WO2001065810A1 - Mobile telecommunication terminal, especially mobile phone - Google Patents

Mobile telecommunication terminal, especially mobile phone Download PDF

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Publication number
WO2001065810A1
WO2001065810A1 PCT/EP2001/002335 EP0102335W WO0165810A1 WO 2001065810 A1 WO2001065810 A1 WO 2001065810A1 EP 0102335 W EP0102335 W EP 0102335W WO 0165810 A1 WO0165810 A1 WO 0165810A1
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WO
WIPO (PCT)
Prior art keywords
terminal according
telecommunication terminal
measured values
data
network
Prior art date
Application number
PCT/EP2001/002335
Other languages
German (de)
French (fr)
Inventor
Dietmar W. Klaudtky
Georg Walter
Original Assignee
Diabetic-Trust Ag
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Diabetic-Trust Ag filed Critical Diabetic-Trust Ag
Priority to DE10190787T priority Critical patent/DE10190787D2/en
Priority to AU2001244179A priority patent/AU2001244179A1/en
Publication of WO2001065810A1 publication Critical patent/WO2001065810A1/en

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Classifications

    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04M—TELEPHONIC COMMUNICATION
    • H04M1/00—Substation equipment, e.g. for use by subscribers
    • H04M1/02—Constructional features of telephone sets
    • H04M1/0202—Portable telephone sets, e.g. cordless phones, mobile phones or bar type handsets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6887—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient mounted on external non-worn devices, e.g. non-medical devices
    • A61B5/6898—Portable consumer electronic devices, e.g. music players, telephones, tablet computers
    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04M—TELEPHONIC COMMUNICATION
    • H04M1/00—Substation equipment, e.g. for use by subscribers
    • H04M1/02—Constructional features of telephone sets
    • H04M1/21—Combinations with auxiliary equipment, e.g. with clocks or memoranda pads
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/14532—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring glucose, e.g. by tissue impedance measurement
    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04M—TELEPHONIC COMMUNICATION
    • H04M1/00—Substation equipment, e.g. for use by subscribers
    • H04M1/02—Constructional features of telephone sets
    • H04M1/0202—Portable telephone sets, e.g. cordless phones, mobile phones or bar type handsets
    • H04M1/0206—Portable telephones comprising a plurality of mechanically joined movable body parts, e.g. hinged housings
    • H04M1/0208—Portable telephones comprising a plurality of mechanically joined movable body parts, e.g. hinged housings characterized by the relative motions of the body parts
    • H04M1/0214—Foldable telephones, i.e. with body parts pivoting to an open position around an axis parallel to the plane they define in closed position
    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04M—TELEPHONIC COMMUNICATION
    • H04M1/00—Substation equipment, e.g. for use by subscribers
    • H04M1/72—Mobile telephones; Cordless telephones, i.e. devices for establishing wireless links to base stations without route selection
    • H04M1/724—User interfaces specially adapted for cordless or mobile telephones
    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04M—TELEPHONIC COMMUNICATION
    • H04M2250/00—Details of telephonic subscriber devices
    • H04M2250/12—Details of telephonic subscriber devices including a sensor for measuring a physical value, e.g. temperature or motion
    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04M—TELEPHONIC COMMUNICATION
    • H04M2250/00—Details of telephonic subscriber devices
    • H04M2250/22—Details of telephonic subscriber devices including a touch pad, a touch sensor or a touch detector

Definitions

  • Mobile telecommunications terminal in particular a mobile phone
  • the invention relates to a mobile telecommunications terminal, in particular a mobile phone, comprising a transmitting and receiving unit for transmitting data via a public radio or landline network, a microprocessor, an alphanumeric or graphic display, an acoustic and / or optical signal transmitter, and a memory module and a power supply according to the preamble of claim 1.
  • Methods for controlling a device by a remote transmitter methods for measuring a physical quantity and outputting measured values to a remote receiver, or methods for remotely monitoring a status and outputting an alarm signal to a remote receiver in the event of impermissible changes in status, and are known in Industry and transport routinely used.
  • US 5,794,221 shows an accounting process using the Internet.
  • an agreement between an Internet provider and the customer and, on the other hand, a corresponding regulation between the provider and the seller or service provider is assumed.
  • the provider declares in this agreement that he bills the customer and is responsible for the payment settlement against the seller or service provider.
  • the provider himself creates network access for the customer.
  • the transaction information between seller and customer goes simultaneously to the provider, who then carries out the corresponding activities such as billing and forwarding of the payment amount received.
  • the provider receives a commission for using the services.
  • diabetes mellitus is one of the most common chronic conditions and is constantly increasing.
  • the International Diabetes Institute in Melbourne estimates that today there are over 150 million diabetics worldwide, 30 million of them in Europe. By 2010, around 240 million people with diabetes are expected to grow to around 300 million by 2025, according to the WHO. It is important for people with diabetes to determine the current concentration of blood can. So-called glucose sensors have become known for this.
  • a characteristic absorption spectrum is used on the one hand to determine the glucose content in the blood, or on the basis of the scattering of infrared light, an increase in the blood sugar concentration is inferred if there is a change in the refractive index of blood and tissue fluid.
  • the accuracy of the information is problematic due to noisy measurement signals, which are partly caused by scattering effects.
  • the light absorption is strongly dependent on the temperature of the examined skin areas. Changes in the blood sugar concentration only lead to very small and partially unspecified changes in the measured absorption spectra. For this reason, very complicated mathematical methods and algorithms generally have to be used in order to filter the blood sugar information from the measurement signal, which regularly entails great computational outlay.
  • test subject and user should be given the option of being able to present current or comparative measurement values on a display or to perceive them acoustically in order to adjust preventive behavior accordingly or to be able to take medication in a targeted manner.
  • the object of the invention is achieved with a mobile telecommunication device, in particular a mobile telephone, according to the features of claim 1, the subclaims comprising at least expedient refinements and developments.
