Apparatus, system and method for measuring urine flow and/or quantity
10130293 ยท 2018-11-20
Assignee
Inventors
Cpc classification
G01F1/666
PHYSICS
G01F1/075
PHYSICS
A61B5/208
HUMAN NECESSITIES
G01F1/66
PHYSICS
A61B5/743
HUMAN NECESSITIES
A61B5/6887
HUMAN NECESSITIES
International classification
G01F1/66
PHYSICS
G01F1/075
PHYSICS
A61B10/00
HUMAN NECESSITIES
A61B5/00
HUMAN NECESSITIES
Abstract
An apparatus for measuring at least one measure related to urination of an individual such as urine flow rate and/or urine quantity. The apparatus is configured to produce acoustic and/or electromagnetic signals indicative of the at least one urination measure upon having urine applied thereover. The invention also provides systems and methods that detect the acoustic and/or electromagnetic signals originating from the apparatus being used by the individual and analyze the detected signals to calculate the at least one measure therefrom by using a designated application module operable via an end device using acoustic sensing means or data receiving means of the end device for detecting the acoustic and/or electromagnetic signals.
Claims
1. An apparatus for determining or measuring at least one parameter related to urination of an individual, said apparatus is characterized by being configured to produce at least one of improved acoustic and electromagnetic signals indicative of said at least one urination parameter upon having urine applied thereover, said apparatus comprising an acoustic plate for improving the sound of a urine flow for improved measuring of the urine flow, said plate is configured for vibrating in response to the urine flowing thereover.
2. The apparatus according to claim 1, wherein said acoustic plate comprises an acoustic membrane.
3. The apparatus according to claim 1, wherein said acoustic plate is held in the apparatus in a tilted manner in respect to the direction of gravity to also direct the urine to flow therefrom.
4. The apparatus according to claim 1, wherein said apparatus further comprises a collecting container configured for hanging over the toilet bowl or seat, said collecting container allows collecting urine for at least one of improving acoustics of the acoustic plate and quantitative measuring-thereof.
5. The apparatus according to claim 4, wherein said container comprises an indicator for indicating a measure related to the volume of the urine therein.
6. The apparatus according to claim 1, wherein said apparatus comprises at least one holder for hanging over a toilet bowl or toilet seat.
7. The apparatus according to claim 1, comprising: a) a body configured for hanging over a toilet seat or bowl; b) a mechanical sensing device for mechanically measuring at least one of urine flow and urine quantity, said body being configured to direct urine therefrom into said mechanical sensing device; and c) at least one means for producing electromagnetic signals indicative of the measured flow or quantity during a urination session, wherein said apparatus is configured such as to mechanically produce an electromagnetic signal indicative of a known quantity of urine whenever such quantity is measured thereby.
8. The apparatus according to claim 1 comprising a transducer sensor and plate attached thereto configure for sensing urination related vibrations and transforming these vibrations into electronic signals.
9. The apparatus according to claim 1, said apparatus being configured to measure or calculate at least one of the following parameters: urination flow rate, urination volume, urination flow rate changes through time based on at least one of produced acoustic and electromagnetic signals depending on the type and configuration of the apparatus being used.
10. An apparatus of claim 1, wherein the determining of at least one said parameter includes identifying urination flow rate behavior pattern based on at least one of produced acoustic and electromagnetic signal.
11. A system for determining or measuring at least one parameter related to urination of an individual, said system comprising: a) an apparatus characterized by being configured to produce improved acoustic signals indicative of said at least one urination measure upon having urine applied thereover, said apparatus comprising an acoustic plate for improving the sound of a urine flow for improved measuring of the urine flow, said plate is configured for vibrating in response to the urine flowing thereover; and b) an application module operable via an end device, said application module being configured to detect acoustic signals originating from said apparatus and calculate said at least one measure related to at least one of urine flow and urine quantity therefrom, wherein said application is adapted to use acoustic sensing means and processing means of the end device via which it operates, wherein the determining of at least one parameter includes identifying urination flow rate behavior based on at least one of produced acoustic and electromagnetic signals.
12. The system according to claim 11, said application module further being configured to record the acoustic signals for offline processing thereof.
13. The system according to claim 11, said application module being configured to measure or calculate at least one of the following parameters: urination flow rate, urination volume, urination flow rate changes through time based on at least one of produced acoustic and electromagnetic signals depending on the type and configuration of the apparatus being used.
