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MXPA01004652A - Tele-diagnostic device - Google Patents

Tele-diagnostic device

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Publication number
MXPA01004652A
MXPA01004652A MXPA/A/2001/004652A MXPA01004652A MXPA01004652A MX PA01004652 A MXPA01004652 A MX PA01004652A MX PA01004652 A MXPA01004652 A MX PA01004652A MX PA01004652 A MXPA01004652 A MX PA01004652A
Authority
MX
Mexico
Prior art keywords
diagnostic
elements
person
patient
ekg
Prior art date
Application number
MXPA/A/2001/004652A
Other languages
Spanish (es)
Inventor
Govindan Gopinathan
Arthur R Tilford
Original Assignee
Ineedmdcom Inc*
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 Ineedmdcom Inc* filed Critical Ineedmdcom Inc*
Publication of MXPA01004652A publication Critical patent/MXPA01004652A/en

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Abstract

A system (10) for collecting a plurality of diagnostic information and transmitting the diagnostic information to a remote location (18, 20, and 22a-22e) and for providing emergency treatement. The system (10) comprises, a first member (12a) adaptable to be worn on a person's first hand and a second member (12b) adaptable to be worn on a person's second hand. The members (12a and 12b) comprise a plurality of diagnostic devices and a defibrillator device. A transmitting unit for transmitting information to, and receiving information from, a remote location is provided.

Description

TELE-DIAGNOSTIC DEVICE TECHNICAL FIELD This invention is concerned with a system and a device for use with the system, to obtain a plurality of medical diagnostic information and to provide emergency treatment. In particular, the present invention is concerned with a system and device for use with the system for collecting information, cardiac diagnosis and transmitting information from a first distant site to a second site, such as a medical monitoring command center to provide information of medical management from the first site to the second site to provide emergency treatment to the patient at the first site.
BACKGROUND OF THE INVENTION In a hospital facility, when a situation arises where a person in emergency (ie, "patient") requires emergency treatment (ie, "emergency"), the attending physician must evaluate first to the patient and determine the cause of the emergency. In doing so, the doctor commonly examines the patient methodically: (i) observe the patient's appearance and actions, (ii) if the situation permits, ask the patient and / or others around the patient to obtain an accurate history PEF: 129356 exact history of the disease and (iii) carry out a variety of diagnostic tests such as electrocardiogram (EKG), blood pressure, pulse, blood gas analysis, etc. After carrying out the examination, the doctor is able to diagnose the patient's illness and decide on a course of action, (that is, treatment) to alleviate the medical emergency that the patient suffers. However, emergencies rarely occur in a facility where a physician is in close physical proximity to the patient. Commonly emergencies occur in distant places. Usually, a paramedic is the first medical professional to reach the patient. In addition to transporting the patient to a hospital where he can be treated by a physician, the paramedic commonly uses a plurality of independent medical diagnostic probes, such as a blood pressure device, stethoscope and EKG device, to perform an evaluation. fast of the patient. Then the paramedic transports this information to a doctor in such a way that the doctor can: (i) provide the paramedic with treatment instructions and (ii) prepare the emergency room for the incoming patient. This routine, as it is the commonly accepted practice, is somewhat inefficient since it takes relatively long time to manipulate all the different diagnostic samples attached to the patient to generate vital information and read the screen exactly and transport the information to the doctor. Usually, this is done in a local radio transmitter system, from an ambulance. Other emergency situations are presented where the patient is in a place that is not easily accessible except to people who are already there. Commonly, such situations occur in an airplane, a ship or other remote sites such as skiing facilities. Frequently, impediments such as budget restrictions or easy access to the site of the emergency situation, limit the availability of medical diagnostic equipment. In other circumstances, the lack of sufficient population does not merit satisfactory medical diagnostic facilities. If an emergency situation occurs on a ship or plane, the recipient carrying the patient must arrive at a ground station in such a way that the patient can be treated by a doctor at the base station or transported to a hospital by paramedics. In these cases, it inevitably takes more time before a doctor can evaluate the patient's medical condition and prescribe a course of action. In most emergency situations, time is of the essence and is the key factor that determines the final outcome. As the passage of time before receiving treatment increases, the chances of successfully treating the patient decrease. Thus, it would be desirable to provide a device and system that can reduce the time element in the evaluation and treatment of the patient. Thus, a device and system that could reduce the time to evaluate a patient and transmit the information gathered to a physician would be desirable. Also, it would be desirable to be able to provide a device and system that could be used by non-medical personnel (eg, a flight attendant) that could allow a remote physician to evaluate a patient and provide emergency treatment without have to: wait for a paramedic or care assistant to arrive. During emergency situations, time is often spent adjusting the placement of electrocardiogram (EKG) electrodes to take accurate EKG readings. In addition, even in a non-emergency situation, it often takes a long time to correctly locate the proper placement of the electrode electrodes. It would be desirable to provide a device that could be placed directly on the patient's chest and that could facilitate the recording of accurate EKG readings. It would also be desirable to provide a device that is capable of easily obtaining a plurality of diagnostic information from the patient and transmitting it in the shortest amount of time to facilitate a physician located away from the patient to analyze the data and diagnose the emergency condition. Thus, it would be desirable to provide an inexpensive and easy-to-use device that could: (i) quickly and easily gather and transmit from a distant site a plurality of diagnostic information, including EKG, blood pressure, pulse, temperature,% saturation of 02 and sound monitoring of the heart, (ii) provide the ability to allow oral communication with a site away from a medical command center, (iii) provide initial emergency treatment and (iv) accelerate the patient's inevitable transfer to the closest medical center. It would also be desirable to provide a device and system that could carry all of the diagnostic information mentioned above and that has the ability to recognize and life-threatening heart irregularities and have the ability to instantly defibrillate a patient.
BRIEF DESCRIPTION OF THE INVENTION An object of the present invention is to provide a non-expensive and easy-to-use system for collecting and transmitting a plurality of diagnostic information to a distant site. Another object is to provide a non-expensive and easy-to-use system for providing emergency medical treatment at a distant site. Yet another object of the present invention is to provide a non-expensive and easy-to-use probe that could collect and transmit a plurality of diagnostic information to a distant site. Still another object is to provide a non-expensive and easy-to-use device that could provide emergency medical treatment (eg, defibrillation) at a distant site. In carrying out the above objects and other objects, a system is provided for collecting a plurality of diagnostic information and transmitting the diagnostic information to a remote site to provide emergency treatment. The system comprises a first element apt to be used in a first hand of a person, a second element apt to be used in a second hand of a person and means to transmit information to and receive information from, a distant site. Each element comprises a glove element having a palm portion, a cuff portion and portions of five phalanges. The elements further comprise an EKG diagnostic device, a blood pressure and pulse rate device, a temperature device and a defibrillator device. Also, the elements could have a% 02 device as well as an auscultation device.
BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 is a schematic view of the system of the present invention. Figure 2 is a plan view of a first side of a first apparatus of the present invention; Figure 3 is a plan view of a second side of the first apparatus of the present invention; Figure 4 is a plan view of a first side of a second apparatus of the present invention; Figure 5 is a plan view of a second side of the second apparatus of the present invention; Figure 6 is a schematic circuit diagram of the interface unit shown in Figure 1 and Figure 7 is an exploded view of an EKG detector used in Figures 2-5.
BEST MODE FOR CARRYING OUT THE INVENTION The present invention is concerned with a system and with a device for use with the system, to obtain a plurality of medical diagnostic information from and to provide emergency treatment at a remote site. In particular, the present invention is concerned with a diagnostic system and probe and emergency treatment elements and an information transmission device for use with the system, for gathering cardiac diagnostic information and transmitting information from one distant site to another. site, such as a command center for medical monitoring and to provide emergency treatment at the far site. As representative of the present invention, Figure 1 illustrates a system 10 for collecting and transmitting, from a remote site, a plurality of diagnostic information and for providing emergency treatment at the far site. The system 10 includes a first glove element 12a and a second glove element 12b. The first glove element 12a is adaptable to be used in a person's hand. The second glove element 12b is adaptable to be worn on the other hand of the person. The glove elements 12a and 12b include a plurality of medical diagnostic probes, which collect diagnostic signals and emergency treatment devices, which provide emergency cardiac treatment, as will be explained in detail later herein.
The glove elements 12a and 12b are connected via a first cable 14a and a second cable 14b respectively to an interface unit 16 and thus communicate with and are able to transmit diagnostic or information signals from the medical diagnostic probes to the interface unit. In a preferred embodiment, the interface unit 16 communicates with a remote command center 18 via a telephone line or fiber A, a satellite B connection or a radio C wave connection. The interface unit 16 may alternatively communicate with a personal computer (PC) 20 via an interface connection D. The PC 20 may be local or remote in relation to the interface unit 16. The interface unit 16 may also communicate with a plurality of local or remote diagnostic reading devices 22a , 22b, 22c, 22d and 22e via a central interface connection E via a plurality of individual interface connections F, G, H, I and J respectively. The diagnostic reading apparatuses 22a-e are preferably an electrocardiogram reading (EKG); a blood pressure or blood pressure reading (TA (blood pressure)) and pulse, a reading of oxygen% 02, a temperature reading and a stethoscope respectively. With reference to Figures 2 and 4, both the first glove element 12a and the second glove element 12b comprise a first glove layer 24a and 24b respectively and a second glove layer 26a and 26b respectively, secured to the first layer of glove. glove, in such a way that the second glove layer overlaps the majority and preferably the entire first layer of the glove. Each of the first glove layers 24a and 24b are preferably made of a highly flexible natural or synthetic material, such as flocculated cotton nitrile. Each of the second glove layers 26a and 26b is preferably made of a highly flexible material such as nitrile. With reference to Figure 2, the first glove element 12a includes a palm portion 28a, a cuff portion 30a, a thumb phalange portion 32a, a phalangeal portion of the index finger 34a, a phalangeal portion of the middle finger 36a, a phalange portion of the ring finger 38a and a phalangeal portion of the little finger 40a. The first glove element. 12a further includes a palm surface 42a (Figure 2) and a dorsal surface 44a (Figure 3). With reference to Figure 4, the second glove element 12b includes a palm portion 28b, a cuff portion 30b, a phalangeal portion of the thumb 32b, a phalangeal portion of the index finger 34b, a phalangeal portion of the middle finger 36b, a phalange portion of the ring finger 38b and a phalangeal portion of the little finger 40b. The second glove element 12b further includes a palm side 42b and a dorsal side 44b (Figure 5). As discussed previously, the glove elements 12a and 12b contain a plurality of medical diagnostic devices and emergency treatment devices. In the embodiments shown in Figures 2-5, the glove elements 12a and 12b contain an electrocardiogram (EKG) diagnostic device, a blood pressure or blood pressure device and pulse rate 46 (Figure 2), a device for temperature 48, a device of% 02 50 (figure 4), an auscultation device 52 (figure 2) and a defibrillator device 54 (figures 3 and 5). The EKG device is apt to measure the EKG currents of the heart muscle and preferably includes a plurality of detectors 56a-56k located on the glove elements 12a and 12b. Specifically, the detectors 56a (FIG. 2), 56b, 56c, 56d, 56e, 56f, 56g are located on the first glove element 12a. The detectors 56h (FIG. 4), 56i, 56j and 56k are located on the second glove element 12b. The detectors 56a-56g (FIG. 2) are secured from the first layer 24a of the first glove element 12a. The detectors 56h-56k (Figure 4) are secured to the first layer 24b of the second glove element 12b. An exemplary detector 56c is shown in Figure 7. Each of the detectors 56a-56k preferably includes a stainless steel screen 58 and a gelatinous EKG 60 sponge, capable of providing an EKG conductive gelatin, disposed between the screen and preferably the respective first layer 24a and 24b (figures 2 and 4). Each detector 56a-56k is provided on the palm surface 42a and 42b, respectively of one of the glove elements 12a and 12b and preferably extends through each respective glove element in such a way that the detector is exposed to the medium ambient. More specifically, the detector 56a (FIG. 2) is positioned at the tip portion of the palm surface 42a of the phalange portion 40a of the little finger of the first glove element 12a. The detector 56b is positioned on the tip portion of the palm surface 42a of the phalange portion 38a of the annular finger of the first glove element 12a. The detector 56b is positioned on the portion tip of the palm surface 42a of the phalangeal portion of the middle finger 36a of the first glove element 12a. The detector 56d is positioned on the tip portion of the palm surface 42a of the phalange portion of the index finger 34a of the first glove element 12a. The detector 56e is positioned on the tip portion of the palm surface 42a of the phalanx portion of the thumb 32a of the first glove element 12a. The detector 56f is positioned on the base portion of the palm surface 42a of the phalange portion of the little finger 40a of the first glove element 12a. The detector 56g is positioned on the left side, as seen in FIG. 2, of the palm surface 42a of the palm portion 28a of the first glove element 12a. The detector 56h (FIG. 4) is positioned on the palm surface 42b and the dorsal surface 44b (FIG. 5) of the phalangeal portion of the thumb 32b and the phalange portion of the index finger 34b of the second glove element 12b. The detector 56h extends from the base portion of the phalangeal portion of the thumb 32b of the second glove element 12b to the base portion of the phalange portion of the index finger 34b of the second glove element. The detector 56i is positioned on the tip portion of the palm surface 42b of the phalange portion of the middle finger 36b of the second glove element 12b. The detector 56j is positioned on the tip portion of the palm surface 42b of the phalange portion of the annular finger 38b of the second glove element 12b. The detector 56k is positioned on the tip portion of the palm surface 42b of the phalanx portion of the little finger 40b of the second glove element 12b. Each of the detectors 56a-56g (FIG. 2) is connected to a wire 62a-62g respectively, which extends between and electrically connects a respective one of the detectors 56a-56g with the first female