Multi-threshold sensing of cardiac electrical signals in an implantable medical device
US-2019117985-A1 · Apr 25, 2019 · US
US12329530B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-12329530-B2 |
| Application number | US-202217870172-A |
| Country | US |
| Kind code | B2 |
| Filing date | Jul 21, 2022 |
| Priority date | Jul 30, 2021 |
| Publication date | Jun 17, 2025 |
| Grant date | Jun 17, 2025 |
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A device for monitoring the health state is made in a chip including a semiconductor die integrating an electric potential sensor and a cardiac parameter determination unit. The potential sensor is configured to detect potential variations on the body of a living being and associated with a heart rhythm and to generate a cardiac signal. The cardiac parameter determination unit is configured to receive the cardiac signal and determine cardiac parameters indicative of a health state. In particular, the cardiac parameter determination unit is configured to detect triggering events and to determine features of the cardiac signal in time windows defined by the triggering events. The die also integrates a decision unit, configured to receive the cardiac parameters and generate a health signal based on a comparison with threshold values. The cardiac parameters include heart rate and QRS-complex.
Opening claim text (preview).
The invention claimed is: 1. A device of monitoring the health state, comprising: a semiconductor die, including: an electric potential sensor configured to detect potential variations present on a body of a living being and associated with a heart rhythm and to generate a cardiac signal; and cardiac parameter determination circuitry configured to receive the cardiac signal and determine cardiac parameters indicative of a health state, wherein the cardiac parameter determination circuitry is configured to detect triggering events and to determine features of the cardiac signal in time windows defined by the triggering events; one or more electrodes electrically coupled to the electric potential center; and a personal computer, wherein the one or more electrodes include a first and second key of the personal computer. 2. The health monitoring device according to claim 1 , further comprising decision circuitry configured to receive the cardiac parameters and generate a health signal based on a comparison with threshold values. 3. The health monitoring device according to claim 1 , wherein the cardiac parameters include heart rate and QRS-complex. 4. The health monitoring device according to claim 1 , wherein the triggering events include threshold exceeding and the cardiac parameter determination circuitry is configured to detect a time distance between two triggering events exceeding the thresholds. 5. The health monitoring device according to claim 1 , wherein the cardiac parameter determination unit includes heart rate detection circuitry, the heart rate detection circuitry being configured to: a) initialize a first counter configured to provide a count value; b) receive a sample of the cardiac signal, the sample having a value; c) verify whether the sample value is a peak value; d) increase the first counter and repeat steps b) and c) if the verification c) gives a negative result; e) verify whether the sample value exceeds a heart rate threshold if the verification c) gives a positive result; f) acquire the count value of the first counter as heart rate information if the verification e) gives a positive result; g) increase the first counter and repeat steps b)-e) if the verification e) gives a negative result. 6. The health monitoring device according to claim 5 , wherein the cardiac parameter determination unit further comprises QRS-complex detection circuitry, the QRS-complex detection circuitry being configured to: h) receive the cardiac signal; i) filter the cardiac signal through a high-pass filter to obtain a filtered signal; j) initiate a second counter configured to provide a count value; k) acquire a sample of the filtered signal having a value; l) verify whether the sample value of the filtered signal is a peak value; m) increase the second counter and repeat steps k)-l) if the verification l) gives a negative result; n) verify whether the sample value of the filtered signal exceeds a QRS threshold if the verification 1 ) gives a positive result; o) acquire the count value of the second counter as heart rate information if the verification n) gives a positive result; p) increase the second counter and repeat steps k)-n) if the verification e) gives a negative result. 7. The health monitoring device according to claim 5 , wherein initiating includes resetting the count value. 8. The health monitoring device according to claim 2 , further comprising a MEMS movement sensor and movement parameter determination circuitry coupled to the MEMS sensor and to the decision circuitry, wherein the MEMS movement sensor is configured to generate an inertial signal; the movement parameter determination circuitry is configured to detect movement parameters of the inertial signal; and the decision circuitry is configured to receive the movement parameters, detect a movement condition or a rest condition from the movement parameters and generate a movement signal in response to detection of the movement condition and provide a health state information on the basis of cardiac parameters in response to detecting the rest condition. 9. The health monitoring device according to claim 8 , wherein the MEMS movement sensor is an accelerometer or a gyroscope and is integrated in a further die coupled to the semiconductor material die. 10. The health monitoring device according to claim 2 , wherein the cardiac parameter determination circuitry and the decision circuitry include a machine learning core. 11. The health monitoring device according to claim 10 , wherein the machine learning core is configured to receive an input signal and includes at least one of: a) a positive zero-crossing detection module, configured to detect when the input signal goes from negative to positive; b) a negative zero-crossing detection module, configured to detect when the input signal goes from positive to negative; c) a peak detection module, configured to detect when the input signal assumes a maximum or minimum value; d) a positive peak detection module, configured to detect when the input signal assumes a maximum value; or e) a clock generation module, configured to generate a clock event, and at least one of the following triggered feature detection modules: f) a mean calculation module, configured to calculate a mean of values of the input signal in a window delimited between two triggering events; g) a variance calculation module, configured to calculate a variance of the input signal between two triggering events; h) an energy calculation module, configured to calculate an energy of the input signal within a window delimited between two triggering events or a window of predetermined duration from a triggering event; i) a peak-to-peak value calculation module, configured to calculate the difference between a maximum value and a minimum value of the input signal in a window delimited between two triggering events or in a window of predetermined duration from a triggering event; j) a negative zero-crossing number calculation module, configured to calculate a number of negative crossings in a window delimited between two triggering events or in a window of predetermined duration from a triggering event; k) a peak calculation module, configured to calculate a peak number of the input signal in a window delimited between two triggering events; l) a positive peak calculation module, configured to calculate a positive peak number of the input signal in a window delimited between two triggering events; m) a negative peak calculation module, configured to calculate a negative peak number of the input signal in a window delimited between two triggering events; n) a minimum detection module, configured to detect a minimum value of the input signal in a window delimited between two triggering events; o) a maximum detection module, configured to detect a maximum value of the input signal in a window delimited between two triggering events; or p) a duration calculation module, configured to calculate a duration of the input signal in a window delimited between two triggering events. 12. An electronic apparatus, comprising: a health monitoring device, including: a semiconductor die, including: an electric potential sensor configured to detect potential variations present on a body of a living being and associated with a heart rhythm and to generate a cardiac signal; and cardiac parameter determination circuitry configured to receive the cardiac signal and determine cardiac parameters indicative of a health state, wherein the cardiac parameter determination circuitry is configured to detect triggering events including threshold exceeding and to determi
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