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LifeShirt System featured at The Tech Museum of Innovation

 

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LIFESHIRT: TECHNOLOGY IN DEPTH


Source: VivoMetrics FAQ section

What is the LifeShirt™ System?

The LifeShirt ™System is a continuous ambulatory monitoring system for collecting, analyzing and reporting health data. The system's central component is the LifeShirt, a comfortable, lightweight, washable garment with embedded sensors that continuously collects information on a range of cardiopulmonary parameters. Using the LifeShirt System, researchers and clinicians can select the data they need to obtain a fuller and more accurate view of their patients' health, enabling them to make more knowledgeable decisions, advance the quality of patient care and reduce costs.

What is continuous ambulatory monitoring?

Continuous ambulatory monitoring is the observation of a patient's physiologic data over time while that patient is outside the clinical setting (e.g., while the patient is at home or at work).

How does the LifeShirt System work?

Protected by 12 patents, the technology behind the LifeShirt System is poised to set the standard for continuous ambulatory patient monitoring. At the heart of the technology is a respiratory monitoring method called inductive plethysmography, which enables clinicians to capture a highly accurate view of a patient's breathing. Combining this advanced monitoring capability with simple-to-use, yet robust data collection and reporting features, the LifeShirt System enables clinicians to gain a more thorough understanding of patients' health by capturing an ongoing "movie" of physiologic data rather than episodic "snapshots" collected during periodic office visits.

Based on clinically proven, hospital-tested technology, the LifeShirt System includes the following components:

LifeShirt garment:a lightweight (8 oz.), machine washable, comfortable, easy-to-use shirt with embedded sensors. To measure respiratory function, sensors are woven into the shirt around the patient's chest and abdomen. A three-lead, single channel ECG measures heart rate, and a two-axis accelerometer records patient posture and activity level. Optional peripheral devices measure blood pressure and blood oxygen saturation.

LifeShirt Recorder™: a PDA that continuously encrypts and stores the patient's physiologic data on a compact flash memory card. Patients may also record time-stamped symptom, mood and activity information in the recorder's VivoLog™ Digital Diary, allowing researchers and clinicians to correlate subjective patient input with objectively measured physiologic parameters.

VivoLogic™ software. proprietary PC-based software decrypts and processes recorded data using patented algorithms. Includes viewing and reporting features that enable researchers and clinicians to view the full-disclosure, high-resolution waveforms or look at trends over time. In addition, summary reports can be generated that present processed data in concise, easy-to-interpret graphical and numeric formats.

VivoMetrics Data Center: houses a staff of data analysts that can conduct over-reads for customers who do not want to process their data locally. Data can be uploaded via the Internet or mailed to the Data Center where they are processed using VivoLogic software. A summary report is then generated and delivered via e-mail, fax or mail, along with digital files containing full-disclosure waveforms. The Data Center staff also provides technical support for customers using VivoLogic software on their personal computers.

What type of data does the LifeShirt System collect?

The LifeShirt System is able to collect patient data through various sensors, including respiratory bands, which measure pulmonary function and an ECG, which records electrical activity of the heart. In addition, the system can measure and record blood pressure and blood oxygen level with peripheral sensors that plug into the LifeShirt Recorder. It also tracks and records posture and activity information, and has an electronic patient diary, the VivoLog™ Digital Diary, to record subjective patient data about mood, symptoms and activity. The system is designed to accommodate the monitoring of additional parameters in future versions.

What is inductive plethysmography?

As deployed in the LifeShirt System, inductive plethysmography measures changes in the cross sectional area of the rib cage and abdomen over time and applies a series of proprietary algorithms to the data to calculate the amount of air either inhaled or exhaled during respiration. Two parallel, sinusoidal arrays of insulated wires embedded in elastic bands are woven into the LifeShirt, surrounding the rib cage and abdominal areas of the torso. Extremely low voltage electrical current is passed through the wire creating an oscillating circuit. As the two body chambers expand and contract, the electrical sensors generate different magnetic fields that are converted into proportional voltage changes over time (i.e., waveforms).

How does inductive plethysmography differ from other monitoring techniques such as impedence plethysmography?

By virtue of its design, inductive plethysmography reduces the signal interference and distortion that is often associated with other monitoring technologies, enabling clinicians to obtain more accurate measurements of respiration. For example, in contrast to impedance pneumography, no electricity passes through the monitored individual with inductive plethysmography.

How is the LifeShirt System different from other ambulatory respiratory and cardiac monitoring systems?

While there are ambulatory technologies capable of measuring one parameter at a time, the LifeShirt System is the only non-invasive continuous ambulatory monitoring system that can simultaneously collect data on cardiopulmonary function, subjective patient experiences and other parameters and correlate them over time. Inductive plethysmography, which is the LifeShirt's foundation, surpasses other measurement techniques because of its ability to measure respiratory volumes quantitatively and to detect both central and obstructive apnea (breathing cessation). In the future, it is planned to monitor mechanical function of the heart.

Home Sleep Diagnostics

The LifeShirt System improves the speed, quality and cost-effectiveness of sleep studies by moving them from the sleep lab to the comfort and privacy of patients' own bedrooms.

As it seeks to establish continuous ambulatory patient monitoring as the method of choice for data collection and analysis in these critical markets, VivoMetrics will also move to apply its technology to additional areas, including disease monitoring, sports medicine, and the military.

The LifeShirt can be used virtually anywhere and anytime, during normal everyday activities at work, home, play and during sleep. It cannot be used while swimming or bathing.

FDA Status

VivoMetrics' 510(k) market clearance application has been approved by the the Food & Drug Administration (FDA). In Q4 2001, the company received European CE Mark certification for the LifeShirt System as well as ISO 9001 registration, permitting it to be marketed in Europe.

How was the LifeShirt System developed?

Inductive plethysmography was originally developed in the mid 1970s by Marvin Sackner, M.D. for the RespitraceR System, which monitors respiration in a hospital setting. In 1999, VivoMetrics acquired key patents encompassing wearable sensor design and software algorithms pertaining to inductive plethysmography technology, and established a team of biomedical engineers and medical device specialists to adapt inductive plethysmography for ambulatory applications. The company then integrated inductive plethysmography with other ambulatory physiologic sensors, developed accompanying data analysis software and brought all of these components together to produce the LifeShirt System.

Where can I get the LifeShirt?

Please contact MSO at (201) 670-9999 for information how you can get the LifeShirt in order to be monitored for Sleep Apnea.

 

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