CN103491878A

CN103491878A - Portable monitoring, analysis and therapy assistance appliance

Info

Publication number: CN103491878A
Application number: CN201280011093.7A
Authority: CN
Inventors: G.L.库埃莫
Original assignee: Beurer GmbH
Current assignee: Beurer GmbH
Priority date: 2011-12-20
Filing date: 2012-08-10
Publication date: 2014-01-01
Anticipated expiration: 2032-08-10
Also published as: CN103169474B; EP2648622A1; WO2013091613A1; CN103491878B; CN103169474A

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 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. The number of stimulation units (4) is at least two, and the at least one stimulation unit (4) is designed as a mechanical stimulation unit (21) acting mechanically on the test person and the other stimulation unit (4) is designed as an electrical stimulation unit (22) acting electrically on the test person.

Description

Mobile auxiliary monitoring, analysis and therapeutic instrument

Technical field

The present invention relates to a kind of instrument, described instrument for sleep monitor that testee or patient are moved, be particularly useful for the disordered breathing relevant to sleep analyzed and treated, that described monitoring, analysis and treatment are surveyed bioacoustical signal by means of at least one and attach troops to a unit and carry out in the sensor for carrying out the fixing device in position near trunk, described sensor is surveyed for the sound to producing in vivo.Described instrument has at least one power supply and a monitoring unit for described signal is processed, and have some can activate by described monitoring unit excite unit, can cause the stimulation that suppresses described disordered breathing with it when identifying the noise sample of acoustics that can be given in advance by described monitoring unit the testee by the described unit that excites.

Background technology

The disordered breathing relevant to sleep often occurred is the sleep apnea syndrome (respiratory arrest) hindered.Suffocating like this occurs when acutely lax such as the muscular tissue of the annular round upper respiratory tract.Flow by breath, produce negative pressure in trachea, the upper part of wherein said trachea no longer can apply enough resistances to described negative pressure due to the flaccid muscles tissue.Therefore, the upper part of described trachea becomes shrivelled, thereby occurs that the obstruction of respiratory tract and the oxygen content of blood descend.

This decline situation of described oxygen content is such as measuring by enough instruments, and this instrument has obtained open from DE 10 2,008 063 231 A1.At this, a kind of method and a kind of device of the bio signal for measuring patient are disclosed, the disordered breathing that described method and apparatus is relevant to sleep for diagnosis.Described instrument especially can be used in the field of home care, wherein detects breath stream and the snoring of oxygen saturation, pulse frequency, former impulse wave, oxygen-saturated quality index and optional detection nasal cavity.

The gauge One's name is legion of the shortcoming of this instrument, described gauge must be placed in patient, for detection of above-mentioned parameter.Because patient's the cable that lays always is connected with this sleep monitor instrument, this is at the sleep quality that unintentionally has influence on patient and have influence on thus measurement result.Be provided with breath stream snoring nose frame (Atemflussschnarchmasenbrille) and should be clipped in the pulse-oximetry sensor on patients fingers at this.At first the asoscope be placed in patient's face at this can hinder enforcement in usual sleep quality to measure.Although this sleep monitor instrument provides preferably for diagnosing the result of sleeping sickness, the measurement error produced the variation of interfering sleeping position such as the patient from sleep always appears again and again in the process of long term monitoring.

Even described instrument statement, for using at home, yet always is necessary read the data that recorded by described instrument and it is tested and assessed in clinical center.Then just by the doctor, take the measure that the diagnosed disordered breathing relevant to sleep treated, in order to heal the sick.

In addition, know the instrument that is configured to hand strap from prior art, described instrument neural activation by means of endermic electricity when detecting snoring sound is reported to the police to user.Snoring is seen not critical from the eye of medical science, as long as because user snoring, that has just guaranteed to flow to respiration tracheae and from the continuous air-flow of respiration tracheae.When respiratory arrest, this air-flow is interrupted and snores and stops, and stops thus reporting to the police to user.Dangerous suffocate thus can't be found and but therefore these instruments only are regarded as the cancellation element of the unquestionable snoring in noisy medical science aspect with these instruments.

