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JP3857569B2 - Telephone with ECG transmission function - Google Patents
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JP3857569B2 - Telephone with ECG transmission function - Google Patents

Telephone with ECG transmission function Download PDF

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Publication number
JP3857569B2
JP3857569B2 JP2001338827A JP2001338827A JP3857569B2 JP 3857569 B2 JP3857569 B2 JP 3857569B2 JP 2001338827 A JP2001338827 A JP 2001338827A JP 2001338827 A JP2001338827 A JP 2001338827A JP 3857569 B2 JP3857569 B2 JP 3857569B2
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Japan
Prior art keywords
side electrode
chest
electrocardiograph
electrocardiogram
electrode
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JP2001338827A
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JP2003135413A (en
Inventor
泰一 高島
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株式会社日本ヘルスバンク
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  • Telephone Set Structure (AREA)
  • Telephonic Communication Services (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)

Description

【0001】
【発明の属する技術分野】
本発明は離隔した場所において生体の心電図情報を復調器等からなる解析装置を有する場所まで伝送して心疾患等の異常を早期に発見できるようになした心電図伝送機能を具備した電話機に関する。
【0002】
【従来の技術】
生体から心電図情報を採取して、当該生体から離隔した場所の医療従事者等へ電話回線を利用して心電図情報を伝送することにより、医療従事者等によって生体の心疾患の状態が把握されると共に、医療処置の判断が速やかに行われるようにする心電図伝送システムが現に稼働している。
【0003】
【発明が解決しようとする課題】
しかしながら、従来の携帯用小型心電計では電話の送受話器本体とは別体として構成されていたため、容態の急変に即応できないこともあった。すなわち、心臓発作等は何時発生するか判らず、しかも発作時に慌てることが多く心電計の所在が不明となって計測できない場合が生じたり、電極をあてがうべき本来の部位を誤るようなことも往々にしてあった。また、生体から検出した心電情報は送受話器の送話口にスピーカ部を押し当てて伝送しなければならないが、慌ててスピーカ部を送話口に押し当てることができないこともあり、この場合には伝送不良となって解析センターないし医療センター等において復調できない場合も生ずるといった問題点があった。
【0004】
そこで、本発明は電話の送受話器本体に小型心電計を着脱自在に装着できるようにすると共に、送受話器本体に第2の胸部側電極を配設して、簡単且つ確実に安定した心電図を計測することができ、しかも解析センターないし医療センターまでスムーズに心電情報を伝送することができるようになした心電図伝送機能を具備した電話機を提供することを目的とするものである。
【0005】
【課題を解決するための手段】
前記目的を達成するための本発明の構成を詳述すれば、一方の面に胸部側電極、他方の面に手のひら側電極を配設し、手のひら側電極を手に接触させた状態で胸部側電極を生体の胸部に接触させることにより得られる電位差を増幅し、波形処理したのち心電図としてメモリー回路に記憶させ、当該メモリーされた心電図を可聴信号の搬送波に周波数変調をかけ電話回線を通じて復調装置を有する場所まで伝送するようにした離隔心電図伝送装置において、少なくとも胸部側電極、手のひら側電極、マイクロプロセッサ及び記憶媒体を具備した小型心電計を、電話の送受話器本体に、手のひら側電極が外側に露出した状態で着脱自在に装着できるようになし、且つ送受話器本体の受話口周縁部に第2の胸部側電極を配設し、小型心電計を送受話器本体にセットしたとき、当該第2の胸部側電極と小型心電計の胸部側電極とが電気的に繋がるように構成したことを特徴とする心電図伝送機能を具備した電話機である。
