Diastolic clamp for bioimpedance measuring device
First Claim
1. A non-invasive apparatus for measuring cardiac output of a patient, comprising:
- a bioimpedance measuring device that produces an electrical bioimpedance signal indicative of the thoracic impedance as a function of time;
a differentiating circuit that receives a signal responsive to said electrical bioimpedance signal, and that differentiates said signal responsive to said electrical bioimpedance signal to generate a differentiated electrical signal indicative of the rate of change of thoracic impedance as a function of time; and
a clamping circuit that periodically clamps said differentiated electrical signal to a fixed predetermined reference voltage so that said differentiated electrical signal is active only for a predetermined time duration following the beginning of each cardiac cycle.
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Accused Products
Abstract
An electrical bioimpedance measuring device is used to measure changes in the electrical resistance of a segment of the thorax of a human body caused by changes in the blood perfusion in that segment resulting from the pumping action of the heart. The electrical resistance of also changes as a result of respiration, and the respiratory-induced changes are typically much larger than the cardiac-induced changes and cause large changes in the voltages in the measuring equipment. In order to suppress the large voltage changes, a clamping circuit is included that is synchronized with the electrical activity of the heart. The clamping circuit is timed to clamp the voltages in the measuring equipment to a baseline reference voltage in the time preceding the beginning of mechanical systole. The voltage clamping is released during the mechanical systole of the heart so that the changes in the voltages (i.e., the bioimpedance changes) caused by the pumping action of the heart during mechanical systole can be measured.
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Citations
7 Claims
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1. A non-invasive apparatus for measuring cardiac output of a patient, comprising:
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a bioimpedance measuring device that produces an electrical bioimpedance signal indicative of the thoracic impedance as a function of time; a differentiating circuit that receives a signal responsive to said electrical bioimpedance signal, and that differentiates said signal responsive to said electrical bioimpedance signal to generate a differentiated electrical signal indicative of the rate of change of thoracic impedance as a function of time; and a clamping circuit that periodically clamps said differentiated electrical signal to a fixed predetermined reference voltage so that said differentiated electrical signal is active only for a predetermined time duration following the beginning of each cardiac cycle. - View Dependent Claims (2, 3, 4, 5, 6)
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7. A method of measuring the cardiac output of the heart of a patient comprising the steps of:
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applying a high frequency constant current to a first portion of the patient'"'"'s body; sensing a voltage developed across a second portion of the patient'"'"'s body caused by the flow of said high frequency constant current through said first portion; amplifying said sensed voltage; differentiating said sensed voltage to provide a differentiated output signal; and clamping said differentiated output signal to a fixed predetermined reference voltage for a predetermined amount of time during each cardiac cycle so that said differentiated output signal has a fixed magnitude during a selected time period prior to the mechanical systole of the patient'"'"'s heart and has a variable magnitude corresponding to the rate of change of said sensed voltage during the mechanical systole of the heart.
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Specification