Class / Patent application number | Description | Number of patent applications / Date published |
600513000 | Detecting heartbeat electric signal and diverse cardiovascular characteristic | 79 |
20080228094 | Heart Monitoring Systems, Apparatus and Methods Adapted to Detect Myocardial Ischemia - Embodiments include heart monitoring systems, apparatus, and methods adapted to detect myocardial ischemia. An apparatus includes at least one first-tier sensor/analyzer adapted to sense a first input related to cardiac function, and to produce a first-tier trigger signal when the first input indicates myocardial ischemia. In an embodiment, a first-tier sensor/analyzer includes an ECG sensor/analyzer. In another embodiment, a first-tier sensor/analyzer includes a patient activator. An apparatus further includes at least one second-tier sensor/analyzer adapted to sense a second input related to cardiac function, and to produce a second-tier trigger signal when the second input indicates myocardial ischemia. In an embodiment, a second-tier sensor-analyzer includes a heart sound sensor/analyzer. A triggering element is adapted to produce a response-invoking signal in response to the first-tier trigger signal and the second-tier trigger signal. The response-invoking signal may invoke a patient alert, a message to an external system, and/or a cardiac stimulus. | 09-18-2008 |
20080234594 | Methods and apparatus for enhanced fiducial point determination and non-invasive hemodynamic parameter determination - Methods and apparatus for utilizing multiple sources of physiologic data to enhance measurement robustness and accuracy. In one embodiment, phonocardiography or “heart sounds” data is used in combination with one or more other techniques (for example, impedance cardiography or ICG waveforms, and/or electrocardiography or ECG waveforms) to provide more accurate and robust physiological and/or hemodynamic assessment of living subjects. In one variant, the aforementioned methods and apparatus are used to improve ICG fiducial point (e.g., B, C and X point) detection and identification accuracy. Moreover, the new ICG fiducial points that may be clinically important may be identified using the disclosed methods and apparatus. In a further aspect, the invention discloses methods and apparatus for utilization of ICG and/or ECG waveform information to improve the identification and characterization of heart sounds (such as e.g., S | 09-25-2008 |
20080319332 | Detection of Drastic Blood Pressure Changes - The invention relates to cardiac-activity based prediction of a rapid drop in a patient's blood pressure during extracorporeal blood treatment. A proposed alarm apparatus ( | 12-25-2008 |
20090082684 | DETECTION OF DRASTIC BLOOD PRESSURE CHANGES - The invention relates to cardiac-activity based prediction of a rapid drop in a patient's blood pressure during hemodialysis. A proposed alarm apparatus includes an input interface, primary and secondary analysis units and an alarm-generating unit. An electrocardiogram signal (H | 03-26-2009 |
20090209876 | Method and apparatus for continuous pulse contour cardiac output - A system and method are provided for sensing cardiac electrogram (EGM) signals and ventricular pressure signals and for using the sensed EGM and sensed pressure signals for estimating stroke volume (SV). A measure of cardiac output can be computed from the estimated SV and a heart rate determined from the EGM signals. The sensed ventricular pressure signal and the sensed EGM signal are used to derive landmark points such as an estimated pulmonary diastolic pressure, a mean pulmonary artery pressure, a peak right ventricular pressure (RVP), and various time intervals used in computing an area or a pulse contour integral. The pulse contour integral is used to estimate SV. The estimated pulmonary diastolic pressure, mean pulmonary artery pressure and CO computed from the estimated SV can be used to compute a pulmonary vascular resistance. | 08-20-2009 |
20090240159 | SENSING CARDIAC CONTRACTILE FUNCTION - Systems and methods for detecting and measuring cardiac contractile function of a heart using an acceleration sensor unit inserted within the heart, such as within a vein of the cardiac wall are disclosed. The systems and methods involve detecting the occurrence of electrical events within the patient's heart by inserting and positioning an implantable lead having an electrode near a cardiac wall as well as detecting mechanical events within the patient's heart by then inserting and positioning a cardiac motion sensor unit through the inner lumen of the implantable lead. Furthermore, the systems and methods do not require dedicated leads and may be used with preexisting implantable leads. | 09-24-2009 |
20090275848 | Cardiac Risk Assessment - In a system for assessing cardiac risk of a patient, a measuring component measures a cardiac signal comprised of multiple cardiac cycles at multiple periods in time. A processing component calculates sensitivity of cardiac function to sympathetic drive at each of the periods in time from the measured cardiac signal. A risk identification component evaluates a trend of the sensitivity over time as an indicator of a degree of cardiac risk. | 11-05-2009 |
20100145206 | ALTERNANS AND CARDIAC ISCHEMIA - One or more electrocardiographic signals are detected from a subject. The occurrence of alternans in the electrocardiographic signals are detected using one or more processors. One or more characteristics of detected alternans are determined. The determined characteristics of the detected alternans are analyzed to determine whether cardiac ischemia is present. | 06-10-2010 |
20100228140 | NON-INVASIVE METHOD AND DEVICE TO MONITOR CARDIAC PARAMETERS - A method of and a device for non-invasively measuring the hemodynamic state of a subject or a human patient involve steps and units of non-invasively measuring cardiac cycle period, electrical-mechanical interval, mean arterial pressure, and ejection interval and converting the measured electrical-mechanical interval, mean arterial pressure and ejection interval into the cardiac parameters such as Preload, Afterload and Contractility, which are the common cardiac parameters used by an anesthesiologist. | 09-09-2010 |
20110021933 | Methods and Systems for Use in Determination of a Patient's Heart Condition - A method and system are presented for use in monitoring a subject's heart conditions such as ejection fraction and cardiac synchrony. For determination of the ejection fraction, ECG measured data is processed. This ECG measured data comprises a first measured data portion indicative of a first time profile of an electrical signal measured on a planar pair of electrodes applied on a patient during a measurement session and a second measured data portion indicative a second time profile of an electrical signal measured on a diagonal pair of electrodes applied to said patient during said measurement session. The processing comprises comparing the first and second data portions to identify a time shift between a predetermined event in the first and second time profiles. For the determination of heart synchrony, first and second measured data portions corresponding to respectively an ECG measurement and an acoustic measurement both obtained from a patient during the same measurement session of a duration including at least two cardiovascular cycles, are processed. Such processing comprises identifying predetermined first and second events in each of said at least two cycles in the first and second measured data portions, respectively, determining a relation between the first and second events for each of the at least two cycles, determining a degree of fluctuation of said relation in the at least two cycles. | 01-27-2011 |
