Monitoring system for monitoring heart signals

• US 9,610,059 B2
• Filed: 06/17/2013
• Issued: 04/04/2017
• Est. Priority Date: 06/18/2012
• Status: Active Grant

• Current Assignee: Acarix A/S (Acarix AB)
• Original Assignee: Acarix A/S (Acarix AB)
• Inventors: Christensen, Claus Bo Voge, Rong, Weimin
• Primary Examiner(s): Wu, Eugene T
• Application Number:
  US14/408,953
• Publication Number:
  US 20150190109A1
• Time in Patent Office: 1,387 Days
• CPC Class Codes: A61B 2560/0412 Low-profile patch shaped housings
• CPC Class Codes: A61B 2562/0204 Acoustic sensors
• CPC Class Codes: A61B 2562/164 the sensor is mounted in or on a conformable substrate or carrier
• CPC Class Codes: A61B 5/0004 characterised by the type of physiological signal transmitted
• CPC Class Codes: A61B 5/02028 Determining haemodynamic parameters not otherwise provided for, e.g. cardiac contractility or left ventricular ejection fraction
• CPC Class Codes: A61B 5/02438 with portable devices, e.g. worn by the patient
• CPC Class Codes: A61B 5/0255 Recording instruments specially adapted therefor
• CPC Class Codes: A61B 5/332 Portable devices specially adapted therefor
• CPC Class Codes: A61B 5/6801 specially adapted to be attached to or worn on the body surface
• CPC Class Codes: A61B 5/6823 Trunk, e.g., chest, back, abdomen, hip
• CPC Class Codes: A61B 5/6833 Adhesive patches
• CPC Class Codes: A61B 5/6835 Supports or holders, e.g., articulated arms
• CPC Class Codes: A61B 5/72 Signal processing specially adapted for physiological signals or for diagnostic purposes character recognition, recognising digital ink, document-oriented image-based pattern recognition G06V30/00; recognition or understanding of postal images G06V30/424
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61B 7/04 Electric stethoscopes microphones, acoustic transducers therefor H04R

Abstract

The invention relates to a monitoring system (1) for monitoring acoustic heart signals, comprising a sensor housing (2) comprising a heart sound sensing element (3) adapted to be arranged in connection to a patient'"'"'s heart to sense heart sounds and to generate a heart sound signal related to the heart sounds; a monitoring unit housing (4) comprising a processing unit (5) adapted to receive said heart sound signal, wherein said monitoring unit housing (4) is separated from said sensor housing (2) and is adapted to be arranged in relation to the patient'"'"'s upper sternum, wherein the monitoring system (1) further comprises a flexible elongated connector (6) connecting said sensor housing (2) to said monitoring unit housing (4), said connector (6) having a longitudinal extension along a longitudinal axis (7), wherein said connector (6) is connected to said monitoring unit housing (4) in an angular relationship, and wherein the angle α between said longitudinal axis (7) and a main axis (8) of said monitoring unit housing (4) is within a predetermined interval.

Claims

1. A monitoring system for monitoring acoustic heart signals, comprising:

a sensor housing comprising a heart sound sensing element configured to sense heart sounds and to generate a heart sound signal related to the heart sounds sensed, wherein the sensor housing further comprises a first adhesive device by which the sensor housing is attached to the skin of a patient at a fixed position over the patient'"'"'s heart;

a monitoring unit housing comprising a processing unit adapted to receive said heart sound signal, the monitoring unit housing also comprising an integral display connected with the processing unit wherein the processing unit is programmed to process the heart sound signal and control the display to show a condition of the patient based on the processed heart sound signal, and wherein said monitoring unit housing is physically separate from said sensor housing and the monitoring unit housing further comprising a second adhesive device by which the monitoring unit housing is attached to the skin of the patient at a fixed position over the patient'"'"'s upper sternum which is spaced apart from the position on the patient at which the sensor housing is attached; and

a flexible elongated connector connecting said sensor housing to said monitoring unit housing, said connector having a longitudinal extension along a longitudinal axis, wherein said connector is connected to said monitoring unit housing in an angular relationship α

, and wherein the angle α

between said longitudinal axis and a main axis of said monitoring unit housing is within a predetermined interval, wherein the flexible elongated connector forms a bridge between said sensor housing to said monitoring unit housing that is spaced apart from the first and second adhesive devices and the elongated connector is adapted to be resiliently twisted and/or bent when attaching the sensor housing and the monitoring unit housing to the patient, wherein said flexible elongated connector is dimensionally stable and displays shape integrity, and wherein said flexible elongated connector is adapted to connect said housings in a stable, semi-rigid but still flexible manner, such that said housings are constantly physically separated by said longitudinal extension;

wherein the sensor housing is configured to be connected to no more than one monitoring unit housing at a time; and

wherein the monitoring unit housing is configured to be connected to no more than one sensor housing at a time.