14. The system according to claim 11, wherein said mechanical sensing device comprises a paddlewheel sensing device having a wheel of blades rotatable about an axis upon application of urine thereof, said bowl shaped body being configured to direct the urine to flow through said wheel, wherein said sensing device is configured such as to produce an indication electromagnetic signal upon full or partial rotation of its wheel.
15. The system according to claim 11, said application module comprises a user interface allowing individuals to define beginning and ending urination.
16. An apparatus for determining or measuring at least one parameter related to urination of an individual, said apparatus is characterized by being configured to produce at least one of improved acoustic and electromagnetic signals indicative of said at least one urination parameter upon having urine applied thereover, said apparatus comprises a mechanical sensing device, said mechanical sensing device comprises a paddlewheel sensor based on Hall effect sensing by having at least one magnet connected to the wheel thereof, configured for producing electric signals upon full or partial rotation of a wheel thereof caused by urine flow thereover.
17. The apparatus according to claim 16, comprising an acoustic plate configured for vibrating in response to the urine flowing thereover.
18. The apparatus according to claim 17, wherein said acoustic plate comprises an acoustic membrane.
19. The apparatus according to claim 17, wherein said acoustic plate is held in the apparatus in a tilted manner in respect to the direction of gravity to also direct the urine to flow therefrom.
20. The apparatus according to claim 17, wherein said apparatus further comprises a collecting container configured for hanging over the toilet bowl or seat, said collecting container allows collecting urine for at least one of improving acoustics of the acoustic plate and quantitative measuring-thereof.
21. The apparatus according to claim 20, wherein said container comprises an indicator for indicating a measure related to the volume of the urine therein.
22. The apparatus according to claim 17, wherein said apparatus comprises at least one holder for hanging over a toilet bowl or toilet seat.
23. The apparatus according to claim 17, comprising: a) a body configured for hanging over a toilet seat or bowl; b) a mechanical sensing device for mechanically measuring at least one of urine flow and urine quantity, said body being configured to direct urine therefrom into said mechanical sensing device; and c) at least one means for producing electromagnetic signals indicative of the measured flow or quantity during a urination session, wherein said apparatus is configured such as to mechanically produce an electromagnetic signal indicative of a known quantity of urine whenever such quantity is measured thereby.
24. The apparatus according to claim 17 comprising a transducer sensor and plate attached thereto configure for sensing urination related vibrations and transforming these vibrations into electronic signals.
25. The apparatus according to claim 17, said apparatus being configured to measure or calculate at least one of the following parameters: urination flow rate, urination volume, urination flow rate changes through time based on at least one of produced acoustic and electromagnetic signals depending on the type and configuration of the apparatus being used.
26. An apparatus of claim 17, wherein the determining of at least one said parameter includes identifying urination flow rate behavior pattern based on at least one of produced acoustic and electromagnetic signal.
27. A system for determining or measuring at least one parameter related to urination of an individual, said system comprising: a) an apparatus characterized by being configured to produce improved acoustic signals indicative of said at least one urination measure upon having urine applied thereover, said apparatus comprising a mechanical sensing device, said mechanical sensing device comprising a paddlewheel sensor based on Hall effect sensing by having at least one magnet connected to the wheel thereof, configured for producing electric signals upon full or partial rotation of a wheel thereof caused by urine flow thereover; and b) an application module operable via an end device, said application module being configured to detect acoustic signals originating from said apparatus and calculate said at least one measure related to at least one of urine flow and urine quantity therefrom, wherein said application is adapted to use acoustic sensing means and processing means of the end device via which it operates, wherein the determining of at least one parameter includes identifying urination flow rate behavior based on at least one of produced acoustic and electromagnetic signals.
28. The system according to claim 27, said application module further being configured to record the acoustic signals for offline processing thereof.
29. The system according to claim 27, said application module being configured to measure or calculate at least one of the following parameters: urination flow rate, urination volume, urination flow rate changes through time based on at least one of produced acoustic and electromagnetic signals depending on the type and configuration of the apparatus being used.
30. The system according to claim 27, said application module comprises a user interface allowing individuals to define beginning and ending urination.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION OF SOME EMBODIMENTS OF THE INVENTION
(19) In the following detailed description of various embodiments, reference is made to the accompanying drawings that form a part thereof, and in which are shown by way of illustration specific embodiments in which the invention may be practiced. It is understood that other embodiments may be utilized and structural changes may be made without departing from the scope of the present invention.
