U.S. patent number 3,631,851 [Application Number 05/041,368] was granted by the patent office on 1972-01-04 for cable.
This patent grant is currently assigned to Del Mar Engineering Laboratories. Invention is credited to Joseph Alexander Hesen.
United States Patent |
3,631,851 |
Hesen |
January 4, 1972 |
CABLE
Abstract
The three-lead exercise cable is characterized by a connector
portion having five pins mounted therein for attachment to a
standard socket in an electrocardiogram machine. A housing is
connected to the connector portion, and the pins in the connector
portion extend into the housing. Inside the housing, three of the
pins are wired together. One wire for the three-wire cable extends
from the three wired pins for connection to the body of the
patient. Similarly, two other wires extend from the two remaining
pins for connection to the body of the patient to form a three-lead
exercise cable, which is compatible with a standard
electrocardiogram machine. To eliminate muscle noise or
electromagnetic interferences, filtering devices may be mounted in
the housing.
Inventors: |
Hesen; Joseph Alexander
(Burbank, CA) |
Assignee: |
Del Mar Engineering
Laboratories (Los Angeles, CA)
|
Family
ID: |
21916127 |
Appl.
No.: |
05/041,368 |
Filed: |
May 28, 1970 |
Current U.S.
Class: |
600/508; 600/520;
174/113R |
Current CPC
Class: |
A61B
5/222 (20130101); A61B 5/303 (20210101) |
Current International
Class: |
A61B
5/0428 (20060101); A61B 5/0402 (20060101); A61B
5/22 (20060101); A61b 005/04 () |
Field of
Search: |
;128/2.6A,2.6B,2.6E,2.6G,2.6R,2.6V,2.1E,404,DIG.4 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Kamm; William E.
Claims
Having described the invention what I claim as new is:
1. An exercise cable for an electrocardiogram machine, comprising:
at least three wires adapted to be connected to a patient; a
connector portion having five pins attached therein for connection
with the socket of a conventional electrocardiogram machine, said
pins including a v-lead pin, a left arm pin, a right arm pin, a
left leg pin, and a right leg pin; a housing portion connected to
said connector portion, said pins in said connector portion
extending into said housing portion; the left arm, left leg, and
right arm pins in the connector portion being wired together, one
wire of the cable being connected to said wired-together pins,
another wire of said cable being connected to the v-lead pin, and
the remaining wire of said cable being connected to the right leg
pin, so as to provide a three-wire unipolar exercise cable
compatible with a standard electrocardiogram machine.
2. An exercise cable for an electrocardiogram machine, comprising:
at least three wires adapted to be connected to a patient; a
connector portion having five pins attached therein for connection
with the socket of a conventional electrocardiogram machine, said
pins including a v-lead pin, a left arm pin, a right arm pin, a
left leg pin, and a right leg pin; a housing portion connected to
said connector portion, said pins in said connector portion
extending into said housing portion; the left arm, left leg and
right arm pins in the connector portion being wired together in the
housing portion; means for filtering out muscle noise to provide a
more accurate record of heart activity, said means being mounted in
the housing portion of the exercise cable; one wire of said cable
being connected to said wired-together pins, another wire of said
cable being connected to the v-lead pin, and the remaining wire of
said cable being connected to the right leg pin, so as to provide a
three-wire unipolar exercise cable compatible with a standard
electrocardiogram machine, said filtering means being connected
between said v-lead pin and the wired-together pins within said
housing portion.
3. The exercise cable described in claim 2, wherein said means for
filtering out muscle noise is a resistor connected between said
v-lead pin and the wired-together pins in the housing portion.
4. An exercise cable for an electrocardiogram machine comprising:
at least three wires adapted to be connected to a patient; a
connector portion having five pins attached therein for connection
with the socket of a conventional electrocardiogram machine, said
pins including a v-lead pin, a left arm pin, a right arm pin, a
left leg pin, and a right leg pin; a housing portion connected to
said connector portion, said pins in said connector portion
extending into said housing portion; the left arm, left leg and
right arm pins in the connector portion being wired together in the
housing portion; an electric switch and an electrical resistor
associated with said housing portion, said electric switch
controlling the connection of said electrical resistor across said
connected pins and said v-lead pin in the housing portion for
selectively eliminating muscle noise; one wire of said cable being
connected to said connected pins, another wire of said cable being
connected to the v-lead pin, and the remaining wire of said cable
being connected to the right leg pin, so as to provide a three-wire
unipolar exercise cable compatible with a standard
electrocardiogram machine.
5. A multiple v-lead exercise cable for an electrocardiogram
machine comprising: at least three wires adapted to be connected to
a patient; a connector portion having five pins attached therein
for connection with the socket of a conventional electrocardiogram
machine, said pins including a v-lead pin, a left arm pin, a right
arm pin, a left leg pin, and a right leg pin; a housing portion
connected to said connector portion; said pins in said connector
portion extending into said housing portion; the left arm, left leg
and right arm pins in the connector portion being wired together in
the housing portion; one wire of the cable being connected to the
right leg pin, and another wire of the cable being connected to
said wired-together pins; a rotary switch having a slider and a
plurality of fixed contacts; a wire connected between said v-lead
pin and the slider of said rotary switch; a wire in the cable
extending from each fixed contact in said rotary switch so that by
rotating the rotary slider of said switch any of the wires
connected to said contact may be connected to the v-lead pin in
said housing portion, whereby a physician can initially make all
the v-lead connections with said wires connected to said fixed
contact of said rotary switch on the body of the patient, and then
leave a technician to operate the electrocardiogram machine and
rotate the slider of said switch to make sequential recordings of
v-lead connections around the heart.
