Vibration damping device

Abstract

A system and method for reducing vibrations perceived by a human due to a prosthetic heart valve includes a vest wearable around the human torso, a plurality of sensors attached to the vest, a plurality of vibration-generating actuators attached to the vest, and a controller. The plurality of sensors detect vibrations in the human generated by the prosthetic heart valve. The controller is operable to receive signals representing the detected vibrations from the plurality of sensors and to generate a vibration-damping signal that substantially attenuates the detected vibrations. A first sensor of the plurality of sensors is positioned near a first vibration-generating actuator of the plurality of vibration-generating actuators to form a sensor / actuator set. In the sensor / actuator set, the vibration-damping signal generated by the controller for the first vibration-generating actuator corresponds to the vibrations detected by the first sensor.

Description

Technical Field

[0001] Related Applications This application claims priority to U.S. Provisional Patent Application No. 63 / 084,559, filed September 28, 2020, entitled "Vibration Suppression Apparatus," which is hereby incorporated by reference in its entirety.

Background Art

[0002] Artificial internal devices inside and / or around the heart, such as artificial heart valves, generate vibrations that propagate through the body's internal bone structures, tissues, etc. The flapping (opening and closing) of the valve transmits vibrations through the body, and as these vibration waves propagate, they are felt by the patient.

[0003] The amplitude of these vibrations can be large enough that many patients suffer from sleep deprivation and other disorders due to these vibrations. Depending on the body position, the vibrations can become very uncomfortable, and the patient may not be able to sleep at night. Studies on the impact of heart valve vibrations on the quality of life (QOL) of patients have shown that heart valve recipients may experience severe sleep disorders, which can lead to further health problems such as chronic stress. Some solutions to these sleep problems are aimed at improving the design of mechanical heart valves. Other solutions include patient treatments, such as drug interventions like the administration of sedatives, or non-drug interventions such as cognitive behavioral therapy or wearing noise-canceling earplugs. However, the impact of mechanical heart vibrations on the quality of life of patients remains a significant ongoing problem.

Summary of the Invention

Means for Solving the Problems

[0004] In one embodiment, a system for reducing vibrations perceived by a person due to an artificial heart valve includes a vest wearable around the torso of a person, a plurality of sensors attached to the vest, a plurality of vibration generating actuators attached to the vest, and a controller. The plurality of sensors detect human vibrations generated by the artificial heart valve. The controller is operable to receive signals representing vibrations detected from the plurality of sensors and is operable to generate vibration isolation signals that reduce the detected vibrations. The first sensor of the plurality of sensors is positioned near the first vibration generating actuator of the plurality of vibration generating actuators to form a sensor / actuator set. In the sensor / actuator set, the vibration isolation signal generated by the controller for the first vibration generating actuator corresponds to the vibrations detected by the first sensor.

[0005] In one embodiment, the device for reducing vibrations perceived by a person due to an artificial heart valve is a vest that can be worn around the torso of a person. Multiple sensors are attached to the vest to detect human vibrations generated by the artificial heart valve. Multiple vibration generating actuators are attached to the vest. The first sensor of the multiple sensors is positioned near the first vibration generating actuator of the multiple vibration generating actuators to form a sensor / actuator set.

[0006] In some embodiments, a method for reducing vibrations perceived by a human being due to an artificial heart valve includes providing a setup vest that can be worn around the torso of a human being. The setup vest has a first plurality of sensors and a first plurality of vibration generating actuators that are repositionable on the setup vest. A calibration session is performed to customize the placement of the first plurality of sensors and the first plurality of vibration generating actuators on the setup vest. The vest is provided to a human being and has a second plurality of sensors and a second plurality of vibration generating actuators mounted on the vest according to the placement from the calibration session. At least one sensor of the second plurality of sensors is positioned near at least one vibration generating actuator of the second plurality of vibration generating actuators to form a sensor / actuator set. [Brief explanation of the drawing]

[0007] [Figure 1] This is an example of a phonocardiogram known in this field. [Figure 2] This is a schematic side cross-sectional view of a human chest equipped with a vibration damping device, according to several embodiments. [Figure 3A] Isometric views of vibration damping devices according to several embodiments are shown. [Figure 3B] The following are isometric views of another vibration damping device according to several embodiments. [Figure 4A] This is a diagram of a vibration damping device according to several embodiments. [Figure 4B] This is a diagram of a setup vest in several embodiments. [Figure 5] This is a schematic diagram of a human vibration damping system according to several embodiments. [Figure 6] This is a block diagram of the electronic components of a vibration damping system according to several embodiments. [Figure 7] The vibration cancellation waveforms of several embodiments are shown. [Figure 8] This is a block diagram of a vibration control system according to several embodiments. [Figure 9] This is a flowchart of a method for reducing the vibrations perceived by humans using an artificial heart valve, according to several embodiments. [Modes for carrying out the invention]

[0008] Many people have heart or heart valve problems that result in surgery and replacement of the natural aortic or mitral valve. There are several types of artificial heart valves, some of which are mechanical, and others that are made of tissue (human donor or animal tissue). However, all of these artificial valves, whether mechanical or tissue, generate unwanted vibrations throughout the thoracic cavity when the heart beats. These vibrations propagate through the bone structure and thoracic tissues.

