Method for monitoring ICG/ECG signals

• US 8,521,264 B2
• Filed: 08/31/2012
• Issued: 08/27/2013
• Est. Priority Date: 06/22/2009
• Status: Expired due to Fees

• Current Assignee: Analogic Corporation
• Original Assignee: Analogic Corporation
• Inventors: Harrold, Lewis Norman, DiCiaccio, Anthony Ralph
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): ANTISKAY, BRIAN MICHAEL
• Application Number:
  US13/600,707
• Publication Number:
  US 20120323106A1
• Time in Patent Office: 361 Days
• Field of Search: 600/372, 600/382, 600/386, 600/388, 600391-397, 600/506, 600/509, 600/547
• US Class Current: 600/509
• CPC Class Codes: A61B 5/026 Measuring blood flow A61B3/1233, A61B3/1241 take precedence
• CPC Class Codes: A61B 5/0295 using plethysmography, i.e. measuring the variations in the volume of a body part as modified by the circulation of blood therethrough, e.g. impedance plethysmography
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/282 Holders for multiple electrodes for introduction into the body A61B5/287

Abstract

An ICG/ECG electrode includes a first electrode and a second electrode, wherein at least one of the first or second electrode senses both an ICG signal and an ECG voltage signal. A physiologic parameter monitoring apparatus includes a set of electrodes, including an electrode for sensing both an ICG voltage signal and an ECG voltage signal corresponding to a patient. The apparatus further includes an ICG monitor for processing the ICG voltage signal sensed by the electrode and an ECG monitor for processing the ECG voltage signal sensed by the same electrode.

Claims

1. A method of utilizing no more than three ICG/ECG electrode pairs to sense both ICG and heart electrical activity signals, the method comprising:

sensing, with a first electrode contact and a second electrode contact of a first pair of the no more than three ICG/ECG electrode pairs, a first ICG signal and a first heart electrical activity signal;

sensing, with a first electrode contact and a second electrode contact of a second pair of the no more than three ICG/ECG electrode pairs, a second ICG signal and a second heart electrical activity signal;

sensing, with a first electrode contact and a second electrode contact of a third pair of the no more than three ICG/ECG electrode pairs, a third ICG signal and a third heart electrical activity signal;

utilizing different clocks to sense the first, second and third ICG signals and the first, second and third heart electrical activity signals;

synchronizing the different clocks, thereby time-synchronizing the sensed first, second and third ICG signals with the first, second and third heart electrical activity signals; and

determining a cardiac parameter based on the first, second and third ICG signals and an EKG signal based on the first, second and third heart electrical activity signals.

2. The method of claim 1, further comprising:

employing the no more than three ICG/ECG electrode pairs to concurrently sense both ICG and heart electrical activity signals.

3. The method of claim 1, further comprising:

employing the no more than three ICG/ECG electrode pairs to individually sense both ICG and heart electrical activity signals.

4. The method of claim 1, wherein at least one of the no more than three pairs of the three ICG/ECG electrode pairs includes first and second electrode contacts affixed to a substrate with a barrier disposed on the substrate between the first and second electrode contacts and protruding from the substrate, wherein the barrier is physically separated from the first and second electrode contacts by a sub-region of the substrate.

5. The method of claim 1, wherein the no more than three pairs of electrodes are based on the Wilson three-lead ECG configuration.

6. The method of claim 1, further comprising:

processing the first, second and third ICG signals; and

processing the first, second and third heart electrical activity signals.

7. The method of claim 1, further comprising:

generating a biphasic ICG electrical current signal; and

supplying a current signal to at least one of the contacts of the no more than three ICG/ECG electrode pairs.

8. The method of claim 7, wherein the biphasic ICG electrical current signal has a zero time-average value.

9. The method of claim 8, wherein the biphasic ICG electrical current signal has a polarization value equal to about a polarization of the electrodes.

10. The method of claim 8, wherein the no more than three ICG/ECG electrode pairs is exactly three ICG/ECG electrode pairs.

11. A method of utilizing no more than three ICG/ECG electrode pairs to sense both ICG and heart electrical activity signals, the method comprising:

sensing, with a first electrode contact and a second electrode contact of a first pair of the no more than three ICG/ECG electrode pairs, a first ICG signal and a first heart electrical activity signal;

sensing, with a first electrode contact and a second electrode contact of a second pair of the no more than three ICG/ECG electrode pairs, a second ICG signal and a second heart electrical activity signal;

sensing, with a first electrode contact and a second electrode contact of a third pair of the no more than three ICG/ECG electrode pairs, a third ICG signal and a third heart electrical activity signal;

utilizing a same clock to sense the first, second and third ICG signals and the first, second and third heart electrical activity signals;

synchronizing in time the sensed first, second and third ICG signals with the first, second and third heart electrical activity signals; and

determining a cardiac parameter based on the first, second and third ICG signals and an EKG signal based on the first, second and third heart electrical activity signals.

12. The method of claim 11, further comprising:

employing the no more than three ICG/ECG electrode pairs to concurrently sense both ICG and heart electrical activity signals.

13. The method of claim 11, further comprising:

employing the no more than three ICG/ECG electrode pairs to individually sense both ICG and heart electrical activity signals.

14. The method of claim 11, wherein at least one of the no more than three pairs of the three ICG/ECG electrode pairs includes first and second electrode contacts affixed to a substrate with a barrier disposed on the substrate between the first and second electrode contacts and protruding from the substrate, wherein the barrier is physically separated from the first and second electrode contacts by a sub-region of the substrate.

15. The method of claim 11, wherein the no more than three pairs of electrodes are based on the Wilson three-lead ECG configuration.

16. The method of claim 11, further comprising:

processing the first, second and third ICG signals; and

processing the first, second and third heart electrical activity signals.

17. The method of claim 11, further comprising:

generating a biphasic ICG electrical current signal; and

supplying the current signal to at least one of the contacts of the no more than three ICG/ECG electrode pairs.

18. The method of claim 17, wherein the biphasic ICG electrical current signal has a zero time-average value.

19. The method of claim 17, wherein the biphasic ICG electrical current signal has a polarization value equal to about a polarization of the electrodes.

20. The method of claim 11, wherein the no more than three ICG/ECG electrode pairs is exactly three ICG/ECG electrode pairs.