CN108430312B - 标记心律失常发作以用于紧急审查的系统和方法 - Google Patents

标记心律失常发作以用于紧急审查的系统和方法 Download PDF

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CN108430312B
CN108430312B CN201680076304.3A CN201680076304A CN108430312B CN 108430312 B CN108430312 B CN 108430312B CN 201680076304 A CN201680076304 A CN 201680076304A CN 108430312 B CN108430312 B CN 108430312B
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ecg
beats
samples
signal
ecg samples
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CN108430312A (zh
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尼兰詹·查克拉瓦蒂
艾比希·查文
布里翁·芬利
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Medtronic Monitoring Inc
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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
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0004—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted
    • A61B5/0006—ECG or EEG signals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
    • A61B5/0022—Monitoring a patient using a global network, e.g. telephone networks, internet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • 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
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/251—Means for maintaining electrode contact with the body
    • A61B5/257—Means for maintaining electrode contact with the body using adhesive means, e.g. adhesive pads or tapes
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    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • 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
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    • A61B5/35—Detecting specific parameters of the electrocardiograph cycle by template matching
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    • A61B5/363—Detecting tachycardia or bradycardia
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • 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
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    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/683—Means for maintaining contact with the body
    • A61B5/6832—Means for maintaining contact with the body using adhesives
    • A61B5/6833—Adhesive patches
    • 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
    • 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
    • A61B5/7221—Determining signal validity, reliability or quality
    • 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
    • A61B5/7235—Details of waveform analysis
    • A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Measuring devices for evaluating the respiratory organs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • A61B5/1116—Determining posture transitions
    • A—HUMAN NECESSITIES
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • A61B5/1118—Determining activity level

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Artificial Intelligence (AREA)
  • Signal Processing (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Psychiatry (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Primary Health Care (AREA)
  • Epidemiology (AREA)
  • Pulmonology (AREA)
  • Data Mining & Analysis (AREA)
  • Mathematical Physics (AREA)
  • Fuzzy Systems (AREA)
  • Evolutionary Computation (AREA)
  • General Business, Economics & Management (AREA)
  • Business, Economics & Management (AREA)
  • Databases & Information Systems (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Electrotherapy Devices (AREA)
CN201680076304.3A 2015-12-21 2016-12-07 标记心律失常发作以用于紧急审查的系统和方法 Active CN108430312B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US14/976,667 US10321823B2 (en) 2015-12-21 2015-12-21 System and method to flag arrhythmia episodes for urgent review
US14/976,667 2015-12-21
PCT/US2016/065302 WO2017112412A1 (en) 2015-12-21 2016-12-07 System and method to flag arrhythmia episodes for urgent review

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CN108430312B true CN108430312B (zh) 2022-06-07

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US (1) US10321823B2 (https=)
EP (2) EP3393333B1 (https=)
JP (1) JP6795210B2 (https=)
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WO (1) WO2017112412A1 (https=)

Families Citing this family (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3165161B1 (en) 2010-05-12 2020-05-06 Irhythm Technologies, Inc. Device features and design elements for long-term adhesion
US20140206977A1 (en) 2013-01-24 2014-07-24 Irhythm Technologies, Inc. Physiological monitoring device
AU2015338967A1 (en) 2014-10-31 2017-05-11 Irhythm Technologies, Inc. Wireless physiological monitoring device and systems
US11116397B2 (en) 2015-07-14 2021-09-14 Welch Allyn, Inc. Method and apparatus for managing sensors
US10918340B2 (en) 2015-10-22 2021-02-16 Welch Allyn, Inc. Method and apparatus for detecting a biological condition
CA3020724C (en) * 2016-04-12 2024-06-11 Icentia Inc. Adhesive extender for medical electrode and use thereof with wearable monitor
US11574743B1 (en) 2018-01-09 2023-02-07 CAREMINDR Corporation Customizable communication platform
CN109431490B (zh) * 2018-09-28 2021-09-07 上海乐普云智科技股份有限公司 用于心电监测的人工智能实时分析方法和系统
EP3666185A1 (en) 2018-12-14 2020-06-17 Koninklijke Philips N.V. System and method for sensing physiological parameters
US10878959B1 (en) * 2019-10-25 2020-12-29 Anexa Labs Llc Electronic device for monitoring health metrics
US11152664B2 (en) 2019-12-24 2021-10-19 Anexa Labs Llc Compact electronics with optical sensors
WO2021163331A1 (en) 2020-02-12 2021-08-19 Irhythm Technologies, Inc Non-invasive cardiac monitor and methods of using recorded cardiac data to infer a physiological characteristic of a patient
AU2021322280B2 (en) 2020-08-06 2025-02-06 Irhythm Technologies, Inc. Adhesive physiological monitoring device
WO2022032118A1 (en) 2020-08-06 2022-02-10 Irhythm Technologies, Inc. Electrical components for physiological monitoring device
US20220336106A1 (en) * 2021-04-15 2022-10-20 Preventice Solutions, Inc. Cardiac event rate limiter
EP4212099A4 (en) 2021-05-21 2024-05-15 Cardio Intelligence Inc. Program, output device, and data processing method
USD1063079S1 (en) 2021-08-06 2025-02-18 Irhythm Technologies, Inc. Physiological monitoring device
CN116919412A (zh) * 2022-03-31 2023-10-24 准讯生医股份有限公司 取得心电图资料的方法