【0006】
本発明に係る心電図伝送機能を具備した電話機によれば、小型心電計が送受話器本体に着脱自在に取付けられるようになっているので、あらかじめ電話機にセットしておけば心疾患等の容態の急変に対応して速やかに心電図を採取してこれを復調装置等を有する解析センターに伝送することができ、当該解析センターに医師等、医療従事者が所在する場合には当該電話回線を介して直ちに最適の処置を指示することができるようになる。なお、小型心電計は送受話器本体から取り外すことができるようになっており、しかも生体の心電図を記憶しておくことができるので、外出時に携行して緊急時にも心電図情報を採取することが可能となる。
【0007】
【発明の実施の形態】
以下、本発明に係る心電図伝送機能を具備した電話機の具体的構成を図示の実施形態に基づき詳細に説明する。
図1は本発明に係る小型心電計を装着した電話機の一例を示す斜視図、図2は送受話器本体から小型心電計を外した状態の一例を示す斜視図、図3は送受話器本体の受話口周縁部に付設した第2の胸部側電極を示す斜視図、図4は小型心電計の一例を示す側面図、図5は送受話器本体にセットする小型心電計の回路構成の一例を示すブロック図である。
【0008】
図中1は電話機2を構成する送受話器本体3に着脱自在に取付けることのできる小型心電計の全体を示し、4は当該小型心電計1の一方の面に付設した胸部側電極、5は他方の面に付設した手のひら側電極である。心電の微少レベルの電圧(ECG信号)は、胸部側電極4と、手のひら側電極5の間にピックアップされるものであるから、手のひら側電極5を右手で握るなど手に接触させた状態で胸部側電極4を、生体の胸部に接触させることによって各個体の心電情報が得られることとなる。
【0009】
小型心電計1は、上記両電極4,5の間に検出される微少レベルのECG信号を電気的に処理するために必要なレベルまで増幅するための増幅器6を備えており、当該増幅器6によって増幅された信号は帯域フィルタ7とPMパルス検出器8に供給される。ここでの帯域フィルタ7は心電情報以外の不要な成分の除去のために用いられるものであり、帯域フィルタ7から出力された信号は次段のマイクロプロセッサ9に導かれる。また、PMパルス検出器8はPMパルスを検出するための回路であり、検出されたのちマイクロプロセッサ9に導かれる。
【0010】
マイクロプロセッサ9には、アナログ信号をデジタル信号に変換するA/D変換機能や、プログラムをメモリーするROM機能、MUXなどの多様な信号処理ができるようになっている。また、デジタル化されたECG信号を圧縮してRAMなどの記憶媒体10に記憶させることができると共に、必要なとき何時でも取り出せるようになっている。
【0011】
記憶媒体10に記憶された心電情報は、電話回線でも充分伝送可能な可聴周波数の搬送波に周波数変調をかけてスピーカ11を駆動させる。スピーカ11から発生する心電情報を重畳した音声信号は送受話器本体3の送話口にあてがって伝送する。なお、心電データを送られた解析センターないし医療センター等は復調手段からなる解析装置を具備し、各波形分析されてプリンターやモニターに出力されて診断されるのは云うまでもない。
【0012】
本発明においては上記した小型心電計1を、電話機2の送受話器本体3に、手のひら側電極5が外側に露出した状態で着脱自在に装着できるようになしたものであり、電話機2を構成する送受話器本体3の背面側適所、好ましくは送話口対応の背面側には、図2に示すように小型心電計1を装着するための凹陥部12を凹設してある。当該凹陥部12の先端周壁には凹溝13を凹設してあって、当該凹溝13内に、小型心電計1の頂部に突設してある爪部14を嵌着させることによって、小型心電計1を送受話器本体3にセットすることができるようになっている。なお、小型心電計1を送受話器本体3に着脱自在に取付けるための手段構成は図示の実施形態以外にも様々な方法が可能であり、当該取付手段の変更によって本発明の範囲が影響されるものではない。
【0013】
また、本発明においては小型心電計1を送受話器本体3に装着した状態で心電情報を採取し易くするため、送受話器本体3の受話口15の周縁部に第2の胸部側電極16を配設すると共に、小型心電計1を送受話器本体3にセットしたとき、当該第2の胸部側電極16と小型心電計1にあらかじめ具備させてある胸部側電極4とが電気的に繋がるように構成してある。
【0014】
すなわち、送受話器本体3に形成した小型心電計1をセットするための凹陥部12には、内部に付設した図示しないバネ弾器等によって表面側に向け付勢された接点17が用意されており、小型心電計1を凹陥部12内に嵌着セットすると胸部側電極4が接点17に面接触して、当該接点17とリード線を介して導通状態となっている第2の胸部側電極16と電気的に繋がった状態となる。
