TWI843956B - Electrocardiography signal detection device and system - Google Patents

Electrocardiography signal detection device and system Download PDF

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TWI843956B
TWI843956B TW110126876A TW110126876A TWI843956B TW I843956 B TWI843956 B TW I843956B TW 110126876 A TW110126876 A TW 110126876A TW 110126876 A TW110126876 A TW 110126876A TW I843956 B TWI843956 B TW I843956B
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electrode
lead
signals
differential signals
signal
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TW202304382A (en
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伍紹勳
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國立陽明交通大學
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Abstract

An electrocardiography signal detection device is provided, which includes a chest lead electrode group, a sensing circuit and a transmission circuit. The chest lead electrode group is composed of a first electrode, a second electrode, a third electrode, a fourth electrode, a fifth electrode and a sixth electrode; the chest lead electrode group is configured to detect six lead signals corresponding to heart beat of a user; the sensing circuit is coupled to the chest lead electrode group, and the sensing circuit is configured to generate three differential signals according to the six lead signals; and the transmitting circuit is coupled to the sensing circuit, and the transmitting circuit is configured to transmit the three differential signals to a server to monitor the twelve-lead ECG signal generated by the three differential signals. Further, an electrocardiography signal detection system is also disclosed here.

Description

心電訊號偵測裝置以及系統ECG signal detection device and system

本發明是有關於一種與醫療相關的技術,特別是有關於一種心電訊號偵測裝置以及系統。The present invention relates to a medical-related technology, and in particular to an electrocardiogram signal detection device and system.

為了可以得知心臟病的早期徵兆和心臟病發作的症狀,心電圖(electrocardiography,ECG)已成為一種廣泛使用於心臟評估的非侵入式工具。一般而言,當使用傳統的標準十二導程心電圖的量測裝置時,受測的患者往往會被限制行動,且受測的時間也較長。然而,如此的量測裝置恐不適合於需要長時間監控心電訊號之患者長時間配戴。如此一來,要如何讓患者便於攜帶且長時間地監控患者的心電訊號,是本領域技術人員急欲解決的問題。In order to know the early signs of heart disease and the symptoms of heart attack, electrocardiography (ECG) has become a widely used non-invasive tool for cardiac assessment. Generally speaking, when using the traditional standard 12-lead ECG measuring device, the patient being tested is often restricted in movement and the test time is also longer. However, such a measuring device may not be suitable for patients who need to monitor ECG signals for a long time. Therefore, how to make it easy for patients to carry and monitor the patient's ECG signals for a long time is a problem that technicians in this field are eager to solve.

本發明實施例提供一種心電訊號偵測裝置,其包括胸導極電極組、感測電路以及傳送電路。胸導極電極組由第一電極、第二電極、第三電極、第四電極、第五電極以及第六電極所組成,胸導極電極組用以偵測與使用者的心律對應的六個導極訊號;感測電路耦接胸導極電極組,感測電路用以依據六個導極訊號產生三個差動訊號;以及傳送電路耦接感測電路,傳送電路用以將三個差動訊號傳送至伺服器,以對由三個差動訊號所產生的十二導極心電訊號進行監控。The present invention provides an electrocardiogram (ECG) signal detection device, which includes a chest lead electrode set, a sensing circuit, and a transmission circuit. The chest lead electrode set is composed of a first electrode, a second electrode, a third electrode, a fourth electrode, a fifth electrode, and a sixth electrode. The chest lead electrode set is used to detect six lead signals corresponding to the user's heart rhythm. The sensing circuit is coupled to the chest lead electrode set. The sensing circuit is used to generate three differential signals according to the six lead signals. The transmission circuit is coupled to the sensing circuit. The transmission circuit is used to transmit the three differential signals to a server to monitor the twelve-lead ECG signals generated by the three differential signals.

本發明實施例提供一種心電訊號偵測裝置,其包括胸導極電極組、感測電路以及傳送電路。電極組包含設置在胸部區域的第一電極、第二電極、第三電極、第四電極、第五電極以及第六電極且不包含設置肢體區域的電極,電極組用以偵測與使用者的心律對應的六個導極訊號;感測電路耦接電極組,感測電路用以依據六個導極訊號產生三個差動訊號;以及傳送電路耦接感測電路,傳送電路用以將三個差動訊號傳送至伺服器,以對由三個差動訊號所產生的十二導極心電訊號進行監控。The present invention provides an electrocardiogram (ECG) signal detection device, which includes a chest lead electrode set, a sensing circuit, and a transmission circuit. The electrode set includes a first electrode, a second electrode, a third electrode, a fourth electrode, a fifth electrode, and a sixth electrode disposed in the chest region and does not include electrodes disposed in the limb region. The electrode set is used to detect six lead signals corresponding to the user's heart rhythm; the sensing circuit is coupled to the electrode set, and the sensing circuit is used to generate three differential signals based on the six lead signals; and the transmission circuit is coupled to the sensing circuit, and the transmission circuit is used to transmit the three differential signals to a server to monitor the twelve-lead ECG signals generated by the three differential signals.