  • the basic idea of the invention is accordingly to structurally combine a mobile telecommunications terminal with a non-invasive optical sensor, in particular for detecting the blood sugar concentration, the processing and evaluation of the measurement data after the transmission thereof being carried out externally via a telecommunications network, and here also being supporting Supervision and diagnostic evaluation of the data with response to the test subject is possible via the telecommunications terminal.
  • test subject is given an actually effective aid for assessing the current personal situation and health status without the risk of misinterpretation and associated wrong reactions, such as Drug overdose.
  • the telecommunication terminal further developed according to the invention thus has the non-invasive optical sensor mentioned, which at least serves to record the blood sugar concentration of a subject.
  • the recorded measured values are fed to a memory of the memory module of the terminal device and a measured value acquisition and a measured value sequence control as well as signal preprocessing are carried out with the aid of a microprocessor.
  • the preprocessed measured values are configured in a file format for transmission via the radio or fixed network via a signal transformation unit, a connection to a central or decentralized file with access to a central data processing device being established via the network.
  • a final measurement value processing and / or statistical test-related calculation or evaluation is then carried out, which can also include the diagnostic advice mentioned.
  • Coded, finished and / or evaluated measurement results are then recorded via the receiving unit and these are fed to a decoder provided in the terminal, which then controls the display and / or the acoustic or optical signal transmitter.
  • the central data processing device after the completion of the operations performed the subscriber, i.e. selects the respective telecommunications terminal itself and sends a response data packet with finished results including possible diagnostic support.
  • the optical sensor can be integrated in a touch screen display and such an actuating device, the latter being accessible after a housing component of the terminal has been removed or folded away.
  • the sensor itself is protected and is only accessible in the event of a measurement, so that the usual functions of the mobile phone are retained.
  • the sensor has at least one infrared radiation emitting and several infrared sensitive semiconductor diodes as well as a skin temperature detection means, e.g. in the form of another diode whose p-n junction is temperature selective.
  • the blood glucose measurement and analysis mode can then be selected and activated via the touch screen display and actuation device, a data packet including a personal identifier being formed after measurement data acquisition has taken place and this leading to a telecommunications interface known per se.
  • the provided central data processing device which can be a central computer, receives the data packet or packets and carries out a plausibility check and assignment on the basis of an internal packet identifier. After successful identification, the received, preprocessed measurement signals are calculated and evaluated. Based on the personal An answer data packet is then prepared and transmitted to the sending or to a predetermined terminal. This transmission can be carried out both via a fixed network and via a mobile radio network.
  • long-term measurement values for the respective subject and for their observation which can also include other personal or health-related information, are stored in the terminal device memory and / or in the central database. This means that data can be saved and made available in a manner similar to a so-called emergency passport.
  • the transmitter / receiver unit of the telecommunications terminal additionally has a wire-bound or an infrared interface for serial or parallel data exchange, so that the terminal can be carried along when visiting a doctor and brought into communication with an existing personal computer.
  • the configuration device of the terminal has an Internet access module, so that a data packet and information exchange is also possible via the Worldwide Web.
  • HBA IC value can be read from the memory, which indicates the average blood sugar concentration over the past eight to ten weeks.
  • the terminal or the sensor provided there can comprise an integrated blood pressure determination and pulse measuring device.
  • An emergency button can be provided on the terminal via the operating unit provided there, in order to ensure that medical data can be called up in emergencies, for example in the event of low blood sugar, so that emergency measures can be initiated quickly. If provided, preselected data or data packets can also be transmitted to preselectable addresses. In order to rule out misuse of the data transfer, customary security measures, for example a so-called PIN code or a fingerprint sensor, are provided.
  • the mobile telecommunication device enables use in the preventive and general medical field, whereby an interactive exchange of individual subject values to a database and / or to the supervising doctor or an advice center is guaranteed.
  • the supervisor can actively send information to the person to be cared for or to the test subjects, whereby the mentioned emergency call function allows an immediate alarm to be triggered if certain limit values are exceeded.
  • the memory contents can e.g. read out for inpatient treatment and used to support diagnosis and therapy.
  • a variant of the terminal as a so-called pager is also conceivable, with the response via the position to be supervised e.g. by SMS or e-mail according to the state of the art is guaranteed, so that the subject receives the required information.
  • an additional interface can be integrated so that the data can be called up via it, e.g. when visiting the attending doctor.
  • Figure 1 is a plan view of a mobile telecommunications terminal with a sensor covered by a flap.
  • FIG. 2 shows a terminal device according to FIG. 1, but with the cover flap open and an accessible sensor
  • Fig. 3 is a block diagram for explaining the interactions between the mobile telecommunications terminal and a central data processing device.
  • the mobile telephone 1 shown in FIG. 1 corresponds to the devices on the market with control keypad 2, a liquid crystal display 3, on which various symbols 4 for operation and function display are shown, and a sound transducer 5 Microphone shown for voice input or transmission available.
  • the mobile telephone 1 has a lower housing part 6 and a flap-shaped upper housing part 7 with a window 26.
  • the flap-shaped upper housing part 7 can be moved laterally away via hinge joints 8.
  • the preferably optical sensor 10 with IR-emitting and IR-selective diodes is located in the lower region of a recess 11 in the housing part 6.
  • a touch screen 13 which is used for the menu-driven operation of the measurement and the display.
  • Emergency passport data can be specified on the underside of the flap 7 or such emergency passport data 14 can be called up by pressing a button 15 and displayed on the touch screen or the LC display 3.
  • an IR interface 16 is formed on the side of the lower housing part 6 for data exchange with a personal computer.
  • the measured values can then be stored in a table within the memory 17 either permanently or over a predetermined period of time and called up by the patient in offline mode.
  • the data exchange between the mobile phone 1 and the central data processing device 23 takes place under
  • the mobile telephone 1 can also have the further interface 16, with the aid of which serial or parallel data exchange with a personal computer is possible when stored data, e.g. if the subject is in hospital for treatment purposes, they must be transferred to an existing computer system.
  • the transmitting and receiving unit 20 establishes a connection to a local Internet provider, who then ensures that the data is passed on.

