System of ecg monitoring with configured limits of switching on alarm signal

FIELD: medicine.

SUBSTANCE: invention relates to field of medicine. System of cardiac monitoring contains battery-supplied ECG monitor, which is worn by patient and has processor of patient's ECG signal, device for identification of arrhythmia and wireless transceiver for sending messages about the state and obtaining information about configuration of device of arrhythmia identification. System of cardiac control additionally contains mobile phone, which has electronic devices of mobile phone, transceiver and controller. In the process of method version realisation, parameter of specified arrhythmia to be identified, and limit of switching on alarm signals for specified arrhythmia, are determined and stored in configuration file in the centre of monitoring. ECG monitor is fixed to patient and activated to start ECG monitoring. Message about state is sent by wireless communication line from ECG monitor into the centre of monitoring. Reply to message, which includes only configuration file, is sent to ECG monitor. Configuration file is used to adjust device for arrhythmia identification.

EFFECT: invention makes it possible to provide completely wireless ECG monitoring to increase patient's comfort and convenience.

18 cl, 48 dwg, 1 tbl

 

This application is a partial continuation of pending international application no PCT/IB2006/054019, filed October 30, 2006, which claims the priority of U.S. provisional application No. 60/741,492, filed November 30, 2005

The present invention relates to monitoring systems ECG and, in particular, to continuous ECG monitoring of patients in an outpatient setting.

Many patients have a clearly visible need for continuous cardiac monitoring over an extended period of time. In this group of patients includes those who may have an arrhythmia type of atrial fibrillation, atrial flutter and other supraventricular tachycardia, and atrial or ventricular ectopia, cardiac bradyarrhythmia, alternating blockade feet atrioventricular bundle and arrhythmia-related conditions type of hyperthyroidism or chronic lung disease. Other patients may exhibit symptoms that can occur because of heart arrhythmias, such as dizziness or confusion of consciousness, fainting or shortness of breath. Many patients may experience palpitations and for them it is desirable to correlate the rhythm of the patient's symptoms. In other patients, the state may need to control for the presence of cardiac effects of the drug means is in situations where arrhythmic effects of drugs or the effects of drugs to suppress arrhythmias should be monitored. For medicinal products with well-known arrhythmic effects should be controlled by a possible prolongation of the QT interval. Patients who are diagnosed with respiratory disorders during sleep, the type of apnea during sleep, which moved the systolic or transient ischemic attack, or who recover after cardiac surgery can often be useful continuous cardiac monitoring.

For some of these States currently uses multiple control devices. The Holter monitors are used for continuous ECG recording of a patient within a certain period, such as 24-hour period. However, data recorded by the monitor Holter, are known and can be analyzed only after the completion of the registration period. Instant ECG analysis is not possible because ECG data only registered and are not reported immediately. In addition, while wearing the Holter monitor and due to its numerous wires and electrodes, many patients feel disabilities to participate in normal life and often oppose the discomfort and inconvenience of these monitors.

Another pin is Aulnay device, currently used - cyclic monitor or event monitor. Cyclic monitor writes the data in a continuous loop of registration. When the cycle is complete circular monitor will overwrite previously recorded data. Cyclic monitor so inefficient as Registrar of full disclosure for a long period of time, as data may be lost. When using event monitor to the patient attach multiple electrodes and wires, so that the monitor could be activated by the patient whenever the patient feels the symptoms. When the patient feels pain or discomfort, it activates the monitor to record the ECG during symptom. Some systems also have the ability to transmit ECG data to the local base station, which relays ECG data on the phone in the diagnostic center, where they can immediately be carefully examined for the presence of arrhythmias. However, this limits the normal daily activities of the patient, since the patient must be continuously stay within range of the local base station.

One other monitors have the recorder automatically launched cardiac event, to record the ECG during the event. The patient then connects the monitor to the modem phone line is, to transmit ECG data to the control centre for research. These systems create numerous problems. One of them is that the error of the patient when the monitor is connected to the telephone equipment or when working with equipment can lead to the loss of the loaded data. Another problem is that the cardiac event type fainting may leave the patient unconscious or disoriented and unable properly to carry out the transfer process or, in some cases, actually do it. In addition, if the cardiac event is occurring at a time when the patient goes to the car, it may take considerable time before the patient will return to the location of the equipment for loading and be able to perform the data load process.

Accordingly, for cardiac monitoring system it would be desirable to overcome the disadvantages of these devices. This monitoring system shall continuously record the shape of the ECG of the patient, analyze the ECG for arrhythmias in real time and send ECG data doctor-diagnostician whenever possible there is a significant arrhythmia. The system should also be operable by the patient to record symptomatic event, preferably with a verbal description of the event, and should then automatically close at hand is the substance of the description of the symptom and related data ECG physician or control center for research. The control system should, preferably, be very comfortable and convenient for the patient to use it without disruption of normal daily life of the patient.

In accordance with the principles of the present invention provides the monitoring system of ECG, which is completely wireless for the comfort and convenience of the patient. The small monitor on the sticky patch is attached to the chest of the patient. Monitor continuously analyzes the patient's ECG with respect to the limits of inclusion of alarms stored in the monitor. If there is a suspected arrhythmia, ECG data is immediately sent to cell phone and sent to the control center for clinical research. Limits enable alarms are loaded from the control center, when the monitor first comes in contact with the control center, and whenever the monitor is in contact with the control center, checks for updates of configuration data. The monitor can automatically reconfigure themselves to new limits enable alarms transmitted from the control center.

In the drawings:

Fig. 1 - the patient worn monitoring system ECG corresponding to the present invention.

Fig. 2 - electrode patch that can be affixed to the chest of the patient and holds the ECG monitor.

Fig. 3a and 3b kinds of SPE is that the transfer and rear monitors ECG, of the present invention, which are attached to the patch shown in Fig. 2.

Fig. 4 - installation of ECG monitor, shown in Fig. 3, the electrode patch shown in Fig. 2.

Fig. 5 - handset cell phone with cover monitoring system ECG corresponding to the present invention.

Fig. 6 - cell-phone shown in Fig. 5, with the cover mounted on the cell phone.

Fig. 7 is a top view of the front tube cell phone shown in Fig. 5 and 6, when the handset communicates with the monitor.

Fig. 8a-8i - some images on the display screen of a typical tube cell phone monitoring system ECG corresponding to the present invention.

Fig. 9 - battery charger monitor and cable for charging tube cell phone.

Fig. 10 monitor inside the charger shown in Fig. 9 before closing the lid of the battery charger.

Fig. 11 - charger kit monitoring system ECG corresponding to the present invention, when it is used to charge the monitor and tube cell phone.

Figa functional block diagram of the ECG monitor made in accordance with the principles of the present invention.

Fig.12b - block diagram of the operation of the ECG monitor, shown in figa, from the point of view of the apparatus to provide the Deposit.

Fig functional block diagram of the tube cell phone communicating with the control center.

Fig is an example of communication between the ECG monitor and control center and its functions for system monitoring ECG corresponding to the present invention.

Fig - screen display with the image pattern configuration settings and enable alarms monitor ECG corresponding to the present invention.

Fig - screen display for configuration procedures configuration and enable alarms to monitor the ECG corresponding to the present invention, showing a custom level of anxiety.

Fig - screen display, used for component Assembly kit control ECG corresponding to the present invention.

Fig - screen display used to monitor the placement of sets of ECG of the present invention.

Fig - screen display used to monitor ECG monitors and their Bluetooth addresses in accordance with the present invention.

Fig. 20 is a screen display used to monitor the use of electrodes in accordance with the principles of the present invention.

Fig. 21 is a screen display used to monitor tubes, cell phones, their telephone numbers and Bluetooth addresses in accordance with the present invention.

p> Fig. 22 is a screen display used to monitor the use of tubes monitoring system ECG in accordance with the present invention.

Fig. 23 - a computerized template that is used to register the respective locations of the electrode patches and orientations of the patches for the patient.

Fig. 24 - the setup screen is used to program reminders for the patient about the need to charge monitor and tube cell phone monitoring system ECG corresponding to the present invention.

Fig. 25 is a screen display used by the control center to record the requirements for the doctor messages during use of the monitoring system ECG corresponding to the present invention.

Fig. 26 is a screen display for tracking user activity during the use of monitoring systems ECG corresponding to the present invention.

Fig. 27 is a screen display for the registration of the connection of the patient during the procedure of ECG monitoring conducted in accordance with the principles of the present invention.

Fig. 28 - screen display device viewing the ECG used to display the data, created a four-channel ECG monitor made in accordance with the principles of the present invention.

Fig. 29 is a screen display device for viewing the ECG monitor ECG corresponding to nastasemarian, with the Windows open notifications and events.

Fig. 30 - screen display status notifications received from the ECG monitor corresponding to the present invention.

Fig. 31 - screen display viewer ECG with magnification window for a detailed study of the shape of the ECG in accordance with the principles of the present invention.

Fig. 32 is a block diagram of the sequence of operations of a method for configuration control procedures ECG in accordance with the present invention.

Fig. 33 is a block diagram of the sequence of operations of a method for original equipment patient monitors, ECG in accordance with the present invention.

Fig. 34 is a block diagram of the sequence of operations of a method for daily replacement and charge electrodes in accordance with the present invention.

Fig. 35 is a block diagram of the sequence of operations how to use the button "Call for Help" (help) for the handset cell phone monitoring system ECG corresponding to the present invention.

Fig. 36 is a block diagram of the sequence of operations how to use the button "Record Voice" (voice record) tube cell phone monitoring system ECG corresponding to the present invention.

Fig. 37 is a block diagram of the sequence of operations of way voice contact with patsie is that in order to resolve the difficulty, reported by the monitoring system ECG corresponding to the present invention.

Fig. 38 is a block diagram of the sequence of operations activities conducted by the center for recovery in the preparation of the monitoring system ECG corresponding to the present invention, for use by another patient.

