CN102497819A - Electronic stethoscope system for telemedicine applications - Google Patents
Electronic stethoscope system for telemedicine applications Download PDFInfo
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- CN102497819A CN102497819A CN2010800413413A CN201080041341A CN102497819A CN 102497819 A CN102497819 A CN 102497819A CN 2010800413413 A CN2010800413413 A CN 2010800413413A CN 201080041341 A CN201080041341 A CN 201080041341A CN 102497819 A CN102497819 A CN 102497819A
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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
Abstract
An electronic stethoscope includes a housing configured for hand-held manipulation, a transducer supported by the housing and configured to sense auscultation signals at a first location, and a headset coupled to the housing and configured to deliver audio corresponding to the auscultation signals through earpieces on the headset. The electronic stethoscope further includes a processor disposed in the housing and configured to convert the auscultation signals to first digital signals representative of the auscultation signals and to wirelessly transmit the first digital signals from the electronic stethoscope via a secure digital network to a second location such that the audio corresponding to the auscultation signals is provided to headsets of one or more additional electronic stethoscopes at the second location in substantial real time with the sensing of the auscultation sounds at the first location.
Description
Technical field
The present invention relates to Telemedicine System.More particularly, the present invention relates on Telemedicine System to transmit in real time basically the electronic stethoscope of signal via the secure digital network.
Background technology
Developed the sound that multiple device comes human body to send, for example hear sounds and lungs sound.Known devices contains from being mainly the scope of mechanical device (for example stethoscope) to various electronic installations (for example microphone and transducer).For example, stethoscope is the basic tool that is used for diagnosis of cardiovascular systemic disease and disease.It plays the effect that is used to diagnose the most common technique of this type of disease and disease in (for example remote districts) aspect the basic health care and under the situation that can't obtain complicated armarium.
For example, the clinician recognizes that easily detecting relevant heart sympton and diagnosing according to the sound of hearing through stethoscope is that needs accumulate the technical ability that could obtain and be proficient in for many years.Become complicated due to the fact that through the active task of Acoustic detection abnormal heart: hear sounds often differed from one another in the very short time period, and the signal of sign cardiac disorder situation more is difficult for hearing than normal cardiac sound usually.
Summary of the invention
In one aspect, the present invention relates to Telemedicine System, said Telemedicine System comprises first electronic stethoscope, and said first electronic stethoscope comprises: Telemedicine System, and it is configured to hand-held; Transducer, it is the sensing auscultative signal at the primary importance place; And headphone, it is sent and the corresponding audio frequency of auscultative signal through the ear piece on the headphone.Telemedicine System also comprises second electronic stethoscope, and said second electronic stethoscope comprises: housing, and it is configured to hand-held; Transducer; And headphone, it sends audio frequency through the ear piece on the headphone.First electronic stethoscope comprises: processor, and it converts auscultative signal to the digital signal that characterizes auscultative signal; And antenna, it is transferred to the second position with digital signal via the secure digital network wireless.Second electronic stethoscope comprises: antenna, and it receives the digital signal that characterizes auscultative signal at second position place via the secure digital network; And processor, it converts digital signal and the corresponding audio frequency of auscultative signal to, and sends audio frequency through the ear piece on the headphone of second electronic stethoscope in real time basically with the step of the sensing auscultatory sound at the primary importance place.
On the other hand, the present invention relates to electronic stethoscope, said electronic stethoscope comprises: housing, and it is configured to hand-held; Transducer, it is by the housing supporting and be constructed to the sensing auscultative signal at the primary importance place; And headphone, it is connected to housing, and is constructed to send and the corresponding audio frequency of auscultative signal through the ear piece on the headphone.Electronic stethoscope also comprises processor; Said processor is set in the housing; And be constructed to auscultative signal is converted to first digital signal of sign auscultative signal and first digital signal is wirelessly transmitted to the second position via the secure digital network from electronic stethoscope, feasible step with the sensing auscultatory sound at the primary importance place will be provided to the stethoscopic headphone of one or more electronic remotes at second position place with the corresponding audio frequency of auscultative signal basically in real time.
On the other hand, the present invention relates to Telemedicine System, said Telemedicine System comprises local electronic stethoscope, and said local electronic stethoscope is constructed to convert to from patient's sensing auscultative signal and with auscultative signal the digital signal of sign auscultative signal.Telemedicine System also comprises: one or more extra electronic stethoscopes; And secure network interface, it is connected to one or more extra electronic stethoscopes with local electronic stethoscope via the secure digital network.In one or more extra electronic stethoscopes each all is constructed to receive the digital signal that characterizes auscultative signal via the secure digital network, and digital signal is converted to and the corresponding audio frequency of auscultative signal.With send audio frequency through the ear piece on each the headphone in one or more extra electronic stethoscopes in real time basically by the step of local electronic stethoscope sensing auscultatory sound.
Although the invention discloses a plurality of embodiment, through illustrating and describe the following detailed description of exemplary embodiment of the present invention, other embodiment of the present invention will become obvious for those skilled in the art.Therefore, accompanying drawing should be regarded as in fact illustrative rather than restrictive with detailed description.
Description of drawings
Fig. 1 is the diagrammatic view of Telemedicine System according to an embodiment of the invention.
Fig. 2 is the perspective view that is applicable to the embodiment of the electronic stethoscope in the Telemedicine System shown in Figure 1.
Fig. 3 is used for and front view in the system implementation example of the electronic stethoscope interface at patient or expert's website place.
Fig. 4 is the screenshot capture at the embodiment of the user interface at patient's website place.
Fig. 5 is the screenshot capture at the embodiment of the user interface at expert's website place.
Fig. 6 is for being presented at the screenshot capture of the graphic user interface on Fig. 4 and the user interface shown in Figure 5.
Fig. 7 is the perspective view of embodiment that is used for the wireless chest piece of Telemedicine System shown in Figure 1.
Fig. 8 is the perspective view of embodiment that is used for the radio headpiece of Telemedicine System shown in Figure 1.
Fig. 9 is the diagrammatic view of Telemedicine System according to another embodiment of the invention.
