Fetal heart rate monitor apparatus and method for combining electrically and mechanically derived cardiographic signals

• US 4,299,234 A
• Filed: 03/30/1979
• Issued: 11/10/1981
• Est. Priority Date: 03/30/1979
• Status: Expired due to Term

• Current Assignee: Corometrics Medical Systems, Inc.
• Original Assignee: Brattle Instrument Corporation
• Inventors: Epstein, Paul, Van Horn, Joseph M., Ballas, John S. Jr., Mandler, John J. Jr.
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US06/025,720
• Time in Patent Office: 956 Days
• Field of Search: 128/661, 128/663, 128/689, 128/698, 128/706, 128/709
• US Class Current: 600/511
• CPC Class Codes: A61B 5/02411 of foetuses
• CPC Class Codes: A61B 5/4362 Assessing foetal parameters
• CPC Class Codes: A61B 8/02 Measuring pulse or heart rate
• CPC Class Codes: A61B 8/0866 involving foetal diagnosis; pre-natal or peri-natal diagnosis of the baby

Abstract

Apparatus and method for continuously monitoring the fetal heart rate simultaneously using ultrasonic and electrocardiographic signals. The signals are continuously processed to provide an improved output fetal heart rate indication in terms of better continuity and accuracy.

Claims

1. Apparatus for generating an output signal indicative of the rate of fluctuation of a human fetal heart, comprising:

(A) means for coupling an input electrocardiographic signal from a fetus-carrying female human to said apparatus;

(B) means for processing said electrocardiographic signal to produce a first electric signal indicative of the rate of fluctuation of the heart of said fetus;

(C) means for coupling an input mechanical cardiographical signal from said human to said apparatus;

(D) means for processing said mechanical cardiographical signal to produce a second electric signal indicative of the rate of fluctuation of the heart of said fetus; and

,

(E) means for comparing said electric signals for choosing the better of the two signals to produce an output signal best indicative of said fetal heart rate.

2. The apparatus of claim 1, wherein:

said first and second electric signals are continuously monitored continuously to produce an output signal best indicative of said fetal heart rate.

3. The apparatus of claim 1, wherein:

said mechanical signal is sonic.

4. The apparatus of claim 3, wherein:

said mechanical coupling means includes means adapted to generate a sonic beam directed to said fetal heart; and

means for heterodyning said beam and input sonic signals for deriving said second electric signal proportional to the difference of the Doppler frequency between transmitted and reflected energy.

5. The apparatus of claim 1, wherein:

means are included for cross-correlating said electric signals.

6. The apparatus of claim 1, wherein:

means are included for verifying each of said electric signals relative to said fetal heart rate.

7. The apparatus of claim 1, wherein:

means are included for processing said electric signals in accordance with a selected function to produce an output signal superior to either one of the said electric signals relative to said fetal heart rate.

8. The apparatus of claim 7, wherein:

means are included for adding said electric signals.

9. The apparatus of claim 7, wherein:

means are included for multiplying said electric signals.

10. The apparatus of claim 1, wherein:

means are included for biasing said output signal in favor of said first electric signal.

11. The apparatus of claim 1, wherein:

means are included for varying the time of occurrence of one said electric signal relative to the other.

12. The apparatus of claim 1, wherein:

means are included for disabling said generate means only when said electrocardiographic signal has been selected.