Classifications

• • 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
• • 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
• • 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
  • A61B5/103—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
• • 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
  • A61B5/72—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
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B5/00—Measuring for diagnostic purposes; Identification of persons
  • A61B5/74—Details of notification to user or communication with user or patient; User input means
  • A61B5/7465—Arrangements for interactive communication between patient and care services, e.g. by using a telephone network
  • A61B5/747—Arrangements for interactive communication between patient and care services, e.g. by using a telephone network in case of emergency, i.e. alerting emergency services
• • 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
  • A61B5/1112—Global tracking of patients, e.g. by using GPS
• • 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
  • A61B5/1117—Fall detection
• • 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]
  • A61B5/332—Portable devices 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
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B5/00—Measuring for diagnostic purposes; Identification of persons
  • A61B5/74—Details of notification to user or communication with user or patient; User input means
  • A61B5/742—Details of notification to user or communication with user or patient; User input means using visual displays
  • A61B5/743—Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots

Definitions

• the present invention relates to a method, system and apparatus for remote monitoring of a heart condition in an individual in which a portable, mobile, non-invasive solution including back-up hardware, software and application is provided. Autonomous and intelligent remote monitoring.
• Cardiovascular diseases are the leading cause of death in the world, their main origins are due to the lifestyle and diet of individuals, as well as congenital predispositions. Smoking, high cholesterol, high blood pressure, sedentary lifestyle and diabetes are factors that influence the onset of heart disease. According to World Health Organization data, heart disease accounts for 12% of deaths.
• Heart disease worldwide has assumed the status of an epidemic and despite advances in drug development, operative techniques and medical practices, there is still a need to provide new and better means of preventing an individual's heart condition.
• monitoring the heart condition of individuals can be performed through periodic consultations with the cardiologist where electrocardiographic examination (ECG) comprises the primary means of detecting an individual's heart condition change.
• ECG electrocardiographic examination
• Remote monitoring known in the art comprises the use of individual-attached equipment in which current ECG monitoring equipment generally remains patient-side, not allowing mobility or hindering remote monitoring.
• Current wireless cardiac monitoring options generally use: RF (radio frequency) transmitters and receivers, or use "Bluetooth" communication (protocol 802.15.1) limiting the number of simultaneously monitored devices to a few units. as well as the distance, restricting it between 10 and 20 meters.
• RF radio frequency
• Bluetooth trademark of Bluetooth
• Patent document CN201898620 relates to a mobile tracker provided with a GSM (Global System for Mobile Communications) module connected to a GPS module unit;
• GSM Global System for Mobile Communications
• a cardio-electric sensor unit is connected to the GSM unit module and thus the cardio-electric sensor unit detects and collects users' cardio-electric parameters and transmits them to the GSM module unit.
• the GSM module unit transmits positioning messages and cardio-electric parameters through the GPS module unit; therefore, the GSM module unit data is transmitted and the GSM module unit is positioned.
• the mobile tracker can immediately track and locate users with cardio-electrical monitoring equipment when users are in hazardous cardiac conditions and particularly can analyze the parameters sent and locate the user with the monitoring equipment.
• the above patent document provides the general remote monitoring design of a patient's heart condition.
• the basic constituent elements of this technique are assembled above to provide a minimal form of remote monitoring, however, the equipment sends cardiac function parameters to a remotely provided base and from this base is that such parameters are analyzed as critical or do not.
• No teachings are revealed about the device and its features which apparently make it just a cardio-electric data collector and transmitter as well as marking the user's position.
• Continuous sending of data via GSM is possible, although costly and requires a data file for each monitored patient, which requires more complex switchgear, which also reflects the cost. Analyzing signals sent from the device is also a crucial time-consuming factor for positioning, retrieving and servicing the user.
• WO03082093 relates to a system for continuously monitoring a patient's physiological condition in order to signal to the patient and a remote service center in case of an abnormality in the physiological condition.
