CN100584276C - Electronic auscultation apparatus - Google Patents
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- CN100584276C CN100584276C CN200710110735A CN200710110735A CN100584276C CN 100584276 C CN100584276 C CN 100584276C CN 200710110735 A CN200710110735 A CN 200710110735A CN 200710110735 A CN200710110735 A CN 200710110735A CN 100584276 C CN100584276 C CN 100584276C
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B7/00—Instruments for auscultation
- A61B7/02—Stethoscopes
- A61B7/04—Electric stethoscopes
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Abstract
The utility model discloses an electronic auscultation device that comprises an acoustoelectric signal transducer, an ECG signal acquiring device, a photoelectric pulse wave signal acquiring device, a signal processing unit and a parameter acquisition unit. The signal processing unit is used for processing the signals acquired by the acoustoelectric signal transducer, the ECG signal acquiring device and the photoelectric pulse signal acquiring device. And the parameter acquisition unit is used for acquiring preset physiological parameters from the signals output by the signal processing unit. The invention provides the electronic auscultation device that can monitor an ECG signal, a heart sound signal and a photoelectric pulse wave signal. The electronic auscultation device can not only monitor the sounds caused by organ activities, the ECG signal, and the pulse wave signal but also calculate a plurality of the physiological parameters of heart rate and blood pressure, thus improving the accuracy of disease diagnosis.
Description
Technical field
The present invention relates to a kind of device of medical diagnosis on disease, particularly a kind of electronic auscultation apparatus.
Background technology
Stethoscope is a kind of instrument of diagnosing the organ active situation by detection sound, electronic stethoscope is a sound of gathering organ activity such as the heart, lung by the corresponding site that can is placed tested organism, these sound are converted to the signal of telecommunication, after amplifying, directly sound by speaker, so that doctor or related personnel assign a cause for an illness or focus according to corresponding acoustical signal, make correct diagnosis.Obviously, present stethoscopic main uses is to gather hear sounds or lungs sound, for example, No. 02124481.2 patent disclosure of China a kind ofly can receive hear sounds and lungs sound simultaneously, and can separate the stethoscope tin of hear sounds and lungs sound as required, the ECG signal that one group of electrode on this can be gathered body surface simultaneously is as an expression of cardiac electrical activity.This invention utilizes the dependency of ECG signal and cardiechema signals, by signal filtering and processor, hear sounds and lungs sound is separated effectively, thereby helps doctor or related personnel to judge pathological changes.
Yet, in practice,, cause unpredictalbe serious consequence because stethoscope only can make doctor or related personnel determine the corresponding cause of disease or focus by listening to sound, thereby mistaken diagnosis very likely occurs.
So those skilled in the art press for the electronic auscultation apparatus of the diagnostic accuracy that develops a kind of doctor of raising or related personnel.
Summary of the invention
Technical problem to be solved by this invention provides a kind of electronic auscultation apparatus, and in order under the prerequisite that guarantees certainty of measurement, the physiological parameter that acquisition helps doctor or related personnel to diagnose is specially adapted to blood pressure measurement.
For solving the problems of the technologies described above, the embodiment of the invention provides a kind of electronic auscultation apparatus, comprising:
The acoustoelectric signal pick off;
The ECG signal harvester;
Photoelectricity pulse wave signal harvester;
Signal processing unit: be used for the signal that described acoustoelectric signal pick off, ECG signal harvester and photoelectricity pulse wave signal harvester obtain is handled;
And parameter obtains the unit: be used for obtaining default physiological parameter from the signal of described information process unit output.
Preferably, described device also comprises:
Input block: be used to receive the input of external data, and connect described parameter acquisition unit.
Preferably, described device also comprises:
Display unit: be used to show described default physiological parameter.
Preferably, the processing of described signal processing unit comprises signal amplification, signal filtering and analog-to-digital conversion process.
