METHOD AND APPARATUS FOR OBTAINING AND PROCESSING BALLISTOCARDIOGRAPH DATA

• US 20130109989A1
• Filed: 06/17/2010
• Published: 05/02/2013
• Est. Priority Date: 06/17/2009
• Status: Abandoned Application

• Current Assignee: Heart Force Medical, Inc.
• Original Assignee: Heart Force Medical, Inc.
• Inventors: Burns, James Alexander, Busse, Edward, Jahns, Graeme
• Application Number:
  US13/378,610
• Publication Number:
  US 20130109989A1
• Time in Patent Office: Days
• US Class Current: 600/527
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/02028 Determining haemodynamic parameters not otherwise provided for, e.g. cardiac contractility or left ventricular ejection fraction
• CPC Class Codes: A61B 5/029 Measuring or recording blood output from the heart, e.g. minute volume A61B8/065 takes precedence
• CPC Class Codes: A61B 5/1102 Ballistocardiography
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives
• CPC Class Codes: A61B 5/726 using Wavelet transforms
• CPC Class Codes: A61B 5/7278 Artificial waveform generation or derivation, e.g. synthesising signals from measured signals A61B5/327 takes precedence
• CPC Class Codes: A61B 5/7282 Event detection, e.g. detecting unique waveforms indicative of a medical condition A61B5/4094, A61B5/4818, A61B5/349, A61B5/0823 take precedence

Abstract

A method and apparatus are provided for obtaining and processing ballistocardiograph data to determine a physiological condition of a subject. Ballistocardiograph data indicative of heart motion of the subject measured along a plurality of spatial axes by a sensor device which may comprise a three-axis accelerometer. The ballistocardiograph data is processed to determine processed data indicative of heart motion of the subject. Indications of physiological condition are determined based at least in part on the processed data. Processing may comprise aggregation of multidimensional data, determining magnitude of heart motion and derivative thereof, determining a thrust summation, determining an index value, outputting a report based on an index value, etc. Processing may be informed by operator input, such as a time window of interest or indications of interest.

Claims

1. An apparatus for determining information indicative of a subject'"'"'s physiological condition, said apparatus comprising:

a) a sensor device configured to obtain ballistocardiograph data indicative of heart motion of the subject measured along a plurality of spatial axes; and

b) a computing device communicatively coupled to the sensor device and configured to receive the ballistocardiograph data therefrom, the computing device configured to determine, based on the ballistocardiograph data, processed data indicative of heart motion of the subject, the computing device further configured to determine one or more indications of the subject'"'"'s physiological condition based at least in part on the processed data.

2. The apparatus according to claim 1, wherein the sensor device comprises a three-axis accelerometer.

3. The apparatus according to claim 2, wherein the sensor device comprises one or more analog-to-digital converters configured to convert data from the three-axis accelerometer to digital ballistocardiograph data.

4. The apparatus according to claim 1, wherein the ballistocardiograph data comprises time series data.

5. The apparatus according to claim 1, wherein determining said processed data comprises aggregating multidimensional data into a lower dimensional representation.

6. The apparatus according to claim 5, wherein aggregating multidimensional data comprises determining data indicative of a magnitude of the multidimensional data.

7. The apparatus according to claim 1, wherein determining said processed data comprises determining a derivative.

8. The apparatus according to claim 1, wherein determining at least one of said one or more indications of the subject'"'"'s physiological condition comprises aggregating time series data into one or more measurements thereof.

9. The apparatus according to claim 1, wherein determining at least one of said one or more indications of the subject'"'"'s physiological condition comprises determining a thrust summation of the processed data.

10. The apparatus according to claim 9, wherein the thrust summation is determined for a portion of the processed data corresponding to time series data between two time points, at least one of the two time points corresponding to a predetermined type of cardiac event.

11. The apparatus according to claim 1, wherein at least one of said one or more indications of the subject'"'"'s physiological condition is an index.

12. The apparatus according to claim 11, wherein the index is selected from the group consisting of:

a systolic thrust index, a systolic thrust window, a recoil index, a recoil window, and a diastolic ratio.

13. The apparatus according to claim 11, wherein the index is a global normal index or a personal relative index.

14. The apparatus according to claim 11, wherein the apparatus is further configured to determine and output a report relating to the subject'"'"'s physiological condition based at least in part on the index.

15. The apparatus according to claim 1, wherein the one or more indications of the subject'"'"'s physiological condition relate to one or more aspects of heart operation selected from the group consisting of:

work performed, energy expended, rate of work performed, rate of energy expended, timing of heart operations, heart operation efficiency, cardiac output, and ejection fraction.

16. The apparatus according to claim 1, the apparatus further comprising an input device configured for receiving operator input, wherein determining at least one of said processed data and said one or more indications of the subject'"'"'s physiological condition is based at least in part on said operator input.