6. The multiple v-lead exercise cable described in claim 5
including means for filtering out muscle noise, said means being
mounted in the housing portion of the v-lead cable, and being
connected between said v-lead pin and the wired-together pins
inside the housing portion of the cable.
7. The multiple v-lead exercise cable described in claim 6, wherein
said means for filtering out muscle noise comprises a resistor
connected between said v-lead pin and the wired-together pins
inside the housing of the cable.
8. The multiple v-lead exercise cable described in claim 7
including a control switch mounted on the body of the housing
portion, said control switch being connected between said resistor
and said v-lead pin in the housing portion for selectively
filtering out muscle noise during operation of the
electrocardiogram machine.
9. A multiple lead exercise cable for an electrocardiogram machine
comprising a connector portion having five pins attached therein
for connection with the socket of a conventional electrocardiogram
machine, said pins including a v-lead pin for attachment to a wire
adapted to lead to the pericardium of a patient, a rotary switch
having a slider and a plurality of fixed contacts, a wire connected
between said v-lead pin and the slider of said rotary switch, a
wire in the cable extending from each fixed contact of said rotary
switch so that by rotating the rotary slider of said switch any of
the wires connected to said contact may be connected to the v-lead
pin in said housing; the free end of each wire connected to a fixed
contact in the rotary switch being adapted to be connected to
various parts of the pericardium of the patient; three other pins
of said connector being connected together, and wires connected
from the connected pins and from the remaining pin in the connector
portion for attachment to the arms and legs of the patient, whereby
a physician can initially make all the v-lead connections with said
wires connected to said fixed contacts of said rotary switch on the
body of a patient, and then leave a technician to operate the
electrocardiogram machine and rotate the slider of said switch to
make sequential recordings of the v-lead connections around the
heart.
Description
This invention relates generally to a cable, and more particularly
to an exercise cable for an electrocardiogram machine.
BRIEF SUMMARY
The use of electrocardiogram machines in the diagnosis of heart
disease has developed slowly and empirically, as physicians have,
over the years, observed and recorded a large number of abnormal
records in connection with the clinical features of the patients
who gave them. The electrocardiogram machine is based on the
phenomenon that if two wires are electrically connected, to two
areas of the skin, and these wires are connected to a galvanometer,
the instrument will record a current if the skin areas are near the
heart, or if the heart is located between the skin areas. Any pair
of areas from which current is lead off to the instrument is called
a lead or derivation. However, every different lead produces a
different variable current from the heart. Consequently, in order
for the records from the electrocardiogram machine, more commonly
referred to as a ECG machine, to have some meaning, it is necessary
that the lead used in measuring heart activity be standardized.
More recently, the importance of leads obtained from the precordium
have been noted, because the potential variations from such leads
are substantially greater than leads obtained at the extremities.
As a result, ECG machines have been designed for use with a
standard five-lead cable, and the leads of these cables have been
applied to the patient at standardized locations. Usually one lead
is placed on the precordium, while the remaining four leads are
placed on the arms and legs.
The behavior of the heart under the stress of exercise, as recorded
by the ECG machine provides a more useful clinical tool, because
the exercise response of the ECG machine correlates roughly with
the functional capacity of the heart. However, the use of the
standard five-lead cable imposes limitations on the emperical
interpretation of the record of the ECG response, because the leads
attached to the arms and legs of the patient interfere with the
exercise of the patient and they introduce noise into the
machine.
To overcome this problem, the unipolar or precordial lead has been
developed, which employs only three leads connected to the chest of
the patient. However, the standard five-lead cable is not well
adapted for use with the unipolar lead because a switching device
must be built into the ECG machine to adapt the ECG machine for the
unipolar lead. With this arrangement, the long length of cables
extending from outside the ECG machine to its interior can pick up
an electrical interference and carry them into the machine, so that
these signals appear as noise and interfere with the interpretation
of the record of the machine. Consequently, it would be desirable
to provide a unipolar cable which can be used with a standard ECG
machine, but which does not tend to introduce noise into the
machine, and to provide such a cable, constitutes one object of
this invention.
Another difficulty connected with the use of ECG machines is that
of noise produced by muscle activity. Such noise can interfere with
the interpretation of the record of the ECG machine. Since noise
produced by muscle activity is different from the frequency of the
heart signals, it is most practical to eliminate such noise by an
appropriate filter system built into the cable, and to provide such
a filtering system constitutes another object of this
invention.
