U.S. patent number 3,580,241 [Application Number 04/751,078] was granted by the patent office on 1971-05-25 for cardiographic apparatus with stylus control means.
This patent grant is currently assigned to Bio-Medical Sciences, Inc.. Invention is credited to Berel Weinstein.
United States Patent |
3,580,241 |
Weinstein |
May 25, 1971 |
CARDIOGRAPHIC APPARATUS WITH STYLUS CONTROL MEANS
Abstract
An electro- or phonocardiographic apparatus including a
transducer adapted to convert the electric changes or sounds
associated with the activity of the heart into corresponding
graphic readings. A writing surface is provided and a stylus driven
by a reversible servomotor is adapted to write on the surface. A
first transistor switch connects the transducer with the motor so
that the position or movement of the stylus is indicative of the
heart activity as received by the transducer. A second transistor
switch connects for restoring the stylus to a null position in the
absence of a signal from the transducer.
Inventors: |
Weinstein; Berel (New York,
NY) |
Assignee: |
Bio-Medical Sciences, Inc. (New
York, NY)
|
Family
ID: |
25020374 |
Appl.
No.: |
04/751,078 |
Filed: |
August 8, 1968 |
Current U.S.
Class: |
600/523;
346/33ME |
Current CPC
Class: |
A61B
5/333 (20210101) |
Current International
Class: |
A61B
5/0432 (20060101); A61b 005/04 () |
Field of
Search: |
;128/2.05,2.06,2.1
;346/33 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Kamm; William E.
Claims
What I claim is:
1. A cardiographic device including transducer means for converting
the heart action into electric signals representative of such heart
action; a stylus; record means operatively associated with said
stylus for producing a record of the travel of said stylus across
said record means; bidirectional motor means connected to said
stylus for moving said stylus in first and second directions across
said record means; and circuit means responsive to the amplitude of
said electric signals for moving said motor means through a
distance proportional to the amplitudes of said electric signals;
said circuit means including first switch means connected to said
transducer means and being operable from a first to a second state
in response to said electric signals from said transducer means to
provide for the flow of current through said motor means in a first
direction corresponding to movement of the stylus in said first
direction, and second switch means connected to said first switch
means and being operable from a first to a second state in response
to the movement of said first switch means to the first state to
provide for the flow of current through said motor means in the
opposite direction corresponding to movement of the stylus in said
second direction.
2. A cardiographic device as in claim 1, in which said motor means
includes a threaded shaft, a motor drivingly connected with said
shaft whereby said motor is adapted to rotate said shaft in
opposite directions in accordance with the direction of current
flow through said motor, said stylus includes means threadedly
engaging said shaft whereby the rotational motion of said shaft is
converted to a linear motion of said stylus.
3. A cardiographic device as in claim 1, in which said record means
includes a web of graph paper positioned adjacent said stylus, and
selectively operable driving means for moving said web relative to
said stylus.
4. A cardiographic device as in claim 1, and biasing means
connected to said circuit means for biasing said motor means to a
null position corresponding to a preselected position of said
stylus.
5. A cardiographic device as in claim 4, in which said biasing
means includes a potentiometer having an arm connected to said
stylus and movable therewith, opposite polarity sources of energy
connected to each end of said potentiometer, whereby movement of
said stylus causes said potentiometer arm to move toward one of
said sources of energy to cause movement of said first switch means
to said second state.
6. A cardiographic device including transducer means for converting
the heart action into electric signals representative of such heart
action; a stylus; record means operatively associated with said
stylus for producing a record of the travel of said stylus across
said record means; bidirectional motor means connected to said
stylus for moving said stylus in first and second directions across
said record means; and circuit means responsive to the amplitude of
said electric signals for moving said motor means through a
distance proportional to the amplitudes of said electric signals;
said circuit means including first switch means operable from a
first to a second state in response to said electric signals to
provide for the flow of current through said motor means in a first
direction corresponding to movement of the stylus in said first
direction, and second switch means operable from a first to a
second state in response to the movement of said first switch means
to the first state to provide for the flow of current through said
motor means in the opposite direction corresponding to movement of
the stylus in said second direction, said first switch means
including a first normally nonconducting, a second normally
conducting and a third normally nonconducting transistor having an
opposite conductivity from said first and second transistors; said
second and third transistors being connected in series and to said
first transistor whereby said second transistor is nonconducting
and said third transistor conducts when said first transistor is
conducting; said second switch means including a fourth normally
conducting, a fifth normally nonconducting and a sixth normally
conducting transistor, said sixth transistor having said opposite
conductivity; said fifth and sixth transistors being connected in
series and to said fourth transistor whereby said fifth transistor
is conducting and said sixth transistor is nonconducting when said
fourth transistor is nonconducting; lead means connecting said
second and fourth transistors and said fourth transistor being
responsive to said second transistor whereby said fourth transistor
is rendered conductive when said second transistor conducts, and
said motor being connected between the second and third transistors
at one end and the fifth and sixth transistors at the other
end.