• the system comprises monitoring means provided with a set of electrodes arranged on the patient's body and to derive a signal related to such condition, the sensing means actuated by the electrodes and provided for processing the signal to derive a characteristic in the characteristic signal for an abnormality; warning means are provided for triggering an alert signal upon detection of said detection means feature;
• the transmission means is provided for transmitting the alarm signal to a station responsive to the alert signal.
• the system architecture is provided in such a way that only the warning signal is transferred to the station thus allowing continuous monitoring.
• US4827943 relates to a portable, multi-channel physiological data monitoring system for continuous monitoring of a patient through a continuous connection between a caregiver and the patient being monitored using an intermediate base station and pathways. redundant signals between the base station and the caregiver.
• the caregiver wears a unit that receives signals from a base station.
• Base station signals provide information about the individual being monitored and transmit signals for use in determining if the patient remains within range of the base station.
• the unit worn by the subject being monitored may include diagnostic circuits for evaluating signals received from the sensors to transmit an alert signal to the base station when the individual being monitored is in need of assistance.
• a range monitoring system is provided that will alert the individual being monitored and the caregiver if the patient is moving to an area beyond the reach of the base station.
• US6287252 relates to a patient monitor comprising an apparatus having an interface operable to receive sensor generated data signals and an interface-coupled data processor operable to format data signals received from the interface into one or more more data packet where each packet includes a transmitter identifier that is unique to the device.
• the transmitter is included and is operable to receive the data processor structures and transmit these structures using radio frequency signals at a local receiver positioned proximal to the patient.
• a patient-placed sticker has a first surface on which the interface, data processor and transmitter are provided.
• An apparatus includes an interface operable for receiving sensor-generated data signals and an interface-coupled data processor operable for formatting data signals received from the interface within one or more data structures where each structure includes a transmitter identifier that is unique. on the device.
• a transmitter is included and operable to receive data processor frames and transmit frames using radio frequency signals at a local receiver positioned proximal to the patient.
• the patch is placed on the patient and has a first surface on which the interface, data processor and transmitter are positioned.
• the above disclosed document shows a broader individual monitoring set than those previously presented.
• the patient's vital parameters are collected by sensors and processors fixed by stickers that collect, read and format data for transmission to a remote unit via radio frequency communication, however, constant reporting is costly both by cost of data transmission as well as storage, furthermore the invention provides only a means of monitoring without thereby providing any other functionality such as attendance, location and interactivity.
• Patent document CN101579235 relates to an EDGE network-based remote intelligent ECG monitoring system comprising a portable ECG signal acquisition termination, a network transmission module and a server monitoring terminal wherein The portable ECG signal acquisition termination is connected to the server monitoring terminal via a network transmission module; the network transmission module comprises an EDGE transmission module and a GPS module; and the terminal Server monitoring is provided with a transmission daemon and an automatic ECG analysis and diagnostic system.
• the ECG signal acquisition termination performs an acquisition, displays and stores an ECG signal locally and is therefore convenient to operate; the remote intelligent ECG monitoring system quickly and efficiently sends and receives data remotely via the EDGE transmit module and performs GPS alerting and positioning in an emergency situation;
• the server monitoring terminal's automatic ECG analysis and diagnostics system can independently analyze and diagnose disease and refeed diagnostic information to greatly reduce the on-site need for a medical professional;
• the newly adopted chaos-based nonlinear dynamics parameter analysis improves diagnostics understanding and reliability.
• ECG record data in addition to alerting and positioning of the individual by GPS and EDGE technologies, however, the system is not directed to monitoring and identification of ischemia, does not have handsfree communication that provides interactivity in which it is possible. make double track requests regardless of the condition of the monitored individual. It also does not have a neural network that allows establishing a particular cardiac profile of the individual, does not provide means for detection of falls and does not provide a voice command, features that significantly improve the monitoring and response in critical situations.