【0015】
したがって、送受話器本体3に小型心電計1を装着した状態において、心電情報を採取しようとするときは、送受話器本体3を電話機2からピックアップして小型心電計1の手のひら側電極5を右手で握って、受話口15の周縁部に配設してある第2の胸部側電極16を生体の胸部に接触させ、小型心電計1の上部隅角付近に設けてある記録/送信スイッチ18をONすればよい。
【0016】
第2の胸部側電極16と手のひら側電極5の間に検出されるECG信号は、前記したように増幅器6によって以後の処理に必要なレベルまで増幅されると共に、心電情報以外の不必要な成分が帯域フィルタ7によって取り除かれマイクロプロセッサ9に供給されて所要の処理がなされる。
【0017】
記憶媒体10に圧縮された状態でメモリーされた心電情報は、復調装置等を有する解析センターないし医療センターを短縮機能を利用する等して呼び出した後、記録/送信スイッチ18を押すことによって電話回線を介して直ちに伝送される。本発明においては小型心電計1を送受話器本体3にセットしておくことができるので、従来のようにスピーカ11を送話口に押し当てる必要がなく、音声信号はセットしたままの状態においてスムーズに伝送される。なお、記録あるいは送信をやり直したり、リセットするときはクリアボタン19を用いる。
【0018】
【発明の効果】
以上のように、本発明心電図伝送機能を具備した電話機によれば、送受話器本体の受話口周縁部に第2の胸部側電極を配設してあるので、外側に露出した状態となっている手のひら側電極を握って、受話口を胸部に押し当てれば簡単且つ確実に安定した心電情報を生体から採取することができるようになる。心臓発作等は何時発生するか判らず、しかも発作時に慌てることが多く心電計の所在が不明となって計測できない場合も従来はあったが、本発明によれば、電話機に小型心電計を取付けておくことができるので、容態の急変にも充分対応することが可能となる。また、送信の際においては従来のようにスピーカ部を送受話器本体の送話口に押し当てる必要がなくなり操作性が大幅に改善される。さらに、小型心電計を電話機から外して外出時に携行して必要に応じ心電情報を採取することもできる。
【図面の簡単な説明】
【図1】本発明に係る小型心電計を装着した電話機の一例を示す斜視図である。
【図2】送受話器本体から小型心電計を外した状態の一例を示す斜視図である。
【図3】送受話器本体の受話口周縁部に付設した第2の胸部側電極を示す斜視図である。
【図4】小型心電計の一例を示す側面図である。
【図5】送受話器本体にセットする小型心電計の回路構成の一例を示すブロック図である。
【符号の説明】
1:小型心電計 2:電話機
3:送受話器本体 4:胸部側電極
5:手のひら側電極 6:増幅器
7:帯域フィルタ 8:PMパルス検出器
9:マイクロプロセッサ 10:記憶媒体
11:スピーカ 12:凹陥部
13:凹溝 14:爪部
15:受話口 16:第2の胸部側電極
17:接点 18:記録/送信スイッチ
19:クリアボタン
[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a telephone equipped with an electrocardiogram transmission function that can transmit an electrocardiogram information of a living body to a place having an analysis device including a demodulator or the like at a remote location so that an abnormality such as a heart disease can be detected at an early stage.
[0002]
[Prior art]
By collecting electrocardiogram information from a living body and transmitting the electrocardiogram information using a telephone line to a medical worker or the like at a location remote from the living body, the medical worker can grasp the state of heart disease in the living body. At the same time, an electrocardiogram transmission system that allows a medical procedure to be quickly determined is in operation.