本發明實施例提供一種心電訊號偵測系統,其包括伺服器以及心電訊號偵測裝置。心電訊號偵測裝置耦接該伺服器,其包括胸導極電極組、感測電路以及傳送電路;胸導極電極組由第一電極、第二電極、第三電極、第四電極、第五電極以及第六電極所組成,胸導極電極組用以偵測與使用者的心律對應的六個導極訊號;感測電路耦接胸導極電極組,感測電路用以依據六個導極訊號產生三個差動訊號;以及傳送電路耦接感測電路,傳送電路用以將三個差動訊號傳送至伺服器,其中伺服器依據三個差動訊號產生十二導極心電訊號,以對十二導極心電訊號進行監控。The embodiment of the present invention provides an electrocardiogram signal detection system, which includes a server and an electrocardiogram signal detection device. The ECG signal detection device is coupled to the server, and includes a chest lead electrode group, a sensing circuit and a transmission circuit; the chest lead electrode group is composed of a first electrode, a second electrode, a third electrode, a fourth electrode, a fifth electrode and a sixth electrode, and the chest lead electrode group is used to detect six lead signals corresponding to the user's heart rhythm; the sensing circuit is coupled to the chest lead electrode group, and the sensing circuit is used to generate three differential signals based on the six lead signals; and the transmission circuit is coupled to the sensing circuit, and the transmission circuit is used to transmit the three differential signals to the server, wherein the server generates a twelve-lead ECG signal based on the three differential signals to monitor the twelve-lead ECG signal.

基於上述,本發明實施例可長時間偵測使用者的心律對應的十二導極心電訊號。此外,更便於使用者或醫療人員即時地對使用者的心律對應的十二導極心電訊號進行長時間監控。Based on the above, the embodiment of the present invention can detect the twelve-lead ECG signal corresponding to the user's heart rhythm for a long time. In addition, it is more convenient for the user or medical staff to monitor the twelve-lead ECG signal corresponding to the user's heart rhythm for a long time in real time.

第1圖是根據本發明一些示範性實施例的心電訊號偵測裝置的方塊圖。參照第1圖,心電訊號偵測裝置100可包括胸導極電極組110、感測電路120以及傳送電路130。胸導極電極組110可由第一電極110(1)、第二電極110(2)、第三電極110(3)、第四電極110(4)、第五電極110(5)以及第六電極110(6)所組成。FIG. 1 is a block diagram of an ECG signal detection device according to some exemplary embodiments of the present invention. Referring to FIG. 1, the ECG signal detection device 100 may include a chest lead electrode group 110, a sensing circuit 120, and a transmission circuit 130. The chest lead electrode group 110 may be composed of a first electrode 110 (1), a second electrode 110 (2), a third electrode 110 (3), a fourth electrode 110 (4), a fifth electrode 110 (5), and a sixth electrode 110 (6).

在一些實施例中,第一電極110(1)、第二電極110(2)、第三電極110(3)、第四電極110(4)、第五電極110(5)以及第六電極110(6)可以是胸導極的V1、V2、V3、V4、V5以及V6電極(即,用以偵測十二導極心電(12 leads electrocardiography,12 leads ECG)訊號且貼附在使用者胸部的六個電極)。In some embodiments, the first electrode 110(1), the second electrode 110(2), the third electrode 110(3), the fourth electrode 110(4), the fifth electrode 110(5) and the sixth electrode 110(6) may be V1, V2, V3, V4, V5 and V6 electrodes of chest leads (i.e., six electrodes for detecting 12 leads electrocardiography (12 leads ECG) signals and attached to the user's chest).

在另一些實施例中,胸導極電極組110也可以由一個電極組代替,其中此電極組包括第一電極110(1)、第二電極110(2)、第三電極110(3)、第四電極110(4)、第五電極110(5)以及第六電極110(6),但不包括第七電極(未繪示)、第八電極(未繪示)、第九電極(未繪示)以及第十電極(未繪示)。In some other embodiments, the chest conductor electrode group 110 may also be replaced by an electrode group, wherein the electrode group includes a first electrode 110(1), a second electrode 110(2), a third electrode 110(3), a fourth electrode 110(4), a fifth electrode 110(5) and a sixth electrode 110(6), but does not include a seventh electrode (not shown), an eighth electrode (not shown), a ninth electrode (not shown) and a tenth electrode (not shown).

在進一步的實施例中,第七電極、第八電極、第九電極以及第十電極可以是設置於使用者肢體區域的肢體導極的RA、LA、RL以及LL電極(即,用以偵測十二導極心電訊號且貼附在使用者四肢區域的四個電極)。In a further embodiment, the seventh electrode, the eighth electrode, the ninth electrode and the tenth electrode may be the RA, LA, RL and LL electrodes of limb conductors disposed in the user's limb area (i.e., four electrodes for detecting twelve-lead ECG signals and attached to the user's limb area).

再者,胸導極電極組110可偵測與使用者的心律對應的六個導極訊號。詳細而言,第一電極110(1)、第二電極110(2)、第三電極110(3)、第四電極110(4)、第五電極110(5)以及第六電極110(6)可分別偵測使用者的胸部的肌電訊號(例如,心電訊號),以產生六個導極訊號。Furthermore, the chest lead electrode set 110 can detect six lead signals corresponding to the user's heart rhythm. Specifically, the first electrode 110 (1), the second electrode 110 (2), the third electrode 110 (3), the fourth electrode 110 (4), the fifth electrode 110 (5) and the sixth electrode 110 (6) can respectively detect the user's chest electromyographic signal (e.g., electrocardiographic signal) to generate six lead signals.

再者,感測電路120可耦接胸導極電極組110,其中感測電路120可依據這六個導極訊號產生三個差動訊號。傳送電路130可耦接感測電路120,其中傳送電路130可將這三個差動訊號傳送至外部的一個伺服器200,以對由這三個差動訊號所產生的十二導極心電(12 leads electrocardiography,12 leads ECG)訊號進行監控。Furthermore, the sensing circuit 120 can be coupled to the chest lead electrode set 110, wherein the sensing circuit 120 can generate three differential signals according to the six lead signals. The transmission circuit 130 can be coupled to the sensing circuit 120, wherein the transmission circuit 130 can transmit the three differential signals to an external server 200 to monitor the 12 leads electrocardiography (12 leads ECG) signal generated by the three differential signals.

