Apparatus and method for non-invasive, passive fetal heart monitoring
First Claim
1. A method of monitoring the fetal electrocardiographic waveform of a fetus in a pregnant mother, said method comprising:
- measuring at least one biopotential waveform indicative of the maternal heart beat, said maternal biopotential waveform being acquired from at least one sensor located external to the mother at or near the mother'"'"'s chest, to form a maternal waveform;
measuring at least one biopotential waveform indicative of the combined maternal and fetal heart signals to form a combined biopotential waveform, said combined waveform comprising a plurality of signals from sensors located at or near the mother'"'"'s abdomen, lower back, or both, said sensors being located external to the mother and irrespective of the fetal position and to avoid blocking a surgical field, and said method further comprising dividing said signals into a plurality of channels, canceling the maternal waveform from each channel to form a plurality of resulting waveforms, and selecting one of the resulting waveforms to indicate a reference fetal waveform;
wherein the selected reference fetal waveform is enhanced using an adaptive signal processing filter to remove correlated noise by processing against the remaining resulting waveforms that were not selected as the reference fetal waveform.
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Abstract
An apparatus and method for fetal heart and maternal heart and uterine monitoring is provided which acquire biopotential waveforms indicative of the mother'"'"'s heart beat from sensors located at or near the mother'"'"'s chest, and waveforms indicative of the combined maternal and fetal heart beats from abdominal sensors located on the mother'"'"'s abdomen, lower back, or both. The signals from the abdominal sensors are divided into a plurality of channels. An adaptive signal processing filter (ASPF) algorithm or other suitable algorithm is then used to cancel the estimated maternal waveform from each channel derived from the abdominal sensors. The system then selects from the resulting waveforms at least one waveform to serve as the reference fetal waveform. The reference waveform is then processed against the other abdominal waveforms preferably using the ASPF algorithm again to form an enhanced fetal signal that is a representation of the fetus'"'"'s biopotential electrocardiogram (EKGf). The EKGf can subsequently be used to measure fetal heart rate and other biophysical profile parameters. Surface electromyogram (EMG) signals allow for concurrent monitoring of uterine contractions and afford improved cancellation of motion artifacts.
150 Citations
3 Claims
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1. A method of monitoring the fetal electrocardiographic waveform of a fetus in a pregnant mother, said method comprising:
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measuring at least one biopotential waveform indicative of the maternal heart beat, said maternal biopotential waveform being acquired from at least one sensor located external to the mother at or near the mother'"'"'s chest, to form a maternal waveform;
measuring at least one biopotential waveform indicative of the combined maternal and fetal heart signals to form a combined biopotential waveform, said combined waveform comprising a plurality of signals from sensors located at or near the mother'"'"'s abdomen, lower back, or both, said sensors being located external to the mother and irrespective of the fetal position and to avoid blocking a surgical field, and said method further comprising dividing said signals into a plurality of channels, canceling the maternal waveform from each channel to form a plurality of resulting waveforms, and selecting one of the resulting waveforms to indicate a reference fetal waveform;
wherein the selected reference fetal waveform is enhanced using an adaptive signal processing filter to remove correlated noise by processing against the remaining resulting waveforms that were not selected as the reference fetal waveform.- View Dependent Claims (2, 3)
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Specification