Portable heart monitor

• US 3,938,507 A
• Filed: 11/01/1973
• Issued: 02/17/1976
• Est. Priority Date: 11/01/1973
• Status: Expired due to Term

• Current Assignee: Brunswick Biomedical Corp (Meridian Medical Technologies Incorporated)
• Original Assignee: Survival Technology, Inc. (Meridian Medical Technologies Incorporated)
• Inventors: Reinhold, Herbert E. Jr., Sarnoff, Stanley J., Wolfe, Allan M.
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US05/411,843
• Time in Patent Office: 838 Days
• Field of Search: 128/2.05 P, 128/2.05 R, 128/2.05 S, 128/2.05 T, 128/2.06 A, 128/2.06 B, 128/2.06 E, 128/2.06 F, 128/2.06 R, 128/2.1 A, 128/2.1 R , 128/419 P
• US Class Current: 600/514
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/332 Portable devices specially adapted therefor
• CPC Class Codes: A61B 5/363 Detecting tachycardia or bradycardia
• CPC Class Codes: Y10S 128/901 Suppression of noise in electric signal

Abstract

A portable heart monitoring apparatus incorporating unique structural and functional features. Electrodes carried on the apparatus capture electrical signals representing the functioning of a heart beating therewithin and provides sensible output indications corresponding to predetermined characteristics of the electrical signals and, hence, of the detected heartbeat. One of the sensible outputs provided is the selective actuation of either of two logic lights indicating whether the heartbeat is above or below respectively a predetermined beating rate. The unit is automatically turned on by merely holding the instrument in the user'"'"'s hand and the selective actuation of the various operational modes may be conveniently made by selectively placing one of the hands'"'"'s digits (such as the thumb) from one touch contact point to another. Part of the operation in the test mode involves the effective testing of the reserve battery power without actually loading the battery. Structurally, the device is convenient to hold in the hand and includes, on one side, a ground plane for establishing electrical contact with the user'"'"'s hand. The ground plane structure is also formed as an open-sided storage compartment for the electrodes and is surrounded by a wrap-around structure for self-storing of the electrode leads.

Claims

1. Heart monitoring apparatus comprising:

electrodes for electrically contacting a human body,

input signal conditioning means electrically connected to said electrodes for receiving and processing electrical signals taken from said human body, said signals representing the functioning of a heart beating therewithin, said input signal conditioning means including means for detecting each heartbeat cycle and for providing a trigger output pulse for each such heartbeat cycle,

rate detecting means connected to receive said trigger pulses;

to provide a high rate output signal if successive trigger pulses are spaced closer in time than a predetermined time interval corresponding to a single predetermined change-over frequency and to provide a low rate output signal if successive trigger pulses are spaced farther in time than said predetermined time interval,

output means operatively connected for selectively providing a high output indication and a low output indication respectively signifying whether the heartbeat rate is higher or lower than said single predetermined change-over frequency,

low-to-high inhibit means operatively connected to said rate detecting means and to said output means for preventing any change from a low output indication to a high output indication unless at least three successive heartbeats occur at a rate higher than said change-over frequency, and

high-to-low inhibit means operatively connected to said rate detecting means and to said output means for preventing any change from a high output indication to a low output indication unless at least two successive heartbeats occur at a rate less than said change-over frequency.

2. Heart monitoring apparatus as in claim 1 wherein said low-to-high inhibit means and said high-to-low inhibit means each comprise an analog time delay circuit means.

3. Heart monitoring apparatus as in claim 1 wherein said low-to-high inhibit means and said high-to-low inhibit means each comprise a digital counting circuit means,

4. Heart monitoring apparatus as in claim 1 further comprising:

a housing having first and second opposingly situated sides,

electrical circuit means comprising the means of claim 1 disposed within said housing for receiving and processing electrical signals taken from a human body, said signals representing the functioning of a heart beating therewithin and including said output means for providing a sensible output indication corresponding to a predetermined characteristic of said electrical signals,

said electrodes comprising first and second electrodes disposed outside said housing adapted for placement at spaced apart areas of a human body,

first and second lead wires respectively connecting said first and second electrodes outside the housing to said electrical input signal conditioning means inside the housing, and

an open-sided storage compartment disposed on the first side of said housing, said compartment having an outer edge sized to receive and holdingly engage said first and second electrodes therewithin in a side-by-side relationship.

5. Heart monitoring apparatus as in claim 4 further comprising:

a wrap-around storage structure means for wrapping and storing said first and second lead wires thereabout, said structure being disposed about the outside perimeter of said storage compartment on the first side of the housing.