Though the present invention can be revised as various modification and alternative form, specific embodiment is shown in the drawings by way of example and describe in detail hereinafter.Yet the present invention is not limited to described specific embodiment.On the contrary, the present invention is intended to contain all modifications form, equivalents and the alternative form in the scope of the invention that is limited appended claims.
The specific embodiment
Fig. 1 is the diagrammatic view of the embodiment of Telemedicine System 10, and said Telemedicine System 10 comprises bio acoustics pick off 12, patient's site computer 14, patient's website software interface 16, expert's site computer 22 and expert's website software interface 24.The place also shows optional radio headpiece 25 at expert's website.Patient's website bio acoustics pick off 12 and patient's site computer 14 radio communications, and carry out alternately via patient's website software interface 16 and patient's site computer 14.Expert's website bio acoustics pick off 12 and expert's site computer 22 radio communications, and carry out alternately via expert's website software interface 24 and expert's site computer 22.Patient's website software interface comprises wave point 26 and network port interface 27, and expert's website software interface comprises wave point 28 and network port interface 29.Patient's site computer 14 communicates with one another through the Internet I with expert's site computer 22.In brief; Bio acoustics pick off 12 communicates with one another via patient's site computer 14, expert's site computer 22 and the Internet I, hears in real time basically from the body sound at patient's sensing of patient's website away from the clinician of patient's website or other medical experts allowing.Because any delay that signal processing between patient and the expert's website stethoscope and transmission cause is so this is transmitted as " real-time basically ".Also can between bio acoustics pick off 12, transmit other sound and information, for example voice signal basically in real time.
Fig. 2 is applicable to that the bio acoustics pick off in the Telemedicine System 10 is the perspective view of an embodiment of electronic stethoscope 12.Electronic stethoscope 12 comprises: earplug 30a, 30b; Syrinx 32a, 32b; With the person in charge 34.Be responsible for 34 and be connected to main casing or the chest piece 36 that supports at least one pick off 38 (invisible among Fig. 2).Pick off 38 is constructed to the sound that sensing biogenesis material produces, for example the sound of other organ or tissue's generation of heart, lung, vocal cords or health.In certain embodiments, pick off 38 can be used for picking up the user's voice sound of the electronic stethoscope 12 at comfortable patient and/or expert's website place.Can be arranged within the main casing 36 or on miscellaneous part comprise power supply, microprocessor, signal processing circuit (like digital signal processor), keyboard, graphic user interface and communicator (like radio device).In addition; Main casing 36 can comprise management circuit; For example (name is called those described in " Power Management for Medical Sensing Devices Employing Multiple Sensor Signal Feature Detection (being used to use the power management of the medical sensing apparatus of a plurality of sensor signal feature detection) " to U.S. Patent Application Publication No.2008/0232604, and this patent application is incorporated this paper into way of reference in full.
The signal processing circuit of electronic stethoscope 12 can be constructed to carry out the multiple function from simple to complicacy.For example, signal processing circuit can be constructed to the bio acoustics signal that receives self-sensing device 38 is carried out the analysis of relative complex, for example body sound characteristic matching.Signal processing circuit can be carried out various forms of statistical analysiss to the signal that is produced by pick off 38.In this type of configuration, signal processing circuit can comprise digital signal processor (DSP).And for example, signal processing circuit can be carried out frequency-selective filtering, to strengthen the dissimilar body sound by electronic stethoscope 12 sensings.Signal processing circuit also is constructed to the conversion of signals that is produced by pick off 38 is become to be used to transmit the acoustical signal through syrinx 32a, 32b, to be used for accurately and truly reproducing the body sound through earplug 30a, 30b.In certain embodiments; Electronic stethoscope 12 is constructed to produce acoustical signal, like United States Patent(USP) No. 6,134; 331 (name is called " Electronic Stethoscope (electronic stethoscope) "), United States Patent(USP) No. 7; 006,638 (name is called " Electronic Stethoscope (electronic stethoscope) ") and/or United States Patent(USP) No. 7,130; Described in 429 (name is called " Method and an Apparatus for Processing Auscultation Signals (being used to handle the method and apparatus of auscultative signal) "), each in the above-mentioned patent is all incorporated into way of reference in full.
In certain embodiments, the signal of telecommunication is modulated or is produced in the distortion that is constructed to respond transducer of the pick off 38 of electronic stethoscope.Suitable transducer is other material of combining piezoelectric (organic and/or inorganic piezoelectric material) (for example piezoelectric film), pressure drag material, strain gauge, electric capacity or inductance element, linear variable difference transformer and response to be out of shape to modulate or produce the signal of telecommunication or those transducers of element.Pick off 38 can be plane or nonplanar, for example under the situation of bending or corrugated configuration.Suitable piezoelectric comprises polymeric film, foam of polymers, pottery, composite or their combination.Pick off 38 can combine the transducer array of identical or different transducer type and/or different transducer material, and all transducers can connect, connect separately or connect with multiple structure.Be disclosed among the U.S. Patent application No.2007/0113649 and No.2007/0113654 that owns together in conjunction with a plurality of sensing elements with different qualities and/or suitable transducer with pick off of customizable sensed characteristic, each in the above-mentioned patent application is all incorporated this paper into way of reference in full.
Can use to be different from adopts those technology of electromagnetic energy or piezoelectric to realize pick off 38.For example, sound to be converted is removable to have the cantilever on high reflection property surface, and impinges upon this lip-deep laser or light beam can be modulated.Modulation light intensity or other characteristics can be received by photoelectric detector, the signal of telecommunication that said photoelectric detector output is used to analyze.And for example, can use one or more accelerometers to come the corresponding signal of telecommunication of acoustic signals and generation and acoustical signal.
Communication system be used in electronic stethoscope 12 and computer 14 22 or other external device (ED)s (like personal computer, PDA(Personal Digital Assistant), mobile phone, net book etc.) between set up radio frequency (RF) communication link, as will be said more in detail hereinafter.Can use short range wireless communication interface to realize communication link, for example meet the interface of known communication standard (for example bluetooth standard, IEEE 802 standards (like IEEE 802.11), ZigBee or similar standard (for example according to IEEE 802.15.4 standard those) or other public or patent wireless protocols).For example, in certain embodiments, communication system is 1 type or 2 types of blue teeth wireless electric installations.Can be according to utilizing the modes a kind of or some kinds in the following form of energy to realize radio communication: electromagnetic radiation, optics (comprising near-infrared) and acoustics (comprise and surpass the ultimate high frequency of average audition).In certain embodiments, use communication system between electronic stethoscope 12 and computer, to set up secure communications links.
