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TWI798002B - Oral eating ability assessment system - Google Patents

Oral eating ability assessment system Download PDF

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TWI798002B
TWI798002B TW111106611A TW111106611A TWI798002B TW I798002 B TWI798002 B TW I798002B TW 111106611 A TW111106611 A TW 111106611A TW 111106611 A TW111106611 A TW 111106611A TW I798002 B TWI798002 B TW I798002B
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sensing
oral
sensor
heart rate
sensing signal
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TW202333620A (en
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郭芳娟
徐永煜
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弘光科技大學
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Abstract

一種口腔進食能力評估系統,包含一吸吮件、一感測裝置及一分析裝置。該感測裝置包括一用來感測呼吸並輸出一呼吸感測信號的呼吸感測器、一用來感測心率並輸出一心率感測信號的心率感測器,及一用來感測口腔動作並輸出一動作感測信號的動作感測器。該分析裝置通訊連接於該感測裝置且用來接收該呼吸感測信號、該心率感測信號與該動作感測信號,並根據一智慧型口腔進食能力評估模組輸出一分析結果。藉由該感測裝置感測呼吸、心率及口腔動作,並由該分析裝置的分析結果來判斷口腔進食能力,感測與分析過程客觀而能提高評估準確性。An evaluation system for oral feeding ability includes a sucking piece, a sensing device and an analyzing device. The sensing device includes a respiration sensor for sensing respiration and outputting a respiration sensing signal, a heart rate sensor for sensing heart rate and outputting a heart rate sensing signal, and a respiration sensor for sensing oral cavity A motion sensor that operates and outputs a motion sensing signal. The analyzing device is communicatively connected to the sensing device and is used to receive the breathing sensing signal, the heart rate sensing signal and the motion sensing signal, and output an analysis result according to a smart oral eating ability evaluation module. The sensing device senses respiration, heart rate and oral movement, and judges oral feeding ability based on the analysis result of the analyzing device. The sensing and analyzing process is objective and the evaluation accuracy can be improved.

Description

口腔進食能力評估系統Oral eating ability assessment system

本發明是有關於一種評估系統,特別是指一種口腔進食能力評估系統。The invention relates to an evaluation system, in particular to an evaluation system for oral feeding ability.

中樞神經損傷的患者或因早產而導致神經發展未成熟的嬰兒,都可能缺乏口腔期進食、吞嚥與呼吸間的神經肌肉動作協調能力,由口腔進食時容易發生食物誤入氣管而發展成吸入性肺炎及窒息的問題。Patients with central nervous system damage or infants with immature nerve development due to premature birth may lack the ability to coordinate neuromuscular movements between eating, swallowing, and breathing in the oral cavity. Pneumonia and suffocation problems.

為了判斷、評估患者口腔進食能力的修復或發展狀況,現有的評估方式主要是由醫療人員配合口腔動作發展量表來觀察並評分。但人工觀察會受到主觀判斷以及臨床經驗影響,評估結果較不客觀,缺乏評估準確性,有待改善。In order to judge and evaluate the restoration or development of the patient's oral feeding ability, the existing evaluation method is mainly to observe and score by medical personnel with the oral movement development scale. However, manual observation will be affected by subjective judgment and clinical experience, the evaluation results are not objective, and the evaluation accuracy is lacking, which needs to be improved.

因此,本發明之目的,即在提供一種能提高評估準確性的口腔進食能力評估系統。Therefore, the object of the present invention is to provide an oral feeding ability evaluation system that can improve the evaluation accuracy.

