1. Field of the Invention
The present invention relates to an ear type apparatus for measuring a bio signal and a measuring method therefor. More particularly, the present invention relates to an ear type apparatus for measuring a bio signal, such as temperature, respiration, pulse, and oxygen saturation, which can minimize a motion artifact caused by a subject's motion, and a measuring method therefor.
2. Description of the Related Art
When a human body is in an abnormal state, various changes may occur such as an increase in blood pressure, an increase in pulse rate, an increase in body temperature, or a change in an electric potential occurring during a heartbeat, which may be measured by an electrocardiogram. Among these changes, the increase in body temperature is the most representative sign of an abnormal state of a human body and is thus generally measured during a patient diagnosis in hospitals or general medical institutions. Conventionally, body temperature is measured using a mercury thermometer. Recently, various ear type thermometers for measuring a body temperature, i.e., inner body temperature without influence from external temperature, have been developed. In operation, such an ear type thermometer detects an amount of infrared rays emitted from an eardrum at an internal body temperature and converts the detected amount of infrared rays into a temperature value. The ear type thermometer is advantageous in that a measurement time is short and the body temperature can be conveniently measured by inserting the ear type thermometer into an ear.
A pulse indicates a dynamic extension of an artery that can be felt by a finger. Since the dynamic extension of an artery is due to a contraction of the heart, a heart rate, i.e., a heart's contraction rate, can be inferred from a pulse rate. When a human body is infected by a disease, the pulse rate, rhythm, or strength changes even when the human body is in a stable status. Accordingly, a person's state of health can be checked by measuring the pulse rate, rhythm, or strength.
Further, oxygen saturation indicates an amount of arterial blood (SpO2) in which oxygen is saturated. Oxygen saturation is measured to test a pulmonary function, estimate a concentration of oxygen in blood during oxygen therapy at home, or diagnose asthma and pulmonary emphysema. Human respiration is a process of discharging waste gas, i.e., carbonic acid gas, from a human body and providing oxygen to the human body. A human lung accommodates air coming from outside, emits carbonic acid gas, and absorbs oxygen. A pulmonary artery discharges carbonic acid gas collected throughout the human body through pulmonary alveoli using a difference in air pressure during exhalation. Conversely, blood in a pulmonary vein absorbs oxygen from inhaled air and then circulates to the heart. When respiration is unstable, a supply of oxygen is interrupted, which deteriorates the functions of a body's organs. In particular, oxygen saturation directly relates to an amount of oxygen supplied to the organs and thus provides very useful information regarding metabolism.
The light receiver 120 includes a condenser device, which condenses infrared rays passing through the probe 110, and an infrared receiver device, which is disposed to receive the infrared rays condensed by the condenser device to receive infrared rays emitted from at least one area from among the eardrum and the peripheral areas of the eardrum.
Disadvantageously, the conventional ear type thermometer shown in
In order to apply such a conventional ear type thermometer to a remote medical treatment, since a measured value needs to be transmitted via a separate transmission apparatus, an interface is required. Accordingly, it is difficult to monitor results of the measurement frequently or for an extended period of time.
The bio-information measurement module 310 includes a body fat measurer 311 and a heart rate measurer 312. An interface unit 313 performs data interface between the portable communication terminal 300 and an external electronic apparatus, for example, a removable bio-information measurement module.
Disadvantageously, such a conventional portable communication terminal for measuring bio information using electrodes is influenced by a motion artifact caused by a force pressing the electrodes and is sensitive to contamination of the electrodes or the skin since the electrodes directly contact the skin. When the electrodes are exposed outside the communication terminal, they are easily damaged or contaminated.
To obtain bio information, such as oxygen saturation, a component in blood needs to be detected. Accordingly, a method of applying signals showing different characteristics according to concentrations of oxidized hemoglobin and reduced hemoglobin and obtaining the bio information using a difference between the signals is usually used. In conventional methods, however, since one electrode cannot apply different types of signals, bio information beyond a pulse rate cannot be appropriately measured.
The present invention provides an apparatus for measuring a bio signal, which is convenient to carry, can be adjusted to be correctly positioned at a body part to be measured by a subject himself, and can transmit measured bio information without requiring a separate transmitter, thereby facilitating long-term monitoring. In addition, the apparatus can obtain pulse and respiration information and simultaneously measure oxygen saturation using changes in absorptance of light having at least two different wavelengths. The present invention further provides a method for measuring a bio signal.
