Rapid visual cuing apparatus for cardiac EKG rhythms

• US 9,226,677 B2
• Filed: 05/22/2014
• Issued: 01/05/2016
• Est. Priority Date: 09/13/2010
• Status: Active Grant

• Current Assignee: EKG Concepts, LLC
• Original Assignee: EKG Concepts, LLC
• Inventors: Krause, Gary
• Primary Examiner(s): Fernstrom, Kurt
• Application Number:
  US14/285,199
• Publication Number:
  US 20140343444A1
• Time in Patent Office: 593 Days
• Field of Search: 434/156, 434/157, 434/262, 434/365, 434/366, 434/367, 434/404, 434/405, 434/428, 434/429, 283/34, 283/35, 283/46, 283/61, 283/62, 283/115, 283/117, 283/900
• US Class Current: 1/1
• CPC Class Codes: A61B 5/322 Physical templates or devices for measuring ECG waveforms, e.g. electrocardiograph rulers or calipers by template matching A61B5/35
• CPC Class Codes: A61B 5/339 Displays specially adapted therefor
• CPC Class Codes: A61B 5/361 Detecting fibrillation
• CPC Class Codes: A61B 5/363 Detecting tachycardia or bradycardia
• CPC Class Codes: A61B 5/364 Detecting abnormal ECG interval, e.g. extrasystoles, ectopic heartbeats
• CPC Class Codes: A61B 5/366 Detecting abnormal QRS complex, e.g. widening

Abstract

The present invention is a visual cuing device which allows users to rapidly and easily identify ECG/EKG cardiac arrhythmias and twelve lead ECG/EKG arrhythmias. A visual cuing device contains a plurality of panels with a plurality of graphically displayed ECG/EKG abnormalities alternated with visually high-contrast, solid colored text sections. A visual cuing device may also contain additional tools, such as a heart rate reference line, time reference line or baseline window to aid in analysis and interpreting ECG/EKG strips. A visual cuing device may also be adapted to display using a touch screen or other user interface.

Claims

1. A device for identifying cardiac arrhythmias comprising:

a plurality of pivotally attached panels having a width between 5 and 8 inches and a height between 3 and 6 inches;

each of the pivotally attached panels attached by a reinforced plastic seam which alternates the direction in which each panel pivots to allow the device to be folded and stored, wherein each of the pivotally attached panels further include a front surface and a back surface, wherein each of the plurality of pivotally attached panels contain at least one visually identifiable graphically displayed EKG abnormality on at least one of the front surface and the back surface; and

a baseline window located within one of the plurality of pivotally attached panels, the baseline window including a baseline marking extending across the window.

2. The device for identifying cardiac arrhythmias of claim 1 wherein the graphically displayed EKG abnormalities are alternated with at least one visually high-contrast, alternating solid-colored text section, wherein the alternating solid-colored text section contains at least one textual indication selected from the group consisting of an EKG abnormality name, a known EKG abnormality acronym, a known EKG abnormality abbreviation, key characteristics of an EKG abnormality, suggested treatment protocols, suggested medications, legend information, instructions on how to read and interpret ECG/EKG strips, heart diagrams, exemplary ECG/EKG waves, instructions for setting up a twelve lead ECG/EKG, and combinations thereof.

3. The device for identifying cardiac arrhythmias of claim 1 wherein more than one graphically displayed EKG abnormality is displayed on a single panel.

4. The device for identifying cardiac arrhythmias of claim 1 wherein the at least one graphically displayed EKG abnormality is scaled to a time duration of at least 6 seconds.

5. The device for identifying cardiac arrhythmias of claim 1 wherein the reinforced plastic seams are comprised of at least two continuous panel portions and an aperture reinforced with at least two layers of laminate material.

6. The device for identifying cardiac arrhythmias of claim 5 wherein the aperture is die cut.

7. The device for identifying cardiac arrhythmias of claim 1 wherein the pivotally attached are capable of being rapidly opened to display at least five EKG abnormalities at one time to allow for rapid visual cuing of EKG abnormalities.

