Stethoscope system including a sensor array

• US 9,955,939 B2
• Filed: 02/02/2016
• Issued: 05/01/2018
• Est. Priority Date: 02/02/2016
• Status: Active Grant

• Current Assignee: Philips Healthcare Informatics Incorporated (Koninklijke Philips N.V.)
• Original Assignee: Qualcomm, Inc.
• Inventors: Sezan, Muhammed Ibrahim, Dantsker, Eugene, Kaskoun, Kenneth, Niznik, Brian David, Talbot, Christopher
• Primary Examiner(s): Yu, Norman
• Application Number:
  US15/013,896
• Publication Number:
  US 20170215835A1
• Time in Patent Office: 819 Days
• Field of Search: 381 67, 600528, 600301, 600485, 600514, 600586
• CPC Class Codes: A61B 2562/0204 Acoustic sensors
• CPC Class Codes: A61B 2562/046 in a matrix array
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/08 Detecting, measuring or recording devices for evaluating the respiratory organs A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/6833 Adhesive patches
• CPC Class Codes: A61B 5/721 using a separate sensor to detect motion or using motion information derived from signals other than the physiological signal to be measured
• CPC Class Codes: A61B 7/00 Instruments for auscultation
• CPC Class Codes: A61B 7/026 comprising more than one sound collector
• CPC Class Codes: A61B 7/04 Electric stethoscopes microphones, acoustic transducers therefor H04R

Abstract

A stethoscope system may include an array of sensors, which may include pressure sensors. The array may be implemented in a wearable “patch” that is conformable to a patient'"'"'s body. The stethoscope system may include a control system that is capable of receiving signals from the array of sensors. The signals may, for example, correspond to measurements from multiple pressure sensors of the array. The control system may be capable of combining signals from multiple pressure sensors to produce combined signals. The control system may be capable of filtering the combined signals to remove, at least in part, breathing signal components and to produce filtered signals. The control system may be capable of determining a correspondence between heart signal components of the filtered signals and corresponding heart valve activity.

Claims

1. A stethoscope system, comprising:

a patch that includes an array of pressure sensors and a user feedback system, the patch including flexible material that allows the patch to be conformed to a patient'"'"'s body; and

a control system capable of;

receiving signals from the array of pressure sensors, the signals corresponding to measurements from multiple pressure sensors of the array of pressure sensors;

combining signals from multiple pressure sensors of the array of pressure sensors to produce combined signals;

filtering the combined signals to remove, at least in part, breathing signal components and to produce filtered signals; and

determining a correspondence between heart signal components of the filtered signals and corresponding heart valve activity, wherein the control system includes one or more components from a list of components consisting of;

a general purpose single- or multi-chip processor;

a digital signal processor;

an application specific integrated circuit;

a field programmable gate array or other programmable logic device, discrete gate or transistor logic, and a discrete hardware component and wherein the control system is capable of providing instructions, via the user feedback system, regarding placement of the patch on a patient'"'"'s chest.

2. The stethoscope system of claim 1, wherein the control system is capable of transforming the signals from a time domain into a frequency domain.

3. The stethoscope system of claim 1, wherein the control system is capable of determining a quality metric for the heart signal components.

4. The stethoscope system of claim 3, wherein the control system is capable of providing instructions via the user feedback system based on a comparison of the quality metric and a quality metric threshold.

5. The stethoscope system of claim 4, wherein the user feedback system includes force feedback elements.

6. The stethoscope system of claim 5, wherein the force feedback elements include pressure sensors.

7. The stethoscope system of claim 6, wherein the force feedback elements and the pressure sensors are piezoionic devices.

8. The stethoscope system of claim 1, wherein the array of pressure sensors is a two-dimensional M by N or M by M array, wherein M and N are integers.

9. The stethoscope system of claim 1, wherein the control system is further capable of performing signal pre-processing before combining the signals.

10. The stethoscope system of claim 1, wherein the patch includes at least one layer of adhesive material for secure placement on the patient'"'"'s body.

11. The stethoscope system of claim 1, wherein the patch includes flexible material to which the array of pressure sensors is attached.

12. The stethoscope system of claim 1, wherein the array of pressure sensors includes substantially identical pressure sensors.

13. The stethoscope system of claim 1, wherein the signals correspond to multiple simultaneous measurements obtained from different areas of a patient'"'"'s chest during a time interval.

14. The stethoscope system of claim 1, wherein the signals correspond to multiple simultaneous and redundant measurements of vibrations produced by one or more heart valves.

