An electrocardiography patch is provided. A backing has an elongated strip with a midsection connecting two rounded ends. The midsection tapers in from each of the rounded ends and is narrower than each of the two rounded ends. Each electrode, of a pair of electrodes, is positioned on one of the rounded ends of the backing, on a contact surface, to capture electrocardiographic signals. A flex circuit is coupled to each of the electrodes. A non-conductive receptacle is affixed on an outer surface of the backing, opposite the contact surface. Electrical contacts are provided on a surface of the non-conductive receptacle opposite the backing. A battery is provided on the outer surface of the backing and a processor is powered by the battery to write the electrocardiographic signals into memory.
A61B 5/091 - Mesure du volume des gaz inspirés ou expirés, p. ex. pour déterminer la capacité pulmonaire
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
G01N 27/30 - Électrodes, p. ex. électrodes pour testsDemi-cellules
2.
HYDROGEL CONTAINMENT SOLUTIONS FOR THIN-ADHESIVE BIOMONITOR
Hydrogel containment solutions in wearable medical devices are provided. The hydrogel containment solution partially encloses a hydrogel laterally such that the hydrogel does not leave an area between an electrode and a surface of a patient’s skin during use of the wearable medical device. The hydrogel containment solution may incorporate an insert to support the position of the hydrogel.
A61B 5/257 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/256 - Électrodes portables, p. ex. avec des sangles ou des bandes
A61B 5/266 - Électrodes bioélectriques à cet effet caractérisées par les matériaux des électrodes contenant des électrolytes, gels ou pâtes conducteurs
A system includes a key service, that is configured to authenticate requests from an external manufacturing system (“EMS”), receive a request for generating a keyset, generate the keyset, send the keyset to the EMS, and send the keyset to a persistent cloud storage system, wherein an external cloud system accesses the keyset for use in secure communication with a hardware device.
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
4.
CARDIAC AMBULATORY PATIENT REGISTRATION AND MANAGEMENT PORTAL
A system for electrocardiography monitoring includes a wearable electrocardiography monitoring device and a clinical portal. The clinical portal associates the wearable electrocardiography monitoring device with an individual user. The clinical portal presents (1) patient-specific information and (2) device-specific information to a clinician.
A61B 5/332 - Dispositifs portables spécialement adaptés à cet effet
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
5.
CARDIAC AMBULATORY PATIENT REGISTRATION AND MANAGEMENT PORTAL
A system for electrocardiography monitoring includes a wearable electrocardiography monitoring device and a clinical portal. The clinical portal associates the wearable electrocardiography monitoring device with an individual user. The clinical portal presents (1) patient-specific information and (2) device-specific information to a clinician.
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
An adhesive system for a wearable medical device is provided. The adhesive system for a includes an electrode patch with one or more electrodes for sensing a signal indicative of a physiological characteristic of a patient. The adhesive system further includes a removable section disposed at least partially around a perimeter of the electrode patch that is configured to be removed from the adhesive system.
An analog to digital converter for use in an electrocardiogram device is provided that includes a voltage supply; an operational amplifier, including: a positive input pin; an inverting input pin; and an output pin; an output node, connected directly to the output pin and the inverting input pin; an ECG electrode, connected to the output node via a first resistor; a reference voltage, connected directly to the output node; and a feedback node, connected to directly to the positive input pin, connected to the voltage supply via a second resistor, and connected to a ground via a third resistor and a first capacitor, wherein the third resistor and the first capacitor are connected in parallel between the feedback node and the ground.
A Direct Current (DC) coupled analog front end for an electrocardiogram (ECG) measuring device is provided that includes an amplifying stage including a first op-amp that is configured to receive a signal input from an ECG patch at a first input port and a feedback signal at a second input port and to produce an amplified output of an ECG signal via a first output port; a feedback stage including a second op-amp that is configured to receive the amplified output and produce the feedback signal at a second output port; and a DC source, coupled between the signal input from the ECG patch and the first input port.
An electrocardiography monitor is provided. A sealed housing includes one end wider than an opposite end of the sealed housing. Electronic circuitry is provided within the sealed housing. The electronic circuitry includes an electrographic front end circuit to sense electrocardiographic signals and a micro-controller interfaced to the electrocardiographic front end circuit to sample the electrocardiographic signals. A buzzer within the housing outputs feedback to a wearer of the sealed housing.
A61B 5/091 - Mesure du volume des gaz inspirés ou expirés, p. ex. pour déterminer la capacité pulmonaire
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
An apparatus is provided. The apparatus includes a flexible backing, a flexible circuit, and a first sensor. The first sensor includes a first electrocardiographic electrode and a second electrocardiographic electrode, the first electrocardiographic electrode and the second electrocardiographic electrode configured to sense electrocardiographic signals. The apparatus further includes a monitor recorder and a second sensor. The second sensor is configured to sense a physiological parameter different from the electrocardiographic signals.
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
A61B 5/349 - Détection de paramètres spécifiques du cycle de l'électrocardiogramme
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
11.
System and Method for Long-Term Patient Monitoring of Continuous ECG and Physiological Data
A61B 5/318 - Modalités électriques se rapportant au cœur, p. ex. électrocardiographie [ECG]
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
G16H 50/30 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le calcul des indices de santéTIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour l’évaluation des risques pour la santé d’une personne
Physiological monitoring can be provided through a lightweight wearable monitor that includes two components, a flexible extended wear electrode patch and a reusable monitor recorder that removably snaps into a receptacle on the electrode patch. The wearable monitor sits centrally on the patient's chest along the sternum oriented top-to-bottom. The placement of the wearable monitor in a location at the sternal midline, with its unique narrow “hourglass”-like shape, significantly improves the ability of the wearable monitor to cutaneously sense cardiac electrical potential signals, particularly the P-wave and the QRS interval signals indicating ventricular activity in the ECG waveforms. In particular, the ECG electrodes on the electrode patch are tailored to be positioned axially along the midline of the sternum for capturing action potential propagation in an orientation that corresponds to the aVF lead used in a conventional 12-lead ECG that is used to sense positive or upright P-waves.
A61B 5/05 - Détection, mesure ou enregistrement pour établir un diagnostic au moyen de courants électriques ou de champs magnétiquesMesure utilisant des micro-ondes ou des ondes radio
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/0205 - Évaluation simultanée de l'état cardio-vasculaire et de l'état d'autres parties du corps, p. ex. de l'état cardiaque et respiratoire
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
A61B 5/28 - Électrodes bioélectriques à cet effet spécialement adaptées à des utilisations particulières pour l’électrocardiographie [ECG]
An electrocardiography monitor is provided. A sealed housing includes one end wider than an opposite end of the sealed housing. Electronic circuitry is provided within the sealed housing. The electronic circuitry includes an electrographic front end circuit to sense electrocardiographic signals and a micro-controller interfaced to the electrocardiographic front end circuit to sample the electrocardiographic signals. A buzzer within the housing outputs feedback to a wearer of the sealed housing.
A61B 5/05 - Détection, mesure ou enregistrement pour établir un diagnostic au moyen de courants électriques ou de champs magnétiquesMesure utilisant des micro-ondes ou des ondes radio
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/0205 - Évaluation simultanée de l'état cardio-vasculaire et de l'état d'autres parties du corps, p. ex. de l'état cardiaque et respiratoire
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
A61B 5/091 - Mesure du volume des gaz inspirés ou expirés, p. ex. pour déterminer la capacité pulmonaire
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
G01N 27/30 - Électrodes, p. ex. électrodes pour testsDemi-cellules
Physiological monitoring can be provided through a lightweight wearable monitor that includes two components, a flexible extended wear electrode patch and a reusable monitor recorder that removably snaps into a receptacle on the electrode patch. The wearable monitor sits centrally on the patient's chest along the sternum oriented top-to-bottom. The placement of the wearable monitor in a location at the sternal midline, with its unique narrow “hourglass”-like shape, significantly improves the ability of the wearable monitor to cutaneously sense cardiac electrical potential signals, particularly the P-wave and the QRS interval signals indicating ventricular activity in the ECG waveforms. In particular, the ECG electrodes on the electrode patch are tailored to be positioned axially along the midline of the sternum for capturing action potential propagation in an orientation that corresponds to the aVF lead used in a conventional 12-lead ECG that is used to sense positive or upright P-waves.