Compared with prior art, the embodiment of the invention has the following advantages:
At first, the present invention is by providing a kind of electronic auscultation apparatus that can monitor ECG signal, cardiechema signals and photoelectricity pulse wave signal simultaneously, not only can monitor the sound that organ activity produces simultaneously, ECG signal and pulse wave signal can also calculate a plurality of physiological parameters that comprise heart rate and blood pressure;
Moreover, the hear sounds of the present invention by utilizing this stethoscope to gather, the parameter that defines on electrocardio and the photoelectricity pulse signal is calculated the default physiological parameter of tested organism, thereby makes the physiological parameter of acquisition have higher accuracy;
At last, the present invention is by being arranged on same plane with at least one electrode and at least one light source and at least one photoelectric sensor, thereby user friendly self-examination makes the user obtain better experience.
Description of drawings
Fig. 1 is the structured flowchart of a kind of electronic auscultation apparatus embodiment 1 of the present invention;
Fig. 2 is the overall construction drawing of a kind of electronic auscultation apparatus embodiment 2 of the present invention;
Fig. 3 is the main TV structure figure of a kind of electronic auscultation apparatus embodiment 2 of the present invention;
Fig. 4 is the backsight structure chart of a kind of electronic auscultation apparatus embodiment 2 of the present invention;
Fig. 5 is the side-looking structure chart of a kind of electronic auscultation apparatus embodiment 2 of the present invention;
Fig. 6 is from ECG signal, obtains the sketch map of complex parameter Pc on cardiechema signals and the photoelectricity pulse wave signal;
Fig. 7 uses the method flow diagram that electronic auscultation apparatus of the present invention carries out blood pressure measurement.
The specific embodiment
For above-mentioned purpose of the present invention, feature and advantage can be become apparent more, the present invention is further detailed explanation below in conjunction with the drawings and specific embodiments.
One of core idea of the present invention is, by obtaining acoustoelectric signal, ECG signal and photoelectricity pulse wave signal, and these three kinds of entrained information of signal integrated, thereby obtained to reflect comprehensively, exactly the physiological parameter of systema cariovasculare functional.
According to the definite mathematics physics model of principle of hemodynamics, from the pulse wave signal that is extracted, can draw the multinomial quantitative parameter of relevant tested organism cardiovascular circulation system, thereby the objective detection that has realized effectively tested organism cardiovascular system cardiac function, blood vessel, blood flow state, thereby the measurement of introducing pulse wave signal will effectively improve the accuracy of diagnosis.
Be well known that, the potential change of series of regular can appear in heart in excited communication process, this variation is transmitted to body surface by the body fluid that can conduct electricity, if electrode is placed the body surface different parts, just can record the figure of electrocardio-activity, this figure is exactly an electrocardiogram.When the myocardial cell excitation time, at first can produce electricity and change, cause the metataxis of myocardial contraction diastole then by excitation-contraction coupling.In cardiac cycle, because the contraction and the diastole of heart, and the opening and closing of valve, blood flow can impact ventricle wall and main artery wall etc. and cause vibration, thereby produces sound, and this sound is exactly hear sounds.Convert the signal of telecommunication to as if the mechanical vibration of adopting transducer with hear sounds and note, the figure that is generated is phonocardiogram.Along with cardiac cycle ground shrinks and diastole, the fluctuation of endarterial pressure generating period causes that arteries fluctuating takes place beats, and causes the cyclic fluctuation of blood flow in the blood vessel, is arterial pulse.If the blood flow variation of adopting transducer that arterial pulse is caused converts the signal of telecommunication to and notes, then the waveform of Sheng Chenging is exactly a pulse wave photoplethaysmography signal.
Can learn by foregoing description, the mechanical activity of hear sounds reflection heart, electrocardiogram has reflected that the bio electricity in generation, conduction and the recovery process of heart excitement changes, and there is not direct relation with the mechanical contraction movement of heart, pulse wave photoplethaysmography signal then mainly reflects the parameter that hematodinamics is relevant, the message reflection that these three kinds of signals are entrained the active different aspects of cardiovascular system.If can monitor this three kinds of signals simultaneously, and the information that wherein comprises is integrated, then can be reflected the function of cardiovascular system comprehensively, helped to improve the accuracy of diagnosis.
