CN110755056A

CN110755056A - Doctor four-diagnosis process recorder

Info

Publication number: CN110755056A
Application number: CN201911149082.5A
Authority: CN
Inventors: 刘保延; 文天才; 薛宁; 张润顺; 方震; 周雪忠; 杨杰; 陈贤祥; 张磊; 孙旭光
Original assignee: Chinese Academy of Medical Sciences CAMS
Current assignee: Chinese Academy of Medical Sciences CAMS; China Academy of Chinese Medical Sciences CACMS
Priority date: 2019-11-21
Filing date: 2019-11-21
Publication date: 2020-02-07

Abstract

The invention provides a doctor four-diagnosis process recorder, which belongs to the technical field of medical equipment and comprises: fixing the panel; the four-diagnosis acquisition module comprises a pulse condition process recorder, a inspection process recorder, an auscultation process recorder and an inquiry process recorder, which are respectively electrically connected with the fixed panel in parallel and are suitable for respectively receiving external inward signals; and the display module is arranged on the fixed panel, is electrically connected with the four-diagnosis acquisition module and is suitable for displaying the record data of the four-diagnosis acquisition module. The four-diagnosis process recorder can objectively record the diagnosis manipulation and process of doctors and the symptoms of patients at the same time, is beneficial to the study and summary of the disease diagnosis and treatment process of the famous and old doctors, and enables students to deeply experience the essence of doctors so as to facilitate the inheritance of the four-diagnosis experience of the traditional Chinese medical doctors.

Description

Doctor four-diagnosis process recorder

Technical Field

The invention relates to the technical field of medical equipment, in particular to a doctor four-diagnosis process recorder.

Background

The four diagnostic methods proposed by doctors of traditional Chinese medicine refer to the four diagnostic methods of inspecting, smelling, asking and cutting the magpie on the basis of summarizing the experience of the people before. These four diagnostic methods are still commonly used so far, and are important basis for the syndrome differentiation and treatment of doctors.

The doctor of traditional Chinese medicine carries out four diagnosis on the patient independently of the doctor, and the four diagnosis is a complete process of the interaction between the doctor and the patient. The doctor research is very important to pay attention to the experience inheritance of famous doctors and famous doctors, and the most important content is the process of learning and summarizing the diagnosis and treatment of diseases of the famous doctors.

The traditional Chinese medical doctor diagnosis method relies on human body sense organs to sense, and then teaches the sense to students through language description, cannot be simulated through visualized instruments, cannot objectively and completely record the four-diagnosis process, and is difficult for the students to fully realize the essence of the doctor, long in learning period and low in efficiency.

Disclosure of Invention

Therefore, the technical problem to be solved by the invention is to overcome the defect that the four-diagnosis process of the old doctor cannot be objectively and completely recorded in the prior art, thereby providing a recorder capable of objectively recording the four-diagnosis process of the doctor.

In order to solve the technical problem, the doctor four-diagnosis process recorder provided by the invention comprises:

fixing the panel;

the four-diagnosis acquisition module comprises a pulse condition process recorder, a inspection process recorder, an auscultation process recorder and an inquiry process recorder, which are respectively electrically connected with the fixed panel in parallel and are suitable for respectively receiving external inward signals;

and the display module is arranged on the fixed panel, is electrically connected with the four-diagnosis acquisition module and is suitable for displaying the record data of the four-diagnosis acquisition module.

Preferably, the pulse condition process recorder is connected with the fixed panel through a fixed platform.

Preferably, the pulse condition process recorder comprises:

a fixed platform;

the pulse condition shell is provided with a cavity for accommodating an arm and is rotationally connected with the fixed platform through a rotating shaft;

the pulse condition window is arranged at the top end of the pulse condition shell and penetrates through the top end of the pulse condition shell;

the pressure sensing film is internally provided with a pressure sensor, covers the pulse window and is suitable for receiving a pressure signal from the outside to the inside of the pulse window;

and the pulse condition recording module is electrically connected with the pressure sensor in the pressure sensing membrane.

Preferably, the pressure sensor also receives an outward pulse signal inside the pulse window (10).

