[0001] The present invention relates to an apparatus for climatic control in an environment
designed to house a newborn child, comprising at least one wall which, associated
with a base structure, delimits a space in which, in operation, controlled environmental
conditions are maintained.
[0002] The present invention is applicable both to an incubator for newborn children, comprising
a shell resting on a base structure, and to what is known as a neonatal isolation
unit, comprising a supporting plate acting as a crib, with a heating radiator placed
above it and one or more folding walls which can be used to protect the newborn child
from air currents.
[0003] Research in the sector of medical apparatus has led to the production of increasingly
sophisticated incubators for assistance to newborn children, especially premature
ones, these incubators providing a microclimate within which the newborn child can
carry out its physiological activities with the minimum expenditure of energy. Up
to the present time, the attention of manufacturers has been focused on the problems
of providing controlled temperature and humidity conditions, sufficient air exchange,
isolation from the external environment, convenience of observation from the outside
and ease of access.
[0004] However, recent experiments conducted by the applicants have demonstrated that the
acoustic environment inside incubators is very unsatisfactory, especially in respect
of the quality of the sounds which are perceived by the newborn child (noises caused
by the fan and air flow). Paediatric and neonatal research has demonstrated that,
in neonatal treatment, the relationship between the acoustic environment and the central
nervous system is of fundamental importance for the development and learning of the
newborn child. Particular attention must therefore be paid to preterm newborn children
who are all too frequently placed in an environment very different from the mother's
womb.
[0005] However, generating a more favourable acoustic environment within an incubator is
a rather complicated process. This is because the reproduction of acoustic signals
in an incubator by means of conventional electromagnetic reproduction equipment is
incompatible with the requirements of internal sterility, maintainability of the apparatus
and general electromagnetic compatibility. More precisely, the use of conventional
sound reproduction equipment in an incubator appears impracticable because this equipment
would produce a change in the aerodynamic path within the incubator, and would create
problems for the maintenance of the conditions specified by the regulations, particularly
with respect to the conditions of temperature, humidity, internal asepsis, mechanical
strength and portability. Moreover, electromagnetic sound reproduction equipment creates
a variable magnetic field which is propagated in the vicinity of the equipment. This
magnetic field could cause interference with the electrical and electronic control
devices of the incubator, as well as disturbances to the newborn child and obstacles
to its proper development.
[0006] The object of the present invention is to provide a sound reproduction device for
incubators or for neonatal isolation units which is not affected by the aforesaid
problems.
[0007] According to the present invention, this object is achieved by an apparatus having
the characteristics forming the subject of the claims.
[0008] The idea on which the present invention is based consists in the production of an
acoustic field by means of suitable mechanical vibrations of a wall produced by an
electrically operated actuator driven by an electronic control system. The actuator
which generates the vibrations of the wall is preferably of the piezoelectric type.
[0009] The system according to the present invention can be used to achieve a considerable
improvement in the acoustic comfort within an incubator or a neonatal isolation unit
by creating a diffused acoustic field which reproduces sounds which are pleasant or
familiar to the newborn child. The sound reproduction device according to the present
invention can be added to existing incubators without the need for substantial structural
modifications and does not affect the conditions of sterility, thermal equilibrium
or electrical and electromagnetic compatibility of the apparatus.
[0010] The present invention will now be described with reference to the attached drawings,
provided purely by way of non-limiting example, in which:
- Figure 1 is a schematic perspective view of an incubator provided with a sound reproduction
device according to the present invention,
- Figure 2 is a schematic view showing in greater detail the component indicated by
the arrow II in Figure 1, and
- Figure 3 is a diagram which shows the spectral distribution of intrauterine sounds
which can be reproduced within an incubator by means of the device according to the
invention.
[0011] The following text describes the application of the present invention to an incubator,
but it is to be understood that what is stated with reference to incubators can also
be applied to an equal extent to neonatal isolation units.
[0012] With reference to the drawings, the number 10 indicates an incubator comprising,
in a known way, a base structure 12 and a transparent shell 14, generally consisting
of plastic material such as polycarbonate, polymethyl methacrylate, or other transparent
plastic material. The shell 14 delimits, together with the base 12, an isolated space
in which known devices in use maintain controlled temperature and humidity conditions.
[0013] The incubator 10 is provided with a sound reproduction device comprising at least
one electrically operated actuator 16 capable of producing mechanical vibrations of
the shell 14 which generate an acoustic field in the space circumscribed by the shell
14. In the following text, reference will be made to a structure comprising only one
actuator 16, but it is to be understood that the same considerations are applicable
to an equal extent in a case in which the sound reproduction device comprises a plurality
of actuators connected together in series or in parallel.
[0014] The actuator 16 is rigidly connected to the shell 14. Preferably, it is applied to
the outer surface of the shell by gluing, for example, or by any other mechanical
fixing system. The application of the actuator 16 to the outside of the shell 14 enables
the conditions of sterility of the incubator to be kept the same as those of a similar
incubator without the sound reproduction device. The actuator 16 could also be positioned
in a different way, provided that it is capable of transmitting mechanical vibrations
to the shell 14. For example, the actuator 16 could be incorporated in the plastic
material forming one of the walls of the shell 14. The major advantage of the solution
according to the invention is that the sound is generated directly by the shell 14.
Consequently, a particularly uniform diffused sound field is produced inside the shell.
The actuator 16 is simply an electromechanical transducer capable of converting an
electrical drive signal into mechanical vibrations.
[0015] The electrical drive signal of the actuator 16 is provided by an electronic drive
unit comprising a sound reproduction device 18 consisting, for example, of a CD or
magnetic tape player, and an amplifier and equalizer unit 20.
