107, the power supply unit 108, and the communication unit 109.
  • the control unit 101 is a means for controlling the portable electrocardiograph 10, and includes, for example, a CPU (Central Processing Unit) and the like.
  • the control unit 101 controls each component of the portable electrocardiograph 10 so as to execute various processes such as electrocardiographic measurement and information communication according to a predetermined program. ..
  • the predetermined program is stored in the storage unit 105, which will be described later, and is read from here.
  • control unit 101 includes an analysis unit 110 that analyzes an electrocardiographic waveform as a functional module.
  • the analysis unit 110 analyzes the measured electrocardiographic waveform for the presence or absence of waveform disturbance, and outputs at least the result of whether or not the electrocardiographic waveform at the time of measurement is normal.
  • the electrode portion 12 includes a left side electrode 12a, a first right side electrode 12b, and a second right side electrode 12c, and functions as a sensor for detecting an electrocardiographic waveform.
  • the amplifier unit 102 has a function of amplifying the signal output from the electrode unit 12.
  • the AD conversion unit 103 has a function of converting an analog signal amplified by the amplifier 102 into a digital signal and transmitting the analog signal to the control unit 101.
  • the timer unit 104 has a function of measuring the time with reference to an RTC (Real Time Clock) (not shown). As will be described later, for example, at the time of electrocardiographic measurement, the time until the end of measurement is counted and this is output.
  • RTC Real Time Clock
  • the storage unit 105 is configured to include a main storage device (not shown) such as a RAM (Random Access Memory), and stores various information such as an application program, a measured electrocardiographic waveform, and an analysis result. Further, in addition to the RAM, a long-term storage medium such as a flash memory may be provided.
  • a main storage device such as a RAM (Random Access Memory)
  • RAM Random Access Memory
  • a long-term storage medium such as a flash memory
  • the display unit 106 includes light emitting elements such as the measurement mode LED 16a, the BLE communication LED 17a, the memory remaining display LED 18, and the battery replacement LED 19 described above, and the state of the device and the occurrence of a predetermined event are caused by lighting and blinking of the LEDs.
  • the operation unit 107 includes a measurement switch 16, a communication button 17, and the like, and has a function of receiving an input operation from the user and causing the control unit 101 to execute a process corresponding to the operation.
  • the power supply unit 108 includes a battery (not shown) that supplies electric power required for operating the device.
  • the battery may be a secondary battery such as a lithium ion battery, or may be a primary battery.
  • the communication unit 109 includes an antenna for wireless communication (not shown), and has a function of communicating with other devices such as an information processing terminal described later by at least BLE communication. Further, a terminal for wired communication may be provided.
  • the vibrating unit 111 includes a vibrator (not shown) composed of a small motor or the like, and as will be described later, by generating vibration in a predetermined pattern, a user can generate a predetermined event corresponding to the pattern. Has a function to notify to.
  • FIG. 3 is a flowchart showing a processing procedure when performing electrocardiographic measurement using the portable electrocardiograph 10 according to the present embodiment.
  • the control unit 101 detects the contact state via the electrode unit 12 (S1101).
  • the control unit 101 performs a process of determining whether or not the electrode is in a state of being properly contacted with the measurement site (that is, whether or not a contact detection error has occurred) (S1102), and a contact detection error occurs. If so, the vibrating unit 111 is vibrated (S1103) with a predetermined vibration pattern (hereinafter referred to as pattern C) meaning that the measurement has not been performed normally, and the measurement process is terminated. At this time, for example, the measurement status notification LED 13 may be blinked in a predetermined pattern associated with the pattern C.
  • step S1102 if it is determined in step S1102 that no contact detection error has occurred, the control unit 101 next performs a process of determining whether or not a predetermined time has elapsed with the electrodes properly contacted (the process is performed). S1104). Here, if it is determined that the predetermined time has not elapsed, the process returns to step S1102 and the same process is repeated. On the other hand, when it is determined that the predetermined time has elapsed, the vibrating unit 111 is vibrated (S1105) with a predetermined vibration pattern (hereinafter referred to as pattern A) meaning that the electrocardiographic measurement is started, and the actual electrocardiographic measurement is performed. Execute (S1106). The measured electrocardiographic waveform data is stored in the storage unit 105. Further, in step S1105, for example, the measurement status notification LED 13 may be made to blink in a predetermined pattern associated with the pattern A.
