MODULAR ELECTROCARDIOGRAM DEVICE WITH HIGH QUALITY DIFFERENTIAL LIMB-LEADS AND MODULARLY EXPANDABLE CHEST-LEADS

Abstract

A data acquisition system for use with expandable ECG electrode systems. The data acquisition system includes a main unit and one or more expansion units for increasing the number of ECG leads applied to a patient for enhanced monitoring capabilities. Multiple embodiments are illustrated for providing a common mode signal between the main electrode unit and expansion units without requiring the physical transmission of voltage potential between the main unit and the expansion unit. In one embodiment, the main unit and the expansion unit share a common ground reference potential. In a second embodiment, an optical signal is transmitted between the main unit and the extension unit to relay the common mode information while in a third embodiment, common electrode potentials are provided to both the main unit and the extension unit for constructing their own common reference signal.

Claims

1. A data acquisition system for obtaining an electrocardiogram (ECG) from a patient, comprising: a main unit configured to receive a plurality of electrophysiological signals from a plurality of limb electrodes located on the patient and to generate a first ECG; at least one extension unit configured to receive at least one electrophysiological signal from at least one chest electrode located on the patient and to generate a additional information to the first ECG; and a single galvanic reference connection between the main unit and the one or more extension units, the single galvanic reference connection providing a common mode reference between the main unit and the extension unit, wherein the common mode reference is used to combine the first ECG signal and the additional information to generate the electrocardiogram from the patient.

2. The data acquisition system according to claim 1 wherein the main unit is a 5 electrode ECG measurement unit.

3. The data acquisition system of claim 1 wherein the single galvanic reference connection between the main unit and the at least one extension unit is a ground potential.

4. The data acquisition system of claim 1 wherein the common mode reference is derived from at least one analog signal from one or more of the limb electrodes.

5. The data acquisition system of claim 1 wherein the single galvanic reference connection between the main unit and one or more extension units is an internal reference voltage of the main unit.

6. The data acquisition system of claim 1 wherein the common mode reference is digitized for subsequent electrocardiogram referencing.

7. The data acquisition system according to claim 1 wherein the common mode reference from the main unit is digitalized and transmitted to a host monitoring system to be combined with additional information from the extension unit to form a part of the electrocardiogram.

8. The data acquisition system of claim 1 wherein the single galvanic reference connection between two or more units is established along a lead wire by sharing a measurement electrode.

9. The data acquisition system of claim 1 wherein the single galvanic reference connection between the main unit and the at least one extension unit is established through adjacent electrodes located on the patient.

10. The data acquisition system of claim 1 wherein the common mode reference is communicated from the main unit to the at least one extension unit optically.

11. The data acquisition system of claim 1 wherein the inner potential levels of the main unit and the at least one extension unit are equalized by an interconnection of lead wires.

12. The data acquisition system of claim 1 wherein the inner potential levels of two or more units are equalized through the patient body by the use of two separate electrodes for this purpose.

13. The data acquisition system of claim 1 wherein digitalized information from the extension unit is transmitted to a host monitoring system directly.

14. The data acquisition system of claim 1 wherein digitalized information from the extension unit is transmitted to a host monitoring system through the main unit.

15. The data acquisition system of claim 1 wherein more than one galvanic connection exists between the main unit and the at least one extension unit, wherein only one of the galvanic connections provides the common mode reference.

16. An electrocardiogram (ECG) monitoring device, comprising: a main unit configured to receive a plurality of electrophysiological signals from a plurality of limb electrodes located on the patient and to generate a first ECG; at least one extension unit configured to receive at least one electrophysiological signal from at least one chest electrode located on the patient and to generate a additional information to the first ECG; and a single galvanic reference connection between the main unit and the one or more extension units, the single galvanic reference connection providing a common mode reference between the main unit and the extension unit; and a host control unit configured to receive both the first ECG signal and the additional information, wherein the common mode reference is used by the host control unit to combine the first ECG signal and the additional information to generate the electrocardiogram from the patient.

17. The ECG monitoring device of claim 16 wherein the single galvanic reference connection between the main unit and the at least one extension unit is a ground potential.

18. The ECG monitoring device of claim 16 wherein the common mode reference is derived from at least one analog signal from one or more of the limb electrodes.

19. The ECG monitoring device of claim 16 wherein the single galvanic reference connection between the main unit and one or more extension units is an internal reference voltage of the main unit.

