Biological acoustic signals are important signs for the identification and treatment of clinical conditions. Collecting biological acoustic signals is challenging given the frequency range at which the signals of interest—such as cardiac and pulmonary sounds—exist. Moving beyond traditional mechanical stethoscopes, various electronic devices have been conceived in recent years in an attempt to collect and analyze these biological sounds using equipment that is portable, compact, and able to transmit and receive electronic signals. However, there are notable drawbacks to many of these devices, such as bulky size, short battery life, high costs of manufacture, and poor acoustic collection capabilities.
A solution is thus needed for an electronic stethoscope that is compact, relatively inexpensive to manufacture, has ease of use, and is capable of high quality sound collection. By combining such a device with software that enables biological sounds to be recorded, analyzed, and transmitted, and ideal tool is presented for internet-based medical diagnostics (often referred to as “telemedicine”).
The tool presented herein could also be used to listen to other kinds of sounds that may be picked up from placing the device in contact with a surface, such as mechanical equipment sounds, sounds reverberating through buildings or machinery, or underwater sounds.
Devices and methods of construction are disclosed herein for an electronic stethoscope comprising a chestpiece that generally mimics the structure and appearance of a traditional non-electronic stethoscope chestpiece, but with a unique arrangement of mechanical and electronic parts housed in its interior.
With reference to
The chestpiece 11 has an external housing that includes a cap 33 and a side housing 27. The chestpiece 11 also has a channel member 28 (also referred to herein as a “bell”) composed of a body or structure that has a central hollow channel 19 and a hollow parabolic cavity 29. While a parabolic cavity may often be preferred for acoustic collection, the device can function if the walls of cavity 29 are merely flat or have some other contour rather than parabolic, and so the walls of cavity 29 may also be referred to herein simply as a flared projection extending concentrically away from the channel 19 so as to form a cavity adjacent to the channel 19. One end of the chestpiece 11 has a diaphragm membrane 31 much like a traditional stethoscope. The hollow parabolic cavity 29 within the bell 28 of the chestpiece 11 is covered by the diaphragm 31, which may, for example, be constructed of a thin piece of plastic capable of reverberating to transmit the desired sound frequencies. The parabolic cavity 29 leads to the hollow channel 19 running axially through the center of the bell 28 of the chestpiece 11 for transmitting sound waves through the chestpiece 11. The external housing 27 of the chestpiece 11 creates a seal around a sleeve 17 and the hollow channel 19.
With respect to dimensions, for use of the device as a traditional stethoscope, for example, use can be made of the device wherein the ratio of the length L of the channel 19 (wherein length is measured from the opening to the cavity 29 to the electronic sound sensor 21) to the depth D of the cavity 29 (wherein depth is measured from the plane of the outer opening of the cavity to the adjacent entrance of the channel) ranges from 5:1 to 20:1. Other ratios are also useable, though may have poorer sound quality for traditional stethoscope uses. Likewise, certain embodiments used as traditional stethoscopes can have a ratio of the inner width (or diameter) of the channel 19 to the width (or diameter) of the maximum diameter of cavity 29 ranging from 1:2 to 1:10. Furthermore, certain embodiments used as traditional stethoscopes with generally cylindrical channels 19 can have a ratio of the length of the channel 19 to its maximum inner width W (or diameter) in the range of 1:1 to 4:1. Again, other ratios are possible, though may have poorer sound quality for traditional stethoscope uses.
The hollow channel 19 is filled with a column of acoustically conductive medium 19a. The medium 19a may simply be air, or in some embodiments may comprise a solid material, a semi-solid material, a liquid, a gelatinous material, or a combination thereof. The selection of the medium 19a will depend on the kind of acoustics desired to be collected, which may vary depending on what is being listened to, and the kind of microphone employed in the device. The selection of the medium 19a can also be used to separate frequencies of interest from the unwanted frequencies.
While shown in
For example, as
When capturing low frequency sounds like those from a human heart and lungs, it is generally advantageous to utilize the hollow channel 19 to allow the sound waves to propagate. If the propagation area is too small, the sound waves will be muffled; if too large, the sound waves may dissipate.
For purposes of listening to human heart and lung sounds, a hollow channel 19 of the general proportions shown in
A toroidal or doughnut-shaped sleeve 17 encircles the bell 28 and hollow channel 19. The sleeve 17 can serve two general purposes: (1) to add mass to the device so that it has more stability when held by a human user and when pressed against a listening surface, and (2) to act as a sound and vibration dampener to minimize sound and other vibrations that might be transmitted to the hollow channel 19 from the exterior of the device through its housing. In this second respect, the sleeve 17 is acting to help isolate the hollow channel 19 from its surrounding environment such that the primary vibrations that it receives are those propagated by the diaphragm. Alternatively or in addition to (2), the sleeve 17 can be made to reinforce the walls of the hollow channel 19 to improve their ability to reflect sound.