Preferably, the inspection process recorder comprises:

a inspection casing having a hand-holdable handle;

the image acquisition unit is provided with a lens and a display screen and is connected to the shell, and the lens and the display screen are respectively arranged at the front end and the rear end of the shell;

the image acquisition unit further comprises a camera shooting button and a video recording button, and the camera shooting button and the video recording button are suitable for switching the acquisition ways of the images.

Preferably, the auscultation process recorder comprises:

the auscultation shell is provided with a hand-held handle;

the breath collecting unit is arranged on the auscultation shell, is communicated with the auscultation shell and is suitable for collecting and detecting the incoming gas;

and the auscultation recording module is electrically connected with the expiration collecting unit and is used for recording a detection signal of the incoming gas.

Preferably, the breath collection unit includes:

the gas collecting tube is internally provided with an electronic nose, a flow velocity measuring instrument and a volume measuring instrument;

the expiration head is provided with an expiration end and a connecting end, is detachably connected to the upper pipe orifice of the gas collecting pipe and is suitable for inhaling gas.

Preferably, the interrogation process recorder has a plurality of groups, is symmetrically arranged on the fixed panel, and is suitable for receiving the inward sound wave signals outside the interrogation process recorder.

Preferably, the inquiry process recorder further comprises:

the radar is arranged in the middle of the area where the plurality of groups of inquiry process recorders are located and is suitable for measuring the distance between a sound source and the inquiry process recorders.

Preferably, the solar panel further comprises a storage battery which is arranged in the fixed panel.

The technical scheme of the invention has the following advantages:

1. the pulse condition process recorder, the inspection process recorder, the auscultation process recorder and the inquiry process recorder are respectively and electrically connected with the fixed panel and the display module in parallel, can objectively record the diagnosis manipulation, the process and the symptoms of a patient of a doctor at the same time, is beneficial to the study and the summary of the disease diagnosis and treatment process of the old doctor, enables the student to deeply experience the essence of the doctor, and is convenient for the inheritance of the four diagnosis experiences of the doctor.

2. The pulse condition process recorder is connected with the fixed panel through the fixed platform, so that the pulse condition process recorder is convenient to mount and dismount.

3. The cavity of the pulse condition shell is used for placing the wrist of an arm, the pulse part is positioned in the area range of the pulse condition window, a finger presses the pulse part through a pressure sensing film, a pressure sensor in the pressure sensing film can sense the pressure generated by pulse beating and the pressure generated by pressing of the finger, and the pulse condition recording module records the signal; the pressure sensor can objectively record the pressure and the position of the fingers of a doctor and physical parameters such as the pulse beating frequency and the waveform of a patient through the pressure sensor arranged in the pressure sensing film, and the data are important supports for follow-up doctor pulse feeling process recording, disease identification thinking process analysis, diagnosis and treatment process optimization, experience sharing and teaching.

4. The image acquisition unit can take pictures and record videos of the surface symptoms of the patient, can clearly record the state of the patient at that time, and can enable students to analyze, learn and inherit the inspection experience of famous and old traditional Chinese medical doctors according to the conditions in the pictures or the videos.

5. The breath collecting unit can collect and measure the breath gas of the patient and objectively record the breath gas through the auscultation recording module, so that the study and study on the auscultation experience of the doctor are facilitated.

6. The electronic nose, the flow rate measuring instrument and the volume measuring instrument are arranged to objectively measure the smell, the flow rate and the volume of the gas inhaled by the patient; the breathing head can be changed at any time aiming at different patients, and is safer and more sanitary.

7. The inquiry process recorder is not only beneficial for doctors to master the medical history of patients and the feeling of the patients, but also can record the sound wave of the patients.

8. Due to the arrangement of the radar, the measurement of the sound wave signals is more accurate, and the sound wave signals can be judged by combining the sound source distance.

9. The storage battery not only stabilizes the voltage of the four-diagnosis equipment, but also can be used in case of power failure.

Drawings

In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and other drawings can be obtained by those skilled in the art without creative efforts.

Fig. 1 is a schematic perspective view of a four-diagnosis process recorder provided in practice.

Fig. 2 is a schematic perspective view of the inspection process recorder provided in the implementation.

