DE19825898A1 - Recording and transmission apparatus for digitised ECG signals - Google Patents

Recording and transmission apparatus for digitised ECG signals

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Publication number
DE19825898A1
DE19825898A1 DE19825898A DE19825898A DE19825898A1 DE 19825898 A1 DE19825898 A1 DE 19825898A1 DE 19825898 A DE19825898 A DE 19825898A DE 19825898 A DE19825898 A DE 19825898A DE 19825898 A1 DE19825898 A1 DE 19825898A1
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DE
Germany
Prior art keywords
memory
ram memory
receiving station
converter
ekg
Prior art date
Legal status (The legal status 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 status listed.)
Withdrawn
Application number
DE19825898A
Other languages
German (de)
Inventor
Joerg Dr Lamster
Matthias Dr Quinger
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
DITEC GmbH
Original Assignee
DITEC GmbH
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 DITEC GmbH filed Critical DITEC GmbH
Priority to DE19825898A priority Critical patent/DE19825898A1/en
Priority to DE19848229A priority patent/DE19848229A1/en
Publication of DE19825898A1 publication Critical patent/DE19825898A1/en
Priority to DE59900894T priority patent/DE59900894D1/en
Priority to AT99111267T priority patent/ATE213603T1/en
Priority to EP99111267A priority patent/EP0963734B1/en
Withdrawn legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1112Global tracking of patients, e.g. by using GPS
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0004Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted
    • A61B5/0006ECG or EEG signals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0015Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
    • A61B5/0022Monitoring a patient using a global network, e.g. telephone networks, internet
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/0205Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • A61B5/02055Simultaneously evaluating both cardiovascular condition and temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/333Recording apparatus specially adapted therefor
    • A61B5/335Recording apparatus specially adapted therefor using integrated circuit memory devices
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/022Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024Detecting, measuring or recording pulse rate or heart rate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Detecting, measuring or recording devices for evaluating the respiratory organs
    • A61B5/0816Measuring devices for examining respiratory frequency
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/14532Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring glucose, e.g. by tissue impedance measurement
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/1455Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters

Abstract

The apparatus includes an ECG apparatus which can be worn by a person and has electrodes (1), AD converter (2), RAM memory (3), microcontroller (4) with a mobile unit (B). The mobile unit includes a telephone circuit (5), with PC interface, and a transceiver circuit (6) which is connected to the apparatus. The analogue recording data of the electrodes are digitised by the AD converter and stored in the memory. The data are transmitted by the mobile unit online via a radio network to an external receiving station which evaluates the data. The data can be recorded using the memory and the printer.

Description

Die Erfindung bezieht sich auf ein am Körper eines Patienten tragbares EKG-Gerät zur Auf­ zeichnung und Übertragung von digitalisierten EKG-Signalen.The invention relates to an EKG device that can be worn on the body of a patient drawing and transmission of digitized ECG signals.

Am Körper eines Patienten zu tragende EKG-Gerätesysteme sind seit einigen Jahren bekannt. Die EKG-Signale werden dabei meist über einen Zeitraum von 24 Stunden oder länger, in einem elektronischem Speicher z. B. einem RAM, aufgezeichnet und zeitversetzt bzw. off-line über eine Schnittstelle am Monitor des behandelden Arztes ausgewertet. Rythmusstörungen am Herzen sind so nachträglich erkennbar.ECG device systems to be worn on a patient's body have been known for a few years. The ECG signals are usually in one over a period of 24 hours or longer electronic memory z. B. a RAM, recorded and staggered or off-line via a Interface evaluated on the monitor of the treating doctor. Rhythm disturbances at the heart so recognizable afterwards.

Bekanntgeworden ist auch ein EKG-Fernübertragungssystem bei dem die EKG-Signale mittels Tonfrequenzmodulation analog über das bekannte Festnetz-Telefon an einen Empfänger geleitet werden. Dieses System ermöglicht eine zeitnahe EKG-Überwachung eines Patienten, jedoch bei nur eingeschränkter Bewegungsfreiheit und einer zusätzlichen Mithilfe des Patienten durch Anwahl des Empfängers und Einleitung einer Übertragung. Das übertragene EKG entspricht so einerseits nicht dem normalem freien Tagesablauf des Patienten und ist andererseits umständlich handhabbar.Also known is an EKG remote transmission system in which the EKG signals are used Audio frequency modulation analog to a known landline phone to a receiver will. This system enables a patient to be monitored for ECG in a timely manner only limited freedom of movement and additional help from the patient by selection of the recipient and initiation of a transmission. The transmitted ECG corresponds on the one hand not the normal daily routine of the patient and on the other hand is difficult to handle.