於是,本發明口腔進食能力評估系統包含一吸吮件、一感測裝置及一分析裝置。該吸吮件適用於放入口腔。該感測裝置包括一設置於該吸吮件且用來感測呼吸並輸出一呼吸感測信號的呼吸感測器、一適用於設置於胸部且用來感測心率並輸出一心率感測信號的心率感測器,及一設置於該吸吮件且用來感測口腔動作並輸出一動作感測信號的動作感測器。該分析裝置通訊連接於該感測裝置且內建一智慧型口腔進食能力評估模組。該分析裝置用來接收該呼吸感測信號、該心率感測信號與該動作感測信號,並根據該智慧型口腔進食能力評估模組輸出一分析結果。Therefore, the oral feeding ability evaluation system of the present invention includes a sucking member, a sensing device and an analyzing device. The suction piece is adapted to be placed in the mouth. The sensing device includes a respiration sensor arranged on the sucking part for sensing respiration and outputting a respiration sensing signal, a respiration sensor suitable for being arranged on the chest for sensing heart rate and outputting a heart rate sensing signal A heart rate sensor, and a motion sensor arranged on the sucking part and used to sense oral motion and output a motion sensing signal. The analyzing device is communicatively connected to the sensing device and has a built-in intelligent mouth-feeding ability evaluation module. The analysis device is used to receive the breathing sensing signal, the heart rate sensing signal and the motion sensing signal, and output an analysis result according to the intelligent oral eating ability evaluation module.

本發明之功效在於:藉由該感測裝置感測呼吸、心率及口腔動作,並由該分析裝置的分析結果來判斷口腔進食能力,感測與分析過程客觀而能提高評估準確性。The effect of the present invention is: the sensing device senses respiration, heart rate and oral movement, and judges oral feeding ability based on the analysis result of the analysis device. The sensing and analysis process is objective and the evaluation accuracy can be improved.

參閱圖1與圖2,本發明口腔進食能力評估系統的一實施例,適用於評估一受測者9的口腔進食能力。本實施例包含一吸吮件1、一感測裝置2及一分析裝置3。Referring to FIG. 1 and FIG. 2 , an embodiment of the oral feeding ability evaluation system of the present invention is suitable for evaluating the oral feeding ability of a subject 9 . This embodiment includes a suction piece 1 , a sensing device 2 and an analysis device 3 .

該吸吮件1包括一適用於放入該受測者9的口腔的吸吮部11,及一連接於該吸吮部11且外露於口腔的擋止部12。該擋止部12用來擋止於口腔外,避免該受測者9誤吞該吸吮件1。在本實施例中,該吸吮件1由矽膠製成,但在其他變化例中,該吸吮件1也可以由矽膠或其他具可撓性與生物親和性的材料製成。The sucking part 1 includes a sucking part 11 adapted to be put into the oral cavity of the subject 9, and a stop part 12 connected to the sucking part 11 and exposed to the oral cavity. The stop portion 12 is used to stop outside the oral cavity, preventing the subject 9 from accidentally swallowing the sucking part 1 . In this embodiment, the sucking part 1 is made of silicone, but in other variations, the sucking part 1 can also be made of silicone or other flexible and biocompatible materials.

該感測裝置2設置於該吸吮件1且包括一呼吸感測器21、一心率感測器22、一動作感測器23及一傳輸件24。The sensing device 2 is disposed on the sucking part 1 and includes a breathing sensor 21 , a heart rate sensor 22 , a motion sensor 23 and a transmission part 24 .

該呼吸感測器21設置於該吸吮件1的擋止部12,且用來感測該受測者9的呼吸並輸出一呼吸感測信號。在本實施例中,該呼吸感測器21為用來感測呼吸溫度的溫度計。The breath sensor 21 is disposed on the stop portion 12 of the suction member 1 and is used for sensing the breath of the subject 9 and outputting a breath sensing signal. In this embodiment, the breath sensor 21 is a thermometer for sensing breath temperature.

該心率感測器22用來設置於該受測者9的胸部,且用來感測心率並輸出一心率感測信號。The heart rate sensor 22 is arranged on the chest of the subject 9 for sensing heart rate and outputting a heart rate sensing signal.

該動作感測器23設置於該吸吮件1的吸吮部11,且用來感測口腔動作並輸出一動作感測信號。在本實施例中,該動作感測器23為三軸加速度計。The motion sensor 23 is disposed on the suction portion 11 of the suction member 1 and is used for sensing oral motion and outputting a motion sensing signal. In this embodiment, the motion sensor 23 is a three-axis accelerometer.