The antenna (not shown) that in certain embodiments, will be used for wireless communication system is integrated into main casing 36.In order to improve the communication link with electronic stethoscope 12, can in master metal housing 36, form aperture 42 and utilize the material that is prone to the electromagnetism transmission to cover.For example, polymeric member capable of using covers aperture 42.Can stroboscopic light sources (like LED) be installed in the aperture,, and remind the user of electronic stethoscope 12 not cover aperture 42 with being connected to effectively between indication electronic stethoscope 12 and the computer.Can on user interface 40, comprise the inverse signal volume indicator, so that the intensity of communication link to be provided to the user when connecting with computer.In certain embodiments, little parabola is arranged on below the antenna,, and assembles the signal that captures by antenna that receives from computer with the signal of permissive waste in patient tissue of reflection from antenna transmission.In alternative embodiment, antenna is installed in syrinx 32a, 32b or is responsible in one of 34, antenna is arranged on the sight line of higher position and improvement and computer.Antenna can comprise a plurality of branches that can be installed in syrinx 32a, 32b both sides, to allow signal under the different position situation not blocked of communicating by letter.
Also can sonic transducer or microphone 48 be integrated in the top side (promptly a side of pick off 38) dorsad of main casing 36.Microphone 48 can be used for from the regional reception environment sound around microphone 48.For example, can except that pick off 38, also use microphone 48 or replace pick off 38 and use microphone 48, with the user's voice sound of the electronic stethoscope 12 that picks up comfortable patient and/or expert's website place.
In certain embodiments, electronic stethoscope 12 comprises the integrated electronic storage medium, and said integrated electronic storage medium allows the user in electronic stethoscope 12, to store audio track, body sound or other records, listens to after being used for.The electron storage medium also can comprise voice recognition data and language identification data; Said voice recognition data is used for stethoscopic user of identification or owner; Said language identification data are used for the identification voice command, thereby but voice responsive order is revised some setting (like power, volume) of electronic stethoscope 12.The language identification voice command also can be used for audio track, body sound or other records or file are sent to the patient medical archive database.In certain embodiments, electronic stethoscope is constructed to the content of voice signal is transcribed in archives or other data files (like the patient medical archives), like (for example) at United States Patent(USP) No. 7,444, described in 285 (Forbes).Also can audio track and the audio track that relates to institute's sensing body sound be stored, proper sound and audio track can be play through earplug 30a, 30b simultaneously.In certain embodiments, user interface 40 allows the user to roll and is stored in body sound and the audio track in the electron storage medium, to be used for selection and playback.Microphone 48 also can be used for effectively reducing environment noise, from health and the voice signal of record, to remove deleterious ambient noise.
Again with reference to figure 1, the electronic stethoscope 12 at patient's website place can be connected with patient's site computer 14 via the wave point 26 of safety or match, and connects between patient's site electrical stethoscope 12 and patient's site computer 14, to set up secure network.Similarly; Electronic stethoscope 12 at expert's website place can be connected to expert's site computer 22 via the wave point 28 of safety or match with expert's site computer 22, connects between expert's site electrical stethoscope 12 and expert's site computer 22, to set up secure network.Although each place in patient's website and expert's website all shows single electronic stethoscope 12, should be appreciated that and can a plurality of electronic stethoscopes 12 be connected to patient's site computer 14 and/or expert's site computer 22.In certain embodiments, electronic stethoscope 12 is via PAN (PAN) and its computer 14,22 pairings separately.The instance of PAN is a blueteeth network, and wherein pair code is based upon in electronic stethoscope 12 and the computer 14 or 22, and in input electronic stethoscope 12 and the computer 14 or 22 another.In certain embodiments, optional radio headpiece 26 also via the wave point 28 of safety be connected to expert's site computer 22 or with 22 pairings of expert's site computer.
In addition, through the Internet I sets up safety respectively at the network port interface 27 of computer 14,22, between 29 connection, make electronic stethoscope 12 to connect and communicate with one another via secure network.For example, network port interface 27,29 commutative certificates, access authentication or set up the secure network key are to set up safe connection.In addition, before sending data, can encrypt through 14,22 pairs of data of computer through the Internet I.When receiving data, can netkey safe in utilization be deciphered by data.In certain embodiments, application software and long- range wave point 26,28 interfaces that are arranged on the whole the Internet I on network port interface 27, the 29 permission computers 14 and 22.
In alternative embodiment, electronic stethoscope 12 is constructed to connection via safety directly communicate with one another (promptly not with computer 14 and 22 interfaces).For example, each electronic stethoscope 12 all can be constructed to have unique IP(Internet Protocol) (IP) address, and electronic stethoscope 12 can directly utilize Wireless Fidelity property (WiFi) to connect or the connection of safety is each other set up in other wireless connections.And for example, patient's website and/or expert's website can comprise a plurality of electronic stethoscopes that communicate with one another in the locality 12.
