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CN111787856A - wearable diagnostic device - Google Patents

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CN111787856A
CN111787856A CN201780098322.6A CN201780098322A CN111787856A CN 111787856 A CN111787856 A CN 111787856A CN 201780098322 A CN201780098322 A CN 201780098322A CN 111787856 A CN111787856 A CN 111787856A
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萨利姆·萨亚尼
穆罕默德·阿卜杜勒·穆凯特
哈菲兹·伊姆蒂亚兹·艾哈迈德
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Abstract

描述了穿戴在用户身体上的能够向所述用户提供各种类型的健康相关信息的可穿戴式诊断装置。所述可穿戴式诊断装置能够提供关于用户心率、血红蛋白水平、体温、氧气水平、葡萄糖水平和血压的实时的、非侵入性的、准确的和连续的数据。在一些实施方式中,所述可穿戴式诊断装置还可以提供心电图(EKG)数据或帕金森氏症状的检测,如用户手部的不自主运动。用户可以配置所述可穿戴式诊断装置以提供关于一种、多种或所有以上所示的健康相关信息的信息。

Figure 201780098322

A wearable diagnostic device worn on a user's body that is capable of providing various types of health-related information to the user is described. The wearable diagnostic device is capable of providing real-time, non-invasive, accurate, and continuous data about the user's heart rate, hemoglobin level, body temperature, oxygen level, glucose level, and blood pressure. In some embodiments, the wearable diagnostic device can also provide electrocardiogram (EKG) data or detection of Parkinson's symptoms, such as involuntary movements of the user's hands. The user can configure the wearable diagnostic device to provide information about one, more, or all of the health-related information shown above.

Figure 201780098322

Description

可穿戴式诊断装置wearable diagnostic device

背景background

随着个人对健康意识的日益增强,用户对以简单和方便的方式接收个人健康信息的需求日益增长。通常,用户可能必须穿戴多个装置,其中每个装置提供关于用户健康的单个方面的信息。需要能够以简单、非侵入性和方便的方式提供关于多个方面或用户健康的信息的装置。As individuals become more health conscious, there is a growing need for users to receive personal health information in a simple and convenient way. Often, a user may have to wear multiple devices, each of which provides information about a single aspect of the user's health. There is a need for a device that can provide information about various aspects or a user's health in a simple, non-invasive and convenient manner.

概述Overview

一般而言,本主题的创新方面描述了用于进行一项或多项医学诊断测试的可穿戴式诊断装置以及方法和系统。In general, the innovative aspects of the present subject matter describe wearable diagnostic devices and methods and systems for performing one or more medical diagnostic tests.

在一些实施方式中,系统包括一个或多个计算机装置以及存储指令的一个或多个存储装置,所述指令在由一个或多个计算机装置执行时,使所述一个或多个计算机装置执行操作。所述操作包括接收对应于开始非侵入性诊断测试以检测用户的医疗状态的请求的输入;确定用于进行所述非侵入性诊断测试的一个或多个传感器;基于所述非侵入性诊断测试激活确定的一个或多个传感器;通过所述一个或多个传感器接收信号数据;部分地基于用户特征获得所述非侵入性诊断测试的预测值;基于所述预测值和接收的信号数据确定测试结果;以及通过显示器或扬声器输出所述测试结果。In some embodiments, a system includes one or more computer devices and one or more storage devices storing instructions that, when executed by the one or more computer devices, cause the one or more computer devices to perform operations . The operations include receiving input corresponding to a request to initiate a non-invasive diagnostic test to detect a medical condition of a user; determining one or more sensors for performing the non-invasive diagnostic test; based on the non-invasive diagnostic test activating the determined one or more sensors; receiving signal data via the one or more sensors; obtaining a predicted value for the non-invasive diagnostic test based in part on user characteristics; determining a test based on the predicted value and the received signal data results; and outputting the test results through a display or speaker.

实施方式可以各自任选地包括以下特征中的一个或多个。例如,在一些实施方式中,非侵入性诊断测试包括以下中的一项或多项:葡萄糖测试、胆固醇测试、血红蛋白测试、氧饱和度水平测试和心电图监测测试。Embodiments may each optionally include one or more of the following features. For example, in some embodiments, non-invasive diagnostic tests include one or more of the following: glucose tests, cholesterol tests, hemoglobin tests, oxygen saturation level tests, and electrocardiogram monitoring tests.

在一些实施方式中,操作还包括基于从接收的信号数据获得的原始数据选择路径,以及基于选择的路径获得一组确定值。基于预测值和接收的信号数据确定测试结果包括基于确定值确定测试结果。In some embodiments, the operations further include selecting a path based on raw data obtained from the received signal data, and obtaining a set of determined values based on the selected path. Determining the test result based on the predicted value and the received signal data includes determining the test result based on the determined value.

在一些实施方式中,操作还包括从一个或多个数据库获得用户临床数据和用户人口统计学数据;基于获得的用户临床数据和用户人口统计学数据确定临床数据集范围;以及将所述临床数据集范围映射到非侵入性诊断测试的预测值。In some embodiments, the operations further include obtaining user clinical data and user demographic data from one or more databases; determining a clinical dataset scope based on the obtained user clinical data and user demographic data; and converting the clinical data Set ranges mapped to predicted values for non-invasive diagnostic tests.

在一些实施方式中,操作还包括基于(i)将第二非侵入性诊断测试与非侵入性诊断测试相关联的用户模式,以及(ii)用户的医疗史确定待进行的第二非侵入性诊断测试;基于第二非侵入性诊断测试激活第二组的一个或多个传感器;通过第二组的一个或多个传感器接收第二信号数据;部分地基于用户特征获得第二非侵入性诊断测试的第二预测值;以及基于第二预测值和接收的第二信号数据确定第二测试结果。In some embodiments, the operations further include determining a second non-invasive diagnostic test to be performed based on (i) a user mode associating the second non-invasive diagnostic test with the non-invasive diagnostic test, and (ii) the user's medical history a diagnostic test; activating a second set of one or more sensors based on a second non-invasive diagnostic test; receiving second signal data via the one or more sensors of the second set; obtaining a second non-invasive diagnostic based in part on user characteristics a second predicted value of the test; and determining a second test result based on the second predicted value and the received second signal data.

在一些实施方式中,获得非侵入性诊断测试的预测值包括使用第二测试结果确定非侵入性诊断测试的预测值。In some embodiments, obtaining the predictive value of the non-invasive diagnostic test includes using the second test result to determine the predictive value of the non-invasive diagnostic test.

在一些实施方式中,当所述非侵入性诊断测试为葡萄糖测试时,所述第二非侵入性诊断测试是与其同时进行的胆固醇测试。In some embodiments, when the non-invasive diagnostic test is a glucose test, the second non-invasive diagnostic test is a cholesterol test performed concurrently therewith.

在一些实施方式中,非侵入性诊断测试和第二非侵入性诊断测试由包括一个或多个计算机装置的手表进行。In some embodiments, the non-invasive diagnostic test and the second non-invasive diagnostic test are performed by a watch including one or more computer devices.

在一些实施方式中,一个或多个传感器包括以下中的一种或多种:无线心脏电极、压电振动传感器、红外线传感器、温度传感器、加速度计和微电子机械系统(MEMS)传感器。In some embodiments, the one or more sensors include one or more of the following: wireless cardiac electrodes, piezoelectric vibration sensors, infrared sensors, temperature sensors, accelerometers, and microelectromechanical systems (MEMS) sensors.

根据所公开的主题的方面,手表包括一个或多个计算机装置以及存储指令的一个或多个存储装置,所述指令在由所述一个或多个计算机装置执行时,使所述一个或多个计算机装置执行操作。所述操作包括基于用户特征选择葡萄糖测试和胆固醇测试;确定用于进行葡萄糖测试和胆固醇测试的一个或多个传感器;激活确定的一个或多个传感器;通过所述一个或多个传感器接收信号数据;部分地基于用户特征获得葡萄糖测试的第一预测值;基于所述第一预测值和接收的信号数据确定葡萄糖测试结果和胆固醇测试结果;以及通过手表的显示器或扬声器输出葡萄糖测试结果和胆固醇测试结果。According to aspects of the disclosed subject matter, a watch includes one or more computer devices and one or more memory devices storing instructions that, when executed by the one or more computer devices, cause the one or more computer devices to The computer device performs the operation. The operations include selecting a glucose test and a cholesterol test based on user characteristics; determining one or more sensors for performing a glucose test and a cholesterol test; activating the determined one or more sensors; receiving signal data via the one or more sensors obtaining a first predicted value of a glucose test based in part on user characteristics; determining a glucose test result and a cholesterol test result based on the first predicted value and the received signal data; and outputting the glucose test result and the cholesterol test through a display or speaker of the watch result.

在一些实施方式中,一个或多个传感器包括红外线传感器和压电振动传感器。操作包括基于从接收的信号数据获得的原始数据选择路径,以及基于选择的路径获得一组确定值。基于第一预测值和接收的信号数据确定葡萄糖测试结果包括基于确定值确定葡萄糖测试结果。In some embodiments, the one or more sensors include infrared sensors and piezoelectric vibration sensors. Operations include selecting a path based on raw data obtained from received signal data, and obtaining a set of determined values based on the selected path. Determining the glucose test result based on the first predicted value and the received signal data includes determining the glucose test result based on the determined value.

本说明书中进一步描述的上述方面和实施方式提供了几项优势。例如,单个可穿戴式诊断装置可以进行多项非侵入性诊断测试,包括非侵入性葡萄糖测试、非侵入性胆固醇测试和非侵入性血红蛋白测试。可穿戴式诊断装置还可以获得心电图(EKG)数据或帕金森氏症状的检测,如用户手的不自主运动。具有无线电极的可穿戴式诊断装置可以记录用户历史和医疗状况,并且可以利用预测值、算法和映射数据库来为葡萄糖、胆固醇和/或血红蛋白测试提供更高的精度和可靠的结果。预测值包括用户的临床和人口统计学信息,并且因此可以使计算更准确,所述计算将可能会影响葡萄糖或血红蛋白水平的诸如肤色和年龄的参数考虑在内。预测值还可用于将预测值与用户对某些疾病的易感性相关联。The above-described aspects and embodiments described further in this specification provide several advantages. For example, a single wearable diagnostic device can perform multiple non-invasive diagnostic tests, including a non-invasive glucose test, a non-invasive cholesterol test, and a non-invasive hemoglobin test. Wearable diagnostic devices can also obtain electrocardiogram (EKG) data or detection of Parkinson's symptoms, such as involuntary movements of the user's hands. Wearable diagnostic devices with wireless electrodes can record user history and medical conditions, and can utilize predictive values, algorithms and mapping databases to provide greater accuracy and reliable results for glucose, cholesterol and/or hemoglobin tests. The predicted value includes the user's clinical and demographic information, and thus can make calculations more accurate that take into account parameters such as skin color and age that may affect glucose or hemoglobin levels. The predicted value can also be used to correlate the predicted value with the user's susceptibility to certain diseases.

其他方面包括配置成实施上述方法的动作的相应方法、系统、设备、计算机可读存储介质和计算机程序。Other aspects include corresponding methods, systems, devices, computer-readable storage media, and computer programs configured to implement the actions of the above-described methods.

本说明书中描述的一个或多个方面的细节在附图和以下描述中示出。根据说明书、附图和权利要求书,主题的其他特征、方面和优势将变得显而易见。The details of one or more aspects described in this specification are set forth in the accompanying drawings and the description below. Other features, aspects and advantages of the subject matter will become apparent from the description, drawings, and claims.

附图简述Brief Description of Drawings

图1、2、3、4和5描述了可穿戴式诊断装置的示例性实施方式。1, 2, 3, 4 and 5 depict exemplary embodiments of wearable diagnostic devices.

图6描述了在可穿戴式诊断装置中实施的示例性系统。6 depicts an exemplary system implemented in a wearable diagnostic device.

图7描述了确定用户的葡萄糖水平的示例性方法的流程图。7 depicts a flowchart of an exemplary method of determining a user's glucose level.

图8描述了确定葡萄糖预测值的示例性方法的流程图。8 depicts a flowchart of an exemplary method of determining a predicted value of glucose.

图9描述了确定用户的血红蛋白水平的示例性方法的流程图。9 depicts a flowchart of an exemplary method of determining a user's hemoglobin level.

图10描述了确定血红蛋白预测值的示例性方法的流程图。10 depicts a flowchart of an exemplary method of determining a predicted value of hemoglobin.

图11描述了确定用户的血压水平的示例性方法的流程图。11 depicts a flowchart of an exemplary method of determining a user's blood pressure level.

图12描述了确定血压预测值的示例性方法的流程图。12 depicts a flowchart of an exemplary method of determining a blood pressure prediction value.

图13描述了确定用户的胆固醇水平的示例性方法的流程图。13 depicts a flowchart of an exemplary method of determining a user's cholesterol level.

各个附图中相同的参考数字和标号表示相同的元件。The same reference numerals and numerals in the various figures denote the same elements.

