CN103491878B

CN103491878B - The auxiliary monitoring of movement, analysis and therapeutic instrument

Info

Publication number: CN103491878B
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: 2016-10-12
Anticipated expiration: 2032-08-10
Also published as: WO2013091613A1; CN103169474B; EP2648622A1; CN103491878A; CN103169474A

Abstract

The present invention relates to a kind of instrument, its for that by means of at least one, bioacoustical signal is detected and be associated with for carry out the device (9) fixing near the position of trunk, for the sensor (2) that the sound produced in vivo is detected, the sleep monitor that testee or patient are moved, be particularly useful for the disordered breathing relevant to sleep is analyzed and is treated.Described instrument have at least one power supply and one for the monitoring unit (3) that described signal is processed and there is some can excite unit (4) by what described monitoring unit (3) activated, excite unit can cause when being identified the noise sample of acoustics that can be previously given by described monitoring unit (3) with testee to suppress the stimulation of described disordered breathing by described.The described number at least two exciting unit (4) and at least one excite unit (4) be configured to mechanically to act on testee machinery excite unit (21), and another excite unit (4) be configured to act on to electrically testee electricity excite unit (22).

Description

The auxiliary monitoring of movement, analysis and therapeutic instrument

Technical field

The present invention relates to a kind of instrument, described instrument for the sleep monitor that testee or patient are moved, It is particularly useful for being analyzed to the relevant disordered breathing of sleep and treating, described monitoring, analyzes and treat by means of at least one Individual that bioacoustical signal is detected and be associated with the sensing for carrying out the device fixing near the position of trunk Device is carried out, and described sensor is for detecting the sound produced in vivo.Described instrument have at least one power supply and One is used for the monitoring unit processing described signal, and has can being come by described monitoring unit of some That activates excites unit, excites the unit can be identified by described monitoring unit can with testee by described Cause, during the noise sample of previously given acoustics, the stimulation suppressing described disordered breathing.

Background technology

The disordered breathing relevant to sleep often occurred is the sleep apnea syndrome (respiratory arrest) hindered.Such Suffocate and such as occur when acutely relaxing round the annular muscular tissue of upper respiratory tract.By breath stream, produce in trachea Raw negative pressure, the upper part of wherein said trachea is no longer able to due to flaccid muscles tissue apply enough resistances to described negative pressure Power.Therefore, the upper part of described trachea becomes shrivelled, thus occurs that the obstruction of respiratory tract and the oxygen content of blood decline.

This decline situation ratio of described oxygen content is if measuring with instrument, and this instrument is from DE 10 2008 063 231 A1 are disclosed.It is disclosed that a kind of method and the one of the bio signal for measuring patient fill Putting, described method and apparatus is for diagnosis and relevant disordered breathing of sleeping.Described instrument can be particularly used for home care In field, wherein detect oxygen saturation, pulse frequency, former impulse wave, oxygen-saturated quality index and the gas of optional detection nasal cavity Breath stream and snoring.

The measuring instrument of the shortcoming of this instrument is large number of, and described measuring instrument must be placed in patient, is used for Detect above-mentioned parameter.Because the cable that lays of patient is always connected with this sleep monitor instrument, this is being not intended to it In have influence on the sleep quality of patient and thus have influence on measurement result.Breath stream snoring nose frame it is provided with at this And the pulse-oximetry sensor that should be clipped in patients fingers (Atemflussschnarchmasenbrille).First at this First being placed in the asoscope in patient's face can hinder enforcement in usual sleep quality to measure.Although this sleep monitor instrument There is provided preferably for diagnosing the result of sleeping sickness, but occur the most again and again during long term monitoring interfering such as The measurement error produced from the change of the sleeping position of the patient of sleep.

Even if the statement of described instrument is for residential use, the most always it is a need for reading in clinical center by described instrument The data that record and it is tested and assessed.The most just the disordered breathing relevant to sleep to being diagnosed is taked to enter by doctor The measure of row treatment, in order to heal the sick.

