CN103169474A - Portable monitoring, analysis and therapy assistance appliance - Google Patents
Portable monitoring, analysis and therapy assistance appliance Download PDFInfo
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- CN103169474A CN103169474A CN2012100591534A CN201210059153A CN103169474A CN 103169474 A CN103169474 A CN 103169474A CN 2012100591534 A CN2012100591534 A CN 2012100591534A CN 201210059153 A CN201210059153 A CN 201210059153A CN 103169474 A CN103169474 A CN 103169474A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/56—Devices for preventing snoring
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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
- A61B5/48—Other medical applications
- A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
-
- 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
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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
- A61B5/68—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
- A61B5/6802—Sensor mounted on worn items
- A61B5/6803—Head-worn items, e.g. helmets, masks, headphones or goggles
-
- 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
- A61B5/6802—Sensor mounted on worn items
- A61B5/681—Wristwatch-type devices
-
- 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
- A61B5/6823—Trunk, e.g., chest, back, abdomen, hip
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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
- A61B5/68—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
- A61B5/6828—Leg
-
- 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
- A61B5/683—Means for maintaining contact with the body
- A61B5/6831—Straps, bands or harnesses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B7/00—Instruments for auscultation
- A61B7/003—Detecting lung or respiration noise
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- 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
- A61N1/3601—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of respiratory organs
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
- A61B2560/02—Operational features
- A61B2560/0242—Operational features adapted to measure environmental factors, e.g. temperature, pollution
- A61B2560/0247—Operational features adapted to measure environmental factors, e.g. temperature, pollution for compensation or correction of the measured physiological value
-
- 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
- A61B5/0537—Measuring body composition by impedance, e.g. tissue hydration or fat content
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/0404—Electrodes for external use
- A61N1/0408—Use-related aspects
- A61N1/0452—Specially adapted for transcutaneous muscle stimulation [TMS]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/0404—Electrodes for external use
- A61N1/0408—Use-related aspects
- A61N1/0456—Specially adapted for transcutaneous electrical nerve stimulation [TENS]
Abstract
The invention relates to a portable appliance for monitoring the sleep of a test person or patient, in particular for analyzing and treating sleep-related breathing disorders by means of at least one sensor (2), which detects bio-acoustic signals and with which means (9) for fixing in position proximate to the body are associated. The sensor serves to detect sound produced inside the body and comprises at least one voltage supply and a monitoring unit (3) serving to process the signals, and a number of stimulation units (4), which can be activated by the monitoring unit (3) and can provoke in the test person a stimulation counteracting the breathing disorder when a predeterminable acoustic sound pattern is detected.
Description
Technical field
The present invention relates to a kind of instrument, the portable sleep monitor that is used for person under inspection or patient, especially for the biosensor analysis of surveying the bio acoustics signal by at least one and treatment and the relevant respiratory disorder of sleeping, has at least one power supply and for the treatment of the control unit of signal.
Background technology
The often respiratory disorder of appearance relevant to sleep is the obstructive sleep syndrome (asphyxia) that suffocates.Such for example suffocating in the situation that occur around violent the relaxing of the ring-type muscle of upper respiratory tract.By forming low pressure on the respiratory air flow trachea, wherein, low pressure can not sufficiently be resisted again due to of flaccid muscles in the top of trachea.Therefore the top of trachea dwindles, thereby the oxygen content that hinders respiratory tract and blood descends.
This decline of oxygen content can utilize the instrument of the described type of beginning to measure, and this instrument is open by DE10 2,008 063 231 A1.A kind of method and apparatus of measuring patient's bio signal for the diagnosis respiratory disorder relevant to sleep is disclosed in this regard.This instrument particularly can use in the home care scope, and wherein, the performance figure and the selectivity that detect oxygen saturation, pulse rate, former pulse wave, oxygen saturation detect nose breathing air-flow and snoring.
The shortcoming of this instrument is must lay a large amount of measuring instruments with it the patient for detecting above-mentioned parameter.Because relevant to this type sleep monitor is to patient's connection cord, unexpected like this its sleep quality and so the measurement result of affecting.Have in this regard respiratory air flow snoring asoscope and the pulse oximetry sensor that is clipped on patient's finger.At first be that to carry out the asoscope of patient's face that daily sleep state measures very inconvenient in this regard.Although such sleep monitor provides good result for the diagnosis of sleep disease, repeatedly occurs the measurement error of interference in the process of long-time monitoring, these measurement error are for example because the change of patient's posture in sleep produces.