Abstract

The invention relates to a mobile telecommunication terminal, especially a mobile phone, that comprises a transmitter and receiver station for transmitting data via a public radio network or fixed network. The inventive telecommunication terminal comprises a non-invasive, preferably optical sensor physically integrated into it that detects the blood sugar concentration of a test person. The measured values are fed to a memory of the memory unit and the microprocessor is used for the acquisition of the measured values, for sequence control and signal pre-processing. A signal transformation unit configures the pre-processed measured values in a file format for transmission via the radio or fixed network. A connection to a central or decentral file with access to a central data processing system is established via the network for the purpose of a final processing of the measured values and/or a statistical calculation specific of the test person, for evaluation and classification.

Description

Mobiles Telekommunikations-Endgerät , insbesondere Mobiltelefon Mobile telecommunications terminal, in particular a mobile phone
Beschreibungdescription
Die Erfindung betrifft ein mobiles Telekommunikations-Endgerät , insbesondere Mobiltelefon, umfassend eine Sende-/ und Empfangseinheit zur Übertragung von Daten über ein öffentliches Funk- oder Festnetz, einen Mikroprozessor, ein alphanumerisches oder graphisches Anzeigedisplay, einen akustischen und/oder optischen Signalgeber, eine Speicherbaugruppe sowie eine Stromversorgung gemäß Oberbegriff des Patentanspruchs 1.The invention relates to a mobile telecommunications terminal, in particular a mobile phone, comprising a transmitting and receiving unit for transmitting data via a public radio or landline network, a microprocessor, an alphanumeric or graphic display, an acoustic and / or optical signal transmitter, and a memory module and a power supply according to the preamble of claim 1.
Mobile Telekommunikations-Endgeräte, sogenannte Mobiltelefons oder Handys sind seit vielen Jahren Stand der Technik. Verschiedene Netzbetreiber ermöglichen nahezu an jedem Ort der Welt eine Erreichbarkeit der Netzteilnehmer und einen entsprechenden Datenaustausch. Durch Weiterentwicklung der Mobil - funk-Telekommunikations-Standards ist darüber hinaus dieMobile telecommunication devices, so-called cell phones or cell phones, have been state of the art for many years. Various network operators make it possible for network users to be reached and data to be exchanged almost anywhere in the world. The further development of the mobile radio telecommunications standards means that
Datenübertragungsrate in Mobilfunknetzen erheblich gestiegen, so daß sich neue Applikationen erschließen.Data transfer rate in mobile networks has increased significantly, so that new applications are opening up.
So sind z.B. Verfahren zur Steuerung einer Vorrichtung durch einen entfernten Sender, Verfahren zur Messung einer physikalischen Größe und der Ausgabe von Meßwerten an einen entfernten Empfänger oder Verfahren zur Fern-Überwachung eines Zustands und der Ausgabe eines Alarmsignals an einen entfernten Empfänger bei unzulässigen Zustandsänderungen bekannt und werden in der Industrie und im Verkehrswesen routinemäßig eingesetzt.For example, Methods for controlling a device by a remote transmitter, methods for measuring a physical quantity and outputting measured values to a remote receiver, or methods for remotely monitoring a status and outputting an alarm signal to a remote receiver in the event of impermissible changes in status, and are known in Industry and transport routinely used.
Derartige Verfahren haben auch in den letzten Jahren verstärkt Eingang in den privaten Bereich gefunden, insbesondere im Zusammenhang mit der Fernsteuerung von Beleuchtungseinrich- tungen, Audio- und Videoanlagen und mit der Entwicklung von Alarmsystemen für Gebäude oder zum Facility Management.Such methods have increasingly found their way into the private sector in recent years, particularly in connection with the remote control of lighting devices. systems, audio and video systems and with the development of alarm systems for buildings or for facility management.
Auch existieren Vorschläge zur elektronischen Abwicklung von Kauf- und Verkaufshandlungen über öffentliche Kommunikations- netze, insbesondere dem Internet.There are also proposals for the electronic processing of purchase and sales transactions via public communication networks, in particular the Internet.
So zeigt beispielsweise die US 5,794,221 ein Rechnungslegungs- verfahren unter Nutzung des Internet. Dort wird zunächst einerseits eine Vereinbarung zwischen einem Internet -Provider und dem Kunden und andererseits eine entsprechende Regelung zwischen dem Provider und dem Verkäufer oder Diensteanbieter vorausgesetzt. Der Provider erklärt in dieser Vereinbarung, daß er dem Kunden gegenüber Rechnung legt und für den Zahlungsausgleich gegenüber dem Verkäufer oder Diensteanbieter verant- wortlich zeichnet. Der Provider selbst schafft den Netzzugang für den Kunden. Die Transaktionsinformation zwischen Verkäufer und Kunden geht gleichzeitig zum Provider, welcher dann die entsprechenden Aktivitäten wie Rechnungslegung und Weiterleiten des eingegangenen Zahlungsbetrags vornimmt . Für die Inan- spruchnahme der Dienstleistungen seitens des Providers erhält dieser eine Provision.For example, US 5,794,221 shows an accounting process using the Internet. There, on the one hand, an agreement between an Internet provider and the customer and, on the other hand, a corresponding regulation between the provider and the seller or service provider is assumed. The provider declares in this agreement that he bills the customer and is responsible for the payment settlement against the seller or service provider. The provider himself creates network access for the customer. The transaction information between seller and customer goes simultaneously to the provider, who then carries out the corresponding activities such as billing and forwarding of the payment amount received. The provider receives a commission for using the services.
Weiterhin gehören Kommunikationssysteme zur Information und Führung von Wirtschaftsstrukturen mit einer Vielzahl von dezentralen, softwaregesteuerten Kommunikations-Endgeräten, welche entsprechend einer gegebenen Hierarchie über drahtlose und/oder drahtgebundene Netze mit- und untereinander in Verbindung stehen, zum Stand der Technik.Furthermore, communication systems for information and management of economic structures with a large number of decentralized, software-controlled communication terminals, which are connected to and with each other according to a given hierarchy via wireless and / or wired networks, belong to the prior art.
