METHOD OF MONITORING A FETUS
20220054068 · 2022-02-24
Inventors
Cpc classification
A61B5/11
HUMAN NECESSITIES
A61B2562/04
HUMAN NECESSITIES
A61B8/0866
HUMAN NECESSITIES
International classification
A61B5/00
HUMAN NECESSITIES
Abstract
Methods for monitoring a fetus employ a mobile computing device. A method of monitoring a fetus includes generating a first preprocessed acoustic signal via amplification of a first acoustic signal. The first preprocessed acoustic signal is processed by a mobile computing device to extract one or more of a fetal heart sound, a fetal heartbeat rate, or a fetal heartbeat acoustic intensity.
Claims
1. A method of monitoring a fetus, the method comprising: receiving, by a signal processing assembly, a first acoustic signal from a first acoustic transducer coupled with a pregnant patient in proximity to an abdominal region of the pregnant patient at a first acoustic transducer position; generating, by the signal processing assembly, a first preprocessed acoustic signal via amplification of the first acoustic signal; storing, by the signal processing assembly, the first preprocessed acoustic signal; receiving instructions, by the signal conditioning assembly from a mobile computing device, that cause the signal processing assembly to output the first preprocessed acoustic signal to the mobile computing device for processing; processing, by the mobile computing device, the first preprocessed acoustic signal to extract one or more of a fetal heart sound, a fetal heartbeat rate, or a fetal heartbeat acoustic intensity; and outputting, by the mobile computing device, one or more of the fetal heart sound, the fetal heartbeat rate, or the fetal heartbeat acoustic intensity.
2. The method of claim 1, further comprising: receiving, by a signal processing assembly, a second acoustic signal from a second acoustic transducer coupled with the pregnant patient in proximity to the abdominal region of the pregnant patient at a second acoustic transducer position; generating, by the signal processing assembly, a second preprocessed acoustic signal via amplification of the second acoustic signal; storing, by the signal processing assembly, the second preprocessed acoustic signal; receiving, by a signal processing assembly, a third acoustic signal from a third acoustic transducer coupled with the pregnant patient in proximity to the abdominal region of the pregnant patient at a third acoustic transducer position; generating, by the signal processing assembly, a third preprocessed acoustic signal via amplification of the third acoustic signal; storing, by the signal processing assembly, the third preprocessed acoustic signal; receiving instructions from a mobile computing device, by the signal conditioning assembly, that cause the signal processing assembly to output the second preprocessed acoustic signal and the third preprocessed acoustic signal to the mobile computing device for processing; processing, by the mobile computing device, the first preprocessed acoustic signal, the second preprocessed acoustic signal, and the third preprocessed acoustic signal to determine a fetal position; and outputting, by the mobile computing device, the fetal position.
3. The method of claim 2, wherein processing the first preprocessed acoustic signal, the second preprocessed acoustic signal, and the third preprocessed acoustic signal to determine the fetal position comprises: processing the first preprocessed acoustic signal to extract a first fetal heartbeat acoustic intensity; processing the second preprocessed acoustic signal to extract a second fetal heartbeat acoustic intensity; and processing the third preprocessed acoustic signal to extract a third fetal heartbeat acoustic intensity, wherein the fetal position is determined based on the first fetal heartbeat acoustic intensity, the first acoustic transducer position, the second fetal heartbeat acoustic intensity, the second acoustic transducer position, the third fetal heartbeat acoustic intensity, and the third acoustic transducer position.
4. The method of claim 3, wherein generating at least one of the first preprocessed acoustic signal, the second preprocessed acoustic signal, or the third preprocessed acoustic signal comprises using low-pass filtering and high-pass filtering to remove frequencies not associated with fetal heartbeat and fetal movement.
5. The method of claim 2, wherein generating at least one of the first preprocessed acoustic signal, the second preprocessed acoustic signal, or the third preprocessed acoustic signal comprises using low-pass filtering and high-pass filtering to remove frequencies not associated with fetal heartbeat and fetal movement.
6. The method of claim 2, wherein the first preprocessed acoustic signal, the second preprocessed acoustic signal, and the third preprocessed acoustic signal are sequentially output by the signal conditioning assembly to the mobile computing device.
