Ambulatory Cardiac Monitor to Address Heart Disease in American Indian Population

描述（由申请人提供）：先进医疗电子提出开发一种用于动态心电图仪（ecg）的超低功耗无线心电图传感器。动态心电图产品包括传统的动态心电图记录仪、心律失常事件循环记录仪，以及最近推出的利用移动电话网络向监测设施提供实时或半实时定期数据传输的遥测心脏监护仪。动态心电图研究是心脏诊断领域的重要组成部分。农村和服务不足社区（包括美洲印第安人）的健康状况可以通过具有文化特色的干预措施以及利用新的和改进的技术进行仔细的保健监测和管理来改善。许多障碍阻碍了居住在保留地的美洲印第安人和阿拉斯加原住民获得足够的医疗保健资源。配备远程医疗监测解决方案的远程诊断工具可以帮助消除提供适当医疗保健的一些障碍。只要技术解决方案足够简单，使患者能够成功获得诊断结果，就可以通过使用远程诊断技术来减少诸如靠近医疗设施和交通选择有限等重要障碍。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传感器的尺寸和功耗，以使可穿戴设备更舒适，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果，通过减少所需电池的数量来降低总体研究成本，通过消除患者在家中更换电池的必要操作来提高研究的成功率，并通过消除传感器上难以清洁的用户可操作的电池盒来提供更有效的设备处理以重复使用。

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.