The instrument of the type that beginning is mentioned has obtained open from WO 20,08/,098 365 A1.Use bioacoustical sensor at this, for the measurement of the health noise by for trachea inside, detect the snoring situation of suffocating in other words.Be provided with on neck ring and excite unit at this, for by means of unidirectional current in other words alternating current encourage trachea.Energising to patient should suppress at this situation of suffocating and/or the snoring that start.

Unfortunately the instrument shown in the open source literature of mentioning in front can not be used in to the patient had a heart disease or be used in it the anemia of pregnant woman, because stimulation highly dangerous for these excessive risk families of the inhibition disordered breathing produced by means of electric energy.

But, on the other hand for specific crowd such as the people who suffers from obesity, almost be necessary, use the stimulation produced by means of electric excitation, because unique stimulation that often Here it is, crowd noted earlier is enough to described unique stimulation is reacted.Often only by means of electric excitation, suppress disordered breathing thus for these crowds.

Summary of the invention

Therefore, task of the present invention is, the instrument of the type that a kind of beginning mentions is provided, and this instrument is provided at the important treatment in medical science aspect or recovers feasible program except the disordered breathing for relevant from sleep carries out exclusive diagnosis also testee or the patient for very different crowds.

This task is resolved on by the instrument for sleep monitor that testee or patient are moved of the present invention in the following manner a kind of, be that the described number of unit that excites is at least two, and described at least one excite unit structure be mechanically act on the testee machinery excite unit and another excite unit structure be with electric mode act on the testee electricity excite unit.

Advantage of the present invention is, when suffocating by described stimulation such as impelling testee or patient to change its sleeping position.Change to react on the trachea that becomes shrivelled by this sleeping position, respiratory tract becomes unimpeded again thus.In addition, can cause by the stimulation of described inhibition disordered breathing the excitation for the muscular tissue of the annular round upper respiratory tract, make its not lax unable and described respiratory tract obtain thus discharging and become in other words unimpeded.At this, there is no need to wake patient fully up by described stimulation, because it is just enough that its Sleep stages from the degree of depth is forwarded to higher Sleep stages, in described higher Sleep stages, its health has the muscle tone of enough inhibition disordered breathings.Described bioacoustical sensor this on this can the height of preferred arrangements at trachea, detect on the height of described trachea and flow to pulmonary and from the noise of the air-flow of pulmonary.But described sensor also can be arranged on testee's the position of other important nearly trunk, produce corresponding noise on described position, described noise can be detected disordered breathing on acoustics.Described monitoring unit checks noise sample that specifically can be given in advance whether occurred continuously or with specific interval and/or persistent period.If such as make to flow to pulmonary and and become mute from the noise of the air-flow of pulmonary, so described monitoring unit just activates described one or two preferred more unit that excite that excite in unit.

Signal on the acoustics of surveying by described sensor can be associated with the oxygen saturation of blood.Therefore can be by means of the acquisition of signal of acoustics with the present invention in the situation that abandon the oxygen saturation of the definite blood of pulse-oximetry of the optics of trouble.In addition, the bioacoustical measurement suffocated produced for the minimizing due to oxygen in blood and due to thickening of carbon dioxide in blood is also faster than the pulse-oximetry of described optics.Can find soon whether air flow stream is arranged toward pulmonary and from pulmonary by the bioacoustical sensor be arranged in trachea.If this air-flow interrupts, oxygen saturation in blood just descends gradually and time of more preciousnesses, wherein at patient's finger place, by the pulse-oximetry sensor, can detect the described situation of suffocating until the blood of oxygen deprivation is sucked into before patient's finger to have pass by so.

Within the scope of the invention also preferably, described machinery excites impact unit and/or the crash unit that unit structure is vibrator and/or machinery and/or knocks unit.Guarantee thus, each testee can be equipped with the unit that excites of important for it machinery, because patient or testee can react to the stimulation of specific machinery to some extent.Especially can not be used in such as described electric excitation the people who suffers from heart obstacle or rhythm of the heart obstacle and be equipped with it the people or anemia of pregnant woman of cardiac pacemaker.Also can use the vibrator used as in mobile phone because these vibrators have simultaneously especially little size and thus the described instrument for the sleep monitor that moved itself can keep saving very much locational space and compact structure.

