HEART RATE DETECTION DEVICE AND RELATED SYSTEMS AND METHODS
20190069786 ยท 2019-03-07
Inventors
- Gerardo Perez-Camargo (House Springs, MO, US)
- Stuart Kyle Neubarth (Sunnyvale, CA, US)
- Mark Alan Donavon (Troy, IL, US)
Cpc classification
G01P13/00
PHYSICS
A61B5/05
HUMAN NECESSITIES
A61B5/0816
HUMAN NECESSITIES
A61B5/02438
HUMAN NECESSITIES
A61B5/0205
HUMAN NECESSITIES
A61B2562/0219
HUMAN NECESSITIES
A61B5/0245
HUMAN NECESSITIES
International classification
A61B5/0245
HUMAN NECESSITIES
A61B5/08
HUMAN NECESSITIES
G01P13/00
PHYSICS
A61B5/00
HUMAN NECESSITIES
Abstract
Some embodiments can include a device for detecting heart rate. In a number of embodiments, the device can comprise at least one capacitive displacement sensor coupled to a strap. In many embodiments, the at least one capacitive displacement sensor can comprise two electrodes. In some embodiments, the two electrodes can comprise an outer transmitting electrode and an inner receiving electrode. In various embodiments, the at least one capacitive displacement sensor can detect a pulse by producing a signal associated with a distance change between a skin of a wearer of the device and the at least one capacitive displacement sensor. Other embodiments of related apparatuses, methods and systems are also provided.
Claims
1. A device for detecting a heart rate, the device comprising at least one capacitive displacement sensor coupled to a strap, wherein the at least one capacitive displacement sensor comprises at least two electrodes, and the at least one capacitive displacement sensor detects a pulse by producing a signal associated with a distance change between a skin of a wearer of the device and the at least one capacitive displacement sensor.
2. The device of claim 1, wherein the at least one capacitive displacement sensor comprises a transmitting electrode and a receiving electrode.
3. The device of claim 2, wherein the transmitting electrode and the receiving electrode are in concentric arrangement or linear arrangement.
4. The device of claim 1, wherein the strap comprises at least one of a harness; a belt; a vest; or a collar.
5. The device of claim 1, further comprising an array of capacitive displacement sensors, the array of capacitive displacement sensors comprising the at least one capacitive displacement sensor.
6. The device of claim 4, wherein the array of capacitive displacement sensors comprises at least two capacitive displacement sensors.
7. The device of claim 5, wherein the at least two capacitive displacement sensors are placed at equidistant intervals across the strap.
8. The device of claim 1, further comprising one or more inertial sensors, wherein the one or more inertial sensors sense motion caused by a movement of the wearer of the device.
9. The device of claim 1, wherein the at least one capacitive displacement sensor is placed at a neck of the wearer and proximate to a carotid artery of the wearer.
10. A system for determining a heart rate, the system comprising: i) at least one capacitive displacement sensor coupled to a strap, wherein the at least one capacitive displacement sensor comprises at least two electrodes and the at least one capacitive displacement sensor detects one or more pulses by producing a signal associated with a distance change between a skin of a wearer of the system and the at least one capacitive displacement sensor; and ii) a signal processor receiving one or more signals from the at least one capacitive displacement sensor, the one or more signals comprising information about the one or more pulses, wherein the signal processor detects, from the information, one or more peak pulses of the one or more pulses and determines a heart rate waveform therefrom.
11. The system of claim 10, wherein the at least one capacitive displacement sensor comprises a transmitting electrode; and a receiving electrode.
12. The system of claim 10, wherein the transmitting electrode and the receiving electrode are in concentric arrangement or linear arrangement.
13. The system of claim 10, wherein the strap comprises at least one of a harness; a belt; a vest; or a collar.
14. The system of claim 10, further comprising: an array of capacitive displacement sensors, the array of capacitive displacement sensors comprising the at least one capacitive displacement sensor.
15. The system of claim 14, wherein: the array of capacitive displacement sensors comprises at least two capacitive displacement sensors.
16. The system of claim 15, wherein: the at least two capacitive displacement sensors are placed at equidistant intervals across the strap.
17. The system of claim 10, further comprising: one or more inertial sensors, wherein the one or more inertial sensors sense motion caused by a movement of the wearer of the device.