[0003]
[Problems to be solved by the invention]
However, since the conventional portable small electrocardiograph is configured as a separate body from the telephone handset body, it may not be able to immediately respond to sudden changes in condition. In other words, it is not known when a heart attack etc. occurs, and it is often frightened at the time of the attack, sometimes the location of the electrocardiograph is unknown and it can not be measured, or the original site where the electrode should be applied may be mistaken It was often. In addition, ECG information detected from the living body must be transmitted by pressing the speaker unit against the mouthpiece of the handset, but in some cases, the speaker unit cannot be pressed against the mouthpiece in a hurry. However, there is a problem in that the transmission may be defective and may not be demodulated at an analysis center or medical center.
[0004]
Therefore, the present invention enables a small electrocardiograph to be detachably attached to a telephone handset main body, and a second chest side electrode is provided on the handset main body to provide a simple, reliable and stable electrocardiogram. An object of the present invention is to provide a telephone having an electrocardiogram transmission function that can be measured and can smoothly transmit electrocardiogram information to an analysis center or a medical center.
[0005]
[Means for Solving the Problems]
The configuration of the present invention for achieving the above object will be described in detail. The chest side electrode is disposed on one side, the palm side electrode is disposed on the other side, and the palm side electrode is in contact with the hand. Amplifying the potential difference obtained by bringing the electrode into contact with the chest of the living body, processing the waveform, storing it as an electrocardiogram in a memory circuit, modulating the frequency of the memorized electrocardiogram to the carrier wave of the audible signal, In a remote electrocardiogram transmission apparatus configured to transmit to a location, a small electrocardiograph including at least a chest side electrode, a palm side electrode, a microprocessor and a storage medium is placed on a telephone handset main body, and a palm side electrode is placed outside. It is designed so that it can be detachably attached in an exposed state, and a second electrocardiogram electrode is provided on the periphery of the earpiece of the handset body to send and receive a small electrocardiograph. When set in the main body, a telephone provided with the electrocardiogram transmission function, characterized in that the said second chest side electrode of the chest-side electrode and a small electrocardiograph is configured so as to be connected electrically.
[0006]
According to the telephone equipped with the electrocardiogram transmission function according to the present invention, the small electrocardiograph can be detachably attached to the handset main body. In response to a sudden change, an electrocardiogram can be quickly collected and transmitted to an analysis center having a demodulator, etc., and if a medical worker such as a doctor is located in the analysis center, the telephone line is used. The optimum treatment can be instructed immediately. In addition, the small electrocardiograph can be removed from the handset main body, and the electrocardiogram of the living body can be stored, so that it can be carried when going out and collect electrocardiogram information even in an emergency. It becomes possible.
[0007]
DETAILED DESCRIPTION OF THE INVENTION
Hereinafter, a specific configuration of a telephone having an electrocardiogram transmission function according to the present invention will be described in detail based on the illustrated embodiment.
1 is a perspective view showing an example of a telephone equipped with a small electrocardiograph according to the present invention, FIG. 2 is a perspective view showing an example of a state in which the small electrocardiograph is removed from the handset body, and FIG. 3 is a handset body. FIG. 4 is a side view showing an example of a small electrocardiograph, and FIG. 5 is a circuit diagram of a small electrocardiograph set in the handset main body. It is a block diagram which shows an example.
[0008]
In the figure, reference numeral 1 denotes an entire small electrocardiograph that can be detachably attached to the handset body 3 constituting the telephone 2, and 4 denotes a chest-side electrode attached to one surface of the small electrocardiograph 1. Is a palm side electrode attached to the other surface. Since the ECG signal (ECG signal) is picked up between the chest side electrode 4 and the palm side electrode 5, the palm side electrode 5 is held in contact with the hand such as by gripping it with the right hand. Electrocardiographic information of each individual can be obtained by bringing the chest side electrode 4 into contact with the chest of the living body.
[0009]
The small electrocardiograph 1 includes an amplifier 6 for amplifying the ECG signal at a minute level detected between the electrodes 4 and 5 to a level necessary for electrical processing. The signal amplified by is supplied to the bandpass filter 7 and the PM pulse detector 8. The band filter 7 here is used for removing unnecessary components other than the electrocardiogram information, and the signal output from the band filter 7 is guided to the microprocessor 9 at the next stage. The PM pulse detector 8 is a circuit for detecting a PM pulse, and is detected and guided to the microprocessor 9.