  • pattern A a predetermined vibration pattern
  • the control unit 101 performs a process of determining whether or not the electrocardiographic measurement time has elapsed a predetermined measurement time (for example, 30 seconds) (step S1107). Here, if it is determined that the predetermined time has not passed yet, the process of step S1107 is repeated.
  • the analysis unit 110 of the control unit 101 analyzes the electrocardiographic waveform data stored in the storage unit 105 (S1110). Then, the control unit 101 performs a process of determining whether or not the electrocardiographic waveform has been properly analyzed (that is, whether or not an analysis error has occurred) (S1111), and when it is determined that an analysis error has occurred. Vibrates the vibrating unit 111 in the pattern C (S1114), and ends the measurement process.
  • step S1111 determines whether the analysis has been performed appropriately. If it is determined in step S1111 that the analysis has been performed appropriately, the analysis result and the electrocardiographic waveform data are stored in the storage unit 105 (S1112), and a series of processes related to the measurement is normally completed.
  • the vibrating unit 111 is vibrated in a predetermined vibration pattern (hereinafter referred to as pattern B), which means that, and a series of processes is completed. Further, here, for example, the measurement status notification LED 13 may be made to blink in a predetermined pattern associated with the pattern B.
  • the portable electrocardiograph 10 has different patterns of the vibrating unit 111 at the start of acquisition of the electrocardiographic waveform data, at the normal end of the measurement process, and at the end of the measurement due to an error. Is a structure that vibrates. As a result, the user can know the occurrence of the event related to the measurement process of the portable electrocardiograph 10 and the content thereof from the difference in the vibration pattern without visually recognizing the display unit 106. Therefore, for example, even when the electrocardiographic measurement is performed by chest guidance while wearing clothes, the start and end timings of the electrocardiographic measurement can be easily grasped.
  • FIG. 4 shows an example of the vibration pattern of the vibration unit 111 of the patterns A to C and the LED blinking pattern of the display unit 106 associated with each vibration pattern.
  • FIG. 5 is a flowchart showing a procedure for processing a modified example when performing electrocardiographic measurement using the portable electrocardiograph 10.
  • the same components and processes as those already described will be designated by the same reference numerals, and the description thereof will be omitted again.
  • the procedure of the measurement process of this modified example is the same process as that of the above embodiment up to step S1107. Then, when the control unit 101 determines that the electrocardiographic measurement time has elapsed a predetermined measurement time (for example, 30 seconds), the control unit 101 saves the electrocardiographic waveform data in the storage unit 109 (S1108), and subsequently. A process of vibrating the vibrating portion 111 is performed in the pattern B. That is, in this modified example, if the electrocardiographic waveform data can be acquired without analyzing the electrocardiographic waveform, the user is notified by the vibration of the pattern B that the measurement process has been completed normally.
  • a predetermined measurement time for example, 30 seconds
  • the portable electrocardiograph 10 can be used by connecting to another information processing terminal by BLE communication by the communication unit 109. Then, the occurrence of an event related to the communication setting for connection with the information processing terminal and its content can also be grasped by the vibration of the vibrating unit 111.
  • the operation related to the communication setting of the portable electrocardiograph 10 will be described with reference to FIGS. 6 to 9.
  • FIG. 6 to 8 are flowcharts showing a flow of processing related to communication settings of the portable electrocardiograph 10.
  • the control unit 101 determines whether or not the current communication setting is a setting capable of BLE communication (S1202).
  • the control unit 101 determines that the BLE communication is possible (hereinafter referred to as the BLE communication setting ON)
  • the process proceeds to step S1211 of FIG. 7, and is the BLE communication button 17 continuously pressed (hereinafter, the BLE communication setting is ON)? It is determined whether or not it is in a so-called long press state (S1213).
  • the control unit 101 executes a predetermined subroutine related to the BLE connection (S1212), and ends the process.
  • the predetermined subroutine will be described later.
  • step S1211 when it is determined in step S1211 that the BLE communication button 17 is long-pressed, it is determined whether or not the long-pressed time exceeds the first predetermined time (for example, 2 seconds). Do (S1213). Here, if it is determined that the first predetermined time has not been exceeded, the process returns to step S1211 and the subsequent processes are repeated. On the other hand, when it is determined in step S1213 that the first predetermined time has been exceeded, the control unit 101 shifts the communication setting to the pairing (device registration) standby state, and transitions to the pairing standby state.
  • the vibrating unit 111 is vibrated by a vibration pattern (hereinafter referred to as pattern D) meaning that (S1214).
  • the control unit 101 performs a process of determining whether or not the BLE communication button 17 is continuously pressed (S1215).
