Patient medical monitoring device

Abstract

A patient medical monitoring device (10) comprises a fabric body (11) adapted to be worn on the patient's hand (1) by continuously conforming to all or part of the palm (3) of the hand (1), a finger (4) of the hand (1), and the wrist (5) of the patient; sensors (13) integrated into the fabric body (11); and a battery. The sensors (13) are adapted to provide representative data of vital signs, including at least the patient's temperature, heart rate, oxygen saturation, and continuous blood pressure. An electronic unit (15), integrated into the fabric body (11), is connected to the sensors (13) by wired links (17) integrated into the fabric body (11) and is adapted to transmit the data provided by the sensors (13) to a remote terminal via a wireless link. (See Figure 1 for abbreviations.)

Description

Title of the invention: Device for medical monitoring of a patient

[0001] The present invention relates to a device for medical monitoring of a patient.

[0002] A patient treated in a care facility, in particular in an operating room, is monitored throughout his or her journey through the care facility by various measuring devices, in order to track and record the patient's vital signs, such as his or her temperature, heart rate, etc. Each of these measuring devices, which are typically non-invasive, transmits the data it collects to a display, this transmission commonly being wired. In addition, these measuring devices must be powered by electricity, which is generally done by power cables.

[0003] When passing through the operating room, the patient passes through different rooms, such as the pre-anesthesia room, the operating room, the recovery room, etc. Each change of room requires disconnecting the different measuring devices and then connecting them to one or more new displays, and to new electrical outlets, which induces a practical constraint for the medical staff, in particular a loss of time, as well as risks of damage to the equipment, for example a risk of tangling, bending and / or damage to the cables, of the devices falling when connecting them, etc.

[0004] The aim of the invention is to remedy the aforementioned drawbacks by proposing a more ergonomic medical monitoring device.

[0005] To this end, the invention relates to a device for medical monitoring of a patient, comprising:

[0006] - a fabric body which is adapted to be carried by a patient's hand by conforming continuously all or part of the palm of the hand, a finger of the patient's hand and the patient's wrist,

[0007] - sensors which are integrated into the fabric body, and are adapted for, when the fabric body is worn by the patient's hand, provide representative data of vital signs including at least the patient's temperature, heart rate, pulse oximetry and continuous blood pressure,

[0008] - an electronic unit which is integrated into the fabric body, which is connected to the sensors by wired connections integrated into the fabric body and which is adapted to send the data provided by the sensors to a remote terminal by a wireless connection, and

[0009] - a battery, which is integrated into the fabric body and which powers the electronic unit and all or part of the sensors.

[0010] Thanks to the invention, a single device replaces a certain number of measuring devices commonly used in the operating room. The device has a relatively small footprint. tively reduced, since it is in the form of a pseudo-glove, in particular a pseudo-mitten, and is adapted to be worn on the patient's hand in a manner similar to a glove. In addition, the device integrates in a single piece sensors collecting temperature, heart rate, saturometer and continuously measured blood pressure, thus replacing a temperature probe, a pulse oximeter and a blood pressure measuring device normally used. This limits the number of individual measuring devices that need to be moved and used. In addition, the pseudo-glove shape of the device is particularly advantageous, as it allows the sensors to be placed on the patient's hand, or even on the areas of the hand usually used for the recording of vital signs by medical personnel, and thus not change the practice of medical personnel. It is therefore easy for medical personnel to adapt to its use.

[0011] The device transmits the acquired data wirelessly, and is powered by a battery integrated into the device, so that the problems related to the connection of the various devices are resolved, since the device does not need to be connected to operate. The device is thus placed on the patient's hand, and removed when monitoring of his vital signs is no longer necessary. The medical staff therefore does not have to worry about connecting the device, on the one hand to the terminal for displaying the data, on the other hand to the electrical network for the power supply, which saves time, as well as limits the risks, in particular of the device falling during connection as well as the risks of the sensors moving on the patient, which can then transmit erroneous data, or no data at all.The patient is thus moved from one location to another without any action required by the medical staff to continue monitoring the patient's vital signs. In addition, the display of data is no longer limited to a single terminal, in the same room as the patient due to the limited wire length: the data can be transmitted to a remote terminal, or to several terminals at the same time, which can be dedicated terminals, or standard computers or smartphones.

