Monitoring Physiological Condition and Detecting Abnormalities

• US 20110130670A1
• Filed: 11/30/2010
• Published: 06/02/2011
• Est. Priority Date: 02/08/2007
• Status: Active Grant

• Current Assignee: Heart Force Medical, Inc.
• Original Assignee: Heart Force Medical, Inc.
• Inventors: Kaminska, Bozena, MacQuarrie, David
• Granted Patent: US 8,251,911 B2
• Time in Patent Office: Days
• US Class Current: 600/513
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 5/02 Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
• CPC Class Codes: A61B 5/1102 Ballistocardiography
• CPC Class Codes: A61B 5/349 Detecting specific parameters of the electrocardiograph cycle

Abstract

A system for monitoring an individual'"'"'s physiological condition and detecting abnormalities therein, comprising concurrently receiving at least a first signal and a second signal. The first and second signals are conditioned to minimize background extraneous noise after which, each signal is concurrently processed and analyzed to detect repeating cyclical patterns and further characterized to identify individual components of the repeating cycles. At least one individual component in one signal is selected as a reference marker for a selected component in the other signal. The two signals are then synchronized, outputs produced therefrom and stored in a database. The system is provided with a plurality of devices for acquiring, transmitting and conditioning at least two physiological signals, a software program cooperable with a microprocessor configured for receiving said transmitted signals and conditioned signals, and processing said signals to characterize and synchronize said signals and provide signal outputs derived therefrom, a database for storing said transmitted signals, conditioned signals, synchronized signals, and output signals derived therefrom. The output signals are useful for reporting and optionally for retransmission to the individual'"'"'s body and providing physiologically stimulatory signals thereto.

Claims

1. A method for determining one or more parameters characteristic of an individual'"'"'s cardiac function, said method comprising:

acquiring electrocardiograph and ballistocardiograph signals from said individual;

converting said electrocardiograph and ballistocardiograph signals into electrocardiograph data and ballistocardiograph data;

receiving said electrocardiograph data and ballistocardiograph data at a computer, said computer including a microprocessor;

synchronizing, by said microprocessor, said electrocardiograph data with said ballistocardiograph data to provide at least one synchronized electrocardiograph-ballistocardiograph waveform;

identifying, by said microprocessor, one or more components of said synchronized electrocardiograph-ballistocardiograph waveform, said components indicative of said one or more parameters characteristic of an individual'"'"'s cardiac function.

2. The method according to claim 1, wherein identifying one or more components of the synchronized electrocardiograph-ballistocardiograph waveform comprises detecting and marking one or more of the h, i, j, a, a¹, g, H, I, J, K, L, M and N peaks on said synchronized electrocardiograph-ballistocardiograph waveform.

3. The method according to claim 1, wherein said one or more parameters are one or more of:

time period between any two of the h, i, j, a, a¹, g, H, I, J, K, L, M and N peaks, time duration of the H-I wave, H-I slope, I-J slope, J-K slope, K-L slope, L-M slope, M-N slope, amplitude of the H peak, amplitude of the I peak, amplitude of the J peak, amplitude of the K peak, amplitude of the L peak, amplitude of the M peak, amplitude of the N peak, amplitude of the j peak, amplitude of the a¹ peak and j-a slope.

4. The method according to claim 1, wherein said one or more parameters are one or more of:

stroke volume, cardiac output, ending diastolic volume, ending systolic volume, ventricular ejection fraction, cardiac output index, pre-ejection period, cardiac performance index and isovolumetric contraction time.

5. The method according to claim 1, wherein converting said electrocardiograph and ballistocardiograph signals into electrocardiograph data and ballistocardiograph data comprises converting, by an analog-digital converter, analog electrocardiograph and ballistocardiograph signals into digital electrocardiograph and ballistocardiograph data.

6. The method according to claim 1, wherein said ballistocardiograph signals are acquired from an accelerometer.

7. The method according to claim 6, wherein said accelerometer is positioned on the sternum of said individual.

8. The method according to claim 1, wherein synchronizing said electrocardiograph data with said ballistocardiograph data includes aligning an R peak of at least one electrocardiograph waveform corresponding to said electrocardiograph data with an H peak of at least one ballistocardiograph waveform corresponding to said ballistocardiograph data.