20. The ECG monitoring device of claim 16 wherein the common mode reference is digitalized and transmitted to the host control unit to be combined with additional information from the extension unit to form a part of the electrocardiogram

21. The ECG monitoring device of claim 16 wherein the common mode reference is communicated from the main unit to the at least one extension unit optically.

22. The ECG monitoring device of claim 16 wherein digitalized information from the extension unit is transmitted to a host control unit directly.

23. The ECG monitoring device of claim 16 wherein digitalized information from the extension unit is transmitted to a host control unit through the main unit.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0018] The drawings illustrate the best mode presently contemplated of carrying out the disclosure. In the drawings:

[0019] FIG. 1 depicts the standard electrode placement of a 12-lead ECG measurement;

[0020] FIG. 2 depicts the connection of electrodes to the body to obtain Wilson's central terminal;

[0021] FIG. 3 depicts a data acquisition system according to the present disclosure that is expandable, wherein the main unit and the extension unit share a common mode ground reference;

[0022] FIG. 4 depicts an alternate embodiment of the data acquisition system in which the main unit and the extension unit include an optical coupling to pass a common mode reference signal between the ECG modules;

[0023] FIG. 5 depicts an alternate configuration of the data acquisition system in which the main unit and the extension unit determine their own common mode reference signal; and

[0024] FIG. 6 depicts another alternate configuration of the data acquisition system in which the main unit and the extension unit determine their own common mode reference signal and the units share a common mode ground reference.

DETAILED DESCRIPTION

[0025] Reference will now be made in detail to the embodiments of the present disclosure, examples of which are illustrated in the accompanying drawings.

[0026] FIG. 3 illustrates a data acquisition system 10 for obtaining electrocardiogram (ECG) signals from a patient 12. The data acquisition system 10 includes a 5-lead ECG main measurement unit 14 that measures ECG signals from electrodes RA, LA, LL and RL. As is well known, augmented leads aVR, aVL and aVF are calculated by comparing the measured voltage from each of the limb electrodes to a reference voltage. As illustrated in FIG. 3, amplifiers 16, 18, 20 and 22 are used to compare the signals from the various electrodes to a reference signal from the right arm electrode RA and to feed the output signals from each of the amplifiers to an analog/digital converter 24. Amplifier 22 is a right leg drive (RLD) amplifier that utilizes the RL electrode for equalizing the potential of the human body and the measurement electronics. The A/D converter 24 converts the analog signal into a digital ECG signal that is received by the control unit 26. Both the A/D converter and the control unit 26 are powered by an internal battery 28. The battery 28 includes a ground reference terminal 34 that is supplied to the amplifier 20, which measures the ground reference 34 against the RA electrode. This value is provided to the CPU 26 and used in later processing steps as will be discussed below.

[0027] When it is desired to expand the data acquisition system 10, a 12-lead ECG extension unit 30 can be added to the system in order to allow the system to make a 12-lead ECG measurement. When such extension unit 30 is added, the voltage signal from each electrode V1-V6 must be compared to the same reference voltage that is used in the main unit 14 such that the outputs from the main unit 14 and the extension unit 30 can be combined. As discussed previously, in prior art systems, the common potential was determined from the Wilson's central terminal shown and described in FIG. 2.

[0028] In accordance with the present disclosure, the inner potential is shared between the main unit 14 and the extension unit 30 through a galvanic reference connection, such as a common ground reference line 32. The ground reference line 32 provides a common mode signal between the two units, which is the inner potential between the main unit 14 and the extension unit 30. In the main unit 14, the inner potential and the ground reference line 32 can be compared to Wilson's central terminal (WCT) through processing in the ECG monitoring CPU 55 of a host monitoring system 57.

[0029] In the extension unit 30, the common inner potential is supplied along line 35 and used with each of the amplifiers 36-46 along with the voltage signal from each of the electrodes V1-V6 attached to the patient's chest. The output of each of the amplifiers 36-46 is fed into an A/D converter 48. The A/D converter 48 converts the analog signal from each of the amplifiers 36-46 into a digital signal received by the control unit 50 contained within the extension unit 30.