Additionally, know the instrument being configured to hand strap from the prior art, described instrument when detecting snoring sound by means of The neural activation of endermic electricity is reported to the police to user.Snore the most critical in terms of the eye of medical science, if because user Snoring, that ensures that and flows to respiration tracheae and the continuous print air-flow from respiration tracheae.When respiratory arrest, this air-flow Be interrupted and snore stopping, thus stopping reporting to the police to user.Dangerous suffocating thus cannot find also with these instruments And but therefore these instruments are only taken as the cancellation element of the noisy unquestionable snoring of medical science aspect.

The instrument of the type being initially mentioned is disclosed from WO 20,08/,098 365 A1.Biology is used at this The sensor of acoustics, for detecting, by the measurement of the health noise for pipe, apneic events in other words of snoring. It is provided with on neck ring at this and excites unit, for encouraging trachea by means of unidirectional current alternating current in other words.Energising to patient In this apneic events that should suppress beginning and/or snoring.

Unfortunately the instrument shown in open source literature can not being previously mentioned be used in the patient having a heart disease or Person is used in anemia of pregnant woman, because stimulation height for these excessive risk races of the suppression disordered breathing produced by means of electric energy Dangerous.

But, on the other hand for the people that specific crowd such as suffers from obesity, almost it is necessary to, use By means of the stimulation that produces of excitation of electricity, because often here it is uniquely stimulate, crowd noted earlier be enough to described only The stimulation of one is reacted.Thus for these crowds, often suppress disordered breathing simply by means of electric excitation.

Summary of the invention

Therefore, the task of the present invention is to provide the instrument of a kind of type being initially mentioned, this instrument except for sleep Relevant disordered breathing carries out outside exclusive diagnosis also testee or patient for extremely different crowd to be provided doctor Treatment that aspect is important or recover feasible program.

This task a kind of by the present invention for instrument to the sleep monitor that testee or patient move On have been resolved in the following manner, i.e. described in excite the number of unit to be at least two, and described at least one excite unit Be configured to mechanically to act on testee machinery excite unit and another excite unit to be configured to electricity Mode act on testee electricity excite unit, and the operational mode from a group can be selected, this organizes bag Containing " to electrically ", " mechanically " and " in the way of dynamo-electric ".

It is an advantage of the invention that such as promotes testee or patient to change its sleeping position when suffocating by described stimulation. Reacting on, by the change of this sleeping position, the trachea becoming shrivelled, thus respiratory tract becomes unimpeded again.Furthermore, it is possible to pass through The stimulation of described suppression disordered breathing causes the excitation of the muscular tissue for the annular round upper respiratory tract so that it is not Lax unable and described respiratory tract is thus released becoming unimpeded in other words.There is no need at this to have been come by described stimulation Entirely wake up patient up, because making it forward to higher Sleep stages the most enough from the Sleep stages of the degree of depth, described higher In Sleep stages, its health has the muscle tone enough suppressing disordered breathing.Described bioacoustical sensor originally can in this To be preferably placed on the height of trachea, the height of described trachea detects and flows to pulmonary and the air-flow from pulmonary Noise.But, described sensor can also be arranged on the position of other important nearly trunk of testee, at described position The corresponding noise of upper generation, described noise enables disordered breathing being acoustically detected.Described monitoring unit continuously or Person checks with specific time interval and/or persistent period, if occur in that specifically can be previously given noise sample. If such as make to flow to pulmonary and and become mute from the noise of the air-flow of pulmonary, then described monitoring unit is activated by described swashing One or two in bill unit are the most more excites unit.By the selection feasible program of operational mode, bring this The advantage of sample, i.e. user or testee can select in person, and he thinks how to run described by the instrument of the present invention: only Excite unit with described machinery, only with the unit that excites of described electricity, or excite unit the most in other words by the two Run described instrument the most everywhere each other.

