POCKET-SIZE FOLDING DEVICE WITH INTEGRATED ELECTRODES FOR RECORDING, PROCESSING AND TRANSMISSION WITH THREE ECG LEADS

Abstract

Pocket-size folding device with integrated electrodes for recording, processing and transmission with three ECG leads is a hand held ECG device with integrated electrodes used to measure, process and transmit three ECG leads to the remote diagnostic center. When in closed position and not in use the device is more compact and robust so it can be carried in a pocket or a pouch while electrodes are protected from getting dirty or damaged When opening it into a measuring position it becomes ergonomic. It is well adapted to the shape of a user's chest which ensures stable and reliable contact between chest electrodes (4-6) and chest surface. Finger electrodes (7,8) are designed for a contact with left hand and right hand thumbs as well as supporting the device and ensuring sufficient pressure to the chest without intense use of user's arms. The device is compact, it doesn't use cables or levers which makes it very easy to use.

Claims

1. A foldable mobile three-lead cardiac monitoring device electrodes for recording, processing and transmitting three ECG leads comprising: two integrated electrodes for acquiring signals from the patient's chest; two electrodes for acquiring signals from the patient's hands; a casing with two parts connected by a pivotal join (3); first chest electrode (4) placed on the inner side of the first part of the casing; second chest electrode (6) placed on the inner side of the second part of the casing; two finger electrodes (7, 8) mounted on the outer sides of the first part of the casing (1) to enable contacts with left and right hand fingers.

2. The device according to claim 1, where first and second parts of the casing (1, 2) are approximately parallel when in the closed position and, and create an angle of 150 degrees approximately when in fully opened position.

3. The device according to claim 1, where measuring chest electrodes (4, 6) are around 100 mm apart when in fully opened position.

4. The device according to claim 1, where an integrated chest electrode (5) placed on the inner side on one of parts of the casing (1, 2) is used as a common ground.

5. The device according to claim 1, where two finger electrodes for contacting left and right hand fingers of a patient (7, 8) are mounted on the side edges of the outer part of the first part of the casing (1).

6. The device according to claim 5, where contact surfaces of the electrodes (7, 8) are forming an angle of about 45 degrees against the surface of the outer side of the first part of the device casing (1).

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0017] The invention is described in detail on the implemented example shown below:

[0018] FIG. 1 Simplified drawing of a folding device with integrated electrodes for recording, processing and transmission of three special ECG leads in an open measuring position

[0019] FIG. 2 Simplified drawing of axonometric view of the device with integrated electrodes for recording, processing and transmission of three special ECG leads in a closed position—a cross section through a chest electrode.

BEST MODE FOR CARRYING OUT OF THE INVENTION

[0020] The example of the embodiment is shown on FIG. 1 and FIG. 2. Folding device with integrated electrodes for recording, processing and transmission of three special ECG leads consists of an upper casing part 1 and rear casing part 2 which are joined by a pivot 3. The inner side of the upper casing 1 is facing the patient's chest and contains an active measuring electrode 4 and electrode 5 which acts as a common ground. Between them is a recess 9 used to place an active electrode 6 when device casing is in closed position. An on/off switch 12 is mounted on the same side of the device.

[0021] Electrode 7 is placed on the upper part of the casing. That electrode is used for a contact with a right hand thumb. The electrode is indented into casing edge in such a way that the plane containing the electrode forms an angle of approximately 45 degrees with the plane containing front of the upper part of the casing. Electrode 8 is placed at the opposite side of the upper edge of the casing and is used to contact left hand thumb. Finger electrodes placed in such a way enable supporting force of both thumbs (placed on electrodes 7 and 8) transfer towards the user's body. That ensures an additional pressure on the chest electrodes 4, 5 and 6 and helps forming a stable electric connection with the user's chest surface.

[0022] An USB connector 13 is mounted on one of the casing side edges. It is used for recharging of an accumulating battery placed inside casing upper part.