In Fig. 1 shows substantial comfort and ease of use for wireless patient monitoring system of ECG, created in accordance with the principles of the present invention. Man, shown on the drawing in Fig. 1, engaged in their usual daily activities, and it is not concerned and does not restrict continuous monitoring system ECG, which he wears. This is ensured by the fact that the system of monitoring ECG, which he wears, thin, lightweight and easy to carry. Importantly, the monitoring system ECG has no wires, hung on the human body. There are no wires from the monitor to the electrodes on other areas of the body, there are no wires connecting the monitor to the communication device, and there are no wires connecting the communication device to a communication network. The monitoring system ECG is completely wireless. The casual observer it may seem that people only carry a cell phone in the bag 10 to carry, which fits in the waist on the side. That show is but on the chest of the person, is the wireless monitor 12 ECG corresponding to the present invention. Although the monitor 12 ECG is as shown in Fig. 1, the body monitor may be invisible to the observer, because he will be under the shirt of the person. When the diameter is less than 2.5 inches (63 mm), thickness 0.5 inch (12.7 mm) and weight less than one ounce (28 g), the monitor should be virtually invisible under clothes. As people engaged in their daily activities, monitor 12 ECG continuously monitors, analyzes and records the ECG of each cardiac contraction. If the monitor detects an arrhythmia, alarm and recording ECG wirelessly sent to a cell-phone in a bag of 10 for carrying. The cell-phone silently calls the control center, which can be hundreds or thousands of miles and relays alarm and ECG recording in the control center. Control center this cardiac information quickly examined by a medical specialist and taken any necessary action or message is the doctor of the patient. Cardiac function of the patient is controlled so within 24 hours a day, usually within a few weeks (for example, 10-30 days), providing an archive of ECG information and the level of protection against arrhythmia, otherwise not available on an outpatient basis.

In Fig. 3a shows a top view of the outer side of the monitor 30 ECG performed in accordance with the principles of the present invention. The ECG monitor 30 is enclosed in a plastic butterfly case, closed by means of ultrasonic welding or hermetically sealed with glue or solvent. On the rear side 38 of the housing, as shown in the example in Fig. 3b is a series of electrical contacts 36, which is inserted and thermally sealed shading on the body surface. In the present embodiment, there are three rows of electrical contacts 36. One of these series creates a connection with the elastomeric contacts 26 of the clamp 24 and transmits signals to the ECG monitor and apply a small signal to the reference electrode. The other two series that come in contact with the respective rows of contacts in the charger when the monitor 30 is charged, as described below. The monitor in this example does not have any external bodies control the population or displays, and no switch "on/off", and only the electrical contacts 36 on the rear side of the housing. In this embodiment, the ECG monitor has a width of 2.4 inches (61 mm)height 1.9 inch (48 mm), thickness 0.5 inch (12.7 mm) and weighs in at 0.9 oz (25 g). Because the case is sealed along its periphery and the contacts on the back is completely sealed, the monitor can be worn in the shower, without creating any danger to the patient or the monitor. Since in this embodiment, the case is closed permanently, replace the internal battery or components in this design impossible. If the monitor will not work properly or if the battery is no longer capable of holding a sufficient charge, it should be disposed of properly.

The plastic body is equipped with keyed on the bottom of the recess 32, which corresponds to the shape of the bottom clamp electrode 24 of the patch 20. In the bottom of the case also has a recess 34, which coincides with the projection of the inside of the bottom clamp. In the example of Fig. 3b, there are two notches 34a and 34b for keyway, coinciding with the tabs of the clip 24 of the patch. This keyed connection ensures that the monitor 30 ECG can be recorded in the clip 24 in only one orientation. In Fig. 4 presents a side view showing the monitor 30, fixed in the clamp 24. The bottom of the monitor shown in Fig. 3a, first insert aetsa in the clamp with the notch 32, 34 keyed mounting meshing with the appropriate form at the bottom of the clip. The upper part of the monitor, then leans back to the top of the clip, as indicated by the arrow in Fig. 4, and the upper part of the monitor is fixed under the upper part 28 of the clamp 24. When the monitor is fixed in place, providing the patient with a tactile indication that the monitor is in place, the contacts 36 on the rear side of the monitor are aligned and engages with a number of contacts 26 of the clip. Now the monitor is in position control of the patient's ECG waveform, which begins as soon as the monitor considers this engagement, he stops his "sleep" mode and contains the power supply, providing full functionality.

In Fig. 5-7 shows the tube 50 cell phone, suitable for use in conjunction with the monitor 30 ECG shown in Fig. 3. Tube 50 cell phone contains a standard, commercially available cellular telephone 52 type of "smartphone", which is placed on top of the plastic cover 56, which is fixed in place. Cover 56 will act to close the majority of the keys of a standard cell phone and limit the patient using only a few buttons needed to control procedures ECG. Cover, thus, transforms the often complex commercial cell phone commercial who icator, easy to understand and use by the patient. In Fig. 5 shows the cellular phone 52, is placed in the cover 56. Shows the button 54 on/off switch located on the side of the cellular phone 52, and cell phone 52 is activated before it is fixed cover. As shown in Fig. 6, the cover 56 has a front hole the size of a cell phone screen, so the screen 58 of the cellular phone 52 could be observed through the hole in the lid. The cover also has two partial cutout 62 and 64 on the front side. These cutouts 62, 64 can be pressed by the patient as buttons to use two beneath the keyboard cell phone. In other embodiments, implementation of the cap may cover the majority of keys, cell phone and leave open and available for use only a few keys. Cuts or open keys work as "soft keys", whose functions depend on keystrokes at some point, displayed on the screen 58 cell phone at the bottom of the screen directly above each cutout. Depending on the control system and actions of the patient, these functions change as described below. In Fig. 7 shows a front view of the closed cover cell phone showing the screen 58, the buttons under the screen, a small hole 72 in the upper part of the lid, h is the cut which the patient may listen to a small-sized speaker cell phone, and three small holes 74 at the bottom of the cover 56, in which the patient can speak when writing messages or chat with a control center, as discussed below. When the cellular phone 52 is enabled and the cover 56 is installed, there are only two buttons, 62 and 64, which the patient can operate in this variant implementation.

A significant advantage of this implementation commercial cell phone with the cover is that the control system can be quickly and inexpensively adapted to the new technology of cell phones. As introduced new models of cellular phones and still become obsolete, a new model of cell phone can be used by changing the design of the cover to adapt to the new model and a new cover in a cheap large quantities, for example, as part manufactured by injection molding. Labor costs and the cost of this will be much less than those required for the design and manufacture of specialized mobile communication device, which will not be supported by technological change and will be expensive in the production in small volumes. Used in the invention approach adapting a new cover to new commercial models of cell phones allows the developer of the control system in order to take advantage of low cost cell phones, produced in high volumes, and to avoid the need for expensive and technically limited specialized device.

In other embodiments, the implementation may be desirable to provide additional buttons or the function button for use by the patient. For example, the info button marked "i", may be provided for use by the patient, when he has a question regarding the current state of the monitor or message. If you see a message that the patient does not understand the patient presses the i-button and the cell-phone can provide information about the current state of the monitor or the message on the display 58. This information is context driven, as is determined by the current state or status of the system. Information can be provided as text on the display 58 cell phone or voice prompt that is played and clearly pronounces information. Another button, which may be desirable is the button "911"which, when pressed, calls the ambulance service 911. Another button, which can be useful in a particular embodiment, is a button "Physician" (the doctor), which when clicked, automatically dials the telephone number of the physician of the patient.

In Fig. 8a-8i show examples of images on the screen of the tube with the preset phone while using monitoring systems ECG, relevant to the present invention. In Fig. 8a shows the display screen when the monitor and the receiver are in streaming mode, ECG streaming". This mode, which can be initiated by a physician when the patient first configures the monitor. During configuration, the doctor places the electrode patch and controls in various locations on the chest of the patient, finding numerous places where it may well be that of the ECG signal. In the present embodiment, this is done by removing part of the protective film to open electrode gel without opening the adhesive layer of the patch, as explained in international patent application No. IB2007/054879 (Cross and others). To measure the effectiveness of this location, the physician will gain some key combination on the keyboard cell phone when the cover 56 is removed from a cell phone. The key combination switches the cell phone streaming ECG. If the ECG monitor and the electrode patch is not attached together to the patient during the introduction of this mode, the display screen shows what is shown in Fig. 8a, to connect the monitor to the patient. When the monitor 30 is in place on the patient, the ECG signal of the patient flow is transmitted to the display and displayed in real time as a function of time and amplitude, accept outpatient, as shown in Fig. 8b. The ECG monitor sends four data channel in the control center, three channel ECG lead data identified in Fig. 8b as c1, c2 and c3, and the channel M information about the movement. In other embodiments, the implementation may provide other data channels, such as channel reference signal. Pressing the right button 64, the doctor may switch the display on all four channels of information. After the doctor found the desired number of locations electrode patch and tested the monitor 20 ECG and tube 50 cell phone in streaming mode, ECG, press the left button 62 to exit streaming mode ECG. The screen should then appear displaying "System OK (in order), as shown in Fig. 8c. This screen appears when the following conditions are true: the monitor 30 ECG 30 communicates with a pipe 50 cell phone; system software as the ECG monitor and the tube is functioning properly; the quality of the contact electrode patch 20 with the patient's skin is acceptable; and the most recent self-test monitor was successful. Thus, the display in Fig. 8c indicates that the monitor 30 ECG and the patch 20 is properly attached to the patient and the ECG monitor and the tube 50 cell phone work properly. In other implementations, m is may be desirable to display a message or graphics, indicates that communication with the ECG monitor is satisfactory. Another alternative is to selectively create a cell-phone tone signal, when the connection to the monitor is satisfactory, such as a buzzer, synchronous with the accepted information of the R-wave In the lower part of the display screen in Fig. 8c are the labels of the buttons visible on the screen above the buttons 62 and 64 when the system is in its normal state of operation of the control. Left button 62 is used as a "Record Voice" (voice record), and the right button 64 is used as a "Call For Help" (help).

In Fig. 8d shows a display with a reminder, reminding the patient at the end of the day that the monitor and the tube should be charged. As described below, this screen reminder will appear at the preset time every day, if the patient does not begin to charge the monitor and the receiver. In Fig. 8e shows the image that appears when it is detected that the battery tube cell phone low. In Fig. 8f shows the image that notifies the patient that the battery monitor 30 is low. In Fig. 8g shows the image that appears on the screen of the tube, when the tube 50 cell phone loses contact with the monitor 30 ECG. In this embodiment, the monitor 30 ECG and tube 50 cell phone communicate with each other is through a wireless Bluetooth wireless link. The patient is encouraged to keep a cell-phone and monitor ECG within six feet (1.8 m) from each other to communicate by radio with Bluetooth. If the patient leaves the tube and away from her, the image shown in Fig. 8g, appears when the Bluetooth is broken. For this reason, the patient is advised to wear a tube cell phone bag for carrying on the waist that allows you to continuously communicate via Bluetooth. In Fig. 8h shows the display screen when the monitor 30 ECG detects poor contact with the patient's skin. The patient is advised to press the edges of the electrode patch 20, so that it more reliably in contact with the skin.

In all these situations of anxiety, the patient can press the left button 62 to remove the alarm screen (Fig. 8d). Pressing the right button 64 will cause the reminder to reappear an hour later. Alarms that have been removed, will continue to be displayed on the screen in the form of small icons, as shown in Fig. 8i, until the patient does not take the requested action or will not take measures notified to the state.