• Figure 1 illustrates a schematic diagram of the method of the present invention
• Figure 2 illustrates an integration diagram of the routines performed by the main branch module of the system of the present invention
• Figure 3 illustrates an integration diagram of the main branch modules of the system of the present invention
• FIG. 4 schematically illustrates an interface screen according to the present invention
• Figure 5 illustrates a schematic diagram of the apparatus of the present invention
• Figure 6 depicts a form of positioning of the electrodes according to the present invention.
• Figure 7 illustrates a wave pattern graph over a period of an ECG
• Figure 8 illustrates a cardiac monitoring response flow diagram of the present invention.
• the present invention in a first aspect relates to a method of monitoring an individual's heart condition in which a monitoring network is provided that allows the provision of a continuous monitoring of an individual's heart condition remotely enabling patient-physician interaction that will provide a tool for collecting, monitoring, and viewing electrocardiograms in real time and over the Internet.
• the method of the present invention comprises:
• Remote communication for example, between the individual (1) and the Central Station (2) is established in two ways, ie, both the Individual (1) and Central (2) can make requests mutually in order to streamline attendance and updating of data and information in real time.
• the communication between the Individual (1) and the Central (2) is made by means of GSM and GPS communication. This allows an interaction between Individual (1) and Central (2) enabling prompt forwarding of requests, as well as rapid positioning of Individual (1) in an emergency situation for prompt assistance.
• the ECG alert sent from the device that monitors the individual (1) will trigger in the Central (2) a protocol of assistance to the user can even mobilize a Rescue Unit (3) and a Hospital Unit (4) for emergency care.
• the providence protocol will comprise a monitored profile of the Individual (1) and their positioning for rescue actions.
• the detailed profile information of the Individual (1) can be accessed in an updated interface (6) in real time that will allow both the Rescue Unit (3) and the Hospital Unit (4) to expedite care regarding the individual's cardiac condition. (1).
• Interface (6) is accessible upon registration and allows access to Person (1) profile information in emergency situations, but also in routine control.
• an Individual (1) may have his or her records accessed by the Medical Staff that accompanies them regularly and thus be able to remotely follow up on an administered treatment, a postoperative, or even the Individual's reaction to a new prescription drug.
• Communication within the method of the present invention is the sending and receiving formal communication (via telephone networks), text and / or voice messages and data transmission via GSM communication.
• formal communication via telephone networks
• text and / or voice messages and data transmission via GSM communication are included in the method communications of the present invention.
• GSM Global System for Mobile communications
• the system of the present invention comprises two module branches wherein a main branch performs the heart condition monitoring routines of the present invention and a managing branch performs the network articulation routines formed by the method of the present invention.
• the main branch comprises the following routine modules:
• Main Module - Performs the activation functions of the apparatus of the present invention by performing the routines illustrated in Figure 2:
• SMS Short Message Service
• 28 text message
• ECG Module - is the module responsible for generating ECG exams and verifying cardiac events such as ischemia or arrhythmias.
• GSM Module - is the module responsible for the operation of communication via GSM / GPRS (Global System for Mobile Communications / General Packet Radio Service) and the execution of sound through the buzzer. This module controls communications via hands-free phone call and SMS sending and receiving. He is also responsible for transferring files and data from the monitor to the data server and vice versa. The SMS received in coded form and after the requested operations are identified, they are passed on to the Main module to take appropriate action.
• GSM / GPRS Global System for Mobile Communications / General Packet Radio Service
• GPS Module - This module is responsible for reading the monitor's Global Positioning System (GPS) and retrieving the latitude and longitude coordinates retrieved. These coordinates are passed to the Main module which in turn forwards this information to the ECG module.
• GPS Global Positioning System
• XYZ Module - is the module responsible for reading and evaluating the accelerometer coordinates. This module detects the movement and fall of the device. Upon detection of a fall, the XYZ module communicates the Main module to take appropriate action.
• DNA Module - Is the module responsible for RPN - Rede
• PNN - Probabilistic Neural Network for detecting complications (arrhythmias and ischemia).
• the most important property of neural networks is the ability to learn from their environment and thereby improve their performance. This is done through a dynamic adjustment process applied to your weights in training. Learning occurs when the neural network reaches a generalized solution to a class of problems. According to the present invention, the solution achieved by the neural network is a particularized profile of the user's heart behavior pattern.
