Apparatus for the detection and recording of uterine activity

• US 4,256,118 A
• Filed: 07/13/1978
• Issued: 03/17/1981
• Est. Priority Date: 07/13/1977
• Status: Expired due to Term

• Current Assignee: Biotronik Mess-Und Therapiegeraete GmbH & Company Ingenieurbuero Berlin (Biotronik SE & Company KG)
• Original Assignee: Biotronik Mess-Und Therapiegeraete GmbH & Company Ingenieurbuero Berlin (Biotronik SE & Company KG)
• Inventors: Nagel, Joachim
• Primary Examiner(s): Michell, Robert W.
• Assistant Examiner(s): Jaworski, Francis J.
• Application Number:
  US05/924,381
• Time in Patent Office: 978 Days
• Field of Search: 128/639-644, 128/695-696, 128/698, 128/733
• US Class Current: 600/546
• CPC Class Codes: A61B 5/344 Foetal cardiography
• CPC Class Codes: A61B 5/391 of genito-urinary organs
• CPC Class Codes: A61B 5/4362 Assessing foetal parameters

Abstract

Apparatus for the detection and recording of uterine activity, particularly for use as a contraction recorder and equipped for the electromyographic detection of the electrical fields in the abdominal region inherent in muscular activity, the apparatus being composed of a system for generating a signal which essentially corresponds to the intensity of the alternating voltage component of the electromyographically derived signal, averaging this signal in time, and emitting the averaged signal as a measure for the intrauterine pressure variations.

Claims

1. Apparatus for detecting and recording the uterine pressure of a subject, comprising:

detection means for effecting electromyographic detection of electrical fields inherent in muscular activity in the abdominal area of the subject and for producing a corresponding signal;

generating means connected to the output of said detection means for generating a signal which corresponds to the intensity of the alternating voltage component of the electromyographically detected signal at the output of said detection means;

means connected to said signal generating means for averaging in time the signal which corresponds essentially to the intensity of the alternating voltage component of the electromyographically detected signal; and

emitting means connected to said averaging means for emitting a representation of the time averaged signal as a measure of the intrauterine pressure.

2. An arrangement as defined in claim 1 wherein said generating means acts to emit a signal which is a measure of the electrical power of the alternating voltage component of the electromyographically detected signal.

3. An arrangement as defined in claim 1 wherein said generating means comprises means for rectifying the alternating voltage component of the electromyographically detected signal.

4. An arrangement as defined in claim 3 wherein said generating means effects a quadratic averaging of such component.

5. An arrangement as defined in claim 1 wherein said generating means acts to emit a signal which corresponds to the effective (RMS) value of the alternating voltage component of the electromyographically detected signal.

6. An arrangement as defined in claim 1 wherein said means for averaging in time comprises a lowpass filter.

7. An arrangement as defined in claim 6 wherein the time constant of said lowpass filter is longer than 5 seconds.

8. An arrangement as defined in claim 7 wherein the time constant of said lowpass filter is longer than 10 seconds.

9. An arrangement as defined in claim 1 further comprising filter means for causing the signal from said generating means to be constituted by a given frequency range of the alternating voltage component of the electromyographically deteted signal.

10. An arrangement as defined in claim 9 wherein the given frequency range lies between 150 and 250 Hz.

11. An arrangement as defined in claim 1 wherein said emitting means are arranged to display a logarithmic function of the averaged signal.

12. An arrangement as defined in claim 1 wherein said emitting means is arranged to display an exponential function of the averaged signal.

13. An arrangement as defined in claim 1 wherein said generating means is provided for the detection and recording of uterine pressure and of heart signals.

14. An arrangement as defined in claim 1 wherein said detection means is provided for the detection and recording of uterine pressure and of heart signals.

15. An arrangement as defined in claim 14 wherein myographically detected signals from said detection means are limited to a frequency range from 15 to 40 Hz for purposes of evaluation.

16. An arrangement as defined in claim 14 further comprising means connected for detecting, according to a first criterion, repeated interference signals which adversely influence signal evaluation by storing a representation of a selected component of the detected signal in a memory and, once the occurrence of interference signals in the detected signal has been determined, by subtracting such interference signals from the detected signal in the correct phase.

17. An arrangement as defined in claim 16 for detecting fetal heart signals, wherein the repeated interference signal is the maternal QRS complex.

18. An arrangement as defined in claim 14 comprising means for the detection of the QRS complexes of fetal heart signals in a signal portion separated from the detected signal including a memory for retaining a representation of the amplitude curve of a fetal QRS complex which has been recognized according to a first criterion, and means using said QRS complex as a sample for the identification of subsequent QRS complexes according to a second criterion based on the degree of coincidence of the detected signal with the amplitude curve representation retained in said memory.

19. An arrangement as defined in claim 18 further comprising means for continuously adapting the amplitude curve of the fetal QRS complex, which has been retained in said memory, to the actual shape of the fetal QRS complex.

20. Apparatus for detecting and measuring the uterine pressure of a subject, comprising:

electromyographic detection means for detecting electrical inherent in muscular activity in the abdominal area of said subject and for producing detection voltages corresponding thereto, said detection voltages having alternating voltage components,

a bandpass filter coupled to said detection means for transmitting the alternating voltage components of said detection voltages in the frequency range 150 to 250 Hz, said frequency range being that in which interference components in said detection voltage are less than components corresponding to said uterine pressure,

an integrating full-wave rectifier coupled to the output of said bandpass filter for producing a voltage substantially corresponding to the effective (RMS) value of the voltage at the output of said electromyograpic detection means, and

indicating means coupled to the output of said integrating full-wave rectifier for measurement of said uterine pressure.

21. Apparatus as defined by claim 20 wherein said integrating full-wave rectifier comprises:

a half-wave rectifier having an input coupled to the output of said bandpass filter, and

an integrating adder having an input coupled to the output of said bandpass filter and to the output of said half-wave rectifier, said integrating adder including an averaging circuit having a time constant which produces at the output of said integrating adder an average of the alternating voltage components at the output of said bandpass filter.

22. Apparatus as defined by claim 21 wherein the time constant of said integrating adder is longer than five seconds.