# US 11,304,639 B2 · Medical patch for simultaneously sensing ECG signals and impedance-indicative electrical signals

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- Number: US 11,304,639 B2
- Document ID: US11304639B2
- Status: Granted
- Kind: B2
- Application number: 16/661,269
- Filed: 2019-10-23
- Published: 2020-02-20
- Granted: 2022-04-19
- Earliest claimed: 2017-08-29
- Assignees: Biosense Webster (Israel) Ltd.
- Applicants: Biosense Webster (Israel) Ltd.
- Inventors: Assaf Govari
- Web page: https://patentgrep.com/patent/US11304639B2

## CPC

- A61B 5/308: for electrocardiography [ECG]
- A61B 5/053: Measuring electrical impedance or conductance of a portion of the body
- A61B 5/063: {using impedance measurements}
- A61B 5/257: using adhesive means, e.g. adhesive pads or tapes
- A61B 5/273: Connection of cords, cables or leads to electrodes
- A61B 5/307: specially adapted for particular uses
- A61B 5/316: Modalities, i.e. specific diagnostic methods
- A61B 5/6833: {Adhesive patches}
- A61B 5/6843: {Monitoring or controlling sensor contact pressure}
- A61B 2560/0412: Low-profile patch shaped housings
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A medical patch includes a substrate, an electrode, and circuitry. The substrate is configured to attach externally to a patient. The electrode is coupled to the substrate and is configured to sense electrocardiogram (ECG) signals from a heart of the patient, and to further sense electrical signals indicative of an impedance between the electrode and a probe in the heart. The circuitry is coupled to the substrate and includes a shared amplifier that is configured to simultaneously amplify the ECG signals and the electrical signals sensed by the electrode.

## Claims

### Claim 1

A method, comprising:
providing a medical patch, the medical patch comprising:
a substrate, configured to attach externally to a patient;
an electrode, which is coupled to the substrate and is configured to sense electrocardiogram (ECG) signals from a heart of the patient, and to further sense active current location (ACL) signals; and
circuitry, which is coupled to the substrate and comprises a shared amplifier that is configured to simultaneously amplify the ECG signals and the ACL signals,
wherein the circuitry comprises an ECG filter and an ACL filter, which are configured to filter amplified ECG signals and amplified ACL signals, respectively,
wherein the ACL filter comprises a band-pass filter (BPF) having a passband that matches the frequency range of the ACL signals, and the ECG filter comprises a low-pass filter (LPF) having a cutoff frequency of at least ten Hz,
sensing, by the electrode, the ECG signals and the ACL signals;
amplifying simultaneously, using the circuitry, the ECG signals and the ACL signals; and
performing a medical procedure using amplified ECG signals and amplified ACL signals from an output of the amplifier.

### Claim 2 (depends on 1)

The method according to claim 1, wherein performing the medical procedure comprises monitoring the heart based on the amplified ECG signals, and tracking a position of the probe in the heart based on the amplified ACL signals.

### Claim 3 (depends on 1)

The method according to claim 1, wherein the ECG filter and an ACL filter cover respective first and second frequency ranges that differ from one another.

### Claim 4 (depends on 3)

The method according to claim 3, wherein the first and second frequency ranges are non-overlapping.

### Claim 5 (depends on 1)

The method according to claim 1, wherein the amplifier has a dynamic range that covers both amplitudes of the received ECG signals and of the received ACL signals.