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WO2024144467A1 - Procédé et système pour stéthoscopes numériques et suivi et gestion de patient à distance - Google Patents

Procédé et système pour stéthoscopes numériques et suivi et gestion de patient à distance Download PDF

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Publication number
WO2024144467A1
WO2024144467A1 PCT/TR2022/051616 TR2022051616W WO2024144467A1 WO 2024144467 A1 WO2024144467 A1 WO 2024144467A1 TR 2022051616 W TR2022051616 W TR 2022051616W WO 2024144467 A1 WO2024144467 A1 WO 2024144467A1
Authority
WO
WIPO (PCT)
Prior art keywords
digital stethoscope
auscultation
visual representation
point
stethoscope
Prior art date
Application number
PCT/TR2022/051616
Other languages
English (en)
Inventor
Mustafa ÖZAKTAŞ
Emirhan GÜLER
Atabek Batuhan BILGIÇ
Şenol PIŞKIN
Efe Bulut
Original Assignee
İsti̇nye Üni̇versi̇tesi̇
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from TR2022/020577 external-priority patent/TR2022020577A1/tr
Application filed by İsti̇nye Üni̇versi̇tesi̇ filed Critical İsti̇nye Üni̇versi̇tesi̇
Publication of WO2024144467A1 publication Critical patent/WO2024144467A1/fr

Links

Classifications

    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0077—Devices for viewing the surface of the body, e.g. camera, magnifying lens
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6887—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient mounted on external non-worn devices, e.g. non-medical devices
    • A61B5/6898—Portable consumer electronic devices, e.g. music players, telephones, tablet computers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B7/00—Instruments for auscultation
    • A61B7/003—Detecting lung or respiration noise
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B7/00—Instruments for auscultation
    • A61B7/02—Stethoscopes
    • A61B7/04—Electric stethoscopes
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H30/00—ICT specially adapted for the handling or processing of medical images
    • G16H30/40—ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0204—Acoustic sensors

Definitions

  • the invention relates to a method for the correct use of digital stethoscopes by the patient, including a computer-implemented and three-dimensional model and/or augmented reality and guidance, and a system for the said method.
  • Digital stethoscopes are devices designed to receive and digitize the patient's body sounds, specifically heart and lung sounds. Optionally, they may or may not include headphones through which the user can hear the sound obtained.
  • the main object of the invention is to enable the patient to perform body auscultating through a stethoscope most accurately without the need for face-to-face (physical) contact with healthcare personnel.
  • Another object of the invention is to transfer the measurement performed by the patient to the healthcare personnel.
  • the object of the invention is to enable the patient to be guided online by the healthcare personnel during the auscultating of the body.
  • Another object of the invention is to provide a time advantage in the related procedures for both the patient and the healthcare personnel.
  • the present invention is based on guiding the patient during the body auscultating process to be performed by the patient.
  • the auscultating process is carried out, especially by means of a digital stethoscope.
  • a visual representation of the person for example, a photograph or a two-dimensional (2D) or three-dimensional (3D) model is taken or created.
  • Input data for the visual representation may be provided from an Image receiving element such as a phone camera.
  • points on the body are taken, which are predetermined or marked by another user device, for example, a doctor's phone and computer, in communication with the patient's user device instantly, which will enable auscultating with maximum accuracy.
  • the position of the digital stethoscope is determined as well, and by comparing the two positions, it is determined whether the patient uses the digital stethoscope correctly.
  • An alert can be provided for the repositioning of the digital stethoscope by the patient if the patient does not provide the correct measurement.
  • These alerts can be generated entirely on the basis of distance or coordinates, or they can be generated through a machine -learning model.
  • the received data is transmitted to the device of the health personnel or recorded in a memory unit that the health personnel has access to.
  • One of the distinguishing features of the invention is the 3D extraction of the patient's model via augmented reality technology, LIDAR, or another scanning method.
  • operations such as interviews, examination, and 3D point determination on the patient can be as if the patient and healthcare personnel are in the same physical environment with very high precision. It will be able to capture points that cannot be captured in 2D, or that can be captured with low sensitivity, with high sensitivity. It will remove the illusions in 2D images.
  • Figure la Representative image of another system for the method of the invention.
  • Figure lb Representative image of another system for the method of the invention.
  • Figure 2 An isometric view of a digital stethoscope.
  • the depth information can be included in the model, and the actual dimensions of the 3D model can be created and stored or shared with the healthcare personnel.
  • Image receiving elements working according to LIDAR (laser) technology or ultrasonography technology can also be used in this method and system.
  • a two-dimensional or three-dimensional image created by using the Image receiving element (21) can also be used as a visual representation (R).
  • LIDAR technology gives better results in creating three-dimensional visual representations.
  • an augmented reality, virtual reality, or mixed reality model is also suitable for use as a visual representation (R).
  • the relevant models are created based on the instant video image.
  • the user (U) moves the digital stethoscope (10) around the appropriate parts of their body and according to the characteristics of the received sound; the system, for example, a processing unit (PU) marks the appropriate points as auscultation points (P).
  • the auscultation point (P) is selected according to the cleanliness and/or loudness of the sound received from the digital stethoscope (10).
  • the system will be able to guide the patient autonomously with visual, auditory, and/or vibration.
  • the said alert can be provided in visual, auditory, or sensory form.
  • visual alert, auditory and/or sensory, and/or vibrational alerts eliminate the need for the user to constantly look at the user device (10).
  • the data obtained by the digital stethoscope (10) is transmitted directly to a secondary device (30) for the health personnel to auscultate to, either directly or through a server.
  • the visual representation (R) of the row user (U) and the auscultation points (P) marked on the said visual image (R) are stored in a memory unit (M).
  • the method described above, and the embodiments of this method are carried out through a system.
  • the said system includes at least one processing unit (PU) configured to execute the described processing steps and to communicate with the digital stethoscope (10).
  • the said processing unit is provided in such a way that the user device (20) and/or the secondary device (30) can also communicate, or it may be within one of the same.
  • the processing unit (PU) is configured to communicate with the user device which has an Image receiving element (21) and the said Image receiving element (21) to receive a visual representation (R) of at least a portion of the user (U) body.
  • the processing unit (PU) is configured to communicate with a secondary device (30) or a memory unit (M) to receive at least one auscultation point (P) that needs to be auscultated to on the body.
  • it is further configured to compare the position of the digital stethoscope (10) with the said auscultation point (P) and, after comparison, to generate a guidance alert using the methods described above.
  • an appointment for meeting with the health personnel is determined and an alert is sent to the patient about the appointment time via the user device (20).
  • the appointment starts, first of all, the user device (20) is brought to a position to see the patient, and a 360° view of the patient is taken.
  • a verbal examination can also be performed by the health personnel.
  • they mark the points on the patient that they want to be auscultated to with a digital stethoscope (10) on their own device.
  • the patient places the digital stethoscope (10) on the relevant point, and then the received signals are transmitted to the healthcare personnel.
  • an appointment for meeting with the health personnel is determined and an alert is sent to the patient about the appointment time via the user device (20).
  • the appointment starts, first of all, the user device (20) is brought to a position to see the patient, and a 360° view of the patient is taken. Then, auscultation points are displayed on an interface where a three-dimensional model created based on the patient's image is displayed. At this point, the patient places the digital stethoscope (10) on the relevant point, and then the received signals are transmitted to the healthcare personnel.
  • the system controls the position of the digital stethoscope (10) according to the content of the incoming signal or the machine learning model, the auscultation point (P) is not correct, it returns to the step of displaying the auscultation points on an interface where the three-dimensional model is displayed.
  • the sound and signals that reach the system from the stethoscope body and then to the same are loaded and recorded.
  • the system requests auscultating from a new auscultation point (P)
  • it returns to the step of displaying auscultation points on an interface where the three- dimensional model is displayed.
  • the data received in this process is saved in a cloud system.
  • a computer program is used to operate the said system by auscultating to the body of the user (10) with the digital stethoscope (10) depending on the method described above.
  • the said program comprises instructions to operate the said system according to the said method.
  • the patient's visual examination and/or disease diagnosis and/or treatment and/or therapy can also be performed through this system.
  • This program may be provided in online or in a storage unit.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Primary Health Care (AREA)
  • Epidemiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pathology (AREA)
  • Business, Economics & Management (AREA)
  • Acoustics & Sound (AREA)
  • Biophysics (AREA)
  • General Business, Economics & Management (AREA)
  • Multimedia (AREA)
  • Data Mining & Analysis (AREA)
  • Databases & Information Systems (AREA)
  • Pulmonology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