详述detail

本公开总体上涉及可以穿戴在用户的身体上以向用户提供各种类型的健康相关信息的可穿戴式诊断装置。在一些实施方式中,可穿戴式诊断装置可以执行一项或多项医学诊断测试,并提供关于用户心率、血红蛋白水平、体温、氧气水平、葡萄糖水平、胆固醇和血压的实时的、非侵入性的、准确的和连续的数据。在一些实施方式中,可穿戴式诊断装置还可以提供心电图(EKG)数据和帕金森氏症状的检测,如用户手的不自主运动。用户可以配置可穿戴式诊断装置以提供关于上述诊断测试中的一项或多项的信息。以下参考附图描述了可穿戴式诊断装置的实施方式。The present disclosure generally relates to wearable diagnostic devices that can be worn on a user's body to provide various types of health-related information to the user. In some embodiments, the wearable diagnostic device can perform one or more medical diagnostic tests and provide real-time, non-invasive information on the user's heart rate, hemoglobin level, body temperature, oxygen level, glucose level, cholesterol and blood pressure , accurate and continuous data. In some embodiments, the wearable diagnostic device may also provide electrocardiogram (EKG) data and detection of Parkinson's symptoms, such as involuntary movements of the user's hands. The wearable diagnostic device may be configured by a user to provide information regarding one or more of the aforementioned diagnostic tests. Embodiments of the wearable diagnostic device are described below with reference to the accompanying drawings.

图1-5示出了可穿戴式诊断装置的不同视图。在一些实施方式中,可穿戴式诊断装置可以以手表的形式实施,如图1-5所示。图6示出了包括在根据一些实施方式的可穿戴式诊断装置中的组件的另外的细节。通常,可穿戴式诊断装置可以以各种合适的形状、形式和尺寸来实施,并且可以是任何电子装置,其可以安装到用户的左臂并且能够获得用户的多个健康诊断测量结果。1-5 show different views of the wearable diagnostic device. In some embodiments, the wearable diagnostic device may be implemented in the form of a watch, as shown in Figures 1-5. 6 shows additional details of components included in a wearable diagnostic device according to some embodiments. Generally, wearable diagnostic devices can be implemented in various suitable shapes, forms and sizes, and can be any electronic device that can be mounted to a user's left arm and that can obtain multiple health diagnostic measurements of the user.

参照图1-5,可穿戴手表可以包括外壳101、显示器102、可拆卸的无线心脏电极103、113、带104、109、压电振动传感器105、红外线(IR)/光/激光传感器106、连接器107、温度传感器108、控制按钮110、111、后盖112、带连接器114、带紧固件115、充电连接器116、电源117、外部带层118、120、绝缘线119、加速度计121、电源管理器122、片上系统(SoC)123和电源开关124。可穿戴手表可以穿戴在用户的左臂150上。1-5, a wearable watch may include a housing 101, a display 102, detachable wireless cardiac electrodes 103, 113, straps 104, 109, a piezoelectric vibration sensor 105, an infrared (IR)/light/laser sensor 106, a connection 107, temperature sensor 108, control buttons 110, 111, back cover 112, strap connector 114, strap fastener 115, charging connector 116, power supply 117, outer strap layers 118, 120, insulated wire 119, accelerometer 121 , a power manager 122 , a system on chip (SoC) 123 and a power switch 124 . The wearable watch can be worn on the user's left arm 150 .

外壳101可以包括或联接到显示器102、充电连接器116、控制按钮110、111和一个或多个电子组件,如处理器、印刷电路板(PCB)、集成电路(IC)、SoC 123、存储器和无线收发器。显示器102可以使用任何合适的显示器来实施,包括例如液晶显示器(LCD)、发光二极管(LED)显示器或有机LED显示器,以显示各种数据。在一些实施方式中,显示器102可以是触摸屏,如电容式触摸屏。Housing 101 may include or be coupled to display 102, charging connector 116, control buttons 110, 111 and one or more electronic components such as a processor, printed circuit board (PCB), integrated circuit (IC), SoC 123, memory and wireless transceiver. Display 102 may be implemented using any suitable display, including, for example, a liquid crystal display (LCD), light emitting diode (LED) display, or organic LED display, to display various data. In some implementations, the display 102 may be a touch screen, such as a capacitive touch screen.

显示器102可以显示被配置为向用户输出数据和从用户接收输入的用户界面。控制按钮110、111可被用户使用以在可穿戴式诊断装置中浏览用户界面、进行选择和执行一项或多项操作。在一些实施方式中,显示器102可以从用户接收选择,并可以将指示用户选择的信息提供给可穿戴手表或网络装置中的一个或多个处理器。在一些实施方式中,显示器102可以从一个或多个处理器接收数据,并可以将数据提供给显示器102以向用户输出。例如,在一些情况下,用户可以通过用户界面输入提供用户的葡萄糖水平的请求。在确定用户的葡萄糖水平后,可以通过显示器102上显示的用户界面输出指示用户的葡萄糖水平的信息。Display 102 may display a user interface configured to output data to and receive input from a user. The control buttons 110, 111 may be used by the user to navigate the user interface, make selections, and perform one or more operations in the wearable diagnostic device. In some implementations, the display 102 may receive selections from the user and may provide information indicative of the user selections to one or more processors in the wearable watch or network device. In some implementations, the display 102 can receive data from one or more processors and can provide the data to the display 102 for output to a user. For example, in some cases, a user may enter a request through a user interface to provide the user's glucose level. After the user's glucose level is determined, information indicative of the user's glucose level may be output through the user interface displayed on the display 102 .

外壳101中的一个或多个处理器可以在PCB或IC中实施,并且可以与可穿戴式诊断装置的其他电子组件,如存储器、显示器102和无线收发器电连接。例如,处理器可以接收指示来自显示器102的用户选择的数据,确定用户所请求的信息类型,并基于用户所请求的信息产生执行一项或多项操作的指令。One or more processors in housing 101 may be implemented in a PCB or IC, and may be electrically connected to other electronic components of the wearable diagnostic device, such as memory, display 102, and wireless transceivers. For example, the processor may receive data indicative of user selections from display 102, determine the type of information requested by the user, and generate instructions to perform one or more operations based on the information requested by the user.

在一些实施方式中,一个或多个处理器可以使用无线收发器传输和接收数据。数据可以在可穿戴式诊断装置和辅助装置之间进行收发。辅助装置可以是由用户选择的装置、网络服务器或可穿戴手表被配置为与之通信的装置。例如,用户可以选择用户所拥有的另一装置来从可穿戴式诊断装置向其发送数据。在另一个实例中,可穿戴式诊断装置可以被配置为根据用户请求或预定的收发数据时间表向一个或多个网络服务器收发数据。In some implementations, one or more processors may transmit and receive data using a wireless transceiver. Data can be sent and received between wearable diagnostic devices and auxiliary devices. The auxiliary device may be a device selected by the user, a web server, or a device with which the wearable watch is configured to communicate. For example, the user may select another device owned by the user to send data to from the wearable diagnostic device. In another example, the wearable diagnostic device may be configured to transceive data to one or more network servers according to a user request or a predetermined transceiving data schedule.

一个或多个网络服务器可以为一个或多个网络提供服务,所述一个或多个网络可以包括一个或多个数据库、接入点、基站、存储系统、云系统和模块。一个或多个服务器可以是运行网络操作系统的一系列服务器。一个或多个服务器可以用于和/或提供云和/或网络计算。One or more network servers may serve one or more networks, which may include one or more databases, access points, base stations, storage systems, cloud systems, and modules. One or more servers can be a series of servers running a network operating system. One or more servers may be used for and/or provide cloud and/or network computing.

网络中的数据库可以包括云数据库或由数据库管理系统(DBMS)管理的数据库。DBMS可以实施为控制数据库中数据的组织、存储、管理和检索的引擎。DBMS通常提供查询、备份和复制、执行规则、提供安全性、进行计算、进行更改和访问日志,以及自动优化的能力。DBMS通常包括建模语言、数据结构、数据库查询语言和事务机制。根据数据库模型,可以使用建模语言来定义DBMS中每个数据库的模式,所述数据库模型可以包括层次模型、网络模型、关系模型、对象模型或一些其他适用的已知或方便的组织。数据结构可以包括字段、记录、文件、对象以及任何其他适用的已知或方便的用于存储数据的结构。DBMS还可以包括关于所储存数据的元数据。Databases in the network can include cloud databases or databases managed by a database management system (DBMS). A DBMS can be implemented as an engine that controls the organization, storage, management, and retrieval of data in a database. DBMSs typically provide the ability to query, backup and replicate, enforce rules, provide security, perform calculations, make changes and access logs, and automate optimization. A DBMS typically includes modeling languages, data structures, database query languages, and transaction mechanisms. A modeling language can be used to define the schema for each database in the DBMS in terms of database models, which can include hierarchical models, network models, relational models, object models, or some other applicable known or convenient organization. Data structures may include fields, records, files, objects, and any other applicable known or convenient structure for storing data. The DBMS may also include metadata about the stored data.

在一些实施方式中,数据库可以包括用户数据库,其可以存储用户信息,如用户的别名、医疗史和任何医疗状况。用户数据库还可以存储与用于访问各种工具和软件的许可证、权限和证书有关的数据。在一些情况下,用户可以选择使用户数据匿名的选项,使得可以确定用户的任何信息都被匿名化,并在用户数据库中存储数据之前去除用户确定信息。In some embodiments, the database may include a user database, which may store user information, such as the user's alias, medical history, and any medical conditions. User databases can also store data related to licenses, rights, and credentials used to access various tools and software. In some cases, the user may select an option to anonymize user data, such that any information that can identify the user is anonymized and user-identifying information is removed before storing the data in the user database.

通常,可以将各种合适的无线协议用于将数据传送到可穿戴式诊断装置和用于传送来自可穿戴式诊断装置的数据。例如,可穿戴式诊断装置可以使用WiFi或蓝牙通信与一个或多个网络、装置或服务器进行通信。通常,可以与各种类型的网络通信,并且可以使用各种通信协议。In general, various suitable wireless protocols can be used for transmitting data to and from the wearable diagnostic device. For example, a wearable diagnostic device may communicate with one or more networks, devices or servers using WiFi or Bluetooth communications. In general, various types of networks can be communicated and various communication protocols can be used.

充电连接器116可以是被配置为与诸如通用串行总线或导线的电源电缆连接的端口。在连接到电源电缆时,充电连接器116可以作为电源接口发挥功能以从外部电源提供电力,从而对可穿戴手表中的电源117充电。电源117可以是任何合适的电池,并且可以向可穿戴式诊断装置中的任何电子组件提供电力。The charging connector 116 may be a port configured to connect with a power cable such as a universal serial bus or wire. When connected to a power cable, the charging connector 116 can function as a power interface to provide power from an external power source to charge the power source 117 in the wearable watch. The power source 117 can be any suitable battery and can provide power to any electronic components in the wearable diagnostic device.

外壳101还包括电源开关124。在一些实施方式中,响应于使得电源开关124处于电源关闭位置的电源开关124的选择,一个或多个处理器可以向电源管理器122发送指令以停止向可穿戴式诊断装置的一个或多个组件如显示器102提供电力。在一些实施方式中,响应于使得电源开关124处于电源打开位置的电源开关124的选择,电源管理器122可以向电源117发送指令以向可穿戴式诊断装置的一个或多个组件如显示器102提供电力。The housing 101 also includes a power switch 124 . In some implementations, in response to selection of power switch 124 that places power switch 124 in the power-off position, one or more processors may send instructions to power manager 122 to stop supplying one or more of the wearable diagnostic devices Components such as display 102 provide power. In some implementations, in response to selection of power switch 124 that places power switch 124 in the power-on position, power manager 122 may send instructions to power source 117 to provide one or more components of the wearable diagnostic device, such as display 102 , electricity.

外壳101连接到带104、109、连接器107和带连接器114,可以对所述带连接器114进行调节以将可穿戴式诊断装置固定在不同尺寸的手腕周围。例如,带104、109和带连接器114可以缠绕在用户的手腕周围,并且带紧固件115可以将带104、109和带连接器114保持在固定位置。后盖112和心脏电极113可以设置在外壳101的底部上。The housing 101 is connected to straps 104, 109, a connector 107, and a strap connector 114 that can be adjusted to secure the wearable diagnostic device around wrists of different sizes. For example, straps 104, 109 and strap connector 114 may wrap around the user's wrist, and strap fasteners 115 may hold straps 104, 109 and strap connector 114 in a fixed position. The back cover 112 and the cardiac electrodes 113 may be provided on the bottom of the housing 101 .

可以将一根或多根绝缘线119集成到可穿戴式诊断装置的结构中,并且可以提供与可穿戴式诊断装置的各种组件的电连接。例如,如图6所示,一根或多根绝缘线119可以沿着可穿戴式诊断装置的中心轴线设置,并且可以在电源117和外壳101之间以及电源117和IR/光/激光传感器106之间提供电连接。One or more insulated wires 119 can be integrated into the structure of the wearable diagnostic device and can provide electrical connections to various components of the wearable diagnostic device. For example, as shown in FIG. 6, one or more insulated wires 119 may be provided along the central axis of the wearable diagnostic device, and may be between the power source 117 and the housing 101 and between the power source 117 and the IR/light/laser sensor 106 Provide electrical connection between.

可穿戴式诊断装置还可以包括一个或多个传感器如心脏电极103、113、压电振动传感器105、红外线(IR)/光/激光传感器106、温度传感器108、加速度计121和阻抗传感器。在一些实施方式中,压电振动传感器105可以包括微电子机械系统(MEMS)传感器。The wearable diagnostic device may also include one or more sensors such as cardiac electrodes 103, 113, piezoelectric vibration sensors 105, infrared (IR)/light/laser sensors 106, temperature sensors 108, accelerometers 121, and impedance sensors. In some embodiments, piezoelectric vibration sensor 105 may comprise a microelectromechanical system (MEMS) sensor.