Another kind of favourable embodiment is characterised in that, the unit structure that excites of described electricity is the EMS/TENS instrument that the muscle for the neural activation by means of endermic electricity and/or electricity encourages to be stimulated.The respiratory muscle meat tissue that the muscle excitation in other words of this nerve is well suited for suppressing top lax unable.Certain described EMS/TENS instrument also can be arranged on other position of testee's health, and preferred arrangements is on extremity.Described EMS/TENS instrument has electrode, described electrode can be placed on testee's health, wherein advantageously, described electrode is integrated into for carrying out the fixing device in position, for forming compactly the described instrument for the sleep monitor that moved.Described EMS/TENS instrument can be attached troops to a unit equally in for being fixed on hand strap and/or the bottom bands of trouser legs on extremity.Described stimulating current therapy this provide a kind of special noise few and effective mechanism, for to testee or patient, pointing out disordered breathing.Especially can not to the unit that excites of the electricity that is configured to the EMS/TENS instrument, react well with the people who excites unit to wake up in other words to stimulate of machinery.Especially the responseless fat personnel of stimulation that produce by means of vibrator are belonged to these excessive risk families.In addition, seem advantageously, other and testee or the patient personnel of a sleeping Room altogether are not interfered by described stimulation or are even waken up.

In addition, meaningfully within the scope of the invention, when identifying the noise sample of acoustics that can be given in advance, the described unit that excites can activate in time with staggering.Thus such as can at first using the gentle unit that excites, and only this gentleness excite unit not suppress disordered breathing the time just supplement the unit that excites of connecting the stronger stimulation of another output.Therefore, after predetermined time window, make electricity consumption excite unit before, such as vibrator at first can attempt suppressing disordered breathing.

Advantageously, be provided with a housing and be provided with the selector switch distributed into described housing, described selector switch is for selecting operational mode " mode of electricity ", " mode of machinery " or " dynamo-electric mode ".Bring thus such advantage, be that user or testee can select in person, it wants how to move described by instrument of the present invention: only with the unit that excites of described machinery, only with the unit that excites of described electricity, or with these two, excite unit successively to move mutually each other in other words described instrument everywhere simultaneously.But also can arrange like this, in the described special embodiment by instrument of the present invention, can select operational mode more or still less.

Advantageously, can little by little strengthen by the stimulation of the described inhibition disordered breathing that excites unit to cause step by step or continuously.Therefore at first described stimulation can very leniently be carried out.If the stimulation of described gentleness can not suppress described disordered breathing, this point just identifies by instrument of the present invention by described so, will strengthen described stimulation thus.

In addition, within the scope of the invention preferably, be provided with the device of the body fat share for determining the testee.Can find thus, testee or patient be because whether its body fat share can react to the unit that excites of described machinery actually, or whether be necessary not to be and then to use the unit that excites of described electricity.

For described instrument is kept to very compact structure, meaningfully, described for the device of determining the body fat share, the unit that excites by described electricity forms, described electricity excite unit for carrying out bioelectric impedance analysis (BIA).Thereby such as can be by the electrode that excites unit of described electricity for implementing biological impedance.Thus, two kinds of functions can be fulfiled in the unit that excites that is to say described electricity.

In addition, advantageously, the housing with described sensor has the insulation surfaces for sound insulation at it near having the transfer surface for transmitting bioacoustical signal on side of testee's health and deviating from a side of testee's health.Guarantee thus, as far as possible environment noise suppressed and carry out mainly or only to survey the noise from testee's health by described bioacoustical sensor.Therefore, in addition meaningfully, described at least one sensor is attached troops to a unit in described transfer surface, because the position of the sensor of stethoscope type that can be by being configured to the doctor is detected the health noise best.Particularly advantageously, described insulation surfaces is equipped with at least another sensor.One of described bioacoustical sensor can be arranged in to testee's health thus and be arranged in the position away from testee's health nearby and by one of described bioacoustical sensor.Can will not that noise from testee's health is identified as environment noise clearly thus.That is to say if there is environment noise, before described noise is detected by the sensor near testee's health, at first described noise is detected by the sensor away from testee's health so.The path difference that can measure thus of described two kinds of noise sample that are detected can be inferred environment noise.Otherwise, also can identify clearly health noise itself in this way, because ratio detects the health noise signals on the described sensor away from testee's health on the described close sensor of testee's health earlyly.

