Method and apparatus for the measurement of thoracic field potentiometry

• US 4,953,556 A
• Filed: 02/29/1988
• Issued: 09/04/1990
• Est. Priority Date: 12/13/1984
• Status: Expired due to Fees

• Current Assignee: Antec Systems Limited
• Original Assignee: Antec Systems Limited
• Inventors: Evans, John M.
• Primary Examiner(s): Sykes, Angela D.
• Application Number:
  US07/162,256
• Time in Patent Office: 918 Days
• Field of Search: 128/670-671, 128/691-694, 128/713, 128/734, 128/642, 128/644
• US Class Current: 600/484
• 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 5/0809 by impedance pneumography
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]

Abstract

Apparatus for measuring cardiac and/or pulmonary activity, comprising an electrical oscillator, a pair of electrodes for applying the oscillating electrical signal to the thorax of a patient, an oesophageal probe including an oesophageal electrode, a sensing electrode adapted to be positioned on the chest of the patient in the region of the apex of the heart, whereby measurement of voltage between the said first and second electrodes provides a measure of cardiac volumes, a third electrode adapted to be positioned on the chest of the patient at a position on the right side of the chest generally corresponding with that of the second electrode of the left side of the chest, whereby measurement of voltage between the said first and third electrodes provides a measure of volume of the right lung of the patient, a device for measuring the voltage induced between the first and second, and the first and third electrodes respectively, and for thereby providing first and second output signals respectively, indicative of cardiac and pulmonary activity respectively.

Claims

1. A method of measuring cardiac activity, which method comprises

generating an oscillating electrical signal,

applying the oscillating electrical signal to the the thorax of a patient,

providing in the oesophagus of the patient an oesophageal probe including a first electrode,

providing a second electrode on the left side of the chest of the patient in a position such that measurement of voltage between the said first and second electrodes provides a measure of cardiac volume, and

measuring the voltage induced between the first and second electrodes and producing therefrom an output signal indicative of cardiac activity in the patient.

2. A method as claimed in claim 1, wherein a third electrode is employed, the third electrode being positioned on the chest of the patient at a position on the right side of the chest generally corresponding with that of the second electrode of the left side of the chest, whereby measurement of voltage between the said first and third electrodes provides a measure of volume of the right lung of the patient, and wherein a second output is produced, dependant upon the electrode signal induced between the first and third electrodes, the said second output being indicative of pulmonary activity.

3. A method as claimed in claim 2, and including the step of varying one of the said output signals, in dependence upon the value of the other of the said output signals.

4. A method as claimed in claim 3, including the step of adding to the said one of the said output signals, a correcting signal consisting of a proportion of the other of the said signals.

5. A method as claimed in claim 4, including the step of varying the amplitude of the said correcting signal.

6. A method as claimed in claim 4 including varying the phase of the correcting signal with respect to the said first output signal.

7. A method as claimed in claim 1, wherein the oscillating electrical signal applied to the thorax of the patient is a constant current signal.

8. A method as claimed in claim 1, wherein the second and third electrodes are maintained in a desired position on the chest of the patient by means of a harness.

9. A method as claimed in claim 8, wherein each one of chest the said pair of electrodes is provided in the form of a respective electrode pad, which pad also includes a respective one of the said second and third electrodes.

10. Apparatus for measuring cardiac and/or pulmonary activity, which apparatus comprises

means for generating an oscillating electrical signal,

means for applying the oscillating electrical signal to the thorax of a patient,

an oesophageal probe including a first electrode,

a second electrode adapted to be positioned on the left side of the chest of the patient over the heart, whereby measurement of voltage between the said first and second electrodes provides a measure of cardiac volumes,

a third electrode adapted to be positioned on the chest of the patient at a position on the right side of the chest generally corresponding with that of the second electrode of the left side of the chest, whereby measurement of voltage between the said first and third electrodes provides a measure of volume of the right lung of the patient,

means for measuring the voltage induced between the first and second, and the first and third electrodes respectively, and for thereby providing first and second output signals respectively, indicative of cardiac and pulmonary activity respectively.

11. Apparatus as claimed in claim 10, including means for varying one of the said output signals, in dependence upon the value of the other of the said output signals.

12. Apparatus as claimed in claim 11, wherein the means for varying the said one of the output signals includes means for adding to the said one of the said output signals, a correcting signal consisting of a proportion of the other of the said signals.

13. Apparatus as claimed in claim 12, including means for varying the amplitude of the said correcting signal.

14. Apparatus as claimed in claim 12, including means for varying the phase of the correcting signal with respect to the said first output signal.

15. Apparatus as claimed in claim 11, wherein the oscillating electrical signal applied to the thorax of the patient is a constant current signal.

16. Apparatus as claimed in claim 11, including a harness for maintaining the said second and third electrodes in a desired position on the chest of the patient.

17. Apparatus as claimed in claim 11, wherein the means for applying the oscillating electrical signal to the thorax of the patient includes a pair of electrodes adapted to be affixed to the chest of the patient.