Although this instrument declares to be applicable to family, the data of instrument record need to be read in hospital and analyzing and processing all the time.Just taken measures by the doctor subsequently, the respiratory disorder relevant to sleep that treatment is diagnosed is so that Rehabilitation.
Disclose in addition the instrument that consists of as the arm band from prior art, it sends alarm signal by TNS to user when detecting the sound of snoring.Snoring is not dangerous from the angle of medical science, because as long as the user snoring just ensures the continuous flow that passes in and out respiratory apparatus.When asphyxia, this air-flow interrupts and snoring also temporarily stops, and the alarm signal of user stops thus.Therefore utilize this instrument can not determine and dangerous suffocate and therefore they can only be considered as disturbing the people, but the canceller of worrying snoring not medically.
Summary of the invention
Therefore purpose of the present invention is, a kind of instrument that starts alleged type is provided, and this instrument also provides the probability of medically important treatment or regeneration for person under inspection or patient except separate diagnostic and the relevant respiratory disorder of sleeping.
This purpose is achieved according to the present invention with regard to the instrument of movable type monitoring person under inspection or patient's sleep thus with regard to a kind of, be that at least one is used to survey the sensor assignment of the sound that produces in body at least one device for close trunk location, and have and to excite the unit by what control unit activated,, can cause and the counteractive stimulation of respiratory disorder when recognizing the acoustic noise model that can to predesignate appear in the person under inspection by this unit.
Advantage related to the present invention is that person under inspection and patient for example make its posture change by stimulating when suffocating.By this posture change and the trachea retroaction of dwindling, make thus respiratory tract again unimpeded.In addition, by with the counteractive stimulation of respiratory disorder, the ring-type muscle around upper respiratory tract being upset, also discharging thus respiratory tract or keep unimpeded thereby this muscle is no longer lax.In this case, needn't make the patient fully clear-headed by stimulation because enough be to make it move to the higher stage of the enough and counteractive muscle tone of respiratory disorder of its health domination from the sound sleep stage.Bio acoustics sensor itself is preferably disposed in this regard it and surveys on the trachea height of lung turnover pneumatic noise.But this sensor also can be arranged on the position of other important close trunks of person under inspection's health, sends on these positions and can detect from acoustics the noise of respiratory disorder.Control unit checks whether the definite noise model that can predesignate occurs continuously or in the time period of determining and/or persistent period.For example, if the noise of lung turnover air-flow should be quiet in the time of determining, control unit excites the unit so.
Therefore the acoustical signal of surveying by sensor can be associated with the oxygen saturation of blood.Therefore utilize the present invention to survey the oxygen saturation of determining blood by acoustical signal, cancel complicated optics pulse and survey blood oxygen.Cause that oxygen in blood reduces and the bio acoustics that suffocates that carbon dioxide increases generation measures in addition that also the pulse survey blood oxygen than optics is rapider.Can determine rapidly by the bio acoustics sensor that is arranged on trachea whether lung passes in and out air-flow.If this air-flow interrupts, the oxygen saturation in blood begins progressively to descend and further valuable time lapse so, until the blood of anoxia is pumped into patient's finger, can detects by the pulse oximetry sensor there and suffocate.
Tool is advantageous in addition is, the shell with sensor at it near having for the transfer surface of transmission bio acoustics signal on face of person under inspection's health and have insulating surface for sound insulation on the face away from person under inspection's health.Guarantee thus that environmental noise obtains decaying as far as possible doughtily and mainly or only survey noise from person under inspection's health by the bio acoustics sensor.Therefore in addition meaningfully at least one sensor assignment to transfer surface, because the position of body noise by sensor can obtain optimum detection according to the stethoscopic type of doctor.
Particularly advantageous is that another sensor assignment is to insulating surface at least.Therefore one of them bio acoustics sensor can arrange with one of them bio acoustics sensor and can arrange away from person under inspection's health near person under inspection's health.Not that noise from person under inspection's health can be judged to be environmental noise clearly thus.That is to say, if there is environmental noise, at first this noise is detected by the sensor away from person under inspection's health so, is then just detected by the sensor near person under inspection's health.The progressive error that two noise models of surveying can be measured thus draws the conclusion of environmental noise.Also can clearly judge body noise in this manner on the contrary, because the sensor of close person under inspection's health ratio is away from the more Zao body noise signal that detects of the sensor of person under inspection's health.In addition on preferred insulating surface and/or consist of sound channel on transfer surface, because make thus the detection of environmental noise obviously become easy.This sound channel for example can be used as simple hole and consists of on shell wall.
