Ambulatory electrocardiographic patient monitoring system and method therefor
First Claim
1. An ambulatory patient monitoring system for measuring and storing a plurality of electrocardiographic signals, comprising:
- a housing;
a portable power supply disposed within said housing;
microprocessor means disposed within said housing and being coupled to said portable power supply, said microprocessor having a plurality of operational speeds for (1) identifying a heart beat from said electrocardiographic signals at one of said plurality of operational speeds, and (2) identifying and categorizing abnormalities in said electrocardiographic signals at another of said plurality of operational speeds for generating abnormality data;
memory means disposed within said housing and coupled to said microprocessor means for storing said electrocardiographic signals and said abnormality data;
variable clocking means disposed within said housing and coupled to said microprocessor means for varying said plurality operational speeds thereof responsive to a signal from said microprocessor representing a respective one of (1) said identification of said heart beat, or (2) said storage of said electrocardiographic signals and said abnormality data to thereby conserve power from said portable power source;
signal conditioning means disposed within said housing and coupled to said microprocessor means for providing said electrocardiographic signals thereto; and
,lead means coupled to said signal conditioning means on end thereof for coupling said electrocardiographic signals from a patient to said signal conditioning means.
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Accused Products
Abstract
An ambulatory patient monitoring system (100) is provided for measuring and storing predetermined diagnostic parameters of a patient. The monitoring system includes a personal type computer (120) which may be selectively coupled to the portable portion (102) of system (100). Portable portion (102) may include one or more monitoring modules, such as ECG monitoring unit (110) and blood pressure monitoring unit (210). When ECG monitoring unit (110) and blood pressure monitoring unit (210) are disposed in side-by-side relationship and with respective optical interfaces (50, 254) in optical alignment, the two units operate in concert. ECG monitoring unit (110) supplies an R-wave gating signal to blood pressure monitoring unit (210) for establishing a window in which the receipt of a Korotkoff sound is expected. Additionally, the ECG unit (110) may trigger the blood pressure unit (210) to take a reading responsive to unit (110) identifying a predetermined abnormality in the ECG signal. Alternately, ECG monitoring unit (110) and blood pressure monitoring unit (210) may be used independently of one another as separate monitoring devices.
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Citations
7 Claims
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1. An ambulatory patient monitoring system for measuring and storing a plurality of electrocardiographic signals, comprising:
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a housing; a portable power supply disposed within said housing; microprocessor means disposed within said housing and being coupled to said portable power supply, said microprocessor having a plurality of operational speeds for (1) identifying a heart beat from said electrocardiographic signals at one of said plurality of operational speeds, and (2) identifying and categorizing abnormalities in said electrocardiographic signals at another of said plurality of operational speeds for generating abnormality data; memory means disposed within said housing and coupled to said microprocessor means for storing said electrocardiographic signals and said abnormality data; variable clocking means disposed within said housing and coupled to said microprocessor means for varying said plurality operational speeds thereof responsive to a signal from said microprocessor representing a respective one of (1) said identification of said heart beat, or (2) said storage of said electrocardiographic signals and said abnormality data to thereby conserve power from said portable power source; signal conditioning means disposed within said housing and coupled to said microprocessor means for providing said electrocardiographic signals thereto; and
,lead means coupled to said signal conditioning means on end thereof for coupling said electrocardiographic signals from a patient to said signal conditioning means. - View Dependent Claims (2, 3, 4, 5)
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6. An ambulatory patient monitoring system for measuring and storing a plurality of electrocardiographic signals, comprising:
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a housing; a portable power supply disposed within said housing; microprocessor means disposed within said housing and coupled to said portable power supply for identifying and categorizing abnormalities in said electrocardiographic signals for generating abnormality data; memory means disposed within said housing and coupled to said microprocessor means for storing said electrocardiographic signals and said abnormality data; signal conditioning means disposed with in said housing and coupled to said microprocessor means for providing said electrocardiographic signals thereto, said signal conditioning means including an adjustable gain amplifier coupled to said microprocessor means for adjusting a gain value thereof responsive to a digital control signal generated by said microprocessor means by comparing an amplitude of a detected R-wave of said electrocardiographic signals with a predetermined threshold value; and
,lead means coupled to said signal conditioning means on one end thereof for coupling said electrocardiographic signals from a patient to said signal conditioning means.
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7. A method of monitoring the electrocardiographic signals of an ambulatory patient, comprising the steps of:
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a. coupling at least a pair of electrodes to the ambulatory patient to conduct electrical signals therefrom; b. amplifying said signals conducted from said electrodes by a gain value; c. filtering said amplified signals; d. providing a semiconductor memory and storing said filtered signals therein; e. selecting a threshold amplitude value; f. identifying an R-wave portion of said filtered signals and comparing an amplitude of said R-wave portion with said threshold amplitude value for increasing said gain value if said amplitude of said R-wave portion is less than said threshold amplitude value; g. measuring a timing value between each successive R-wave portions of said filtered signals; h. setting predetermined limits for said timing value to identify predetermined abnormal clinical conditions; i. classifying said timing value responsive to said timing value being outside said predetermined limits for identifying said predetermined abnormal clinical conditions; j. storing said identified clinical conditions in said semiconductor memory; k. preselecting a particular clinical condition; l. comparing said identified clinical conditions with said preselected clinical condition; m. providing means for output of a signal indicating at least one of said identified clinical conditions being identical to said preselected clinical condition; n. measuring and classifying successive timing values to identify heart rhythms; o. storing said identified heart rhythms in said semiconductor memory; p. providing means for reading and displaying data stored in said semiconductor memory, said data being defined by (1) said filtered signals, (2) said identified clinical conditions, and (3) said heart rhythms, said means for reading and displaying data including an optical interface coupled to said semiconductor memory; q. reading said data from said semiconductor memory through said optical interface; and
,r. displaying said data read from said semiconductor memory.
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Specification