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Cao X, Li Q, Li S, Xu X, Wang L, Wang M, Ding B, Bao S, Wang S, Sun B, Cui J, Wang G, Li H, Su Y. Low-Cost Photoelectric Flow Rate Sensors Based on a Flexible Planar Curved Beam Structure for Clinical Treatments. Adv Healthc Mater 2024:e2304573. [PMID: 38558375 DOI: 10.1002/adhm.202304573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2023] [Revised: 03/17/2024] [Indexed: 04/04/2024]
Abstract
In clinical treatments, reliable flow rate measurements ensure accurate drug delivery during infusions, precise gas delivery during artificial ventilations, etc., thereby reducing patient morbidity and mortality. However, precise flow rate sensors are costly, so medical devices with limited budgets choose cheaper but unsatisfactory flow rate measurement approaches, leading to increased medical risks. Here, a photoelectric flow rate sensor based on a flexible planar curved beam structure (FPCBS) is proposed. The FPCBS ensures low out-of-plane stiffness of the sensitive sheet and allows large deformation in the elastic range, enabling the flow rate sensor to measure the flow rate with high sensitivity over a wide range. Meanwhile, the flow rate sensor can be mass-produced using mature materials and manufacturing technology at less than $5 each. The flow rate sensors are integrated into a commercial infusion pump to measure drug infusion and a home ventilator to monitor respiration. The results are comparable to those measured by a commercial flow rate sensor, demonstrating the applicability of the sensor. Considering its proven outstanding performance at low cost, the flow rate sensor shows great potential in clinical treatment, medical diagnosis, and other medical fields.
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Affiliation(s)
- Xinfang Cao
- State Key Laboratory of Nonlinear Mechanics, Institute of Mechanics, Chinese Academy of Sciences, Beijing, 100190, China
- School of Engineering Science, University of Chinese Academy of Sciences, Beijing, 100049, China
| | - Qinlan Li
- State Key Laboratory of Nonlinear Mechanics, Institute of Mechanics, Chinese Academy of Sciences, Beijing, 100190, China
- School of Engineering Science, University of Chinese Academy of Sciences, Beijing, 100049, China
| | - Shuang Li
- State Key Laboratory of Nonlinear Mechanics, Institute of Mechanics, Chinese Academy of Sciences, Beijing, 100190, China
- School of Engineering Science, University of Chinese Academy of Sciences, Beijing, 100049, China
| | - Xinkai Xu
- State Key Laboratory of Nonlinear Mechanics, Institute of Mechanics, Chinese Academy of Sciences, Beijing, 100190, China
- School of Engineering Science, University of Chinese Academy of Sciences, Beijing, 100049, China
| | - Liyang Wang
- Henan Key Laboratory of Medical Polymer Materials Technology and Application, Tuoren Medical Device Research and Development Institute Co., Ltd, Tuoren Health Technology Industrial Park, Changyuan County, Henan, 453000, China
| | - Mengjie Wang
- Henan Key Laboratory of Medical Polymer Materials Technology and Application, Tuoren Medical Device Research and Development Institute Co., Ltd, Tuoren Health Technology Industrial Park, Changyuan County, Henan, 453000, China
| | - Bo Ding
- Henan Key Laboratory of Medical Polymer Materials Technology and Application, Tuoren Medical Device Research and Development Institute Co., Ltd, Tuoren Health Technology Industrial Park, Changyuan County, Henan, 453000, China
| | - Shengwen Bao
- Henan Key Laboratory of Medical Polymer Materials Technology and Application, Tuoren Medical Device Research and Development Institute Co., Ltd, Tuoren Health Technology Industrial Park, Changyuan County, Henan, 453000, China
| | - Shugang Wang
- Henan Key Laboratory of Medical Polymer Materials Technology and Application, Tuoren Medical Device Research and Development Institute Co., Ltd, Tuoren Health Technology Industrial Park, Changyuan County, Henan, 453000, China
| | - Bao Sun
- Henan Key Laboratory of Medical Polymer Materials Technology and Application, Tuoren Medical Device Research and Development Institute Co., Ltd, Tuoren Health Technology Industrial Park, Changyuan County, Henan, 453000, China
| | - Jingqiang Cui
- Henan Key Laboratory of Medical Polymer Materials Technology and Application, Tuoren Medical Device Research and Development Institute Co., Ltd, Tuoren Health Technology Industrial Park, Changyuan County, Henan, 453000, China
| | - Guosheng Wang
- Henan Key Laboratory of Medical Polymer Materials Technology and Application, Tuoren Medical Device Research and Development Institute Co., Ltd, Tuoren Health Technology Industrial Park, Changyuan County, Henan, 453000, China
| | - Huiling Li
