Portable electrocardiogram

• US 8,195,279 B2
• Filed: 03/13/2009
• Issued: 06/05/2012
• Est. Priority Date: 10/26/2007
• Status: Active Grant

• Current Assignee: Claycor, LLC
• Original Assignee: Claycor, LLC
• Inventors: Clayman, Henry M.
• Primary Examiner(s): Schaetzle, Kennedy
• Application Number:
  US12/404,032
• Publication Number:
  US 20100130845A1
• Time in Patent Office: 1,180 Days
• Field of Search: None
• US Class Current: 600/509
• CPC Class Codes: A61B 5/282 Holders for multiple electrodes for introduction into the body A61B5/287
• CPC Class Codes: A61B 5/332 Portable devices specially adapted therefor
• CPC Class Codes: A61B 5/68 Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient

Abstract

An apparatus for measuring cardiac electric activity of a patient includes a tubular structure embodied in a lightweight, gently u-shaped form factor. The tubular structure includes: a center portion, a left handle in an upright end of the tubular structure, a right handle in a contralateral upright end; a connector positioned in the center portion; first and second receiving electrodes in the right and left handles; and an efferent cable for coupling the connector with a processor for electronically inverting signals obtained from the electrodes to produce vectors enabling a calculation of a conventional twelve-lead electrocardiogram. The processor is operatively coupled with a fourth electrode affixed to the patient'"'"'s ear.

Claims

1. A method for measuring cardiac electrical activity of a patient, the method comprising steps of:

forming an inverted Einthoven triangle of electrocardiograph electrodes for placement on the patient, the step of forming comprising steps of;

attaching a first receiving electrode to an ear of the patient, the first electrode forming an apex of the inverted Einthoven triangle;

and attaching second and third receiving electrodes to each of the patient'"'"'s arms, forming a base of the inverted Einthoven triangle;

attaching a fourth electrode to a chest area of the patient;

wherein the receiving electrodes are coupled with a connector by lead wires and wherein the connector is operatively coupled to a processor;

wherein an electrical ground electrode is further coupled to the connector by another lead wire; and

electronically inverting signals obtained from the first, second, third, and fourth electrodes to produce vectors enabling a calculation of a conventional twelve lead electrocardiogram recording using the processor.

2. The method of claim 1, further comprising attaching the electrical ground electrode to a contralateral ear of the patient.

3. The method of claim 1 wherein the second receiving electrode is attached to the patient'"'"'s right arm such that a pairing of the right arm and the ear act as an inverted lead II;

and

wherein the third receiving electrode is attached to the patient'"'"'s left arm such that a pairing of the left arm and the ear act as an inverted lead III; and

wherein a pairing of the right arm and the left arm act as lead I.

4. The method of claim 3 wherein electronically inverting signals further comprises:

mathematically transforming readings taken from leads II and III back to a conventional Einthoven configuration by taking into account;

an angular variation of a cardiac dipole measured by the ear electrode as opposed to a left leg electrode; and

a magnitude variation of the cardiac dipole measured by the ear electrode as opposed to a left leg electrode.

5. The method of claim 1 wherein the electrical ground electrode is affixed to the patient.

6. A method for measuring cardiac electrical activity of a patient, the method comprising:

forming an inverted Einthoven triangle of electrocardiograph electrodes for use on the patient, the step of forming comprising steps of;

attaching a first receiving electrode to an ear of the patient, said first receiving electrode forming an apex of the inverted Einthoven triangle;

and placing a non-linear shaped tube in an upright position above the patient'"'"'s chest, wherein the tube comprises;

a center portion between right and left upright ends of the tubular structure;

a second receiving electrode in the left upright end;

a third receiving electrode in the right upright end;

a fourth receiving chest electrode positioned in a center portion of the tube;

a connector operatively coupled with a processor;

internal electrical lead wires for joining the electrodes with the connector;

an efferent cable for coupling the connector with the processor;

having the patient grasp each upright end of the tube, forming a base of the inverted Einthoven triangle;

positioning the fourth receiving electrode in the center portion of the tube above the patient'"'"'s chest;

having the patient pull down and hold the tube in place such that the fourth electrode makes contact with the patient'"'"'s skin in the chest area, and such that no other part of the tube makes contact with the patient'"'"'s chest area;

affixing an electrical ground electrode to a ground surface, wherein said electric ground electrode is coupled to the connector by a lead wire;

and electronically inverting signals obtained from the first, second, third, and fourth electrodes to produce vectors enabling a calculation of a conventional twelve lead electrocardiogram recording using the processor.

