Abstract: An ECG monitoring system for ambulatory patients includes a small multi-electrode patch that adhesively attaches to the chest of a patient. A reusable battery-powered ECG monitor clips onto the patch and receives patient electrical signals from the electrodes of the patch. A processor continuously processes received ECG signals and stores the signals in memory in the monitor. Processed ECG signals and cardiac event information are sent wirelessly to a cellphone handset for relay to a monitoring center. The ECG monitor is contained in a watertight sealed case with only electrical contacts on the outside of the case. The electrical contacts electrically couple the ECG monitor to the electrodes of the patch during patient monitoring and to a charger during recharge of the battery.

Abstract: Disclosed are devices, a systems, and methods for determining the dipole densities on heart walls. In particular, a triangularization of the heart wall is performed in which the dipole density of each of multiple regions correlate to the potential measured at various locations within the associated chamber of the heart.

Abstract: A medical device system that receives cardiac data representing a plurality of stored arrhythmic episodes, and analyzing the cardiac data to identify and display a subset of stored arrhythmic episodes as a function of user-specified episode criteria. The medical device system presents a query window on an interactive display in order to receive user-specified episode criteria via one or more input fields. The medical device displays only those episodes matching the episode criteria such as arrhythmia type, zone of detection, date of occurrence and average heart rate in beats per minute (BPM).

Abstract: Systems and methods of monitoring a subject's neurological condition are provided. In some embodiments, the method includes the steps of analyzing a physiological signal (such as an EEG) from a subject to determine if the subject is in a contra-ictal condition; and if the subject is in a contra-ictal condition, providing an indication (e.g., to the subject and/or to a caregiver) that the subject is in the contra-ictal condition. The systems and methods may utilize a minimally invasive, leadless device to monitor the subject's condition. In some embodiments, if the subject is in a pro-ictal condition, the method includes the step of providing an indication (such as a red light) that the subject is in the pro-ictal condition.

Abstract: A method for visualization of electrophysiology information can include storing electroanatomic data in memory, the electroanatomic data representing electrical activity on an anatomic region within a patient's body over a time period. An interval within the time period is selected in response to a user selection. A visual representation of physiological information for the user selected interval can be generated by applying at least one analysis method to the electroanatomic data. The visual representation can spatially represented on a graphical representation of the anatomic region within the patient's body.

Abstract: A method is disclosed for displaying patient ECG data. The method includes receiving ECG data including an ECG waveform; receiving analyzed ECG data including arrhythmic events; generating an indicia of the detected arrhythmic event; and displaying the indicia of the detected arrhythmic event in relation to the ECG waveform at a position associated with a time of the detected arrhythmic event. A system for displaying patient ECG data is also disclosed.

Abstract: A method, including measuring values of a physical parameter at multiple locations in an organ of a subject, and analyzing the measured values to identify a range of the values, including at least one sub-range containing one or more values that were not measured. The method further includes receiving a selection from a user of a value in the sub-range, and, responsive to the selection, displaying a candidate location for further measurement.

Abstract: Apparatus for graphical representation of a train of ECG complexes each including an R wave and a T-P interval and having variable isoelectric levels. The apparatus includes an isoelectric alignment unit for aligning the complexes in terms of isoelectric level by aligning respective T-P intervals, thereby to provide a graphical representation of the train of ECG complexes; and a temporal alignment unit for aligning the complexes temporally using a selected point on the respective R waves. The aligned units are superimposed to provide a distribution of a normalized ECG signal over a series of pulses or heartbeats.

Abstract: Electrical activity propagation along an electrode array within a cardiac chamber is reconstructed. Signals from the electrode array are sampled, and the signals are plotted in multi-dimensional space with each axis corresponding to a channel in the electrode array. A covariance matrix of the plotted signals is decomposed to characterize the spread of a data cloud of the signals in the multi-dimensional space. The data cloud is then decorrelated, such as through whitening, to suppress excursions along correlated directions (global activation) and enhance excursions along each axis (local activation).