[0009] The systems and methods of this disclosure include a vibration damping device that is externally attached to a person's torso to significantly reduce vibrations perceived by a patient due to an artificial heart valve. Vibrations may include tactile and audible noises heard by the patient. The vibration damping device is in the form of a chest cover worn by the patient, with sensors positioned around the patient's torso. The chest cover may be, for example, in the form of a vest. Sensors on the vest read external vibrations on the chest generated by the heart valve. In some embodiments, sensors are positioned in the same location as vibration-generating actuators so that the damping signal for a particular actuator is based on a signal sensed by a paired sensor. These sensor / actuator sets advantageously provide more precise noise cancellation compared to a single noise cancellation generated for the entire system. Such noise may include audible and / or inaudible signals. Sensors and actuators may be positioned in a vest customized for the individual patient.

[0010] In some embodiments, the vibration damping systems of the present disclosure independently learn the vibration characteristics of an individual's heart valve and customize vibration cancellation signals to significantly reduce the effects of these vibrations. Such systems include electronics and a microcontroller that use real-time data from sensors, along with adaptive software algorithms specifically designed to predict the next vibration pulse. The electronics drive vibration generating actuators, also located in the vest, to counteract vibrations from the artificial heart valve inside the patient's body. The system senses, learns, adapts, predicts, and generates vibration damping pulses so that perceived internal vibrations are significantly attenuated. The sensors are algorithmically calibrated for each patient, taking into account inter-patient variability, using a uniquely designed signal cancellation method.

[0011] In this disclosure, vibration damping may be referred to as vibration isolation, vibration cancellation, noise cancellation, or noise suppression. Signals generated by vibration-generating actuators may be referred to as vibrations, pulses, or waves. Vibration damping means reducing the vibrations perceived by a patient, such as substantially or significantly reducing, attenuating, canceling out, or eliminating vibrations to a level acceptable to the patient.

[0012] Figure 1 shows a typical phonocardiogram of heart sounds measured by a chest sensing device. Heart sounds typically include at least two pulses: S1, caused by the closure of the mitral and tricuspid valves at the start of systole, and S2, caused by the closure of the aortic and pulmonary valves at the end of systole. Two cycles of each are shown in Figure 1, labeled S1-1, S2-1, S1-2, and S2-2, with magnified views of each also shown. Prosthetic valves produce pulses similar to those seen in Figure 1. As the vibrations generated by the prosthetic valve pass through the pleural cavity, they are picked up by nerve endings and subsequently felt by the patient, often causing anxiety and insomnia. The vibrations generated by the prosthetic valve may exhibit patient-to-patient variability, including waveform, frequency, and / or amplitude. This variability is a function of the structure, density, and other factors of the bone and tissues within each patient, making it difficult to characterize the vibrations in a universal way. Furthermore, vibrations can change from person to person throughout the day due to factors such as physical exercise, stress, or sleep. Heartbeats can change over time for an individual due to factors such as aging, weight loss or gain, or changes in health status. Thus, characterizing human heart sounds is extremely complex.

[0013] Figure 2 is a schematic cross-sectional view of the human torso 200, illustrating anatomical features that vary from person to person and affect the generation and transmission of vibration signals within the human body. Figure 2 shows skin 210, soft tissue 220, heart 230, bones 240a and 240b, and nerve endings 250. Bone 240a is shown in a longitudinal view, such as representing the spine, and bone 240b is shown in a cross-section, such as representing the ribs. The size, location, density, and other features of these anatomical features vary from patient to patient, introducing complexity to generating noise-canceling signals that cannot be addressed using conventional techniques. For example, a patient's weight, body mass, and muscle tone affect how vibrations propagate through the thoracic cavity.

[0014] The primary source of noise vibration addressed in this disclosure is the artificial heart valve 260. Even if the same type of valve is implanted in two different patients, the vibrations generated will differ between the two patients based on their individual physiological functions. The transmission of vibrations through the body will also differ between these two patients. The noise vibrations are transmitted through soft tissues 220 (muscle, fat, etc.) to bones 240a, 240b and skin 210. Nerve endings 250 in many locations in the body pick up the vibrations and send signals to the brain. Depending on the location of the bones within the soft tissues, the types of soft tissues present (e.g., the ratio of muscle to fat), and the location and amount of nerve endings, the vibrations are perceived differently from patient to patient. To address these vibrational sounds and bodily sensations, this disclosure describes a vibration damping device 270 that is attached to the patient's chest. The vibration damping device 270 senses and analyzes the heart sounds generated by the patient and analyzes and generates vibration damping signals to significantly reduce the sound of the artificial heart valve perceived by the patient. The vibration damping device 270 adapts favorably to people with different anatomical structures by allowing customization of sensor placement within the vest. Furthermore, the device 270 continuously monitors and adapts to the patient's cardiac signals, including predictively analyzing and generating vibration damping signals using algorithms.

[0015] The system will primarily be described in the form of a vest worn on the human chest, such as under clothing that is in direct contact with the skin. However, the wearable device of this disclosure may consist of other forms, such as a band, belt, or strip that covers at least a portion of the chest over the area of ​​the heart. Embodiments referring to the “vest” in this disclosure shall also apply to these other configurations.