  • the communication setting is set to the pairing mode (S1216), and the series of processes is terminated.
  • the long-pressed time exceeds the second predetermined time (for example, 10 seconds). Do (S1217).
  • step S1217 a state in which BLE communication is impossible
  • the control unit 101 switches the communication setting to a state in which BLE communication is impossible (hereinafter, referred to as BLE communication setting OFF).
  • the vibrating unit 111 is vibrated (S1218) with a vibration pattern (hereinafter referred to as pattern E) meaning the above, the BLE communication setting is turned off (S1219), and a series of processes is completed.
  • step S1202 the control unit 101 determines whether or not the BLE communication button 17 is in the long-pressed state (step S1231).
  • the control unit 101 vibrates the vibrating unit 111 in a vibration pattern (hereinafter, referred to as pattern F) meaning that the BLE communication setting is in the OFF state. (S1232), and a series of processes is completed.
  • step S1231 when it is determined in step S1231 that the BLE communication button 17 is in a long-pressed state, it is determined whether or not the long-pressed time exceeds a third predetermined time (for example, 5 seconds). (S1233). Here, if it is determined that the third predetermined time has not been exceeded, the process returns to step S1231 and the subsequent processing is repeated. On the other hand, if it is determined in step S1233 that the third predetermined time has been exceeded, the control unit 101 has a vibration pattern (hereinafter referred to as pattern G) meaning that the communication setting is switched to the BLE communication setting ON. The vibrating unit 111 is vibrated (S1234), the BLE communication setting is turned ON (S1235), and a series of processes is completed.
  • pattern G a vibration pattern
  • the control unit 101 first transmits an advertisement signal for BLE communication from the communication unit 109 (S1901).
  • the control unit 101 determines whether or not the connection request for BLE communication has been received from the information processing terminal (S1902).
  • the same process is repeated until the process of BLE communication is canceled due to the passage of a predetermined time or the operation of the operation unit 107.
  • the process proceeds to step S1903 to make a BLE connection with the device that has transmitted the connection request.
  • the control unit 101 ends the subroutine.
  • the portable electrocardiograph 10 also has a difference in the vibration pattern of the vibrating unit 111 regarding the occurrence of an event related to the communication setting for connection with the information processing terminal and its content. It can be grasped by patterns D to G). Further, for example, the BLE communication LED 17a may be made to blink in a blinking pattern associated with each vibration pattern. By doing so, it is possible to more clearly grasp the occurrence of the event related to the communication setting and its contents.
  • FIG. 10 is a flowchart showing an operation flow in which the discharge voltage of the battery is notified by the vibrating unit of the vibrating unit 111.
  • the control unit 101 When the measurement switch 16 is pressed by the user, the control unit 101 first performs a process of acquiring the discharge voltage of the battery (S1191). Next, it is determined whether or not the acquired discharge voltage is below a predetermined threshold value (S1192), and if it is determined that the acquired discharge voltage is below the threshold value, the control unit 101 determines that the battery voltage is low.
  • the vibrating unit 111 is vibrated (S1193) according to the meaning vibration pattern (hereinafter referred to as pattern I), and the process is completed. On the other hand, if it is determined in step S1192 that the discharge voltage of the battery is equal to or higher than the threshold value, the electrocardiographic waveform measurement process already described is executed (S1101, S1106, S1110, S1112).
  • the battery replacement LED 19 may be made to blink in a blinking pattern associated with the pattern I. After that, the battery replacement LED 19 may be constantly lit until the battery is replaced.
  • the portable electrocardiograph 10 can perform electrocardiographic measurement, analyze the measurement data, and display the analysis result by itself, but it is used by communicating with an information processing terminal. Therefore, the convenience can be further improved.
  • the information management system 1 including the portable electrocardiograph 10 and the smartphone 20 which is an example of the information processing terminal will be described with reference to FIGS. 11 to 16.
  • FIG. 11 is a schematic diagram showing a configuration example of the information management system 1 according to the present embodiment.
  • the information management system 1 includes a portable electrocardiograph 10 and a smartphone 20, and these are configured to be communicatively connectable. Since the portable electrocardiograph 10 has the same configuration as that described in the first embodiment, the description thereof will be omitted.
  • the smartphone 20 which is an example of the information processing terminal, includes a control unit 21, a communication unit 22, a touch panel display 23, and a storage unit 24.
  • the control unit 21 is a means for controlling the smartphone 20, and is configured to include, for example, a CPU, etc., and exerts functions corresponding to these by executing various programs stored in the storage unit 24.