在一些實施例中,第2圖是根據本發明一些示範性實施例的心電訊號偵測裝置的示意圖。參照第2圖,第一電極110(1)、第二電極110(2)、第三電極110(3)、第四電極110(4)、第五電極110(5)以及第六電極110(6)可以是貼片電極,且這些貼片電極可耦接至感測電路120以及傳送電路130。此外,第一電極110(1)、第二電極110(2)、第三電極110(3)、第四電極110(4)、第五電極110(5)以及第六電極110(6)可用以貼附在使用者的胸部區域,藉以偵測使用者的胸部區域的肌電訊號,以產生六個導極訊號。In some embodiments, FIG. 2 is a schematic diagram of an electrocardiogram signal detection device according to some exemplary embodiments of the present invention. Referring to FIG. 2, the first electrode 110(1), the second electrode 110(2), the third electrode 110(3), the fourth electrode 110(4), the fifth electrode 110(5) and the sixth electrode 110(6) may be patch electrodes, and these patch electrodes may be coupled to the sensing circuit 120 and the transmitting circuit 130. In addition, the first electrode 110(1), the second electrode 110(2), the third electrode 110(3), the fourth electrode 110(4), the fifth electrode 110(5) and the sixth electrode 110(6) can be attached to the chest area of the user to detect the myoelectric signals of the chest area of the user to generate six lead signals.

在進一步的實施例中,第3圖是根據本發明一些示範性實施例的胸導極電極組之位置的示意圖。參照第3圖,胸導極電極組110中的這些貼片電極可貼附在使用者的胸部區域。In a further embodiment, Fig. 3 is a schematic diagram of the position of the chest lead electrode set according to some exemplary embodiments of the present invention. Referring to Fig. 3, the patch electrodes in the chest lead electrode set 110 can be attached to the chest area of the user.

進一步而言,第一電極110(1)可貼附在使用者的第四肋骨的間隙,並鄰近於使用者的胸骨的右緣,其中第四肋骨的間隙為在使用者的第四肋骨以及第五肋骨之間的間隙。第二電極110(2)可貼附在使用者的第四肋骨的間隙,並鄰近於使用者的胸骨的左緣。Specifically, the first electrode 110(1) can be attached to the gap between the fourth ribs of the user and adjacent to the right edge of the user's sternum, wherein the gap between the fourth ribs is the gap between the fourth ribs and the fifth ribs of the user. The second electrode 110(2) can be attached to the gap between the fourth ribs of the user and adjacent to the left edge of the user's sternum.

再者,第三電極貼110(3)可貼附在於第二電極110(2)以及第四電極110(4)之間的連線的中點。第四電極110(4)可貼附在使用者的第五肋骨的間隙以及左鎖骨的中線的交點,其中第五肋骨的間隙為使用者的第五肋骨以及第六肋骨之間的間隙,且鎖骨中線為由鎖骨中點處所垂直向下延伸形成的一條想像中的線。Furthermore, the third electrode sticker 110(3) may be attached to the midpoint of the line connecting the second electrode 110(2) and the fourth electrode 110(4). The fourth electrode 110(4) may be attached to the intersection of the gap between the fifth rib of the user and the midline of the left clavicle, wherein the gap between the fifth rib is the gap between the fifth rib and the sixth rib of the user, and the midline of the clavicle is an imaginary line extending vertically downward from the midpoint of the clavicle.

再者,第五電極110(5)可平行於第四電極110(4),並貼附在使用者的左腋前線,其中左腋前線為由鎖骨中點與鎖骨左外側緣連線的中點所垂直向下延伸形成的一條想像中的線。第六電極110(6)可平行於第四電極110(4)以及第五電極110(5),並貼附在使用者的左腋中線,其中左腋中線為由左腋窩中點所垂直向下延伸形成的一條想像中的線。Furthermore, the fifth electrode 110(5) may be parallel to the fourth electrode 110(4) and attached to the user's left anterior axillary line, wherein the left anterior axillary line is an imaginary line extending vertically downward from the midpoint of the line connecting the midpoint of the clavicle and the left lateral edge of the clavicle. The sixth electrode 110(6) may be parallel to the fourth electrode 110(4) and the fifth electrode 110(5) and attached to the user's left mid-axillary line, wherein the left mid-axillary line is an imaginary line extending vertically downward from the midpoint of the left armpit.

藉此,第一電極110(1)、第二電極110(2)、第三電極110(3)、第四電極110(4)、第五電極110(5)以及第六電極110(6)可在上述這些貼附的位置偵測十二導極心電訊號中的V1、V2、V3、V4、V5以及V6導極訊號(即,由胸導極的V1、V2、V3、V4、V5以及V6電極偵測的訊號)。Thereby, the first electrode 110(1), the second electrode 110(2), the third electrode 110(3), the fourth electrode 110(4), the fifth electrode 110(5) and the sixth electrode 110(6) can detect the V1, V2, V3, V4, V5 and V6 lead signals of the twelve-lead ECG signals (i.e., the signals detected by the V1, V2, V3, V4, V5 and V6 electrodes of the chest lead) at the above-mentioned attached positions.

