Johns Hopkins University

Edward J Moses

Wayne I Sternberger

Robert S Greenberg

John A Cristion

Timothy P Magnani

Susanne M Daniels

John A Christion

The present invention provides a method and apparatus for monitoring the fetal condition in an objective, quantitative, and non-invasive manner by enabling continuous and highly specific data collection during pre-natal development and the intra-partum period. In an embodiment, monitoring the fetal condition comprises monitoring a fetal heart rate, a fetal heart rate variability, and/or the fetal heart vector orientation of a fetus in a pregnant mother. Automated signal processing techniques are applied to a multiplicity of transducers to select an optimum signal vector to monitor at least one of a fetal heart rate, a fetal heart rate variability, and/or the fetal heart vector orientation of a fetus in a pregnant mother.

Apparatus and method for non-invasive, passive fetal heart monitoring

An apparatus and method for fetal heart and maternal heart and uterine monitoring is provided which acquire biopotential waveforms indicative of the mother's heart beat from sensors located at or near the mother's chest, and waveforms indicative of the combined maternal and fetal heart beats from abdominal sensors located on the mother's abdomen, lower back, or both. The signals from the abdominal sensors are divided into a plurality of channels. An adaptive signal processing filter (ASPF) algorithm or other suitable algorithm is then used to cancel the estimated maternal waveform from each channel derived from the abdominal sensors. The system then selects from the resulting waveforms at least one waveform to serve as the reference fetal waveform. The reference waveform is then processed against the other abdominal waveforms preferably using the ASPF algorithm again to form an enhanced fetal signal that is a representation of the fetus's biopotential electrocardiogram (EKG ). The EKG can subsequently be used to measure fetal heart rate and other biophysical profile parameters. Surface electromyogram (EMG) signals allow for concurrent monitoring of uterine contractions and afford improved cancellation of motion artifacts.

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Rockville, MD, United States of America

Edward J Moses