PORTABLE MEDICAL DEVICE
20170188946 · 2017-07-06
Inventors
- Johanna Klusmann (Neresheim, DE)
- Karina Beyrle (Langenau, DE)
- Axel ECKSTEIN (Heidenheim, DE)
- Jürgen Hofstetter (Heidenheim, DE)
- Pierre Croizat (Herbrechtingen, DE)
Cpc classification
A61B5/1123
HUMAN NECESSITIES
A61M2005/2418
HUMAN NECESSITIES
A61M1/962
HUMAN NECESSITIES
G01P15/02
PHYSICS
A61M1/73
HUMAN NECESSITIES
A61B5/02141
HUMAN NECESSITIES
A61M5/14244
HUMAN NECESSITIES
A61B5/02438
HUMAN NECESSITIES
A61B2562/0219
HUMAN NECESSITIES
A61B5/68
HUMAN NECESSITIES
International classification
A61B5/00
HUMAN NECESSITIES
G01P15/02
PHYSICS
Abstract
A portable medical device adapted to be carried by a user, comprising at least one electrically actuated means for performing a therapeutic and/or a diagnostic function on a patient, at least one mobile electric power supply, a control unit having at least one microelectronic controller, at least one electronic memory and at least one multi-channel impact sensor unit. The impact sensor unit is adapted to simultaneously detect linear acceleration along the three space axes and angular rates around the three space axes. The impact sensor unit generates impact sensor data sets, which are electronically transferred to the microelectronic controller via an interface. The device further comprises a housing, in which the electric components of the device are contained. The device is adapted to execute a classification algorithm, which allows to discriminate a first impact sensor data set, said first impact data set being correlated to a first impact event which is detrimental for the device, from a second impact sensor data set, said second impact data set being correlated to a second impact event which is not detrimental for the device.
Claims
1. A portable medical device adapted to be carried by a user, comprising at least one electrically actuated means for performing a therapeutic and/or a diagnostic function on a patient, at least one mobile electric power supply, a control unit having at least one microelectronic controller and at least one electronic memory, at least one multi-channel impact sensor unit, wherein the impact sensor unit is adapted to simultaneously detect linear acceleration (a.sub.x; a.sub.y; a.sub.z) along the three space axes (x; y; z) and angular rates (.sub.x; .sub.y; .sub.z) around the three space axes (x; y; z), wherein the impact sensor unit generates impact sensor data sets, and the impact sensor data sets are electronically transferred to the microelectronic controller via an interface, a housing, in which the electric components of the device are contained, wherein the microelectronic controller is adapted to execute a classification algorithm which allows to discriminate a first impact sensor data set, said first impact data set being correlated to a first impact event which is detrimental for the device, from a second impact sensor data set, said second impact data set being correlated to a second impact event which is not detrimental for the device.
2. Portable medical device according to claim 1, wherein the classification algorithm includes a support vector machine.
3. Portable medical device according to claim 2, wherein the classification algorithm includes a support vector machine using a two-dimensional space and a one-dimensional separation line (hyperplane).
4. Portable medical device according to claim 3, wherein the first dimension of the two dimensional space is defined by the magnitude M.sub.a corresponding to the vector length of the linear acceleration values (a.sub.x; a.sub.y; a.sub.z) measured by the acceleration sensor and wherein the second dimension of the two dimensional space is defined by the magnitude M.sub. corresponding to the vector length of the angular rate values (.sub.x; .sub.y; .sub.z) measured by the rotation sensor.
5. Portable medical device according to claim 1, wherein the impact sensor unit comprises a microelectronic inertial measurement unit (IMU) for detection of linear acceleration and rotation and wherein the microelectronic inertial measurement unit (IMU) is integrated in a single chip.
6. Portable medical device according to claim 1, wherein the at least one electronic memory is adapted to store operating instructions for the microelectronic controller and/or to record status information related to the function of the device.
7. Portable medical device according to claim 6, wherein the at least one electronic memory is further adapted to store sensor data sets generated by the at least one impact sensor unit and/or to store a result obtained by the classification algorithm.
