Portable system and method for monitoring of a heart and other body functions

• US 9,144,388 B2
• Filed: 06/18/2013
• Issued: 09/29/2015
• Est. Priority Date: 01/20/2009
• Status: Expired due to Fees

• Current Assignee: Alfred Salazar
• Original Assignee: Alfred Salazar
• Inventors: Salazar, Alfred, Almeida, Hilary F., Dy, Peter L., Salazar, Alexandria
• Primary Examiner(s): MALAMUD, DEBORAH LESLIE
• Application Number:
  US13/920,137
• Publication Number:
  US 20130345540A1
• Time in Patent Office: 833 Days
• Field of Search: 600/301, 600508-509, 600/513, 600522-523
• US Class Current: 1/1
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• 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 5/327 Generation of artificial ECG signals based on measured signals, e.g. to compensate for missing leads
• CPC Class Codes: A61B 5/332 Portable devices specially adapted therefor
• CPC Class Codes: A61B 5/333 Recording apparatus specially adapted therefor
• CPC Class Codes: A61B 5/339 Displays specially adapted therefor
• CPC Class Codes: A61B 5/6804 Garments; Clothes
• CPC Class Codes: A61B 5/6898 Portable consumer electronic devices, e.g. music players, telephones, tablet computers
• CPC Class Codes: A61B 5/7405 using sound
• CPC Class Codes: A61B 5/749 Voice-controlled interfaces

Abstract

Portable systems and methods for obtaining an electrocardiogram reading include a portable device having first and second electrodes with differing impedances. Computer instructions instruct a processor of the portable device to output instructional information relating to placement of the electrodes, receive confirmation of the positioning, and calculate lead values using readings from the first electrode, the second electrode, or combinations thereof, such that multiple bipolar and precordial leads can be measured. Augmented leads can be extrapolated using a known geometric relationship and the bipolar lead measurements. An electrocardiogram reading can be calculated from the lead measurements, then output, stored, transmitted, or combinations thereof. An alert response can be generated if the electrocardiogram reading deviates from selected threshold parameters.

Claims

1. A portable system for monitoring heart activity of a user, the system comprising:

a portable device comprising a processor, data storage, a transmitter, an input device, and an output device;

a first electrode positioned on a first portion of the portable device, wherein the first electrode comprises a first impedance;

a second electrode positioned on a second portion of the portable device, wherein the second electrode comprises a second impedance configured to cause the second electrode to selectively perform as an indifferent electrode and one or more of a positive electrode or a negative electrode;

non-transitory computer instructions for instructing the processor to receive a reading from the first electrode, receive a reading from the second electrode, calculate a lead value using the reading from the first electrode, the reading from the second electrode, or combinations thereof, and store the lead value;

non-transitory computer instructions for providing instructional information relating to positioning of the first electrode and the second electrode using the output device and receiving confirmation of the positioning of the first electrode and the second electrode from the input device;

non-transitory computer instructions for calculating at least one extrapolated lead using a plurality of stored lead values;

non-transitory computer instructions for calculating an electrocardiogram using the plurality of stored lead values and the at least one extrapolated lead for storage, transmission, or combinations thereof, transmitting the plurality of stored lead values and the at least one extrapolated lead for calculation of the electrocardiogram, or combinations thereof; and

non-transitory computer instructions for outputting the electrocardiogram, information relating to the electrocardiogram, or combinations thereof using the output device.

2. The system of claim 1, wherein the portable device comprises a cellular telephone.

3. The system of claim 2, further comprising a case secured over the cellular telephone, wherein the case comprises a front side, a back side, and a side surface, and wherein the first electrode is positioned on the back side and the second electrode is positioned on the side surface or the front side.

4. The system of claim 1, wherein a difference between the first impedance and the second impedance is configured to cause the second electrode to act as an indifferent electrode when the first electrode is placed in contact with a precordial site on a user.

5. The system of claim 4, wherein the second electrode is smaller than the first electrode, thereby creating the difference between the first impedance and the second impedance.