Fig. 3 is a schematic view of the interior of the lower portion of the pulse condition housing.

Fig. 4 is a schematic view of the interior of the upper part of the pulse case.

Fig. 5 is a schematic structural diagram of the pressure sensor.

FIG. 6 is a circuit schematic of an array scanning system.

Fig. 7 is a front view of the inspection process recorder.

Fig. 8 is a rear view of the inspection process recorder.

Fig. 9 is a left side view of the inspection process recorder.

Fig. 10 is a schematic perspective view of the auscultation process recorder.

Description of reference numerals:

1. a display module; 2. a four-diagnosis selection button; 3. fixing the panel; 4. a pulse condition process recorder; 5. a monitor for the inspection process; 6. an auscultation process recorder; 7. an inquiry process recorder; 8. a radar; 9. a fixed platform; 10. the window of pulse condition; 11. rotating; 12. a pressure indicator; 13. an air bag; 14. a pressure-sensitive gauge; 15. a temperature sensor; 16. a humidity sensor; 17. a sphygmomanometer; 18. a raised layer; 19. an upper electrode layer; 20. an intermediate layer; 21. a lower electrode layer; 22. a piezoresistive sensing unit; 23. a shell for inspection; 24. a lens; 25. a display screen; 26. an array of light sources; 27. a light source selection button; 28. an image zoom knob; 29. a light shield; 30. a gas collection tube; 31. an exhalation head; 32. a pulse condition shell; 33. a camera button; 34. a video button; 35. a connecting end; 36. an exhalation end; 37. the shell is treated by auscultation.

Detailed Description

The technical solutions of the present invention will be described clearly and completely with reference to the accompanying drawings, and it should be understood that the described embodiments are some, but not all embodiments of the present invention. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

In the description of the present invention, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc., indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description and simplicity of description, but do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be construed as limiting the present invention. Furthermore, the terms "first," "second," and "third" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.

In the description of the present invention, it should be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral connection; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.

In addition, the technical features involved in the different embodiments of the present invention described below may be combined with each other as long as they do not conflict with each other.

As shown in fig. 1, the four-diagnosis process recorder for doctors provided by the embodiment includes a four-diagnosis acquisition module, a display module 1, and a fixing panel 3; the four-diagnosis acquisition module comprises a pulse condition process recorder 4, a inspection process recorder 5, an auscultation process recorder 6 and an inquiry process recorder 7; a storage battery is arranged in the fixed panel 3 and used as a host to supply power to other components; the pulse condition process recorder 4, the inspection process recorder 5, the auscultation process recorder 6 and the inquiry process recorder 7 are connected in parallel, the four-diagnosis function can be selected through the four-diagnosis selection button 2, and external inward signals are respectively received; the display module 1 is electrically connected with the four-diagnosis acquisition module and can display recorded measurement signals.

As shown in fig. 1, the interrogation process recorder 7 is a directional microphone, which has four directional microphones, symmetrically installed on four directions of the fixed panel 3, and can record the acoustic wave of the patient in all directions; the radar 8 is arranged at the center position of the area where the four directional microphones are located, the position of a patient can be recorded, the condition of a sound wave signal can be judged by combining the sound source distance, and the obtained sound wave signal can be measured more accurately.

As shown in fig. 2, the pulse condition process recorder 4 includes: a fixed platform 9, a pulse condition shell 32, a pulse condition window 10, a pressure sensing film and a pulse condition recording module; the pulse condition shell 32 is provided with a cavity for accommodating an arm, the pulse condition shell is rotatably connected with the fixed platform 9 through a swivel base 11, the pulse condition shell can be conveniently used by a patient from multiple angles, the swivel base 11 can well support the pulse condition shell 32, so that the patient can relax the arm, and the pulse condition effect is better; the two pulse windows 10 are symmetrically arranged at the top end of the pulse shell 32 and penetrate through the top end of the pulse shell 32, and the two pulse windows 10 are arranged to facilitate the interchange of the left arm and the right arm of a patient; the pressure sensing film is connected above the two pulse windows 10 in a covering manner; a pressure sensor is arranged in the pressure sensing film, and the pressure sensing film is a telescopic transparent film, so that a doctor can observe the wrist of a patient through the transparent film, accurate palpation is facilitated, and the pressure sensing film can rebound after palpation is completed; the thickness of the pressure sensing film is 100-200 microns, and the film can acquire dynamic pulse information and static doctor finger pressure information of a patient; meanwhile, because the film is thinner, the doctor can sense the pulse beat. The pressure sensor can receive pressure signals from the outside to the inside of the pulse window 10, and the pressure signals comprise the pressure of the pulse beat of the patient to the pressure sensing membrane and the pressing force of the finger of the doctor to the pressure sensing membrane. When the pressure sensor is used, the pressure sensor in the pressure sensing film converts the mechanical information of the pressure into a corresponding electric signal. The static pressure of the finger outputs a direct current electrical signal, and the pulse of the patient outputs alternating current electrical information. Then, by analyzing the pulse condition information, the DC and AC information is separated, corresponding to the pulse and finger pressure information.