Whenever appears on the screen, anxiety, cell-phone at the same time sounds a tone to use sound to inform the patient that there is a notification. The patient's attention, therefore, is directed to a notice the tell. Simultaneously with the display notification or through the speaker instead of the handset cell phone can play audio cues stored on the cell-phone. For example, instead of or in addition to the display showing "Poor Contact" (bad contact) and Press down on edges of patch" (press the edges of the patch), the patient may hear a voice saying that the contact between the patch and the body was bad and the patient should press the patch in the centre and on the edges to re-attach the patch to the body properly.

In the set corresponding to the present invention, also includes a charging device 90, as shown in Fig. 9 to charge the monitor 30 ECG and the tube 50 cell phone. In Fig. 9 shows the charger corresponding to the considered variant of implementation of the present invention, which contains the base unit 100, as shown in Fig. 10, with hinged lid 102 to charge the monitor 30 and the cable 92 with a fork 94 to charge the tube 50 cell phone. The power cable on these drawings is not visible. The monitor 30 is placed in the corresponding form of the space inside the base unit 100, as shown in Fig. 10, with its electrical contacts 36, facing down. The space is equipped with a key so that the monitor will be installed in the space, only when the led 104 is located in the cutout 34 mo is itora. When open the cover 102, as shown in the drawing, the monitor is easy on the elastomeric charging contacts under the monitor. In other embodiments, implementation of the contacts may be spring-loaded pins. Cover 102 must be closed to start the charge; the charge will not be made when the cover is open. When the cover is closed, the inner cover tightly presses the monitor to the charging contacts. This connection is measured charging device, which measures the contact resistance at the connection. When the cover is closed, as indicated by the arrow in Fig. 10, the program inside the base unit 100 starts the initialization and the led starts blinking orange. After the initialization is finished, the charging circuit starts to charge the lithium-ion battery inside the monitor 30, and the led 104 emits a steady green light. As the monitor is charging, the monitor starts to wirelessly transfer your records ECG data to the receiver 50 cell phone. The cell-phone immediately retransmits ECG data to the control centre for research, registration and storage. After successfully receiving the archival data that is confirmed by the control center, ECG data monitor erased or removed from the storage device to receive new ECG data, when the monitor is again attached to the patient.

At that time, when the monitor 30 is charged, the tube 50 cell phone can be charged at the same time, as shown in Fig. 11. Plug 94 of the cable 92 is connected to the cell-phone and charger charges the cell-phone simultaneously with the charge monitor. In other embodiments, implementation of the cell-phone charging, using the standard charger cell phone provided by the manufacturer of the cell phone. When the cell-phone is charging, it lights up the indicator 96, indicating that the charging process.

After the monitor 30 is charged and archival data is transferred to a cell-phone from the charger, the circuit and the software of the monitor performs a self-test monitor 30. Among the elements of the monitor, which will be checked - random access memory monitor, checked the read and write card flash card, monitor, check the channel of movement of the monitor, check the radio monitor, and tested analog and digital power supply monitor. The charger can also create a test signal applied to the electrode contacts of the monitor to validate the schema of the ECG monitor. If the charge has not been successfully performed, the transmission data archive is not successful or if any of the C test self-test is not successful, glowing led will turn to flash orange and green to indicate the presence of an emergency and to inform the patient that must be made by calling the service in the control center.

In Fig. 12a and 12b shows the features and components of the ECG monitor made in accordance with the principles of the present invention, Fig. 12a is a monitor from a functional point of view, and Fig. 12b represents the monitor from the standpoint of equipment. The ECG electrodes s1, s2, s3 and RLD patch 20 are connected to the circuit 202 to the input circuits of the ECG monitor. Circuit 202 ECG monitor amplifies and filters the ECG signals received from the patient's body, and introduces a small signal to the RLD electrode to detect an unattached electrodes. A suitable circuit input circuits of the ECG monitor is described in international patent application No. IB2007/054461 (Herleikson), filed November 2, 2007, which is incorporated into this description. Small signal 75 Hz is introduced into the body through the RLD electrode and can be perceived by each of the electrodes s1, s2 and s3. The signal passed by each of the electrodes s1, s2 and s3 is input to the respective differential amplifier with the reference voltage generated by combining signals from electrodes s1, s2 and s3. If the electrode is detached from the body, the signal 75 Hz will be detected at the output of the differential gain is the body of the electrode. When the electrodes are properly in contact with the patient, the signal will disappear, because it is a signal in-phase mode. The signal obtained by combining signals of the electrodes is fed back to the electrode RLD as a feedback signal to balance the voltage and noise in common mode. Analog signals from the electrodes s1, s2 and s3 are converted into digital signals by the analog-to-digital (A/D) converters 204 through a sampling frequency of 300 Hz. This sampling rate is a multiple of a frequency of 75 Hz signal unattached lead, allowing you to easily filter the signal 75 Hz. The digitized signals from the electrodes are fed to the device 206 formatting of lead signals, which generates a multi-directional signal leads sl-s2 and sl-s3. These two signals can be combined to calculate the third vector s2-s3. Three signal leads are formed by a method equivalent to the method, which leads I, II and III in the traditional set of ECG leads. Lead signals are fed to the analyzer 208 ECG characteristics, determines the features of the ECG signal, such as the QRS complex, average heart rate, R-R interval and heart rate. Suitable devices formatting of lead signals, and the analyzer ECG characteristics are described in U.S. provisional patent application No. 60/954,367 (Zhou and the other), filed August 7, 2007, characteristics of the ECG served on the device 210 arrhythmia detection, analyzing ECG on certain characteristics of the signal and threshold values determined by the patient's physician and served on the device arrhythmia detection, as described in detail below. If there is a common arrhythmia, this event is transmitted to the controller 218 of the transmission/reception along with a 90-second ECG recording made, starting in 60 seconds before the event occurs and ending 30 seconds after him. The time of the event indicated in the event information or ECG recording, or both, and may be designated as the time when the event first appears in the ECG data, the end time of the event, the time when the event was detected, or as some other clinically significant time stamp. Recording of ECG and event information that can be sent separately or combined together, are packaged and transmitted to a cell-phone using the radio link 220 Bluetooth. This information and all ECG data taken by the monitor, are unloaded from the recording frequency of 200 Hz and stored on a flash card 216 a storage device with a capacity of 2 GB. When the specified speed registration memory 2 GB can store approximately 36 hours of ECG data.

Inside the monitor 30 is a motion sensor M, this is AK accelerometer or piezoelectric plate. The motion sensor senses the motion of the monitor when it is attached to the patient and, therefore, the motor activity of the patient. The traffic signal from the sensor is amplified, digitized analog-to-digital Converter 214 and stored in storage device 216. The traffic signal is the fourth channel data sent to the control center together with the signals s1, s2 and RLD ECG, and can be correlated with the ECG information to interpret the possible States of the patient, as described in international published patent application No. WO2007/066270 (Solosko, etc.). For example, the pause in the ECG signal, followed by a large traffic signal may indicate that the patient is prone to syncope, fainted.

The monitor also contains the schema 232 power management, which monitors the status of the lithium-ion battery 230 and controls the battery charge. The sensor 235 charge control charge inside and outside of the battery and continuously evaluates the condition of the battery, its charge level and its ability to charge.

As in this example, the monitor 30 is tightly sealed and has no external controls, no need to turn on and off the monitor manually. As soon as the monitor is fully assembled at the factory, he begins to work immediately. However, if the monitor after a certain period of time the e perceives, his contacts connected with the terminals of the charger or patch, the power management system the monitor switches the monitor to "sleep"mode. In sleep mode continues to operate one single scheme that supports performance, one that perceives the connection terminals of the charger or patch and which consumes very low current. When the power management system perceives this connection, the monitor turns on in its fully operational state. Thus, the monitor can remain unused in the inventory list for weeks or months and to awaken in fact fully charged when in operation.

In the present embodiment, the main part of the monitor is the microcontroller 240, which receives the digitized ECG signals and movement, and formats the signals of abstraction, analysis and arrhythmia detection, described above, as well as the transmission and reception of data using a radio link 220 Bluetooth. The microcontroller also has a USB port that connects to a row of contacts on the rear of the monitor Cabinet, allowing you to submit data and programs on the microcontroller and memory devices 216 and 244 for storing data.

In Fig. 13 shows the rest of the control system corresponding to the present invention,including, the block diagram of the tube 50 cell phone and communication lines to the center 400 of the control. Tube 50 cell phone is commercially available cell phone with the Windows Mobile operating system for smartphones. Cell phone contains electronic devices cell phone that accept input signals from the keyboard 302 and display graphical information on the display 58. Tube 50 cell phone contains a wireless link 310 310 Bluetooth, which provides the connection with one or more monitors 30. In the storage device 304 2 GB stored programs and data, such as ECG data transmitted to the receiver from the ECG monitor. The cell-phone eats battery 314, managed and charge circuit 312 power management. Operating system Windows Mobile enables you to view the directory structure of a cellular phone using a personal computer, when the cellular phone is connected to a personal computer with the same cable 92 (USB), which is used to charge the battery 314. The working program that controls a cell phone for it to work as described here, is loaded in the storage device, cell phone, storage device 304 or built-in storage device, cellular phone, along with graphics for display of a cell phone as the programme mouth is oshika. The download directory of the operating system is changed through communication with the working program, so that when cell phone is switched on and loaded, he began automatically to perform the work programme and to display graphics designed for use in the control. Tube 50 cell phone communicates over the cellular network connection and then land line with the center 400 of the control, receiving ECG data and status notifications from the ECG monitor and sends commands and configuration information on the monitor. Interaction control component of the present invention, with the patient and those who are in the control center, shown in Fig. 14. The monitor communicates via Bluetooth (BT) receiver 50 cell phone. The ECG information is sent via HTTP to the server 402 in the center 400 of the control. If the transmission is carried out during the event, accompanying the ECG recording is viewed by the technician ECG device 404 view ECG. If you are sending a daily archive ECG data, it is sent to the system 406 Holter 2010 for sorting and registration. Reports based on events diagnosed by the technician ECG, or daily archival records are sent to the local administrator of the patient or the administrator responsible for the patient and study. Overall coordination center is ontrol managed by one or more administrators of the control center.