9. The method according to claim 1, further comprising comparing one or more components of said synchronized electrocardiograph-ballistocardiograph waveform with reference data.

10. The method according to claim 1, further comprising conditioning said electrocardiograph signals.

11. The method according to claim 10, wherein said conditioning comprises passing said electrocardiograph signals through a filter having a high-pass cutoff frequency of about 40 Hz.

12. The method according to claim 10, wherein said conditioning comprises passing said electrocardiograph signals through a low-pass filter of about 1 Hz.

13. The method according to claim 1, further comprising conditioning said ballistocardiograph signals.

14. The method according to claim 13, wherein said conditioning comprises passing said ballistocardiograph signals through a filter having a high-pass cutoff frequency of about 25 Hz.

15. The method according to claim 13, wherein said conditioning comprises passing said ballistocardiograph signals through a low-pass filter of about 1 Hz.

16. The method according to claim 1, further comprising generating an output providing a visual representation of said one or more parameters characteristic of said individual'"'"'s cardiac function.

17. A system for determining one or more parameters characteristic of an individual'"'"'s cardiac function, said system comprising:

a first device for detecting and transmitting electrocardiograph signals of said individual, said first device comprising an electrocardiograph;

a second device for detecting and transmitting ballistocardiograph signals of said individual, said second device comprising an accelerometer;

an analog-digital converter in communication with said first device and said second device for converting said electrocardiograph signal into electrocardiograph data and for converting said ballistocardiograph signal into ballistocardiograph data;

a microprocessor in communication with said analog-digital converter, said microprocessor configured to receive said electrocardiograph data and said ballistocardiograph data, synchronize said electrocardiograph data with said ballistocardiograph data to provide at least one synchronized electrocardiograph-ballistocardiograph waveform, and identify one or more components of said synchronized electrocardiograph-ballistocardiograph waveform, said components indicative of said one or more parameters characteristic of an individual'"'"'s cardiac function.

18. The system according to claim 17, wherein said one or more parameters are one or more of:

time period between the I peak and the L peak, time duration of the H-I wave, H-I slope, I-J slope, J-K slope, K-L slope, L-M slope, M-N slope, amplitude of the H peak, amplitude of the I peak, amplitude of the J peak, amplitude of the K peak, amplitude of the L peak, amplitude of the M peak, amplitude of the N peak, amplitude of the j peak, amplitude of the a¹ peak and j-a slope.

19. The system according to claim 17, wherein said one or more parameters are one or more of:

stroke volume, cardiac output, ending diastolic volume, ending systolic volume, ventricular ejection fraction, cardiac output index, pre-ejection period, cardiac performance index and isovolumetric contraction time.

20. The system according to claim 17, wherein the accelerometer is configured to be positioned on the sternum of said individual.

21. The system according to claim 17, wherein synchronizing said electrocardiograph data with said ballistocardiograph data includes aligning an R peak of at least one electrocardiograph waveform corresponding to said electrocardiograph data with an H peak of at least one ballistocardiograph waveform corresponding to said ballistocardiograph data

22. The system according to claim 17, further comprising a database in communication with said microprocessor, said database for storing said electrocardiograph data and said ballistocardiograph data.

23. The system according to claim 17, wherein said microprocessor is further configured to generate an output providing a visual representation of said one or more parameters characteristic of said individual'"'"'s cardiac function.

24. The system according to claim 23, further comprising a device for displaying said output, said device selected from the group consisting of:

monitors, screens, printers and plotters.

25. The system according to claim 17, further comprising a graphical user interface in communication with said microprocessor, said graphical user interface for allowing operator input.

26. The system according to claim 17, further comprising one or more filters for conditioning said electrocardiograph signals and/or said ballistocardiograph signals.

27. The system according to claim 26, wherein said filters comprise a filter having a high-pass cutoff frequency of about 40 Hz for conditioning said electrocardiograph signals.

28. The system according to claim 26, wherein said filters comprise a low pass filter of about 1 Hz for conditioning said electrocardiograph signals.

29. The system according to claim 26, wherein said filters comprise a filter having a high-pass cutoff frequency of about 25 Hz for conditioning said ballistocardiograph signals.

30. The system according to claim 26, wherein said filters comprise a low pass filter of about 1 Hz for conditioning said ballistocardiograph signals.