The signal acoustically detected by described sensor can be associated with the oxygen saturation of blood.Therefore with this The bright oxygen that can determine blood by means of the acquisition of signal of acoustics in the case of the pulse-oximetry abandoning troublesome optics Saturated.In addition, for due in blood oxygen reduce and due to thickening of carbon dioxide and stopping up of producing in blood The bioacoustical measurement of breath is also faster than the pulse-oximetry of described optics.By the bioacoustical biography being arranged in trachea Sensor can find soon, if has air-flow to flow to pulmonary and from pulmonary.If this gas flow interruption, then in blood Oxygen saturation the most gradually decline and until the blood of oxygen deprivation is sucked into the finger of patient and has pass by more treasured The expensive time, wherein at the finger of patient, described apneic events can be detected by pulse-oximetry sensor.

Within the scope of the invention it is also preferred that the unit that excites of described machinery is configured to vibrator and/or machinery Impact unit and/or crash unit and/or tap unit.Thereby guaranteeing that, each testee can be equipped with the most important Machinery excite unit, because patient or testee can react to some extent in stimulation to specific machinery. The most described electric excitation cannot be used in suffers from cardiac disorder or the people of rhythm of the heart obstacle and the people equipped with cardiac pacemaker Or with anemia of pregnant woman.The vibrator as used in the mobile phone can also be used, because these vibrators have spy simultaneously It is empty that the instrument itself of not little size and the thus described sleep monitor for moving can keep saving very much position Between and compact structure.

Another kind of advantageous embodiment is characterised by, the unit that excites of described electricity is configured to by means of through skin The neural activation of electricity and/or the muscle excitation of electricity carry out the EMS/TENS instrument that stimulates.This nerve muscle in other words swashs Encourage the lax unable of the respiratory muscle meat tissue that is well suited for suppressing above.Certain described EMS/TENS instrument can also be arranged On other position of testee's health, it is preferably placed on extremity.Described EMS/TENS instrument has electrode, described electrode Can be placed on testee's health, the most advantageously, described electrode is integrated into for carrying out the device that position is fixing In, for the instrument of the described sleep monitor for moving of composition compactly.Equally by described EMS/TENS instrument It is associated with the hand strap for being fixed on extremity and/or the bottom bands of trouser legs.Described stimulating current therapy provides a kind of noise especially at this Few and effectively machine-processed, for pointing out disordered breathing to testee or patient.Especially can not excite list with mechanical Unit wakes up the people stimulated in other words up and reacts the unit that excites of the electricity being configured to EMS/TENS instrument well.The most right The responseless fat personnel of stimulation produced by means of vibrator belong to these excessive risk races.In addition, it appears favourable It is that other personnel crouching a Room with testee or patient altogether are interfered not over described stimulation or are even done Wake up.

Additionally, the most meaningfully, in the noise sample identifying acoustics that can be previously given Shi Suoshu excites unit to activate with staggering in time.The most such as can first by the gentle unit that excites, and Only connect swashing of the higher stimulation of another output just supplementing when exciting unit can not suppress disordered breathing of this gentleness Bill unit.Therefore, make after predetermined time window electricity consumption excite unit before, first vibrator can be attempted Suppression disordered breathing.

It is also advantageous that, be provided with selection switch, described selection switch be used for selecting operational mode " to electrically ", " mechanically " or " in the way of dynamo-electric ".Here it is shown that out advantage, be i.e. provided with housing and described selection switch is joined Belong to described housing.Thus bringing such advantage, i.e. user or testee in person to select, it wants how to transport Row is described by the instrument of the present invention: only excites unit with described machinery, only with the unit that excites of described electricity, or uses this Two excite unit to run described instrument the most everywhere.But it is also possible that arrange, i.e. in institute State by the specific implementation of the instrument of the present invention can select more or less operational mode.

It is an advantage to be able to excite the stimulation of the suppression disordered breathing that unit causes can the most step by step described in passing through Or strengthen continuously.First the most described stimulation can the most leniently be carried out.If the stimulation of described gentleness can not suppress Described disordered breathing, then this point is just identified by the instrument of the present invention by described, thus to strengthen described stimulation.

Additionally, the most preferably, it is provided with the device of body fat share for determining testee Part.Thus it is found that the most whether testee or patient can excite described machinery due to its body fat share Unit is reacted, or whether be necessary be not and then use described electricity excite unit.

