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Remote Patient Monitoring System for Diagnostic Pure-tone Audiometry

순음 청력검사를 위한 원격진단 모니터링 시스템

  • Lee, Kang-Ho (Korea Institute of Machinery & Materials) ;
  • Kwon, Yeong-Eun (School of Electrical Engineering, Kyungpook National University) ;
  • Kwon, Ohwon (Korea Institute of Machinery & Materials)
  • Received : 2019.09.03
  • Accepted : 2019.09.20
  • Published : 2019.09.30

Abstract

This paper presents a remote patient monitoring system for diagnostic pure-tone audiometry. A pure-tone audiometer was developed for basic hearing screening; its performance was evaluated according to international standards in terms of linearity, accuracy, and total harmonic distortion. Pure-tone audiometry has a maximum hearing level of 104.9 dB HL that is comparable with other commercial products. The audiometer shows satisfactory linearity with a deviation of ${\pm}0.4dB$, an accuracy of ${\pm}0.025%$, and a total harmonic distortion (THD) of 0.21%. The remote patient monitoring systems include remote control devices based on wide area network (WAN) connections and an audiometer connected in series. Through experimentation, we successfully performed real-time diagnostic communication without delay in transferring audiometric data. This system is expected to supply domestic equipment in the audiometric market and to improve the quality of life of patients in non-clinical environments.

Keywords

References

  1. https://www.who.int/deafness/en/ (retrieved on Sep. 2, 2019).
  2. S. W. Jeong, "The prospective effect of acceptance of disability on self-esteem of persons with hearing impairments", Disabil. Employ., Vol. 24, No. 1, pp. 167-197, 2014. https://doi.org/10.15707/disem.2014.24.1.007
  3. M. S. Ko, "The effects of social participation on daily life satisfaction in elderly with disabilities: mediating effect of self-rated health stats and self-esteem", Korean J. Health Serv. Manag., Vol. 9, No. 3, pp. 221-232, 2015. https://doi.org/10.12811/kshsm.2015.9.3.221
  4. M. R. Dix and J. D. Hood, "Modern developments in pure tone audiometry and their application to the clinical diagnosis of end-organ deafness", J. Laryngol. Otol., Vol. 67, No. 6, pp. 343-357, 1953. https://doi.org/10.1017/S002221510004874X
  5. C. Raymond and F. J. James, "Preferred method for clinical determination of pure-tone thresholds", J. Speech Hear. Disord., Vol. 24, No. 4, pp. 330-345. 1959. https://doi.org/10.1044/jshd.2404.330
  6. S. A. Gelfnd, Essentials of Audiology, 3rd Ed., Thieme Medical Publishers, New York, 2009.
  7. J. Y. Oh, Y. T. Park, E. C. Jo, and S. M. Kim, "Current status and progress of telemedicine in Korea and other countries", Healthc. Inform. Res., Vol. 21, No. 4, pp. 239-243, 2015. https://doi.org/10.4258/hir.2015.21.4.239
  8. M. Marcin, K. Lech, G. Tomasz, and K. Tomasz, "Hearing tests on mobile devices: evaluation of the reference sound level by means of biological calibration", J. Med. Internet Res., Vol. 18, No. 5, pp. 1-12, 2016. https://doi.org/10.2196/jmir.5239
  9. N. Nakamura, "Development of "MobileAudiometer" for screening using mobile phones", The 26th Ann. Int. Conf. IEEE Eng. in Med. Biol. Soc., pp. 3369-3372, San Francisco, USA, 2004.
  10. F. N. Martin and J. G. Clark, Introduction to Audiology, 12th Ed., Pearson Education, New Jersey, 2014.
  11. Accredited Standartds Committee S3, "Specification for audiometers", ANSI/ASA S3.6, filing date, 2010.
  12. K. H. Lee, D. Lee, O. Kwon, and C. H. Choi, "Development of air conduction audiometer for basic hearing screening", Audiol. Speech Res., Vol. 12, No. 3, pp. 144-149, 2016. https://doi.org/10.21848/asr.2016.12.3.144
  13. IEC technical committee 29, "Electroacoustics-Audiometric equipment-Part 1: Equipment for pure-tone audiometry", IEC 60645-1, filing date, 2012.