Additionally, the conductivity of regions over the pericordium may
vary substantially on the same patient. This could introduce errors
in the interpretation of the ECG record. Consequently, physicians
may wish to record multiple v-lead tracings over the heart area
without having to wait around until each recording is finished, or
trust a nurse to connect the v-leads at the precise location
desired. Consequently, a multiple v-lead cable is needed which
permits all the electrodes to be attached to the body at the same
time and to be distributed over the pericordium as required, but
which can record each of the v-leads in sequence, and to provide
such a multiple v-lead exercise cable constitutes a still further
object of this invention.
These and other objects of this invention will become more apparent
when better understood in the light of the accompanying drawings
and specifications wherein,
FIG. 1 shows a plan view of a three-lead exercise cable for an
electrocardiogram machine constructed according to the principles
of this invention.
FIG. 2 is a sectional view taken on line 2-- 2 of FIG. 1.
FIG. 3 is a sectional view taken on line 3-- 3 of FIG. 1.
FIG. 4 is an elevational view partly in section, showing the
internal structure of the connector portion and housing of the
cable.
FIG. 5 shows a standard five-lead cable connected to a patient.
FIG. 6 shows the three-lead exercise cable constructed according to
the principles of this invention, connnected to the chest portion
of the patient.
FIG. 7 shows a multiple v-lead exercise cable constructed according
to the principles of this invention.
FIG. 8 shows the multiple v-lead cable connected to the body of a
patient.
FIG. 9 shows the electrical circuit of the rotary switch in the
multiple v-lead exercise cable.
Referring now to FIG. 1 of the drawings, the cable constructed
according to the principles of this invention and indicated
generally by the reference numeral 10, includes a connector portion
12, and a three-lead cable 14. The connector portion 12 is provided
with a standard five-pin connector portion 16 for connection with a
socket in a standard ECG machine, see FIG. 2. The connector portion
includes pins 17, 19, 21, 23 and 25. Pin 17 is identified as the
left leg pin. Pin 19 is identified as the left arm pin. Pin 21 is
identified as the right arm pin. Pin 25 is identified as the v-lead
pin, and pin 23 is identified as the right leg pin. These pins
extend into the housing portion 18.
As shown in FIG. 3, pins 17, 19 and 21 are wired together. Wire 31
of the cable extends from the three-connected pins 17, 19 and 21 to
the body of the patient. This wire is usually located farthest from
the heart and is designated as the reference. Two additional wires
33 and 35 of the cable extend from the v-lead pin 25 and the right
leg pin 23 to the body of the patient. The electrodes connected to
these wires are designated as the recording and ground electrodes
respectively. With this arrangement, the three wires in the cable
extend from the housing 12 to the patient to provide a single
unipolar v-lead exercise cable. These wires are connected to the
body as shown in FIG. 6. Furthermore, the three-wire cable
described is compatible with standard ECG machines without
requiring any internal changes in the ECG machine.
The advantage of the three-lead cable over the conventional
five-lead cable can be seen by reference to FIG. 5, wherein the
standard five-lead cable for the ECG machine is shown connected as
usual to the extremities of the patient and to the precordium
during the exercise operation. However, it is apparent that the
movement of the patient is impaired and the movement of the
extremities introduces noise into the various wire connections.
Tremors or muscle activity by the patient or interferences from
other electrical equipment in the area, if troublesome, may be
filtered out through the use of a filtering network which may be
mounted in the housing Portion 18. In the particular embodiment
shown, it has been found that a simple resistor 20 may be connected
across pins 25 and 21 in the housing 18 through an externally
controlled switch 22 mounted on the housing. Of course, as
described above, any other kind of filter could be inserted in
place of resistor 20 to satisfy other special requirements.
In the event it is desired to make multiple v-lead recordings
without stopping the operation of the ECG machine to change the
location of precordium leads, the modified v-lead cable shown in
FIG. 7 can be used. This cable is provided with a rotary switch 24
consisting of a rotary slider 37 and fixed contacts 39, 41 and 43,
see FIG. 9. Wires 26, 28 and 30 are connected to fixed contacts 39,
41 and 43, respectively, for connection to the precordium of the
body of the patient. Wire 33 leading from the v-pin 25 is connected
to the rotary slider 37. If space is available the rotary switch
could be mounted on or in the housing portion 18, or in a separate
box, as shown in FIG. 7.
With this arrangement, the physician can connect wires 26, 28 and
30 to various parts of the precordium in a v-lead configuration as
shown in FIG. 8 and then turn on the ECG machine leaving it to a
technician to simply rotate the slider 37 through the various fixed
contacts as each v-lead recording is completed. In this way the
records of the v-leads on the various parts of the precordium are
recorded in sequences to provide in sequence an anterior and
posterior view of the electrical activity of the heart.
In this connection, it is noted that the advantages of the multiple
v-lead exercise cable could be incorporated in the standard cable
show in FIG. 5 if it is desired to take multiple v-lead recordings
without stopping the operation of the ECG machine to change the
location of the precordium leads. In such an event, cable 33 shown
in FIG. 5 would be connected to the slider of the rotary switch 24.
With this arrangement, various wires attached to the fixed contacts
of the switch would be connected to various portions of the
precordium. In this way, the physician could make records of the
leads on the various parts of the precordium in sequence to provide
the various views of the electrical activity of the heart.
* * * * *