ECG muscle artifact filter system

• US 5,259,387 A
• Filed: 09/09/1991
• Issued: 11/09/1993
• Est. Priority Date: 09/09/1991
• Status: Expired due to Term

• Current Assignee: Cardiac Science Operating Company (Cardica Incorporated)
• Original Assignee: Quinton Instrument Co. (Cardica Incorporated)
• Inventors: dePinto, Victor M.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): Getzow, Scott M.
• Application Number:
  US07/756,933
• Time in Patent Office: 792 Days
• Field of Search: 128/696, 128/708, 128/703, 128/704, 128/901
• US Class Current: 600/508
• CPC Class Codes: A61B 5/30 Input circuits therefor
• CPC Class Codes: A61B 5/308 for electrocardiography [ECG]
• CPC Class Codes: H03H 17/0294 Variable filters; Programmable filters
• CPC Class Codes: H03H 17/06 Non-recursive filters

Abstract

A filter system for removing small amplitude, high frequency signals such as muscle artifact signals from an ECG signal is provided. The filter system includes a low pass filter with variable cutoff frequencies, an electronic delay and a system for detecting the R wave in the ECG signal and determining the variable cutoff frequency in response to the detection of the R wave. A digitized input ECG signal is simultaneously presented to the electronic delay and the system for detecting the R wave. During the portion of the ECG signal exclusive of the QRS complex, the filter is operated at a low cutoff frequency to filter the muscle artifact signals for a maximum smoothing effect. At a time slightly prior to the on set of the QRS complex, the cutoff frequency is rapidly incrementally increased to a higher cutoff frequency to pass the QRS complex with a minimum reduction of amplitude of the QRS signal. At the end of the QRS signal, the cutoff frequency of the filter is rapidly incrementally returned to the low cutoff frequency.

Claims

1. A device for filtering unwanted electrical signals from an electrocardiograph (ECG) signal presented to an input comprising:

a) a variable cutoff frequency low pass filter capable of operating at at least two different cutoff frequencies, each specific cutoff frequency enabled in response to a control signal;

b) means, connected to the input and said low pass filter, for delaying an ECG signal presented at the input before passing the ECG signal to said low pass filter;

c) means, connected to the input, for determining the presence of a QRS complex in the ECG signal and for creating a control signal in response thereto, said control signal having a plurality of states, each of said states corresponding to a specific cutoff frequency of said low pass filter, said control signal passed to said low pass filter;

whereby during the part of the ECG signal presented to the input not having a QRS complex, said means for determining the presence of a QRS complex and creating a control signal creates a control signal in a first state, said control signal in said first state directing said low pass filter to operate at said relatively low cutoff frequency and when a QRS complex is detected in the ECG signal by said means for determining the presence of a QRS complex, said means for determining the presence of a QRS complex and creating a control signal creases a control signal in a second state, said control signal in said second state directing said low pass filter to operate at said relatively higher cutoff frequency so that the QRS complex of the ECG signal delayed by said means for delaying is presented to said low pass filter just after said low pass filter begins operating at said relatively higher cutoff frequency, thereby passing the QRS complex through said low pass filter with relatively little attenuation.

2. The device of claim 1 wherein said means for determining the presence of a QRS complex includes a means for determining the instantaneous slope of the ECG signal.

3. The device of claim 1 wherein said means for delaying an ECG signal includes an electronic memory for storing the ECG signal presented to the input for later recall.

4. The device of claim 1 wherein said control signal created by said means for determining the presence of a QRS complex is maintained, in response to a determination that a QRS complex is present, for a time approximately equal to the time duration of a QRS complex in an ECG signal.

5. The device of claim 1 wherein said means for determining the presence of a QRS complex comprises:

a) means for determining the slope of the ECG signal; and

,

b) means for generating said control signal in response to the slope found by said means for determining the slope.

6. The device of claim 5 wherein said means for determining the slope of the ECG signal includes means for determining the slope of the ECG signal over several samples.

7. The device of claim 5 wherein said means for determining the slope of the ECG signal includes means for determining the absolute value of the slope of the ECG signal.

8. The device of claim 5 wherein a plurality of ECG signals are presented to the input from a plurality of ECG leads and wherein said means for determining the slope of the ECG signal includes means for determining the maximum slope of the ECG signal determined from said plurality of ECG leads.

9. The device of claim 5 wherein said slope determination system includes:

a) a plurality of ECG signals presented to the input from a plurality of ECG leads;

b) means for determining the slope of the ECG signal over several samples for each ECG signal presented to the input;

c) means for determining the absolute value of the slope determined over several samples for each ECG signal presented to the input; and

,

d) means for determining the maximum value of the absolute value of the slope determined over several samples for each ECG signal presented to the input.

10. The device of claim 5 wherein said means for generating said control signal includes:

a) means for creating a dilation slope signal representative of the maximum value of the slope found by said means for determining the slope over a time interval approximately equal to the time length of a QRS complex on an ECG signal;

b) means for creating a reference slope signal representing the maximum value of the slope found over a relatively long time interval by said means for determining the slope; and

,

c) means for determining a ratio of said dilation slope signal and said reference slope signal whereby a control signal is generated in response to the ratio determined by said means for determining a ratio.