20110028855 | HEART FAILURE DETECTING MEDICAL DEVICE - An implantable medical device has an event detector that detects a predetermined cardiac event during a heart cycle of a subject. A reference time is assigned to this detected cardiac event. An onset detector detects the onset of ventricular filling of the heart during the heart cycle. The relative time of the detected filling onset is determined based on the assigned time reference. An increased risk of heart failure of the subject is automatically determined based on the determined relative time for the filling onset. Generally, a reduction in the relative time, as determined at different points in time, indicates an increased heart failure risk or the presence of a heart failure condition. | 02-03-2011 |
20110105927 | DETECTION OF WAVEFORM ARTIFACT - An implantable medical device system including a physiological sensor detects signal artifact in a signal waveform acquired by the sensor. Features of individual waveforms in the sensor signal are extracted. Sample waveforms are classified by expert observation into at least two classes including an artifact class. A distribution range for each of the extracted features from the sample waveforms is determined for each of the classes. Waveform classification criteria are established in response to the determined distribution ranges. | 05-05-2011 |
20110112421 | SCG POINT PICK PROCESS FOR USE WITH MULTIAXIS ACCELEROMETERS - A seismocardiograph using multiple accelerometer sensors to identify cardiac valve opening and closing times. A methodology for selecting event times is also disclosed. | 05-12-2011 |
20110130670 | Monitoring Physiological Condition and Detecting Abnormalities - A system for monitoring an individual's physiological condition and detecting abnormalities therein, comprising concurrently receiving at least a first signal and a second signal. The first and second signals are conditioned to minimize background extraneous noise after which, each signal is concurrently processed and analyzed to detect repeating cyclical patterns and further characterized to identify individual components of the repeating cycles. At least one individual component in one signal is selected as a reference marker for a selected component in the other signal. The two signals are then synchronized, outputs produced therefrom and stored in a database. The system is provided with a plurality of devices for acquiring, transmitting and conditioning at least two physiological signals, a software program cooperable with a microprocessor configured for receiving said transmitted signals and conditioned signals, and processing said signals to characterize and synchronize said signals and provide signal outputs derived therefrom, a database for storing said transmitted signals, conditioned signals, synchronized signals, and output signals derived therefrom. The output signals are useful for reporting and optionally for retransmission to the individual's body and providing physiologically stimulatory signals thereto. | 06-02-2011 |
20110130671 | Monitoring Physiological Condition and Detecting Abnormalities - A system for monitoring an individual's physiological condition and detecting abnormalities therein, comprising concurrently receiving at least first signal and a second signal. The first and second signals are conditioned to minimize background extraneous noise after which, each signal is concurrently processed and analyzed to detect repeating cyclical patterns and further characterized to identify individual components of the repeating cycles. At least one individual component in one signal is selected as a reference marker for a selected component in the other signal. The two signals are then synchronized, outputs produced therefrom and stored in a database. The system is provided with a plurality of devices for acquiring, transmitting and conditioning at least two physiological signals, a software program cooperable with a microprocessor configured for receiving said transmitted signals and conditioned signals, and processing said signals to characterize and synchronize said signals and provide signal outputs derived therefrom, a database for storing said transmitted signals, conditioned signals, synchronized signals, and output signals derived therefrom. The output signals are useful for reporting and optionally for retransmission to the individual's body and providing physiologically stimulatory signals thereto. | 06-02-2011 |
20110160605 | IMPLANTABLE HEART MONITORING DEVICE AND METHOD - In an implantable heart monitoring device and method, particularly for monitoring diastolic dysfunction, a control circuit (a) detects the heart rate, (b) derives information correlated to the stroke volume of the heart at the detected heart rate, and (c) stores the detected heart rate and the derived information correlated to the stroke volume in a memory. The control circuit automatically implements (a), (b) and (c) at a number of different occasions for a number of different, naturally varying heart rates, so that the memory contains information indicating the stroke volume as a function of the heart rate. | 06-30-2011 |
20110166466 | RR INTERVAL MONITORING METHOD AND BLOOD PRESSURE CUFF UTILIZING SAME - Disclosed is an apparatus and method for ambulatory, real-time detection of Atrial Fibrillation (AF) providing an overall accuracy that refers to detection of AF, irrespective of the duration of AF and beat-to-beat classification. | 07-07-2011 |
20110166467 | Solution Navier-Stocks Equations of the Blood as a Non-Newtonian Fluid in the Left Ventricle - The present invention discloses a method for solving Navier-Stokes equation of the blood dynamic as a Non-Newtonian fluid in the left ventricle is a serious problem where is strongly related to a good modeling of the myocardial motion as an elastic membrane. At this invention we design a new software which studies the blood flow inside a biological membrane where is estimated by quadratic forms that their algebraic equations have separately been investigated by a software which can be taken as a reference at this invention. | 07-07-2011 |
20110196250 | Method and apparatus for determining cardiac performance in a patient with a conductance catheter - An apparatus for determining cardiac performance in the patient. The apparatus includes a conductance catheter for measuring conductance and blood volume in a heart chamber of the patient. The apparatus includes a processor for determining instantaneous volume of the ventricle by applying a non-linear relationship between the measured conductance and the volume of blood in the heart chamber to identify mechanical strength of the chamber. The processor is in communication with the conductance catheter. Methods for determining cardiac performance in a patient. Apparatuses for determining cardiac performance in a patient. | 08-11-2011 |