In order to described instrument keeps extremely compact structure, meaningfully, it is used for determining body fat share described in Device constituted by the unit that excites of described electricity, described electricity excite unit then for carrying out bioelectric impedance analysis (BIA).Thus such as can be used for implementing biological impedance by the electrode exciting unit of described electricity.Thus, say, that The unit that excites of described electricity can fulfil two kinds of functions.

Furthermore it is advantageous that the housing with described sensor has use at it on the side of testee's health In transmit the transfer surface of bioacoustical signal and have on the side deviating from testee's health for sound insulation every From surface.Thereby guarantee that, as far as possible environment noise is suppressed and by described bioacoustical sensor come main or Person only detects the noise from testee's health.Therefore, the most meaningfully, at least one sensor described is joined Belong to described transfer surface, because most preferably can detect by being configured to the position of the sensor of the stethoscope type of doctor Health noise.Particularly advantageously, described insulation surfaces is equipped with at least another sensor.Thus can be by described biological sound One of the sensor learned be arranged in testee's health nearby and one of described bioacoustical sensor is arranged in away from The position of the health of testee.Thus the noise being not from testee's health can be positively identified and make an uproar for environment Sound.That is if there is environment noise, then detected it at described noise by the sensor near testee's health First front described noise is detected by the sensor away from testee's health.The noise sample that the two is detected by This path difference that can measure can be inferred that environment noise.Otherwise, health noise can also be positively identified in this way Itself, because more Zao than on the described sensor away from testee's health on the sensor of described close testee's health Detect health noise signals.

Thus, it is preferred that be configured with sound channel in described insulation surfaces and/or in described transfer surface, Because making the most significantly the detection of environment noise to be become to easy.This sound channel is such as it is so structured that be arranged on shell wall In single hole.

Additionally, meaningfully, in described housing, it is disposed with sound-proof wall.Therefore testee can be will be close to well The sensor of health separates relative to environment noise and will be far from the sensor of testee's health well relative to quilt Tester's health noise separates.Described sound-proof wall is preferably made up of foam and/or plastics.It also is able to use other preferred It is known for that the material of described sound-proof wall from the prior art.

The most advantageously, the most unidirectional communication connection it is provided with between unit and described monitoring unit described exciting And/or manipulation feasible program.Thereby guarantee that, described in excite the unit can by described monitoring unit safely and the most reliable Ground activates.Described communication connection can be according to tradition in the way of wired or by means of bluetooth, WLAN, wireless at this Electric or similar means are constituted wirelessly.

Unit is excited to realize as component separate with remaining assembly, because like this described in moreover it is preferred that Can by described excite unit to be arranged on the different position of testee's health or even with not with testee's health The mode contacted is arranged.

Excite unit to arrange in the housing described in furthermore it is advantageous that or be configured to cingulum system described in being integrated into (Gurtsystem) in the device being used for carrying out fixing near the position of trunk.Thereby guaranteeing that, described Instrument structure obtains especially Compact and thus testee or patient sleep will not be by the deleterious effect of described instrument.Described housing this in This preferably can be come by the alloy of plastics, aluminum or skin-compatible by material known for a person skilled in the art Constitute.

Seeming especially interesting, the unit that excites of described machinery is configured to the guiding mechanism of bed.Therefore can be so Arrange, i.e. changed the sleeping position of patient when disordered breathing occurs by the regulation of bed, be used for discharging respiratory tract.

In order to cause the noise source of interference noise to position other of indoor, it has moreover been verified that preferably It is just to be provided with three sensors, because triangulation thus can be implemented.

Particularly compact and small and exquisite in order to described monitoring unit is configured to, it has already been proven that especially interesting, by described Monitoring unit is configured to microcontroller or ASIC(application-specific IC) or FPGA(field programmable gate array) Or FPAA(field programmable analog array).