Thereby preferably, in described insulation surfaces and/or in described transfer surface, be configured with sound channel, become easy because make significantly thus for the detection of environment noise.This sound channel is such as the single hole that can be configured to be arranged in shell wall.

In addition, meaningfully, in described housing, be furnished with sound-proof wall.Therefore can well the sensor near testee's health be separated with respect to environment noise and will separate with respect to testee's health noise away from the sensor of testee's health well.Described sound-proof wall preferably consists of foam and/or plastics.The material for described sound-proof wall that also can use other preferably to know from prior art.

Also advantageously, be provided with at least unidirectional communication connection section and/or control feasible program described exciting between unit and described monitoring unit.Guarantee thus, the described unit that excites can activate safely and at first reliably by described monitoring unit.Described communication connection section can form in wired mode or by means of bluetooth, WLAN, radio or similar means according to tradition wirelessly at this.

In addition, preferably, the described unit that excites is realized as the member separated with remaining assembly, because can excite cell layout on the different position of testee's health or even not arrange with the contacted mode of testee's health by described like this.

In addition, advantageously, described excite cell layout in housing or be integrated into described be configured to cingulum system (Gurtsystem) for carrying out the fixing device in position near trunk.Guarantee thus, described Instrument structure obtains the bad impact that sleep compact especially and testee or patient thus can not be subject to described instrument.This can preferably consist of described housing the alloy of plastics, aluminum or skin-compatible known material for a person skilled in the art in this.

Seem especially meaningfully, described machinery excite unit structure be the bed guiding mechanism.Therefore can arrange like this, when disordered breathing occurring, by the adjusting of bed, change patient's sleeping position, for discharging respiratory tract.

In order can other indoor noise source that causes interference noise to be positioned, preferably verified in addition, just be provided with three sensors, because can implement triangulation thus.

For described monitoring unit being constructed compact and small and exquisite especially, verified especially meaningfully, described monitoring unit is configured to microcontroller or ASIC(application-specific IC) or the FPGA(field programmable gate array) or the FPAA(field programmable analog array).

In addition meaningfully, be provided with at least one memory element for storage and/or sense data.Record data all night thus, so as at second day such as the PC by means of outside is tested and assessed to it.Also can on described instrument, interface be set, described interface can be read described data tele-medicine is provided in other words.These interfaces, such as being configured to USB interface or LAN interface or similar interface, wherein also can be used wireless connection such as bluetooth, W-LAN or similar connection.Described memory element also can the replacement data carrier, such as being configured to Flash-EEPROM(flash memory-Electrically Erasable Read Only Memory), preferable configuration is safety digital storage card (SD card), perhaps be configured to compact flash memory card, be configured to intelligent multimedia card (SM card) or similar memorizer.In a kind of such embodiment, the slot and the described housing that on described microcontroller, are provided with for corresponding card have corresponding clamping Na Kou.

In addition, advantageously, described microcontroller is equipped with at least one for carrying out the filtering system of man-made noise filtering.Thus can be by indoor environment noise, health noise ratio that breath stream is covered as heart beating and also will be at the noise filtering of exhaling and producing from testee's motion when air-breathing.

Preferred described filtering system is configured to single channel or the two-channel wave filter based on hardware and/or software.Described man-made noise filtering can be by corresponding configuration at this analog array (FPAA) of field-programmable carry out.In order to eliminate man-made noise, by some CAB(of described FPAA " the configurable simulation daily record of configurable analog blogs() ") be positioned in matrix one-dimensional or multidimensional.Connection resource (conductor, circuit) and configuration data memory that these CABs have input and outfan and at least one operational amplifier, the capacity that can configure and resistance, can configure.Each CAB of described FPAA is configured to band filter or band elimination filter, for the specific frequency range that is defined as in advance artificial frequency range by input signal, leaches.The FPAA input noise produced when patient is moved in sleep leaches by one of described CABs, removes thus artificial motion from the output signal of described FPAA.

