Stethoscopes are acoustic medical devices used for listening to internal sounds of animal or human bodies. For example, stethoscopes may be used to listen to the sounds made by the heart, lungs or intestines, as well as blood flow in arteries and veins. Stethoscopes can also be used to check scientific vacuum chambers for leaks and for various other small-scale acoustic industrial monitoring tasks. Typically, stethoscopes are used by physicians, who are trained to listen for certain sounds. Additionally, physicians typically listen to different parts of the human or animal body for a period of time with their stethoscopes, and then either make a few notes in a file about what they heard, or do not record such information. Today's stethoscopes and methods of using and working with the same suffer from a number of drawbacks, including that information discerned by users (e.g., physicians) is often not properly recorded and analyzed, and also that it often requires trained users to use such devices.
It is with respect to these and other considerations that the instant disclosure is concerned.
In one aspect of the disclosed concept, a digital storage stethoscope is provided. The digital storage stethoscope includes a noise canceling microphone apparatus configured to detect an analog signal from a sound generating source, an amplifier electrically connected to the noise canceling microphone apparatus and configured to amplify and add electrical gain to the analog signal from the noise canceling microphone apparatus, an analog to digital converter electrically connected to the amplifier and configured to: a) receive the analog signal, b) convert the analog signal to a digital signal, and c) add digital gain to the digital signal, a controller electrically connected to the converter and configured to receive the digital signal from the converter into a data file, a memory storage electrically connected to the controller for storing the data file, and a data transmitter electrically connected to the controller and being configured to transmit the data file from the controller.
In another aspect of the disclosed concept, a method of storing a data file with the aforementioned digital storage stethoscope is provided.
As will be employed herein, the term “coupled” shall mean connected together either directly or through one or more intermediate parts or components.
As employed herein, the phrase “digital signal processing” shall mean processing digitized data through computers or more specialized signal processors to perform a wide variety of signal processing operations. Digital signal processing may be performed in time domain (one-dimensional signals), spatial domain (multidimensional signals), frequency domain, and wavelet domain. Non-limiting examples of digital signal processing include min/max analysis, Bilinear transform, Discrete Fourier transform, Discrete-time Fourier transform, Filter design, Goertzel algorithm, Least-squares spectral analysis, LTI system theory, Minimum phase, s-plane, Transfer function, and Z-transform.
As employed herein, the phrase “computational device” shall mean a device that is configured to perform digital signal processing. Non-limiting examples of computational devices in accordance with the disclosed concept include smart devices (e.g., phones and watches), computers, tablets, and servers (e.g., data servers).
As employed herein, the phrase “noise canceling microphone apparatus” may include a microphone apparatus that is configured to: a) receive at least two sources of sound; b) phase shift one of the two received sources of sound (e.g., optionally phase 180 degrees); and c) blend the phase shifted source of sound back in with at least one of the other initially received sources of sound. Noise canceling microphone apparatus in accordance with the disclosed concept may include at least two individual microphones, wherein a first of the microphones is configured to listen to a localized region of a sound generating source, and a second of the microphones is configured to listen to ambient noise.
In accordance with one non-limiting embodiment of the disclosed concept, a digital storage stethoscope 2 is provided, as shown schematically in
In order to achieve these benefits, stethoscope 2, as shown in
Moreover, in accordance with the disclosed concept, diaphragm 12 may be a physical gain amplifier cone. Furthermore, filter apparatus 16 may include either: a) an analog filter electrically connected to amplifier 18, and/or b) a digital filter electrically connected to noise canceling microphone apparatus 14. In one preferred embodiment, filter apparatus 16 includes the analog filter electrically connected to noise canceling microphone apparatus 14. As such, filter apparatus 16 may be configured as an adjustable width band pass filter, a low pass filter, a high pass filter, or an all-pass filter in order to localize sound within a predetermined frequency range.