无线心脏电极103、113可以包括金属导电材料,其被配置为检测心脏电势波形,如在心脏收缩过程中产生的电压。无线心脏电极103设置在与可穿戴式诊断装置的外周相对应的外带层118上。无线心脏电极113设置在后盖112上或集成在后盖112内,使得当可穿戴式诊断装置固定在用户手臂150周围时,它可以接触用户的皮肤。无线心脏电极103、113可以卸下并重新连接到可穿戴式诊断装置,并可以将数据无线地传送到另一电子装置。The wireless cardiac electrodes 103, 113 may comprise metallic conductive materials configured to detect cardiac electrical potential waveforms, such as the voltages generated during cardiac contractions. The wireless cardiac electrodes 103 are disposed on the outer tape layer 118 corresponding to the outer periphery of the wearable diagnostic device. The wireless cardiac electrodes 113 are disposed on or integrated in the back cover 112 so that when the wearable diagnostic device is fixed around the user's arm 150, it can contact the user's skin. The wireless cardiac electrodes 103, 113 can be detached and reconnected to the wearable diagnostic device and can transmit data wirelessly to another electronic device.

IR/光/激光传感器106可以包括信号发生器和信号检测器。信号发生器可以产生并传输波长范围在例如650-1400纳米(nm)的红外信号。此范围对于获得指示用户血液中氧气、葡萄糖、血红蛋白分子的存在的数据特别有用。可以将信号检测器配置为检测接收自用户身体的红外信号。The IR/light/laser sensor 106 may include a signal generator and a signal detector. The signal generator can generate and transmit infrared signals in the wavelength range of, for example, 650-1400 nanometers (nm). This range is particularly useful for obtaining data indicative of the presence of oxygen, glucose, hemoglobin molecules in the user's blood. The signal detector may be configured to detect infrared signals received from the user's body.

在一些实施方式中,IR/光/激光传感器106可以使用动脉方法(Artery method)中的脉搏波传导时间(PWTT)来检测脉冲信号并处理检测到的信号。可以将这些脉冲信号与由压电振动传感器105获取的数据结合以非侵入性地预测血压。IR/光/激光传感器106还可以用于非侵入性地确定或获得指示用户血液中的氧饱和度水平(SpO2)的数据。In some embodiments, the IR/light/laser sensor 106 may use pulse wave transit time (PWTT) in the Artery method to detect pulsed signals and process the detected signals. These pulse signals can be combined with data acquired by piezoelectric vibration sensor 105 to non-invasively predict blood pressure. The IR/light/laser sensor 106 may also be used to non-invasively determine or obtain data indicative of the oxygen saturation level ( SpO2 ) in the user's blood.

压电振动传感器105和加速度计121可以用于测量用户手的振动。例如,加速度计121可以检测方向、速度、振动和旋转的变化。温度传感器108可以用于测量用户的体温。温度传感器108可以以各种合适的方式实施。例如,温度传感器108可以是包括一个或多个传感电阻器的热电偶、硅带隙传感器、温度计或热敏电阻。传感电阻器中电阻的变化可以对应于体温的变化。在一些实施方式中,温度传感器可以包括有源和无源组件以及在单个ICs封装中制造的电阻和半导体材料。Piezoelectric vibration sensor 105 and accelerometer 121 may be used to measure the vibration of the user's hand. For example, the accelerometer 121 can detect changes in orientation, velocity, vibration, and rotation. The temperature sensor 108 may be used to measure the user's body temperature. The temperature sensor 108 may be implemented in various suitable manners. For example, temperature sensor 108 may be a thermocouple including one or more sensing resistors, a silicon bandgap sensor, a thermometer, or a thermistor. Changes in resistance in the sense resistor may correspond to changes in body temperature. In some embodiments, temperature sensors may include active and passive components as well as resistive and semiconductor materials fabricated in a single ICs package.

传感器可以用于获得如下文中进一步详细描述的一个或多个测量结果。在下文中进一步详细描述了使用可穿戴式诊断装置进行的用以确定葡萄糖水平、血红蛋白水平、血压水平、EKG、心率水平、体温和手部振动的操作。通过用户将可穿戴式诊断装置放置在用户的左臂150上并调节带104、109、带连接器114、带紧固件115和外带层118、120中的一个或多个以将可穿戴式诊断装置固定在用户的左臂150周围来开始操作。The sensor may be used to obtain one or more measurements as described in further detail below. Operations performed using the wearable diagnostic device to determine glucose levels, hemoglobin levels, blood pressure levels, EKG, heart rate levels, body temperature, and hand vibrations are described in further detail below. The wearable diagnostic device is placed by the user on the user's left arm 150 and adjusts one or more of the straps 104, 109, strap connectors 114, strap fasteners 115, and outer strap layers 118, 120 to place the wearable diagnostic device on the user's left arm 150. The type diagnostic device is fixed around the user's left arm 150 to start operation.

当将可穿戴式诊断装置固定在用户的左臂150上时,IR/光/激光传感器106可以与用户的桡尺动脉正上方的用户的左手腕下部接触。如上所述,IR/光/激光传感器106可以包括信号发生器,以产生并传输红外信号。信号可以从IR/光/激光传感器106向用户左手腕下部的用户皮肤传输。When the wearable diagnostic device is secured on the user's left arm 150, the IR/light/laser sensor 106 may be in contact with the lower part of the user's left wrist just above the user's radioulnar artery. As mentioned above, the IR/light/laser sensor 106 may include a signal generator to generate and transmit infrared signals. Signals may be transmitted from the IR/light/laser sensor 106 to the user's skin on the lower part of the user's left wrist.

IR/光/激光传感器106可以检测到来自用户皮肤的信号反射。然后可以使用模数转换器(ADC)将包括吸收光谱数据在内的检测信号转换为数字信号。转换的结果是,产生了对应于从用户皮肤接收的信号的原始数字数据。可以对原始数字数据进行处理,以确定与用户血液中各种分子,如氧气、葡萄糖、血红蛋白的存在对应的吸收光谱。通过确定吸收光谱,可以估计用户血液中存在的特定分子的存在和相应的水平。The IR/light/laser sensor 106 can detect signal reflections from the user's skin. The detection signal, including the absorption spectrum data, can then be converted to a digital signal using an analog-to-digital converter (ADC). As a result of the conversion, raw digital data corresponding to the signal received from the user's skin is produced. The raw digital data can be processed to determine absorption spectra corresponding to the presence of various molecules in the user's blood, such as oxygen, glucose, hemoglobin. By determining the absorption spectrum, the presence and corresponding levels of specific molecules present in the user's blood can be estimated.

在一些实施方式中,可以获得多个信号测量结果,以便在各个时间点获得多组原始数字数据。可以对不同组的原始数字数据进行累加和平均,以生成用户的单组原始数据。In some embodiments, multiple signal measurements may be obtained to obtain multiple sets of raw digital data at various points in time. Different sets of raw digital data can be accumulated and averaged to generate a single set of raw data for the user.

在一些实施方式中,可穿戴式诊断装置可以获得与用户健康相关的信息。与用户健康相关的信息可以包括但不限于,例如,用户的居住位置、用户的医生、用户的药剂师、用户的医疗记录持有者、用户与一个或多个群组的人口统计学关联、用户的饮食、用户拥有的多个孩子的指示、用户的医疗史、用户的一项或多项过去或当前的医疗状况(例如,过敏、手术、遗传状况)、用户的一项或多项健康问题以及用户有兴趣获得详细信息的一项或多项血液含量水平。例如,用户可以指示用户对用户的葡萄糖或血压水平特别感兴趣。用户还可以指示用户想要获得关于用户的葡萄糖或血压水平的信息的频率。In some embodiments, the wearable diagnostic device can obtain information related to the user's health. Information related to the user's health may include, but is not limited to, for example, the user's residential location, the user's physician, the user's pharmacist, the user's medical record holder, the user's demographic association with one or more groups, User's diet, indication of multiple children the user has, user's medical history, one or more past or current medical conditions of the user (eg, allergies, surgery, genetic conditions), one or more of the user's health question and one or more blood levels for which the user is interested in obtaining detailed information. For example, the user may indicate that the user is particularly interested in the user's glucose or blood pressure levels. The user may also indicate how often the user would like to obtain information about the user's glucose or blood pressure levels.

与用户健康相关的信息可以用于创建用户特征。用户特征可以本地存储在可穿戴式诊断装置中,或者存储在远离可穿戴式诊断装置的数据库或服务器中。在一些实施方式中,在存储或使用之前,可以以一种或多种方式对用户特征数据进行处理,以便移除个人可确定信息。例如,可以对用户的身份进行处理,使得不能确定用户的个人可确定信息,或者可以将用户的地理位置、身份或人口统计学背景泛化成用户期望的程度,使得不能确定用户的特定细节。因此,用户可以控制收集什么信息以及如何使用该信息。为了实现这一点,可以通过可穿戴式诊断装置为用户提供控制,其允许用户选择本文描述的系统、程序或特征是否可以或何时可以收集或提供用户信息。Information related to user health can be used to create user profiles. User characteristics may be stored locally in the wearable diagnostic device, or in a database or server remote from the wearable diagnostic device. In some embodiments, the user profile data may be processed in one or more ways to remove personally identifiable information prior to storage or use. For example, the user's identity may be processed such that no personally identifiable information about the user can be determined, or the user's geographic location, identity, or demographic background may be generalized to the extent desired by the user such that specific details of the user cannot be determined. Therefore, users can control what information is collected and how it is used. To accomplish this, the user may be provided with controls through the wearable diagnostic device that allow the user to select whether or when the systems, procedures or features described herein may collect or provide user information.

在一些实施方式中,用户可以订阅或选择参加服务,通过该服务可穿戴式诊断装置可以实时接收并更新用户的医疗信息。特别地,可穿戴式诊断装置可以更新测试结果、医生就诊结果、诊断或处方。例如,用户可以授权用户的医生、药剂师或医疗记录持有者将用户的医疗信息发布到存储用户特征的服务器或数据库中。该服务器或数据库可以通过订阅服务进行管理,所述订阅服务可以从各种来源收集信息以更新用户的特征。可穿戴式诊断装置可以实时地、定期地或在用户请求时接收关于用户医疗信息的更新。In some embodiments, a user may subscribe or opt-in to a service through which the wearable diagnostic device may receive and update the user's medical information in real time. In particular, wearable diagnostic devices can update test results, doctor visits, diagnoses or prescriptions. For example, a user may authorize the user's doctor, pharmacist, or medical record holder to publish the user's medical information to a server or database that stores the user's characteristics. This server or database can be managed by a subscription service that can gather information from various sources to update the user's characteristics. The wearable diagnostic device may receive updates about the user's medical information in real time, periodically, or upon user request.

在一些实施方式中,用户可以使用可穿戴式诊断装置的用户界面直接输入关于用户健康和背景的信息。然后可以远程存储输入的用户医疗信息或将其存储在可穿戴式诊断装置上。In some embodiments, the user may directly input information about the user's health and background using the user interface of the wearable diagnostic device. The entered user medical information can then be stored remotely or on a wearable diagnostic device.

应当理解,尽管关于图1-6描述的特征涉及与穿戴在用户的左臂上的可穿戴式诊断装置,但可穿戴式诊断装置可以具有其他各种形式,并且在一些情况下,可以穿戴或施用于用户身体的其他部位。此外,一个或多个另外的组件可以被包括在可穿戴式诊断装置中或与之偶联。例如,在一些实施方式中,可穿戴式诊断装置可以包括一个或多个扬声器来使用声波和麦克风输出信息,以接收与例如用户指令、请求或反馈相对应的音频输入。It should be understood that although the features described with respect to FIGS. 1-6 relate to a wearable diagnostic device worn on the left arm of a user, the wearable diagnostic device may take various other forms and, in some cases, may be worn or Apply to other parts of the user's body. Additionally, one or more additional components may be included in or coupled to the wearable diagnostic device. For example, in some embodiments, a wearable diagnostic device may include one or more speakers to output information using sound waves and a microphone to receive audio input corresponding to, for example, user instructions, requests, or feedback.

在一些实施方式中,可穿戴式诊断装置还可以被配置为执行一项或多项诊断测试,以基于接收的或获得的与用户健康相关的信息,获得与穿戴可穿戴式诊断装置的用户相关的葡萄糖水平、血红蛋白水平或血压水平中的一项或多项。这些过程进一步描述在图7-12中。In some embodiments, the wearable diagnostic device may also be configured to perform one or more diagnostic tests to obtain information related to the user wearing the wearable diagnostic device based on received or obtained information related to the user's health one or more of glucose levels, hemoglobin levels, or blood pressure levels. These processes are further described in Figures 7-12.

参照图7、9和13,可穿戴式诊断装置可以接收应进行测试的指示(702、902、1302)。例如,可穿戴式诊断装置可以接收应进行葡萄糖测试(702)、血红蛋白测试(902)或胆固醇测试(1302)的指示。应进行测试的指示可以包括以下中的一项或多项:用户作出的进行测试的选择;以及一个或多个处理器根据预定时间作出的请求。例如,可穿戴式诊断装置可被编程以提供在某些时间或在某些时间段后的血压读数。然后可穿戴式诊断装置可以安排何时应向用户提供特定读数,如血压读数的日期和时间,并且可以在预定时间开始确定血压和氧饱和度水平的方法。7, 9 and 13, the wearable diagnostic device may receive an indication that a test should be performed (702, 902, 1302). For example, the wearable diagnostic device may receive an indication that a glucose test (702), a hemoglobin test (902), or a cholesterol test (1302) should be performed. The indication that a test should be performed may include one or more of: a user's selection to perform the test; and a request by one or more processors based on a predetermined time. For example, a wearable diagnostic device can be programmed to provide blood pressure readings at certain times or after certain periods of time. The wearable diagnostic device can then schedule when a specific reading should be provided to the user, such as the date and time of a blood pressure reading, and can begin the method of determining blood pressure and oxygen saturation levels at a predetermined time.

