Twelve-lead portable heart monitor

• US 5,465,727 A
• Filed: 08/26/1994
• Issued: 11/14/1995
• Est. Priority Date: 08/26/1994
• Status: Expired due to Term

• Current Assignee: Meridian Medical Technologies Incorporated
• Original Assignee: Brunswick Biomedical Corp (Meridian Medical Technologies Incorporated)
• Inventors: Reinhold, Herbert E. Jr.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): HUANG, STEPHEN D
• Application Number:
  US08/303,755
• Time in Patent Office: 445 Days
• Field of Search: 128/710, 128/696, 128/639, 128/640, 128/644, 128/904
• US Class Current: 600/523
• CPC Class Codes: A61B 5/282 Holders for multiple electrodes for introduction into the body A61B5/287
• CPC Class Codes: A61B 5/304 Switching circuits
• CPC Class Codes: A61B 5/308 for electrocardiography [ECG]
• CPC Class Codes: Y10S 128/904 Telephone telemetry

Abstract

An apparatus for obtaining electrical heart activity of an individual in a form capable of producing a twelve-lead electrocardiogram of an individual, said apparatus including: a right arm electrode; a left arm electrode; at least one leg electrode; a portable electrode support having a plurality of at least seven precordial electrodes fixed thereon. The at least seven precordial electrodes extend laterally across the support so as to assume different lateral positions across the human chest when the support is positioned over the chest. Circuitry is carried by the support in electrically connected relation to the electrodes and is capable of selectively operating a selected six of the plurality of precordial electrodes at positions which correspond to the six Wilson precordial leads for the individual. The circuitry is constructed and arranged to convert the electrical heart activity of the individual obtained by the electrodes into a form capable of producing a twelve-lead electrocardiogram.

Claims

1. An apparatus for obtaining electrical heart activity of an individual in a form capable of producing a twelve-lead electrocardiogram of an individual, said apparatus including:

a right arm electrode;

a left arm electrode;

at least one leg electrode;

a portable electrode support having at least seven precordial electrodes fixed thereon, said at least seven precordial electrodes extending laterally across the support so as to assume different lateral positions across a human chest when said support is positioned over the human chest; and

circuitry provided in electrically connected relation to said right arm electrode, said left arm electrode, said at least one leg electrode, and said precordial electrodes, said circuit being capable of selectively operating a selected six of said at least seven precordial electrodes at positions corresponding to six Wilson precordial leads for the individual, said circuitry being constructed and arranged to convert the electrical heart activity of the individual obtained by said electrodes into a form capable of producing a twelve-lead electrocardiogram.

2. An apparatus according to claim 1, wherein said at least one leg electrode is a left leg electrode,

said right arm electrode, said left arm electrode, and said left leg electrode being constructed so as to be operable to be applied onto skin of the individual at locations such that the circuitry can obtain leads I, II, III, AVR, AVL, and AVF therefrom, and

wherein said selected six precordial electrodes enable said circuitry to obtain leads V₁, V₂, V₃, V₄, V₅ and V₆ therefrom.

3. An apparatus according to claim 2, further comprising a control for operating said circuitry.

4. An apparatus according to claim 3, wherein said precordial electrodes are non-adhesive and wherein operation of said apparatus requires application of human pressure to said support sufficient to retain said selected six precordial electrodes in operative relation with skin of the human chest.

5. An apparatus as called for in claim 4 wherein said support is of a size and shape to have pressure applied thereto by an individual'"'"'s left arm and left hand, said support having opposed surfaces one of which constitutes an operatively interior surface on which said six precordial electrodes are fixed and another of which constitutes an operatively exterior surface on which the individual applies said pressure.

6. An apparatus as called for in claim 5 wherein said left arm electrode is non-adhesive and is fixed to the operatively exterior surface of said support at a location at which pressure is applied to the support by at least one of the left arm and left hand of the individual so as to enable the left arm electrode to be applied to the individual by engagement with skin of the individual in an operative relation and retention of the operative relation by the pressure applied to the support by the individual.

7. An apparatus as called for in claim 5 wherein said support includes a hollow housing within which said circuitry is mounted.

8. An apparatus as called for in claim 7 wherein said hollow housing is rigid and of a size and shape to extend throughout the human chest.

9. An apparatus as called for in claim 7 wherein said hollow housing is rigid and of a size and shape to receive a first plurality of said precordial electrodes, said support also including a flexible pad-like section connected therewith of a size to receive a remaining plurality of said precordial electrodes, said flexible pad-like section being connected for movement between a storage position wherein the flexible pad-like section is wrapped around the hollow housing to enter therewith within a storage pouch and an operative position extending from said hollow housing so that when the first plurality of electrodes fixed to said hollow housing are retained in operative relation by pressure on said hollow housing from the left hand of the individual, the left arm of the individual can apply pressure to the flexible pad-like section to retain the remaining plurality of electrodes fixed thereto in operative relation.

10. An apparatus as called for in claim 7 wherein said right arm electrode is of a non-adhesive material connected with said circuitry by a wire and is of a size and shape to be conveniently engaged with a right armpit of the individual in an operative relation and to be conveniently retained in said operative relation by pressure from the right arm of the individual.