7. The method of claim 2, wherein the first acoustic transducer, the second acoustic transducer, and the third acoustic transducer are coupled with the pregnant patient so that fixed distances are maintained between the first acoustic transducer, the second acoustic transducer, and the third acoustic transducer.
8. The method of claim 2, further comprising: converting acoustic waves in a frequency range comprising 0.5 to 2.0 Hz into a fetal movement acoustic signal using at least one of the first acoustic transducer, the second acoustic transducer, and the third acoustic transducer; generating, by the mobile computing device, fetal movement information based on the fetal movement acoustic signal; and outputting, by the mobile computing device, the fetal movement information.
9. The method of claim 2, further comprising: converting acoustic waves in a frequency range comprising 20.0 to 150. Hz into a fetal heartbeat acoustic signal using at least one of the first acoustic transducer, the second acoustic transducer, and the third acoustic transducer; generating, by the mobile computing device, fetal heartbeat information based on the fetal heartbeat acoustic signal; and outputting, by the mobile computing device, the fetal heartbeat information.
10. The method of claim 1, wherein generating the first preprocessed acoustic signal comprises using low-pass filtering and high-pass filtering to remove frequencies not associated with fetal heartbeat and fetal movement.
11. The method of claim 1, further comprising: modulating, by the signal conditioning assembly, the first preprocessed acoustic signal to produce a first modulated acoustic signal that is output to the mobile computing device; and demodulating, by the mobile computing device, the first modulated acoustic signal.
12. The method of claim 1, wherein the mobile computing device comprises a mobile phone, a tablet computer, or a laptop computer.
13. The method of claim 1, wherein: each of the signal conditioning assembly and the mobile computing device comprises a respective audio port comprising a respective two stereo contacts, a respective ground contact, and a respective microphone contact; the instructions are transmitted from the mobile computing device to the signal conditioning assembly via both of the respective stereo contacts; and the first preprocessed acoustic signal is output to the mobile computing device via the respective microphone contacts.
14. The method of claim 1, wherein the first acoustic transducer comprises a piezoelectric disk sensor.
15. The method of claim 1, further comprising processing, by the mobile computing device, the first preprocessed acoustic signal to remove a material heartbeat signal.
16. The method of claim 1, wherein the signal conditioning assembly stores the first preprocessed acoustic signal digitally.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0007] These and other features, embodiments, and advantages of the present disclosure are better understood when the following Detailed Description is read with reference to the accompanying drawings.
[0008]
[0009]
[0010]
[0011]
[0012]
[0013]
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[0015]
[0016]
[0017]
DETAILED DESCRIPTION
[0018] In the following description, various embodiments of the present invention will be described. For purposes of explanation, specific configurations and details are set forth in order to provide a thorough understanding of the embodiments. However, it will also be apparent to one skilled in the art that the present invention may be practiced without the specific details. Furthermore, well-known features may be omitted or simplified in order not to obscure the embodiment being described.
[0019] Various embodiments herein described are directed to systems and methods for obtaining and processing abdominal phonographic data during pregnancy for assessing fetal health and/or determining a need for obstetric intervention. In some embodiments, a system for obtaining said phonographic data may include one or more sensors, an amplifier, and a processing unit for processing the phonographic data and providing information to a user. In some cases, a sensor can include an acoustic transducer which can be applied to a patient's abdomen and used to sense sound waves within the patient corresponding to a fetal heartbeat, fetal movement, and various endogenous sounds corresponding to the patient and unrelated to the fetus. By employing acoustic transducers, the system can use inexpensive component parts such as piezoelectric disk transducers (or other suitable low-cost microphones), reducing an overall cost of providing fetal monitoring.
[0020] In embodiments, an array of multiple sensors may be arranged in a predetermined spacing such that at least one sensor will be located sufficiently close to the fetus to detect a heartbeat of the fetus even if the array is applied without prior knowledge of the location of the fetus. The predetermined spacing may be achieved by attaching the sensors with a support structure, and either the sensors or the support structure can also be attached with one or more straps or belts for attaching the array to a patient. An array incorporating a predefined spacing and a support structure may be readily applied to a patient even by an inexperienced practitioner, or by the patient herself, further reducing costs associated with fetal monitoring.