In addition, advantageously, be provided with inside or the outside analog-digital converter be connected with described microcontroller or ASIC or FPGA or FPAA.Also can implement test and appraisal to described data at the described instrument for the sleep monitor that moved thus.Described bioacoustical sensor can be configured to whole structure with described analog-digital converter at this.In addition, this improved described by instrument of the present invention from a large amount of different microcontrollers between the compatibility.Described microcontroller itself also can be configured to whole structure with the gate array (FPGA) of field-programmable, wherein can so configure the integrated on-off circuit of this numeral, make it implement the arithmetic operation of the trouble based on microminiaturized on the basis of can be familiar with gradually and/or the algorithm can be alternative that can learn.

In addition preferably, be provided with the device for being calibrated, described device preferably can automatically move.Can record in advance environment noise thus, described environment noise can leach by described filtering system when the testee measures with it.

In addition, advantageously, be provided with at least one executive component, this executive component preferred arrangements is on described housing.This executive component can be for connecting or cut off described instrument, wherein therefore by such as being calibrated by the mode of pressing described instrument for a long time.

Therefore also meaningfully, described executive component is configured to the unicontrol element.Described instrument keeps compact structure thus, and described executive component can be configured to simple rotary switch, slide switch, key switch or other switch of knowing from prior art.Therefore, particularly advantageously verified, the described unit that excites can be connected in other words and cut off by means of described executive component, because sometimes people do not want to trigger patient or testee the stimulation that suppresses disordered breathing with it in the scope of diagnosis, in order to can find and the relevant disordered breathing of sleeping.

A kind ofly preferred embodiment be characterised in that, be provided with that material by weaving forms and preferable configuration and be the breast cingulum for carrying out the fixing device in position.Guarantee thus, described bioacoustical sensor can be fixed on testee's health best.The material of weaving spins on skin sensuously as comfortable as plastic material frequently, thereby for the testee, can wear very comfily described for carrying out the fixing device in position.And the material of weaving is also optimum selection, if occur that when carrying for a long time perspiration forms phenomenon.Material for weaving can not produce antimicrobial, fungus and bacterium so soon.At this particularly advantageously, describedly for the fixing device in position carried out near trunk, can pull down and can wash.This clean feasible program provides the advantage of health for the testee.For described for carrying out the fixing device in position, especially meaningfully, these device configurations are for regulating the structure of length and have the lockset for definite length such as the form that is configured to bracelet (Schnalle) or other immobilising device.

In order to reduce or to suppress described instrument and testee's quilt or the noise between nightwear for the sleep monitor that moved fully, preferably verified, described housing and/or describedly for carrying out the fixing device in position near trunk, be provided with slidingsurface deviating from a side of testee's health.

Last also verified especially meaningfully, be provided with at least one biofeedback sensor for carrying out on the fixing device in position in described housing and/or described.Can survey other signal thus, such as by means of temperature sensor, surveying body temperature, when perspiring, by means of humidity sensor, survey humidity and survey oculomotorius by means of eyes or eyelid sensor.Especially can survey the quick eye motion of REM(with last a kind of sensor) Sleep stages and it is checked.In addition, can use the muscle sensor, for monitoring testee's muscle contraction.Described instrument is the optional cardiomotility unit that has also, and this cardiomotility unit guarantees according to the identification for cardiomotility, and described load bearing unit correctly is placed into it the testee.Method can be accomplished this point in this way, when placing described instrument, has just warned the testee, described instrument not by standard be placed on health.In addition, if described instrument slides in the sleep process, can warn the testee.