在一些實施例中,第一電極110(1)、第二電極110(2)、第三電極110(3)、第四電極110(4)、第五電極110(5)以及第六電極110(6)可週期地或非週期地偵測上述六個導極訊號。In some embodiments, the first electrode 110(1), the second electrode 110(2), the third electrode 110(3), the fourth electrode 110(4), the fifth electrode 110(5) and the sixth electrode 110(6) may detect the above six conductor signals periodically or non-periodically.

在一些實施例中,參照回第1圖,感測電路120可從導極電極組110接收上述六個導極訊號。藉此,感測電路120可計算由第一電極110(1)產生的導極訊號與由第二電極110(2)產生的導極訊號之間的差動訊號(即,計算電壓差),計算由第三電極110(3)產生的導極訊號與由第四電極110(4)產生的導極訊號之間的差動訊號,以及計算由第五電極110(5)產生的導極訊號與由第六電極110(6)產生的導極訊號之間的差動訊號。In some embodiments, referring back to FIG. 1 , the sensing circuit 120 may receive the six conductor signals from the conductor electrode set 110. Thereby, the sensing circuit 120 may calculate the differential signal (i.e., calculate the voltage difference) between the conductor signal generated by the first electrode 110 (1) and the conductor signal generated by the second electrode 110 (2), calculate the differential signal between the conductor signal generated by the third electrode 110 (3) and the conductor signal generated by the fourth electrode 110 (4), and calculate the differential signal between the conductor signal generated by the fifth electrode 110 (5) and the conductor signal generated by the sixth electrode 110 (6).

如此一來,傳送電路130可從感測電路120接收這三個差動訊號,並將這三個差動訊號傳送至外部的伺服器200,以對由三個差動訊號所產生的十二導極心電訊號進行監控。In this way, the transmission circuit 130 can receive the three differential signals from the sensing circuit 120 and transmit the three differential signals to the external server 200 to monitor the twelve-lead ECG signals generated by the three differential signals.

在一些實施例中,傳送電路130可週期地或非週期地將這三個差動訊號傳送至外部的伺服器200。In some embodiments, the transmission circuit 130 may periodically or aperiodically transmit the three differential signals to the external server 200 .

在一些實施例中,感測電路120可以是任意現有的電流感測電路、電壓感測電路或上述各者的組合。In some embodiments, the sensing circuit 120 may be any existing current sensing circuit, voltage sensing circuit, or a combination thereof.

在一些實施例中,傳送電路130可以是傳送器電路、類比-數位(analog-to-digital,A/D)轉換器、數位-類比(digital-to-analog,D/A)轉換器、低噪音放大器、混頻器、濾波器、阻抗匹配器、傳輸線、功率放大器、一個或多個天線電路及本地儲存媒體元件的其中之一或其組合。此外,傳送電路130可基於任意的通訊協定將三個差動訊號傳送至外部的伺服器200。In some embodiments, the transmission circuit 130 can be one or a combination of a transmitter circuit, an analog-to-digital (A/D) converter, a digital-to-analog (D/A) converter, a low noise amplifier, a mixer, a filter, an impedance matcher, a transmission line, a power amplifier, one or more antenna circuits, and a local storage medium element. In addition, the transmission circuit 130 can transmit three differential signals to the external server 200 based on any communication protocol.

在一些實施例中,傳送電路130可經由終端裝置(未繪示)將三個差動訊號傳送至伺服器200。例如,傳送電路130可先基於藍芽的通訊協定將三個差動訊號傳送至終端裝置,終端裝置便將三個差動訊號傳送至伺服器200。In some embodiments, the transmission circuit 130 may transmit the three differential signals to the server 200 via the terminal device (not shown). For example, the transmission circuit 130 may first transmit the three differential signals to the terminal device based on the Bluetooth communication protocol, and the terminal device then transmits the three differential signals to the server 200.

在一些實施例中,終端裝置可以是基於任意的通訊協定進行通訊的電子裝置(例如,使用者的智慧型手機、平板電腦、筆記型電腦或桌上型電腦等,或者是用以連接伺服器200的閘道器或路由器等)。In some embodiments, the terminal device may be an electronic device that communicates based on any communication protocol (eg, a user's smart phone, tablet computer, laptop or desktop computer, or a gateway or router used to connect to the server 200).

在一些實施例中,上述的耦接方式可以是有線或無線的方式。In some embodiments, the coupling method can be wired or wireless.

對於有線方式而言,上述耦接的方式可以是透過通用序列匯流排(universal serial bus,USB)、RS232、通用非同步接收器/傳送器(universal asynchronous receiver/transmitter,UART)、內部整合電路(I2C)、序列周邊介面(serial peripheral interface,SPI)、顯示埠(display port)、雷電埠(thunderbolt)或區域網路(local area network,LAN)介面連接的方式。For a wired method, the coupling method may be through a universal serial bus (USB), RS232, a universal asynchronous receiver/transmitter (UART), an internal integrated circuit (I2C), a serial peripheral interface (SPI), a display port, a thunderbolt port, or a local area network (LAN) interface connection.

而對於無線方式而言,上述耦接的方式可以是透過無線保真(wireless fidelity,Wi-Fi)模組、無線射頻識別(radio frequency identification,RFID)模組、藍芽模組、紅外線模組、近場通訊(near-field communication,NFC)模組或裝置對裝置(device-to-device,D2D)模組連接的方式。As for the wireless method, the coupling method can be through a wireless fidelity (Wi-Fi) module, a wireless radio frequency identification (RFID) module, a Bluetooth module, an infrared module, a near-field communication (NFC) module or a device-to-device (D2D) module.