[0012] Furthermore, the use of continuous blood pressure data, rather than intermittently measured blood pressure data, allows for more reliable monitoring of the patient's blood pressure, and thus allows medical personnel to react more quickly in the event of a sudden drop in blood pressure, which could cause ischemic cerebral or cardiac lesions, for example during a surgical operation.

[0013] Furthermore, the device can be used in contexts other than that of a passage in the operating room. It can be used for example to monitor the vital signs of a patient in post-operative follow-up, in hospital or at home, of a woman in labor, during medical transport, or in any other context where monitoring vital signs is advantageous.

[0014] The device may comprise one or more of the following features, taken individually or in any technically possible combination:

[0015] - The sensors include a first sensor which, when the fabric body is worn by the patient's hand, provides representative data of the patient's temperature and is placed against the palm of the hand.

[0016] - The sensors include a second sensor which, when the fabric body is worn by the patient's hand, provides representative data of the patient's heart rate and pulse oximetry and is placed against said finger of the hand.

[0017] - The sensors include a third sensor which, when the fabric body is worn by the patient's hand, provides representative data of the patient's continuous blood pressure and is placed against the wrist, being located opposite the patient's radial artery.

[0018] - The fabric body leaves at least part of said finger uncovered, in particular the third phalanx, when the fabric body is carried by the patient's hand.

[0019] - The fabric body has a through opening which, when the device is carried by the patient's hand, opens onto the dorsal surface of the hand.

[0020] - The battery is wirelessly rechargeable.

[0021] - This device includes a curameter integrated into the fabric body, connected to the unit electronically via a wired connection and powered by the battery.

[0022] - The curameter comprises two electrodes, integrated into the fabric body, connected to the unit electronic by a wired connection, powered by electricity from the battery, spaced apart from each other and adapted to be opposite the ulnar nerve when the fabric body is carried by the patient's hand, and an accelerometer, integrated into the fabric body, connected to the electronic unit by a wired connection and arranged between the thumb and index finger of the patient's hand when the fabric body is carried by the patient's hand.

[0023] - This device further comprises an identification system worn by the body in fabric, suitable for uniquely identifying the device and / or for pairing it with a remote terminal.

[0024] The invention will be better understood on reading the description which follows, given solely by way of non-limiting example and made with reference to the drawings in which: - [Fig.l] [Fig.l] is a perspective view of a monitoring device according to the invention worn by a patient's hand; - [Fig.2] [Fig.2] is a view similar to [Fig.l], at an angle different observation; and - [Fig.3], [Fig.4] Figures 3 and 4 are views respectively similar to Figures 1 and 2, illustrating a second embodiment of a monitoring device according to the invention, worn by the patient's hand.

[0025] In Figures 1 and 2 is shown a medical monitoring device 10, more simply called device 10 hereinafter, the device 10 being designed to monitor a patient, more particularly to monitor vital signs of this patient. The device 10 is adapted to be carried by a hand 1 of the patient. The patient may be a patient undergoing surgery, a patient in post-operative follow-up, in hospital or at home. It may also be a parturient in labor, or a person having to monitor their vital signs, whatever the reason. When the device 10 is in use for monitoring vital signs, it is carried by the hand 1 of the patient. When it is not in use, it may not be carried by the hand 1 of the patient, and is for example stored or being charged, as discussed below.

[0026] The device 10 comprises a fabric body 11, sensors 13, an electronic unit 15, and a battery 16.

[0027] The fabric body 11 is composed of a fabric suitable for prolonged contact with the skin of the hand 1. Advantageously, the fabric is elastic and does not conduct electricity, and is for example a mixture of cotton and elastane, or polyamide and elastane. Advantageously, the fabric body 11 comprises several layers of fabric, arranged one on top of the other, and several pieces of fabric, sewn together to form the fabric body 11. The fabric body 11 is designed to be washable, for example in a washing machine, or with disinfectant comprising ammonium compounds, for example quaternary ammonium compounds, without the material(s) of which it is composed degrading significantly. The remainder of the device 10 is washable together with the fabric body 11, or alternatively, the fabric body 11 must be separated from the remainder of the device 10 to be washed.

[0028] The fabric body 11 is in the shape of a pseudo-mitten. Indeed, when it is worn by the hand 1, it continuously fits at least part of the palm 3 of the hand 1, at least part of a finger 4 of the hand 1, and at least part of the wrist 5. The term "continuously fits" means that the fabric body 11 covers the aforementioned anatomical parts in one piece, with continuity of material between these anatomical parts. Thus, even though the fabric body may be made up of several pieces of fabric, it forms an uninterrupted fabric object that can be handled as a single block, in particular by being placed on the hand 1 and the wrist 5 of the patient in a single movement. In other words, the fabric body 11 does not correspond to a set of disjointed pieces of fabric, covering the aforementioned anatomical parts while being separated from each other.

