Heart-sound detecting apparatus and pulse-wave-propagation-velocity-relating-information obtaining system using the heart-sound detecting apparatus

• US 6,845,263 B2
• Filed: 07/02/2001
• Issued: 01/18/2005
• Est. Priority Date: 02/18/2000
• Status: Expired due to Fees

• Current Assignee: Omron Healthcare Company Limited (Omron Corporation)
• Original Assignee: Colin Medical Technology Corporation (Omron Corporation)
• Inventors: Kawaguchi, Keizoh
• Primary Examiner(s): Schaetzle, Kennedy
• Assistant Examiner(s): DROESCH, KRISTEN L
• Application Number:
  US09/895,178
• Publication Number:
  US 20030009108A1
• Time in Patent Office: 1,296 Days
• Field of Search: 600/487, 600/504, 600/508, 600/509, 600/513, 600/528, 600/586, 128901-902
• US Class Current: 600/513
• CPC Class Codes: A61B 5/0261 using optical means, e.g. infrared light
• CPC Class Codes: A61B 5/0285 Measuring or recording phase velocity of blood waves
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives
• CPC Class Codes: A61B 5/7285 for synchronising or triggering a physiological measurement or image acquisition with a physiological event or waveform, e.g. an ECG signal A61B6/5205, A61B6/541, A61B8/5207, A61B8/543 take precedence
• CPC Class Codes: A61B 7/04 Electric stethoscopes microphones, acoustic transducers therefor H04R

Abstract

A heart-sound detecting apparatus, including: a heart-sound microphone which detects a plurality of heart sounds produced by a heart of a living subject and outputs a heart-sound signal representative of the detected heart sounds; a smoothing device for smoothing, by differentiation, a waveform of the heart-sound signal output from the heart-sound microphone; a squaring device for squaring an amplitude of the smoothed waveform with respect to a base line of the heart-sound signal; and a start-point determining device for determining a start point of a first heart sound I as one of the detected heart sounds, based on that the squared amplitude is greater than a prescribed threshold value.

Claims

1. A system for obtaining information relating to a propagation velocity at which a pulse wave propagates along an artery of a living subject, the system comprising:

a heart-sound detecting apparatus comprising;

a heart-sound microphone which detects a plurality of heart sounds produced by a heart of a living subject and outputs a heart-sound signal representative of the detected heart sounds;

a smoothing device for smoothing, by differentiation, a waveform of the heart-sound signal output from the heart-sound microphone;

a squaring device for squaring an amplitude of the smoothed waveform with respect to a base line of the heart-sound signal; and

a start-point determining device for determining a start point of a first heart sound I as one of the plurality of detected heart sounds, based on that the squared amplitude being greater than a prescribed threshold value;

a pulse-wave detecting device which is adapted to be worn on the subject to detect the pulse wave which propagates along the artery of the subject; and

a pulse-wave-propagation-velocity-relating-information obtaining device for obtaining information based on a time of the start point of the first heart sound I determined by the start-point determining device of the heart-sound detecting apparatus, and a time when a rising point of the pulse wave is detected by the pulse-wave detecting device.

2. The system according to claim 1, wherein the pulse-wave-propagation-velocity-relating-information obtaining device, comprises:

a pulse-wave-propagation-time determining device for determining, based on the time of the start point of the first heart sound I, and the time when the rising point of the pulse wave is detected by the pulse-wave detecting device, a propagation time needed for the pulse wave to propagate from the heart to a position where the pulse-wave detecting device is worn on the subject.

3. The system according to claim 1, wherein the pulse-wave-propagation-velocity-relating-information obtaining device comprises:

a pulse-wave-propagation-velocity determining device for determining the propagation velocity at which the pulse wave propagates, by dividing a distance from the heart to a position where the pulse-wave detecting device is worn on the subject by a time difference between the time of the start point of the first heart sound I and the time when the rising point of the pulse wave is detected by the pulse-wave detecting device.

4. The system according to claim 1, further comprising:

an output device which outputs the information obtained by the pulse-wave-propagation-velocity-relating-information obtaining device, so that an observer can observe the output information.

5. The system according to claim 1, wherein said heart-sound detecting apparatus further comprises:

a high-pass filter which passes a component of the heart-sound signal output from the heart-sound microphone, the component having frequencies which are not lower than a lowest signal-pass frequency of the high-pass filter that is lower, by not less than a prescribed value, than a lowest frequency of the first heart sound I, wherein the smoothing device smoothes, by differentiation, the component of the heart-sound signal which has passed through the high-pass filter.

6. The system according to claim 1, wherein said heart-sound detecting apparatus further comprises:

an electrocardiograph which includes a plurality of electrodes adapted to be worn at a plurality of locations on the subject and which detects, through the electrodes, an electrocardiogram of the subject, wherein the start-point determining device determines, as a start point of a judging period to judge whether the squared amplitude is greater than the prescribed threshold value, a time point during a time period between a Q-wave and an R-wave of the electrocardiogram detected by the electrocardiograph, and determines, during the judging period, the start point of the first heart sound I based on a judgment that the squared amplitude is greater than the prescribed threshold value.

7. The system according to claim 1, wherein the squaring device squares an amplitude of each of a plurality of data points on the smoothed waveform with respect to the base line of the heart-sound signal, and the start-point determining device determines the start point of the first heart sound I based on that the squared amplitude of said each data point is greater than the threshold value.