Daily transfer of the entire archive of registration of full disclosure, each heartbeat of the patient, allows diagnosing subtle cardiac conditions that cannot be detected by standard register records the ECG. For example, the upper limit of the alarm on the heart rate may be set at a level significantly exceeding the normal heart rhythm of the patient. Thus, a small increase in heart rate of the patient cannot be detected by the device detecting fibrillation of the patient as subject to the registration event. However, a small increase in heart rate can be repeated many times over a short period of time, or can last continuously for a long period of time. These more subtle behavior of the cardiac rhythm can be interpreted in more complex systems analysis, working on a full disclosure of data, such as the above mentioned systems Holter 2010. The Holter system 2010 can be used to analyze each daily data file and generate a daily report, which identified such symptomatic samples of heart rhythm. The identification of such subtleties in the daily backup using complex analysis programs in the control center may result in the emergency diagnosis of the condition is the patient or the reconfiguration of alarms and limits the display of alarms, to better reveal the characteristics of the cardiac status.

The administrator of the patient such as the patient's physician may, at the time of the study to make a decision to change the settings of arrhythmia, which should be detected. For example, the threshold for the detected tachycardia can be installed on the initial state of 160 beats/minute. This change may be installed by the technician ECG control center and the new configuration is sent to the patient monitor as configuration changes. The new configuration information is sent by the server 402, is received over a cellular network by cell-phone, then sent via the communication Bluetooth on the monitor 30, where it is installed in the device arrhythmia detection.

In Fig. 15 shows the display settings that can be used to configure or install the original state detection thresholds arrhythmia monitor 30 ECG. In this example, the limits can be set via the drop-down menu with fields for ventricular fibrillation, high heart rate, low heart rate, low heart rate, beats, pauses in heart contractions, and atrial fibrillation. In addition to the detection limits, the user can also set rioricet alarm, such as urgent, medium, or low priority. When the technician ECG set the desired thresholds and priorities, the configuration is saved by clicking "save" at the bottom of the screen. If the study has not started yet, the configuration information is stored on the server 402 in the control center and transmitted to the monitor when the monitor is initially attached to the patient, and set his lines of communication. At the first session of the monitor to the control center monitor checks the configuration information, which is then downloaded and installed in the device arrhythmia detection. If the study is already underway, the new configuration immediately downloaded for installation on the monitor.

In addition to the seven standard concerns associated with arrhythmia, shown in Fig, the user also has the ability to set a custom level of anxiety for the patient. Box 160 at the bottom of the configuration screen on Fig contains custom levels of anxiety, which was allowed to shown in the example configuration. Box 160 gives an example of some of the parameters that can be configured to set a custom level of anxiety.

The control system corresponding to the present invention, is normally supplied as a set of all components that are required on the I control procedures. On Fig shows the display screen, whereby the center of the control or recovery can assemble a kit for monitoring the ECG that corresponds to the present invention, from the inventory of 30 monitors ECG and tubes 50 cell phones. Box 172 in the upper part of the screen displays the inventory list of the monitors 30. The operator clicks on the monitor to select it, then click on the button "Add Selected Monitor" add selected monitor)to add the selected monitor to the kit. Similarly, the operator can select the device cell phone in field 174 and click the button "Add Selected Communicator" (add the selected device to add specific cell phone to the kit. Serial number of the collected set appears in field 176 with the factory numbers of monitors and tubes cell phone below. When the operator is satisfied assembled kit, he clicks on the button "Create Kit to create a kit at the bottom of the screen to assign to the selected specific components of the kit to control.

In Fig. 18 shows a screen through which the operator can monitor the sets of control as they go to doctors, hospitals and clinics and come back. In the upper part of the screen there are fields with which the operator can search for a specific package by entering the serial number to the elect in field 182 and then clicking on the button "Search" (search). In this way the operator can select another option to find a specific kit. For example, the operator can select in field 184 that place, in which the package was shipped, and then search for all packages that are sent to this place. Big box 186 at the bottom of the screen shows the loading information regarding the number of sets, including the date set for the user, the user's location and serial number of the component monitor and a tube cell phone. When the package was received by the recovery center, as discussed below, for a set can be entered in the "Received Date" (date of receipt). Mark the top field 186 are used to mark specific kits as sent or received.

In Fig. 19 shows a screen through which the operator can trace the serial number and the Bluetooth address for monitors and can connect the selected monitor with Bluetooth address of the tube cell phone. Using the fields at the top of the screen, the operator can enter a serial number to search for a specific monitor. In the large box 196 at the bottom of the screen in the inventory lists all of the monitors and their factory numbers and addresses of Bluetooth. In the inventory list can be added new monitors, introducing characterizing their information in a small box at the bottom of the screen. In Fig. 20 shows the screen, by means of which the operator can search for individual monitors for the factory rooms, the date of dispatch and the places in which and from which they are sent. This screen also allows the search of monitors that were received back from the user after completion of the study. In the large box 250 at the bottom of the screen lists the search results monitors to factory rooms of their kits, the date when they were sent to the place, and the dates when the monitors were received back from these places.

In Fig. 21 shows a screen through which the operator can search tube cell phone by serial number, the Bluetooth address or phone number. In the large box 252 at the bottom of the screen lists the search results handsets cell phones and their identification numbers, and are given the opportunity to add new tube cell phones from small fields at the bottom of the screen.

The screen of Fig. 22 similar to the screen shown in Fig. 20 and allows you to search tube cell phones and make a list to send pre-set number. This screen also allows the tracking of tubes cell phones as they are returned from the user.

When the doctor or nurse will provide the patient with a set of controls for the study, one of the first tasks should be to identify places on the chest of the patient, which may be attached a patch, attached to the monitor took a strong ECG signal. Consequently, the sustained fashion, it is desirable to find a few acceptable places, so that one place on the chest was not reused, potentially causing skin irritation due to repeated use. In Fig. 23 shows an interactive screen with which the nurse or the doctor can record information regarding the location of the patch. At the top of the screen there are data concerning procedures, such as start date and end date of the procedure. The screen can also be made to record dates when the tape was changed, and who updated the information. The template body body 260 at the bottom of the screen shows three patch on the left chest. This graph, patches can be moved to different positions on the template body, to turn, when you want, and then down to record the location on the chest, it is acceptable to attach. A suitable location on the chest of a patient can be found, fixing the monitor patch it and release the part from the protective film of the adhesive that covers the location of the electrodes, as described in U.S. provisional patent application No. 60/869,009 (Cross and others), filed on December 7, 2006, the Patch may then be placed and re-installed in numerous places on the chest with hydrogenrich electrode lead ECG signals to the monitor. lternative, as described in the patent application Cross and others, if the protective film has a conductive coating over the location of the electrodes, the patch and the monitor can move to find suitable locations without removal of the protective film. Every time found a suitable location, graphic symbol 264 patch is reinstalled on the template 260 of the body to mark the identified location. The screen of Fig. 23 can be saved and every time during the study doctor or nurse should attach a new patch, you can contact him or his printed copy, made at home by the patient and can be accessed whenever you need to replace the patch. Alternative or additionally, an electronic copy of the template body can be displayed on the display 58 of the tube cell phone to manage the patient when changing patches. Patches can usually wear out in about three days before they must be replaced.

In Fig. 24 shows the screen that is used to record information regarding the procedure, including the time each day when the patient should napominalka charge monitor and tube cell phone. This screen is typically completed when the kit first control is given to the patient and the patient decides when he or she is going to charge MES is a torus and a cell-phone. In a typical procedure, the patient will wear the monitor and the tube all day, as the patient performs his usual daily activities. At the end of the day, when the patient goes to bed at night, there comes a time convenient to charge the monitor and cell phone. The patient will be charged out the monitor from the charger 90, used to remove the monitor from the patch and put it in the charger and fasten again charged the monitor on the patch. Just before going to bed, the patient connects the cell-phone to the cable 92 charger. Used monitor and cell phone can then be recharged during the night. Cell phone stays on all the time and the charger is preferably left on the bedside table, so to charge a cell-phone remained within range of the Bluetooth communication with the monitor on the patch while the patient sleeps. While the patient sleeps, used monitor charging, its archive data is sent to the cell phone and in the control center, the monitor performs a self-test, and archival data of the previous day are removed from the storage device to prepare for the next day using the monitor. It is preferable to contain a set of two monitors, so that one could carry on what I control, while the other is charging and data archive are transmitted to the control center. Typically, the patient goes to bed at night with attached recently charged by the monitor, while used the monitor is in the charger, charging during the night and passing their archive ECG data cell phone and in the control center. If the patient is detected arrhythmia during the night, notification of event and ECG recording is sent to a cell phone by a radio communication Bluetooth and immediately forwarded by the receiver in the control center. Both monitors, one that is patient, and one that is charging in the charger, at this time have to communicate via Bluetooth with a cell-phone, and events detected by the monitor that the patient is immediately sent to the control center without waiting for a data archive, based on preemption or using a temporary seal.

If the patient forgets to put the monitor into the battery charger, so that historical data can be uploaded to the control center, or for any other reason is unable to do so, the cell-phone will give the patient a hint that this was done, as shown in Fig. 8d. If the patient rejects or ignores the hint and continues to wear the monitor, there may come the time, when the storage device monitor will be completely filled with the registered ECG data. In this situation, the monitor can act as a cyclic logger. Newly acquired ECG signal data will be stored in the storage device, and the oldest stored ECG data in memory will be overwritten and lost.

When the patient gives the doctor or nurse schedule routine every day, when the patient expects to initiate a charge time for each day is recorded on the screen of Fig. 24. A printed copy of the screen can then be given to the patient home. In addition, the screen is sent to the control center and the reminder time charge is sent as the configuration information at the patient monitor or a cell-phone. At the appointed time each day, a reminder message about the charge will appear on the screen 58 of the tube (see Fig. 8d), accompanied by a beep or voice prompt to attract the patient's attention to the memo. The graph can easily be changed by sending other information configuration with a reminder on the monitor or the receiver.

In Fig. 25 shows a screen through which the requirements of a physician for registration may be registered by the control center. This screen shows the start and end dates of procedure of the s at the top of the screen. In the section "Reports deliver" (reporting) of the screen lists the time when the daily report will be sent to the doctor, and the mode in which it will be sent. Usually, the doctor will take a message every day about the events of the previous day and analysis of ECG for 24 hours the previous day on a daily archive ECG data. This example also shows the time and date when section reporting has been updated.

Messages and information about the patient can be registered with the server 402 in the control center to access through specific accounts. Account can be an individual physician, hospital, or clinic. Patient information must be password protected to ensure security of individual patient data. In Fig. 26 shows a screen through which the control center can monitor the activity on a specific account. The upper part of the screen gives information about the status and information about the account password and using it. A large number of unsuccessful attempts to get polirovannyj access may be an indicator that someone is looking for unauthorized access to account information that you want to investigate. Activities to login to access account is also found on this screen. The list box 262 at the bottom of the screen shows the individual sessions of the con and, when you have registered an account to log on to the server and exit from it, including during the communication session.