該傳輸件24電連接該呼吸感測器21、該心率感測器22與該動作感測器23且通訊連接該分析裝置3,並用來將該鼻息感測信號、該心率感測信號與該動作感測信號傳送至該分析裝置3。The transmission part 24 is electrically connected to the breathing sensor 21, the heart rate sensor 22 and the motion sensor 23 and is communicatively connected to the analysis device 3, and is used for the sniff sensing signal, the heart rate sensing signal and the The motion sensing signal is sent to the analyzing device 3 .

在本實施例中,該傳輸件24是微型單板電腦(Single-Board Computers, SBCs),以有線通信方式連接於該分析裝置3。In this embodiment, the transmission element 24 is a miniature single-board computer (Single-Board Computers, SBCs), which is connected to the analysis device 3 by wired communication.

該分析裝置3通訊連接於該感測裝置2的傳輸件24且內建一智慧型口腔進食能力評估模組。該分析裝置3用來接收該呼吸感測信號、該心率感測信號與該動作感測信號,並由該智慧型口腔進食能力評估模組計算並輸出一分析結果。The analysis device 3 is communicatively connected to the transmission part 24 of the sensing device 2 and has a built-in intelligent oral feeding ability evaluation module. The analysis device 3 is used to receive the breathing sensing signal, the heart rate sensing signal and the motion sensing signal, and calculate and output an analysis result by the intelligent oral eating ability evaluation module.

在本實施例中,該分析裝置3內建的該智慧型口腔進食能力評估模組以深度學習(Deep Learning)方式訓練完成一人工神經網路(Artificial Neural Network)。In this embodiment, the intelligent oral feeding ability evaluation module built in the analyzing device 3 is trained to complete an artificial neural network (Artificial Neural Network) by means of deep learning.

其中,深度學習為機器學習(Machine Learning)的其中一種,機器學習還分為其他如監督式學習(Supervised Learning)、非監督式學習(Unsupervised Learning)與增強學習(Reinforcement learning)等種類。而深度學習是基於對資料進行表徵學習(Representation Learning)的演算法,其觀測值(例如一幅圖像)可以使用多種特徵方式來表示,如每個像素強度值的向量,或者更抽象地表示成一系列邊、特定形狀的區域等。深度學習的優點在於以非監督式或半監督式的特徵學習和分層特徵提取高效演算法來替代手工取得特徵。Among them, deep learning is one of machine learning (Machine Learning), and machine learning is also divided into other types such as Supervised Learning, Unsupervised Learning and Reinforcement Learning. Deep learning is an algorithm based on representation learning (Representation Learning) of data. Its observation value (for example, an image) can be represented by a variety of feature methods, such as a vector of each pixel intensity value, or more abstractly. into a series of edges, regions of a specific shape, etc. The advantage of deep learning is that it replaces manual feature acquisition with unsupervised or semi-supervised feature learning and efficient algorithms for hierarchical feature extraction.

該智慧型口腔進食能力評估模組由輸入多筆訓練資料進行訓練,每一該訓練資料包括一輸入資料與一輸出資料。該輸入資料具有由該呼吸感測器21、該心率感測器22與該動作感測器23所獲得的該呼吸感測信號、該心率感測信號與該動作感測信號之數值。The intelligent oral feeding ability evaluation module is trained by inputting a plurality of training data, and each training data includes an input data and an output data. The input data includes values of the respiration sensing signal, the heart rate sensing signal and the motion sensing signal obtained by the respiration sensor 21 , the heart rate sensor 22 and the motion sensor 23 .

本發明透過人工智慧之深度學習建置決策輔助系統來評估口腔內的感覺與動作反應並建置:The present invention builds a decision-making assistance system through deep learning of artificial intelligence to evaluate the sensory and action responses in the oral cavity and builds:

一、發展診斷模型:藉由收集不同妊娠週數(妊娠28-40週)的嬰兒之由該呼吸感測器21、該心率感測器22與該動作感測器23所獲得的該呼吸感測信號、該心率感測信號與該動作感測信號之數值來建置並應用於診斷發展延遲狀況。1. Development of a diagnostic model: by collecting the breathing sensations obtained by the breathing sensor 21, the heart rate sensor 22 and the motion sensor 23 of babies of different gestational weeks (28-40 weeks of gestation) The values of the heart rate sensing signal, the heart rate sensing signal and the motion sensing signal are constructed and used for diagnosing developmental delay conditions.