Der Erfindung liegt daher die Aufgabe zugrunde, eine Vorrichtung der eingangs genannten Art zu schaffen, die die vollautomatische Online-EKG-Überwachung eines Patienten unabhängig von dessen Aufenthaltsort und ohne dessen Mitwirkung gestattet. The invention is therefore based on the object of a device of the type mentioned create the fully automated online ECG monitoring of a patient regardless of his whereabouts and without his participation is permitted.  

Diese Aufgabe wird erfindungsgemäß dadurch gelöst, daß ein am Körper eines Patienten tragbares EKG-Gerät mit den Hauptbaugruppen AD-Wandler, RAM-Speicher, Mikrocontroler, mit einem Telefonschaltkreis und einem Sende- Empfangs-Schaltkreis eines Handy's für ein Funknetz verbunden ist, so daß die digitalisierten Signale der Herzstromkurven des AD-Wandlers sowohl in den RAM-Speicher des EKG-Gerätes, als auch über ein Funknetz (z. B. D-Netz) ständig online oder im Falle einer vom Gerät erkannten Rhytmusstörung an eine externe Empfangsstation übertragen und dort zeitgleich ausgewertet oder aufgezeichnet werden. Rhytmusstörungen werden so rechtzeitig erkannt und können dem Patienten signalisiert werden. Bei bedrohlichen Rhytmusstörungen kann so rechtzeitig der medizinische Notdienst alarmiert werden. Zwischenzeitliche Arztbesuche sind ebenfalls nicht mehr erforderlich und der Patient kann sich während der Aufzeichnung und während einer Übertragung frei bewegen.This object is achieved in that a wearable on the body of a patient ECG device with the main modules AD converter, RAM memory, microcontroller, with one Telephone circuit and a transceiver circuit of a cell phone for a radio network is connected so that the digitized signals of the cardiac output curves of the AD converter both in the RAM memory of the EKG device, as well as online via a radio network (e.g. D network) or in the event of a rhythm disturbance detected by the device to an external receiving station transferred and evaluated or recorded there at the same time. Rhythm disturbances recognized in time and can be signaled to the patient. When threatening The medical emergency service can be alerted in good time to rhythm disorders. Intermediate visits to the doctor are also no longer necessary and the patient can relax move freely during recording and during a transmission.

Die Verbindung des RAM-Speichers des EKG-Systems mit dem HANDY-Telefon-Schalt­ kreis gestattet sowohl die Aufzeichnung der EKG-Signale im RAM-Speicher, als auch die gleichzeitige Online-Übertragung zur externen Empfangsstation. z. B. beim Arzt mit digitaler Aufzeichnung und/oder einer echtzeitlichen Auswertung über Monitor oder durch Anschluß eines Druckers.The connection of the RAM memory of the EKG system with the mobile phone switch circle allows both the recording of the ECG signals in the RAM memory and the simultaneous online transmission to the external receiving station. e.g. B. at the doctor with digital Recording and / or a real-time evaluation via monitor or by connecting one Printer.

Findet der Sende- Empfangs-Schaltkreis der HANDY-Baugruppe keinen Anschluß im D-Netz. so erfolgt in festgelegten zeitlichen Abständen über eine automatische WAHLWIEDERHOLUNG eine erneute Übertragung, oder die Übertragung wird automatisch auf eine festgelegte andere Telefon-Nr. geleitet.If the transmit / receive circuit of the HANDY module finds no connection in the D network. so takes place at fixed intervals via an automatic REDIAL a retransmission, or the transfer is automatically set to another Phone number. headed.

Nach erfolgter Übertragung kann der RAM-Speicher vom Empfänger über ein Steuersignal gelöscht werden.After the transfer is complete, the RAM memory can be cleared by the receiver using a control signal will.

Der der Erfindung zugrundeliegende Gedanke wird in einer nachfolgenden Beschreibung anhand eines Ausführungsbeispieles, das in der Zeichnung dargestellt ist, näher erläutert.The idea on which the invention is based is described in the following description of an embodiment, which is shown in the drawing, explained in more detail.

