Portable, multi-channel ECG data monitor/recorder

• US 5,365,935 A
• Filed: 07/12/1993
• Issued: 11/22/1994
• Est. Priority Date: 09/10/1991
• Status: Expired due to Term

• Current Assignee: Card Guard Technologies Inc.
• Original Assignee: Ralin Incorporated
• Inventors: Kennedy, Harold L., Righter, William H., Nicoll, Andrew J.
• Primary Examiner(s): Manuel, George
• Application Number:
  US08/090,298
• Time in Patent Office: 498 Days
• Field of Search: 128/696, 128/699, 128/690, 128/710, 128/670, 128/904, 128/639, 128/640, 128/381, 128/384
• US Class Current: 600/523
• CPC Class Codes: A61B 2560/0468 Built-in electrodes
• CPC Class Codes: A61B 5/332 Portable devices specially adapted therefor
• CPC Class Codes: A61B 5/335 using integrated circuit memory devices

Abstract

A portable apparatus having electronic circuitry for selectively monitoring and recording a user'"'"'s electrocardiographic (ECG) data signals, wherein a first conductive electrode is disposed on a first surface of the apparatus casing for contact with an ECG lead position on the user'"'"'s body and second and third paste-on electrodes are attached on the user'"'"'s chest in positions which form the second and third electrodes in the standard Eindhoven triangle formation. A wristband is provided for securing the apparatus to the user'"'"'s wrist and a microprocessor controls the electronic circuitry such that the user'"'"'s ECG signal is monitored/recorded from six standard input channels. A modem device is attachable to the apparatus for effecting burst mode transmission of data to an external receiver.

Claims

1. A portable, encased apparatus having electronic circuitry for continuously monitoring a user'"'"'s electrocardiographic (ECG) data signals, said apparatus comprising:

a first conductive electrode coupled to the electronic circuitry and disposed on a surface of the apparatus casing so as to facilitate electrical contact with a first of three ECG lead positions which constitute an Eindoven'"'"'s triangle on the user'"'"'s body, wherein a wristband is provided for securing the casing to a wrist of the user and the first conductive electrode is disposed on the back surface of the casing such that it lies in continuous electrical contact with the user'"'"'s wrist;

a second conductive electrode coupled to the electronic circuitry and adapted to facilitate continuous electrical contact with the user'"'"'s body in a second Eindoven'"'"'s triangle ECG lead position, the second electrode being separate from the apparatus casing; and

a third conductive electrode coupled to the electronic circuitry and adapted to facilitate electrical contact with the user'"'"'s body in a third Eindoven'"'"'s triangle ECG lead position;

wherein the electronic circuitry includes a microprocessor which controls selective monitoring of the user'"'"'s ECG data signals from one or more of six standard Eindoven'"'"'s triangle ECG lead configurations when each of the three electrodes is in electrical contact with its associated ECG lead position on the user'"'"'s body.

2. The apparatus of claim 1, wherein the second conductive electrode comprises a paste-on electrode which is coupled to the electronic circuitry by means of an elongated conductive wire.

3. The apparatus of claim 1, wherein the third conductive electrode comprises a paste-on electrode which is coupled to the electronic circuitry by means of an elongated conductive wire.

4. The apparatus of claim 1, wherein the third electrode is disposed on a surface of the apparatus casing other than the surface on which the first electrode is disposed and is positioned for ease of contact by the hand of the user'"'"'s arm which is nearest to the third Eindoven'"'"'s triangle ECG lead position.

5. The apparatus of claim 1, wherein at least one of said first and third conductive electrodes is adapted so as to be in continuous contact with its associated ECG lead position, and the microprocessor controls the apparatus such that prior to the occurrence of a cardiac event the user'"'"'s ECG data signals are monitored continuously using the electrodes which are in continuous contact with ECG lead positions on the user'"'"'s body.

6. The apparatus of claim 1, wherein the microprocessor is programmable so as to permit a monitoring cycle to be selected which includes monitoring of the user'"'"'s ECG data signals from any or all of the six standard Eindoven'"'"'s triangle ECG lead configurations in a pre-set sequence.

7. The apparatus of claim 6, wherein the microprocessor is further programmable so as to permit the monitoring cycle to be adjusted so that ECG data signals are monitored from each of the selected ECG lead configurations for a respective pre-set portion of the cycle.