在接收到应进行测试的指示(702、902、1302)之后,可穿戴式诊断装置的一个或多个处理器可以确定用于测试的传感器类型并激活所确定的传感器类型,其在葡萄糖或血红蛋白测试的情况下,可以包括一个或多个IR/光/激光传感器(704、904)。在胆固醇测试的情况下,激活的传感器可以包括IR/光/激光传感器、阻抗传感器和电磁传感器中的一种或多种。激活传感器可以包括以下操作,包括但不限于向传感器提供增加的功率、对传感器进行预热以发射或接收信号(如IR信号)或者配置或校准传感器。After receiving an indication that a test should be performed (702, 902, 1302), the one or more processors of the wearable diagnostic device may determine the type of sensor for testing and activate the determined sensor type, which is in glucose or hemoglobin In the case of testing, one or more IR/light/laser sensors (704, 904) may be included. In the case of cholesterol testing, the activated sensors may include one or more of IR/light/laser sensors, impedance sensors, and electromagnetic sensors. Activating the sensor may include operations including, but not limited to, providing increased power to the sensor, preheating the sensor to transmit or receive signals (eg, IR signals), or configuring or calibrating the sensor.

激活的一个或多个传感器可以获得表征用户的测量结果(706、906、1306)。例如,一个或多个IR/光/激光传感器可以分别被配置为发射红外信号或脉冲信号持续短的时间段,例如30秒,并检测发射的信号从用户皮肤的反射。在一些情况下,使用阻抗传感器的反射测量和电流测量可以迭代获得,或者可以在不同的环境,如不同的脉冲功率或磁场下获得。例如,对于胆固醇测量,可以在不施加磁场的情况下获得第一电流或红外信号测量结果,并且可以在产生各种低功率强度的磁场一段时间(例如10秒)后,进行一项或多项其他电流或红外测量。The activated sensor or sensors may obtain measurements that characterize the user (706, 906, 1306). For example, one or more IR/light/laser sensors, respectively, may be configured to emit an infrared signal or a pulsed signal for a short period of time, eg, 30 seconds, and detect the reflection of the emitted signal from the user's skin. In some cases, reflection measurements and current measurements using impedance sensors can be obtained iteratively, or can be obtained under different environments, such as different pulsed powers or magnetic fields. For example, for cholesterol measurements, a first current or infrared signal measurement can be obtained without the application of a magnetic field, and one or more of the measurements can be made after generating magnetic fields of various low power strengths for a period of time (eg, 10 seconds) Other current or infrared measurements.

在葡萄糖和血红蛋白测试的情况下,处理测得的检测到的信号,并且基于原始数据值选择特定路径(708、908)。特别地,每个检测到的信号都包括吸收光谱数据,可以使用模数转换器(ADC)将其转换为原始数字数据。处理可以任选地包括另外的处理操作,如降频转换、滤波、卷积、混合以及任何其他合适的信号处理操作。In the case of glucose and hemoglobin tests, the measured detected signals are processed and a particular path is selected based on the raw data values (708, 908). In particular, each detected signal includes absorption spectral data, which can be converted to raw digital data using an analog-to-digital converter (ADC). Processing may optionally include additional processing operations such as down-conversion, filtering, convolution, mixing, and any other suitable signal processing operations.

对应于接收自用户皮肤的信号的原始数字数据被用作选择特定路径以及相应的预测值和斜率回归值的基础(710、910)。例如,当进行葡萄糖测试时,如表I所示的示例性映射可以用于选择特定路径以及相应的预测值和斜率回归值。如果原始值大于或等于500且小于或等于700,则选择路径A以及相应的917的葡萄糖(G)预测值和0.838的G斜率回归值。如果原始值大于或等于701且小于或等于850,则选择路径B以及相应的919的G预测值和0.838的G斜率回归值。如果原始值大于或等于851且小于或等于950,则选择路径C以及相应的1001的G预测值和0.838的G斜率回归值。如果原始值大于或等于951且小于或等于1100,则选择路径D以及相应的1004的G预测值和0.838的G斜率回归值。如果原始值大于或等于1101,则选择路径E以及相应的981的G预测值和0.838的G斜率回归值。Raw digital data corresponding to signals received from the user's skin is used as a basis for selecting a particular path and corresponding predicted and slope regression values (710, 910). For example, when performing a glucose test, the exemplary mapping shown in Table 1 can be used to select a particular path and corresponding predicted and slope regression values. If the raw value is greater than or equal to 500 and less than or equal to 700, then Path A is selected with a corresponding glucose (G) predicted value of 917 and a G slope regression value of 0.838. If the raw value is greater than or equal to 701 and less than or equal to 850, then path B is selected with a corresponding G predicted value of 919 and a G slope regression value of 0.838. If the raw value is greater than or equal to 851 and less than or equal to 950, then path C is selected with a corresponding G predicted value of 1001 and a G slope regression value of 0.838. If the raw value is greater than or equal to 951 and less than or equal to 1100, then path D is chosen with the corresponding G predicted value of 1004 and G slope regression value of 0.838. If the raw value is greater than or equal to 1101, then path E is chosen with a corresponding G predicted value of 981 and a G slope regression value of 0.838.

表ITable I

Figure BDA0002652427670000111
Figure BDA0002652427670000111

然后,可以将所获得的预测值和斜率回归值用于确定用户的葡萄糖水平(712)。为了确定葡萄糖水平,可穿戴式诊断装置可以将概化理论和G斜率回归应用于原始数据集,并使用如下所示的[等式1]确定指示葡萄糖水平的值。The obtained predicted value and slope regression value can then be used to determine the user's glucose level (712). To determine glucose levels, the wearable diagnostic device can apply generalization theory and G-slope regression to the raw data set and determine a value indicative of glucose levels using [Equation 1] as shown below.

葡萄糖值=预测值(G-临床取样回归)-(G回归斜率)*(原始数据) [等式1]Glucose value = predicted value (G - clinical sampling regression) - (G regression slope) * (raw data) [Equation 1]

然后可以通过各种合适的方法输出所确定的葡萄糖值(714)。例如,所确定的葡萄糖值可以输出在可穿戴式诊断装置的显示器上或通过可穿戴式诊断装置的扬声器输出。The determined glucose value may then be output by various suitable methods (714). For example, the determined glucose value can be output on a display of the wearable diagnostic device or through a speaker of the wearable diagnostic device.

当进行血红蛋白测试时,如表II所示的示例性可以用于选择特定路径以及相应的预测值和斜率回归值。如果原始值等于或大于500且小于或等于700,则选择路径A以及相应的31.5的血红蛋白(Hb)预测值和0.114的Hb斜率回归值。如果原始值等于或大于701且小于或等于850,则选择路径B以及相应的67的Hb预测值和0.114的Hb斜率回归值。如果原始值等于或大于851且小于或等于950,则选择路径C以及相应的81的Hb预测值和0.114的Hb斜率回归值。如果原始值等于或大于951且小于或等于1100,则选择路径D以及相应的98的Hb预测值和0.114的Hb斜率回归值。如果原始值大于或等于1101,则选择路径E以及相应的100.5的Hb预测值和0.114的Hb斜率回归值。When performing a hemoglobin test, the examples shown in Table II can be used to select a specific path and corresponding predicted and slope regression values. If the raw value was equal to or greater than 500 and less than or equal to 700, Path A was chosen with a corresponding predicted value of hemoglobin (Hb) of 31.5 and a regression value of the slope of Hb of 0.114. If the raw value is equal to or greater than 701 and less than or equal to 850, then path B is chosen with the corresponding Hb predicted value of 67 and Hb slope regression value of 0.114. If the raw value is equal to or greater than 851 and less than or equal to 950, then path C is chosen with the corresponding Hb predicted value of 81 and Hb slope regression value of 0.114. If the raw value is equal to or greater than 951 and less than or equal to 1100, then path D is chosen with the corresponding Hb predicted value of 98 and Hb slope regression value of 0.114. If the raw value is greater than or equal to 1101, then path E is chosen with a corresponding Hb predicted value of 100.5 and a Hb slope regression value of 0.114.

表IITable II

Figure BDA0002652427670000121
Figure BDA0002652427670000121

然后,可以将所获得的预测值和斜率回归值用于确定用户的血红蛋白水平(912)。为了确定血红蛋白水平,可穿戴式诊断装置可以将Hb斜率回归应用于原始数据集,并使用如下所示的[等式2]确定指示血红蛋白水平的值。The obtained predicted value and slope regression value can then be used to determine the user's hemoglobin level (912). To determine the hemoglobin level, the wearable diagnostic device can apply Hb slope regression to the raw data set and use [Equation 2] as shown below to determine a value indicative of the hemoglobin level.

Hb值=((Hb回归斜率)*(原始数据))-预测值(Hb-临床取样回归) [等式2]Hb value = ((Hb regression slope) * (raw data)) - predicted value (Hb - clinical sampling regression) [Equation 2]

然后可以通过各种合适的方法输出所确定的血红蛋白值(914)。例如,可以将所确定的血红蛋白值输出在可穿戴式诊断装置的显示器上,或者通过可穿戴式诊断装置的扬声器输出。The determined hemoglobin value can then be output by various suitable methods (914). For example, the determined hemoglobin value may be output on a display of the wearable diagnostic device or through a speaker of the wearable diagnostic device.

对于在葡萄糖或血红蛋白测试中小于500的原始数据值,可穿戴式诊断装置可以确定该值是错误的,并开始另外的尝试以通过一个或多个IR/光/激光传感器获得原始数据值。如果在三次尝试后,不能获得大于500的值,则可穿戴式诊断装置可以输出出错信息,指示用户当前不能进行葡萄糖或血红蛋白测试。For a raw data value less than 500 in a glucose or hemoglobin test, the wearable diagnostic device can determine that the value is wrong and initiate another attempt to obtain the raw data value via one or more IR/light/laser sensors. If after three attempts a value greater than 500 cannot be obtained, the wearable diagnostic device may output an error message indicating that the user is currently unable to perform a glucose or hemoglobin test.

当进行胆固醇测试以确定与穿戴可穿戴式诊断装置的用户相关的胆固醇水平(例如HDL、LDL、甘油三酸酯分子)时,用户左手腕的下部暴露于自IR/光/激光传感器发射的红外信号。用户皮肤的该区域也可以暴露于磁场中一段短的时间,例如10或30秒,此后,除了胆固醇分子以外,血液颗粒根据电磁的正负极自行排列。可以在施加磁场之前和之后获得指示红外吸收光谱的数据(1306),并且可以随后处理所获得的数据(1308)。所获得数据的处理可以包括使用模数转换器(ADC)将数据转换为数字信号,以及计算施加磁场之前和之后吸收光谱值之间的差以产生原始值。When a cholesterol test is performed to determine cholesterol levels (eg, HDL, LDL, triglyceride molecules) associated with the user wearing the wearable diagnostic device, the lower portion of the user's left wrist is exposed to infrared emission from the IR/light/laser sensor Signal. This area of the user's skin can also be exposed to the magnetic field for a short period of time, such as 10 or 30 seconds, after which the blood particles, with the exception of cholesterol molecules, align themselves according to the electromagnetic positive and negative polarity. Data indicative of the infrared absorption spectrum can be obtained before and after the magnetic field is applied (1306), and the obtained data can be subsequently processed (1308). Processing of the acquired data may include converting the data to a digital signal using an analog-to-digital converter (ADC), and calculating the difference between the absorption spectrum values before and after the application of the magnetic field to produce the raw values.

接下来,从数据库获得预测的胆固醇水平值(1310)。数据库可以包括胆固醇水平到原始值的映射,并且可以根据人口统计学类别进行组织。可以基于如下所述的对多个人类对象的测试来生成数据库。Next, the predicted cholesterol level value is obtained from the database (1310). The database can include a mapping of cholesterol levels to raw values, and can be organized according to demographic categories. The database can be generated based on tests on multiple human subjects as described below.

最初,可以记录对象的人口统计学特征。人口统计学特征可以包括关于对象的各种类型的描述性信息,如对象的年龄、性别、种族、肤色、婚姻状况和/或医疗状况。例如,对象可具有如下人口统计学特征:48岁、白人、丧偶、患有皮肤癌。对于每名对象,可以使用各种合适的方法进行侵入性胆固醇测试,并且可以将测试结果添加到对象特征中。Initially, the demographic characteristics of the subject can be recorded. Demographic characteristics may include various types of descriptive information about the subject, such as the subject's age, gender, race, color, marital status, and/or medical condition. For example, a subject may have the following demographic characteristics: 48 years old, white, widowed, suffering from skin cancer. For each subject, an invasive cholesterol test can be performed using various suitable methods, and the test results can be added to the subject characteristics.

接下来,可以分别使用如上所述的电阻传感器和红外线传感器来获得对象的电流和红外信号测量结果。可以在施加磁场之前和施加磁场一定时间段之后进行电流和红外线信号的测量。可以计算所测量的信号的差值并将其保存为原始值。将原始值映射到从侵入性胆固醇测试获得的胆固醇水平,并存储在对象特征中。Next, the object's current and infrared signal measurements can be obtained using the resistive sensor and infrared sensor, respectively, as described above. Measurements of current and infrared signals can be made before and after the application of the magnetic field for a certain period of time. Differences in the measured signals can be calculated and saved as raw values. Raw values were mapped to cholesterol levels obtained from invasive cholesterol tests and stored in subject characteristics.

