An electrophysiology data acquisition system that receives physiological signals from at least one catheter includes an amplifier and at least one noise reduction circuit operatively connected to the amplifier and configured to cancel interference in the physiological signals from the catheter. A drive selection circuit is controllable to connect any one of two or more available electrodes to the noise reduction circuit such that the connected electrode becomes an equalization drive electrode for the catheter. An equalization control module is executable on a processor and configured to select the equalization drive electrode from the two or more available electrodes and to control the drive selection circuit to connect the selected equalization drive electrode to the noise reduction circuit.

An apparatus comprising: at least one electrode, having a first potential, arranged to sense a biosignal; a conductive shield provided over the at least one electrode where the conductive shield is configured to be driven to a second potential wherein the second potential is equivalent to the first potential plus a multiple of an inverted common mode voltage; and wherein the conductive shield is coupled to a drain to enable triboelectric charges to be dissipated.

A read-out circuitry for acquiring a multi-channel biopotential signal, comprises: a plurality of read-out signal channels, each receiving an input signal from a unique signal electrode; a reference channel receiving a reference signal from a reference electrode; wherein each read-out signal channel and the reference channel comprises a channel amplifier connected to receive the input signal in a first input node and with an output node connected to a second input node via a channel feedback loop; wherein each signal channel amplifier comprises a capacitor between the second input nodes of the signal channel amplifier and the reference channel amplifier, and wherein each signal channel feedback loop and the reference channel feedback loop comprise a filter.

Neuromuscular monitoring is described that uses a novel lead assembly and a monitor that can select the appropriate electrodes on the lead assembly and calibrate the stimulation signals applied to the patient through the lead assembly. The monitoring can also set a noise floor value to reduce the likelihood of an erroneous train of four calculations. The present system can automatically sense train of four response of a patient and reduce the likelihood of false train of four indications.

An electrophysiology data acquisition system that receives physiological signals from at least one catheter includes an amplifier and at least one noise reduction circuit operatively connected to the amplifier and configured to cancel interference in the physiological signals from the catheter. A drive selection circuit is controllable to connect any one of two or more available electrodes to the noise reduction circuit such that the connected electrode becomes an equalization drive electrode for the catheter. An equalization control module is executable on a processor and configured to select the equalization drive electrode from the two or more available electrodes and to control the drive selection circuit to connect the selected equalization drive electrode to the noise reduction circuit.

Disclosed herein are methods, systems, apparatuses, and media for sensing neuromuscular signals. In one example, a device for sensing neuromuscular signals comprises a wearable structure. The device includes a plurality of signal electrodes aligned along an interior portion of the wearable structure, each signal electrode configured to detect neuromuscular signals. The device further includes a plurality of amplifiers corresponding to the plurality of signal electrodes, wherein an amplifier has: a first input operatively coupled to a corresponding signal electrode; a second input; and an output corresponding to a neuromuscular signal channel. The device further includes circuitry configured to generate a common mode reference signal directly or indirectly based on signals from one or more electrodes, wherein the second input of each amplifier of the plurality of amplifiers is configured to receive the common mode reference signal or a signal based on the common mode reference signal.

Systems, computing platforms, and methods for sampling and analyzing common mode noise on electrocardiogram signals to help to minimize the interference to the electrocardiogram signals are disclosed. Exemplary implementations may: obtain electrocardiogram signals from one or more sensors configured to be attached to a patient and communicatively connected to a patient monitor; receive the electrocardiogram signals from one or more sensors by the patient monitor; display the electrocardiogram signals on one or more displays of the patient monitor; sample and analyze a direct current range and an alternating current spectrum to identify common mode interference levels within the obtained electrocardiogram signals; display the direct current range and the alternating current spectrum via the one or more displays of the patient monitor; and update the display of the direct current range and the alternating current spectrum in real time to identify sources of common mode interference.

Techniques for determining baseline voltages to assess sensed neural responses or other sensed signals in an implantable stimulator device are disclosed, which allows features of the neural responses or other signals to be more easily and reliably established. Features of the neural response, indicative of the AC characteristics of the responses, may be used to control or monitoring stimulation in the device, and certain features may vary with a DC offset voltage in the tissue. The determined baseline voltages compensate for such DC offset voltages, and therefore allow certain AC features of the neural response to be determined more accurately and meaningfully.

In the present invention, a right leg drive RLD monitoring system is employed on a medical computing system/computer, such as an ECG, HEMO and/or EP monitoring, mapping and/or recording system, that includes a number of RLD circuits to be utilized for different procedures or monitoring states to be performed using the system. The RLD monitoring system operates to actively monitor and/or record the feedback voltage to the RLD isolated from the patient. Using the measured feedback voltage data, the RLD monitoring system can identify and determine if the RLD circuit in use is approaching saturation, has reached saturation and the duration the RLD circuit was in saturation. The RLD monitoring system can concurrently and/or subsequently select and/or provide selection information regarding an optimal RLD circuit to be utilized to most effectively perform the desired function of the RLD in the procedure being performed using the monitoring, mapping and/or recording system.

In the present invention, a right leg drive RLD monitoring system is employed on a medical computing system/computer, such as an ECG, HEMO and/or EP monitoring, mapping and/or recording system, that includes a number of RLD circuits to be utilized for different procedures or monitoring states to be performed using the system. The RLD monitoring system operates to actively monitor and/or record the feedback voltage to the RLD isolated from the patient. Using the measured feedback voltage data, the RLD monitoring system can identify and determine if the RLD circuit in use is approaching saturation, has reached saturation and the duration the RLD circuit was in saturation. The RLD monitoring system can concurrently and/or subsequently select and/or provide selection information regarding an optimal RLD circuit to be utilized to most effectively perform the desired function of the RLD in the procedure being performed using the monitoring, mapping and/or recording system.