6. Heart monitoring apparatus as in claim 5 wherein said first and second lead wires are of different lengths and permanently connected between the housing and the respectively corresponding electrodes to thus facilitate simultaneously storing the wires in said wrap-around storage structure means and storing said electrodes in said open-sided storage compartment on the first side of the housing.

7. Heart monitoring apparatus as in claim 4 further comprising control means disposed on the second side of the housing for selectively controlling the operation of said electrical circuit means.

8. Heart monitoring apparatus as in claim 4 wherein said output means includes means disposed on the second side of the housing for providing said sensible output indications thereat.

9. Heart monitoring apparatus as in claim 4 wherein said electrodes are rectangularly shaped and wherein said open-sided storage compartment is shaped and sized for receiving said electrodes in a flat side-by-side storage configuration on said first side of the housing.

10. Heart monitoring apparatus comprising:

electrodes for electrically contacting a human body,

input signal conditioning means electrically connected to said electrodes for receiving and processing electrical signals taken from said human body, said signals representing the functioning of a heart beating therewithin, said input signal conditioning means including means for detecting each heartbeat cycle and for providing a trigger output pulse for each such heartbeat cycle,

rate detecting means connected to receive said trigger pulses;

to provide a high rate output signal if successive trigger pulses are spaced closer in time than a predetermined time interval corresponding to a single predetermined change-over frequency and to provide a low rate output signal if successive trigger pulses are spaced further in time than said predetermined time interval,

output means operatively connected for selectively providing a high output indication and a low output indication respectively signifying whether the heartbeat rate is higher or lower than said single predetermined change-over frequency,

low-to-high inhibit means operatively connected to said rate detecting means and to said output means for preventing any change from a low output indication to a high output indication unless at least a first predetermined number of successive heartbeats occur at a rate higher than said change-over frequency,

high-to-low inhibit means operatively connected to said rate detecting means and to said output means for preventing any change from a high output indication to a low output indication unless at least a second predetermined number of successive heartbeats occur at a rate less than said change-over frequency,

a housing having first and second opposingly situated sides,

said input signal conditioning means, said rate detecting means, said output means, said low-to-high inhibit means and said high-to-low inhibit means all being disposed within said housing for receiving and processing electrical signals taken from a human body, said signals representing the functioning of a heart beating therewithin and including said output means for providing a sensible output indication corresponding to a predetermined characteristic of said electrical signals,

a first electrically conducting area disposed on said first side of the housing,

a second electrically conducting area disposed on said second side of the housing and electrically insulated from said first conducting area, and

activation means electrically connected between said first and second electrically conducting areas for activating at least said output means by applying operating power thereto in response to the completion of an electrical circuit between said first and second electrically conducting areas through a human hand when holding said housing therein.

11. Heart monitoring apparatus as in claim 10 wherein:

said output means disposed within said housing includes means for operating in a plurality of operating modes including a beep mode and an ECG mode and for providing a corresponding plurality of sensible output indications,

further comprising at least a third electrically conducting area also disposed on said second side of the housing but electrically insulated from said second electrically conducting area, and wherein said activation means is also connected to said third electrically conducting area and including means for selectively activating said means disposed in said housing in a particular one of its operating modes in dependence upon whether said human hand completes an electrical circuit between said first and second electrically conducting areas or between said first and third electrically conducting areas.

12. Heart monitoring apparatus as in claim 11 wherein said output means are also disposed on said second side of the housing so that said sensible output indications can be conveniently observed while the thumb of said hand is selectively placed on said second or third electrically conducting areas to activate said means disposed in said housing in the desired operating mode.

13. Heart monitoring apparatus as in claim 10 wherein one of said first and second electrically conducting areas is electrically connected to a common ground return connection for said means disposed in said housing whereby a human body associated with said hand effectively becomes a source of electrical ground or reference potential when the housing is held in said hand thereby facilitating the elimination of spurious electrical signals in said means disposed in said housing.

14. Heart monitoring apparatus as in claim 13 wherein:

said electrodes comprise a pair of electrically conducting electrodes for placement at spaced apart areas of the human body and a corresponding pair of lead wires respectively connected thereto and wherein,

said first electrically conducting area on said first side of the housing comprises a storage compartment for said electrodes and there being a wraparound storage structure for said pair of lead wires provided about the outside perimeter of said storage compartment.

15. Heart monitoring apparatus as in claim 10 wherein said activation means comprises means which consumes less electrical power than that consumed by the rest of said means disposed in said housing by at least a factor of ten.

16. Heart monitoring apparatus as in claim 10 further comprising:

start-up inhibition means for temporarily inhibiting said output means after the rest of said means disposed in said housing has been activated by said activation means and thus preventing possibly spurious output indications during an initial start-up period.