[0010]
The microprocessor 9 can perform various signal processing such as an A / D conversion function for converting an analog signal into a digital signal, a ROM function for storing a program, and a MUX. Further, the digitized ECG signal can be compressed and stored in a storage medium 10 such as a RAM, and can be taken out whenever necessary.
[0011]
The electrocardiographic information stored in the storage medium 10 drives the speaker 11 by frequency-modulating an audible frequency carrier wave that can be sufficiently transmitted through a telephone line. An audio signal on which electrocardiographic information generated from the speaker 11 is superimposed is transmitted to the mouthpiece of the handset body 3. Needless to say, the analysis center or medical center to which the electrocardiogram data is sent is equipped with an analysis device comprising demodulation means, and each waveform is analyzed and output to a printer or monitor for diagnosis.
[0012]
In the present invention, the small electrocardiograph 1 described above can be detachably attached to the handset body 3 of the telephone set 2 with the palm-side electrode 5 exposed to the outside. As shown in FIG. 2, a recessed portion 12 for mounting the small electrocardiograph 1 is provided in a suitable position on the back side of the handset main body 3 and preferably on the back side corresponding to the mouthpiece. A concave groove 13 is formed in the front peripheral wall of the concave portion 12, and a claw portion 14 protruding from the top of the small electrocardiograph 1 is fitted into the concave groove 13. The small electrocardiograph 1 can be set on the handset main body 3. Various means other than the illustrated embodiment can be used as the means for detachably attaching the small electrocardiograph 1 to the handset main body 3, and the scope of the present invention is affected by the change of the attaching means. It is not something.
[0013]
In the present invention, in order to make it easier to collect electrocardiographic information with the small electrocardiograph 1 attached to the transmitter / receiver body 3, the second chest side electrode 16 is provided at the peripheral portion of the earpiece 15 of the transmitter / receiver body 3. When the small electrocardiograph 1 is set in the handset main body 3, the second chest electrode 16 and the chest electrode 4 provided in advance in the small electrocardiograph 1 are electrically connected. It is configured to be connected.
[0014]
That is, the concave portion 12 for setting the small electrocardiograph 1 formed on the handset main body 3 is provided with a contact point 17 biased toward the surface side by a spring bullet or the like (not shown) provided inside. When the small electrocardiograph 1 is fitted and set in the recessed portion 12, the chest side electrode 4 comes into surface contact with the contact point 17 and is in conduction with the contact point 17 through the lead wire. The electrode 16 is electrically connected.
[0015]
Therefore, when the electrocardiogram information is to be collected in a state where the small electrocardiograph 1 is attached to the handset main body 3, the handset side electrode 5 of the small electrocardiograph 1 is picked up by picking up the handset main body 3 from the telephone 2. Is held with the right hand, the second chest electrode 16 disposed on the peripheral edge of the earpiece 15 is brought into contact with the chest of the living body, and recording / transmission provided near the upper corner of the small electrocardiograph 1 The switch 18 may be turned on.
[0016]
The ECG signal detected between the second chest side electrode 16 and the palm side electrode 5 is amplified to a level necessary for the subsequent processing by the amplifier 6 as described above, and is unnecessary other than the electrocardiogram information. The components are removed by the band-pass filter 7 and supplied to the microprocessor 9 for the required processing.
[0017]
The electrocardiogram information stored in the compressed state in the storage medium 10 is called by calling the recording / sending switch 18 after calling an analysis center or medical center having a demodulator or the like by using a shortening function. Immediately transmitted over the line. In the present invention, since the small electrocardiograph 1 can be set in the handset main body 3, there is no need to press the speaker 11 against the mouthpiece as in the prior art, and the voice signal remains set. It is transmitted smoothly. Note that the clear button 19 is used when recording or transmission is performed again or reset.
