Digital telephonic system for stethoscope signal processing

• US 5,841,846 A
• Filed: 09/16/1996
• Issued: 11/24/1998
• Est. Priority Date: 09/16/1996
• Status: Expired due to Term

• Current Assignee: American TeleCare, Inc.
• Original Assignee: American TeleCare, Inc.
• Inventors: Abbruscato, C. Richard
• Primary Examiner(s): Chan, Wing F.
• Application Number:
  US08/714,671
• Time in Patent Office: 799 Days
• Field of Search: 379/106.01, 379/106.02, 379/110.01, 379/90.01, 379/93.05, 379/93.06, 379/93.08, 379/93.28, 381/67
• US Class Current: 379/106.02
• CPC Class Codes: H04M 11/04 with alarm systems, e.g. fire, police or burglar alarm systems

Abstract

The present invention relates to digital telephonic system for stethoscope signal processing. Stethoscope sounds are converted to electrical signals and conveyed in digital format to an RS232 data port of a data transmission product. In the alternate, a modem can be used to convey the signal via a home telephone line. At the receiving end, the reverse process takes place to convert the data back to audible sound. The fidelity and accuracy of the stethoscope sounds is maintained at the receiving end using asynchronous data communications and error protection techniques.

Claims

1. A method for converting, encoding and decoding analog and digital signals, while maintaining the quality and fidelity of auscultation sounds originating from a stethoscope, to enable a patient at a patient station to transmit the sounds to a doctor at a remote doctor station comprising the steps of:

amplifying analog signals from a chest piece at said patient station;

filtering said signals to get resultant signals;

feeding said resultant signals to a PCM encoder to transform said analog signals into a stream of binary data;

transferring said stream of binary data to a UART and to an ADPCM encoder and subsequently to a first modem;

sending said binary data from said first modem to a telephone line;

receiving said binary data from said telephone line via a second modem at said doctor station;

transferring said binary data from said second modem to a UART and to a repeated byte error handling circuit;

transferring said binary data from said repeated byte error handling circuit to an ADPCM decoder;

decoding said binary signal to extract said analog signal via a PCM decoder;

filtering said signal; and

amplifying said signal to be received by a headset at said doctor station.

8. The digital telephonic system of claim 1 wherein said repeated byte circuit means includes an error handling system.

2. A method for converting, encoding and decoding analog and digital signals, while maintaining the quality and fidelity of auscultation sounds originating from a stethoscope, to enable a patient at a patient station to transmit the sounds to a doctor at a remote doctor station comprising the steps of:

amplifying analog signals from a chest piece at said patient station;

filtering said signals to get resultant signals;

feeding said resultant signals to a PCM encoder to transform said analog signals into a stream of binary data;

transferring said stream of binary data to a UART and subsequently to a first RS232;

sending said binary data from said first RS232 to a digital interface means;

receiving said binary data from said first RS232 via a second RS232 at said doctor station;

transferring said binary data from said second RS232 to a UART and consequently to a repeated byte error handling circuit;

decoding said binary signal to extract said analog signal via a PCM decoder;

filtering said signal; and

amplifying said signal to be received by a headset at said doctor station.

3. The method according to claim 2 wherein said repeated byte further includes error checking step to insure that no bandwidth is used for retransmitting corrupted data.

4. The method according to claim 3 wherein said error checking step further includes transmitting a parity bit with said binary data.

5. The method according to claim 2 wherein an error correction procedure is implemented comprising the steps of:

transmitting a parity bit with said binary signal;

detecting an error at the receiving end to identify corrupted byte;

discarding said corrupted byte when detected; and

replacing said corrupted byte with a byte occurring just prior to said corrupted byte.

6. The method according to claim 5 wherein said PCM decoder receives said byte occurring just prior to said corrupted byte twice as part of said error correction procedure.