Dabei zeigt dieThe shows

Fig. 1 ein Blockschaltbild der erfindungsgemäßen Vorrichtung. Fig. 1 is a block diagram of the device according to the invention.

Die von den Elektroden 1 aufgenommenen analogen Signale, z. B. Herzstromkurven, werden im AD-Wandler 2 des EKG-Gerätes (A) umgewandelt und digital im RAM-Speicher 3 gespeichert. Der Microcontroler 4 sorgt für die Steuerung der erfassten Signale und ist mit dem RAM-Speicher 3 und mit dem Telefon-Schaltkreis 5 des HANDY's (B) verbunden. Zur Programmierung und für das LESEN des Inhaltes des RAM-Speichers 3 weist der Telefon- Schaltkreis 5 ein Interface für einen PC auf. Für das SENDEN und EMPFANGEN von digitalen Signalen ist der Telefon- Schaltkreis 5 mit einem Sende-Empfänger-Schaltkreis 6 des HANDY's (B) verbunden. Die erfindungsgemäße Vorrichtung ist somit für das Speichern erfasster Signale in einem RAM und für das Senden digitaler Daten in ein Funknetz geeignet.The analog signals picked up by the electrodes 1 , e.g. B. cardiac current curves are converted in the AD converter 2 of the EKG device (A) and stored digitally in the RAM memory 3 . The microcontroller 4 ensures the control of the detected signals and is connected to the RAM memory 3 and to the telephone circuit 5 of the HANDY (B). For programming and for reading the contents of the RAM 3 , the telephone circuit 5 has an interface for a PC. For the SEND and RECEIVE of digital signals, the telephone circuit 5 is connected to a transceiver circuit 6 of the MOBILE PHONE (B). The device according to the invention is therefore suitable for storing detected signals in a RAM and for sending digital data into a radio network.

Die Übertragung der digitalen Daten erfolgt dabei zeitgleich mit der Erfassung der analogen Signale am Patienten bzw. in gepufferter Form, wobei der Empfang an einer externen Empfangsstation on-line an einem Monitor erfolgt bzw. digital, z. B. in einem RAM des angeschlossenen PC's gespeichert wird oder zeitgleich über einen Drucker zur Ausgabe kommt.The digital data is transmitted simultaneously with the acquisition of the analog signals on the patient or in buffered form, with reception at an external receiving station done online on a monitor or digitally, e.g. B. in a RAM of the connected PC is saved or output at the same time via a printer.

Die im Speicher des EKG-Gerätes (B) etablierte Software erkennt Rhytmusstörungen selbständig und löst die automatische Übertragung der der EKG-Episode aus.The software established in the memory of the EKG device (B) automatically detects rhythm disturbances and triggers the automatic transmission of the EKG episode.

Die Übertragungsmöglichkeit von digitalen Signalen über ein Funk-Netz ermöglicht die Fernsteuerung des EKG-Gerätes, z. B. die Umprogrammierung, aber auch die Erfassung und Übertragung weiterer Meßgrößen, wie Blutdruck, Blutzucker, Sauerstoffsättigung des Blutes usw. des angeschlossenen Patienten.The possibility of transmitting digital signals over a radio network enables Remote control of the EKG device, e.g. B. reprogramming, but also the acquisition and Transmission of other parameters, such as blood pressure, blood sugar, blood oxygen saturation etc. of the connected patient.

Die erfindungsgemäße Vorrichtung hat so den Vorteil, daß sie die life-Überwachung eines Patienten gestattet und eine sofortige Alarmierung im Falle eines bedrohlichen Zustandes ermöglicht.The device according to the invention has the advantage that it monitors the life of a Patients allowed and an immediate alert in the event of a threatening condition enables.

Claims (4)