[0016] Figure 3A shows examples of vests 300 according to several embodiments, including components of the vibration damping system. The vest 300 has a main section 310 that covers at least the area above the patient's heart. For example, the main section 310 may cover at least the chest or rib cage, or the entire torso, such as from the shoulders to the waist. In this example, the vest 300 includes shoulder straps 320, which help prevent the vest 300 from slipping down over the patient. However, in other embodiments, the straps 320 do not need to be included, so that the device includes only the main section 310, as shown by the chest band 301 in Figure 3B. The vest 300 may be offered in different versions for men and women, such as having different size ranges, contours, or styles (e.g., wider straps 320 for men compared to women). The vest 300 and chest band 301 have an adjustment mechanism 330 that makes them adjustable in size to secure them around the patient's torso. The adjustment mechanism 330 is located on the user's back. The adjustment mechanism 330 is shown as a hook-and-eye closure in Figure 3A and as a hook-and-eye fastener in Figure 3B. In other embodiments, the adjustment mechanism 330 may be, for example, a buckle, a button, a slide / adjustable strap, and / or other means. The main section 310 is made of a soft material that is comfortable for the wearer, such as natural or synthetic fibers. In some embodiments, the material may be an elastic fabric that stretches as the user's chest expands and contracts. In some embodiments, the material of the main section 310 may be selected to substantially isolate vibration signals from spreading laterally along the vest 300 or chest band 301.

[0017] Figure 4A is a schematic diagram showing an exemplary arrangement of components in the main part of the vest 400 according to an embodiment. For simplicity, only the front part of the vest 400 is shown. Multiple sensors 410 and vibration generating actuators 420 are positioned at various locations along the vest 400 to address heart sound signals across the user's chest. The vibration generating actuators 420 generate vibration damping signals, i.e., vibrations that attenuate or reduce the noise of the artificial heart valve perceived by the patient. Using multiple sensors 410 and actuators 420 in the system (e.g., at least two sensors and at least two vibration generating actuators) improves the accuracy and sensitivity of signal detection and allows for more complete damping of vibrations compared to using a single sensor and actuator.

[0018] One or more sensors 410 can be disposed near each vibration generating actuator 420 that cooperates to form a sensor / actuator set 430. In these sensor / actuator sets 430, each vibration generating actuator 420 can generate a damping signal corresponding to the vibration sensed by the sensor 410 near its position. A first sensor 410 of the plurality of sensors can be disposed near a first vibration generating actuator 420 of the plurality of vibration generating actuators to form a sensor / actuator set 430. In the sensor / actuator set 430, an anti-vibration signal generated by a system (e.g., a controller) for the first vibration generating actuator corresponds to the vibration detected by the first sensor. For example, a controller that receives and transmits data between the sensors and actuators may be instructed or programmed to associate the set of sensors (s) and actuators (s) with each other. The sensor / actuator set 430 may comprise, for example, one sensor 410 and one actuator 420, or one or more sensors 410 having one or more actuators 420. In some embodiments, two or more sensors 410 are spaced apart from each other such that the gradient of the amplitude of the vibration sensed by the two or more sensors 410 can be determined. In an example using piezoelectric sensors and vibration generating actuators, the sensor 410 and the actuator 420 are each approximately 1 / 2 inch square and are disposed adjacent or proximate to each other.

[0019] Because vibrations change direction relative to the heart, it is beneficial to have a sensor / actuator set in the vibration isolation actuator that generates a signal in response to vibrations sensed near its location. In some embodiments, the sensor / actuator set 430 advantageously allows the actuator 420 to specifically target vibrations sensed at its particular location. The sensor / actuator set 430 is distributed across the patient's chest, and the number of sensor / actuator sets 430 and the spacing between them may be determined by factors such as bone density, rib structure, and / or body fat percentage. For example, heavier individuals or those with a higher fat percentage may require more sensors and / or smaller spacing between sensors than leaner individuals or those with a lower fat percentage. In another example, to accommodate the anatomical differences between female and male chests, a women's vest may be designed with different sensor spacing and positions than a men's vest. As shown in Figure 4A, the sensor / actuator sets 430 may be arranged in various orientations, spacings, and configurations relative to each other, depending on the noise disturbances evaluated for a particular patient. Figure 4A also shows that several sensors 410 and actuators 420 may be arranged separately from each other (i.e., not as a set) to provide additional sensing data or to provide vibration isolation signals based on multiple sensors from different locations.

[0020] Figure 4B shows an embodiment of the main part of the "setup" vest 401 for customizing the placement of sensors and actuators for individual patients. The vest 401 includes an adjustment function (e.g., the adjustment mechanism 330 of FIGS. 3A - 3B) that fits the size of the vest precisely to the patient so that vibrations can be properly sensed from the patient and transmitted to the patient. The vest 401 has a test surface 460 for determining and attaching the optimal placement positions of the sensors 410 and actuators 420 during a setup session (which may also be referred to in the present disclosure as a calibration session or calibration phase). The test surface 460 may include a plurality of connection positions for sensors and actuators detachably attached to the vest. In some embodiments, the test surface may include a flexible circuit board and / or a wiring harness. The test surface 460 may be disposed on the inner surface of the vest 401 facing the patient so as to be in direct contact with the patient's body. The test surface 460 may be configured as a sheet covering the working area of the vest 401 or as a strip or piece disposed in different areas of the vest and smaller than the complete working area.

