Health monitoring

• US 10,049,182 B2
• Filed: 02/03/2012
• Issued: 08/14/2018
• Est. Priority Date: 02/03/2011
• Status: Active Grant

• Current Assignee: Isansys Lifecare Limited
• Original Assignee: Isansys Lifecare Limited
• Inventors: Chefles, Anthony, Morrison, Rory, Weir, Rebecca, Errey, Keith
• Primary Examiner(s): Bertram, Eric D.
• Assistant Examiner(s): So, Elizabeth K
• Application Number:
  US13/983,592
• Publication Number:
  US 20140058280A1
• Time in Patent Office: 2,384 Days
• Field of Search: 600521
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/02405 Determining heart rate variability
• CPC Class Codes: A61B 5/02438 with portable devices, e.g. worn by the patient
• CPC Class Codes: A61B 5/0245 by using sensing means generating electric signals, i.e. ECG signals
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

Health monitoring devices allow for monitoring of the vital signs of a subject. Wireless devices can enable a subject'"'"'s cardiac and/or respiratory functions to be monitored remotely, e.g. without the subject being attached to bedside equipment. A cardiac monitoring device may include a substrate, electrodes for measuring ECG signals, and an electronics module including a data processor and a wireless transmitter. The electronics module is sealed within the substrate and arranged to receive the measured ECG signals. Each ECG signal associated with a heartbeat is processed in the data processor to provide key data relating to that heartbeat. The key data may include the temporal position of a characteristic feature in the ECG signal. The key data is provided to the wireless transmitter for transmission.

Claims

1. A cardiac monitoring device configured to transmit to a remote receiver, the cardiac monitoring device comprising a wearable unit comprising:

a substrate;

at least two electrodes for measuring ECG signals;

a data processing arrangement comprising a data processor; and

a wireless transceiver;

wherein the data processing arrangement is sealed within the substrate and arranged to receive the measured ECG signals from the at least two electrodes, to obtain sampled signal data by sampling each ECG signal associated with a heartbeat, and to process the sampled signal data in the data processor to extract first key data relating to that heartbeat; and

wherein the data processor is programmed to apply a time window to the sampled signal data to isolate at least a portion of the data associated with a given heartbeat and to measure amplitude changes in that window, and to use the amplitude changes to identify the first key data, the first key data comprising a time stamp of an R-peak in a QRS complex in the ECG signal and at least one further time or amplitude value corresponding to one or more pre-defined features of the ECG signal;

wherein the at least one further time or amplitude value corresponding to the one or more pre-defined features of the ECG signal is chosen from one or more of;

(i) R-S amplitude;

(ii) temporal position of a P-wave;

(iii) amplitude of a P-wave;

(iv) amplitude variations in a P-wave;

(v) temporal position of a T-wave;

(vi) amplitude of a T-wave;

(vii) amplitude of an S-T segment; and

(viii) temporal extent of a Q-T interval

wherein the data processor is configured to cause the wireless transceiver i) to transmit the first key data, and ii) after the first key data has been transmitted, to receive an instruction to re-program the data processor;

wherein the data processor is configured to implement the instruction received by the wireless transceiver to re-program the data processor to use the amplitude changes to identify second key data which is different from the first key data, wherein re-programming the data processor comprises changing the one or more pre-defined features of the ECG signal to one or more different pre-defined features of the ECG signal that are of interest for a particular subject being monitored, the second key data thereby comprising;

the time stamp of the R-peak in the QRS complex in the ECG signal; and

at least one different further time or amplitude value corresponding to the one or more different pre-defined features of the ECG signal that are of interest for the particular subject being monitored, wherein the at least one different further time or amplitude value of the second key data is different from the one or more further time or amplitude value of the first key data and is chosen from one or more of;

(i) R-S amplitude;

(ii) temporal position of a P-wave;

(iii) amplitude of a P-wave;

(iv) amplitude variations in a P-wave;

(v) temporal position of a T-wave;

(vi) amplitude of a T-wave;

(vii) amplitude of an S-T segment; and

(viii) temporal extent of a Q-T interval; and

wherein the data processor is configured to cause the wireless transceiver to transmit the second key data instead of the first key data after the data processor has been re-programmed.

2. A cardiac monitoring device as claimed in claim 1, wherein the data processor digitises the measured ECG signals at a rate of around 1 kHz.

3. A cardiac monitoring device as claimed in claim 1, wherein the data processor is programmed or re-programmed to run an identification algorithm that identifies a particular pre-defined feature of interest in the ECG signal.

4. A cardiac monitoring device as claimed in claim 1, wherein the data processing arrangement comprises a memory and the data processor is programmed or re-programmed during use to run a particular algorithm selected from a number of programs stored in the memory.

5. A cardiac monitoring device as claimed in claim 1, wherein the data processor is arranged to simultaneously perform amplitude calibration based on the amplitudes measured in each window.

6. A cardiac monitoring device as claimed in claim 1, wherein an analysis of the first or second key data results in an instruction for the device to operate in another mode of operation in which the data processor is configured to cause the wireless transceiver to transmit the measured ECG signals.

7. A cardiac monitoring device as claimed in claim 1, wherein the wireless transceiver is arranged to transmit the first or second key data to the remote receiver on a real-time basis.

8. A cardiac monitoring device as claimed in claim 1, wherein the wireless transceiver is arranged to transmit a message for each heartbeat.

9. A cardiac monitoring device as claimed in claim 1, wherein the data processor is programmed or re-programmed during use by the wireless transceiver receiving a new algorithm downloaded from a remote controller or gateway device.

10. A cardiac monitoring device as claimed in claim 1, wherein the wireless transceiver is arranged to transmit the first or second key data to a handheld receiver comprising a display and a user interface.