[0030] Both the main unit 14 and the extension unit 30 include a wireless or wired transmitter 52, 54 that are used to transmit the determined first ECG signal from the main unit 14 and the determined second ECG signal from the extension unit 40 for further upstream processing by the ECG monitoring CPU 55 of the host monitoring system 57. The ECG monitoring CPU 55 is part of a larger host ECG monitoring system 57 that utilizes the main unit 14 and the extension unit 30 to obtain signals from the patient. The host ECG monitoring system 57 may include a display, data entry devices or other conventional components. As can be understood in FIG. 3, since the reference signal for each of the chest-leads in the extension unit 30 is the same inner potential as the reference signal for the limb-leads in the main unit 14, the measurement signals from the main unit 14 and the extension unit 30 can be combined in the CPU 55 to create a 12-lead ECG measurement.

[0031] In the embodiment shown in FIG. 3, the extension unit 30 includes a separate battery 56 from the battery 28 shown in the main unit 14. However, it is contemplated that the modules 14 and 30 could share a common battery in which case there would be an additional galvanic connection between the main unit 14 and the extension unit 30. In an embodiment, such as shown in FIG. 3, in which both the main unit 14 and the extension unit 30 include their own battery, only the single galvanic connection, shown by reference line 32, would be present between the main unit 14 and the extension unit 30. This single galvanic connection between the modules is a prerequisite for transmitting the reference common mode signal from one module to another such that the two modules would share a common ground reference.

[0032] FIG. 4 illustrates a second embodiment of a data acquisition system constructed in accordance with the present disclosure. In the drawing figure of FIG. 4, similar reference numerals are utilized for similar components as shown in FIG. 3. Similar to the embodiment of FIG. 3, the ability to add the 12-lead ECG extension unit 30 to the 5-lead main unit 14 requires some type of common mode signal to be shared between the main unit 14 and the extension unit 30 so that the resultant signals from the two units can be combined. In accordance with the embodiment shown in FIG. 4, an optical transmission, as shown by reference numeral 58, is used to share a common mode signal between the main unit 14 and the extension unit 30. In the embodiment shown, a common mode reference signal is present on line 60 and is optically transmitted to the extension unit 30. The extension unit 30 includes a common mode reference signal line 62. This common mode reference line is connected to each of the amplifiers 36-46 and is used as the reference signal for comparing the voltage signals from each of the electrodes V1-V6. The output of each of the amplifiers 36-46 is fed to the A/D converter 38, which converts the analog signals to digital signals presented to the control unit 50 and ultimately transmitted from the wireless transmitter 54.

[0033] The optical transmission, shown by reference numeral 58, could be either an analog signal or a digital signal (e.g., a sigma-delta or power modulated signal). The common mode signal transmitted from the main unit 14 to the extension unit 30 would provide a common mode signal that would allow extension from four electrodes to ten electrodes (as shown in FIG. 4) or even beyond to allow a 15- or 16-lead ECG.

[0034] In a case in which the optical common mode signal is digitally transmitted, the digitalized signal would be created from the voltage from at least one limb electrode, such as the right arm electrode RA, in an optical conversion circuit 63. In an alternative, preferred embodiment, the digitized signal transmitted to the extension unit 30 would be the Wilson's central terminal, which is calculated in the main unit 14 and transmitted to the extension unit 30. The optical conversion circuit 63 acts to convert the voltage on line 60 into an optical signal that is transmitted by a photodiode by a driving circuit in the conversion circuit 63.

[0035] The optical signal from the circuit needs to be reconstructed into its analog equivalent within the extension unit 30. To do this, the extension unit 30 includes a similar optical conversion circuit 65. The circuit 65 includes a photodetector and circuitry that transforms the received optical signal into a voltage. Although the specifics of the optical conversion circuits 63 and 65 are not shown, the specific details of the circuit are a matter of design choice and are contemplated as being within the scope of the present disclosure. As discussed, the optical reference signal is preferably transmitted with light emitting diodes or a laser from the main unit 14 and received by a photodetector, such as a photodiode, contained within the extension unit 30.

[0036] In order for the proper transmission of the reference signal utilizing an optical transmission path, the main unit 14 and the extension unit 30 must share the same ground reference. This ground reference is shown in FIG. 4 by reference numeral 32 and is a galvanic connection between the main unit 14 and the extension unit 30. In a contemplated, alternate embodiment, the shared ground reference connection 32 could be eliminated and the RL electrode could be shared between the main unit 14 and the extension unit 30, as shown in the embodiment of FIG. 5.

[0037] As with the embodiment shown in FIG. 3, the main unit 14 and the extension unit 30 could share a common battery or, the extension unit 30 could utilize a separate battery 56.