15. The stethoscope system of claim 1, further comprising an interface system capable of wireless communication.

16. The stethoscope system of claim 1, further comprising an interface system, wherein the control system is capable of receiving instructions, via the interface system, and of controlling at least a portion of the stethoscope system according to the instructions.

17. The stethoscope system of claim 1, wherein the control system is disposed, at least in part, in another device.

18. The stethoscope system of claim 1, wherein the signals correspond to redundant measurements from multiple pressure sensors of the array of pressure sensors.

19. The stethoscope system of claim 1, wherein the control system is further capable of determining a correspondence between heart signal components and corresponding parts of a cardiac cycle.

20. The stethoscope system of claim 1, further comprising an interface system, wherein the control system is further capable of detecting an abnormality of heart valve activity and of transmitting a signal, via the interface system, corresponding to the abnormality.

21. A method of processing signals from a stethoscope system, comprising:

receiving, by a control system, signals from a patch that includes an array of pressure sensors, the patch including flexible material that allows the patch to be conformed to a patient'"'"'s body, the signals corresponding to measurements from multiple pressure sensors of the array of pressure sensors;

providing instructions from the control system via a user feedback system of the patch, regarding placement of the patch on a patient'"'"'s chest;

combining, via the control system, signals from multiple pressure sensors of the array of pressure sensors to produce combined signals;

filtering the combined signals, via the control system, to remove, at least in part, breathing signal components and to produce filtered signals; and

determining a correspondence, via the control system, between heart signal components of the filtered signals and corresponding heart valve activity, wherein the control system includes one or more components from a list of components consisting of;

a general purpose single- or multi-chip processor;

a digital signal processor;

an application specific integrated circuit;

a field programmable gate array or other programmable logic device, discrete gate or transistor logic, and a discrete hardware component.

22. The method of claim 21, further comprising determining a quality metric for the heart signal components.

23. The method of claim 22, further comprising providing instructions based on a comparison of the quality metric and a quality metric threshold.

24. The method of claim 21, further comprising detecting an abnormality of heart valve activity and of transmitting a signal corresponding to the abnormality.

25. At least one non-transitory medium having software stored thereon, the software including instructions for:

receiving, by a control system, signals from a patch that includes an array of pressure sensors, the patch including flexible material that allows the patch to be conformed to a patient'"'"'s body, the signals corresponding to measurements from multiple pressure sensors of the array of pressure sensors;

providing instructions from the control system via a user feedback system of the patch, regarding placement of the patch on a patient'"'"'s chest;

combining signals from multiple pressure sensors of the array of pressure sensors to produce combined signals;

filtering the combined signals, via the control system, to remove, at least in part, breathing signal components and to produce filtered signals; and

determining a correspondence, via the control system, between heart signal components of the filtered signals and corresponding heart valve activity, wherein the control system includes one or more components from a list of components consisting of;

a general purpose single- or multi-chip processor;

a digital signal processor;

an application specific integrated circuit;

a field programmable gate array or other programmable logic device, discrete gate or transistor logic, and a discrete hardware component.

26. The at least one non-transitory medium of claim 25, wherein the software includes instructions for determining a quality metric for the heart signal components.

27. The at least one non-transitory medium of claim 25, wherein the software includes instructions for detecting an abnormality of heart valve activity and of transmitting a signal corresponding to the abnormality.

28. A stethoscope system, comprising:

a patch that includes an array of pressure sensors and a user feedback system, the patch including flexible material that allows the patch to be conformed to a patient'"'"'s body; and

control means for;

receiving signals from the array of pressure sensors, the signals corresponding to measurements from multiple pressure sensors of the array of pressure sensors;

combining signals from multiple pressure sensors of the array of pressure sensors to produce combined signals;

filtering the combined signals to remove, at least in part, breathing signal components and to produce filtered signals; and

determining heart valve activity based, at least in part, on the filtered signals, wherein the control means includes one or more components from a list of components consisting of;

a general purpose single- or multi-chip processor;

a digital signal processor;

an application specific integrated circuit;

a field programmable gate array or other programmable logic device, discrete gate or transistor logic, and a discrete hardware component and wherein the control system is capable of providing instructions, via the user feedback system, regarding placement of the patch on a patient'"'"'s chest.

29. The stethoscope system of claim 28, further comprising an interface system, wherein the control means includes means for detecting an abnormality of heart valve activity and of transmitting a signal, via the interface system, corresponding to the abnormality.

30. The stethoscope system of claim 28, wherein the control means includes means for determining a correspondence between heart signal components of the filtered signals and corresponding parts of a cardiac cycle.