Low energy consumptive device for acquisition of data relating to abnormal heart muscle activity

• US 5,226,424 A
• Filed: 05/17/1991
• Issued: 07/13/1993
• Est. Priority Date: 05/17/1991
• Status: Expired due to Fees

• Current Assignee: Caliber Medical Corporation
• Original Assignee: Caliber Medical Corporation
• Inventors: Bible, Christopher T.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): GILBERT, SAMUEL G
• Application Number:
  US07/701,799
• Time in Patent Office: 788 Days
• Field of Search: 128/696, 128/703, 128/704, 128/705, 128/708, 128/695
• US Class Current: 600/508
• CPC Class Codes: A61B 2560/0209 adapted for power saving
• CPC Class Codes: A61B 5/335 using integrated circuit memory devices
• CPC Class Codes: A61B 5/349 Detecting specific parameters of the electrocardiograph cycle
• CPC Class Codes: A61B 5/358 Detecting ST segments

Abstract

A portable low energy consumptive device and method for monitoring heart muscle electrical activity includes a plurality of electrical contacts and a signal processing unit. The contacts receive an electrical signal generated by the heart muscle of a patient and deliver the signal in analog form to the signal processing unit which contains an analog signal processor, an A/D converter, a digital microprocessor, and a memory. The unit triplicates the signal and processes each of the three signals separately in the analog signal processor. The processed signals are then converted to three distinct digital data sets, the first of which is stored in memory while the remaining two are processed in the microprocessor to determine ST segment characteristics useful in diagnosing myocardial ischemia. Although the device operates continuously, only a portion of the operating time is devoted to digital data processing which has a higher energy demand. The remainder of the operating time is devoted to analog signal processing or data storage which have a lower energy demand.

Claims

1. An energy conserving device for monitoring heart muscle electrical activity of a patient comprising:

a plurality of electrical contacts adapted to be affixed to the patient; and

a signal processing unit in communication with said contacts and having in series an analog signal reproducer, an analog signal processor, an analog to digital converter, a digital microprocessor and a memory.

2. An energy conserving device for monitoring heart muscle electrical activity of a patient as recited in claim 1 wherein said analog signal processor has first, second and third signal pathways, said first signal pathway comprising an amplifier, said second signal pathway comprising a high frequency filter, and said third signal pathway comprising a band pass filter.

3. An energy conserving device for monitoring heart, muscle electrical activity of a patient as recited in claim 1 wherein said signal processing unit has a clock in communication with said microprocessor to activate digital data processing functions of said microprocessor.

4. An energy conserving device for monitoring heart muscle electrical activity of a patient as recited in claim 1 wherein said signal processing unit has a power pack to provide operating energy to said signal processing unit.

5. An energy conserving device for monitoring heart muscle electrical activity of a patient as recited in claim 1 wherein said signal processing unit is self-contained and portable.

6. An energy conserving device for monitoring heart muscle electrical activity of a patient comprising:

a plurality of electrical contacts adapted to be affixed to the patient; and

a signal processing unit in communication with said contacts and having in series an analog signal reproducer, an analog signal processor, an analog to digital converter, a digital microprocessor, a memory and a data output, said data output comprising an optical transmitter capable of communication with an optical receiver of a data transmission unit external to said signal processing unit.

7. An energy conserving device for monitoring heart muscle electrical activity of a patient comprising:

contact means affixable to the patient for receiving an electrical heart muscle signal in an analog format generated by the patient;

reproducing means for triplicating said analog heart muscle electrical signal into first, second and third identical analog signals;

a first filtering means for high frequency filtering said second analog signal to enhance PR and ST segments of said second analog signal;

a second filtering means for band pass filtering said third analog signal to enhance QRS interval of said third analog signal;

a conversion means for converting said first, second, and third analog signals to first, second and third digital data sets respectively;

a digital data processing means for processing said second and third data sets to determine an ST segment deviation associated with said first analog signal; and

a memory means for storing said first data set.

8. An energy conserving device for monitoring heart muscle electrical activity of a patient as recited in claim 7 further comprising a timing means for activating said digital data processing means after creation of said first, second, and third data sets.

9. An energy conserving device for monitoring heart muscle electrical activity of a patient as recited in claim 7 further comprising an amplifying means for amplifying said first analog signal.

10. An energy conserving method for monitoring heart muscle electrical activity of a patient employing a portable signal processing unit affixable to the patient, the method comprising:

a) obtaining from the patient an electrical heart muscle signal in an analog format and delivering said electrical heart muscle signal to said signal processing unit;

b) triplicating said analog heart muscle electrical signal into first, second and third identical analog signals;

c) high frequency filtering said second analog signal to enhance PR and ST segments of said second analog signal;

d) band pass filtering said third analog signal to enhance QRS intervals of said third analog signal;

e) converting said first, second, and third analog signals to first, second and third digital data sets respectively;

f) processing said second and third digital data sets to determine an ST segment deviation associated with said first analog signal; and

g) storing said first data set in a temporary memory.

11. An energy conserving method for monitoring heart muscle electrical activity of a patient as recited in claim 10 further comprising initiating step f) in response to a periodic signal from a timing means.

12. An energy conserving method for monitoring heart muscle electrical activity of a patient as recited in claim 10 further comprising amplifying said first analog signal prior to step e).

13. An energy conserving method for monitoring heart muscle electrical activity of a patient as recited in claim 10 wherein steps b), c), d), e) and g) are performed at a relatively lower level of energy consumption and step f) is performed at a relatively higher level of energy consumption.

14. An energy conserving method for monitoring heart muscle electrical activity of a patient as recited in claim 13 wherein said relatively lower level of energy consumption has a substantially longer duration than said relatively higher level of energy consumption.

15. An energy conserving method for monitoring heart muscle electrical activity of a patient as recited in claim 10 wherein said third data set is evaluated to determine validity of said first analog signal and said second data set is evaluated to determine said ST segment deviation.

16. An energy conserving method for monitoring heart muscle electrical activity of a patient as recited in claim 10 further comprising repeating steps a) - g) for each succeeding analog electrical heart muscle signal.

17. An energy conserving method for monitoring heart muscle electrical activity of a patient as recited in claim 16 further comprising discharging said first data set from said temporary memory if said ST segment deviation does not exceed a predetermined threshold ST segment deviation.

18. An energy conserving method for monitoring heart muscle electrical activity of a patient as recited in claim 16 further comprising storing said first data set and said ST segment deviation in a permanent memory if said ST segment deviation exceeds a predetermined threshold ST segment deviation.

19. An energy conserving method for monitoring heart muscle electrical activity of a patient as recited in claim 18 further comprising transferring said first data set and said ST segment deviation stored in said permanent memory to a memory of a data transmission unit disassociated from said signal processing unit.