According to a feature of an embodiment of the present invention, there is provided an apparatus for measuring a bio signal including a bio signal measurement unit, which is insertable into an ear to be in close contact with an internal surface of the ear, the bio signal measurement unit having a photo plethysmography (PPG) measurement module for radiating light of different wavelengths onto the internal surface of the ear, detecting light transmitted through the ear, and outputting a PPG signal including bio information, a control unit having a PPG signal processor for generating the bio information using the PPG signal measured by the PPG measurement module, and an output unit for displaying the bio information generated from the control unit.
According to another feature of an embodiment of the present invention, there is provided an apparatus for measuring a bio signal including a bio signal measurement unit, which is insertable into an ear to be in close contact with an internal surface of the ear, the bio signal measurement unit having a photo plethysmography (PPG) measurement module for radiating light of different wavelengths onto the internal surface of the ear, detecting light transmitted through the ear, and outputting a PPG signal including bio information, and further having a plurality of electrodes for outputting the PPG signal, an earphone having a speaker for outputting sound and a plurality of electrodes on an outer surface to be connected to the plurality of electrodes of the bio signal measurement unit to receive the PPG signal output from the bio signal measurement unit, a control unit having a PPG signal processor for receiving the PPG signal through the electrodes of the earphone and generating bio information using the PPG signal and a sound processor for outputting a sound signal to the earphone, and an output unit for displaying the bio information generated from the control unit.
Preferably, the PPG measurement module includes a light source unit for radiating light onto the internal surface of the ear and a photodetector for detecting light radiated onto the internal surface of the ear and then transmitted through the ear. The light source unit may include a first light source for radiating light of a first wavelength onto the internal surface of the ear, and a second light source for radiating light of a second wavelength onto the internal surface of the ear, wherein the first and second wavelengths are different.
Preferably, the PPG signal processor includes a peak detector for detecting peaks of the PPG signal and a signal processor for generating the bio information using values of the peaks. The signal processor may include a pulse detector for calculating a time interval between the peaks to measure a pulse rate. The signal processor may include a respiration detector for band-pass filtering the PPG signal to measure a respiration frequency. The signal processor may include a reflection coefficient detector for detecting an AC component and a DC component from each of PPG signals detected at different wavelengths and measuring reflection coefficients and an oxygen saturation detector for detecting oxygen saturation in blood using a ratio between the reflection coefficients of the different wavelengths.
The PPG signal processor may further include an amplifier for amplifying the PPG signal and a filter for removing noise components from the PPG signal amplified by the amplifier and then outputting the PPG signal to the peak detector.
Preferably, the bio signal measurement unit further includes a temperature measurement module for sensing infrared rays radiated from a body and outputting an electrical signal corresponding to the sensed infrared rays, and wherein the control unit further includes a temperature processor for calculating a body temperature using the electrical signal output from the temperature measurement module. The temperature measurement module may include a waveguide installed near an eardrum for guiding infrared rays radiated from the eardrum and a light receiver sensing the infrared rays guided by the waveguide and converting the infrared rays to the electrical signal. The waveguide may be made of a material that can reflect infrared rays. The temperature processor may include an amplifier for amplifying the electrical signal received from the temperature measurement module, a filter for removing noise from the amplified electrical signal, and an analog-to-digital converter for converting the electrical signal to a digital signal.
The output unit may be a liquid crystal display apparatus. Further, the output unit may be a liquid crystal display apparatus of a mobile communication terminal or a compact disc player.
The bio information unit may further include a mobile communication terminal through which the bio information generated from the control unit is wirelessly transmitted to a predetermined medical institution.
According to still another feature of an embodiment of the present invention, there is provided a method of measuring a bio signal using an ear type bio signal measurement apparatus including a bio signal measurement unit, which is insertable into an ear to measure a bio signal, a control unit for generating bio information using the measured bio signal, and an output unit for outputting the bio information, the method including (a) receiving infrared rays radiated from an eardrum and measuring a body temperature using the bio signal measurement unit, (b) radiating light having different wavelengths onto an internal surface of an ear, which is in close contact with the bio signal measurement unit, to measure a photo plethysmography (PPG) signal including bio information and measuring at least one bio signal from among the group consisting of oxygen saturation, a pulse rate, and a respiration frequency, using the PPG signal, and (c) outputting the at least one bio signal measured in (a) and (b), wherein (a) and (b) are simultaneously performed.