8. Portable medical device according to claim 1, herein the at least one electronic memory comprises a separate electronic impact sensor data memory, in particular a flash memory, and the separate electronic impact sensor data memory is adapted to store impact sensor data sets generated by the at least one impact sensor unit and/or a result obtained by the classification algorithm.
9. Portable medical device according to claim 1, wherein the device further comprises a separate mobile electric power supply, in particular a battery, a rechargeable accumulator or a capacitor, and the separate electric power supply is adapted to supply electric energy to the impact sensor unit.
10. Portable medical device according to claim 1, wherein the impact sensor unit is adapted to activate an inactive microelectronic controller, if the impact sensor unit detects at least one linear acceleration value (a.sub.x; a.sub.y; a.sub.z) or at least one angular rate value (.sub.x; .sub.y; .sub.z) above a predetermined threshold level.
11. Portable medical device according to claim 1, further comprising a real time clock, whereby the device is adapted to record the time of an impact, if the impact sensor unit detects at least one linear acceleration value (a.sub.x; a.sub.y; a.sub.z) or at least one angular rate value (.sub.x; .sub.y; .sub.z) above a predetermined threshold level.
12. Portable medical device according to claim 1, further comprising a real time clock, whereby the device is adapted to record the time at which the classification algorithm has produced a discrimination result.
13. Portable medical device according to claim 1, wherein the microelectronic controller comprises a user interface adapted to receive user settings and/or to display one or more system conditions.
14. Portable medical device according to claim 1, wherein the device is selected from the group of an ambulatory wound therapy device, in particular a negative pressure wound therapy device, an ambulatory deep brain stimulation device, an ambulatory cardiac stimulator, an ambulatory infusion device, in particular an insulin pump, an ambulatory blood pressure unit, an ambulatory pulse monitor, an ambulatory electrocardiogram device, an ambulatory electroencephalogram device and an ambulatory diagnosis system for determining metabolites circulating in the blood.
15. Method of discriminating a first and a second impact event, comprising the steps providing a portable medical device according to claim 1, detecting the first or a second impact event by the impact sensor unit, executing a classification algorithm, which allows to discriminate a first impact sensor data set, said first impact data set being correlated to a first impact event which is detrimental for the device from a second impact sensor data set, said second impact data set being correlated to a second impact event which is not detrimental for the device recording the result obtained from the classification algorithm, and optionally displaying an alarm message to the user, if the result obtained from executing the classification algorithm indicates, that a first impact event, which is detrimental for the device, has occurred.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0161] Further characteristics, details, and advantages of the invention result from the appended patent claims and from the drawings and the following description of preferred embodiments of the invention.
[0162] The drawings show a negative pressure wound therapy device as preferred (but non-limiting) example of a portable medical device. The invention can be used for many other kinds of portable medical devices as described in detail in the above chapters of the description.
[0163] The drawings show:
[0164]
[0165]
[0166]
[0167]
[0168]
[0169]
[0170]
[0177]
DESCRIPTION OF THE PREFERRED EMBODIMENT
[0178] Preferred embodiments of the invention are described by means of a negative pressure wound therapy device. A mobile negative pressure wound therapy device serves as a non-limiting example for a portable medical device of the invention.
[0179] A schematic representation of a simple negative pressure wound therapy device 1 is shown in
[0180] In some embodiments, the portable negative pressure wound therapy device does not have a container for receiving the drained body fluids. Instead, the body fluids can be contained, for example, in the dressing. This is achieved by providing absorbent layers (not shown in
[0181]
[0182] It can also be seen from
[0183] In the preferred embodiment shown, a manually operable element 12 is provided near this grip recess 11 on the upper side of the device 1, for example, in the form of a pushbutton that acts on locking and back-gripping means (not shown). In the joined condition of the two housing parts 3 and 4, the locking or back-gripping means are in a locked condition holding the two housing parts 3, 4 together by positive action. Only upon operation of the operating element 12, the lock is released so that the housing parts 3, 4 can be separated from each other.
