Ambulatory Electrocardiography Monitoring Patch Optimized For Capturing Low Amplitude Cardiac Action Potential Propagation
First Claim
1. An ambulatory electrocardiography monitoring patch optimized for capturing low amplitude cardiac action potential propagation, comprising:
- a disposable extended wear electrode patch comprising;
a flexible backing comprising stretchable material defined as an elongated strip with a narrow longitudinal midsection, each end of the flexible backing comprising an adhesive contact surface adapted to serve as a crimp relief;
a pair of flexile wires;
a pair of electrocardiographic electrodes, one such electrocardiographic electrode comprising one of the flexile wires provided on the distal end of the elongated strip and interlaced along an axial path through the narrow longitudinal midsection to serve as a strain relief, another such electrocardiographic electrode comprising the other flexile wire provided on the proximal end of the elongated strip, each electrocardiographic electrode conductively exposed for dermal adhesion and adapted to be positioned axially along the midline of the sternum for capturing action potential propagation; and
a non-conductive receptacle affixed to a non-contacting surface of the flexible backing and comprising an electro mechanical docking interface, the non-conductive receptacle comprising electrode terminals aligned to electrically interface the pair of the flexile wires to the docking interface; and
an ambulatory electrocardiography monitor comprising;
a wearable housing adapted to securely fit into the receptacle; and
electronic circuitry provided within the wearable housing and comprising an external interface configured to be removably connected to the electrocardiographic electrodes via the docking interface, further comprising;
a low power microcontroller operable to execute over an extended period under modular micro program control as specified in firmware;
an electrocardiographic front end circuit under the control of the microcontroller adapted to sense cardiac electrical potential differentials through the electrocardiographic electrodes, which are provided to the microcontroller as electrocardiographic signals representative of amplitudes of the action potential propagation; and
non-volatile memory electrically interfaced with the microcontroller and operable to continuously store samples of the electrocardiographic signals throughout the extended period.
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Accused Products
Abstract
Physiological monitoring can be provided through a lightweight wearable monitor that includes two components, a flexible extended wear electrode patch and a reusable monitor recorder that removably snaps into a receptacle on the electrode patch. The wearable monitor sits centrally on the patient'"'"'s chest along the sternum oriented top-to-bottom. The placement of the wearable monitor in a location at the sternal midline, with its unique narrow “hourglass”-like shape, significantly improves the ability of the wearable monitor to cutaneously sense cardiac electrical potential signals, particularly the P-wave and the QRS interval signals indicating ventricular activity in the ECG waveforms. In particular, the ECG electrodes on the electrode patch are tailored to be positioned axially along the midline of the sternum for capturing action potential propagation in an orientation that corresponds to the aVF lead used in a conventional 12-lead ECG that is used to sense positive or upright P-waves.
16 Citations
8 Claims
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1. An ambulatory electrocardiography monitoring patch optimized for capturing low amplitude cardiac action potential propagation, comprising:
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a disposable extended wear electrode patch comprising; a flexible backing comprising stretchable material defined as an elongated strip with a narrow longitudinal midsection, each end of the flexible backing comprising an adhesive contact surface adapted to serve as a crimp relief; a pair of flexile wires; a pair of electrocardiographic electrodes, one such electrocardiographic electrode comprising one of the flexile wires provided on the distal end of the elongated strip and interlaced along an axial path through the narrow longitudinal midsection to serve as a strain relief, another such electrocardiographic electrode comprising the other flexile wire provided on the proximal end of the elongated strip, each electrocardiographic electrode conductively exposed for dermal adhesion and adapted to be positioned axially along the midline of the sternum for capturing action potential propagation; and a non-conductive receptacle affixed to a non-contacting surface of the flexible backing and comprising an electro mechanical docking interface, the non-conductive receptacle comprising electrode terminals aligned to electrically interface the pair of the flexile wires to the docking interface; and an ambulatory electrocardiography monitor comprising; a wearable housing adapted to securely fit into the receptacle; and electronic circuitry provided within the wearable housing and comprising an external interface configured to be removably connected to the electrocardiographic electrodes via the docking interface, further comprising; a low power microcontroller operable to execute over an extended period under modular micro program control as specified in firmware; an electrocardiographic front end circuit under the control of the microcontroller adapted to sense cardiac electrical potential differentials through the electrocardiographic electrodes, which are provided to the microcontroller as electrocardiographic signals representative of amplitudes of the action potential propagation; and non-volatile memory electrically interfaced with the microcontroller and operable to continuously store samples of the electrocardiographic signals throughout the extended period. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
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Specification