The most meaningfully, at least one it is provided with for the memory element storing and/or reading data.Thus may be used With record data all night, in order to such as by means of outside PC, it was tested and assessed at second day.Can also be described Arranging interface on instrument, described interface can read described data and provide tele-medicine in other words.These interfaces such as can be with structure Make as USB interface or LAN interface or similar interface, wherein can also use wireless connection such as bluetooth, W-LAN or Similar connection.Described memory element can also replacement data carrier, be such as configured to Flash-EEPROM(flash memory-electric erasable Programmable read only memory), it is preferably configured as safety digital storage card (SD card), or is configured to compact flash memory card, be configured to Intelligent multimedia card (SM card) or similar memorizer.In a kind of such embodiment, described microcontroller sets Slot and described housing for corresponding card is had to have corresponding card and receive mouth.

Furthermore it is advantageous that the filtering that described microcontroller is used for carrying out man-made noise filtering equipped with at least one System.The health noise such as heart beating that thus by indoor environment noise, breath stream can be covered and also will exhaling and The noise filtering produced from the motion of testee during air-breathing.

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

Furthermore it is advantageous that in being provided with and being connected with described microcontroller or ASIC or FPGA or FPAA Portion or outside analog-digital converter.The most can described in the instrument of the sleep monitor moved right Described data implement test and appraisal.Described bioacoustical sensor can be configured to overall knot with described analog-digital converter at this Structure.In addition, this improve described by the instrument of the present invention and the compatibility between the most different microcontrollers.Institute State microcontroller itself and can also be configured to overall structure with the gate array (FPGA) of field-programmable, wherein can be such Configure the integrated on-off circuit of this numeral so that its can becoming familiar with of can learning and/or can Troublesome arithmetic operation based on miniaturization is implemented on the basis of the algorithm substituted.

It is furthermore preferred that be provided with for carrying out the device calibrated, described device is preferably able to automatically run.Thus may be used To record environment noise in advance, described environment noise is filtered by described filtering system when can measure with testee Go out.

Furthermore it is advantageous that be provided with at least one operating element, this operating element is preferably placed on described housing.This Individual operating element may be used for switching on and off described instrument, the most therefore by such as long-time by the side pressing described instrument Formula is calibrated.

The most meaningfully, described operating element is configured to unicontrol element.The most described instrument keeps compact Structure, and described operating element is it is so structured that simple rotary switch, slide switch, key switch or other is from existing There is the switch known in technology.Therefore, it has already been proven that particularly advantageously, unit is excited can to operate unit by means of described described in Part is connected and is cut off in other words, because sometimes people are not desired to trigger with patient or testee in the range of diagnosis The stimulation of suppression disordered breathing, so as to find and relevant disordered breathing of sleeping.

A kind of preferred embodiment it is characterised by, is provided with that be made up of the material weaved and is preferably configured as breast button Band for carrying out the device that position is fixing.Thereby guaranteeing that, described bioacoustical sensor can most preferably be fixed on tested On the health of examination person.The material of weaving spins on skin sensuously as the most comfortable in plastic material, thus for testee For can wear the most comfily described for carrying out the device that position is fixing.And the material weaved also is optimum selection, as Fruit occurs that when carrying for a long time perspiration forms phenomenon.For the material of weaving, antimicrobial will not be produced the soonest Agent, fungus and antibacterial.At this particularly advantageously, the described device for carrying out fixing near the position of trunk can be pulled down also And can wash.This cleaning feasible program is the advantage that testee provides health.Position is carried out admittedly for described being used for For fixed device, especially interesting, these device configurations are can to regulate the structure of length and having such as to construct The lockset for determining length for the form of bracelet (Schnalle) or other immobilising device.

In order to reduce or completely inhibit the instrument of the described sleep monitor for moving and the quilt of testee Or the noise between nightwear, it has already been proven that preferably, described housing and/or the described position for carrying out close trunk are solid Fixed device is provided with slidingsurface on the side deviating from testee's health.

Finally also it turned out especially interesting, in described housing and/or described being used for, carry out position Fixing device is provided with at least one biofeedback sensor.Thus can detect other signal, such as by means of temperature Sensor detects body temperature, detects humidity when perspiring by means of humidity sensor and senses by means of eyes or eyelid Device detects oculomotorius.Especially can detect REM(rapid eye movement with last a kind of sensor) Sleep stages and It is checked.In addition, it is possible to use muscle sensor, for monitoring the muscle contraction of testee.Described instrument The most optional having cardiomotility unit, this cardiomotility unit ensures according to the identification for cardiomotility, and described carrying is single Unit is positioned correctly with testee.Method can accomplish this point in this way, is i.e. placing described instrument Time alerted testee, described instrument is not placed on health by specification.If additionally, described instrument is in sleep During slide, then can alert testee.