The accompanying drawing explanation

Below by means of embodiment illustrated in the accompanying drawings, the present invention is explained in detail.Accompanying drawing illustrates as follows:

Fig. 1 is the front view that is arranged in the testee the first embodiment by instrument of the present invention with it;

Fig. 2 be Fig. 1 instrument with the side view shown in the mode dissectd of part; And

Fig. 3 is the front view that is arranged in the another kind of embodiment of testee's instrument with it.

The specific embodiment

In Fig. 1 to 3, illustrated by the instrument that the disordered breathing relevant to sleep analyzed and treated that is particularly useful for for the sleep monitor that testee or patient are moved of the present invention.Be furnished with two sensors of surveying bioacoustical signals 2/7, power supply and the monitoring unit 3 for described signal is processed in housing 1.Described power supply is configured to accumulator at this, but also can be configured to simple and the battery that can change or the Storage Unit that is configured to other the electricity of knowing from prior art.One of described sensor 2 for the sound to producing is in vivo surveyed, attach troops to a unit in one be configured to breast cingulum 15 for carrying out the fixing device 9 in position near trunk.This device especially can or have the sport type brassieres of instrument receptacle by breast cingulum, medicated bra, the roomy pyjamas that have the shirt of instrument receptacle or have an instrument receptacle form.In shown embodiment, just be provided with two can activate by described monitoring unit 3 excite unit 4, can cause the stimulation that suppresses disordered breathing with it the testee by the described unit that excites.Cause described stimulation when identifying the noise sample of acoustics that can be given in advance.Be provided with the machinery that mechanically acts on the testee excite unit 21 and in electric mode, act on the testee electricity excite unit 22.

The electricity of the EMS/TENS instrument 11 stimulated to the described neural activation be configured to here by means of endermic electricity from described monitoring unit 3 excite unit 22, unidirectional communication connection section is in action.Equally, the exciting between unit 21 of described monitoring unit 3 and the described machinery that is configured to vibrator, unidirectional communication connection section in action.The electrode 16 of described EMS/TENS instrument 11 is integrated in described breast cingulum 15, and described vibrator is arranged in described housing 1.Shown two kinds of embodiment have respectively a display unit 17, on described display unit, show current measured acoustics parameter, be arranged in the Storage Unit of the electricity in housing 1 the energy loading condition, such as described instrument in the situation that connect or cut off measurement pattern or other numerical value that should show in known manner for a person skilled in the art that excites unit 4 to be moved.

As can be as seen from Figure 2, shown housing 1 be provided with the transfer surface 5 for transmitting described bioacoustical signal at it near on side of testee's health.In shown embodiment, in the internal placement of described housing 1, sound-proof wall 8 is arranged, these sound-proof wall 8 absorbing environmental noises are namely from outside noise and from the health noise of testee's body interior.A sensor 2 in said two sensors is attached troops to a unit and is attached troops to a unit in the side away from testee's health of described housing 1 in the transfer surface 5 of close testee's health of described housing 1 and another sensor 7.

Described monitoring unit 3 is configured to microcontroller 12 and described instrument thereby has the memory element 13 for storage and sense data.Be provided with the wave filter of random adaptation on described microcontroller 12, this wave filter leaches man-made noise.Be provided with just what a executive component 14 on described housing 1, this executive component is configured to the unicontrol element.This executive component can be by pressing and/or rotating, and the described unit 4 that excites is own in other words can to connect and cut off thus described instrument.

For the instrument of pressing Fig. 3, the unit 22 of exciting of described electricity realizes as the member separated with remaining assembly, and the exciting 21 of unit to arrange in described housing 1 and be configured to vibrator of described machinery.The ground of member more than 21, unit that excites of described electricity consists of the EMS/TENS instrument 11 be arranged on hand strap 18 and the bottom bands of trouser legs 19.Electrode on carpal joint in shown embodiment as the hand strap or wrist-watch form.Testee's auditory meatus be close near, be furnished with the sound transducer 10 of the form that is configured to earphone 20.Thus in this embodiment, as described machinery excite unit 21 and electricity excite supplementing of unit 22, what be provided with acoustics excites unit 4.