[0021] The test surface 460 and / or the vest material may be composed of, for example, fasteners (e.g., hooks, clips, adhesive strips) to which the sensors 410, actuators 420, and / or sensor / actuator sets 430 are attached. Embodiments may also include compartments capable of holding the sensor / actuator sets 430. The fasteners and / or compartments allow the sensors and actuators to be repositioned on the setup vest to customize the placement for a particular individual. In some embodiments, the test surface 460 may include position markings shown as a grid in FIG. 4B, printed or drawn on the test surface 460 so as to function as a reference point for the test positions of the sensors 410 and actuators 420 (e.g., individually or in pairs as sensor / actuator sets 430).

[0022] During the setup session, the sensors 410 and actuators 420 can be moved, reoriented, or otherwise repositioned and adjusted to determine where the patient is experiencing the heart valve signal with the highest signal amplitude. In some examples, the heart valve signal includes audible and / or inaudible signals (e.g., vibration and / or noise). The number and type of sensors and actuators can be changed during the setup session to achieve patient-acceptable noise reduction results. In some embodiments, two or more of the sensors 410 are operable to provide an amplitude gradient of the heart valve signal to quickly determine where the patient is experiencing the heart valve signal with the highest signal amplitude. In some embodiments, the gradient of the heart valve signal in a particular region can be measured using multiple sensors temporarily placed in that region to guide which direction to move the sensors to obtain better signals. Once the proper placement of the sensors and actuators is achieved in the setup vest, the sensors and actuators can be mounted to the vest in the positions determined during the calibration session to create a vest customized for that patient.

[0023] Figures 4A and 4B also show a battery 440 (e.g., a thin lithium-ion coin cell) that powers the sensor 410, the vibration-generating actuator 420, and the electronic device 450 that processes signals between the sensor 410 and the vibration-generating actuator 420. In some embodiments, a wireless charger 445 is used to charge the battery 440. In some embodiments, the electronic device 450 may be housed on a flexible electronic board for comfort to the wearer. In other embodiments, the electronic device 450 and / or the battery 440 may communicate power and signals with the sensor 410 and the vibration-generating actuator 420, but may not be mechanically fixed to the vest.

[0024] Embodiments may include minimizing the size of the battery 440 for user comfort. Battery size can be minimized, for example, by providing a power-saving mode to conserve battery usage and / or by operating the electronics 450 at a lower power to provide a longer battery life. Power-saving mode may include reducing the frequency of measurements or operating certain sensors and vibration-generating actuators at a reduced frequency of measurement or at a reduced rate in areas where heart sound disturbances are not as pronounced as in other areas, if sensor readings have not changed significantly for a period of time (e.g., when the patient is sitting). In some embodiments, the system may have a sleep mode for when the patient is sleeping, in which a user-friendly damping level is maintained by the microcontroller, but since the patient is sleeping and not performing physical activity, continuous monitoring and calculation of future heart sounds are not performed (thus conserving battery life). In one embodiment, the system may be programmed to switch to sleep mode at a specific time of night. In another embodiment, the system may detect when the patient falls asleep and then communicate with an external monitor (e.g., the patient's smartwatch or sleep monitor) to instruct the vibration damping system to switch to sleep mode.

[0025] In one embodiment, the device for reducing vibrations perceived by a person due to an artificial heart valve is a vest that can be worn around the torso of a person. Multiple sensors are attached to the vest to detect human vibrations generated by the artificial heart valve. Multiple vibration generating actuators are attached to the vest. The first sensor of the multiple sensors is positioned near the first vibration generating actuator of the multiple vibration generating actuators to form a sensor / actuator set.

[0026] Figure 5 shows a block diagram of a device 500 for suppressing vibrations generated by an artificial internal device in a patient's body, according to several embodiments. The device 500 is a chest cover, such as a vest, worn by the user. The device 500 includes a vibration sensor 510 for detecting vibrations originating from the internal artificial device (illustrated here as a mechanical aortic valve 560) and a vibration generating actuator 520 for generating vibration cancellation waves. The device 500 also includes a wireless rechargeable battery system 540 and electronic equipment 550. The electronic equipment 550 may include, for example, a microcontroller, an analog-to-digital converter, a digital-to-analog converter, Bluetooth® and Wi-Fi connectivity, an amplifier, and memory.

[0027] As shown in Figure 5, when the heart pumps and activates the aortic valve 560, the movement of the valve flap 562 generates vibrations. These vibrations are transmitted through the valve body 564 and then through the patient's bone structures 570 and the tissues of the thoracic cavity. These vibrations are picked up by many nerve endings 580, and the sensation of vibration is transmitted to the patient's brain. Using the vibration damping device 500 of this disclosure, several vibration sensors 510 externally placed at several locations in the chest also pick up these vibrations. Actuators 520 generate signals to reduce the vibrations perceived by the patient, thereby improving comfort and quality of life.

[0028] Figure 6 is a block diagram of a vibration damping system 600 according to several embodiments. The system includes a device such as a vest or other chest cover worn by the patient, and the wearable device includes a vibration sensor 610, a vibration generating actuator 620, a battery 640, a battery charger 645 (e.g., a wireless charger), and electronics 650. The vibration generating actuator 620 generates a vibration damping signal to attenuate or reduce the noise of the artificial heart valve perceived by the patient. The electronics 650 includes an analog-to-digital converter 652, a controller 654 (e.g., a microcontroller), and a digital-to-analog converter 656. The electronics 650 may also include a wireless transmission system 670 on the same or separate circuit board as the other electronics. In some embodiments, the vibration damping system 600 communicates with a computing device 660, such as an external computer server or a cloud-based computing system.