With reference to Fig. 1, show the structured flowchart of a kind of electronic auscultation apparatus embodiment 1 of the present invention, specifically comprise with lower unit:
Acoustoelectric signal pick off 101;
ECG signal harvester 102;
Photoelectricity pulse wave signal harvester 103;
Signal processing unit 104: be used for the signal that described acoustoelectric signal pick off 101, ECG signal harvester 102 and photoelectricity pulse wave signal harvester 103 obtain is handled;
The photoelectricity pulse wave signal that ECG signal that the acoustoelectric signal that described information process unit obtains described acoustoelectric signal pick off, ECG signal harvester obtain and photoelectricity pulse wave signal harvester obtain is handled; Described processing comprises processing and amplifying, Filtering Processing and analog-to-digital conversion process etc., those skilled in the art as required or experience its signal processing mode is set all is feasible, the present invention does not limit this.
And parameter obtains unit 105: be used for obtaining default physiological parameter from the signal of described information process unit 104 outputs.Described default physiological parameter can by those skilled in the art as required or experience select arbitrarily to be provided with, for example, adopt stethoscope to carry out blood pressure measurement if desired, then obtain blood pressure (systolic pressure and diastolic pressure) parameter; Adopt stethoscope to carry out the cardiac system inspection if desired, then obtain hrv parameter.Because acoustoelectric signal, ECG signal and the entrained information of photoelectricity pulse wave signal can reflect the active different aspects of cardiovascular system, thereby, in the present embodiment, described parameter obtains a plurality of physiological parameters that the unit can be used for comprising from ECG signal, acoustoelectric signal and/or photosignal acquisition that signal processing unit is exported heart rate and blood pressure, that is to say that described parameter obtains the unit and can be from acoustoelectric signal, ECG signal and photoelectricity pulse wave signal obtains a plurality of physiological parameters in any two kinds of signals or all signals.For the physiological parameter that makes acquisition has higher accuracy, preferably, described parameter obtains the unit and obtain a plurality of physiological parameters from acoustoelectric signal, ECG signal and photoelectricity pulse wave signal.
Preferably, described photoelectricity pulse wave signal harvester 103 can comprise at least one light source and at least one photoelectric sensor.For improving photoelectric transformation efficiency, preferably adopt reflective method, in this case, described at least one light source and at least one photoelectric sensor are arranged on same plane.
Preferably, described ECG signal harvester 102 can comprise at least two electrodes.More preferably, for the ease of the self-examination of user, described ECG signal harvester 102 can comprise at least three electrodes, and wherein at least one electrode and described at least one light source and at least one photoelectric sensor are arranged on same plane.
Preferably, described signal processing unit 104 can also connect the voice output unit, is used to export the signal that the acoustoelectric signal pick off obtains, in order to the function of auscultation to be provided.
For the default physiological parameter that makes acquisition helps improving the accuracy of disease detection or diagnosis, the embodiment of the invention can also comprise input block, be used to receive the input of external data, and obtain the unit with described parameter and be connected, with so that the parameter that obtains has the correlation properties of described external data, thereby in clinical diagnosis, can obtain the physiological parameter that more conforms to reality or individual instances.Preferably, described external data can be the needed outside input parameter of physiological parameters such as calculating blood pressure, heart rate, also can be the personal information of user's input, can also by those skilled in the art as required or experience be provided with, the present invention does not need this to limit.In practice, described input block can be arranged in computer, portable terminal, the personal digital assistant's electronic products such as (PDA).
In order to make the user obtain demonstration directly perceived, the embodiment of the invention can also comprise display unit, is used for that parameter is obtained the default physiological parameter that the unit obtains and shows.In practice, described display unit can be arranged in computer, portable terminal, the personal digital assistant's electronic products such as (PDA).Be understandable that combination is provided with described input block and display unit also is feasible on certain electronic product.
Be understandable that each unit of the embodiment of the invention can be provided with separately, also can make up setting; Can be integrated in the device, also can be arranged on the different multiple arrangements; For convenience of doctor or related personnel's remote diagnosis, described each unit further is by wireless connections, and for described unitary combination and connection, the present invention does not limit.
