Respiration and heart rate monitoring apparatus

• US 4,576,179 A
• Filed: 05/06/1983
• Issued: 03/18/1986
• Est. Priority Date: 05/06/1983
• Status: Expired due to Fees

• Current Assignee: A.H. Robins Co., Inc. (Pfizer Inc.)
• Original Assignee: A.H. Robins Co., Inc. (Pfizer Inc.)
• Inventors: Wiley, Paris H., Manus, Eugene A.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Sykes, Angela D.
• Application Number:
  US06/492,056
• Time in Patent Office: 1,047 Days
• Field of Search: 128/670-671, 128/721-722, 128/774, 128/782, 128/639-641, 128/643-644, 128/687, 128/689-690, 128/700, 128/714, 73/720-721, 73/726-727, 338/2, 338/6
• US Class Current: 600/484
• CPC Class Codes: A61B 5/1135 by monitoring thoracic expansion
• CPC Class Codes: A61B 5/30 Input circuits therefor

Abstract

A respiration and heart rate monitoring apparatus includes a mechanical-electric apparatus for detecting chest movements and electrodes for detecting electric impulses associated with heartbeat. A highly sensitive detector includes a transducer crystal mounted in bridge-like configuration on pair of spaced piers connected by at least one flexible beam member. The transducer crystal and electrodes may be connected to circuitry for producing indications of respiration and heart rate. The circuitry blocks detection of chest motion substantially coincident with the impulses associated with heartbeat to inhibit erroneous indications of respiration caused by chest motion due to heartbeat. The circuitry also may block small, single polarity signals to inhibit erroneous indications of respiration caused by muscle noise.

Claims

1. A respiration sensing apparatus adapted to be held adjacent the chest of a patient and convert movements of the chest during respiration to an electrical signal, comprising:

a first, rigid pier having a principal surface adapted to be disposed generally parallel to the outer surface of the chest of the patient;

a second, rigid pier having a principal surface adapted to be disposed generally parallel to the outer surface of the chest of the patient, said second pier being separated from the first pier to define a gap therebetween;

a first elongated flexible beam bridging the gap between the first and second piers;

a second, elongated flexible beam bridging the gap between the first and second piers, and lying in spaced, parallel relation to the first beam;

a piezoelectric crystal, located between the first and second beams and bridging the gap between the first and second beams; and

a flexible belt adapted to encircle the chest of the patient, said beams, piers and crystal being attached to said belt, and said belt together with said beams and piers, apply a bending stress to said piezoelectric crystal in response to expansion of the chest during respiration.

2. The respiration sensing apparatus of claim 1 wherein the beams extend longitudinally over the piers and are attached to the piers at locations displaced from the gap between the piers.

3. The respiration sensing apparatus of claim 2 wherein the crystal is elongated in a direction parallel to the beams and wherein the crystal is substantially shorter in its direction of elongation than the beams.

4. The respiration sensing apparatus of claim 3 wherein the beams and crystal lie generally in the same plane, and wherein the beams are attached to the piers only at portions of the principal surfaces of the piers displaced from the gap between the piers.

5. The respiration sensing apparatus of claim 3 further comprising an electrode adapted for location against the chest of the patient and attached to at least one of said flexible beams by a member extending from the electrode to a location or a portion of the beam bridging the gap between the piers.

6. A respiration sensing apparatus comprising:

a crystal which produces an electrical signal responsive to chest wall action of a patient during respiration; and

a means for applying bending forces to said crystal responsive to chest wall action of the patient comprising;

first and second substantially parallel flexible members disposed in spaced relationship relative to each other adapted to be held so that the longitudinal axes of said first and second substantially parallel flexible members are substantially parallel to the chest wall of the patient, and adapted to be flexed by a chest wall action of the patient during respiration so that a varying curvature is imposed on said longitudinal axes;

substantially rigid first and second pier members including proximate edges disposed in spaced relationship relative to each other to cooperatively form a gap therebetween, attached to said first and second substantially parallel flexible members;

said crystal being attached to said first and second pier members to span said gap cooperatively formed between said first and second pier members disposed in substantially parallel relationship relative to said first and second substantially parallel flexible members.

7. The respiration sensing apparatus of claim 6 wherein said first and second substantially parallel flexible members are attached to said first and second pier members at locations separated from said proximate edges of said first and second pier members by a distance substantially greater than said gap between said first and second pier members.