As shown in fig. 2, the top end of the pulse condition casing 32 is provided with a pressure indicator 12, and the pressure indicator 12 is an indicator light and is positioned in the middle of the two pulse condition windows 10; the three groups of indicator lamps are respectively and electrically connected with three different areas of the pressure sensing film and respectively correspond to the inch position, the close position and the scale position, and the pressing force of three fingers of a doctor and the pressure generated by pulse pulsation of a patient are displayed; the light of pilot lamp is red orange green blue and constitutes, and the big red more of pressure colour, the little blue more of pressure colour, can make the demonstration of the pressure visual image of forced induction membrane record come out.

As shown in fig. 2, the inner wall of the pulse condition shell 32 is provided with an air bag 13 which can fix wrists with different thicknesses; the air bag 13 is formed by communicating a plurality of cavities, and the accommodating spaces of the cavities are different; the cavity at the bottom of the inner wall has a larger volume and can contain more gas; the volume of the cavity near the pulse window 10 is smaller; the cavity distributed in this way is beneficial to lifting the wrist of the patient upwards, so that the wrist is closer to the pulse window 10, and the precision of the doctor contacting the wrist and recording the pressure of the pulse part is improved.

As shown in fig. 3, the front end of the lower side air bag 13 in the pulse condition shell 32 is provided with a pressure sensor 14 which is contacted with the end of the arm ulna; after the pressure sensor 14 senses the pressure at the tail end of the ulna, the wrist accurately reaches the position below the pulse window 10, the pressure sensor 14 sends a signal to the controller, and the controller controls the air bag 13 to inflate to lift the wrist, so that the distance between the wrist and the pulse window 10 is reduced.

As shown in fig. 3 and 4, a temperature sensor 15, a humidity sensor 16, and a sphygmomanometer 17 are further installed inside the airbag 13, and measure the temperature and humidity of the skin and the blood pressure of the human body, respectively.

As shown in fig. 5, the pressure sensor includes: the electrode comprises a convex layer 18, an upper electrode layer 19, an intermediate layer 20 and a lower electrode layer 21, wherein each layer has flexibility and can be attached to a curved surface in a certain radian, and the layers are bonded through a polymer adhesive; the bump layer 18 is provided with a plurality of bumps arranged in an array, the upper electrode layer 19 and the lower electrode layer 21 are both provided with a plurality of electrodes, the middle layer 20 is provided with a plurality of piezoresistive sensitive units 22, and the piezoresistive sensitive units 22 are made of a nano composite material; wherein, the piezoresistive sensing units 22 correspond to each edge of each protrusion one by one, and each electrode of the upper electrode layer 19 and each electrode of the lower electrode layer 21 are interconnected with each piezoresistive sensing unit 22 of the middle layer 20 in one by one correspondence, so as to form a sensor array, thereby realizing the measurement of normal pressure and tangential pressure.