[0021] In some cases, one or more of the sensors in either of the above-described systems may include onboard memory or a buffer to store sound data, but in other cases, sound data may be transmitted continuously to an amplifier, external buffer, or external processing unit. In specific embodiments, a combined signal conditioning element can be configured to collect a stream of acoustic data from the array of sensors, perform initial processing (e.g., amplification and/or frequency filtering) on the acoustic signals, and store the processed signals in a buffer. The signal conditioning element can push the processed signals to a processing element for performing analysis on the signals and displaying results to a user, or the processing element can retrieve the processed signals.
[0022] In some cases, one or more of the sensors in a sensor array can be configured for detecting frequencies in a different range than the other sensors. For example, very low frequency ranges (approximately 0.5-2 Hz), being commonly associated with fetal body and limb movements, can be targeted for detection by one or more of the sensors. Typical fetal heart sounds are commonly associated with a higher frequency range (approximately 20-150 Hz), and can be detected concomitantly by other sensors in the array.
[0023] In embodiments, filtering acoustic signals from an array of sensors can include multiple aspects for distinguishing fetal heartrate from interference. Interference may originate from endogenous sounds of the patient such as speech, digestive activity, maternal pulse, heartbeat and respiratory sounds, and shear sources caused by movements of the acoustic sensor against the skin of the patient. Due to the acoustic damping of the amniotic fluid and maternal tissue, amplification is needed to hear the desired fetal sounds; and amplification can also increase the impact of interference. A first aspect of filtering acoustic signals can include selecting frequencies by using low-pass and high-pass filtering at the signal conditioning element and/or at the individual sensors in order to remove frequencies not associated with fetal heartbeat and movement. A second aspect of filtering acoustic signals can include processing to cancel undesired sounds. For example, the maternal heartbeat, being a regular sound readily detected at all sensors in an array (and also readily detected by other means) can be captured and placed out of phase with the acoustic signals received from the array of sensors in order to selectively cancel the maternal heartbeat from a processed acoustic signal. By way of further example, using a blind source separation method using a wavelet transform, mixed signals (i.e., from the mother, fetus, and external environment) can be captured and separated into independent acoustic waveforms. The waveform associated with the fetus can be extracted from the mixed acoustic signals in this way and analyzed independently.
[0024] In embodiments, the system can incorporate buffering at an signal conditioning element for managing a flow of acoustic data. In some cases, the acoustic data can be provided via a simple connector, such as a standard audio port having first and second stereo pin leads, and a microphone lead. By managing acoustic data via a buffer, the data can be transferred to a highly portable device, such as a mobile phone, tablet, or other small electronic computing device, via a standard audio cable. The portable device can also provide processing functionality for analyzing the acoustic signals and outputting information to a user; and executable instructions for performing the processing can be pre-loaded on the device, operated via cloud computing on a device with an active network connection, or can be installed to the device via a network, such as a wireless network.
[0025] Referring now to the drawings, in which like reference numerals represent like parts throughout the several views,
[0026]
[0027] In some embodiments of the sensor 112, the sensor disk 208 is a piezoelectric disk. In some specific embodiments, the sensor disk 208 can be a prefabricated (off-the-shelf) piezoelectric sensor disk having approximately the following attributes: a diameter of 15 mm, thickness of 0.3 mm, capacitance of 30 nF, and a resonance frequency of 2.8 kHz. Notably, off-the-shelf disk-type piezoelectric sensor disks are readily obtainable at low cost, enabling sensors such as the sensor 112 to be constructed at low cost as well. The casing 216 and the probe 214 can be formed of any suitable rigid plastic, metal, or comparable structural material by casting, 3D printing, or other suitable manufacturing technique. In some specific embodiments, the casing 116 and probe 214 can be formed of ABS plastic by either a fused deposition modeling (FDM) or a stereolithography (SLA) 3D-printing technique. In other cases, the casing 116 and probe 214 can be formed by conventional mass-production techniques such as injection molding or any other suitable production technique.