In operation, ambient noise may enter stethoscope 2, but will substantially or entirely be prevented from passing into the electronics of stethoscope 2 due to noise canceling microphone apparatus 14 being, in one example, configured to cancel ambient noise. Accordingly, when an operator (e.g., physician, nurse, technician, etc.) places stethoscope 2 on the patient or animal, noise canceling microphone apparatus 14 is configured to detect sound from within the patient or animal through diaphragm 12, which may have a patient-friendly coating (e.g., rubber). When this is done, an analog signal of, for example, a heartbeat, is passed into filter apparatus 16.
By employing filter apparatus 16, stethoscope 2 advantageously is configured to increase gain on very precise frequency bands of detection. This is beneficial because certain sounds which are of concern, such as the beat of a heart, are often localized in sound frequency. Thus, it is desirable that these sounds be recorded. As such, other miscellaneous sounds such as blood vessels, harmonics, etc., are unable to affect the recorded signal. This is generally not possible with standard stethoscopes, wherein such devices cannot avoid hearing the sounds of the harmonics, blood vessels, etc.
Stethoscope 2 also preferably includes an amplifier 18 electrically connected to filter apparatus 16, an analog to digital converter 20 electrically connected to amplifier 18, and a local sound output 22 electrically connected to amplifier 18, optionally connected via a wire or wires. In accordance with the disclosed concept, amplifier 18 amplifies and adds electrical gain to the analog signal exiting filter apparatus 16 and passes it to analog to digital converter 20 and local sound output 22. Analog to digital converter 20 is configured to: a) receive the analog signal, b) convert the analog signal to a digital signal, and c) add digital gain to the digital signal, as will be discussed below.
By passing the signal to local sound output 22, a user, if desiring to do so, can connect headphones or other modern listening mechanisms (e.g., electrically or wirelessly) to local sound output 22 and listen to a live analog signal of sound of the detected region. It will, however, be appreciated that suitable alternative stethoscope devices within the scope of the disclosed concept need not include such an output, but rather can rely on wireless transfer of the signal, as will be discussed below.
Continuing to refer to
Additionally, in one example embodiment, stethoscope 2 further has control buttons 26 (e.g., volume adjustment buttons, on/off buttons, pair to external devices buttons, etc.) electrically connected to controller 24 and configured to allow a user to locally control operations of controller 24. Furthermore, stethoscope 2 also preferably includes an alert mechanism 28 electrically connected to controller 24, and a local display 30 electrically connected to controller 24, wherein local display 30 is configured to display at least an amplitude of the detected sound signal (e.g., either from the analog signal or the digital signal).
Alert mechanism 28 provides stethoscope 2 with the capability of being aligned over desired detection regions. For example, alert mechanism 28 may be configured to alert a user that stethoscope 2 is either properly positioned or improperly positioned with respect to a localized region 84 (
Accordingly, controller 24 may be configured to have firmware integrated therein to detect when diaphragm 12 is properly positioned. Furthermore, when positioning is proper, the electrical connection between diaphragm 12 and alert mechanism 28 causes a corresponding alert being generated. In one example, alert mechanism 28 may include a local sound alert mechanism configured emit an audio signal responsive to stethoscope 2 being either properly positioned or improperly positioned with respect to localized region 84. In another example, alert mechanism 28 includes a light source configured to emit visible light (e.g., an LED or other light source, which is electrically connected to controller 24, lights up to alert a user) responsive to stethoscope 2 being either properly positioned or improperly positioned with respect to localized region 84.