A scanning system scanning circuit of the sensor array, a single chip microcomputer and a computer, as shown in fig. 6; in the scan circuit, a bank of standard resistors is added and labeled RS1 through RSN. The standard resistor line can effectively avoid the influence of input voltage fluctuation on the resistance value in the calculation process, and improve the measurement precision. The other array resistances are piezoresistive sensing cells 22 in the sensor array connected to the circuit, labeled Rij, where i is the number of rows and j is the number of columns. Each row and column has an operational amplifier connected to the piezoresistors of the piezoresistive sensing cells 22. When the single chip microcomputer selects a row, high voltage is applied to the positive input end of the operational amplifier, meanwhile, other rows of operational amplifiers are connected to zero potential, the output voltage of each row of operational amplifiers is measured respectively, and then the resistance of each piezoresistive sensitive unit 22 in the selected row can be obtained. Then the single chip microcomputer converts the output voltage of each column of operational amplifiers into a digital form through an analog-to-digital converter and transmits the digital form to a computer through Bluetooth. The information of the pulse wave of the doctor pressing static state and the patient dynamic state can be obtained according to the characteristic curve of the pressure resistance value of the measured piezoresistive sensing unit 22. The information of the pressing static state and the dynamic pulse wave of the patient is transmitted to the pulse condition recording module through the pressure sensor to be recorded and stored.

The resistance of the piezoresistive sensitive unit 22 in the sensor array consists of the volume resistance of the nanocomposite material and the contact resistance between the upper and lower surfaces of the nanocomposite material and the electrodes. The resistance is given by:

R＝ρl/A

where R is the resistance, l is the length, A is the contact area of the piezoresistive material with the electrode, and ρ is the resistance of the nanocomposite.

Regarding the pressure-sensitive film with a pressure sensor, a flexible tactile sensor array disclosed in chinese patent document CN110082010A has a plurality of embodiments for detailed description, and one of them can be selected by those skilled in the art to implement the present embodiment, or other conventional pressure-sensitive films in the art can also be used to implement the recorder of the present embodiment.

As shown in fig. 7 and 8, the inspection process recorder 5 includes an inspection casing 23 and an image acquisition unit; the inspection shell 23 is provided with a handle, so that the inspection shell can be conveniently held by hands to acquire images of tongue images, facial images or other disease parts; a storage battery is arranged in the inspection shell 23 and supplies power to the image acquisition unit; the image acquisition unit is connected to the inspection shell 23; the image acquisition unit comprises a lens 24 and a display screen 25, and is respectively positioned at the front end and the rear end of the inspection shell 23; the image acquisition unit also comprises an image pickup button 33 and a video recording button 34, can switch the acquisition path of the image, clearly record the state of the patient at that time, and can enable students to analyze, learn and inherit the inspection experience of famous doctors aiming at the condition of taking pictures or recording videos.

As shown in fig. 8, the lens 24 is a retractable lens, which is beneficial for collecting the whole image and the local magnified image, and the image zooming knob 28 arranged on the side of the inspection casing 23 adjusts the length of the lens 24; a circular light source array 26 is arranged on the axial direction of the lens 24; as shown in fig. 7, a light source selection button 27 is arranged on the inspection casing 23 on one side of the display screen 25, and the light source selection button 27 can adjust the light of the light source array 26, wherein the light comprises white light, red light, blue light and yellow light, and can be adjusted according to the collected parts of the human body; as shown in fig. 9, a light shield 29 is disposed at an outer edge of the light source array 26, so as to shield external interference light; the light shield is made of Microsoft rubber, has different specifications, and can be suitable for mouth parts, face parts, large-area body surfaces such as abdomen or back parts, and cylinder body surfaces such as upper and lower limbs.

As shown in fig. 7, all the operation buttons on the inspection process recorder 5 are concentrated in the sector area that can be reached by the thumb of the right hand, so that the operation is convenient.

As shown in fig. 10, the auscultation process recorder 6 includes: the auscultation shell 37, the expiration acquisition unit and the auscultation recording module; the auscultation shell is provided with a hand-held handle, so that the auscultation shell is convenient for a patient to use; the breath collecting unit is arranged on the auscultation shell and is communicated with the auscultation shell; the expiration collecting unit comprises a gas collecting pipe 30 and an expiration head 31, the expiration head 31 is detachably connected to the upper pipe orifice of the gas collecting pipe 30 through a connecting end 35, and the expiration head 31 can be replaced at any time and is disposable; the axis of the expiration head 31 and the axis of the gas collection pipe 30 form a certain included angle, so that the inhaled gas can be rapidly diffused into the gas collection pipe 30; the electronic nose, the flow rate measuring instrument and the volume measuring instrument which are arranged in the gas collecting pipe 30 can rapidly measure the smell, the volume and the flow rate of the gas inhaled by the patient, and the measured information is recorded by the auscultation and diagnosis recording module.