When electronic stethoscope 12 connects on secure network connects, can be between electronic stethoscope 12 or, send signal between 22 basically in real time at electronic stethoscope 12 and computer 14.For example, can the body sound be transferred to earplug 30a, 30b at expert's website place basically in real time from the electronic stethoscope at patient's website.In addition, can reproduce the body sound basically in real time through the microphone that is connected to computer 14,22.In certain embodiments, the electronic stethoscope 12 at patient's website and expert's website place is substantially the same, reproduces health and other sound among the earplug 30a that makes at patient's website and expert's website place, the 30b substantially the samely.In addition, sound can write down and store and side by side play (from the memorizer in the electronic stethoscope 12 or from one in the computer 14,22) to all networking electronic stethoscopes 12 basically afterwards through in the electronic stethoscope 12.In certain embodiments; Be transferred to patient's site computer 14 and the signal that on the Internet I, transmits carries out subpackage by patient's site electrical stethoscope 12 and enumerates through patient's site electrical stethoscope 12; And the place carries out error checking at expert's website, to guarantee true tonequality and the reliable reproduction at expert's site electrical stethoscope 12 places.Can carry out error checking through each element in the Telemedicine System 10 (being patient's site computer 14, expert's site computer 22 and expert's site electrical stethoscope 12), accurately transmitted from the data of patient's site electrical stethoscope 12 further guaranteeing.Error checking can be any suitable transfer of data inspection technology, include, but is not limited to cyclic redundancy check (CRC), inspection and, horizontal and vertical redundant check, hash function, duplication code or the like.Said system also can combine (for example) sample through quantitative determination, confirms redundant data or data deficiencies in the communication link through carrying out said sample through quantitative determination.In brief, will directly transmit (being Mirroring Mapping) to expert's site electrical stethoscope 12 through the Internet I from the voice packet of patient's site electrical stethoscope 12.
In a preferred embodiment, Telemedicine System 10 comprises error checking and the checking with link base layer communication system or network (like bluetooth, TCP/IP) protocol-independent.Can carry out independently error checking at any parts place of Telemedicine System 10, be the true reappearance from the auscultatory sound of patient's site electrical stethoscope 12 further to guarantee signal.In some preferred embodiment; Come the interruption of classified service according to persistent period and seriousness in the system of basic unit, wherein wrong all causing send following communication (via one or more parts of Telemedicine System) to the user: signal is not to be true reappearance.For example, patient's website parts can whenever send to expert's station system parts at a distance from 500 milliseconds with subpackage or other signals.Surpass in link base layer communication system or the network that 500 milliseconds interruption can cause discarded packets/signal and in the gained indication (like change color) of the decline tonequality at expert's website place via indicator.
In addition, ambient sound (for example voice signal) also can by pick off 38 receive and can be between electronic stethoscope 12 with the body sound basically in real time, side by side or alternately transmit.In alternative embodiment, electronic stethoscope 12 can receive voice communication and other ambient sound through microphone 48, and handles and be sent to remote site.Body message breath flows to expert's site electrical stethoscope 12 continuously from patient's site electrical stethoscope 12, and ambient sound two-way flow between patient and expert's site electrical stethoscope 12.Patient's site electrical stethoscope 12, expert's site electrical stethoscope 12, patient's site computer 14 and expert's site computer 22 can comprise one or more circular buffers separately, to guarantee the continuous information stream between the electronic stethoscope 12.In certain embodiments, ambient sound be μ-rule encoding and the body sound that produces by electronic stethoscope 12 at patient's website place that is added on.Therefore, the clinician at patient's website place can (for example) hear the phonetic order that receives the expert at comfortable expert's website place from patient's body sound simultaneously.Expert that this allows at expert's website place and patient have basically the experience of practice in person.Because the clinician at patient's website place receives sound through earplug 30a, 30b; So clinician and the expert at expert's website place at patient's website place can hold a consultation privately, rather than (for example) lets expert's website communication output of the microphone through being attached to patient's site computer 14.Can adopt signal processing to optimize the tonequality of the voice signal that provides through earplug 30a, 30b.
Control through can all carrying out locality at each electronic stethoscope 12 place at the earplug 30a of the electronic stethoscope 12 at patient's website and expert's website place, voice that 30b reproduces and auscultatory sound.Can be simultaneously but on independent channel, be provided to earplug 30a, 30b with auscultative signal and voice signal, thus allow the clinician to control the volume of auscultatory sound and voice communication independently.This allows the clinician to optimize the relative volume of auscultatory sound and ambient sound, thereby exports for clinician's earplug 30a, 30b provides the balance that is customized to clinician's hobby.Each each and every one electronic stethoscope 12 can comprise also that all the selectivity voice strengthen wave filter, and said selectivity voice strengthen the special frequency band that wave filter (for example) strengthens voice signal, to help to reduce environmental noise.
In certain embodiments, when stethoscope connects through secure network, optionally control the transmission of voice signal.For example, when connecting, the body sound can constantly be transferred to expert's website from patient's website, and voice signal and other ambient sound are only just transmitted between website when the clinician selects transmission of speech signals.For example, in certain embodiments, electronic stethoscope 12 utilizes frequency-selective filtering to suppress to characterize the frequency band of voice signal during auscultation.In this embodiment, the clinician can start the transmission of voice signal through stop using basically frequency filtering or the setting of modification wave filter (some frequency band that promptly allows only to characterize voice signal reproduces and transmission).In certain embodiments, when the clinician pushed the button on the user interface 40, the voice signal transmission was activated.Transmission of speech signals (being similar to hand-held transceiver or walkie-talkie) when electronic stethoscope 12 can be constructed to make button on pushing and pin user interface 40.As other a kind of selection, electronic stethoscope 12 can be constructed to make when pushing and start the voice signal transmission mode during release-push, and when pushing once more subsequently and inactive voice signal transmission mode during release-push.
Patient's website long-distance video application software 56 also is shown among Fig. 1 with server site long-distance video application software 58.In certain embodiments, video camera is connected to patient's site computer 14 and/or expert's site computer 22, to allow between patient's website and expert's website, carrying out video communication via long-distance video application software 56 and 58.The expert of this permission (for example) at expert's website place sees pick off 38 with respect in the patient's at patient's website place location and for patient's website relevant pick off 38 localized feedbacks being provided.And for example, video camera can with electronic stethoscope 12 in each on microphone 48 be used in combination, thereby obtain the video session between patient's website and the expert's website.
Fig. 3 is the front perspective view that is suitable for as the embodiment of the computer 60 of patient's site computer 14 and/or expert's site computer 22.Computer 60 comprises processor 62, display 64, camera 66, keyboard 68, mouse 70 and communication adapter 72.Processor 62 also is constructed to be connected to the Internet, to help the communication between patient's website and the expert's website.Processor 62 is shown laptop computer, but as other a kind of selection, processor can be desk computer maybe can have any other form.In addition, although show independent display 64, also can use the display of laptop computer.In addition, can other input equipment (like trace ball, control stick etc.) be integrated in the computer 60 that is used for Telemedicine System 10.
