IEEE Trans Biomed Circuits Syst. 2022 Oct;16(5):947-961. doi: 10.1109/TBCAS.2022.3204632. Epub 2022 Nov 30.
The rapidly increasing number of COVID-19 patients has posed a massive burden on many healthcare systems worldwide. Moreover, the limited availability of diagnostic and treatment equipment makes it difficult to treat patients in the hospital. To reduce the burden and maintain the quality of care, asymptomatic patients or patients with mild symptoms are advised to self-isolate at home. However, self-isolated patients need to be continuously monitored as their health can turn into critical condition within a short time. Therefore, a portable device that can remotely monitor the condition and progression of the health of these patients is urgently needed. Here we present a portable device, called Respinos, that can monitor multiparameter vital signs including respiratory rate, heart rate, body temperature, and SpO2. It can also operate as a spirometer that measures forced vital capacity (FVC), forced expiratory volume (FEV), FEV in the first second (FEV1), and peak expiratory flow Rate (PEFR) parameters which are useful for detecting pulmonary diseases. The spirometer is designed in the form of a tube that can be ergonomically inflated by the patient, and is equipped with an accurate and disposable turbine based air flow sensor to evaluate the patient's respiratory condition. Respinos uses rechargeable batteries and wirelessly connects to a mobile application whereby the patient's condition can be monitored in real-time and consulted with doctors via chat. Extensive comparison against medical-grade reference devices showed good performance of Respinos. Overall results demonstrate the potential of Respinos for remote patient monitoring during and post pandemic.
快速增加的 COVID-19 患者数量给全球许多医疗系统带来了巨大的负担。此外,诊断和治疗设备的有限可用性使得在医院中治疗患者变得困难。为了减轻负担并保持护理质量,建议无症状或轻症患者在家中自我隔离。然而,自我隔离的患者需要持续监测,因为他们的健康状况可能会在短时间内变得危急。因此,迫切需要一种能够远程监测这些患者健康状况和进展的便携式设备。在这里,我们介绍了一种名为 Respinos 的便携式设备,它可以监测包括呼吸频率、心率、体温和 SpO2 在内的多参数生命体征。它还可以作为一个肺活量计来测量用力肺活量(FVC)、用力呼气量(FEV)、第一秒用力呼气量(FEV1)和呼气峰值流量(PEFR)等参数,这些参数对于检测肺部疾病很有用。肺活量计采用可由患者进行人体工程学充气的管型设计,并配备了一个准确且一次性的涡轮气流传感器,用于评估患者的呼吸状况。Respinos 使用可充电电池,并通过无线方式连接到移动应用程序,患者的状况可以实时监测,并通过聊天咨询医生。与医疗级参考设备的广泛比较表明,Respinos 具有良好的性能。总体结果表明,Respinos 具有在大流行期间和之后进行远程患者监测的潜力。