U.S. patent number 3,620,208 [Application Number 04/873,223] was granted by the patent office on 1971-11-16 for ekg amplifying electrode pickup.
This patent grant is currently assigned to The United States of America as represented by the United. Invention is credited to Harry L. Silcocks, James A. Waggoner, Wayne R. Higley.
United States Patent |
3,620,208 |
|
November 16, 1971 |
EKG AMPLIFYING ELECTRODE PICKUP
Abstract
An amplifying electrode pickup for an electrocardiograph (EKG.)
device consisting broadly of an impedance converter integrated
amplifier circuit potted in a metal shell. The integrated circuit
is biased by a nanoamp electrical current. The EKG. signal is
sensed by a small sensor plate or disc positioned in a boot or
cover and is electrically insulated from the shell. The circuit has
a very high input impedance to minimize the effect of skin contact
resistance changes, and a very low output impedance to minimize
noise pickup by the signal line between the electrode and the EKG.
electronics. Electronic circuitry in the potted metal shell also
includes a diode voltage clamp and decoupling RC circuits. A
multiconductor cable provides shielding, conducts power to the
electrode, and transmits the signal from the electrode through an
integral coaxial cable. Because of the low (nanoamp) biasing
current, signal traces of numerous separate electrodes can be
simultaneously recorded without exceeding the maximum permissible
current through the human body as established by the American Heart
Association.
Inventors: |
Wayne R. Higley (Livermore,
CA), Harry L. Silcocks (Livermore, CA), James A.
Waggoner (Livermore, CA) |
Assignee: |
The United States of America as
represented by the United (N/A)
|
Family
ID: |
25361213 |
Appl.
No.: |
04/873,223 |
Filed: |
November 3, 1969 |
Current U.S.
Class: |
600/395 |
Current CPC
Class: |
A61B
5/302 (20210101); A61B 5/30 (20210101) |
Current International
Class: |
A61B
5/0428 (20060101); A61B 5/0402 (20060101); A61b
005/04 () |
Field of
Search: |
;128/2.06E,2.06R,2.1E,DIG.4 ;330/68 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: William E. Kamm
Attorney, Agent or Firm: Roland A. Anderson
Claims
What we claim is:
1. An amplifying electrode pickup, particularly adapted for an
electrocardiograph device comprising: container means having an
open end portion; a cover means for said open end portion of said
container means, said cover means being provided with an aperture
therethrough; an electrically conductive sensor plate means
supported in said aperture of said cover means; electronic means
secured in said container means and electrically insulated from
said container means and from said cover means; a multiconductor
cable means secured in an aperture of said container means and
electrically connected to said electronic means; said electronic
means including an integrated impedance converter amplifier circuit
means electrically connected to said conductive plate means, at
least one voltage line constituting certain of the conductors of
said multiconductor cable means being connected to said amplifier
circuit means, a pair of resistor-capacitor circuit means connected
to positive and negative voltage lines of said multiconductor cable
means, an output signal line connected to said amplifier circuit
means and constituting another conductor of said multiconductor
cable means, a diode means connected between said positive voltage
line and said output signal line, a second diode means connected
between said negative voltage line and said output signal line;
said multiconductor cable means additionally including electrical
shielding means about said output signal line and about said
positive and negative voltage lines.
2. The amplifying electrode pickup defined in claim 1, wherein said
container means is constructed of metal and said cover means is
constructed of a nonconductive material.
3. The amplifying electrode pickup defined in claim 1, additionally
including means for securing said multiconductor cable means in
said container means aperture, said securing means comprising a
ferrulelike means located internally of said container means and a
clamplike collar means located externally of said container
means.
4. The amplifying electrode pickup defined in claim 1, additionally
including a pluglike assembly means having one end of said
multiconductor cable means secured thereto.
5. The amplifying electrode pickup defined in claim 1, wherein said
multiconductor cable means comprises an outer insulating cover, an
outer grounded shield constituting said electrical shielding means
about said positive and negative voltage lines, said positive
voltage line, said negative voltage line, a grounded lead, said
output signal line, and an inner grounded shield constituting said
electrical shielding means about said output signal line, said
outer and inner grounded shields being connected for ground
purposes to said grounded lead.