Preferably, (b) includes (b1) radiating the light having the different wavelengths onto the internal surface of the ear, receiving the light transmitted through the ear, and outputting the PPG signal, using a PPG measurement module included in the bio signal measurement unit having a side thereof in close contact with the internal surface of the ear; (b2) detecting peaks of the PPG signal; and (b3) generating bio information using the detected peaks.
Preferably, (b3) includes detecting an AC component and a DC component from each of PPG signals detected at the different wavelengths and measuring reflection coefficients of the different wavelengths, and calculating oxygen saturation in blood using a ratio between the reflection coefficients of the different wavelengths. Preferably, (b3) includes band-pass filtering the PPG signal to detect a respiration frequency. In addition, (b2) may include band-pass filtering the PPG signal collected for a predetermined period of time, detecting an inflection point by differentiating the filtered PPG signal, and storing the inflection point as a peak when the inflection point has a value exceeding a predetermined threshold value.
Preferably, (b3) may include measuring a pulse rate using a time interval between peaks of the PPG signal. The output unit may be a liquid crystal display apparatus of a mobile communication terminal, and (c) may further include wirelessly transmitting the bio signals measured in (a) and (b) to a predetermined medical institution through the mobile communication terminal.
According to yet another feature of an embodiment of the present invention, there is provided a recording medium having recorded therein a program for executing the above-described method in a computer.
The above and other features and advantages of the present invention will become more apparent to those of ordinary skill in the art by describing in detail preferred embodiments thereof with reference to the attached drawings in which:
Korean Patent Application No. 2003-29365, filed on May 9, 2003, and entitled: “Ear Type Apparatus for Measuring a Bio Signal and Measuring Method Therefor,” is incorporated by reference herein in its entirety.
The present invention will now be described more fully hereinafter with reference to the accompanying drawings, in which preferred embodiments of the invention are shown. The invention may, however, be embodied in different forms and should not be construed as limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the invention to those skilled in the art. Like reference numerals refer to like elements throughout.
Referring to
Referring to
For the display unit 590, a separate display apparatus or a display apparatus included in an existing apparatus can be used. In the example shown in
In
In order to measure a subject's oxygen saturation, the signal processor 587 includes an alternating current (AC) detector 920, which detects changes between maximum values and minimum values of a waveform output from the peak detector 585 to detect a light intensity variation due to pulsatile components of an artery; a direct current (DC) detector 922, which detects the minimum values of the waveform output from the peak detector 585 to detect a light intensity due to non-pulsatile components; a reflection coefficient detector 924, which calculates a reflection coefficient using a DC component and an AC component of a pulse wave; and a oxygen saturation detector 926, which calculates oxygen saturation using the reflection coefficient.
In order to detect a subject's respiration frequency (rate), the signal processor 587 includes a band pass filter (BPF) 930, which band pass filters a pulse signal received from the peak detector 585, and a respiration detector 935, which detects a respiration frequency using the band pass filtered pulse signal.
Hereinafter, a method of measuring a bio signal according to an embodiment of the present invention will be described with reference to
Initially, a method of measuring temperature using the bio signal measurement unit 500 will be described. Since a temperature of human skin tissue varies at different body parts and rapidly changes depending on external temperature, it is important to select an appropriate body part for temperature measurement. Generally, a contact type thermometer is used at an armpit or the rectum, and a non-contact type thermometer is used in an ear canal near an eardrum. The temperature of the eardrum is medically known as being very close to internal body temperature and barely influenced by external temperature. The internal body temperature and radiant electromagnetic energy or infrared energy are related as follows.
A total amount of electromagnetic energy radiated from a black body is proportional to the fourth power of the temperature of the black body according to Stefan-Boltzmann's Law, as shown in Formula (1).
Q=σT4 (1)
Here, Q represents a total amount of electromagnetic energy radiated from the black body, T denotes the temperature of the black body, and σ denotes a constant called the Stefan-Boltzmann constant. An amount of electromagnetic energy radiated from a body, such as a human body, that is not completely black is influenced by radiant components of the body. Such a body is referred to as a gray body. When the emissivity of the gray body is ω, Formula (1) is modified into Formula (2).
Q=ωσT4 (2)
Here, the emissivity ω has a value between zero (0) and one (1). The emissivity ω of a human body in a far infrared band is almost one (1), exhibiting characteristics near to those of a black body. Accordingly, an absolute internal body temperature can be calculated using the total amount of infrared energy radiated from the internal body. In addition, a change in the infrared energy is proportional to the fourth power of a change in the internal body temperature.