在一些實施例中,伺服器200可對上述三個差動訊號進行與機器學習(machine learning)相關的運算,以產生一個十二導極心電訊號,其中機器學習可以是任意的人工智能演算法。In some embodiments, the server 200 may perform machine learning-related operations on the three differential signals to generate a twelve-lead ECG signal, wherein the machine learning may be any artificial intelligence algorithm.

在一些實施例中,伺服器200可將十二導極心電訊號傳送至多個監控裝置(未繪示),以進行監控或醫療評估。In some embodiments, the server 200 may transmit the twelve-lead ECG signals to a plurality of monitoring devices (not shown) for monitoring or medical evaluation.

在進一步的實施例中,上述終端裝置也可以是這些監控裝置中的一者。In a further embodiment, the terminal device may also be one of these monitoring devices.

在進一步的實施例中,監控裝置可以是任意具有顯示器的電子裝置(例如,使用者或醫療人員的智慧型手機、平板電腦、筆記型電腦或桌上型電腦等)。藉此,使用者或醫療人員可藉由監控裝置對十二導極心電進行監控或醫療評估。In a further embodiment, the monitoring device can be any electronic device with a display (e.g., a user's or medical staff's smartphone, tablet computer, laptop computer, or desktop computer, etc.). Thus, the user or medical staff can monitor or perform medical evaluation on the 12-lead ECG through the monitoring device.

藉由上述的結構,本發明實施例的心電訊號偵測裝置100可隨時地偵測使用者的胸導極的導極訊號,並依據這些導極訊號產生三個差動訊號,以對由該三個差動訊號所產生的一十二導極心電訊號進行監控。此外,由於心電訊號偵測裝置100所採用的貼片結構便於攜帶,故可長時間地貼附於使用者的胸部區域。如此一來,使用者的心電訊號也可更長時間地受到監控。With the above structure, the ECG signal detection device 100 of the embodiment of the present invention can detect the lead signals of the chest leads of the user at any time, and generate three differential signals according to the lead signals to monitor the twelve-lead ECG signals generated by the three differential signals. In addition, since the patch structure adopted by the ECG signal detection device 100 is easy to carry, it can be attached to the chest area of the user for a long time. In this way, the ECG signal of the user can also be monitored for a longer time.

第4圖是根據本發明一些示範性實施例的心電訊號偵測系統的方塊圖。參照第4圖,心電訊號偵測系統400可包括心電訊號偵測裝置100以及伺服器200。心電訊號偵測裝置100具有與第1圖的心電訊號偵測裝置相似的結構以及作動,故在此不加以贅述。心電訊號偵測裝置100可耦接伺服器200。伺服器200可依據由心電訊號偵測裝置100所產生的三個差動訊號產生十二導極心電訊號,以對此十二導極心電訊號進行監控。FIG. 4 is a block diagram of an ECG signal detection system according to some exemplary embodiments of the present invention. Referring to FIG. 4, the ECG signal detection system 400 may include an ECG signal detection device 100 and a server 200. The ECG signal detection device 100 has a similar structure and operation to the ECG signal detection device of FIG. 1, so it is not described in detail here. The ECG signal detection device 100 may be coupled to the server 200. The server 200 may generate a twelve-lead ECG signal based on the three differential signals generated by the ECG signal detection device 100 to monitor the twelve-lead ECG signal.

在一些實施例中,伺服器200可以是虛擬伺服器、分散式架構的伺服器、雲端伺服器、機架型或塔式實體伺服器、桌上型電腦、筆記型電腦等各種虛擬或實體的伺服器。In some embodiments, the server 200 may be a virtual server, a distributed architecture server, a cloud server, a rack-type or tower-type physical server, a desktop computer, a laptop computer, or other virtual or physical servers.

在一些實施例中,心電訊號偵測裝置100可週期地或非週期地產生該三個差動訊號,並以無線傳輸方法將三個差動訊號傳送至伺服器200。In some embodiments, the ECG signal detection device 100 may generate the three differential signals periodically or aperiodically, and transmit the three differential signals to the server 200 via a wireless transmission method.

在一些實施例中,伺服器200對三個差動訊號進行與機器學習相關的運算,以產生十二導極心電訊號。In some embodiments, the server 200 performs machine learning-related operations on the three differential signals to generate a twelve-lead ECG signal.

在一些實施例中,心電訊號偵測系統400更可包括終端裝置(未繪示),其中心電訊號偵測裝置100連接此終端裝置,並經由終端裝置將三個差動訊號傳送至伺服器200。In some embodiments, the ECG signal detection system 400 may further include a terminal device (not shown), wherein the ECG signal detection device 100 is connected to the terminal device, and transmits the three differential signals to the server 200 via the terminal device.

在一些實施例中,心電訊號偵測系統400更可包括多個監控裝置(未繪示),其中這些監控裝置從伺服器200接收十二導極心電訊號,以進行監控或醫療評估。In some embodiments, the ECG signal detection system 400 may further include a plurality of monitoring devices (not shown), wherein the monitoring devices receive the twelve-lead ECG signals from the server 200 for monitoring or medical evaluation.

舉例而言,第5圖是根據本發明一些示範性實施例的心電訊號偵測系統的示意圖。參照第5圖,心電訊號偵測系統400可包括心電訊號偵測裝置100、終端裝置410、伺服器200以及監控裝置420(1)~410(N),其中N為任意正整數。心電訊號偵測裝置100可耦接終端裝置410。伺服器200可耦接終端裝置410以及監控裝置420(1)~410(N)。For example, FIG. 5 is a schematic diagram of an electrocardiogram signal detection system according to some exemplary embodiments of the present invention. Referring to FIG. 5, the electrocardiogram signal detection system 400 may include an electrocardiogram signal detection device 100, a terminal device 410, a server 200, and monitoring devices 420(1)~410(N), where N is any positive integer. The electrocardiogram signal detection device 100 may be coupled to the terminal device 410. The server 200 may be coupled to the terminal device 410 and the monitoring devices 420(1)~410(N).