A kind of preferred embodiment 2 is described acoustoelectric signal pick off, ECG signal harvester, photoelectricity pulse wave signal harvester, signal processing unit and parameter to be obtained the unit be arranged on stethoscopic tin of head part.With reference to Fig. 2 to Fig. 5, show the structure chart of a plurality of angles of a kind of electronic auscultation apparatus embodiment 2 of the present invention, described electronic auscultation apparatus comprises: the support 1 of a taper, be covered in the thin film 13 of conical support bottom, and the cavity that constitutes of support 1 and thin film 13.When electronic auscultation apparatus placed tested organism, the bottom surface that is coated with the electronic auscultation apparatus of thin film 13 contacted with the body surface of tested organism, formed supporting surface.Preferably, the described electronic auscultation apparatus of the embodiment of the invention can also comprise with lower unit:
Acoustoelectric signal pick off 12: as shown in Figure 5, described acoustoelectric signal pick off is positioned at can, be arranged on the top of cone space, this acoustoelectric signal pick off can receive the signal from thin film 13, and be converted into signal of telecommunication output, preferably, the position of acoustoelectric signal pick off is relative with the center of thin film 13.
Photoelectricity pulse wave signal harvester: as shown in Figures 2 and 3, described photoelectricity pulse wave signal harvester comprises at least one light source 5 and at least one photoelectric sensor 6, be arranged on the top of can shell, and described light source 5 and photoelectric sensor 6 are positioned at same plane.
The ECG signal harvester; To shown in Figure 5, described ECG signal harvester comprises three electrodes 2,3 and 4 at least as Fig. 2; Wherein at least two electrodes 2,3 are arranged on peripheral part of can supporting surface, and are positioned at same horizontal plane with can thin film 13; Preferably, another electrode 4 is arranged on peripheral part of photoelectricity pulse wave signal harvester, and is positioned at same plane, with user friendly self-examination (self check) with the light source 5 and the photoelectric sensor 6 of photoelectricity pulse wave signal harvester.
In practice, a kind of method of user's self check is, the user places chest with can, keep the can supporting surface to contact with skin surface, the head portion of a finger is placed on the light source 5 and photoelectric sensor 6 of photoelectricity pulse wave signal harvester, and keep in touch with the electrode 4 of its peripheral part, in this case, be positioned at the electrode 2,3 around the can supporting surface and be positioned at and listen the electrode 4 of head promptly can get access to ECG signal.In addition, because the head portion of finger is covered on the light source 5 and photoelectric sensor 6 of photoelectric signal collection device, the photoelectricity pulse wave signal of finger tip converts the signal of telecommunication to by photoelectric sensor 6.Be the accuracy of assurance measurement and the safety of use, the electrode 2,3 of described ECG signal harvester and 4 and the can casing insulation, described insulation can realize by insulator is set, also can adopt any method of the prior art to realize that the present invention does not limit this.In addition, distribution between the described electrode and position also can be provided with arbitrarily by those skilled in the art, and the present invention does not also limit this.
Signal processing unit 7: as shown in Figure 2, the photoelectricity pulse wave signal that the acoustoelectric signal that described signal processing unit 7 can be used for described acoustoelectric signal pick off is obtained, the ECG signal that the ECG signal harvester obtains and photoelectricity pulse wave signal harvester obtain is handled; Described processing comprises processing and amplifying, Filtering Processing and analog-to-digital conversion process etc., those skilled in the art as required or experience its signal processing mode is set all is feasible, the present invention does not limit this.
Parameter obtains unit 8: as shown in Figure 2, described parameter obtains unit 8 and can be used for obtaining default physiological parameter from the signal of described information process unit output.Described default physiological parameter can by those skilled in the art as required or experience select arbitrarily to be provided with, for example, adopt stethoscope to carry out blood pressure measurement if desired, then obtain blood pressure (systolic pressure and diastolic pressure) parameter; Adopt stethoscope to carry out the cardiac system inspection if desired, then obtain hrv parameter.Because acoustoelectric signal, ECG signal and the entrained information of photoelectricity pulse wave signal can reflect the active different aspects of cardiovascular system, thereby, in the present embodiment, described parameter obtains the unit and can be used for from the ECG signal of signal processing unit output, calculate a plurality of physiological parameters that obtain to comprise heart rate and blood pressure in acoustoelectric signal and/or the photosignal, that is to say that described parameter obtains the unit and can be from acoustoelectric signal, ECG signal and photoelectricity pulse wave signal obtains a plurality of physiological parameters in any two kinds of signals or all signals.For the physiological parameter that makes acquisition has higher accuracy, preferably, described parameter obtains the unit and obtain a plurality of physiological parameters from acoustoelectric signal, ECG signal and photoelectricity pulse wave signal.
