fig1 shows detector means ( 5 ) on the engagement face ( 4 ) of a doser that naturally contacts the skin ( 8 ) in normal use . the doser ( 1 ) comprises a syringe ( 2 ) having a needle ( 3 ) that generally extends outside the doser that comprises an engagement face ( 4 ) in the vicinity of the needle , so that the engagement face rests against the surface of the tissue ( 8 ) into which the needle has been inserted . the engagement face has one or more closely spaced electrodes connected to detector means for measuring electrical pulses . fig3 shows an example of such a sensor ( 5 ) with two closely spaced electrodes ( 5 a , 5 b ). in an embodiment , the electrical impedance between such two electrodes is measured , and it can hereby be determined whether the doser is in engagement with human tissue . the doser may thus be adapted for specifically recording the amount of administered dose to a tissue type having human characteristics . according to the invention , the heart rate of the patient can be determined by a continuous recording of the impedance of the skin , which gives a further indication of live tissue not obtained in prior art whereby a more safe decision can be made to determine whether the insulin discharge takes place in a patient . more importantly , the detector means according to the invention can be used to determine the heart rate itself , even if a person skilled in the art would expect that heart rate signals obtained in a way according to the invention — at least to a certain extent — would be of too low a quality to make a decision on something as important as the heart rate . by combining the detector means according to the invention with modern signal shaping routines , e . g . comprising naural network analysis ( see wo 02 / 069798 ) reliable results can be obtained on the basis of less reliable detector signals whereby the invention is operable even under difficult conditions . if the patient &# 39 ; s skin is wet , the impedance between the electrodes of the engagement face will be measured so low that it is determined by the doser that human - like skin is not involved . in this case it is therefore expedient that the needle can comprise a sensor , e . g . an electrode , thereby allowing a measurement between the sensor of the engagement face ( 5 ) and the sensor of the needle . this provides an extra possibility of reliable measurement results . in a preferred embodiment a sensor is embedded also in the handle of the doser ( 6 ). this allows for measurement between it and the sensor of the engagement face ( 5 ) and / or the sensor of the needle ( 3 ). according to the invention , this makes the heart rate signals useable for obtaining electrocardiogram signals , as will be described below . since an injection is typically made in the patient &# 39 ; s thigh or pit of the stomach , the current path between the sensors of the doser at the end of the engagement face and the handle of the doser will run through the patient &# 39 ; s heart region and one arm , which enables mapping of the heart rate as well as diastole and systole of the patient &# 39 ; s ventricles . this possibility allows diagnosis of the patient &# 39 ; s circulatory state , that is , if the patient himself operates the doser . in this embodiment , the doser may moreover be adapted for calculating correlation between a sensor signal originating from the engagement face ( 5 ) and the sensor signal of the handle ( 6 ) so as to determine whether these pulse rates are consistent . if these two signals do not resemble each other , it will mean that the patient does not operate the apparatus himself , but that the apparatus is operated by another person , e . g . a nurse . the doser can thus determine on the basis of this correlation that it is not possible to create a valid pseudo electrocardiogram ( ecg ). the basics of the doser according to the present invention are shown in fig2 . signal processing / calculation means ( 10 ) is connected with memory storage ( 11 ) containing e . g . user information , operating system , executable program , etc . the processing means may include a microprocessor , an application - specific integrated circuit , or another integrated circuit , a smart card , a general purpose computer adapted by suitable software , or the like . the processing means may be designed to acquire information from the internal sensors / electrodes ( 3 , 5 and 6 ) as well as from an external communication link ( 13 ). the communication link ( 13 ) may be any transmission line which may comprise wire and wire - less communication links . additionally , the processing means may comprise means to control the generation of control signals to a pump ( 12 ), e . g . a dc - driven motor , etc ., which may enable an injection by way of moving a piston rod ( 7 ) in the syringe ( 2 ). further , a signal device ( 9 ) may be present to generate measurement impulses , e . g . a light emitter generator etc . creation of a standard ecg signal requires measurement on three points on the patient &# 39 ; s body . even though the number of acceptable