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103110417A (zh) * 2013-02-28 2013-05-22 华东师范大学 一种心电图自动识别系统

Family Cites Families (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4589420A (en) 1984-07-13 1986-05-20 Spacelabs Inc. Method and apparatus for ECG rhythm analysis
US6454708B1 (en) * 1999-04-15 2002-09-24 Nexan Limited Portable remote patient telemonitoring system using a memory card or smart card
JP2004298444A (ja) * 2003-03-31 2004-10-28 Nippon Koden Corp ホルター心電図の予備解析装置と解析方法及びそれを用いた解析支援システム
US20070167850A1 (en) * 2004-01-15 2007-07-19 Russell James K Adaptive physiological monitoring system and methods of using the same
US7181282B1 (en) 2004-06-14 2007-02-20 Pacesetter, Inc. Implantable cardiac device with PVC density monitoring, and therapy control and method
US7715906B2 (en) 2007-06-04 2010-05-11 Medtronic, Inc. Method and apparatus for detecting noise in an implantable medical device
WO2009018580A1 (en) * 2007-08-02 2009-02-05 Transoma Medical, Inc. Periodic sampling of cardiac signals using an implantable monitoring device
RU2010141557A (ru) 2008-03-10 2012-04-20 Конинклейке Филипс Электроникс Н.В. (Nl) Трубка сотового телефона с крышкой для системы контроля экг
CN102232827A (zh) * 2010-04-22 2011-11-09 上海四维医学科技有限公司 远程心电监控系统
US8483813B2 (en) 2010-06-30 2013-07-09 Medtronic, Inc. System and method for establishing episode profiles of detected tachycardia episodes
US9629566B2 (en) 2011-03-11 2017-04-25 Spacelabs Healthcare Llc Methods and systems to determine multi-parameter managed alarm hierarchy during patient monitoring
US9427165B2 (en) 2012-03-02 2016-08-30 Medtronic Monitoring, Inc. Heuristic management of physiological data
WO2013163336A1 (en) 2012-04-24 2013-10-31 The Cooper Union For The Advancement Of Science And Art Ecg acquisition and treatment-response system for treating abnormal cardiac function
US20190298210A1 (en) 2013-07-01 2019-10-03 Mayo Foundation For Medical Education And Research Algorithms for managing artifact and detecting cardiac events using a patient monitoring system
US10272010B2 (en) * 2015-03-20 2019-04-30 Zoll Medical Corporation Systems and methods for testing a medical device

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103110417A (zh) * 2013-02-28 2013-05-22 华东师范大学 一种心电图自动识别系统

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EP3393333A1 (en) 2018-10-31
JP6795210B2 (ja) 2020-12-02
EP4413923A3 (en) 2024-10-30
CN108430312A (zh) 2018-08-21
US10321823B2 (en) 2019-06-18
EP3393333B1 (en) 2024-07-03
JP2019502426A (ja) 2019-01-31
US20170172413A1 (en) 2017-06-22
WO2017112412A1 (en) 2017-06-29
EP4413923A2 (en) 2024-08-14

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