Display unit 9: as shown in Figure 2, described display unit 9 can be used for the physiological parameter that is obtained the unit acquisition by parameter that shows directly perceived.In practice, described display unit can be a kind of independently liquid crystal display, also can realize on mobile phone, personal digital assistant's electronic products such as (PDA).
Voice output unit 10: as shown in Figure 2, described voice output unit 10 can be connected with information process unit, is used to export the acoustoelectric signal that the acoustoelectric signal pick off obtains.In practice, described voice output unit can be the audio frequency apparatus that speaker or earphone etc. can output audios, this audio frequency apparatus is connected with signal processing unit, be used for exporting the sound that the acoustoelectric signal sensor acquisition arrives, make doctor or the related personnel can be by listening to the organ activity situation that these sound detected or diagnosed tested organism.
Input block 14: as shown in Figure 2, described input block 14 can be used to receive the input of external data, and obtain the unit with described parameter and be connected, with so that the parameter that obtains has the correlation properties of described external data, thereby in clinical diagnosis, can obtain the physiological parameter that more conforms to reality or individual instances.Preferably, described external data can be the needed outside input parameter of physiological parameters such as calculating blood pressure, heart rate, also can be the personal information of user's input, can also by those skilled in the art as required or experience be provided with, the present invention does not need this to limit.In practice, described input block can be a kind of independently liquid crystal display, also can be arranged in computer, portable terminal, the personal digital assistant's electronic products such as (PDA).Certainly, combination is provided with described input block and display unit also is feasible on certain electronic product, and the present invention does not limit this.
Described each unit of present embodiment can separately be provided with, also can make up setting, for example, parameter is obtained unit and display unit combination setting, perhaps, parameter being obtained unit, input block and display unit is combined on computer, mobile phone or the personal digital assistant existing electronic products such as (PDA) and realizes.In addition, connection between the described unit and data interaction can be wired, also can be wireless.
In many physiological parameters, blood pressure measurement parameter (comprising arteriotony and other blood pressure measurement parameter) is the important indicator of cardiovascular system activity situation, for making those skilled in the art understand the present invention better, will be that the present invention is further described for example below with the method that adopts electronic auscultation apparatus of the present invention to obtain the blood pressure measurement parameter.
One of core concept of described method is, the cardiechema signals, ECG signal and the photoelectricity pulse wave signal that utilize electronic auscultation apparatus of the present invention to gather define a parameter that is closely connected with arteriotony, and presets the formula by this parameter estimation blood pressure.Specifically may further comprise the steps:
Step S1, obtain cardiechema signals, ECG signal and photoelectricity pulse wave signal from tested organism;
Step S2, select reference point respectively on the cardiechema signals that is obtained, ECG signal and photoelectricity pulse wave signal, described reference point can be one, also can be a plurality of;
Reference point on the described electrocardiosignal is the point on the R ripple in the ECG signal, is preferably the summit of R ripple; Described hear sounds reference point is respectively the point on the first heart sound and second heart sound in the cardiechema signals, preferably is respectively the summit on first heart sound and the second heart sound envelope; The reference point of described photoelectricity pulse wave signal is respectively the valley point (relaxing period end point) and the peak dot (systole end point) of photoelectricity pulse wave.
Step S3, the described ECG signal reference point of calculating, the cardiechema signals of correspondence and the time difference between the reference point on the photoelectricity pulse wave signal, and one or more time differences are made up, constitute a complex parameter, described complex parameter is relevant with arteriotony;
With reference to figure 6, show the sketch map that obtains complex parameter Pc from ECG signal, cardiechema signals and photoelectricity pulse wave signal.In Fig. 6, show the time amplitude curve 509 of ECG signal, the time amplitude curve 510 of photoelectricity pulse wave signal and the time amplitude curve 511 of ECG signal; Time difference 501 is time differences that ecg-r wave top 506 is arrived between the systole end point 507 of photoelectricity pulse wave, and note is made PTTr-pk; Time difference 502 is that the time difference between the relaxing period end point 508 of photoelectricity pulse wave is arrived on the ecg-r wave top, and note is made PTTr-ft; Time difference 503 is the time differences between first heart sound 504 and the second heart sound 505, and note is made Tsys.Described complex parameter Pc can obtain by following formula:
Pc=1/(Tsys*PTTr-ft*PTTr-pk)。
Preferably, can also comprise the step of described time difference being got multiple averaging in this step, more preferably, described multiple averaging is the average of at least 10 resulting measured values of heartbeat.