8. The apparatus of claim 1, further comprising an electronic indicator means for the user to contact to generate a signal indicating that a cardiac event has occurred.

9. The apparatus of claim 8, wherein said electronic indicator means is a pushbutton switch which is disposed on a surface of the apparatus casing and electrically coupled to the microprocessor.

10. The apparatus of claim 8, wherein the microprocessor is programmable so as to permit a monitoring cycle to be selected in which

ECG data signals are sequentially monitored from a first selected set of one or more of the six standard Eindoven'"'"'s triangle ECG lead configurations until the user contacts said electronic indicator means, and

after the user contacts said electronic indicator means, post-event ECG data signals are sequentially monitored from a second selected set of one or more of the six standard ECG lead configurations.

11. The apparatus of claim 10, wherein the electronic circuitry further comprises:

a power source;

circuit means coupled to the power source and the electrodes for receiving the user'"'"'s analog ECG signals from one or more of six standard Eindoven'"'"'s triangle lead configurations and for converting such signals into digitized format; and

memory for receiving and storing the digitized ECG data;

wherein said microprocessor further controls storage of the digitized ECG data into the memory such that, digitized ECG data is continuously stored, with new data being cyclically recorded over older data when the memory becomes full, until the user contacts said electronic indicator means, and

after the user contacts said electronic indicator means, a predetermined quantity of the most recently stored ECG data is retained in the memory and post-event ECG data is stored in the remainder of the memory.

12. The apparatus of claim 8, wherein said electronic indicator means is an electrode which is disposed on a surface of the apparatus casing and electrically coupled to the microprocessor.

13. The apparatus of claim 1, wherein the electronic circuitry further comprises:

a power source;

circuit means coupled to the power source and the electrodes for receiving the user'"'"'s analog ECG signals from one or more of six standard Eindoven'"'"'s triangle lead configurations and for converting such signals into digitized format; and

memory for receiving and storing the digitized ECG data;

wherein said microprocessor further controls storage of the digitized ECG data into the memory.

14. The apparatus of claim 13, wherein said circuit means includes a resistance summing network which comprises:

three input lines, each of which is coupled to a different one of the three conductive electrodes;

six resistors of equal impedance; and

six output lines, of which three are each connected directly to a different one of the three input lines, and of which the other three are each connected via a pair of resistors to a different pair of the three input lines.

15. The apparatus of claim 13, wherein at least one of said first and third conductive electrodes is adapted so as to be in continuous contact with its associated ECG lead position, and the microprocessor controls the apparatus such that prior to the occurrence of a cardiac event the user'"'"'s analog ECG signals are monitored continuously using the electrodes which are in continuous contact with ECG lead positions on the user'"'"'s body, the analog ECG signals are converted by the circuit means into digitized ECG data and the digitized ECG data is stored in the memory.

16. The apparatus of claim 13, further comprising an output which is coupled to the memory and adapted for transmission of the digitized ECG data to an external receiver, wherein the microprocessor, upon command of the user, controls the transmission of the digitized data from the memory to the external receiver via the output.

17. The apparatus of claim 16, further comprising a first command switch which, when closed by the user, provides a transmit signal to the microprocessor, whereupon the microprocessor initiates and controls transmission of the digitized data from the memory to the output.

18. The apparatus of claim 17, wherein the microprocessor transmits the digitized data stored in the memory to the output in burst mode, thereby minimizing power consumption.

19. The apparatus of claim 13, wherein the memory comprises a first in/first out ring memory.

20. The apparatus of claim 13, further comprising a modem device which is coupled to the memory and adapted to receive digitized ECG data from the memory and convert the data to a format suitable for transmission to an external receiving device.

21. The apparatus of claim 13, further comprising an output jack coupled to the memory and adapted for electrical connection to an input of an external receiving device.

