Portable belt monitor of physiological functions and sensors therefor

• US 4,889,131 A
• Filed: 12/20/1988
• Issued: 12/26/1989
• Est. Priority Date: 12/03/1987
• Status: Expired due to Term

• Current Assignee: Trividia Health, Inc. (Sinocare, Inc.)
• Original Assignee: American Health Products, Inc.
• Inventors: Salem, Robert J., Holley, George H.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US07/287,883
• Time in Patent Office: 371 Days
• Field of Search: 128/644, 128/670, 128/671, 128/700, 128/706, 128/721, 128/903
• US Class Current: 600/484
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/1135 by monitoring thoracic expansion
• CPC Class Codes: A61B 5/282 Holders for multiple electrodes for introduction into the body A61B5/287
• CPC Class Codes: A61B 5/332 Portable devices specially adapted therefor
• CPC Class Codes: Y10S 128/903 Radio telemetry

Abstract

A portable belt-type monitor of body functions such as the heart and breathing is described formed of a plurality of articulated, distributed modules containing EKG sensors, a respiration sensor, circuitry including a microprocessor for sensing alarm conditions, a transmitter for sending alarm conditions to a remote receiver and a battery to drive the various circuits. A respiration sensor is described wherein tension changes in the belt due to breathing are transformed into opposing forces directed transversely to the belt and which cooperate to produce a reliable, sensitive detection of respiratory activities. The belt can be conveniently worn with reliable EKG sensing during normal body activities. A processor program is described whereby these body functions are monitored with alarms being generated when these functions exceed preset limits while preserving sufficient functional performance data when an alarm occurs.

Claims

1. A stretchable belt sized to fit around a body torso for sensing physiological functions, comprising:

a plurality of mechanically and electrically connected generally flat modules that are distributed so as to cover different portions of a body;

selected modules being provided with means to detect EKG signals;

a said module containing respiration sensor means for generating a breathing signal in response to belt tension changes attributable to breathing;

a said module containing means responsive to breathing signals and EKG signals for generating heart pulse rate signals, respiration rate signals and for detecting alarm conditions associated therewith;

a said module containing transmitter means to transmit detected alarm conditions; and

a said module containing a battery to electrically power said respective means; and

web means for flexibly connecting the modules to each other to form a part of the belt with sufficient articulation so that the modules can conform to a body'"'"'s contour.

2. The belt as claimed in claim 1 wherein said means for generating heart pulse rate signals comprises:

means for responsive to the EKG signals for producing a reference signal whose magnitude is representative of a portion of the peak value of successive EKG signals;

means for comparing successive EKG signals with the reference signal to generate heart pulse signals; and

means for limiting the excursion of the reference signal is a predetermined manner so as to desensitize said comparing means to suddenly large EKG signals when a said selected belt module having a said EKG signal detecting means is jolted.

3. The belt as claimed in claim 2 wherein said EKG signals detecting means includes a plurality of electrodes and wherein said means for detecting alarm conditions comprises:

means responsive to said reference signal for producing resistance signal representative of the maximum acceptable resistance between an EKG electrode and ground;

means responsive to said reference signal for producing a small DC resistance measuring current to EKG electrodes and producing voltages indicative of the resistance between respective electrodes and ground; and

means responsive to said latter voltage and said resistance reference signal for producing a poor contact alarm signal when an EKG electrode resistance exceeds said maximum acceptable resistance.

4. The belt as claimed in claim 3 wherein said means for detecting alarm condition comprises:

a microprocessor, a volatile random access memory and a non-volatile writable memory; and

means for storing a desired history of said heart pulse rate and breathing rate signals in said volatile memory.

5. The belt as claimed in claim 4 wherein said alarm condition detecting means includes:

means for generating a first alarm signal when the heart pulse rate signals exceed a predetermined heart pulse alarm limit;

means for generating a second alarm signal when the breathing rate signal exceeds a predetermined breathing rate alarm limit; and

means responsive to either of said alarm signals for storing said desired history of signals in the volatile memory in the non-volatile memory together with the alarm signal.

6. The belt as claimed in claim 1 and further including:

separable portable display means which is connectable into the module containing the means for generating heart pulse rate and respiration rate signals for display thereof.

7. The belt as claimed in claim 1 and further comprising;

flexible means between said modules to enclose said web means and to sealingly engage the modules.

8. The belt as claimed in claim 1 wherein the web means includes a web sensor holder having web ends and a collapsible pocket between the ends of the holder, said web ends being respectively connected to an adjacent module and a part of the belt, said holder pocket containing said respiration sensor means.

9. The belt as claimed in claim 8 wherein the respiration sensor means includes a multilayered piezoelectric structure having a planar piezoelectric elements with the planes of the elements generally parallel to the plane of said web sensor holder.