Other required parameter during step S4, calculating blood pressure are measured;
This step can also be utilized the step of the reference data calculating blood pressure that records in advance, and the described reference data that records in advance can be imported from input block.
Step S5, by with described complex parameter and described other parameter substitution blood pressure measurement formula, to calculate blood pressure measurement, described blood pressure measurement formula is: blood pressure=M * Pc+C,
Wherein, M and C are parameter required in the described blood pressure measurement, and Pc is a complex parameter.
Preferably, described blood pressure measurement can be systolic pressure or diastolic pressure.
With reference to figure 7, show the present invention is used in practice, carry out the method flow diagram of blood pressure measurement, specifically may further comprise the steps:
In conjunction with shown in Figure 6, promptly determine the time location on ecg-r wave top 506, the relaxing period end point 508 of photoelectricity pulse wave and the time location of systole end point 507, and the time location of first heart sound 504 and second heart sound 505.
For fear of the influence of unstable factor, reduce the probability that error takes place.Preferably adopt the meansigma methods of 10 parameter values in embodiments of the present invention, promptly step 702 need repeat, till detecting 10 parameter values.
With the blood pressure measurement parameter M that is obtained, C and complex parameter Pc promptly can draw blood pressure by blood pressure computing formula: blood pressure=M * Pc+C, comprise systolic pressure and diastolic pressure.
Continue if desired to measure blood pressure, then repeat above-mentioned steps.
Need to prove that in blood pressure computing formula of the present invention: among blood pressure=M * Pc+C, coefficient M and C have reflected the parameter of each user and the relation between the blood pressure, vary with each individual.Therefore at user when using electronic auscultation apparatus of the present invention for the first time, need in calibration mode, determine these coefficients.Because coefficient M and C are different respectively for calculating systolic pressure and diastolic pressure, thus in calibration mode, to determine one group of parameter Msys and Csys respectively corresponding to systolic pressure, and corresponding to the one group of parameter Mdia and the Cdia of diastolic pressure.The method of determining these two groups of parameters can adopt any method of the prior art, and for example, a kind of method is to be used as the input value of Csys and Cdia with the empirical value of Csys and Cdia; The blood pressure that user utilizes standard-sphygmomanometer to record by input equipment input, and they are kept at memory element.Then, according to electrocardio, hear sounds and the photoelectricity pulse wave signal gathered, determine the meansigma methods of obtained complex parameter Pc; According to formula Msys=(systolic pressure-Csys)/Pc, and Mdia=(diastolic pressure-Cdia)/Pc calculates Msys and Mdia respectively, is kept in the memory element.
Another kind method is, measure at least two groups with reference to pressure value and complex parameter Pc for each user, respectively systolic pressure and diastolic pressure are set up the linear regression line of a personalization with the method for linear fit then, and definite coefficient Msys, Csys, Mdia and Cdia, deposit these coefficients in memory element at last, be used for calculating pre-measuring blood pressure.
Because method shown in Figure 7 can correspondence be applicable among the aforesaid method embodiment that so description is comparatively simple, not detailed part can be referring to the description of this description front appropriate section.
More than a kind of electronic auscultation apparatus provided by the present invention is described in detail, used specific case herein principle of the present invention and embodiment are set forth, the explanation of above embodiment just is used for helping to understand method of the present invention and core concept thereof; Simultaneously, for one of ordinary skill in the art, according to thought of the present invention, the part that all can change in specific embodiments and applications, in sum, this description should not be construed as limitation of the present invention.
