Electronic Stethoscope FFT Analysis for Coronary Artery Stenosis Detection

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Solution Overview

Problem

Current diagnostic techniques for coronary artery disease are costly, invasive, and have varying sensitivity and specificity, often failing to detect stenosis until blood flow is severely restricted, leading to potential health deterioration in asymptomatic patients.

Innovation Solution

An electronic stethoscope system that records acoustic data from the chest, applies filters, and performs a Fast Fourier Transform (FFT) to identify a bell curve within a specific frequency range, indicating 50-99% coronary artery blockage, allowing for early detection and potentially reducing the need for invasive tests.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If invasive diagnostic techniques (coronary angiogram) are used to detect coronary artery stenosis, then measurement precision is improved, but device complexity and patient risk increase

Engineering Contradiction:
Improvestenosis detection accuracyVSAvoiddiagnostic procedure complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent replaces the mechanical/invasive coronary angiogram procedure with an acoustic detection system using electronic stethoscope and FFT analysis. The system substitutes direct visual imaging with non-invasive acoustic signal processing to detect stenosis, eliminating the need for catheter insertion and contrast dye administration while maintaining diagnostic capability through spectral analysis of heart sounds

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Solution Approach 2:

The patent introduces acoustic signals as an intermediary to detect coronary artery stenosis. Instead of directly visualizing the artery, the system uses sound waves captured by the electronic stethoscope as a mediator to indirectly detect the presence and severity of stenosis through characteristic acoustic patterns in the frequency spectrum

Inventive Principle:
Principle #24Intermediary (Mediator)

2Productivity

If stress testing is used to detect coronary artery disease, then productivity is improved, but measurement precision deteriorates due to varying sensitivity and specificity

Engineering Contradiction:
Improvescreening efficiencyVSAvoiddisease detection accuracy
Core Design Contradiction:
ProductivityVSMeasurement precision

Solution Approach 1:

The patent transforms the diagnostic approach by changing from functional assessment (stress testing) to spectral frequency analysis. Instead of measuring physiological responses during exercise, the system analyzes the frequency spectrum of heart sounds, specifically looking for bell curves in the 50-80 Hz range that indicate stenosis, providing more consistent and objective diagnostic criteria

Inventive Principle:
Principle #35Parameter changes

3Ease of operation

If traditional stethoscope is used for physical examination, then ease of operation is improved, but measurement precision deteriorates due to inability to detect subtle acoustic patterns

Engineering Contradiction:
Improveexamination simplicityVSAvoidacoustic pattern detection capability
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The patent replaces the purely mechanical traditional stethoscope with an electronic system that incorporates digital signal processing. The electronic stethoscope converts acoustic signals to digital data, applies FFT transformation, and automatically identifies pathological bell curves, enhancing the detection precision while maintaining the simplicity of auscultation

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Solution Approach 2:

The patent creates a digital copy of the acoustic signal for analysis. The electronic stethoscope captures heart sounds, converts them to digital form, and generates a spectral representation through FFT. This digital copy allows for precise measurement and automatic identification of stenosis-indicating patterns without affecting the simplicity of the examination process

Inventive Principle:
Principle #26Copying

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The system effectively identifies coronary artery disease with high specificity and sensitivity, reducing unnecessary invasive procedures and enabling early intervention, while also saving healthcare resources by minimizing false positives and negatives.

Implementation Method 1

an acoustic sensing device is employed to transmit the raw sound data from the patient

Methodology Applied
Scientific EffectAcoustic detection: Sound

Implementation Method 2

applying one or more filters to the acoustic data and calculating a Fast Fourier Transform (FFT) of the data to produce FFT data

Methodology Applied
Scientific EffectFourier Transform:

Data Source

PatentUS10039520B2Detection of coronary artery disease using an electronic stethoscope
Publication Date: 2018.08.07 JOHNSON MARIE A DR
  • US10039520B2 patent drawing
  • US10039520B2 patent drawing
  • US10039520B2 patent drawing

AI summary

The disclosure describes an electronic stethoscope system that automatically detects coronary artery disease in patients. The system uses an electronic stethoscope to record acoustic data from the fourth left intercostal space of a patient. A processing technique is then applied in order to filter the data and produce Fast Fourier Transform (FFT) data of magnitude versus frequency. If a bell curve is identified in the data between a predefined frequency range (e.g., 50 and 80 Hz) with a peak magnitude of greater than a predefined threshold (e.g., 2.5 units), the system automatically provides an output indicating that the patient is likely to have 50 to 99 percent stenosis of the coronary artery. If no bell curve is present, the patient may have artery stenosis of less than 50 percent. An interface module may be used to transfer diagnosis information to the stethoscope and data to a general purpose computer. This inexpensive and quick system may improve the chances for early detection and patient survival of coronary artery disease.