System for detecting changes in body posture

• US 5,865,760 A
• Filed: 11/17/1997
• Issued: 02/02/1999
• Est. Priority Date: 11/25/1996
• Status: Expired due to Term

• Current Assignee: Pacesetter AB
• Original Assignee: Pacesetter AB
• Inventors: Andersson, Jonas, Lidman, Johan
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): SCHAETZLE, KENNEDY
• Application Number:
  US08/971,709
• Time in Patent Office: 442 Days
• Field of Search: 600/509, 600/516, 600/517, 600/521, 607/4, 607/5, 607/6, 607/9, 607/17, 607/19
• US Class Current: 600/509
• CPC Class Codes: A61N 1/36535 controlled by body position or posture
• CPC Class Codes: A61N 1/36542 controlled by body motion, e.g. acceleration

Abstract

In a system for detecting changes in body posture, electrocardiograms are recorded. The recorded electrocardiograms analyzed are to determine changes in the body posture of a patient from changes in the morphology of the recorded electrocardiograms. The electrocardiogram analysis can be augmented by obtaining and analyzing an accelerometer signal as well.

Claims

1. A system for detecting changes in body posture comprising:

means for recording electrocardiograms from a subject, said electrocardiograms exhibiting a changing morphology; and

analyzer means, supplied with said electrocardiograms, for determining changes in body posture of said subject from changes in the morphology of said electrocardiograms.

2. A system as claimed in claim 1 wherein said analyzer means comprises:

averaging means for determining a first average value of a predetermined portion of electrocardiograms recorded during a predetermined, first number of cardiac cycles, and for determining a second average value of said predetermined portion of electrocardiograms recorded during a predetermined, second number of subsequent cardiac cycles; and

means for identifying a relation between said first average value and said second average value and for identifying changes in body posture dependent on said relation.

3. A system as claimed in claim 2 wherein said means for determining a relation comprises means for forming a difference between said first average value and said second average value, and means for comparing said difference with at least one threshold value for identifying said changes in body posture dependent on a magnitude of said difference relative to said threshold value.

4. A system as claimed in claim 3 wherein said means for comparing comprises means for comparing said difference to an upper, first threshold value and for indicating a change in posture from supine to standing if said difference upwardly transgresses said upper, first threshold value, and for comparing said difference to a lower, second threshold value and for indicating a change in posture from standing to supine if said difference downwardly transgresses said lower, second threshold value.

5. A system as claimed in claim 2 wherein said predetermined portion of said electrocardiograms comprises a T-wave of a cardiac cycle.

6. A system as claimed in claim 1 further comprising an accelerometer which generates an accelerometer signal, and wherein said means for analyzing comprises means for identifying said changes in body posture from a combination of changes in the morphology of the electrocardiograms and said accelerometer signal.

7. A system as claimed in claim 6 wherein said means for analyzing comprises:

processing means for processing said accelerometer signal to obtain a processed signal; and

means for comparing said processed signal to at least one predetermined threshold value for generating a posture change-indicating signal, for use in combination with said changes in the morphology of the electrocardiograms, dependent on a relationship of said processed signal to said at least one threshold value.

8. A system as claimed in claim 7 wherein said means for comparing comprises means for comparing said processed signal to an upper, first threshold value and for generating a signal indicating a posture change from supine to standing if said process signal upwardly transgresses said upper, first threshold value, and for comparing said processed signal to a lower, second threshold value and for generating a signal indicating a posture change from standing to supine if said processed signal downwardly transgresses said lower, second threshold value.

9. A system as claimed in claim 6 wherein said accelerometer comprises a sensor selected from the group of sensors comprising piezoelectric electric sensors, piezocapacitive sensors and piezoresistive sensors.

10. A system for detecting body posture changes comprising:

means for recording electrocardiograms from a subject during a predetermined, first number of cardiac cycles and during a subsequent predetermined, second number of cardiac cycles, each electrocardiogram exhibiting a morphology;

averaging means for determining a first average value of a predetermined portion of electrocardiograms recorded during said first number of cardiac cycles, and for determining a second average value of said predetermined portion of electrocardiograms recorded during said second number of cardiac cycles;

means for forming a difference between said first average value and said second average value;

an accelerometer for obtaining an accelerometer signal from said subject;

means for processing said accelerometer signal to obtain a processed signal;

first comparator means for comparing said difference to at least one morphology threshold value to obtain a first comparison result indicating a posture change of said subject;

second comparator means for comparing said processed signal to at least one accelerometer threshold value to obtain a second comparison result indicating a posture change of said subject; and

means for combining said first and second comparison results for generating a signal indicating a posture change of said subject dependent on said first and second comparison results.

11. A system as claimed in claim 10 wherein said means for combining comprises an AND gate which generates said signal indicating a posture change of said subject only if said first comparison result is identical to said second comparison result.

12. A system as claimed in claim 10 wherein said first comparator means comprises means for comparing said difference to an upper morphology threshold value and for generating a signal as said first comparison result indicating a posture change from supine to standing if said difference upwardly transgresses said upper morphology threshold value, and for comparing said difference to a lower morphology threshold value and for generating a signal as said first comparison result indicating a posture change from standing to supine if said difference downwardly transgresses said lower morphology threshold value.

13. A system as claimed in claim 10 wherein said second comparator means comprises means for comparing said processed signal to an upper accelerometer threshold value and for generating a signal as said second comparison result indicating a posture change from supine to standing if said processed signal upwardly transgresses said upper accelerometer threshold value, and for comparing said processed signal to a lower accelerometer threshold value and for generating a signal as said second comparison result indicating a posture change from standing to supine if said processed signal downwardly transgresses said lower accelerometer threshold value.