[0184]
[0185] Moreover, a pressure sensor 17 for measuring the pressure is provided in the tube section 15 between container 3 and suction pump 5. Its signals are sent to an electronic control unit, collectively identified by reference symbol 18, which performs open-loop and closed-loop control of the device 1 in total. The electronic control unit 18 comprises a microelectronic controller and at least one electronic memory. Also shown is the charging connection 8 for rechargeable batteries that are located in a compartment 19 and a connection 20 for a schematically indicated power supply unit 21. Reference symbol 22 indicates a display unit, preferably having a capacitive switch membrane (touchscreen). A user may control operation of the device via said touchscreen. The electrical connection to the electronic control unit 18 is indicated via electrical lines 23. The suction pump 5 is controlled by the electronic control unit 18 in which, by means of the signals of the pressure sensor 17, a pressure and vacuum closed-loop control is implemented with known open-loop and closed-loop control mechanisms (set point/actual value control mechanisms), so that the pressure value corresponding to the currently selected program is controlled in the tube section 15.
[0186] Also shown is an additional rinsing or aeration tube 24 that, only shown by way of example, leads through the container 3 and just like the suction tube 6 leads to the wound dressing 13. When the container 3 is attached in its intended assembly position on the first housing part 4, this rinsing tube 24 communicates with a tube section 25 provided in the first housing part 4 in which an electromagnetically operated valve 26 is provided that can be actuated by the electronic control unit 18 and connects the tube section 25 with the atmospheric air when it is open, so that an air current toward the wound via the rinsing tube 24 can be generated.
[0187] The device 1 and its electronic control unit 18 also feature a data interface 27, preferably a USB interface, by means of which the electronic control unit 18 or its method of operation can be programmed. In addition, device 1 comprises a speaker 28 which is connected to the control unit 18. The speaker can be used to generate acoustic alarm signals.
[0188] According to the invention, the portable negative pressure wound therapy device further comprises a multi-channel impact sensor unit 29, which is capable of communicating with electronic control unit 18. As explained above, the electronic control unit 18 comprises a microcontroller. The multi-channel impact sensor unit 29 has three linear acceleration sensor channels as well as gyration sensors having three channels for angular rotation. The IMU motion sensor LSM9DS0 from ST Microelectronics, United Kingdom, can be used. Advantageously, the LSM9DS0 additionally comprises a magnetic field sensor, which can be used to detect magnetic fields that could harm the electronic components of the device.
[0189] In the example shown in
[0190] More preferably (unlike the example shown in
[0191] Interaction of the multi-channel impact sensor unit 29 with the control unit 18 is also shown in
[0192] Multi-channel impact sensor unit 29 can conveniently be mounted to the same main board, on which electronic control unit 18 is sitting.
[0193] Proceeding to
[0194] The control unit includes elements/functions such as the microelectronic controller (microcontroller), a protection circuit for the power supply, a fuel gauge for the power supply, a charging circuit for the power supply, power converter circuits, a speaker controller and switching circuits for controlling the suction pump and the electromagnetic valve.
[0195] The peripheral electric/electronic components include a source of electric energy, preferably a rechargeable battery, the suction pump, preferably a membrane pump and at least one electronic memory typically including both ROM and RAM chips. In up-to date devices, the peripheral electric/electronic components may additionally include, for example, a vacuum valve for a rinsing fluid pathway (as exemplified in
[0196] The control unit is the central instance for controlling and monitoring function of the device.
[0197] According to the invention the peripheral components include a multi-channel impact sensor unit (IMU), which may be an integrated impact sensor unit or preferably a stand-alone impact sensor module, each of which communicate with the microcontroller via an interface. The microcontroller receives impact sensor data (i.e. sensor data from any of the six channels of the multi-channel impact sensor unit). If an integrated impact sensor unit is used, the microcontroller receives the sensor raw data from the 6 channels. The raw data are processed as explained in detail above. If a stand-alone impact sensor module is used, the microcontroller receives the processed data including the classification results and may, for example, display warnings to the user or lock the device.
[0198] The stand-alone impact sensor module shown in
[0199]
Example 1
[0200] In order to establish an exemplary training data set for a portable medical device (here: a mobile negative pressure wound therapy apparatus), the signal magnitudes (linear acceleration as well as rotation) were determined from a plurality of impact experiments (in total 102 experiments). Signal magnitudes are given as relative values. During the experiments the device (portable negative pressure wound therapy unit VivanoTec) was subjected to impacts, which are usually detrimental for the device (first class of impacts) as well as to impacts, which are usually not detrimental for the device (second class of impacts).