Abstract: The present invention provides systems, methods and computer program products for monitoring a heart. According to one embodiment, the system includes an implantable registering unit. The registering unit comprises a first controller structured to register an electrical signal from the heart. The system includes a second controller in operable communication with the first controller. The second controller comprises a data repository structured to receive data corresponding to the registered electrical signal and being structured to store the data. The data repository stores data corresponding to a baseline electrical signal of the heart. The second controller is structured to receive the data from the first controller corresponding to the registered electrical signal and to compare the registered electrical signal to the baseline electrical signal to determine whether the heart is functioning properly.

Abstract: The present invention relates to an electrocardiograph (EKG) system and methods of using the same. The system includes a plurality of electrodes, an acquisition device and a display.

Abstract: The present invention relates to an electrocardiograph (EKG) system and methods of using the same. The system includes a plurality of electrodes, an acquisition device and a display.

Abstract: Systems and methods can be used to determine activation information for points along a surface or selected region of interest. In one example, a computer-readable medium having computer-executable instructions for performing a method that includes computing a local activation vector based on relative timing among electrical signals corresponding to neighboring points of a plurality of points on a surface envelope. An activation time can be computed for each of the plurality of points as a function of corresponding local activation vectors.

Abstract: Systems and methods are provided for monitoring a patient and graphically representing ST-segment deviations.

Abstract: A patient parameter monitoring pod in embodiments of the teachings may include one or more the following features: (a) portable housing containing a power supply, (b) a patient parameter module connectable to a patient via lead cables to collect patient data, the patient data including at least one vital sign, (c) a transceiver adapted to wirelessly transmit the patient data to a defibrillator, (d) a data port adapted to supply the patient data via a direct electrical connection to the defibrillator, and (e) a carrying handle extending from the housing proximate a patient lead cable port that permits connection of the lead cables to the pod, the carrying handle positioned to protect the patient lead cable port and the patient lead cables attached to the port from direct impact.

Abstract: The disclosed embodiments include a method, system, and device for conducting ultrasound interrogation of a medium. The novel method includes transmitting a non-beamformed or beamformed ultrasound wave into the medium, receiving more than one echoed ultrasound wave from the medium, and converting the received echoed ultrasound wave into digital data. The novel method may further transmit the digital data. In some embodiments, the transmitting may be wireless. The novel device may include transducer elements, an analog-to-digital converter in communication with the transducer elements, and a transmitter in communication with the analog-to-digital converter. The transducers may operate to convert a first electrical energy into an ultrasound wave. The first electrical energy may or may not be beamformed. The transducers also may convert an echoed ultrasound wave into a second electrical energy.

Abstract: Systems and methods to assist in locating the focus of an atrial fibrillation include the association of atrial fibrillation cycle length values and statistics relating thereto with temporal locations on an electrogram of a given electrode, and/or the coordination of electrode locations with respective the spectral analyses of electrogram signals and further parameters and statistics relating thereto. Ablation therapy can proceed under guidance of such information.

Abstract: A method for coupling an ECG monitor with an incompatible ECG lead set includes the steps of providing an ECG adapter including an adapter body having at least one monitor connector adapted for coupling to an input of an ECG monitor and at least one lead set receptacle adapted for coupling to a connector of an ECG lead set incompatible with the input of the ECG monitor, coupling the at least one monitor connector of the adapter body with the input of the ECG monitor and coupling the at least one lead set receptacle of the adapter body with the connector of the ECG lead set to thereby electrically couple the ECG lead set with the ECG monitor.

Abstract: Measured values of ST segment deviations obtained from a multi-lead ECG are transformed and displayed on a polar ST Circle Display, with zero ST deviation values located on a circle having a diameter that is greater than a maximum absolute ST segment deviation value obtained for any measured or derived lead. An ischemic condition and a location of the ischemia can thereby be easily determined.