- State Key Laboratory of Nonlinear Mechanics, Institute of Mechanics, Chinese Academy of Sciences, Beijing, 100190, China
- School of Engineering Science, University of Chinese Academy of Sciences, Beijing, 100049, China
| | - Yewang Su
- State Key Laboratory of Nonlinear Mechanics, Institute of Mechanics, Chinese Academy of Sciences, Beijing, 100190, China
- School of Engineering Science, University of Chinese Academy of Sciences, Beijing, 100049, China
- Beijing Key Laboratory of Engineered Construction and Mechanobiology, Institute of Mechanics, Chinese Academy of Sciences, Beijing, 100190, China
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Pérez-Warnisher MT, Gómez-García T, Giraldo-Cadavid LF, Troncoso Acevedo MF, Rodríguez Rodríguez P, Carballosa de Miguel P, González Mangado N. Diagnostic accuracy of nasal cannula versus microphone for detection of snoring. Laryngoscope 2017; 127:2886-2890. [PMID: 28731530 DOI: 10.1002/lary.26710] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2017] [Accepted: 05/02/2017] [Indexed: 11/11/2022]
Abstract
OBJECTIVE Snoring is a common reason for referral to a sleep unit. Although there are several instruments to measure snoring, there is no gold standard for this purpose. In this study, we determine the diagnostic accuracy of the cannula as compared with the microphone, which are the two most commonly used tools. STUDY DESIGN We performed a cross-sectional study of 75 patients who underwent baseline home sleep apnea testing for any reason. METHODS Snore intensity and percentage were assessed during Home sleep-apnea testing via nasal cannula and microphone in all patients. We performed a complete diagnostic accuracy analysis, assuming the microphone to be the reference instrument use in order to compare it with the cannula. RESULTS The intra-class correlation coefficient between the cannula and microphone for the percentage of snoring was 0.25. The Bland Bland-Altman analysis to determine the agreement regarding the percentage of snoring showed a lower limit of -57.73 and an upper limit of 20.30. A linear regression analysis of the differences produced a negative slope of -0.86. The receiver operating characteristic curve for severe snoring using the cannula produced an area under the curve of 0.67 (P = 0.019). The cannula showed a sensitivity of 57.89 and a specificity of 73.21. CONCLUSION The nasal cannula showed poor reliability and accuracy for measuring snoring. LEVEL OF EVIDENCE 2b. Laryngoscope, 127:2886-2890, 2017.
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Affiliation(s)
| | - Teresa Gómez-García
- Department of Pulmonary Medicine, Hospital Universitario Fundaciœn Jiménez Díaz, Madrid, Spain.,Multidisciplinary Sleep Unit, Department of Pulmonary Medicine Hospital General de Villalba, Instituto de Investigación Sanitaria Fundación Jiménez Díaz: IIS-FJD, Spain.,Centro de Investigaciœn Biomédica en Red de Enfermedades Respiratorias (CIBERES), Spain.,Spanish Sleep Network, Bogotá, Colombia
| | - Luis Fernando Giraldo-Cadavid
- Department of Pulmonary Medicine, Fundación Neumológica Colombiana, Bogotá, Colombia.,Research Department, University of La Sabana, School of Medicine, Bogotá, Colombia
| | - Maria Fernanda Troncoso Acevedo
- Department of Pulmonary Medicine, Hospital Universitario Fundaciœn Jiménez Díaz, Madrid, Spain.,Multidisciplinary Sleep Unit, Department of Pulmonary Medicine Hospital General de Villalba, Instituto de Investigación Sanitaria Fundación Jiménez Díaz: IIS-FJD, Spain.,Centro de Investigaciœn Biomédica en Red de Enfermedades Respiratorias (CIBERES), Spain.,Spanish Sleep Network, Bogotá, Colombia
| | - Paula Rodríguez Rodríguez
- Department of Pulmonary Medicine, Hospital Universitario Fundaciœn Jiménez Díaz, Madrid, Spain.,Multidisciplinary Sleep Unit, Department of Pulmonary Medicine Hospital General de Villalba, Instituto de Investigación Sanitaria Fundación Jiménez Díaz: IIS-FJD, Spain
| | | | - Nicolás González Mangado
- Department of Pulmonary Medicine, Hospital Universitario Fundaciœn Jiménez Díaz, Madrid, Spain.,Multidisciplinary Sleep Unit, Department of Pulmonary Medicine Hospital General de Villalba, Instituto de Investigación Sanitaria Fundación Jiménez Díaz: IIS-FJD, Spain.,Centro de Investigaciœn Biomédica en Red de Enfermedades Respiratorias (CIBERES), Spain.,Spanish Sleep Network, Bogotá, Colombia
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Kogure T, Kobayashi M, Okawa T, Nakajima T, Inoue Y. Validation of a sheet-shaped body vibrometer for screening of obstructive sleep apnea. Drug Discov Ther 2017; 11:126-132. [DOI: 10.5582/ddt.2017.01015] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Takamasa Kogure
- Department of Somnology, Tokyo Medical University