(20) The present invention provides apparatuses, systems and methods for measuring urine flow rate or quantity (e.g. volume and/or weight) using sound detection. According to some embodiments, the apparatus is configured for directing urine as well as for improving sound detection of the urine as it flows and/or for direct measuring of urine quantity.
(21) The system of the present invention includes one or more apparatuses designed to be placed over the toilet seat or bowl and configured to improve acoustics of the urination when directed towards the toilet bowl or a collecting bowl (container) and/or to directly measure the urine volume or any other quantity related measure; and a software module operable via users end devices designed to use at least acoustic sensing means (e.g. microphone) of the end device for receiving signals indicative of the urination flow and/or quantity in each urination session. The application us programmed to process data/signals received from the device's acoustic sensing means and to calculate therefrom one or more urination related parameters such as volume and/or flow rate during the urination session timeframe and/or flow rate changes during the urination session timeframe. The processing of course depends on the apparatus being used.
(22) In some embodiments, the apparatus comprises an acoustic plate simply placed over the toilet bowl or seat that vibrates in response to appliance of urine thereover. This acoustic plate is designed to improve sound of the urine flow for improved measuring of the urine flow. The improvement may be manifested in simple amplitude amplification and/or by improving signal-to-noise detection and/or improving spectral separation.
(23) According to some embodiments, the designated software application is configured for continuously recording the urine flow sound during urination and analyzing sound data indicative thereof for calculating the urine flow rate, changes in urine flow rate and/or urine volume.
(24) According to some embodiments, the apparatus includes a container designed to collect the urine therein and the above discussed acoustic plate, which may be an acoustic membrane, placed over the upper opening of the collection container such that a space is formed between the surface of the acoustic plate and the bottom of the container. The acoustic plate may be configured for directing the urine liquid into the container and for improving acoustics of the urine flow sound when impacting the surface of the plate. According to some embodiments, the apparatus is further configured for hanging over the toilet seat or toilet bowl edge.
(25) According to some embodiments, the plate is held over the container such that it is tilted in respect to the floor surface perpendicular to gravitational force, when the apparatus is placed over the toilet bowl or seat for directing the urine into the container. In this configuration the surface of the plate is maintained substantially empty of liquid during the urination (depending on flow rate) for optimizing the sound quality at the moment of impact of the urine against the plate during urination.
(26) In some embodiments, the container is also configured for measuring the overall volume of the urine collected thereby. The measuring can be done manually by the individual, e.g. in cases in which the container includes a measuring scale therein allowing the individual to read the urine volume from or automatically by using any known in the art sensor or technique to measure fluid volume such as weight sensors that allow deducing the urine volume from the urine weight e.g. transducer sensors for weight or pressure measuring, mechanical volume sensors such as turbine or paddle wheel meters and the like.
(27) The application of the system of the present invention, in some embodiments thereof, is designed to be operated through a mobile device such as smartphone, tablet device, laptop and the like. The sound of urine impacting the plate of the apparatus is recorded by using an audio sensor of the mobile device such as a microphone.
(28) In some embodiments, the sound of urine impacting the plate of the apparatus is detected by using an audio sensor such as a separate microphone or other transducer, such as piezoelectric embedded in the apparatus. The detected audio signals can be transmitted to the mobile device wirelessly or via a wire connection e.g. by connecting the apparatus to the headphone jack of the mobile device via a cable.
(29) According to some embodiments, the recorded audio signals are then provided as an input for an analysis algorithm of the application configured to analyze the recorded signals of the urine by using a process enabling identification of periodicities of the urine flow. The output of this process is the flow rate of the urine over time during the urination session e.g. in volume units per time units (for example ml/sec).
(30) According to other embodiments, the apparatus includes a sensor for directly sensing urine quantity such as a paddlewheel sensing device which senses urine volume and may include a wheel having multiple paddles (wings) rotatable by the flow of the urine directed therethrough. The sensor also includes means for producing indication sound upon each one or more turning of its wheel to allow the application to measure the volume of the urine by simply identifying each indication sound during the urination session and counting the number of indications produced therethrough, each wheel spin being indicative of the volume of urine passing therethrough.