7. A cardiographic apparatus as in claim 6, and biasing means for
normally biasing said first transistor so that it hunts about the
conduction-nonconduction point.
Description
This invention relates generally to cardiographic apparatus and the
like and, more particularly, pertains to a compact and relatively
inexpensive apparatus for visually displaying the operation of a
heart.
Presently, when a doctor wishes to do an in depth study of a
patient's heart action, he utilizes an electrocardiographic device
which produces a graphic record of the operation of the heart.
However, these devices are usually quite bulky and are not easily
transportable. As a result, the patient is required either to go to
the doctor's office (if the doctor is fortunate to have such a
device in his office) or to a hospital so that he may avail himself
of electro- or phonocardiographic analysis. In many instances,
however, the patient may be too ill to get off the bed much less to
travel outside the home. As a result, those people who can most
benefit from such an analysis turn out to be those people who are
least able to obtain such services.
Accordingly, an object of the present invention is to provide an
improved cardiographic apparatus.
A more specific object of the invention is to provide a compact and
easily carried cardiographic apparatus.
A further object and feature of the present invention resides in
the novel details of construction which provide a cardiographic
apparatus of the type described which is reliable in operation and
produces a permanent record of the operation of a heart.
Accordingly, cardiographic apparatus constructed according to the
present invention comprises a writing surface and a stylus
operatively associated therewith for producing on the surface a
written record of the electrical changes and/or sounds associated
with cardiac activity. A transducer is provided for converting the
electrical changes and/or sounds associated with cardiac activity
into electrical signals representative of the heart action being
measured. Motor means responsive to such signals is provided for
moving the stylus in accordance with the amplitude of such signals.
Circuit means interconnects the transducer with the motor means for
supplying a bidirectional current to the motor means to effect
movement of the motor means in opposite directions. The circuit
means includes first conducting means operable to establish a
current path through said motor means in a first direction, and
second conducting means operable to establish a current path
through said motor means in a second direction. Control means is
connected between the first and second conducting means for
controlling the operation of the second conducting means in
response to the operation of the first conducting means.
Other features and advantages of the present invention will become
more apparent from a consideration of the following detailed
description when taken in conjunction with the accompanying
drawings, in which:
FIG. 1 is a top plan view of a cardiographic apparatus constructed
in accordance with the present invention with parts broken away in
the interest of clarity;
FIG. 2 is a right side elevational view thereof with the sidewall
removed for clarity; and
FIG. 3 is a schematic circuit wiring diagram of the device.
A cardiographic apparatus constructed according to the present
invention is shown in FIG. 1 and is designated generally by the
reference numeral 10. The apparatus 10 includes an enclosed housing
12 having a top wall 14, a bottom wall 16, a front wall 18, a rear
wall 20 and opposed sidewalls 22 and 24. The rear wall 20 includes
an upper section 27 connected to a lower section 29 by spaced
hinges 30, one of which is shown in FIG. 2. The upper section 27 is
connected to the top wall 14 and it is adapted to pivot about the
hinges 30 so that the top and a portion of the rear wall of the
housing 12 may be opened to provide access to the interior of the
housing 12.
Connected to the bottom wall 16 of the housing 12 are spacers 26
which support an electric component printed circuit board 28. The
board 28 supports and connects together the electric circuit
elements described below. However, it is to be noted that this is
by way of illustration only and is not to be interpreted as being a
limitation of the present invention since the electric components
may be located elsewhere in the housing 12. Spaced above the board
28 by spacers 31 is a record support designated generally by the
reference numeral 32.
More specifically, the record support 32 includes a bottom wall 34,
a left sidewall 36 (as taken in FIG. 1), and a right sidewall 38.
The sidewall 38 terminates before the rear edge of the bottom wall
34 to define an opening 40. Connected to the rear edge of the
bottom wall 34 of the record support 32 is an upwardly extending
flange 42 having a top portion which projects above the wall 34 to
provide a lip for reasons which will become apparent
hereinbelow.