二、吸吮特性模型:依照早產兒口腔動作發展,區辨以下三種吸吮模式特性:正常的吸吮模式、雜亂無章的吸吮模式(disorganized sucking pattern)及功能障礙的吸吮模式(dysfunctional sucking pattern)。2. Model of sucking characteristics: According to the development of oral movements of premature infants, distinguish the following three characteristics of sucking patterns: normal sucking pattern, disorganized sucking pattern and dysfunctional sucking pattern.

正常的吸吮模式為新生兒在吸吮時能持續且規律地進行10至30次吸吮,且呈現規律節奏的吸吮-吞嚥-呼吸韻律韻律。藉由該呼吸感測器21、該心率感測器22與該動作感測器23來感測呼吸、心率及口腔動作,再由該智慧型口腔進食能力評估模組分析該呼吸感測信號、該心率感測信號與該動作感測信號的連續性、節奏及規律性。The normal sucking pattern is that newborns can suck continuously and regularly for 10 to 30 times, and present a regular rhythm of sucking-swallowing-breathing rhythm. The respiration, heart rate and oral movement are sensed by the respiration sensor 21, the heart rate sensor 22 and the motion sensor 23, and then the intelligent oral eating ability evaluation module analyzes the respiration sensing signal, The continuity, rhythm and regularity of the heart rate sensing signal and the motion sensing signal.

雜亂無章的吸吮模式為新生兒無法維持吸吮-吞嚥-呼吸或運動,缺乏規律節奏。Disorganized sucking pattern is the newborn's inability to sustain suck-swallow-breath or movement without regular rhythm.

功能障礙的吸吮模式為新生兒的運動反應以及下巴、舌頭運動異常或沒有吸吮運動。Dysfunctional sucking patterns are neonatal motor responses with abnormal or absent jaw and tongue movements.

該輸出資料的正確判定答案輔以醫護專家根據收集該呼吸感測信號、該心率感測信號與該動作感測信號並搭配嬰兒矯正年齡(corrected age:由預產期當天起算的年齡)及臨床口腔餵食評估量表(Neonatal Oral Motor Assessment Scale, NOMAS)所評估判定之。The correct judgment answer of the output data is supplemented by medical experts collecting the breathing sensing signal, the heart rate sensing signal and the motion sensing signal and matching the corrected age of the baby (corrected age: the age calculated from the day of the expected date of delivery) and clinical oral feeding Assessment scale (Neonatal Oral Motor Assessment Scale, NOMAS) assessment and judgment.

該智慧型口腔進食能力評估模組的訓練方式為計算該輸入資料輸入該人工神經網路並經運算後所得之輸出結果與該輸出資料的正確判定答案間的誤差值,以梯度下降法(Gradient Descent)調整該人工神經網路中層跟層神經元(neuron)間的連結權重(weight)與神經元內的偏值(bias),以達到減小該輸出結果與正確判定答案間的差異之目的。The training method of the intelligent oral eating ability evaluation module is to calculate the error value between the output result obtained after inputting the input data into the artificial neural network and the correct judgment answer of the output data, using the gradient descent method (Gradient Descent) adjusts the connection weight (weight) and the bias value (bias) in the neuron between the middle layer and the layer neuron (neuron) of the artificial neural network, so as to reduce the difference between the output result and the correct decision answer. .