18. The system of claim 10, wherein: the at least one capacitive displacement sensor is placed at a neck of the wearer and approximate to a carotid artery of the wearer.
19. A method for determining a heart rate comprising: detecting one or more pulses by using at least one capacitive displacement sensor to produce a signal that is related to a change in a distance between the at least one capacitive displacement sensor and a skin of a wearer of the at least one capacitive displacement sensor, the at least one capacitive displacement sensor comprising: two electrodes comprising: an outer transmitting electrode; and an inner receiving electrode; and converting one or more signals from the at least one capacitive displacement sensor into a heart rate waveform, the one or more signals comprising information about the one or more pulses.
20. The method of claim 19, wherein: the outer transmitting electrode and the inner receiving electrode are concentric.
21. The method of claim 19, wherein: at least one capacitive displacement sensor is attached to a strap; and the strap comprises at least one of: a harness; a belt; a vest; or a collar.
22. The method of claim 19, wherein: detecting the one or more pulses further comprises using an array of capacitive displacement sensors, the array of capacitive displacement sensors comprising the at least one capacitive displacement sensor.
23. The method of claim 22, wherein: the array of capacitive displacement sensors comprises at least two capacitive displacement sensors.
24. The method of claim 23, wherein: the at least two capacitive displacement sensors are placed at equidistant intervals across the strap.
25. The method of claim 19, further comprising: detecting a motion caused by a movement of the wearer of the at least one capacitive displacement sensor by using one or more inertial sensors; and filtering the heart rate waveform by removing data related to the motion caused by the movement of the wearer of the at least one capacitive displacement sensor.
26. The method of claim 19, wherein: the at least one capacitive displacement sensor is placed at a neck of the wearer and approximate to a carotid artery of the wearer.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION OF THE INVENTION
[0018] For simplicity and clarity of illustration, the drawing figures illustrate the general manner of construction, and descriptions and details of well-known features and techniques may be omitted to avoid unnecessarily obscuring the present disclosure. Additionally, elements in the drawing figures are not necessarily drawn to scale. For example, the dimensions of some of the elements in the figures may be exaggerated relative to other elements to help improve understanding of embodiments of the present disclosure. The same reference numerals in different figures denote the same elements.
[0019] The terms first, second, third, fourth, and the like in the description and in the claims, if any, are used for distinguishing between similar elements and not necessarily for describing a particular sequential or chronological order. It is to be understood that the terms so used are interchangeable under appropriate circumstances such that the embodiments described herein are, for example, capable of operation in sequences other than those illustrated or otherwise described herein. Furthermore, the terms include, and have, and any variations thereof, are intended to cover a non-exclusive inclusion, such that a process, method, system, article, device, or apparatus that comprises a list of elements is not necessarily limited to those elements, but may include other elements not expressly listed or inherent to such process, method, system, article, device, or apparatus.
[0020] The terms left, right, front, back, top, bottom, over, under, and the like in the description and in the claims, if any, are used for descriptive purposes and not necessarily for describing permanent relative positions. It is to be understood that the teens so used are interchangeable under appropriate circumstances such that the embodiments of the apparatus, methods, and/or articles of manufacture described herein are, for example, capable of operation in other orientations than those illustrated or otherwise described herein.
[0021] The terms couple, coupled, couples, coupling, and the like should be broadly understood and refer to connecting two or more elements mechanically and/or otherwise. Two or more electrical elements may be electrically coupled together, but not be mechanically or otherwise coupled together. Coupling may be for any length of time, e.g., permanent or semi-permanent or only for an instant. Electrical coupling and the like should be broadly understood and include electrical coupling of all types. The absence of the word removably, removable, and the like near the word coupled, and the like does not mean that the coupling, etc. in question is or is not removable.
[0022] As defined herein, approximately can, in some embodiments, mean within plus or minus ten percent of the stated value. In other embodiments, approximately can mean within plus or minus five percent of the stated value. In further embodiments, approximately can mean within plus or minus three percent of the stated value. In yet other embodiments, approximately can mean within plus or minus one percent of the stated value.
[0023] Some embodiments can include a device for detecting heart rate. In a number of embodiments, the device can comprise at least one capacitive displacement sensor coupled to a strap. In many embodiments, the at least one capacitive displacement sensor can comprise two electrodes. In some embodiments, the two electrodes can comprise an outer transmitting electrode and an inner receiving electrode. In various embodiments, the at least one capacitive displacement sensor can detect a pulse by producing a signal associated with a distance change between a skin of a wearer of the device and the at least one capacitive displacement sensor.