In Fig. 27 shows the registration screen patient communication with the control center. The search field at the top allows the operator to seek information about the patient using the site, physician, or patient. Search results showing the patients, their doctors, their procedures and the date procedures are returned in field 272. The details for the selected patient are displayed in field 274. The most recent communication between the patient and the control center is recorded in the upper part of the field, and earlier communication are listed in the lower part of the field.

In Fig. 28 shows a screen of the viewing device ECG, suitable for receiving and analyzing information about the event, adopted in the control center from the ECG monitor corresponding to the present invention. In this embodiment, the screen of the viewing device ECG has three main sections: box 282 Notification, which displays information about a specific procedure or study and lists the notifications received from the patient; box 284 events), which displays the data acquired during the event; and the box 286 viewing the ECG, in which data received through the channels transmitted by the monitor can be analyzed in detail. In Fig. 28 open Notification and Events are not open, and the window for viewing the ECG is dryto. In this embodiment, the monitor 30 transmits ECG five data channels, and the tube cell phone transmits voice channel recorded using tube. The data feeds are three ECG signal, s1, s2 and s3 in this example, the signal RLD ("rld"), and channel movement ("vp"). The differential signal leads sl-s2, s2-s3 and sl-s3 can be obtained from an ECG waveform corresponding to this example. The signal RLD can be used for further processing and purification of lead signals, and identification of noise conditions. Controls on the left side of each entry in the display allow the operator to adjust the scaling and other parameters display the record. The records display in this example shows that a significant signal of the movement occurred during the considerable size of the ECG signals of the channels s1-s2 and sl-s3 channels. Authorities 288 audioprofile at the bottom of the display allow the operator of the device viewing the ECG re-run the transmitted voice message from the patient.

In Fig. 29 shows the display device viewing the ECG shown in Fig. 28 open box 282 Notification and window 284 Events. In this embodiment, the monitor 30 sends a notification whenever the status of the monitor changes and these notifications, as well as those that occur because of changes in the status tube cell phone, go in the centre of the control tube cell phone. For example, when the monitor senses that it is attached to the patient and receives the ECG signals from the patient, the status message is sent to the control center. When the monitor detects an unconnected output, a status message is sent to the control center. When unconnected, the output is again attached, the status message is sent to the control center. When the monitor is removed from the patch, the status message is sent to the control center. Thus, a continuous stream of status messages allows the control center to evaluate the use of patient monitor and the technician in the control center may interfere with the transfer of a call on a cell-phone of the patient, if the message flow indicates that the patient has a problem or something is missing. The following table 1 lists some of the typical messages that can be sent during use of the control system.

Table 1
NoticeType
The monitor on the patient works as expectedStatus
Unconnected abstractionStatus
Unconnected abstraction resolvedStatus
The monitor is removed from the patientStatus
The monitor power offStatus
Low battery voltage (monitor)Status
Low battery voltage (tube)Status
Streaming ECGStatus
Loss of connectivity through BluetoothStatus
Recovery connection via BluetoothStatus
The loss of communication with a cellular phoneStatus
Restoring communication with a cellular phoneStatus
The self-test was successfulStatus
Self-test not passedAnxiety
The monitor is placed in the chargerStatus
The monitor is removed from the charger is on device Status
Started battery monitorStatus
The charge monitor completedStatus
The refusal charge monitorAnxiety
Started charge cell phoneStatus
Charge cell phone completedStatus
The refusal of charge cell phoneAnxiety
Error chargersAnxiety
Start transmission of ECG archiveStatus
A completed transfer of ECG archiveStatus
The transmitted information about the event + ECG recordingAlarm: priority = high, medium, low
Transmitted voice message + ECG recordingAlarm: priority = high, medium, low

Various notifications can be processed in various ways. For example, normal may be the interruption of the Bluetooth communication. The patient can put the cell phone and go to perform some task that results in the loss of Bluetooth connection, when the monitor is outside of the communication range with the cell-phone. A few minutes later, the patient returns to the cell-phone, picks it up and puts it back in the carrying bag, purse or pocket that restores the Bluetooth, when the monitor and the cell-phone back within range of the Bluetooth communication with each other. In such circumstances it may be desirable to delay the notification of the loss of Bluetooth connectivity in five or ten minutes to provide some period of time to restore the connection before sending the notification. Alternatively, the notification of the loss can be sent immediately as a status message and if the notification that the connection has been restored, received soon afterwards, the notification is cancelled or automatically marked as resolved. If notice of the resolution is not received within five or ten minutes or some other predetermined period of time, the priority of the notification control center increases, in order to attract attention to the technical specialist. Notification unconnected leads can be similarly delayed or Vergata higher priority, to allow the patient to recognize and correct the situation without sending notification or response control center.

It should be understood that various notifications can come from various sources. Notice that the Bluetooth connection was lost, must have its cause in a cell-phone as a monitor at this time has no connection with the cell-phone and cannot be the source of a message. Similarly, a notification that the communication with the cell-phone was lost, will be carried out from a control center, usually when the control center tries to send a message to a cell phone and determines that he is unable to do it.

In the example shown in Fig. 29, all notices received from the patient, are listed in box 282 Notifications. Standard notifications appear as normal text in chronological order of their receipt. Alarm with higher priority are displayed in the upper part of the notification list and are marked with a color to indicate the urgency, for example, highlighted in yellow for alarm medium priority and highlighted in red for alarms with high priority. In the preferred embodiment, events of ventricular fibrillation and asystole have the highest priority, notification pause in heart) is the claims and the heart rate are next in priority, notification unconnected leads and poor contact of the electrodes have a lower priority, and other status changes and technical alarms, such as low battery voltage and loss of connectivity, have the lowest priority. Because notifications are reviewed by the technician control center ECG, they can be treated accordingly and then removed from the displayed list. The second box 283 in box 282 Notification is designated for input, where the technician can enter the steps taken to notify and provide relevant comments, together with an indication of these measures. The Notification window, thus, provides a list of tasks that a technician can use to view and process information from the patient monitor priority and effective way. In the present embodiment, numerous technicians can view notifications from the same patient at the same time, but when the technician has selected a specific notification to analyze and repair, other devices viewing the ECG blocked for selecting a notification, so that at any given time only one technical specialist could work with measures to address the situation reported in the notification. This predotvrashayetsya the processing of individual notifications and provides flexibility in the operation of numerous devices to view the ECG in a large control center.

Notification status can also be displayed on a separate screen, as shown in Fig. 30, which shows the display screen. As this example shows, notification of the status change mode low priority are listed below events with a higher priority alarm HRLo" at the top of the list. Notice, for which the technician measures were taken and marked with a check mark in the box to the left of the notification. The fields at the top of the screen is used to search for notifications with certain characteristics, such as notifications, event or notice received during the selected period of time.

When you received an Event notification containing the voice recording of the patient, a notification Event is accompanied by a 90-second ECG recording, which was recorded, beginning in sixty seconds until the time of the event and continuing for thirty seconds after the event. Notification Event will appear in the box 284 Event. The name of the event is displayed in the first field 285, and the ECG recording, is passed with the event notification appears in box 287. Technical specialist ECG may, therefore, view the ECG signal very soon after the time of the event. If desired, a more detailed analysis, the ECG recording can be viewed in a larger box for the consideration of the ECG at the bottom of the screen of the viewing device, as is provided in Fig. 29.

In Fig. 31 presents a distinctive feature of this version of the implementation of the present invention, which is a window 290 magnifier ECG. Technical specialist ECG can right click on the window 292 ECG recording, when it is desirable to consider the shape of the ECG in more detail. Displays a list of options and the technician selects the "magnifier" (magnifier), causing the window 290 round magnifier. Central region ECG recording, which is a box 290 magnifier, then shown in the enlarged view in window 290. The settings option allows the user to determine the degree of magnification (e.g., 2x, 5x, 10x), which must be provided within box 290 magnifier. The user can drag the magnifier window across the window 292 ECG recording to enlarge any area of the displayed ECG recording.

In Fig. 32-37 show the stages through which may be certain activities relating to the use of monitoring systems ECG corresponding to the present invention. In Fig. 32 shows the sequence of steps that are performed when the patient is registered for control procedures ECG. At step 321, the doctor patient records patient in the control center. Patient information is transmitted to the control center and the control center starts to prepare to receive notifications from a kit which will the use of the patient. The doctor may already have the kit, which will be used by the patient. If it has not, the control center sends the doctor a kit for use by the patient. The control center connects the kit, which will be used by the patient, with the patient, a registered doctor. At step 322, the control center establishes requirements for messages that are desirable for a physician using a screen such as shown in Fig. 25. At step 323 are the types of alarms associated with the arrhythmia, which will be checked using a screen such as those shown in Fig. 15 and 16, and the limit value alarms are installed as shown on these screens. At step 324, the control center establishes a schedule of reminders for those times when the patient will remind you of the charge tube and monitor, as shown in Fig. 24. If the doctor filled a map showing the locations of the patch shown in Fig. 23, at step 325, the map is sent to the control centre for use by technical experts control center for providing support to the patient during insertion of the patch if necessary. In other cases, a map with locations of the patch can be sent to the control center later. It should be clear that most or all of the information provided in the steps shown in Fig. 32 may Ave is delivered by a physician, fill the screens of registration and configuration remotely in the doctor's office without personal contact with the control center. That is, the setup screens can be made available to the account control center available as a web application. When the information was entered at the remote terminal, it is available in the control center, which can process and record patient without personal contact with the doctor.

In Fig. 33 shows the sequence of steps that are performed when the patient is first injected into the control system corresponding to the present invention. At step 331, the doctor or nurse includes a tube 50 cell phone and keys sets the cell phone in streaming mode ECG. The monitor 30 at step 332 is attached to the patch 20 and the perforated Central portion of the protective film is removed from the patch to open gel electrodes. If the space for mounting the patch on the chest of the patient were not pre-determined, the Clinician moves and/or rotates the patch and the monitor on the chest of the patient, as described above, to determine one or more suitable locations and orientations for mounting patch, which is a clear ECG signal, as indicated by the display streaming ECG. When suitable locations on the chest is found, at step 333 is filled map p the provisions of the patch, to register a location, a map is sent to the control center and copy to stage 325 is provided to the patient, as shown in Fig. 32. The protective film is completely removed from the patch 20 to open the sticky layer, and at step 334 patch, and monitor attached to one of the identified locations on the chest of the patient. Channels of ECG data must now be transmitted in the stream and it will appear on the display 58 cell phone, confirming at step 335 the operation of the Bluetooth connection between the monitor 30 and the tube 50 cell phone. The Clinician can restore the normal operation of the tube cell phone by clicking the left button "Exit" (exit), shown in Fig. 8b, at step 336 to cause the control center to check the second line of communication between cell-phone and the control center. Alternatively, the software control cell-phone can be programmed to perform this connection automatically. The technician in the control center can check the full path communications by, for example, on the monitor to transmit the ECG recording in the control center and confirm its receipt on the device's display ECG control center. Communication with the control center may indicate the need for further changing the position of the monitor and the patch. When the tube 50 cell phone retro kireet the first message from the monitor 30 in the control center, the control center responds with configuration information for the procedure on the monitor 30. Configuration data and its limits alarm associated with arrhythmia, are installed on the monitor at step 337 and the monitor is then ready to proceed with the study.