20110208077 | SYSTEM AND METHOD FOR EXPLOITING ATRIAL EELCTROCARDIAC PARAMETERS IN ASSESSING LEFT ATRIAL PRESSURE USING AN IMPLANTABLE MEDICAL DEVICE - Techniques are provided for assessing left atrial pressure (LAP) based on atrial electrocardiac signal parameters, particularly intra-atrial conduction delay (IACD) and P-wave duration. In one example, a pacemaker or other implantable device senses an intracardiac electrogram (IEGM) or a subcutaneous electrocardiogram (ECG), from which IACD and P-wave duration are derived. The device tracks changes, if any, in the parameters. A significant increase in either IACD or P-wave duration is associated with an increase in LAP. In some examples, conversion factors are calibrated for use with a particular patient to relate IACD and/or P-wave duration values to LAP values to provide an estimate of actual LAP. The conversion factors are pre-calibrated using LAP measurements obtained using a wedge pressure sensor. In other examples, IACD and P-wave duration are instead used to confirm the detection of an elevation in LAP initially made using impedance signals. Other confirmation parameters are described as well. | 08-25-2011 |
20110213260 | CRT LEAD PLACEMENT BASED ON OPTIMAL BRANCH SELECTION AND OPTIMAL SITE SELECTION - An exemplary method includes accessing cardiac information acquired via a catheter located at various positions in a coronary sinus of a patient where the cardiac information includes electrical information and mechanical information; calculating scores based on the cardiac information where each of the scores corresponds to the coronary sinus or a tributary of the coronary sinus; and based on the scores, selecting a tributary of the coronary sinus as an optimal candidate for placement of a left ventricular lead. Accordingly, the selected tributary may be relied on during an implant procedure for the left ventricular lead. Various other methods, devices, systems, etc., are also disclosed. | 09-01-2011 |
20110295137 | CARDIAC RESYNCHRONIZATION THERAPY OPTIMIZATION USING ELECTROMECHANICAL DELAY FROM REALTIME ELECTRODE MOTION TRACKING - An exemplary method includes providing a mechanical activation time (MA time) for a myocardial location, the location defined at least in part by an electrode and the mechanical activation time determined at least in part by movement of the electrode; providing an electrical activation time (EA time) for the myocardial location; and determining an electromechanical delay (EMD) for the myocardial location based on the difference between the mechanical activation time (MA time) and the electrical activation time (EA time). | 12-01-2011 |
20110319778 | CARDIAC FUNCTION MONITOR USING INFORMATION INDICATIVE OF LEAD MOTION - Systems and methods to monitor cardiac function using information indicative of lead motion are described. In an example, a system including an implantable medical device can include a receiver circuit configured to be electrically coupled to conductor comprising a portion of an implantable lead and be configured to obtain information indicative of a movement of the implantable lead due at least in part to a motion of a heart. The system can include a sensing circuit configured to obtain information indicative of cardiac electrical activity. The system can include a processor circuit configured to construct a template representative of a contraction of the heart, where the template can be constructed using the information indicative of the movement of the implantable lead due at least in part to the motion of the heart during the contraction, and using the information indicative of the cardiac electrical activity sensed during the contraction. | 12-29-2011 |
20120004565 | ISCHEMIA DETECTION USING A HEART SOUND SENSOR - A system comprising an implantable medical device (IMD) includes an implantable heart sound sensor to produce an electrical signal representative of at least one heart sound. The heart sound is associated with mechanical activity of a patient's heart. Additionally, the IMD includes a heart sound sensor interface circuit coupled to the heart sound sensor to produce a heart sound signal, and a signal analyzer circuit coupled to the heart sound sensor interface circuit. The signal analyzer circuit measures a baseline heart sound signal, and deems that an ischemic event has occurred using, among other things, a measured subsequent change in the heart sound signal from the established baseline heart sound signal. | 01-05-2012 |
20120065530 | IMAGE PROCESSING APPARATUS, IMAGE PROCESSING METHOD, AND IMAGE PROCESSING PROGRAM - The systolic timings of myocardia at various positions of a heart are analyzed and evaluated. An image processing apparatus | 03-15-2012 |
20120078131 | ECG MONITORING WITH REDUCED FALSE ASYSTOLE ALARMS - A patient monitor comprises: an electrocardiograph ( | 03-29-2012 |
20120095358 | LIVING BODY STATE MONITOR APPARATUS - A living body state monitor apparatus includes: a living body information acquisition device to acquire living body information containing an electrocardiography waveform and a pulse waveform from a user; an irregular heartbeat detection section to detect an irregular heartbeat from the electrocardiography waveform; and a pulse wave feature quantity extraction section to extract a pulse wave feature quantity from a pulse wave corresponding to the irregular heartbeat. Further, a living body state determination section is included to determine a danger degree on user's living body state using both of (A) information on kind and/or continued time period of an irregular heartbeat detected by the irregular heartbeat detection section, and (B) a pulse wave feature quantity extracted by the pulse wave feature quantity extraction section, and/or a variation of the extracted pulse wave feature quantity. | 04-19-2012 |
20120209130 | APPARATUS AND METHOD FOR OUTPUTTING HEART SOUNDS - An apparatus for outputting heart sounds includes an implantable system and an external system. The implantable system includes a sensor for generating sensed signals representing detected heart sounds, an interface circuit and a control circuit for receiving the sensed signals, generating data representing the heart sounds therefrom, and transmitting the data to the external system via the interface circuit. The external system includes an interface circuit for communicating with the implantable system, and a control circuit for receiving the data representing the heart sounds and for generating control signals that cause an output device to generate outputs representing the sounds. The implantable system may also include a sensor(s) for detecting cardiac electrical signals. In this case, outputs representing the cardiac electrical signals are also output. | 08-16-2012 |
20120296228 | HEART SOUNDS-BASED PACING OPTIMIZATION - An implantable medical device receives both heart sound and electrogram signals. A processor within the implantable medical device extracts physiologically relevant information from both the heart sound signal and the electrogram signal. Based on the extracted physiologically relevant information a set of pacing parameters is evaluated. In certain examples, the values of the pacing parameters may be changed by the implantable medical device in response to the physiologically relevant information extracted from the heart sound signal and the electrogram signal. | 11-22-2012 |
