# US 10,307,072 B1 · Reducing noise levels associated with sensed ECG signals > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,307,072 B1 - Document ID: US10307072B1 - Status: Granted - Kind: B1 - Application number: 15/813,359 - Filed: 2017-11-15 - Published: 2019-05-16 - Granted: 2019-06-04 - Earliest claimed: 2017-11-15 - Assignees: Biosense Webster (Israel) Ltd. - Applicants: Biosense Webster (Israel) Ltd. - Inventors: Assaf Govari - Web page: https://patentgrep.com/patent/US10307072B1 ## CPC - A61B 5/282: Holders for multiple electrodes (for introduction into the body A61B5/287) - A61B 5/0006: {ECG or EEG signals} - A61B 5/318: Heart-related electrical modalities, e.g. electrocardiography [ECG] - A61B 5/6801: {specially adapted to be attached to or worn on the body surface} - A61B 5/6805: {Vests, e.g. shirts or gowns} - A61B 5/6823: {Trunk, e.g., chest, back, abdomen, hip} - A61B 5/7203: {for noise prevention, reduction or removal} - A61B 5/7207: {of noise induced by motion artifacts} - A61B 5/7221: {Determining signal validity, reliability or quality (preventing, reducing or removing noise induced by motion artefacts A61B5/7207; noise originating from a therapeutic or surgical apparatus A61B5/7217)} - A61B 5/742: {using visual displays (displays for heart-related electrical signals, e.g. ECG, A61B5/339)} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A medical device includes multiple electrodes and a processor. The multiple electrodes are coupled to a substrate attached externally to a patient and are configured to sense multiple respective electrical signals from an organ of the patient. The processor is configured to estimate two or more noise levels associated with the electrical signals sensed by two or more respective pairs of the electrodes, to select the electrical signals having a smallest noise level from among the two or more noise levels, and to provide only the selected electrical signals for analysis. ## Claims ### Claim 1 A medical device, comprising: a patch having multiple electrodes coupled to a substrate attached externally to a patient, the multiple electrodes being configured to sense multiple respective electrical signals from an organ of the patient, the multiple electrodes including a plurality of pairs of electrodes, each pair of electrodes lying on an axis of the patch in the plane of the substrate different from the axis of every other pair of electrodes; and a processor, which is configured to: estimate noise levels associated with the electrical signals sensed by the plurality of pairs of electrodes; select a pair of electrodes of the plurality of pairs of electrodes having two electrical signals with a smallest noise level from among the estimated noise levels; and provide only the two electrical signals from the selected pair of electrodes for analysis. ### Claim 2 (depends on 1) The medical device according to claim 1, wherein the organ comprises a heart of the patient, and wherein the electrical signals comprise electrocardiogram (ECG) signals sensed from the heart. ### Claim 3 (depends on 1) The medical device according to claim 1, and comprising a reference electrode, which is coupled to the substrate and is configured to sense reference electrical signals from the organ of the patient. ### Claim 4 (depends on 3) The medical device according to claim 3, wherein the multiple electrodes are arranged in a circular configuration about the reference electrode. ### Claim 5 (depends on 4) The medical device according to claim 4, wherein the multiple electrodes are arranged in a circular configuration surrounding the reference electrode, wherein at least one of the plurality of pairs of electrodes is substantially orthogonal to a direction of contraction and relaxation of a muscle of the patient. ### Claim 6 (depends on 3) The medical device according to claim 3, wherein the processor is configured to estimate the noise levels by referring to the reference electrical signals from the organ of the patient as a baseline signal and calculating differences between the baseline signal and the electrical signals from the plurality of pairs of electrodes, and to select the pair of electrodes by selecting the two signals from the plurality of pairs of electrodes for which the calculated differences are the smallest. ### Claim 7 (depends on 1) The medical device according to claim 1, and comprising a wireless communication module, which is configured to transmit the selected electrical signals to an external unit. ### Claim 8 (depends on 1) The medical device according to claim 1, and comprising a memory coupled to the substrate, wherein the processor is configured to store the selected electrical signals in the memory. ### Claim 9 (depends on 1) The medical device according to claim 1, and comprising a readout interface for communicating with an external unit, wherein the processor is configured to send the selected electrical signals, via the readout interface, to the external unit. ### Claim 10 (depends on 1) The medical device according to claim 1, wherein the processor is configured to estimate the noise levels by comparing the difference between the electrical signals of each of the plurality of pairs of electrodes and to select the pair of electrodes for which the difference between the electrical signals is the smallest. ### Claim 11 (depends on 1) The medical device according to claim 1, wherein the selected pair of electrodes are lying on an axis on the patch in the plane of the substrate substantially orthogonal to a direction of contraction and relaxation of a muscle of the patient. ### Claim 12 A method, comprising: sensing multiple electrical signals from an organ of a patient, using a patch having multiple respective electrodes coupled to a substrate and are attached externally to the patient; estimating noise levels associated with the electrical signals sensed by a plurality of pairs of the electrodes, each pair of electrodes lying on an axis of the patch in the plane of the substrate different from the axis of every other pair of electrodes; selecting a pair of electrodes of the plurality of pairs of electrodes having two electrical signals with a smallest noise level from among the estimated noise levels; and providing only the two electrical signals from the selected pair of electrodes for analysis. ### Claim 13 (depends on 12) The method according to claim 12, wherein the organ comprises a heart of the patient, and wherein the electrical signals comprise electrocardiogram (ECG) signals sensed from the heart. ### Claim 14 (depends on 12) The method according to claim 12, and comprising sensing reference electrical signals from the organ of the patient, using a reference electrode. ### Claim 15 (depends on 14) The method according to claim 14, wherein the multiple electrodes are arranged in a circular configuration about the reference electrode. ### Claim 16 (depends on 15) The method according to claim 15, wherein the multiple electrodes are arranged in a circular configuration surrounding the reference electrode, wherein at least one of the plurality of pairs of electrodes is substantially orthogonal to a direction of contraction and relaxation of a muscle of the patient. ### Claim 17 (depends on 14) The method according to claim 14, wherein the processor is configured to estimate the noise levels by referring to the reference electrical signals from the organ of the patient as a baseline signal and calculating differences between the baseline signal and the electrical signals from the plurality of pairs of electrodes, and to select the pair of electrodes by selecting the two signals from the plurality of pairs of electrodes for which the calculated differences are the smallest. ### Claim 18 (depends on 12) The method according to claim 12, wherein the providing the selected electrical signals comprises transmitting the selected electrical signals wirelessly for the analysis. ### Claim 19 (depends on 12) The method according to claim 12, wherein the providing the selected electrical signals comprises storing the selected electrical signals in a memory coupled to the substrate. ### Claim 20 (depends on 12) The method according to claim 12, wherein the providing the selected electrical signals comprises sending the selected electrical signals, via a readout interface coupled to the substrate, to an external unit. ### Claim 21 (depends on 12) The method according to claim 12, wherein the processor is configured to estimate the noise levels by comparing the difference between the electrical signals of each of the plurality of pairs of electrodes and to select the pair of electrodes for which the difference between the electrical signals is the smallest. ### Claim 22 (depends on 12) The method according to claim 12, wherein the selected pair of electrodes are lying on an axis on the patch in the plane of the substrate substantially orthogonal to a direction of contraction and relaxation of a muscle of the patient.