ECG acquisition and treatment-response system for treating abnormal cardiac function

• US 9,107,571 B2
• Filed: 04/24/2013
• Issued: 08/18/2015
• Est. Priority Date: 04/24/2012
• Status: Active Grant

• Current Assignee: Cardimetric, LLC, Cardimetrix LLC
• Original Assignee: Cardimetrix LLC
• Inventors: Strauss, Benjamin Jordan, Katlowitz, Kalman, Forkosh, Eric
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): EDWARDS, PHILIP CHARLES
• Application Number:
  US13/869,623
• Publication Number:
  US 20130281816A1
• Time in Patent Office: 846 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/002 Monitoring the patient using a local or closed circuit, e.g. in a room or building A61B5/0017 takes precedence
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/259 using conductive adhesive means, e.g. gels
• CPC Class Codes: A61B 5/282 Holders for multiple electrodes for introduction into the body A61B5/287
• CPC Class Codes: A61B 5/316 Modalities, i.e. specific diagnostic methods
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
• CPC Class Codes: A61B 5/4839 combined with drug delivery
• CPC Class Codes: A61B 5/6831 Straps, bands or harnesses
• CPC Class Codes: A61B 5/7405 using sound
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61B 5/7455 characterised by tactile indication, e.g. vibration or electrical stimulation
• CPC Class Codes: A61B 5/746 Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B
• CPC Class Codes: A61B 5/747 in case of emergency, i.e. alerting emergency services
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A method and system for detecting and treating abnormal cardiac function. The patient'"'"'s cardiac activity is substantially continuously monitored via a portable wearable device having electrodes and a microcontroller. Features in the monitored cardiac activity indicative of abnormal cardiac function are automatically detected. In response to the detection of an abnormal detected cardiac function, at least one person is automatically alerted of the detected abnormal cardiac function of the patient, and medication may be automatically caused to be administered to the patient. The portable wearable device preferably includes a plurality of electrodes and a microcontroller in communication with the electrodes, adapted to receive sensed cardiac activity signals and create digital signals enabling identification of at least one cardiac parameter. A remote computer server is in communication with the portable wearable device and compares values of the identified cardiac parameter with a range of normal values for the cardiac parameter.

Claims

1. A method for detecting and treating abnormal cardiac function in a mammalian patient, the method comprising:

monitoring a mammalian patient'"'"'s cardiac activity via a portable wearable device having electrodes and a microcontroller in communication with the electrodes;

remotely detecting features in the cardiac activity indicative of abnormal cardiac function;

in response to detection of an abnormal cardiac function, alerting at least one person of the detected abnormal cardiac function of the patient including the patient via the patient'"'"'s mobile phone and alerting a remote healthcare practitioner via local connection between the portable wearable device and the patient'"'"'s mobile phone;

in response to detecting abnormal cardiac function, requesting data from the mammalian'"'"'s patient concerning ordinary patient activity that corresponds to the detected abnormal cardiac function; and

in response to a receipt of instructions from the remote health care provider, causing to be administered, at least one medication corresponding to the detected abnormal cardiac function.

2. The method of claim 1, wherein in the case of abnormal heart rate, said alerting comprises alerting the patient on the patient'"'"'s mobile phone via local a connection between the patient'"'"'s portable wearable device and the patient'"'"'s mobile phone.

3. The method of claim 1, wherein the patient is human and wherein said medication administration comprises alerting the patient to self-administer the at least one medication.

4. The method of claim 3, wherein the alerting the patient comprises at least one of:

i) sending a message to the patient'"'"'s mobile phone;

or ii) causing the portable wearable device to emit a human-perceivable message.

5. The method of claim 4, wherein the human-perceivable message comprises at least one of a sound, a light, a vibration, or a change in temperature of an element of the portable wearable device.

6. The method of claim 1, wherein the patient is non-human and wherein the medication administration comprises alerting a nearby human to administer the at least one medication to the patient.

7. The method of claim 1, wherein said alerting a nearby human further comprises at least one of:

i) sending a message to a mobile phone of the nearby human;

or ii) causing the portable wearable device to emit a human-perceivable message.

8. The method of claim 1, wherein the medication administration comprises administering the at least one medication via the portable wearable device.

9. The method of claim 1, wherein the remote monitoring further comprises attaching electrodes to the patient, detecting cardiac activity via the electrodes, creating signals corresponding to the detected cardiac activity, said signals enabling identification of at least one detectable cardiac parameter, and sending the signals to a remote computer for comparison of a value of the detectable cardiac parameter to a range of normal values for the cardiac parameter.

10. The method of claim 9, wherein the signal sending further comprises sending the signals from the portable wearable device to a remote computer server via the patient'"'"'s mobile phone.

11. A system for detecting and treating abnormal cardiac function in a mammalian patient, the system comprising:

a portable wearable device having a plurality of electrodes adherable to the patient'"'"'s body, said electrodes sensing cardiac activity and creating signals corresponding to the sensed cardiac activity;

a microcontroller in communication with said electrodes, adapted to receive said sensed cardiac activity signals and create digital signals enabling identification of at least one cardiac parameter;

a remote computer server having read/write memory in communication with said portable wearable device, said server adapted to compare values of said identified at least one cardiac parameter with a range of normal values for said at least one cardiac parameter stored in said read/write memory; and

a user interface, residing on the patient'"'"'s mobile phone and adapted to enable communication between the portable wearable device and the remote computer server and to receive analysis of the identified at least one cardiac parameter by said remote computer server in response to a receipt of instructions from the remote health care provider,

wherein the portable wearing device causes to be administered, at least one medication corresponding to the detected abnormal cardiac function in response to a receipt of instructions from the remote health care provider, and

wherein said portable wearable device further comprises a medication dispensing module having a dispensing mechanism and a quantity of at least one medication, wherein when said remote computer server determines that said identified at least one cardiac parameter is not within a normal range, said remote computer server communicates an instruction to said portable wearable device to dispense a dose of said medication.

12. The system of claim 11, wherein the user interface is adapted to accept user-enterable information and communicate said user-enterable information to said remote computer server.

13. The system of claim 11, said at least one cardiac parameter comprising at least one of P, Q, R, S, T, and U waves, ST segments, Heart Rate Variability, T wave inversion heart rate, regularity, atrial fibrillation, premature ventricular contractions, premature atrial contractions, and premature junctional contractions.

14. The system of claim 11, further comprising a practitioner interface, residing on a healthcare practitioner'"'"'s device in communication with said remote computer server, adapted to enable a healthcare practitioner to review said identified at least one cardiac parameter.