Removably received on the record support 32 is a record carrier
designated generally by the reference numeral 44. The record
carrier 44 includes a bottom platform 46 and upstanding sidewalls
48 and 50. Removably and rotatably supported by the sidewalls 48
and 50 is a feed roll 52 which supports a roll of graph paper 54
which provides a writing surface in the manner noted below. Also
rotatably supported by the sidewalls 48 and 50 are an idler roller
56, an idler roller 58 and a capstan or drive roll 60.
The record carrier 44 is positioned in the housing 12 with the
bottom platform 46 in engagement with the bottom wall 34 of the
record support 32. The lip formed by the flange 42 engages the rear
edge of the platform 46 to prevent any rearward movement of the
carrier. Additionally, the walls 48 and 50 are in facing
relationship with the respective walls 38 and 36. The carrier 44
may be easily removed from the support 32 by tilting the carrier so
that the rear edge of the platform 46 clears the flange 42 and
sliding the carrier rearwardly. The opening 40 facilitates grasping
the record carrier 32 to remove or replace the same. Moreover, it
is to be noted that the feed roll 52 may be provided with a new
roll of graph paper 54 when the carrier 44 is removed from the
support 32.
The roll or web 54 extends about idler rolls 56 and 58 and around
and under drive roll 60 and through a slot 62 in the upper section
27 of the rear wall 20 of the housing. Movement of the web or roll
54 is effected by means of the drive roll 60 through
circumferentially spaced radially extending members 64 which are
positioned adjacent each end of the roll (only one end being shown
in FIG. 2). The members 64 are adapted to be received in
perforations 66 which are spaced along the longitudinal edges of
the web or roll 54 so that as the roll 60 rotates counterclockwise
as taken in FIG. 2, the web 54 is unrolled from the roll 52 and
exits from the slot 62.
Rotation of the roll 60 is effected by a web drive motor 68 which
is mounted on the wall 36 of the record support 32. The output
shaft of the motor 68 extends through the wall 36 and fixedly
receives a pulley 70. Similarly, the drive roll or capstan 60 is
provided with a shaft 72 which extends through the wall 50 and
fixedly receives a pulley 74. Received about the periphery of the
pulley 74 is a ring 76 having a relatively high coefficient of
friction as it is composed of rubber or the like.
The ring 76 is adapted to engage the pulley 70 when the record
carrier 44 is operatively positioned on the record support 32 to
provide a driving connection between the motor 68 and the drive
roll 60. Hence, when the motor 68 is energized, the drive roll 60
rotates to move the web or roll of graph paper past a writing
station, as noted in detail below. The motor 68 may be energized
from a source of power (not shown) which is connected in series
with the motor and a single-pole single-throw switch 78 mounted on
the wall 24 of the housing 12. Accordingly, the switch 78
selectively controls the movement of the web 54.
As noted above, the web or roll 54 is adapted to move past a
writing station designated generally by the reference numeral 79.
More specifically, the station 79 includes a stylus 80 which is
mounted on a block 82. The block 82 is threaded, engaged with a
threaded shaft 84 which is rotatably supported by the sidewalls 36
and 38 of the record support 32. Thus, depending on the direction
of rotation of the shaft 84, the stylus 80 will move toward the
right or the left, as taken in FIG. 1.
Movement of the shaft 84 is controlled by a reversible servomotor
86 which is mounted on the sidewall 36 of record support 32. The
motor 86 includes an output shaft which extends through the wall 36
and terminates in a drive pulley 87 composed of a substance having
a relatively high coefficient of friction, such as rubber or the
like. The pulley 87 is in driving engagement with the shaft 84.
The servomotor 86 is of the type which produces an output rotation
of the pulley 87 in accordance with the amplitude and direction of
the signal applied thereto. That is, the angle that the pulley 87
rotates through is proportional to the signal applied to the motor
86. Moreover, this rotational motion of the pulley 87 is translated
to a linear movement of the stylus 80 via the motion of the
threaded shaft 84. Thus, the movement of the stylus 80 on the web
54 is directly proportional to the signal applied to the motor
86.
The electrical portion of the present invention is illustrated in
FIG. 3 and includes transducer 88 which is adapted to convert the
sound or electrical activity of a heart into electrical signals
which are representative of such input. The transducer 88 may
comprise, as an alternative to plates measuring changes in
electrical potential, a microphone which is placed upon the chest
wall and produces electrical signals from the audible heart
signals. In this case, the cardiographic apparatus operates as a
phonocardiograph.
Connected to the transducer 88 is an amplifier 90 having a
relatively high gain. In practice, the amplifier 90 has a variable
gain which may be selectively adjusted by a gain control 92 mounted
on the front wall 18 of the housing 12 (FIGS. 1 and 2). The output
of the amplifier 90 is connected to a motor drive circuit which is
designated generally by the reference numeral 94.