Aus vorliegenden Untersuchungen zeigt sich, daß der Diabetes mellitus eines der häufigsten chronischen Leiden ist und ständig zunimmt. Das Internationale Diabetes-Institut in Melbourne schätzt, daß heute weltweit über 150 Millionen Diabetiker leben, 30 Millionen davon in Europa. Bis zum Jahre 2010 wird von etwa 240 Millionen Menschen mit Diabetes ausgegangen, die laut WHO bis zum Jahre 2025 auf ca. 300 Millionen anwachsen werden. Für die an Diabetes erkrankten Menschen ist es wichtig, die aktuelle Blutzungerkonzentration bestimmen zu können. Hierfür sind sogenannte Glukose-Sensoren bekannt geworden .From existing studies it can be seen that diabetes mellitus is one of the most common chronic conditions and is constantly increasing. The International Diabetes Institute in Melbourne estimates that today there are over 150 million diabetics worldwide, 30 million of them in Europe. By 2010, around 240 million people with diabetes are expected to grow to around 300 million by 2025, according to the WHO. It is important for people with diabetes to determine the current concentration of blood can. So-called glucose sensors have become known for this.
Bei den optischen Sensoren wird einerseits auf ein charakteri- stisches Absorptionsspektrum zurückgegriffen, um den Glukosegehalt im Blut zu ermitteln, oder aber es wird auf der Basis der Streuung von infrarotem Licht auf einen Anstieg in der Blutzucker-Konzentration dann geschlossen, wenn eine Änderung des Brechnungsindex von Blut und der Gewebsflüssigkeit vor- liegt. Problematisch ist jedoch die Aussagegenauigkeit aufgrund verrauschter Meßsignale, die teilweise durch Streuungseffekte bedingt sind. Darüber hinaus ist die Lichtabsorption stark von der Temperatur der untersuchten Hautbereiche abhängig. Änderungen in der Blutzucker-Konzentration führen meßtechnisch nur zu sehr kleinen und teilweise unspezifizierten Veränderungen in den gemessenen Absorptionsspektren. Aus diesem Grund müssen in der Regel sehr komplizierte mathematische Methoden und Algorithmen angewendet werden, um die Blutzucker- Information aus dem Meßsignal zu filtern, was regelmäßig einen großen rechentechnischen Aufwand nach sich zieht.In the case of the optical sensors, a characteristic absorption spectrum is used on the one hand to determine the glucose content in the blood, or on the basis of the scattering of infrared light, an increase in the blood sugar concentration is inferred if there is a change in the refractive index of blood and tissue fluid. However, the accuracy of the information is problematic due to noisy measurement signals, which are partly caused by scattering effects. In addition, the light absorption is strongly dependent on the temperature of the examined skin areas. Changes in the blood sugar concentration only lead to very small and partially unspecified changes in the measured absorption spectra. For this reason, very complicated mathematical methods and algorithms generally have to be used in order to filter the blood sugar information from the measurement signal, which regularly entails great computational outlay.
Es ist daher Aufgabe der Erfindung, eine neuartige Lösung zur noninvasiven Erfassung von Blutzucker-Meßwerten oder anderen Blutcharakteristika anzugeben, wobei die Möglichkeit bestehen soll, die Meßwerte online zu übertragen, um diese dann zentral einer Auswertung und Verarbeitung zuzuführen.It is therefore an object of the invention to provide a novel solution for the non-invasive detection of blood sugar measurements or other blood characteristics, with the possibility of transferring the measurements online so that they can then be centrally evaluated and processed.
Darüber hinaus soll dem Probanden und Nutzer die Möglichkeit gegeben sein, aktuelle, aber auch Vergleichsmeßwerte von einem Anzeigedisplay dargeboten oder akustisch wahrnehmen zu können, um ein präventives Verhalten entsprechend einzustellen oder aber auch gezielt Medikamente einnehmen zu können.In addition, the test subject and user should be given the option of being able to present current or comparative measurement values on a display or to perceive them acoustically in order to adjust preventive behavior accordingly or to be able to take medication in a targeted manner.
Die Lösung der Aufgabe der Erfindung erfolgt mit einem mobilen Telekommunikationsgerät, insbesondere einem Mobiltelefon gemäß den Merkmalen des Patentanspruchs 1, wobei die Unteransprüche mindestens zweckmäßige Ausgestaltungen und Weiterbildungen umfassen. Der Grundgedanke der Erfindung besteht demgemäß darin, ein mobiles Telekommunikations-Endgerät mit einem noninvasiven optischen Sensor insbesondere zur Erfassung der Blutzucker- Konzentration baulich zu vereinigen, wobei die rechentechnische Bearbeitung und Auswertung der Meßdaten nach Übertragung dieser über ein Telekommunikationsnetz extern erfolgt und hier auch eine unterstützende Betreuung und diagnostische Bewertung der Daten mit Rückantwort zum Probanden über das Telekommuni- kations-Endgerät möglich ist.The object of the invention is achieved with a mobile telecommunication device, in particular a mobile telephone, according to the features of claim 1, the subclaims comprising at least expedient refinements and developments. The basic idea of the invention is accordingly to structurally combine a mobile telecommunications terminal with a non-invasive optical sensor, in particular for detecting the blood sugar concentration, the processing and evaluation of the measurement data after the transmission thereof being carried out externally via a telecommunications network, and here also being supporting Supervision and diagnostic evaluation of the data with response to the test subject is possible via the telecommunications terminal.