1. Vorrichtung zur Aufzeichnung und Übertragung von digitalisierten EKG-Signalen von einem am Körper einer Person zu tragenden EKG-Gerätes mit On-line-Überwachung, dadurch gekennzeichnet, daß das am Körper der Person tragbare EKG-Gerät (A) mit den Haupt­ baugruppen Elektroden (1), AD-Wandler (2), RAM-Speicher (3), Microcontroler (4) mit einer HANDY-Einheit (B) mit den Baugruppen Telefon-Schaltkreis (5) mit PC-Schnittstelle, Sende- Empfangs- Schaltkreis (6) zu einem Gerät verbunden ist, wobei die analogen Auf­ zeichnungsdaten der Elektroden (1) im AD-Wandler (2) digitalisiert, im RAM-Speicher (3) gespeichert und von der HANDY-Einheit (B) online über ein Funknetz (D-Netz) an eine externe Empfangsstation übertragen und dort zeitgleich ausgewertet oder mittels Speicher und Drucker aufgezeichnet werden.1. Device for recording and transmission of digitized ECG signals from an EKG device to be worn on the body of a person with on-line monitoring, characterized in that the EKG device (A) which can be worn on the body of the person with the main assemblies Electrodes ( 1 ), AD converter ( 2 ), RAM memory ( 3 ), microcontroller ( 4 ) with a HANDY unit (B) with the telephone circuit ( 5 ) with PC interface, transmit / receive circuit ( 6 ) is connected to a device, the analog recording data of the electrodes ( 1 ) being digitized in the AD converter ( 2 ), stored in the RAM memory ( 3 ) and transferred online by the HANDY unit (B) via a radio network ( D network) to an external receiving station and evaluated there at the same time or recorded by means of memory and printer. 2. Vorrichtung nach Anspruch 1, dadurch gekennzeichnet daß der Telefonschaltkreis (5) der HANDY-Einheit (B) mit einer Wahlwiederholung ausgestattet ist und der Sende-Empfänger- Schaltkreis (6) der HANDY-Einheit (B) nach erfolgter Übertragung ein Quitt-Signal erhält.2. Apparatus according to claim 1, characterized in that the telephone circuit ( 5 ) of the HANDY unit (B) is equipped with a redial and the transceiver circuit ( 6 ) of the HANDY unit (B) after the transmission is a receipt. Receives signal. 3. Vorrichtung nach Anspruch 1, dadurch gekennzeichnet, daß die Software des EKG-Gerätes (A) und die Software der HANDY-Einheit (B) von der externen Empfangsstation veränderbar ist.3. Device according to claim 1, characterized in that the software of the ECG device (A) and the software of the HANDY unit (B) from the external receiving station is changeable. 4. Vorrichtung nach Anspruch 1 bis 3, dadurch gekennzeichnet, daß der Inhalt des RAM- Speicher (3) des EKG-Gerätes (A) von der externen Empfangsstation über den Telefon­ schaltkreis (5) der HANDY-Einheit (B) löschbar ist.4. Apparatus according to claim 1 to 3, characterized in that the content of the RAM memory ( 3 ) of the EKG device (A) from the external receiving station via the telephone circuit ( 5 ) of the mobile phone unit (B) can be deleted.
DE19825898A 1998-06-10 1998-06-10 Recording and transmission apparatus for digitised ECG signals Withdrawn DE19825898A1 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
DE19825898A DE19825898A1 (en) 1998-06-10 1998-06-10 Recording and transmission apparatus for digitised ECG signals
DE19848229A DE19848229A1 (en) 1998-06-10 1998-10-20 Medical data recording and transmission device
DE59900894T DE59900894D1 (en) 1998-06-10 1999-06-10 Device for recording and transmission of medical data
AT99111267T ATE213603T1 (en) 1998-06-10 1999-06-10 DEVICE FOR RECORDING AND TRANSMITTING MEDICAL DATA
EP99111267A EP0963734B1 (en) 1998-06-10 1999-06-10 Device for recording and transmission of medical data

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
DE19825898A DE19825898A1 (en) 1998-06-10 1998-06-10 Recording and transmission apparatus for digitised ECG signals

Publications (1)

Publication Number Publication Date
DE19825898A1 true DE19825898A1 (en) 1998-12-10

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DE19825898A Withdrawn DE19825898A1 (en) 1998-06-10 1998-06-10 Recording and transmission apparatus for digitised ECG signals
DE19848229A Withdrawn DE19848229A1 (en) 1998-06-10 1998-10-20 Medical data recording and transmission device
DE59900894T Expired - Lifetime DE59900894D1 (en) 1998-06-10 1999-06-10 Device for recording and transmission of medical data

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DE19848229A Withdrawn DE19848229A1 (en) 1998-06-10 1998-10-20 Medical data recording and transmission device
DE59900894T Expired - Lifetime DE59900894D1 (en) 1998-06-10 1999-06-10 Device for recording and transmission of medical data

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DE19848229A1 (en) 1999-06-24

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