Method and apparatus for cardiac hemodynamic monitor

• US 4,926,868 A
• Filed: 04/15/1987
• Issued: 05/22/1990
• Est. Priority Date: 04/15/1987
• Status: Expired due to Fees

• Current Assignee: Larsen, Lawrence E.
• Original Assignee: Larsen, Lawrence E.
• Inventors: Larsen, Lawrence E.
• Primary Examiner(s): Smith, Ruth S.
• Application Number:
  US07/038,952
• Time in Patent Office: 1,133 Days
• Field of Search: 128/653, 128/696, 128/695, 128/644, 128/804, 343/700 MS
• US Class Current: 600/407
• CPC Class Codes: A61B 5/0265 using electromagnetic means, e.g. electromagnetic flowmeter
• CPC Class Codes: A61B 5/029 Measuring or recording blood output from the heart, e.g. minute volume A61B8/065 takes precedence
• CPC Class Codes: A61B 5/0507 using microwaves or terahertz waves
• CPC Class Codes: G01K 11/006 using measurement of the effect of a material on microwaves or longer electromagnetic waves, e.g. measuring temperature via microwaves emitted by the object G01K17/003, G01J5/00 take precedence; measuring the effect of a material on X-, gamma- or particle radiation G01K11/30
• CPC Class Codes: H01Q 21/28 Combinations of substantially independent non-interacting antenna units or systems multiple beam H01Q25/00

Abstract

A method and apparatus for cardiac hemodynamic monitoring is described. It is based on the complex field amplitudes of microwaves propagated through and scattered by thoracic cardiovascular structures, particularly the heart chambers, as a function of time during the cardiac cycle. Movement artifact and signal leakage are controlled by the use of closely coupled, flexible, light weight, passivated, conformal microstrip antennas that operate in the UHF band. The basic measurement technique is vector network analysis of the power wave scattering parameter in forward scatter configurations of various projections such as posterioanterior (PA), left anterior oblique (LAO), and right anterior oblique (RAO). Non-invasive evaluation of hemodynamic aspects of cardiovascular function is provided. Calibration is possible in human subject without invasive methods.

Claims

1. Apparatus for cardiac hemodynamic monitoring, comprising

(a) flexible transmitting antenna means adapted for mounting adjacent to the back of a patient;

(b) transmitter means connected with said transmitting antenna means for generating a signal having a frequency between 900 and 930 MHz which is transmitted by said transmitting antenna means through the mediastinum of the patient, said signal being altered as a function of cardiac hemodynamic operation;

(c) receiving antenna means adapted for mounting adjacent to the chest of the patient for receiving said altered signal, said transmitting and receiving antenna means providing close coupling to the chest wall of the patient;

(d) means connected with said receiving antenna means for processing said received signal to produce outputs representing the magnitude and phase angle, respectively, of a bistatic scattering parameter (S₂₁ l) as functions of time on a heartbeat by heartbeat basis; and

(e) display means for displaying said outputs representing the magnitude and phase angle of said bistatic scattering parameter to provide a visual indication of cardiac hemodynamic operation.

2. Apparatus as defined in claim 1, wherein said transmitting and receiving antenna means each comprise

(1) a microstrip antenna;

and

(2) a passivation device comprising a thin randome of low inertia and low profile surrounding the microstrip antenna.

3. Apparatus as defined in claim 1, wherein said transmitting and receiving antenna means are portable, and further comprising an equipment vest containing said transmitting and receiving antenna means for mounting said antenna means on the patient.

4. Apparatus as defined in claim 1, wherein said processing means comprises a homodyne receiver with quadrature in-phase outputs.