[0201] The medical device was subjected to the following types of impacts. The number of experiments is shown in brackets:
[0202] EXP 1A Horizontal crash of display against a wall, while device is swinging from its carrying belt. This kind of crash occurs very often, if a user carries the device around his/her neck (5).
[0203] EXP 1B Horizontal crash of backside/container against a wall, while device is swinging from its carrying belt. Same as 1A this kind of crash occurs very often, if a user carries the device around his/her neck (4).
[0204] EXP 2A Crash to carpet from height of 100 cm with empty exudate container (10). EXP 2B Crash to steel plate from height of 100 cm with empty exudate container (3).
[0205] EXP 3 Crash to steel plate from height of 100 cm with full 800 ml exudate container (10).
[0206] EXP 4 Same as EXP 2B (10).
[0207] EXP 5 Crash to steel plate from height of 50 cm with empty exudate container (10).
[0208] EXP 6 Crash to steel plate from height of 25 cm with empty exudate container (10).
[0209] EXP 7 Patient sitting down to a chair (10).
[0210] EXP 8 Device was overturned (90 turn) while standing on a table (10).
[0211] EXP 9A Patient walking/jumping down a stair in a fast mode (5).
[0212] EXP 9B Patient walking down a stair in a slow mode (5).
[0213] EXP 9B Patient was driving in a car including driving on a dirt road (10).
[0214]
[0215] Experiments 2A, 2B, 3, 4, 5, 6 belong to the first class of impacts, which are usually detrimental for the device (dropping to a ground type of impacts). The events resulting from experiments 2A, 2B, 3, 4, 5, 6 are represented by the round dots. The other experiments 1A, 1 B, 7, 8, 9, 10 shown belong to the second class of impacts, which are usually not detrimental for the device. During such kinds of impacts, which occur regularly, when the portable device is used outside of a medical facility, may also be accompanied by significant acceleration and rotation movements. However, a portable medical device is usually constructed to withstand such impacts without being harmed. The events resulting from experiments 1A, 1 B, 7, 8, 9, 10 are represented by the triangles.
[0216] The events corresponding to the first class (round dots) form a clearly recognisable group. Likewise, which the events corresponding to the second class (triangles) form another coherent group. The first and the second classes do not overlap. It is possible to separate the classes by a linear classifier, namely hyperplane H shown in
[0217] The experiments show that the first and the second class of impacts are clearly discriminable by a simple classification approach based on plotting the magnitudes M.sub. and M.sub. (as explained more in detail above) in a two-dimensional plane. Hyperplane (marked as H in
[0218] If a linear separation of the two classes should not be possible (which was not observed in the experiments done by the inventors) known Kernel methods can be used to establish a separator.
[0219] In order to collect training data sets, it is necessary to repeatedly perform experiments of the type described in this example. Training experiments will have to be done for each type of device, because classification depends on device specific parameters like stability, weight, material and shape of the device. Reliability of classification increases with the number of training experiments.
[0220] The experiments also demonstrate the usefulness of the classification approach based on a plurality of sensor signals (i.e. from the six sensor channels) in combination with calculating the acceleration and rotation vectors (i.e. magnitudes M.sub. and M.sub.). As can be seen from diagram
[0221]
[0222] All different data subsets form clearly discernible groups, when the magnitude of the rotation rates M.sub. is plotter against the magnitude of the linear acceleration magnitudes M.sub.. The experiments shown herein demonstrate, that a classification algorithm can be used to assign impact sensor data sets to specific user actions. Classification and detection of user action could be used, for example, to warn a user if he enters a condition, which is not recommended during the type of therapy applied.
Example 2
[0223]
[0224] The data corresponding to
[0225] The data corresponding to
[0226]
s (height)=g (gravity)(t.sub.imt.sub.ff).sup.2
[0227] For the estimation of the height of the fall the air resistance is disregarded. In the case shown in