Method and apparatus for processing and displaying data in compressed form

• US 4,214,590 A
• Filed: 11/28/1977
• Issued: 07/29/1980
• Est. Priority Date: 11/28/1977
• Status: Expired due to Term

• Current Assignee: International Medical, Inc.
• Original Assignee: International Medical, Inc.
• Inventors: Cooper, Daniel, Zellers, Robert D., Patnoi, Charles M.
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US05/855,210
• Time in Patent Office: 974 Days
• Field of Search: 128/2.06 G, 128/2.06 A, 128/2.06 R, 128/710, 346/33 ME, 346/118, 346/136
• US Class Current: 600/523
• CPC Class Codes: A61B 5/333 Recording apparatus specially adapted therefor
• CPC Class Codes: A61B 5/338 Recording by printing on paper
• CPC Class Codes: A61B 5/7232 involving compression of the physiological signal, e.g. to extend the signal recording period
• CPC Class Codes: G01D 15/24 Drives for recording elements and surfaces not covered by G01D5/00
• CPC Class Codes: G01D 9/00 Recording measured values

Abstract

A method and apparatus for processing and displaying ECG waveforms and the like is comprised of a playback circuit to demodulate FM and digital signals for transcription on an endless paper loop in a series of straight lines or traces. A paper loop drive unit is capable of handling and advancing the endless loop continuously past one or more scribing pens which are offset in succession to produce a predetermined number of traces in parallel rows across the length of the loop with time segment markings closely correlated with the information recorded.

Claims

1. In a compressed data recording system including sensing means for generating electrical signals representing the ECG level of the patient, playback means responsive to the signals generated to reproduce waveforms of said signals at a predetermined rate of speed, a plurality of write heads, a movable recording medium associated with said write heads for recording said waveforms, and means for moving said recording medium past said write heads, said write heads being disposed at spaced intervals transversely of the movement of said recording medium past said write heads, the improvement comprising:

said recording medium defined by an elongated flexible strip of recording material having its ends joined together to form an endless loop of material;

a writing surface on said loop of material divided into a plurality of sectors, each of said sectors extending the substantial length of said loop and arranged in closely spaced, coextensive relation to one another, each sector providing a plurality of trace-recording channels thereacross for the graphical representation of said waveforms by each write head along the substantial length of said respective channel, the number of sectors corresponding to the number of write heads; and

means for aligning each write head adjacent to one lateral edge of an associated sector, activating means for activating each write head in succession to form a graphical representation of the waveform reproduced by said playback means lengthwise of each sector as said recording medium is advanced past said write heads, shift means for laterally shifting said activated write head each time that said activated write head traverses and records the trace along the substantial length of its associated sector, each write head being activated in response to the recording of a predetermined number of traces in laterally spaced relation to one another by a preceding adjacent write head across said adjacent write head'"'"'s associated sector.

2. In a compressed data recording system according to claim 1, said trace-recording medium containing a first set of numerical indicia arranged in ascending numerical order extending the length of said writing surface representing discrete time intervals over which an ECG waveform is to be recorded.

3. In a compressed data recording system according to claim 2, said trace-recording medium containing a second set of numerical indicia arranged in ascending numerical order across the width of said sectors and representing the aggregate time intervals of the preceding waveforms traced on said sectors.

4. In a compressed data recording system according to claim 2, including a synchronization mark on said writing surface to correlate the beginning of each channel to be recorded with the first set of numerical data.

5. In a compressed data recording system according to claim 1, each sector divided into coordinate grids to represent the amplitude and frequency of the waveforms traced, and each sector being of a width permitting the tracing of a series of waveforms across the width thereof.