[0028] The top of the sensor top cover 202 can also include an attachment feature 204 for connecting the sensor 112 with a support structure (not shown) or a belt, strap, or other means of attaching the sensor with a patient (not shown). The attachment feature 204 can be a button-like protrusion, and can be fixedly attached with the cover 202, or with any part of an exterior surface of the sensor casing 216. In some specific embodiments, the attachment feature 204 is configured to be inserted, in the manner of a button, through a hole in a flexible support structure (not shown); but in other cases, the attachment feature can be a snap, threaded interface, magnetic connector, or any other suitable means for removably connecting two components.
[0029]
[0030]
[0031] The signal conditioning circuit 400 is configured to amplify phonogram signals received from sensors, such as the sensors 112a-d (
[0032] The second note 426 is operably connected with a first feedback node 460 via a third resistor 458, as well as being operably connected with the first input terminal 432 of the second operational amplifier. The first feedback node 460 is connected with the second input terminal 424 of the first operational amplifier, and connected via a fourth resistor 456 with ground 402 via a second capacitor 428. The effect of the operational amplifier is to amplify the potential of the first node 408 at the second node 426. The second node 426 connects with the first input terminal 432 of the second operational amplifier 430, which outputs a potential at the third node 436 which is operably connected in a feedback loop with the second operational amplifier 430 at the second input terminal 434. The third node 436 is operably connected with a fourth node 440 across a fifth resistor 438. The fourth node 440 is further connected with a fifth node 462 across a sixth resistor 452 and with a sixth node across a third capacitor 442. The fifth node 462 is further connected with the first input terminal 446 of the third operational amplifier 450 and with a fourth capacitor 454 which is connected with ground 402. The output 448 of the third operational amplifier 450 is operably connected with a sixth node 464, which is connected in a feedback loop with the third operational amplifier at the second input 444 of the third operational amplifier, and also connected with the third capacitor 442. An amplified signal can be obtained at the sixth node 464.
[0033] The effect of the cascading operational amplifier circuit 400 shown is to increase a signal strength of the input signal without merely adding noise. In some embodiments, other high-gain amplification circuits may be supplied in place of the circuit 400 shown, such as an instrumentation amplifier, feedback-free instrumentation amplifier, chopper-stabilized or zero-drift instrumentation amplifier, or other suitable amplifier circuit.
[0034]
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[0036] In various alternative embodiments, different arrangements of sensors can be used. For example, a sensor array can have more or less than four sensors. In some cases, sensor array having a centrally disposed sensor in an ‘X’-shaped configuration may be provided so as to detect fetal sounds when a fetus is centrally disposed relative to the sensor array. In some cases, a sensor array forming a grid, such as a 3 by 3 grid, may be provided so as to detect fetal sounds when the sounds are not sufficiently strong to be reliably detected by a sensor array using only four sensors. In some cases, a distance between the sensors need not be equal—i.e., the shape of a 2 by 2 grid need not be square, but can also be rectangular, diamond-shaped, ‘Y’-shaped, or any other suitable shape that can form a grid. In some cases, three sensors may be disposed in a triangular configuration. In any case, a support structure can be configured to match a desired configuration of the sensors.
[0037]
Accordingly, sounds intensities received at multiple sensors arranged in the grid can be used to determine the relative distance of the sound source between pairs of sensors. For example, where the array 500 detects four sound intensities I.sub.1, I.sub.2, I.sub.3, and I.sub.4; a position of the fetus based on the array can be determined by solving for associated distances r.sub.1, r.sub.2, r.sub.3, and r.sub.4. The intersection of the radiuses r.sub.1-r.sub.4 is the position of the source of the fetal heartbeat. The distances 702, 704, 706, and 708 can be converted geometrically to vertical or horizontal distances from the reference edges of a grid formed by the array, such as horizontal distance from the left edge 728 or right edge 746, or vertical distance from the top edge 724 or bottom edge 768. In some cases, three of the four sound intensities can be used to detect the position, permitting the fourth sensor of the four sensors to be used for monitoring low-frequency sounds associated with fetal movement.