In applicable shell, baffle is set in addition.The sensor of close like this person under inspection's health can completely cut off environmental noise well and can be isolated to person under inspection's body noise well away from the sensor of person under inspection's health.Baffle preferably is made of foamed materials and/or plastics.Preferably disclosed material in prior art can be used for baffle in addition.
Also tool is advantageous is, excites to have at least between unit and control unit that one-way communication is connected and/or the gating probability.Guaranteeing thus to excite the unit at first can and be reliable activation by control unit safety.Communication connection can be traditional wired connection or by bluetooth, WLAN, radio or suchlike connecting and composing in this regard.
Preferably excite in addition the unit as and the parts that separate of miscellaneous part realize because excite like this unit can be arranged on the different parts of person under inspection's health or even with its non-contact type setting.
Tool is advantageous in addition is, excite the unit setting in the enclosure or with the apparatus integration that is used for being consisted of by belt system near the trunk location.Guarantee thus instrument compact especially consist of and thus person under inspection or patient's sleep can not be subject to the impact of instrument.Shell itself in this regard can be by the known material of professional, and the alloy of preferably being accepted by plastics, aluminum or skin consists of.
Particularly suitable excites the unit as the actuator of bed and/or as moving-member alarm unit and/or next-door neighbour's person under inspection or sound transmitter in its auditory meatus and/or consist of as the excitation band that is arranged on limbs.Can change like this patient's a posture by the accent bed when respiratory disorder occurring, in order to discharge respiratory tract.The moving-member alarm unit can be to have the mobile phone of vibration alarming and/or the tinkle of bells or can be also by other people instrument that uses of nurse for example.Being set directly near the sound transmitter of person under inspection's auditory meatus can be earphone, and it is reported to the police to the person under inspection by the sound noise when respiratory disorder.Excitation band can be used as the arm band and consists of, and the above has that band wakes up and/or the table of warning function.
Another kind of preferred implementation is characterised in that, excites the unit to consist of by being used for forming by endermic electrical nerve stimulation the EMS-/TENS instrument that stimulates.The EMS-/TENS instrument also can be used for muscular irritation.Such nerve or muscular irritation be highly suitable for annular on the lax retroaction of respiratory muscle.Self-evident, the EMS-/TENS instrument also can be arranged on other positions of person under inspection's health, preferably on extremity.The EMS-/TENS instrument has the electrode that can be placed on person under inspection's health, and wherein, tool is advantageous is electrode and the apparatus integration that is used for the location, comes the compact instrument that is configured for portable sleep monitor.The EMS-/TENS instrument can be distributed to equally be used to the arm band and/or the bottom bands of trouser legs that are fixed on extremity.The stimulating current treatment provides particularly low noise and the effective mechanism of a kind of person under inspection of prompting or patient respiratory obstacle in this regard.Tool is advantageous in addition is, the other staff that sleep in same room with person under inspection or patient are not applied the interference of stimulation or even are waken up.
Further preferably exciting the unit is that electrostimulator and/or vibrator and/or sound transmitter and/or signal lights and/or thermal stimulus transmitter and/or scent signal transmitter and/or machinery impact unit and/or crash unit and/or acupuncture cell formation.Therefore guarantee that each person under inspection all can wear his the vital unit that excites because or or the person under inspection stimulation of determining is produced reaction in various degree.Particularly for example electricity irritation can not be used with it the personnel that suffer from heart or heart contraction dysrhythmia with personnel or the anemia of pregnant woman of cardiac pacemaker.Part is the also applicable olfactory sensation that stimulates reflection evolution experience by special-purpose gas componant therefore.Can use the vibrator as using on mobile phone, because this vibrator has during this period especially little size and therefore saves very much position and compactness for the maintenance of instrument of portable sleep monitor own.
For determining the position of other noise sources of interfering noise in the space, fact proved in addition preferably just in time have three sensors, because can carry out triangulation thus.
For making the compact especially and especially little formation of control unit, fact proved that the particularly suitable control unit consists of as microcontroller or ASIC (special IC) or FPGA the gate circuit setting of field programming (can) or FPAA the simulation setting of field programming (can).
