WO2013017718A3 - Método y aparato para obtener información cardiovascular midiendo entre dos extremidades - Google Patents

Método y aparato para obtener información cardiovascular midiendo entre dos extremidades Download PDF

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Publication number
WO2013017718A3
WO2013017718A3 PCT/ES2012/070574 ES2012070574W WO2013017718A3 WO 2013017718 A3 WO2013017718 A3 WO 2013017718A3 ES 2012070574 W ES2012070574 W ES 2012070574W WO 2013017718 A3 WO2013017718 A3 WO 2013017718A3
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WO
WIPO (PCT)
Prior art keywords
measuring
extremities
extremity
cardiovascular information
ecg
Prior art date
Application number
PCT/ES2012/070574
Other languages
English (en)
French (fr)
Other versions
WO2013017718A2 (es
Inventor
Ramon PALLÀS ARENY
Ramon Casanella Alonso
Joan GÓMEZ CLAPERS
Original Assignee
Universitat Politècnica De Catalunya
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Universitat Politècnica De Catalunya filed Critical Universitat Politècnica De Catalunya
Priority to JP2014522125A priority Critical patent/JP6351504B2/ja
Priority to KR1020147004413A priority patent/KR102046669B1/ko
Priority to EP12819605.2A priority patent/EP2737847B1/en
Priority to CN201280036674.6A priority patent/CN103826531B/zh
Priority to US14/235,588 priority patent/US9510761B2/en
Priority to ES12819605T priority patent/ES2791692T3/es
Publication of WO2013017718A2 publication Critical patent/WO2013017718A2/es
Publication of WO2013017718A3 publication Critical patent/WO2013017718A3/es
Priority to US15/332,222 priority patent/US10076255B2/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/026Measuring blood flow
    • A61B5/0295Measuring blood flow using plethysmography, i.e. measuring the variations in the volume of a body part as modified by the circulation of blood therethrough, e.g. impedance plethysmography
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/02108Measuring pressure in heart or blood vessels from analysis of pulse wave characteristics
    • A61B5/02125Measuring pressure in heart or blood vessels from analysis of pulse wave characteristics of pulse wave propagation time
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024Detecting, measuring or recording pulse rate or heart rate
    • A61B5/0245Detecting, measuring or recording pulse rate or heart rate by using sensing means generating electric signals, i.e. ECG signals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/05Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053Measuring electrical impedance or conductance of a portion of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/05Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053Measuring electrical impedance or conductance of a portion of the body
    • A61B5/0535Impedance plethysmography
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25Bioelectric electrodes therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25Bioelectric electrodes therefor
    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25Bioelectric electrodes therefor
    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/282Holders for multiple electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/332Portable devices specially adapted therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346Analysis of electrocardiograms
    • A61B5/349Detecting specific parameters of the electrocardiograph cycle
    • A61B5/352Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements 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
    • A61B5/6813Specially adapted to be attached to a specific body part
    • A61B5/6824Arm or wrist
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements 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
    • A61B5/6813Specially adapted to be attached to a specific body part
    • A61B5/6825Hand
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements 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
    • A61B5/6813Specially adapted to be attached to a specific body part
    • A61B5/6828Leg
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements 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
    • A61B5/6813Specially adapted to be attached to a specific body part
    • A61B5/6829Foot or ankle

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Physics & Mathematics (AREA)
  • Public Health (AREA)
  • Pathology (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Hematology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Vascular Medicine (AREA)
  • Signal Processing (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)

Abstract

En esta Patente de Invención se describen un método y un aparato para obtener información del sistema cardiovascular latido a latido y de forma continua, que están basados exclusivamente en mediciones entre dos extremidades y realizadas con un par de electrodos distales en cada una de ellas. La medida se realiza haciendo circular una corriente alterna entre un electrodo de cada extremidad y midiendo la diferencia de potencial entre los otros dos electrodos, uno también en cada extremidad. Esta diferencia de potencial tiene una componente de baja frecuencia que es el electrocardiograma (o ECG) y otra componente que tiene la frecuencia de la corriente alterna inyectada y de la que se extrae el denominado pletismograma de impedancia (IPG, del inglés impedance plethysmogram). La información cardiovascular se determinará midiendo el lapso entre algún elemento característico predefinido del ECG y alguno del IPG.
PCT/ES2012/070574 2011-07-29 2012-07-26 Método y aparato para obtener información cardiovascular midiendo entre dos extremidades WO2013017718A2 (es)