20120302905 | METHOD, APPARATUS AND COMPUTER PROGRAM PRODUCT FOR MONITORING PHYSIOLOGICAL SIGNALS - A method, apparatus, and computer program product for monitoring a physiological signal of a subject are disclosed. To provide a mechanism that allows perception of the general clinical state of the subject easily and without expertise, a property measure is derived from at least one physiological signal obtained from a subject, wherein each property measure is indicative of a predetermined property of a respective physiological signal in a time window, and wherein the deriving is performed in consecutive time windows, thereby to obtain at least one property measure sequence. At least one indication signal is produced to be presented to a user, wherein the producing comprises determining signal attributes for the at least one indication signal based on the at least one property measure sequence, and the at least one indication signal is presented to the user. | 11-29-2012 |
20130053716 | SYSTEM AND METHOD FOR PROFILING A PATIENTS HEMODYNAMIC RESPONSE BASED ON HEART SOUNDS - A medical device system includes electrodes for delivering cardiac pacing pulses to a patient's heart, a cardiac sensing module coupled to the electrodes and a cardiac pacing module coupled to the electrodes for generating cardiac pacing pulses. An acoustical sensor is used for obtaining heart sound signals. The system includes a processor that is configured to establish multiple conditions during which heart sound signals are received. The processor derives heart sound signal parameters from the heart sound signals and determines a heart sound profile comprising a trend of each of the heart sound signal parameters with respect to the multiple established conditions. | 02-28-2013 |
20130085404 | EVALUATION OF CARDIAC DYSSYNCHRONY BASED ON CHEST WALL MOTION AND ELECTRICAL CARDIAC ACTIVITY - Cardiac dyssynchrony of a patient may be evaluated based on electrical activity of a heart of the patient and corresponding chest wall motion of the patient sensed via an external accelerometer. In one example, an acceleration signal indicative of the chest wall motion is generated by an external accelerometer positioned on the chest wall of the patient. A processor of a diagnostic device integrates the acceleration signal to generate a velocity signal and temporally correlates the velocity signal and an electrical cardiac signal. The processor determines a time delay between a deflection of the electrical cardiac signal indicating ventricular electrical activation and a subsequent greatest peak of the velocity signal. The time delay may indicate a degree of electromechanical delay of the left ventricle. In some examples, the processor generates an output indicative of a cardiac dyssynchrony status based on the time delay. | 04-04-2013 |
20130096448 | METHODS AND APPARATUS FOR ENHANCED FIDUCIAL POINT DETERMINATION AND NON-INVASIVE HEMODYNAMIC PARAMETER DETERMINATION - Methods and apparatus for utilizing multiple sources of physiologic data to enhance measurement robustness and accuracy. In one embodiment, phonocardiography or “heart sounds” data is used in combination with one or more other techniques (for example, impedance cardiography or ICG waveforms, and/or electrocardiography or ECG waveforms) to provide more accurate and robust physiological and/or hemodynamic assessment of living subjects. In one variant, the aforementioned methods and apparatus are used to improve ICG fiducial point (e.g., B, C and X point) detection and identification accuracy. Moreover, the new ICG fiducial points that may be clinically important may be identified using the disclosed methods and apparatus. In a further aspect, the invention discloses methods and apparatus for utilization of ICG and/or ECU waveform information to improve the identification and characterization of heart sounds (such as e.g., S1, S2, S3, or S4 heart sounds), murmurs, and other such artifacts or phenomena. | 04-18-2013 |
20130116584 | Biometric front-end recorder system - A stethoscope front-end recorder device (also referred to as Sleeve) for the chest piece of a stethoscope, which is easily installed and removed. The Sleeve covers the circumference of the chest piece of a stethoscope. The Sleeve contains sensors for acquiring biosensor parameters such as electrocardiogram, body temperature, heartbeat, heart rhythm, heart rate variability, heart rate turbulence, heart sounds, respiration, cardiac index and blood flow. The Sleeve has Bluetooth interface communicating with a mobile device with software component, interfacing with a back-end server with the capability to capture, analyze and save patient information. | 05-09-2013 |
20130131530 | Method and Apparatus for Identifying Cardiac Risk - A cardiac-based metric is computed based upon characteristics of a subject's cardiac function. In accordance with one or more embodiments, the end of a mechanical systole is identified for each of a plurality of cardiac cycles of a subject, based upon an acoustical vibration associated with closure of an aortic valve during the cardiac cycle. The end of an electrical systole of an electrocardiogram (ECG) signal for each cardiac cycle is also identified. A cardiac-based metric is computed, based upon a time difference between the end of the electrical systole and the end of the mechanical systole, for the respective cardiac cycles. | 05-23-2013 |
20130172765 | SYSTEMS FOR DETECTING CARDIAC ARRHYTHMIAS - A system for calculating a variability value that is indicative of AF by obtaining a signal sequence of a plurality of RR intervals by monitoring electrical activity of a patient's heart. Each RR interval is converted into an instantaneous heart rate value and sorted into ascending order. The difference between each successive heart rate is calculated, discarding the two largest differences. The variability value is calculated by adding the retained differences. | 07-04-2013 |
20130197379 | PROCESSING OF PERIODIC PHYSIOLOGICAL SIGNALS - Signal processing devices normally filter the signal to reduce noise. Any filtering is likely to eliminate useful components of the signal too. A device for and method of signal processing is disclosed, wherein intrinsically clean signal cycles are selected for reproduction so that the processed signal retains components of all frequencies. A system that uses the disclosed device and the method for processing periodic physiological signals is also disclosed. | 08-01-2013 |
20130237872 | HEART SOUND SENSING TO REDUCE INAPPROPRIATE TACHYARRHYTHMIA THERAPY - Techniques for reducing inappropriate tachyarrhythmia therapy and associated medical device systems are described. In some examples a processor is enabled to receive a cardiac electrical signal representative of electrical activity of a heart of a patient and provide an indication of cardiac electrical signal reliability. A heart sound analyzing module is enabled to receive the indication of cardiac electrical signal reliability and a heart sound signal representing sounds generated by the heart of the patient and generated by a heart sound sensor. The heart sound analyzing module selectively determines an ensemble averaged heart sound signal or detects a plurality of heart sounds from the heart sound signal in response to the indication of cardiac electrical signal reliability. | 09-12-2013 |
20130237873 | HEART SOUND SENSING TO REDUCE INAPPROPRIATE TACHYARRHYTHMIA THERAPY - A method and device for detecting a cardiac event that includes sensing cardiac electrical signals representative of electrical activity of a heart of a patient, detecting the cardiac event in response to the sensed cardiac signals, determining an indication of signal reliability corresponding to the sensed cardiac signals as being one of a reliable signal and a not reliable signal, and switching operation of the device between a first mode of determining whether the sensed signal is one of treatable and not treatable and a second mode of determining whether the sensed signal is one of treatable and not treatable in response to the determined indication of signal reliability. | 09-12-2013 |