Advantageously has in addition the memory element that at least one is used for storage and/or reading out data.Can record the data at night thus, special second day for example carries out analyzing and processing by the PC of outside to it.Can also have on instrument can sense data or the interface of tele-medicine is provided.These interfaces can be used as USB or LAN or suchlike interface and consist of, and wherein, also can use as bluetooth, W-LAN or suchlike wireless connections.Memory element also can be used as the interactive data carrier such as Flash-EEPROM (Flash-electrically erasable programmable read-only memory) consists of, and preferably consists of as Secure Digital Memory card (SD card), Compact Flash card, SmartMedia card (SM card) or suchlike card.In a kind of like this embodiment, have the plug-in position of corresponding card and shell on microprocessor and have and put accordingly Ka Chu.
Tool is advantageous in addition is, is used for the filtering system of filtering man-made noise for microcontroller distributes at least one.Thus can filtering environmental noise, the human body noise of stack respiratory air flow in the space, for example as heart beating and also have the person under inspection to exhale and motion when air-breathing in the noise that produces.
Preferred filtering system consists of as the wave filter on list or multichannel, hardware and/or basis of software.Man-made noise filtering in this regard can by corresponding configuration can field programming simulation setting (FPAA) carry out.For the artificial different CAB (" configurable analog blogs ") that eliminates FPAA locates in the one or more dimensions matrix.These CAB have input and outfan and at least one operational amplifier, configurable electric capacity and resistance, configurable connection resource (electric wire, circuit) and configuration data memory.Each CAB of FPAA is logical or as band resistance configuration as band, so that definite frequency range of the input signal that filtering is determined as the manual frequency scope before this.The FPAA input noise that produces when for example moving in patient's sleep is by one of the CAB filtering, and the output signal of FPAA does not contain the man-made noise of motion thus.
Tool is advantageous in addition is, has the inside or the outside analog-digital converter that are connected with microcontroller or ASIC or FPGA or FPAA.Therefore the analyzing and processing of data also can be carried out within being used for the instrument of portable sleep monitor.The bio acoustics sensor in this regard with the integrated formation of analog-digital converter.This point improves in addition according to the compatibility of instrument of the present invention from a large amount of different microcontrollers.Microcontroller from its that aspect also can with the integrated formation of gate circuit setting (FPGA) that can field programming, wherein, this digital integrated electronic circuit can configure like this, makes it carry out the complex calculations operation according to learning algorithm that can play and/or alternative on the basis of miniaturization.
Preferably has in addition the device that preferably can automatically move for verification.Can record in advance thus when measuring the person under inspection can filtering by filtering system environmental noise.
Tool is advantageous in addition is, has at least one and is preferably disposed on operating parts on shell.This operating parts can be used for being switched on or switched off instrument, wherein, presses instrument by for example long period in addition and carries out verification.
Therefore also applicable operating parts consists of as unicontrol spare.Instrument keeps compactness and operating parts can be used as common rotating switch, slide switch, key switch or consist of from other switches commonly known in the art thus.
Fact proved in addition and particularly advantageously be, excite the unit to be switched on or switched off by operating parts, because sometimes do not wish to trigger and the counteractive stimulation of respiratory disorder for patient or person under inspection in the scope of diagnosis, in order to can determine the respiratory disorder relevant to sleep.
A kind of preferred implementation is characterised in that, is used for the location by textile material and the preferred device that consists of as pectoral girdle.This point guarantees that the bio acoustics sensor can best be fixed on person under inspection's health.Textile material on skin ratio such as plastic material feel more comfortable, thereby the device that is used for the location makes person under inspection's comfortable.Particularly the long period wears in the situation of perspiration, and textile material is also best.Antimicrobial, mycete and antibacterial can not occur in the pectoral girdle situation of weaving fast yet.Particularly advantageous in this regard is to be used for can taking off and wash near the device that trunk is located.The probability of this cleaning provides the advantage of health for the person under inspection.That this device can vertically consist of with regulating and have the button for definite length of belt fastener for example or other fixture forms aspect the device that is used for the location, special tool is advantageous.
For reducing or eliminating noise between the instrument that is used for portable sleep monitor and quilt or person under inspection's nightwear fully, fact proved preferred shell and/or be used for having slidingsurface near the device that trunk is located on away from person under inspection's bodyside.