Claims (4)
1, a kind of electronic auscultation apparatus is characterized in that, comprising:
The acoustoelectric signal pick off;
The ECG signal harvester;
Photoelectricity pulse wave signal harvester, described acoustoelectric signal pick off is positioned at can, be arranged on the top of the cone space of can, so that receive signal from the thin film of the upper conical frame bottom of can, described photoelectricity pulse wave signal harvester comprises at least one light source and at least one photoelectric sensor, be arranged on the top of can shell and be positioned at same plane, described ECG signal harvester comprises three electrodes, two electrodes be arranged on the can supporting surface around, and be positioned at same horizontal plane with thin film, another electrode be arranged on described photoelectricity pulse wave signal harvester around, and be positioned at same plane with the light source of described photoelectricity pulse wave signal harvester and photoelectric sensor or also be arranged on the can supporting surface around, and be positioned at same horizontal plane with thin film;
Signal processing unit: be used for the signal that described acoustoelectric signal pick off, ECG signal harvester and photoelectricity pulse wave signal harvester obtain is handled;
And parameter obtains the unit: be used for obtaining default physiological parameter from the signal of described information process unit output.
2, device as claimed in claim 1 is characterized in that, also comprises:
Input block: be used to receive the input of external data, and connect described parameter acquisition unit.
3, device as claimed in claim 1 or 2 is characterized in that, also comprises:
Display unit: be used to show described default physiological parameter.
4, device as claimed in claim 1 is characterized in that, the processing of described signal processing unit comprises signal amplification, signal filtering and analog-to-digital conversion process.
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CN200710110735A CN100584276C (en) | 2007-06-06 | 2007-06-06 | Electronic auscultation apparatus |
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CN200710110735A CN100584276C (en) | 2007-06-06 | 2007-06-06 | Electronic auscultation apparatus |
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CN101785669B (en) * | 2010-02-03 | 2012-05-09 | 深圳先进技术研究院 | Electrocardiograph signal detection method and device |
CN102156558A (en) * | 2011-04-11 | 2011-08-17 | 张高 | Health-care mouse and related software |
CN102178521A (en) * | 2011-04-15 | 2011-09-14 | 北京正业德盈科技有限公司 | Physiological signal monitoring device |
CN102283642B (en) * | 2011-06-10 | 2014-12-10 | 中国科学院深圳先进技术研究院 | Wearable system capable of continuously measuring multiple physiological parameters based on body sensor network |
CN103892869A (en) * | 2012-12-27 | 2014-07-02 | 北京超思电子技术股份有限公司 | Stethoscope |
CN103479429B (en) * | 2013-08-29 | 2015-09-30 | 无锡慧思顿科技有限公司 | A kind of based on hear sounds and cardiac electrical heart overall checkout equipment |
TWI563981B (en) * | 2014-11-28 | 2017-01-01 | 達楷生醫科技股份有限公司 | Stethoscope device with prompting function |
CN105286909B (en) * | 2015-11-04 | 2019-02-22 | 杜晓松 | A kind of wearable heart sound and ecg characteristics information collection and monitoring system |
CN105310714B (en) * | 2015-11-12 | 2019-01-11 | 成都云卫康医疗科技有限公司 | A kind of visualization stethoscope of integrated Oximetry |
CN112450891B (en) * | 2019-08-19 | 2022-03-29 | 华为技术有限公司 | Physiological parameter acquisition method and device and physiological parameter processing method and device |
TWI729808B (en) * | 2020-05-14 | 2021-06-01 | 廣達電腦股份有限公司 | Auscultation device and auscultation method using auscultation device |
CN113081029A (en) * | 2021-05-10 | 2021-07-09 | 山西恒朝科技有限责任公司 | Multifunctional intelligent electronic stethoscope, system and use method thereof |
CN113951917B (en) * | 2021-12-03 | 2024-10-22 | 上海交通大学医学院附属瑞金医院 | Remote auscultation detection device and method and electronic equipment |
-
2007
- 2007-06-06 CN CN200710110735A patent/CN100584276C/en not_active Expired - Fee Related
Non-Patent Citations (4)
Title |
---|
MT多用脉图自动分析系统的研究. 陆惠民等.湖南中医杂志,第17卷第4期. 2001 |
MT多用脉图自动分析系统的研究. 陆惠民等.湖南中医杂志,第17卷第4期. 2001 * |
计算机辅助的心血管信号检测和处理系统的研究. 聂邦畿等.中山医科大学学报,第21卷第5期. 2000 |
计算机辅助的心血管信号检测和处理系统的研究. 聂邦畿等.中山医科大学学报,第21卷第5期. 2000 * |
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