(31) According to some embodiments of the invention, there is provided a method for measuring urine flow and/or urine quantity of an individual within a urination session by receiving a urination related sound data which is either recorded or arriving in real time from the end device's acoustic sensing means, while the individual urinates over the acoustic plate of the measuring apparatus; optionally also receiving the volume of the overall urine quantity; and processing the received data to output data indicative of the urine flow rate. In some embodiments, the analysis is done using spectral envelope filtering of the sound signal data, decimation and low-pass filtering, log-base scaling of the signal envelope for first order correction, optionally additional low-pass filtering and special non-linear compensation such as de-convolution.
(32) Reference is now made to
(33) Optionally, the container 110 also includes an indicator 117 with a scale ruler which allows an individual to view or measure the volume of urine collected inside the lower part 111 of the container 110 by, for instance being transparent allowing viewing the level of urine thereover, wherein the scaled ruler allows reading the volume associated with the level of the urine liquid.
(34) According to some embodiments, as shown in
(35) According to some embodiments, as shown in
(36) According to some embodiments, as shown in
(37) According to some embodiments, the apparatus 100 is designed such that it requires different positioning thereof over the toilet bowl 200 for male and female for maximum comfort and minimum splashing of the urine during each urination session.
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(41) Reference is now made to
(42) According to some embodiments, the application is configured for adapting its calculation and measures to the type of apparatus being used by having an interface allowing individuals to select the apparatus type at use. In this way the same application can be used for individuals that use various types of the apparatus producing acoustic signals that are indicative of various measures.
(43) According to some embodiments, as shown in
(44) According to some embodiments, the application 810 is further configured for storing the Uroflow data at the mobile device data storage or transmitting the data to be stored e.g. for keeping a voiding diary of the individual and optionally also further analyzed through a remote server, using communication means of the mobile device.
(45) Transmitting the data to the patient EMR (Electronic Medical Record). Doctor email/fax/SMS.
(46) The mobile device can be any device that is mobile and has a processor and recording means embedded therein such as a cellular phone, a Smartphone, a tablet device, a laptop device and the like. Alternatively the recording is done via a separate recorder and the data is transmitted to be analyzed by the mobile device.
(47) The application can be installed in the mobile device and operate solely via the mobile device or be a web application that at least partially uses the mobile device's processor for processing data.
(48) According to some embodiments, the via a designated user interface and then simply press a virtual record button to start recording the urination session before beginning to urinate and press a virtual end button when urination is completed, where the recorded data can then be analyzed. The application algorithms are designed to automatically identify the beginning of urination and ending thereof within the recorded session by analyzing frequencies and amplitudes of the recorded sound signal. The sound is improved due to the acoustic qualities of the apparatus and can still be further noise-reduced and cleared for the calculation of the flow rate over time.
(49) The system 800 allows easy and private self-measuring of urine flow rate providing the individual with a user friendly apparatus and application that can help the individual at least in recording the urine flow sound and analyzing thereof for producing the Uroflow output. The outputted Uroflow of each session or of several urination sessions of the individual can then be professionally interpreted by one or more professionals to assist in the diagnostic of the individual.
(50) According to some embodiments, the application also receives and stores user input indicative of the volume of the collected urine read by the individual through the indicator over the apparatus or measured by the individual in any other way. Alternatively or additionally, the volume of urine is automatically calculated from the urine volume measurement.
(51) According to other embodiments, the urination sound and/or vibrations is/are sensed via s a transducer sensor (e.g. piezoelectric transducer) located at the apparatus, where the apparatus further includes transmission means for transmitting signals indicative of the recorded signals via a communication link to the mobile device for processing thereof. The communication link may be wireless of a communication cable transmitting electric or optical signals.
(52) Reference is now made to
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(56) Reference is now made to
(57) According to this embodiment, the processing of the recorded sound data roughly includes:
(58) 1. Spectral envelope filtering.
(59) 2. Decimation and low-pass filtering of the time domain signal.
(60) 3. Log based scaling of the envelope.
(61) 4. Additional low-pass filtering.
(62) 5. De-convolution to achieve an approximate linear relationship to the actual flow rate.
(63) According to this embodiment, to achieve a quantitative measurement of the urine flow the total volume of the collected urine is required as an input. The objective is to achieve an output time profile proportional to an actual flow rate measurement reference permitting quantitative based flow rate estimates valid over 1 second intervals.
(64) The defined de-convolution fifth stage incorporates two forms of de-convolution in addition to selective processing techniques. The approach is based on several hypotheses, namely:
(65) 1. Log-based envelope processing of the audio is a first-order approximation to linear flow rate.
