Apparatus for monitoring and storing a variety of heart activity signals

• US 4,360,030 A
• Filed: 01/23/1980
• Issued: 11/23/1982
• Est. Priority Date: 01/23/1980
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Citron, Paul, Hepp, Dennis G., Jirak, Thomas L.
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US06/114,663
• Time in Patent Office: 1,035 Days
• Field of Search: 128/689, 128/702, 128/703, 128/704, 128/706, 128/710, 128/711
• US Class Current: 600/515
• CPC Class Codes: A61B 5/333 Recording apparatus specially adapted therefor
• CPC Class Codes: A61B 5/338 Recording by printing on paper

Abstract

Heart monitoring and storing apparatus is disclosed for evaluating heart activity signals to determine if valid, for identifying a characteristic of the valid heart activity signal, and for storing the signal into a corresponding location of a memory depending upon the characteristic of the heart activity signal. Such apparatus comprises the memory including a first area and a second area, and a circuit for sampling the heart activity signals and for storing the heart signal samples into corresponding locations of such first area. There is further included an evaluation circuit for determining whether the sampled heart activity signals as stored within the first area are valid and particularly if they indicate the occurrence of a heartbeat. An addressing circuit is provided for determining the various characteristics of a valid heart signal and for selectively addressing a location within said second area to store the valid heart signal of the corresponding characteristic.

Claims

1. Apparatus for monitoring and storing electrical signals indicative of heart activity including a series of heartbeats, said apparatus comprising:

(a) means for sampling a patient'"'"'s heart activity to provide a sequence of sampled heart signals at a rate sufficient to provide a plurality of sampled heart signals of one heartbeat and comparing one sampled heart signal with a subsequent heart signal of said one heartbeat to provide a heartbeat signal indicative of the occurrence of a valid peak of said one heartbeat, if said one sampled heart signal has a predetermined amplitude relationship to said subsequent sampled heart signal;

(b) memory means including a plurality of storage locations, said locations for storing corresponding heartbeat signals, and

(c) means responsive to the provision of said heartbeat signal for evaluating a sequence of said heartbeat signals as stored in said plurality of locations to determine whether the patient'"'"'s activity is rhythmic, and if so for providing a manifestation of rhythmic heart activity and if not, for providing a manifestation of disrhythmic heart activity.

2. Monitoring and storing apparatus as claimed in claim 1, wherein said memory means includes a second plurality of storage locations, and there is further included means responsive to said heartbeat signal for examining the stored heartbeat signals and providing statistical characteristic of the patient'"'"'s heart activity and for addressing a selected location of said second plurality in accordance with said statistical characteristic.

3. The monitoring and storing apparatus as claimed in claim 2, wherein said examining means comprises means for computing the intervals between adjacent heartbeats.

4. Monitoring and storing apparatus as claimed in claim 3, wherein each of said storage locations of said second plurality stores a count indicating the number of times a rate of the heartbeats occur within a certain range, and said addressing means includes means responsive to the computed intervals for determining the rates at which the heartbeats are occurring, and said addressing means includes means responsive to the determined rate for incrementing the count as stored within a location of said second plurality dependent upon the determined rate.

5. Monitoring and storing apparatus as claimed in claim 3, wherein said addressing means includes means for determining the difference between successive intervals, each storage location of said second plurality for storing a count indicating the number of times that a particular range of differences between successive intervals has occurred during the monitoring period, and means responsive to the difference for addressing and incrementing the count within one of said storage locations of said second plurality in accordance with the difference.

6. Monitoring and storing apparatus as claimed in claim 3, wherein said apparatus monitors the heart activity for a monitoring period comprising a plurality of trend sample intervals, each of said storage locations of said second plurality corresponds to one of the plurality of the trend sample intervals for storing a data characteristic of the heart activity over the prolonged monitoring period;

said addressing means includes;

(a) means responsive to the computed intervals for calculating the rate of the heartbeats;

(b) means for determining the statistical characteristic of the rate of the heartbeats during each of the aforementioned trend sample intervals; and

(c) means for storing the previously determined statistical characteristic in a first portion of a corresponding location of said second plurality.

7. Monitoring and storing apparatus as claimed in claim 6, wherein said statistical characteristic of the rate comprises the maximum heartbeat rate, the average heartbeat rate, and the minimum heartbeat rate during each trend sample interval.

8. Monitoring and storing apparatus as claimed in claim 7, wherein said receiving and storing means samples the heart activity signals to store heart signal samples in said first area;

and means for adding successively the values indicative of the calculated rates in the location of said second area corresponding to the current trend sample interval, and means for calculating at the end the current trend sample interval the average heart rate occurring during the current trend sample interval by dividing the sum of the heart rates by the number of heart signal samples taken during the current trend sample interval.

9. The monitoring and storing apparatus as claimed in claim 2, wherein said apparatus monitors the heart activity for a prolonged monitoring period comprising a plurality of consecutive trend sample intervals, and each of said second plurality of storage locations corresponds to one of said trend sample intervals.

10. Monitoring and storing apparatus as claimed in claim 9, wherein each location of said second plurality includes a portion for storing a count indicative of the number of disrhythmic beats occurring during the corresponding trend sample interval, said addressing means includes means responsive to said disrhythmic manifestation for addressing a storage location of said second plurality corresponding to the current trend sample interval and for incrementing the count stored in said portion of that addressed storage location.

11. Monitoring and storing apparatus as claimed in claim 10, wherein each location of said second plurality of locations includes a second portion for storing a statistical characteristic of the heartbeat as occurred during the corresponding trend sample interval, and there is further included means responsive to the computed interval for determining a statistical characteristic of the heartbeat, said addressing means responsive to the determined statistical characteristic for addressing the location of said second plurality corresponding to the current trend sample interval and for storing within said second portion of the addressed location the determined statistical characteristic.

12. Monitoring and storing apparatus as claimed in claim 11, wherein the statistical characteristic of the heartbeat comprises the maximum heartbeat rate, the average heartbeat rate and the minimum heartbeat rate, and said determining means computes the rate of the heartbeat.

13. Monitoring and storing apparatus as claimed in claim 11, wherein said second area of said memory means comprises a second plurality of locations, each location of said second plurality for storing a count corresponding to a range of differences between successive intervals between consecutive heartbeats, said addressing means comprising means responsive to the difference between successive intervals for addressing a corresponding location of said second plurality and for incrementing the stored count in the addressed location of said second plurality.

14. Monitoring and storing apparatus as claimed in claim 13, wherein said addressing means comprises means responsive to said disrhythmic manifestation for setting a flag and means responsive to the flag for inhibiting said addressing means from storing the difference between successive intervals within the addressed storage location of said second plurality but permitting said addressing means for storing the determined statistical characteristic.

15. Monitoring and storing apparatus as claimed in claim 14, wherein said addressing means comprises means responsive to next one of said heartbeat signals after the provision of said disrhythmic manifestation for defeating said inhibiting means and removing the flag, whereby said addressing means is prepared for storing the current interval difference in a selected location of said first plurality.

16. Monitoring and storing apparatus as claimed in claim 2, wherein said addressing means includes means responsive to said disrhythmic manifestation for inhibiting the addressing and storing of invalid heart activity signal characteristics.

17. Monitoring and storing apparatus as claimed in claim 16, wherein said inhibiting means removes said manifestation after the occurrence of the next one of said heartbeat signals.