Abstract: An external medical device can include a housing and a processor within the housing. The processor can be configured to receive an input signal for a patient receiving chest compressions from a mechanical chest compression device. The processor can also be configured to select at least one filter mechanism, the mechanical chest compression device having a chest compression frequency f. The processor can be further configured to apply the at least one filter mechanism to the signal to at least substantially remove chest compression artifacts from the signal, wherein the chest compression artifacts correspond to the chest compressions being delivered to the patient by the mechanical chest compression device, and wherein the at least one filter mechanism substantially rejects content in the frequency f plus content in at least one more frequency that is a higher harmonic to the frequency f.

Abstract: Methods and systems for mapping cardiac electrical activity employ a cardiac catheter having a plurality of spines mounted at the distal end, each spine having a plurality of electrodes. Electrical signal data are obtained from the heart via the electrodes, and respective intracardiac locations and orientations of the spines are sensed. An electroanatomic map of the heart is derived from the signal data, and presented as a graphic representation of the respective intracardiac locations and orientations of the spines, with distinctive graphical indicia of at least portions of the spines. The method is further carried out by displaying the electroanatomic map, and responsively to the displayed electroanatomic map, adjusting at least one of the locations and orientations of at least one of the spines.

Abstract: An electrocardiograph comprising a base part and an operating and displaying part. The operating and displaying part is disposed on the base part and includes a displaying unit and an operating unit. The displaying unit is connected to the operating unit. The operating and displaying part is coupled with the base part via a rotating structure such that the operating and displaying part can rotate left and right relative to the base part. Since the operating and displaying part as described in the present application can rotate left and right relative to the base part, the user can adjust the view angle of the operating and displaying part as required.

Abstract: Methods, systems, and computer-readable and executable instructions are provided for classifying an electrocardiogram (ECG) signal. Classifying an ECG signal can include analyzing the ECG signal using a stream of pulses generated by a sampler, extracting cardiac pulse features from a timing of the stream of pulses, and classifying the ECG signal based on the extracted cardiac pulse feature.

Abstract: A method and apparatus for analyzing characteristics of ECG signal data having a succession of waveforms produced by the beating of the heart. ECG signal data is obtained from a patient. A depolarization feature and a second feature of the waveforms of the ECG signal data are determined. Waveforms of the ECG signal data having a stable heart rate are selected for use in determining the second feature. Waveforms selected are those having minimum depolarization feature standard deviation and minimum depolarization feature dispersion. The depolarization feature and second feature for the heart beats of the selected waveforms are displayed.

Abstract: Methods and apparatus for storing data records associated with a medical monitoring event in a data structure. These include initiating loop recording in an implantable medical device upon determination of a neurological event, wherein loop recording comprises storing a data record of a plurality of data records in a data structure, the plurality of data records representing information about determined neurological events. Methods and apparatus can further include determining a priority index for the plurality of data records based on severity levels of the determined neurological events and replacing older data records of the plurality of data records on the data structure with new data records according to the priority index, wherein the new data records selectively replace those data records in the data structure having the lowest associated priority index.

Abstract: Systems and methods for management of physiological data, for example data obtained from monitoring an electrocardiogram signal of a patient. In one example use, digital data is obtained and episodes of arrhythmias are detected. Snapshots of the digitized ECG signal may be stored for later physician review. One or more techniques may be used to avoid recording of redundant data, while ensuring that at least a minimum number of episodes of each detected arrhythmia can be stored. The system may automatically tailor its data collection to the cardiac characteristics of a particular patient. In one technique, memory is allocated to include for each detectable arrhythmia a memory segment designated to receive ECG snapshots representing only the respective arrhythmia. A shared memory pool may receive additional snapshots of as the designated memory segments fill.

Abstract: A system to determine and illustrate a location of position element within a volume is disclosed. The position element can be used to determine the position of a portion of an instrument. The instrument can include one or both of a cannulated member and a lead member passed through the cannula.

Abstract: State machine interface system, heart state machine analyzer and/or stimulator, comprising state machine algorithms and a graphical user interface, adapted to receive signals from a sensor device that are related to physiological activities of the heart and/or the circulatory system of a living being and the state machine algorithms determine states of heart cycles based upon the signals. The determined heart cycle states are graphically presented at the graphical user interface such that the temporal relation between the different states are illustrated. The graphical user interface may be circular diagrams or bar graphs including parts representing the temporal relation between the different states.