  • the communication unit 22 includes an antenna for wireless communication, and is a function of communicating with other devices such as the portable electrocardiograph 10 and a wireless base station. Further, a terminal for wired communication may be provided.
  • the touch panel display 23 also serves as a display means and an input means as one of the output means, and as will be described later, when a communication connection with the portable electrocardiograph 10 is established, until the end of measurement. It is possible to display status information such as the remaining time of the ECG, graph data of the electrocardiographic waveform, and the like. In addition, it accepts operations from users via various input images.
  • the storage unit 24 is configured to include a long-term storage medium such as a flash memory in addition to a main storage device such as a RAM, and stores various information such as an application program, a measured electrocardiographic waveform, and an analysis result.
  • a long-term storage medium such as a flash memory
  • main storage device such as a RAM
  • FIGS. 12 to 14 are diagrams showing the flow of processing when the portable electrocardiograph 10 and the smartphone 20 are used by connecting them via BLE communication, and the timing of transmitting information between the devices.
  • the processing flow of the portable electrocardiograph 10 the above-mentioned ones are designated by the same reference numerals and detailed description thereof will be omitted.
  • the control unit 101 executes the processing of the subroutine for the BLE communication (S1212).
  • the subroutine is as described above.
  • the user puts the smartphone 20 into a state in which BLE communication is possible with the portable electrocardiograph 10.
  • the touch panel display 23 is operated to turn on the BLE connection setting from the setting menu or the like.
  • the BLE connection setting may be turned on by activating a dedicated application program for linking with the portable electrocardiograph 10.
  • FIG. 15 shows the processing of the subroutine. Specifically, when the subroutine is started, the control unit 21 waits for the advertisement signal to be received from the portable electrocardiograph 10 (S2901). Then, it is determined whether or not the advertisement signal has been received (S2902), and the process is repeated until it is determined that the signal has been received. When the advertisement signal is received in step S2902, the BLE connection request signal is transmitted to the portable electrocardiograph 10 via the communication unit 22 (S2903).
  • step S2102 of FIG. 12 the control unit 21 transmits a communication start request to the portable electrocardiograph 10.
  • control unit 101 of the portable electrocardiograph 10 detects the electrode contact state (S1101), then transmits information related to the electrode contact state to the smartphone 20 (S1301), and the smartphone 20 receives the information. (S2103).
  • the smartphone 20 that has received the electrode contact state information displays the electrode contact state on the touch panel display 23 (S2104). For example, a message such as "the electrodes are in proper contact” or “the electrodes are not in proper contact” may be displayed.
  • step S1301 the control unit 101 of the portable electrocardiograph 10 performs a process of determining the presence or absence of an electrode contact error (S1102).
  • an electrode contact error signal is transmitted to the smartphone (S1302)
  • the process proceeds to step S1103 of FIG. 14, the vibrating portion 111 is vibrated by the vibration of the pattern C, and the measurement is normally completed.
  • a signal indicating that the error was not performed is transmitted to the smartphone 20 (S1311).
  • step S2104 it is determined whether or not an electrode contact error signal has been received from the portable electrocardiograph 10 (S2105), and if so, the process proceeds to step S2201 in FIG. , Further receives a signal to the effect that the measurement did not end normally. Then, the touch panel display 23 is displayed to the effect that the measurement has not been completed normally, and a signal requesting the end of communication is transmitted to the portable electrocardiograph 10 (S2203). After that, the BLE connection between the portable electrocardiograph 10 and the smartphone 20 is disconnected (S1312, S2204), and a series of processes is completed.
  • control unit 101 of the portable electrocardiograph 10 determines in step S1102 that a contact detection error has not occurred, it then determines whether or not a predetermined time has elapsed with the electrodes properly contacted. Process (S1104). Here, if it is determined that the predetermined time has not elapsed, the process returns to step S1102 and the same process is repeated. On the other hand, when it is determined that the predetermined time has elapsed, the vibrating unit 111 is vibrated in the pattern A (S1105), and the actual electrocardiographic measurement is executed (S1106). Then, a process of transmitting the measured electrocardiographic waveform data and the electrocardiographic measurement time (remaining time until the end of measurement) to the smartphone 20 is executed (S1303).
  • the data transmitted from the portable electrocardiograph 10 in step S1303 is received by the smartphone 20 (S2106), and the electrocardiographic measurement time and the electrocardiographic waveform graph are displayed on the touch panel display 23 (S2107). Specifically, a graph of the electrocardiographic waveform may be displayed together with a countdown message such as "00 seconds until the end of electrocardiographic measurement".