Increasing the mass of the sleeve 17 will assist with objective (1) of giving the chestpiece 11 more stability when held by a human user. In the embodiment shown in
If the sleeve comprises (in whole or in part) a hollow toroidal shell containing vibration dampening material such as, for example, foam or gel, this will assist in minimizing interference from vibrations transmitted through the housing of the chestpiece 11 from external sources. Vibration dampening material (such as foam or gel) can otherwise be used in the fittings among and between parts of the chestpiece housing to achieve this same purpose. In some embodiments, most or all of the negative space of the chestpiece 11 surrounding the bell 28 can be filled with a foam or gel, which can also replace the space otherwise occupied by the sleeve.
At the end of the hollow channel 19 opposite from the diaphragm is a gasket 15 separating the channel member 28 (and the hollow channel 19) from a circuit board (or other mounting structure) 23 mounting an electronic sound sensor 21, such a microphone, piezoelectric crystal, or an ultrasonic motor. In the embodiment shown in
The gasket 15 serves the function of creating a seal between the circuit board 23 and the hollow channel 19 to keep sound waves within the hollow channel 19. The gasket 15 can be made to have a toroid or doughnut shape with a hollow center channel 25 under the sound sensor 21 to allow direct interaction with the sound waves propagating in the hollow channel 19.
The choice of the structure and material of the gasket 15 will affect the properties of the sound reaching the sensor, and may be varied depending on the type of sound sensor used, and the acoustic properties of the rest of the device. In the embodiment shown in
It is advantageous to construct the gasket 15 (and the other materials contacting the circuit board 23) out of a material that will not generate static, which may damage or overload the circuit board 23. It has been shown that ethylene-vinyl acetate (EVA) foam works well as the material for the gasket, though other materials offering the same or similar properties can be employed for anti-static sealing.
In certain embodiments, it may be advantageous for the gasket 15 to have a visible cut in it that allows air to freely move out of its perimeter and into the rest of the housing of the chestpiece, thereby eliminating the seal around the air column in the channel 19. This might be desirable in instances where the sound reverberation and air pressure in the hollow channel 19 is such that it might otherwise overwhelm the microphone. For purposes of listening to human heart and lung sounds using the embodiment shown in the drawings, no such venting was needed, and a full seal was found to work well for ensuring good audio quality.
Certain examples described herein can provide advantages relating to the positioning of the sound sensor away from the diaphragm at the opposite end of a hollow channel. Certain other electronic stethoscopes position a microphone adjacent to the diaphragm, which can result in poorer sound quality. The device disclosed herein leverages the acoustic attenuation of the hollow channel to faithfully reproduce sounds received by the sensor. The cavity created by the hollow channel acts to direct sound waves to the microphone and results in better sound reproduction at the microphone at the other end of the channel, not unlike how sound may propagate within an ear canal before hitting the diaphragm.
Furthermore, in the embodiment shown in
The sound sensor 21 is electrically connected via an electrically wired connection 13 to an external powered electronic device (not shown), such as a computer or a smartphone. By employing a smartphone, the device disclosed herein can be easily used for telemedicine purposes. The electronic device provides power to the sound sensor 21, thereby eliminating the need to have a battery within the chestpiece 11, which increases bulk, expense, inconvenience, and hinders sound quality. Wired connection 13 may also carry electronic audio signals.
The electronic device may be capable of receiving and processing electronic signals from the sound sensor 21, and either analyzing those signals itself, or transmitting them to another device that can. When paired with a software program, the electronic signals from the sound sensor 21 can be recorded, played back as audio over speakers, and analyzed to detect certain target sound signatures or anomalies, thereby acting as a diagnostic tool.
In alternative embodiments, an on-board power source and computer may be used, though these would increase the bulk, weight, and expense of the device.
Referring now to
In examples described herein, the external housing of the device, as well as the bell 28, may be made of any suitable material or materials including, but not limited to metal, plastic, ceramic, composite material, or combinations thereof. Hard plastic has been shown to provide acceptable sound quality.
Although various particular embodiments of the invention have been illustrated and described herein, it will be appreciated that other embodiments, and equivalences thereof, can be made and that many changes can be made without departing from the principles of the invention. Furthermore, the embodiments described above can be combined to form yet other embodiments of the invention of this application. Accordingly, it is to be distinctly understood that the foregoing descriptive matter is to be interpreted nearly as illustrative of the invention and not as a limitation.
This application claims priority to U.S. Provisional Application No. 63/012,028, filed Apr. 17, 2020, which is incorporated by reference herein.
Number | Date | Country | |
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63012028 | Apr 2020 | US |