[0023] Rear part of the casing 2 is shaped as a lid which covers the upper part of the casing when closed. An active measuring chest electrode 6 is mounted on it. That electrode is connected by a wire with an electronic device placed inside the upper side of the device casing. There are two recesses 10 and 11 on both sides of the electrode 6. When device is in closed position electrode 6 gets into recess 9. Electrodes 4 and 5 are placed in recess 10 and 11 respectively. This allows grip between rear casing part 2 and upper casing part 1. The edges 14 of the lower casing part are wider at the side opposite from the pivot. The purpose of those is to protect finger electrodes 7 and 8 from getting dirty or damaged.

[0024] Pivot mechanism 3 joins front and rear part of the casing. It has been designed in such a way that an angle between the upper and rear part of the casing can vary between 0 and about 150 degrees. In the open position used for recording, the angle between parts of the casing is restricted to about 150 degrees so that the distance between active chest electrodes is about 100 mm. Pivotal mechanism contains a spring which produces enough force to make device mechanically stable in both open and closed position. At the same time a user can easily open or fold the device. By doing so, the device in the recording position becomes ergonomic as it adjusts to the user's body morphology of the chest area. Thus any contact between the casing and the body surface is prevented which results in good and stable electric contact of chest electrodes and skin.

[0025] In folded position (used for storing or carrying the device in a pocket or a pouch) the angle between the parts is 0 degrees so that both parts lay on top of each other. In this position rear part of the casing 2 has a function of a lid which covers front part of the casing 1 and protects the chest electrodes 4, 5 and 6 as well as the switch 12 from getting dirty or damaged. In addition, widenings 14 at the rear part of the casing protect electrodes 7 and 8. In this way, the folded device becomes compact and handy to store or carry in a pocket or a pouch. This implementation has following approximate dimensions: length 80 mm, width 50 mm and thickness 9 mm.

[0026] Chest electrodes 4, 5 and 6 are around 2 mm higher than inner surface of the front and rear parts of the casing surfaces. The recess 9 is also 2 mm deep, which allows placement of the electrode 6 when the device is in closed position. Length of chest electrodes is about 15 mm and width is about 10 mm. Surface of the chest electrodes is modelled in such a way that it has three rows with three conic bulges in each row. Finger electrodes 7 and 8 are about 15 mm long and about 5 mm wide. They have two rows with five conic bulges in each row.

[0027] Both electronic module and a charge battery are placed in the upper part of the casing. The electronic module performs the following functions: recording, storing and transmission to the remote diagnostic using a commercial telecommunication network. It also enables communication with a smart phone using built-in Bluetooth component and it's aerial. Smart phone contains an application program used by a user to activate, monitor and control the recording process.

[0028] Electric connection between electrodes and the electronic module is implemented as described in the patent document EP1659936 A1, (Bojovic 2003). More precisely, signals are measured against the electrode contacted by right hand fingers. Three signals are being measured which represent a potential difference between: a) electrode 8 and electrode 7, b) electrode 4 and electrode 7 and c) electrode 6 and electrode 7. Active electrodes are connected inside the electronic module in the following way: electrodes 8 and 7 connected to the first amplifier input, electrodes 4 and 7 to the second amplifier input and electrodes 6 and 7 to the third amplifier input. Amplified signals are digitized and transmitted to the smart phone using the Bluetooth connection and further on over the commercial communication network to the remote diagnostic center.

[0029] The essence of the invention will not change if the ground electrode is mounted at the rear part of the casing next to the chest electrode 6 or some other place. Also, electronic module can be placed in the rear part of the casing while the upper part of the casing acts as a lid.

INDUSTRIAL APPLICABILITY

[0030] Folding device with integrated electrodes, which records, processes and transmits three ECG leads can be used for an urgent cardiac diagnostics in the following way. A user can record his/her own ECG at any given location and send it to a remote cardiac centre via commercial communication network. That is where a doctor on duty receives reconstructed standard 12 lead ECG. The doctor on duty will be able to verify existence of an urgent cardiac condition like an acute myocardial infraction. In that case, he will get in touch with the patient and help him/her to be taken care of. In addition, other pathological cardiac conditions can be discovered or monitored and appropriate home or hospital care can be provided.