Method and apparatus for beat alignment and comparison

• US 7,477,935 B2
• Filed: 11/29/2004
• Issued: 01/13/2009
• Est. Priority Date: 11/29/2004
• Status: Active Grant

• Current Assignee: Cameron Incorporated (Schlumberger NV)
• Original Assignee: Cameron Incorporated (Schlumberger NV)
• Inventors: Ostroff, Alan H., Warren, Jay A., Palreddy, Surekha
• Primary Examiner(s): Layno; Carl H
• Assistant Examiner(s): MALAMUD, DEBORAH LESLIE
• Application Number:
  US10/999,274
• Publication Number:
  US 20060116725A1
• Time in Patent Office: 1,506 Days
• Field of Search: 607/14, 600509-510, 600/518, 128/920
• US Class Current: 600/509
• CPC Class Codes: A61B 5/35 by template matching
• CPC Class Codes: A61B 5/363 Detecting tachycardia or bradycardia
• CPC Class Codes: A61N 1/3622 comprising two or more electrodes co-operating with different heart regions
• CPC Class Codes: A61N 1/3956 Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
• CPC Class Codes: Y10S 128/92 Computer assisted medical diagnostics

Abstract

Methods of using a template having a template data set and template parameters to provide improved alignment of captured cardiac signal data to a stored template. More particularly, in an illustrative method, a captured cardiac signal is first configured using template parameters for a stored template. Then, once configured, the captured cardiac signal is then compared to the stored template. Other embodiments include implantable cardiac treatment devices including operational circuitry configured to perform the illustrative method. In a further embodiment, more than one stored templates may be used. Each template can have independently constructed parameters, such that a single captured cardiac signal may be configured using first parameters for comparison to a first template, and using second parameters for comparison to a second template.

Claims

1. A method of analyzing cardiac events using a template having a template data set and template parameters, the method comprising:

capturing a signal using electrodes implanted in a patient'"'"'s torso;

configuring the captured signal in accordance with the template parameters, the template parameters including identification of an amplitude peak as a fiducial point and start and end points surrounding the fiducial point;

aligning the template data set with the configured captured signal using the fiducial point; and

comparing the aligned template data set to the configured captured signal, including comparing the fiducial point identified in the configured captured signal to the fiducial point of the template data set.

2. The method of claim 1, further comprising;

if the configured captured signal correlates to the aligned template data set, classifying the captured signal as being normal;

or

if the configured captured signal poorly correlates to the aligned template data set, classifying the captured signal as being abnormal.

3. The method of claim 2, wherein the captured signal, once configured, and if determined to be normal, represents a portion of a single cardiac beat including an R-wave.

4. The method of claim 1, wherein the template parameters include a manner of selecting data points to form a template window.

5. The method of claim 1, wherein the step of capturing a signal is performed using only subcutaneously implanted electrodes.

6. The method of claim 1, wherein the step of comparing the aligned template data set to the configured captured signal includes performing a correlation waveform analysis between the configured captured signal defined between its beginning and ending points, and the aligned template data set.

7. The method of claim 1, wherein the configured captured signal includes a plurality of amplitude samples, and the comparing step includes comparing amplitudes of samples from the configured captured signal to stored amplitudes for the aligned template data set.

8. The method of claim 1, wherein the comparing step includes performing a correlation waveform analysis between the configured captured signal and the aligned template data set.

9. The method of claim 1 wherein:

the template data set comprises a set of i time-ordered samples {T0 . . . Ti} of electrical cardiac signals, with a sample, Tf, of the template data set being identified as a highest amplitude or magnitude signal in the template data set and serving as a fiducial point and with a first set of samples {T0 . . . Tf−

1} and a second set of samples {Tf+1 . . . Ti} being identified as belonging to a sample window for the template data set;

the step of configuring the captured signal in accordance with the template parameters comprises identifying a sample within a series of sampled signals as a fiducial point, Sf, that has a highest relative amplitude within a set of such sampled signals, and selecting a set of time-ordered samples around Sf including {S0 . . . Sf−

1} and {Sf+1 . . . Si} according to the sample window of the template data set;

the step of aligning the template data set with the captured signal includes aligning time ordered signal samples {S0 . . . Si} with time ordered template samples {T0 . . . Ti} using the fiducial points {Sf, Tf}; and

the step of comparing the aligned template data set to the configured captured signal includes performing correlation analysis of the amplitudes of the aligned data sets {S0 . . . Si} and {T0 . . . Ti}.

10. The method of claim 1 wherein:

the template parameters include one or more size parameters indicating how many samples are part of the template, and one or more position parameters indicating a position of a fiducial point in the template; and

the step of configuring the captured signal in accordance with the template parameters includes identifying a fiducial point in the captured signal, and defining a signal window around the fiducial point using the one or more size parameters and the one or more position parameters.