Cardiac signal transmitter unit

• US 4,159,018 A
• Filed: 03/03/1978
• Issued: 06/26/1979
• Est. Priority Date: 03/03/1978
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Brastad, Brian A.
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US05/883,265
• Time in Patent Office: 480 Days
• Field of Search: 128/2.06 R, 128/2.06 B, 128/2.06 E, 128/2.1 A, 128/419 PT
• US Class Current: 600/510
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/30 Input circuits therefor
• CPC Class Codes: A61B 5/308 for electrocardiography [ECG]
• CPC Class Codes: A61B 5/7217 of noise originating from a therapeutic or surgical apparatus, e.g. from a pacemaker
• CPC Class Codes: A61N 1/3702 Physiological parameters A61N1/365 takes precedence; evoked response A61N1/371
• CPC Class Codes: Y10S 128/904 Telephone telemetry

Abstract

A cardiac signal transmitter unit adapted for use by the pacemaker patient which detects and processes electrocardiogram and pacemaker information, and which generates a corresponding audible signal for transmission to a remote location for reception and analysis. The unit employs a three input electrode array for developing a differential signal, has separate channels for processing the electrocardiogram data and the pacemaker data, and includes a fail-safe battery monitor circuit for completely disabling the unit as the battery nears the end of its useful life.

Claims

1. A cardiac signal transmission unit adapted to be operated from a self-contained power source, said transmission unit comprising:

(a) input electrode means adapted to be connected to a patient'"'"'s body for developing differential signals corresponding to the patient'"'"'s cardiac-related activities;

(b) amplifier means connected to said input electrode means for providing amplified signals corresponding to the differential signals;

(c) a voltage controlled oscillator (VCO) coupled to said amplifier means for providing output signals of a frequency corresponding to the amplitude of the amplified signal;

(d) acoustical transducer means for providing an acoustical output; and

(e) driver means comprising reference means adapted to be coupled directly across said self-contained power source for providing a relatively constant, reference level voltage, and switch means responsive to the output of said VCO for connecting the reference level voltage directly across the inputs of said acoustical transducer and for driving said acoustical transducer means with the relatively constant level voltage.

2. The cardiac signal transmission unit as claimed in claim 1, wherein there is included monitoring means connected to said power source and responsive to the output of said power source below a predetermined level for disabling said VCO.

3. The cardiac signal transmission unit as claimed in claim 2, wherein the predetermined level at which said VCO is disabled is selected to prevent said reference means from providing unregulated reference level voltage to said acoustical transducer means.

4. The cardiac signal transmission unit as claimed in claim 3, wherein said reference means comprises a zener diode, and said monitoring means determines the predetermined level, whereby when the output of said self-contained power source decreases below the predetermined level, said VCO is disabled.

5. A dual channel cardiac signal transmission unit having a self-contained power source and adapted to be connected to a body for producing acoustic signals corresponding to EKG signals and pacemaker artifact signals, said unit comprising:

(a) three input electrodes for connection to the body to provide differential signals corresponding to cardiac activity including at least EKG signals and artifact signals;

(b) a first electronic channel for amplifying said differential signals and for providing single ended amplified signals corresponding to said EKG and artifact signals;

(c) a second electronic channel for processing said amplified signals and for providing pulse output signals corresponding only to said artifact signals;

(d) a voltage controlled oscillator (VCO) connected to said first and second electronic channels for converting said amplified signals and said pulse output signals into corresponding signal frequencies;

(e) output conversion means connected to said voltage controlled oscillator for converting said signal frequencies into corresponding acoustic signals;

(f) means for monitoring the output voltage level of said power source to determine when the voltage level has decreased below a predetermined level and for initiating a control signal thereupon;

(g) means for silencing said acoustic signals by application of said control signal to said VCO thereby disabling said signal frequencies; and

(h) driver means comprising reference means adapted to be coupled directly across said self-contained power source for providing a relatively constant reference level voltage, and switch means responsive to the output of said VCO for connecting the reference level voltage directly across the inputs of said acoustical transducer to drive said acoustical transducer with the relatively constant reference level voltage, said predetermined level being set to prevent said reference means from deregulating its reference level voltage as the output of said power source decreases.

6. The cardiac signal transmission unit as claimed in claim 5, wherein said reference means comprises a zener diode.

7. The cardiac signal transmission unit as claimed in claim 6, wherein said switch means comprises:

(a) high-input impedance level shifting means connected to said VCO to process the signal frequencies into shifted level signal frequencies;

(b) intermediate amplifier means connected to said level shifting means and coupled to said zener diode, for selectively applying the reference level voltage as established by said reference means to an output in response to the shifted level signal; and

(c) power output means connected to said output of said intermediate amplifier means for increasing the power level of the shifted level signal as applied to said acoustical transducer means.

8. The cardiac signal transmission unit as claimed in claim 5, wherein there is further included means coupled to said self-contained power source for setting the voltages as derived from the outputs of said source to predetermined levels with respect to ground.

9. The cardiac signal transmission unit as recited in claim 5, wherein said first electronic channel comprises a high input impedance amplifier connected to each of a first and second of said input electrodes and a third input electrode is connected so as to provide a reference point for said differential signals.

10. The dual channel cardiac signal transmission unit as recited in claim 9 wherein said second electronic channel comprises a monostable multivibrator for providing said pulse output signals whereby a signal pulse of predetermined constant duration is produced for each artifact signal processed.

11. Apparatus for providing and transmitting together stimulating pulses as applied by an artificial pacemaker to a patient'"'"'s heart and electro-cardiac signals of the patient'"'"'s heart over a limited bandwidth medium to a remote station, said apparatus comprising:

(a) electrode means adapted to be attached to the patient'"'"'s body for sensing the stimulating pulses and the electro-cardiac signals;

(b) modulation means for generating a carrier signal of a frequency to be transmitted over the limited bandwidth medium dependent upon the signals developed by said electrode means;

(c) acoustical transducer means;

(d) drive means coupled to said modulation means and to the self-contained power source for driving said acoustical transducer means, and comprising reference means for establishing a relatively constant reference level voltage, and switch means responsive to the output of said modulation means for selectively applying the reference level voltage to said acoustical transducer means to drive said acoustical transducer means with the relatively constant reference level voltage.

12. The transmission apparatus as claimed in claim 11, wherein there is included monitoring means connected to said power source for disabling said modulation means when the output level of said power source has decreased below a predetermined level, the predetermined level at which said modulation means is disabled is selected to prevent said reference means from providing unregulated reference level voltage to said acoustical transducer means.

13. Apparatus for providing acoustical tones manifesting applied electrocardiac signals, said tones adapted to being transmitted over telephone lines, said apparatus comprising:

(a) means for providing a frequency modulated signal in response to said applied cardiac signals;

(b) acoustical transducer means;

(c) switchable reference voltage means coupled directly to said acoustical transducer means for driving said transducer means in response to said frequency modulated signal with a relatively constant voltage level signal.

14. Invention according to claim 13, wherein said apparatus further includes battery means and means responsive to said battery means providing a voltage below a certain value for disabling said frequency modulated signal providing means to prevent said switchable reference voltage means from deregulating the relatively constant voltage level signal applied to said acoustical transducer means.

15. The invention according to claim 14, wherein said switchable reference voltage means includes a zener diode coupling in parallel with said battery means, and switchably being connected to drive said transducer means.

16. The invention according to claim 15, wherein said switchable reference voltage means further includes a switching transistor which in response to said frequency modulated signal connects said diode to drive said transducer means.