Electronically augmented stethoscope with timing sound

• US 5,003,605 A
• Filed: 08/14/1989
• Issued: 03/26/1991
• Est. Priority Date: 08/14/1989
• Status: Expired due to Fees

• Current Assignee: ARK Clo 2000-1, Limited (LD Investment LLC)
• Original Assignee: Cardiodyne, Inc. (Integra LifeSciences Holdings Corporation)
• Inventors: Epstein, Paul, Phillipps, Patrick G., Tweed, David G.
• Primary Examiner(s): Isen, Forester W.
• Application Number:
  US07/393,781
• Time in Patent Office: 589 Days
• Field of Search: 381/67, 128/715
• US Class Current: 381/67
• CPC Class Codes: A61B 5/282 Holders for multiple electrodes for introduction into the body A61B5/287
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
• CPC Class Codes: A61B 7/02 Stethoscopes acoustic details thereof G10K11/00

Abstract

A stethoscope, operable in an acoustic or electronically augmented mode, is disclosed. In one electronically augmented mode of operation, the stethoscope simultaneously provides the listener with combined unmodified, familiar audible sounds and sounds which have been electronically augmented to bring them within the human auditory range. Additionally, a timing sound may be provided along with the unmodified, familiar audible sounds and electronically augmented sounds to assist the listener in determining when sounds occur in the heart cycle. The timing sound may be enabled in the acoustic mode of stethoscope operation so that the listener can place familiar audible sounds within the heart cycle.

Claims

1. A stethoscope comprising

a first pickup for generating first acoustic signals representative of biological activity in a frequency range that includes frequencies of relatively high audibility,

a second pickup for generating electrical signals representative of biological activity in a frequency range that includes frequencies of relatively low audibility,

an electrical-to-acoustic converter for producing second acoustic signals of enhanced audibility corresponding to said frequencies of relatively low audibility and resembling the sounds of said biological activity in said frequency range of relatively low audibility, and

a transmitter for transmitting to a listener the combination of said first and second acoustic signals.

2. The stethoscope of claim 1 further comprising an amplifier for increasing the intensity of said electrical signals produced by said second pickup.

3. The stethoscope of claim 1 further comprising a first filter for filtering said electrical signals produced by said second pickup to remove said electrical signals representative of biological activity in said frequency range of relatively high audibility.

4. The stethoscope of claim 3 wherein said first filter passes signals in a frequency range between 16 Hz and 250 Hz.

5. The stethoscope of claim 3 wherein said first filter passes signals in a frequency range between 30 Hz and 120 Hz.

6. The stethoscope of claim 3 wherein said first filter passes signals in a frequency range between 10 Hz and 500 Hz.

7. The stethoscope of claim 3 wherein said converter comprises said first filter and a transducer for converting output of said first filter to said second acoustic signals.

8. The stethoscope of claim 7 wherein said converter further comprises a frequency booster for increasing the frequencies of said electrical signals representative of biological activity to enhance their audibility.

9. The stethoscope of claim 8 wherein said frequency booster is a frequency multiplier for multiplying the frequencies of said electrical signals representative of biological activity to enhance their audibility.

10. The stethoscope of claim 9 wherein said frequency multiplier is a frequency doubler for doubling the frequencies of said electrical signals representative of biological activity to enhance their audibility.

11. The stethoscope of claim 8 wherein said converter further comprises a second filter for removing higher order harmonics generated by said frequency booster.

12. The stethoscope of claim 9 wherein said converter further comprises a second filter for removing higher order harmonics generated by said frequency multiplier.

13. The stethoscope of claim 10 wherein said converter further comprises a second filter for removing higher order harmonics generated by said frequency doubler.

14. The stethoscope of claim 8 wherein said converter further comprises an amplifier for amplifying said electrical signals representative of biological activity for enhancing audibility.

15. The stethoscope of claim 14 wherein said converter further comprises a volume control for adjusting the intensity of the amplifier output for optimum audibility.

16. The stethoscope of claim 1 further comprising a frequency booster for increasing the frequencies of said electrical signals representative of biological activity to enhance their audibility.

17. The stethoscope of claim 16 wherein said frequency booster is a frequency multiplier for multiplying the frequencies of said electrical signals representative of biological activity to enhance their audibility.

18. The stethoscope of claim 17 wherein said frequency multiplier is a frequency doubler for doubling the frequencies of said electrical signals representative of biological activity to enhance their audibility.

19. The stethoscope of claim 1 further comprising a branch conduit for transmitting said second acoustic signals to a main conduit wherein said first and second acoustic signals are combined.

20. The stethoscope of claim 1 further comprising a diaphragm for generating said first acoustic signals, and wherein said second pickup for generating electrical signals and a third pickup for generating electrical signals representative of heart activity are attached to said diaphragm.

21. The stethoscope of claim 20 wherein said third pickup comprises three equally spaced metal deposits.

22. The stethoscope of claim 1 further comprising a third pickup for generating electrical signals representative of heart activity.

23. The stethoscope of claim 20, 21, or 22 further comprising a QRS detector for generation of a tone pulse to provide an acoustic timing signal for placing heart sounds within the cardiac cycle.

24. A stethoscope comprising

a pickup for generating first acoustic signals representative of biological activity,

a second pickup for generating electrical signals representative of heart activity during a heart cycle,

an electrical-to-acoustic converter for producing a second acoustic signal in response to said electrical signals representative of heart activity to provide an indication of timing of said heart cycle, and

a transmitter for transmitting to a listener the combination of said first acoustic signals and said second acoustic signal to assist the listener in determining when during said heart cycle said first acoustic signals occur.