[0038] In specific embodiments, the grid edges can be 10 cm based on distances between openings in the support structure (not shown). The distances can also be determined or verified via ultrasonography.
[0039]
[0040] In some specific embodiments, the processing element 130 can be a mobile device, such as a mobile phone, tablet computer, laptop computer, or other suitable computing device. Furthermore, in some cases, the processing element 130 can be configured to receive data via a standard audio port having, for example, two stereo leads 142a, 142b, a ground lead 142c, and a microphone lead 142d. The processing element, which can contain a processor and memory containing executable instructions for at least managing acoustic data, can use two of said leads in the audio port such as the two stereo leads 142a, 142b to issue binary instructions to the data I/O module 124 of the signal conditioner element 120 in order to instruct the buffer 126 to relay an acoustic signal via a third lead in the audio port such as the microphone lead 142d. The processing element 130 can, in some cases, selectively receive one acoustic signal at a time in real-time; i.e., by causing the data I/O module 124 to select a signal source to listen to; or the processing element 130 can capture stored acoustic signals from multiple sensors that have been acquired at the buffer 126 over a period of time. In some cases, the signal conditioner element 120 can also include a modulator for incorporating the acoustic signals into a carrier wave. In some specific embodiments, the carrier wave has a frequency of 2 kHz.
[0041]
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[0043] At the second thread, 1000b, the processing element determines that a data storage block has been set by the first thread 1000a for processing. (1010) The processing element can demodulate the stored signal from a carrier wave if the signal has been modulated in said carrier wave (1012). The demodulated signal can then be processed to obtain fetal heart rate sounds. (1014). The fetal heart rate sounds can be used to determine, for example, a fetal heartbeat rate (or change in rate), or a fetal heartbeat acoustic intensity (which can also be used to determine a fetal heartbeat position). (1018) Aspects of the process 1000 may be performed by a system similar to the systems 100 discussed in
[0044] Other variations are within the spirit of the present invention. Thus, while the invention is susceptible to various modifications and alternative constructions, certain illustrated embodiments thereof are shown in the drawings and have been described above in detail. It should be understood, however, that there is no intention to limit the invention to the specific form or forms disclosed, but on the contrary, the intention is to cover all modifications, alternative constructions, and equivalents falling within the spirit and scope of the invention, as defined in the appended claims.
[0045] The use of the terms “a” and “an” and “the” and similar referents in the context of describing the invention (especially in the context of the following claims) are to be construed to cover both the singular and the plural, unless otherwise indicated herein or clearly contradicted by context. The terms “comprising,” “having,” “including,” and “containing” are to be construed as open-ended terms (i.e., meaning “including, but not limited to,”) unless otherwise noted. The term “connected” is to be construed as partly or wholly contained within, attached to, or joined together, even if there is something intervening. Recitation of ranges of values herein are merely intended to serve as a shorthand method of referring individually to each separate value falling within the range, unless otherwise indicated herein, and each separate value is incorporated into the specification as if it were individually recited herein. All methods described herein can be performed in any suitable order unless otherwise indicated herein or otherwise clearly contradicted by context. The use of any and all examples, or exemplary language (e.g., “such as”) provided herein, is intended merely to better illuminate embodiments of the invention and does not pose a limitation on the scope of the invention unless otherwise claimed. No language in the specification should be construed as indicating any non-claimed element as essential to the practice of the invention.
[0046] Preferred embodiments of this invention are described herein, including the best mode known to the inventors for carrying out the invention. Variations of those preferred embodiments may become apparent to those of ordinary skill in the art upon reading the foregoing description. The inventors expect skilled artisans to employ such variations as appropriate, and the inventors intend for the invention to be practiced otherwise than as specifically described herein. Accordingly, this invention includes all modifications and equivalents of the subject matter recited in the claims appended hereto as permitted by applicable law. Moreover, any combination of the above-described elements in all possible variations thereof is encompassed by the invention unless otherwise indicated herein or otherwise clearly contradicted by context.
[0047] All references, including publications, patent applications, and patents, cited herein are hereby incorporated by reference to the same extent as if each reference were individually and specifically indicated to be incorporated by reference and were set forth in its entirety herein.