[0016] The actuator 16 which produces the vibrations of the shell 14 preferably consists
of a piezoelectric transducer whose general structure is shown schematically in Figure
2. With reference to this figure, the actuator 16 comprises a body of piezoelectric
ceramic 22 in the form of a plate, on the two opposite faces of which are deposited
two metallic layers 24 (only one of which is visible in the figure) connected to corresponding
electrical conductors 26. The piezoelectric actuator 16 converts the electrical signal
from the conductors 26 into deformations directed along the axis 28 and into shear
deformations directed orthogonally to the axis. The actuator 16 is rigidly connected
to the shell 14 and is arranged in such a way that the axis 28 runs orthogonally with
respect to the surface of the shell to which the actuator is applied. The axial deformations
of the actuator 16 therefore produce mechanical vibrations of the shell 14 with the
same frequency, which generate sound waves with the same frequency as the electrical
signal sent to the actuator 16.
[0017] For the application of the present invention to a neonatal isolation unit, the actuator
16 could be applied to one of the lateral walls of the structure, which generally
consist of polycarbonate or material similar to that of the shell of an incubator.
[0018] The sound reproduction device according to the present invention has been developed
in order to provide better acoustic comfort within the incubator. It can be used to
transmit music, speech or, in general, sounds which are familiar or pleasant to the
newborn child. In particular, but not exclusively, the device according to the present
invention has been developed with the aim of reproducing endogenous intrauterine sounds
within the incubator, according to the process described in detail in Italian patent
application No. T096A000825 filed by G. Brero, G. Dealessandri, M. Vivalda and S.
Gervasio.
[0019] Figure 3 shows the spectral distribution of endogenous intrauterine sounds, in other
words the sounds which are heard by the foetus during pregnancy. These sounds have
a particular spectral distribution. In Figure 3 it can be seen that the frequency
band of intrauterine sounds lies between the threshold of audibility and 400 Hz. The
spectrum has an upper cutoff frequency at about 63 Hz, beyond which the sounds are
progressively attenuated by the tissues and by the amniotic fluid, this process being
characterized by a decay of approximately 5 dB for every third of an octave. Additionally,
the maternal heartbeat corresponds to the very low frequencies, in other words those
in the band from 40 to 80 Hz.
[0020] The reproduction of music, of speech and particularly of intrauterine sounds within
an incubator cannot be achieved by directly connecting the output of a conventional
stereo system to the piezoelectric actuator 16. This is because, owing to the transfer
function of the actuator-shell-cavity system, the reproduced sound would be of low
fidelity and almost entirely lacking in the low frequencies. This would have a serious
effect, particularly on the primary objective of the device, in other words the reproduction
of the intrauterine sounds which, as has been stated, have a marked spectral concentration
in the low frequencies. It is therefore necessary for the amplifier-equalizer unit
20 which drives the actuator 16 to modify the input signal received from the acoustic
reproducer 18 (CD or magnetic tape player) in such a way as to compensate the problems
of the transducer operation and to provide the desired high acoustic fidelity, perception
of the low frequencies and intelligibility. The amplifier contained in the unit 20
is therefore designed specifically to drive a capacitive load and to supply a sufficient
power at the low frequencies. The equalizer is programmed in such a way as to make
the acoustic spectrum uniform within the shell 14 by emphasizing the cardiac frequency
band.
[0021] The reproduction of any external signal within the incubator requires a low noise
level of the apparatus responsible for the normal operation of the incubator. Existing
lower-noise incubators do not exceed the sound pressure level of 46-47 dB(A) measured
in the centre of the shell 14 in normal operating conditions. A particularly critical
source of noise from the point of view of sound insulation is the fan used to circulate
the air within the incubator. This is a source of noise with distinct tonal characteristics,
since the noise emission frequency is related to the rotation speed of the motor and
to the number of blades of the fan. Conventional sound insulation systems are difficult
to apply in the specific case of the fan and have little practical effect.
[0022] The sound reproduction device according to the present invention can also be used
for the purpose of improving the sound insulation of the incubator by using the known
principle of active cancellation of the signal, which consists essentially in the
generation of an acoustic signal in phase opposition to the noise component which
is to be attenuated.
1. Apparatus for climatic control in an environment designed to house a newborn child,
comprising at least one wall (14) which, associated with a base structure (12), delimits
a space in which, in operation, controlled environmental conditions are maintained,
characterized in that it comprises at least one electrically controlled actuator (16)
applied to the aforesaid wall (14), the said actuator (16) being capable of producing
mechanical vibrations of the wall (14) to generate acoustic waves in the aforesaid
space.
2. Apparatus according to Claim 1, characterized in that the aforesaid actuator (16)
is rigidly connected to the aforesaid wall (14).
3. Apparatus according to Claim 2, characterized in that the aforesaid wall (14) comprises
at least one portion of plastic material in which the said actuator (16) is incorporated.
4. Apparatus according to Claim 1, characterized in that the aforesaid actuator (16)
comprises a piezoelectric element (22) capable of producing mechanical vibrations
of the wall (14) correlated with an electrical exciting signal.
5. Apparatus according to Claim 1, characterized in that it comprises an electronic drive
device (20) capable of receiving an electrical input signal and of producing an electrical
signal for driving the said actuator (16), the said drive device (20) being designed
to vary the drive signal with respect to the input signal in such a way as to compensate
for the alterations which an ordinary input signal undergoes as a result of the transfer
function of the sound reproduction system comprising the actuator (16), the shell
(14) and the isolated space.
6. Apparatus according to Claim 1, characterized in that it comprises an electronic control
unit programmed to provide active sound insulation of the said isolated space by generating
acoustic signals in phase opposition to the noises which are to be attenuated.