[0024] Some embodiments comprise a system. In many embodiments, the system can comprise at least one capacitive displacement sensor coupled to a strap. In some embodiments, the at least one capacitive displacement sensor can comprises two electrodes. In some embodiments, the two electrodes comprise an outer transmitting electrode and an inner receiving electrode. In many embodiments, the at least one capacitive displacement sensor can detect a pulse by producing a signal associated with a distance change between a skin of a wearer of the device and the at least one capacitive displacement sensor. In many embodiments, the system can further comprise a signal processor receiving one or more signals from the at least one capacitive displacement sensor, the one or more signals comprising information about the one or more pulses, wherein the signal processor detects, from the information, one or more peak pulses of the one or more pulses and determines a heart rate waveform therefrom.
[0025] Some embodiments include a method. In some embodiments, a method can comprise detecting one or more pulses by using at least one capacitive displacement sensor to produce a signal that is related to a change in a distance between the at least one capacitive displacement sensor and a skin of a wearer of the at least one capacitive displacement sensor. In many embodiments, the at least one capacitive displacement sensor can comprise two electrodes. In some embodiments, the two electrodes can comprise an outer transmitting electrode and an inner receiving electrode. In some embodiments, the method can further comprise converting one or more signals from the at least one capacitive displacement sensor into a heart rate waveform, the one or more signals comprising information about the one or more pulses.
[0026] Turning to the drawings,
[0027] Continuing with
[0028] In various examples, portions of the memory storage module(s) of the various embodiments disclosed herein (e.g., portions of the non-volatile memory storage module(s)) can be encoded with a boot code sequence suitable for restoring computer system 100 (
[0029] As used herein, processor and/or processing module means any type of computational circuit, such as but not limited to a microprocessor, a microcontroller, a controller, a complex instruction set computing (CISC) microprocessor, a reduced instruction set computing (RISC) microprocessor, a very long instruction word (VLIW) microprocessor, a graphics processor, a digital signal processor, or any other type of processor or processing circuit capable of performing the desired functions. In some examples, the one or more processing modules of the various embodiments disclosed herein can comprise CPU 210.
[0030] In the depicted embodiment of
[0031] Network adapter 220 can be suitable to connect computer system 100 (
[0032] Returning now to
[0033] Meanwhile, when computer system 100 is running, program instructions (e.g., computer instructions) stored on one or more of the memory storage module(s) of the various embodiments disclosed herein can be executed by CPU 210 (
[0034] Further, although computer system 100 is illustrated as a desktop computer in
[0035] Skipping ahead now in the drawings,
[0036] Generally, therefore, system 300 can be implemented with hardware and/or software, as described herein. In some embodiments, part or all of the hardware and/or software can be conventional, while in these or other embodiments, part or all of the hardware and/or software can be customized (e.g., optimized) for implementing part or all of the functionality of system 300 described herein.
[0037] In a number of embodiments, system 300 can comprise a heart rate detection system 320 and a display system 360. In some embodiments, heart rate detection system 320 and display system 360 can each be a computer system 100 (
[0038] In many embodiments, heart rate detection system 320 and/or display system 360 can each comprise one or more input devices (e.g., one or more keyboards, one or more keypads, one or more pointing devices such as a computer mouse or computer mice, one or more touchscreen displays, a microphone, etc.), and/or can each comprise one or more display devices (e.g., one or more monitors, one or more touch screen displays, projectors, etc.). In these or other embodiments, one or more of the input device(s) can be similar or identical to keyboard 104 (
[0039] In many embodiments, heart rate detection system 320 and/or display system 360 can be configured to communicate with one or more user computers (not shown). In some embodiments, heart rate detection system and/or display system 360 can communicate or interface (e.g. interact) with one or more customer computers through a network 330. In some embodiments, network 330 can be an Internet, or an intranet that is not open to the public. Accordingly, in many embodiments, heart rate detection system 320 and/or display system 360 (and/or the software used by such systems) can refer to a back end of system 300 operated by an operator and/or administrator of system 300, and user computers (and/or the software used by such systems) can refer to a front end of system 300 used by one or more user 350, respectively. In these or other embodiments, the operator and/or administrator of system 300 can manage system 300, the processing module(s) of system 300, and/or the memory storage module(s) of system 300 using the input device(s) and/or display device(s) of system 300.