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/0205 - Évaluation simultanée de l'état cardio-vasculaire et de l'état d'autres parties du corps, p. ex. de l'état cardiaque et respiratoire
A61B 5/05 - Détection, mesure ou enregistrement pour établir un diagnostic au moyen de courants électriques ou de champs magnétiquesMesure utilisant des micro-ondes ou des ondes radio
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
A wearable electrocardiogramad. The wearable electrocardiograma includes a flexible backing, an adhesive layer, a monitor recorder, a non-conductive receptacle, a feedback button, and a flexible circuit. The non-conductive receptacle is disposed between the skin of a patient and the monitor recorder, and the non-conductive receptacle includes a battery compartment for the battery.
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
A61B 5/349 - Détection de paramètres spécifiques du cycle de l'électrocardiogramme
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/03 - Mesure de la pression des fluides à l'intérieur du corps autre que la pression du sang, p. ex. de la pression cérébrale
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A61B 5/349 - Détection de paramètres spécifiques du cycle de l'électrocardiogramme
An analog to digital converter for use in an electrocardiogram device is provided that includes a voltage supply; an operational amplifier, including: a positive input pin; an inverting input pin; and an output pin; an output node, connected directly to the output pin and the inverting input pin; an ECG electrode, connected to the output node via a first resistor; a reference voltage, connected directly to the output node; and a feedback node, connected to directly to the positive input pin, connected to the voltage supply via a second resistor, and connected to a ground via a third resistor and a first capacitor, wherein the third resistor and the first capacitor are connected in parallel between the feedback node and the ground.
A wearable electrocardiography device is provided. The wearable electrocardiography device includes a flexible backing, an adhesive layer, a housing, and a flexible circuit. The housing comprises a feedback button and circuitry. The circuitry includes a memory, a temperature sensor, and a wireless transceiver. The flexible circuit trace includes an inline resistor, a proximal circuit trace, and a distal circuit trace.
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
A61B 5/349 - Détection de paramètres spécifiques du cycle de l'électrocardiogramme
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
An apparatus is provided. The apparatus includes a flexible backing, a flexible circuit, and a first sensor. The first sensor includes a first electrocardiographic electrode and a second electrocardiographic electrode, the first electrocardiographic electrode and the second electrocardiographic electrode are configured to sense electrocardiographic signals. The apparatus further includes a monitor recorder and a second sensor. The second sensor is configured to sense a physiological parameter different from the electrocardiographic signals.
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
A61B 5/349 - Détection de paramètres spécifiques du cycle de l'électrocardiogramme
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
An apparatus is provided. A strip has first and second end sections, and a first face and second face. Two electrocardiographic electrodes are provided on the strip with one of the electrocardiographic electrodes provided on the first face of the first end section of the strip and another of the electrocardiographic electrodes positioned on the first face on the second end section of the strip. A flexible circuit is mounted to the second face of the strip and includes a circuit trace electrically coupled to each of the electrocardiographic electrodes. The apparatus includes a wireless transceiver and a battery.
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/03 - Mesure de la pression des fluides à l'intérieur du corps autre que la pression du sang, p. ex. de la pression cérébrale
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A61B 5/349 - Détection de paramètres spécifiques du cycle de l'électrocardiogramme
An apparatus is provided. A strip has first and second end sections, and a first face and second face. Two electrocardiographic electrodes are provided on the strip with one of the electrocardiographic electrodes provided on the first face of the first end section of the strip and another of the electrocardiographic electrodes positioned on the first face on the second end section of the strip. A flexible circuit is mounted to the second face of the strip and includes a circuit trace electrically coupled to each of the electrocardiographic electrodes. The apparatus includes a wireless transceiver and a battery.
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/03 - Mesure de la pression des fluides à l'intérieur du corps autre que la pression du sang, p. ex. de la pression cérébrale
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A61B 5/349 - Détection de paramètres spécifiques du cycle de l'électrocardiogramme
42 - Services scientifiques, technologiques et industriels, recherche et conception
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Providing online non-downloadable software for the
collection, storage, analysis and management of
electrocardiograph and patient data. Medical services; medical services namely analysis and
reporting of ECG, actigraphy, and other physiological
measurements obtained from patient monitoring.
Medical apparatus, namely, heart and physiology monitors; Monitoring patches sold without medication for medical purposes for ECG, actigraphy, and other physiological measure monitoring.
09 - Appareils et instruments scientifiques et électriques
42 - Services scientifiques, technologiques et industriels, recherche et conception
Produits et services
Pre-installed and downloadable computer software for receiving, analyzing, and transmitting data from personal electrocardiography, actigraphy and physiological monitoring devices. Providing temporary use of online non-downloadable software for electrocardiography, physiology, and actigraphy data collection, storage, analysis, reporting and display; providing temporary use of online non-downloadable software for the collection, storage, analysis and management of electrocardiograph and patient data.
(1) Medical apparatus, namely, heart and physiology monitors, namely, patient medical monitors for monitoring vital signs; adhesive medical patches for monitoring and measuring cardiac data and vital signs for electrocardiogram ECG, actigraphy, and patient medical monitors.
09 - Appareils et instruments scientifiques et électriques
42 - Services scientifiques, technologiques et industriels, recherche et conception
Produits et services
(1) Pre-installed and downloadable computer software for receiving, analyzing, and transmitting medical diagnostic data from personal electrocardiography, actigraphy and physiological cardiac monitoring devices. (1) Providing temporary use of online non-downloadable software for the transmission of medical diagnostic data from electrocardiography, physiology, and actigraphy cardiac monitoring devices; providing temporary use of online non-downloadable software for the collection, storage, analysis and management of electrocardiograph and patient data.
42 - Services scientifiques, technologiques et industriels, recherche et conception
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
(1) Providing online non-downloadable software for the collection, storage, analysis and management of electrocardiograph and patient data.
(2) Medical services namely analysis and reporting of ECG, actigraphy, and other physiological measurements obtained from patient monitoring.
An apparatus is provided. A strip has first and second end sections, and a first surface and second surface. Two electrocardiographic electrodes are provided on the strip with one of the electrocardiographic electrodes provided on the first surface of the first end section of the strip and another of the electrocardiographic electrodes positioned on the first surface on the second end section of the strip. A flexible circuit is mounted to the second surface of the strip and includes a circuit trace electrically coupled to each of the electrocardiographic electrodes. A wireless transceiver is affixed on one of the first or second end sections, and a battery is positioned on one of the first or second end sections. A processor is positioned on one of the first or second end sections and is housed separate from the battery.
A61B 5/335 - Appareils d’enregistrement spécialement adaptés à cet effet utilisant des dispositifs de mémoire à circuit intégré
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/03 - Mesure de la pression des fluides à l'intérieur du corps autre que la pression du sang, p. ex. de la pression cérébrale
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A61B 5/349 - Détection de paramètres spécifiques du cycle de l'électrocardiogramme
The efficient utilization is provided within a cloud-computing environment where a master plane executing on a master node controls spinning up and down worker nodes, with worker nodes whose output is necessary for functioning of other worker nodes being spun up before the worker nodes needing that output. By dedicating the available computational resources to the earlier-spun worker nodes, these worker nodes are able to process a greater amount of monitoring data. Once the output of these worker nodes is ready, the available resources are reallocated to the worker nodes that use the output of the earlier-spun worker nodes. Additional control over the cardiac monitoring can be provided by communicating with a monitor to increase the rate at which the monitor transmits the collected data as well as pausing generation of alerts based on the monitoring data if such alerts are likely to be inaccurate.
An implantable physiological monitor is provided. The implantable physiological monitor includes a transceiver configured to wirelessly interface with an external device and a housing having a plurality of electrodes. The plurality of electrodes is configured to record an electrocardiography signal and an electrode configuration of the plurality of electrodes can be configured after implanting the implantable physiological monitor.
The efficient utilization is provided within a cloud-computing environment where a master plane executing on a master node controls spinning up and down worker nodes, with worker nodes whose output is necessary for functioning of other worker nodes being spun up before the worker nodes needing that output. By dedicating the available computational resources to the earlier-spun worker nodes, these worker nodes are able to process a greater amount of monitoring data. Once the output of these worker nodes is ready, the available resources are reallocated to the worker nodes that use the output of the earlier-spun worker nodes. Additional control over the cardiac monitoring can be provided by communicating with a monitor to increase the rate at which the monitor transmits the collected data as well as pausing generation of alerts based on the monitoring data if such alerts are likely to be inaccurate.
