U.S. patent number 3,742,947 [Application Number 05/175,121] was granted by the patent office on 1973-07-03 for optically isolated electro-medical device.
This patent grant is currently assigned to American Optical Corporation. Invention is credited to James F. Hashem.
United States Patent |
3,742,947 |
Hashem |
July 3, 1973 |
OPTICALLY ISOLATED ELECTRO-MEDICAL DEVICE
Abstract
An optically isolated electro-medical device. An electronic
device is disclosed that is used for monitoring physiological
functions of a patient. The device is electrically connected to the
patient and establishes electrical isolation from other
patient-connected circuitry by optical coupling. The isolation
substantially reduces the hazards of electrocuting a hospitalized,
bed-ridden patient who may be connected to several different pieces
of electro-medical equipment simultaneously. In an illustrative
embodiment, the optical coupling includes a light-emitting diode in
operative connection with a light-sensing transistor
(photo-transistor) and is arranged to minitor the EKG of a
patient.
Inventors: |
Hashem; James F. (Malden,
MA) |
Assignee: |
American Optical Corporation
(Southbridge, MA)
|
Family
ID: |
22638996 |
Appl.
No.: |
05/175,121 |
Filed: |
August 26, 1971 |
Current U.S.
Class: |
600/508; 128/908;
250/551; 327/514; 327/109 |
Current CPC
Class: |
A61B
5/301 (20210101); H03F 3/087 (20130101); Y10S
128/908 (20130101) |
Current International
Class: |
A61B
5/0402 (20060101); A61B 5/0428 (20060101); H03F
3/04 (20060101); H03F 3/08 (20060101); A61b
005/04 () |
Field of
Search: |
;128/2.6R,2.1A,2.1P,2.1R
;250/199 ;310/9.8 ;307/311,92 ;321/2 |
References Cited
[Referenced By]
U.S. Patent Documents
Other References
van der Weide et al., "Medical & Biological Engineering," Vol.
6, No. 4, August, 1968, pp. 447 and 448 .
Kebo, "I.E.E.E. Transactions on Biomedical Electronics," Vol. 17,
No. 2, April, 1970, pp. 163-166.
|
Primary Examiner: Kamm; William E.
Claims
What is claimed is:
1. In improved medical-electronic equipment used for monitoring a
physilogical function of a patient, said equipment being capable of
simultaneous use with a plurality of other electrical apparatus,
said equipment including an electronic amplifier and terminal means
for conductively connecting the body of said patient to the input
of said amplifier, the improvement comprising:
optical coupling means comprising a light-emitting diode in
operative connection with a photo-transistor for electrically
isolating the output signal of said amplifier from said plurality
of other electrical apparatus and for linearly coupling said output
signal to at least one of said plurality of other electrical
apparatus,
first power supply means for supplying power to said equipment,
and
second power supply means for supplying power in a continuous
fashion and without being recharged to both said at least one of
said plurality of other apparatus and said first power supply means
and means electrically isolating the power generated from said
first power supply means from the power generated from said second
power supply means.
Description
BACKGROUND OF THE INVENTION
1. Field of the Invention
This invention relates to electro-medical equipment, and more
particularly relates to monitoring equipment which is electrically
conductively connected to a patient but is electrically isolated
from: (1.) other circuitry necessary to provide a usable output and
(2.) other simultaneously connected electro-medical equipment.
2. Description of Prior Art
Prior art in the area of electrically isolated electro-medical
equipment includes battery-operated heart stimulators. These
stimulators are isolated from other patient-connected circuitry and
from line voltages by virtue of their batteries. An example of
prior art that utilizes a battery is U.S. Pat. No. 3,554,198.
The patent also discloses a high-speed relay switch that closes
upon external electrical command to provide a conductive path.
Ordinarily, the relay switch remains open to provide isolation.
This relay switch scheme of isolation does not permit linear
coupling of signal between the isolated command and stimulator
circuits. However, linear coupling is not needed in a heart
stimulator (the shape of the heart stimulation pulse is not at all
that critical). But, by contrast, substantially linear coupling is
required for accurate monitoring and the present invention provides
such coupling.
A problem may arise when monitoring a patient in a hospital bed
when that patient is electrically connected to several independent
pieces of electronic apparatus. For example, a heart monitor and a
respiration monitor may be connected simultaneously to the patient
where both monitors are powered from line voltage. If the equipment
is not grounded properly, the patient may be placed in a ground
loop. This could be a dangerous situation where the patient may be
electrically shocked by current flow from one piece of equipment to
another through the patient. Particularly, in the case of
monitoring heart activity with implantable electrodes that are
implanted into the heart itself, stray ground loop currents flowing
through the heart can kill the patient.
