CN107847174A - 起搏信号处理方法、系统和心电监护仪 - Google Patents

起搏信号处理方法、系统和心电监护仪 Download PDF

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Publication number
CN107847174A
CN107847174A CN201580081796.0A CN201580081796A CN107847174A CN 107847174 A CN107847174 A CN 107847174A CN 201580081796 A CN201580081796 A CN 201580081796A CN 107847174 A CN107847174 A CN 107847174A
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pacing signal
pacing
signal
sample rate
location information
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CN107847174B (zh
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范志祥
罗申
王沛
刘启翎
钟灿武
王武涛
贾英杰
刘方
何先梁
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Shenzhen Mindray Scientific Co Ltd
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Shenzhen Mindray Bio Medical Electronics Co Ltd
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7203—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal
    • A61B5/7217—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal of noise originating from a therapeutic or surgical apparatus, e.g. from a pacemaker
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/339—Displays specially adapted therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/352—Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/364—Detecting abnormal ECG interval, e.g. extrasystoles, ectopic heartbeats
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/366—Detecting abnormal QRS complex, e.g. widening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/37—Monitoring; Protecting
    • A61N1/3702—Physiological parameters
    • A61N1/3704—Circuits specially adapted therefor, e.g. for sensitivity control

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Cardiology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Signal Processing (AREA)
  • Artificial Intelligence (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Physiology (AREA)
  • Psychiatry (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Electrotherapy Devices (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)

Abstract

一种起搏信号处理方法、系统和心电监护仪(100,200,300,400,500)，通过高采样率采样的方式采集体表原始心电信号，根据采样点得到起搏信号的参数信息和位置信息，并显示出起搏信号形态和/或参数信息，通过起搏脉冲信号的形态重复性和干扰的随机性以及起搏脉冲信号形态的特异性，可将起搏信号和干扰准确地区分开来。分析出的起搏位置信号和宽度信号可以用于心电信号的起搏抹平处理，以抹去ECG信号上的起搏信号，避免起搏波形干扰心电算法的分析，由于在起搏抹平处理采用的是与起搏信号相适应的脉冲宽度，可以根据不同的病人起搏器，和实际的体表信号情况，自动选择合适的起搏抹平宽度，以最大程度保留心电信号的有效成分。

Description

PCT国内申请，说明书已公开。

Claims (44)

  1. PCT国内申请，权利要求书已公开。
CN201580081796.0A 2015-10-08 2015-10-08 起搏信号处理方法、系统和心电监护仪 Active CN107847174B (zh)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109107041A (zh) * 2018-07-13 2019-01-01 成都心吉康科技有限公司 起搏信号检测方法、装置及可穿戴健康设备
CN111657933A (zh) * 2020-06-30 2020-09-15 湖南毕胜普生物科技有限责任公司 自主高频qrs波群分析装置及分析方法

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CN112930138B (zh) * 2018-12-27 2023-04-11 深圳迈瑞生物医疗电子股份有限公司 一种监测用户生命体征的方法和装置
WO2020214092A1 (en) * 2019-04-16 2020-10-22 Tricog Health Pte Ltd A system and method for detecting pacer spikes to determine a paced rhythm in ecgs
JP7385913B2 (ja) 2019-12-25 2023-11-24 株式会社Agama-X 生体電位測定装置及び生体電位測定プログラム
CN111569265B (zh) * 2020-03-25 2023-12-22 苏州唯理创新科技有限公司 一种低功耗高系统集成度体表起搏器信号检测系统和检测方法
CN111759303B (zh) * 2020-07-21 2023-08-04 迪姆软件(北京)有限公司 数据处理方法及装置
TWI759048B (zh) * 2020-12-30 2022-03-21 國立陽明交通大學 一種訊號擷取方法及訊號擷取系統
CN113647959B (zh) * 2021-07-27 2024-01-12 东软集团股份有限公司 一种心电波形信号的波形识别方法、装置及设备

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US5682902A (en) * 1995-10-16 1997-11-04 Hewlett-Packard Company ECG pace pulse detection and processing
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CN1596825A (zh) * 2004-07-26 2005-03-23 深圳迈瑞生物医疗电子股份有限公司 抑制起搏脉冲的心电波形测量方法和电路
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CN109107041A (zh) * 2018-07-13 2019-01-01 成都心吉康科技有限公司 起搏信号检测方法、装置及可穿戴健康设备
CN109107041B (zh) * 2018-07-13 2021-11-12 成都心吉康科技有限公司 起搏信号检测方法、装置及可穿戴健康设备
CN111657933A (zh) * 2020-06-30 2020-09-15 湖南毕胜普生物科技有限责任公司 自主高频qrs波群分析装置及分析方法

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CN107847174B (zh) 2022-06-24
US10973465B2 (en) 2021-04-13
US20190104998A1 (en) 2019-04-11
US20180317853A1 (en) 2018-11-08
WO2017059569A1 (zh) 2017-04-13
CN114983429A (zh) 2022-09-02

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