Has at least one biofeedback sensor on the device that also has in shell and/or be used for locating of ultimate facts proof particularly suitable.Survey thus other signals, for example as surveying body temperature by temperature sensor, survey humidity and survey ocular movement by eyes or eyelid sensor by humidity sensor during perspiration.Particularly utilize last described sensor can survey and study REM Sleep stages (Rapid-Eye-Movement).Can use the muscle sensor in addition, so that monitoring person under inspection's muscle contraction.This instrument is as selecting also can to have the cardiomotility unit, and it determines that according to cardiomotility guaranteeing to wear the unit correctly is placed on it the person under inspection.In this manner, the person under inspection is reported to the police when placing instrument, points out this instrument not to be placed on health in accordance with regulations.Can remind in addition person under inspection's instrument to come off between sleep period.
Description of drawings
The present invention is described in detail by embodiment shown in the drawings for the below.Wherein:
The instrument that Fig. 1 illustrates according to first embodiment of the invention is arranged on person under inspection's front view with it; Fig. 2 illustrates the side view of the instrument cut-away section of Fig. 1; And
The instrument that Fig. 3 illustrates another embodiment is arranged on person under inspection's front view with it.
The specific embodiment
Fig. 1 and 3 illustrates two embodiment according to instrument of the present invention, and this instrument is used for portable monitoring person under inspection and patient's sleep, especially for analyzing the respiratory disorder relevant to sleep with treatment.Interior sensor 2/7, a power supply and the control units 3 for the treatment of signal that two detection bio acoustics signals are set of shell 1.Power supply consists of as accumulator in this regard, and in simple removable accumulator battery or prior art, disclosed other electric memory element consist of but also can be used as.One of sensor 2 is distributed to the device 9 that is used for close trunk location that consists of as pectoral girdle 15 for the sound that produces in the detection body.This device particularly can by pectoral girdle, BH or have instrument hold the place BH, have instrument and hold the vest at place or have the nightwear that instrument holds the place and consist of.Have and to excite unit 4 by what control unit 3 activated, can cause with it and the counteractive stimulation of respiratory disorder the person under inspection by this unit.This stimulation produces when recognizing the acoustic noise model that can predesignate.
From control unit 3 to being here effective by being used for by forms the one-way communication connection that excites unit 4 that the EMS-/TENS instrument 11 that stimulates consists of through the skin electrical nerve stimulation.The electrode 16 of EMS-/TENS instrument 11 is integrated with pectoral girdle 15.In the patient's situation that has a weak heart, these electrodes 16 substitute by vibrator.Two shown embodiment have display unit 17 separately, and the above shows that the parameters,acoustic of instantaneous measurement, the charged state that is arranged on the electric memory element in shell 1, measurement pattern-for example are switched on or switched off the operation that excites unit 4-or other numerical value of showing in known manner as instrument for the professional.
As seeing from Fig. 2, shown shell 1 has the transfer surface 5 for transmission bio acoustics signal on its close side of person under inspection's health.In an illustrated embodiment, the inside of shell 1 arranges baffle 8, its absorbing environmental noise, namely from the outside and from the body noise of person under inspection's health of inside.In this case, in two sensors 2 distributes near transfer surface 5 and another sensor 7 of person under inspection's health and distributes to shell 1 away from the face of person under inspection's health.
Control unit 3 is made of microcontroller 12 and instrument has in addition for storage and the memory element 13 of reading out data.The random adaptive wave filter that has the filtering man-made noise on microcontroller 12.Has definitely an operating parts 14 that is consisted of by unicontrol spare on shell 1.This operating parts can be pressed and/or rotate, and can automatically switch on and off instrument thus or excite unit 4.
In the second embodiment of Fig. 3, excite unit 4 conducts and the parts that remaining part separates to realize.Excite unit 4 to be consisted of by EMS-/TENS instrument 11 many parts that are arranged on arm band 18 and the bottom bands of trouser legs 19 on the one hand, consist of and be set directly at the additional sound transmitter 10 of person under inspection's auditory meatus by the form with earphone 20 on the other hand.Electrode on joints of hand consists of as arm band or wrist-watch in an illustrated embodiment.
In this case as long as occur and the relevant respiratory disorder of sleeping, just can and be stimulated the patient by the alarm song by earphone 20 by the electricity irritation of the electrode 16 by EMS-/TENS instrument 11.EMS-/TENS instrument 11 equipment electrodes 16, it also can be used for carrying out muscle electric stimulation (EMS) on patient's arm or lower limb.