The circuit 94 includes an NPN transistor 96, the base electrode 98
of which is connected to the amplifier 90 through a resistor 100.
The collector electrode of the transistor 96 is connected to a lead
102 through a resistor 104. The lead 102 is connected to a positive
source of potential 106, the other terminal of which is grounded.
The emitter electrode of the transistor 96 is connected to a ground
lead 108.
A lead 110 also connects the collector of transistor 96 to the base
electrode of an NPN transistor 112, the collector electrode of
which is connected to lead 102 and the emitter electrode of which
is connected to the base electrode of an NPN transistor 114. The
collector electrode of the transistor 114 is connected to the lead
102 and the emitter electrode is connected to the emitter electrode
of a PNP transistor 116. The collector electrode of the transistor
116 is connected to ground lead 108 and the base electrode thereof
is connected with the lead 110. The transistors 112 and 114 form a
so-called Darlington pair and, accordingly, may be thought of as a
single element which is in series with the collector emitter path
of the complementary conducting transistor 116. Connected between
the transistors 114 and 116 is one terminal of the motor 86 which
is illustrated schematically as a winding. The other terminal of
the motor 86 is connected between an NPN transistor 118 and a PNP
transistor 120. The transistors 96, 112 and 114, and 116 comprise a
first switch means wherein, as noted below, transistor pair 112 and
114 conduct when transistors 96 and 116 are nonconducting and vice
versa. More specifically, in said first switch means, transistor 96
is a first transistor, transistor pair 114 and 112 is considered a
second transistor, and transistor 116 is a third transistor.
More particularly, the collector electrode of transistor 118 is
connected to the lead 102 and the emitter electrode is connected to
the emitter electrode of the transistor 120. The collector
electrode of transistor 120 is connected with the ground lead 108.
Connected to the base electrode of the transistor 118 is the
emitter electrode of an NPN transistor 122, the collector electrode
of which is connected to the lead 102. The base electrode of the
transistor 122 is connected to a lead 124 having one end connected
to the base electrode of the transistor 120 and the other end
connected to the collector electrode of an NPN transistor 126. The
collector electrode of the transistor 126 is connected to the lead
102 through a resistor 128 and the emitter electrode is connected
to ground lead 108. The base electrode of the transistor 126 is
connected to grounded lead 108 through a resistor 130 and to the
emitter electrode of the transistor 112 through a resistor 132. The
transistors 118 and 122 form a so-called Darlington pair which may
be considered as a single element connected in series with the
collector-emitter path of the complementary conducting transistor
120. The transistors 126, 118 and 122, and 120 comprise a second
switch means wherein transistor 126 is a fourth transistor,
transistor pair 118 and 122 is considered a fifth transistor, and
transistor 120 is a sixth transistor.
Connected to the base electrode 98 of the transistor 96 by a lead
134 is the sliding arm 136 of a potentiometer 138. One end of the
potentiometer 138 is connected to a source 140 of positive
potential, the other terminal of which is grounded. The other end
of the potentiometer 138 is connected to a source 142 of negative
potential (the other terminal of which is grounded) through a
potentiometer 144 which includes a sliding arm 146 that may be
moved to vary the resistance of the potentiometer 146 to obtain an
initial zero point in the manner described below. The potentiometer
144 is mounted on the front wall 18 of the housing 12 and the arm
146 is controlled by a rotatable shaft having a knob 148 thereon.
The potentiometers 138 and 144 and the sources 140 and 142 comprise
biasing means which biases the motor to a null position, as noted
below.
The arm 136 of the potentiometer comprises a brush 150 connected to
and movable with the insulating block 82. The brush 150 rides along
a resistive strip 152 so that the potential between the
base-emitter path of the transistor 96 due to the sources 140 and
142 changes as a function of the position of the stylus 80.
Initially, without any extraneous signals applied to the transistor
96, the potentiometer 144 is adjusted so that the motor 86 causes
the stylus 80 to be in a zero position which, in the present
application, corresponds to a position of the stylus 80 adjacent
the left-hand edge of the web 54 as taken in FIG. 1. Accordingly,
as the stylus 80 is moved toward the right, the arm 136 (brush 150)
similarly moves to change the amplitude of the potential applied to
the base 98 by the sources 140 and 142. The potentiometer 138 and
the sources 140 and 142 are designed so that the signal applied to
the base 98 is always one which will return the stylus 80 to its
initial position.
