Method and apparatus for detecting heart sounds

• US 4,446,873 A
• Filed: 03/06/1981
• Issued: 05/08/1984
• Est. Priority Date: 03/06/1981
• Status: Expired due to Fees

• Current Assignee: Siemens Gammasonics Incorporated
• Original Assignee: Siemens Gammasonics Incorporated
• Inventors: Domnanovich, James R., Groch, Mark W.
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US06/241,388
• Time in Patent Office: 1,159 Days
• Field of Search: 128/715, 128/688, 128/687, 128/773
• US Class Current: 600/528
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
• CPC Class Codes: A61B 7/04 Electric stethoscopes microphones, acoustic transducers therefor H04R

Abstract

From a heart sound signal input the occurrence of a first occurring heart sound is detected. Thereupon a predetermined heart sound enable window time is established, which for a first detection cycle is set to approximately the diastolic interval for the maximum heart rate to be detected. If a second heart sound occurs within this heart sound enable window time, this second heart sound is detected as a systole heart sound. The first heart sound may be detected as a diastole heart sound. If a second heart sound does not occur within the heart sound enable window time the procedure is repeated with increasing heart sound enable time as long as a second heart sound occurs within an increased heart sound enable window time.

Claims

1. A method of detecting heart sounds from a heart sound signal input, comprising the step of:

(a) detecting the occurrence of a first occurring heart sound;

(b) establishing a predetermined heart sound enable window time after the occurrence of said first occuring heart sound;

(c) setting the enable window time for a first detection cycle to approximately the diastolic interval for the maximum heart rate to be detected;

(d) determining whether or not a second heart sound following said first heart sound occurs within said heart sound enable window time; and

(e1) if a second heart sound has already occurred within said heart sound enable window time, providing an output indication of a systole heart sound at the time of occurrence of said second occurring heart sound or

(e2) if no second heart sound has occurred within said heart sound enable window time, providing a signal at the end of said heart sound enable window time for repeating the measurement with increasing heart sound enable window times as long as a second heart sound occurs within said heart sound enable window time and then providing an output indication of a systole heart sound at the time of occurrence of said second heart sound.

2. A method according to claim 1, further comprising the step of indicating said detected first occurring heart sound as a diastole heart sound, when a second heart sound has occurred within said heart sound enable window time.

3. A method according to claim 1, further comprising the steps of:

(a) establishing a lock-out window time after the occurrence of said first occurring heart sound;

(b) setting said lock-out window time for a first detection cycle to approximately the systolic interval for the maximum heart rate to be detected; and

(c) increasing said lock-out window time in succeeding detection cycles, according to an increase of the heart sound enable window time.

4. An apparatus for detecting heart sounds from a heart sound signal input, comprising in combination:

(a) means for detecting the occurrence of a first occurring heart sound;

(b) means for establishing a heart sound enable window time after the occurrence of said first occurring heart sound;

(c) means for controlling said establishing means to increase said heart sound enable window time from a value, which is approximately the diatolic interval for the maximum heart rate to be detected to higher values dependent on the occurrence of a signal;

(d) means for determining whether or not a second heart sound following said first heart sound occurs within a heart sound enable window time;

(e) means for providing an output indication of a systole heart sound at the time of the occurrence of a second occurring heart sound, if said second occurring heart sound occurs within a heart sound enable window time; and

(f) means associated with said establishing means and said determining means for providing said signal for said controlling means at the end of said heart sound enable window time in the case that no second heart sound had been determined by said determining means.

5. An apparatus according to claim 4, further comprising means for indicating said first occurring heart sound as a diastole heart sound, when a second heart sound has occurred within said heart sound enable window time.

6. An apparatus according to claim 4, further comprising means for establishing a lock-out window time after the occurrence of said first occurring heart sound and means for setting said lock-out window time for a first detection cycle to approximately the systolic interval for the maximum heart rate to be detected and for increasing said lock-out window time in following detector cycles according to an increase of the heart sound enable window time.