  • step S1107 determines in step S1107 whether or not the predetermined measurement time has elapsed, and if the predetermined time has not yet elapsed, returns to step S1106 and repeats the subsequent processing. ..
  • the process proceeds to step S1110 in FIG. 13, and the analysis unit 110 analyzes the electrocardiographic waveform (S1303). Then, during the analysis, a signal to that effect is transmitted to the smartphone 20 (S1304), and when the analysis is completed, the analysis result and the electrocardiographic waveform data are stored in the storage unit 105 (S1112), and the vibration unit 111 in the pattern B. To vibrate.
  • control unit 101 transmits the analysis result information to the smartphone 20 (S1305), and determines whether or not there is untransmitted data (electrocardiographic waveform, analysis result) to the smartphone 20 (S1306).
  • untransmitted data the data is transmitted to the smartphone 20 (S1307), the communication termination request from the smartphone 20 is waited for, the BLE connection is disconnected (S1308), and the series of processing is terminated. .. If it is determined in step S1306 that there is no untransmitted data, the process of step S1307 is skipped and the process proceeds to step S1308.
  • control unit 21 of the smartphone 20 receives the information that the electrocardiographic waveform is being analyzed via the communication unit 22 after step S2107 (S2108), the control unit 21 displays the information on the touch panel display 23 (S2109). Then, when the analysis result information transmitted from the portable electrocardiograph 10 is received via the communication unit 22 (S2110), the result is displayed on the touch panel display 23 (S2111).
  • various data such as electrocardiographic waveform data can be displayed on the display by using the portable electrocardiograph 10 and the information management system 1 in cooperation with an information processing terminal such as a smartphone 20. It can be displayed and viewed.
  • the received data can be saved and effectively used by using an application program or the like.
  • FIG. 16 is a flowchart showing an operation when an error occurs in BLE communication between the portable electrocardiograph 10 and the smartphone 20.
  • the control unit 101 of the portable electrocardiograph 10 determines whether or not the BLE communication connection is disconnected without the normal disconnection process. (S1321).
  • the control unit 101 uses a vibration pattern (hereinafter, referred to as pattern H) indicating that a communication error has occurred, and the vibration unit 111 is used. It is vibrated (S1324) to end the process.
  • step S1321 when it is determined in step S1321 that the BLE communication is not disconnected, the control unit 101 determines whether or not all the data to be transmitted to the smartphone 20 such as the electrocardiographic waveform data and the analysis result can be transmitted. Judgment (S1322). Here, if it is determined that all the data has not been transmitted, the process returns to step S1321 and the subsequent processing is repeated. On the other hand, when it is determined in step S1322 that all the data has been transmitted, it is determined whether the transmission result has no problem (that is, whether or not an error has occurred during transmission) (S1323). Here, if it is determined that there is no problem in the transmission result, the process is terminated as it is. On the other hand, if it is determined in step S1323 that there is a transmission error, the control unit 101 vibrates the vibrating unit 111 with the vibration pattern of the pattern H (S1324), and ends the process.
  • the control unit 101 vibrates the vibrating unit 111 with the vibration pattern of the pattern H (S1324),
  • the information processing terminal is not limited to a smartphone, but may be another mobile information processing terminal such as a tablet terminal, or may be a stationary terminal.
  • the communication unit is not limited to the one for performing BLE communication, and may be an antenna capable of performing other wireless communication such as Wi-Fi (registered trademark) and infrared communication. Further, the communication may be performed by a wired connection.

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PCT/JP2020/045632 2019-12-20 2020-12-08 携帯型心電波形計測装置、情報管理システム、携帯型心電波形計測装置の制御方法、及び、プログラム Ceased WO2021124979A1 (ja)

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CN202080079864.0A CN114727787A (zh) 2019-12-20 2020-12-08 便携式心电波形测量装置、信息管理系统、便携式心电波形测量装置的控制方法以及程序
DE112020005317.2T DE112020005317T5 (de) 2019-12-20 2020-12-08 Tragbare vorrichtung zur messung elektrokardiografischer wellenformen, informationsverwaltungssystem, verfahren zur steuerung einer tragbaren vorrichtung zur messung elektrokardiografischer wellenformen und programm
US17/804,886 US12029569B2 (en) 2019-12-20 2022-06-01 Portable electrocardiographic waveform measurement device, information management system, method of controlling portable electrocardiographic waveform measurement device, and non-transitory recording medium including program recorded therein

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