The efficient utilization is provided within a cloud-computing environment where a master plane executing on a master node controls spinning up and down worker nodes, with worker nodes whose output is necessary for functioning of other worker nodes being spun up before the worker nodes needing that output. By dedicating the available computational resources to the earlier-spun worker nodes, these worker nodes are able to process a greater amount of monitoring data. Once the output of these worker nodes is ready, the available resources are reallocated to the worker nodes that use the output of the earlier-spun worker nodes. Additional control over the cardiac monitoring can be provided by communicating with a monitor to increase the rate at which the monitor transmits the collected data as well as pausing generation of alerts based on the monitoring data if such alerts are likely to be inaccurate.
The efficient utilization is provided within a cloud-computing environment where a master plane executing on a master node controls spinning up and down worker nodes, with worker nodes whose output is necessary for functioning of other worker nodes being spun up before the worker nodes needing that output. By dedicating the available computational resources to the earlier-spun worker nodes, these worker nodes are able to process a greater amount of monitoring data. Once the output of these worker nodes is ready, the available resources are reallocated to the worker nodes that use the output of the earlier-spun worker nodes. Additional control over the cardiac monitoring can be provided by communicating with a monitor to increase the rate at which the monitor transmits the collected data as well as pausing generation of alerts based on the monitoring data if such alerts are likely to be inaccurate.
42 - Services scientifiques, technologiques et industriels, recherche et conception
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Providing online non-downloadable software for the collection, storage, analysis and management of electrocardiograph and patient data Medical Services; Medical Services namely analysis and reporting of ECG, actigraphy, and other physiological measurements obtained from patient monitoring
Medical apparatus, namely, heart and physiology monitors; Monitoring patches sold without medication for medical purposes for ECG, actigraphy, and other physiological measure monitoring
09 - Appareils et instruments scientifiques et électriques
42 - Services scientifiques, technologiques et industriels, recherche et conception
Produits et services
Pre-installed and downloadable computer software for receiving, analyzing, and transmitting data from personal electrocardiography, actigraphy and physiological monitoring devices Providing temporary use of online non-downloadable software for electrocardiography, physiology, and actigraphy data collection, storage, analysis, reporting and display; providing temporary use of online non-downloadable software for the collection, storage, analysis and management of electrocardiograph and patient data
Medical apparatus, namely, heart and physiology monitors; Monitoring patches sold without medication for medical purposes for ECG, actigraphy, and other physiological measure monitoring
42 - Services scientifiques, technologiques et industriels, recherche et conception
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Medical apparatus, namely, heart and physiology monitors; Monitoring patches sold without medication for medical purposes for ECG, actigraphy, and other physiological measure monitoring Providing online non-downloadable software for the collection, storage, analysis and management of electrocardiograph and patient data Medical Services; Medical Services namely analysis and reporting of ECG, actigraphy, and other physiological measurements obtained from patient monitoring
39.
SYSTEM AND METHOD FOR LONG-TERM PATIENT MONITORING OF CONTINUOUS ECG AND PHYSIOLOGICAL DATA
A method for continuous data transfer is provided. Data blocks are generated from a continuous data stream captured via a physiological monitoring device by segmenting data from the continuous data stream into the data blocks. A time at which the data associated with each data block occurs is determined and a sample number is associated with each data block. The data blocks are transmitted from the physiological monitoring device to a server. The data blocks are ordered on the server based on the time and the sample number associated with each data block.
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
40.
SYSTEM AND METHOD FOR PHYSIOLOGICAL DATA CLASSIFICATION FOR USE IN FACILITATING DIAGNOSIS
A system and method for physiological data classification for use in facilitating diagnosis is provided. A physiological monitor includes a feedback button and physiological data obtained via the physiological monitor is stored in a database. The physiological data is divided into segments and one or more data segments are classified as noise. A determination is made that at least one of the data segments classified as noise includes a marker indicating a press of the feedback button on the physiological monitor. A set of the physiological data including and surrounding the physiological data occurring during the press of the feedback button is identified within the data segment classified as noise. The identified set of physiological data is provided with the data segments classified as valid for analysis.
Imbalances of potassium levels is a leading cause of death in patients undergoing dialysis. Here, a method for maintaining serum potassium homeostasis through subcutaneous monitoring is provided. Electrocardiographic (ECG) manifestations and, in a further embodiment, arrhythmia characteristics indicative of an onset and existence of loss of serum potassium homeostasis in a patient on dialysis are maintained. ECG signals of the patient's heart are subcutaneously monitored continuously on a beat-by-beat basis. The ECG signals are processed in real time as a set of ECG traces with each ECG trace being representative of the net electrical activity of the heart at a given moment in time. Each ECG trace is evaluated against the set of ECG manifestations and, in a further embodiment, over time against the arrhythmia characteristics. An alert of medical condition is generated upon a recognition of at least one of the ECG manifestations in the ECG traces.
An insertable physiological monitor injector tool is provided. An elongated handle includes a recess formed along a longitudinal axis and has an opening on a distal end. An insertion tube has a hollow elongated shape that is movably positioned within the elongated handle, in the recess. A retention hinge is cut from a surface of the insertion tube and formed as a curve in an interior of the tube. A stationary arbor is affixed on a proximal end to a proximal end of the elongated handle and extends through the insertion tube when the insertion tube is in a retracted position. A tab is affixed to the insertion tube, wherein the tab can lock the insertion tube in an extended position.
An insertable physiological monitor injector tool is provided. An elongated handle includes a recess formed along a longitudinal axis and has an opening on a distal end. An insertion tube has a hollow elongated shape that is movably positioned within the elongated handle, in the recess. A retention hinge is cut from a surface of the insertion tube and formed as a curve in an interior of the tube. A stationary arbor is affixed on a proximal end to a proximal end of the elongated handle and extends through the insertion tube when the insertion tube is in a retracted position. A tab is affixed to the insertion tube, wherein the tab can lock the insertion tube in an extended position.
A61M 5/00 - Dispositifs pour faire pénétrer des agents dans le corps par introduction sous-cutanée, intravasculaire ou intramusculaireAccessoires à cet effet, p. ex. dispositifs de remplissage ou de nettoyage, appuis-bras
44.
Configurable hardware platform for physiological monitoring of a living body
An implantable medical device is disclosed. A housing includes a hollow body forming a first electrode on an outer surface with end caps affixed to opposite ends, one end cap forming a second electrode. A microcontroller circuit is provided and includes a microcontroller operable under program instructions stored within a non-volatile memory device. An analog front end is interfaced to the electrodes to sense electrocardiographic signals. A transceiver circuit is operable to wirelessly communicate with an external data device. The program instructions define instructions to continuously sample the electrocardiographic signals into the non-volatile memory device and to offload the non-volatile memory device to the external data device. A receiving coil and a charging circuit are operable to charge an onboard power source for the microcontroller circuit.
A61B 5/287 - Supports pour électrodes multiples, p. ex. cathéters à électrode pour des études électrophysiologiques [EEP]
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
G16H 50/20 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le diagnostic assisté par ordinateur, p. ex. basé sur des systèmes experts médicaux
G16H 80/00 - TIC spécialement adaptées pour faciliter la communication entre les professionnels de la santé ou les patients, p. ex. pour le diagnostic collaboratif, la thérapie collaborative ou la surveillance collaborative de l’état de santé
H04L 12/28 - Réseaux de données à commutation caractérisés par la configuration des liaisons, p. ex. réseaux locaux [LAN Local Area Networks] ou réseaux étendus [WAN Wide Area Networks]
H04Q 9/02 - Dispositions à fonctionnement automatique
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
An apparatus is provided. A strip has first and second end sections, and a first surface and second surface. Two electrocardiographic electrodes are provided on the strip with one of the electrocardiographic electrodes provided on the first surface of the first end section of the strip and another of the electrocardiographic electrodes positioned on the first surface on the second end section of the strip. A flexible circuit is mounted to the second surface of the strip and includes a circuit trace electrically coupled to each of the electrocardiographic electrodes. A wireless transceiver is affixed on one of the first or second end sections, and a battery is positioned on one of the first or second end sections. A processor is positioned on one of the first or second end sections and is housed separate from the battery.
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/03 - Mesure de la pression des fluides à l'intérieur du corps autre que la pression du sang, p. ex. de la pression cérébrale
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A61B 5/349 - Détection de paramètres spécifiques du cycle de l'électrocardiogramme
An electrocardiography monitor is provided. A sealed housing includes one end wider than an opposite end of the sealed housing. Electronic circuitry is provided within the sealed housing. The electronic circuitry includes an electrographic front end circuit to sense electrocardiographic signals and a micro-controller interfaced to the electrocardiographic front end circuit to sample the electrocardiographic signals. A buzzer within the housing outputs feedback to a wearer of the sealed housing.
