Device for Controlling Stimulus Self-Application During Autonomic Nervous System Tests.
Marek Żyliński1, Wiktor Niewiadomski2, Gerard Cybulski1
1Institute of Metrology and Biomedical Engineering, Faculty of Mechatronics, Warsaw University of Technology, Warsaw, Poland.
Medical Devices (Auckland, N.Z.)
|June 9, 2021
Summary
A new device enhances autonomic nervous system (ANS) testing by providing real-time feedback for stimulus self-application during Valsalva maneuver, handgrip, and deep breathing tests. This improves test accuracy and patient training.
Area of Science:
- Biomedical Engineering
- Cardiovascular Physiology
- Neuroscience
Background:
- Autonomic nervous system (ANS) functioning is assessed non-invasively through cardiovascular responses to stimuli.
- Accurate stimulus self-application by patients is crucial for reliable ANS test results.
- Existing methods lack consistent guidance for self-administered stimuli during autonomic testing.
Purpose of the Study:
- To develop and validate a versatile device for controlling stimulus self-application in three key ANS tests.
- To enhance the accuracy and reproducibility of autonomic function assessments.
- To simplify patient training and reduce physician effort during autonomic testing.
Main Methods:
- A novel device integrating gauges and a breathing pace setter for Valsalva maneuver, static handgrip, and deep breathing tests.
- A linear LED display providing real-time visual feedback on stimulus self-application correctness.
- Recording capabilities for mouth air pressure and grip force to ensure test validity.
Main Results:
- The device successfully guided patients in self-applying stimuli during ANS tests.
- Real-time feedback improved the correctness of stimulus application.
- Device use was intuitive, reducing training time and physician workload.
Conclusions:
- This versatile device offers a reliable and user-friendly method for enhancing autonomic nervous system testing.
- Improved stimulus self-application accuracy leads to more dependable cardiovascular response evaluations.
- The device has the potential to streamline clinical autonomic function assessments and track individual variability.


