Cardiotachometer

• US 4,357,944 A
• Filed: 10/08/1980
• Issued: 11/09/1982
• Est. Priority Date: 10/15/1979
• Status: Expired due to Term

• Current Assignee: Horst Chmiel, Rudolf Mauser
• Original Assignee: Horst Chmiel, Rudolf Mauser
• Inventors: Chmiel, Horst, Mauser, Rudolf
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US06/194,955
• Time in Patent Office: 762 Days
• Field of Search: 128/661, 128/663
• US Class Current: 600/453
• CPC Class Codes: A61B 5/02438 with portable devices, e.g. worn by the patient
• CPC Class Codes: A61B 5/0507 using microwaves or terahertz waves
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives
• CPC Class Codes: A61B 8/02 Measuring pulse or heart rate
• CPC Class Codes: A61B 8/06 Measuring blood flow measuring volume flow in general G01F, e.g. G01F1/66, G01F1/72; measuring speed of fluids in general G01P5/00
• CPC Class Codes: A61B 8/13 Tomography A61B8/10, A61B8/12 take precedence; tomography for radiation diagnosis A61B6/02

Abstract

A pair of doppler type ultrasonic transmitters and receiving devices are employed, one operating at a frequency lower than the other. Each of the devices are connected to a demodulator to produce first and second doppler frequency signals, one indicative of vascular blood flow, the other indicative of movement of the vascular wall. The doppler frequencies are fed to a signal processing circuit and a reference stage received as its input, the output of the signal processors. The reference stage produces an output signal on coincidence of the two input signals which is indicative of the heart-beat frequency.

Claims

1. A cardiotachometer for determining heart-beat frequency comprising a first and a second doppler type ultrasonic transmitting and receiving device and a demodulator unit, said first ultrasonic transmitting and receiving device operating on a first frequency f₁ and providing at the output of the demodulator unit a first Doppler-frequency signal Δ

f₁ which is indicative of the vascular blood flow velocity;

said second ultrasonic transmitting and receiving device operating on a second frequency f₂ lower than said first frequency f₁ and providing at the output of the demodulator unit a second Doppler-frequency signal Δ

f₂ which is indicative of the movement of the vascular wall;

a first signal-processing circuit receiving as its input signal said first Doppler-frequency signal (Δ

f₁), a second signal-processing circuit receiving as its input signal said second Doppler-frequency signal (Δ

f₂), and a reference device receiving as its input signals the output signals of said first and second signal processing circuit, said reference device being adapted to deliver an output signal each time an output signal of said first signal processing circuit arrangement coincides with an output signal of said second signal processing circuit arrangement which is indicative of the heart-beat frequency.

2. The cardiotachometer according to claim 1 wherein the transmitter of the first ultrasonic transmitting and receiving device is operable at a frequency in the range of 5 to 10 and the transmitter of the second ultrasonic transmitting and receiving device is operable at a frequency in the range of 1 to 3 MHz.

3. The cardiotachometer according to claim 1 or 2, the first signal-processing circuit comprises a first rectangular pulse-generator device, generating one pulse each for each pulse wave and each displacement wave in the blood vessel;

and the second signal-processing circuit comprises a second rectangular pulse-generator, generating one pulse each for every movement of the vascular wall caused by a pulse wave in the blood vessel.

4. The cardiotachometer according to claim 3 wherein each of the first and second pulse-generator has connected therewith, in series, the demodulator, an amplifier, a rectifier and a rapid value-detector and pulse forming unit.

5. The cardiotachometer according to claim 3, wherein the first pulse-generator includes a band-pass filter, and a low-pass filter connected in parallel, said band-pass filter having a pass-band of 700 to 1800 cps and said low-pass filter having a pass-band of 0 to 500 cps.

6. The cardiotachometer according to claim 3 wherein the first pulse-generator has a pulse extension unit for the elimination of separate pulses caused by a dicrotism in the pulse wave, whereby the duration of the pulse extension to which passing pulses are extended is about 300 msec.

7. The cardiotachometer according to claim 6 including a digital signal-processing unit having a first input connected by way of a differentiating stage with the output of the reference device.

8. The cardiotachometer according to claim 7 wherein the digital signal-processing unit is provided with a second input connected by way of the differentiating stage with the output of the pulse extension unit of the first pulse-generating device.

9. The cardiotachometer according to claim 8, wherein the digital signal-processing unit is provided with a third input connected with the output of an asystolia detector, the latter connected in turn with the output of the first pulse-generating device.

10. The cardiotachometer according to claim 9 wherein the digital signal-processing unit (32) has at least one display devices for the display of the frequency of at least one of the systoles or the systoles-plus-extra-systoles, and at least on of an acoustic and optical alarm indicating devices to deliver an alarm signal if the frequency of the systoles lies outside of a range capable of being set and/or if the frequency of the extra-systoles and/or of the systoles-plus-extra-systoles exceeds a predetermined value, and/or if neither a systole nor an extra-systole occur during a predetermined period.

11. The cardiotachometer according to claim 1 wherein the ultrasonic transmitting and receiving devices are combined in a detecting head, the transmitter of said ultrasonic device being arranged in the center of the cross-sectional area of the head and run in parallel to a membrane for contact with the body surface of the user, the receivers of each of said ultrasonic devices being divided into a plurality of individual receivers, connected in parallel to each other, said individual receivers being relatively small in dimension compared to the transmitters, said receivers being arranged symmetrically around the ultrasonic transmitters.

12. The cardiotachometer according to claim 11 wherein the first ultrasonic transmitters have a reflection cone having an aperture angle (α

) substantially greater than 90°

.

13. The cardiotachometer according to claims 11 or 27 wherein the second ultrasonic transmitter has an ultrasonic reflection cone having an aperture angle (β

) substantially smaller than 90°

.

14. A cardiotachometer according to claim 11 wherein the individual receivers of the first ultrasonic transmitting and receiving device are arranged for the determination of the flow speed at an angle of inclination of 15°

to 30°

, and the individual receivers of the second ultrasonic transmitting and receiving devices are arranged at an angle of 30°

to 45°

from their main direction of sound reception to the body surface.

15. A cardiotachometer according to claim 14 including a power supply for the receivers of the first and second ultrasonic transmitting and receiving devices and for part of the two signal-processing circuits and a timing unit connected to said power supply to provide selected intermittant power to said receivers and signal-processing circuits.