A61B 5/05 - Détection, mesure ou enregistrement pour établir un diagnostic au moyen de courants électriques ou de champs magnétiquesMesure utilisant des micro-ondes ou des ondes radio
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/0205 - Évaluation simultanée de l'état cardio-vasculaire et de l'état d'autres parties du corps, p. ex. de l'état cardiaque et respiratoire
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
A61B 5/091 - Mesure du volume des gaz inspirés ou expirés, p. ex. pour déterminer la capacité pulmonaire
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
G01N 27/30 - Électrodes, p. ex. électrodes pour testsDemi-cellules
An electrocardiography patch is provided. A backing has an elongated strip with a midsection connecting two rounded ends. The midsection tapers in from each of the rounded ends and is narrower than each of the two rounded ends. Each electrode, of a pair of electrodes, is positioned on one of the rounded ends of the backing, on a contact surface, to capture electrocardiographic signals. A flex circuit is coupled to each of the electrodes. A non-conductive receptacle is affixed on an outer surface of the backing, opposite the contact surface. Electrical contacts are provided on a surface of the non-conductive receptacle opposite the backing. A battery is provided on the outer surface of the backing and a processor is powered by the battery to write the electrocardiographic signals into memory.
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/0205 - Évaluation simultanée de l'état cardio-vasculaire et de l'état d'autres parties du corps, p. ex. de l'état cardiaque et respiratoire
A61B 5/05 - Détection, mesure ou enregistrement pour établir un diagnostic au moyen de courants électriques ou de champs magnétiquesMesure utilisant des micro-ondes ou des ondes radio
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
A61B 5/091 - Mesure du volume des gaz inspirés ou expirés, p. ex. pour déterminer la capacité pulmonaire
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
G01N 27/30 - Électrodes, p. ex. électrodes pour testsDemi-cellules
Physiological monitoring can be provided through a lightweight wearable monitor that includes two components, a flexible extended wear electrode patch and a reusable monitor recorder that removably snaps into a receptacle on the electrode patch. The wearable monitor sits centrally on the patient's chest along the sternum oriented top-to-bottom. The placement of the wearable monitor in a location at the sternal midline, with its unique narrow “hourglass”-like shape, significantly improves the ability of the wearable monitor to cutaneously sense cardiac electrical potential signals, particularly the P-wave and the QRS interval signals indicating ventricular activity in the ECG waveforms. In particular, the ECG electrodes on the electrode patch are tailored to be positioned axially along the midline of the sternum for capturing action potential propagation in an orientation that corresponds to the aVF lead used in a conventional 12-lead ECG that is used to sense positive or upright P-waves.
A61B 5/05 - Détection, mesure ou enregistrement pour établir un diagnostic au moyen de courants électriques ou de champs magnétiquesMesure utilisant des micro-ondes ou des ondes radio
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/0205 - Évaluation simultanée de l'état cardio-vasculaire et de l'état d'autres parties du corps, p. ex. de l'état cardiaque et respiratoire
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
Long-term electrocardiographic and physiological monitoring over a period lasting up to several years in duration can be provided through a continuously-recording subcutaneous insertable cardiac monitor (ICM). The sensing circuitry and the physical layout of the electrodes are specifically optimized to capture electrical signals from the propagation of low amplitude, relatively low frequency content cardiac action potentials, particularly the P-waves that are generated during atrial activation. In general, the ICM is intended to be implanted centrally and positioned axially and slightly to either the left or right of the sternal midline in the parasternal region of the chest. Additionally, the ICM includes an ECG sensing circuit that measures raw cutaneous electrical signals and performs signal processing prior to outputting the processed signals for sampling and storage.
An insertable cardiac monitor (ICM) with induction-based recharging capabilities and a transmitting coil for recharging the same are disclosed. The length of the monitoring performed by the ICM is extended and the functionality of the ICM enhanced, by including an internal energy harvesting module that allows for charging the ICM at a high speed without burning the patient or overheating components of the ICM. Internally, the energy harvesting module includes at least two overlapping receiving coils that are spaced to be orthogonal to each other and that have a tilt angle of substantially 45°. Such overlapping wire combination allows to minimize mutual inductance of the solenoid coils and increase the rate at which energy can be provided to the energy harvesting module. Further, the rate at which the energy is transmitted from the outside can be increased by defining in a transmitting coil a substantially triangular gap.
Physiological monitoring can be provided through a lightweight wearable monitor that includes two components, a flexible extended wear electrode patch and a reusable monitor recorder that removably snaps into a receptacle on the electrode patch. The wearable monitor sits centrally on the patient's chest along the sternum oriented top-to-bottom. The placement of the wearable monitor in a location at the sternal midline, with its unique narrow “hourglass”-like shape, significantly improves the ability of the wearable monitor to cutaneously sense cardiac electrical potential signals, particularly the P-wave and the QRS interval signals indicating ventricular activity in the ECG waveforms. In particular, the ECG electrodes on the electrode patch are tailored to be positioned axially along the midline of the sternum for capturing action potential propagation in an orientation that corresponds to the aVF lead used in a conventional 12-lead ECG that is used to sense positive or upright P-waves.
A61B 5/05 - Détection, mesure ou enregistrement pour établir un diagnostic au moyen de courants électriques ou de champs magnétiquesMesure utilisant des micro-ondes ou des ondes radio
A61B 5/349 - Détection de paramètres spécifiques du cycle de l'électrocardiogramme
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/0205 - Évaluation simultanée de l'état cardio-vasculaire et de l'état d'autres parties du corps, p. ex. de l'état cardiaque et respiratoire
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
A subcutaneous and cutaneous electrocardiography monitor configured for self-optimizing ECG data compression is provided. The monitors include a housing, an electrocardiographic front end circuit, a memory, and a micro-controller configured to: obtain a series of electrode voltage values based on the sensed electrocardiographic signals; use a plurality of selection schemes to choose one or more of a plurality of compression algorithms associated with each of the selection scheme for testing; test the selected compression algorithms including applying the compression algorithms chosen using each of the selection schemes to a segment of the electrode voltage series; analyze results of the testing; select one or more compression algorithms chosen using one of the selection schemes for compressing at least a portion of the electrode voltage series based on the analysis; obtain a compression of at least the portion of the electrode voltage series; and store the compression within the memory.
A system and method for atrial fibrillation detection in non-noise ECG data with the aid of a digital computer are provided. Electrocardiography (ECG) features and annotated patterns of the features are maintained in a database, at least some of the patterns associated with atrial fibrillation. A classifier is trained based on the annotated patterns, the classifier implemented by a convolutional neural network. A representation of an ECG signal recorded by one or more ambulatory monitors is received. Noise is detected in the representations and ECG features in the representation falling within each of the non-noise temporal windows are detected. The trained classifier is used to identify patterns of the ECG features. A value indicative of whether portions of the representation are associated the patient experiencing atrial fibrillation is calculated. That one or more of the portions are associated with the patient experiencing atrial fibrillation is determined.
An apparatus is provided. A strip has first and second end sections, and a first surface and second surface. Two electrocardiographic electrodes are provided on the strip with one of the electrocardiographic electrodes provided on the first surface of the first end section of the strip and another of the electrocardiographic electrodes positioned on the first surface on the second end section of the strip. A flexible circuit is mounted to the second surface of the strip and includes a circuit trace electrically coupled to each of the electrocardiographic electrodes. A wireless transceiver is affixed on one of the first or second end sections, and a battery is positioned on one of the first or second end sections. A processor is positioned on one of the first or second end sections and is housed separate from the battery.
A61B 5/335 - Appareils d’enregistrement spécialement adaptés à cet effet utilisant des dispositifs de mémoire à circuit intégré
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
A61B 5/0205 - Évaluation simultanée de l'état cardio-vasculaire et de l'état d'autres parties du corps, p. ex. de l'état cardiaque et respiratoire
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/03 - Mesure de la pression des fluides à l'intérieur du corps autre que la pression du sang, p. ex. de la pression cérébrale
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
Long-term electrocardiographic and physiological monitoring over a period lasting up to several years in duration can be provided through a continuously-recording subcutaneous insertable cardiac monitor (ICM). The sensing circuitry and the physical layout of the electrodes are specifically optimized to capture electrical signals from the propagation of low amplitude, relatively low frequency content cardiac action potentials, particularly the P-waves that are generated during atrial activation. In general, the ICM is intended to be implanted centrally and positioned axially and slightly to either the left or right of the sternal midline in the parasternal region of the chest. Additionally, the ICM includes an ECG sensing circuit that measures raw cutaneous electrical signals and performs signal processing prior to outputting the processed signals for sampling and storage.
