R-wave detector

• US 4,000,461 A
• Filed: 10/04/1973
• Issued: 12/28/1976
• Est. Priority Date: 10/04/1973
• Status: Expired due to Term

• Current Assignee: Spacelabs, Inc. (OSI Systems Incorporated)
• Original Assignee: Textronix, Inc.
• Inventors: Barber, Ronald Charles, Ballard, Richard James, Clark, Don Loren
• Primary Examiner(s): Demeo, Palmer C.
• Assistant Examiner(s): Karlsen, Ernest F.
• Application Number:
  US05/403,689
• Time in Patent Office: 1,181 Days
• Field of Search: 324/102, 324/77 A, 324/77 R, 324/78 D, 128/2.06 F, 128/2.05 T, 128/2.05 A, 128/2.06 A
• US Class Current: 600/521
• CPC Class Codes: A61B 5/349 Detecting specific parameters of the electrocardiograph cycle
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
• CPC Class Codes: A61B 5/7207 of noise induced by motion artifacts
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives

Abstract

An electronic system is disclosed which examines the first derivative of an applied electrocardiographic (ECG) signal, recognizes the R-wave event therefrom, and discriminates against signal components which lie outside predetermined signal parameters in producing a rectangular pulse output. In addition, muscle artifact and pacers are discriminated against. The system includes an automatic gain control to eliminate the need for operator controls.

Claims

1. The method of detecting the R wave in an electrocardiographic waveform including P, Q, R, S, and T waves, comprising:

reshaping said electrocardiographic waveform to provide wave components having shape characteristics predetermined in accordance with the shape characteristics of said electrocardiographic waveform so that only a reshaped wave component corresponding to said R wave has an amplitude greater than a predetermined level and a time duration greater than a predetermined period;

selecting reshaped wave components having an amplitude greater than said predetermined level and a time duration greater than said predetermined period; and

producing output pulses at the end of said predetermined period in response to said selected wave components, whereby said output pulses correspond to said R wave.

2. The method according to claim 1 wherein the reshaping step is performed by differentiating said electrocardiographic waveform and rectifying the first derivative thereof.

3. The method according to claim 1 wherein the selecting step is performed by first discriminating against reshaped wave components having an amplitude less than said predetermined level and producing first signals having time durations corresponding to wave components exceeding said predetermined level, and then discriminating against first signals having a time duration less than said predetermined period and producing second signals in response to first signals having time durations exceeding said predetermined period.

4. An electronic system for detecting the R wave in an electrocardiographic waveform including P, Q, R, S, and T waves, comprising:

means for reshaping said electrocardiographic waveform to provide wave components having shape characteristics determined in accordance with the shape characteristics of said electrocardiographic waveform so that only a reshaped wave component corresponding to said R wave has an amplitude greater than a predetermined level and a time duration greater than a predetermined period; and

means for selecting reshaped wave components having an amplitude greater than said predetermined level and a time duration greater than said predetermined period.

5. The system according to claim 4 wherein said means for reshaping said electrocardiographic waveform includes differentiator means and rectifier means.

6. The system according to claim 4 wherein said means for selecting reshaped wave components includes amplitude discriminating means and time discriminating means, said amplitude discriminating means discriminating against reshaped wave components having an amplitude less than said predetermined level and producing first pulses having time durations corresponding to wave components exceeding said predetermined level, and said time discriminating means discriminating against first pulses having a time duration less than said predetermined period and producing second pulses in response to first pulses having time durations exceeding said predetermined period.

7. The system according to claim 4 including low pass filter means for removing signal components having a frequency higher than a predetermined frequency limit from said electrocardiographic waveform.

8. The system according to claim 4 including automatic gain control means for maintaining a consistent wave component amplitude for said selecting means irrespective of varying electrocardiographic waveform amplitudes.

9. The system according to claim 8 wherein said automatic gain control means includes means for detecting the amplitude of said wave components and developing a control signal in response thereto, and a variable gain amplifier responsive to said control signal to vary the gain thereof.

10. The system according to claim 9 wherein said means for detecting the amplitude of said wave components and developing a control signal in response thereto includes an amplitude discriminator, a low pass filter, and an amplifier.

11. The system according to claim 9 wherein said automatic gain control means includes means for increasing the gain of said variable gain amplifier to maximum when no reshaped wave components are selected within a predetermined time period.

12. The system according to claim 11 wherein said means for increasing the gain of said variable gain amplifier to maximum when no reshaped wave components are selected within a predetermined time period includes an integrator and a comparator connected between said selecting means and said variable gain amplifier.

13. The system according to claim 4 including detector means for detecting a signal having a frequency component greater than could be physiologically produced in said electrocardiographic waveform, said detector means generating a control pulse coincident with said signal to interrupt said selecting means during said signal.

14. An electronic system for detecting the R wave in an electrocardiographic waveform including P, Q, R, S, and T waves, comprising:

an input terminal for receiving said electrocardiographic waveform;

means for reshaping said electrocardiographic waveform to provide wave components having shape characteristics determined in accordance with the shape characteristics of said electrocardiographic waveform so that only a reshaped wave component corresponding to said R wave has an amplitude greater than a predetermined level and a time duration greater than a predetermined period;

an amplitude discriminator for rejecting reshaped wave components below a predetermined level and producing a signal having a time duration coincident with reshaped wave conponents above said predetermined level; and

a time discriminator for rejecting signals from said first amplitude discriminator having a time duration shorter than a predetermined period and producing an output pulse responsive to a signal having a time duration longer than said predetermined period, whereby said output pulse corresponds to said R wave.

15. The system according to claim 14 wherein said reshaping means includes a differentiator and a rectifier, said reshaped wave components being the rectified first derivative of said electrocardiographic waveform.

16. The system according to claim 14 including a second time discriminator responsive to said output pulse to prevent said first time discriminator from accepting a second signal during a second predetermined period.

17. The system according to claim 14 including a low pass filter between said input terminal and said reshaping means, said low pass filter removing signal components having a frequency higher than a predetermined frequency limit from said electrocardiographic waveform.

18. The system according to claim 14 including automatic gain control means for maintaining a consistent wave component amplitude for said amplitude discriminator irrespective of varying electrocardiographic waveform amplitudes.

19. The system according to claim 18 wherein said automatic gain control means includes a second amplitude discriminator for receiving said reshaped wave components and producing an output when a second predetermined level is exceeded by said components, a low pass filter for averaging the output voltage of said second amplitude discriminator, a control amplifier for receiving the average voltage from said low pass filter and developing a control voltage in response thereto, and a variable gain amplifier connected between said input terminal and said reshaping means, the gain of said variable gain amplifier being controlled by said control voltage.

20. The system according to claim 19 wherein said automatic gain control means includes means for developing a second control voltage if no output pulses occur within a predetermined time interval, said second control voltage causing the gain of said variable gain amplifier to increase to its maximum value.

21. The system according to claim 20 wherein said means for developing a second control voltage includes an integrator adapted to receive said output pulses, and a comparator for producing an output when the voltage from said integrator reaches a predetermined reference level.

22. The system according to claim 14 including detector means for detecting the presence of an electronic pacer signal in said electrocardiographic waveform, said detector means generating a control pulse coincident with said pacer signal to cancel the output of said reshaping means during said pacer signal.