Apparatus and method for detecting lung sounds using an implanted device
First Claim
1. A lung sound detection system comprising:
- an implantable sensor adapted to be positioned adjacent to a pulmonary system and to output signals indicative of lung sounds in response to pulmonary system activity; and
a controller adapted to receive the signals and to process the signals to detect the presence of adventitious lung sounds, wherein the controller is further adapted to filter the signals to remove frequencies unrelated to adventitious lung sounds and compare any remaining signals to a criteria indicative of adventitious lung sounds, and the controller is further adapted to obtain a spectrum analysis of the signals and compare those components of the spectrum analysis indicative of adventitious lung sounds to a threshold intensity.
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Abstract
Adventitious lung sounds indicative of lung congestion are detected using an implantable sensor. The sensor is adapted to be positioned adjacent to a pulmonary system and to output signals indicative of lung sounds in response to pulmonary system activity. A controller receives the signals and processes the signals to detect the presence of adventitious lung sounds. A respiratory cycle sensor operating in conjunction with the lung-sound sensor enables classification of an adventitious lung sound according to its time occurrence within the respiratory cycle. Posture sensing in conjunction with lung-sound sensing provides valuable additional information as to the severity of the lung congestion.
103 Citations
30 Claims
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1. A lung sound detection system comprising:
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an implantable sensor adapted to be positioned adjacent to a pulmonary system and to output signals indicative of lung sounds in response to pulmonary system activity; and
a controller adapted to receive the signals and to process the signals to detect the presence of adventitious lung sounds, wherein the controller is further adapted to filter the signals to remove frequencies unrelated to adventitious lung sounds and compare any remaining signals to a criteria indicative of adventitious lung sounds, and the controller is further adapted to obtain a spectrum analysis of the signals and compare those components of the spectrum analysis indicative of adventitious lung sounds to a threshold intensity. - View Dependent Claims (2, 3, 4, 5, 6, 7)
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8. A lung sound detection system comprising:
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an implantable sensor adapted to be positioned adjacent to a pulmonary system and to output signals indicative of lung sounds in response to pulmonary system activity; and
a controller adapted to receive the signals and to process the signals to detect the presence of adventitious lung sounds, wherein criteria indicative of adventitious lung sounds comprises a threshold amplitude, and the controller is further adapted to compare any signals indicative of adventitious lung sounds to a criteria indicative of the severity of adventitious lung sounds;
wherein the implantable sensor is an accelerometer. - View Dependent Claims (9, 10)
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11. A method of detecting lung sounds comprising:
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obtaining signals indicative of lung sounds from an implantable sensor positioned adjacent to a pulmonary system; and
processing the signals to detect the presence of adventitious lung sounds, including obtaining a spectrum analysis of the signals and comparing those components of the spectrum analysis indicative of adventitious lung sounds to a criteria indicative of the severity of adventitious lung sounds. - View Dependent Claims (12, 13)
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14. A method of applying electrical pulses to a heart comprising:
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receiving signals indicative of lung sounds from an implantable sensor adapted to be positioned adjacent to a pulmonary system;
monitoring the lung sound signals for the presence of adventitious lung sounds; and
controlling the output of an implantable pulse generator having at least one stimulating lead positioned within a heart, in response to characteristics of the adventitious lung sounds.
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15. A lung sound detection system comprising:
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an implantable sensor adapted to be positioned adjacent to a pulmonary system and to output signals indicative of lung sounds in response to pulmonary system activity, wherein the implantable sensor is further adapted to output signals indicative of the posture of the body associated with the pulmonary system; and
a controller adapted to receive the signals and to process the signals to detect the presence of adventitious lung sounds and the posture of the body. - View Dependent Claims (16)
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17. A method of detecting lung sounds comprising:
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obtaining signals indicative of lung sounds from an implantable sensor positioned adjacent to a pulmonary system;
receiving output signals indicative of the respiratory cycle associated with the pulmonary system from an implantable respiratory sensor;
detecting portions of the respiratory cycle based on the respiratory-cycle signals; and
processing lung-sound signals to detect the presence of adventitious lung sounds only during specific portions of the respiratory cycle.
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18. A lung sound detection system comprising:
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an implantable sensor adapted to be positioned adjacent to a pulmonary system and to output signals indicative of lung sounds in response to pulmonary system activity;
an implantable respiratory sensor adapted to output signals indicative of the respiratory cycle associated with the pulmonary system; and
a controller adapted to receive the lung sound signals and to process the lung sound signals to detect the presence of adventitious lung sounds, and the controller is further adapted to receive the respiratory-cycle signals, to detect portions of the respiratory cycle based on the respiratory-cycle signals and to process lung-sound signals only during a specific portion of the respiratory cycle. - View Dependent Claims (19, 20)
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21. A method of detecting lung sounds comprising:
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obtaining signals indicative of lung sounds from an implantable sensor positioned adjacent to a pulmonary system;
processing the signals to detect the presence of adventitious lung sounds; and
receiving signals indicative of the posture of the body associated with the pulmonary system from an implantable sensor and processing the signals to detect the posture of the body. - View Dependent Claims (22)
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23. A system for providing data related to the pulmonary system, said system comprising:
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an implantable sensor adapted to be positioned adjacent to a pulmonary system and to output signals indicative of sounds;
an implantable respiratory cycle sensor adapted to output signals indicative of the respiratory cycle associated with the pulmonary system; and
a controller adapted to receive the sound signals and the respiratory-cycle signals, to generate data representative of the signals and to provide the data to a secondary device, wherein the controller is adapted to filter the sound signals to remove signal components unrelated to the activity of the pulmonary system, and the controller is further adapted to filter the remaining sound signals to remove signal components unrelated to adventitious lung sounds. - View Dependent Claims (24, 25, 26)
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27. A method of detecting lung sounds comprising:
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obtaining signals indicative of lung sounds from an implantable sensor positioned adjacent to a pulmonary system; and
processing the signals to detect the presence of adventitious lung sounds, including filtering the signals to remove frequencies unrelated to adventitious lung sounds and comparing any signals indicative of adventitious lung sounds to a criteria indicative of the severity of adventitious lung sounds. - View Dependent Claims (28, 29)
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30. An implantable system comprising:
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an implantable sensor adapted to be positioned adjacent to a pulmonary system and to output signals indicative of lung sounds;
at least one stimulating lead adapted to be positioned within a heart;
a pulse generator adapted to output electrical pulses to the lead; and
a controller adapted to receive the lung-sound signals, to monitor the lung-sound signals for the presence of adventitious lung sounds and to control the output of the pulse generator in response to characteristics of the adventitious lung sounds.
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Specification