7. The method of claim 6 wherein the step of positioning the fourth electrode comprises an initial step of:

sliding the fourth electrode along the tube until a desirable position is found in the patient'"'"'s chest area.

8. The method of claim 7 wherein the desirable position is slightly left of a sternum of the patient.

9. An apparatus for measuring cardiac electric activity of a patient, said apparatus comprising:

a tubular structure embodied in a lightweight, non-linear form factor, wherein the tubular structure comprises;

a center portion between right and left upright ends of the tubular structure;

a connector positioned in the center portion;

a first receiving electrode in the left upright end;

a second receiving electrode in the right upright end;

a third receiving electrode in the center portion for placement on a chest of the patient in an area of a cardiac silhouette, such that only said third receiving electrode makes contact with the patient'"'"'s chest;

internal electrical lead wires for joining the receiving electrodes to the connector;

an efferent cable for coupling the connector with a processor for electronically inverting signals obtained from the electrodes to produce vectors enabling a calculation of a conventional twelve lead electrocardiogram recording using the processor, wherein the processor is operatively coupled with a fourth electrode affixed to an ear of the patient.

10. The apparatus of claim 9 wherein the tubular structure is formed of a lightweight, thermoplastic, self-insulating material.

11. The apparatus of claim 9 wherein the tubular structure is formed of a metal.

12. The apparatus of claim 11 wherein the internal electrical lead wires and the receiving electrodes are insulated.

13. The apparatus of claim 9 wherein the chest electrode is able to slide along the center portion of the tubular structure.

14. The apparatus of claim 9 wherein the first and second receiving electrodes comprise hollow tubular bars that encircle the upright ends of the tubular structure and comprise fixed contact surfaces.

15. The apparatus of claim 9 wherein the tubular structure is formed of two separate sections that are joined together and then disassembled for storage.

16. The apparatus of claim 15 further comprising a junction part for joining the two separate sections.

17. The apparatus of claim 9 wherein the fourth electrode is operatively coupled with the connector by a lead wire.

18. The apparatus of claim 9 wherein the non-linear form factor comprises a quasi-u shape.

19. An apparatus for measuring cardiac electric activity of a patient, said apparatus comprising:

a tubular structure embodied in a lightweight, non-linear form factor, wherein the tubular structure comprises;

a center portion between right and left upright ends of the tubular structure, said center portion comprising;

a connector for coupling lead wires from receiving electrodes with a circuit module;

the circuit module operatively coupled with the connector for electronically inverting signals obtained from the receiving electrodes to produce vectors enabling a calculation of a conventional twelve lead electrocardiogram recording for display, wherein said circuit module comprises;

a filter for receiving signals from an ear electrode and a ground electrode;

a bio-amplifier for amplifying the signals from the filter;

an analog-to-digital converter for converting the amplified signals;

a wireless transmitter for transmitting the converted signals to the display;

and a battery operatively coupled with the filter, the bio-amplifier, the analog-to-digital converter and the wireless transmitter for powering same;

a first receiving electrode in the left upright end of the tubular structure;

a second receiving electrode in the right upright end of the tubular structure;

a third receiving electrode in the center portion for placement on a chest of the patient in an area of a cardiac silhouette, such that only said third receiving electrode makes contact with the patient'"'"'s chest;

and internal electrical lead wires for joining the receiving electrodes to the connector.

20. The apparatus of claim 19 wherein the tubular structure is formed of a lightweight, thermoplastic, self-insulating material.

21. The apparatus of claim 19 wherein the chest electrode is able to slide along the center portion of the tubular structure for optimal positioning.

22. The apparatus of claim 19 wherein the first and second receiving electrodes comprise hollow tubular bars that encircle the upright ends of the tubular structure and comprise fixed contact surfaces.