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EP0748637A2 Expired / Lapsed EP ⏱️ 0.0 years remaining

Pacemaker pulse detection and artifact rejection

Assignee: Critikon Co LLC
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Filing: 1996-05-14
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Granted: —
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Expires: 2016-05-14
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Abstract

Abstract A method and apparatus for detecting a pacemaker pulse in an electrocardiogram signal (ECG signal) from characteristic artifacts introduced into said ECG signal by the filtering process to allow identification and removal of the pacemaker pulse from the ECG signal. Upon detection of the pacemaker event, the amplitude threshold used in the detection of the QRS complex is raised to a higher level following the pacemaker pulse so that the characteristic artifacts do not exceed the threshold. The amplitude threshold is decayed to the normal QRS threshold level over a time interval determined in accordance with the characteristics of the filter which introduced the artifacts so that the artifacts will remain below the amplitude threshold. This technique is desired since prior art techniques requiring removal of the pacemaker pulse and any artifacts associated with the pacemaker pulse before QRS complex detection also remove any QRS complexes occurring in the blanking window. By using a variable threshold, the amplitude of the QRS complex will exceed the threshold while the artifacts caused by the pacemaker pulse will remain below the threshold so that no blanking is necessary.

Inventors

  • 👤 Robert F. Donehoo
  • 👤 David W. Browne

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-11-02 20:43
CPC Classifications
A; A61; A61N; A61N1/00; A61N1/18; A61N1/32; A61N1/36; A61N1/362; A61N1/37; A61N1/3702

Claims Analysis

Total Claims: 8
Claim 1
Independent Claim 124 words
An electrocardiograph (ECG) monitor comprising: means for detecting an electrocardiogram signal of a patient; means for filtering and digitizing said electrocardiogram signal; and processing means for detecting a QRS complex in said filtered, digitized electrocardiogram signal by comparing said filtered, digitized electrocardiogram signal to an amplitude threshold, said amplitude threshold having a first level which is a fraction of an amplitude of said patient's QRS complexes and a second level, greater than said first level, immediately after detection of a pacemaker event, said amplitude threshold decaying from said second level to said first level over a predetermined amount of time after said pacemaker event so as to substantially prevent a false detection of signal artifacts caused by said pacemaker event as a QRS complex.
Claim 2
Dependent Claim 35 words
An ECG monitor as in claim 1, wherein said second level and said predetermined amount of time are set in accordance with known artifact producing characteristics of a filter of said filtering and digitizing means.
Claim 3
Dependent Claim 54 words
An electrocardiograph (ECG) monitor comprising: means for detecting an electrocardiogram signal of a patient; means for filtering and digitizing said electrocardiogram signal; and processing means for detecting a pacemaker event in said filtered, digitized electrocardiogram signal from characteristic artifacts introduced into said digitized electrocardiogram signal by a filter of said filtering and digitizing means.
Claim 4
Dependent Claim 26 words
An ECG monitor as in claim 3, wherein said processing means further removes said pacemaker event and said characteristic artifacts from said filtered, digitized electrocardiogram signal.
Claim 5
Independent Claim 119 words
A method of detecting a QRS complex in an electrocardiogram signal of a patient, comprising the steps of: detecting said electrocardiogram signal; filtering and digitizing said electrocardiogram signal; detecting a pacemaker event; and comparing said digitized electrocardiogram signal to an amplitude threshold, said amplitude threshold having a first level which is a fraction of an amplitude of said patient's QRS complexes and a second level, greater than said first level, immediately after detection of said pacemaker event, said amplitude threshold decaying from said second level to said first level over a predetermined amount of time after said pacemaker event so as to substantially prevent a false detection of signal artifacts caused by said pacemaker event as a QRS complex.
Claim 6
Dependent Claim 38 words
A method as in claim 5, comprising the further step of setting said second level and said predetermined amount of time in accordance with known artifact producing characteristics of a filter used in said filtering and digitizing step.
Claim 7
Independent Claim 63 words
A method of detecting a pacemaker event in an electrocardiogram signal, comprising the steps of: detecting said electrocardiogram signal; filtering and digitizing said electrocardiogram signal; and detecting characteristic artifacts in said electrocardiogram signal introduced into said electrocardiogram signal by a filter used in said filtering and digitizing step as indicative of the occurrence of a pacemaker event immediately prior to said characteristic artifacts.
Claim 8
Dependent Claim 24 words
A method as in claim 7, comprising the further step of removing said pacemaker event and said characteristic artifacts from said digitized electrocardiogram signal.

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