Accompanying drawing explanation

Below by way of embodiment illustrated in the accompanying drawings, the present invention is explained in detail.Accompanying drawing is shown below:

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

Fig. 2 is the side view illustrated in the way of partial sectional of the instrument of Fig. 1；And

Fig. 3 is arranged on the front view of the another embodiment of the instrument with testee.

Detailed description of the invention

Show by the present invention in Fig. 1 is to 3 is outstanding for the sleep monitor that moves testee or patient It is for the instrument that the disordered breathing relevant to sleep is analyzed and is treated.It is disposed with two detection biologies within the case 1 2/7, power supply of the sensor of the signal of acoustics and one are for the monitoring unit 3 processing described signal.Described electricity Source is configured to accumulator at this, but can also be configured to battery that is simple and that can change or be configured to other from The Storage Unit of the electricity known in prior art.One of described sensor 2 in order to the sound produced in vivo is detected and Be associated with one be configured to breast cingulum 15 for carrying out the device 9 fixing near the position of trunk.This device especially can lead to Cross breast cingulum, medicated bra or there is the sport type brassieres of instrument receptacle, there is the shirt of instrument receptacle or there is instrument The roomy pyjamas of receptacle are constituted.In the embodiment illustrated, being just provided with two can be single by described monitoring What unit 3 activated excites unit 4, by the described thorn exciting unit can cause suppression disordered breathing with testee Swash.Described stimulation is caused when identifying the noise sample of acoustics that can be previously given.It is provided with and mechanically acts on Testee machinery excite unit 21 and act on to electrically testee electricity excite unit 22.

Sting by means of the neural activation of endermic electricity to described being configured to here from described monitoring unit 3 Swash EMS/TENS instrument 11 electricity excite unit 22, unidirectional communication connection is in action.Single in described monitoring equally Unit 3 and described be configured to vibrator machinery excite between unit 21, unidirectional communication connection is in action.Described EMS/ The electrode 16 of TENS instrument 11 is integrated in described breast cingulum 15, and described vibrator is then arranged in described housing 1.Shown in The two kinds of embodiments gone out have a display unit 17 respectively, the ginseng of the current measured acoustics of display on described display unit Number, arrange the energy loading condition of Storage Unit of electricity within the case 1, the exciting switching on and off of the most described instrument Carry out the measurement pattern run in the case of unit 4 or other for a person skilled in the art should be with known The numerical value that mode shows.

As can as seen from Figure 2, shown housing 1 is provided with on the side of testee's health at it For transmitting the transfer surface 5 of described bioacoustical signal.In the embodiment illustrated, at the inside cloth of described housing 1 Being equipped with sound-proof wall 8, this sound-proof wall 8 absorbs environment noise namely from outside noise and from testee's body interior Health noise.A sensor 2 in said two sensors is associated with close testee's health of described housing 1 Transfer surface 5 and another sensor 7 be associated with the side away from testee's health of described housing 1.

Described monitoring unit 3 is configured to microcontroller 12 and described instrument thus has for storing and reading number According to memory element 13.Being provided with the wave filter of random adaptation on described microcontroller 12, this wave filter is by man-made noise Leach.Being provided with just what a operating element 14 on described housing 1, this operating element is configured to unicontrol element.This operation Element by pressing and/or can rotate, thus can connect and cut off described instrument in other words described in excite unit 4 Body.

For by the instrument of Fig. 3, the unit 22 that excites of described electricity comes in fact as component separate with remaining assembly Existing, and the unit 21 that excites of described machinery is then arranged in described housing 1 and is configured to vibrator.Described electricity excite unit It is made up of the EMS/TENS instrument 11 being arranged on hand strap 18 and the bottom bands of trouser legs 19 component more than 21.Electrode on carpal joint is shown Embodiment in equally constitute as hand strap or wrist-watch.Near being close to of auditory meatus of testee, it is disposed with structure Sound transducer 10 for the form of earphone 20.The most in this embodiment, unit 21 and electricity are excited as described machinery Exciting supplementing of unit 22, be provided with acoustics excites unit 4.