Once patient thereby the electric excitation that just can be undertaken by the electrode 16 by means of described EMS/TENS instrument 11, by the vibration alarm of described vibrator and be upset by the chimes of doom sent via described earphone 20 occur and the relevant disordered breathing of sleeping.Described EMS/TENS instrument 11 has been equipped electrode 16, and described electrode also can be for carrying out electric muscle excitation (EMS) on patient's arm or on lower limb.

Below to the action principle of the instrument for sleep monitor that the testee is moved by Fig. 1 be made an explanation.

The sensor 2/7 of described two acoustics is surveyed noise continuously, wherein can distinguish, and the noise that relates to testee's health at this also relates to environment noise.Here, the described sensor near testee's health 2 is surveyed noise and the described sensor away from the testee's health 7 acquisition environment noises of testee's health.If environment noise arrives described sensor 2 places in the inside, the filtering system that is configured to so the wave filter of random adaptation leaches the noise sample of knowing in the past, such as the noise of sleeping position variation.In described memory element 13, preserved the data base, this data base most man-made noise that prestored for this reason.But described man-made noise also can be left in described memory element 13 by previous calibration.

The main noise produced in vivo of surveying trachea of the described sensor 2 in the inside.If there is suffocating, that just knew before the sensor 2 of described the inside is surveyed and be kept at the noise sample in described memory element 13, such as the specific stationary intervals time.This noise sample is identified by described microcontroller 12, and described microcontroller first activates described vibrator by described unidirectional communication connection radicals by which characters are arranged in traditional Chinese dictionaries subsequently.If in interval given in advance, do not eliminate described disordered breathing, just by described unidirectional communication connection section, activate described EMS/TENS instrument 11 so subsequently.The electric excitation undertaken by 16 pairs of testee's healths of the electrode by means of described EMS/TENS instrument 11 in other words by described vibration, apply the stimulation that suppresses disordered breathing to the testee, it is then such as changing its sleeping position thus.Testee's this simple sleeping position changes and has often caused the unimpeded of respiratory tract.

Within the scope of the invention, at this meaningfully, the frequency that excites unit 22 of described machinery can change.Can regulate the intensity of described stimulation thus.In addition, often meaningfully, the voltage that excites unit 22 that changes described electricity is electric current in other words.At this, voltage waveform can be configured to sinusoidal, rectangle, triangle, zigzag or consist of other the stack of multiple ripple.

reference numerals list:

1 housing

2 sensors

3 monitoring units

4 excite unit

5 transfer surface

6 insulation surfaces

7 another sensors

8 sound-proof walls

9 for carrying out the fixing device in position near trunk

10 sound transducers

11 EMS/TENS instruments

12 microcontrollers

13 memory element

14 executive components

15 breast cingulums

16 electrodes

17 display units

18 hand straps

19 bottom bands of trouser legs

20 earphones

21 machineries excite unit

22 electricity excite unit

Claims

1. instrument, its for by means of at least one, bioacoustical signal is surveyed and attach troops to a unit in for carrying out position near trunk fixing device (9), the sensor (2) of being surveyed for the sound to producing in vivo, the sleep monitor that testee or patient are moved, be particularly useful for the disordered breathing relevant to sleep analyzed and treated, described instrument have at least one power supply and one for monitoring unit (3) that described signal is processed and have some can activate by described monitoring unit (3) excite unit (4), by described excite unit can the testee with it by described monitoring unit (3), identify can acoustics given in advance noise sample the time cause the stimulation that suppresses described disordered breathing, it is characterized in that, the described number that excites unit (4) be at least two and at least one excite unit (4) be configured to mechanically to act on the testee machinery excite unit (21), and another excite unit (4) be configured to electric mode act on the testee electricity excite unit (22).

2. by instrument claimed in claim 1, it is characterized in that, the unit (21) that excites of described machinery is configured to impact unit and/or the crash unit of vibrator and/or machinery and/or knocks unit.

3. by the described instrument of claim 1 or 2, it is characterized in that, the unit (22) that excites of described electricity is configured to the EMS/TENS instrument (11) that the muscle by means of the neural activation of endermic electricity and/or electricity encourages to be stimulated.