可能要测试数百和数千名对象,以便可以使用大样本量的对象来生成根据一个或多个人口统计学类别(例如性别、种族、年龄等)将原始值映射到胆固醇水平的数据库。在一些实施方式中,可以从测试中提取统计数据,以便可以确定每个人口统计学类别的胆固醇水平和原始值的平均值、中值和众数值。Hundreds and thousands of subjects may be tested so that a large sample size of subjects can be used to generate a database that maps raw values to cholesterol levels according to one or more demographic categories (eg, gender, race, age, etc.). In some embodiments, statistical data can be extracted from the test so that the mean, median, and mode values of cholesterol levels and raw values for each demographic category can be determined.

通常,可以形成各种类型的人口统计学类别。例如,在一些情况下,人口统计学类别可能会受到年龄,例如40多岁人群的年龄的限制。在一些情况下,人口统计学类别可以包括多项人口统计学特征,如年龄和种族,或年龄、种族和性别。因此,数据库可以包括映射表,其基于与特定人口统计学类别相关的原始值来映射可能的胆固醇水平。这里要注意的是,可以以匿名方式产生数据库,从而不会泄露或知道对象的身份。In general, various types of demographic categories can be formed. For example, in some cases demographic categories may be restricted by age, such as the age of people in their 40s. In some cases, a demographic category may include multiple demographic characteristics, such as age and ethnicity, or age, ethnicity, and gender. Thus, the database may include a mapping table that maps possible cholesterol levels based on raw values associated with particular demographic categories. It is important to note here that the database can be generated anonymously so that the identity of the object is not revealed or known.

返回参照图13,基于在操作1308中获得的原始值从数据库获得预测的胆固醇水平值(1310)。特别地,通过参考数据库中的映射表获得了映射到在操作1308中获得的原始值和穿戴可穿戴式诊断装置的用户的人口统计学特征的胆固醇水平。Referring back to Figure 13, predicted cholesterol level values are obtained from the database based on the raw values obtained in operation 1308 (1310). In particular, cholesterol levels mapped to the raw values obtained in operation 1308 and the demographic characteristics of the user wearing the wearable diagnostic device are obtained by referring to a mapping table in the database.

接下来,可以将预测的胆固醇水平值确定为穿戴可穿戴式诊断装置的用户的可能的胆固醇水平(1312)。在一些实施方式中,可以将预测的胆固醇水平值与先前获得的用户的胆固醇水平进行比较。如果预测的用户的胆固醇水平和最后获得的用户的胆固醇水平之间的差大于阈值,例如3%,则可穿戴式诊断装置可以重复操作1302至1310以获得新的预测的胆固醇水平。这样的迭代可以继续直到预测的胆固醇水平值在最后获得的用户的胆固醇水平的阈值差之内。在一些情况下,如果执行三次迭代而没有满足阈值差,则可以将在第三次迭代获得的预测的胆固醇水平值确定为穿戴可穿戴式诊断装置的用户的可能的胆固醇水平。然后可以通过可穿戴式诊断装置的显示器102来显示确定的用户的可能胆固醇水平。Next, the predicted cholesterol level value may be determined as a likely cholesterol level for the user wearing the wearable diagnostic device (1312). In some embodiments, the predicted cholesterol level value may be compared to previously obtained cholesterol levels of the user. If the difference between the predicted user's cholesterol level and the last obtained user's cholesterol level is greater than a threshold, eg, 3%, the wearable diagnostic device may repeat operations 1302 to 1310 to obtain a new predicted cholesterol level. Such iterations may continue until the predicted cholesterol level value is within a threshold difference of the last obtained user's cholesterol level. In some cases, if three iterations are performed without meeting the threshold difference, the predicted cholesterol level value obtained at the third iteration may be determined as the likely cholesterol level of the user wearing the wearable diagnostic device. The determined probable cholesterol level of the user may then be displayed by the display 102 of the wearable diagnostic device.

在上述示例性实施方式中,预测值被用于确定葡萄糖、血红蛋白或胆固醇水平。可以使用各种不同的方法并基于几种因素来确定预测值。上文描述了获得胆固醇水平的预测值的方法。参照图8和10进一步描述了获得葡萄糖和血红蛋白水平的预测值的方法。In the above-described exemplary embodiments, predicted values are used to determine glucose, hemoglobin or cholesterol levels. The predicted value can be determined using a variety of different methods and based on several factors. Methods for obtaining predicted values for cholesterol levels are described above. Methods of obtaining predicted values for glucose and hemoglobin levels are further described with reference to FIGS. 8 and 10 .

参照图8,为了获得用户葡萄糖水平的预测值,可穿戴式诊断装置可以获得用户特征信息(802)。用户特征信息可以包括以下中的一项或多项:用户的居住位置、用户的医生、用户的药剂师、用户的医疗记录持有者、用户与一个或多个群组的人口统计学关联、用户的饮食、用户拥有的多个孩子的指示、用户的医疗史、用户的一项或多项过去或当前的医疗状况(例如,过敏、手术、遗传状况)、用户的一项或多项健康问题以及用户有兴趣获得详细信息的一项或多项血液含量水平。8, in order to obtain a predicted value of the user's glucose level, the wearable diagnostic device may obtain user characteristic information (802). User characteristic information may include one or more of the following: the user's residential location, the user's physician, the user's pharmacist, the user's medical record holder, the user's demographic association with one or more groups, User's diet, indication of multiple children the user has, user's medical history, one or more past or current medical conditions of the user (eg, allergies, surgery, genetic conditions), one or more of the user's health question and one or more blood levels for which the user is interested in obtaining detailed information.

使用来自用户特征的信息,可穿戴式诊断装置可以基于用户的血压和温度确定用户的葡萄糖的临床关联信息值(cCIG)(804)。在一些实施方式中,cCIG可以是代表可能的血压和温度的值的矩阵。通常,可以将各种合适的方法用于获得用户的血压和温度。在一些实施方式中,可以按本说明书中参照图11和12所述获得血压,并且可以使用可穿戴式诊断装置中包括的温度传感器获得温度。在一些情况下,可以使用从用户特征获得的临床信息(如用户的医疗史)确定cCIG,所述用户的医疗史包括诸如医生的报告、过去或当前的医疗状况、临床诊断等数据。Using information from the user's characteristics, the wearable diagnostic device may determine a clinically relevant information value (cCIG) for the user's glucose based on the user's blood pressure and temperature (804). In some embodiments, the cCIG may be a matrix of values representing possible blood pressure and temperature. In general, various suitable methods can be used to obtain the user's blood pressure and temperature. In some embodiments, blood pressure may be obtained as described herein with reference to Figures 11 and 12, and temperature may be obtained using a temperature sensor included in the wearable diagnostic device. In some cases, cCIG may be determined using clinical information derived from user characteristics, such as the user's medical history, which includes data such as physician reports, past or current medical conditions, clinical diagnoses, and the like.

接下来,可穿戴式诊断装置可以确定用户的葡萄糖的临床关联人口统计学值(cLDG)(806)。可以部分地基于一项或多项用户特征如用户的人口统计学群组、用户的年龄和用户的其他个人特征确定cLDG。例如,如果以上所述的原始葡萄糖值与特定路径,如路径A相关联,或者用户特征指示用户的特定人口统计学来源或特征,则可以以cLDG值与用户的原始葡萄糖值或者特定人口统计学来源或特征相对应的方式确定cLDG值。在一些实施方式中,如果用户已同意提供该个人信息,则cLDG可以是代表用户的各种特征,例如,年龄、饮食、性别的值的矩阵。Next, the wearable diagnostic device may determine a clinically relevant demographic value (cLDG) for the user's glucose (806). The cLDG may be determined based in part on one or more user characteristics, such as the user's demographic group, the user's age, and other personal characteristics of the user. For example, if the raw glucose values described above are associated with a particular route, such as route A, or if the user characteristics are indicative of a particular demographic origin or characteristic of the user, the cLDG value may be correlated with the user's raw glucose value or a particular demographic The cLDG value is determined in a manner corresponding to the source or characteristic. In some implementations, if the user has agreed to provide this personal information, the cLDG may be a matrix of values representing various characteristics of the user, eg, age, diet, gender.

在获得cCIG和cLDG之后,可穿戴式诊断装置可以基于cCIG和cLDG确定临床数据集范围(810)。所确定的临床数据集范围被映射到用户的葡萄糖水平的葡萄糖预测值(812)。可以用确定的临床数据集范围查询存储各种临床数据集范围和葡萄糖预测值的数据库,并且可以返回映射到确定的临床数据集范围的葡萄糖预测值。然后可以提供葡萄糖预测值,并将其用于确定用户的葡萄糖水平(814)。After obtaining the cCIG and cLDG, the wearable diagnostic device may determine the clinical dataset extent based on the cCIG and cLDG (810). The determined clinical dataset range is mapped to a glucose predicted value for the user's glucose level (812). A database storing various clinical dataset ranges and glucose predicted values can be queried with the determined clinical dataset ranges, and glucose predicted values mapped to the determined clinical dataset ranges can be returned. The predicted glucose value can then be provided and used to determine the user's glucose level (814).

参照图10,为了获得用户血红蛋白水平的预测值,可穿戴式诊断装置可以获得用户特征信息(1002)。用户特征信息可以包括以下中的一项或多项:用户的居住位置、用户的医生、用户的药剂师、用户的医疗记录持有者、用户与一个或多个群组的人口统计学关联、用户的饮食、用户拥有的多个孩子的指示、用户的医疗史、用户的一项或多项过去或当前的医疗状况(例如,过敏、手术、遗传状况)、用户的一项或多项健康问题以及用户有兴趣获得详细信息的一项或多项血液含量水平。10, in order to obtain a predicted value of the user's hemoglobin level, the wearable diagnostic device may obtain user characteristic information (1002). User characteristic information may include one or more of the following: the user's residential location, the user's physician, the user's pharmacist, the user's medical record holder, the user's demographic association with one or more groups, User's diet, indication of multiple children the user has, user's medical history, one or more past or current medical conditions of the user (eg, allergies, surgery, genetic conditions), one or more of the user's health question and one or more blood levels for which the user is interested in obtaining detailed information.

使用来自用户特征的信息,可穿戴式诊断装置可以确定用户的血红蛋白的临床关联信息值(cCIHb)(1004)。可以使用从用户特征获得的临床信息(如用户的医疗史)确定cCIHb,所述用户的医疗史包括诸如医生报告、过去或当前医疗状况、临床诊断等数据。在一些实施方式中,如果用户已同意提供该个人信息,则cCIHb可以是代表用户医疗史的各个方面的值的矩阵。Using information from the user's characteristics, the wearable diagnostic device can determine a clinically relevant information value (cCIHb) for the user's hemoglobin (1004). The cCIHb may be determined using clinical information obtained from user characteristics, such as the user's medical history, which includes data such as physician reports, past or current medical conditions, clinical diagnoses, and the like. In some implementations, if the user has agreed to provide this personal information, the cCIHb may be a matrix of values representing various aspects of the user's medical history.

接下来,可穿戴式诊断装置可以通过获得用户的氧饱和度和温度数据确定用户的血红蛋白的临床关联人口统计学值(cLDHb)(1006)。在一些实施方式中,cLDHb可以是代表用户的可能的氧饱和度和温度的值的矩阵。通常,各种合适的方法可用于获得用户的氧饱和度和温度。在一些实施方式中,可以按本说明书中参照图11所述获得氧饱和度,并且可以使用可穿戴式诊断装置中包括的温度传感器获得温度。在一些实施方式中,可以部分地基于通过用户特征提供的信息,如一项或多项用户特征,如用户的人口统计学群组、用户的年龄和用户的其他个人特征确定cLDHb。Next, the wearable diagnostic device may determine a clinically relevant demographic value (cLDHb) of the user's hemoglobin by obtaining the user's oxygen saturation and temperature data (1006). In some embodiments, cLDHb may be a matrix of values representing the user's possible oxygen saturation and temperature. In general, various suitable methods are available for obtaining the oxygen saturation and temperature of the user. In some embodiments, oxygen saturation may be obtained as described in this specification with reference to FIG. 11 , and temperature may be obtained using a temperature sensor included in the wearable diagnostic device. In some embodiments, cLDHb may be determined based in part on information provided by user characteristics, such as one or more user characteristics, such as the user's demographic group, the user's age, and other personal characteristics of the user.

在获得cCIHb和cLDHb之后,可穿戴式诊断装置可以基于cCIHb和cLDHb确定临床数据集范围(1010)。可以将确定的临床数据集范围映射到用户血红蛋白水平的血红蛋白预测值(1012)。可以用确定的临床数据集范围查询存储各种临床数据集范围和血红蛋白预测值的数据库,并且可以返回映射到确定的临床数据集范围的血红蛋白预测值。然后可以提供血红蛋白预测值,并将其用于确定用户的血红蛋白水平(1014)。After obtaining the cCIHb and cLDHb, the wearable diagnostic device can determine the clinical dataset range based on the cCIHb and cLDHb (1010). The determined clinical dataset range can be mapped to a hemoglobin predicted value for the user's hemoglobin level (1012). A database storing various clinical dataset ranges and hemoglobin predicted values can be queried with the determined clinical dataset ranges, and hemoglobin predicted values mapped to the determined clinical dataset ranges can be returned. A predicted hemoglobin value can then be provided and used to determine the user's hemoglobin level (1014).