7. A digital telephonic system for stethoscope signal processing wherein a patient and a doctor at a remote location are able to exchange actual stethoscopic auscultation sounds, via a plurality of analog and digital encoding and decoding means including direct digital interface means, the digital telephonic system comprising:

a patient station including;

a chest piece with a stethoscope device;

an amplifier

a low pass filter in direct communication with the chest piece;

a PCM encoder and a UART in communication with each other and further in communication with said low pass filter; and

a first modem connected to an output port of said UART;

a doctor station comprising;

means for receiving said stethoscope sounds;

a low pass filter connected to said means for receiving;

a PCM decoder in communication with said low pass filter on an output side and with a repeated byte device on an input side;

a UART connected to said repeated byte device; and

a second modem connected to said UART; and

said fist modem at said patient station being connected to said second modem at said doctor station via a telephone line.

9. The digital telephonic system of claim 7 wherein said repeated byte circuit means includes an error handling system.

10. The digital telephonic system of claim 7 wherein said direct digital interface means includes input and output ports having connections to RS232 units on both said input and output ports.

11. The digital system of claim 7 wherein analog and digital encoding and decoding means include:

said chest piece connected to a lowpass filter and to a PCM encoder wherein said PCM encoder includes connections to a UART on an output side and further said UART includes connections to a first RS232 unit; and

said means for receiving being connected to a low pass filter and to a PCM decoder and further including connections to a repeated byte circuit means and a UART including connections to a second RS232 unit;

said first RS232 unit and said second RS232 unit including operable connections via said direct digital interface means to transmit said signal from the patient station to the doctor station.

12. The digital telephonic system of claim 7 wherein said plurality of analog and digital encoding and decoding means include:

said chest piece connected to a lowpass filter and to a PCM encoder and an ADPCM encoder wherein said PCM and said ADPCM encoder include connections to a UART on an output side and further said UART includes connections to a first modem; and

said means for receiving being connected to a low pass filter and to a PCM decoder, an ADPCM decoder and further includes connections to a repeated byte circuit means and a UART wherein said UART includes connections to a second modem;

said first modem and said second modem having operable connections via the telephone line to transmit said signal from the patient station to the doctor station.

13. A method for converting, encoding and decoding analog and digital signals, while maintaining the quality and fidelity of auscultation sounds originating from a stethoscope, to enable a patient at a patient station to transmit the sounds to a doctor at a remote doctor station comprising the steps of:

amplifying analog signals from a chest piece at said patient station;

filtering said signals to get resultant signals;

feeding said resultant signals to a PCM encoder to transform said analog signals into a stream of binary data;

transferring said stream of binary data to a UART and subsequently to a first modem;

sending said binary data from said first modem to a telephone line;

receiving said binary data from said telephone via a second modem at said doctor station;

transferring said binary data from said second modem to a UART and consequently to a repeated byte error handling circuit;

decoding said binary signal to extract said analog signal via a PCM decoder;

filtering said signal; and

amplifying said signal to be received by a headset at said doctor station.

14. The method according to claim 13 wherein said stream of binary data is directed through an ADPCM encoder subsequent to passing through said PCM.

15. The method according to claim 13 wherein said step of decoding includes a step of error checking by transmitting a parity bit with said binary data.

16. The method according to claim 13 wherein said digital signals are transmitted asynchronously.

17. A low bit rate digital device for the transmission of stethoscope sounds from a patient at a location to a doctor at another location wherein an efficient coding scheme is used without sacrificing high linearity, the device comprising:

a patient station including;

a chest piece including a stethoscope sensor;

an amplifier;

a lowpass filter in direct communication with said chest piece;

a PCM encoder and a UART in communication with each other and further in communication with said low pass filter; and

a first modem connected to an output port of said UART;

a doctor station comprising;

means for receiving said stethoscope sounds;

a low pass filter connected to said means for receiving;

a PCM decoder in communication with said low pass filter on an output side and with a repeated byte device on an input side;

a UART connected to said repeated byte device; and

a second modem connected to said UART; and

said fist modem at said patient station being connected to said second modem at said doctor station via a telephone line.

18. The device according to claim 17 wherein an ADPCM encoder provides connection between said PCM encoder and said UART at said patient station and an ADPCM decoder provides connection between said PCM decoder and said repeated byte device at said doctor station.

19. The device according to claim 17 wherein said first modem at said patient station is replaced by an RS232 and said second modem at said doctor station is replaced by an RS232 and further that said telephone line is replaced by a digital interface.