22. A wrist-worn apparatus for continuously monitoring a user'"'"'s electrocardiographic (ECG) data signals, said apparatus comprising:

a casing having front, back and side surfaces and a wristband which secures the casing to a wrist of the user;

a first conductive electrode disposed on the back surface of the casing such that it lies in continuous electrical contact with the user'"'"'s wrist;

a second conductive electrode adapted to facilitate continuous electrical contact with the user'"'"'s body in an Eindoven'"'"'s triangle ECG lead position other than the one occupied by the first electrode, the second electrode being separate from the apparatus casing;

a third conductive electrode adapted to facilitate electrical contact with the user'"'"'s body in an Eindoven'"'"'s triangle ECG lead position other than the two occupied, respectively, by the first and second electrodes;

a power source;

circuit means electrically coupled to the power source and the electrodes for receiving the user'"'"'s analog ECG signals and for converting such signals into digitized format;

memory for receiving and storing the digitized ECG data; and

a microprocessor for controlling selective monitoring of the user'"'"'s ECG data signals from one or more of six standard Eindoven'"'"'s triangle ECG lead configurations when each of the three electrodes is in electrical contact with its respective ECG lead position on the user'"'"'s body, and for controlling storage of the digitized ECG data in the memory.

23. The apparatus of claim 22, further comprising an electronic indicator means electrically coupled to the microprocessor for the user to contact to generate a signal indicating that a cardiac event has occurred, and wherein the microprocessor is programmable to permit a monitoring cycle to be selected in which

prior to contact of the electronic indicator means by the user, ECG data signals are sequentially monitored from a first selected set of one or more of the six standard Eindoven'"'"'s triangle ECG lead configurations, and

after contact of the electronic indicator means by the user, post-event ECG data signals are sequentially monitored from a second selected set of one or more of the six standard ECG lead configurations.

24. A method for continuously monitoring and recording a user'"'"'s electrocardiographic (ECG) data signals, comprising:

monitoring the user'"'"'s analog ECG data signals by means of first, second and third conductive electrodes positioned, respectively, at first, second and third ECG lead positions which constitute an Eindoven'"'"'s triangle on the user'"'"'s body, of which at least one electrode is disposed on a surface of a wrist-worn casing such that it lies in continuous electrical contact with the user'"'"'s wrist;

controlling the monitoring of the user'"'"'s analog ECG data signals with a programmable microprocessor enclosed in the wrist-worn casing, whereby ECG data signals are sequentially monitored from a first selected set of one or more of the six standard Eindoven'"'"'s triangle ECG lead configurations prior to receipt by the microprocessor of a signal indicating the occurrence of a cardiac event, and after receipt by the microprocessor of a signal indicating the occurrence of a cardiac event sequentially monitoring ECG data signals from a second selected set of one or more of the six standard Eindoven'"'"'s triangle ECG lead configurations;

converting the monitored analog ECG data signals into a digitized data format utilizing electronic circuitry enclosed in the wrist-worn casing; and

storing the digitized data in a memory enclosed in the wrist-worn casing.

25. A portable, encased apparatus having electronic circuitry for continuously monitoring a user'"'"'s electrocardiographic (ECG) data signals, said apparatus comprising:

a first conductive electrode coupled to the electronic circuitry and disposed on a surface of the apparatus casing so as to facilitate electrical contact with a first of three ECG lead positions which constitute an Eindoven'"'"'s triangle on the user'"'"'s body, wherein the casing is adapted such that the apparatus may be worn by the user as a pendant, the first conductive electrode being disposed to facilitate electrical contact with an ECG lead position on the user'"'"'s chest;

a second conductive electrode coupled to the electronic circuitry and adapted to facilitate continuous electrical contact with the user'"'"'s body in a second Eindoven'"'"'s triangle ECG lead position, the second electrode being separate from the apparatus casing; and

a third conductive electrode coupled to the electronic circuitry and adapted to facilitate electrical contact with the user'"'"'s body in a third Eindoven'"'"'s triangle ECG lead position;

wherein the electronic circuitry includes a microprocessor which controls selective monitoring of the user'"'"'s ECG data signals from one or more of six standard Eindoven'"'"'s triangle ECG lead configurations when each of the three electrodes is in electrical contact with its associated ECG lead position on the user'"'"'s body.