When it comes to the replacement of monitors and charge used monitor, you can follow the sequence of steps shown in Fig. 34. At step 341, the patient removes the monitor 30 with adhesive 20. If the patch should be replaced, the patch 20 is removed from the breast and the new patch is attached to a new area of the skin to avoid irritation, using the map of the provisions of the patch shown in Fig. 23. The monitor, which was placed on the charge in the previous day and is still in the charger 90 at the step 342 is removed from the device and attached to the patch. Used monitor at step 343 is placed in the charger, the lid 102 is closed, and at step 344, the cell-phone is connected to charger cable 92. Preferably, this procedure is performed during sleep using the charger next to the bed of the patient so that the patient could go to sleep and stay within range of the Bluetooth communication from the charge tube 50 cell phone. When the patient gets up in the morning with a bed, a charged up cell phone on stage 345 is disconnected from C the inline cable and placed in the carrying bag on the waist of the patient.

It should be understood that the lines of a wireless communication system, a Bluetooth communication line between the monitor 30 and the tube 50 cell phone and line of communication between the cell-phone and cellular tower can be disrupted for various reasons. The communication range line of Bluetooth is usually of the order of several feet and, in General, it is recommended that to maintain this regard, the patient was holding a cell-phone within six feet (about 2 meters) away. If the patient hangs up the cell phone and goes on for some time, this line of communication will be broken. Similarly, the patient with the monitor and the cell-phone may be beyond the range of the transceiver of the cellular phone and the connection on the cell phone will be broken. As another example, if the patient is going to travel by plane, aviation regulations require that cell phone was turned off before the flight and remained off until the aircraft has landed. Thus, communication on a cellular phone can be intentionally broken for many hours.

Violation of communication through the Bluetooth does not interrupt the operation of the monitor 30. The monitor will continue to receive ECG signals from the patient, will continue to analyze the information of the heart and save the data in the storage device 216 of the monitor, even if the Bluetooth is not working. If you find developments of the arrhythmia, it will be impossible, however, to transmit data about the event or other status message on the cell phone 50, until it is restored to communicate via Bluetooth. In General, Pets, to the time spent outside of the communication range has expired before the status message to communicate via Bluetooth will be sent to the control centre via a cell-phone, to allow the patient to take measures to restore the connection to be informed about the status change. When the Bluetooth communication is restored, the event data and the ECG recording for him and all other pending notifications are immediately sent to a cell-phone to relay in the control center. Preferably, the Bluetooth wireless link operates in the passive mode of reception, the low-power mode in which synchronization between the transmitter and the Bluetooth receiver can be maintained for short time intervals and quickly restored. When the monitor has a message to send, the Bluetooth transmitter is restored to full power to send the message. Communication Bluetooth operates in the full duplex mode, so that the monitor or handset cell phone to initiate the transfer of data to another component. The monitor continues passive reception tube cell phone at the same time as the communication is interrupted, so that when the and cell phone comes within range of the communication range, pending messages, such as event message and data on the status, could at this time be immediately sent to the cell phone and in the control center.

If the Bluetooth is good, but the service cell phone interrupted, the communication continues between the monitor 30 and the tube 50 cell phone while the cell-phone turned on. Event messages and status from the monitor will continue to be sent via Bluetooth, and be taken by cell phone. However, messages will not be sent to the control centre, and will be stored in the storage device cell phone until it is restored to service cell phone. When service is restored, the messages stored on the cell phone will then immediately be sent to the control centre. Because of this, Board flash memory has the same or more memory, and a storage device monitor, 2 GB in the example above. This means that if the service tube cell phone interrupted at night, when the data archive per day are uploaded from the monitor, the file transmission via Bluetooth on a cell-phone can continue, even if the service cell phone is missing. The archive will continue to be transmitted from the monitor to the cell-phone, even if your cell phone is on phone no, because the memory device 304 of the flash cards cell phone has the ability to save a full backup and, in this variant example of implementation, the full archival data for a few days. When the tube cell phone back, the handset will automatically resume the transmission of data archive in the control center.

In the analysis of ECG data and events, it is important to record the time of events and the shape of the ECG, so that all this information about the patient can be correlated to provide an accurate assessment of the patient. This means that the information must be to have a time stamp since the emergence of information and that information must be synchronized with a common time base. Patient data can have a timestamp at the time it was received in the control center, and there be synchronized with a common time base, however, as just mentioned, lines, wireless communication may be interrupted, holding, thus, the reception data control center and leading to erroneous time stamps. Each monitor has its own time base and built-in clock and this clock can be used to set a timestamp before the data will be stored in a storage device of the monitor or sent to the control centre. The control center, thus, must have shared the temporal is Yu basis for data taken from the monitor. However, a set of preferred option implementation uses two monitors, which are changed every day, and each monitor has its own clock. Accordingly, watch two monitors can be synchronized to the transmission set to the patient. However, the clock may have a drift in time and two hours two monitors can drift with a different speed in time, causing the divergence time between the two databases for hours. In the preferred embodiment, these problems are solved not by regulation of the hours of the monitor and reference patient data to a temporary database of the network cell phone. Cell phone periodically sends its time based on the time of its cellular network to the monitor(s). When the time cell phone taken by the monitor, the monitor saves time cell phone and the current time monitor as part of the patient data. When the control center receives the data with this information, a timestamp, it can correlate patient data with time cell phone time-based cellular network. Control center with access to the network cell phone and temporary basis, can link patient data and timestamps his cell phone, the time-based cellular network, with its own time base, if you will. Still the way data created numerous monitors used by the patient, associated with a common and reliable time base.

As mentioned above, in the present embodiment, corresponding to the present invention, the patient to work on the cell-phone are only two buttons, 62 and 64, as shown in Fig. 6. As mentioned earlier, the default functions of these buttons are the "Call for Help" (help) and "Record Voice" (voice record), as indicated by the legend soft key buttons on the screen 58 above the buttons. In Fig. 35 is an example of how the button "Call for Help" can be used in the embodiment corresponding to the present invention. Usually, a patient will be instructed to use the "Call for Help" whenever a patient has a problem or question regarding controls, or has a critical medical condition. In any of these situations, the patient presses a button 64 "Call for Help" in the tube 50 and the tube cell phone on stage 352 causes the control center over a single number that you can call in this embodiment. When the call is made, the monitor 30 at step 354 is asked to initiate the transfer of the ECG recording in the control center during the 90-second period starting before the time of the call and continued for some time after the money is. Medical technician at the monitoring center will respond to the speech signal at step 356 and start talking with the patient. While the technician says to the patient, he can simultaneously view the ECG recording, so that ECG data could be considered if the patient calls with a medical problem. In this embodiment of the present invention, the technical specialist and the patient can participate in voice communication at the same time, when the data of ECG records are sent to the control centre; there is no need to end the voice call, to be able to send ECG data. If the patient asks about the control system, the question will be addressed to the technician, as shown in step 358. The technician will provide the required information or give instructions to the patient can continue to effectively use the monitoring system. If the call is made in a critical medical situation, the technician can cause the ambulance service 911 for assistance or, under appropriate conditions, call a doctor patient about the situation. The service control center for assistance in response to the call must be available to the patient 24 hours a day and seven days a week.

In Fig. 36 shows an example of using buttons 62 "Record Voice" true the key 50 cell phone. When the patient feels cardiac symptom, as described by his doctor, the patient will use the control system as the event log, press the "Record Voice" at step 362. When the button is pressed, the patient will listen to commands through the tube and it will tell you how to record a message when a cell phone programmed these functions. In other embodiments, the implementation of write commands can be provided in the printed user guide that came with the kit controls. If the message has a specified maximum length, the patient will be told that it does not exceed this length or did the recording of the second message, if you need more recording time. This information can be provided in visual or verbal form. As in step 366, the patient says into the microphone tube cell phone, the voice of the patient is recorded by a cell phone. Pressing the "Record Voice" will cause the command to the monitor 30 to step 364 to send a 90-second ECG recording, an exciting time voice messages. The recorded voice message and parallel ECG recording are sent to the control center of the cellular telephone, where the technician ECG can listen to the recorded message from the patient and at the same time to analyze the data ECG recording using the device to view the ECG.

In Fig. 37 shows an example of how the control center can respond to the problem reported by the control system. At step 372, the control center receives the status notification from the patient monitor. As mentioned above, in the preferred embodiment, the monitor sends a status message to the control center whenever the status of the monitor changes. The status notification may lie in the fact that, for example, the electrode is not attached to the skin of the patient or the monitor was placed in the charger. In the case of these two examples, cell phone gives the patient a signal that an error condition requires attention and the patient can resolve the problem without intervention of the control center. When the monitor 30 is detected unattached electrode, a message is sent to the receiver 50 cell phone and the display 58 cell phone graphic symbol, as shown in Fig. 8h, informing the patient about the problem and showing how to solve the problem. The image on the display accompanied by a beep sounds or buzzer from a tube cell phone, drawing the patient's attention to the displayed message, and may also be accompanied by a voice prompt instructing the patient to take the necessary action. If the patient is unsure what to do, the patient can press the info button "i" on a cell t is the telephone options implementation with this button, and will be reproduced in the context of the speech message describing the problem, shown in the graph, and its solution. However, it is possible that the patient may not notice these messages and the situation will continue to remain unresolved; the patient may, for example, to sleep. In such cases, the control center may wait for a certain period of time after receipt of the notification status for a patient to solve the problem. If the time period has passed without solving the problem, the device's display ECG may increase the priority of the notification until the point at which the control center must take action. The technician in the control center on the stage 374 call the patient on the cell phone. When the patient answers the cell phone, the technician and the patient discusses the problem and the technician at the stage 376 may lead the patient when solving problems. In this example, the solution may entail, for example, replacement patch 20 on a new patch.