L'invention concerne un procédé pour l'utilisation correcte de stéthoscopes numériques par le patient, comprenant un modèle tridimensionnel mis en oeuvre par ordinateur et/ou un système de guidage et de réalité augmentée et un système pour ledit procédé.
PCT/TR2022/051616 2022-12-26 2022-12-27 Procédé et système pour stéthoscopes numériques et suivi et gestion de patient à distance WO2024144467A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
TR2022020577 2022-12-26
TR2022/020577 TR2022020577A1 (tr) 2022-12-26 Di̇ji̇tal stetoskoplar ve uzaktan hasta taki̇bi̇ ve yöneti̇mi̇ i̇çi̇n yöntem ve si̇stem

Publications (1)

Publication Number Publication Date
WO2024144467A1 true WO2024144467A1 (fr) 2024-07-04

Family

ID=91718875

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/TR2022/051616 WO2024144467A1 (fr) 2022-12-26 2022-12-27 Procédé et système pour stéthoscopes numériques et suivi et gestion de patient à distance

Country Status (1)

Country Link
WO (1) WO2024144467A1 (fr)

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20190279748A1 (en) * 2016-05-11 2019-09-12 Tyto Care Ltd. A user interface for navigating through physiological data
WO2021231958A1 (fr) * 2020-05-15 2021-11-18 Heroic-Faith Medical Science Co., Ltd. Déduction d'aperçus de la santé par analyse de données audio générées par des stéthoscopes numériques
WO2021229600A1 (fr) * 2020-05-12 2021-11-18 Aria Narayan Vikram Système d'auscultation permettant de guider un utilisateur pour effectuer une auscultation sur un sujet
WO2022051269A1 (fr) * 2020-09-01 2022-03-10 Medaica Inc. Système de télémédecine

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20190279748A1 (en) * 2016-05-11 2019-09-12 Tyto Care Ltd. A user interface for navigating through physiological data
WO2021229600A1 (fr) * 2020-05-12 2021-11-18 Aria Narayan Vikram Système d'auscultation permettant de guider un utilisateur pour effectuer une auscultation sur un sujet
WO2021231958A1 (fr) * 2020-05-15 2021-11-18 Heroic-Faith Medical Science Co., Ltd. Déduction d'aperçus de la santé par analyse de données audio générées par des stéthoscopes numériques
WO2022051269A1 (fr) * 2020-09-01 2022-03-10 Medaica Inc. Système de télémédecine

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