(66) 2. Accuracy of the envelope processing is enhanced through the use of a combination of the time domain and spectral mean values. Spectral processing (quadrature correlation) has shown a natural ability to attenuate the impact of un-correlated and many artifact noise samples.
(67) 3. One element of physical phenomena related excessive cumulative flow volume is measured and compensated. This method is a form of de-convolution followed by regeneration. The time domain flow rate from a mechanical flow reference produces a Urofile (Uroflow data file) result for analysis purposes. The profile of the Urofile is emulated in part through residual subtraction of excess flow volume. An improvement in the model predicts excess volume to occur at certain points of time based on the flow rate exceeding the saturation point to the exclusion of scalable flow rates versus time. During the urine collection and recording process the accuracy of the instantaneous value of the flow rate is highest when the localized volume on the plate is close to zero. The model assumes this doesn't always happen (although the urine is directed by the plate slope into the container of the apparatus), causing a residual volume on the plate to be greater than zero when the input flow rate is sufficiently high. The threshold in the flow rate that is used to determine when it occurs is modeled as a high fraction, e.g., 0.9 times the maximum flow rate whereby the net accumulation or residual exceeds zero. Similarly a depletion of the residual, if measurable, occurs when the flow rate is less than the threshold (or equilibrium point). Therefore a subtraction is implemented. This is a computation of fluid latency caused by the dispersed portions of the urine flow of high speed columniation and splashing of urine. The model asserts that this latency is proportional to the rate of change of the flow magnitude which is the temporal gradient of the envelope magnitude. A small fraction of this magnitude change or gradient is subtracted from the normalized filtered magnitude.
(68) 4. A second element of over-compensation has been implemented to account for gravity induced delays in the flow rate. Height differences in columns and plate slope affect propagation time of water droplets. Given other effects including surface tension is hypothesized that the delay is proportional to the time gradient derived from the sound profile. This smearing of time or dispersion is compensated by a gradient subtraction technique.
(69) 5. Recursive modification of the time-constant used during low-pass filtering is accentuated during the early sample values of this processing stage. Initially the time constant starts very high at 10 thousand and diminishes approximately to 20 within a small fraction of the analysis period. The original recursive coefficient used for filtering begins at 0.9995 but does not remain constant as in standard filters. it is diminished over time using a second stage process. The time constant in general is approximately the 1/(1-RC). The reduction of RC is also handled iteratively using a factor of 0.9999 consequently the RC factor diminishes after each sample until it reaches a terminal limit. In other words, for example, RC=0.9999*RC after each sample. Therefore the time constant gets smaller. When RC is high the filtering is high and commensurately the time constant is high.
(70) Any other methodology can be used for processing the recorded sound data for calculating the flow rate vs. time data of urination sessions and any other method for signal noise-reduction and compensation can be used to allow optimizing the accuracy of the flow rate calculation algorithm.
(71) Reference is now made to
(72) As illustrated in
(73) According to some embodiments, as shown in
(74) The container may be made from any known in the art material such as plastic, formable plastic sheet, polystyrene, acrylic aluminum and the like.
(75) Reference is now made to
(76) The paddlewheel sensing device 501 allows automatic measuring of the volume of urine inside the container device 510 by having the directed urine liquid rotate a turbine wheel 502 thereof. The wheel 502 either connects to a sound mechanism that produces a distinguishable indication sound after each individual paddle and/or full rotation of the wheel 502 or produces electromagnetic signals upon rotation using magnets for instance (designed as an Hall effect sensor). Each individual paddle and/or a full rotation of the wheel 502 is indicative of a known liquid volume portion. This distinguishable sound (e.g. caused by using a bell or a piece vibrated by the turning of the wheel 502) is detectable and recognizable by the software application and can be recorded or simply detected in real time by the device's microphone along with urination sound. The application will automatically calculate the overall volume of the urine throughout the urination session by counting the number of times the distinguishable sound was produced by the paddlewheel sensing device 501. The rate of the distinguishable sound (the number of times the wheel made a distinguishable sound per time unit) can also be used to calculate or improve calculations of the urine flow rate and/or changes thereof during that same urination session by the application.