In the second example, the patient may put the monitor 30 in the charging device 90 for charging, but forgot to close the lid 102, which is necessary for the beginning of the charge in this example. Measuring the impedance of the connection contacts, the charger or the monitor detects that the cover was not closed to the press to bring the monitor into tight contact with elastomers the MIS contacts on the charger. In other embodiments, implementation of the switch in the charger can detect that the cover has not been closed and the control center was sent a message about the state of the switch. The status notification sent from the monitor, is made by the control center on the stage 372, notifying the control center that the monitor was removed from the patch and/or placed in the charger, but the charging is not started. The patient is informed on site about this problem, or no illumination of the green indicator in the charger, or using the display or flashes the led 104 charger with a warning color, alternate orange and green flashes. Graphic symbol and tone or voice prompt may also appear and be issued by a tube 50 cell phone to signal the patient about the problem. But if the patient does not pay attention to the problem after some period of time, to notify adopted by the Central control device's display ECG higher priority, and the control center can take action. The technician in the control center calls the patient to the tube 50 cell phone and at step 374 discusses the situation with the patient. The patient and the control center then solve the problem using a voice call at step 376, when the patient closes the cap is 102 charger and battery monitor starts.

For other notifications received by the control center, no involvement of the patient is not required or is not required. For example, if at the end of the charge and transfer archive of the self-test performed by the monitor, detect a fault condition monitor, led indicator 104 on the charger 90 begins alternately flashing green and orange, informing the patient about the need to get in contact with the control center using the button 64 "Call for Help" on the cell-phone. The test will also cause the monitor 30 to send a notification about the result of the self-test in the control center, and if the fault condition does not prevent the transmission of the notification, the control center is informed about the problem, when it receives the notification. The technician in the control centre will see the notification and, if the reported condition requires attention, the technician can then call the tube 50 cell phone the patient and instruct the patient how to take appropriate action. For example, the patient special courier can be sent to the monitor to replace to replace the monitor with the problem. In this case, the patient will be instructed on how to begin using the monitor for a replacement and send the defective monitor back to the control center. In other embodiments, the wasp is estline patient provide as a new monitor, and a new cell-phone connected through Bluetooth. Another alternative is to load the data connection via Bluetooth to a monitor and a cell-phone from a control center.

Procedure or investigation, conducted with the help of the control system corresponding to the present invention will typically last an average of twenty-one to thirty days. At the end of the study, the patient must return the components of the kit for re-use by other patients. The patient can return the kit to your doctor at the next visit of the Cabinet, but preferably the kit comes with a pre-addressed, postage paid transport container or packaging to return the kit, once the study is completed. The kit can be returned to the control centre, where he is prepared for the next patient, but preferably the kit is returned to the recovery center, which specializes in the testing and training sets for subsequent patients. In Fig. 38 shows some of the procedures performed by such recovery center in preparation kit for repeated use. At step 380, the kit is made in the center of the recovery from the mail carrier or transport service. At step 382, the components of the complex is and unpacked, are disinfected to protect themselves from possible exposure to infectious diseases, and taking inventory to determine that all components of the package were returned. Database with such screens, as shown in Fig. 18, 20 and 22, can be used to register the receipt of the returned package and its monitors and tube cell phone. If a component is missing, contact the patient or the doctor to the missing component could be returned to the recovery center. At step 384 battery monitors and tube cell phone charged and on stage 386 battery monitors and tube cell phone are checked to ensure that they can continue to be recharged to the required levels in the next study. At step 388, any patient data still present in storage devices 216 and 304 monitors and tube cell phone, removed to protect the privacy of the patient. At step 390 components improverts and self tested. At step 392, the components of the kit are checked and tested to verify their performance according to specifications. At step 394 software charger 90, tube 50 cell phone and monitor 30 is updated when updates become available. As previously cited the UTO in connection with Fig. 12b, in the preferred embodiment, the monitor 30 have a USB port available through the contacts on the rear of the monitor Cabinet. New software can be loaded into the monitor via it's USB connection. Also, it may be desirable again to display the data stored in these devices to ensure the launch of a new software for each patient. Components of the kit can be assembled again in the kit on stage 396 and set to be paid back in inventory for subsequent delivery to a new patient. In a preferred embodiment, the kit contains two monitor 30, the tube 50 cell phone with the cover 56, the charging device 90 with charging cable 92 cell phone and power cable, carrying case, tubing cell phone, a few patches 20 and user manual with instructions for the patient. Preferably the kit is delivered to the patient in a carton or package that is suitable for sending the kit back into the recovery center, the control center or doctor in the same box or package in which the package was delivered to the patient. Alternatively, as indicated at step 398, the individual components of the kit can be placed back in inventory for subsequent Assembly in the kit, as described in the tie is with Fig. 17.

Other changes and distinguishing features of the present invention can easily be produced by experts in the field of technology. For example, are commercially available cell phones with built-in GPS-receivers, which identify the geographic location of cell phones. The use of this cell phone in the implementation of the present invention would allow to determine the location of a cell phone, which must contact the control center, allowing the control center to direct medical care in the exact location of the patient, if there is a life-threatening arrhythmia or other critical medical condition. Alternatively, to set the location of the patient, can be used in the methods triangulation of cellular communication. For example, if the control center receives notification of Event and ECG recording, pointing to the occurrence of serious cardiac events, the technician at the monitoring center will immediately call on the cell phone of the patient, to determine whether the patient needs medical care. However, cardiac event could occur if the patient is unconscious and unable to answer the call from the control center. Management software cell phone is programmed to answer the call of CE is tra control after a specified number of rings, so the connection between the control center and the cell phone of the patient will be installed, even if the patient does not respond to a cell phone call. In the United States, the technician in the control centre can then call the local ambulance service 911, which is able to accurately determine the location of a patient from the connection between the control center and the cell phone of the patient. Medical assistance can be immediately sent to the identified location of the detected patient.

1. The way the system configuration cardiac monitoring to detect a given arrhythmia ambulatory patient, the cardiac system control includes a battery powered monitor ECG, wearable by the patient and having a processor ECG signal of a patient, the device arrhythmia detection and wireless transceiver for sending status messages and information about the configuration of the detection devices arrhythmia, and cardiac system control further comprises a cell-phone with electronic devices cell phone which has a capability of communicating with the control center over a cellular network, a transceiver for wireless communication with the ECG monitor and the controller, configured to send the tube sotovogo the phone status messages, taken from the ECG monitor in the control center and the direction information about the configuration of the ECG monitor, adopted from a control center, the method includes the steps are:
determine before you perform cardiac monitoring patient parameter specified arrhythmia, which should be detected, and stores the parameter in the configuration file in the control center;
attach electrodes to the patient to start ECG monitoring;
send a status message from the ECG monitor in the control center, responding thus to the beginning of ECG monitoring;
answer status message by sending a configuration file on the ECG monitor; and
use the configuration file to configure the device arrhythmia detection.

2. The method according to claim 1, wherein the determining further comprises determining one or more boundaries enable alarms for one or more departments, which must be detected by the device detection arrhythmia.

3. The method according to claim 2, in which the determining further comprises:
displaying on the computer display a variety of selectable arrhythmias with selectable limits activate the alarms.

4. The method according to claim 3, in which the limits of the enable alarms contain one or more of the number of beats per minute, time or priority.

5. The method according to claim 3, in which the display facilities is but contains a mapping custom level alarm, selectable and configurable by the operator.

6. The method according to claim 1, additionally containing a stage, on which:
check for updated configuration file each time the control center while monitoring ECG sent the message.

7. The method according to claim 1, wherein the using further comprises the steps are:
find fibrillation, when the arrhythmia is identified in the configuration file reaches or exceeds the limit enable alarms for arrhythmia identified in the configuration file; and send the notification message about the event to the monitoring center when an arrhythmia is detected.

8. The method according to claim 7, in which sending a message with the event notification further comprises a stage on which:
send to the control center at the same time the ECG recording.

9. The method according to claim 1, further comprising stages, which are:
after the start of the control procedure ECG display on the computer display multiple selected arrhythmias with the selected limits enable alarms contained in the configuration file for the procedure;
change one or more selected arrhythmias or selected limit enable alarms configuration file;
transmit the modified configuration file to the ECG monitor; and
use the modified configuration file to rebuild the device definition arit the AI.

10. A method of configuring a cardiac monitoring system for detection of a given arrhythmia ambulatory patient, and cardiac monitoring system contains a battery-operated monitor ECG, wearable by the patient and having a processor ECG signal of a patient, the device arrhythmia detection and wireless transceiver for sending messages and receiving information about the device configuration arrhythmia detection from a control center, the method includes the steps are:
determine before you begin cardiac monitoring patient limit enable alarms for a given arrhythmia, which should be detected and retain limit enable alarms in the configuration file in the control center;
activate the ECG monitor;
send the message over the wireless communication line from the ECG monitor in the control center;
reply to a message, sending only the configuration file over the wireless communication line on the ECG monitor; and
use the configuration file in the ECG monitor to configure the device definition arrhythmia.

11. The method according to claim 10, in which the activating contains the start of the control procedure ECG patient.

12. The method according to claim 11, in which the activating further comprises receiving signals ECG patient monitor ECG.

13. The method according to claim 10, in which the definition of additional content the t stages, are:
display on the computer display many choose arrhythmias with selectable limits enable alarms;
select one or more adults with one or more limits enable signal for detection; and
save the selected arrhythmia and limits enable alarms in the configuration file.

14. The method according to item 13, in which the display further comprises displaying the custom level alarm, selectable and configurable by the operator.

15. The method according to claim 10, further containing a stage, on which:
check the updated configuration file each time a message is sent to the control center while monitoring ECG.

16. The method according to claim 10, in which the using further comprises:
detection of arrhythmia, when the arrhythmia is identified in the configuration file reaches or exceeds the limit enable alarms for arrhythmia identified in the configuration file; and send the notification message about the event to the control center, when the detected arrhythmia.

17. The method according to clause 16, in which sending a message with the event notification further comprises a stage on which:
send simultaneously in the control center, the ECG recording.

18. The method according to claim 10, further comprising stages, which are:
after the start of the control procedure ECG otobrajati the computer display multiple selected arrhythmias with the selected limits include alarms, contained in the configuration file for the procedure;
change one or more selected arrhythmias or selected limit enable alarms configuration file;
transmit the modified configuration file to the ECG monitor; and
use the modified configuration file to rebuild the device definition arrhythmia.



