Wireless electrocardiographic monitoring system

• US 4,981,141 A
• Filed: 02/15/1989
• Issued: 01/01/1991
• Est. Priority Date: 02/15/1989
• Status: Expired due to Fees

• Current Assignee: Jacob Segalowitz
• Original Assignee: Jacob Segalowitz
• Inventors: Segalowitz, Jacob
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Getzow, Scott M.
• Application Number:
  US07/310,660
• Time in Patent Office: 685 Days
• Field of Search: 128/969, 128/710, 128/903, 128/635-641, 128/648, 128/644, 364/413.06
• US Class Current: 600/509
• CPC Class Codes: A61B 2560/0412 Low-profile patch shaped housings
• CPC Class Codes: A61B 2560/0468 Built-in electrodes
• 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 5/327 Generation of artificial ECG signals based on measured signals, e.g. to compensate for missing leads
• CPC Class Codes: Y10S 128/903 Radio telemetry

Abstract

An electrocardiographic monitoring system in which the heart-signal sensing electrodes are each coupled to the heart-signal monitor/recorder by respective wireless transmitters and corresponding respective receiving wireless receivers in a base unit, each transmitter-receiver combination operating (in the absence of an encoding system) at a separate radio frequency, a zero or reference signal being developed at the base unit and being used to modulate a signal transmitter at the base unit, such modulated signal being received and demodulated by a receiver carried by a right-leg electrode carried by the right leg of the patient.

Claims

1. A wireless electrocardiographic monitoring system for displaying detected heart-signals, said system including:

right arm, left arm, right leg and left leg electrodes for attachment to the indicated limbs of a patient;

right arm heart-signal transmitting means electrically couplable to said right arm electrode for radiating a signal corresponding to the heart-signal at said right arm electrode;

left arm heart-signal transmitting means electrically couplable to said left arm electrode for radiating a signal corresponding to the heart-signal at said left arm electrode;

left leg heart-signal transmitting means electrically couplable to said left leg electrode for radiating a signal corresponding to the heart-signal at said left leg electrode;

a plurality of signal receiving means, one each for receiving and detecting said radiated heart-signals from said left arm, right arm and left leg electrodes, respectively, to individually produce a received left arm heart-signal, a received right arm heart-signal and a received left leg heart-signal;

means for combining said individually received left arm, right arm and left leg heart-signals to produce a reference potential;

reference potential transmitting means coupled to said combining means for transmitting said reference potential;

right leg signal receiving means electrically couplable to said right leg electrode for receiving said reference potential and applying said reference potential to said right leg electrode;

a set of precordial electrodes for attachment to the chest of a patient;

a set of precordial heart-signal transmitting means each one electrically couplable to different ones of said precordial electrodes in said set for individually radiating signals corresponding to the heart-signal at respective ones of said precordial electrodes;

a set of precordial heart-signal receiving and detecting means, each one associated with a different one of said precordial heart-signal transmitting means for individually reproducing the heart-signals appearing at each of said precordial electrodes in said set;

signal display means;

means for coupling said detected heart-signals from said right arm, left arm and left leg electrodes and from said precordial electrodes to said signal display means; and

means for providing operating power for all of the foregoing.

2. The system according to claim 1 in which each of said electrodes comprises first and second conductive elements in spaced relationship to each other.

3. The system according to claim 1 in which said combining means is a Wilson network.

4. The system according to claim 3 in which said Wilson network includes three resistors electrically joined at one end, each such resistor having a resistance in excess of 5000 ohms.

5. The system according to claim 1 in which said signal display means is a monitor.

6. The system according to claim 1 in which said heart-signal transmitting means includes an FM transmitter.

7. The system according to claim 1 in which said means for combining said left arm, right arm and left leg heart-signals includes an attenuator and a mixer amplifier.

8. The system according to claim 1 in which said means for applying operating power includes a battery and battery switching means in each of said left arm, right arm, left leg and precordial transmitting means, and said right leg signal receiving means.

9. The system according to claim 8 in which said battery switching means includes a removable insulator which when present maintains the battery disconnected from the associated transmitter and receiver means.

10. The system according to claim 1 further including an LED and LED driver as part of each of said left arm, right arm, left leg and precordial transmitting means for indicating the presence of signals.

11. The system as in claim 1 wherein each of said electrodes is disposable.

12. The system as in claim 1 wherein the combination of each of said electrodes and its associated transmitter or receiver is disposable.

13. A wireless electrocardiographic monitoring system for displaying detected heart-signals, said system including:

right arm, left arm and left leg electrodes for attachment to the indicated limbs of a patient;

right arm heart-signal transmitting means electrically couplable to said right arm electrode for transmitting a signal corresponding to the heart-signal at said right arm electrode;

left arm heart-signal transmitting means electrically couplable to said left arm electrode for transmitting a signal corresponding to the heart-signal at said left arm electrode;

left leg heart-signal transmitting means electrically couplable to said left leg electrode for transmitting a signal corresponding to the heart-signal at said left leg electrode;

a plurality of signal receiving means, one each for receiving and detecting said transmitted heart-signals from said left arm, right arm and left leg electrodes to individually produce a received left arm heart-signal, a received right arm heart-signal and a received left leg heart-signal;

network means for combining said individually received left arm, right arm and left leg heart-signals to produce bipolar heart leads;

a set of precordial electrodes for attachment to the chest of a patient;

a set of precordial heart-signal transmitting means, one each electrically couplable to different ones of said precordial electrodes in said set for individually transmitting signals corresponding to the heart-signal at respective ones of said precordial electrodes;

a set of precordial heart-signal receiving and detecting means, each one associated with a different one of said precordial heart-signal transmitting means for individually reproducing the heart-signals appearing at each of said precordial electrodes in said set;

means for providing operating power for all of the foregoing; and

means for selectively providing said bipolar heart leads, said detected heart-signals from said right arm, left arm and left leg electrodes, and the signals from said precordial electrodes to be coupled to an electrocardiographic recorder.

14. The system according to claim 13 in which said combining means is a Wilson network.

15. The system according to claim 14 in which said Wilson network includes three resistors each connected at one end to the other two resistors, the resistance of each such resistor being in excess of 5000 ohms.

16. The system according to claim 13 in which said means for selectively providing said bipolar heart leads to an electrocardiographic recorder is a lead selector.

17. The system according to claim 13 in which said heart-signal transmitting means is an FM transmitter.

18. The system according to claim 13 in which each of said electrodes comprises a central signal contact element and a concentric ring reference element surrounding said central signal contact element.

19. The system according to claim 13 in which said means for applying operating power includes a battery and battery switching means in each of said left arm, right arm, left leg and precordial transmitting means.

20. The system according to claim 19 in which said battery switching means includes a removable insulator which when present maintains the battery disconnected from the associated transmitter means.

21. The system according to claim 13 further including an LED and LED driver as part of each of said left arm, right arm, left leg and precordial transmitting means for indicating the presence of signals.

22. The system as in claim 13 wherein each of said electrodes is disposable.

23. The system as in claim 13 wherein the combination of each of said electrodes and its associated transmitter is disposable.