Once occur and the relevant disordered breathing of sleep, patient thus just can pass through by means of described EMS/TENS instrument Electric excitation that the electrode 16 of 11 is carried out, by the vibration alarm of described vibrator and by sending via described earphone 20 Chimes of doom is upset.Described EMS/TENS instrument 11 is equipped with electrode 16, and described electrode can be used for the hands patient Muscle excitation (EMS) of electricity is carried out on arm or on lower limb.

The action principle of the instrument of the sleep monitor being used for moving testee by Fig. 1 is solved below Release.

The sensor 2/7 of said two acoustics detects noise continuously, wherein can distinguish, and herein relates to testee's body The noise of body also relates to environment noise.Here, the described sensor 2 near testee's health detects the body of testee Noise and the described sensor 7 away from testee's health of body detect environment noise.If environment noise arrives described place At the sensor 2 of the inside, then the noise that the filtering system of the wave filter being configured to random adaptation is known before then leaching Sample, the such as noise of sleeping position change.In described memory element 13, saving data base for this, this data base has prestored Most man-made noise.But, described man-made noise can also leave described memory element in by previous calibration In 13.

The described sensor 2 being in the inside mainly detects the noise produced in vivo of trachea.If there is suffocating, that is just Detected that knew in the past by the sensor 2 of described the inside and be saved in the noise sample in described memory element 13, such as special The fixed stationary intervals time.This noise sample is identified by described microcontroller 12, and the most described microcontroller passes through First described vibrator is activated by described unidirectional communication connection.Without eliminating institute in previously given time interval State disordered breathing, then the most just activate described EMS/TENS instrument 11 by described unidirectional communication connection.By institute State and vibrate in other words by electric excitation testee's health carried out by means of the electrode 16 of described EMS/TENS instrument 11, come Apply to suppress the stimulation of disordered breathing to testee, thus it the most such as changes its sleeping position.Testee this simply Sleeping position change caused the unimpeded of respiratory tract.

Within the scope of the invention, at this meaningfully, the frequency exciting unit 22 of described machinery can change.By This can regulate the intensity of described stimulation.Additionally, the most meaningfully, change described electricity the voltage exciting unit 22 or Say electric current.Here, voltage waveform is it is so structured that sinusoidal, rectangle, triangle, zigzag or folded by other multiple ripple Calais is constituted.

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 device fixing near the position of trunk

10 sound transducers

11 EMS/TENS instruments

12 microcontrollers

13 memory element

14 operating elements

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 detected and be associated with for leaning on The device (9) that the position of nearly trunk is fixing, for the sensor (2) that the sound produced in vivo is detected, to tested Sleep monitor that examination person or patient move, for the disordered breathing relevant to sleep is analyzed and treats, described Instrument there is at least one power supply and one for the monitoring unit (3) that described signal is processed and there is some Can excite unit (4) by what described monitoring unit (3) activated, excite the unit can be at testee's body by described On cause when being identified the noise sample of acoustics that can be previously given by described monitoring unit (3) suppression described breathing disorderly Random stimulation, it is characterised in that described in excite the number at least two of unit (4) and at least one excite unit (4) to construct Exciting unit (21) for mechanically act on the machinery of testee, and another excites unit (4) to be configured to Act on to electrically testee electricity excite unit (22), and the operational mode from a group can be selected, This group comprises " to electrically ", " mechanically " or " in the way of dynamo-electric ", wherein

-in " machinery " operational mode, described instrument only runs with the unit that excites of machinery,

-in " electricity " operational mode, described instrument only runs with the unit that excites of electricity, and

-in " electromechanics " operational mode, described instrument excites unit to run the most everywhere with two simultaneously or each other.

2. the instrument as described in claim 1, it is characterised in that described machinery excite unit (21) be configured to vibrator and/ Or the impact unit of machinery and/or crash unit and/or tap unit.