- Paramount Bed Sleep Research Laboratory, PARAMOUNT BED CO., LTD
| | - Mina Kobayashi
- Neuropsychiatric Research Institute, Japan Somnology Center
- Foundation of Sleep and Health Science
| | - Takashi Okawa
- Department of clinical inspection, Tokyo Dental College Ichikawa General Hospital
| | - Tsuneya Nakajima
- Department of Otorhinolaryngology, Tokyo Dental College Ichikawa General Hospital
| | - Yuichi Inoue
- Department of Somnology, Tokyo Medical University
- Neuropsychiatric Research Institute, Japan Somnology Center
- Foundation of Sleep and Health Science
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Oliveira MG, Treptow EC, Fukuda C, Nery LE, Valadares RM, Tufik S, Bittencourt L, Togeiro SM. Diagnostic accuracy of home-based monitoring system in morbidly obese patients with high risk for sleep apnea. Obes Surg 2015; 25:845-51. [PMID: 25344466 DOI: 10.1007/s11695-014-1469-6] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
BACKGROUND No previous studies have validated the use of portable monitoring (PM) for the diagnosis of obstructive sleep apnea (OSA) in morbidly obese individuals. Our aim was to investigate the accuracy of PM for detecting respiratory events in morbidly obese patients that will be undergoing bariatric surgery. METHODS This was a prospective study involving patients with body mass index (BMI) ≥35 kg/m(2) who were recruited from the Sleep Clinic of Universidade Federal de São Paulo. Sleep-disordered breathing (SDB) was evaluated during full-night polysomnography (PSG). PM use was randomized and used on two consecutive nights: (1) at home (STDHome) and (2) at the sleep laboratory with PSG (PSG_STDLab). RESULTS Although 58 participants initially underwent the recordings, 26 (45%) were excluded because of technical problems. The patients' mean age was 42.9 ± 10.9 (SD) years, and 56% were female. The mean BMI was 40.8 ± 5.2 kg/m(2). All patients had high risk for OSA, as defined by the Stop-Bang questionnaire, and the mean apnea-hypopnea index (AHI) was 46.9 ± 30.4/h. The intraclass coefficient of the correlation between AHI_PSG and AHI_STDLab was r = 0.92 (p = 0.0001); the intraclass coefficient for AHI_PSG and AHI_STDHome was r = 0.84 (p = 0.0001). The Kappa index was 0.87 (p > 0.0001) for severe cases. The sensitivity and the positive predictive value increased with the disease severity. A Bland-Altman analysis showed good agreement between the investigated methods. CONCLUSIONS PM is an efficacious method for diagnosing OSA in obese patients who have a high clinical probability of the disease. The method displays good sensitivity and specificity in severe cases; nevertheless, the high rate of data loss must be taken into account.
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Affiliation(s)
- Márcia G Oliveira
- Disciplina de Pneumologia, Departamento de Medicina, Universidade Federal de Sao Paulo - UNIFESP, Rua Pedro de Toledo, 720, Sao Paulo, SP, 04039-034, Brazil,
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Treptow E, Oliveira MG, Moreira GA, Togeiro S, Nery LE, Tufik S, Bittencourt L. Update on the use of portable monitoring system for the diagnosis of sleep apnea in specific population. World J Respirol 2015; 5:17-27. [DOI: 10.5320/wjr.v5.i1.17] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2014] [Revised: 12/10/2014] [Accepted: 12/31/2014] [Indexed: 02/06/2023] Open
Abstract
The prevalence and severity of obstructive sleep apnea (OSA) is higher in specific population: children, elderly, obese and patients with pulmonary and cardiovascular diseases, compared to the general population. OSA is associated with greater morbidity and mortality in these patients. Although full-night polysomnography is still the gold standard diagnostic sleep study for OSA, it is a time consuming, expensive and technically demanding exam. Over the last few years, there is growing evidence on the use of portable monitors (PM) as an alternative for the diagnosis of OSA. These devices were developed specially for sleep evaluation at home, at a familiar environment, with easy self-application of monitoring, unattended. The use of PM is stablished for populations with high pre-test probability of OSA. However, there is a lack of studies on the use of PM in age extremes and patients with comorbidities. The purpose of this review is to present the studies that evaluated the use of PM in specific population, as well as to describe the advantages, limitations and applications of these devices in this particular group of patients. Although the total loss rate of recordings is variable in different studies, the agreement with full-night polysomnography justifies the use of PM in this population.
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