λ(max)=0.29/T (3)
Since targets of a non-contact type infrared thermometer generally have a temperature of about 30–40° C., the targets radiate far infrared rays in which a wavelength of about 8–12 μm provides maximum radiant energy. Accordingly, a photodetector for detecting the far infrared rays is required to have a satisfactory response characteristic in a band of about 8–12 μm.
A filter of a general sensor used in infrared thermometers needs to have a frequency response characteristic as shown in
Based on the above-described response of an infrared sensor, the operating principle of the temperature measurement module 510 of the present invention will be described with reference to
Since the electrical detection signal is too weak to be transmitted or digitized, the signal is amplified by the amplifier 571. The amplified detection signal includes a plurality of noise components, but a signal component required for measurement of body temperature is a DC component appearing in a peak wavelength rather than an AC component changing over time. Accordingly, the amplified detection signal is filtered by the filter 572 to remove the noise and AC components. The filtered detection signal is converted to a digital value by the A/D converter 573. The A/D converter 573 also converts the digital value to a temperature value to be displayed to a user.
However, when the display unit 590 is implemented by an LCD included in a mobile apparatus, such as a mobile communication terminal as shown in
When a user measures his own body temperature using a thermometer provided in the ear type bio signal measurement unit 500, the user inserts the bio signal measurement unit 500 into his ear and monitors the display unit 590. Thus, the user himself can take a measurement and check the results of the measurement. In addition, when re-measurement is required since the bio signal measurement unit 500 is not appropriately inserted into the ear, the user himself can adjust the insertion of the bio signal measurement unit 500.
A method of measuring oxygen saturation according to the first embodiment of the present invention will now be described with reference to
Referring to
DC=DCa+DCb (4)
DCa can be expressed by Formula (5).
DCa=f(ra,rb,λ)DC (5)
Here, f(ra,rb,λ) is a constant denoting a factor changing according to the structure of the body part including an artery, and λ denotes a wavelength of the incident light. An intensity of light transmitted through the body part is modulated by as much as a variation ΔODtot of light attenuation ODtot by a change in an amount of blood due to pulsation of the artery. Here, the variation ΔODtot is for the light passing through the path “a” and can be expressed by Formula (6).
ΔODtot=AC/DCa=f−1(ra,rb,λ)AC/DC (6)
Since it is very difficult to accurately measure f(ra,rb,λ), reflection coefficients R1 and R2 for two wavelengths λ1 and λ2 are measured, and then a ratio R12=R1/R2 is obtained, as shown in Formula (7), in order to calculate oxygen saturation without having to accurately measure f(ra,rb,λ).
Here, ACλ1 and ACλ2 denote time-variant components with respect to the first and second wavelengths λ1 and λ2, and DCλ1 and DCλ2 denote time-invariant components with respect to the first and second wavelengths λ1 and λ2. For example, Formula (7) can be obtained using a pulse oximeter.
Consequently, as shown in Formula (7), the reflection coefficient detector (924 of
The oxygen saturation detector 926 calculates a concentration CHb of hemoglobin in blood using at least one ratio R12 received from the reflection coefficient detector 924. According to an embodiment of the present invention, when the first and second wavelengths λ1 and λ2 are selected, the hemoglobin concentration CHb is calculated using the ratio R12, as shown in Formula (8).
Here, ε1 denotes an absorption coefficient with respect to the first wavelength λ1; ε2 denotes an absorption coefficient with respect to the second wavelength λ2; k1 and k2 denote constants determined by the first and second wavelengths λ1 and λ2 and characteristics of scattering and absorbing incident light at a predetermined body part; and a1 and a2 denote constants determined by a size of a scattered particle, a refractive index of hemoglobin, a refractive index of serum, and the first and second wavelengths λ1 and λ2.
The oxygen saturation detector 926 calculates oxygen saturation S using the measured hemoglobin concentration CHb, as shown in Formula (9), and outputs the oxygen saturation S to the display unit 590.
Hereinafter, a procedure in which the oxygen saturation detector 926 detects oxygen saturation will be described. One wavelength λx is selected from among at least two wavelengths, and another wavelength λo having a maximum difference in an absorption coefficient according to a type of hemoglobin is selected.