將本實施例用來評估該受測者9的口腔能力的評估過程說明如下:The evaluation process used to evaluate the oral ability of the subject 9 in this embodiment is described as follows:

首先,將該吸吮件1的吸吮部11放入該受測者9的口腔,使受測者9自行呼吸、吸吮該吸吮部11及吞嚥。同時,該呼吸感測器21感測該受測者9的呼吸溫度並輸出該呼吸感測信號、該心率感測器22感測該受測者9的心率並輸出該呼吸感測信號,及該動作感測器23感測該受測者9的口腔運動並輸出該動作感測信號。該傳輸件24接收該呼吸感測信號、該呼吸感測信號與該動作感測信號並傳輸至該分析裝置3。最後,該分析裝置3將該呼吸感測信號、該呼吸感測信號與該動作感測信號輸入該智慧型口腔進食能力評估模組並輸出該分析結果為:正常、雜亂無章或功能障礙的吸吮模式。First, put the sucking part 11 of the sucking piece 1 into the oral cavity of the subject 9, and let the subject 9 breathe, suck the sucking part 11 and swallow by himself. Simultaneously, the respiration sensor 21 senses the respiration temperature of the subject 9 and outputs the respiration sensing signal, the heart rate sensor 22 senses the heart rate of the subject 9 and outputs the respiration sensing signal, and The motion sensor 23 senses the oral motion of the subject 9 and outputs the motion sensing signal. The transmission member 24 receives the breathing sensing signal, the breathing sensing signal and the motion sensing signal and transmits them to the analyzing device 3 . Finally, the analysis device 3 inputs the breathing sensing signal, the breathing sensing signal and the motion sensing signal into the intelligent oral feeding ability evaluation module and outputs the analysis result as: normal, disordered or dysfunctional sucking patterns .

本發明藉由該感測裝置2感測呼吸、心率及口腔動作,並由該分析裝置3的分析結果來判斷口腔進食能力,感測與分析過程客觀而能提高評估準確性。因此,確實能達成本發明的目的。In the present invention, the sensing device 2 senses respiration, heart rate and oral movements, and judges oral feeding ability based on the analysis results of the analysis device 3 . The sensing and analysis process is objective and can improve evaluation accuracy. Therefore, the object of the present invention can indeed be achieved.

惟以上所述者,僅為本發明之實施例而已,當不能以此限定本發明實施之範圍,凡是依本發明申請專利範圍及專利說明書內容所作之簡單的等效變化與修飾,皆仍屬本發明專利涵蓋之範圍內。But what is described above is only an embodiment of the present invention, and should not limit the scope of the present invention. All simple equivalent changes and modifications made according to the patent scope of the present invention and the content of the patent specification are still within the scope of the present invention. Within the scope covered by the patent of the present invention.

1:吸吮件 11:吸吮部 12:擋止部 2:感測裝置 21:呼吸感測器 22:心率感測器 23:動作感測器 24:傳輸件 3:分析裝置 9:受測者1: sucking piece 11: sucking part 12: stop part 2: Sensing device 21: Breathing sensor 22: Heart rate sensor 23: Motion sensor 24: Transmission parts 3: Analysis device 9: Subject

本發明之其他的特徵及功效,將於參照圖式的實施方式中清楚地呈現,其中: 圖1是一張立體示意圖,說明本發明口腔進食能力評估系統的一實施例用來評估一受測者的口腔進食能力;及 圖2是該實施例的一張電路圖。 Other features and effects of the present invention will be clearly presented in the implementation manner with reference to the drawings, wherein: Fig. 1 is a schematic perspective view illustrating an embodiment of the oral feeding ability evaluation system of the present invention used to evaluate a subject's oral feeding ability; and Fig. 2 is a circuit diagram of this embodiment.

1:吸吮件 1: sucking piece

11:吸吮部 11: sucking part

12:擋止部 12: stop part

2:感測裝置 2: Sensing device

21:呼吸感測器 21: Breathing sensor

22:心率感測器 22: Heart rate sensor

23:動作感測器 23: Motion sensor

24:傳輸件 24: Transmission parts

3:分析裝置 3: Analysis device

9:受測者 9: Subject

Claims (6)