[0040] Meanwhile, in many embodiments, heart rate detection system 320 and/or display system 360 also can be configured to communicate with one or more databases. The one or more databases can be stored on one or more memory storage modules (e.g., non-transitory memory storage module(s)), which can be similar or identical to the one or more memory storage module(s) (e.g., non-transitory memory storage module(s)) described above with respect to computer system 100 (
[0041] The one or more databases can each comprise a structured (e.g., indexed) collection of data and can be managed by any suitable database management systems configured to define, create, query, organize, update, and manage database(s). Exemplary database management systems can include MySQL (Structured Query Language) Database, PostgreSQL Database, Microsoft SQL Server Database, Oracle Database, SAP (Systems, Applications, & Products) Database, and IBM DB2 Database.
[0042] Meanwhile, communication between heart rate detection system 320, display system 360, and/or the one or more databases can be implemented using any suitable manner of wired and/or wireless communication. Accordingly, system 300 can comprise any software and/or hardware components configured to implement the wired and/or wireless communication. Further, the wired and/or wireless communication can be implemented using any one or any combination of wired and/or wireless communication network topologies (e.g., ring, line, tree, bus, mesh, star, daisy chain, hybrid, etc.) and/or protocols (e.g., personal area network (PAN) protocol(s), local area network (LAN) protocol(s), wide area network (WAN) protocol(s), cellular network protocol(s), powerline network protocol(s), etc.). Exemplary PAN protocol(s) can comprise Bluetooth, Zigbee, Wireless Universal Serial Bus (USB), Z-Wave, etc.; exemplary LAN and/or WAN protocol(s) can comprise Institute of Electrical and Electronic Engineers (IEEE) 802.3 (also known as Ethernet), IEEE 802.11 (also known as WiFi), etc.; and exemplary wireless cellular network protocol(s) can comprise Global System for Mobile Communications (GSM), General Packet Radio Service (GPRS), Code Division Multiple Access (CDMA), Evolution-Data Optimized (EV-DO), Enhanced Data Rates for GSM Evolution (EDGE), Universal Mobile Telecommunications System (UMTS), Digital Enhanced Cordless Telecommunications (DECT), Digital AMPS (IS-136/Time Division Multiple Access (TDMA)), Integrated Digital Enhanced Network (iDEN), Evolved High-Speed Packet Access (HSPA+), Long-Term Evolution (LTE), WiMAX, etc. The specific communication software and/or hardware implemented can depend on the network topologies and/or protocols implemented, and vice versa. In many embodiments, exemplary communication hardware can comprise wired communication hardware including, for example, one or more data buses, such as, for example, universal serial bus(es), one or more networking cables, such as, for example, coaxial cable(s), optical fiber cable(s), and/or twisted pair cable(s), any other suitable data cable, etc. Further exemplary communication hardware can comprise wireless communication hardware including, for example, one or more radio transceivers, one or more infrared transceivers, etc. Additional exemplary communication hardware can comprise one or more networking components (e.g., modulator-demodulator components, gateway components, etc.)