除利用血压和温度数据之外,还通过利用预测值来确定用户的葡萄糖和血红蛋白水平,所确定的用户的葡萄糖和血红蛋白水平相对于不利用预测值确定葡萄糖和血红蛋白水平的方法具有高得多的精确度。预测值包括用户的临床和人口统计学信息,并且因此可以使计算更准确,所述计算将可能会影响葡萄糖或血红蛋白水平的诸如肤色和年龄的参数考虑在内。预测值还可以用于将预测值与用户对某些疾病的易感性相关联,并且用户可以因此采取预防步骤以使获取这些疾病的可能性最小化,并提高用户的健康状况和预期寿命。此外,可以根据需要通过单个装置来进行这些多项测试并且可以从测试中获得结果,从而为用户提供高度的便利性。By utilizing the predicted values in addition to the blood pressure and temperature data to determine the user's glucose and hemoglobin levels, the user's glucose and hemoglobin levels are determined to be much higher relative to methods that do not utilize the predicted values to determine the glucose and hemoglobin levels. Accuracy. The predicted value includes the user's clinical and demographic information, and thus can make calculations more accurate that take into account parameters such as skin color and age that may affect glucose or hemoglobin levels. The predicted value can also be used to correlate the predicted value with the user's susceptibility to certain diseases, and the user can thus take preventive steps to minimize the likelihood of acquiring these diseases and improve the user's health status and life expectancy. Furthermore, these multiple tests can be performed as required by a single device and the results can be obtained from the tests, thereby providing a high degree of convenience to the user.

除了获得用户的葡萄糖和血红蛋白水平之外,可穿戴式诊断装置还可以确定用户的血压和氧饱和度水平。确定用户的血压和氧饱和度水平的示例性方法的流程图描绘在图11中。最初,可穿戴式诊断装置可以接收应进行血压测定的指示(1102)。应进行血压测定的指示可以包括以下的一项或多项:用户作出的提供血压读数的选择以及一个或多个处理器根据预定时间作出的请求。例如,可穿戴式诊断装置可被编程以提供在某些时间或在某些时间段后的血压读数。然后可穿戴式诊断装置可以安排何时应向用户提供血压读数的日期和时间,并且可以在预定时间开始确定血压和氧饱和度水平的方法。In addition to obtaining the user's glucose and hemoglobin levels, the wearable diagnostic device can also determine the user's blood pressure and oxygen saturation levels. A flowchart of an exemplary method of determining a user's blood pressure and oxygen saturation levels is depicted in FIG. 11 . Initially, the wearable diagnostic device may receive an indication that a blood pressure measurement should be performed (1102). The indication that a blood pressure measurement should be taken may include one or more of a selection by the user to provide a blood pressure reading and a request by one or more processors based on a predetermined time. For example, a wearable diagnostic device can be programmed to provide blood pressure readings at certain times or after certain periods of time. The wearable diagnostic device can then schedule a date and time when a blood pressure reading should be provided to the user, and the method of determining blood pressure and oxygen saturation levels can begin at a predetermined time.

在接收到应进行血压测定的指示(1102)后,可穿戴式诊断装置可以确定用于血压测试的传感器类型,并激活所确定的传感器类型,其在血压测试的情况下,可以包括压电振动传感器和IR/光/激光传感器(1104)。激活传感器可以包括几项操作,包括但不限于向传感器提供增加的功率以及配置或校准传感器。Upon receiving the indication (1102) that a blood pressure measurement should be performed, the wearable diagnostic device may determine the type of sensor used for the blood pressure test, and activate the determined sensor type, which in the case of the blood pressure test, may include piezoelectric vibration Sensors and IR/Light/Laser Sensors (1104). Activating a sensor may include several operations including, but not limited to, providing increased power to the sensor and configuring or calibrating the sensor.

激活的压电振动传感器和IR/光/激光传感器可以获得用户测量结果(1106)。例如,压电振动传感器被配置为感测或检测用户手的运动、位置、接近度、速度和方向,并产生与检测到的触摸、振动和冲击运动中的一项或多项相对应的电信号。IR/光/激光传感器被配置为发射红外信号、检测发射的红外信号从用户皮肤的反射。在一些实施方式中,可以使用前置放大器来放大通过压电振动传感器获得的弱脉冲信号。Activated piezoelectric vibration sensors and IR/light/laser sensors may obtain user measurements (1106). For example, piezoelectric vibration sensors are configured to sense or detect movement, position, proximity, speed, and direction of a user's hand and generate electrical voltages corresponding to one or more of detected touch, vibration, and shock movements Signal. The IR/light/laser sensor is configured to emit an infrared signal and detect the reflection of the emitted infrared signal from the user's skin. In some embodiments, a preamplifier can be used to amplify the weak pulse signal obtained by the piezoelectric vibration sensor.

可以例如通过进行模数转换(ADC)和滤波操作来处理通过压电振动传感器和IR/光/激光传感器检测到的信号,以产生红外目标检测(IRTD)值和压电振动(PV)值(1108)。通常,可以对通过压电振动传感器和IR/光/激光传感器检测到的信号进行各种信号处理操作。在一些实施方式中,操作1104-1108可以重复多次,并且可以确定多个IRTD和PV值的平均值。Signals detected by piezoelectric vibration sensors and IR/light/laser sensors can be processed, for example, by performing analog-to-digital conversion (ADC) and filtering operations to generate infrared target detection (IRTD) values and piezoelectric vibration (PV) values ( 1108). In general, various signal processing operations can be performed on signals detected by piezoelectric vibration sensors and IR/light/laser sensors. In some embodiments, operations 1104-1108 may be repeated multiple times, and an average of multiple IRTD and PV values may be determined.

处理还可以包括将确定的IRTD值和PV值与预测的IRTD值和PV值进行比较。比较产生两组血压值。将两组血压值中的每组进行平均以分别产生收缩压值和舒张压值(1112)。使用如下所示的[等式3],可以将收缩压值和舒张压值用于确定平均动脉压(MAP)。Processing may also include comparing the determined IRTD and PV values to predicted IRTD and PV values. The comparison yields two sets of blood pressure values. Each of the two sets of blood pressure values is averaged to generate systolic and diastolic blood pressure values, respectively (1112). Using [Equation 3] shown below, systolic and diastolic blood pressure values can be used to determine mean arterial pressure (MAP).

MAP=舒张压+(1/3)(收缩压–舒张压) [等式3]MAP = diastolic blood pressure + (1/3) (systolic blood pressure – diastolic blood pressure) [equation 3]

下文参照图12解释了用于血压测量的预测值的生成。在一些实施方式中,也可以使用[等式4]确定用户血液的氧饱和度水平(1110)。The generation of predicted values for blood pressure measurement is explained below with reference to FIG. 12 . In some embodiments, [Equation 4] may also be used to determine the oxygen saturation level of the user's blood (1110).

氧饱和度水平=((CHbO2)/(CHbO2+CHb))*100 [等式4]Oxygen Saturation Level = (( CHbO2 )/( CHbO2 + CHb ))*100 [Equation 4]

在[等式4]中,CHbO2等于氧化的血红蛋白的浓度,且CHb等于脱氧的血红蛋白的浓度。可以通过使用红外线传感器获得CHb02和CHb的值。In [Equation 4], CHbO2 is equal to the concentration of oxidized hemoglobin , and CHb is equal to the concentration of deoxygenated hemoglobin. The values of CHbO2 and CHb can be obtained by using an infrared sensor.

在操作1110和1112之后,输出血压和氧饱和度值(1114)。例如,在一些实施方式中,通过显示器显示血压和氧饱和度值。在一些实施方式中,通过扬声器输出血压和氧饱和度值。在一些实施方式中,可以使用信息,如邮件、SMS或MMS将血压和氧饱和度值传送至另一电子装置。信息可以在没有任何用户输入的情况下自动生成和填充。可以提示用户确认是否应将血压和氧饱和度值的信息传输至其它电子装置。After operations 1110 and 1112, blood pressure and oxygen saturation values are output (1114). For example, in some embodiments, blood pressure and oxygen saturation values are displayed via a display. In some embodiments, the blood pressure and oxygen saturation values are output through a speaker. In some embodiments, the blood pressure and oxygen saturation values may be communicated to another electronic device using a message, such as email, SMS, or MMS. Information can be automatically generated and populated without any user input. The user may be prompted to confirm whether information on blood pressure and oxygen saturation values should be transmitted to other electronic devices.

在上述示例性实施方式中,预测值被用于确定用户的血压。可以使用各种不同的方法并基于几种因素确定预测值。参照图12,为了获得用户血压的预测值,可穿戴式诊断装置可以获得用户特征信息(1202),如在操作802和1002中所述的。可穿戴式诊断装置可以从用户特征获得用户的临床和人口统计学信息。In the above-described exemplary embodiment, the predicted value is used to determine the user's blood pressure. Predictive values can be determined using a variety of different methods and based on several factors. 12 , in order to obtain the predicted value of the user's blood pressure, the wearable diagnostic device may obtain user characteristic information ( 1202 ), as described in operations 802 and 1002 . The wearable diagnostic device can obtain the clinical and demographic information of the user from the user characteristics.

使用来自用户特征的信息,可穿戴式诊断装置可以确定用户的血压临床关联信息值(cCIBP)并获得EKG数据(1204)。可以使用从用户特征获得的临床信息(用户的医疗史)确定cCIBP,所述用户的医疗史包括诸如医生的报告、过去或当前的医疗状况、临床诊断等的数据。可以从各种合适的来源,诸如例如用户的医疗史获得EKG数据。Using information from the user's characteristics, the wearable diagnostic device may determine the user's blood pressure clinically correlated information value (cCIBP) and obtain EKG data (1204). The cCIBP can be determined using clinical information obtained from user characteristics (the user's medical history), which includes data such as doctor's reports, past or current medical conditions, clinical diagnoses, and the like. EKG data may be obtained from various suitable sources, such as, for example, the user's medical history.

接下来,处理EKG数据以确定峰值和峰值,特别是R波之间的时间差(1206)。可穿戴式诊断装置还可以确定用户的血压的临床关联人口统计学值(cLDBP)(1206)。在一些实施方式中,可穿戴式诊断装置中的一个或多个处理器可以执行一个或多个程序和算法,其检测用户的EKG中的峰值和检测到的峰值之间的时间差。在一些实施方式中,可以部分地基于一项或多项用户特征如用户的人口统计学群组、用户的年龄和用户的其他个人特征确定cLDBP。在一些实施方式中,如果用户已同意提供该个人信息,则cLDBP可以是代表用户的各种特征,例如年龄、饮食、性别的值的矩阵。Next, the EKG data is processed to determine the time difference between peaks and peaks, particularly R waves (1206). The wearable diagnostic device may also determine a clinically relevant demographic value (cLDBP) of the user's blood pressure (1206). In some embodiments, one or more processors in the wearable diagnostic device may execute one or more programs and algorithms that detect a peak in the user's EKG and the time difference between the detected peak. In some embodiments, the cLDBP may be determined based in part on one or more user characteristics, such as the user's demographic group, the user's age, and other personal characteristics of the user. In some embodiments, if the user has agreed to provide this personal information, the cLDBP may be a matrix of values representing various characteristics of the user, such as age, diet, gender.

在获得cCIBP和cLDBP之后,可穿戴式诊断装置可以基于cCIBP和cLDBP确定临床数据集范围(1208)。所确定的临床数据集范围被映射到用户的葡萄糖水平的血压预测值(1210)。可以用确定的临床数据集范围查询存储各种临床数据集范围和血压预测值的数据库,并且可以返回映射到所确定的临床数据集范围的血压预测值。然后可以提供血压预测值,并将其用于确定用户的血压水平(1212)。After obtaining the cCIBP and cLDBP, the wearable diagnostic device may determine the clinical dataset extent based on the cCIBP and cLDBP (1208). The determined clinical dataset ranges are mapped to blood pressure predictions for the user's glucose level (1210). A database storing various clinical data set ranges and blood pressure predicted values can be queried with the determined clinical data set ranges, and blood pressure predicted values mapped to the determined clinical data set ranges can be returned. Blood pressure predictions may then be provided and used to determine the user's blood pressure level (1212).

在一些实施方式中,可穿戴式诊断装置可以执行获得穿戴可穿戴式诊断装置的用户的EKG和心率水平的过程。In some embodiments, the wearable diagnostic device may perform a process of obtaining the EKG and heart rate levels of the user wearing the wearable diagnostic device.

当将可穿戴式诊断装置固定在用户的左臂上时,第一心脏电极可以设置在可穿戴式诊断装置的底面之上或之内,并以可与用户左手腕的上侧接触。第二心脏电极被设置在可穿戴式诊断装置的上表面之上或之内,而不接触用户左臂上的皮肤。第一心脏电极可以从用户左臂上的手腕上部获取信号,并且第二心脏电极可以利用放在用户胸部上的第二心脏电极获取两种信号。所获取的信号可以包括心脏电势波形,如在心脏收缩期间产生的电压。将从这三种信号获得的数据转换为诱因(Provocation)、品质(Quality)、放射情况、严重程度、时间(PQRST)波。PQRST波可用于产生艾因托文氏三角(Einthoven's triangle)、EKG图,并计算另外的信息,如用户的心跳。在一些情况下,PQRST波可用于诊断心脏状况。When the wearable diagnostic device is fixed on the user's left arm, the first cardiac electrode may be disposed on or in the bottom surface of the wearable diagnostic device, and may be in contact with the upper side of the user's left wrist. The second cardiac electrode is disposed on or within the upper surface of the wearable diagnostic device without touching the skin on the user's left arm. The first cardiac electrode may acquire signals from the upper wrist on the user's left arm, and the second cardiac electrode may acquire both signals using a second cardiac electrode placed on the user's chest. The acquired signals may include cardiac potential waveforms, such as the voltages generated during systole. The data obtained from these three signals are converted into Provocation, Quality, Radiation, Severity, Time (PQRST) waves. PQRST waves can be used to generate Einthoven's triangle, EKG maps, and to calculate additional information, such as the user's heartbeat. In some cases, PQRST complexes can be used to diagnose cardiac conditions.

