US007445605B2 (12) United States Patent (10) Patent No.: US 7,445,605 B2 Overall et al. (45) Date of Patent: Nov. 4, 2008 (54) DETECTION OF APEX MOTION FOR (52) US. Cl. ..................... .. 600/595; 600/483; 600/527; MONITORING CARDIAC DYSFUNCTION 600/587; 607/17; 607/ 19 (58) Field of Classi?cation Search ............... .. 600/ 595, (75) Inventors: William Ryan Overall, Palo Alto, CA 600/587, 508, 481, 483, 527; 607/9, 17*19 (US); Daniel Francis, Los Altos, CA See application ?le for complete search history. (US); Aimee Brigitte Angel, Atherton, . CA (US); R. HardWin Mead, P2110 Alto, (56) References C‘ted CA (Us) US. PATENT DOCUMENTS (73) Assignee: The Board of Trustees of the Leland i glafnmang ginkgo‘ Jum.o r Unlv. erslt. y’ Palo Alto’ 5,, 693,, 075 A 12/1997 P1100 0a1n11 et a1. (U ) 5,899,927 A 5/l999 Ecker et a1. ( * ) Notice: Subject' to any disclaimer, the term of this i (A3400; 3137M patent 1s extended or adjusted under 35 6,501,983 B1 12/2002 Natamjan et 31‘ USC 15401) by 0 days- 6,595,933 B2* 7/2003 Sarvazyan et a1. ........ .. 600/587 2003/0158492 A1 * 8/2003 Sheldon et a1. ........... .. 600/508 (21) Appl.No.: 11/394,449 FOREIGN PATENT DOCUMENTS WO WO0306l473 7/2003 (65) Prior Publication Data * cited by examiner US 2007/0032749 A1 Feb. 8, 2007 Primary ExamineriMax Hindenburg Related US. Application Data Assistant ExamineriH. Q. Nguyen (63) Continuation-in-part of application No. 10/769 405 (74) Attorney’ Agent’ or FirmiBOZiCeVic’ Field & Francis ?led on Jan. 30, 2004, noW abandoned. LLP; Pamela 1' Sherwood (60) Provisional application No. 60/473,061, ?led on May (57) ABSTRACT 23, 2003, provisional application No. 60/443,938, _ _ _ _ ?led on Jan 31’ 2003_ Systems, dev1ces and methods for detectlng and momtorlng cardiac dysfunction. The devices include motion sensors for (51) Int_ CL detecting signals representative of the total movement of the A613 5/103 (200601) heart, and of the apex of the heart in particular. A61B 5/02 (2006.01) A61N 1/00 (2006.01) 14 Claims, 12 Drawing Sheets US. Patent Nov. 4, 2008 Sheet 1 0f 12 US 7,445,605 B2 US. Patent Nov. 4, 2008 Sheet 2 0f 12 US 7,445,605 B2 102 US. Patent Nov. 4, 2008 Sheet 3 0f 12 US 7,445,605 B2 108 Fig. 3 US. Patent Nov. 4, 2008 Sheet 4 0f 12 US 7,445,605 B2 Fig. 4(a) Fig. 4(b) Fig. 4(0) Fig. 4(d) US. Patent Nov. 4, 2008 Sheet 5 0f 12 US 7,445,605 B2 US. Patent Nov. 4, 2008 Sheet 6 0f 12 US 7,445,605 B2 602 605 631 606 693 M I 602 Fig. 6(0) 601 6P7 602 Fig. 6(d) 601 609 697 Fig. 7(a) Fig. 7(b) US. Patent Nov. 4, 2008 Sheet 7 0f 12 US 7,445,605 B2 /707 708 \ Fig. 7(d) 802 802 m m 801/ 801" : : M” 803 804 Fig. 8(a) Fig. 8(b) US. Patent Nov. 4, 2008 Sheet 8 0f 12 US 7,445,605 B2 802 80 802 803 807 $2805 801/ l 806 p 808 809 Fig. 8(c) Fig. 8(d) US. Patent Nov. 4, 2008 Sheet 9 0f 12 US 7,445,605 B2 75 45 / ‘ S k_o / Save FIFO data into next et _ "event" memory slot 80 V 7 Sleep X / Increment k by 1 /55 85 Buffer Y seconds of data 4 Yes into FIFO buffer )0 N0 r/so Save FIFHO data into next Sleep Z recent memory slot )5 Calculate axis 75: —*-~ 95 Is lA-Bl > A ? / Event Alarm or Therapy ‘ FIG. 10
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