• Learning algorithm is called a well-defined set of rules for solving a learning problem.
• learning algorithms specific to certain neural network models, these algorithms differ mainly in how weights are modified.
• the DNA Module neural network has unsupervised learning mode.
• the main branch DNA Module neural network has an Input Layer corresponding to the collected Patient data and an Output Layer corresponding to a menu of referral complications categories.
• Figure 3 shows an integration diagram of the main branch modules of the system of the present invention.
• the manager branch comprises the following routine modules:
• Monitoring Module Includes care routines, Clinical Research and Monitored History
• Configuration Module - Comprises the type and event group classification routines, action routines to be performed, steps to perform in attendance, and general symptom logging.
• Medical Registration Module Includes drug registration routines and medical specialties.
• Product Module Includes the monitoring routines of the switch.
• Registration Module Includes the registration and personnel management routines: Doctors, Health Entities, Health Plan Operators and Insurance Companies and Monitors and Clients.
• the main branch acts embedded in a remote monitoring device of an individual's heart condition while the managing branch of the system of the present invention acts on the interfaces established from the method of the present invention.
• a non-limiting example of the interface of the present invention is given by Figure 4.
• Figures 5 there is provided an apparatus for remote monitoring of an individual's heart condition.
• the device of the present invention makes it possible to continuously capture, analyze and monitor the user's heart behavior, so that, in case of detection of any complications, they are classified into two major groups: arrhythmias and ischemia and detailing in their subgroups, perform a immediate detection, generating an exam to be reviewed by a healthcare professional.
• the device has four (4) electrodes that enable the capture and behavior of cardiac electrical impulses in three different ways - Leads I, II and III and a fourth electrode that performs the earth function, reducing noise and interference in the electrical signals received. .
• these derivations are the most complete and allow an integral view of the human heart from various angles.
• the electrical signals from the heart are captured analogously, amplified and converted from analog to digital format. Once in this format, this data is processed in an internal microprocessor that compares it with a database based on neural networks. Once a difference is detected between the trace captured with the recognized database, the device automatically generates an ECG exam, which is transformed into a data packet sent via cellular network (GSM / GPRS) to a Monitoring Center for analysis.
• GSM cellular network
• the apparatus of the present invention comprises a GMS antenna modeled in the vertical polarization dipole system; a GPS antenna modeled on the horizontally polarized helical system; a Speakerphone set featuring an omni directional electret microphone; a speaker; a plug for connecting the electrode leads to the monitor is a stereo P2 microphone type; a set of electrode leads; a tact-switch momentary contact button; a lateral volume control; and diode and transistor circuits.
• the device also has a speakerphone system, so that the Center can contact the user and vice versa, so that health professionals can collect more information from the user and indicate the best measure for care or, if he is unable to move, a ransom will be sent to him.
• the apparatus of the present invention also has the Accelerometer device which is able to identify user falls, a common symptom after a major heart attack, so an incoming ECG linked to a patient fall requires even greater urgency in care.
• the device has a GPS-assisted location system, capable of giving positioning - Latitude and Longitude - of the user and correlate with maps and hospital network for immediate care to the person. .
• the device can be handled remotely via software, which enables a doctor to generate a remote exam, which changes the way exams are performed, no longer depending on the patient's wishes. data collection is possible at any time and place that has cellular network coverage.
• the apparatus of the present invention has a monitoring function and has a number of benefits over conventional technologies such as embedded intelligence, no need for surgical intervention for installation, autonomy, ergonomics and portability.
• the handset is characteristically portable, mobile, non-invasive, including hardware, software and back-office application, allowing standalone and intelligent remote monitoring - via GSM / GPRS, detecting complications (arrhythmias and ischemia) through 3 electrodes ( Figure 6 leads I, II and III), falls, as well as integrating hands-free service and geographical location through GPS and enabling monitoring monitoring via the internet.
