Surgery – Diagnostic testing – Cardiovascular
Reexamination Certificate
2001-10-04
2003-06-10
Nasser, Robert L. (Department: 3736)
Surgery
Diagnostic testing
Cardiovascular
Reexamination Certificate
active
06575915
ABSTRACT:
BACKGROUND OF THE INVENTION
1. Field of the Invention
The invention relates to a method for identifying a heartbeat, the method comprising measuring an arterial pressure signal in the form of a multichannel measurement, and carrying out signal-processing operations, such as filtration, if necessary, and performing signal detection and decision-making concerning the identification of a signal as a heartbeat signal.
The invention also relates to an apparatus for identifying a heartbeat, the apparatus comprising a multichannel sensor, preferably a signal-processing means for processing a signal obtained from the multichannel sensor, detection means for detecting a signal, and decision-making means for identifying the signal as a heartbeat signal.
2. Brief Description of the Prior Art
Prior art conventional arrangements for heartbeat measurement performed on an arterial pressure pulse are based on the use of one sensing element, in other words the measurement is carried out via one channel. The problem is, however, that heartbeat measurement, based on the use of one sensing element, from an arterial pressure pulse is only accurate when the subject is at rest and interference is minimal. The movement of a limb, a tendon or a muscle creates significant interference in the signal measured by the sensor, which may result in an unsuccessful measurement. The problem is aggravated by the similarity in frequency bands and waveforms of the interference and the actual signal in an individual measurement channel, which makes it more difficult to distinguish the signal from interference.
Arrangements utilizing multichannel measurement are also known. Multichannel measurement of a pressure pulse provides better capacity than a one-channel method. In a multichannel pressure pulse signal, the interference is mainly common-mode or similar amongst different channels, which enables elimination of interference caused by movement of the subject. A known method is disclosed in U.S. Pat. No. 5,243,992. The method disclosed in this reference utilizes a multichannel tonometer sensor. The signal processing utilizes known methods for decreasing interference signals, such as band-pass filtration and subtraction of an average of signals of all channels from each channel signal. In U.S. Pat No. 5,243,992, the heartbeat detection is based on the selection of the best signal channel. The pulse in the selected channel is accepted as a heartbeat pulse by means of a correlation function. A few preceding pulse amplitudes are used as the selection criteria for the channel. Such selection of one channel leads to uncertain operation during interference situations and when the sensor moves with respect to the artery. Due to the high interference level, the method based on the selection of one channel may lead to the selection of a channel other than the one with the best heartbeat signal. Also, when the heartbeat of a moving person is measured, the movement of the sensor at the wrist with respect to the artery may transfer the heartbeat signal to a different channel, and therefore the signal may be lost for a while until a channel providing a good signal is located again. Also, the use of mathematical operations, such as a correlation function, requires a great deal of calculation capacity, in which case implementation of a signal processor is required, which in turn leads to a large size and great consumption of energy. Other known multichannel measurement methods are disclosed in EP 404,594 and SE 425,290.
SUMMARY OF THE INVENTION
The purpose of the present invention is to provide a new type of method and system avoiding the problems of the prior arrangements.
In order to achieve this, the method according to the invention is characterized in that in the method the signal detection includes multichannel channel-specific detection for the purpose of identifying signal components of different channels. The channel-specific detected channel signals obtained are used as input data in the decision-making stage.
In order to achieve this, the apparatus according to the invention is characterized in that the detection means are arranged to carry out multichannel channel-specific detection on several different channels. The decision-making means are connected to perform identification of a heartbeat signal from among several channel signals detected specifically for each channel.
The invention provides several advantages. The arrangement according to the invention provides better reliability and capacity with the use of more than one signal channel for the detection of a heartbeat or pulse. Movement of the sensor with respect to the artery does not necessarily remove the signal from all the channels, as might happen in a one-channel method. The algorithm according to the method of the invention can be implemented in a simple manner with, for example, a general-purpose processor or a digital or preferably analog ASIC, which provides a wrist-watch-like small and light apparatus operated with a battery. The preferred embodiments of the invention and other more detailed embodiments accentuate the advantages of the invention.
The invention will be described in greater detail below by means of examples with reference to the accompanying drawings, in which
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Miettinen Jari
Nissilä Seppo
Ruha Antti
Sorvoja Hannu
Hoffman & Baron LLP
Nasser Robert L.
Polar Electro Oy
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