Durch die Offline-Meßdatenerfassung, die Online-Übertragung der ermittelten Meßwerte und die zentrale oder dezentrale Auswertung unter Nutzung entsprechender rechentechnischer Kapazitäten sowie durch manuelle oder automatisch ablaufende Diagnostizier- Algorithmen wird dem Probanden ein tatsächlich wirksames Hilfsmittel zur Beurteilung der momentanen persönlichen Situation und des Gesundheitszustands gegeben, ohne daß die Gefahr von Fehlinterpretationen und damit verbundenen falschen Reaktionen, wie z.B. Medikamentenüberdosierung, besteht.Through the offline measurement data acquisition, the online transmission of the determined measured values and the central or decentralized evaluation using the appropriate computing capacities as well as manual or automatic diagnostic algorithms, the test subject is given an actually effective aid for assessing the current personal situation and health status without the risk of misinterpretation and associated wrong reactions, such as Drug overdose.
Das erfindungsgemäß weitergebildete Telekommunikations-Endgerät besitzt also den erwähnten noninvasiven optischen Sensor, der mindestens zur Erfassung der Blutzucker-Konzentration eines Probanden dient . Die aufgenommenen Meßwerte werden einem Speicher der Speicherbaugruppe des Endgeräts zugeführt und es wird mit Hilfe eines Mikroprozessors eine Meßwerterfassung und eine Meßwertablaufsteuerung sowie eine Signalvorverarbeitung vorgenommen .The telecommunication terminal further developed according to the invention thus has the non-invasive optical sensor mentioned, which at least serves to record the blood sugar concentration of a subject. The recorded measured values are fed to a memory of the memory module of the terminal device and a measured value acquisition and a measured value sequence control as well as signal preprocessing are carried out with the aid of a microprocessor.
Über eine Signaltransformationseinheit werden die vorverarbeiteten Meßwerte in ein Dateiformat zur Übertragung über das Funk- oder Festnetz konfiguriert, wobei über das Netz eine Verbindung zu einer zentralen oder dezentralen Datei mit Zugriff auf eine zentrale Datenverarbeitungseinrichtung herge- stellt wird. Hiernach wird eine abschließende Meßwerteverarbeitung und/oder statistische probandenbezogene Berechnung oder Bewertung ausgeführt, welche auch die erwähnte diagnostische Beratung umfassen kann. Über die Empfangseinheit werden dann codierte, endverarbeitete und/oder bewertete Meßergebnisse aufgenommen und diese einem im Endgerät vorgesehenen Decodierer zugeführt, welcher dann das Anzeigedisplay und/oder den akustischen oder optischen Signalgeber ansteuert .The preprocessed measured values are configured in a file format for transmission via the radio or fixed network via a signal transformation unit, a connection to a central or decentralized file with access to a central data processing device being established via the network. A final measurement value processing and / or statistical test-related calculation or evaluation is then carried out, which can also include the diagnostic advice mentioned. Coded, finished and / or evaluated measurement results are then recorded via the receiving unit and these are fed to a decoder provided in the terminal, which then controls the display and / or the acoustic or optical signal transmitter.
Erfindungsgemäß besteht die Option, daß die zentrale Datenverarbeitungseinrichtung nach Beendigung der durchgeführten Operationen den Teilnehmer, d.h. das jeweilige Telekommunikations-Endgerät selbst anwählt und ein Antwort-Datenpaket mit Fertigergebnissen einschließlich möglicher diagnostischer Betreuung absetzt.According to the invention there is the option that the central data processing device after the completion of the operations performed the subscriber, i.e. selects the respective telecommunications terminal itself and sends a response data packet with finished results including possible diagnostic support.
Erfindungsgemäß kann der optische Sensor in eine Touch-Screen- Anzeige und eine solche Betätigungseinrichtung integriert sein, wobei letztere nach Entfernen oder Wegklappen eines Gehäusebauteils des Endgeräts zugänglich ist. Hierdurch ist der Sensor selbst geschützt und nur im Meßfall zugänglich, so daß die üblichen Funktionen des Mobiltelefons erhalten bleiben.According to the invention, the optical sensor can be integrated in a touch screen display and such an actuating device, the latter being accessible after a housing component of the terminal has been removed or folded away. As a result, the sensor itself is protected and is only accessible in the event of a measurement, so that the usual functions of the mobile phone are retained.
Der Sensor besitzt mindestens eine infrarote Strahlung emittierende und mehrere infrarotsensitive Halbleiterdioden sowie ein Hauttemperatur-Erfassungsmittel, z.B. in Form einer weiteren Diode, deren p-n-Übergang temperaturselektiv ist.The sensor has at least one infrared radiation emitting and several infrared sensitive semiconductor diodes as well as a skin temperature detection means, e.g. in the form of another diode whose p-n junction is temperature selective.
Über die Touch-Screen-Anzeige- und Betätigungseinrichtung ist dann der Blutzuckermeß- und -analysemodus anwähl- und aktivierbar, wobei nach erfolgter Meßdatenerfassung ein Datenpaket einschließlich persönlicher Kennung gebildet wird und dieses zu einer an sich bekannten Telekommunikations-Schnittstelle führt.The blood glucose measurement and analysis mode can then be selected and activated via the touch screen display and actuation device, a data packet including a personal identifier being formed after measurement data acquisition has taken place and this leading to a telecommunications interface known per se.
Die vorgesehene zentrale Datenverarbeitungseinrichtung, die ein Zentralrechner sein kann, empfängt das oder die Datenpakete und nimmt eine Plausibilitätsprüfung und Zuordnung anhand einer paketinternen Kennung vor. Nach erfolgreicher Identifikation wird eine Berechnung und Bewertung der empfangenen, vorverarbeiteten Meßsignale durchgeführt. Anhand der persönlichen Kennung wird dann ein Antwort-Datenpaket vorbereitet und an das sendende bzw. an ein vorab bestimmtes Endgerät übertragen. Diese Übertragung kann sowohl über ein Festnetz als auch über ein Mobilfunknetz vorgenommen werden.The provided central data processing device, which can be a central computer, receives the data packet or packets and carries out a plausibility check and assignment on the basis of an internal packet identifier. After successful identification, the received, preprocessed measurement signals are calculated and evaluated. Based on the personal An answer data packet is then prepared and transmitted to the sending or to a predetermined terminal. This transmission can be carried out both via a fixed network and via a mobile radio network.