[0029] The wireless transmission system 670 is used to transmit and receive stored real-time data from the vibration sensor 610, controller 654, and vibration generating actuator 620 to the computing device 660 via Bluetooth or Wi-Fi. The data is collected during the initial patient calibration phase and / or from ongoing patient monitoring and may indicate the need for parameter readjustment of algorithm 655, which may be, for example, a Learning Adaptive Prediction (LAP) algorithm. Exemplary parameters that can be learned by algorithm 655 include characteristics of cardiac pulses (e.g., waveform shape, time gap between S1 and S2, amplitude of S1 and S2, spectral (frequency spectrum) content of S1 and S2 pulses) and weighting of those characteristics.

[0030] The rechargeable battery 640 powers the components of the wearable vest. In some embodiments, a battery charger 645 wirelessly recharges the battery 640. In some embodiments, the battery charger 645 may include a physical connector for recharging the battery 640 via a plug-in charger. Information regarding the battery charge level and / or system status may be provided to the patient via a mobile phone application or computer.

[0031] During use, heart sounds and vibrations 680 are detected by vibration sensors 610 on the chest vest. The analog signal 681 from the vibration sensor 610 is sent to an analog-to-digital converter 652, which sends the digital data 682 to the controller 654. The digital data 682 is analyzed in real time by the controller 654, and an algorithm 655 within the controller 654 generates a vibration isolation digital sequence 684. The controller 654 is operable to receive signals representing vibrations detected from multiple sensors and is operable to generate vibration isolation signals that substantially attenuate the detected vibrations. In some embodiments, the algorithm 655 is a LAP algorithm that predicts the next vibrations the patient will experience and generates a vibration isolation digital sequence 684 that attenuates those signals. The predicted vibration characteristics may include waveform, frequency, amplitude, pulse duration, time between pulses, and / or pulse generation delay. The vibration isolation digital sequence 684 is optionally converted to an analog signal 686 via a digital-to-analog converter 656. A vibration isolation analog signal 686 or vibration isolation digital sequence 684 is applied to drive a vibration generating actuator 620, which generates a vibration cancellation vibration isolation signal 688 for the chest and / or other directions as needed.

[0032] Sensor 610 is operable to detect mechanical vibrations and / or audible noise and provide a signal representing them to the analog-to-digital converter 652. Sensor 610 may include, but is not limited to, an electrocardiogram (ECG) sensor, a piezoelectric sensor, a microelectromechanical device (MEMS), an accelerometer, a displacement sensor, a velocity sensor, a pressure sensor, and / or a microphone. Vibration generating actuator 620 is operable to receive a digital or analog signal and generate a mechanical vibration corresponding to the received signal. Vibration generating actuator 620 may include, but is not limited to, a tactile actuator (e.g., a piezoelectric actuator, a linear resonant actuator, and an eccentric rotating mass actuator) and / or a non-tactile actuator such as a speaker or microphone.

[0033] The sensors 610 and vibration-generating actuators 620 may all be the same type and / or size throughout the vest, or they may be of different types and / or sizes. Because vibrations propagate in all directions, using sensors and vibration-generating actuators of different types and / or positions within the chest belt may more effectively cancel out the vibrations felt by the patient compared to using a single sensor and actuator.

[0034] Sensor 610 may be used to detect acoustic airborne audible clicking sounds heard by the patient (or someone near the patient), and tactile vibrations felt by the patient. Types of sensors for sensing acoustic sounds include microphones such as contact microphones (e.g., piezoelectric-based) and micro-electromechanical (MEMS) microphones. In some embodiments, the sensor may be configured to detect frequencies within the human audible range (e.g., 20 Hz to 20 kHz) and below that range. For example, the sensor may include a microphone that responds in the sub-audio (i.e., infrasound) range below 20 Hz. While infrasound sounds may not be audible to the patient, the information may help the LAP algorithm predict future vibrations. Types of sensors for picking up physical vibrations include accelerometers such as 3-axis accelerometers and piezoelectric MEMS accelerometers. Readings from the acoustic and tactile vibration sensors may be used in correlation to enhance the identification of noise signals. For example, the loudness of the audible clicking sound of a heart valve may be quieter than other sounds present, so tactile vibration readings can be used to confirm that the signal detected by the acoustic sensor is from the heart valve.

[0035] Sensor 610 is also selected to have a faster response time and lower latency than the cardiac noise frequency of interest. The sensor is selected at an appropriate acoustic overload point (AOP) so that the amplitude of the signal the sensor can detect does not overload the microphone.

[0036] Various actuators 620 can be used to address both vibration noise perceived through the patient's hearing and tactile sensations felt by the patient through transmission via the body (e.g., bone, soft tissue). In some embodiments, the actuators 620 and sensors 610 may be used as part of a feedforward or feedback vibration and / or audible noise cancellation topology. In an example of a speaker used as an actuator in a feedforward topology, such a speaker may face outward from the patient to cancel out an audible clicking noise from the heart valves emanating from the patient's body. A sensor, e.g., a microphone, for picking up an audible clicking noise from the artificial heart valves may be paired with a speaker that functions as a vibration isolation actuator, with the microphone positioned to detect audible sounds emanating from the vest. In contrast, the sensor 610 (e.g., a microphone) and actuator 620 may be positioned as close as possible to the noise / vibration source, such as next to the patient's skin, at a location on the vest where a particular sensor is picking up the sound to be canceled out. A feedback speaker generates sound inside the body to cancel out vibrations from the source (heart valves).