connection plug 64a (FIG. 3), which is preferably provided on the dorsal surface 44a of the first glove element 12a. Each wire 62a-62g is preferably disposed between the first and second layers 24a and 26a of the first glove element 12a and is preferably secured to the first layer 24a. Each of the detectors 56h-56k (FIG. 4) is connected to a wire 62h-62k respectively, which extends between and electrically connects a respective one of the detectors 56h-56k with a second female connection plug 64b (FIG. 5), which is preferably provided on the dorsal surface 44b of the second glove element 12b. Each wire 62h-62k is preferably arranged between the first and second layers 24b and 26b of the second glove element 12b and is preferably secured to the first layer 30b. Each wire 62a-62k is preferably a highly flexible (or smaller) braided wire 30 that is shielded and has an iron powder coating 66 (figure 7) such as part number T25-26 Amidon Associates in Santa Ana, California, arranged adjacent to their respective 56a-56k detectors to help prevent the detection of undesirable noise. The first glove element 12a includes a first grounding strap 68a (Figure 3) which is preferably positioned on the dorsal surface 44a of the palm portion 28a between the first and second layers 24a and 26a respectively. Each wire 62a-62g is connected to the first ground connection strip 68a, preferably via each respective wire shield. The first grounding strap 68a is connected to a wire 70a extending between and electrically connecting the first grounding strap 68a to the first female connection plug 64a. The second glove element 12b includes a second grounding strap 68b (Figure 5) which is preferably positioned on the dorsal surface 44b of the palm portion 28b between the first and second layers 24b and 26b respectively. Each wire 62i-62k is connected to the second grounding strap 68b, preferably via each respective wire shield. The second grounding strap 68b is connected to a wire 70b, which extends between and electrically connects the second grounding strap 68b to the second female connection plug 64a. The first and second grounding strips 68a and 68b respectively are composed of highly flexible copper mesh or metal foil and function to join electromagnetic forces (EMF) noise to a single point of electrical voltage for removal. The blood pressure device 46 (FIG. 2) which is capable of measuring the systolic and diastolic blood pressure and pulse velocity signals, is preferably secured to the first layer 24a of the first glove element 12a between the first layer 24a and the second layer 26a on the phalangeal portion of the thumb 32a and the phalangeal portion of the index finger 34a of the first glove element 12a. The blood pressure device 46 preferably includes an expandable air bladder 72 which defines a chamber for accommodating air or other appropriate inflation fluids, an acoustic coupler 74 in the chamber and an air tube 76. The air bladder 72 extends from the middle portion of the phalangeal portion of the thumb 32a of the first glove element 12a to the middle portion of the phalangeal portion of the index finger 34a. The air tube 76 extends between and provides fluid and audio communication between the air bladder chamber 72 and the first female connection plug 64a (Figure 3). The acoustic coupler 74 (FIG. 2) is capable of collecting sound waves in the air bladders 72 and directing the sound waves to and through the air tube 76. The blood pressure device 46 is preferably made of similar parts or identical to the parts of the digital systolic / diastolic blood pressure monitor (pulse) UB-302 from A + D Engineering Inc., of Milpitas, California. The temperature device 48 is capable of measuring the temperature signals and preferably includes a thermistor 78. The thermistor 78 is preferably positioned at the tip of the phalanx portion of the middle finger 36a and the first glove element 12a. The thermistor 78 is preferably secured to the first layer 24a of the first glove element 12a and extends through the second layer 26a. The temperature device 48 includes a pair of highly flexible braided and shielded wires 80 of number 30 (or smaller) that extend between and electrically connect the thermistor 78 and the first female connection plug 64a (Figure 3). The temperature device 48 (FIG. 2) is preferably made of parts similar or identical to the parts of the Cole-Partner thermometer E-08402-00 and generic thermistor E-08459-10 of the Cole-Partner Instrument Company of Vernon Hills, Illinois. . The device of % of 02 50 (figures 4 and 5) is able to measure the% oxygen saturation in the blood signals (% of 02) and preferably includes a transmitter with a red (600-660 nm) and infrared LED emitter 82 (880-1000 nm) and an LED detector 84 (600-1000 nm) positioned on the second layer 26b of the second glove element 12b. The LED emitter 82 is preferably secured to the inner side of the thumb phalange portion 32b of the second glove element 12b and the LED detector 84 is preferably secured to the side of the phalange portion of the index finger 34b facing the the thumb phalange portion 32b of the second glove element 12b in such a way that the LED emitter 82 faces the LED detector 84. The LED emitter 82 is connected to a pair of highly flexible braided and shielded wires 86 of the number 30 (or smaller) extending between and electrically connecting the LED emitter and the second female connecting plug 64b (Figure 5) The LED detector 84 (Figure 4) is connected to a pair of wires 88 extending enter and electrically connect the LED detector and the second female connector 64b (Figure 5). The device of% 02 50 (figures 4 and 5) is preferably made of parts similar or identical to the parts of the blood flow and% oxygen reader Nonin Onyx, Model No. 8500M from Nonin Medical, Inc., of Plymouth, MN. The auscultation device 52 (FIG. 2) is capable of detecting local sound waves to the heart and lungs of the patient and preferably includes an acoustic coupler and microphone 90, an air tube 92 and a pair of braided and highly shielded 93 wires. flexible number 30 (or smaller). The acoustic coupler and microphone 90 is preferably secured to the right side of the palm surface 42a of the palm portion 28a of the first glove element 12a, preferably over the first layer 24a. The acoustic coupler and microphone 90 is capable of collecting and amplifying sound waves that are in close proximity relative to the acoustic coupler and microphone. The air tube 92 extends between and provides audio communication between the acoustic coupler and microphone 90 and the first female connection plug 64a, which is suitable for connection with a stethoscope. Thus, the air tube 92, when connected with a stethoscope, extends between and provides audio communication between the acoustic coupler and microphone 90 and the stethoscope. The pair of wires 93 extends between and electrically connects the acoustic coupler and microphone 90 and the first female connection plug 64a (Figure 3). The auscultation device 52 (FIG. 2) is preferably made from parts similar or identical to the parts of the EG Company microphone 9445 of the Electrical Gold Co., of Scottsdale, Arizona. The defibrillator device 54 (FIGS. 3 and 5) is capable of providing an electrical shock to restore the rhythm of a ventricularly fibrillating heart. The defibrillator device 54 includes a plurality of electrodes 98a-98h located on the dorsal surfaces 44a and 44b respectively of the second layer 26a and 26b, respectively of the first glove element 12a and the second glove element 12b respectively. More specifically, the electrode 98a (FIG. 3) is positioned on the dorsal surface 44a of the phalange portion of the index finger 34a of the first glove element 12a. The electrode 98b is positioned on the dorsal surface 44a of the phalange portion of the middle finger 36a of the first glove element 12a. The electrode 98c is positioned on the dorsal surface 44a of the phalangeal portion of the ring finger 38a of the first glove element 12a. The electrode 98d is positioned on the dorsal surface 44a of the phalanx portion of the little finger 40a of the first glove element 12a. The electrode 98e (FIG. 5) is positioned on the dorsal surface 44b of the phalange portion of the index finger 34b of the second glove element 12b. The electrode 98f is positioned on the dorsal surface 