11. An apparatus as called for in claim 10 wherein said left leg electrode is of a non-adhesive material connected with said circuitry by a wire and is of a size and shape to be conveniently engaged with skin on the individual'"'"'s waist in an operative position and retained in said operative relation by a garment extending around the individual'"'"'s waist.

12. An apparatus as called for in claim 1 wherein said circuitry includes a loud speaker and said circuitry is operable to convert the obtained electrical heart activity of the individual into audible signals emitted by said loudspeaker.

13. An apparatus as called for in claim 1 wherein said housing contains a strip chart recorder for producing the twelve-lead electrocardiogram from the obtained electrical heart activity of the individual.

14. An apparatus as called for in claim 1 wherein said circuitry includes a memory within which the obtained electrical heart activity of the individual is stored.

15. An apparatus as called for in claim 1 wherein said support has breast bone locating indicia thereon enabling the individual to locate the support in an operative position with respect to the breast bone of the individual for determining horizontal position of the operative relation of said selected six precordial electrodes.

16. An apparatus as called for in claim 1 wherein said support has a lanyard connected therewith for extension around the neck of the individual for determining a vertical position of the operative relation of said selected six precordial electrodes.

17. An apparatus as called for in claim 1 wherein said right arm electrode is of a non-adhesive material connected with said circuitry by a wire and is of a size and shape to be conveniently engaged with a right armpit of the individual in an operative position and to be conveniently retained in said operative relation by pressure from the right arm of the individual.

18. An apparatus as called for in claim 2 wherein said left leg electrode is of a non-adhesive material connected with said circuitry by a wire and is of a size and shape to be conveniently engaged with the skin of the waist of the individual in an operative position and retained in said operative relation by a garment extending around the waist of the individual.

19. An apparatus as called for in claim 1 wherein said left arm electrode is fixed to said support in a position to be engaged with a left hand of the individual in said operative relation and retained in said operative relation by pressure applied to the support by the left hand of the individual.

20. An apparatus for obtaining electrical heart activity of an individual in a form capable of producing a twelve-lead electrocardiogram of an individual, said apparatus including:

a right arm electrode;

a left arm electrode;

at least one leg electrode;

a portable electrode support having a plurality of contact members fixed thereon, said contact members extending laterally across the support so as to assume different lateral positions across a human chest when said support is positioned over the human chest, a selected number of said contact members being selectively operable to function as six precordial electrodes at positions corresponding to Wilson precordial leads for the individual, wherein at least one of said six precordial electrodes comprise more than one of said contact members; and

circuitry provided in electrically connected relation to said contact members and capable of selectively activating said selected number of said contact members to function as said six precordial electrodes at positions corresponding to the Wilson precordial leads for the individual, said circuitry being constructed and arranged to convert the electrical heart activity of the individual into a form capable of producing a twelve-lead electrocardiogram.

21. An apparatus according to claim 20, wherein each of said six precordial electrodes comprises at least two contact members.

22. An apparatus according to claim 21, wherein each of said six precordial electrodes comprise an identical number of contact members.

23. An apparatus according to claim 20, wherein said circuitry is connected to said contact members so as to control operation of said members so that at least one of said contact members is not utilized during operation of said apparatus.

24. An apparatus according to claim 20, wherein said contact members are elongated in shape and are generally disposed in side-by-side relation to one another across said support.

25. An apparatus according to claim 20, wherein said circuitry comprises at least one conductive member for electrically connecting adjacent contact members in electrically conductive relation to one another.

26. An apparatus according to claim 20, further comprising a control for operating said circuitry.

27. An apparatus according to claim 26, wherein said control comprises circuitry for electrically connecting selected adjacent contact members to one another so that they are able to function as said precordial electrodes.

28. A method of obtaining electrical heart activity of an individual in a form capable of producing a twelve-lead electro-cardiogram of an individual comprising the steps of:

applying a right arm electrode, a left arm electrode, and a leg electrode to skin of the individual at locations which enable leads I, II, III, AVR, AVL and AVF to be obtained therefrom;

engaging a plurality of at least seven precordial electrodes extending laterally across an electrode support with skin on the individual'"'"'s chest so that the precordial electrodes assume different lateral positions across the individual'"'"'s chest;

operating the right arm electrode, left arm electrode and leg electrode; and

operating a selected six of said plurality of precordial electrodes at positions corresponding to six Wilson precordial leads for the individual.

29. A method of obtaining electrical heart activity of an individual in a form capable of producing a twelve-lead electro-cardiogram of an individual comprising the steps of:

applying a right arm electrode, a left arm electrode and a left leg electrode to skin of the individual at locations which enable leads I, II, III, AVR, AVL and AVF to be obtained therefrom;

engaging a plurality of contact members extending laterally across an electrode support with the individual'"'"'s chest so that the contact members assume different lateral positions across the individual'"'"'s chest;

operating the right arm electrode, left arm electrode, and leg electrode; and

operating a selected number of said contact members to function as six precordial electrodes at positions corresponding to Wilson precordial leads for the individual, wherein at least one of said six precordial leads comprises more than one of said contact members.