[0043] Turning ahead in the drawings,
[0044] In many embodiments, at least one capacitive displacement sensor 807 can detect a pulse by producing a signal associated with a distance change between a skin of a wearer of the device and the at least one capacitive displacement sensor. In some embodiments, at least one capacitive displacement sensor 807 can detect a heart rate, a heart beat-to-beat interval, a respiration rate, and/or a breath-to-breath interval by producing a signal associated with a distance change between a skin of a wearer (e.g., user 350 (
[0045] In many embodiments, the at least one capacitive displacement sensor can measure the change in a distance between the at least one capacitive displacement sensor and a skin of a wearer of the at least one capacitive displacement sensor by capacitive proximity sensing. Turning to
[0046] In some embodiments, a power source can supply AC excitation voltage 1003 applied to outer transmitting electrode 1011. In some embodiments, a capacitance to digital converter can comprise the power source for AC excitation voltage 1003 and an analog-to-digital converter 1009. In many embodiments, the capacitance resolution of the capacitance to digital converter can be approximately 164 femtofarads. In various embodiments, power consumption of the capacitance to digital converter can be approximately 700 microamps at 3.3 volts. In many embodiments, inner receiving electrode 1013 can receive a signal from outer transmitting electrode 1011 due to capacitive coupling between outer transmitting electrode 1011 and inner receiving electrode 1013. As an object 1019 (e.g., skin of the wearer or user raised during a heart beat or pulse) approaches outer transmitting electrode 1011 of device and inner receiving electrode 1013, capacitive coupling can shunt the signal away from inner receiving electrode 1013. In many embodiments, the shunting of the signal away from inner receiving electrode 1013 can cause the signal amplitude to be reduced. In a number of embodiments, a signal can be produced based at least in part on a change in distance due in part to the shunting of the signal away from inner receiving electrode 1013. In some embodiments, the change in distance can be approximately 0.01 centimeter (cm) to approximately 3 cm. In some embodiments, a pulse of the carotid artery can cause dilation of the surface of the artery, which can result in an approximately 0.01 cm raise on a skin of an animal. In many embodiments, the change of distance can depend at least in part on a size of the animal, a breed of the animal, and/or a type of coat of the animal. In many embodiments, the signal produced can be converted into a digital output signal 1005.
[0047] Returning to
[0048] In various embodiments, device 800 can further comprise an array of capacitive sensors. In many embodiments, the array of capacitive sensors can comprise at least one capacitive displacement sensor 807. In some embodiments, the array of capacitive sensors can comprise at least two capacitive displacement sensors. In some embodiments, the array of capacitive sensors can comprise a linear array. In some embodiments, the array of capacitive sensors can comprise a 2-dimensional array (e.g., on an inside surface of a vest).
[0049] In many embodiments, device 800 can further comprise one or more one or more inertial sensors. In some embodiment, the one or more inertial sensors can sense motion caused by a movement of the wearer (e.g., user 350 (
[0050] Turning back to heart rate detection system 320 in
[0051] In some embodiments, heart rate detection system 320 (
[0052]
[0053] Turning back in the drawings,
[0054] In many embodiments, method 600 can comprise an activity 610 of filtering the signal from activity 605 with a high-pass filter. In some embodiments, the high-pass filter can comprise a cutoff frequency of approximately 1 Hertz (Hz). In many embodiments, activity 610 can remove slow-moving signals, such as signals caused by respiration, in order to remove an offset from the data produced by activity 605. Graph 2 (
[0055] In various embodiments, method 600 further can comprise an activity 615 of filtering the signal through a low-pass filter. In many embodiments, activity 615 can comprise removing high-frequency noise by using the low-pass filter. In some embodiments, a cutoff frequency of the low-pass filter can be approximately 10 Hz. Graph 3 (
[0056] In a number of embodiments, method 600 further can comprise an activity 620 of processing the signal to restore a baseline. In some embodiments, activity 620 can comprise processing the signal to set a numeric baseline of zero. In various embodiments, activity 620 can use a baseline restoration (e.g., DC-restoration) algorithm. In some embodiments, the following algorithm (in PYTHON code) can be used, wherein y_bp is the input signal and y_dcr is the output signal:
TABLE-US-00001 #dc restore baseline = np.zeros(len(y_bp)) y_dcr = np.zeros(len(y_bp)) dcr = np.mean(y_bp) decay_rate = 0.96 for i in range(len(y_bp)): if (y_bp[i] < dcr): dcr = y_bp[i] baseline[i] = dcr y_dcr[i] = y_bp[i] ? dcr dcr = dcr*decay_rate
[0057] In some embodiments, this processing can emphasize one or more peaks in the signal that can be due to heartbeats. Graph 4 (
[0058] In a number of embodiments, method 600 further can comprise an activity 625 to detect one or more heart beats and reject noise by processing the signal with a leaky peak detection algorithm. In many embodiments, following algorithm (in PYTHON code) can be used, where y_dcr is the input and y_pdl is the output:
TABLE-US-00002 #peak detection, leaky pd_decay = 0.96 pdl = min(y_dcr) y_pdl = np.zeros(len(y_dcr)) for i in range(len(y_pdl)): if (y_dcr[i] > pdl): pdl = y_dcr[i] y_pdl[i] = pdl pdl = pdl*pd_decay
[0059] Graph 5 (
[0060] In some embodiments, method 600 also can comprise activity 630 of determining a threshold and detecting a heartbeat. In many embodiments, to detect heart beats from the signal of graph 5 (
[0061] In many embodiments, to verify that the heart beat detecting device (e.g. device 800 (
[0062] Turning ahead in the drawings,
[0063] In many embodiments, method 700 can comprise an activity 705 of detecting one or more pulses by using at least one capacitive displacement sensor to produce a signal that is related to a change in a distance between the at least one capacitive displacement sensor and a skin of a wearer of the at least one capacitive displacement sensor. In many embodiments, the at least one capacitive displacement sensor can comprise two electrodes comprising an outer transmitting electrode (e.g. outer transmitting electrode 811 (
[0064] In one embodiment, one electrode could be a ground electrode, such as a metal wire that goes all the way around the collar or the collar itself if the collar were made of an electrically conductive material or a fabric with electrically conducive fibers in it. In this embodiment, the active electrode would be a metal patch located on the inside of the collar with an insulator separating it from the main collar strap ground electrode.