Stethoscope 2 may also, in one example embodiment, further have a data transmitter 32 electrically connected to controller 24. Data transmitter 32 is configured to transmit a data file from controller 24 (e.g., a data file containing a recorded digital signal of sound received from analog to digital converter 20) to: a) a computational device (e.g., either an internal computational device 33 or one or both of external computational devices 64, 66) for performing digital signal processing, and/or b) a receiver 62 for listening. Additionally, as shown in
In operation, noise canceling microphone apparatus 14 is preferably configured to detect an analog signal from sound generating source 82 (
Additionally, as shown in
Once digital data files of detected patient or animal regions is sent from controller 24 to data transmitter 32, the data files may be passed out of stethoscope 2 in at least one of the following ways, in accordance with the disclosed concept. First, via wireless connection to receiver 62, if a user has, for example, air/ear pods, blue tooth devices, or other wireless listening devices (e.g., speakers), that the user can connect to receiver 62 and listen to the sound of the detected region of the patient or animal, at an instance in time after the initial sound was detected and recorded, or in real-time. Second, via wireless connection to external computational device 64 and/or wired connection to external computational device 66, the data can be sent to either off-site servers (e.g., cloud for access via a device such as a smartphone, tablet, and/or computer on an app) or on-site servers, respectively, wherein digital signal processing or recording on such devices may be performed.
At this point, the data can be controlled and processed, as well as listened to and recorded. By having the data accessible in this manner, unlike today's methods, physicians and personnel may better be able to predict, and therefore help stop, future medical problems by readily having access to this information. For example, artificial intelligence may be used to analyze this sound data easily, thereby allowing even the most minimally trained personnel acquire professional results. This occurs when computational devices (e.g., servers) both analyze and aggregate all the sounds digitized by stethoscope 2 so that there becomes a large body of knowledge of human heart and other sounds over time. This is where artificial intelligence again is used to model the soundscape of the human bodily functions, in this case the heart. The order of magnitude of recorded sounds will be significantly large, potentially more than trillions.
Furthermore, analysis of collected data can be accomplished anywhere in the universe (e.g., if data is being collected from a patient or animal in country A, a physician or other personnel in country B will readily be able to analyze the data as it is being collected, thereby significantly improving the capacity of medical personnel to treat patients). Additionally, it will be appreciated that file storage types of collected data are HIPPA compliant, thus protecting patient sensitive information. Moreover, sound data can be stored for later retrieval, archiving, education, aggregate data analysis, etc. It will further be appreciated that in, for example, a hospital setting, a single person such as a nurse may be able to monitor an entire floor by having different digital storage stethoscopes like stethoscope 2 strapped to patients. Further yet, stethoscope 2 may be issued to patients for overnight or long-term recording, thus eliminating the need for a hospital stay and continual nursing.
As shown in
Furthermore,
Accordingly, it will be appreciated that a principal operation of stethoscope 2 is to take analog sound input, digitize it and perform a suite of digital signal processing techniques including, but not limited to, derivatives, fast fourier transforms, integrals, graphing, etc. The digitized sound can then be stored, categorized, and correlated to relate the sound and processed signals to disease or health states then used with artificial intelligence to predict future health or disease states. It will be appreciated that stethoscope 2 is preferably configured to detect and digitize sound from frequencies of 0 hertz to 30,000 hertz.
Moreover, it will be appreciated that in one non-limiting example, stethoscope 2 includes noise canceling microphone apparatus 14, amplifier 18, analog to digital converter 20, controller 24, memory storage 25, and data transmitter 32 as required elements, with other elements (e.g., without limitation, case 10, diaphragm 12, local sound output 22, electrical patient identification adding device 40, etc.) depicted in
While this disclosure has been described as having exemplary methods, the present disclosure can be further modified within the spirit and scope of this disclosure. This application is therefore intended to cover any variations, uses, or adaptations of the disclosure using its general principles. For example, though this application has been described in association with stethoscope 2 including multiple methods of passing digital data of patient sounds, any number (e.g., 1, 2, etc.) of methods are contemplated. Further, this application is intended to cover such departures from the present disclosure as come within known or customary practice in the art to which this disclosure pertains and which fall within the limits of the appended claims.
This application claims priority to and claims the benefit of U.S. Provisional Application Ser. No. 63/523,405, filed Jun. 27, 2023, the contents of which are incorporated herein by reference in their entirety.
Number | Date | Country | |
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63523405 | Jun 2023 | US |