一種口腔進食能力評估系統,包含: 一吸吮件,適用於放入口腔; 一感測裝置,包括一設置於該吸吮件且用來感測呼吸並輸出一呼吸感測信號的呼吸感測器、一適用於設置於胸部且用來感測心率並輸出一心率感測信號的心率感測器,及一設置於該吸吮件且用來感測口腔動作並輸出一動作感測信號的動作感測器;及 一分析裝置,通訊連接於該感測裝置且內建一智慧型口腔進食能力評估模組,該分析裝置用來接收該呼吸感測信號、該心率感測信號與該動作感測信號,並根據該智慧型口腔進食能力評估模組輸出一分析結果。 An oral feeding ability evaluation system, comprising: a suction piece, suitable for insertion into the oral cavity; A sensing device, including a respiration sensor arranged on the sucking part for sensing respiration and outputting a respiration sensing signal, a respiration sensor suitable for being arranged on the chest for sensing heart rate and outputting a heart rate sensing signal a heart rate sensor, and a motion sensor disposed on the sucking part for sensing oral motion and outputting a motion sensing signal; and An analysis device, which is connected to the sensing device in communication and has a built-in intelligent oral feeding ability evaluation module, the analysis device is used to receive the breathing sensing signal, the heart rate sensing signal and the motion sensing signal, and according to The intelligent oral eating ability evaluation module outputs an analysis result. 如請求項1所述的口腔進食能力評估系統,其中,該吸吮件包括一適用於放入口腔的吸吮部,及一連接於該吸吮部且外露於口腔的擋止部,該呼吸感測器設置於該擋止部。The oral feeding ability evaluation system according to claim 1, wherein the sucking part includes a sucking part suitable for putting into the oral cavity, and a stop part connected to the sucking part and exposed to the oral cavity, and the breathing sensor set on the stopper. 如請求項1所述的口腔進食能力評估系統,其中,該呼吸感測器為用來感測呼吸溫度的溫度計。The oral feeding ability assessment system according to claim 1, wherein the breathing sensor is a thermometer for sensing breathing temperature. 如請求項1所述的口腔進食能力評估系統,其中,該動作感測器為三軸加速度計。The oral feeding ability evaluation system as claimed in Claim 1, wherein the motion sensor is a three-axis accelerometer. 如請求項1所述的口腔進食能力評估系統,其中,該感測裝置還包括一電連接該呼吸感測器、該心率感測器與該動作感測器且用來通訊連接該分析裝置的傳輸件,該傳輸件為微型單板電腦。The oral feeding ability assessment system according to claim 1, wherein the sensing device further includes a device that is electrically connected to the breathing sensor, the heart rate sensor and the motion sensor and is used to communicate with the analysis device The transmission part is a miniature single-board computer. 如請求項1所述的口腔進食能力評估系統,其中,該分析裝置內建的該智慧型口腔進食能力評估模組由機器學習的方式訓練完成。The oral feeding ability evaluation system according to claim 1, wherein the intelligent oral feeding ability evaluation module built in the analysis device is trained by machine learning.
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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20170127979A1 (en) * 2015-11-07 2017-05-11 Massachusetts Institute Of Technology Methods and apparatus for detecting hand-to-mouth behavior
US20190076100A1 (en) * 2017-09-14 2019-03-14 Oridion Medical 1987 Ltd. Systems and methods for operating an alert system of medical devices
US20200113512A1 (en) * 2018-10-10 2020-04-16 Sharp Kabushiki Kaisha Eating monitoring method, program, and eating monitoring device
WO2021084725A1 (en) * 2019-10-31 2021-05-06 フジデノロ株式会社 Detection device, magnetic composition, and management system

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20170127979A1 (en) * 2015-11-07 2017-05-11 Massachusetts Institute Of Technology Methods and apparatus for detecting hand-to-mouth behavior
US20190076100A1 (en) * 2017-09-14 2019-03-14 Oridion Medical 1987 Ltd. Systems and methods for operating an alert system of medical devices
US20200113512A1 (en) * 2018-10-10 2020-04-16 Sharp Kabushiki Kaisha Eating monitoring method, program, and eating monitoring device
WO2021084725A1 (en) * 2019-10-31 2021-05-06 フジデノロ株式会社 Detection device, magnetic composition, and management system

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