44b of the phalange portion of the middle finger 36b of the second glove element 12b. The electrode 98g is positioned on the dorsal surface 44b of the phalangeal portion of the ring finger 38b of the second glove element 12b. The electrode 98h is positioned on the dorsal surface 44b of the phalangeal portion of the little finger 43b of the second glove element 12b. Each of the electrodes 98a-98d (FIG. 3) is connected to a wire 100a-100d, respectively, which extends between and electrically connects a respective one of the electrodes 98a-98d with a first defibrillator electrode combiner 102a, which is of preferably positioned on the dorsal surface 44a of the first glove element 12a. The first defibrillator electrode combiner 102a is connected to a highly flexible braided high voltage insulated wire 104a No. 24 (or smaller) extending between and electrically connecting the first defibrillator electrode combiner 102a to the first female connector 64a. Each of the electrodes 98e-98h (FIG. 5) is connected to a highly flexible braided high voltage insulated wire of No. 24 (or smaller), respectively, which extends between and electrically connects a receptacle of the electrodes 98a-98d with a second defibrillator electrode combiner 102b, which is preferably positioned on the dorsal surface 44b of the second glove element 12b. The second defibrillator electrode combiner 102b is connected to a highly flexible braided insulated wire 104b No. 24 (or smaller) extending between and electrically connecting the second defibrillator electrode combiner 102b to the second female connector 64b . The defibrillator device 54 is preferably made of parts similar or identical to the Heartstream Model "E" or "EM" automatic heart defibrillator portions of the Heartstream Co., of Seattle, Washington. The glove elements 12a and 12b further comprise preferably an acupuncture device for providing a voltage of sufficient potential to create electric pin simulations. The acupuncture device preferably includes a plurality of stainless steel electrodes 106a-106j (FIGS. 3 and 4) positioned at the tip of and extending away from a respective phalangeal portion 32a-40a and 32b-40b respectively on a respective glove element 12a and 12b. Each electrode 106a-106j is essentially conical and has a base portion attached to a respective phalange portion 32a-40a and 32b-40b respectively and terminates in a head portion. Each of the electrodes 106a-106e (FIG. 3) includes a wire 108a-108e, respectively, extending between and electrically connecting a first acupuncture electrode combiner 110a with a respective one of the electrodes 106a-106e. The first acupuncture electrode combiner 110a is connected to a wire 112a extending between and electrically connecting the first acupuncture electrode combiner 110a with the first female connection plug 64a. Each of the electrodes 106f-106j (FIG. 5) includes a wire 108f-108j respectively, which extends between and electrically connects a second acupuncture electrode combiner 110b with a respective one of the electrodes 106f-106j. The second acupuncture electrode combiner 110b is connected to a wire 112b extending between and electrically connecting the second acupuncture electrode combiner 110b to the second female connection socket 64b.
Each of the glove elements 12a and 12b is preferably made by securing, by any appropriate means, the wires, detectors, electrodes and other components to a respective glove, preferably made of nitrile (ie, the first layers 24a and 24b). It should be noted that the wires, detectors and / or electrodes could be made using flexible circuit technology, such as by using a printable, conductive ink. The components of the glove element 12a and 12b that do not extend beyond the second layers 26a and 26b, such as the wires, are then covered by the respective second layers 26a and 26b in an appropriate manner, such as by spraying or coating By immersion. The first cable 14a includes a first input socket 114a (FIG. 3) which is plugged into male receivers on the first female connection socket 64a in the first glove element 12a and a first outlet socket 116a (FIG. 5), which is connects to male receivers on a first female connection socket 118a on the interface unit 16. The second cable 14b includes a first input socket 114b (figure 5), which is plugged into male receivers on the second female connection socket 64b in the second glove element 12b and a second outlet socket 116b (figure 6), which is plugged into male receivers in a second female socket 118b in the interface unit 16. The first cable 14a (figure 3) includes preferably a plurality of electrical cables and air tubes that extend between the sockets 114a and 116a (Figure 6) to provide electrical, audio and fluid communication between the first glove element 12a and the unit of i Figure 16 when the sockets 114a (figure 3) and 116a (figure 6) are plugged into their respective female connection sockets 64a (figure 3) and 118a (figure 6). The second cable 14b (Figure 5) preferably includes a plurality of electrical cables extending between the sockets 114b and 116b (Figure 6) to provide electrical communication between the second glove element 12b and the interface unit 16 when the sockets 114b (figure 5) and 116b (figure 6) are plugged into their respective female connection plugs 64b (figure 5) and 118b (figure 6). The interface unit 16 (Fig. 6) preferably includes an EKG circuit board 120 for receiving EKG current detected by the detectors 56a-56k (Figs. 2 and 4), a blood pressure circuit board 122 (Fig. 6) to receive systolic and diastolic blood pressure and pulse velocity signals from blood pressure device 46 (Figure 2), a temperature circuit board 48 (Figure 2), a circuit board of% 02 126 (Figure 6) for receiving% 02 signals from the 02% device 50 (Figure 4) and an acupuncture / defibrillator circuit board 128 (Figure 6) to control the supply of electrical shock to the patient. The EKG 120 circuit board is capable of amplifying the EKG currents of the detectors 56a-56k and converting the EKG currents to at least a plurality of analogous EKG outputs. The EKG 120 circuit board is preferably made from parts similar or identical to the parts of the PC-ECG recorder unit of I.P.I. Medical Products of McLean, Virginia. The blood pressure circuit board 122 is able to: (i) convert the systolic blood pressure signals to an analogous systolic blood pressure output, (ii) the diastolic blood pressure signals to an analogous diastolic blood pressure output and ( iii) the pulse velocity signals to an analog output of pulse velocity. The blood pressure circuit board 122 includes a source of inflation fluid, such as an air pump 130 (Figure 6), for supplying a source of inflation fluid for the air bladder 72 and an acoustic detector (not shown) to detect systolic and diastolic blood pressure and pulse rate signals. The pump 130 is in fluid communication with the air bladder 72 (FIG. 2) via the air tube 76, cable 14a (figure 1) and air ducts 131 (figure 6), which extends between and provides fluid and audio communication between the female connection plug 118a of the interface unit 16 and the air pump 130 of the control board. blood pressure circuit 122. The blood pressure circuit board 122 is preferably made of parts similar or identical to the parts of the digital systolic / diastolic blood pressure (pulse) monitor UB-302 of A + D Engineering Inc., of Milpitas, California. The temperature circuit board 124 is capable of converting the temperature signals to an analogous temperature output. The temperature circuit board 124 is preferably made of parts similar or identical to the parts of the Cole-Partner digital thermometer E-08402-00 from Cole-Parter, Vernon Hills, Illinois. The circuit board of% 02 126 is able to convert the signal of% 02 to an analogous output of% of 02. The circuit board of% 02 124 is preferably made of parts similar or identical to the reader parts of blood flow and% oxygen Nonin Onyx, Model No. 8500M from Nonin Medical, Inc., of Plymouth, MN. The interface unit 16 also includes a first audio amplifier 132 for amplifying the sound waves received from the auscultation device 52 (Figure 2). The circuit board of the acupuncture defibrillator 128 selectively regulates the amount of electrical energy supplied by the defibrillator device 54 (Figure 3) and the acupuncture device.
