Method and apparatus for displaying lung sounds and performing diagnosis based on lung sound analysis

• US 6,394,967 B1
• Filed: 10/30/2000
• Issued: 05/28/2002
• Est. Priority Date: 10/14/1998
• Status: Expired due to Term

• Current Assignee: Stethographics, Inc.
• Original Assignee: Raymond L.H. Murphy
• Inventors: Murphy, Raymond L. H.
• Primary Examiner(s): Nasser, Robert L.
• Application Number:
  US09/699,546
• Time in Patent Office: 575 Days
• Field of Search: 600/508-509,513,528-529,531-538 381/67,92
• US Class Current: 600/586
• CPC Class Codes: A61B 5/061 Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body A61B1/00158 takes precedence
• CPC Class Codes: A61B 5/7264 Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems neural networks per se G06N3/00; expert systems per se G06N5/00
• CPC Class Codes: A61B 7/003 Detecting lung or respiration noise

Abstract

A lung sound diagnostic system for use in collecting, organizing and analyzing lung sounds associated with the inspiration(s) and expiration(s) of a patient. The system includes a plurality of transducers that may be placed at various sites around the patient'"'"'s chest. The microphones are coupled to signal processing circuitry and A/D converters which digitize the data and preferably provides the digital data to a computer station. A data collection and organization program, executing on the computer station, organizes and formats the data into a combination display for display or printing. The combinational display includes at least two display elements. In a first display element, the data is shown for both inspiration and expiration combined in a first time scale. In a second display element, the data for inspiration and expiration are shown individually in a second time scale that is time-expanded relative to the first time scale. The system may also include application programs for detecting and classifying abnormal sounds. The resulting information may be displayed in a variety of formats to facilitate diagnosis. Additionally, the system may include an analysis program for comparing selected criteria corresponding to the detected abnormal sounds with predefined thresholds in order to provide a likely diagnosis.

Claims

1. A lung sound diagnostic system for use in analyzing lung sounds detected during at least one of the inspiration and expiration of a patient by a detection system for detecting lung sounds at at least six sites around the patient'"'"'s chest, the system comprising:

means for receiving data corresponding to the lung sounds detected at each site; and

means, responsive to the received data, for generating a combinational pulmonary display including a first display element having a time domain plot of the lung sounds detected at each site during at least one of inspiration and expiration as a function of a first time scale,

wherein the plot of lung sounds within the first element are simultaneously arranged in a vertical stack configuration.

2. The lung diagnostic system of claim 1 wherein the detection system includes at least six sound transducers each placed at a different one of the sites.

3. The lung diagnostic system of claim 1 wherein the detection system includes at least eight sound transducers each placed at a different one of the sites.

4. The lung sound diagnostic system of claim 1 wherein the combinational pulmonary display further includes a second display element having a time domain plot of the lung sounds detected at each site for at least one of inspiration and expiration as a function of a second time scale, such that the second time scale is slightly expanded relative to the first time scale.

5. The lung sound diagnostic system of claim 4 further comprising means for calculating the duration of inspiration and expiration and the combinational pulmonary display further includes a data field having a first value corresponding to the calculated duration of inspiration and a second value corresponding the calculated duration of expiration.

6. A lung sound diagnostic system comprising:

one or more transducers for generating signals responsive to lung sounds at a plurality of sites around a patient'"'"'s chest;

means, coupled to the transducers, for determining an intensity of the sound at each site; and

means for generating a common display which displays the sound intensity at each of the sites, wherein

the sound intensity determining means is configured to calculate a root-mean-square (RMS) value of the signal generated from each site, the display generating means generates one or more body plots, each body plot having a marker associated with each site, and the markers reflect the intensity of the calculated RMS value as calculated for that site.

7. The lung sound diagnostic system of claim 6 wherein each of the markers is color coded.

8. The lung diagnostic system of claim 6 wherein body plot includes at least one. schematic representation of a patient'"'"'s chest area.

9. The lung sound diagnostic system of claim 6 wherein the body plot includes at least one front view of a patient'"'"'s chest area.

10. The lung sound diagnostic system of claim 6 wherein the body plot includes at least one side view of a patient'"'"'s chest area.

11. The lung sound diagnostic system of claim 6 having at least six transducers, each placed at a different site;

around the patient'"'"'s chest.

12. The lung sound diagnostic system of claim 6 having at least eight transducers, each placed at a different site around the patient'"'"'s chest.

13. A lung sound diagnostic system comprising:

a plurality of transducers that may be placed at various sites around a patient'"'"'s chest for generating signals responsive to lung sounds;

means, coupled to the plurality of transducers, for determining whether the signals generated by the transducers meet predefined criteria associated with one or more adventitious lung sounds; and

means for generating a common display having at least one body plot with markers thereon that identify one or more patient chest locations at which the respective signals met the pre-defined criteria.

14. The lung diagnostic system of claim 13 further comprising means for identifying one or more types of adventitious lung sounds wherein the markers are coded to specify which type of adventitious lung sound was identified.

15. The lung diagnostic system of claim 13 having at least six transducers, each placed at a different site around the patient'"'"'s chest.

16. The lung diagnostic system of claim 13 having at least eight transducers, each placed at a different site around the patient'"'"'s chest.

17. The lung sound diagnostic system of claim 13 wherein the determining means comprises means for calculating the average frequency of at least a segment of the signals and means for classifying the segment as a wheeze or a rhonchi by comparing the average frequency of the segment against a predefined threshold.

18. The lung sound diagnostic system of claim 17 wherein, the classifying means classifies the segment as a rhonchi if the average frequency is less than approximately 120 Hz and a wheeze if the average frequency is greater than approximately 120 Hz.

19. A method for collecting, organizing and displaying lung sound information during at least one of the inspiration and expiration of a patent comprising:

placing a plurality of transducers at various sites around a patient'"'"'s chest for generating signals responsive to lung sounds;

receiving signals from the plurality of transducers;

determining whether the received signals meet predefined criteria associated with one or more adventitious lung sounds; and

generating a common display having at least one body plot with markers thereon that identify one or more patient chest location at which the respective signal met the predefined criteria.