20130289425 | APPARATUS AND METHOD FOR OUTPUTTING HEART SOUNDS - An apparatus for outputting heart sounds includes an implantable system and an external system. The implantable system includes a sensor for generating sensed signals representing detected heart sounds, an interface circuit and a control circuit for receiving the sensed signals, generating data representing the heart sounds therefrom, and transmitting the data to the external system via the interface circuit. The external system includes an interface circuit for communicating with the implantable system, and a control circuit for receiving the data representing the heart sounds and for generating control signals that cause an output device to generate outputs representing the sounds. The implantable system may also include a sensor(s) for detecting cardiac electrical signals. In this case, outputs representing the cardiac electrical signals are also output. | 10-31-2013 |
20130296727 | FILTER MECHANISM FOR REMOVING ECG ARTIFACT FROM MECHANICAL CHEST COMPRESSIONS - An external medical device can include a housing and a processor within the housing. The processor can be configured to receive an input signal for a patient receiving chest compressions from a mechanical chest compression device. The processor can also be configured to select at least one filter mechanism, the mechanical chest compression device having a chest compression frequency f. The processor can be further configured to apply the at least one filter mechanism to the signal to at least substantially remove chest compression artifacts from the signal, wherein the chest compression artifacts correspond to the chest compressions being delivered to the patient by the mechanical chest compression device, and wherein the at least one filter mechanism substantially rejects content in the frequency f plus content in at least one more frequency that is a higher harmonic to the frequency f. | 11-07-2013 |
20130296728 | THIRD HEART SOUND ACTIVITY INDEX FOR HEART FAILURE MONITORING - A cardiac rhythm management system provides for the trending of a third heart sound (S3) index. The S3 index is a ratio, or an estimate of the ratio, of the number of S3 beats to the number of all heart beats, where the S3 beats are each a heart beat during which an occurrence of S3 is detected. An implantable sensor such as an accelerometer or a microphone senses an acoustic signal indicative heart sounds including S3. An S3 detector detects occurrences of S3 from the acoustic signal. A heart sound processing system trends the S3 index on a periodic basis to allow continuous monitoring of the S3 activity level, which is indicative of conditions related to heart failure. | 11-07-2013 |
20130331717 | COMPENSATION FOR HEART MOVEMENT IN A BODY COORDINATE SYSTEM - A method, including inserting a flexible probe into a living subject and positioning a distal end of the probe in a heart of the subject, the distal end including a position sensor configured to generate position signals indicative of a position of the distal end, and an electrode configured to convey electrical signals from the heart. The method further includes formulating, in response to the position signals, a first indication of a change in a mean position of the heart within the living subject and deriving a second indication of a change in the electrical signals. The method also includes determining, in response to the first and second indications, a new mean position of the heart. | 12-12-2013 |
20130345581 | COMBINATION FOR EARLY EXCLUSION OF ACUTE MYOCARDIAL INFARCTION - A method for ‘ruling out’ acute myocardial infarction (AMI) in a subject presenting with chest pain expected to be cardiac in nature. The method includes a) recording an Electrocardiography (ECG) reading from said subject, b) determining the amount of Heart-type Fatty acid binding protein (H-FABP) and cardiac Troponin T (cTnT) in a sample from said subject, c) comparing the results from b) to reference values for ruling out an acute Myocardial Infarction in a subject, and d) based on the results from steps a)-c) either ‘ruling out’ or ‘ruling in’ a diagnosis of acute Myocardial Infarction in said subject. | 12-26-2013 |
20130345582 | IMPLANTABLE HEART MONITORING DEVICE AND METHOD - In an implantable heart monitoring device and method, particularly for monitoring diastolic dysfunction, a control circuit (a) detects the heart rate, (b) derives information correlated to the stroke volume of the heart at the detected heart rate, and (c) stores the detected heart rate and the derived information correlated to the stroke volume in a memory. The control circuit automatically implements (a), (b) and (c) at a number of different occasions for a number of different, naturally varying heart rates, so that the memory contains information indicating the stroke volume as a function of the heart rate. | 12-26-2013 |
20140039335 | DEVICE FOR THE ANALYSIS OF AN ENDOCARDIAC SIGNAL OF ACCELERATION - Devices and methods related to endocardial acceleration signal processing are provided. One device is configured to: (1) divide an endocardial acceleration (EA) signal into a plurality of EA sub-signals; (2) identify, in each of the plurality of EA sub-signals, at least one signal component associated with a type of heart sound; (3) extract a characteristic of the at least one signal component for two or more of the plurality of cycles; (4) calculate a correlation coefficient correlating the at least signal component for a first cycle of the plurality of cycles to the at least one signal component of a second cycle of the plurality of cycles; and (5) perform temporal retiming of one or more of the signal components based on the correlation coefficient to generate one or more adjusted signal components of the associated one or more EA sub-signals. | 02-06-2014 |
20140046205 | APPARATUS AND METHOD FOR ESTIMATING STROKE VOLUME OF THE HEART USING BIO-IMPEDANCE TECHNIQUES - A method of estimating stroke volume of the heart is described. In this method, the volume of the heart is estimated from electrical impedance data of the chest, at two different phases of the cardiac cycle. The stroke volume is estimated from the difference between the volumes estimated at the two phases. | 02-13-2014 |
20140066797 | SYSTEMS AND METHODS FOR ANALYZING CHANGES IN CARDIAC OUTPUT - A system is provided including a cardiac output monitor configured to be operatively connected to a detection module that obtains electrocardiogram (ECG) signals from the patient. The monitor includes an axis analysis module and a cardiac output module. The axis analysis module is configured to obtain ECG axis information including information corresponding to at least one ECG axis of a patient. The axis analysis module is also configured to determine ECG axis change information corresponding to a change in the ECG axis information of the patient. The cardiac output analysis module is configured to determine a change in cardiac output using the ECG axis change information. | 03-06-2014 |