[0029] In the embodiment of Figures 1 and 2, the fabric body 11 fits the entire palm 3, the entire wrist 5, and the first two phalanges of finger 4, which is here the index finger. The fact that the fabric body 11 can fit the different parts of the hand 1 and the wrist 5 when the device 10 is worn is notably made possible by the elasticity of the fabric body, which allows it to adapt to different shapes and sizes of hands 1 and wrists 5. The fabric body 11 advantageously leaves the free tip of finger 4 uncovered, in particular the third phalanx of finger 4, as well as the other four fingers of hand 1, in order to ensure greater freedom of movement and better comfort for the patient.

[0030] Optionally, a zipper 12 is sewn to the fabric body 11 to facilitate the placement of the device 10 on the patient's hand 1, as well as its removal. It can also be replaced by a system of Velcro strips or press studs.

[0031] This being so, the fabric body 11 is preferably designed without discontinuity, i.e. without a zipper or the like, so that the device 10 can be put on and taken off from the patient's hand 1 exclusively by flexible deformation of the fabric body, without having to handle a zipper, Velcro strips or snaps.

[0032] The sensors 13 are integrated into the fabric body 11. These sensors 13 can thus be glued, sewn or attached to the fabric body 11, and this on the face in contact with the hand 1, or even arranged between two layers of the fabric body 11. In all cases, the sensors 13 are integral with the fabric body 11 without this altering their operation.

[0033] When the device 10 is worn by the hand 1, the sensors 13 acquire data representative of vital constants, which include at least the temperature, heart rate, saturometer and continuous blood pressure of the patient. Elements can be added between the sensors 13 and the skin, for example adhesive gels or gels allowing better data acquisition, or stickers for protecting the sensors, in accordance with medical practices and hygiene and safety standards.

[0034] In the embodiment shown in Figures 1 and 2, there are three sensors 13 and they thus include a first sensor 13a, a second sensor 13b and a third sensor 13c.

[0035] The first sensor 13a is here a temperature sensor, which acquires data representative of the patient's temperature when the device 10 is worn by the patient's hand 1. The first sensor 13a is for example an infrared optical sensor, which uses the infrared rays emitted by the patient's hand 1 to quantify the patient's temperature. Other types of temperature sensors can be used, the type of temperature sensor being non-limiting.

[0036] The first sensor 13a is arranged against the palm 3 of the hand 1 when the device 10 is worn by the hand 1. Indeed, the temperature measured on the palm 3 of the hand 1 is more representative of the actual temperature of the patient's body than if it were taken on a finger of the hand 1 for example. However, in a variant not shown, the first sensor 13a is placed on another location of the patient's hand 1.

[0037] The second sensor 13b is here a heart rate and saturometer sensor of the patient. The second sensor 13b is advantageously a pulse oximeter operating by transmittance.

[0038] The second sensor 13b is arranged against the finger 4 of the hand 1, in particular against the root of the finger 4. In particular, the second sensor 13b surrounds the root of the finger 4. Here, a light emitter, for example of red and infrared light, is arranged against one face of the root of the finger 4, for example the palmar face, and a light receiver is arranged against another face of the root of the finger 4, for example the dorsal face. It is preferable to measure the saturometrics on a thin part of the patient's body to limit the absorption of light by the patient's body. This is why the sensor 13b is arranged on the root of the finger 4 of the hand 1. The emitter and the receiver are preferably in direct contact with the root of the finger 4 when the device 10 is worn by the patient's hand 1.

[0039] Other variants not shown, where the sensor 13b is not on the finger 4 of the hand 1 can however be envisaged, and in particular in the case where other types of heart rate and saturometer sensors than a pulse oximeter operating by transmittance are used.

[0040] The third sensor 13c is here a continuous blood pressure sensor, that is to say a blood pressure sensor ensuring continuous measurements. In this case, the blood pressure sensor acquires data for example more frequently than every thirty seconds, for example every ten seconds, ideally more frequently than every ten seconds, or even continuously. The frequency of data acquisition is advantageously modifiable, for example at the initiative of a doctor. In particular, the continuous data acquisition is advantageously carried out in a period when the patient is subject to a significant hemodynamic variation. The blood pressure sensor is arranged against the patient's wrist 5, more precisely opposite the patient's radial artery, in order to be opposite an artery with sufficient blood flow to carry out the measurements.