If each piece of electronic equipment were individually battery
operated, then ground loops could be avoided. But this is not
feasible. Monitoring equipments require too much current, and the
batteries would be cumbersome. A hospital usually uses ordinary 60
cycle line voltage and its monitoring equipment is powered in this
manner. This gives rise to the possibility of creating dangerous
ground loops through the patient.
The present invention is a solution to the isolation problem of
electro-medical monitoring apparatus. The present invention
includes optical coupling to provide electrical isolation.
SUMMARY OF THE INVENTION
An illustrative embodiment of the present invention is arranged to
work with an ECG signal from the heart of a patient. A preamplifier
receives and amplifies the ECG signal from the patient's heart. The
output of the amplifier is used to modulate current flowing a
light-emitting diode. All of this patient-connected circuitry is
powered by an isolated power supply such as a battery or an output
from a DC to DC converter.
The modulated light-emitting diode provides a light-energy output
that linearly varies in intensity with modulating signal. The
remaining monitoring circuitry is electrically isolated from the
patient-connected circuitry. It is powered from a second battery or
a conventional regulated power supply. The circuitry includes a
photo-coupled device such as a photo-transistor. The
photo-trasistor receives a light input from the light-emitting
diode and provides an electrical input to the remaining circuitry.
Thus, electrical isolation of the signal path is accomplished by
optical coupling and electrical isolation of the power supplies is
accomplished by using a DC to DC converter.
An advantage of the present invention is that it provides a simple
and efficient way to monitor electrical signals representative of
physiological functions of the body without danger of electrical
shock.
A further advantage of the present invention is an inherent
increase in reliability over other isolation schemes because of the
few number of components used herein.
It is thus an object of the present invention to provide improved
electro-medical monitoring apparatus.
It is another object of the present invention to provide an EKG
output signal that is electrically isolated from circuitry
connected to the patient.
It is a further object of the present invention to provide
equipment which isolates the patient-connected circuitry from
leakage currents that may be generated by other equipment attached
to the patient.
Other objects and advantages of the present invention will become
apparent to one having reasonable skill in the art after referring
to the detailed description of the appended drawings in which:
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a schematic diagram of an illustrative embodiment of the
present invention; and
FIG. 2 is a block diagram of a power supply to be used in
conjunction with the present invention.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
In FIG. 1, the circuitry to the left of reference line 40 is
hereafter referred to as "patient-connected circuitry." The
circuitry to the right of reference line 40 is hereafter referred
to as "optically coupled" circuitry. The patient-connected
circuitry is electrically isolated from the optically coupled
circuitry as will be explained herein below.
Referring first to the patient-connected circuitry, electrodes 10
and 11 are attached between the patient (not shown) being monitored
and the input to amplifier A.sub.1. Electrode 12 is connected
between the patient and isolated ground 13, about which ground
additional description is presented in succeeding paragraphs. The
output of amplifier A.sub.1 is coupled via conductor 14 to the base
of transistor 15. The emitter of transistor 15 is connected to one
end of resistor 16, the other end being connected to isolated
negative 15 volts (-15 V.sub.I). The collector of transistor 15 iss
connected to the cathode side of light-emitting diode (LED) 17, the
anode of whicl is connected to isolated positive 15 volts (+15
V.sub.I). A description of the positive and negative isolated
voltages is presented in succeeding paragraphs. Amplifier A.sub.1
is powered by .+-.15 V.sub.I.
Optical coupling from the patient-connected circuitry to the
optically coupled circuitry is depicted by light energy symbol 18.
Photo-transistor 19 is influenced by incident light energy 18.
Light-emitting diode 17 and photo-transistor 19 may both be
encapsulated together and this is depicted by block 28 representing
a photo-coupled device.
The collector of photo-transistor 19 is connected to positive 15
volts (+15 V). The emitter of transistor 19 is connected to both
capacitor 21 and one end of resistor 20. The other end of resistor
20 is connected to third wire ground 23. This ground differs from
isolated ground 13 and will be explained more fully elow. The other
side of capacitor 21 is connected to an input of amplifier A.sub.2
and to one end of resistor 22. The other end of resistor 22 is
connected to third wire ground 23. The output of amplifier A.sub.2
is obtained on terminal 27. Resistors 24 and 26, and potentiometer
25 are in a series connections between the output of amplifier
A.sub.2 and third wire ground 23. The wiper of potentiometer 25 is
conductively connected to another input of amplifier A.sub.2 as a
feedback path. Amplifier A.sub.2 is powered by .+-.15 V.