3. the instrument as described in claim 1 or 2, it is characterised in that described electricity excite unit (22) be configured to by The EMS/TENS instrument (11) stimulated is carried out in the neural activation of endermic electricity and/or the muscle excitation of electricity.

4. the instrument as described in claim 1, it is characterised in that when identifying the noise sample of acoustics that can be previously given Described unit (4) is excited to activate with staggering in time.

5. the instrument as described in claim 1, it is characterised in that be provided with selection switch, described selection switch is used for selecting to run Pattern " to electrically ", " mechanically " or " in the way of dynamo-electric ".

6. the instrument as described in claim 5, it is characterised in that be provided with housing (1), and described selection switch is associated with described Housing (1).

7. the instrument as described in claim 1, it is characterised in that excite unit (4) causes, suppression breathing described in can passing through Disorderly stimulation can strengthen the most step by step or continuously.

8. the instrument as described in claim 1, it is characterised in that be provided with the device of body fat share for determining testee Part.

9. the instrument as described in claim 8, it is characterised in that the described device for determining body fat share is by described electricity The unit (22) that excites formed, described electricity excite unit for carrying out bioelectric impedance analysis (BIA).

10. the instrument as described in claim 6, it is characterised in that there is the housing (1) of described sensor (2) at it near quilt There is on the side of tester's health the transfer surface (5) for transmitting bioacoustical signal, and deviating from testee There is on the side of health the insulation surfaces (6) for sound insulation.

11. instruments as described in claim 10, it is characterised in that at least one sensor (2) is associated with described transfer surface (5).

12. instruments as described in claim 11, it is characterised in that at least another sensor (7) is associated with described segregation table Face (6).

13. instruments as according to any one of claim 10 to 12, it is characterised in that in described insulation surfaces (6) and/ Or in described transfer surface (5), it is configured with sound channel.

14. instruments as according to any one of claim 10 to 12, it is characterised in that be disposed with in described housing (1) every Sound wall (8).

15. instruments as described in claim 1, it is characterised in that described excite unit (4) and described monitoring unit (3) it Between be provided with the most unidirectional communication connection and/or manipulation unit.

16. instruments as described in claim 1, it is characterised in that described in excite unit (4) as separate with remaining assembly Component realizes.

17. instruments as according to any one of claim 10 to 12, it is characterised in that described in excite unit (4) to be arranged in institute State in housing (1) or be integrated into be configured to cingulum system, for carrying out the device (9) fixing near the position of trunk In.

18. instruments as described in claim 1, it is characterised in that be just provided with three sensors (2).

19. instruments as described in claim 1, it is characterised in that described monitoring unit (3) be configured to microcontroller (12) or Person ASIC or FPGA or FPAA.

20. instruments as described in claim 19, it is characterised in that be provided with at least one for storing and/or reading number According to memory element (13).

21. instruments as described in claim 19 or 20, it is characterised in that described microcontroller (12) is equipped with at least one For carrying out the filtering system of man-made noise filtering.

22. instruments as described in claim 21, it is characterised in that described filtering system is configured to single channel or multi channel Based on hardware and/or the wave filter of software.

23. instruments as described in claim 19 or 20, it is characterised in that be provided with and described microcontroller (12) or ASIC Or what FPGA or FPAA was connected is arranged in inside housing (1) or the analog-digital converter of outside.

24. instruments as described in claim 20, it is characterised in that being provided with for carrying out the device calibrated, described device can Automatically run.

25. instruments as described in claim 6, it is characterised in that be provided with at least one operating element (14), described operating element It is arranged on described housing (1).

26. instruments as described in claim 1, it is characterised in that described for carrying out the device fixing near the position of trunk (9) the breast cingulum (15) being made up of the material weaved it is configured to.

27. instruments as described in claim 6, it is characterised in that described housing (1) and/or described in be used for carrying out near trunk The fixing device (9) in position on the side deviating from testee's health, be provided with slidingsurface.

28. instruments as described in claim 6, it is characterised in that in described housing (1) and/or described be used for into The device that row is fixed near the position of trunk is provided with at least one biofeedback sensor.