A high voltage source 134 is contained in the interface unit 16 which supplies power to the electrodes 98a-98k to generate the electrical shock to be delivered to the patient and also supplies power to the electrodes 106a-106j (FIGS. 3 and 5). The interface unit 16 further includes a first analog to digital converter 136 for converting the analogue EKG outputs to a digital EKG data stream, a second analog to digital converter 138 for converting (i) the analog output of systolic blood pressure to a digital data stream of systolic blood pressure (ii) the analog output of diastolic blood pressure to a digital data stream of diastolic blood pressure; and (iii) the analog output of pulse velocity to a digital data stream of pulse velocity , a third analog to digital converter 140 for converting the analog output of temperature to a digital temperature data stream, a fourth with analog to digital converter 142 to convert the analog signal of% 02 to a digital data stream of% of 02 and a fifth analog to digital converter 144 for converting the sound waves of the first audio amplifier 132 to a stream of digital sound data. The interface unit 16 further includes a multiplexer 146 for combining the digital data streams of the analog-to-digital converters 136-144 to a combined digital data stream. Then the combined digital data stream can be transported to the PC 20 (Figure 1) via a first port 148 (Figure 6) or to the command center 18 (Figure 1) via satellite B connection via a modem or by wave connection of radio C via the first port 148 or to the command center 18 via telephone line or fiber A, via the telephone modem 150 (figure 6) and a second port 152. Then, the digital data streams of the interface unit 16 are converted or interpreted into diagnostic information that can be read in the command center 18 (figure 1) or the PC 20. These circuits allow the glove elements 12a and 12b and the interface unit 16 to be provided at a reasonable cost. The multiplexer 146 (FIG. 6) also communicates to a control panel and indicator circuit board 154. The interface unit 16 further includes a loudspeaker / microphone 156 (FIG. 6) which communicates with the multiplexer 146, via a second audio amplifier 158 and a sixth analog to digital converter 160, to allow a medical professional in command center 18 (Figure 1) to communicate orally with people in close proximity relative to speaker / microphone 156 (Figure 6).
The interface unit 16 includes a third port 164 for receiving and transmitting EKG currents detected by the detectors 56a-56k to an EKG reading apparatus 22a (Figure 1) wherein the EKG currents will be converted or interpreted into diagnostic information that can be read. The interface unit 16 (Figure 6) further includes a fourth, fifth and sixth port 166, 168 and 170 respectively for receiving and transmitting the analog outputs of the blood pressure circuit board 122, the temperature circuit board 124 and the board of circuits of% 02 126, respectively, to a blood pressure and pulse reading apparatus 22b (Fig. 1), a temperature reading apparatus 22c and a reading apparatus of% 02 22d, respectively, wherein the outputs analogs will be converted or interpreted into diagnostic information that can be read. The interface unit 16 (Figure 6) also includes a power source 172 that supplies power, via the power supply distributor 174, to all components of the interface unit. The interface unit 16 also preferably includes a plurality of battery packs 176 and a battery charger port 178. The interface unit 16, fur includes an optical isolator 180 for electrically isolating entire interface unit 16 and glove elements 12a and 12b and any destructive and damaging current that may be encountered from external communication links. manner of operation of system 10 (figure 1) will now be described. A person, o than patient, places glove probes 12a and 12b in r right and left hands respectively, in such a way that each of person's fingers are received within a respective one of phalange portions 32a-40a and 32b-40b, respectively. glove elements 12a and 12b are connected to interface unit 16 via cables 14a and 14b respectively.
EKG DIAGNOSTIC INFORMATION For diagnostic information of EKG, the sides of the palm 42a and 42b of the glove elements 12a and 12b are placed on the patient. The detectors 56a-56g are placed in strategic positions on the glove elements 12a and 12b, as described above, to allow a plurality of conductor wire combinations to detect a plurality of standard conductors when the glove elements 12a and 12b are placed. about the patient. Some exemplary wire conductor combinations are as follows: I. Scenarios of three conductive wires with a single conductor: It is believed that at least the following ECG conductors are possible: Conductor 1: Positive conductor wire: Detector 56c on the tip portion of the phalanx portion of the index finger 34a of the first glove element 12a is positioned above the left chest of the patient in the left quadrant of the shoulder. Negative Conductive Wire: The detector 56e in the tip portion of the thumb phalange portion 32a of the first glove element 12a is positioned above and to the right quadrant of the patient's shoulder. Ground conductor wire: Detector 56a at the tip portion of the phalange portion of little finger 40a of first glove element 12a is positioned below the left chest of the patient.
Conductor 2: Positive Conductor Wire: Detector 56a at the tip portion of the phalanx portion of little finger 40a of first glove element 12a is positioned below the patient's left breast to position V6.
Negative Conductor Wire: Detector 56e at the tip portion of thumb phalange portion 32a of first glove element 12a is positioned above and in the right quadrant of the patient's shoulder. Ground conductor wire: Detector 56a at the tip portion of the phalange portion of little finger 40a of first glove element 12a is positioned below the left chest of the patient.
Conductor 3: Positive Conductor Wire: Detector 56a at the tip portion of the phalange portion of little finger 40a of first glove element 12a is positioned below the patient's left breast in position V6. Negative conductive wire: Detector 56c in the tip portion of the phalangeal portion of index finger 34a of first glove element 12a is positioned above the left breast of the patient in the left quadrant of the shoulder. Ground conductor wire: The detector 56a in the tip portion of the phalanx portion of the little finger 40a of the first glove element 12a is positioned from the patient's left breast.
Driver MCL1 (Modified Chest Driver): Negative Conductive Wire: The detector 56c at the tip portion in the phalangeal portion of the index finger 34a of the first glove element 12a is positioned above the left chest of the patient in the left quadrant of the shoulder. Positive conductor wire: Detector 56g on the left side of palm portion 28a of first glove element 12a is positioned at the right sternal border of the patient. Ground conductor wire: Detector 56a at the tip portion of the phalange portion of little finger 40a of first glove element 12a is positioned below the left chest of the patient.