[0038] FIG. 5 illustrates yet another embodiment of the data acquisition system 10 of the present disclosure. Once again, common reference numerals are utilized throughout FIGS. 3-5 to represent similar components of the data acquisition system. In the embodiment shown in FIG. 5, the expansion of the 5-lead main unit 14 to add the 12-lead extension unit 30 requires some type of common mode reference signal between the main unit 14 and the extension unit 30. In the embodiment illustrated, both the main unit 14 and the extension unit 30 are electrically floating devices that are each capable of determining their own common mode reference signal independently from each other by using the same electrodes on the patient. The wireless ECG units 14 and 30 can be used in parallel with each other and software means can be used to measure either the primary limb-leads or the secondary chest-leads. The chest-leads contained within the extension unit 30 would be referenced to a single limb electrode (preferably to the RA electrode) and this reference electrode would also be used by every extension unit added to the main unit 14 within the system. In addition to this common electrode, both units 14 and 30 need a means for equalizing their potential with the patient's body potential. As illustrated in the embodiment of FIG. 5, both the main unit 14 and the extension unit 30 share the RL electrode. Specifically, the RL electrode is fed by line 62 into the right leg drive (RLD) amplifier 64 and by line 66 to the right leg drive (RLD) amplifier 22 within the main unit 14. The RLD amplifiers 22 and 64 are each also connected to the same common mode reference electrode (e.g. RA electrode in FIG. 5) through lines 68, 70, respectively.

[0039] As illustrated in FIG. 5, there is no physical connection between the main unit 14 and the extension unit 30 (neither wired nor wireless) other than the shared limb electrodes, such as but not limited to the RA and RL electrodes. The shared limb electrode between the main unit 14 and the extension unit 30 creates the common mode reference that must be present to combine the measurements from the two units in later processing.

[0040] The shared electrode connection shown in FIG. 5 could be implemented by either utilizing a special electrode that includes two cable connectors or with a special electrode clip. Such a special clip in the main unit 14 would include a socket for a shielded plug connector from the extension unit 30. In the embodiment shown in FIG. 5, both the main unit 14 and the extension unit 30 include separate batteries 28, 56 since there is no physical connection between the main unit 14 and the extension unit 30.

[0041] Both the main unit 14 and the extension unit 30 can transmit independent signals for further processing through the wireless transmission connections 52, 54. Software means that receive the signal from the main unit 14 and the extension unit 30 can be used to reconfigure the signals to measure either the primary limb-leads or the secondary chest-leads.

[0042] In another contemplated embodiment shown in FIG. 6, the main unit 14 and the extension unit 30 share one or more limb electrodes (such as the RA electrode) as in the embodiment of FIG. 5. However, in the alternate embodiment of FIG. 6, the main unit 14 and the extension unit 30 also include a galvanic ground connection 32. The ground connection 32 is not utilized in forming the common mode reference. The common mode reference is solely based on the shared limb electrode voltage, as in FIG. 5.

[0043] In the embodiments shown in FIGS. 3-6, the main unit 14 and the extension unit or units 30 are shown communicating directly to the CPU 55 of the host ECG monitoring system 57 using a wireless communication technique. However, it is contemplated that the extension unit 30 could communicate only to the main unit 14 using either wired or wireless communication. In such an embodiment, the main unit 14 would then communicate with the CPU 55 of the host ECG monitoring system 57, which would make the main unit 14 the only link to the host monitoring system 57. The main unit 14, in such an embodiment, would communicate information from both the main unit 14 and the extension unit 30.

[0044] As can be understood in the comparisons of FIGS. 3-6, the data acquisition system 10 of the present disclosure allows for the modular expansion of a wireless ECG device by adding an extension unit 30 to a main unit 14. The data acquisition system of the present disclosure provides different opportunities to share a common-mode reference signal or value between the main unit 14 and the extension unit 30 without having to rely upon the Wilson's central terminal or a right arm electrode. The system and method of the present disclosure provides for an alternate, more reliable solution for passing a common known reference signal between the main unit 14 and one or more extension units 30.

[0045] This written description uses examples to disclose the invention, including the best mode, and also to enable any person skilled in the art to make and use the invention. The patentable scope of the invention is defined by the claims, and may include other examples that occur to those skilled in the art. Such other examples are intended to be within the scope of the claims if they have structural elements that do not differ from the literal language of the claims, or if they include equivalent structural elements with insubstantial differences from the literal languages of the claims.