Apparatus for observing cardiac rhythm free of interfering effects

• US 4,137,908 A
• Filed: 02/04/1977
• Issued: 02/06/1979
• Est. Priority Date: 02/04/1977
• Status: Expired due to Term

• Current Assignee: Assistance Technique Medicale Serdal SA Societe Anonyme
• Original Assignee: Assistance Technique Medicale Serdal SA Societe Anonyme
• Inventors: Degonde, Jean, DE Poulepiquet, Louis, Freschard, Regis
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US05/765,657
• Time in Patent Office: 732 Days
• Field of Search: 128/2.05 T, 128/2.06 A, 128/2.06 F, 128/2.06 R, 128/2.1 Z, 128/419 PT
• US Class Current: 600/510
• CPC Class Codes: A61B 5/0295 using plethysmography, i.e. measuring the variations in the volume of a body part as modified by the circulation of blood therethrough, e.g. impedance plethysmography
• CPC Class Codes: A61B 5/0535 Impedance plethysmography for measuring blood flow A61B5/0295
• CPC Class Codes: A61B 5/30 Input circuits therefor
• CPC Class Codes: A61B 5/308 for electrocardiography [ECG]
• CPC Class Codes: A61B 5/316 Modalities, i.e. specific diagnostic methods
• CPC Class Codes: A61B 5/346 Analysis of electrocardiograms

Abstract

A cardiac rhythm observation apparatus that separates and then provides for correlation of cardiographic and electrocardiographic signals has four electrodes for attachment to the chest of a subject. Two of the electrodes connect a high-frequency current for application to the subject. The other two electrodes disposed between the first two are connected to a channel for detecting, filtering and forming a rheocardiographic signal, which channel is connected to a heartbeat counter proper. A channel for eliminating variations in pulmonary impedance is connected to the feed electrodes and delivers a pulmonary rheographic signal to a stage in the detecting channel in which the pulmonary rheographic signal is substracted from the raw rheographic signal. A correlation stage is provided for correlation either with the separated electrocardiographic signal or with stimulation pulses.

Claims

1. Apparatus for observing cardiac rhythm free of interfering effects, comprising:

a high frequency electric wave generator;

a pair of current feed electrodes connected in circuit with said high frequency generator for placement on the chest of a patient to be examined at locations suitable for forming a pulmonary rheographic signal and for feeding high frequency current through the patient'"'"'s body;

a pair of exploratory electrodes for placement on the chest of said patient at locations suitable for picking up a rheocardiographic signal;

first detecting means connected to said exploratory electrodes for detecting and amplifying said rheocardiographic signal;

second detecting means connected to said current feed electrodes for detecting said pulmonary rheographic signal and for amplifying it to substantially the same amplitude at which it appears superimposed on said rheocardiographic signal in the output of said first detecting means, and

subtracting means connected to the outputs of said first and second detecting means for eliminating said superimposed pulmonary rheographic signal from said rheocardiographic signal and providing the latter as an output which is undisturbed by said pulmonary rheographic signal.

2. Apparatus as defined in claim 1, in which said second detecting means comprises a differential amplifier having a high input impedance and having its two inputs respectively connected to the electrodes of said pair of feed electrodes, a filter for eliminating from the output the electrocardiographic signal and, if present, the stimulating pulse, a demodulating stage for detecting the pulmonary rheographic signal, and an attenuator for adjusting the overall amplification of said pulmonary rheographic signal in said second detecting means, and in which apparatus said subtracting means includes an inverter for inverting the polarity of the pulmonary rheographic signal and a signal addition circuit having one input connected to the output of said first detecting means and another input connected to the output of said inverter, for eliminating said superimposed pulmonary rheographic signal from said rheocardiographic signal.

3. Apparatus as defined in claim 1, comprising pulse-forming means responsive to the output of said subtracting means to convert said rheocardiographic signal into a series of uniform pulses, correlation means for eliminating from the output of said pulse-forming means pulses correlated neither with an electrocardiographic signal nor with cardiac stimulation pulse, indicating means responsive to the output of said correlation means for indicating and measuring cardiac rhythm, means responsive to electrocardiographic signals and, if present, cardiac stimulation pulses delivered by connections with said exploratory electrodes for producing correlating pulses for said correlation means, said correlation pulse producing means including a selector switch for selectively connecting to an input of said correlation means either pulses derived from an electrocardiographic signal or pulses corresponding to cardiac stimulation pulses.

4. Apparatus for observing cardiac rhythm free of interfering effects, comprising:

a high frequency electric wave generator;

a pair of current feed electrodes connected in circuit with said high frequency generator for feeding high frequency current through a patient'"'"'s body;

a pair of exploratory electrodes for placement on the chest of said patient at locations suitable for picking up a rheocardiographic signal;

means connected to said exploratory electrodes for separating said rheocardiographic signal from an electrocardiographic signal and cardiac stimulation pulses and for providing said rheocardiographic signal at a first output and said electrocardiographic signal and, if present, cardiac stimulation pulses, at a second output;

means responsive to said first output of said separating means for demodulating said rheocardiographic signal and for producing a train of pulses representative thereof;

means responsive to said electrocardiographic signal and, if present, said cardiac stimulation pulses, for producing trains of correlating pulses respectively representative thereof and including a selector switch for selecting correlation pulses representative either of said electrocardiographic signal or of cardiac stimulation pulses, and

correlation means having a first input connected to the output of said demodulation and pulse-producing means and a second input connected to said selector switch, for eliminating pulses representative of said rheocardiographic signal which are not time-correlated with one of said correlation pulses.