Conductor MCL4: Negative Conductor Wire: Detector 56c at the tip portion of the phalangeal portion of index finger 34a of the first glove element 12a is positioned above the left chest of the patient in the left quadrant of the shoulder. Positive conductor wire: The detector 56a in the tip portion of the phalange portion of the little finger 40a and the first glove element 12a is positioned in the V4 position of the patient.
Ground Conductor Wire: Detector 56a at the tip portion of the phalangeal portion of little finger 40a and first glove element 12a is positioned below the left chest of the patient. II. Scenario of five conducting wires: With the glove element 12a placed on the left chest of the patient and the second glove element 12b placed on the patient's right fist, it is believed that at least the following conductive wires are possible: LL driver conductive wire: The detector 56a in the tip portion of the phalange portion of the little finger 40a and the first glove element 12a is positioned below the left chest of the patient. Driver wire RL: The detector 56i in the tip portion of the phalange portion of the middle finger 36b and the second glove element 12b is positioned in the patient's right fist. LA Driver: The detector 56c in the tip portion of the phalanx portion of the index finger 34a of the first glove element 12a is positioned above the patient's left breast in the left quadrant of the shoulder. Driver Acting Wire RA: The detector 56e in the tip portion of the thumb phalange portion 32a of the first glove element 12a is positioned above and to the right quadrant of the patient's shoulder. Conductor wire C: Detector 56g on the left side of palm portion 28a of first glove element 12a is positioned at the right sternal border of the patient. With the glove elements 12a and 12b positioned on the stage of 5 conductor wires, it is believed that the following conductor readings are possible: conductor 1, conductor 2, conductor 3, AVR and AVL.
III. Scenario of seven conductive wires: With the glove element 12a placed in the left chest of the patient and the second glove element 12b placed in the right fist of the patient, it is believed that at least the following conductive wires are possible: Conductor wire actuator LL: The detector 56a in the tip portion of the phalanx portion of the little finger 40a of the first glove element 12a is positioned below the patient's left breast. Driver wire V2: Detector 56f in the base portion of the phalangeal portion of little finger 40a of first glove element 12a is positioned in position V2 of the patient.
Driver wire RL: Detector 56i at the tip portion of the phalangeal portion of middle finger 36b of second glove element 12b is positioned on the patient's right fist. Conductive wire V4r: The detector 56k in the tip portion of the phalange portion of the little finger 40b of the second glove element 12b is positioned in the position V4r of the patient. Driver wire LA: The detector 56c in the tip portion of the phalanx portion of the index finger 34a of the first glove element 12a is positioned above the left chest of the patient in the left quadrant of the shoulder. Driver Acting Wire RA: The detector 56e is the tip portion of the phalangeal portion of the thumb 32a of the first glove element 12a is positioned above the right quadrant of the patient's shoulder. Conductor wire C: Detector 56g on the left side of palm portion 28a of first glove element 12a is positioned at the right sternal border of the patient. With the glove elements 12a and 12b positioned on the stage of seven conductor wires, it is believed that at least the following conductor readings are possible: conductor 1, conductor 2, conductor 3, AVR, AVL, V2 and V4r.
IV. Modified Conductor Wire Scenarios Other conductive wire EKG scenarios can be carried out at the discretion of the command center and the person using the glove elements 12a and 12b. Such options are available since the following positions of glove elements are related to the electrical activity of the heart as follows: Conductor wire G (earth): patient's left side Conductor wire + (positive): patient's right breast (right sternal border) ) Conductor wire - (negative): patient's left shoulder It will be noted that the above relationships form a triangle. This triangle can be compressed or expanded, but it always has the same relationships. It should be noted that the glove elements 12a and 12b of the present invention allow flexibility in the positioning of the EKG electrode which has not been possible until now. With the glove elements 12a and 12b positioned on the right and left shoulders, it is possible to slide a detector 56i in the middle finger phalange portion 36b of the second glove element 12b transversely to the patient's chest from position VI to position V6 to generate the V1-V6 conductors also as the tips between the precordial conductors V1-V6. This allows us to see how the precordial electric field changes and more accurately determine the specific area of the patient's heart where a possible abnormality can occur. It should also be noted that, in the event that distortion of the EKG waveform occurs due to poor placement of the EKG 56a-56k detectors, the correction of such can be carried out using shape modification circuits. These waveform modification circuits perform distortion correction using wave forming techniques that filter, compare and reformat to readable data.
V. Stage of six conductor wires With the first glove element 12a placed on the left chest of the patient and the second glove element 12b placed on the patient's right breast, it is believed that at least the following conductor wires are possible: 6 lead wires with positions Vr: Positive lead wire: Detector 56c in the tip portion of the phalange portion of the index finger 34a of the first glove element 12a is positioned by over the patient's left breast in the left quadrant of the shoulder. Negative conductive wire: The detector 56e in the tip portion of the phalangeal portion of the thumb 32a of the first glove element 12a is positioned above and to the right quadrant of the patient's shoulder. Conductive wire V3r: The detector 56i in the phalange portion of the middle finger 36b of the second glove element 12b is positioned in the position V3r of the patient's right breast. Conductive wire V4r: The detector 56j in the phalangeal portion of the ring finger 38b of the second glove element 12b is positioned in the position V4r of the patient's right breast. Driver Wire V5r: Detector 56k in the phalangeal position of little finger 40b of second glove element 12b is positioned in position V5r of the patient's right chest.
A scenario of six wires is especially useful in emergency cures to quickly assess risks in the patient with lower myocardial infarction. With the glove elements 12a and 12b positioned in the six conductor wires scenario, it is believed that at least The following conductor readings are possible: conductor 1, conductor 2, conductor 3, V4r, V5r and V6r. The reading of previous drivers is important to diagnose heart conditions in children or especially infants. As detailed above, the plurality of detectors 56a-56g, which are located together in two easily and quickly manipulatable glove elements 12a and 12b, allows a variety of EKG conductors to be obtained easily and quickly by manipulating the glove elements 12a and 12b and the phalangeal portions 32a-40a and 32b-40b. The detected EKG or conductor currents of the sensors 56a-56k are transmitted to the first and second female connection plugs 64a and 64b and through the cables 14a and 14b to the interface unit 16 where they can be sent to the control center. commands 18 or PC 20 in a digital data stream or to EKG reading devices 22a as discussed above.