8. The respiration sensing apparatus of claim 6 wherein said crystal is disposed between said first and second substantially parallel flexible members.

9. The respiration sensing apparatus of claim 6 wherein the length of said first and second substantially flexible members is substantially greater than the length of said crystal spanning said gap cooperatively formed between said first and second pier members.

10. The respiration sensing apparatus of claim 9 wherein the length of said first and second substantially parallel flexible members is greater than three times the length of said gap cooperatively formed between said first and second pier members.

11. The respiration sensing apparatus of claim 9 wherein the length of said first and second substantially parallel flexible members is greater than twice the length of said crystal.

12. The respiration sensing apparatus of claim 6 wherein each of said first and second substantially parallel flexible members comprises a beam of resilient metal and said crystal comprises a piezoelectrical crystal.

13. The respiration sensing apparatus of claim 6 further comprising a flexible belt adapted to encircle the chest of the patient, said flexible members, pier members and crystal being attached to said belt, and, said belt together with said first and second substantially parallel flexible members and said first and second pier members apply a bending stress to said crystal in response to expansion of the chest of the patient during respiration.

14. The respiration sensing apparatus of claim 6 further comprising an electrode adapted for location against the chest of the patient and attached to said first and second substantially parallel flexible members by a substantially rigid member extending from said electrode to said first and second substantially parallel flexible members.

15. A respiration sensing apparatus comprising:

a base member adapted for location adjacent the chest of a patient and being elastically deformable in response to chest movements;

first and second pier members attached to said base member at locations along the longitudinal axis of said base member such that said first and second pier members are spaced apart;

a piezoelectric element having opposite ends thereof attached to said first and second pier members so that said piezoelectric element spans said space between said first and second pier members and so that bending stresses developed in said base member due to chest movement are transmitted to the ends of said piezoelectric element to produce an electrical signal; and

opposite end portions of each of said first and second pier member being bonded to said base members and portions of said first and second pier members adjacent said space are capable of deflecting away from said base member in response to chest movement during respiration.

16. The respiration sensing apparatus of claim 15 wherein the length of said base member along the longitudinal axis is substantially greater than the length of said piezoelectric element spanning said space between first and second pier members.

17. The respiration sensing apparatus of claim 15 wherein said opposite end portions of each of said first and second pier member are bonded adjacent to said opposite ends of said base members.

18. The respiration sensing apparatus of claim 15 wherein said space between said first and second pier members is located centrally relative to said base member.

19. The respiration sensing apparatus of claim 15 further comprising a belt which contains said base member, first and second pier members and piezoelectric element;

said belt retaining said base member adjacent the chest of the patient.

20. The respiration sensing apparatus of claim 15 wherein said base member comprises a spring plate;

each of said first and second pier members comprises a dielectric material; and

said piezoelectric element comprises a piezoelectric crystal.

21. A respiration and heart rate monitoring apparatus for a patient comprising:

a respiration transducer including a piezoelectric crystal and first and second flexible beams disposed in substantially parallel spaced relationship relative to each other, each of said first and second flexible beams having a principal plane adapted to be held substantially parallel to a surface of the chest wall of a patient and a pair of substantially rigid members each attached to one opposite end portion of said substantially parallel first and second flexible beams and one opposite end portion of said piezoelectric crystal, said piezoelectric crystal being disposed between said substantially parallel first and second flexible beams, said substantially rigid members being adapted to transmit bending stress to said piezoelectric crystal thereby producing electric signals responsive to motion of the chest;

electrodes adapted to be in electrical communication with the chest wall of the patient which produce signals responsive to the heartbeat of the patient;

belt means for holding said respiration transducer and said electrodes against the chest of the patient; and

circuit means connected to said respiration transducer and said electrodes for producing an indication of heart rate and respiration rate, said circuit means including filter circuit means for inhibiting detection of signals produced by said piezoelectric crystal occurring substantially simultaneous with the signals from the electrodes, to thereby inhibit erroneous indications of respiration caused by chest motion due to heartbeat.

22. The respiration and heart rate monitoring apparatus of claim 21 wherein said circuit means includes:

an amplifier means for amplifying said signals produced by said piezoelectric crystal; and

switch means for blocking said amplified signals, said switch means being responsive to said signals from said electrodes; and

circuit means for blocking low-level amplified signals which are not both positive and negative going.