20140066798 | CARDIAC PERFORMANCE MONITORING SYSTEM FOR USE WITH MOBILE COMMUNICATIONS DEVICES - Described herein are apparatuses (e.g., devices, systems, software), and methods for monitoring the cardiac health of a patient. The apparatuses and methods may include a smartphone or hand held computing device having an accelerometer. The apparatus may also include a device with a plurality of electrodes integral with or attached to the smartphone. The devices can be placed on a patient's chest to measure electrical signals and vibrations on the chest caused by the heartbeat. The measurements can generate a seismocardiogram (SCG) and in some variations an electrocardiogram (ECG). The apparatuses and methods can analyze the data in the SCG to produce a measure of the cardiac function. Changes in such measures can provide an early warning for potential cardiac problems and signal the need for the patient to seek treatment prior to a fatal cardiac event. | 03-06-2014 |
20140073980 | APPARATUS AND METHOD FOR OUTPUTTING HEART SOUNDS - An apparatus for outputting heart sounds includes an implantable system and an external system. The implantable system includes a sensor for generating sensed signals representing detected heart sounds, an interface circuit and a control circuit for receiving the sensed signals, generating data representing the heart sounds therefrom, and transmitting the data to the external system via the interface circuit. The external system includes an interface circuit for communicating with the implantable system, and a control circuit for receiving the data representing the heart sounds and for generating control signals that cause an output device to generate outputs representing the sounds. The implantable system may also include a sensor(s) for detecting cardiac electrical signals. In this case, outputs representing the cardiac electrical signals are also output. | 03-13-2014 |
20140100468 | PHYSIOLOGICAL SIGNAL DETECTION DEVICE - A physiological signal detection device has a battery disposed in the physiological signal detection device, a first input terminal, a second input terminal, and a charging detection terminal A physiological signal detection circuit generates a physiological signal according to a detection result of the first input terminal and the second input terminal A charging control circuit is electrically coupled to the first input terminal, the second input terminal and the charging detection terminal, wherein, when the first input terminal and the second input terminal are coupled to a power supply supplied by a charging device, the charging detection terminal receives a charging indication signal of the charging device and according to the charging indication signal the charging device is enabled so as to charge the battery with the power supply. | 04-10-2014 |
20140121551 | CARDIAC OUTPUT MEASURING UNIT - A cardiac output measuring unit includes: a biological signal receiving section which is configured to receive a plurality of biological signals; a calibration information storing section which is configured to store calibration information; a calculation section which is configured to calculate a cardiac output based on the plurality of biological signals and the calibration information; and a communication section which is capable of transmitting the cardiac output to an external device. | 05-01-2014 |
20140128757 | SYSTEM FOR ELECTROPHYSIOLOGY THAT INCLUDES SOFTWARE MODULE AND BODY-WORN MONITOR - The invention also provides an integrated system that combines an ablation system used in the electrophysiology (EP) lab with a novel, body-worn monitor and data-management software system. The body-worn monitor differs from conventional monitors in that it measures stroke volume (SV) and cardiac output (CO) in addition to heart rate (HR) and ECG waveforms. The combined system collects numerical and waveform data from patients before, during, and after an EP procedure, thereby providing a robust data set that can be used for a variety of analytics and reporting purposes. The body-worn monitor can be applied to the patient immediately after the EP procedure, e.g. while they are recovering in a hospital. Once applied, the body-worn monitor measures data in real-time, and transmits them to both an EMR and a software application running on a mobile device, such as a smartphone, tablet, or personal digital assistant. | 05-08-2014 |
20140213921 | Method and Apparatus for Identifying Cardiac Risk - A cardiac-based metric is computed based upon characteristics of a subject's cardiac function. In accordance with one or more embodiments, the end of a mechanical systole is identified for each of a plurality of cardiac cycles of a subject, based upon an acoustical vibration associated with closure of an aortic valve during the cardiac cycle. The end of an electrical systole of an electrocardiogram (ECG) signal for each cardiac cycle is also identified. A cardiac-based metric is computed, based upon a time difference between the end of the electrical systole and the end of the mechanical systole, for the respective cardiac cycles. | 07-31-2014 |
20140221858 | SYSTEM AND APPARATUS FOR PROVIDING DIAGNOSIS AND PERSONALIZED ABNORMALITIES ALERTS AND FOR PROVIDING ADAPTIVE RESPONSES IN CLINICAL TRIALS - A personalized real-time automated cardiovascular monitoring system monitors abnormalities in a patient's cardiovascular activity data through the use of individually adjusted electrocardiogram Holter apparatus (Holter/ECG device) that provides an automatic medical diagnosis of cardiac abnormalities and generates abnormality alert signals representative of certain abnormalities in patient's cardiac activities. The signals are transmitted using a wireless network through a bi-directional wireless protocol. Individual parameters indicative of patient's cardio activities are personalized to allow for adjustments of chronic patients. A base Holter/ECG unit, includes the wireless/electric electrodes and their respective wireless/electric connections, and a Holter/ECG recording unit affixed to the base unit. Data is collected and subjected to statistical analysis. | 08-07-2014 |
20140221859 | CARDIAC PERFORMANCE MONITORING SYSTEM FOR USE WITH MOBILE COMMUNICATIONS DEVICES - Described herein are apparatuses (e.g., devices, systems, software), and methods for monitoring the cardiac health of a patient. The apparatuses and methods may include a smartphone or hand held computing device having an accelerometer. The apparatus may also include a device with a plurality of electrodes integral with or attached to the smartphone. The devices can be placed on a patient's chest to measure electrical signals and vibrations on the chest caused by the heartbeat. The measurements can generate a seismocardiogram (SCG) and in some variations an electrocardiogram (ECG). The apparatuses and methods can analyze the data in the SCG to produce a measure of the cardiac function. Changes in such measures can provide an early warning for potential cardiac problems and signal the need for the patient to seek treatment prior to a fatal cardiac event. | 08-07-2014 |