Blood Pressure and Pulse Rate Diagnostic Information To obtain blood pressure and pulse rate diagnostic information, the phalangeal portion of the thumb 32a (FIG. 2) and the phalangeal portion of the index finger 34a of the first glove element 12a is wrapped around one of the patient's cuffs. In this position, the air bladder 72 is prepared to accept air pressure from the pump 130 (Figure 6) in the blood pressure circuit board 122. Then the air pump 130 transmits inflation fluid such as air, via the conduit 131, cable 14a and air tube 76 (figure 2), to air bladder 72 to inflate the air bladder. Inflation of the air bladder 72 obliterates the radial artery. As the air bladder 72 releases the inflation fluid, sound waves of pulse sound are acoustically picked up by the acoustic coupler 74 and sent in the air tube 76 to the first female connection plug 64a and through the first cable 14a to the interface unit 16 (Figure 1) where they can be sent to the command center 28 or PC 20 in a digital data stream or to the blood pressure and pulse rate reading apparatus 22b as discussed above.
Body Temperature Diagnostic Information In order to obtain body temperature diagnostic information, the phalangeal portion of the middle finger 36a (FIG. 2) of the first glove element 12a is placed below the patient's tongue or in an appropriate hole, by a period of time sufficient to receive temperature signals from the thermistor 78, preferably about 1 minute. The temperature signals of the temperature device 48 can be transmitted to the first female connection socket 64a and through the first cable 14a to the interface unit 16 (figure 1) where they can be sent to the command center 18 or PC 20 in a digital data stream or temperature reading apparatus 22d as discussed above.
Q2% Diagnostic Information To obtain diagnostic information of% 02, the portion of the thumb phalanx 32b (Figure 3) and the phalanx portion of the index finger 34b of the second glove element 12b are pressed against one of the tips of the patient's finger. In this position, the red LED emitter 82 (figure 4) emits red and infrared light towards the detector LED 84. When the light of the LED emitter 84 is passed through the patient's finger (fingernail not painted only) on the fingernail, the LED detector 84 detects the light waves of color present. These signals are translated from light intensity and amount of color to oxygen levels. More oxygen produces light red blood while less oxygen produces a blood of darker red to purple. It should be noted that the pulse rate can also be determined from these readings. As an alternative to finger tips, the lobes of the ear could be used to measure the% of 02. The signals of% 02 of the device of% 02 50 are then sent to the second female connection socket 64b and through the second cable 14b to the interface unit 16 (FIG. 1) wherein signals of% 02 can be sent to the command center 18 or PC 20 in a digital data stream or to the reading device of% 02 22c, as discussed above.
Auscultation Diagnostic Information To listen to the patient's heart and lungs, the first glove element 12a is moved over the patient's body to allow the acoustic coupler and microphone 90 to pick up or hear sound waves from the heart and lungs of the patient , much like a stethoscope would do. Then the sound waves are transmitted to the first female connection plug 34a, via the pair of wires 93 and then through the first cable 14a to the interface unit 16, where they can be sent to the command center 18 or PC 20 in a digital data stream as described above. Alternatively, sound waves from the acoustic coupler and microphone 90 could be conducted via air tube 94 to a stethoscope 22e.
Oral Communication To communicate orally with a distant site, such as the command center 18, the loudspeaker / microphone 156 can transmit and receive sound waves as described above. It should be noted that the interface 16 may not be able to transmit or receive sound waves via the loudspeaker / microphone 156 when it processes diagnostic information from the EKG diagnostic device, the blood pressure device 46, the temperature device 48, the % 02 device 50 and / or the auscultation device 52. The ability of a physician to communicate with the patient, who is alert and the people next to the patient, such as the person handling the glove elements 12a and 12b, if such a person is not the doctor, it allows the doctor to instruct the person who manipulates the glove elements 12a and 12b to obtain the diagnostic information better and to instruct the person who manipulates the glove elements or others close to the patient such as providing care / treatment to the patient.
Defibrillator Device Once the diagnostic information of any or all of the EKG device, the blood pressure device 46, the temperature device 48, the% 02 device 50, the auscultation device 52 and the oral information obtained via the loudspeaker / microphone 156 is received by a physician in the command center 18 or is accessible to the PC 20 or the reading device 22a-22e, the doctor can prescribe the best way to treat the patient. If the information obtained by the doctor indicates that the patient is in ventricular fibrillation (that is, the heartbeat is found in an unequal and inefficient way, vitally stopping the heart's ability to pump blood) the doctor instructs the person who manipulates the glove that defibrillates the patient. Of course, if the doctor is with the patient and is manipulating the elements of the glove 12a and 12b by himself, then the doctor would defibrillate the patient by himself. To defibrillate the patient, the dorsal sides 44a and 44b of the first and second glove elements 12a and 12b, respectively, are positioned in the chest area of the patient in such a way that the electrodes 98a-h come into contact with the area of the patient's chest. The acupuncture / defibrillator circuit board 128 (Figure 6) is activated to prepare the high voltage source 134 to provide a powerful electrical shock to the patient's heart. The high-voltage sources 134 provide power, preferably approximately 130-300 Joules per shock, by means of the cables 14a and 14b to the electrodes 98a-k in the first and second glove elements 12a and 12b to supply the electrical shock to the patient's heart to bring the patient out of ventricular fibrillation. the acupuncture / defibrillator circuit board 128 can be activated either by the command center 18 or by a person near the interface unit 16. In the event that the acupuncture / defibrillator circuit board 128 is to be activated by a person near the interface unit, such as the person handling the glove elements, the power supply can be delayed for a period of time, preferably about 5 seconds, after the activation of the circuit board 128 to allow proper positioning of the electrodes 98a-h. The supply of electrical shock to the patient's heart can be repeated as necessary to bring the patient out of ventricular fibrillation to restore the patient's heartbeat to an equal and efficient manner (ie, a regular rhythm). The glove elements 12a and 12b, both having an EKG device and a defibrillator device, allow the person handling the glove elements to alternate quickly and easily between taking EKG readings, to verify the heart condition of the patient and the device defibrillator only with a quick rotation of his hands. Once the patient's heart rhythm has been restored at a regular pace, the next stage is to keep the patient's heart in a regular rhythm. To do this, a first first aid kit is preferably provided with the interface unit 16. The first aid kit would preferably include medications that would include an antiarrhythmic drug, such as lidocaine, to prevent the heart from falling back into fibrillation ventricular, a neutralizer of lactic acidosis, such as sodium bicarbonate and pain relief medications such as demerol or morphine. These medications would preferably be pre-filled in clearly marked and color-coded syringes to allow rapid administration. If the doctor is not near the patient and is operating outside the command center 18, the doctor can verify the patient's condition via the glove elements 12a and 12b and the interface unit 16 that can instruct the person handling the elements of glove 12a and 12b and / or person close to the patient to appropriately provide care / treatment for the patient.