In practice, the stylus 80 is a pen which carries its own ink
supply. Accordingly, as the pen moves over the web 54 it draws a
graph of the action of a heart. However, this writing device is
only illustrative of the many types which may be utilized and the
invention is not to be thought of as being limited thereto. Thus,
the web 54 may be heat responsive and the stylus 80 may be a heater
which would trace out a visible path as the stylus moved over the
web.
The sources 106, 140 and 142 are adapted to be connected with the
electrical components described above and mounted on the board 28
through a female connector 154 mounted on the sidewall 24 and a
male connector (not shown).
The operation of the apparatus 10 which is described below assumes
the transducer 88 is a microphone. However, as noted above,
electrode plates may be provided in place of a microphone.
The record carrier 44 is inserted into the record support 32 with
the ring 76 in contact with the pulley 70, as noted above. The end
of the web 54 is threaded through the slot 62 and the top wall is
pivoted about the hinges 30 to the closed position. A closure
member 156 on the front wall 18 maintains the housing 12 closed.
The transducer 88 is placed over the heart of the person whose
heart action is to be analyzed and the sources are connected to the
device. The knob 148 is rotated to obtain the initial zero position
of the stylus 80, and the gain control potentiometer is set for the
desired gain.
The switch 78 is closed to energize the motor 68. Accordingly, the
web or roll of graph paper 54 moves past the stylus 80 and out of
the housing 12, through the slot 62, in the manner noted above.
As the heart operates, the sounds it makes are converted to signals
which are amplified by the amplifier 90 and applied to the base 98
which causes transistor 96 to conduct. Hence, the potential at the
collector of transistor 96 drops thereby causing a corresponding
drop at the base of transistor 112 and 114 causing these
transistors to stop conducting. The potential at the emitter
electrode of the transistor 112 accordingly drops, causing a
similar drop in the potential at the base of transistor 126. Hence
transistor 126 ceases to conduct and the potential at its collector
rises, thereby driving transistors 118 and 122 into conduction.
Since the base of transistor 120 is connected to the collector of
transistor 126 by lead 124, transistor 120 is biased to cutoff.
Additionally, since the base of transistor 116 is connected to the
collector of transistor 96 by lead 110, it is driven into
conduction by the lowered potential thereat.
Thus, current flows through the motor 86 in a first direction, from
the source 106, through the Darlington pair 118 and 122, the motor
86, and the transistor 116 to ground. Accordingly, the motor 86
rotates thereby causing the stylus 80 to scribe a line on the
moving web 54. As the stylus 80 moves, the arm 136 similarly moves
to apply a potential to the base 98 in opposition to the potential
applied by the transducer 88. The movement of the stylus continues
until the opposing potential is equal to or slightly greater than
the potential caused by the heart action. At this point transistor
96 ceases to conduct. Hence, the maximum travel of the stylus
across the web 54 is proportional to the amplitude of the signal
produced by the heart.
When transistor 96 stops conducting, the potential at the collector
rises. Hence, the Darlington pair 112 and 114 begin to conduct and
transistor 116 stops conducting. The potential at the emitter
electrode of transistor 112 likewise rises, causing a corresponding
rise at the base electrode of transistor 126, which begins to
conduct thereby lowering the potential at the collector.
Accordingly, the transistor 120 begins to conduct whereas the
transistors 122 and 118 cease to conduct. Thus, current now flows
through the motor 86 in the reverse direction from the source 106,
through transistors 112, 114, the motor 86, and transistor 120 to
ground. Hence, the motor 86 rotates in the reverse direction to
cause the stylus to move in the reverse direction, via the shaft 84
and the block 80, back to the zero position. As the stylus 80 and,
therefore, the arm 136 of the potentiometer 138, reach the zero
position, the transistor 96 ceases to conduct to drive the stylus
in the opposite direction. However, movement of the stylus in the
original direction causes the transistor 96 to be biased to cutoff
in the absence of signals produced by the action of the heart.
Accordingly, the stylus 80 will hunt about the zero position
according to conventional servomechanism techniques.
After the examiner has obtained a graphic record of the operation
of the heart, he can remove the recorded portion from the remainder
of the web 54 to obtain a permanent record of the heart action for
analysis and the like.
Accordingly, a cardiographic apparatus has been described which is
simple in operation, produces accurate results and is compact in
size so that it easily may be carried by a physician.
While a preferred embodiment of the invention has been shown and
described it is obvious that numerous omissions, changes and
additions may be made in such embodiment without departing from the
spirit and scope of the present invention. For example, more than
one input may be provided which are adapted to be connected to
different portions of the body and inputs in general. Accordingly,
a different stylus and drive circuitry would be provided for each
input so that each input causes a record to be made on the same
graph.
* * * * *