8. The device for identifying cardiac arrhythmias of claim 1 wherein the at least one EKG abnormality is selected from the group consisting of normal sinus rhythm, sinus bradycardia, sinus tachycardia, sinus arrhythmia, sinus with ST depression, sinus with ST elevation, sinus rhythm with significant Q-wave, sinus with wide QRS and inverted T-wave, sinus arrest, atrial tachycardia, sinus with paroxysmal superventricular tachycardia, Wolf Parkinson White Syndrome, atrial flutters, artifact, atrial fibrillation, multi atrial tachycardia, sinus with premature atrial contractions, sinus with premature junctional contractions, junctional escape rhythm, accelerated junctional rhythm, atrial pacing, ventricular pacing, ventricular pacing with failure to capture, atrial ventricular pacing, 1st degree heart block, 2nd degree type I, 2nd degree type II, 3rd degree heart block (complete heart block), 3rd degree AV block with junctional escape pacemaker, sinus with unifocal premature ventricular contractions, sinus with multi-focal premature ventricular contractions, sinus with episodes of non-sustained ventricular tachycardia, sinus with premature ventricular contractions converting to ventricular tachycardia (R on T), sustained ventricular tachycardia, Tor sades de pointe, ventricular fibrillation, idioventricular rhythm, accelerated idioventricular rhythm, agonal rhythm (dying heart), ventricular standstill progressing to asystole, inferior wall changes, septal wall changes, anterior wall changes, lateral wall changes, anterospetal wall changes, anterolateral wall changes, anterolateral wall injury, interior wall injury, septal wall injury, anterior wall injury, lateral wall injury, anteroseptal wall injury, ST elevation in inferior/lateral wall with reciprocal changes, left bundle branch block, and right bundle branch block.

9. The device for identifying cardiac arrhythmias of claim 1 wherein each of the pivotally attached panels is comprised of at least three layers, the at least three layers being a laminate layer, a paper substrate layer, and a laminate layer.

10. The device for identifying cardiac arrhythmias of claim 1 which further includes at least one ECG/EKG strip analysis tool selected from the group consisting of a time reference line, a heart rate reference line and a baseline window.

11. A device for identifying cardiac arrhythmias comprising:

at least one panel defining an exterior edge;

a baseline window located within the at least one panel, the baseline window including a baseline marking extending across the window;

a heart rate reference line located along a first portion of the exterior edge of the panel, the heart rate reference line including a series of reference lines evenly spaced along the first portion of the exterior edge; and

a time reference line located along a second portion of the exterior edge of the panel, the time reference line including a series of reference marks placed at expanding intervals along the second portion of the exterior edge.

12. The device for identifying cardiac arrhythmias of claim 11 further comprising a plurality of pivotally attached additional panels having a width between 5 and 8 inches and a height between 3 and 6 inches, each of the pivotally attached additional panels attached by a reinforced plastic seam which alternates the direction in which each panel pivots to allow the device to be folded, wherein each of the pivotally attached additional panels further include a front surface and a back surface, wherein each of the plurality of pivotally attached panels contain at least one visually identifiable graphically displayed EKG abnormality on at least one of the front surface and the back surface, wherein the panel including the baseline window is pivotally attached to a first or a last of the additional panels by a reinforced plastic seam.

13. The device for identifying cardiac arrhythmias of claim 11 wherein the baseline window is a transparent or quasi-transparent portion of material located within the at least one panel.

14. The device for identifying cardiac arrhythmias of claim 11 wherein the series of evenly spaced reference lines of heart rate reference line are spaced to correlate to a time interval on a standard EKG strip.

15. The device for identifying cardiac arrhythmias of claim 11 wherein the at least one panel includes a legend portion including exemplary illustrations of at least one of a P-wave, PR interval, QRS interval, ST segment and QT interval.

16. The device for identifying cardiac arrhythmias of claim 11 wherein the baseline marking extends between a midpoint of a left lateral side of the baseline window and a midpoint of a right lateral side of the baseline window.

17. A device for identifying cardiac arrhythmias comprising:

a first panel defining an exterior edge having a front surface and rear surface;

a baseline window located within the first panel such that the first panel completely surrounds the window, the baseline window including a baseline marking extending across the window; and

a heart rate reference line located along a first portion of the exterior edge of the panel, the heart rate reference line including a series of reference lines evenly spaced along the first portion of the exterior edge.

18. The device for identifying cardiac arrhythmias of claim 17 further comprising a plurality of pivotally attached additional panels having a width between 5 and 8 inches and a height between 3 and 6 inches, each of the pivotally attached additional panels attached by a reinforced plastic seam which alternates the direction in which each panel pivots to allow the device to be folded, wherein each of the pivotally attached additional panels further include a front surface and a back surface, wherein each of the plurality of pivotally attached panels contain at least one visually identifiable graphically displayed EKG abnormality on at least one of the front surface and the back surface, wherein the first panel is pivotally attached to a first or a last of the additional panels by a reinforced plastic seam.

19. The device for identifying cardiac arrhythmias of claim 17 wherein the first panel includes a legend portion including exemplary illustrations of at least one of a P-wave, PR interval, QRS interval, ST segment and QT interval.

20. The device for identifying cardiac arrhythmias of claim 17 wherein the baseline marking extends between a midpoint of a left lateral side of the baseline window and a midpoint of a right lateral side of the baseline window.