20140236031 | NECKLACE-SHAPED PHYSIOLOGICAL MONITOR - The invention provides a neck-worn sensor (referred to herein as the ‘necklace’) that is a single, body-worn system that measures the following parameters from an ambulatory patient: heart rate, pulse rate, pulse oximetry, respiratory rate, temperature, thoracic fluid levels, stroke volume, cardiac output, and a parameter sensitive to blood pressure called pulse transit time. From stroke volume, a first algorithm employing a linear model can estimate the patient's pulse pressure. And from pulse pressure and pulse transit time, a second algorithm, also employing a linear algorithm, can estimate systolic blood pressure and diastolic blood pressure. Thus, the necklace can measure all five vital signs along with hemodynamic parameters. It also includes a motion-detecting accelerometer, from which it can determine motion-related parameters such as posture, degree of motion, activity level, respiratory-induced heaving of the chest, and falls. | 08-21-2014 |
20140257121 | Method and Apparatus for Monitoring an Organ of a Patient - An apparatus for determining tissue versus fluid components of an organ include a detector that generates a detector signal based on electrical signals derived from tissue and fluid. The apparatus includes a signal processor in communication with the detector which subtracts in real time a tissue component from the detector signal and produces a fluid volume signal. A method for monitoring a patient's fluid volume of a patient's organ. An apparatus for monitoring a patient's organ. A method for monitoring a patient's organ. A method to piggyback an admittance system onto a AICD/Bi-ventricular Pacemaker for a heart of a patient, in particular a weakened heart having features consistent with congestive heart failure. An apparatus for monitoring an organ, such as a heart, lungs, brain, skeletal muscle, and bladder of a patient which includes a detector which detects the admittance of the organ. The apparatus includes a transmitter in communication with the detector which transmits a wireless signal indicative of the admittance of the organ. A method for monitoring an organ of a patient includes the steps of detecting with a detector the admittance of the organ. There is the step of transmitting with a transmitter in communication with the detector a wireless signal indicative of admittance of the organ. | 09-11-2014 |
20140288452 | DEVICE AND METHOD FOR PROCESSING HEART SOUNDS FOR AUSCULATION - A device for independently and controllably amplifying components of the heart sound signals without removing any component of the signal by filtering. With such a device all the signal components that carry information are still available and can be useful to a user. Filtering may however be applied to very high frequency signals, compared to the signal of interest, that are totally unrelated to the heart sounds. | 09-25-2014 |
20140350422 | Systems for Detecting Cardiac Arrhythmias - A system for calculating a variability value that is indicative of AF by obtaining a signal sequence of a plurality of RR intervals by monitoring electrical activity of a patient's heart. Each RR interval is converted into an instantaneous heart rate value and sorted into ascending order. The difference between each successive heart rate is calculated, discarding the two largest differences. The variability value is calculated by adding the retained differences. | 11-27-2014 |
20140364755 | DIAGNOSTIC APPARATUS - A diagnostic apparatus includes a stethoscope, an electrocardiac detector, a control unit, and an external unit. A sound detector is a chest piece to make contact with a patient's skin, and includes a first detector to detect a relatively high frequency and a second detector to detect a relatively low frequency. The electrocardiac detector includes electrodes to detect potentials associated with heart beats, and is provided on each of the first and second detectors. The control unit converts electrocardiac signals detected by the electrocardiac detector into radio signals that are transmitted to the external unit. The external unit is a portable terminal apparatus, and includes a display unit formed by a liquid crystal panel on a front surface thereof, an operation part including operation buttons and ten-key, and patient selection buttons to select reading of data of patients. | 12-11-2014 |
20140364756 | ECG SENSING APPARATUSES, SYSTEMS AND METHODS - Aspects of the present disclosure are directed to processing ECG signals from a subject. As may be implemented in accordance with one or more embodiments, respective electrodes sense ECG signals from a subject, and the ECG signals are digitized and processed, such as to remove noise, detect a QRS complex, evaluate quality, detect arrhythmia and/or to store the signals. In response to an input from the subject, one or more of the ECG signals is recorded along with sound from the user, such as to concurrently record the user's voice for describing conditions in connection with the recording of the ECG signals. This approach can be carried out in an enclosed housing, operated adjacent the subject's thorax. The processed digitized ECG signals and the audio signals are then communicated for receipt by an external device. | 12-11-2014 |
20150011904 | DEVICE AND METHODS FOR ASSESSING, DIAGNOSING, AND/OR MONITORING HEART HEALTH - A system for communicating heart health of an individual to the individual, comprises an input device useable to enter data relevant to the health of the individual an expert system including a knowledge base populated by a plurality of facts and rules for assessing heart health using the relevant data and an output device useable to communicate one or both of current heart health of the individual and a change in heart health that exceeds a threshold. At least some of the relevant data are biographical data and at least some of the relevant data are measurement data; | 01-08-2015 |
20150088018 | SYSTEMS AND METHODS TO MEASURE FLUID IN A BODY SEGMENT - The present disclosure introduces systems and methods to measure fluid in a body segment. In one embodiment, a computer system used to measure fluid in a body segment is described. A current generation module may be used to emit an electrical through at least one body segment. The electrical current may be used to measure fluid-volume content of the at least one body segment. An electrode module having a plurality of electrodes may be attached to the current generation module. A signal-processing module may be used to measure changes in the electrical current through at least one body segment. Further, an impedance module may be used to calculate fluid-volume change in at least one body segment and determine the flow of fluid through the at least one body segment. Other embodiments also are described. | 03-26-2015 |
20150094605 | SYSTEMS AND METHODS FOR VALIDATING MONITORING DEVICE PLACEMENT AND LOCATIONS - This disclosure relates to devices, systems, and methods for validating locational data for a monitoring device. The external monitoring device located on a patient may include one or more processors, one or more memory devices, one or more power devices, one or more heart rate detection devices, and one or more heart sound detection devices. Further, the method may include determining a plurality of status of an external monitoring device located on a patient via one or more processors based on obtained heart rate data and obtained heart sound data. The external monitoring device state may be generated via a validation module based on the heart rate data and the heart sound data. | 04-02-2015 |