 

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SUBSTANCE: mobile telephone has a housing with a front wall and a rear wall, and the rear wall of the housing is made from sheet strained material, the sheet strained material being made such that the boundary of its cross-section on one of the areas is in form of an element of a conic section and the boundary of its longitudinal section on one of the areas is in form of an element of a conic section, said area of the boundary of the cross-section and area of the boundary of the longitudinal section are in form of different-length elements of different ellipses, hyperbolas with different values of eccentricities and focal parameters, and the area of the boundary of the cross-section and the area of the boundary of the longitudinal section cross.

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FIELD: radio engineering, communication.

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28 cl, 7 dwg

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5 cl, 10 dwg

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15 cl, 9 dwg

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43 cl, 22 dwg

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31 cl, 11 dwg

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41 cl, 21 dwg

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20 cl, 16 dwg

FIELD: medicine.

SUBSTANCE: invention relates to medicine. In method realisation current values of each of parameters of clinical data characterising current state of cardiovascular system are measured and fixed. Results of assessment of values of clinical data parameters are transformed. Results of assessment of current values of each parameter of clinical data are fixed depending on time of performed measurements. Results of transformation of assessment of current values of each parameter of clinical data are visualised on plane, coinciding with plane of displaying multicolour screen of videomonitor. Information about dynamics of cardiovascular system state is obtained. Also performed is digitisation and weighting of fixed instant values of each parameter of clinical data in physical values. Three-dimensional image of cardiovascular system state AN(t) is created in form of totality of geometrical places of points in N-dimensional space of cardiovascular system states, with coordinates of each point of N-dimensional space of cardiovascular system states being determined by totality of non-invasively and invasively measured in physical values digitised instant values of various clinical data, which characterise current state of cardiovascular system. Two-dimensional images of cardiovascular system states A2(t) are formed in form of projections of formed AN(t) on plane, coinciding with plane of displaying multicolour screen of videomonitor. Coordinates in 2-dimensional state of cardiovascular system states of each point of formed A2(t) are memorised. Virtual three-dimensional models of various nosologic forms of cardiovascular system diseases Bi are built in form of totality of M-geometrical places of points in N-dimensional space of cardiovascular system state, where i=1; 2; 3;…M is the number of displayed diseases of cardiovascular system. Coordinates of each point of each of B are determined by totality of values of various clinical data in physical values, describing characteristic clinical-morphological picture of corresponding disease and degree of CVS pathology manifestation, respectively. Coordinates in N-dimensional space of cardiovascular system state of all points of three-dimensional images Bi are memorised. Two-dimensional models of various nosologic forms of cardiovascular system diseases B2i are formed in form of projections, formed by B2i on plane, coinciding with plane of displaying multicolout screen of videomonitor. Coordinates in 2-dimensional space of cardiovascular system state of all points formed by B2i are memorised. Formed B2i are visualised on screen of multicolour videomonitor in such a way that colour of each point B2i in visible ranges of wavelengths Δλr, Δλo, Δλy, Δλg, Δλb…Δλ,m corresponds to certain type of disease, and degree of pathology is characterised by value, inversely proportional to wavelength of respective range. Visualisation on screen of multicolour videomonitor of successively formed in time values A2(t) is also performed, with each previous value A2(t) being connected by means of straight lines with their following values, and colour of A2(t) and connecting straight lines is formed by addition of red (Δλr), green (Δλg) and blue (Δλb) colours with similar amplitude proportion. Check of satisfaction of set of conditions A2(t) ⊂ B2i is carried out. Decision about cardiovascular system disease is taken in case of satisfaction of a condition from set A2(t) ⊂ B2i. Ambiguity of taking decision about cardiovascular system disease is excluded if mutual intersections B2i are present, when instant value A2(t) simultaneously belongs to two and more B2i, by formation on screen of multicolour videomonitor of each of new images of state A2k(t) and non-intersecting images of diseases в2ik by respective k transmissions of origin of coordinates of N-dimensional space of cardiovascular system state into selected by cardiologist points on plane of multicolour screen of videomonitor and carrying out procedure of projecting A(t) and Bi on plane coinciding with plane of displaying multicolour screen of videomonitor and after each of k transmissions of origin of coordinates of N-dimensional space of cardiovascular system state, where k=1; 2; 3;…j. Formed A2k(t) and в2ik are visualised on screen of multicolour videomonitor. procedure of A2k(t) and в2ik formation is stopped when condition, when A2k(t) belongs only to one в2ik is satisfied. Decision about absence of disease is taken if condition A2(t) ⊄ B2i is satisfied. Assessment of dynamics of change of cardiovascular system state is performed by results of analysis of preliminarily determined values of quantities Δτ=A2(t1)-A2(t2) and dΔτdτ for specified time interval, where t1; t2 are moments of time of beginning and end of specified time interval respectively.

EFFECT: invention makes it possible to simplify process of operative analysis of clinical data by set of measured clinical signs and avoid mistakes in generation of medical control decision for diagnosing.

5 dwg

FIELD: medicine.

SUBSTANCE: invention relates to means for diagnosing neurodegenerative diseases. Device contains module of obtaining images which receives visual data about patient's brain state, and image analyser, made with possibility of determining quantitative index, which shows degree of development of neurodegenerative disease of patient's brain on the basis of visual data with application of probability mask for determination of studied areas on the image, specified by visual data. Method of clinical assessment includes stages of obtaining visual data and their analysis for determination of quantitative index, which makes it possible to assess degree of development of neurodegenerative diseases of patient's brain with application of probability mask. Software carrier contains computer programme, settings of data processing device for its performance of at least one of method stages.

EFFECT: invention facilitates early diagnostics and control of neurodegenerative diseases, for instance, Alzheimer's disease.

25 cl, 8 dwg

FIELD: information technologies.

SUBSTANCE: method to support decision-making based on instances includes a stage of calculation of remoteness from likeness between the input case of requesting and the set of instances for extraction of similar cases, using the set of standard criteria and their weights for assessment of likeness. Then, in accordance with the method, a user is provided with similar instances and a set of standard criteria and weights. And also an input is received from the user, including a variable weight for one of the set of standard criteria and/or one new criterion in addition to the set of standard criteria. Besides, the calculation of remoteness from likeness is varied with a new set of criteria and weights for extraction of instances similar from the point of view of the user. At the same time a new set of criteria and weights is generated on the basis of clustering on the basis of likeness for variation of calculation of the remoteness from likeness by means of start-up of a genetic learning logic.

EFFECT: creation of a basis system of input estimates of likeness for adaptation of actual value of likeness to similar users with another experience or other opinion.

11 cl, 3 dwg

FIELD: information technologies.

SUBSTANCE: under clinical conditions, when at any time there are several patients, there are central stations (10) of patient control, for instance, nursing units, for combination of the collected information relative to physiological parameters of patients. Data is displayed in several subwindows (22) of the display (18) of the control station (10). Due to certain limitations for dimensions of the display (18), it is often difficult to distinguish data displayed in subwindows (22), or even display all collected data. The user may expand any such subwindow (22) into a scale-variable subwindow (32), which provides for more functions than any other subwindow (22), without full coverage or adjustment of size of any other subwindow (22).

EFFECT: improved access to information.

12 cl, 6 dwg

FIELD: chemistry.

SUBSTANCE: method of operating a device for measuring an analyte, having a display, a user interface, a processor, memory and user interface buttons includes steps of: measuring the analyte in the body fluid of a user using the analyte measuring device; displaying a value representing the analyte; prompting the user to select an indicator for linking with the displayed value; and pressing one of the user interface buttons only once to select an indicator linked with the value of the analyte, and storing the selected indicator together with the displayed value in the memory of the device. The group of inventions also relates to a method of operating the measuring device, which additionally includes a step of ignoring activation of any of the user interface buttons except the selected button.

EFFECT: more intuitive and easier use of the device for measuring an analyte, eg a glucometer.

20 cl, 12 dwg

FIELD: information technology.

SUBSTANCE: method of extracting a plurality of data layers from a set (5) of data of medical images, wherein the method includes the following steps: a) displaying an indicator (10, 20) associated with the plurality of data layers; b) selecting the indicator (10, 20) based on user input; and c) extracting the plurality of data layers associated with the indicator when said indicator is selected; wherein the link between the indicator and the plurality of layers is based on segmentation of the set of data of medical images, wherein the indicator is an object obtained during segmentation of the set of data of medical images, and the plurality of data layers include object data, wherein the object data are contained in the plurality of layers.

EFFECT: reducing the amount of data transmission.

12 cl, 7 dwg

FIELD: physics.

SUBSTANCE: invention discloses a computer implemented method and system for conducting a geologic basin analysis in order to determine the accumulation of hydrocarbons in a subsurface region of interest. According to the disclosure, a basin analysis project is defined within a subsurface region. At least one basin analysis cycle is applied to the basin analysis project and the results of the basin analysis are integrated to generate basin analysis project results for the basin. The project results are used to optimise and manage the performance of technical tasks required to determine the accumulation of hydrocarbons in the subsurface region of interest.

EFFECT: high accuracy and information value of survey data.

20 cl, 26 dwg

FIELD: radio engineering, communications.

SUBSTANCE: device comprises P units of maximum signal separation, P units of activation function calculation and P groups of membership function values generation units.

EFFECT: increased accuracy of recognition when recognising objects with separate low or partially distorted areas.

1 dwg

FIELD: information technology.

SUBSTANCE: apparatus has a synchronisation unit 1, an integrated unit 2, a switch 3, units for controlling and linearising transfer characteristics of multichannel converters 4, counters for counting the number of times a fault detection subunit 5 is switched, a control unit 6, memory units 7 and 8. The output of the synchronisation unit is connected to the input of an interfacing unit, and a multidimensional sequence generator is in form of a multichannel device of a matrix structure with feedback, and the data output of the interfacing unit fully conforms to data connections, and its data output is connected to the input of the switch.

EFFECT: high accuracy of simulation by combining control of transfer characteristics and statistical estimation of the frequency index of the effect of the set of destabilising factors.

2 dwg

FIELD: medicine.

SUBSTANCE: invention relates to medical equipment and is intended for creation of personal medical devices for remote monitoring of patient's heart activity in outpatient conditions - cardiomonitors. Device of mobile communication includes, as minimum, three ECG electrodes, inlet-outlet unit, controller, made with possibility of registration, processing and transmission of information, energy-independent memory, keypad, display, loudspeaker and modem. ECG electrodes are connected with inlet of inlet-outlet unit and are integrated into device case. Device also contains generator and two additional electrodes, which are switched to generator outlet and are intergrated into device case. Controller is made with possibility of rheogram signal registration and analysis of information for self-diagnostics of heart disease aggravation.

EFFECT: application of invention will make it possible to increase self-descriptiveness and reliability of diagnostics due to change of ECG electrode configuration and provision of device with function of rheogram measurement.

3 cl, 2 dwg

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