Camera 66 is communicated by letter with processor 62, to gather the video of patient or expert's website.Processor 62 subsequently on the Internet I via long-distance video application software 56 or 58 interfaces, live video feed is provided to patient or expert's website.As shown in the figure, camera 66 can be installed on the top of display 64, thereby obtains the video communication between patient's website and the expert's website.Camera 66 also can be configured to and processor 62 radio communications, around patient or expert's website, moves (as gathering the video of patient pick off 38 positions on one's body) to allow camera 66.In certain embodiments, can use keyboard 68 and/or mouse 70 to be controlled at the operation (like amplification, focusing, location etc.) of the camera 66 at another website place at a website place.The video that this permission (for example) is just being gathered at patient's website place in expert's control at expert's website place.
Fig. 4 is for can be at the screenshot capture of the embodiment of the user interface 80 on the display 64 that is presented at patient's website place during the tele-medicine process.User interface 80 comprises data disaply moudle 82, video session module 84 and stethoscope control module 86.The user of patient's site computer 14 can use the user interface on keyboard 68, mouse 70 and/or other input equipment and the display 64 to carry out alternately.For example, the user can use mouse 70 to select button or drop-down menu key element on the user interface 80.
Data disaply moudle 82 is to be produced and by the pictorial representation at the cycle gonosome sound of pick off 38 sensings at patient's website place by the patient.To handle through the electronic stethoscope processor and through the antenna integrated patient's of being provided to site computer 14 by the signal that pick off 38 produces.Processor 62 converts appropriate format to these signals of post processing and with them, to be used to be presented at data disaply moudle 82.When the clinician keeps electronic stethoscope 12 near patient body, can be periodically or upgrade figure basically in real time.Can use the radio button 88 on the data disaply moudle to handle the axle in used scale or the figure.
In certain embodiments, the electronic stethoscope processor will be divided into a plurality of channels by the signal that pick off 38 produces.For example; The electronic stethoscope processor can convert the body sound of sensing to the data signal of the body sound that characterizes sensing and data signal is sent to the patient's site computer 14 on first channel, and can the body sound of sensing be converted to acoustical signal and acoustical signal is sent to earplug 30a, 30b on the second channel.As other a kind of selection, can the signal that produced by pick off 38 directly be sent to patient's site computer 14, to be used to convert to the data signal of video-stream processor 62.
Stethoscope control module 86 can comprise a plurality of optional control item and the setting option that is used at the electronic stethoscope 12 at patient's website place.Can select these setting options, with the pattern of control patient site electrical stethoscope 12, volume, power rating, recording setting or the like.In certain embodiments, also can select these setting options via the user interface on the electronic stethoscope 12 40.Stethoscope control module 86 also can comprise the option that is used to control other modules on the user interface 80.Stethoscope control module 86 also can comprise the selectable option that is used for the communications setting between electronic stethoscope 12 and patient's site computer 14.For example, stethoscope control module 86 can allow to adjust the subpackage setting of electronic stethoscope 12 or the connection setting between inspection and reparation electronic stethoscope 12 and the patient's site computer 14.
Fig. 5 is for can be at the screenshot capture of the embodiment of the user interface 100 on the display 64 that is presented at expert's website place during the tele-medicine process.Similar with user interface 80, user interface 100 comprises data disaply moudle 102, video session module 104 and stethoscope control module 106.The user of expert's site computer 22 can use the user interface on keyboard 68, mouse 70 and/or other input equipment and the display 64 to carry out alternately.For example, the user can use mouse 70 to select button or drop-down menu key element on the user interface 100.
Data disaply moudle 102 is to be produced and by the pictorial representation at the cycle gonosome sound of pick off 38 sensings at patient's website place by the patient.To handle, be provided to patient's site computer 14 and send to expert's site computer 22 through the electronic stethoscope processor by the signal that pick off 38 produces.Expert's site computer processor 62 converts appropriate format to these signals of post processing and with them, to be used to be presented at data disaply moudle 102.When the clinician at patient's website place keeps electronic stethoscope 12 near patient body, can be periodically or upgrade figure basically in real time.Can use the radio button 108 on the data disaply moudle to handle the axle in used scale or the figure.
Video session module 104 shows the video of gathering through the camera 66 at patient's website place.For example, this allows expert at expert's website place to see that pick off 38 is with respect to the location the patient at patient's website place.Video session module 104 also comprises the toolbar 110 with a plurality of video session control items.For example, toolbar 110 can comprise that control is from the volume of the sound of patient's website reception and the localized button of the video session on the user interface 100.Toolbar 110 also can comprise interface and the instrument that starts and finish video session.Toolbar 110 also can comprise the control item of the camera position that is adjusted at patient's website place.
Stethoscope control module 106 can comprise a plurality of optional control item and the setting option that is used at the electronic stethoscope 12 at patient's website and/or expert's website place.Can select these setting options with the pattern of control patient and/or expert's site electrical stethoscope 12, filtering, volume, power rating, recording setting or the like.For example, stethoscope control module 106 can comprise pattern and the interface of wave filter setting on the control patient site electrical stethoscope 12.Stethoscope control module 106 also can be constructed to allow to control some setting option on patient's site electrical stethoscope 12, keeps other setting options that only are used for local control simultaneously.For example; Stethoscope control module 106 can provide the volume that only is used for expert's site electrical stethoscope 12 control, and the volume of patient's site electrical stethoscope 12 only can control (as via the user interface 40 on stethoscope control module 86 or the patient's site electrical stethoscope 12) at patient's website place.In certain embodiments, expert's site electrical stethoscope 12 also can be constructed to when connecting through secure network, to make the setting option of the user interface 40 control patient site electrical stethoscopes 12 on expert's site electrical stethoscope 12.Expert's site electrical stethoscope 12 also can be constructed to control all setting options basically (that is, make in the control of the locality at patient's website place and lost efficacy basically) on patient's site electrical stethoscope 12, still allows patient's website control volume simultaneously.This local control is guaranteed and can be regulated volume according to the user preferences in each position.