Physiological monitoring can be provided through a lightweight wearable monitor that includes two components, a flexible extended wear electrode patch and a reusable monitor recorder that removably snaps into a receptacle on the electrode patch. The wearable monitor sits centrally (in the midline) on the patient's chest along the sternum oriented top-to-bottom. The placement of the wearable monitor in a location at the sternal midline, with its unique narrow “hourglass”-like shape, significantly improves the ability of the wearable monitor to cutaneously sense cardiac electrical potential signals, particularly the P-wave and, to a lesser extent, the QRS interval signals indicating ventricular activity in the ECG waveforms. Additionally, the monitor recorder includes an ECG sensing circuit that measures raw cutaneous electrical signals and performs signal processing prior to outputting the processed signals for sampling and storage.
A self-authenticating electrocardiography and physiological sensor monitor is provided. A strip includes two rounded ends with a mid-section between the rounded ends. An electrocardiographic electrode is provided on each of the rounded ends. A flexible circuit is mounted to a surface of the strip and includes a circuit trace electrically coupled to each of the electrocardiographic electrodes. A flash memory is positioned on one of the rounded ends to store ECG data collected via the electrocardiographic electrodes and a battery is positioned on one of the rounded ends. A processor is positioned on one of the rounded ends and configured to execute an authentication protocol that checks voltage of the battery and a state of the flash memory, and determines an expiration of the strip.
A system and method for display of subcutaneous cardiac monitoring data are provided. Cutaneous action potentials of a patient and other sensed data associated with the patient are recorded as electrocardiogram (EGC) data over a set time period using a subcutaneous insertable cardiac monitor. A set of R-wave peaks is identified within the ECG data and an R-R interval plot is constructed. A difference between recording times of successive pairs of the R-wave peaks in the set is determined. A heart rate associated with each difference is also determined. The pairs of the R-wave peaks and associated heart rate are plotted as the R-R interval plot. A diagnosis of cardiac disorder is facilitated based on patterns of the plotted pairs of the R-wave peaks, the associated heart rates in the R-R interval plot, and background data based on the other sensed data.
A monitoring apparatus is provided. A strip includes a first end section, a second end section opposite the first end section, and a midsection between the first end section and the second end section, and further includes a first surface and a second surface. An adhesive covers a portion of the first surface of the strip. Only two electrocardiographic electrodes are included. A flexible circuit is mounted to the second surface of the strip. An accelerometer, a respiratory sensor, and a wireless transceiver are provided on the second surface of the strip. A processor is positioned over a portion of the flexible circuit and coupled to the electrodes and the wireless transceiver.
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
A61B 5/335 - Appareils d’enregistrement spécialement adaptés à cet effet utilisant des dispositifs de mémoire à circuit intégré
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A method for data exchange and charging is provided. An implantable medical device is monitored and charging of the implantable medical device is initiated by providing charge parameters to a bedside monitor. Communication is initiated between a puck associated with the bedside monitor and implantable medical device. The implantable medical device is charged using the charge parameters. Simultaneously with the charging, transfer of data between the implantable medical device and the bedside monitor is initiated.
A61N 1/372 - Aménagements en relation avec l'implantation des stimulateurs
H04W 4/80 - Services utilisant la communication de courte portée, p. ex. la communication en champ proche, l'identification par radiofréquence ou la communication à faible consommation d’énergie
H02J 7/00 - Circuits pour la charge ou la dépolarisation des batteries ou pour alimenter des charges par des batteries
H02J 7/02 - Circuits pour la charge ou la dépolarisation des batteries ou pour alimenter des charges par des batteries pour la charge des batteries par réseaux à courant alternatif au moyen de convertisseurs
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
61.
System and method for long-term patient monitoring of continuous ECG and physiological data
A method for continuous data transfer is provided. Data blocks are generated from a continuous data stream captured via a physiological monitoring device by segmenting data from the continuous data stream into the data blocks. A time at which the data associated with each data block occurs is determined and a sample number is associated with each data block. The data blocks are transmitted from the physiological monitoring device to a server. The data blocks are ordered on the server based on the time and the sample number associated with each data block.
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
62.
System for induction-based subcutaneous insertable physiological monitor recharging
An insertable cardiac monitor (ICM) with induction-based recharging capabilities and a transmitting coil for recharging the same are disclosed. The length of the monitoring performed by the ICM is extended and the functionality of the ICM enhanced, by including an internal energy harvesting module that allows for charging the ICM at a high speed without burning the patient or overheating components of the ICM. Internally, the energy harvesting module includes at least two overlapping receiving coils that are spaced to be orthogonal to each other and that have a tilt angle of substantially 45°. Such overlapping wire combination allows to minimize mutual inductance of the solenoid coils and increase the rate at which energy can be provided to the energy harvesting module. Further, the rate at which the energy is transmitted from the outside can be increased by defining in a transmitting coil a substantially triangular gap.
A method for data exchange and charging is provided. An implantable medical device is monitored and charging of the implantable medical device is initiated by providing charge parameters to a bedside monitor. Communication is initiated between a puck associated with the bedside monitor and implantable medical device. The implantable medical device is charged using the charge parameters. Simultaneously with the charging, transfer of data between the implantable medical device and the bedside monitor is initiated.
A61B 5/33 - Modalités électriques se rapportant au cœur, p. ex. électrocardiographie [ECG] spécialement adaptées à l’utilisation conjointe avec d’autres dispositifs
A61N 1/372 - Aménagements en relation avec l'implantation des stimulateurs
H01M 10/48 - Accumulateurs combinés à des dispositions pour mesurer, tester ou indiquer l'état des éléments, p. ex. le niveau ou la densité de l'électrolyte
64.
SYSTEM FOR INDUCTION-BASED SUBCUTANEOUS INSERTABLE PHYSIOLOGICAL MONITOR RECHARGING
An insertable cardiac monitor (ICM) with induction-based recharging capabilities and a transmitting coil for recharging the same are disclosed. The length of the monitoring performed by the ICM is extended and the functionality of the ICM enhanced, by including an internal energy harvesting module that allows for charging the ICM at a high speed without burning the patient or overheating components of the ICM. Internally, the energy harvesting module includes at least two overlapping receiving coils that are spaced to be orthogonal to each other and that have a tilt angle of substantially 45°. Such overlapping wire combination allows to minimize mutual inductance of the solenoid coils and increase the rate at which energy can be provided to the energy harvesting module. Further, the rate at which the energy is transmitted from the outside can be increased by defining in a transmitting coil a substantially triangular gap.
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/29 - Électrodes bioélectriques à cet effet spécialement adaptées à des utilisations particulières pour l’électrocardiographie [ECG] invasives pour implantation permanente ou à long terme
A61B 5/335 - Appareils d’enregistrement spécialement adaptés à cet effet utilisant des dispositifs de mémoire à circuit intégré
A61M 60/871 - Dispositifs d’alimentation en énergieConvertisseurs à cet effet
H02J 7/02 - Circuits pour la charge ou la dépolarisation des batteries ou pour alimenter des charges par des batteries pour la charge des batteries par réseaux à courant alternatif au moyen de convertisseurs
H02J 50/10 - Circuits ou systèmes pour l'alimentation ou la distribution sans fil d'énergie électrique utilisant un couplage inductif
65.
SYSTEM AND METHOD FOR LONG-TERM PATIENT MONITORING OF CONTINUOUS ECG AND PHYSIOLOGICAL DATA
A method for continuous data transfer is provided. Data blocks are generated from a continuous data stream captured via a physiological monitoring device by segmenting data from the continuous data stream into the data blocks. A time at which the data associated with each data block occurs is determined and a sample number is associated with each data block. The data blocks are transmitted from the physiological monitoring device to a server. The data blocks are ordered on the server based on the time and the sample number associated with each data block.
A61B 5/318 - Modalités électriques se rapportant au cœur, p. ex. électrocardiographie [ECG]
G16H 15/00 - TIC spécialement adaptées aux rapports médicaux, p. ex. leur création ou leur transmission
G16H 50/30 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le calcul des indices de santéTIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour l’évaluation des risques pour la santé d’une personne
An electrocardiography monitor is provided. A sealed housing includes one end wider than an opposite end of the sealed housing. Electronic circuitry is provided within the sealed housing. The electronic circuitry includes an electrographic front end circuit to sense electrocardiographic signals and a micro-controller interfaced to the electrocardiographic front end circuit to sample the electrocardiographic signals. A buzzer within the housing outputs feedback to a wearer of the sealed housing.
