Electronic stethoscope

• US 4,594,731 A
• Filed: 11/09/1984
• Issued: 06/10/1986
• Est. Priority Date: 11/09/1984
• Status: Expired due to Fees

• Current Assignee: University Of Utah
• Original Assignee: University of Utah (State of Utah)
• Inventors: Lewkowicz, Shlomo
• Primary Examiner(s): Rubinson, Gene Z.
• Assistant Examiner(s): Schroeder, L. C.
• Application Number:
  US06/670,475
• Time in Patent Office: 578 Days
• Field of Search: 381/67, 381/98, 128/715, 179/107 FD
• US Class Current: 381/67
• CPC Class Codes: A61B 5/366 Detecting abnormal QRS complex, e.g. widening
• CPC Class Codes: A61B 7/04 Electric stethoscopes microphones, acoustic transducers therefor H04R

Abstract

An electronic transducer in which the detected sounds are frequency multiplied to place them in a more favorable position for hearing within the auditory range, and in which lateral modulation by means of electrocardiogram signals is achieved to give a perception of physical space to the detected sounds.

Claims

1. An electronic stethoscope comprising

a phonocardio transducer for converting physical vibrations into corresponding alternating current electrical signals,

frequency multiplier means for multiplying the frequency of said signals by a predetermined number and,

reproducer means supplied with said frequency multiplied signals for audibly reproducing said frequency multiplied signals.

2. An electronic stethoscope as recited in claim 1 wherein the frequency multiplier means multiplies the frequency of the phonocardio transducer signals by a predetermined integer.

3. An electronic stethoscope as recited in claim 2 wherein the integer is four.

4. An electronic stethoscope as recited in claim 1 wherein the reproducer means includes separate, left and right sound reproducers, further comprising

electrocardio detection means for detecting and amplifying electrical signals generated within a patient by the patient'"'"'s heart motion,

detection circuitry supplied with said detected and amplified heart electrical signals for detecting the QRS wave thereof and for producing a trigger control pulse in response thereto,

stereophonic amplification circuitry, supplied with the frequency multiplied, phonocardio signals, for driving the left and right sound reproducers, the stereophonic amplification circuitry having left and right amplification channels whose gains are independently modulated by left and right control signals, respectively, and

a reciprocal wave generator supplied with the trigger control pulse for generating, in response thereto, left and right control signals, whose waveforms are inverted with respect to each other, for the stereophonic amplification means whereby the amplified, frequency multiplied phonocardio signals, when audibly reproduced, are perceived as shifting from one of the sound reproducers to the other over the period of each heart beat.

5. An electronic stethoscope as recited in claim 4 further including a heart rate calculator supplied with the trigger control pulse for determining the heart rate and for adjusting the rate of change with respect to time of the left and right control signals as a predetermined function of the detected heart rate.

6. An electronic stethoscope as recited in claims 4 or 5 wherein the reciprocal wave generator generates left and right control signals having ramp waveforms which have oppositely directed slopes.

7. An electronic stethoscope as recited in claim 1 wherein the frequency multiplier means comprises a plurality of bandpass filters for dividing the phonocardio transducer signals into a plurality of component frequency ranges and separately frequency multiplies the component frequency ranges.

8. An electronic stethoscope as recited in claim 7 further comprising potentiometer means supplied with the frequency multiplied component frequency ranges for providing a balance control selection of the portion of each range to be audibly reproduced.

9. An electronic stethoscope as recited in claim 1 wherein the frequency multiplier means comprises

a full wave rectifier circuit,

a band pass filter, and

a wave shaping circuit connected in series through the bandpass filter to the fullwave rectifier circuit, whereby the bandpass filter and wave shaping circuit eliminate DC offset and smooth waveform cusps produced by rectification of the phonocardio transducer signal.

10. An electronic stethoscope as recited in claim 9 wherein the frequency multiplier means comprises a pair of such series connected circuits.

11. An electronic stethoscope comprising

a phonocardio transducer for converting physical vibrations into corresponding alternating current electrical signals,

electrocardio detection means for detecting and amplifying electrical signals generated within a patient by the patient'"'"'s heart,

detection circuitry supplied with said detected and amplified heart electrical signals for detecting the QRS wave thereof and for producing a trigger control pulse in response thereto,

stereophonic reproduction means supplied with the signals detected by the phonocardio transducer, for stereophonically, audibly reproducing such signals, the stereophonic reproduction means having left and right amplification channels whose outputs are independently modulated in response to left and right control signals, respectively, and

a reciprocal wave generator supplied with the trigger control pulse for generating, in response thereto, left and right control signals, whose waveforms are inverted with respect to each other, for the stereophonic reproduction means whereby the amplified phonocardio signals shift from one reproduction channel to the other over the period of each heart beat.

12. An electronic stethoscope as recited in claims 4 or 11 further comprising a signal lamp connected to be energized by the trigger control pulse, the signal lamp being mounted on the phonocardio transducer.

13. An electronic stethoscope as recited in claim 11 further including a heart rate calculator supplied with the trigger control pulse for determining the heart rate and for adjusting the rate of change with respect to time of the left and right control signals as a predetermined function of the detected heart rate.

14. An electronic stethoscope as recited in claim 11 wherein the reciprocal wave generator generates left and right control signals having ramp waveforms which have oppositely directed slopes.

15. A method of electronically processing subaudile sound signals comprising the steps of

converting the sound signals to corresponding alternating current electrical signals,

multiplying the frequency of such signals by an integer sufficient to place such signals in the frequency range of 100 Hz to 4000 Hz,

amplifying the frequency multiplied signals, and

audibly reproducing the frequency multiplied signals.

16. A method of electronically processing subaudible sound signals as recited in claim 15 wherein the converting step includes converting the heart sounds of a patient into alternating current electrical signals, and further comprising the steps of detecting electrocardio signals from the patient, detecting the QRS pulse thereof, producing an electrical pulse in response thereto, integrating said electrical pulse with respect to time to produce a signal having a ramp shaped waveform, modulating the frequency multiplied signals with the ramp waveform signal and audibly reproducing the result at a first location, and modulating the frequency multiplied signals with the inverse of the ramp waveform signal and audibly reproducing the result at a second location which is physically spaced apart from the first location to give a stereo movement effect.