The below introduces the operation principle that is used for the instrument of portable monitoring person under inspection sleep according to Fig. 1.
Two sonic transducer 2/7 continuous probe noises wherein, can be distinguished noise or the environmental noise of person under inspection's health.Survey the noise of person under inspection's healths near the sensor 2 of person under inspection's health here and away from the sensor 7 acquisition environment noises of person under inspection's health.If environmental noise arrives built-in sensor 2, the filtering system that is made of random adaptive wave filter so leaches above-mentioned noise model, the noise that for example changes as posture.Storage data storehouse for this reason in memory element 13, this data base stores most man-made noises in advance.But these man-made noises also can be stored in memory element 13 by prior verification.
The noise that produces in the built-in main probe gas body of sensor 2.If there is suffocating, so internal sensor 2 survey precognition and be stored in noise model in memory element 13, for example certain rest.This noise model is by microcontroller 12 identifications, and then it connects activation EMS-/TENS instrument 11 by one-way communication.The electricity irritation of 16 pairs of person under inspection's healths of electrode of EMS-/TENS instrument 11, the short time applies and the counteractive stimulation of respiratory disorder to the person under inspection, and the person under inspection changes its posture thus.The simple posture change of person under inspection discharges respiratory tract so continually.
Reference numeral
1 shell
2 sensors
3 control units
4 excite the unit
5 transfer surface
6 insulating surfaces
7 another sensors
8 baffles
9 are used for the device near the trunk location
10 sound transmitters
The 11EMS-/TENS-instrument
12 microcontrollers
13 memory element
14 operating parts
15 pectoral girdles
16 electrodes
17 display units
18 arm bands
19 bottom bands of trouser legs
20 earphones
Claims (23)
1. instrument, the portable sleep monitor that is used for person under inspection or patient, especially for the sensor of bio acoustics signal (2) is at least analyzed and treatment and the relevant respiratory disorder of sleeping by surveying, has at least one power supply and for the treatment of the control unit (3) of signal, it is characterized in that, described at least one sensor (2) of be used for surveying the sound that produces in body is distributed at least one and is used for device (9) near the trunk location, and have and to excite unit (4) by what control unit (3) activated, by this unit when recognizing the acoustic noise model that can to predesignate appear in the person under inspection, can cause and the counteractive stimulation of respiratory disorder.
2. by instrument claimed in claim 1, it is characterized in that, the shell (1) with sensor (2) at it near having for the transfer surface (5) of transmission bio acoustics signal on side of person under inspection's health and have insulating surface (6) for sound insulation on the side away from person under inspection's health.
3. by instrument claimed in claim 2, it is characterized in that, described at least one sensor (2) is distributed to transfer surface (5).
4. by instrument claimed in claim 3, it is characterized in that, another sensor (7) is distributed to insulating surface (6) at least.
5. by one of claim 2-4 described instrument, it is characterized in that, consist of sound channel on insulating surface (6) and/or on transfer surface (5).
6. by one of claim 1-4 described instrument, it is characterized in that, sound-proof wall (8) is set in shell (1).
7. by the described instrument of one of claim 1-6, it is characterized in that, excite to have at least between unit (4) and control unit (3) that one-way communication is connected and/or gating unit.
8. by instrument claimed in claim 7, it is characterized in that, the parts that excite unit (4) conduct and miscellaneous part to separate are realized.
9. by the described instrument of one of claim 2-8, it is characterized in that, excite unit (4) to be arranged in shell (1) or be used near the trunk location integrated by the mechanism (9) that belt system consists of.
10. by instrument claimed in claim 8, it is characterized in that, excite unit (4) by the actuator of bed and/or by the moving-member alarm unit and/or be set directly near the person under inspection or sound transmitter (10) in auditory meatus and/or consisted of by the excitation band that is arranged on extremity.
11. by one of claim 1-9 described instrument, it is characterized in that, excite unit (4) to form by the nerve stimulation that is used for by endermic electricity EMS-/TENS instrument (11) formation that stimulates.
12. by one of claim 1-9 described instrument, it is characterized in that, excite unit (4) to impact unit and/or crash unit and/or acupuncture cell formation by electrostimulator and/or vibrator and/or sound transmitter (10) and/or signal lights and/or thermal stimulus transmitter and/or scent signal transmitter and/or machinery.
13. by one of claim 1-12 described instrument, it is characterized in that accurately having three sensors (2).
