Respiratory sinus arrhythmia training system

• US 6,305,943 B1
• Filed: 01/28/2000
• Issued: 10/23/2001
• Est. Priority Date: 01/29/1999
• Status: Expired due to Fees

• Current Assignee: Meddorna LLC
• Original Assignee: Biomed USA, Inc.
• Inventors: Pougatchev, Vadim I., Gribkov, Eugene N., Zhirnov, Eugene N.
• Primary Examiner(s): Cheng, Joe H.
• Application Number:
  US09/494,254
• Time in Patent Office: 634 Days
• Field of Search: 434/236-238, 434/247, 434/262, 434/265, 434/307.R, 434/308, 434/365, 600/21, 600/27, 600/300, 600/484, 600/509, 600/515, 600/523, 600/529, 600/532-534, 600/538, 600/544-547, 602/42, 607/46, 607/48, 704/207, 704/209, 704/270
• US Class Current: 434/262
• CPC Class Codes: A61B 5/486 Bio-feedback A61B5/375 takes precedence
• CPC Class Codes: G09B 23/28 for medicine

Abstract

A biofeedback training method and apparatus to increase and reinforce the respiratory sinus arrhythmia as an outcome of a breath training technique, said apparatus comprising a physiological monitoring device that provides raw physiological data to a computer having a software program that receives and utilizes the heartbeat interbeat interval information supplied by the physiological sensors, calculates such intervals after every heartbeat, computes RSA parameters from the interbeat intervals, displays raw signal instantaneous heart rate values, calculates RSA parameters in the form of graphs, compares current values of the RSA training score with currently set threshold level to generate training feedback, provides continuous audiovisual feedback to the user to reward training attempts based on results of threshold comparisons, displays a breath pacer to induce an appropriate breathing pattern, recommended by selected breathing technique, saves interbeat intervals along with the RSA parameters into a built-in database for further review of training sessions, and permits the user to make several adjustments.

Claims

1. An apparatus for monitoring respiratory sinus arrhythmia as a feedback tool in a breath training session, said apparatus having an operational mode and comprising:

a computer;

a visual display screen;

at least one physiological monitoring device selected from the group consisting of electrocardiogram (ECG) and photoplethysmograph (PPG) sensors for transmitting raw physiological data to said computer, said raw physiological data including interbeat interval data;

means for transmitting the raw physiological data from said physiological monitoring device to said computer;

a device driver for receiving the interbeat interval data along with raw physiological date signals from said at least one physiological monitoring device; and

a software program installed on said computer that utilizes the interbeat interval information supplied by said physiological monitoring device and calculates such intervals after every heartbeat, and further performs the following operations;

(a) computes RSA parameters, including RSA Training Score and RSA Training Stability, from the interbeat intervals;

(b) visually displays raw signal instantaneous values of heart rate and calculated RSA parameters in the form of graphs;

(c) compares current values of the RSA Training Score with a currently set threshold level to generate training feedback;

(d) provides continuous audio-visual feedback to the user to reward training attempts based on results of threshold comparisons, said feedback including a least an RSA score; and

(e) visually displays a breath pacer to induce an appropriate breathing pattern in the user as recommended by the selected breathing technique.

2. The apparatus of claim 1 wherein said software includes a built-in database and further saves interbeat intervals along with the RSA parameters into the built-in database for future review of the breath training session.

3. The apparatus of claim 1 further including means whereby at any time on the user'"'"'s demand the user may adjust RSA training score threshold for better training feedback during training session.

4. The apparatus of claim 1 further including means whereby at any time on the user'"'"'s demand the user may adjust parameters of the breath pacer pattern for better breathing technique compliance.

5. The apparatus of claim 1 wherein said software further displays a session summary showing the results of the selected RSA training session.

6. The apparatus of claim 1 wherein said software further displays a progress summary showing the results of the RSA training across all recorded sessions.

7. The apparatus of claim 1 wherein said software further provides printed RSA training reports.

8. The apparatus of claim 1 wherein said physiological monitoring device is an ECG.

9. The apparatus of claim 1 wherein said physiological monitoring device is a PPG.

10. A method of monitoring respiratory sinus arrhythmia as a feedback tool in a breath training session, said method comprising the steps of:

providing a computer, a visual display screen, at least one physiological monitoring device selected from the group consisting of electrocardiogram (ECG) and photoplethysmograph (PPG) sensors for transmitting raw physiological data to said computer, said raw physiological data including interbeat interval data, means for transmitting the raw physiological data from said physiological monitoring device to said computer, a device driver for receiving the interbeat interval data along with raw physiological date signals from said at least one physiological monitoring device, and a software program installed on said computer that utilizes the interbeat interval information supplied by said physiological monitoring device and calculates such intervals after every heartbeat, said software program further performing the following operations;

(a) computation of RSA parameters, including RSA Training Score and RSA Training Stability, from the interbeat intervals;

(b) visual display of raw signal instantaneous values of heart rate and calculated RSA parameters in the form of graphs;

(c) comparison of current values of the RSA Training Score with a currently set threshold level to generate training feedback;

(d) provision of continuous audio-visual feedback to the user to reward training attempts based on results of threshold comparisons, said feedback including a least an RSA score; and

(e) visual displays of a breath pacer to induce an appropriate breathing pattern in the user as recommended by the selected breathing technique;

selecting an appropriate breath training technique for the user;

connecting said physiological monitoring device to said user so as to acquire and transmit said raw physiological data; and

placing the apparatus in its operational mode.

11. The method of claim 10 wherein said software includes a built-in database and further saves interbeat intervals along with the RSA parameters into the built-in database for future review of the breath training session.

12. The method of claim 10 further including means whereby at any time on the user'"'"'s demand the user may adjust RSA training score threshold for better training feedback during training session.

13. The method of claim 10 further including means whereby at any time on the user'"'"'s demand the user may adjust parameters of the breath pacer pattern for better breathing technique compliance.

14. The method of claim 10 wherein said software further displays a session summary showing the results of the selected RSA training session.

15. The method of claim 10 wherein said software further displays a progress summary showing the results of the RSA training across all recorded sessions.

16. The method of claim 10 wherein said software further provides printed RSA training reports.

17. The method of claim 10 wherein said physiological monitoring device is an ECG.

18. The method of claim 10 wherein said physiological monitoring device is a PPG.