[0037] In some embodiments, multiple sensors and multiple vibration-generating actuators are removably mounted on a vest, thereby allowing adjustment of the positions of the multiple sensors and multiple vibration-generating actuators. In some embodiments, the multiple sensors and multiple vibration-generating actuators are mounted in positions customized for individual patients. The multiple sensors may include accelerometers, microphones, acoustic sensors, and / or tactile vibration sensors. The multiple vibration-generating actuators may include tactile actuators or non-tactile actuators such as feedforward microphones.

[0038] Figure 7 shows an example of a phonocardiogram of the original vibration 710 (S1-S2 waves) detected by the sensor. In response to the original vibration, an isolation signal 720 (isolated waves S1' and S2') is applied by an actuator. The combined signal 730, obtained by adding the isolation signal 720 to the original vibration 710, reduces the vibration to a level acceptable to the patient or to a level where the patient does not notice the vibration. In some embodiments, as the isolation signal 720 travels through the thoracic cavity, the signal cancels out or significantly reduces the vibration signal detected at different nerve endings within the thoracic cavity. In other embodiments, the isolation signal 720 travels through the air, so that the noise signal is not audible to the patient.

[0039] In embodiments, the learning algorithm of this disclosure may improve the accuracy of predicting future cardiac signals by analyzing not only the user-disturbing oscillation but also the patient's normal heart rhythm. For example, the algorithm may analyze the blood uptake portion of each cardiac cycle to enable look-ahead estimation and reduce processing latency. The algorithm may learn indicators that precede acceleration or deceleration of an individual patient's heart rate, thereby enabling more accurate estimation and reducing processing latency.

[0040] Figure 8 is a block diagram of an exemplary system 800 for reducing the artificial heart valve noise perceived by a patient, according to several embodiments. The system includes a wearable device 805 (e.g., a chest vest) and a user interface device 850. The user interface device 850 is an external device from the wearable device 805 and may be an electronic device such as a personal computer or mobile phone. The user interface device 850 has a user application 852 that allows a user (e.g., a doctor, technician, or patient) to calibrate the wearable device 805 for an individual patient. The calibration or setup session may be performed, for example, in a hospital or laboratory.

[0041] In some embodiments, algorithm 855 receives analog or digital representations of signals associated with the artificial heart valve (e.g., electrical signals, vibrations, and / or audible noise), determines individual signals for each individual actuator that maximize the level of vibration and noise attenuation perceived by the patient (e.g., by generating a cancellation signal that is out of phase with the vibration or audible noise), and generates analog or digital signals or commands to control each actuator, such as the actuator generating noise or vibrations that significantly attenuate the signals associated with the artificial heart valve. The attenuation amount may be set according to the patient's tolerance level for noise and vibration disturbances, such as wanting to reduce the perceived sound by at least 2 decibels (dB), such as at least 3 dB, at least 4 dB, or at least 6 dB. In some embodiments, the algorithm may aim to achieve at least a minimum amount of attenuation (e.g., at least 3 dB or at least 4 dB), regardless of user preference.

[0042] In some embodiments, the algorithm implements a classic or modern control strategy for active vibration control (AVC) known in the art. In some embodiments, algorithm 855 implements a proportional-integral-derivative (PID) control algorithm. In some embodiments, algorithm 855 implements a model predictive control (MPC) algorithm. In some embodiments, electrical signals related to the heart (e.g., ECG) are used to determine when and / or when signals related to the artificial heart valve are being emitted. In some embodiments, algorithm 855 includes a Learning Adaptive Prediction (LAP) algorithm 855 that uses artificial intelligence to learn the vibration characteristics of an individual wearing the device and predict future vibrations based on those characteristics. In some embodiments, the LAP algorithm is a specially designed predictive algorithm that uses previously received analog or digital representations of signals related to the artificial heart valve to predict future characteristics of signals related to the artificial heart valve, such as amplitude, frequency components, and periodicity.

[0043] The user interface device 850 allows the user to input and save biometric inputs 854 into the system. During a setup session, which may be an initial patient setup or a periodic recalibration session, the user creates a profile containing various user biometric inputs 854. The biometric inputs 854 may include information such as height, weight, sex, and age, and this information can be used as parameters for algorithm 855 and / or to select a pre-trained model 856 via the user interface device 850, which is used in conjunction with the LAP algorithm of algorithm 855. The pre-trained model 856 may be obtained from a cloud processor (e.g., computing device 660 in Figure 6) or from a selection incorporated into the user application 852.

[0044] In embodiments that use the LAP algorithm as part of algorithm 855, the next step is to take input from an array of vibration sensors 810 on the wearable device 805 and perform a calibration process on the pre-trained model 856 or the initial LAP algorithm of algorithm 855.