Priority Applications (7)

Application Number Priority Date Filing Date Title
JP2014522125A JP6351504B2 (ja) 2011-07-29 2012-07-26 2本の肢の間を測定することで心臓血管の情報を取得するための装置
KR1020147004413A KR102046669B1 (ko) 2011-07-29 2012-07-26 2개의 사지들 간에서 측정하여 심혈관 정보를 얻기 위한 방법 및 장치
EP12819605.2A EP2737847B1 (en) 2011-07-29 2012-07-26 Method and apparatus for obtaining cardiovascular information by measuring between two extremities
CN201280036674.6A CN103826531B (zh) 2011-07-29 2012-07-26 通过在两肢体间测量获得心血管信息的方法和装置
US14/235,588 US9510761B2 (en) 2011-07-29 2012-07-26 Method and apparatus for obtaining cardiovascular information by measuring between two extremities
ES12819605T ES2791692T3 (es) 2011-07-29 2012-07-26 Procedimiento y aparato para obtener información cardiovascular mediante medición entre dos extremidades
US15/332,222 US10076255B2 (en) 2011-07-29 2016-10-24 Apparatus for obtaining cardiovascular information by measuring between two extremities

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ESP201131331 2011-07-29
ES201131331A ES2398439B1 (es) 2011-07-29 2011-07-29 Método y aparato para obtener información cardiovascular midiendo entre dos extremidades

Related Child Applications (2)

Application Number Title Priority Date Filing Date
US14/235,588 A-371-Of-International US9510761B2 (en) 2011-07-29 2012-07-26 Method and apparatus for obtaining cardiovascular information by measuring between two extremities
US15/332,222 Division US10076255B2 (en) 2011-07-29 2016-10-24 Apparatus for obtaining cardiovascular information by measuring between two extremities

Publications (2)

Publication Number Publication Date
WO2013017718A2 WO2013017718A2 (es) 2013-02-07
WO2013017718A3 true WO2013017718A3 (es) 2013-03-28

Family

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Application Number Title Priority Date Filing Date
PCT/ES2012/070574 WO2013017718A2 (es) 2011-07-29 2012-07-26 Método y aparato para obtener información cardiovascular midiendo entre dos extremidades

Country Status (7)

Country Link
US (2) US9510761B2 (es)
EP (1) EP2737847B1 (es)
JP (1) JP6351504B2 (es)
KR (1) KR102046669B1 (es)
CN (1) CN103826531B (es)
ES (2) ES2398439B1 (es)
WO (1) WO2013017718A2 (es)

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US9949662B2 (en) 2014-06-12 2018-04-24 PhysioWave, Inc. Device and method having automatic user recognition and obtaining impedance-measurement signals
US10130273B2 (en) 2014-06-12 2018-11-20 PhysioWave, Inc. Device and method having automatic user-responsive and user-specific physiological-meter platform
US9943241B2 (en) 2014-06-12 2018-04-17 PhysioWave, Inc. Impedance measurement devices, systems, and methods
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Also Published As

Publication number Publication date
US9510761B2 (en) 2016-12-06
ES2398439B1 (es) 2014-03-05
EP2737847B1 (en) 2020-02-26
KR20140065395A (ko) 2014-05-29
ES2398439A2 (es) 2013-03-19
EP2737847A2 (en) 2014-06-04
ES2398439R2 (es) 2013-04-24
EP2737847A4 (en) 2015-04-01
CN103826531A (zh) 2014-05-28
US10076255B2 (en) 2018-09-18
JP2014521427A (ja) 2014-08-28
JP6351504B2 (ja) 2018-07-04
US20170035307A1 (en) 2017-02-09
WO2013017718A2 (es) 2013-02-07
KR102046669B1 (ko) 2019-11-19
CN103826531B (zh) 2016-10-12
US20140194721A1 (en) 2014-07-10
ES2791692T3 (es) 2020-11-05

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