26. A portable, encased apparatus having electronic circuitry for continuously monitoring a user'"'"'s electrocardiographic (ECG) data signals, said apparatus comprising:

a first conductive electrode coupled to the electronic circuitry and disposed on a surface of the apparatus casing so as to facilitate electrical contact with a first of three ECG lead positions which constitute an Eindoven'"'"'s triangle on the user'"'"'s body;

a second conductive electrode coupled to the electronic circuitry and adapted to facilitate continuous electrical contact with the user'"'"'s body in a second Eindoven'"'"'s triangle ECG lead position, the second electrode being separate from the apparatus casing; and

a third conductive electrode coupled to the electronic circuitry and adapted to facilitate electrical contact with the user'"'"'s body in a third Eindoven'"'"'s triangle ECG lead position;

wherein the electronic circuitry includes a microprocessor which controls selective monitoring of the user'"'"'s ECG data signals from one or more of six standard Eindoven'"'"'s triangle ECG lead configurations when each of the three electrodes is in electrical contact with its associated ECG lead position on the user'"'"'s body; and

an electronic indicator means for the user to contact to generate a signal indicating that a cardiac event has occurred, wherein said electronic indicator means is a pushbutton switch which is disposed on a surface of the apparatus casing and electrically coupled to the microprocessor.

27. A portable, encased apparatus having electronic circuitry for continuously monitoring a user'"'"'s electrocardiographic (ECG) data signals, said apparatus comprising:

a first conductive electrode coupled to the electronic circuitry and disposed on a surface of the apparatus casing so as to facilitate electrical contact with a first of three ECG lead positions which constitute an Eindoven'"'"'s triangle on the user'"'"'s body;

a second conductive electrode coupled to the electronic circuitry and adapted to facilitate continuous electrical contact with the user'"'"'s body in a second Eindoven'"'"'s triangle ECG lead position, the second electrode being separate from the apparatus casing;

a third conductive electrode coupled to the electronic circuitry and adapted to facilitate electrical contact with the user'"'"'s body in a third Eindoven'"'"'s triangle ECG lead position;

wherein the electronic circuitry includes a microprocessor which controls selective monitoring of the user'"'"'s ECG data signals from one or more of six standard Eindoven'"'"'s triangle ECG lead configurations when each of the three electrodes is in electrical contact with its associated ECG lead position on the user'"'"'s body; and

an electronic indicator means for the user to contact to generate a signal indicating that a cardiac event has occurred,

wherein the microprocessor is programmable so as to permit a monitoring cycle to be selected in which ECG data signals are sequentially monitored from a first selected set of one or more of the six standard Eindoven'"'"'s triangle ECG lead configurations until the user contacts said electronic indicator means, and after the user contacts said electronic indicator means, post-event ECG data signals are sequentially monitored from a second selected set of one or more of the six standard ECG lead configurations.

28. The apparatus of claim 27, wherein the electronic circuitry further comprises:

a power source;

circuit means coupled to the power source and the electrodes for receiving the user'"'"'s analog ECG signals from one or more of six standard Eindoven'"'"'s triangle lead configurations and for converting such signals into digitized format; and

memory for receiving and storing the digitized ECG data;

wherein said microprocessor further controls storage of the digitized ECG data into the memory such that

digitized ECG data is continuously stored, with new data being cyclically recorded over older data when the memory becomes full, until the user contacts said electronic indicator means, and

after the user contacts said electronic indicator means, a predetermined quantity of the most recently stored ECG data is retained in the memory and post-event ECG data is stored in the remainder of the memory.

29. A portable, encased apparatus having electronic circuitry for continuously monitoring a user'"'"'s electrocardiographic (ECG) data signals, said apparatus comprising:

a first conductive electrode coupled to the electronic circuitry and disposed on a surface of the apparatus casing so as to facilitate electrical contact with a first of three ECG lead positions which constitute an Eindoven'"'"'s triangle on the user'"'"'s body;

a second conductive electrode coupled to the electronic circuitry and adapted to facilitate continuous electrical contact with the user'"'"'s body in a second Eindoven'"'"'s triangle ECG lead position, the second electrode being separate from the apparatus casing; and

a third conductive electrode coupled to the electronic circuitry and adapted to facilitate electrical contact with the user'"'"'s body in a third Eindoven'"'"'s triangle ECG lead position;

said electronic circuitry including circuit means coupled to the electrodes for receiving the user'"'"'s analog ECG signals from one or more of six standard Eindoven'"'"'s triangle lead configurations and for converting such signals into digitized format, said circuit means including a resistance summing network which comprises;

three input lines, each of which is coupled to a different one of the three conductive electrodes;

six resistors of equal impedance; and

six output lines, of which three are each connected directly to a different one of the three input lines, and of which the other three are each connected via a pair of resistors to a different pair of the three input lines.