A61B 5/05 - Détection, mesure ou enregistrement pour établir un diagnostic au moyen de courants électriques ou de champs magnétiquesMesure utilisant des micro-ondes ou des ondes radio
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/091 - Mesure du volume des gaz inspirés ou expirés, p. ex. pour déterminer la capacité pulmonaire
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
A noise-separating cardiac monitor is provided. An implantable housing includes an external surface. A wireless antenna is shaped to wrap around an interior periphery of the implantable housing. Electrodes are provided on a ventral surface of the implantable housing to capture P-wave signals and R-wave signals. Electronic circuitry is provided within the wearable housing and includes a low power microcontroller. A front end circuit includes a signal lead operable to sense cardiac electrical potentials through one of the electrodes, a reference lead operable to sense the cardiac electrical potentials through another electrode, and a reference generator configured to inject a driven reference to the reference lead. The signal lead includes a coupling capacitor and a protection resistor associated with thermal noise. The thermal noise is not contained in the driven reference and not introduced to the reference lead. A non-volatile memory is electrically interfaced with the microcontroller.
A system for facilitating a cardiac rhythm disorder diagnosis is provided. A download station is adapted to retrieve cutaneous action potentials of a patient recorded as ECG data. A plot of R-R interval data is generated based on the ECG data and displayed. A presentation of the R-R interval data in the display is changed by identifying a section of the R-R interval data and removing portions of the R-R interval data associated with an earlier recordation time than the R-R interval data in the section and a later recordation time than the R-R interval data in the section. The R-R interval data remaining in the display is provided in greater detail. Report strips are generated from the remaining R-R interval data and classified with a cardiac condition of the patient.
A subcutaneous insertable cardiac monitor (ICM) for use in performing long term electrocardiographic (ECG) monitoring is disclosed. The length of the monitoring performed by the ICM is extended, potentially for a life time of the patient, and the functionality of the ICM is enhanced, including enhancing the rate at which data can be offloaded from the ICM, by including an internal energy harvesting module in the ICM. The energy harvesting module harvests energy from outside the ICM, and provides the harvested energy for powering the circuitry of the ICM, either directly or by recharging a power cell within the ICM. As the circuitry of the ICM requires a low amount of electrical power, the harvested energy can be sufficient to support the functioning of the ICM even when the electrical power stored on the ICM at the time of implantation runs out.
An electrocardiography patch is provided. A backing includes two rounded ends connected by a middle section that is narrower than the two rounded ends. An electrode is positioned on a contact surface of the backing on each rounded end. A circuit trace is electrically coupled to each of the electrodes. A battery is positioned on an outer surface of the backing, opposite the contact surface, on one of the rounded ends.
A61B 5/24 - Détection, mesure ou enregistrement de signaux bioélectriques ou biomagnétiques du corps ou de parties de celui-ci
A61B 5/05 - Détection, mesure ou enregistrement pour établir un diagnostic au moyen de courants électriques ou de champs magnétiquesMesure utilisant des micro-ondes ou des ondes radio
A61B 5/091 - Mesure du volume des gaz inspirés ou expirés, p. ex. pour déterminer la capacité pulmonaire
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
71.
System and method for remote ECG data streaming in real-time
A system and method for remote ECG data streaming in real-time is provided. A continuous connection is established between a cloud-based server and a physiological monitor. The physiological monitor includes at least two electrodes and is affixed to a chest of a patient or implanted within the patient. ECG data is collected via one or more of the electrodes and encrypted via a wireless interface on the physiological monitor using a secret key stored on the physiological monitor. The encrypted ECG data is transmitted from the cloud-based server and received on a computing device in real-time.
An electrocardiography patch is provided. The patch includes a backing and at least two electrocardiographic electrodes each positioned on the backing, across from another of the electrocardiographic electrodes, to capture electrocardiographic signals. A flexible circuit includes a pair of circuit traces electrically coupled to the electrocardiographic electrodes. A wireless transceiver communicates at least a portion of the electrocardiographic signals.
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/335 - Appareils d’enregistrement spécialement adaptés à cet effet utilisant des dispositifs de mémoire à circuit intégré
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
A61B 5/0205 - Évaluation simultanée de l'état cardio-vasculaire et de l'état d'autres parties du corps, p. ex. de l'état cardiaque et respiratoire
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/03 - Mesure de la pression des fluides à l'intérieur du corps autre que la pression du sang, p. ex. de la pression cérébrale
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
An electrocardiography and respiratory monitoring patch is provided. The monitoring patch includes a backing. Electrocardiographic electrodes are affixed to and conductively exposed on a contact surface of the backing to sense electrocardiographic data. A circuit includes circuit traces and each circuit trace is coupled to one of the electrocardiographic electrodes. At least one respiratory sensor is positioned adjacent to the backing to sense respiratory data including SpO2 or respiratory rate.
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
A61B 5/335 - Appareils d’enregistrement spécialement adaptés à cet effet utilisant des dispositifs de mémoire à circuit intégré
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
An ambulatory electrocardiography monitor is provided. The monitor includes a housing adapted to couple to a monitoring patch that includes electrocardiographic electrodes; and electronic circuitry provided within the housing. The electronic circuitry includes an electrocardiographic front end circuit; the microcontroller configured to: execute a power up sequence upon the housing coupling to the patch; after the execution of the power-up sequence, retrieve from the monitoring patch an identifier associated with the patch and a password for accessing results of a physiological monitoring conducted using the patch; read samples of the electrocardiographic signals, buffer the samples of the electrocardiographic signals, compress the buffered samples of the electrocardiographic signals, buffer the compressed samples of the electrocardiographic signals, and write-the buffered samples into a memory in association with the password and the identifier; and the memory electrically interfaced with the microcontroller.
G06F 21/62 - Protection de l’accès à des données via une plate-forme, p. ex. par clés ou règles de contrôle de l’accès
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
A61B 90/90 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes
A61B 90/96 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des symboles, p. ex. du texte utilisant des codes-barres
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
An extended wear electrocardiography patch is provided. An integrated flexible circuit includes a single piece of material and has an upper end and a lower end opposite the upper end. A mirror image of the upper end extends from at least a portion of one side of the upper end and folds over the upper end. One circuit trace is positioned on the upper end and one circuit trace is positioned on the lower end. Electrical pads are located on a contact surface of the upper end and on an outward facing surface of the mirror image of the upper end. An electrocardiographic electrode is positioned on the contact surface of the upper end and another electrocardiographic electrode is positioned on a contact surface of the lower end. A battery is directly adhered to the outward facing surface of the mirror image of the upper end.
A61B 5/05 - Détection, mesure ou enregistrement pour établir un diagnostic au moyen de courants électriques ou de champs magnétiquesMesure utilisant des micro-ondes ou des ondes radio
A61B 5/335 - Appareils d’enregistrement spécialement adaptés à cet effet utilisant des dispositifs de mémoire à circuit intégré
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/0205 - Évaluation simultanée de l'état cardio-vasculaire et de l'état d'autres parties du corps, p. ex. de l'état cardiaque et respiratoire
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/03 - Mesure de la pression des fluides à l'intérieur du corps autre que la pression du sang, p. ex. de la pression cérébrale
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
A wearable electrocardiography monitoring ensemble is provided. At least one internal structure is formed within a garment and defined by two horizontal bands across a front surface of the garment. An electrode assembly is positioned within the internal structure and includes at least one electrode to sense cardiac electric signals. An electrical connection is connected on one end to one of the electrodes and interfaced on an other end to a monitor recorder that records the cardiac electric signals. The internal structure exerts against a top surface of the electrode assembly a compressive force that presses the electrode assembly against a wearer's skin.
An insertable physiological monitor injector tool is provided. An elongated handle includes a recess formed along a longitudinal axis and has an opening on a distal end. An insertion tube has a hollow elongated shape that is movably positioned within the elongated handle, in the recess. A stationary arbor is affixed on a proximal end to a proximal end of the elongated handle and extends through the insertion tube when the insertion tube is in a retracted position. A tab is affixed to the insertion tube, wherein the tab can lock the insertion tube in an extended position.