Abstract: A non-contact cardiac mapping method is disclosed that includes: (i) inserting a catheter into a heart cavity having an endocardium surface, the catheter including multiple, spatially distributed electrodes; (ii) measuring signals at the catheter electrodes in response to electrical activity in the heart cavity with the catheter spaced from the endocardium surface; and (iii) determining physiological information at multiple locations of the endocardium surface based on the measured signals and positions of the electrodes with respect to the endocardium surface. Related systems and computer programs are also disclosed.

Abstract: A device detects electrical and mechanical cardio-vascular activities of patient, especially early decompensation detection of congestive heart failure patients (CHF). The device includes a transmitter for transmitting electromagnetic signals of a predefined frequency into the chest of the patient, a Doppler radar sensor (1) for detecting a Doppler radar signal reflected in the patient's chest, and an ECG unit (3) for capturing an ECG signal of the patient's heart. This device allows for simultaneous detection of electrical and mechanical cardio-vascular activities of a patient which can be used in an easy and reliable way and which allows for implementation in a hand-held or wearable device.

Abstract: An apparatus for detecting an epilepsy seizure, includes: a graph generating unit configured to generate an orthogonal graph where values of heart beat intervals are sequentially plotted while a heart beat interval at an arbitrary timing is set as a first coordinate and a next heart beat interval is set as a second coordinate; and a seizure detecting unit configured to detect the epilepsy seizure based on: a change of a distribution of a group of the plotted values in a first direction perpendicular to a straight line passing an origin and a point where the first and second coordinates are equal to each other; and a change of a distribution of the group of the plotted values in a second direction parallel to the straight line.

Abstract: An electrocardiogram analysis report simultaneously displays an electrocardiogram waveform collected from a subject and information about a measurement value calculated from the electrocardiogram waveform. The electrocardiogram analysis report includes a frontal plane display region configured to display a limb leads waveform included in the electrocardiogram waveform and information about a measurement value calculated from the limb leads waveform, and a horizontal plane display region configured to display a chest lead waveform included in the electrocardiogram waveform and information about a measurement value calculated from the chest lead waveform, wherein the information about the measurement value is displayed at a position spaced apart by a distance corresponding to a size of the measurement value in a direction from a predetermined center point to the relevant lead waveform in the frontal plane display region and the horizontal plane display region.

Abstract: A method of medical monitoring using data collected by a number of sensors, wherein the position of the sensors form a predefined arrangement and collected data depend on the position of the sensor on the patient. The method includes displaying data using a number of multiaxis diagrams where the position of the axes is related to the position of the sensors in the predefined arrangement, and on each axis data from its related sensor is displayed. Further, a multiaxis diagram is used, wherein each axis represents a particular dimension of data and spatial information is displayed in addition to the pure values. With this additional information a two- or three-dimensional representation and localization of data is provided. The technique allows a more effective recognition of monitored data and enables physicians to perform a fast pattern recognition to recognize and evaluate a patient's situation in a quicker and more effective way.

Abstract: The invention relates to an ECG device (1) designed as a portable handheld device, with a housing (2) which has a grip area (3) and/or grip elements, wherein the grip area (3) and/or the grip elements are designed to allow the ECG device (1) to be held by an operator, and the ECG device (1) has a sensor area (4), which is arranged outside the grip area (3) and the grip elements and in which a plurality of ECG sensors (5) in the form of capacitive electrodes is provided. Here, the ECG sensors (5) are at least partially embedded in a foam block (6) secured on the housing (2), and the ECG sensors (5) are held by the foam block (6) and supported elastically therein.

Abstract: An implantable medical device (IMD) is implanted in a patient. The IMD uses a plurality of electrode vectors to generate intrathoracic impedance measurements. The intrathoracic impedance measurements can be indicative of amounts of intrathoracic fluid in the patient. An accumulation of intrathoracic fluid may indicate that the patient is at an increased risk of experiencing a heart failure event in the near future. The IMD performs a vector selection operation on a recurring basis. When the IMD performs the vector selection operation, the IMD uses impedance measurements to select one of the electrode vectors. The IMD can perform a risk assessment operation on another recurring basis. During performance of the risk assessment operation, the IMD uses impedance measurements of the selected electrode vector and/or other patient characteristics stored within the IMD to determine whether the patient is at an increased risk of experiencing a heart failure event.