6. A data playback and recording system including a recorder and a transcriber adapted for the graphical representation of ECG waveforms and the like obtained from ECG signals of a patient in modulated form over an extended time period and wherein a plurality of scribing elements are positioned in confronting relation to a print bar, the combination therewith comprising:

a recording medium defined by an elongated flexible strip of material in the form of an endless loop and provided with a writing surface thereon;

a recording medium advancement means for advancing said recording medium past said scribing elements, said recording medium advancement means including loop support means adapted to support said endless loop for advancement across said print bar and drive roller means to draw said loop in a lengthwise direction across said print bar;

means for sensing said ECG signals and producing said ECG signals as electrical signals at a speed greater than real time; and

circuit means responsive to said electrical signals to produce demodulated signals having the same waveform as said ECG signals, drive means to activate each scribing element in succession for transcribing a graphical representation of said demodulated signals along the length of said writing surface, in greater than real time, detector means for detecting the slew rate of said demodulated signals, and pulse stretcher means associated with said detector means and operative to increase the width of the waveform of said demodulated signals from which said graphical representations are derived when demodulated signals having a slew rate greater than a predetermined value are detected.

7. A data playback and recording system according to claim 6 wherein the recorder is operative in a selected one of a plurality of modes of operation and wherein ECG signals obtained including digital control signals generated independent of said data and containing mode information indicative of said selected one of said modes of operation, and said circuit means includes means for demodulating said digital control signals, and processor means for transmitting said demodulated digital control signals to said drive means for transcribing in correlation with and together with said ECG waveforms.

8. A chart recording unit adapted for the graphical representation of ECG waveforms in which ECG signals are produced as electrical signals at a speed greater than real time and said chart recording unit includes a print bar and a scribing element positioned in confronting relation to said print bar, the combination therewith comprising:

a recording medium defined by an elongated flexible strip of material in the form of a continuous loop having a writing surface thereon;

loop support means for supporting said endless loop, said loop support means including a print bar, a plurality of guide rollers, and a support table, said print bar adapted for extension into the interior of said loop and supporting an interior surface portion of said loop with said loop disposed in surrounding relation to said print bar, said guide rollers journaled on spaced parallel axes with a portion of said loop being threaded around said guide rollers, said support table mounted adjacent said guide rollers opposite said print bar and for supporting an exterior surface portion of said loop, a portion of said loop extending over an edge of said support table opposite said guide rollers in freely hanging relation thereto;

guide roller drive means associated with one of said guide rollers for rotating said one of said guide rollers whereby said writing surface is advanced in a lengthwise direction past said scribing element; and

circuit means responsive to said electrical signals to produce demodulated signals having the same waveform as said ECG signals, drive means to activate said scribing element for transcribing a graphical representation of said demodulated signals along the length of said writing surface in greater than real time, detector means for detecting the slew rate of said demodulated signals, and pulse stretcher means associated with said detector means and operative to increase the width of the waveform of said demodulated signals from which said graphical representations are derived when demodulated signals having a slew rate greater than a predetermined level are derived.

9. A chart recording unit according to claim 8, said guide roller drive means being disposed in spaced relation to said print bar in a direction toward said support table and including a horizontal support plate being interpositioned between said guide rollers and said print bar.

10. A chart recording unit according to claim 9, said support table aligned with said support plate in a common plane.

11. The method of processing and displaying ECG waveforms representing the ECG signals of an ambulatory patient over a long term interval stored in the form of retrievable modulated signals, comprising the steps of:

storing said ECG signals as modulated signals at a given rate;

retrieving said stored ECG signals and producing first demodulated signals having demodulated waveforms at a rate of speed which is a multiple of said given rate;

transcribing discontinuous traces of the demodulated waveforms in parallel rows along the length of a writing surface at a time rate correlated with time segment markings along the length of said writing surface;

detecting the slew rate of said first demodulated signals and elongating the waveforms of the first demodulated signals when the slew rate of said first demodulated signals exceeds a predetermined level; and

expanding selected portions of said traces by producing second demodulated signals corresponding to said given rate and re-transcribing said second demodulated signals.

12. The method according to claim 11 wherein said step of storing said ECG signals includes storing said ECG waveforms in a selected one of a plurality of modes of operation further including the step of producing digital control signals at equally spaced time intervals between the demodulated waveforms of said first demodulated signals for registering the mode of operation of said ECG storing step.