Im Endgerätespeicher und/oder in der zentralen Datenbank sind darüber hinaus Langzeitmeßwerte zum jeweiligen Probanden und zu dessen Beobachtung gespeichert, welche auch sonstige persönliche oder gesundheitsbezogene Informationen umfassen können. Damit können Daten quasi analog eines sogenannten Notfallpasses gespeichert und abrufbar gestaltet werden.In addition, long-term measurement values for the respective subject and for their observation, which can also include other personal or health-related information, are stored in the terminal device memory and / or in the central database. This means that data can be saved and made available in a manner similar to a so-called emergency passport.
Die Sende-/ und Empfangseinheit des Telekommunikations-Endge- räts besitzt zusätzlich eine drahtgebundene oder eine Infrarot- Schnittstelle zum seriellen oder parallelen Datenaustausch, so daß das Endgerät beim Arztbesuch mitgeführt und dort in Kommunikation mit einem vorhandenen Personal-Computer gebracht werden kann.The transmitter / receiver unit of the telecommunications terminal additionally has a wire-bound or an infrared interface for serial or parallel data exchange, so that the terminal can be carried along when visiting a doctor and brought into communication with an existing personal computer.
Weiterhin besitzt die Konfigurationseinrichtung des Endgeräts eine Internet-Zugangsbaugruppe, so daß ein Datenpaket und Informationsaustausch auch über das Worldwide Web möglich ist.Furthermore, the configuration device of the terminal has an Internet access module, so that a data packet and information exchange is also possible via the Worldwide Web.
Mit Hilfe des vorgestellten erweiterten Telekommunikations- Endgeräts können in besonders einfacher Weise Blutzucker- Kontrollen in der gebotenen Häufigkeit vorgenommen werden, so daß eine optimale Stoff echselführung möglich ist. Durch die vorgesehene Anzeigeeinrichtung einschließlich akustischem und/oder optischem Signalgeber ist das Absetzen eines Warn- signals dann möglich, wenn aus den ermittelten Werten eineWith the help of the extended telecommunications terminal presented, blood sugar checks can be carried out in the required frequency in a particularly simple manner, so that an optimal metabolism management is possible. By means of the provided display device including an acoustic and / or optical signal generator, it is possible to issue a warning signal if one of the values determined
Tendenz zu einer Hypoglykämie ableitbar ist . Weiterhin kann aus dem Speicher der sogenannte HBA IC-Wert abgelesen werden, welcher die durchschnittliche Blutzucker-Konzentration der zurückliegenden acht bis zehn Wochen angibt. Ergänzend kann das Endgerät respektive der dort vorgesehene Sensor eine integrierte Blutdruck-Bestimmungs- und Pulsmeßeinrichtung umfassen. Am Endgerät kann über die dort vorgesehene Bedieneinheit ein Emergency-Taster vorhanden sein, um in Notfällen, z.B. bei Unterzuckerung, ein Abrufen von medizinischen Daten zu gewährleisten, so daß Notmaßnahmen schnell eingeleitet werden können. Sofern vorgesehen, können vorgewählte Daten oder Datenpakete an ebenfalls vorwählbare Adressen übermittelt werden. Um einen Mißbrauch des Datentransfers auszuschließen, sind übliche Sicherheitsmaßnahmen, z.B. ein sogenannter PIN-Code oder aber auch ein Fingerprint-Sensor vorgesehen.Tendency to hypoglycemia is derivable. Furthermore, the so-called HBA IC value can be read from the memory, which indicates the average blood sugar concentration over the past eight to ten weeks. In addition, the terminal or the sensor provided there can comprise an integrated blood pressure determination and pulse measuring device. An emergency button can be provided on the terminal via the operating unit provided there, in order to ensure that medical data can be called up in emergencies, for example in the event of low blood sugar, so that emergency measures can be initiated quickly. If provided, preselected data or data packets can also be transmitted to preselectable addresses. In order to rule out misuse of the data transfer, customary security measures, for example a so-called PIN code or a fingerprint sensor, are provided.
Grundsätzlich ermöglicht das mobile Telekommunikations-Endgerät einen Einsatz im Vorsorge- und generell medizinischem Bereich, wobei ein interaktiver Austausch individueller Probandenwerte hin zu einer Datenbank und/oder zum betreuenden Arzt oder einer Beratungsstelle gewährleistet ist. Nach Empfang der Daten kann der Betreuer aktiv Informationen an den zu Betreuenden respektive den Probanden unmittelbar versenden, wobei die erwähnte Notruffunktion bei Überschreiten bestimmter Grenzwerte eine sofortige Alarmauslösung gestattet.Basically, the mobile telecommunication device enables use in the preventive and general medical field, whereby an interactive exchange of individual subject values to a database and / or to the supervising doctor or an advice center is guaranteed. After receiving the data, the supervisor can actively send information to the person to be cared for or to the test subjects, whereby the mentioned emergency call function allows an immediate alarm to be triggered if certain limit values are exceeded.
Die Speicherinhalte können z.B. bei einer Einlieferung zur stationären Behandlung ausgelesen und diagnose- und therapieunterstützend verwendet werden.The memory contents can e.g. read out for inpatient treatment and used to support diagnosis and therapy.
Denkbar ist ebenfalls eine Variante des Endgeräts als sogenannter Pager, wobei die Rückantwort über die zu betreuende Stelle z.B. per SMS oder e-mail gemäß dem Stand der Technik gewährleistet ist, so daß der Proband die benötigten Informationen erhält. Auch in diesem Fall kann eine zusätzliche Schnittstelle integriert sein, so daß die Daten hierüber abgerufen werden können, z.B. beim Besuch des betreuenden Arztes.A variant of the terminal as a so-called pager is also conceivable, with the response via the position to be supervised e.g. by SMS or e-mail according to the state of the art is guaranteed, so that the subject receives the required information. In this case too, an additional interface can be integrated so that the data can be called up via it, e.g. when visiting the attending doctor.