[0045] The wearable device 805 (e.g., setup vest 401) includes multiple locations for sensors 810 and actuators 830. In some embodiments, a computer database or algorithm may suggest an initial map of the locations of sensors 810 and actuators 830 on the wearable device 805 based on the patient's anatomical structure and their biometric inputs 854. The computer database or algorithm may also suggest the number and type of sensors 810 and actuators 830 to use. During the calibration phase, auxiliary sensors 820 may be used to perform auxiliary measurements in addition to the measurements from the wearable device 805. The auxiliary sensors 820 may include a heart rate sensor for measuring heart rate and / or a blood pressure monitor for measuring blood pressure. In some embodiments, a treadmill test can be performed, and calibration readings can be recorded during the test so that the LAP algorithm of algorithm 855 learns how the patient's specific body structure (e.g., bone structure, bone density, fat percentage, fat distribution in the chest, muscle mass) affects the vibrations generated by the prosthetic heart valve during physical activity. Since vibrations are often most bothersome to patients during sleep, readings can also be collected in static modes, such as in various sleeping positions. Calibration sessions may be used to find the sensor positions where the strongest vibration signals are detected, particularly when the patient is lying down. The calibration phase may also involve using subjective input from the patient to learn the threshold of vibration amplitude that bothers the patient.

[0046] Once the optimal placement of sensors and actuators is determined from the calibration test, a customized vest is ordered for the patient based on the arrangement determined during the calibration phase. In the customized vest, the sensors within the multiple sensors and the actuators within the multiple vibration-generating actuators are mounted on the vest, at least in part, based on the measurements and other parameters collected during the calibration phase. Similarly, the types and number of sensors and actuators used in the customized vest are based on the evaluations performed during the calibration phase.

[0047] The calibration phase may be performed multiple times while the patient is continuously using the vest. For example, the calibration phase can be performed during the patient's first session using a setup vest. Calibration can also be performed when the patient first uses a customized vest to ensure that the vest is functioning as intended. Calibration may also be performed periodically, such as every few months, to further fine-tune the learning algorithm (in addition to the adjustments made by the continuously learning algorithm) and / or to see how changes in the patient's health or other conditions have affected how the vest is meeting the patient's needs. In some embodiments, measurements taken during the calibration phase can be used to determine or readjust the position of sensors and actuators throughout the vest, to swap sensors and / or actuators with different types of sensors and actuators, or to perform software adjustments.

[0048] During normal use, the chest vest senses vibrations at multiple points around the wearer's chest. Based on the layout of the sensor positions on the wearable device and the patient's bone and tissue structure, an individualized model is implemented for each patient and each actuator to ensure the best possible attenuation. In some embodiments, the LAP algorithm of algorithm 855 predicts future vibrations, such as the intensity, nature (e.g., waveform shape), frequency, and / or delay and / or occurrence time of the next pulse, and programs the vibration generating actuator 830 to generate a counteracting pulse. Sensor 810 continuously collects sensor readings, and the application continuously retrains algorithm 855 to output the best model for predicting the next vibration pulse. In some embodiments, continuous measurements by sensor 810 are ongoing measurements performed at a rate greater than the velocity of the phonocardiogram signal transmitted through bone and tissue and higher than the maximum frequency associated with the phonocardiogram signal. For example, for a typical cardiac vibration signal with a frequency spectrum of 1-2 kHz, the measurement algorithm of this embodiment may utilize a sampling rate that is at least twice the maximum frequency and / or frequency bandwidth of the frequency spectrum.

[0049] The microcontroller's LAP algorithm continuously monitors and measures vibrations and nearby sounds during use, attempting to predict the next vibration pulse and the corresponding actuator's countermeasure strategy. The system can utilize pattern recognition algorithms and machine learning. The system is configured with low latency, and because the microcontroller cycles at very high speeds, signals are processed faster than the period of the frequency of interest.

[0050] In some embodiments, a linear regression-based model may be used to generate the vibration-damping actuator waveform output necessary to attenuate vibrations felt at a patient's nerve endings. Some embodiments may also utilize the Darmois-Skitovich theorem, which characterizes a Gaussian distribution by the independence of two linear forms from independent random variables. The Darmois-Skitovich theorem is used in the communications industry to effectively invert communication channels without using pilot signals, and radiologists attempt to make intervening tissue noise essentially transparent.

[0051] In various embodiments, a system for reducing vibrations perceived by a person due to an artificial heart valve includes a vest wearable around the torso of a person, a plurality of sensors attached to the vest, a plurality of vibration-generating actuators attached to the vest, and a controller. The plurality of sensors detect human vibrations generated by the artificial heart valve. The controller is operable to receive signals representing vibrations detected from the plurality of sensors, and the controller is operable to generate vibration isolation signals that reduce the detected vibrations, such as by substantially damping them. A first sensor of the plurality of sensors is positioned near a first vibration-generating actuator of the plurality of vibration-generating actuators to form a sensor / actuator set. In the sensor / actuator set, the vibration isolation signal generated by the controller for the first vibration-generating actuator corresponds to the vibrations detected by the first sensor.

[0052] In some embodiments, the controller has an algorithm that predicts future vibrations from the artificial heart valve in response to vibrations detected from multiple sensors, and the controller generates vibration isolation signals for multiple vibration-generating actuators based on the prediction. In some embodiments, the multiple sensors continuously detect vibrations, and the controller monitors the algorithm based on the vibrations detected by the multiple sensors and adjusts it adaptively. In some embodiments, the algorithm includes parameters that are initially set according to a calibration phase, and the parameters include measurements of heart rate, blood pressure, or the patient's body structure. The patient's body structure may include body fat percentage, bone structure, and bone density. The multiple sensors are mounted on the vest based on measurements from the calibration phase.

