Cardiac monitoring apparatus and method

• US 6,881,191 B2
• Filed: 12/09/2002
• Issued: 04/19/2005
• Est. Priority Date: 10/18/2002
• Status: Active Grant

• Current Assignee: Camntech Limited
• Original Assignee: Cambridge Neurotechnology Limited
• Inventors: Ungless, Gary Steven, Oakley, Nigel Robert
• Primary Examiner(s): Nasser, Robert L.
• Assistant Examiner(s): Natnithithadha, Navin
• Application Number:
  US10/314,208
• Publication Number:
  US 20040077954A1
• Time in Patent Office: 862 Days
• Field of Search: 600/481, 600/483, 600/508, 600/509, 600/513, 600/527, 600/547, 600/386, 600/387, 600/372, 600/391, 600/393, 600/394
• US Class Current: 600/483
• CPC Class Codes: A61B 2560/0412 Low-profile patch shaped housings
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/1118 Determining activity level
• CPC Class Codes: A61B 5/335 using integrated circuit memory devices
• CPC Class Codes: A61B 5/6823 Trunk, e.g., chest, back, abdomen, hip
• CPC Class Codes: A61B 5/721 using a separate sensor to detect motion or using motion information derived from signals other than the physiological signal to be measured

Abstract

A monitor includes cardiac and movement sensors 36, 34 responsive to a user'"'"'s heart beat and a user'"'"'s movement. The monitor includes a processor coupled to the sensors for generating heart-rate or other cardiac data and user movement or activity data. These data can be stored in a memory and used to analyse the relationship between heart rate and physical exertion.

Claims

1. A monitor for monitoring a user'"'"'s heart, comprising;

a housing;

a cardiac sensor, an accelerometer, a memory and a communications module contained in the housing;

a processor contained in the housing and coupled to the cardiac sensor, the accelerometer, the memory and the communications module;

a support contained in the housing and comprising a first monitor contact coupled to the cardiac sensor and the communications module;

a second monitor contact contained in the housing and coupled to the cardiac sensor and the communications module; and

an electrical lead having two ends, a first end being couplable to the second monitor contact and a second end comprising a clip for connection to a standard electrocardiogram (ECG) electrode,

wherein the monitor is operable in first and second modes such that in a first mode;

the support means is removably securable to a first standard adhesive electrocardiogram (ECG) electrode, for securing the housing in position both to provide a first electrical ECG input to the first monitor contact and physically to support the monitor, for sensing the user'"'"'s heart beat and movement,

the lead is removably couplable at its second end to a second standard adhesive ECG electrode and at its first end to the second monitor contact to provide a second electrical ECG input to the second monitor contact,

the cardiac sensor receives the first and second ECG inputs from the first and second monitor contacts, and

the processor is coupled to the cardiac sensor and the accelerometer for generating cardiac and movement data, and has an output coupled to the memory for storing the cardiac and movement data, and in the second mode;

the first and second monitor contacts are respectively couplable to first and second contacts of an interface for downloading the stored cardiac and movement data from the memory under the control of the communications module.

2. A monitor according to claim 1, wherein during use in the first mode, the housing is secured to the chest of the user so that the accelerometer is oriented to detect only vertical movements of the chest of the user.

3. A monitor according to claim 2, wherein the housing is marked to indicate correct orientation of the housing on the ECG electrode for use in the first mode.

4. A monitor according to claim 1, wherein the length of the lead is greater than the distance between the ECG electrodes, during use of the monitor in the first mode.

5. A monitor according to claim 1, wherein the processor generates inter-beat interval data from signals it receives from the cardiac sensor.

6. A monitor according to claim 1, wherein the processor processes signals it receives from the cardiac sensor according to a predetermined parameter in order to generate the cardiac data and modifies that parameter in response to signals it receives from the accelerometer.

7. A monitor according to claim 6, wherein the parameter is selected from the group comprising a gain parameter and a threshold voltage, and is variable in response to an output from the accelerometer.

8. A monitor according to claim 1, wherein in the second mode the first and second monitor contacts are couplable to the interface for transferring data from and to the monitor.

9. A monitor according to claim 1, wherein in the second mode the first and second monitor contacts are couplable to the interface for reprogramming the monitor.

10. A monitor according to claim 1, wherein a rechargeable battery is contained within the housing for powering the monitor, and in the second mode the first and second monitor contacts are couplable to the interface for recharging the battery.

11. A monitor according to claim 1, which is of small size and weight so as to be comfortable for a user to wear for extended data sampling periods.

12. A method for monitoring a user'"'"'s heart, comprising steps of:

providing a monitor comprising a housing and an electrical lead, the housing containing first and second monitor contacts, a cardiac sensor, an accelerometer and a memory;

in a first mode of operation coupling the first monitor contact to a first standard ECG pad secured to the user'"'"'s chest so as to provide both an electrical connection to the pad and mechanical support for the housing, and using the lead to complete an electrical connection between the second monitor contact and a second standard ECG pad secured to the user'"'"'s chest,

sensing the user'"'"'s heart beat by means of the cardiac sensor receiving ECG signals from the ECG pads to generate a cardiac signal,

sensing movement of the housing by the accelerometer and generating a movement signal,

processing the cardiac and movement signals to generate cardiac and movement data, and

storing the data in the memory; and

in a second mode of operation coupling the first and second monitor contacts to first and second contacts of an interface and downloading the stored data to the interface.