sensor points in this embodiment will be three ( handle , needle , and engagement face ), this method will not always be sufficient to obtain a complete electrocardiogram . since the needle and engagement face sensor points are spaced closely together , the measurement signal processing requires an unacceptable high signal / noise ratio . to overcome this , it is therefore desirable to ensure that at least one external sensor for this purpose can be connected to the doser . in this embodiment , it will thus be possible to generate a true balanced measuring signal . this connection may be carried out by a physical wire and / or radio communication . to screen noise from the surroundings , it is necessary strongly to filter the resulting signal of especially the 50 / 60 hz power supply frequency . the signal may then be chased for a possible useful ecg signal where a qrs course is desired . in this case , the doser is adapted to recognize the shape of the qrs course of a human heart . to achieve a better noise / signal ratio , the measuring signal may be modulated in frequency to a range , which is discordant relative to the frequency of the power supply , that is , at a frequency which is not a whole numbered multiple of the power supply frequency . if freedom of movement is desired , this sensor may consist of a wireless electrode having a plurality of electrodes ( u . s . pat . no . 6 , 073 , 046 ) adhered to the patient &# 39 ; s chest . by implementation of ecg monitoring by means of the doser , this can completely replace a commonly used ecg apparatus . it is also to be understood that the communication link 13 can be used to transmit information about the heart rate signals measured to a separate computer . especially when a neural network is used to enhance the quality of the signal as disclosed in wo 02 / 069798 , it may be expedient to use an external computer with large processing power instead of building in an internal computer having limited processing power . it is moreover possible to replace the electrodes by an emitter / detector or receiver / transducer so as to enable emission and reception of optical signals and ultrasonic signals , respectively . the use of optical signals provides a new possibility for the field of use of the doser for measuring physiological parameters . for an effective treatment of diabetes , it is necessary to know the patient &# 39 ; s content of glucose in the blood ( called bgm below ), since this quantity influences the determination of the insulin dose amount . currently , much research is focused on intravenous measuring methods which can determine the bgm by means of optics ( u . s . pat . no . 6 , 043 , 492 ) or by means of electrochemical sensors ( u . s . pat . no . 5 , 954 , 685 ). these sensors measure on the patient &# 39 ; s skin and therefore eliminate the need for invasion . the use of such sensors in the doser allows these methods to be employed for carrying out glucometry during injection , without the patient noticing this or performing any other actions . when commencing an injection , the doser may record the bgm with a view to determining the insulin amount and / or recommending an optimum diet for the patient , as described in wo 00 / 32088 . some times , however , the patient wants to check the glucose state before he / she decides on insulin injection . if the patient exclusively wants to know the bgm and therefore does not want to insert the needle into the body , it will be desirable that the doser is adapted to accommodate the entire needle so that the needle may be pushed / pulled into the doser , whereby the needle will be hidden at times when it is not needed . as long as the needle does not extend outside the doser , a measurement may be performed simply by keeping the doser with the engagement face against the skin . this simple measuring method will motivate the patient to check the bgm to a greater extent , which can contribute to a better controlled treatment and therefore fewer sufferings because of diabetes over a span of years . in summary , when detector means are provided on a doser for detecting of heart rate , a lot of new features can be obtained . obtaining partly or full - scale ekg signals and the option of bgm measurements have been described . it will be understood that these features could also be made use of for making a hand - held hypo - alarm .
this invention relates to a doser comprising a syringe with a needle which extends beyond the doser , which comprises an engagement face in the vicinity of the needle so that the engagement face rests against the surface of the tissue into which the needle is inserted . detector means are provided on said engagement face to sample signals on the skin of the patient . the invention further provides means for receiving external information related to health monitoring of a patient . this provides a doser that may record heart rate , ekg , bgm and hypo - alarm administered medicine . the doser may further be arranged to calculate an appropriate dose of medication on the basis of a number of acquired inputs .