6. The system of claim 4, wherein the second electrode comprises an electrical resistance greater than that of the first electrode, thereby creating the difference between the first impedance and the second impedance.

7. The system of claim 1, wherein the non-transitory computer instructions for instructing the processor to calculate the lead value using the reading from the first electrode, the reading from the second electrode, or combinations thereof instruct the processor to calculate a first bipolar lead, a second bipolar lead, and a third bipolar lead by measuring a difference between the reading from the first electrode and the reading from the second electrode to form the plurality of stored lead values while the second electrode functions as the one or more of the positive electrode or the negative electrode.

8. The system of claim 7, wherein the non-transitory computer instructions for instructing the processor to calculate the lead value using the reading from the first electrode, the reading from the second electrode, or combinations thereof further instruct the processor to calculate a first precordial lead, a second precordial lead, a third precordial lead, a fourth precordial lead, a fifth precordial lead, and a sixth precordial lead, using the reading from the first electrode while the second electrode functions as the indifferent electrode.

9. The system of claim 7, wherein the non-transitory computer instructions for calculating the at least one extrapolated lead using the plurality of stored lead values instruct the processor to calculate a first augmented lead, a second augmented lead, and a third augmented lead using a known geometric algorithm, the first bipolar lead, the second bipolar lead, and the third bipolar lead.

10. The system of claim 1, wherein the output device comprises a speaker and a display screen, and wherein the non-transitory computer instructions for providing the instructional information using the output device instruct the processor to output audio instruction regarding placement of the first electrode and the second electrode using the speaker and a visual illustration regarding placement of the first electrode and the second electrode using the display screen.

11. The system of claim 1, wherein the input device comprises a microphone, the system further comprising non-transitory computer instructions for instructing the processor to receive heart sounds using the microphone, record the heart sounds, and store the recorded heart sounds in association with the electrocardiogram.

12. A portable system comprising:

a housing having a first side and a second side;

a first electrode positioned on the first side;

a second electrode positioned on the second side wherein the first electrode comprises a first impedance, and wherein the second electrode comprises a second impedance configured to cause the second electrode to selectively perform as an indifferent electrode and one or more of a positive electrode or a negative electrode;

a processor;

an output device; and

data storage comprising non-transitory computer instructions that when executed cause the processor to;

receive readings from one or more of the first electrode or the second electrode;

determine an electrocardiogram using the readings; and

output the electrocardiogram using the output device.

13. The system of claim 12, wherein the first side is positioned opposite the second side.

14. The system of claim 12, wherein the first side is positioned at a non-parallel angle relative to the second side.

15. The system of claim 12, further comprising:

a microphone; and

non-transitory computer instructions that when executed cause the processor to;

receive heart sounds using the microphone; and

one or more of;

output the heart sounds using the output device or store the heart sounds in association with the electrocardiogram.

16. The system of claim 12, further comprising:

non-transitory computer instructions that when executed cause the processor to;

provide instructional information relating to positioning of the first electrode and the second electrode using the output device.

17. The system of claim 16, further comprising:

an input device; and

non-transitory computer instructions that when executed cause the processor to;

receive confirmation of the positioning of the first electrode and the second electrode from the input device.

18. A portable system comprising:

a first electrode comprising a first impedance;

a second electrode comprising a second impedance configured to cause the second electrode to selectively perform as an indifferent electrode and one or more of a positive electrode or a negative electrode;

a processor; and

data storage comprising non-transitory computer instructions that when executed cause the processor to;

calculate a first lead value from a first reading from the first electrode and a second reading from the second electrode while the second electrode functions as the one or more of the positive electrode or the negative electrode;

calculate a second lead value from a third reading of the first electrode while the second electrode functions as the indifferent electrode; and

determine an electrocardiogram based at least partially on one or more of the first lead value and the second lead value.

19. The system of claim 18, further comprising a case configured for securing to a portable device, wherein the case comprises a front side, a back side, and a side surface, and wherein the first electrode is positioned on the back side and the second electrode is positioned on the side surface or the front side.