Acupuncture Device To provide electrical pin stimulations, the acupuncture / defibrillator circuit board 128 is activated to cause the high voltage source 134 to provide power to the electrodes 106a-106j. The high voltage source 134 supplies power, preferably about 5 to 10 Joules per electrode 106a-106j via the cables 14a and 14b to the electrodes 106a-106j in the first and second glove elements 12a and 12b to allow the electrodes 106a-106j provide electrical pinching to the patient when the electrodes 106a-106j are moved over the patient's body. The electric pin stimulation of the 106a-106j electrodes can be used to relieve pain, as is done by conventional acupuncture, although in a non-invasive manner. This moderate glove acupuncture technique eliminates the need to insert needles into the body to provide acupuncture and helps ensure safety of needle-borne diseases, such as HIV infection. Electrical pin stimuli can also be used to cauterize wounds in the patient. Thus, the present invention described above allows a plurality of diagnostic information to be obtained quickly and accurately, either by a physician in close proximity to a patient or by a physician remote from the patient (i.e., when the physician is in the hospital). command center 18), evaluate and / or verify the condition of a patient. The present invention also provides a means to quickly treat a patient (i.e., the defibrillator device 54 and the acupuncture device) under the care of the physician who is accurately informed of the patient's condition even when the physician is not near the patient. While the best modes for carrying out the invention are described in detail, those familiar with the technique with which the invention is concerned will appreciate other ways of carrying out the invention defined by the following claims. For example, the placement of the diagnostic devices on the glove elements 12a and 12b and / or specific design of the diagnostic devices could vary from that described above. For example, the EKG device could have more or fewer detectors or detect them could be located differently than what has been described.
It is noted that, in relation to this date, the best method known by the applicant to carry out the aforementioned invention is the conventional one for the manufacture of the objects to which it relates.

Claims (30)

  1. CLAIMS Having described the invention as above, the content of the following claims is claimed as property. 1. A system for collecting a plurality of diagnostic information and transmitting diagnostic information to a remote site and for providing emergency treatment, the system is characterized in that it comprises: a first element suitable for use in a person's first hand and a second element suitable for use in the second hand of a person, such elements comprise a plurality of diagnostic devices and a defibrillator device, the diagnostic devices are capable of detecting diagnostic signals of a person, each of the first and second elements comprises a palm portion, a fist portion and five phalanx portions and a transmitter unit for transmitting information to and receiving information from, a far site. The system according to claim 1, characterized in that the electrocardiogram (EKG) diagnostic device includes at least one first electrocardiogram (EKG) detector located in the portion. of palm of the first element and a second electrocardiogram detector (EKG) located on at least one of the phalangeal portions of the first element. The system according to claim 1, characterized in that a blood pressure and pulse velocity device is provided in at least two of the phalangeal portions of the one of the element including an inflatable air bladder. 4. The system according to claim 1, characterized in that the defibrillator device includes a plurality of electrodes that are located on said elements. The system according to claim 1, characterized in that the elements, when worn on the hands, cover at least approximately the majority of the hands. 6. A system for collecting diagnostic information and transmitting diagnostic information to a remote site and for providing emergency treatment, the system is characterized in that it comprises: a first adaptable element to be used in the first hand of a person and a second element suitable for use in the second hand of the first person, such elements have at least one diagnostic device capable of detecting diagnostic signals from a second person, such elements further comprising a defibrillator device and a transmitter unit for transmitting information to receive information from, a distant place. 7. The system in accordance with the claim 6, characterized in that each of the elements has a palm side and a dorsal side, the diagnostic device comprises at least one detector located on the palm side of one of the elements. 8. The system in accordance with the claim 7, characterized in that the defibrillator device comprises a plurality of defibrillator electrodes, at least one of the defibrillator electrodes is located on the dorsal side of the first element. 9. The system in accordance with the claim 7, characterized in that the diagnostic device comprises an electrocardiogram diagnostic device (EKG) and the detector comprises a first electrocardiogram (EKG) detector. 10. The system in accordance with the claim 6, characterized in that each of the elements comprises a glove. The system according to claim 6, characterized in that the elements comprise a plurality of diagnostic devices. 12. The system in accordance with the claim 11, characterized in that the plurality of diagnostic devices includes an electrocardiogram diagnostic device (EKG), a blood pressure diagnostic device and a temperature device. 13. The system in accordance with the claim 12, characterized in that the plurality of diagnostic devices further includes a diagnosis device of% 02, an auscultation device and an acupuncture device having a plurality of electrodes located in such elements. 14. The system in accordance with the claim 11, characterized in that said element comprises a palm portion, a cuff portion and five phalange portions. 15. The system in accordance with the claim 12, characterized in that each of the first and second elements comprises a palm portion, a fist portion and five phalanx portions. 16. The system according to claim 15, characterized in that the blood pressure and pulse velocity device is located on at least two of the phalangeal portions of one of the elements and includes an inflatable air bladder. The system according to claim 16, characterized in that the interface unit comprises an electrocardiogram circuit board (EKG), a blood pressure and pulse rate circuit board and a temperature circuit board, wherein the Blood pressure and pulse rate circuit board includes a source of inflation fluid to inflate the air bladder. The system according to claim 8, characterized in that each of the elements has a shape corresponding to at least a substantial portion of a person's hand in such a way that the elements are apt to be used in the hand of a person. The system according to claim 8, characterized in that each of the elements is contoured to at least a portion of a person's hand. The system according to claim 6, characterized in that the interface unit includes at least one analog to digital converter to convert at least one analog output of at least one of the circuit boards to a data stream. digital. 21. A diagnostic probe characterized in that it comprises: an element apt to be used in the hand of a first person, the element having a palm side and a dorsal side; at least one diagnostic device having at least one detector capable of detecting diagnostic signals from a second person on the palm side of the element and 5 defibrillator electrodes on the dorsal side of that element. 22. The probe according to claim 21, characterized in that the diagnostic device comprises an electrocardiogram diagnostic device. 10 (EKG) and such detector comprises a first electrocardiogram (EKG) detector. 23. The probe according to claim 21, characterized in that the at least one diagnostic device comprises a plurality of devices for 15 diagnosis. The probe according to claim 23, characterized in that the plurality of diagnostic devices includes an electrocardiogram (EKG) diagnostic device and a diagnostic device for 20 blood pressure and pulse. 25. The probe according to claim 21, characterized in that said element comprises a palm portion and a plurality of phalange portions. 26. The probe according to claim 25, characterized in that said element comprises a glove. • aiiíaá ^^. Á ^^ -i. 27. The probe according to claim 21, characterized in that said element is contoured to at least a portion of a person's hand. 28. The probe according to claim 21, characterized in that said element has a shape corresponding to at least a substantial portion of a person's hand in such a way that such an element is apt to be used in the hand of a person. . 29. The probe according to claim 24, characterized in that said element comprises a palm portion and a plurality of phalangeal portions. 30. The probe according to claim 24, characterized in that the plurality of diagnostic devices further includes a diagnosis device of% 02 and an auscultation device, an acupuncture device! having a plurality of electrodes located in such an element and a temperature device.
MXPA/A/2001/004652A 1998-11-10 2001-05-08 Tele-diagnostic device MXPA01004652A (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US09188971 1998-11-10

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MXPA01004652A true MXPA01004652A (en) 2002-07-25

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