再者,心電訊號偵測裝置100可偵測使用者的胸導極的V1、V2、V3、V4、V5以及V6導極訊號,並依據V1、V2、V3、V4、V5以及V6導極訊號產生三個差動訊號。藉此,心電訊號偵測裝置100可將三個差動訊號傳送至終端裝置410,終端裝置410便將三個差動訊號傳送至伺服器200。Furthermore, the ECG signal detection device 100 can detect the V1, V2, V3, V4, V5 and V6 lead signals of the user's chest lead, and generate three differential signals according to the V1, V2, V3, V4, V5 and V6 lead signals. Thus, the ECG signal detection device 100 can transmit the three differential signals to the terminal device 410, and the terminal device 410 transmits the three differential signals to the server 200.

如此一來,伺服器200可對三個差動訊號進行與機器學習相關的運算,以產生十二導極心電訊號。換言之,伺服器200僅僅需要由V1、V2、V3、V4、V5以及V6導極訊號所產生的三個差動訊號就能產生使用者的十二導極心電訊號。In this way, the server 200 can perform machine learning-related operations on the three differential signals to generate a 12-lead ECG signal. In other words, the server 200 only needs three differential signals generated by the V1, V2, V3, V4, V5 and V6 lead signals to generate the user's 12-lead ECG signal.

再者,伺服器200可儲存過去由心電訊號偵測裝置100所產生的所有十二導極心電訊號(例如,儲存在伺服器200中的資料庫(未繪示)或外部的資料庫(未繪示))。終端裝置410或監控裝置420(1)~410(N)中的任一者可向伺服器200請求任意時間所偵測的十二導極心電訊號,以對使用者的十二導極心電訊號進行即時監控或進行歷史追蹤。藉此,使用者可藉由終端裝置410的顯示器即時地注意到自己的心律發生異常。醫療人員也可藉由監控裝置420(1)~410(N)中的一者或多者即時地注意到使用者的心律發生異常。Furthermore, the server 200 can store all the twelve-lead ECG signals generated by the ECG signal detection device 100 in the past (for example, stored in a database (not shown) in the server 200 or an external database (not shown)). The terminal device 410 or any of the monitoring devices 420(1)-410(N) can request the server 200 for the twelve-lead ECG signals detected at any time to monitor the user's twelve-lead ECG signals in real time or to track the history. In this way, the user can immediately notice the abnormality of his or her heart rhythm through the display of the terminal device 410. Medical personnel can also immediately notice abnormal heart rhythm of the user through one or more of the monitoring devices 420 ( 1 ) to 410 (N).

藉由上述的結構,本發明實施例的心電訊號偵測系統400可隨時地偵測使用者的胸導極的導極訊號,並依據這些導極訊號產生三個差動訊號,以對由該三個差動訊號所產生的一十二導極心電訊號進行監控。藉此,不論使用者或是對使用者進行治療的醫療人員皆可隨時地監控使用者的心律。With the above structure, the ECG signal detection system 400 of the present invention can detect the lead signals of the chest leads of the user at any time, and generate three differential signals according to the lead signals to monitor the twelve-lead ECG signals generated by the three differential signals. In this way, the user or the medical staff treating the user can monitor the user's heart rhythm at any time.

綜上所述,本發明實施例的心電訊號偵測裝置便於貼附在使用者身上並採用更少的電極,便能即時地產生與使用者的心律對應的十二導極心電訊號。進一步而言,電極所貼附的位置為一般偵測十二導極心電訊號的十個電極中的六個胸導極電極。如此一來,醫療人員僅需要將這些電極貼附在一般胸導極電極對應的位置,不必將這些電極貼附在其他特定的位置。此外,本發明實施例的心電訊號偵測系統更可便於使用者或醫療人員即時地對使用者的心律對應的十二導極心電訊號進行長時間監控。In summary, the ECG signal detection device of the embodiment of the present invention is easy to attach to the user and uses fewer electrodes to generate a twelve-lead ECG signal corresponding to the user's heart rhythm in real time. Furthermore, the electrodes are attached to six chest lead electrodes among the ten electrodes that generally detect twelve-lead ECG signals. In this way, medical personnel only need to attach these electrodes to the positions corresponding to the general chest lead electrodes, and do not need to attach these electrodes to other specific positions. In addition, the ECG signal detection system of the embodiment of the present invention can facilitate users or medical personnel to monitor the twelve-lead ECG signal corresponding to the user's heart rhythm in real time for a long time.

雖然本發明已以實施例揭露如上,然其並非用以限定本發明,任何所屬技術領域中具有通常知識者,在不脫離本發明的精神和範圍內,當可作些許的更動與潤飾,故本發明的保護範圍當視後附的申請專利範圍所界定者為準。Although the present invention has been disclosed as above by the embodiments, they are not intended to limit the present invention. Any person with ordinary knowledge in the relevant technical field can make some changes and modifications without departing from the spirit and scope of the present invention. Therefore, the protection scope of the present invention shall be defined by the scope of the attached patent application.