An insertable physiological monitor injector tool is provided. An elongated handle (11) includes a recess (12) formed along a longitudinal axis and has an opening on a distal end. An insertion tube (16) has a hollow elongated shape that is movably positioned within the elongated handle (11), in the recess (12). A stationary arbor (15) is affixed on a proximal end to a proximal end of the elongated handle (11) and extends through the insertion tube (16) when the insertion tube (16) is in a retracted position. A tab (18) is affixed to the insertion tube (16), wherein the tab (18) can lock the insertion tube (16) in an extended position.
An insertable physiological monitor injector tool is provided. An elongated handle (11) includes a recess (12) formed along a longitudinal axis and has an opening on a distal end. An insertion tube (16) has a hollow elongated shape that is movably positioned within the elongated handle (11), in the recess (12). A stationary arbor (15) is affixed on a proximal end to a proximal end of the elongated handle (11) and extends through the insertion tube (16) when the insertion tube (16) is in a retracted position. A tab (18) is affixed to the insertion tube (16), wherein the tab (18) can lock the insertion tube (16) in an extended position.
An electrocardiography patch is provided. A backing forms an elongated strip with a mid-section connecting two ends of the backing. The mid-section is narrower than the two ends of the backing. An electrocardiographic electrode is provided on each end of the backing to capture electrocardiographic signals. A flexible circuit includes a pair of circuit traces electrically coupled to the electrocardiographic electrodes. A wireless transceiver communicates at least a portion of the electrocardiographic signals.
A61B 5/335 - Appareils d’enregistrement spécialement adaptés à cet effet utilisant des dispositifs de mémoire à circuit intégré
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
A61B 5/0205 - Évaluation simultanée de l'état cardio-vasculaire et de l'état d'autres parties du corps, p. ex. de l'état cardiaque et respiratoire
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/03 - Mesure de la pression des fluides à l'intérieur du corps autre que la pression du sang, p. ex. de la pression cérébrale
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
An electrocardiography patch is provided. A backing includes an elongated strip with a midsection connecting two rounded ends. The midsection tapers in from each end and is narrower than each of the two ends. An electrode is positioned on each end of the backing on a contact surface to capture electrocardiographic signals. A circuit trace electrically is coupled to each of the electrodes in the pair. A battery is provided on an outer surface of the backing opposite the contact surface. Memory is provided on the outer surface of the backing to store data regarding the electrocardiographic signals. A processor is powered by the battery to write the data into the memory.
A61B 5/05 - Détection, mesure ou enregistrement pour établir un diagnostic au moyen de courants électriques ou de champs magnétiquesMesure utilisant des micro-ondes ou des ondes radio
A61B 5/091 - Mesure du volume des gaz inspirés ou expirés, p. ex. pour déterminer la capacité pulmonaire
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
82.
System and method for physiological data classification for use in facilitating diagnosis
A system and method for physiological data classification for use in facilitating diagnosis is provided. A physiological monitor includes a feedback button and physiological data obtained via the physiological monitor is stored in a database. The physiological data is divided into segments and one or more data segments are classified as noise. A determination is made that at least one of the data segments classified as noise includes a marker indicating a press of the feedback button on the physiological monitor. A set of the physiological data including and surrounding the physiological data occurring during the press of the feedback button is identified within the data segment classified as noise. The identified set of physiological data is provided with the data segments classified as valid for analysis.
A system (140) for facilitating a cardiac rhythm disorder diagnosis is provided. A download station (145) retrieves cutaneous action potentials of a patient recorded over a time by an ECG device (142) as ECG data. An R-R interval plot (53) of the ECG data includes R-R intervals plotted along an x-axis of the plot (53) and heart rates associated with the R-R intervals plotted along a y-axis. The R-R intervals are calculated as a difference between recording times of successive pairs of R-wave peaks. Each heart rate is associated with each time difference. One or more portions of the R-R intervals are identified in the plot (53). Each portion of the R-R intervals includes a cardiac event. Report strips (442) are generated and each includes one portion of the R-R intervals and a portion of the ECG data. The report strips (442) are included in a cardiac report.
A system (140) for facilitating a cardiac rhythm disorder diagnosis is provided. A download station (145) retrieves cutaneous action potentials of a patient recorded over a time by an ECG device (142) as ECG data. An R-R interval plot (53) of the ECG data includes R-R intervals plotted along an x-axis of the plot (53) and heart rates associated with the R-R intervals plotted along a y-axis. The R-R intervals are calculated as a difference between recording times of successive pairs of R-wave peaks. Each heart rate is associated with each time difference. One or more portions of the R-R intervals are identified in the plot (53). Each portion of the R-R intervals includes a cardiac event. Report strips (442) are generated and each includes one portion of the R-R intervals and a portion of the ECG data. The report strips (442) are included in a cardiac report.
A subcutaneous electrocardiography monitor configured for self-optimizing ECG data compression is provided. ECG waveform characteristics are rarely identical in patients with cardiac disease making this innovation crucial for the long-term data storage and analysis of complex cardiac rhythm disorders. The monitor includes a memory and a micro-controller operable to execute under a micro-programmable control and configured to: obtain a series of electrode voltage values; select one or more of a plurality of compression algorithms for compressing the electrode voltage series; apply one or more of the selected compression algorithms to the electrode voltage series; evaluate a degree of compression of the electrode voltage series achieved using the application of the selected algorithms; apply one or more of the compression algorithms to the compressed electrode voltage series upon the degree of compression not meeting a predefined threshold; and store the compressed electrode voltage series within the memory.
A system and method for facilitating a cardiac rhythm disorder diagnosis based on subcutaneous cardiac monitoring data with the aid of a digital computer are provided. Cutaneous action potentials of a patient are recorded as electrocardiogram (EGC) data over a set time period using a subcutaneous insertable cardiac monitor. A set of R-wave peaks is identified within the ECG data and an R-R interval plot is constructed. A difference between recording times of successive pairs of the R-wave peaks in the set is determined. A heart rate associated with each difference is also determined. The pairs of the R-wave peaks and associated heart rate are plotted as the R-R interval plot. A diagnosis of cardiac disorder is facilitated based on patterns of the plotted pairs of the R-wave peaks and the associated heart rates in the R-R interval plot.
A system and method for neural-network-based atrial fibrillation detection with the aid of a digital computer are provided. Electrocardiography (ECG) features and annotated patterns of the features are maintained in a database, at least some of the patterns associated with atrial fibrillation. A classifier is trained based on the annotated patterns, the classifier implemented by a convolutional neural network. A representation of an ECG signal recorded by one or more ambulatory monitors is received. ECG features in the representation falling within each of the temporal windows are detected. The trained classifier is used to identify patterns of the ECG features. At least one matrix with weights for the patterns are generated. A value indicative of whether portions of the representation are associated the patient experiencing atrial fibrillation is calculated. That one or more of the portions are associated with the patient experiencing atrial fibrillation is determined.
An extended wear electrocardiography patch is provided. A flexible backing is formed of an elongated strip of stretchable material. An electrocardiographic electrode is affixed to and conductively exposed on a contact surface of each end of the elongated strip. A flexible circuit is affixed on each end of the elongated strip. A non-conductive receptacle is adhered on one of the ends of the elongated strip on a surface opposite the contact surface and removably receives an electrocardiography monitor operable to obtain electrocardiographic signals. A physiological sensor is provided with the electrocardiography monitor or on the flexible backing. Memory is provided on the flexible backing and is programmed with a sampling rate to instruct the physiological sensor to obtain readings of physiological data. A battery is positioned on one end of the flexible backing to provide power to one or more of the physiological sensors and the electrocardiography monitor.
A61B 5/318 - Modalités électriques se rapportant au cœur, p. ex. électrocardiographie [ECG]
G16H 50/20 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le diagnostic assisté par ordinateur, p. ex. basé sur des systèmes experts médicaux
A61B 5/01 - Mesure de la température de parties du corps
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
A system for facilitating a cardiac rhythm disorder diagnosis with the aid of a digital computer is provided. A download station retrieves cutaneous action potentials of a patient by an ECG monitoring and recording device as ECG data. An R-R interval plot of the ECG data includes heart rates associated with R-R intervals plotted along a y-axis of the plot with respect to time, with time represented by an x-axis. The R-R intervals are calculated as a difference between recording times of successive pairs of R-wave peaks and each heart rate is associated with each time difference. Runs of the R-R intervals in the plot are identified and each run represents a cardiac event. Cardiac rhythm measurements are automatically calculated and occurrences of different types of the cardiac events are tracked. One or more of the cardiac events and the cardiac rhythm measurements are reported.