23. The respiration and heart rate monitoring apparatus of claim 22 further comprising an electrocardiograph signal processing circuit for amplifying and shaping signals from said electrodes and wherein said switch means is a field effect transistor having a gate terminal to which an amplified and shaped electrocardiograph signal is applied.

24. The respiration and heart rate monitoring apparatus of claim 22 further comprising a respiration rate measuring circuit including:

a capacitor;

biasing means for continuously changing the charge on the capacitor;

means for coupling said switch means to said capacitor for changing the charge on said capacitor responsive to a transducer signal indicating chest motion due to respiration; and

comparator means for comparing the charge on said capacitor to a reference voltage.

25. The respiration and heart rate monitoring apparatus of claim 22 wherein each of said first and second flexible beams comprises a substantially rectangular planar member elastically deformable from a planar configuration by chest motion;

and

each said substantially rigid member comprises a rectangular block of dielectric material bonded to said substantially rectangular planar members at longitudinally opposite ends of said substantially rectangular planar members.

26. The respiration and heart rate monitoring apparatus of claim 21 wherein said circuit means includes means for filtering sinusoidal noise from input signals received from said electrodes adapted to be in electrical communication with the chest wall, said filtering means including a comparator, means for applying an average voltage derived from said input signal to one input terminal of said comparator and voltage divider means for applying a predetermined fraction of the peak voltage of the input signal to a second input terminal of said compartor, said predetermined fraction being selected so that said comparator is inhibited from producing an erroneous indication of heartbeat in response to sinusoidal noise.

27. A respiration sensing apparatus comprising:

a crystal which produces an electrical signal responsive to chest wall action of a patient during respiration; and

a means for applying bending forces to said crystal responsive to chest wall action of the patient comprising;

a flexible element including first and second substantially parallel flexible members disposed in spaced relationship relative to each other adapted to be held so that the longitudinal axes of said first and second substantially parallel flexible members are substantially parallel to the chest wall of the patient, and adapted to be flexed by chest wall action of the patient during respiration so that a varying curvature is imposed on said longitudinal axes;

substantially rigid first and second pier members disposed in spaced relationship relative to each other to cooperatively form a gap therebetween, attached to said first and second substantially parallel flexible members;

said crystal being attached to said first and second pier members to span said gap cooperatively formed between said first and second pier members disposed in substantially parallel relationship relative to said first and second substantially parallel flexible members.

28. A respiration sensing apparatus comprising:

an elongated crystal which produces an electrical signal responsive to chest wall action of a patient during respiration; and

a means for applying bending forces to said crystal responsive to chest wall action of the patient comprising;

an elongated flexible member adapted to be held so that the longitudinal axis of said elongated flexible member is substantially parallel to the longitudinal axis of said elongated crystal and the chest wall of the patient, and adapted to be flexed by the chest wall action of the patient during respiration so that a varying curvature is imposed on said longitudinal axis of said elongated flexible member;

substantially rigid first and second pier members disposed in spaced relationship relative to each other to cooperatively form a gap therebetween, attached to said elongated flexible member;

opposite end portions of said first and second pier members being bonded to said elongated flexible member and the portions of said first and second pier members adjacent said gap are capable of deflecting away from said elongated flexible member in response to chest movement during respiration;

said elongated crystal being attached to said first and second pier members to span said gap cooperatively formed therebetween.

29. A respiration sensing apparatus comprising:

a crystal which produces an electrical signal responsive to chest wall action of a patient during respiration; and

a means for applying bending forces to said crystal responsive to chest wall action of the patient comprising;

a flexible member adapted to be held so that the longitudinal axis of said flexible member is substantially parallel to a chest wall of the patient, and adapted to be flexed by chest wall action of the patient during respiration so that a varying curvature is imposed on said longitudinal axis;

substantially rigid first and second pier members disposed in spaced relationship relative to each other to cooperatively form a gap therebetween, attached to said flexible member;

said crystal and said flexible member being attached to said first and second pier members to span said gap cooperatively formed therebetween;

the longitudinal axis of said crystal being substantially parallel to the longitudinal axis of said flexible member;

said crystal and said flexible member being disposed in the same plane when said respiration sensing apparatus is unstressed.