As shown in FIG. 10, the diameter of the upper orifice of the gas collection tube 30 is larger than the diameter of the lower orifice; the exhalation head 31 comprises a connecting end 35 and an exhalation end 36, and the opening diameter of the exhalation end 36 is smaller than that of the connecting end 35; this enables the incoming gas to remain in the gas collection tube 30 for a longer period of time, resulting in more adequate gas measurement and more accurate measurement results.

It should be understood that the above examples are only for clarity of illustration and are not intended to limit the embodiments. Other variations and modifications will be apparent to persons skilled in the art in light of the above description. And are neither required nor exhaustive of all embodiments. And obvious variations or modifications therefrom are within the scope of the invention.

Claims

1. Doctor four diagnosis process record appearance, its characterized in that includes:

a fixed panel (3);

the four-diagnosis acquisition module comprises a pulse condition process recorder (4), a inspection process recorder (5), an auscultation process recorder (6) and an inquiry process recorder (7), which are respectively and electrically connected with the fixed panel (3) in parallel and are suitable for respectively receiving external inward signals;

and the display module (1) is arranged on the fixed panel (3), is electrically connected with the four-diagnosis acquisition module and is suitable for displaying the recorded data of the four-diagnosis acquisition module.

2. The doctor's four-diagnosis process recorder according to claim 1, characterized in that the pulse condition process recorder (4) is connected with the fixing panel (3) through a fixing platform (9).

3. The doctor's four-diagnosis process recorder according to claim 2, wherein the pulse condition process recorder (4) comprises:

a fixed platform (9);

the pulse condition shell (32) is provided with a cavity for accommodating an arm and is rotationally connected with the fixed platform (9) through a rotating shaft;

the pulse window (10) is arranged at the top end of the pulse shell (32) and penetrates through the top end of the pulse shell (32);

the pressure sensing film is internally provided with a pressure sensor, covers the pulse window (10) and is suitable for receiving a pressure signal inwards from the outside of the pulse window (10);

4. The doctor four-shot process recorder according to claim 3, wherein the pressure sensor further receives pulse signals from the interior of the pulse window (10).

5. The physician's tetrastich process recorder according to claim 1, characterized in that said inspection process recorder (5) comprises:

a inspection case (23) having a hand-holdable handle;

the image acquisition unit is provided with a lens (24) and a display screen (25) and is connected to the shell, and the lens (24) and the display screen (25) are respectively arranged at the front end and the rear end of the shell;

the image acquisition unit further comprises a camera button (33) and a video recording button (34), wherein the camera button (33) and the video recording button (34) are suitable for switching the acquisition path of the image.

6. The physician's four-diagnosis process recorder according to claim 1, wherein the auscultation process recorder (6) comprises:

an auscultation shell (37) with a hand-held handle;

7. The physician's four-diagnosis process recorder according to claim 6, wherein the expired air collection unit comprises:

the gas collecting tube (30) is internally provided with an electronic nose, a flow velocity measuring instrument and a volume measuring instrument;

an exhalation head (31) having an exhalation end (36) and a connection end (35) removably connected to the upper orifice of the gas collection tube (30) and adapted for inhaling gas.

8. The physician's four-diagnosis process recorder according to claim 1, wherein the interrogation process recorder (7) has a plurality of groups symmetrically disposed on the fixed panel (3) and adapted to receive the acoustic signals inward from the exterior of the interrogation process recorder (7).

9. The physician's tetrascopies process recorder according to claim 8, characterized in that the interrogation process recorder (7) further comprises:

and the radar (8) is arranged in the middle of the area where the plurality of groups of inquiry process recorders (7) are arranged and is suitable for measuring the distance between a sound source and the inquiry process recorders (7).

10. The doctor's four-diagnosis process recorder according to claim 1, further comprising a battery disposed in the fixing panel (3).