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(78) According to some embodiments of the invention, the paddlewheel sensing device 630 uses an Hall effect for generating a pulse upon predefined full or partial spin comprising magnets therein rotatable by the paddlewheel blades 631 such that when the blades of the wheel 631 spin they generate a magnetic force transformed into an electric signal (electric pulse) that may be used for generating current that can be directed to the end device via a connecting cable 639 such as a headphone jack which can convert in turn the incoming electric signal into audio signal, or for producing RF (radio frequency) based signals (indicative of the volume portion sensed thereby) transmittable to the user's end device for reading thereof. Alternatively, the current produced is used for operating a circuitry that can switch on a sound effect (not shown) for producing a distinguished sound recognizable by the application for acoustic identification of volume.
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(80) The assembly 90 allows the application of the system, upon receiving recorded or real time acoustic signals during an urination session of an individual, to measure both flow rate and/or flow rate behavior as well as to measure quantity of the urine. The overall acoustic signal detected by the acoustic sensing means of the end device is analyzed to distinguish sound indicative of the urine flow impacting the acoustic plate 320 from the sound produced by the paddlewheel sensing device 630 of the apparatus 600 indicative of volume of urine and optionally also indicative of urine flow rate. The two distinctable acoustic signals when separated by the application can then be used for robust estimation of the urine flow rate, urine quantity and optionally also for estimating urine flow rate behavior (changes).
(81) According to some embodiments of the invention, the application may be configured to produce a urine measurements (voiding) diary recording the measured parameters such as urine flow rate, flow rate changes and/or urine quantity for each session and identification data of the particular session such as the date and time and individual. This diary may be helpful in diagnosis of various medical conditions of the individual and will allow the individual to monitor urine related measures thereof without having to go to the clinic for measuring or to report to the clinic. The data of the diary and updates thereof may be automatically transmitted to an end device of a clinic or a professional person for analysis of the recorded measures and/or be automatically analyzed by the same or another software module for diagnosing the individual's condition or at least for identifying alarming measurement values for transmitting alerts to the individual and/or to a clinic center or professional person for further follow-up and treatment.
(82) Many alterations and modifications may be made by those having ordinary skill in the art without departing from the spirit and scope of the invention. Therefore, it must be understood that the illustrated embodiment has been set forth only for the purposes of example and that it should not be taken as limiting the invention as defined by the following invention and its various embodiments and/or by the following claims. For example, notwithstanding the fact that the elements of a claim are set forth below in a certain combination, it must be expressly understood that the invention includes other combinations of fewer, more or different elements, which are disclosed in above even when not initially claimed in such combinations. A teaching that two elements are combined in a claimed combination is further to be understood as also allowing for a claimed combination in which the two elements are not combined with each other, but may be used alone or combined in other combinations. The excision of any disclosed element of the invention is explicitly contemplated as within the scope of the invention.
(83) The words used in this specification to describe the invention and its various embodiments are to be understood not only in the sense of their commonly defined meanings, but to include by special definition in this specification structure, material or acts beyond the scope of the commonly defined meanings. Thus if an element can be understood in the context of this specification as including more than one meaning, then its use in a claim must be understood as being generic to all possible meanings supported by the specification and by the word itself.
(84) The definitions of the words or elements of the following claims are, therefore, defined in this specification to include not only the combination of elements which are literally set forth, but all equivalent structure, material or acts for performing substantially the same function in substantially the same way to obtain substantially the same result. In this sense it is therefore contemplated that an equivalent substitution of two or more elements may be made for any one of the elements in the claims below or that a single element may be substituted for two or more elements in a claim. Although elements may be described above as acting in certain combinations and even initially claimed as such, it is to be expressly understood that one or more elements from a claimed combination can in some cases be excised from the combination and that the claimed combination may be directed to a sub-combination or variation of a sub-combination.
(85) Insubstantial changes from the claimed subject matter as viewed by a person with ordinary skill in the art, now known or later devised, are expressly contemplated as being equivalently within the scope of the claims. Therefore, obvious substitutions now or later known to one with ordinary skill in the art are defined to be within the scope of the defined elements.
(86) The claims are thus to be understood to include what is specifically illustrated and described above, what is conceptually equivalent, what can be obviously substituted and also what essentially incorporates the essential idea of the invention.
(87) Although the invention has been described in detail, nevertheless changes and modifications, which do not depart from the teachings of the present invention, will be evident to those skilled in the art. Such changes and modifications are deemed to come within the purview of the present invention and the appended claims.