The wavelengths λx and λo are derived based on bio spectroscopy. While some wavelengths can or cannot be well absorbed according to an amount of hemoglobin (Hb) and oxy-hemoglobin (HbO2) in blood, other wavelengths are well absorbed regardless of the amount of Hb and HbO2. In the present invention, the reference wavelength λx is barely influenced by the amount of Hb and HbO2, and the wavelength λo readily changes according to the amount of Hb and HbO2. For example, the wavelength λo may be a wavelength of 660 nm giving a maximum difference between an absorption coefficient for Hb and an absorption coefficient for HbO2, and the wavelength λx may be a wavelength of 805 nm selected from a near infrared band of 800 through 950 nm. A discussion of these characteristics of wavelengths may be found in a book by J. G. Webster entitled “Design of Pulse Oximeters,” at pages 40–55, published in 1997.
The oxygen saturation detector 926 obtains a variation ΔODtot,λo of light attenuation at the selected wavelength λo and a variation ΔODtot,λx of light attenuation at the selected wavelength λx and obtains a ratio Rox of the variation ΔODtot,λo to the variation ΔODtot,λx.
Thereafter, the oxygen saturation detector 926 calculates oxygen saturation S in blood using the ratio Rox and the hemoglobin concentration CHb according to Formula (9).
Here, εHbO
When a pulse wave necessary for performing a measurement of oxygen saturation is measured, a change in a blood flow rate in an artery is caused by a heart beat. A pulse rate is measured to measure the heart rate. As shown in
In an embodiment of the present invention, frequency components in a respiration signal band are classified using a digital filter in order to extract a respiration signal from a PPG signal. A PPG signal output from the peak detector 585 is filtered by the BPF 930 having a cut-off frequency of about 0.13–0.48 Hz including a frequency band of a normal respiration signal. The respiration detector 935 detects a respiration signal from the filtered PPG signal, calculates an average respiration frequency by dividing 60 seconds by an average period of the respiration signal, and outputs the average respiration frequency to the display unit 590.
In the second embodiment, the earphone 1830 supplies driving power to a temperature measurement module including a waveguide 1811 and an infrared sensor 1813 and to a PPG measurement module 1820 and has a plurality of electrodes 1835 on an outer surface for receiving a measured signal. The bio signal measurement unit 1800 has a recess into which the earphone 1830 is inserted. A plurality of electrodes 1815 and 1825 are disposed in the recess so that they are connected to the electrodes 1835 of the earphone 1830 when the earphone 1830 is inserted into the recess. The waveguide 1811 collecting infrared rays and the infrared sensor 1813 converting the collected infrared rays to an electrical signal are installed within the cap shape of the bio signal measurement unit 1800.
When measuring a bio signal, a user mounts the cap-shaped bio signal measurement unit 1800 on the earphone 1830 such that the electrodes 1815 and 1825 are connected to the electrodes 1835 and then inserts the bio signal measurement unit 1800 combined with the earphone 1830 into his ear.
The present invention may be realized as a code that is recorded on a computer readable recording medium and can be read by a computer. The computer readable recording medium may be any type of medium on which data that can be read by a computer system can be recorded, for example, a ROM, a RAM, a CD-ROM, a magnetic tape, a floppy disc, or an optical data storage device. The present invention may also be realized as carrier waves (for example, transmitted through Internet). Alternatively, computer readable recording media may be distributed among computer systems connected through a network so that the present invention can be realized as a code that is stored in the recording media and can be read and executed in the computers.
As described above, an apparatus for measuring a bio signal according to an embodiment of the present invention includes a module measuring various types of bio information and is structured to be insertable into the ear so that various types of bio information can be simultaneously measured and an influence of a motion artifact can be minimized. In addition, an error occurring due to contamination or damage of a sensor can be reduced.
Moreover, since an apparatus for measuring a bio signal according to an embodiment of the present invention can be connected to a mobile apparatus such as an earphone, it is convenient to carry. Further, a user is able to reposition the mount of the apparatus based on feel while observing a measured value displayed on a mobile apparatus. Thus, the user is bale to perform measurements on himself and self-diagnose a condition.
When an apparatus for measuring a bio signal according to an embodiment of the present invention is combined with a mobile communication terminal, a measured bio signal can be displayed to a user through a display apparatus included in the mobile communication terminal and easily transmitted to a remote medical institution through the mobile communication terminal. As a result, remote medical treatment is possible.
Preferred embodiments of the present invention have been disclosed herein and, although specific terms are employed, they are used and are to be interpreted in a generic and descriptive sense only and not for purpose of limitation. Accordingly, it will be understood by those of ordinary skill in the art that various changes in form and details may be made without departing from the spirit and scope of the present invention as set forth in the following claims.
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