6. The amplifying electrode pickup defined in claim 1, wherein said
electronic means is secured in said container means by appropriate
potting material.
7. The amplifying electrode pickup defined in claim 1, wherein said
sensor plate means is positively insulated by an insulator member
secured to said container means.
8. The amplifying electrode pickup defined in claim 1, additionally
including a resistor means positioned intermediate said sensor
plate means and said amplifier circuit means.
9. The amplifying electrode pickup defined in claim 1, wherein said
amplifier circuit means has an input impedance of about 10,000 meg.
ohms and an output impedance of about 1 ohm and is constructed to
be biased by about a 10 nanoamp current.
10. The amplifying electrode pickup defined in claim 1, wherein
said container means is constructed of metal, said sensor plate
means is constructed of stainless steel, and said cover means is
constructed of a insulating material.
Description
The invention described herein was made in the course of, or under,
Contract No. W-7405-ENG-48, with the U.S. Atomic Energy
Commission.
The maximum permissible current which may be conducted through a
live human body for diagnostic purposes is one microamp, this limit
being set by the American Heart Association. A typical
electrocardiograph (EKG) device has at least five to ten leads
connected to the human body. Each lead typically requires
relatively large biasing currents (on the order of 0.1 to 1
microamp). Hence, often only one or two signal traces can be
recorded simultaneously.
Moreover, a typical EKG lead consists simply of a conductive plate
at the end of a shielded single conductor cable. Consequently,
these leads pick up considerable extraneous electronic noise
(signals) from their environment. Also, changes in skin contact
resistance will degrade the quality of the resultant signal traces.
In order to minimize noise pickup, the input impedance into the EKG
electronics must be kept as low as possible. However, in order to
minimize the effects of changes in skin contact resistance, the
input impedance into the EKG electronics must be relatively high.
Hence, minimizing one effect increases the other.
While various prior art efforts have been directed to the solution
of the above impedance problems in EKG electrodes, none are known
which incorporate the amplifier electronics into the electrode and
which have a very high input impedance to minimize the effect of
skin resistance changes, and a very low output impedance to
minimize noise pickup. Thus, there has long been a need, for
diagnostic purposes, for electrodes which would enable the
simultaneous recording of signal traces from every lead; ten leads
usually being required for a complete set of EKG traces.
The invention is an amplifying electrode for an electrocardiograph
device which solves the above-cited problems of the prior devices.
It consists of an integrated impedance converter amplifier circuit
having a high input impedance and a low output impedance, potted in
a metal shell for electrostatic and electromagnetic shielding. The
amplifier circuit is driven by a nanoamp current signal sensed by a
small conductive plate which caps, but is insulated from, the
conetic metal shell. The high input impedance of the integrated
circuit minimizes the effect of skin contact resistance, while the
low output impedance minimizes noise pickup in the signal line to
the remainder of the EKG electronics. Most importantly, the
integrated impedance converter amplifier circuit requires only
about a 10-nanoamp biasing current for operation. Hence, signal
traces of up to 100 separate electrodes can be simultaneously
recorded without exceeding the maximum permissible current through
the human body.
Therefore, it is an object of this invention to provide an EKG
amplifying electrode pickup.
A further object of the invention is to provide an amplifying
electrode having a high input impedance and a low output
impedance.
Another object of the invention is to provide an amplifying
electrode pickup for an EKG device which utilizes an integrated
impedance converter amplifier circuit potted in a metal shell and
driven by a nanoamp current signal sensed by a small conductive
plate which caps, but is insulated from, the metal shell.
Other objects of the invention will become readily apparent from
the following description and accompanying drawings.
FIG. 1 is a greatly enlarged view, partially in cross section, of
an embodiment of the inventive amplifying electrode;
FIG. 2 is a simplified schematic of the inventive electrode
circuitry;
FIG. 3 is a schematic view showing a plurality of the inventive
electrodes operatively connected individually to an
electrocardiograph device, tape recorder, etc.; and
FIG. 4 is a schematic view of a pair of the inventive electrodes
operatively connected to provide a difference output signal.
DESCRIPTION OF THE INVENTION
Referring now to the drawings, an embodiment of an electrode made
in accordance with the invention is illustrated in FIGS. 1 and 2.