Die Erfindung soll nachstehend anhand eines Ausführungsbei- spiels sowie unter Zuhilfenahme von Figuren näher erläutert werden.The invention will be explained in more detail below on the basis of an exemplary embodiment and with the aid of figures.
Hierbei zeigen: Fig. 1 eine Draufsicht auf ein mobiles Telekommunikations- Endgerät mit durch Klappe verdecktem Sensor;Here show: Figure 1 is a plan view of a mobile telecommunications terminal with a sensor covered by a flap.
Fig. 2 ein Endgerät gemäß Fig. 1, jedoch mit geöffneter Abdeckklappe und zugänglichem Sensor; undFIG. 2 shows a terminal device according to FIG. 1, but with the cover flap open and an accessible sensor; and
Fig. 3 ein Blockschaltbild zur Erläuterung der Wechselwirkungen zwischen dem mobilen Telekommunikations-Endgerät und einer zentralen Datenverarbeitungseinrichtung.Fig. 3 is a block diagram for explaining the interactions between the mobile telecommunications terminal and a central data processing device.
Das in der Fig. 1 gezeigte Mobiltelefon 1 entspricht in seinem geschlossenen Zustand den am Markt befindlichen Geräten mit Bedientastatur 2, einem Flüssigkristall-Display 3, worauf verschiedene Symbole 4 zur Bedienung und Funktionsanzeige dargestellt sind, und einem Schallwandler 5. Darüber hinaus ist ein nicht dargestelltes Mikrophon zur Spracheingabe bzw. Sprachübertragung vorhanden. Das Mobiltelefon 1 besitzt ein Gehäuseunterteil 6 und ein klappenförmiges Gehäuseoberteil 7 mit Fenster 26.In its closed state, the mobile telephone 1 shown in FIG. 1 corresponds to the devices on the market with control keypad 2, a liquid crystal display 3, on which various symbols 4 for operation and function display are shown, and a sound transducer 5 Microphone shown for voice input or transmission available. The mobile telephone 1 has a lower housing part 6 and a flap-shaped upper housing part 7 with a window 26.
Gemäß Fig. 2 kann das klappenförmige Gehäuseoberteil 7 über Scharniergelenke 8 seitlich wegbewegt werden.2, the flap-shaped upper housing part 7 can be moved laterally away via hinge joints 8.
Durch Entarretierung eines Betätigungsknopfs 9 mit der Öffnung der Klappe 7 wird der Sensormodus aktiviert. Der bevorzugt optische Sensor 10 mit IR-emittierenden und IR-selektiven Dioden befindet sich im unteren Bereich einer Ausnehmung 11 im Gehäuseteil 6.By unlocking an actuating button 9 with the opening of the flap 7, the sensor mode is activated. The preferably optical sensor 10 with IR-emitting and IR-selective diodes is located in the lower region of a recess 11 in the housing part 6.
Im oberen Teil 12 der Ausnehmung 11 ist ein Touch-Screen 13 vorhanden, welcher der menügeführten Bedienung der Messung und der Anzeige dient. An der Unterseite der Klappe 7 können Not- fallpaß-Daten angegeben werden oder es sind derartige Notfall- paß-Daten 14 durch Betätigung eines Tasters 15 abruf- und auf dem Touch-Screen oder dem LC-Display 3 darstellbar.In the upper part 12 of the recess 11 there is a touch screen 13 which is used for the menu-driven operation of the measurement and the display. Emergency passport data can be specified on the underside of the flap 7 or such emergency passport data 14 can be called up by pressing a button 15 and displayed on the touch screen or the LC display 3.
Beispielsweise seitlich am Gehäuseunterteil 6 ist eine IR- Schnittstelle 16 zum Datenaustausch mit einem Personal-Computer ausgebildet .
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For example, an IR interface 16 is formed on the side of the lower housing part 6 for data exchange with a personal computer.
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diese Informationen und stellt letztere auf dem Anzeigedisplay dar und/oder löst einen akustischen oder optischen Alarm aus.this information and presents the latter on the display and / or triggers an acoustic or visual alarm.
Die Meßwerte können dann in einer Tabelle innerhalb des Speichers 17 auf Dauer oder über einen vorgegebenen Zeitraum abgelegt und durch den Patienten im Offline-Betrieb aufgerufen werden.The measured values can then be stored in a table within the memory 17 either permanently or over a predetermined period of time and called up by the patient in offline mode.
Der Datenaustausch zwischen dem Mobiltelefon 1 und der zentralen Datenverarbeitungseinrichtung 23 erfolgt unterThe data exchange between the mobile phone 1 and the central data processing device 23 takes place under
Berücksichtigung üblicher Sicherheitskriterien, so daß den Anforderungen des Datenschutzes Genüge getan ist. Neben der Möglichkeit der Datenübertragung über eine Hochfrequenzstrecke mittels Antenne 21 kann das Mobiltelefon 1 noch über die weitere Schnittstelle 16 verfügen, mit deren Hilfe ein serieller oder paralleler Datenaustausch zu einem Personal- Computer dann möglich ist, wenn gespeicherte Daten z.B. bei einem stationären Aufenthalt des Probanden zu Behandlungszwecken in ein dort vorhandenes Computersystem zu übernehmen sind.Consideration of usual security criteria, so that the requirements of data protection are met. In addition to the possibility of data transmission over a high-frequency link by means of antenna 21, the mobile telephone 1 can also have the further interface 16, with the aid of which serial or parallel data exchange with a personal computer is possible when stored data, e.g. if the subject is in hospital for treatment purposes, they must be transferred to an existing computer system.
Weiterhin besteht die Möglichkeit, den Datenaustausch zwischen Mobiltelefon 1 und zentraler Datenverarbeitungseinrichtung 23 nicht direkt über ein Mobilfunknetz vorzunehmen, sondern hier- für auf das Internet zurückzugreifen. In diesem Fall stellt die Sende- und Empfangseinheit 20 eine Verbindung zu einem lokalen Internet-Provider her, welcher dann für eine Weitergabe der Daten Sorge trägt .Furthermore, there is the possibility of not directly exchanging data between the mobile telephone 1 and the central data processing device 23 via a mobile radio network, but instead using the Internet for this purpose. In this case, the transmitting and receiving unit 20 establishes a connection to a local Internet provider, who then ensures that the data is passed on.