In alternative embodiment; The clinician at expert's website place can expert's site electrical stethoscope 12 be set at required setting option and subsequently with the setting option of expert's site electrical stethoscope 12 once sending to patient's site electrical stethoscope 12 (as via expert's site computer 22 and patient's site computer 14) in the transmission, to upgrade the setting option on patient's site electrical stethoscope 12.
Stethoscope control module 106 also can comprise the selectable option that is used for the communications setting between patient's site electrical stethoscope 12 and patient's site computer 14 and/or expert's site electrical stethoscope 12 and the expert's site computer 22.For example, stethoscope control module 106 can allow to adjust the subpackage setting of electronic stethoscope 12 or the connection setting between inspection and reparation electronic stethoscope 12 and the expert's site computer 22.
Shown in described user interface 100 be merely exemplary and other configurations that can use user interface.In an exemplary available configuration shown in Figure 6; User interface 100 can comprise first graphic user interface 112; The characteristic that said first graphic user interface 112 is the housing 36 on expert's site electrical stethoscope 12 strengthens image; It has control section 114, and said control section 114 comprises each in button and other interfaces on the user interface 40 of expert's site electrical stethoscope 12.Each button on the control section 114 all can be selected, and is to produce the identical function on expert's site electrical stethoscope 12, the same as the corresponding button of pushing on the user interface 40.Also can the user interface that be similar to user interface 112 be presented on the user interface 80, thereby obtain being used for function control on the screen of patient's site electrical stethoscope 12.
When expert's site electrical stethoscope 12 is connected with patient's site electrical stethoscope 12 and is synchronous; User interface 100 can show single graphic user interface; Said graphic user interface is that the characteristic of the housing 36 on patient's site electrical stethoscope 12 strengthens image, and it comprises in button and other interfaces on the user interface 40 of patient's site electrical stethoscope 12 each.Also can this identical graphic user interface 112 be presented on the user interface 80.When the patient is connected with expert's site electrical stethoscope 12; Each button on the graphic user interface 112 all can be selected patient or expert's website place; Thereby obtain the identical function on patient's site electrical stethoscope 12, the same as the corresponding button of pushing on the stethoscopic user interface 40 of patient's website.Graphic user interface 112 provides the interface for the clinician at expert's website place, through some setting option (like pattern, wave filter etc.) of this interface may command patient site electrical stethoscope 12.
In addition, graphic user interface 112 can comprise options menu 117, and said options menu 117 allows the relevant variety of option of users' control and the electronic stethoscope that is connected 12.For example, in the embodiment shown in fig. 6, options menu 117 comprises the drop-down menu that allows the clinician between the stethoscope that is connected to expert's site computer 22, to roll.This triggers effective electron stethoscope 12 and on graphic user interface 112, activates, thereby allows each the setting option in the stethoscope that clinician's modification is connected.
Although described electronic stethoscope 12 with reference to the stethoscope that has chest piece, is responsible for and is connected to the ears spare of earplug, the electronic stethoscope that is used for Telemedicine System 10 also can have other configurations.For example, Fig. 7 shows wireless chest piece 120 and Fig. 8 and shows and can be used for the radio headpiece 122 that links to each other with Telemedicine System 10.
Except the electronic stethoscope that is used for Telemedicine System 10 had alternative configuration, the connection between the electronic stethoscope also can have alternative configuration.For example, Fig. 9 is the diagrammatic view according to the Telemedicine System 150 of alternative embodiment.Telemedicine System 150 comprise sensing electronic stethoscope 12a, a plurality of networking electronic stethoscope 12b, 12c ..., 12n and network interface or hub 152.Electronic stethoscope 12a-12n and network interface 152 radio communications.Electronic stethoscope 12a-12n can be constructed to substantially similar and can have substantially similar characteristic with the electronic stethoscope 12 described in preceding text Fig. 2.Should be appreciated that electronic stethoscope 12n represents n networking electronic stethoscope 12, and should not be construed as the quantity that limits or limit the networking electronic stethoscope 12 that is connected to network interface 152.In certain embodiments, network interface 152 is constructed to durable, hand-held or portable device.
In an instance embodiment, teacher's electronic stethoscope 12 and one or more students' electronic stethoscope 12 can be networked via network interface 152.Can select doctor or student to come sensing patient body sound, and other on-line customers listen to patient's body sound via its respective electronic stethoscope 12.In addition, can be with the sound in the electronic stethoscope that is stored in the teacher 12 (or another networking storage device) basically side by side to all networking electronic stethoscope 12 playback.The doctor also can provide phonetic order or prompting via pick off on the main casing 36 38 or microphone 48, and said phonetic order or prompting and institute's sensing body sound ear piece of the electronic stethoscope 12 through the student simultaneously provide.Therefore, if doctor's electronic stethoscope is used for sensing body sound, then the doctor can be when the student listens to networking electronic stethoscope 12b-12n location and the use of demonstration electronic stethoscope 12a.If student's electronic stethoscope is used for sensing body sound, then the doctor can come instruction is provided and instructs among the student each via pick off 38 or microphone 48.In addition, have among the student of the electronic stethoscope 12 that is networked to network interface 152 each all can take turns current sense body sound simultaneously the doctor for them independent guidance is provided.
In other embodiments, the stethoscope of will networking is connected to computer or other external device (ED)s (like mobile phone, PDA), and is as indicated above.Can reproduce stethoscopic auscultatory sound of networking and voice signal basically in real time by the microphone that is connected to computer or other external device (ED)s.In certain embodiments, can connect via network the body sound is downloaded to computer or external device (ED) and is diverted to the networking stethoscope from electron storage medium or other online databases (like the website), and/or reproduce in real time basically through microphone.
