Ambulatory Cardiac Monitor to Address Heart Disease in American Indian Population

描述（由申请人提供）：Advanced Medical Electronics拟开发一种用于动态心电图仪（ECG）的超低功耗无线心电图仪传感器。动态ECG产品包括传统的霍尔特记录器、心律失常事件循环记录器以及最近推出的遥测心脏监测器，其利用蜂窝电话网络向监测设施提供实时或半实时定期数据传输。动态ECG研究是心脏诊断领域的重要组成部分。农村和服务不足的社区，包括美洲印第安人的健康成果，可以改善文化具体的干预措施和仔细的保健监测和管理，利用新的和改进的技术。许多障碍阻碍了居住在保留地的美国印第安人和阿拉斯加原住民获得足够的医疗资源。配备远程医疗监控解决方案的远程诊断工具可以帮助消除充分提供医疗保健的一些障碍。重要的障碍，如接近医疗机构和有限的交通选择，可以通过使用远程诊断技术来减少，只要技术解决方案足够简单，患者可以成功地获得诊断结果。在这个项目中，我们提出了一种先进的超小型长寿命无线心电传感器。通过利用最近开发的超低功耗无线电、微处理器和其他电子技术，我们建议大幅减小ECG传感器的尺寸并降低其功率，以实现更舒适的可穿戴设备，并消除患者更换电池的需要。我们假设，这些改进将改善健康结局，通过减少所需电池数量降低总体研究成本，通过消除家庭中电池更换的必要患者行为提高研究成功率，并通过消除传感器上难以清洁的用户可操作电池盒，提供更有效的器械处理以供重复使用。

DESCRIPTION (provided by applicant): Advanced Medical Electronics proposes to develop an ultra low power wireless electrocardiograph sensor for use in ambulatory electrocardiographs (ECGs). Ambulatory ECG products include traditional Holter recorders, cardiac arrhythmia event loop recorders, and recently introduced telemetry-enabled cardiac monitors that utilize cellular phone networks to provide live or semi-live periodic data transfers to monitoring facilities. Ambulatory ECG studies are an important component in the field of cardiac diagnostics. Health outcomes for rural and underserved communities including American Indians can be improved with culturally specific interventions and careful health care monitoring and management utilizing new and improved technologies. Many barriers prevent American Indians and Alaska Natives living on reservations from achieving adequate healthcare resources. Remote diagnostic tools equipped with telehealth monitoring solutions can help remove some barriers to adequate healthcare delivery. Important barriers such as proximity to healthcare facilities and limited transportation options can be reduced by using remote diagnostic techniques provided that the technology solutions are simple enough for patients to successfully obtain diagnostic results. In this project we propose an advanced ultra-miniature long life wireless ECG sensor. By utilizing recently developed ultra low power radio, microprocessor, and other electronics technologies we propose to substantially reduce the size and lower the power of the ECG sensor to enable more comfortable wearable devices and eliminate the need for patients to replace the batteries. We hypothesize that these improvements will improve health outcomes, lower overall study costs by reducing the number of required batteries, improve the rate of successful studies by eliminating the required patient action of battery replacement in the home, and provide more efficient processing of devices for reuse by eliminating the difficult-to-clean user operable battery compartment on the sensor.