[0041] The third sensor 13c is advantageously a photoplethysmographic sensor operating by reflectance. Sensors using photoplethysmography and their application to the continuous measurement of blood pressure are known per se and are not limiting. Such a photoplethysmographic sensor makes it possible to better monitor changes in the patient's blood pressure than by using a device such as a blood pressure cuff, which only measures blood pressure at a times every 2 to 5 minutes, which allows medical personnel to react more quickly in the event of a drop in blood pressure, which could cause a stroke or a myocardial infarction, for example.

[0042] Advantageously, the third sensor 13c acquires continuous data representative of a pulse wave of the patient. In this case, the data representative of the vital constants relating to the arterial pressure, and in particular the systolic, diastolic, mean arterial pressures, the maximum and minimum pulsed arterial pressures are obtained from the pulse wave, in particular by performing calculations on the maxima and minima of the measured pulse wave. These data are advantageously used to deduce data representative of a mean arterial pressure and a respiratory variation of the pulsed pressure.

[0043] The electronic unit 15 is advantageously an electronic card or an electronic chip. The electronic unit 15 is integrated into the fabric body, for example by being inserted into a pocket of the fabric body 10 provided for this purpose, or inserted between two layers of fabric of the fabric body 10. The electronic unit 15 is advantageously wrapped in a waterproof material, for example a polymer envelope, in order to protect it during use or washing of the device 10.

[0044] The electronic unit 15 is designed to recover the data acquired by the sensors 13, here by the 13a, 13b and 13c, by means of wired connections 17 which connect the sensors 13a, 13b and 13c to the electronic unit 15, typically at a rate of one for each sensor 13a, 13b and 13c. These wired connections 17 are integrated into the fabric body 11. They are for example woven into, or attached to, the fabric body 11. These wired connections 17 are advantageously flexible under normal conditions of use, so that the device can be put on and taken off from the patient's hand 1 without risk of damaging them. The wire connections 17 are ideally surrounded by a waterproof sheath in order to make them water resistant, whether for washing or for use of the device 10.

[0045] The control unit 15 is optionally adapted to process the data received from the sensors 13a, 13b and 13c, in particular in order to extract and / or calculate more relevant data, such as for example temperature from infrared readings, saturometrics from light absorbance data, etc.

[0046] The control unit 15 is designed to send the data, directly received from the sensors 13a, 13b and 13c, or after processing, to one or more remote terminals. This transmission is done wirelessly, for example by a Bluetooth or Wi-Fi system.

[0047] The remote terminal is for example a dedicated terminal, with software or an application, allowing the display of the data transmitted by the control unit 15. The remote terminal is alternatively a smartphone, a tablet or a computer, on which the software or application has been installed, and is thus capable of receiving and displaying the data. In the event that the control unit 15 does not process, or only partially processes, the data from the sensors 13a, 13b and 13c, the installed software or application performs additional operations on the data, making it possible to extract and / or calculate and display the vital constants to be monitored, from the data transmitted by the control unit 15.

[0048] The battery 16 is integrated into the device 10, for example by being arranged in a pocket of the fabric body 11 provided for this purpose. The battery 16 is for example, as shown in [Fig. 2], arranged in the fabric body 11 so as to be opposite the external face of the wrist 5 when the device 10 is worn by the patient's hand 1, but can also be arranged elsewhere on, or in, the fabric body 11. The battery 16 supplies all or part of the sensors 13, here the sensors 13a, 13b and 13c, as well as the electronic unit 15 with electricity, for example by means of wired connections 18.

[0049] Advantageously, the battery 16 is a wireless rechargeable battery, for example rechargeable by induction, so as not to have to use a power cable while charging the battery. The autonomy of the battery 16 is for example at least eight hours, preferably twenty-four hours, but can advantageously be longer. The battery can advantageously be removed from the fabric body 11, in particular for washing the fabric body 11. Alternatively, the battery 16 is completely waterproof, and can thus resist water during washing.

[0050] The wired connections 18 are substantially similar to the wired connections 17, in that they are integrated into the fabric body 11, are flexible and are ideally protected from water, for example by a waterproof sheath. Where appropriate, the wired connections 18 conduct a higher electrical power than the wired connections 17, in order to be able to correctly supply the sensors 13a, 13b and 13c and the electronic unit with electricity.