Put it briefly; Some embodiment disclosed herein relates to Telemedicine System; Said Telemedicine System comprises first electronic stethoscope, and said first electronic stethoscope comprises: housing, said housing are constructed to carry out hand-held by the clinician with respect to the patient; Transducer, said transducer is supported and is constructed at the primary importance place from patient's sensing auscultative signal by housing; And headphone, said headphone is connected to said housing, and is constructed to send and the corresponding audio frequency of said auscultative signal through the ear piece on the said headphone.Telemedicine System also comprises second electronic stethoscope, and said second electronic stethoscope comprises housing, transducer and headphone, and housing, transducer and the headphone of said housing, transducer and headphone and first electronic stethoscope are substantially similar.First electronic stethoscope is constructed to: auscultative signal is converted to the digital signal that characterizes auscultative signal; And digital signal is transferred to the second position via the secure digital network wireless.Second electronic stethoscope is constructed to: receive the digital signal that characterizes auscultative signal at second position place via the secure digital network; Digital signal is converted to and the corresponding audio frequency of auscultative signal; And send audio frequency through the ear piece on the headphone of second electronic stethoscope in real time basically with the step of sensing auscultatory sound at the primary importance place.
Without departing from the scope of the invention, can carry out various modifications and interpolation to the exemplary embodiment of being discussed.For example, although the foregoing description relates to concrete characteristic, scope of the present invention also comprises the embodiment with different characteristic combination and does not contain the whole embodiment in the said characteristic.Therefore, scope of the present invention is intended to contain whole these type of alternative forms, modification and the variations in the scope that drops on claim and all equivalents thereof.
Claims (42)
1. Telemedicine System comprises:
First electronic stethoscope; Said first electronic stethoscope comprises housing, transducer and headphone; Said housing is configured to hand-held; Said transducer is the sensing auscultative signal at the primary importance place, and said headphone is sent the audio frequency corresponding to said auscultative signal through the ear piece on the said headphone, and said first electronic stethoscope also comprises processor and antenna; Said processor converts said auscultative signal to characterize said auscultative signal digital signal, and said antenna is used for said digital signal is transferred to the second position via the secure digital network wireless; With
Second electronic stethoscope; Said second electronic stethoscope comprises housing, transducer and headphone; Said housing is configured to hand-held; Said headphone is sent audio frequency through the ear piece on the said headphone; Said second electronic stethoscope also comprises antenna and processor; Said antenna is used for receive characterizing at said second position place via said secure digital network the said digital signal of said auscultative signal, said processor be used for said digital signal convert to corresponding to the audio frequency of said auscultative signal and with send said audio frequency through the ear piece on the said headphone of said second electronic stethoscope in real time basically in the step of the said auscultatory sound of said primary importance place's sensing.
2. Telemedicine System according to claim 1, the wherein said second position is away from said primary importance.
3. Telemedicine System according to claim 1, the said audio frequency that wherein is delivered to the said headphone of said second electronic stethoscope is the true reappearance at the said auscultatory sound at said primary importance place.
4. Telemedicine System according to claim 1; Said transducer on wherein said first electronic stethoscope is the reception environment audio frequency at said primary importance place also; And the said transducer on said second electronic stethoscope is the reception environment audio frequency at said second position place also, and wherein said environment audio frequency between the said primary importance and the said second position via said secure digital network by wireless transmission.
5. Telemedicine System according to claim 1; Wherein said first electronic stethoscope also comprises first microphone; Said first microphone is the reception environment audio frequency at said primary importance place; And said second electronic stethoscope also comprises second microphone, and said second microphone is the reception environment audio frequency at said second position place, and wherein said environment audio frequency between the said primary importance and the said second position via said secure digital network by wireless transmission.
6. Telemedicine System according to claim 4; Wherein during the user-interface elements on starting said first electronic stethoscope; Said transducer is activated, with reception environment audio frequency at said primary importance place, and wherein during the user-interface elements on starting said second electronic stethoscope; Said second transducer is activated, with the reception environment audio frequency at said second position place.
7. Telemedicine System according to claim 6; The said processor of wherein said first electronic stethoscope comprises frequency filter, and wherein starts the setting of the said frequency filter of modified of the said user-interface elements of said first electronic stethoscope.
8. Telemedicine System according to claim 1; Wherein said first electronic stethoscope via the first secure personal LAN with in first compunication at said primary importance place; And said second electronic stethoscope via the second secure personal LAN with in second compunication at said second position place, and the said digital signal that wherein said first computer will characterize said auscultative signal is transferred to said second computer via the secure digital connection.
9. Telemedicine System according to claim 8; Wherein when the said audio frequency of sending through the said ear piece on the said headphone of said second electronic stethoscope for by the true reappearance of the said auscultative signal of the said first electronic stethoscope sensing time, at least one in said first electronic stethoscope, said second electronic stethoscope, said first computer and said second computer provides audio frequency and/or video indication.
10. Telemedicine System according to claim 1, the said antenna of each in wherein said first electronic stethoscope and said second electronic stethoscope all is at least partially disposed in the said headphone.
11. Telemedicine System according to claim 1, wherein said first electronic stethoscope also are constructed to receive the signal from said second electronic stethoscope via said secure digital network wireless.
12. Telemedicine System according to claim 1, wherein said first electronic stethoscope are constructed to receive control signal via said secure digital network, to allow to revise from the said second position setting of said first electronic stethoscope.
13. Telemedicine System according to claim 12, wherein said control signal are suppressed at some setting that said first electronic stethoscope is revised at said primary importance place.
14. Telemedicine System according to claim 13, wherein said control signal are not suppressed at the volume setting that said first electronic stethoscope is revised at said primary importance place.
15. Telemedicine System according to claim 1, at least one in wherein said first electronic stethoscope and said second electronic stethoscope comprises wireless chest piece and radio headpiece.
16. an electronic stethoscope comprises:
Housing, said housing is configured to hand-held;
Transducer, said transducer is supported by said housing, and at the primary importance place sensing auscultative signal;
Headphone, said headphone is connected to said housing, and is constructed to send the audio frequency corresponding to said auscultative signal through the ear piece on the said headphone; With
Processor; Said processor is set in the said housing; And be constructed to said auscultative signal is converted to first digital signal of the said auscultative signal of sign and said first digital signal is wirelessly transmitted to the second position via the secure digital network from said electronic stethoscope, step feasible and at the said auscultatory sound of said primary importance place's sensing will be provided to the stethoscopic headphone of one or more electronic remotes at said second position place corresponding to the said audio frequency of said auscultative signal basically in real time.
17. electronic stethoscope according to claim 16, the wherein said second position is away from said primary importance.