100:心電訊號偵測裝置 110:胸導極電極組 110(1):第一電極 110(2):第二電極 110(3):第三電極 110(4):第四電極 110(5):第五電極 110(6):第六電極 120:感測電路 130:傳送電路 200:伺服器 400:心電訊號偵測系統 410:終端裝置 420(1)~420(N):監控裝置 100: ECG signal detection device 110: Chest lead electrode set 110(1): First electrode 110(2): Second electrode 110(3): Third electrode 110(4): Fourth electrode 110(5): Fifth electrode 110(6): Sixth electrode 120: Sensing circuit 130: Transmission circuit 200: Server 400: ECG signal detection system 410: Terminal device 420(1)~420(N): Monitoring device

第1圖是根據本發明一些示範性實施例的心電訊號偵測裝置的方塊圖。 第2圖是根據本發明一些示範性實施例的心電訊號偵測裝置的示意圖。 第3圖是根據本發明一些示範性實施例的胸導極電極組之位置的示意圖。 第4圖是根據本發明一些示範性實施例的心電訊號偵測系統的方塊圖。 第5圖是根據本發明一些示範性實施例的心電訊號偵測系統的示意圖。 FIG. 1 is a block diagram of an electrocardiogram signal detection device according to some exemplary embodiments of the present invention. FIG. 2 is a schematic diagram of an electrocardiogram signal detection device according to some exemplary embodiments of the present invention. FIG. 3 is a schematic diagram of the position of a chest lead electrode group according to some exemplary embodiments of the present invention. FIG. 4 is a block diagram of an electrocardiogram signal detection system according to some exemplary embodiments of the present invention. FIG. 5 is a schematic diagram of an electrocardiogram signal detection system according to some exemplary embodiments of the present invention.

100:心電訊號偵測裝置 100: ECG signal detection device

110:胸導極電極組 110: Chest lead electrode set

110(1):第一電極 110(1):First electrode

110(2):第二電極 110(2): Second electrode

110(3):第三電極 110(3):Third electrode

110(4):第四電極 110(4):Fourth electrode

110(5):第五電極 110(5):Fifth electrode

110(6):第六電極 110(6):Sixth electrode

120:感測電路 120: Sensing circuit

130:傳送電路 130: Transmission circuit

200:伺服器 200: Server

Claims (7)

