US4184493A
Expired / Lapsed
US
⏱️ 0.0 years remaining
Circuit for monitoring a heart and for effecting cardioversion of a needy heart
Assignee: Mirowski Family Ventures LLC
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Filing: 1978-02-15
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Granted: 1980-01-22
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Expires: 1998-02-15
Abstract
Abstract Disclosed are two embodiments of a circuit for analyzing the ECG signals of a heart and for delivering a cardioverting pulse of energy to the heart if the heart is in an arrhythmic state in need of cardioversion. In the first embodiment, the ECG is filtered by a high pass filter to provide the derivative of the ECG, is reviewed by a window detector to determine the average time that the input ECG spends at high slope, and then the average occurrence of high slope segments is compared with a predetermined reference to determine whether the ECG is normal. Cardioversion is effected if the ECG is abnormal. In the second embodiment, an absolute value circuit and a level comparator is used in place of the window detector. The input ECG is normalized by an automatic gain control where the AGC voltage is derived from the ECG signals after high pass filtration.
Inventors
- 👤 Alois A. Langer
- 👤 Marlin S. Heilman
- 👤 Morton M. Mower
- 👤 Mieczyslaw Mirowski
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-23 11:38
CPC Classifications
A; A61; A61N; A61N1/00; A61N1/18; A61N1/32; A61N1/36; A61N1/362; A61N1/3621; A61B; A61B5/00; A61B5/24; A61B5/316; A61B5/318; A61B5/346; A61B5/349; A61B5/361; A61B5/72; A61B5/7235; A61B5/7239; A61N1/38; A61N1/39; A61N1/3956; A61N1/3987
Claims Analysis
Total Claims: 18
Claim 1
Independent Claim
141 words
A circuit for detecting the state of a heart by monitoring the continuous time average of the ratio of high slope to low slope ECG segments and for effecting cardioversion if a malfunction is indicated by such time average ratio exceeding a predetermined threshold, the circuit comprising: ECG monitor means for sensing ECG signals from a heart; signal shaping means for generating the slope of the sensed ECG signals by providing an approximation of the derivative of the input ECG; means for discriminating between high slope and low slope segments; averaging means for continuously time averaging the ratio of high slope to low slope segments; threshold means for determining whether such time average ratio of high slope to low slope segments is within predetermined threshold limits indicative of normalcy; and means for effecting cardioversion if said ratio is outside said threshold.
Claim 2
Dependent Claim
141 words
A circuit for detecting the state of a heart by monitoring the continuous time average of the ratio of high slope to low slope ECG segments and for effecting cardioversion if a malfunction is indicated by such time average ratio exceeding a predetermined threshold, the circuit comprising: ECG monitor means for sensing ECG signals from a heart; signal shaping means for generating the slope of the sensed ECG signals by providing an approximation of the derivative of the input ECG; means for discriminating between high slope and low slope segments; averaging means for continuously time averaging the ratio of high slope to low slope segments; threshold means for determining whether such time average ratio of high slope to low slope segments is within predetermined threshold limits indicative of normalcy; and means for effecting cardioversion if said ratio is outside said threshold.
Claim 3
Dependent Claim
26 words
The apparatus recited in claim 1, and further comprising automatic gain control means having a pick-off point at a location after said ECG signals are shaped.
Claim 4
Dependent Claim
16 words
The apparatus recited in claim 1, wherein said signal shaping means includes a high pass filter.
Claim 5
Dependent Claim
18 words
The apparatus recited in claim 1, wherein said signal shaping means is a filter having bandpass filter characteristics.
Claim 6
Dependent Claim
45 words
The apparatus recited in claim 1, wherein said discriminating means is a window comparator having a threshold band, and wherein said window comparator issues digital output signals, the sense of which is dependent upon whether shaped ECG signals lie inside or outside said threshold band.
Claim 7
Dependent Claim
28 words
The apparatus recited in claim 5, wherein said window comparator has a window level centered about the base line of said filtered ECG signals corresponding to zero slope.
Claim 8
Dependent Claim
19 words
The apparatus recited in claim 1, wherein said discriminating means includes an absolute value circuit and a level comparator.
Claim 9
Dependent Claim
16 words
The circuit recited in claim 1, wherein said means for effecting cardioversion is a pulse generator.
Claim 10
Dependent Claim
172 words
A circuit for detecting the state of a heart by monitoring the continuous time average of the ratio of high slope to low slope ECG segments and for effecting cardioversion if a malfunction is indicated by such time average ratio exceeding a predetermined threshold, the circuit comprising: ECG monitor means for sensing ECG signals from a heart; signal shaping means for generating the slope of the sensed ECG signals by providing an approximation of the derivative of the input ECG; automatic gain control means for normalizing the height of the derivative peaks, said automatic gain control means having a pick-off point at a location after the input ECG signals are shaped; means for discriminating between high slope and low slope segments; averaging means for continuously time averaging the ratio of high slope to low slope segments; threshold means for determining whether such time average ratio of high slope to low slope segments is within predetermined threshold limits indicative of normalcy; and means for effecting cardioversion if said ratio is outside said threshold.
Claim 11
Dependent Claim
172 words
A circuit for detecting the state of a heart by monitoring the continuous time average of the ratio of high slope to low slope ECG segments and for effecting cardioversion if a malfunction is indicated by such time average ratio exceeding a predetermined threshold, the circuit comprising: ECG monitor means for sensing ECG signals from a heart; signal shaping means for generating the slope of the sensed ECG signals by providing an approximation of the derivative of the input ECG; automatic gain control means for normalizing the height of the derivative peaks, said automatic gain control means having a pick-off point at a location after the input ECG signals are shaped; means for discriminating between high slope and low slope segments; averaging means for continuously time averaging the ratio of high slope to low slope segments; threshold means for determining whether such time average ratio of high slope to low slope segments is within predetermined threshold limits indicative of normalcy; and means for effecting cardioversion if said ratio is outside said threshold.
Claim 12
Dependent Claim
16 words
The circuit recited in claim 9, wherein said signal shaping means is a high pass filter.
Claim 13
Dependent Claim
16 words
The circuit recited in claim 9, wherein said automatic gain control means includes a peak-to-peak detector.
Claim 14
Dependent Claim
19 words
The circuit recited in claim 9, wherein said discriminating means includes an absolute value circuit and a level comparator.
Claim 15
Dependent Claim
15 words
The circuit recited in claim 9 or 1, wherein said averaging means includes an integrator.
Claim 16
Dependent Claim
15 words
The circuit recited in claim 9 or 1, wherein said averaging means includes a capacitor.
Claim 17
Dependent Claim
15 words
The circuit recited in claim 9 or 1, wherein said threshold means is a comparator.
Claim 18
Dependent Claim
12 words
The circuit recited in claim 15, wherein said comparator has threshold hysteresis.
References Cited (Backward Citations)
US3587563A
Cited
US3861387A
Cited
USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 1983-01-21 | 1983-07-23 | 1984-01-22 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 1987-01-21 | 1987-07-23 | 1988-01-22 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 1991-01-21 | 1991-07-23 | 1992-01-22 | $7700.00 | Window Closed / Lapsed |