Cardiac rhythm monitoring device

• US 7,187,965 B2
• Filed: 05/29/2002
• Issued: 03/06/2007
• Est. Priority Date: 05/29/2001
• Status: Expired due to Fees

• Current Assignee: Edward T. Bischoff, Gary D. Menszer
• Original Assignee: Edward T. Bischoff, Gary D. Menszer
• Inventors: Bischoff, Edward T., Menszer, Gary D.
• Primary Examiner(s): EVANISKO, GEORGE ROBERT
• Application Number:
  US10/156,978
• Publication Number:
  US 20030023178A1
• Time in Patent Office: 1,742 Days
• Field of Search: 600515-518
• US Class Current: 600/515
• CPC Class Codes: A61B 5/02405 Determining heart rate variability
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
• CPC Class Codes: A61B 5/364 Detecting abnormal ECG interval, e.g. extrasystoles, ectopic heartbeats
• CPC Class Codes: A61B 5/4839 combined with drug delivery
• CPC Class Codes: A61B 5/681 Wristwatch-type devices

Abstract

The present invention is a cardiac rhythm-monitoring device, which allows patients to perform a preliminary screening for supraventricular arrhythmia. The device detects beat-to-beat heart rhythms (i.e. the R—R interval between individual heart beats) and performs a screening test to determine if there are indications of arrhythmia. The test looks for variance in the R—R interval that is outside of the normal range, either using a pre-constructed chart based upon general population studies to determine the normal range of variance or using normal distribution analysis of the patient'"'"'s own heart rhythm to determine the normal range of variance for determining irregular heartbeats, and if there are multiple irregularities within the sensed time frame, the patient is warned of potential supraventricular arrhythmia. By sensing both electrical impulses form the heart and mechanical responses to the heartbeat, the device may augment its analysis.

Claims

1. A device comprising:

a non-invasive sensor for detecting beat-to-beat heartbeat intervals, comprised of two conductive electrodes, wherein said sensor detects beat-to-beat heartbeat intervals by sensing the electrical impulses generated by a patient'"'"'s heart;

a means for storing the beat-to-beat heartbeat interval data sensed by said sensor;

an arrhythmia detection algorithm which monitors the variance in the R—

R interval between heartbeats and wherein said arrhythmia detection algorithm determines a normal range of variance if the variance in the R—

R interval between heartbeats is less than or equal to approximately 125 milliseconds and determines an irregular variance if the variance in the R—

R interval between heartbeats is greater than approximately 125 milliseconds;

a microprocessor for executing said algorithm with the beat-to-beat heartbeat interval data sensed by said sensor, to generate a result;

an output device for conveying the results of said microprocessor'"'"'s application of said algorithm to the beat-to-beat heartbeat interval data sensed by said sensor; and

a power source to provide power to said microprocessor, said output device, said sensor, and said means for storing.

2. A device as in claim 1 wherein said microprocessor counts the number of irregular variances in the R—

R interval between heartbeats and transmits a signal to said output device warning of a potential arrhythmia in the event that the number of irregular variances in the R—

R interval between heartbeats exceeds a pre-set criteria.

3. A device comprising:

a non-invasive sensor for detecting beat-to-beat heartbeat intervals, comprised of two conductive electrodes, wherein said sensor detects beat-to-beat heartbeat intervals by sensing the electrical impulses generated by a patient'"'"'s heart;

a means for storing the beat-to-beat heartbeat interval data sensed by said sensor;

an arrhythmia detection algorithm which normalizes the sensed beat-to-beat heartbeat interval data by dividing each sensed beat-to-beat heartbeat interval by only the succeeding sensed beat-to-beat interval, and which employs statistical normal distribution analysis to classify said normalized heartbeat intervals as indicative of instability and which indicates an unstable heart rhythm possibly indicative of arrhythmia in the event that the number of irregular variances in the R—

R interval between heartbeats exceeds a pre-set criteria;

a microprocessor for executing said algorithm with the beat-to-beat heartbeat interval data sensed by said sensor, to generate a result;

an output device for conveying the results of said microprocessor'"'"'s application of said algorithm to the beat-to-beat heartbeat interval data sensed by said sensor; and

a power source to provide power to said microprocessor, said output device, said sensor, and said means for storing.