在一些实施方式中,可穿戴式诊断装置可以执行用于获得与穿戴可穿戴式诊断装置的用户相关的体温的过程。在将可穿戴式诊断装置缠绕在用户手臂周围并与用户皮肤接触之后,可穿戴式诊断装置中的温度传感器将基于皮肤接触获得用户的温度。例如,温度传感器可以接触手腕,并且可以获得用户在特定的时间段内的体温数据。温度传感器将传感器数据提供给一个或多个处理器,其可以将接收的数据转换为华氏温标,并对在一个或多个时间段内采集的温度数据进行平均,以产生用户的可能体温。In some embodiments, the wearable diagnostic device may perform a process for obtaining a body temperature associated with a user wearing the wearable diagnostic device. After the wearable diagnostic device is wrapped around the user's arm and in contact with the user's skin, the temperature sensor in the wearable diagnostic device will obtain the user's temperature based on the skin contact. For example, a temperature sensor can touch the wrist and can obtain data on the user's body temperature over a specific period of time. The temperature sensor provides sensor data to one or more processors, which can convert the received data to a Fahrenheit temperature scale and average temperature data collected over one or more time periods to generate the user's likely body temperature.

在一些实施方式中,可穿戴式诊断装置可以执行用于获得与穿戴可穿戴式诊断装置的用户相关的手部振动的过程。一个或多个处理器可以使用计时器和加速度计或压电振动传感器执行操作,以获得手部振动测量结果。例如,在接收到用户有兴趣查看关于手部振动的指示后,处理器可以将计时器设置为特定时间段,例如60秒,并指示加速度计或压电振动传感器获得特定时间段的振动数据。加速度计或压电振动传感器可以感测特定时间段内用户的手部振动的次数和强度,并向处理器提供指示振动次数的数据。In some embodiments, the wearable diagnostic device may perform a process for obtaining hand vibrations associated with a user wearing the wearable diagnostic device. One or more processors may perform operations using a timer and an accelerometer or piezoelectric vibration sensor to obtain hand vibration measurements. For example, upon receiving an indication that the user is interested in viewing hand vibrations, the processor may set a timer for a specific time period, such as 60 seconds, and instruct the accelerometer or piezoelectric vibration sensor to obtain vibration data for the specific time period. An accelerometer or piezoelectric vibration sensor can sense the number and intensity of the user's hand vibrations over a specific period of time and provide data to the processor indicating the number of vibrations.

处理器可以接收指示振动次数的数据,并可以确定振动的频率。如果振动的频率为3-7赫兹(Hz),则该振动可归类为与帕金森氏震颤相关的振动。处理器还可以从加速度计或压电振动传感器获得振幅信息,以确定与帕金森氏震颤相关的任何振动的强度。指示振动的时间、强度和频率的数据可以存储在存储装置中的用户特征中,和/或可以经由显示器呈现给用户。The processor may receive data indicative of the number of vibrations and may determine the frequency of the vibrations. If the vibration has a frequency of 3-7 hertz (Hz), the vibration can be classified as a vibration associated with Parkinson's tremor. The processor may also obtain amplitude information from an accelerometer or piezoelectric vibration sensor to determine the intensity of any vibrations associated with Parkinson's tremor. Data indicative of the time, intensity and frequency of the vibrations may be stored in the user profile in the storage device and/or may be presented to the user via the display.

可以平行地、同时地或在不同的时间执行上述的获得关于用户的葡萄糖水平、血红蛋白水平、血压水平、EKG、心率水平、体温、手部振动和胆固醇水平的信息的过程。可穿戴式诊断装置具有足够的处理能力以在任何时间和响应于用户请求执行这些过程中的任一个。The above-described process of obtaining information about the user's glucose level, hemoglobin level, blood pressure level, EKG, heart rate level, body temperature, hand vibration, and cholesterol level may be performed in parallel, simultaneously, or at different times. The wearable diagnostic device has sufficient processing power to perform any of these procedures at any time and in response to user requests.

在一些实施方式中,可以顺序地或同时地运行多项诊断测试。例如,可以在血压测试之前或期间进行EKG测试。可以在血红蛋白测试之前或期间进行氧饱和度测试和体温测试。可以在葡萄糖测试之前或期间进行血压测试和体温测试。其他变化和组合是可能的。例如,如果用户具有某些病况的医疗史如患糖尿病,则可穿戴式诊断装置可以定期进行与用户病况最相关的测试,如葡萄糖诊断测试,并且可以在最相关的诊断测试之前、之后或期间进行其他测试,如血压测试、胆固醇测试或氧饱和度测试。In some embodiments, multiple diagnostic tests may be run sequentially or simultaneously. For example, an EKG test can be done before or during a blood pressure test. An oxygen saturation test and a temperature test can be done before or during the hemoglobin test. Blood pressure and temperature tests can be done before or during the glucose test. Other variations and combinations are possible. For example, if the user has a medical history of certain conditions, such as diabetes, the wearable diagnostic device may periodically perform the tests most relevant to the user's condition, such as the glucose diagnostic test, and may run before, after, or during the most relevant diagnostic test Take other tests, such as blood pressure tests, cholesterol tests, or oxygen saturation tests.

在一些实施方式中,尽管用户可以输入进行一种类型的诊断测试(例如葡萄糖测试)的请求,但可穿戴式诊断装置可以确定将与用户请求的诊断测试一起进行的一项或多项测试,例如血压测试。可以基于一个或多个标准来确定另外的测试,所述测试为诸如例如,由用户、默认设置、厂商设置、医生推荐通常选择的将同时、顺序或成对进行的。在一些实施方式中,可以基于用户的医疗史确定另外的测试。例如,如果用户患有糖尿病和高血压,则每当用户选择血压测试,可穿戴式诊断装置也可以进行葡萄糖测试。如果用户选择葡萄糖测试,则可穿戴式诊断装置也可以进行血压测试。In some embodiments, the wearable diagnostic device may determine one or more tests to be performed in conjunction with the user-requested diagnostic test, although the user may enter a request to perform one type of diagnostic test (eg, a glucose test), For example a blood pressure test. Additional tests may be determined based on one or more criteria, such as, for example, to be performed concurrently, sequentially, or in pairs as commonly selected by the user, default settings, manufacturer settings, physician recommendations. In some embodiments, additional tests may be determined based on the user's medical history. For example, if the user suffers from diabetes and high blood pressure, the wearable diagnostic device may also perform a glucose test whenever the user selects a blood pressure test. If the user chooses a glucose test, the wearable diagnostic device can also perform a blood pressure test.

可以将从执行一个或多个上述过程获得的结果储存在可穿戴式诊断装置中的存储器中,或者储存在与用户关联的数据库或云账户中。也可以通过显示器显示从执行一个或多个上述过程获得的结果。在一些实施方式中,如果确定的葡萄糖水平、血红蛋白水平、血压水平、EKG、心率水平、体温和手部振动中的一项或多项指示严重的医疗状况,则可穿戴式诊断装置可以输出视觉的、声音的或电子的警报。例如,如果例如,EKG包括一些异常心脏运动迹象或者体温超过102华氏度,则可穿戴式诊断装置可以产生声音输出,如声波,建议用户去看医生。Results obtained from performing one or more of the above-described procedures may be stored in memory in the wearable diagnostic device, or in a database or cloud account associated with the user. Results obtained from performing one or more of the above-described processes may also be displayed by a display. In some embodiments, the wearable diagnostic device may output a visual if one or more of the determined glucose level, hemoglobin level, blood pressure level, EKG, heart rate level, body temperature, and hand vibration is indicative of a serious medical condition audible or electronic alarms. For example, if, for example, the EKG includes some signs of abnormal heart motion or a body temperature exceeds 102 degrees Fahrenheit, the wearable diagnostic device can produce sound output, such as sound waves, to advise the user to see a doctor.

应当理解,本说明书中描述的实施方式和/或动作可以在数字电子电路,或者在计算机软件、固件或硬件中实施,包括本说明书中所公开的结构及其结构等同物,或者以其一个或多个的组合。实施方式可以实施为一个或多个计算机程序产品,例如,在由数据处理设备执行或控制数据处理设备的运行的计算机可读介质上编码的计算机程序指令的一个或多个模块。计算机可读介质可以是机器可读存储装置、机器可读存储基板、存储器装置、实现机器可读传播信号的物质组成,或者它们中一种或多种的组合。术语“数据处理设备”涵盖用于处理数据的所有设备、装置和机器,包括例如可编程处理器、计算机或者多处理器或计算机。除了硬件之外,设备还可以包括为讨论中的计算机程序创建执行环境的代码,例如,构成处理器固件、协议栈、数据库管理系统、操作系统或者它们中的一个或多个的组合的代码。传播的信号是人工产生的信号,例如机器产生的电信号、光信号或电磁信号,其被产生以编码用于传输到合适的接收设备的信息。It is to be understood that the embodiments and/or actions described in this specification may be implemented in digital electronic circuits, or in computer software, firmware or hardware, including the structures disclosed in this specification and their structural equivalents, or in one or multiple combinations. Embodiments may be implemented as one or more computer program products, eg, one or more modules of computer program instructions encoded on a computer-readable medium for execution by or to control the operation of a data processing apparatus. The computer-readable medium may be a machine-readable storage device, a machine-readable storage substrate, a memory device, a composition of matter implementing a machine-readable propagated signal, or a combination of one or more thereof. The term "data processing apparatus" encompasses all apparatus, apparatus and machines for processing data, including, for example, programmable processors, computers, or multiple processors or computers. In addition to hardware, an apparatus may include code that creates an execution environment for the computer program in question, eg, code that constitutes processor firmware, a protocol stack, a database management system, an operating system, or a combination of one or more of these. A propagated signal is an artificially generated signal, such as a machine-generated electrical, optical or electromagnetic signal, which is generated to encode information for transmission to suitable receiving equipment.

可以以任何形式的编程语言(包括编译或解释型语言)编写计算机程序(也称为程序、软件、软件应用、脚本或代码),并且其可以以任何形式(包括作为独立程序或作为模块、组件、子例程或适用于计算环境的其他单元)部署。计算机程序不一定与文件系统中的文件相对应。程序可以存储在保存其他程序或数据(例如,存储在标记语言文件中的一个或多个脚本)的文件的一部分中、存储在专用于所讨论程序的单个文件中,或存储在多个协调文件(例如,存储一个或多个模块、子程序或部分代码的文件)中。可以在一台计算机上执行计算机程序,或者可以在位于一个站点或分布在多个站点并通过通信网络互连的多台计算机上执行计算机程序。Computer programs (also known as programs, software, software applications, scripts, or codes) may be written in any form of programming language, including compiled or interpreted languages, and may be written in any form, including as a stand-alone program or as a module, component , subroutines, or other units applicable to the computing environment) deployment. Computer programs do not necessarily correspond to files in the file system. Programs may be stored in a portion of a file that holds other programs or data (for example, one or more scripts stored in a markup language file), in a single file dedicated to the program in question, or in multiple coordination files (for example, a file that stores one or more modules, subroutines, or portions of code). A computer program can execute on a single computer or on multiple computers that are located at one site or distributed across multiple sites and interconnected by a communications network.

本说明书中描述的过程和逻辑流程可以由执行一个或多个计算机程序以通过对输入数据进行操作并生成输出来执行动作的一个或多个可编程处理器执行。过程和逻辑流程也可以由专用逻辑电路,例如,FPGA(现场可编程门阵列)或ASIC(专用集成电路)来执行,并且设备也可以被实施为专用逻辑电路,例如,FPGA(现场可编程门阵列)或ASIC(专用集成电路)。The processes and logic flows described in this specification can be performed by one or more programmable processors executing one or more computer programs to perform actions by operating on input data and generating output. The processes and logic flows can also be performed by, and devices can also be implemented as, special purpose logic circuitry, eg, an FPGA (field programmable gate array) or an ASIC (application-specific integrated circuit), eg, an FPGA (field programmable gate array) array) or ASIC (application specific integrated circuit).

例如,计算机中的执行计算机程序的处理器包括通用微处理器和专用微处理器,以及任何种类的数字计算机的任何一个或多个处理器。通常,处理器将从只读存储器或随机存取存储器或两者接收指令和数据。For example, processors in a computer for the execution of a computer program include both general and special purpose microprocessors, and any one or more processors of any kind of digital computer. Typically, a processor will receive instructions and data from read-only memory or random access memory, or both.

尽管本说明书包含许多细节,但这些细节不应被解释为对本公开的范围或所要求保护的范围的限制,而是对特定实施方案的特定特征的描述。本说明书中在单独实施方案的上下文中描述的某些特征也可以在单个实施方案中组合实施。相反,在单个实施方案的上下文中描述的各种特征也可以在多个实施方案中单独实施或以任何合适的子组合来实施。此外,尽管上文可以将特征描述为以某些组合起作用并且甚至可能就此要求保护,但在一些情况下可以从所要求保护的组合中剥离来自该组合的一个或多个特征,并且所要求保护的组合可以涉及子组合或子组合的变型。Although this specification contains numerous details, these should not be construed as limitations on the scope of the disclosure or as claimed, but as descriptions of specific features of particular embodiments. Certain features that are described in this specification in the context of separate implementations can also be implemented in combination in a single implementation. Conversely, various features that are described in the context of a single implementation can also be implemented in multiple implementations separately or in any suitable subcombination. Furthermore, although features may be described above as functioning in certain combinations and may even be claimed in this regard, in some cases one or more features from a claimed combination may be removed from that combination and the claimed combination A protected combination may involve a subcombination or a variation of a subcombination.