[0018]
【The invention's effect】
As described above, according to the telephone equipped with the electrocardiogram transmission function of the present invention, the second chest side electrode is disposed on the peripheral portion of the earpiece of the handset body, so that it is exposed to the outside. By grasping the palm side electrode and pressing the earpiece against the chest, it is possible to easily and reliably collect stable electrocardiographic information from the living body. In the past, there was a case where a heart attack etc. could not be measured because the location of the electrocardiograph was unknown because it was often frightened at the time of the attack. Since it can be attached, it is possible to sufficiently cope with sudden changes in condition. Further, in the case of transmission, there is no need to press the speaker unit against the mouthpiece of the handset body as in the prior art, and the operability is greatly improved. Further, the small electrocardiograph can be removed from the telephone and carried when going out to collect electrocardiogram information as necessary.
[Brief description of the drawings]
FIG. 1 is a perspective view showing an example of a telephone equipped with a small electrocardiograph according to the present invention.
FIG. 2 is a perspective view showing an example of a state in which a small electrocardiograph is removed from the handset main body.
FIG. 3 is a perspective view showing a second chest side electrode attached to the periphery of the earpiece of the handset main body.
FIG. 4 is a side view showing an example of a small electrocardiograph.
FIG. 5 is a block diagram showing an example of a circuit configuration of a small electrocardiograph set in the handset main body.
[Explanation of symbols]
1: Small electrocardiograph 2: Telephone 3: Handset main body 4: Chest-side electrode 5: Palm-side electrode 6: Amplifier 7: Bandpass filter 8: PM pulse detector 9: Microprocessor 10: Storage medium 11: Speaker 12: Concave portion 13: Concave groove 14: Claw portion 15: Earpiece 16: Second chest side electrode 17: Contact 18: Record / send switch 19: Clear button

Claims (1)

一方の面に胸部側電極、他方の面に手のひら側電極を配設し、手のひら側電極を手に接触させた状態で胸部側電極を生体の胸部に接触させることにより得られる電位差を増幅し、波形処理したのち心電図としてメモリー回路に記憶させ、当該メモリーされた心電図を可聴信号の搬送波に周波数変調をかけ電話回線を通じて復調装置を有する場所まで伝送するようにした離隔心電図伝送装置において、少なくとも胸部側電極、手のひら側電極、マイクロプロセッサ及び記憶媒体を具備した小型心電計を、電話機の送受話器本体に、手のひら側電極が外側に露出した状態で着脱自在に装着できるようになし、且つ送受話器本体の受話口周縁部に第2の胸部側電極を配設し、小型心電計を送受話器本体にセットしたとき、当該第2の胸部側電極と小型心電計の胸部側電極とが電気的に繋がるように構成したことを特徴とする心電図伝送機能を具備した電話機。Arrange the chest side electrode on one side, the palm side electrode on the other side, amplify the potential difference obtained by contacting the chest side electrode to the chest of the living body with the palm side electrode in contact with the hand, In a remote electrocardiogram transmission apparatus that stores a waveform as an electrocardiogram in a memory circuit after waveform processing, and modulates the frequency of an audible signal carrier wave to a place having a demodulator through a telephone line, at least on the chest side A small electrocardiograph having an electrode, a palm-side electrode, a microprocessor, and a storage medium can be detachably attached to a telephone handset body with the palm-side electrode exposed to the outside, and the handset body When the second chest side electrode is disposed on the periphery of the earpiece and the small electrocardiograph is set on the transmitter / receiver body, the second chest side electrode and the small electrode Phone and chest side electrode of the electrocardiograph is provided with electrocardiogram transmission function, characterized by being configured so as to be connected electrically.
JP2001338827A 2001-11-05 2001-11-05 Telephone with ECG transmission function Expired - Fee Related JP3857569B2 (en)

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JP3857569B2 true JP3857569B2 (en) 2006-12-13

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US9220439B2 (en) * 2006-12-29 2015-12-29 St. Jude Medical, Atrial Fibrillation Division, Inc. Navigational reference dislodgement detection method and system

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