• the solution can be described as "two-way" because in addition to transmitting data from the monitored to the CA, anytime the CA or a doctor can conditionally request, on demand, a new exam. .
• the GMS antenna is modeled on the vertical polarization dipole system.
• the GPS antenna is modeled on the horizontally polarized helical system.
• the system is provided with diode and transistor circuits for possible situation change and battery charge saving.
• the electrocardiogram is the recording of electrical phenomena that originate during cardiac activity through a device called an electrocardiograph.
• the electrocardiograph is a galvanometer (a device that measures the potential difference between two points) that measures small current intensities that it collects from two electrodes (small metal plates connected to a conductor wire) arranged at certain points in the human body. It serves as a valuable aid in the diagnosis of a large number of heart diseases and other conditions such as hydroelectrolytic disorders.
• IBD VF-VR (left leg - right arm)
• ECG ECG exam is indicated as part of the analysis of heart disease, especially arrhythmias and cardiac ischemia. ECG is useful in the diagnosis of acute myocardial infarction and is the exam of choice in emergencies along with the measurement of cardiac enzymes.
• This record generated by the ECG exam shows the variation of the electrical potential over time, which generates a linear image in waves. These waves follow a rhythmic pattern, having particular denomination.
• QRS complex corresponds to ventricular depolarization; It is larger than the P wave because the muscle mass of the ventricles is larger than that of the atria.
• T wave corresponds to ventricular repolarization
• T-wave inversion indicates ischemic process
• the objective through successive filtering, is to remove 60Hz mains noise, electromyogram (EMG) and baseline wander.
• EMG electromyogram
• a Butterworth lowpass band filter with a rejection range of 40Hz is used.
• a Butterworth highpass band filter with a rejection range of 0.67Hz is used.
• the indicators (amplitude and time) of relevant ECG characteristics such as: P wave, QRS complex, T wave, segment SR, RR interval, etc. are extracted and normalized, thus forming a vector to be presented to the RNP input layer.
• the RNP decision layer After parallel processing - checking a set of previously stored vectors - the RNP decision layer (based on an algorithm similar to "k-nearest neighbor") selects the class (c) that best meets the presented characteristics.
• GPS Global Positioning System
• This data will be transmitted via the General Packet Radio Service (GPRS) service network which is provided via the GSM (Global System Mobile) connection provided by a cellular signal.
• GSM Global System Mobile
• FTP ile Transfer Protocol
• Data compression is done using a Linux program called "gzip”. This program compresses using an algorithm based on Lempel-Ziv public domain code. Data compression is important because:
• Fall detection is another process running in parallel;
• an accelerometer is used, which is a system capable of measuring the acceleration of a movement in a three-dimensional axis. By reading these variations it is possible to detect movements - assisting in the filtering and removal of ECG motion artifact, which interfere with the tracing - as well as the identification of falls, whether or not caused by heart failure. Falls are also monitored and sent to the Service Desk, along with GPS location and an ECG exam.
• Battery consumption is also monitored in a parallel process, and when reaching a critical level the user is alerted - via leds and vibrator.
• the coverage or not of the GSM cellular network is also monitored, and the user is alerted - via LEDs and beep- the current condition.
• This event can be triggered from CA's back app, or via a simple SMS from a mobile phone.
• FIG. 9 A specific example of the cardiac monitoring of the present invention can be seen in Figure 9: initially during routine monitoring of an individual (a), the monitor detects an abnormal heartbeat (b); The monitor then generates an ECG (c) and sends it to the Heart Monitoring Center (d). A physician at the Cardiac Monitoring Center performs an analysis of the received ECG (e) and the physician may then choose (f) to request a new ECG (o) or check symptoms.
• the doctor may still choose to initiate a care action and ask the attendant at the Heart Monitoring Center to initiate a care action

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  • 2012-03-06 BR BR102012005038A patent/BR102012005038A2/pt not_active Application Discontinuation
  • 2012-06-28 US US13/536,614 patent/US9144384B2/en not_active Expired - Fee Related
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