Abstract: Technologies are provided herein for real-time detection of motion and noise (MN) artifacts in electrocardiogram signals recorded by electrocardiography devices. Specifically, the present disclosure provides techniques for increasing the accuracy of identifying paroxysmal atrial fibrillation (AF) rhythms, which are often measured via such devices. According to aspects of the present disclosure, a method for detecting MN artifacts in an electrocardiogram (ECG) recording includes receiving an ECG segment and decomposing the received ECG segment into a sum of intrinsic mode functions. The intrinsic mode functions associated with MN artifacts present within the ECG segment are then isolated. The method further includes determining randomness and variability characteristic values associated with the isolated intrinsic mode functions and comparing the randomness and variability characteristic values to threshold randomness and variability characteristic values.

Abstract: A seismocardiograph using multiple accelerometer sensors to identify cardiac valve opening and closing times. A methodology for selecting event times is also disclosed.

Abstract: An apparatus for monitoring fetal positions and fetal movements is provided. The apparatus includes a plurality of sensors, a signal pre-processor, a signal post-processor, and a fetal position judging processor. The sensors are attached on the abdomen of a maternal body to provide at least three measuring leads. The signal pre-processor receives a plurality of sensing signals from the sensors, and the signal pre-processor reduces noises in the sensing signals and amplifies the sensing signals to output a plurality of characteristic sensing signals. The signal post-processor receives the characteristic sensing signals from the signal pre-processor and separates out a plurality of fetal electrocardiograms (FECGs) corresponding to the leads. The fetal position judging processor analyzes the FECGs to obtain a characteristic waveform for each of the FECGs or directly calculates a fetal heart axis vector with respect to a front-side coordinate of the maternal body according to the FECGs.

Abstract: A data collection system collects and stores physiological data from an ambulatory patient at a high resolution and/or a high data rate (“more detailed data”) and sends a low-resolution and/or downsampled version of the data (“less detailed data”) to a remote server via a wireless network. The server automatically analyzes the less detailed data to detect an anomaly. A two-tiered analysis is used, where the first tier is less specific than the second tier. If the less specific analysis detects or suspects the anomaly, the server signals the data collector to send more detailed data that corresponds to a time period associated with the anomaly. The more specific second tier analysis the more detailed data to verify the anomaly. The server may also store the received data and make it available to a user.

Abstract: A method for visualization of electrophysiology information can include storing electroanatomic data (14) in memory, the electroanatomic data representing electrical activity on a surface of an organ over a time period. An interval within the time period is selected in response to a user selection (28). Responsive to the user selection of the interval, a visual representation (26) of physiological information for the user selected interval is generated by applying at least one method to the electroanatomic data (14). The visual representation (26) is spatially represented on a graphical representation of a predetermined region of the surface of the organ.

Abstract: The invention is directed to a system for acquiring electrical footprint of the heart, electrocardiogram (EKG or ECG) and heart rate variability monitoring, incorporated into a mobile device accessory. The ECG signal is conveniently acquired and transmitted to a server via the mobile device, offering accurate heart rate variability biofeedback measurement which is portable and comfortable during normal daily life. The invention provides a reliable tool for applications such as wellness, meditation, relaxation, sports and fitness training, and stress-relief therapy where accurate heart rate variability measurement is desired.

Abstract: Portable systems and methods for continuous and discontinuous monitoring of a user's heart activity, for obtaining a complete, up to twelve-lead electrocardiogram reading are disclosed. A plurality of wearable wired or wireless sensors obtain raw electrocardiogram data from the user. The raw electrocardiogram data is transmitted to data storage media, which include computer instructions for converting the raw data to a complete, up to twelve-lead electrocardiogram reading. The computer instructions can compare the electrocardiogram to one or more predetermined threshold parameters and/or medical standards. The results of the comparison, the electrocardiogram, the parameters, the raw data, the user's location, or combinations thereof, can be transmitted to one or more destinations, which can include medical facilities, insurance providers, emergency responders, and/or family physicians or specialists.