Alles in allem gelingt es mit der Erfindung, eine neuartige Möglichkeit der Erfassung patientenspezifischer Daten anzugeben, wobei diese Daten in einfacher Weise zu einem zentralen Speicher übertragbar sind, welcher darüber hinaus durch eine vorgesehene Recheneinheit in der Lage ist, sehr aufwendige Bewertungsoperationen durchzuführen, so daß das Endgerät hiervon sowohl Software- als auch hardwareseitig entlastet ist. Hierdurch bleiben alle übrigen Funktionen eines Mobiltelefons uneingeschränkt erhalten. BezugszeichenlisteAll in all, it is possible with the invention to provide a novel possibility of capturing patient-specific data, which data can be transferred in a simple manner to a central memory which, in addition, is able to carry out very complex evaluation operations by means of a computing unit provided, so that the end device is relieved of both software and hardware. As a result, all other functions of a mobile phone are retained without restriction. LIST OF REFERENCE NUMBERS
1 Mobiltelefon1 mobile phone
2 Bedientastatur2 control keyboard
3 LC-Display3 LC display
4 Symbole4 symbols
5 Schallwandler 6 Gehäuseunterteil5 sound transducers 6 lower housing part
7 klappenförmiges Gehäuseoberteil7 flap-shaped upper housing part
8 Scharniergelenke8 hinge joints
9 Betätigungsknopf 10 optischer Sensor 11 Ausnehmung9 operating button 10 optical sensor 11 recess
12 oberer Teil der Ausnehmung12 upper part of the recess
13 Touch-Screen13 touch screen
14 Notfallpaß-Daten14 Emergency passport data
15 Taster 16 IR-Schnittstelle15 buttons 16 IR interface
17 Speicher17 memory
18 Mikroprozessor18 microprocessor
19 Signaltransformationseinheit 20 Sende- /Empfangseinheit 21 Antenne19 Signal transformation unit 20 Transceiver unit 21 Antenna
22 Mobilfunknetz22 cellular network
23 zentrale Datenverarbeitungseinrichtung23 central data processing device
24 Schnittstelle Arzt24 Doctor interface
25 Ausgabeeinheit 26 Fenster 25 output unit 26 window

Claims

H o o ι-π cπ H o o ι-π cπ
Figure imgf000014_0001
Figure imgf000014_0001
mehrere IR-sensitive Halbleiterdioden sowie ein Hauttempe- raturerfassungsmittel besitzt.has several IR-sensitive semiconductor diodes and a skin temperature detection means.
3. Telekommunikations-Endgerät nach Anspruch 2, dadurch gekennzeichnet, daß über die Touch-Screen-Anzeige- und Betätigungseinrichtung der Blutzucker-Meß- und -Analysemodus anwähl- und aktivierbar ist, wobei nach erfolgreicher Meßdatenerfassung ein Datenpaket einschließlich persönlicher Kennung gebildet und an die an sich bekannte Telekommunikations-Schnittstelle abgesetzt wird.3. Telecommunication terminal according to claim 2, characterized in that the blood sugar measurement and analysis mode can be selected and activated via the touch screen display and actuation device, a data packet including personal identifier being formed and sent to the after successful measurement data acquisition known telecommunications interface is sold.
4. Telekommunikations-Endgerät nach Anspruch 3, dadurch gekennzeichnet, daß die zentrale Datenverarbeitungseinrichtung nach Empfang des Datenpakets eine Berechnung und Bewertung der empfangenen vorverarbeiteten Meßsignale durchführt und anhand der persönlichen Kennung ein Antwort-Datenpaket an das zu sendende oder ein vorab bestimmtes Endgerät sendet.4. Telecommunication terminal according to claim 3, characterized in that the central data processing device after receiving the data packet carries out a calculation and evaluation of the received preprocessed measurement signals and sends a response data packet based on the personal identifier to the terminal to be sent or a predetermined terminal.
5. Telekommunikations-Endgerät nach einem der vorangegangenen5. Telecommunications terminal according to one of the preceding
Ansprüche, dadurch gekennzeichnet, daß in den Endgerätespeicher und/oder der zentralen DatenbankClaims, characterized in that in the terminal memory and / or the central database
Langzeit-Meßwerte zur Probandenbeobachtung gespeichert sind, welche auch sonstige persönliche oder gesundheitsbezogeneLong-term measured values for subject observation are stored, which are also other personal or health-related
Informationen umfassen.Information include.
6. Telekommunikations-Endgerät nach einem der vorangegangenen Ansprüche, dadurch gekennzeichnet, daß die Sende-/Empfangseinheit zusätzlich eine drahtgebundene oder Infrarot-Schnittstelle zur seriellen oder parallelen Datenübertragung ansteuert.6. Telecommunication terminal according to one of the preceding claims, characterized in that the transmitting / receiving unit additionally controls a wired or infrared interface for serial or parallel data transmission.
7. Telekommunikations-Endgerät nach einem der vorangegangenen Ansprüche , dadurch gekennzeichnet, daß die Konfigurationseinrichtung der Signaltransformationseinheit eine Internet-Zugangsbaugruppe ansteuert oder eine solche Baugruppe aufweist .7. Telecommunications terminal according to one of the preceding claims, characterized in that the configuration device of the signal transformation unit controls an Internet access module or has such a module.
8. Telekommunikations-Endgerät nach Anspruch 1, dadurch gekennzeichnet, daß der Sensor weitere probandenspezifische Charakteristika, wie z.B. die Blutalkohol-Konzentration und/oder Cholesterinwerte erfaßt. 8. Telecommunication terminal according to claim 1, characterized in that the sensor further sample-specific characteristics, such as. the blood alcohol concentration and / or cholesterol values recorded.
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