2. The monitoring system according to claim 1, wherein the first and second adhesive devices are connected together to form an adhesive patch adapted to attach said sensor housing and monitoring unit housing to the skin of the patient.

3. The monitoring system according to claim 2, wherein said adhesive patch comprises slits to allow non-stress movements and stretching.

4. The monitoring system according to claim 1, wherein said predetermined interval is 20-90 degrees.

5. The monitoring system according to claim 1, wherein said longitudinal extension is between 10-100 mm.

6. The monitoring system according to claim 1, wherein said flexible elongated connector has a width of 5-50 mm.

7. The monitoring system according to claim 1, wherein said flexible elongated connector comprises a material having a shore A hardness below 70.

8. The monitoring system according to claim 1, wherein said flexible elongated connector comprises a material having a shore A hardness below 50.

9. The monitoring system according to claim 1, wherein said flexible elongated connector comprises a material having a shore A hardness below 40.

10. The monitoring system according to claim 1, wherein said flexible elongated connector comprises electrical means adapted to transfer electrical signals between said sensor housing and said monitoring unit housing.

11. The monitoring system according to claim 1, wherein the monitoring unit housing further comprises a wireless communication unit by which heart sound signals processed by the processing unit are wirelessly transmitted to an external unit.

12. A monitoring system for monitoring acoustic heart sounds, the monitoring system comprising:

a sensor housing comprising a heart sound sensing element and an adhesive patch with which to attach the sensor housing to skin of a patient at a fixed position at which the patient'"'"'s heart sounds may be sensed by the sensing element, the sensing element further providing heart sound signals representative of the sensed heart sounds;

a monitoring unit housing comprising a processing unit to receive the heart sound signals from the sensing element, and an adhesive patch with which to attach the monitoring unit housing to skin at a fixed position at the patient'"'"'s upper sternum which is a separate physical position from the position at which the sensor housing is attached;

wherein the monitoring housing further comprises a display connected with the processing unit, wherein the processing unit is programmed to process the heart sound signals and control the display to show a condition of the patient based on the processed heart sound signal; and

an elongated connector connecting the sensor housing to the monitoring unit housing mechanically and electrically, the connector having a longitudinal extension along a longitudinal axis, wherein the connector is connected to the monitoring unit housing in an angular relationship α

, wherein the angle α

between said longitudinal axis and a main axis of said monitoring unit housing is within a predetermined interval, and wherein the elongated connector is formed of a material that is semi-rigid yet flexible, twistable, bendable, and stretchable, wherein the elongated connector forms a bridge between said sensor housing to said monitoring unit housing that is spaced apart from the adhesive patch and the elongated connector is adapted to be resiliently twisted and/or bent when attaching the sensor housing and the monitoring unit housing to the patient, wherein the elongated connector is dimensionally stable and displays shape integrity, and wherein the elongated connector is adapted to connect the housings in a stable, semi-rigid but still flexible manner, such that the housings are constantly separated by the longitudinal extension;

wherein the sensor housing is configured to be connected to no more than one monitoring unit housing at a time; and

wherein the monitoring unit housing is configured to be connected to no more than one sensor housing at a time.

13. The monitoring system according to claim 12, wherein a common adhesive patch is used for both the sensor housing adhesive patch and the processor housing adhesive patch, the common adhesive patch having the same angle α

as the elongated connector.

14. The monitoring system according to claim 12, wherein the longitudinal extension is between 10-100 mm.

15. The monitoring system according to claim 12, wherein the elongated connector comprises a flexible printed circuit board whereby heart sound signals are electrically transferred from the heart sounds sensing element to the processing unit in the monitor housing.

16. The monitoring system according to claim 12, wherein the monitoring unit housing comprises a wireless communication unit by which heart sound signals processed by the processing unit are wirelessly transmitted to an external unit.