25. The stethoscope of claim 24 further comprising a diaphragm for generating acoustic signals, and wherein said second pickup is attached to said diaphragm for generating electrical signals representative of heart activity.

26. The stethoscope of claim 25 wherein said second pickup comprises three equally spaced metal deposits.

27. The stethoscope of claim 24, 25, or 26 further comprising a QRS detector for generation of a tone pulse to activate production of said second acoustic signal by said electrical-to acoustic converter for identifying when heart sounds occur within the cardiac cycle.

28. A stethoscope comprising

a first pickup for generating first acoustic signals representative of biological activity in a frequency range that includes frequencies of relatively high audibility, said first pickup comprising a diaphragm,

a second pickup, attached to said diaphragm, for generating electrical signals representative of biological activity in a frequency range that includes frequencies of relatively low audibility,

a third pickup comprising three equally spaced metal deposits attached to said diaphragm for generating electrical signals representative of heart activity,

an electrical-to-acoustic converter for producing second acoustic signals of enhanced audibility corresponding to said frequencies of relatively low audibility, and

a transmitter for transmitting to a listener the combination of said first and second acoustic signals.

29. The stethoscope of claim 28 wherein said electrical-to-acoustic converter also produces a third acoustic signal in response to said electrical signals representative of heart activity, said transmitter transmitting to the listener the combination of said first, second, and third acoustic signals.

30. A stethoscope comprising

a pickup for generating first acoustic signals representative of biological activity, said pickup comprising a diaphragm,

a second pickup for generating electrical signals representative of heart activity, said second pickup including three equally spaced metal deposits attached to said diaphragm,

an electrical-to-acoustic converter for producing a second acoustic signal in response to said electrical signals representative of heart activity, and

a transmitter for transmitting to a listener the combination of said first acoustic signals and said second acoustic signal.

31. A method for listening to biological activity using a stethoscope, comprising

generating first acoustic signals representative of biological activity in a frequency range that includes frequencies of relatively high audibility with a first pickup of the stethoscope,

generating electrical signals representative of biological activity in a frequency range that includes frequencies of relatively low audibility with a second pickup of the stethoscope,

electrically-to-acoustically converting said electrical signals to second acoustic signals of enhanced audibility that correspond to said frequencies of relatively low audibility and resemble the sounds of said biological activity in said frequency range of relatively low audibility, and

transmitting to a listener the combination of said first and second acoustic signals.

32. A method for listening to biological activity using a stethoscope, comprising

generating first acoustic signals representative of biological activity with a pickup of said stethoscope,

generating electrical signals representative of heart activity during a heart cycle with a second pickup of said stethoscope,

electrically-to-acoustically converting said electrical signals representative of heart activity to a second acoustic signal to provide an indication of timing of said heart cycle, and

transmitting to a listener the combination of said first acoustic signals and said second acoustic signal to assist the listener in determining when during said heart cycle said first acoustic signals occur.

33. A stethoscope comprising

a first pickup for generating first acoustic signals representative of biological activity in a frequency range that includes frequencies of relatively high audibility,

a second pickup for generating electrical signals representative of biological activity in a frequency range that includes frequencies of relatively low audibility,

a third pickup for generating electrical signals representative of heart activity,

an electrical-to-acoustic converter for producing second acoustic signals of enhanced audibility corresponding to said frequencies of relatively low audibility and a third acoustic signal in response to said electrical signals representative of heart activity, and

a transmitter for transmitting to a listener the combination of said first, second, and third acoustic signals.

34. A stethoscope comprising

a pair of acoustic pickups each for generating first acoustic signals representative of biological activity in a frequency range that includes frequencies of relatively high audibility, said acoustical pickups being positioned on said stethoscope so that a user can selectively place either of said acoustic pickups adjacent to the body,

an electrical pickup disposed near a first one of said acoustic pickups for generating electrical signals representative of biological activity in a frequency range that includes frequencies of relatively low audibility when placed with said first acoustical pickup adjacent to the body,

an electrical-to-acoustic converter for producing second acoustic signals of enhanced audibility corresponding to said frequencies of relatively low audibility, and

a transmitter for transmitting to the user the combination of said first and second acoustic signals when said first acoustical pickup and said electrical pickup are placed adjacent to the body, and for transmitting only the first acoustic signals to the user when a second one of said pair of acoustical pickups is placed adjacent to the body.

35. The stethoscope of claim 34 further comprising a control device for said electrical-to-acoustic converter that allows the user to selectively activate said electrical-to-acoustic converter.

36. A method for listening to biological activity comprising

providing a stethoscope comprising:

A. a pair of acoustic pickups each for generating first acoustic signals representative of biological activity in a frequency range that includes frequencies of relatively high audibility,

B. an electrical pickup disposed near a first one of said acoustic pickups for generating electrical signals representative of biological activity in a frequency range that includes frequencies of relatively low audibility,

C. an electrical-to-acoustic converter for producing second acoustic signals of enhanced audibility corresponding to said frequencies of relatively low audibility, and

D. a transmitter for transmitting said acoustic signals to the listener, and

selectively positioning;

said first acoustic pickup and said electrical pickup adjacent to the body to cause said first acoustic signals and said second acoustic signals to be transmitted together to the listener;

or said second acoustical pickup adjacent to the body to cause only said first acoustic signals to be transmitted to the listener.

37. The method of claim 36 further comprising enabling the user to selectively activate said electrical-toacoustic converter.