[0065] In another embodiments, the capacitance between the electrodes is not sensed by making one electrode transmit and the other receive. One common way to do this is to make the capacitance of one electrode relative to ground (or the strap) part of an oscillator's resonant circuit. When this is done, the frequency of the oscillation changes as the capacitance between the electrode and ground changes. The oscillator's output then goes to a frequency to voltage converter to get a signal that would look basically the same as that from an AD7746-based sensor. This single-electrode capacitive sensing technique is the principle of the well-known Theremin musical instrument, where extremely small changes in capacitance between the antenna (a single electrode) and ground affect the pitch of an audio oscillator.
[0066] In many embodiments, activity 705 can comprise applying an alternating current (AC) excitation voltage to the outer transmitting electrode as shown in
[0067] In a number of embodiments, method 700 also can comprise an activity 710 of converting one or more signals from the at least one capacitive displacement sensor into a heart rate waveform, the one or more signals comprising information about the one or more pulses. In many embodiments, activity 710 can be similar to method 600 (
[0068] Returning to
[0069] In many embodiments, heart rate detection system 320 can comprise non-transitory memory storage modules 412 and 422, and display module can comprise a non-transitory memory storage module 462. Memory storage module 412 can be referred to as a sensor module 412, and memory storage module 422 can be referred to as a signal processing module 422. Memory storage module 462 can be referred to as a display module 462.
[0070] In many embodiments, sensor module 412 can store computing instructions configured to run on one or more processing modules and perform one or more acts related to sensing. In various embodiments, sensor module 412 can store computing instructions configured to run on one or more processing modules and perform one or more acts of methods 700 (
[0071] In some embodiments, display module 462 can store computing instructions configured to run on one or more processing modules and perform one or more acts of method 700 (
[0072] Although a heart rate detection device and related systems and methods has been described above, it will be understood by those skilled in the art that various changes may be made without departing from the spirit or scope of the disclosure. Accordingly, the disclosure of embodiments is intended to be illustrative of the scope of the disclosure and is not intended to be limiting. It is intended that the scope of the disclosure shall be limited only to the extent required by the appended claims. For example, to one of ordinary skill in the art, it will be readily apparent that any element of the figures in
[0073] In another embodiment, the invention provides a magnetic field sensor, such as ST micro LSM303 3-axis compass integrated circuit, mounted with the capacitative sensor. The 3-axis compass signals can also be used to detect a dog's motion. The information about the dog's motion can be used to identify and remove motion artifacts in the capacitative sensor signal.
[0074] Replacement of one or more claimed elements constitutes reconstruction and not repair. Additionally, benefits, other advantages, and solutions to problems have been described with regard to specific embodiments. The benefits, advantages, solutions to problems, and any element or elements that may cause any benefit, advantage, or solution to occur or become more pronounced, however, are not to be construed as critical, required, or essential features or elements of any or all of the claims, unless such benefits, advantages, solutions, or elements are stated in such claim.
[0075] Moreover, embodiments and limitations disclosed herein are not dedicated to the public under the doctrine of dedication if the embodiments and/or limitations: (1) are not expressly claimed in the claims; and (2) are or are potentially equivalents of express elements and/or limitations in the claims under the doctrine of equivalents.