18. electronic stethoscope according to claim 16, wherein the said audio frequency corresponding to said auscultative signal is the true reappearance of the said auscultatory sound of sensing at said primary importance place.
19. electronic stethoscope according to claim 16; Wherein said transducer is received in the environment audio frequency at said primary importance place; And wherein said processor also is constructed to said environment audio conversion is become second digital signal of the said environment audio frequency of sign, and via said secure digital network said second digital signal is wirelessly transmitted to the said second position with said first digital signal.
20. electronic stethoscope according to claim 16 also comprises:
Microphone; Said microphone is set in the said housing; To be received in the environment audio frequency at said primary importance place; Wherein said processor also is constructed to said environment audio conversion is become second digital signal of the said environment audio frequency of sign, and via said secure digital network said second digital signal is wirelessly transmitted to the said second position with said first digital signal.
21. electronic stethoscope according to claim 19, wherein during the user-interface elements on starting said housing, said transducer is activated, to be received in the environment audio frequency at said primary importance place.
22. electronic stethoscope according to claim 19, wherein said processor also comprises frequency filter, and wherein starts the setting of the said frequency filter of modified of said user-interface elements.
23. electronic stethoscope according to claim 20, wherein said microphone are set at a side relative with said transducer on the said housing.
24. electronic stethoscope according to claim 16, wherein said processor are via said secure personal LAN and compunication, and wherein said computer arrives the said second position with said first digital data transmission.
25. electronic stethoscope according to claim 24, wherein said processor on said secure personal LAN via radiofrequency signal communication.
26. electronic stethoscope according to claim 24 also comprises:
Memorizer; Said memorizer is used to store can be by the software of said computer execution, and wherein said processor also is constructed to when said processor is connected with said computer via said secure personal LAN, automatically said software is sent to said computer from said software memory.
27. electronic stethoscope according to claim 16 also comprises:
Antenna, said antenna are constructed to connect to come said first digital signal of wireless transmission from said electronic stethoscope via said secure digital.
28. electronic stethoscope according to claim 27, wherein said antenna is set in the said headphone.
29. electronic stethoscope according to claim 16, wherein said processor also are constructed to receive the signal from the said second position via said secure digital network wireless.
30. electronic stethoscope according to claim 29, wherein said signal comprise the signal that is produced by the one or more electronic remote stethoscopes at said second position place.
31. electronic stethoscope according to claim 16, wherein said housing comprises wireless chest piece.
32. a Telemedicine System comprises:
Local electronic stethoscope, said local electronic stethoscope are constructed to convert to from patient's sensing auscultative signal and with said auscultative signal the digital signal of the said auscultative signal of sign;
One or more extra electronic stethoscopes; With
Secure network interface; Said secure network interface is connected to said one or more electronic remote stethoscope via the secure digital network with said local electronic stethoscope; In wherein said one or more extra electronic stethoscope each all is constructed to receive the said digital signal that characterizes said auscultative signal via said secure digital network; And convert said digital signal to audio frequency, wherein with by the step of the said auscultatory sound of said local electronic stethoscope sensing send said audio frequency through the ear piece on each the headphone in said one or more extra electronic stethoscopes in real time basically corresponding to said auscultative signal.
33. Telemedicine System according to claim 32, each the said audio frequency of headphone that wherein is delivered in said one or more extra electronic stethoscope all is the true reappearance by the said auscultatory sound of said local electronic stethoscope sensing.
34. Telemedicine System according to claim 32; Wherein said local electronic stethoscope and said one or more extra electronic stethoscope are constructed to the reception environment audio frequency separately, and come the said environment audio frequency of wireless transmission via said secure digital network.
35. Telemedicine System according to claim 32; Wherein said local electronic stethoscope and said one or more extra electronic stethoscope also comprise the microphone of reception environment audio frequency separately, and are constructed to separately come the said environment audio frequency of wireless transmission via said secure digital network.
36. Telemedicine System according to claim 34; Wherein when starting user-interface elements; Said transducer in said local electronic stethoscope and the said one or more extra electronic stethoscope each all is activated, with the reception environment audio frequency.
37. Telemedicine System according to claim 32, wherein said local electronic stethoscope also are constructed to via the signal of said secure network interface wireless receiving from said one or more extra electronic stethoscopes.
38. Telemedicine System according to claim 32; Wherein said secure network interface is the PAN hub, and in wherein said local electronic stethoscope and the said one or more extra electronic stethoscopes each all is connected via the secure personal LAN and is connected to said PAN hub.
39. according to the described Telemedicine System of claim 38, wherein said PAN hub is durable hub.
40. Telemedicine System according to claim 32, wherein said one or more extra electronic stethoscopes are away from said local electronic stethoscope.
41. according to the described Telemedicine System of claim 38, wherein said PAN hub is selected from personal computer, personal digital assistant, mobile phone and net book.
42. a bio acoustics pick off comprises:
Housing, said housing is configured to hand-held;
Transducer, said transducer is supported by said housing, and at the primary importance place sensing auscultative signal;
Headphone, said headphone is connected to said housing, and is constructed to send the audio frequency corresponding to said auscultative signal through the ear piece on the said headphone; With
Processor; Said processor is set in the said housing; And be constructed to said auscultative signal is converted to first digital signal of the said auscultative signal of sign and said first digital signal is transferred to the second position via the secure digital network from said bio acoustics sensor wireless, step feasible and at the said auscultatory sound of said primary importance place's sensing will be provided to the headphone at said second position place corresponding to the said audio frequency of said auscultative signal basically in real time.
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CN108962389A (en) * | 2018-06-21 | 2018-12-07 | 上海掌门科技有限公司 | Method and system for indicating risk |
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CN112603360A (en) * | 2021-01-19 | 2021-04-06 | 何江 | Stethoscope for medical teaching and remote medical treatment |
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EP2477549A4 (en) | 2013-08-21 |
EP2477549A1 (en) | 2012-07-25 |
BR112012005854A2 (en) | 2017-05-02 |
WO2011034843A1 (en) | 2011-03-24 |
JP2013505067A (en) | 2013-02-14 |
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Application publication date: 20120613 |