20150119738 | System and Method for Analyzing Biological Signals and Generating Electrophyisology Maps - A method of generating a cardiac electrophysiology map includes receiving a reference biological signal and an electrical signal indicative of electrical activity at a location on a patient's heart. Using a graphical user interface, a practitioner designates at least two trigger point icons, one upward-pointing and one downward-pointing, on a graphical representation of the reference biological signal (e.g., a waveform). By pairing one upward-pointing icon with one downward-pointing icon, a plurality of triggering criteria are defined. Electrophysiology data points are captured and/or added to the electrophysiology map when the triggering criteria are satisfied. | 04-30-2015 |
20150126883 | METHODS AND APPARATUS FOR DETECTING HEART FAILURE DECOMPENSATION EVENT AND STRATIFYING THE RISK OF THE SAME - Devices and methods for detecting heart failure (HF) events or identifying patient at elevated risk of developing future HF events, such as events indicative of HF decompensation status, are described. The devices and methods can detect an HF event or predict HF risk using one or more physiologic sensor signals including an electrogram and a heart sound signal. A medical device can use the physiologic signals to calculate one more signal metrics indicative of systolic function of the heart, including relative timing between first and second signal features selected from signal features generated from the electrogram or the heart sound signals. The medical device can detect an HF event using the signal metrics, or use the signal metrics to calculate a composite risk indicator indicative of the likelihood of the patient later developing an event indicative of worsening of HF. | 05-07-2015 |
20150133806 | METHOD AND APPARATUS FOR DETERMINING INFORMATION INDICATIVE OF CARDIAC MALFUNCTIONS AND ABNORMALITIES - An apparatus for determining information indicative of cardiac malfunctions and abnormalities includes a processing device ( | 05-14-2015 |
20150141858 | METHOD AND SYSTEM TO MEASURE CARDIAC MOTION USING A CARDIOVASCULAR NAVIGATION SYSTEM - A method and system are provided to measure cardiac motion data using a cardiovascular navigation system. The method and system position a patient reference sensor (PRS) on a patient, wherein the PRS determines a position of the patient relative to a reference point. The method and system determine a reference orientation matrix based on an orientation of the PRS relative to a reference point and determining a normalization time based on an electrical signal. The method and system obtain point specific (PS) motion data for a plurality of map points. The PS motion data indicates a three dimensional trajectory that occurs at the corresponding map point on a wall of a heart of the patient during at least one cardiac cycle. Further the method and system compensate the PS motion data based on the PRS. | 05-21-2015 |
20150148697 | PRECISION DIALYSIS MONITORING AND SYNCHONIZATION SYSTEM - A system and method for synchronizing patient medical parameters and dialysis parameters. The system and related method allow for the determination of the effect of dialysis on patient health. The invention also allows for the determination of whether observed patient health effects are due to specific dialysis parameters and for making necessary changes to the dialysis parameters in order to improve patient health. | 05-28-2015 |
20150313492 | Method and System to Determine Cardiac Cycle Length in Connection with Cardiac Mapping - A method and system are provided for analyzing data for a region of interest in connection with cardiac mapping. The method and system acquire data recordings of at least one of electrical sensor measurements from an electrical sensor and motion data from a motion sensor in contact with the region of interest, determine cycle lengths associated with cardiac events in the data recordings; and identify a reference cycle length from the cycle lengths determined. The method and system analyze the cycle lengths such that differences in heart rate and cycle length have limited effect on an overall map. | 11-05-2015 |
20150313493 | REDUCING ELECTROCARDIOGRAM ARTIFACTS DURING AND POST CPR - A portable medical device having improved ECG trace display and reporting. Embodiments implement features to ameliorate artifacts created by virtue of attempting to eliminate compression artifacts due to mechanical compression devices. Other embodiments additionally implement features to seek to detect the occurrence of ROSC while chest compressions are ongoing. | 11-05-2015 |
20150335260 | SIGNAL PROCESSING METHOD AND APPARATUS - A signal processing apparatus includes an input voltage selector configured to select an input voltage from a plurality of input voltages; an input element connected to the input voltage selector; and an input current controller configured to control an inflow of an input current in conjunction with an operation of the input voltage selector. | 11-26-2015 |
20150342492 | METHOD AND APPARATUS FOR DETECTING ATRIAL TACHYARRHYTHMIA USING HEART SOUNDS - A cardiac rhythm management system senses a cardiac signal indicative of heartbeats and an acoustic signal indicative of heart sounds and detects atrial tachyarrhythmia based on the sensed cardiac and acoustic signals. In various embodiments, the system senses the cardiac and acoustic signals without using an atrial lead, thus allowing for, for example, monitoring atrial fibrillation burden in a heart failure patient who does not wear an implantable device with an atrial lead. In various embodiments, the system detects heartbeats and heart sounds, measures parameters associated with the detected heartbeats and heart sounds, and detects one or more specified types of atrial tachyarrhythmia using the measured parameters. In various embodiments, the measured parameters are selected from heart rate, heart sound amplitude, cycle length variability, and systolic and diastolic intervals. | 12-03-2015 |
20160113533 | DETECTION AND MONITORING USING HIGH FREQUENCY ELECTROGRAM ANALYSIS - An implantable device for analyzing a high frequency (HF) electrogram signal received from subcutaneous, above-rib pickup locations, the device including an implantable electrode for use inside a living body, and a can for subcutaneous implantation, the can including a signal pickup configured to pick up an electrogram signal including a high frequency (HF) component, a signal filter connected to the signal pickup and configured to measure a high frequency (HF) component from the electrogram signal, and an analyzer for analyzing the HF component of the electrogram signal, wherein the analyzer is configured to analyze at least one time-varying parameter of the HF component of the electrogram signal, and the signal filter is configured to measure the electrogram signal by using a signal picked up from at least two pickup locations which are both subcutaneous and above-rib. Related apparatus and methods are also described. | 04-28-2016 |
20160120416 | SYSTEMS FOR MONITORING THE CARDIOVASCULAR SYSTEM USING A HEART LUNG SOUND - The present invention relates to A system for monitoring the cardiovascular system using a heart sound, which comprises a heart sound receiving means( | 05-05-2016 |
20160135717 | METHOD AND APPARATUS FOR DETERMINING INFORMATION INDICATIVE OF CARDIAC MALFUNCTIONS - An apparatus for determining information indicative of cardiac malfunctions includes a processing device ( | 05-19-2016 |
20160151037 | STETHOSCOPE DEVICE | 06-02-2016 |
20170231597 | Networked Electronic Stethoscope | 08-17-2017 |