一種心電訊號偵測裝置,包括:一胸導極電極組,僅由一第一電極、一第二電極、一第三電極、一第四電極、一第五電極以及一第六電極所組成,該胸導極電極組貼附在一使用者胸部用以偵測與該使用者的心律對應的六個導極訊號;一感測電路,耦接該胸導極電極組,用以接收該六個導極訊號以依據該六個導極訊號產生三個差動訊號,其中該三個差動訊號包括該第一電極的導極訊號與該第二電極的導極訊號之間的一電壓差,該第三電極的導極訊號與該第四電極的導極訊號之間的一電壓差,以及該第五電極的導極訊號與該第六電極的導極訊號之間的一電壓差;以及一傳送電路,耦接該感測電路,用以接收該三個差動訊號以將該三個差動訊號傳送至一伺服器,以對由該三個差動訊號所產生的一十二導極心電訊號進行監控,其中該胸導極電極組、產生該三個差動訊號的該感測電路以及該傳送電路共同設置在同一支架上,其中該伺服器對該三個差動訊號進行與機器學習相關的運算,以產生該十二導極心電訊號。 A cardiac signal detection device includes: a chest lead electrode set, which is composed of a first electrode, a second electrode, a third electrode, a fourth electrode, a fifth electrode and a sixth electrode, and the chest lead electrode set is attached to a user's chest to detect six lead signals corresponding to the user's heart rhythm; a sensing circuit, coupled to the chest lead electrode set, is used to receive the six lead signals to generate three differential signals according to the six lead signals, wherein the three differential signals include a voltage difference between the lead signal of the first electrode and the lead signal of the second electrode, and a voltage difference between the lead signal of the third electrode and the lead signal of the fourth electrode. A voltage difference between the lead signals of the first and second electrodes, and a voltage difference between the lead signals of the fifth electrode and the sixth electrode; and a transmission circuit coupled to the sensing circuit for receiving the three differential signals to transmit the three differential signals to a server to monitor a twelve-lead ECG signal generated by the three differential signals, wherein the chest lead electrode set, the sensing circuit generating the three differential signals, and the transmission circuit are jointly arranged on the same bracket, wherein the server performs machine learning-related operations on the three differential signals to generate the twelve-lead ECG signal. 如請求項1所述之心電訊號偵測裝置,其中該傳送電路以無線傳輸方法將該三個差動訊號傳送至該伺服器。 The electrocardiographic signal detection device as described in claim 1, wherein the transmission circuit transmits the three differential signals to the server by wireless transmission method. 一種心電訊號偵測裝置,包括:一電極組,包含設置在一胸部區域的一第一電極、一第二電極、一第三電極、一第四電極、一第五電極以及一第六電極且不包含設置一肢體區域的電極,該電極組用以偵測與一使用者的心律對應的六個導極訊號;一感測電路,耦接該電極組,用以接收該六個導極訊號以依據該六個導極訊號產生三個差動訊號,其中該三個差動訊號包括該第一電極的導極訊號與該第二電極的導極訊號之間的一電壓差,該第三電極的導極訊號與該第四電極的導極訊號之間的一電壓差,以及該第五電極的導極訊號與該第六電極的導極訊號之間的一電壓差;以及一傳送電路,耦接該感測電路,用以接收該三個差動訊號以將該三個差動訊號傳送至一伺服器,以對由該三個差動訊號所產生的一十二導極心電訊號進行監控,其中該伺服器對該三個差動訊號進行與機器學習相關的運算,以產生該十二導極心電訊號,其中該電極組、產生該三個差動訊號的該感測電路以及該傳送電路共同設置在同一支架上。 A device for detecting electrocardiogram signals comprises: an electrode set, comprising a first electrode, a second electrode, a third electrode, a fourth electrode, a fifth electrode and a sixth electrode arranged in a chest area and excluding electrodes arranged in a limb area, the electrode set is used to detect six lead electrode signals corresponding to the heart rhythm of a user; a sensing circuit coupled to the electrode set, and used to receive the six lead electrode signals to generate three differential signals according to the six lead electrode signals, wherein the three differential signals include a voltage difference between the lead electrode signal of the first electrode and the lead electrode signal of the second electrode, and a voltage difference between the lead electrode signal of the third electrode and the lead electrode signal of the third electrode. A voltage difference between the lead signals of the fourth electrode, and a voltage difference between the lead signals of the fifth electrode and the lead signals of the sixth electrode; and a transmission circuit coupled to the sensing circuit for receiving the three differential signals to transmit the three differential signals to a server to monitor a twelve-lead ECG signal generated by the three differential signals, wherein the server performs machine learning-related operations on the three differential signals to generate the twelve-lead ECG signal, wherein the electrode set, the sensing circuit for generating the three differential signals, and the transmission circuit are collectively arranged on the same bracket. 一種心電訊號偵測系統,包括:一伺服器;一心電訊號偵測裝置,耦接該伺服器,且包括:一胸導極電極組,僅由一第一電極、一第二電極、一第三電極、一第四電極、一第五電極以及一第六電極所 組成,該胸導極電極組貼附在一使用者胸部用以偵測與該使用者的心律對應的六個導極訊號;一感測電路,耦接該胸導極電極組,用以接收該六個導極訊號以依據該六個導極訊號產生三個差動訊號,其中該三個差動訊號包括該第一電極的導極訊號與該第二電極的導極訊號之間的一電壓差,該第三電極的導極訊號與該第四電極的導極訊號之間的一電壓差,以及該第五電極的導極訊號與該第六電極的導極訊號之間的一電壓差;以及一傳送電路,耦接該感測電路,用以接收該三個差動訊號以將該三個差動訊號傳送至該伺服器,其中該伺服器依據該三個差動訊號產生一十二導極心電訊號,以對該十二導極心電訊號進行監控,其中該伺服器對該三個差動訊號進行與機器學習相關的運算,以產生該十二導極心電訊號,其中該胸導極電極組、產生該三個差動訊號的該感測電路以及該傳送電路共同設置在同一支架上。 An electrocardiogram signal detection system includes: a server; an electrocardiogram signal detection device coupled to the server and including: a chest lead electrode set consisting of only a first electrode, a second electrode, a third electrode, a fourth electrode, a fifth electrode and a sixth electrode, the chest lead electrode set being attached to a user's chest for detecting six lead signals corresponding to the heart rhythm of the user; a sensing circuit coupled to the chest lead electrode set, for receiving the six lead signals to generate three differential signals according to the six lead signals, wherein the three differential signals include a voltage difference between the lead signal of the first electrode and the lead signal of the second electrode, and a voltage difference between the lead signal of the third electrode and the lead signal of the third electrode. A voltage difference between the signal and the lead signal of the fourth electrode, and a voltage difference between the lead signal of the fifth electrode and the lead signal of the sixth electrode; and a transmission circuit coupled to the sensing circuit for receiving the three differential signals to transmit the three differential signals to the server, wherein the server generates a twelve-lead ECG signal according to the three differential signals to monitor the twelve-lead ECG signal, wherein the server performs machine learning-related operations on the three differential signals to generate the twelve-lead ECG signal, wherein the chest lead electrode set, the sensing circuit for generating the three differential signals, and the transmission circuit are jointly arranged on the same bracket. 如請求項4所述之心電訊號偵測系統,其中該心電訊號偵測裝置以無線傳輸方法將該三個差動訊號傳送至該伺服器。 The electrocardiographic signal detection system as described in claim 4, wherein the electrocardiographic signal detection device transmits the three differential signals to the server by wireless transmission method. 如請求項4所述之心電訊號偵測系統,更包括一終端裝置,其中該心電訊號偵測裝置連接該終端裝置, 並經由該終端裝置將該三個差動訊號傳送至該伺服器。 The ECG signal detection system as described in claim 4 further includes a terminal device, wherein the ECG signal detection device is connected to the terminal device, and the three differential signals are transmitted to the server via the terminal device. 如請求項4所述之心電訊號偵測系統,更包括多個監控裝置,其中該些監控裝置從該伺服器接收該十二導極心電訊號,以進行監控或醫療評估。 The ECG signal detection system as described in claim 4 further includes a plurality of monitoring devices, wherein the monitoring devices receive the twelve-lead ECG signal from the server for monitoring or medical evaluation.
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TW201620440A (en) * 2014-12-09 2016-06-16 國立交通大學 Method and system for generating 12-lead electrocardiography signals using differential voltages of three leads
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TW201912107A (en) * 2017-08-30 2019-04-01 美商宇心生醫股份有限公司 Device and method for obtaining ecg

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* Cited by examiner, † Cited by third party
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CN1852677A (en) * 2003-09-17 2006-10-25 西纳莱福公司 Apparatus for, and method of, determining the condition of a patient's heart
TW201620440A (en) * 2014-12-09 2016-06-16 國立交通大學 Method and system for generating 12-lead electrocardiography signals using differential voltages of three leads
CN105943022A (en) * 2016-05-20 2016-09-21 浙江铭众科技有限公司 Electrocardiogram monitoring system with function of remodeling 12-lead by utilizing 3-lead
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