[0053] In some embodiments, the system includes a user interface device that communicates with a controller. In some embodiments, the multiple sensors include accelerometers or microphones. In some embodiments, the multiple sensors include acoustic sensors and tactile vibration sensors. In some embodiments, the multiple vibration generating actuators include tactile actuators or non-tactile actuators. In some embodiments, the multiple vibration generating actuators include speakers in a feedforward topology.

[0054] Figure 9 is a flowchart 900 representing a method for reducing vibrations perceived by a human being due to an artificial heart valve. Step 910 is to provide a setup vest that can be worn around the torso of a human being, the setup vest having a first plurality of sensors and a first plurality of vibration generating actuators that are repositionable on the setup vest. Step 920 is to perform a calibration session to customize the placement of the first plurality of sensors and the first plurality of vibration generating actuators on the setup vest. Step 930 is to provide the human being with a customized vest having a second plurality of sensors and a second plurality of vibration generating actuators mounted on the vest according to the placement from the calibration session. Thus the vest of step 930 is customized to the advantage of the individual patient's anatomical structure and response to perceived vibrations. At least one sensor of the second plurality of sensors is positioned near at least one vibration generating actuator of the second plurality of vibration generating actuators to form a sensor / actuator set.

[0055] The embodiment further includes providing a controller operable to receive signals representing vibrations detected from a plurality of sensors, the vibrations being generated by an artificial heart valve, step 940. The controller is operable to generate an isolation signal that reduces the detected vibrations, such as substantially damping them. In the sensor / actuator set, the isolation signal generated by the controller for at least one vibration-generating actuator corresponds to a sensor reading from at least one sensor. In some embodiments of the flowchart 900, the controller has an algorithm that makes predictions about future vibrations from the artificial heart valve in response to sensor readings generated by a second plurality of sensors. In some embodiments, the controller monitors the algorithm based on vibrations detected by the second plurality of sensors and adjusts it adaptively. In some embodiments, the system includes a user interface device that communicates with the controller. In some embodiments, the plurality of sensors include accelerometers or microphones. In some embodiments, the plurality of sensors include acoustic sensors and tactile vibration sensors. In some embodiments, the plurality of vibration-generating actuators include tactile actuators or non-tactile actuators. In some embodiments, the plurality of vibration-generating actuators include speakers in a feedforward topology.

[0056] While embodiments of the disclosed invention have been referenced in detail, one or more examples are shown in the accompanying figures. Each example is provided for illustrative purposes only and not to limit the Art. Indeed, while this specification has described in detail specific embodiments of the Invention, those skilled in the art will understand that, having attained the foregoing understanding, alternative forms, variations, and equivalents to these embodiments will readily come to mind. For example, features illustrated or described as part of one embodiment may be used in another embodiment to produce yet another embodiment. Thus, it is intended that this subject matter encompasses such modifications and variations that fall within the scope of the appended claims and their equivalents. These and other modifications and variations to the Invention can be practiced by those skilled in the art without departing from the scope of the Invention as more specifically described in the appended claims. Furthermore, those skilled in the art will understand that the foregoing description is for illustrative purposes only and is not intended to limit the Invention.

Claims

1. A system for reducing vibrations perceived by humans using an artificial heart valve, A vest that can be worn around the torso of the aforementioned human, A plurality of sensors attached to the vest, which detect vibrations generated by the artificial heart valve, Multiple vibration generating actuators attached to the vest, A controller capable of receiving vibration signals detected from the plurality of sensors, and capable of generating vibration damping signals to reduce the detected vibrations, comprises: The first sensor among the plurality of sensors is positioned closest to the first vibration generating actuator among the plurality of vibration generating actuators, forming a sensor / actuator set. In the sensor / actuator set, the vibration isolation signal generated by the controller for the first vibration generating actuator corresponds to the vibration detected by the first sensor. The controller has an algorithm that predicts future vibrations from the artificial heart valve in response to the vibrations detected from the plurality of sensors. The controller is a system that generates the vibration isolation signals for the plurality of vibration-generating actuators based on the prediction.

2. The aforementioned multiple sensors continuously detect the vibrations, The controller monitors the algorithm based on the vibrations detected by the plurality of sensors and adjusts it adaptively. The system according to claim 1.

3. The algorithm includes parameters that are initially set according to the calibration stage, The aforementioned parameters include heart rate, blood pressure, or measurements of the patient's physical structure. The system according to claim 1.

4. The system according to claim 3, wherein the patient's physical structure includes body fat percentage, bone structure, and bone density.

5. The system according to claim 3, wherein the plurality of sensors are mounted on the vest based on the measurements taken from the calibration stage.

6. The system according to claim 1, further comprising a user interface device that communicates with the controller.

7. The system according to claim 1, wherein the plurality of sensors include accelerometers or microphones.

8. The system according to claim 1, wherein the plurality of vibration generating actuators are provided with tactile actuators.

9. The system according to claim 1, wherein the plurality of vibration generating actuators include speakers in a feedforward topology.

10. The system according to claim 1, wherein the plurality of sensors include acoustic sensors and tactile vibration sensors.

11. The system according to claim 1, wherein the plurality of sensors and the plurality of vibration generating actuators are removably mounted on the vest, and the positions of the plurality of sensors and the plurality of vibration generating actuators are adjustable.

12. The system according to claim 1, wherein the plurality of sensors are equipped with feedforward microphones.

13. The system according to claim 1, wherein the plurality of vibration generating actuators are provided with non-tactile actuators.

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