A P-wave centric subcutaneous insertable cardiac monitor (ICM) for use in performing long term electrocardiographic (ECG) monitoring is disclosed. The length of the monitoring performed by the ICM is extended, potentially for a life time of the patient, and the functionality of the ICM is enhanced, by including an internal energy harvesting module in the ICM. The energy harvesting module harvests energy from outside the ICM, and provides the harvested energy for powering the circuitry of the ICM, either directly or by recharging a power cell within the ICM. As the circuitry of the ICM requires a low amount of electrical power, the harvested energy can be sufficient to support the functioning of the ICM even when the electrical power stored on the ICM at the time of implantation runs out.
A system and method for remote ECG data streaming in real-time is provided. ECG data is encrypted on a physiological monitor placed on a patient via a near-field communication chip on the physiological monitor. A continuous connection is established between the physiological monitor and a cloud-based server via a wireless transceiver on the physiological monitor. The encrypted ECG data is transmitted from the physiological monitor to the cloud-based server. The ECG data is then transmitted from the cloud-based server to a device associated with a medical professional in real-time.
An implantable medical device is disclosed. A housing includes a hollow body forming a first electrode on an outer surface with end caps affixed to opposite ends, one end cap forming a second electrode. A microcontroller circuit is provided and includes a microcontroller operable under program instructions stored within a non-volatile memory device. An analog front end is interfaced to the electrodes to sense electrocardiographic signals. A transceiver circuit is operable to wirelessly communicate with an external data device. The program instructions define instructions to continuously sample the electrocardiographic signals into the non-volatile memory device and to offload the non-volatile memory device to the external data device. A receiving coil and a charging circuit are operable to charge an onboard power source for the microcontroller circuit.
A61B 5/0205 - Évaluation simultanée de l'état cardio-vasculaire et de l'état d'autres parties du corps, p. ex. de l'état cardiaque et respiratoire
A61B 5/287 - Supports pour électrodes multiples, p. ex. cathéters à électrode pour des études électrophysiologiques [EEP]
H04L 12/28 - Réseaux de données à commutation caractérisés par la configuration des liaisons, p. ex. réseaux locaux [LAN Local Area Networks] ou réseaux étendus [WAN Wide Area Networks]
G16H 50/20 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le diagnostic assisté par ordinateur, p. ex. basé sur des systèmes experts médicaux
G16H 80/00 - TIC spécialement adaptées pour faciliter la communication entre les professionnels de la santé ou les patients, p. ex. pour le diagnostic collaboratif, la thérapie collaborative ou la surveillance collaborative de l’état de santé
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A61B 5/021 - Mesure de la pression dans le cœur ou dans les vaisseaux sanguins
A61B 5/08 - Dispositifs de mesure pour examiner les organes respiratoires
A system and method for facilitating a cardiac rhythm disorder diagnosis with the aid of a digital computer is provided. Cutaneous action potentials of a patient are recorded over a set period of time as ECG data and a difference between recording times of successive pairs of R-wave peaks are recorded as R-R intervals. A heart rate is associated with each time difference. An R-R interval plot of the ECG data is generated. A presence of a cardiac event is displayed by presenting a presence of sinus tachycardia or a presence of bradycardia via the R-R interval plot.
Long-term electrocardiographic and physiological monitoring over a period lasting up to several years in duration can be provided through a continuously-recording subcutaneous insertable cardiac monitor (ICM). The sensing circuitry and the physical layout of the electrodes are specifically optimized to capture electrical signals from the propagation of low amplitude, relatively low frequency content cardiac action potentials, particularly the P-waves that are generated during atrial activation. In general, the ICM is intended to be implanted centrally and positioned axially and slightly to either the left or right of the sternal midline in the parasternal region of the chest. Additionally, the ICM includes an ECG sensing circuit that measures raw cutaneous electrical signals and performs signal processing prior to outputting the processed signals for sampling and storage.
A monitor recorder optimized for electrocardiography and respiratory data acquisition and processing is provided. The recorder includes a sealed housing and an electronic circuitry comprised within the sealed housing, which includes an electrocardiographic front end circuit electrically interfaced to an externally-powered micro-controller and operable to sense electrocardiographic signals through electrodes provided on the patch; the micro-controller interfaced to one or more respiratory sensors, the micro-controller operable to sample the electrocardiographic signals, to sample respiratory events detected by the one or more respiratory sensors upon receiving one or more signals from the one or more respiratory sensors, to buffer each of the respiratory event samples, to compress each of the buffered respiratory event samples, to buffer each of the compressed respiratory event samples, and to write the buffered compressed respiratory event samples and the samples of the electrocardiography signals into an externally-powered flash memory; and the memory interfaced with the micro-controller.
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
A61B 5/335 - Appareils d’enregistrement spécialement adaptés à cet effet utilisant des dispositifs de mémoire à circuit intégré
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
Long-term electrocardiographic and physiological monitoring over a period lasting up to several years in duration can be provided through a continuously-recording insertable cardiac monitor. The sensing circuitry and the physical layout of the electrodes are specifically optimized to capture electrical signals from the propagation of low amplitude, relatively low frequency content cardiac action potentials, particularly the P-waves that are generated during atrial activation and storing samples of captured signals. In general, the ICM is intended to be implanted centrally and positioned axially and either over the sternum or slightly to either the left or right of the sternal midline in the parasternal region of the chest.
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/11 - Mesure du mouvement du corps entier ou de parties de celui-ci, p. ex. tremblement de la tête ou des mains ou mobilité d'un membre
A61B 5/0205 - Évaluation simultanée de l'état cardio-vasculaire et de l'état d'autres parties du corps, p. ex. de l'état cardiaque et respiratoire
A61B 5/145 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang
A61B 5/35 - Détection de paramètres spécifiques du cycle de l'électrocardiogramme par comparaison à des gabarits
A61B 5/259 - Moyens adhésifs, p. ex. garnitures ou bandes adhésives conducteurs, p. ex. gels
A61B 5/335 - Appareils d’enregistrement spécialement adaptés à cet effet utilisant des dispositifs de mémoire à circuit intégré
A61B 5/349 - Détection de paramètres spécifiques du cycle de l'électrocardiogramme
A61B 5/01 - Mesure de la température de parties du corps
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
An electrocardiography patch (15) is provided. A backing (20) includes an elongated strip (21) of material. An electrocardiographic electrode (38, 39) is respectively affixed to and exposed on each end of the elongated strip (21). A flexible circuit (32) is affixed on each end of the elongated strip (21) and includes a pair of circuit traces (33, 37) each coupled to one of the electrocardiographic electrodes (38, 39). A receptacle (25) is adhered on one end of the elongated strip (21) and includes electrode terminals aligned to interface the pair of circuit traces (33, 37) to an electrocardiography monitor (14) to obtain electrocardiographic signals through the electrocardiographic electrodes (38, 39). A crypto circuit (103) includes memory programed with a sampling rate for at least one physiological sensor provided with the electrocardiography monitor (14) or on the flexible backing (20) to instruct the physiological sensor to obtain readings of physiological data.
A self-expiring electrocardiography and physiological monitor recorder (14) is provided. A sealed housing (50) is adapted to be removably secured into a non-conductive receptacle (25) on an electrode patch (15). Electronic circuity is provided within the sealed housing (50) and includes an electrocardiographic front end circuit (93) operable to sense electrocardiographic signals through electrocardiographic electrodes (38, 39) provided on the electrode patch (15) and flash memory to record the electrocardiographic signals. The electronic circuitry also includes a micro-controller to draw power from a battery (79) provided on the electrode patch (15), to receive from the electrode patch (15) a recording duration, and to terminate recording of the electrocardiographic signals upon satisfaction of the recording duration.
Physiological monitoring can be provided through a lightweight wearable monitor that includes two components, a flexible extended wear electrode patch and a reusable monitor recorder that removably snaps into a receptacle on the electrode patch. The wearable monitor sits centrally on the patient's chest along the sternum oriented top-to-bottom. The placement of the wearable monitor in a location at the sternal midline, with its unique narrow “hourglass”-like shape, significantly improves the ability of the wearable monitor to cutaneously sense cardiac electrical potential signals, particularly the P-wave and the QRS interval signals indicating ventricular activity in the ECG waveforms. In particular, the ECG electrodes on the electrode patch are tailored to be positioned axially along the midline of the sternum for capturing action potential propagation in an orientation that corresponds to the aVF lead used in a conventional 12-lead ECG that is used to sense positive or upright P-waves.
