Method and hand-held apparatus for demodulating and viewing frequency modulated biomedical signals

• US 5,735,285 A
• Filed: 06/04/1996
• Issued: 04/07/1998
• Est. Priority Date: 06/04/1996
• Status: Expired due to Term

• Current Assignee: GE Medical Systems Information Technologies Incorporated (General Electric Company)
• Original Assignee: Data Critical Corporation (General Electric Company)
• Inventors: Smith, Landgrave T., Hoy, Leslie D., Rieger, Carl J., Albert, David E., Cumming, Colin J.
• Primary Examiner(s): Jastrzab, Jeffrey R.
• Application Number:
  US08/658,236
• Time in Patent Office: 672 Days
• Field of Search: 128/696, 128/710, 128/711, 128/904, 364/413.03-413.06, 607/32, 607/60
• US Class Current: 600/509
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
• CPC Class Codes: Y10S 128/904 Telephone telemetry

Abstract

Method and apparatus for transmission of biomedical waveform data from a patient to an attending physician wherein the waveform data audio signal is frequency modulated for subsequent wireline or wireless transmission to a remote hand-held computer that functions to digitize, record and demodulate the frequency modulated signal for display on the computer, for permanent print-out, or for further retransmission.

Claims

1. A hand-held computer device for patient monitoring, comprising:

a palmtop digital computer that includes microphone means for receiving a frequency modulated audio signal indicating a selected, continuously variable biomedical parameter of a patient'"'"'s physical condition;

analog to digital converter means changing the frequency modulated audio signal to a digital signal;

means for band-pass filtering said digital signal to produce a filtered digital signal having a low frequency pass-band;

a digital polyphase demodulator receiving said digital signal for transformation to a de-modulated digital signal; and

means for displaying the filtered digital signal for a selected time interval.

2. A hand-held computer device as set forth in claim 1 which further includes:

storage means receiving said filtered digital signal to file in storage.

3. A hand-held computer device as set forth in claim 2 which further includes:

means for conducting a selected digital signal from said storage for direct print-out.

4. A hand-held computer device as set forth in claim 2 which further includes:

means for conducting a selected digital signal from said storage via a telephone facsimile system.

5. A hand-held computer device as set forth in claim 1 which further includes:

file means receiving said digital signals from said analog to digital converter means for storage of selected digital signals;

digital-to-analog converter means receiving stored digital signals from the file means to produce a selected time analog signal; and

speaker means for annunciating said time analog signal for pickup and relay via a telephone connection to an auxiliary hand-held computer device.

6. A hand-held computer device as set forth in claim 1 wherein said means for receiving comprises:

a receptacle receiving electrical signal input of said frequency modulated audio signal.

7. A personal cardiac monitoring system, comprising:

a palmtop computer having a microphone providing input to an analog to digital converter;

said palmtop computer also having a digital to analog converter, a speaker and a display screen connected for visual and audible signal output, respectively, from a central processing unit with associated memory containing resident software, and further comprising;

means detecting and audibly reproducing a patient'"'"'s ECG segment for a predetermined time interval as frequency modulated audio for input to said computer microphone; and

a digital polyphase demodulator controlling the demodulation of digital signals from the analog to digital converter for output to said display screen.

8. A personal cardiac monitoring system as set forth in claim 7 which further includes:

a low frequency band-pass filter receiving said converted digital signal output from the analog to digital signal convertor and outputting to said digital polyphase demodulator.

9. A personal cardiac monitoring system as set forth in claim 7 which further includes:

means receiving said low frequency band-pass filter output for audible output from said hand-held computer speaker; and

an associated telephone for pick-up of said audible output to provide a relay extension.

10. A hand-held computer device for patient monitoring, comprising:

means for receiving a frequency modulated audio signal indicating a selected biomedical parameter of a patient'"'"'s physical condition;

means for digitizing and A-Law compressing said audio signal to provide an A-Law digital output;

A-Law decoder means receiving and expanding said A-Law digital output;

a band-pass filter receiving said expanded digital output to produce a filtered digital output;

a frequency estimator means receiving said filtered digital output; and

means for displaying said filtered digital output.

11. A hand-held computer device as set forth in claim 10 wherein said frequency estimator means comprises:

a cycle accumulator receiving said filtered digital output and producing an accumulator signal; and

a residue estimator receiving said accumulator signal to produce said filtered digital output.

12. A hand-held computer device as set forth in claim 11 wherein:

said selected biomedical parameter is a patient'"'"'s ECG rhythm strip.

13. A method for monitoring a patient'"'"'s ECG signal, comprising:

developing a frequency modulated audio ECG signal from the patient;

inputting the frequency modulated audio ECG signal via telephone to a programmed palmtop digital computer at a medical diagnostics site;

converting said frequency modulated audio ECG signal to a digital frequency modulated ECG signal;

demodulating said digital frequency modulated ECG signal to produce a digital ECG signal; and

displaying said digital ECG signal as a time analog indication.

14. A method for using a hand-held palmtop computer for monitoring a patient'"'"'s ECG signals, comprising:

developing a frequency modulated audio ECG signal from the patient;

inputting the frequency modulated audio ECG signal via telephone to a palmtop, programmed digital computer at a medical diagnostics site;

companding said frequency modulated audio ECG signal by transforming with an A-Law encoder and decoder to produce an A-Law digital signal counterpart;

filtering said digital signal counterpart with a selected bandpass; and

deriving a frequency estimate of the digital signal counterpart for display of the ECG signals.