Abstract: Systems, devices, structures, and methods are provided to present a visual display based on data from an implantable medical device. The display includes a chart showing the frequency of a detected type of arrhythmia over a predetermined period of time.

Abstract: A method for localizing ischemia in segments of a heart in a patient under test includes attaching a plurality of electrodes to the patient to form a plurality of leads, capturing electric signals at each of the leads, determining a normalized vector magnitude for each lead as is inherent in a normal heart, calculating an output for each cardiac segment as a percentage of the left ventricle (LV) by adding up the contributions for all of the leads in the direction of each segment at the J point based on the normalized vector magnitudes and a correct calibration factor for conversion to the percent of LV and taking a dot product of each lead vector and each segment vector to identify a normalized response for each lead at each segment center and using the dot products to multiply the ST J-point signal for each lead.

Abstract: Systems and methods are disclosed to determine one or more sensing zones on a body surface for electrocardiographic mapping of a region of interest associated with the heart. The sensing zone can be utilized to facilitate acquisition, processing and mapping of electrical activity for the corresponding region of interest. In other examples, an application-specific arrangement of electrodes can also be provided based on the sensing zone that is determined for the region of interest.

Abstract: A volume of a patient can be mapped with a system operable to identify a plurality of locations and save a plurality of locations of a mapping instrument. The mapping instrument can include one or more electrodes that can sense a voltage that can be correlated to a three dimensional location of the electrode at the time of the sensing or measurement. Therefore, a map of a volume can be determined based upon the sensing of the plurality of points without the use of other imaging devices. An implantable medical device can then be navigated relative to the mapping data.

Abstract: An apparatus, system, and method are disclosed for detecting seizure symptoms in an individual 102. A sensor module 202 receives physiological data for an individual 102 from one or more sensors 110, 112, such as a heart activity sensor. A feature detection module 204 detects a predefined feature 500, 520, 530, 540 in the physiological data. The predefined feature 500, 520, 530, 540 is associated with a seizure or another medical condition. An alert module 206 broadcasts an alert in response to the feature detection module 204 detecting the predefined feature 500, 520, 530, 540.

Abstract: A method of displaying electrocardiograms comprises displaying a reference electrocardiogram; and displaying a measured electrocardiogram so that the reference electrocardiogram and the measured electrocardiogram are displayed in an overlapping state.

Abstract: A wireless, battery-powered electrocardiograph (ECG) monitoring system, along with a method of use for detecting and analyzing patient's cardiovascular activity and interactively transmitting the data to a wireless computing device via telemetry. The wireless computing device can include but is not limited to a mobile phone, Tablet-PC or a laptop computer. ECG monitor contains a processor that continuously processes received ECG signals, stores the signals in memory and performs a series of analysis on the recorded data using pre-stored software algorithms. When an abnormality is detected, a wireless transceiver transmits the processed ECG data to a wireless computing device for viewing and further analysis, by displaying the received ECG data for doctor's viewing, sending the data to a web-based server computer for remote access, performing additional advanced analysis on the data and downloading new algorithms and instructions into the ECG monitoring device via telemetry.

Abstract: A quality control system in combination with an ECG data analysis system to analyze ECG data acquired by an ambulatory electrocardiography device via a cable having a plurality of leads connected to a subject is provided. The quality control system includes a memory having programmable instructions for execution by a processor to perform the steps of calculating a trend of a quality score in the ECG data dependent on a noise content in the ECG data; and calculating a probability that one of a hardware and the Hookup personal, each associated with collecting the ECG data from the subject, is a substantial cause of the quality score for the ECG data. The probability can be calculated based on a comparison the trend of the quality score associated with the Hookup personnel versus the trend of the quality score of the hardware employed in acquiring the ECG data.