In FIG. 2, DC to DC converter 30 and regulated power supply 31 are
shown as having various DC outputs and grounds. The voltages and
grounds shown correspond to those shown in FIG. 1. DC to DC
converter 30 is the power supply for the patient-connected
circuitry of FIG. 1, is commerically available, and is of
conventional design. DC to DC converter 30 is powered by a
conventional regulated power supply 31 which provides +15 V and -15
V inputs to converter 30. In turn, supply 31 is powered by 115
.sup.V rms power. Supply 31 is the power supply for the optically
coupled circuitry.
The circuitry internal to converter 30 includes transformer
circuitry which provides Isolation between the various inputs and
outputs. The voltage outputs +15 V.sub.I, -15 V.sub.I, and ground
13 are electrically isolated from voltage outputs +15 V, -15 V, and
third wire ground 23. For example, in the DC to DC converter used
in a model constructed in accordance with the principles of the
present invention, current flow was less than 1 microampere when
115 volts RMS was applied between any 15 V terminal (either + or -)
and any 15 V.sub.I terminal (again, either + or -), or between
isolated ground 13 and third wire ground 23.
Thus, when converter 30 and power supply 31 are connected to the
circuitry of FIG. 1 as shown, there are no conductive paths
(between the patient-connected circuitry and the optically coupled
circuitry) established through the DC to DC converter. Third wire
ground 23 is the ground that other pieces of equipment (not shown)
would be referenced to.
Now, consider the operation of the circuitry of FIG. 1. The
monitored signal (in this case, an EKG signal but could be other
signals) is fed to the input of amplifier A.sub.1 via terminals 10,
11 and 12. The signal is amplified in amplifier A.sub.1, and the
output of A.sub.1 is applied to the base of transistor 15.
Transistor 15 permits current flow there-through in accordance with
the electrical signal input on its base. Current flows from +15
V.sub.I through the series circuit of LED 17, transistor 15, and
resistor 16 to -15 V.sub.I. The flow of current through LED 17
causes emission of light 18 which is the optical or light input to
photo-transistor 19.
The variation of current or voltage applied to the base of
transistor 15 is linearly related to the current flow through LED
17. The current flow through LED 17 is linearly related to the
intensity of light 18 that is emitted. And, the intensity of light
18 is linearly related to the flow of current through
photo-transistor 19. Thus, an electrical signal in the circuitry to
the right of line 40 linearly corresponds to the electrical signal
in the circuitry to the left of line 40. The signals are
"connected" or coupled by light-intensity variations. Electrical
isolation is achieved to the extent that in equipment constructed
in accordance with the principles of the present invention less
than 5.0 microamperes typically will flow when 115 volts RMS is
applied between any combination of input electrode terminals 10,
11, 12 and third wire ground 23 in FIG. 1.
Variations of current flow through photo-transistor 19 create
voltage variations across resistor 20. This voltage variation, or
signal, is A.C. coupled through capacitor 21, which removes any
D.C. component. The resultant A.C. signal is equivalent to the
signal obtained on terminals 10, 11, and 12 and is applied to
amplifier A.sub.2. The amplitude of the signal is controlled by
setting feedback potentiometer 25 as desired. It should be
understood that amplifiers A.sub.1 and A.sub.2 may comprise
considerable circuitry and may not necessarily be a single
transistor or amplifying device.
Summarizing, amplifier A.sub.1 is a preamplifier which amplifies an
ECG signal from the patient. The output of A.sub.1 feeds the base
of transistor 15 which amplitude modulates the current passing
through light-emitting diode 17. Because of the properties of
light-emitting diodes, modulating this current modulates the light
being emitted by light-emitting diode 17. This modulated light 18
is sensed by photo-transistor 19 inside photo-coupled device 28.
Photo-transistor 19 reconverts modulated light 18 into modulated
current. The modulated current develops signal voltage across
resistor 20, which is a reconverted ECG signal. It is then coupled
through capacitor 21 to remove any DC component, and amplified by
amplifier A.sub.2 which makes up for any loss of signal amplitude.
A.sub.2 also acts as a buffer amplifier to increase output drive
capabIlity.
The invention may be embodied in other specific forms without
departing from the spirit or essential characteristics thereof. For
example ultrasonic coupling may be substituted for optical
coupling, the substitution incorporating appropriate circuitry
changes. A single piezoelectric crystal could be used with two
pairs of electrical connections--one pair conductively connected to
the patient and electrically isolated from the other pair
conductively connected to the other equipment or apparatus.
The present embodiments are therefore to be considered in all
respects as illustrative and not restrictive, the scope of the
invention being indicated by the appended claims rather than by the
foregoing description, and all changes which come within the
meaning and range of equivalency of the claims are therefore
intended to be embraced therein.
* * * * *