17. The apparatus according to claim 16, wherein said operator input comprises input selected from the group consisting of:

a time interval of interest, a physiological condition of interest, and an operator-defined annotation corresponding to a cardiac event.

18. The apparatus according to claim 1, wherein determining at least one of said processed data and said one or more indications of the subject'"'"'s physiological condition is based at least in part on one or more annotations of cardiac events corresponding to the ballistocardiograph data.

19. The apparatus according to claim 18, wherein the one or more annotations are based at least in part on operator input.

20. The apparatus according to claim 19, wherein the one or more annotations are determined at least in part automatically.

21. The apparatus according to claim 1, the apparatus further comprising an output device operatively coupled to the computing device, the output device configured to provide the one or more indications of the subject'"'"'s physiological condition.

22. The apparatus according to claim 21, wherein the output device is configured to present a visual representation of the ballistocardiograph data along with at least one of the indications of the subject'"'"'s physiological condition.

23. The apparatus according to claim 1, wherein the processed data comprises time series data indicative of derivative magnitude of heart motion, and wherein the one or more indications of the subject'"'"'s physiological condition comprises a thrust summation corresponding to a predetermined portion of said time series data.

24. A method for determining information indicative of a subject'"'"'s physiological condition, said method comprising:

a) obtaining ballistocardiograph data indicative of heart motion of the subject measured along a plurality of spatial axes;

b) determining, based on the ballistocardiograph data, processed data indicative of heart motion of the subject; and

c) determining one or more indications of the subject'"'"'s physiological condition based at least in part on the processed data.

25. The method according to claim 24, wherein the ballistocardiograph data is indicative of heart motion of the subject measured along three-axes.

26. The method according to claim 24, wherein the ballistocardiograph data comprises time series data.

27. The method according to claim 24, wherein determining said processed data comprises aggregating multidimensional data into a lower dimensional representation.

28. The method according to claim 27, wherein aggregating multidimensional data comprises determining data indicative of a magnitude of the multidimensional data.

29. The method according to claim 24, wherein determining said processed data comprises determining a derivative.

30. The method according to claim 24, wherein determining at least one of said one or more indications of the subject'"'"'s physiological condition comprises aggregating time series data into one or more measurements thereof.

31. The method according to claim 24, wherein determining at least one of said one or more indications of the subject'"'"'s physiological condition comprises determining a thrust summation of the processed data.

32. The method according to claim 31, wherein the thrust summation is determined for a portion of the processed data corresponding to time series data between two time points, at least one of the two time points corresponding to a predetermined type of cardiac event.

33. The method according to claim 24, wherein at least one of said one or more indications of the subject'"'"'s physiological condition is an index.

34. The method according to claim 33, wherein the index is selected from the group consisting of:

a systolic thrust index, a systolic thrust window, a recoil index, a recoil window, and a diastolic ratio.

35. The method according to claim 33, wherein the index is a global normal index or a personal relative index.

36. The method according to claim 24, wherein the one or more indications of the subject'"'"'s physiological condition relate to one or more aspects of heart operation selected from the group consisting of:

work performed, energy expended, rate of work performed, rate of energy expended, timing of heart operations, heart operation efficiency, cardiac output, and ejection fraction.

37. The method according to claim 24, the method further comprising receiving operator input, wherein determining at least one of said processed data and said one or more indications of the subject'"'"'s physiological condition is based at least in part on said operator input.

38. The method according to claim 37, wherein said operator input comprises input selected from the group consisting of:

a time interval of interest, a physiological condition of interest, and an operator-defined annotation corresponding to a cardiac event.

39. The method according to claim 24, wherein determining at least one of said processed data and said one or more indications of the subject'"'"'s physiological condition is based at least in part on one or more annotations of cardiac events corresponding to the ballistocardiograph data.

40. The method according to claim 39, wherein the one or more annotations are based at least in part on operator input.

41. The method according to claim 39, wherein the one or more annotations are determined at least in part automatically.

42. The method according to claim 24, the method further comprising communicating or storing the one or more indications of the subject'"'"'s physiological condition.

43. The method according to claim 24, the method further comprising presenting a visual representation of the ballistocardiograph data along with at least one of the indications of the subject'"'"'s physiological condition.

44. The method according to claim 24, wherein the processed data comprises time series data indicative of derivative magnitude of heart motion, and wherein the one or more indications of the subject'"'"'s physiological condition comprises a thrust summation corresponding to a predetermined portion of said time series data.

45. A computer program product comprising a memory having computer readable code embodied therein, for execution by a CPU, for performing a method for determining information indicative of a subject'"'"'s physiological condition based on ballistocardiograph data indicative of heart motion of the subject measured along a plurality of spatial axes, said method comprising:

a) determining, based on the ballistocardiograph data, processed data indicative of heart motion of the subject; and

b) determining one or more indications of the subject'"'"'s physiological condition based at least in part on the processed data.