[0051] Advantageously, the device 10 integrates additional functionalities. For example, it is possible to control the device 10, in particular to start the acquisition of data and to stop it, either directly from the control unit 15, or from the remote terminal, which then communicates with the device 10 via the control unit 15. Ideally, it is also possible to access parameters relating to the device 10, such as for example information on the operation of the sensors 13a, 13b and 13c, on the remaining autonomy of the device 10 or on possible malfunctions.

[0052] The data sent to the remote terminal by the control unit 15 may be encrypted, and / or displayed on the remote terminal via a secure interface, for example by a password. Software may, for example, be installed on the terminal(s). remote, to display data securely, and advantageously perform a number of vital signs monitoring operations. For example, the software can issue an alarm if the patient's vital signs exceed a certain threshold.

[0053] In Figures 3 and 4 a medical monitoring device 110 is shown as an alternative embodiment to the device 10.

[0054] The device 110 comprises a fabric body 111, sensors 113, an electronic unit 115, a battery 116 which are respectively similar, at least functionally, to the fabric body 11, the sensors 13, the electronic unit 15, and the battery 16 of the device 10. The device 110 further comprises a curameter 114 and an identification system 119.

[0055] The fabric body 111 differs from the fabric body 11 in that it has a different shape from the fabric body 11. It is still adapted to be worn by the patient's hand 1, but has a shape closer to a mitten, covering the first phalanx of each finger and leaving the other phalanges uncovered. Furthermore, the fabric body 111 advantageously comprises an opening 111a which uncovers a part of the dorsal surface of the hand 1. This makes it possible, for example, to easily perfuse the patient at the dorsal surface of the hand 1.

[0056] There are three sensors 113. Like the sensors 13, the sensors 113 are integrated into the fabric body 111. Three first sensors 113a, 113b and 113c are functionally, or even structurally, identical respectively to the first sensor 13a, the second sensor 13b and the third sensor 13c.

[0057] The curameter 114 acquires data representative of the degree of curarization of a patient, which is relevant data, among other things, when the patient is going to be put under general anesthesia, during general anesthesia, and during a post-anesthesia recovery phase. In particular, the acquired data are representative of the train of four responses, or TOF response, and the post-tetanic count, or PTC, from the English "post tetany count". The curameter 114 advantageously comprises two electrodes 114a, and an accelerometer 114b. The two electrodes 114a are arranged on the inner face of the patient's wrist 5, opposite the ulnar nerve. They are spaced apart from each other, advantageously by at least 2 centimeters and at most 5 centimeters, preferably 3 to 4 centimeters.The electrodes 114a are thus ideally placed to send electrical discharges to the ulnar nerve, of variable intensity and frequency, which thus stimulate muscles of the hand 1, in particular the adductor thumb. In particular, the electrodes 114a send four electrical pulses separated by 0.5 s from each other, called a train of four.

[0058] The accelerometer 114b is placed on the adductor of the thumb, or between the thumb and index finger of the patient's hand 1. Indeed, the adductor pollicis is a muscle sensitive to curarization, and frequently monitored during the administration of curare to the patient. The accelerometer 114b is advantageously a three-dimensional accelerometer, i.e. capable of measuring acceleration in any direction in space. The accelerometer 114b measures the acceleration of the adductor pollicis resulting from stimulation of the ulnar nerve by the electrodes 114a, in particular four accelerations resulting from the train of four. A post-tetanic count is also advantageously used, for example in addition to or as a replacement for the train of four. The post-tetanic count consists of a tetanic stimulation at 50 Hz of the adductor pollicis, then the measurement of accelerations resulting from several stimulations at 1 Hz of the adductor pollicis.

[0059] The electronic unit 115 also controls the curameter 114, in particular the emission of electrical pulses by the electrodes 114a, receives the data acquired by the sensor 114, in particular the acceleration data produced by the accelerometer 114b, via wired connections 117, structurally identical to the wired connections 17. The electronic unit 115 can optionally process the data acquired by the curameter 114. The electronic unit 115 advantageously sends the data from the sensors 113 and the curameter 114 to one or more remote terminals, processed or not, in a similar manner to the electronic unit 15.

[0060] The battery 116 differs from the battery 16 in that it is also connected to the curameter 114, and in particular to the electrodes 114a and, if necessary, to the accelerometer 114b. This connection is made by wire connections 118, structurally identical to the wire connections 18.

