Mobile plethysmographic device

• US 9,629,562 B1
• Filed: 04/16/2016
• Issued: 04/25/2017
• Est. Priority Date: 07/25/2014
• Status: Active Grant

• Current Assignee: Yukka Magic LLC
• Original Assignee: Impact Sports Technologies Incorporated
• Inventors: Brady, Donald, Rulkov, Nikolai, Hunt, Mark
• Primary Examiner(s): MAHMOOD, NADIA AHMAD
• Application Number:
  US15/130,952
• Time in Patent Office: 374 Days
• Field of Search: 600508, 600509, 600473
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• 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 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/02427 Details of sensor
• CPC Class Codes: A61B 5/681 Wristwatch-type devices
• CPC Class Codes: A61B 5/6824 Arm or wrist
• CPC Class Codes: A61B 5/721 using a separate sensor to detect motion or using motion information derived from signals other than the physiological signal to be measured
• CPC Class Codes: A61B 5/7282 Event detection, e.g. detecting unique waveforms indicative of a medical condition A61B5/4094, A61B5/4818, A61B5/349, A61B5/0823 take precedence

Abstract

A mobile plethysmographic device for detecting a premature ventricular contraction event is disclosed herein. The mobile plethysmographic device generates a pleth waveform, which is automatically screened by algorithms that measure the waveform to correlate, detect and store aberrations related to heart anomalies. A premature ventricular contraction event for a patient is determined based on an identification of a time interval of the pleth waveform that is below the threshold minimum time interval followed immediately by a time interval that is above the threshold maximum tine interval.

Claims

1. A method for determining an arrhythmia event for a patient, the method comprising:

generating a plethysmographic signal for a patient from an optical signal generated by an optical sensor and processed by a processor, the optical sensor and the processor on a mobile plethysmographic device, the plethysmographic signal comprising a plurality of pulse waves;

identifying at the processor a maximum peak value for each pulse wave of the plurality of pulse waves of the plethysmographic signal to generate a plurality of maximum values of the plethysmographic signal;

calculating at the processor a plurality of time intervals between adjacent maximum values of the plethysmographic signal;

establishing at the processor a threshold minimum time interval and a threshold maximum time interval for the plurality of time intervals; and

determining at the processor an arrhythmia event for the patient based on an identification of a time interval that is above the threshold maximum time interval.

2. The method according to claim 1 wherein the arrhythmia event is a premature ventricular contraction event.

3. The method according to claim 1 further comprising transmitting the arrhythmia event information from the mobile device to a processing device using a transceiver on the mobile plethysmographic device.

4. The method according to claim 1 further comprising monitoring for movement of mobile plethysmographic device using an accelerometer to provide a signal for movement of the mobile plethysmographic device.

5. The method according to claim 1 further comprising using accelerometer data from an accelerometer to validate the arrhythmia event by measuring motion activity and verifying the validity of the arrhythmia event when the motion measured by the accelerometer remains less than a preset threshold.

6. A mobile plethysmographic device for determining an arrhythmia event for a patient, the mobile plethysmographic device comprising:

a processor;

a memory;

an optical sensor comprising a plurality of light emitting diodes (LEDs) and a photodetector; and

an accelerometer;

wherein the mobile plethysmographic device is adapted to be worn on a patient;

wherein the optical sensor is configured to generate an optical signal for the patient through reflection of an applied light from the plurality of LEDs of the optical sensor and the intensity of the reflected light is received by the photodetector;

wherein the processor is configured to generate a plethysmographic signal for the patient from the optical signal, the plethysmographic signal comprising a plurality of pulse waves;

wherein the processor is configured to identify a maximum peak value for each pulse wave of the plurality of pulse waves of the plethysmographic signal to generate a plurality of maximum values of the plethysmographic signal;

wherein the processor is configured to calculate a plurality of time intervals between adjacent maximum values of the plethysmographic signal;

wherein the processor is configured to establish a threshold minimum time interval and a threshold maximum time interval for the plurality of time intervals; and

wherein the processor is configured to determine an arrhythmia event for the patient based on an identification of a time interval that is outside of the threshold minimum time interval or maximum time interval followed immediately by a time interval that is above the threshold maximum time interval or minimum time interval;

wherein the processor is configured to use three axis accelerometer information from the accelerometer to validate the arrhythmia event by measuring motion activity and verifying the validity of the arrhythmia event when the motion measured by the accelerometer remains less than a preset threshold.

7. The mobile plethysmographic device according to claim 6 wherein the arrhythmia event is one of premature ventricularcontractions, tachycardia, bradycardia, peripheral artery disease, and premature atrial contractions.