30. A portable, encased apparatus having electronic circuitry for continuously monitoring a user'"'"'s electrocardiographic (ECG) data signals, said apparatus comprising:

a first conductive electrode coupled to the electronic circuitry and disposed on a surface of the apparatus casing so as to facilitate electrical contact with a first of three ECG lead positions which constitute an Eindoven'"'"'s triangle on the user'"'"'s body;

a second conductive electrode coupled to the electronic circuitry and adapted to facilitate continuous electrical contact with the user'"'"'s body in a second Eindoven'"'"'s triangle ECG lead position, the second electrode being separate from the apparatus casing; and

a third conductive electrode coupled to the electronic circuitry and adapted to facilitate electrical contact with the user'"'"'s body in a third Eindoven'"'"'s triangle ECG lead position;

said electronic circuitry including

a microprocessor which controls selective monitoring of the user'"'"'s ECG data signals from one or more of six standard Eindoven'"'"'s triangle ECG lead configurations when each of the three electrodes is in electrical contact with its associated ECG lead position on the user'"'"'s body;

a power source;

circuit means coupled to the power source and the electrodes for receiving the user'"'"'s analog ECG signals and for converting such signals into digitized format;

memory for receiving and storing the digitized ECG data, wherein said microprocessor further controls storage of the digitized ECG data into the memory; and

an output which is coupled to the memory and adapted for transmission of the digitized ECG data to an external receiver, wherein the microprocessor, upon command of the user, controls the transmission of the digitized data from the memory to the external receiver via the output, wherein the microprocessor transmits the digitized data stored in the memory to the output in burst mode, thereby minimizing power consumption.

31. A portable, encased apparatus having electronic circuitry for continuously monitoring a user'"'"'s electrocardiographic (ECG) data signals, said apparatus comprising:

a first conductive electrode coupled to the electronic circuitry and disposed on a surface of the apparatus casing so as to facilitate electrical contact with a first of three ECG lead positions which constitute an Eindoven'"'"'s triangle on the user'"'"'s body;

a second conductive electrode coupled to the electronic circuitry and adapted to facilitate continuous electrical contact with the user'"'"'s body in a second Eindoven'"'"'s triangle ECG lead position, the second electrode being separate from the apparatus casing; and

a third conductive electrode coupled to the electronic circuitry and adapted to facilitate electrical contact with the user'"'"'s body in a third Eindoven'"'"'s triangle ECG lead position;

said electronic circuitry including

a microprocessor which controls selective monitoring of the user'"'"'s ECG data signals from one or more of six standard Eindoven'"'"'s triangle ECG lead configurations when each of the three electrodes is in electrical contact with its associated ECG lead position on the user'"'"'s body;

a power source;

circuit means coupled to the power source and the electrodes for receiving the user'"'"'s analog ECG signals from one or more of six standard Eindoven'"'"'s triangle lead configurations and for converting such signals into digitized format; and

a first in/first out ring memory for receiving and storing the digitized ECG data, wherein said microprocessor further controls storage of the digitized ECG data into the memory.

32. A portable, encased apparatus having electronic circuitry for continuously monitoring a user'"'"'s electrocardiographic (ECG) data signals, said apparatus comprising:

a first conductive electrode coupled to the electronic circuitry and disposed on a surface of the apparatus casing so as to facilitate electrical contact with a first of three ECG lead positions which constitute an Eindoven'"'"'s triangle on the user'"'"'s body;

a second conductive electrode coupled to the electronic circuitry and adapted to facilitate continuous electrical contact with the user'"'"'s body in a second Eindoven'"'"'s triangle ECG lead position, the second electrode being separate from the apparatus casing; and

a third conductive electrode coupled to the electronic circuitry and adapted to facilitate electrical contact with the user'"'"'s body in a third Eindoven'"'"'s triangle ECG lead position;

wherein the electronic circuitry includes a microprocessor which controls selective monitoring of the user'"'"'s ECG data signals from one or more of six standard Eindoven'"'"'s triangle ECG lead configurations when each of the three electrodes is in electrical contact with its associated ECG lead position on the user'"'"'s body; and

an electrode, which is disposed on a surface of the apparatus casing and electrically coupled to the microprocessor, for the user to contact to generate a signal indicating that a cardiac event has occurred.