14. by one of claim 1-13 described instrument, it is characterized in that, control unit (3) is by microcontroller (12) or ASIC or FPGA or FPAA formation.
15. by one of claim 1-14 described instrument, it is characterized in that having the memory element (13) that at least one is used for storage and/or reading out data.
16. by the described instrument of claims 14 or 15, it is characterized in that, be used for the filtering system of the artificial filtering of noise for microcontroller (12) distributes at least one.
17. by the described instrument of claim 16, it is characterized in that, filtering system is made of the wave filter on list or multichannel, hardware and/or basis of software.
18. by the described instrument of one of claim 14-17, it is characterized in that having the inside or the outside analog-digital converter that are connected with microcontroller (12) or ASIC or FPGA or FPAA.
19. by one of claim 15-18 described instrument, it is characterized in that having the device that preferably can automatically move for verification.
20. by the described instrument of one of claim 2-19, it is characterized in that having at least one and be preferably disposed on operating parts (14) on shell (1).
21. by one of claim 1-20 described instrument, it is characterized in that, the device (9) that is used for locating near trunk consists of as the pectoral girdle (15) of being made by textile material.
22. by one of claim 2-21 described instrument, it is characterized in that, shell (1) and/or the device (9) of locating for close trunk have slidingsurface on the side away from person under inspection's health.
23. by one of claim 2-22 described instrument, it is characterized in that having at least one biofeedback sensor in shell (1) and/or on the device (9) that is used for locating near trunk.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| EP11194660.4 | 2011-12-20 | ||
| EP11194660 | 2011-12-20 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN103169474A true CN103169474A (en) | 2013-06-26 |
| CN103169474B CN103169474B (en) | 2016-05-18 |
Family
ID=46762770
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201210059153.4A Expired - Fee Related CN103169474B (en) | 2011-12-20 | 2012-01-13 | Portable monitoring, analysis and treatment supplementary instrument |
| CN201280011093.7A Expired - Fee Related CN103491878B (en) | 2011-12-20 | 2012-08-10 | The auxiliary monitoring of movement, analysis and therapeutic instrument |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201280011093.7A Expired - Fee Related CN103491878B (en) | 2011-12-20 | 2012-08-10 | The auxiliary monitoring of movement, analysis and therapeutic instrument |
Country Status (3)
| Country | Link |
|---|---|
| EP (1) | EP2648622A1 (en) |
| CN (2) | CN103169474B (en) |
| WO (1) | WO2013091613A1 (en) |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103462610A (en) * | 2013-08-12 | 2013-12-25 | 朱平 | Portable tremor monitor |
| CN104146713A (en) * | 2014-05-29 | 2014-11-19 | 黄澎 | Wristband for treating sleep apnea syndrome |
| CN105852864A (en) * | 2016-06-08 | 2016-08-17 | 任昊星 | Wearable respiratory monitoring system and monitoring method thereof |
| CN109982634A (en) * | 2016-09-02 | 2019-07-05 | 奈特布朗斯股份有限公司 | Sleep training aids with heart rate measurement band |
| CN110381842A (en) * | 2016-12-29 | 2019-10-25 | 纳丰医疗科技有限公司 | System and method for promoting the auscultation detection of vascular condition |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2016043189A (en) * | 2014-08-26 | 2016-04-04 | ソニー株式会社 | Sleep aid device, sleep aid system and sleep aid method |
| EP3287065B1 (en) | 2016-08-26 | 2019-01-02 | Iptasys GmbH | Device for monitoring and influencing the sleep of a person |
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- 2012-01-13 CN CN201210059153.4A patent/CN103169474B/en not_active Expired - Fee Related
- 2012-08-10 EP EP12753386.7A patent/EP2648622A1/en not_active Withdrawn
- 2012-08-10 CN CN201280011093.7A patent/CN103491878B/en not_active Expired - Fee Related
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| CN110381842A (en) * | 2016-12-29 | 2019-10-25 | 纳丰医疗科技有限公司 | System and method for promoting the auscultation detection of vascular condition |
Also Published As
| Publication number | Publication date |
|---|---|
| CN103491878B (en) | 2016-10-12 |
| CN103169474B (en) | 2016-05-18 |
| WO2013091613A1 (en) | 2013-06-27 |
| CN103491878A (en) | 2014-01-01 |
| EP2648622A1 (en) | 2013-10-16 |
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