应当理解,短语“……中的一个或多个/一种或多种”和短语“……中的至少一个(种)”包括元素的任何组合。例如,短语“A和B中的一个或多个/一种或多种”包括A、B或者A和B。类似地,短语“A和B中的至少一个(种)”包括A、B或者A和B。It is to be understood that the phrase "one or more/one or more of" and the phrase "at least one(s) of" include any combination of elements. For example, the phrase "one or more/one or more of A and B" includes A, B, or A and B. Similarly, the phrase "at least one (species) of A and B" includes A, B or A and B.

因此,已经描述了特定的实施方式。其他实施方式在以下权利要求的范围内。例如,权利要求中所述的动作可以以不同的顺序执行并且仍然获得期望的结果。Accordingly, specific embodiments have been described. Other implementations are within the scope of the following claims. For example, the actions recited in the claims can be performed in a different order and still achieve desirable results.

Claims (20)

1.系统,其包括:1. A system comprising: 一个或多个计算机装置以及存储指令的一个或多个存储装置,所述指令在由所述一个或多个计算机装置执行时,使所述一个或多个计算机装置执行包括以下的操作:One or more computer devices and one or more storage devices that store instructions that, when executed by the one or more computer devices, cause the one or more computer devices to perform operations comprising: 接收对应于开始非侵入性诊断测试以检测用户的医疗状态的请求的输入;receiving input corresponding to a request to initiate a non-invasive diagnostic test to detect a user's medical condition; 确定用于进行所述非侵入性诊断测试的一个或多个传感器;determining one or more sensors for performing the non-invasive diagnostic test; 基于所述非侵入性诊断测试激活所确定的一个或多个传感器;activating the determined one or more sensors based on the non-invasive diagnostic test; 通过所述一个或多个传感器接收信号数据;receive signal data via the one or more sensors; 部分地基于用户特征获得所述非侵入性诊断测试的预测值;obtaining a predictive value for the non-invasive diagnostic test based in part on user characteristics; 基于所述预测值和所述接收的信号数据确定测试结果;以及determining a test result based on the predicted value and the received signal data; and 通过显示器或扬声器输出所述测试结果。The test results are output through a display or speaker. 2.如权利要求1所述的系统,其中所述非侵入性诊断测试包括以下中的一项或多项:葡萄糖测试、胆固醇测试、血红蛋白测试、氧饱和度水平测试和心电图监测测试。2. The system of claim 1, wherein the non-invasive diagnostic tests include one or more of the following: a glucose test, a cholesterol test, a hemoglobin test, an oxygen saturation level test, and an electrocardiogram monitoring test. 3.如权利要求1所述的系统,其中所述操作还包括:3. The system of claim 1, wherein the operations further comprise: 基于从所述接收的信号数据获得的原始数据选择路径;以及selecting a path based on raw data obtained from the received signal data; and 基于所述选择的路径获得一组确定值,obtain a set of determined values based on the selected path, 其中基于所述预测值和所述接收的信号数据确定所述测试结果包括基于所述确定值确定所述测试结果。Wherein determining the test result based on the predicted value and the received signal data includes determining the test result based on the determined value. 4.如权利要求1所述的系统,其中所述操作还包括:4. The system of claim 1, wherein the operations further comprise: 从一个或多个数据库获得用户临床数据和用户人口统计学数据;Obtain user clinical data and user demographic data from one or more databases; 基于所述获得的用户临床数据和所述用户人口统计学数据确定临床数据集范围;以及determining a clinical dataset scope based on the obtained user clinical data and the user demographic data; and 将所述临床数据集范围映射到所述非侵入性诊断测试的预测值。The clinical dataset range is mapped to the predictive value of the non-invasive diagnostic test. 5.如权利要求1所述的系统,其中所述操作还包括:5. The system of claim 1, wherein the operations further comprise: 基于(i)将第二非侵入性诊断测试与所述非侵入性诊断测试相关联的用户模式,以及(ii)所述用户的医疗史,确定待进行的所述第二非侵入性诊断测试;The second non-invasive diagnostic test to be performed is determined based on (i) the user pattern that associates the second non-invasive diagnostic test with the non-invasive diagnostic test, and (ii) the user's medical history ; 基于所述第二非侵入性诊断测试激活第二组的一个或多个传感器;activating a second set of one or more sensors based on the second non-invasive diagnostic test; 通过所述第二组的一个或多个传感器接收第二信号数据;receiving second signal data via one or more sensors of the second set; 部分地基于所述用户特征获得所述第二非侵入性诊断测试的第二预测值;以及obtaining a second predicted value for the second non-invasive diagnostic test based in part on the user characteristic; and 基于所述第二预测值和所述接收的第二信号数据确定第二测试结果。A second test result is determined based on the second predicted value and the received second signal data. 6.如权利要求5所述的系统,其中获得所述非侵入性诊断测试的预测值包括使用所述第二测试结果确定所述非侵入性诊断测试的预测值。6. The system of claim 5, wherein obtaining the predictive value of the non-invasive diagnostic test comprises using the second test result to determine the predictive value of the non-invasive diagnostic test. 7.如权利要求5所述的系统,其中当所述非侵入性诊断测试为葡萄糖测试时,所述第二非侵入性诊断测试是与其同时进行的胆固醇测试。7. The system of claim 5, wherein when the non-invasive diagnostic test is a glucose test, the second non-invasive diagnostic test is a cholesterol test performed concurrently therewith. 8.如权利要求5所述的系统,其中所述非侵入性诊断测试和所述第二非侵入性诊断测试由包括所述一个或多个计算机装置的手表进行。8. The system of claim 5, wherein the non-invasive diagnostic test and the second non-invasive diagnostic test are performed by a watch including the one or more computer devices. 9.如权利要求1所述的系统,其中所述一个或多个传感器包括以下中的一种或多种:无线心脏电极、压电振动传感器、红外线传感器、温度传感器、加速度计和微电子机械系统(MEMS)传感器。9. The system of claim 1, wherein the one or more sensors comprise one or more of the following: wireless cardiac electrodes, piezoelectric vibration sensors, infrared sensors, temperature sensors, accelerometers, and microelectromechanical system (MEMS) sensor. 10.计算机实施的方法,其包括:10. A computer-implemented method comprising: 接收对应于开始非侵入性诊断测试以检测用户的医疗状态的请求的输入;receiving input corresponding to a request to initiate a non-invasive diagnostic test to detect a user's medical condition; 通过一个或多个计算机装置确定用于进行所述非侵入性诊断测试的一个或多个传感器;Determining, by one or more computer devices, one or more sensors for performing the non-invasive diagnostic test; 基于所述非侵入性诊断测试激活所确定的一个或多个传感器;activating the determined one or more sensors based on the non-invasive diagnostic test; 通过所述一个或多个传感器接收信号数据;receive signal data via the one or more sensors; 部分地基于用户特征,通过所述一个或多个计算机装置获得所述非侵入性诊断测试的预测值;obtaining, by the one or more computer devices, a predictive value for the non-invasive diagnostic test based in part on user characteristics; 基于所述预测值和所述接收的信号数据,通过所述一个或多个计算机装置确定测试结果;以及determining, by the one or more computer devices, a test result based on the predicted value and the received signal data; and 由所述一个或多个计算机装置通过显示器或扬声器输出所述测试结果。The test results are output by the one or more computer devices through a display or speaker. 11.如权利要求10所述的计算机实施的方法,其中所述非侵入性诊断测试包括以下中的一项或多项:葡萄糖测试、胆固醇测试、血红蛋白测试、氧饱和度水平测试和心电图监测测试。11. The computer-implemented method of claim 10, wherein the non-invasive diagnostic tests include one or more of the following: a glucose test, a cholesterol test, a hemoglobin test, an oxygen saturation level test, and an electrocardiogram monitoring test . 12.如权利要求10所述的计算机实施的方法,其中所述操作还包括:12. The computer-implemented method of claim 10, wherein the operations further comprise: 基于从所述接收的信号数据获得的原始数据选择路径;以及selecting a path based on raw data obtained from the received signal data; and 基于所述选择的路径获得一组确定值,obtain a set of determined values based on the selected path, 其中基于所述预测值和所述接收的信号数据确定所述测试结果包括基于所述确定值确定所述测试结果。Wherein determining the test result based on the predicted value and the received signal data includes determining the test result based on the determined value. 13.如权利要求10所述的计算机实施的方法,其中所述操作还包括:13. The computer-implemented method of claim 10, wherein the operations further comprise: 从一个或多个数据库获得用户临床数据和用户人口统计学数据;Obtain user clinical data and user demographic data from one or more databases; 基于所述获得的用户临床数据和所述用户人口统计学数据确定临床数据集范围;以及determining a clinical dataset scope based on the obtained user clinical data and the user demographic data; and 将所述临床数据集范围映射到所述非侵入性诊断测试的预测值。The clinical dataset range is mapped to the predictive value of the non-invasive diagnostic test. 14.如权利要求10所述的计算机实施的方法,其中所述操作还包括:14. The computer-implemented method of claim 10, wherein the operations further comprise: 基于(i)将所述第二非侵入性诊断测试与所述非侵入性诊断测试相关联的用户模式,以及(ii)所述用户的医疗史,确定待进行的第二非侵入性诊断测试;A second non-invasive diagnostic test to be performed is determined based on (i) a user profile that associates the second non-invasive diagnostic test with the non-invasive diagnostic test, and (ii) the user's medical history ; 基于所述第二非侵入性诊断测试激活第二组的一个或多个传感器;activating a second set of one or more sensors based on the second non-invasive diagnostic test; 通过所述第二组的一个或多个传感器接收第二信号数据;receiving second signal data via one or more sensors of the second set; 部分地基于所述用户特征,获得所述第二非侵入性诊断测试的第二预测值;以及obtaining a second predicted value for the second non-invasive diagnostic test based in part on the user characteristic; and 基于所述第二预测值和所述接收的第二信号数据确定第二测试结果。A second test result is determined based on the second predicted value and the received second signal data. 15.如权利要求14所述计算机实施的方法,其中获得所述非侵入性诊断测试的预测值包括使用所述第二测试结果确定所述非侵入性诊断测试的预测值。15. The computer-implemented method of claim 14, wherein obtaining a predictive value for the non-invasive diagnostic test comprises using the second test result to determine a predictive value for the non-invasive diagnostic test. 16.如权利要求14所述的计算机实施的方法,其中当所述非侵入性诊断测试为葡萄糖测试时,所述第二非侵入性诊断测试是与其同时进行的胆固醇测试。16. The computer-implemented method of claim 14, wherein when the non-invasive diagnostic test is a glucose test, the second non-invasive diagnostic test is a concurrent cholesterol test. 17.如权利要求14所述的计算机实施的方法,其中所述非侵入性诊断测试和所述第二非侵入性诊断测试由包括所述一个或多个计算机装置的手表进行。17. The computer-implemented method of claim 14, wherein the non-invasive diagnostic test and the second non-invasive diagnostic test are performed by a watch including the one or more computer devices. 18.如权利要求10所述的计算机实施的方法,其中所述一个或多个传感器包括以下中的一种或多种:无线心脏电极、压电振动传感器、红外线传感器、温度传感器、加速度计和微电子机械系统(MEMS)传感器。18. The computer-implemented method of claim 10, wherein the one or more sensors include one or more of the following: wireless cardiac electrodes, piezoelectric vibration sensors, infrared sensors, temperature sensors, accelerometers, and Micro Electro Mechanical Systems (MEMS) sensors. 19.手表,其包括:19. A watch comprising: 一个或多个计算机装置以及存储指令的一个或多个存储装置,所述指令在由所述一个或多个计算机装置执行时,使所述一个或多个计算机装置执行包括以下的操作:One or more computer devices and one or more storage devices that store instructions that, when executed by the one or more computer devices, cause the one or more computer devices to perform operations comprising: 基于用户特征选择葡萄糖测试和胆固醇测试;Select glucose test and cholesterol test based on user characteristics; 确定用于进行所述葡萄糖测试和所述胆固醇测试的一个或多个传感器;determining one or more sensors for performing the glucose test and the cholesterol test; 激活所述确定的一个或多个传感器;activating the determined one or more sensors; 通过所述一个或多个传感器接收信号数据;receive signal data via the one or more sensors; 部分地基于所述用户特征获得所述葡萄糖测试的第一预测值;obtaining a first predicted value of the glucose test based in part on the user characteristic; 基于所述第一预测值和所述接收的信号数据确定葡萄糖测试结果和胆固醇测试结果;以及determining a glucose test result and a cholesterol test result based on the first predicted value and the received signal data; and 通过所述手表的显示器或扬声器输出所述葡萄糖测试结果和所述胆固醇测试结果。The glucose test results and the cholesterol test results are output through a display or speaker of the watch. 20.如权利要求19所述的手表,其中所述一个或多个传感器包括红外线传感器和压电振动传感器;20. The watch of claim 19, wherein the one or more sensors include an infrared sensor and a piezoelectric vibration sensor; 其中所述操作还包括:The operations also include: 基于从所述接收的信号数据获得的原始数据选择路径;以及selecting a path based on raw data obtained from the received signal data; and 基于所述选择的路径获得一组确定值;以及obtaining a set of determined values based on the selected path; and 其中基于所述第一预测值和所述接收的信号数据确定所述葡萄糖测试结果包括基于所述确定值确定所述葡萄糖测试结果。Wherein determining the glucose test result based on the first predicted value and the received signal data includes determining the glucose test result based on the determined value.
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