4. by the described instrument of any one in claim 1 to 3, it is characterized in that, when identifying the noise sample of acoustics that can be given in advance, the described unit (4) that excites can activate in time with staggering.

5. by the described instrument of any one in claim 1 to 4, it is characterized in that, be provided with housing (1), and be provided with attach troops to a unit in described housing (1) for selecting the selector switch of operational mode " in electric mode ", " mechanically " or " in dynamo-electric mode ".

6. by the described instrument of any one in claim 1 to 5, it is characterized in that, can excite that unit (4) causes, as to suppress disordered breathing stimulation to strengthen gradually by described step by step or continuously.

7. by the described instrument of any one in claim 1 to 6, it is characterized in that, be provided with the device of the body fat share for determining the testee.

8. by instrument claimed in claim 7, it is characterized in that, described for the device of determining the body fat share, the unit (22) that excites by described electricity forms, described electricity excite unit for carrying out bioelectric impedance analysis (BIA).

9. by the described instrument of any one in claim 5 to 8, it is characterized in that, housing (1) with described sensor (2) has the transfer surface (5) for transmitting bioacoustical signal at it near on a side of testee's health, and is deviating from a side of testee's health the insulation surfaces (6) had for sound insulation.

10. by instrument claimed in claim 9, it is characterized in that, at least one sensor (2) is attached troops to a unit in described transfer surface (5).

11. by instrument claimed in claim 10, it is characterized in that, at least another sensor (7) is attached troops to a unit in described insulation surfaces (6).

12. by the described instrument of any one in claim 9 to 11, it is characterized in that, in described insulation surfaces (6) and/or in described transfer surface (5), be configured with sound channel.

13. by the described instrument of any one in claim 5 to 12, it is characterized in that, be furnished with sound-proof wall (8) in described housing (1).

14. by the described instrument of any one in claim 1 to 13, it is characterized in that, described exciting between unit (4) and described monitoring unit (3), be provided with at least unidirectional communication connection section and/or control unit.

15. by the described instrument of any one in claim 1 to 14, it is characterized in that, described unit (4) conduct and the member that remaining assembly separates of exciting realized.

16. by the described instrument of any one in claim 5 to 14, it is characterized in that, described excite unit (4) to be arranged in described housing (1) or be integrated into be configured to the cingulum system, for carrying out the fixing device (9) in position near trunk.

17. by the described instrument of any one in claim 1 to 16, it is characterized in that, just be provided with three sensors (2).

18. by the described instrument of any one in claim 1 to 17, it is characterized in that, described monitoring unit (3) is configured to microcontroller (12) or ASIC or FPGA or FPAA.

19. by the described instrument of any one in claim 1 to 18, it is characterized in that, be provided with at least one memory element (13) for storage and/or sense data.

20. by the described instrument of claim 18 or 19, it is characterized in that, described microcontroller (12) is equipped with at least one for carrying out the filtering system of man-made noise filtering.

21. by the described instrument of claim 20, it is characterized in that, described filtering system is configured to single channel or the multi channel wave filter based on hardware and/or software.

22. by the described instrument of any one in claim 18 to 21, it is characterized in that, be provided with inside or the outside analog-digital converter be connected with described microcontroller (12) or ASIC or FPGA or FPAA.

23. by the described instrument of any one in claim 19 to 22, it is characterized in that, be provided with the device for being calibrated, described device preferably can automatically move.

24. by the described instrument of any one in claim 5 to 23, it is characterized in that, be provided with at least one executive component (14), described executive component preferred arrangements is on described housing (1).

25. by the described instrument of any one in claim 1 to 24, it is characterized in that the described breast cingulum (15) formed by the material of weaving that is configured to for the fixing device (9) in position that carries out close trunk.

26. by the described instrument of any one in claim 5 to 25, it is characterized in that described housing (1) and/or describedly for carrying out, near the fixing device (9) in position of trunk, be arranged in the side that deviates from testee's health with slidingsurface.

27. by the described instrument of any one in claim 5 to 26, it is characterized in that, in described housing (1) and/or described, for carrying out, on the device fixing near the position of trunk, be provided with at least one biofeedback sensor.