[0061] The identification system 119 is here on the fabric body 111 in the form of a bar code. It is alternatively in the form of a QR code, or an alphanumeric code. It is advantageously unique, and is used to identify the device 110 unambiguously. Advantageously, the identification system 119 is used to pair the device 110 with one or more remote terminals. Indeed, by entering the code or by scanning the bar code or the QR code from the remote terminal, the software installed on this remote terminal recognizes which device 110 it is paired with, and displays the data relating to the corresponding device 110.

[0062] In a variant not shown, at least one of the sensors 13 or 113 is a passive sensor and therefore does not need to be powered by the battery 16 or 116. It is therefore not connected to the latter.

[0063] According to another variant not shown, one of the sensors 13 or 113 of the device 10 is adapted to provide data representative of the heart rate, and, separately, another of the sensors 13 or 113 is adapted to provide data representative of saturometrics.

[0064] Any feature described for one embodiment or variation in the foregoing may be implemented for the other embodiments and variations described above, as long as technically feasible.

Claims

Claims

1. Medical monitoring device (10; 110) of a patient, comprising: - a fabric body (11; 111), which is adapted to be worn by a hand (1) of the patient by continuously fitting all or part of the palm (3) of the hand (1), a finger (4) of the hand (1) and the wrist (5) of the patient, - sensors (13; 113) which: - are integrated into the fabric body (11; 111), and - are adapted to, when the fabric body (11; 111) is worn by the hand (1) of the patient, provide data representative of vital constants including at least the temperature, heart rate, pulse oximetry and continuous blood pressure of the patient, - an electronic unit (15; 115) which: - is integrated into the fabric body (11; 111), - is connected to the sensors (13; 113) by wired connections (17; 117) integrated into the fabric body (11; 111), and - is adapted to send the data provided by the sensors (13;113) to a remote terminal via a wireless link, and - a battery (16; 116), which is integrated into the fabric body (11; 111) and which powers the electronic unit (15; 115) and all or part of the sensors (13; 113).;

2. A device (10; 110) according to claim 1, wherein the sensors (13; 113) include a first sensor (13a; 113a) which, when the fabric body (11; 111) is worn by the patient's hand (1), provides data representative of the patient's temperature and is disposed against the palm (3) of the hand (1).

3. Device (10; 110) according to any one of the preceding claims, wherein the sensors (13; 113) include a second sensor (13b; 113b) which, when the fabric body (11; 111) is worn by the patient's hand (1), provides data representative of the patient's heart rate and saturometrics and is arranged against said finger (4) of the hand (1).

4. A device (10; 110) according to any preceding claim, wherein the sensors (13; 113) include a third sensor (13c; 113c) which, when the fabric body (11; 111) is worn by the patient's hand (1), provides data representative of the patient's continuous blood pressure and is disposed against the wrist (5), being located opposite the patient's radial artery.

5. Device (10; 110) according to any one of the preceding claims, wherein the fabric body (11; 111) leaves at least part of said finger (4), in particular the third phalanx, uncovered when the fabric body (11; 111) is worn by the patient's hand.

6. Device (110) according to any one of the preceding claims, in which the fabric body (111) comprises a through opening (111a) which, when the device (110) is worn by the patient's hand (1), opens onto the dorsal face of the hand (1).

7. Device (10; 110) according to any one of the preceding claims, wherein the battery (16; 116) is wirelessly rechargeable.

8. Device (110) according to any one of the preceding claims, further comprising a curameter (114) integrated into the fabric body (111), connected to the electronic unit (115) by a wired connection (117) and powered by the battery (116).

9. Device (110) according to claim 8, wherein the curameter (114) comprises two electrodes (114a), integrated into the fabric body (111), connected to the electronic unit (115) by a wired connection (117), supplied with electricity by the battery (116), spaced from each other and adapted to be opposite the ulnar nerve when the fabric body (111) is carried by the patient's hand (1), and an accelerometer (114b), integrated into the fabric body (111), connected to the electronic unit (115) by a wired connection (117) and arranged between the thumb and index finger of the patient's hand (1) when the fabric body (111) is carried by the patient's hand (1).

10. A device (110) according to any preceding claim, further comprising an identification system (119) carried by the fabric body (111), adapted to uniquely identify the device (110) and / or to pair it with a remote terminal.