17. Heart monitoring apparatus comprising:

electrodes for electrically contacting a human body,

input signal conditioning means electrically connected to said electrodes for receiving and processing electrical signals taken from said human body, said signals representing the functioning of a heart beating therewithin, said input signal conditioning means including means for detecting each heartbeat cycle and for providing a trigger output pulse for each such heartbeat cycle,

rate detecting means connected to receive said trigger pulses;

to provide a high rate output signal if successive trigger pulses are spaced closer in time than a predetermined time interval corresponding to a single predetermined change-over frequency and to provide a low rate output signal if successive trigger pulses are spaced further in time than said predetermined time interval,

output means operatively connected for selectively providing a high output indication and a low output indication respectively signifying whether the heartbeat rate is higher or lower than said single predetermined change-over frequency,

low-to-high inhibit means operatively connected to said rate detecting means and to said output means for preventing any change from a low output indication to a high output indication unless at least a first predetermined number of successive heartbeats occur at a rate higher than said change-over frequency,

high-to-low inhibit means operatively connected to said rate detecting means and to said output means for preventing any change from a high output indication to a low output indication unless at least a second predetermined number of successive heartbeats occur at a rate less than said change-over frequency,

a battery for supplying electrical energy,

a housing including means for carrying said battery therewithin,

a self-contained battery operated processing circuit comprising said input signal conditioning means, said rate detecting means, said output means, said low-to-high inhibit means and said high-to-low inhibit means all within said housing for receiving and processing electrical signals taken from a human body, said signals representing the functioning of a heart beating therewithin, and including said output means for providing a sensible output indication corresponding to a predetermined characteristic of said electrical signals,

a voltage regulator circuit means disposed within said housing and including means for operative connection with said battery and for supplying a regulated output voltage of predetermined magnitude therefrom to said processing circuit, and

battery test means within said housing for temporarily increasing said predetermined magnitude by a predetermined increment and means for sensing the increased magnitude and for thereby indicating a low battery power condition if the battery fails to have enough reserve capacity to supply the temporary demand for an increased regulated voltage output without substantially depleting the battery reserves during the testing process.

18. Heart monitoring apparatus as in claim 17 further comprising:

latch circuit means within said housing operatively connected to said voltage regulator circuit means for automatically inactivating said processing circuit and maintaining it in an inactive state if the regulated output voltage falls below said predetermined magnitude whereby the operation of the battery test means will also automatically inactivate the processing circuit if the battery fails to have enough reserve capacity to supply the temporary demand for an increased regulated voltage output.

19. Heart monitoring apparatus comprising:

a housing having first and second opposingly situated sides,

electrodes for electrically contacting a human body,

circuit means electrically connected to said electrodes and disposed within said housing for receiving and processing electrical signals taken from said human body via said electrodes, said signals representing the functioning of a heart beating therewithin and including output means for providing a sensible output indication corresponding to a predetermined characteristic of said electrical signals,

a first electrically conducting area disposed on said first side of the housing,

a second electrically conducting area disposed on said second side of the housing, and

activation means electrically connected between said first and second electrically conducting areas for activating said circuit means in response to the completion of an electrical circuit between said first and second electrically conducting areas through a human hand when holding said housing therein.

20. Heart monitoring apparatus as in claim 19 wherein:

said circuit means includes means for operating in a plurality of operating modes including a beep mode and an ECG mode and for providing a corresponding plurality of sensible output indication,

further comprising at least a third electrically conducting area also disposed on said second side of the housing but electrically separate from said second electrically conducting area, and wherein

said activation means is also connected to said third electrically conducting area and including means for selectively activating said circuit means in a particular one of its operating modes in dependence upon whether said human hand completes an electrical circuit between said first and second electrically conducting areas or between said first and third electrically conducting areas.

21. Heart monitoring apparatus as in claim 20 wherein said output means are also disposed on said second side of the housing so that said sensible output indications can be conveniently observed while the thumb of said hand is selectively placed on said second or third electrically conducting areas to activate said circuit means in the desired operating mode.

22. Heart monitoring apparatus as in claim 19 wherein one of said first and second electrically conducting areas is electrically connected to a common ground return connection for said circuit means whereby a human body associated with said hand effectively becomes a source of electrical ground or reference potential when the housing is held in said hand thereby facilitating the elimination of spurious electrical signals in said circuit means.

