Apparatus and method for outputting heart sounds

• US 8,478,391 B2
• Filed: 04/26/2012
• Issued: 07/02/2013
• Est. Priority Date: 04/11/2001
• Status: Expired due to Fees

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Scheiner, Avram, Zhu, Qingsheng, Olive, Arthur L., Villalta, Don
• Primary Examiner(s): STOKLOSA, JOSEPH A
• Application Number:
  US13/456,795
• Publication Number:
  US 20120209130A1
• Time in Patent Office: 432 Days
• Field of Search: 600/528, 600/513, 607/117
• US Class Current: 600/513
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/1118 Determining activity level
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61B 5/33 specially adapted for cooperation with other devices
• CPC Class Codes: A61B 5/339 Displays specially adapted therefor
• CPC Class Codes: A61B 5/346 Analysis of electrocardiograms
• CPC Class Codes: A61B 5/349 Detecting specific parameters of the electrocardiograph cycle
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61B 7/00 Instruments for auscultation
• CPC Class Codes: A61B 7/023 for introduction into the body, e.g. into the oesophagus oesophageal ECG probes A61B5/285
• CPC Class Codes: A61B 7/04 Electric stethoscopes microphones, acoustic transducers therefor H04R

Abstract

An apparatus for outputting heart sounds includes an implantable system and an external system. The implantable system includes a sensor for generating sensed signals representing detected heart sounds, an interface circuit and a control circuit for receiving the sensed signals, generating data representing the heart sounds therefrom, and transmitting the data to the external system via the interface circuit. The external system includes an interface circuit for communicating with the implantable system, and a control circuit for receiving the data representing the heart sounds and for generating control signals that cause an output device to generate outputs representing the sounds. The implantable system may also include a sensor(s) for detecting cardiac electrical signals. In this case, outputs representing the cardiac electrical signals are also output.

Claims

1. An external system for communicating with an implantable system configured to transmit first data representative of heart sounds and second data representative of cardiac electrical signals to the external system, comprising:

an interface circuit configured to communicate with the implantable system;

an output device configured to generate outputs in response to control signals; and

a control circuit coupled to the interface circuit and the output device, the control circuit configured to receive the first and the second data from the implantable system through the interface circuit, process the first data using a first processing path configured for machine detection of the heart sounds using the first data and a second processing path configured for presentation of the heart sounds, and generate control signals causing the output device to generate outputs representative of the heart sounds and the cardiac electrical signals.

2. The external system of claim 1, wherein the output device comprises a display device configured to generate visual outputs representative of the heart sounds and the cardiac electrical signals.

3. The external system of claim 1, wherein the output device comprises an audio device configured to generate audio outputs representative of at least the heart sounds.

4. The external system of claim 1, wherein the control circuit is further configured to receive surface electrocardiograph (ECG) signals and generate the control signals causing the output device to further generate surface ECG outputs representative of the surface ECG signals.

5. The external system of claim 1, wherein the control circuit is further configured to generate timing comparison control signals causing the output device to output timing comparison information indicative of relative timing between the heart sounds and the cardiac electrical signals.

6. The external system of claim 5, wherein the output device comprises a display device configured to generate visual outputs representative of the heart sounds and the cardiac electrical signals, and the control circuit is further configured to generate the timing comparison control signals causing the output device to display calipers for indicating time intervals between the heart sounds and the cardiac electrical signals.

7. The external system of claim 6, further comprising an input device coupled to the control circuit, the input device configured to allow control of the display of the calipers.

8. The external system of claim 1, wherein the output device comprises a display device configured to generate visual outputs representative of the heart sounds and visual outputs representative of the cardiac electrical signals, with the visual outputs representative of the heart sounds superimposed over the visual outputs representative of the cardiac electrical signals.

9. The external system of claim 8, further comprising an input device coupled to the control circuit, the input device configured to allow control of the superimposition of the visual outputs representative of the heart sounds over the visual outputs representative of the cardiac electrical signals.

10. The external system of claim 1, comprising a further interface circuit configured to communicate with a remote system, and the control circuit is further configured to transmit third data representative of the heart sounds to the remote system.

11. The external system of claim 10, wherein the first data and the third data comprise same data.

12. The external system of claim 10, wherein the control circuit is further configured to transmit fourth data representative of the cardiac electrical signals to the remote system.

13. A method of outputting heart sounds and cardiac electrical signals using data transmitted from an implantable system, comprising:

receiving first data representative of the heart sounds and second data representative of the cardiac electrical signals from the implantable system;

processing the first data using a first processing path configured for machine detection of the heart sounds using the first data and a second processing path configured for presentation of the heart sounds; and

generating outputs representative of the heart sounds and the cardiac electrical signals.

14. The method of claim 13, further comprising transmitting third data representative of the heart sounds and fourth data representing the cardiac electrical signals to a remote system.

15. The method of claim 13, wherein generating the outputs comprises generating audio outputs representative of at least the heart sounds.

16. The method of claim 13, wherein generating the outputs comprises generating visual outputs representative of the heart sounds and visual outputs representative of the cardiac electrical signals.

17. The method of claim 16, further comprising outputting timing comparison information indicative of relative timing between the heart sounds and the cardiac electrical signals.

18. The method of claim 17, wherein outputting the timing comparison information comprises displaying calipers for indicating time intervals between the heart sounds and the cardiac electrical signals.

19. The method of claim 16, further comprising superimposing the visual outputs representative of the heart sounds over the visual outputs representative of the cardiac electrical signals.

20. The method of claim 19, further comprising allowing control of the superimposition of the visual outputs representative of the heart sounds over the visual outputs representative of the cardiac electrical signals by a user using a user input device.