David Bello, M.D., listens to the heart of a patient at Orlando Health using a new device called HeartBuds, a smartphone and an app. Credit: Orlando Health
“They not only detect sounds inside the body just as well – or better – than traditional stethoscopes, but they are more sanitary,” said David Bello, MD, developer of HeartBuds. “And because they incorporate smartphone technology, we can now record, store and share those sounds as well. This could change the way we approach patient exams in the future.”
The stethoscope was invented in 1816 by French physician René Laennec, and has essentially been unchanged since. But on the eve of its 200th anniversary, the emergence of this new technology could mark the beginning of the end for this medical mainstay.
With HeartBuds, doctors use a small, portable plastic listening device shaped much like the head of a traditional stethoscope. Instead of being attached to a Y-shaped tube that feeds into the doctor’s ears, however, this device is plugged into a smartphone. When the app is activated, sounds from the hand-held device can be played through the smartphone speaker and images appear on the screen showing rhythmic blips that correspond with each sound. Until now, only those wearing the stethoscope could hear what was taking place inside the body, but with this technology health care providers can control the volume, listen to and discuss sounds with patients in real time, and record various sounds for future reference.
METHOD; Doctors examined 50 patients and compared the performance of HeartBuds to 2 FDA-approved class I and class II stethoscopes + a commonly used disposable model.
RESULT: HeartBuds smartphone-based device performed just as well as the more expensive and more commonly used class I and class II stethoscopes in detecting heart murmurs and carotid bruitS (indicate moderate to severe blockage of the carotid artery). Experts found disposable stethoscope model they tested missed the presence of heart murmurs 43% of the time, and missed carotid bruits up to 75% of the time.
“This device is much less expensive to produce and offers a safer alternative to both traditional and disposable models (which allowed less spread of bacteria) without sacrificing sound quality,” Einhorn said.
Other APPS: “I’m involved in training many medical students and residents,” said Schwarz. “Being able to listen to sounds with them, in real time, provides me with an invaluable teaching tool.” Athletes use HeartBuds to track their condition and performance, and pregnant women have recorded sounds of their babies from inside the womb and shared them with friends and family all over the world.
“Though trained health care providers are the only ones who can use HeartBuds as a diagnostic tool, they do have many other uses,” said Bello. Patients with chronic illnesses like COPD and heart failure, for example, can use them to monitor their conditions at home. “They can take a recording of their heart and lungs at home, upload them and send them to their doctor, who can evaluate them without the patient ever leaving home if it’s not necessary,” said Bello. “Really, the possibilities are endless and the future of this technology is just now coming into view.” http://oh.multimedianewsroom.tv/story.php?id=1091&enter=
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