23. Heart monitoring apparatus as in claim 22 wherein:

said electrodes comprise a pair of electrically conducting electrodes for placement at spaced apart areas of the human body and a pair of lead wires respectively connected to said electrodes, and

said first electrically conducting area on said first side of the housing comprises a storage compartment for said electrodes and there being a wrap-around storage structure means for said pair of lead wires provided about the outside perimeter of said storage compartment.

24. Heart monitoring apparatus as in claim 19 wherein said activation means includes means for consuming less electrical power than that consumed by said circuit means by at least a factor of ten.

25. Heart monitoring apparatus as in claim 19 further comprising:

start-up inhibition means for temporarily inhibiting said output means after said circuit means has been activated by said activation means and thus preventing possibly spurious output indications during an initial start-up period.

26. Heart monitoring apparatus comprising:

a battery for supplying electrical energy,

a housing including means for carrying said battery therewithin,

a self contained battery operated processing circuit means within said housing for receiving and processing electrical signals taken from a human body, said signals representing the functioning of a heart beating therewithin, and including output means for providing a sensible output indication corresponding to a predetermined characteristic of said electrical signals,

a voltage regulator circuit means including means for operative connection with said battery and means for supplying a regulated output voltage of predetermined magnitude therefrom to said processing circuit means, and

battery test means for temporarily increasing said predetermined magnitude by a predetermined increment including means for sensing the increased magnitude and indicating a low battery power condition if the battery fails to have enough reserve capacity to supply the temporary demand for an increased regulated voltage output without substantially depleting the battery reserves during the testing process.

27. Heart monitoring apparatus as in claim 26 further comprising:

latch circuit means operatively connected to said voltage regulator circuit for automatically inactivating said processing circuit and maintaining it in an inactive state if the regulated output voltage falls below said predetermined magnitude whereby the operation of the battery test means will also automatically inactivate the processing circuit if the battery fails to have enough reserve capacity to supply the temporary demand for an increased regulated voltage output.

28. Heart monitoring apparatus comprising:

a housing having first and second opposingly situated sides,

electrical circuit means disposed within said housing for receiving and processing electrical signals taken from a human body, said signals representing the functioning of a heart beating therewithin and including output means for providing a sensible output indication corresponding to a predetermined characteristic of said electrical signals,

first and second electrodes disposed outside said housing adapted for placement at spaced apart areas of the human body,

first and second lead wires respectively connecting said first and second electrodes outside the housing to said electrical circuit means inside the housing,

an open-sided storage compartment disposed on the first side of said housing, said compartment having an outer edge sized to receive and holdingly engage said first and second electrodes therewithin in a side-by-side relationship, and

a wrap-around storage structure means for wrapping and storing said first and second lead wires thereabout, said structure being disposed about the outside perimeter of said storage compartment on the first side of the housing wherein said first and second lead wires are of different lengths and permanently connected between the housing and the respectively corresponding electrodes to thus facilitate simultaneously storing the wires in said wrap-around storage structure means and storing said electrodes in said open-sided storage compartment on the first side of the housing.

29. Heart monitoring apparatus as in claim 28 further comprising control means disposed on the second side of the housing for selectively controlling the operation of said electrical circuit means.

30. Heart monitoring apparatus as in claim 28 wherein said output means includes means disposed on the second side of the housing for providing said sensible output indications thereat.

31. Heart monitoring apparatus as in claim 28 wherein said electrodes are rectangularly shaped and wherein said open-sided storage compartment includes means for receiving said electrodes in a flat side-by-side storage configuration on said first side of the housing.

32. Heart monitoring apparatus for use by a human user comprising:

a housing adapted in size and shape for holding by a human hand of said user,

two electrodes physically connected via electrical leadwires with said housing, said electrodes being adapted for electrical contact at two respectively corresponding spaced-apart body areas of said human user,

circuit means disposed within said housing for receiving and processing electrical signals taken from the body of said user via said electrodes, said signals representing the functioning of a heart beating within the user'"'"'s body and including output means for providing a sensible output indication corresponding to a predetermined characteristic of said electrical signals,

said circuit means including at least one differential amplifier means having two differential inputs respectively connected to receive electrical signals from a corresponding one of said electrodes,

said differential amplifier means also having a reference input for providing suppression of common mode noise appearing on said differential inputs when connected with a suitable reference electrical potential, and

an electrically conducting area disposed on the outside of the housing in a position normally in contact with said human hand when held thereby,

said electrically conducting area constituting a third electrode being electrically connected to said reference input for said circuit means whereby the user'"'"'s body associated with said hand effectively becomes a source of electrical ground or reference potential when the housing is held in said hand thereby facilitating the suppression of spurious common mode electrical signals in said circuit means from said signals representing the functioning of a heart beating within the user'"'"'s body.