Generally, the electrode assembly comprises a shell or container 10
constructed of metal or other suitable material, for electrostatic
and electromagnetic shielding, with various electronic components,
described in detail hereinafter, secured therein by a suitable
potting material 11, such as polyurethane, as known in the art. A
cover or boot 12 is positioned over the open end of shell 10 and
may be made of vinyl or other suitable insulating material, boot 12
having a centrally located aperture 13 within which is positioned a
flat conductor or sensor plate 14 constructed, for example, of
stainless steel. A multiconductor cable, described in detail
hereinbelow, is secured at one end thereof to shell 10 via an
internally positioned ferrule 15 and an external metal clamp-type
collar 16, and is operatively connected at the opposite end to a
plug assembly generally indicated at 17.
The electronic components and circuitry comprising the inventive
electrode are illustrated schematically in FIG. 2 with a portion of
same being physically illustrated in FIG. 1. The multiconductor
cable has an outer insulating cover 18 of Suflex (insulated tubing)
or the like, an outer grounded shield 19 of copper braid, for
example, a positive voltage DC powerline 20, a negative voltage DC
powerline 21, a ground lead 22, a central output signal line or
conductor 23, and an inner grounded shield 24 coaxially positioned
about output line 23. The outer cover 18 of the cable is secured
between ferrule 15 and clamplike collar 16, ferrule 15 being
connected to ground as indicated at 25 via inner shield 24; while
outer cover 18 and each of the cable components 19-24 are each
secured to the plug assembly 17.
The electrode electronics generally indicated at 26 in FIG. 2 is
electrically connected to sensor plate 14, positive and negative
voltage DC powerlines 20 and 21, and central output signal line 23,
as well as the necessary ground connections required for operation.
The sensor plate 14 is connected to an integrated impedance
converter amplifier circuit 27 via lead 28 and is isolated from the
amplifier power supply voltage by a large resistor or other current
limiting means 29, which may be a 1 M-ohm resistor. Resistor 29 is
not essential to the operation of the electrode but is inserted for
safety purposes to isolate the patient from the power supply. The
converter amplifier circuit 27 may, for example, be a commercially
available LM-302 integrated circuit manufactured by the National
Semiconductor Corporation and having a high input impedance of up
to 10,000 meg. ohms, for example, and a low output impedance of 1
ohm, for example. Noise in the positive and negative power supply
lines 20 and 21, respectively, is decoupled by two simple RC
circuits, operatively connected to lines 20 and 21, generally
indicated at 28 and 29, and comprising resistors R.sub.1 and
R.sub.2 and capacitors C.sub.1 and C.sub.2, the capacitors being
connected to ground. For example, R.sub.1 and R.sub.2 may be 300
ohms with C.sub.1 and C.sub.2 being a 2.2 microfarad tantalum
capacitor. Two diodes D.sub.1 and D.sub.2 are connected between the
central output signal line 23 and the power supply lines 20 and 21
via leads 30 and 31, respectively, and clamp the amplified signal
voltage between the voltage of the positive line of +15 volts, for
example, and the voltage on the negative line of -15 volts, for
example. The amplifier circuit 27 provides a gain of at least 0.999
and requires only a 10-nanoamp biasing current. The voltage clamp
provided by diodes D.sub.1 and D.sub.2 isolates the sensitive
electronics of an associated EKG device, for example. This feature
allows high-voltage shocks to be applied to the patient to
stimulate heart action, for example, without disconnecting the EKG
apparatus. Structurally, as partly seen in FIG. 1, sensor plate 14
is positively insulated by an insulator 32, while an insulator 33
is positioned between shell 10 and amplifier circuit 27. For
example, the insulators 32 and 33 may be made of Dacron fiber tape.
The various resistors and capacitors as well as the amplifier
circuit and the sensor plate illustrated in FIG. 1 are electrically
interconnected via a printed circuit board assembly 34 by leads as
partially shown, and as readily known in the art. With the novel
arrangement described hereinabove, the amplifying electronics of
the remainder of the EKG device, or other apparatus, need not be as
sophisticated for purposes of noise-rejection amplification, etc.,
as presently utilized.
The high input impedance of the integrated converter amplifier
circuit 27 minimizes the effect of skin contact resistance, while
the low output impedance thereof minimizes noise pickup in the
signal line 23 to the remainder of the associated EKG electronics.
Most importantly, the amplifier circuit requires only a 10-nanoamp
biasing current for operation. Hence, signal traces of up to 100
separate electrodes can be simultaneously recorded without
exceeding the maximum permissible current through the human
body.
FIG. 3 illustrates the application of a plurality of the inventive
electrodes connected to an EKG device or other mechanism whereby
the individual signal traces are recorded. While the components of
FIG. 1 are utilized in each of the electrodes generally indicated
at A, B...N in FIG. 3, the electrodes in FIG. 3 are illustrated
very schematically for purposes of simplicity with each
respectively comprising a sensor plate 14.sub.A, 14.sub.B and
14.sub.N, a resistor 29.sub.A, 29.sub.B and 29.sub.N, an amplifier
27.sub.A, 27.sub.B and 27.sub.N, and output signal line 23.sub.A,
23.sub.B and 23.sub.N connected to plug assemblies 17.sub.A,
17.sub.B and 17.sub.N. Each of plug assemblies 17.sub.A, 17.sub.B
and 17.sub.N comprises a male and female section 35 and 36 with the
plug sections 36 connected to separate amplifiers 38.sub.A, 38.sub.
B and 38.sub.N, respectively, the outputs thereof, indicated at
39.sub.A, 39.sub.B and 39.sub.N, being directed to a tape recorder
or other mechanism as indicated by legend. Generally the plug
assembly sections 36 and amplifiers 38.sub.A, 38.sub.B and 38.sub.N
are located within a housing 40 or the like, depending on the
mechanism associated therewith. The details of the amplifiers
38.sub.A-N do not constitute part of this invention but may, for
example, be a commercially produced differential amplifier with a
gain of 1,000 such as several cascaded stages made up of UA709C
integrated circuits manufactured by Fairchild Camera.
FIG. 4 very schematically illustrates the connection of a pair of
the inventive electrode assemblies to provide a difference reading
therebetween, again each of the electrode assemblies being
constructed in accordance with the FIG. 1 embodiment, though
simplified in this illustration. The two electrodes are generally
indicated at A and B and consist of sensor plates 14' and 14",
large resistors 29' and 29", integrated impedance converter
amplifier circuits 27' and 27", central output signal transmission
lines or conductors 23' and 23" connected to plug assemblies 17'
and 17" each consisting of plug sections 35'-36' and 35"-36". The
output signals from plug assemblies 17' and 17", as indicated at 41
and 42, respectively are directed to an amplifier circuit 43 which,
for example, may be a commercially produced differential amplifier
with a gain of 1,000, such as the UA709C. An output signal
indicated at 44 from amplifier 43 is a difference signal of
electrode A and B and thus legended "Signal (A-B)," signal 44 being
transmitted to a strip chart recorder or other mechanism or point
of use.
It has thus been shown that the present invention provides an
amplifying electrode which is particularly adapted as a pickup
electrode for an electrocardiograph (EKG) device, this being
accomplished by an integrated amplifier circuit potted in the
electrode shell which is biased by a nanoamp electrical signal, and
has a very high input impedance to minimize the effect of skin
resistance changes, and a very low output impedance to minimize
noise pickup by the output signal line between the electrode and
the EKG electronics.
If desired, the electrode can be modified by attaching a stud to
the metal shell to aid in attaching the electrode to a patient.
Also, a suction hose or bulb along with a channel or pipe through
the electrode can be provided to aid in attaching the electrode to
the torso of the patient.
While the impedance converter has been set forth as having a gain
nearly equal to 1, other values can be used provided all electrodes
being used at one time have equal values of gain to within three
significant figures, for example, or some form of dynamic
calibration. This would be accomplished by a selection process to
obtain the desired gain.
Although the power source as described herein is external to the
electrode assembly, batteries can be incorporated into the
individual electrodes. Also, the multiconductor cable can be
attached to the electrode shell by means of a plug-type connector,
or the like, such that the cable can be easily repaired or replaced
without disturbing the electrode assembly.
Although a particular embodiment of the invention has been
illustrated and described, modifications will become apparent to
those skilled in the art, and it is intended to cover in the
appended claims all such modifications as come within the spirit
and scope of the invention.
* * * * *