11. The device as in claim 10 wherein said means for creating a reference slope signal includes:

a) means for generating a threshold slope signal representative of the maximum slope determined by said means for determining the slope of the ECG signal over an intermediate time period;

b) means for comparing the instantaneous slope of the ECG signal determined by said means for determining the slope to said threshold slope signal;

c) means for decaying the value of said threshold slope if the instantaneous value of the slope found by said means for determining the slope does not become greater than the instantaneous slope within a preset time interval;

d) means for generating a reference slope signal representing the maximum slope determined by said means for determining the slope of the ECG signal over a relatively long time period; and

e) means for replacing the current value of said reference slope signal with the instantaneous slope value of the ECG signal determined by said means for determining the slope when the instantaneous slope value has a greater value than said threshold slope signal.

12. The device of claim 1 wherein said variable frequency low pass filter operates at at least three different cutoff frequencies, said filter operating at the lowest cutoff frequency during the time the ECG signal exclusive of the QRS complex is passing through said filter, said filter operating at its highest cutoff frequency during the time the ECG signal containing the QRS complex is passing through said filter, and said filter operating at cutoff frequencies between the lowest and highest cutoff frequencies for relatively short time periods so that the ECG signal output from said filter will appear relatively undistorted by the transition in cutoff frequencies from the lowest to the highest cutoff frequencies and from the highest to the lowest cutoff frequencies in response to a detection of a QRS complex by said means for determining the presence of a QRS complex.

13. A device for filtering unwanted electrical signals from an electrocardiograph (ECG) signal presented to an input comprising:

a) a variable cutoff frequency low pass filter capable of operating at at least two different cutoff frequencies, each specific cutoff frequency enabled in response to a control signal;

b) means, connected to the input and said low pass filter, for delaying an ECG signal presented at the input before passing the ECG signal to said low pass filter;

c) means, connected to the input, for determining the presence of a QRS complex in the ECG signal and for creating a control signal in response thereto, said control signal having a plurality of states, each of said states corresponding to a specific cutoff frequency of said low pass filter, said control signal passed to said low pass filter, comprising;

i) means for determining the slope of the ECG signal further comprising;

1) a plurality of ECG signals presented to the input from a plurality of ECG leads;

2) means for determining the slope of the ECG signal over several samples for each ECG signal presented to the input;

3) means for determining the absolute value of the slope determined over several samples for each ECG signal presented to the input;

4) means for determining the maximum value of the absolute value of the slope determined over several samples for each ECG signal presented to the input;

ii) means for generating said control signal in response to the slope found by said means for determining the slope further comprising;

1) means for creating a dilation slope signal representative of the maximum value of the slope found by said means for determining the slope over a time interval approximately equal to the time length of a QRS complex on an ECG signal;

2) means for creating a reference slope signal representing the maximum value of the slope found over a relatively long time interval by said means for determining the slope; and

,

3) means for determining a ratio of said dilation slope signal and said reference slope signal whereby a control signal is generated in response to the ratio determined by said means for determining a ratio;

whereby during the part of the ECG signal presented to the input not having a QRS complex, said means for determining the presence of a QRS complex and creating a control signal creates a control signal in a first state, said control signal in said first state directing said low pass filter to operate at said relatively low cutoff frequency and when a QRS complex is detected in the ECG signal by said means for determining the presence of a QRS complex, said means for determining the presence of a QRS complex and creating a control signal creates a control signal in a second state, said control signal in said second state directing said low pass filter to operate at said relatively higher cutoff frequency so that the QRS complex of the ECG signal delayed by said means for delaying is presented to said low pass filter just after said low pass filter begins operating at said relatively higher cutoff frequency, thereby passing the QRS complex through said low pass filter with relatively little attenuation.

14. A device for filtering unwanted electrical signals from an electrocardiograph (ECG) signal presented to an input comprising:

a) a variable cutoff frequency low pass filter capable of operating at at least two different cutoff frequencies, each specific cutoff frequency enabled in response to a control signal;

b) means, connected to the input and said low pass filter, for delaying an ECG signal presented at the input before passing the ECG signal to said low pass filter comprising an electronic memory for storing the ECG signal presented to the input for later recall;

c) means, connected to the input, for determining the presence of a QRS complex in the ECG signal and for creating a control signal in response thereto, said control signal having a plurality of states, each of said states corresponding to a specific cutoff frequency of said low pass filter, said control signal passed to said low pass filter, comprising;

i) means for determining the slope of the ECG signal further comprising;

1) a plurality of ECG signals presented to the input from a plurality of ECG leads;

2) means for determining the slope of the ECG signal over several samples;

3) means for determining the absolute value of the slope determined over several samples;

4) means for determining the maximum value of the absolute value of the slope determined over several samples for each ECG signal presented to the input;

ii) means for generating said control signal in response to the slope found by said means for determining the slope further comprising;

1) means for creating a dilation slope signal representative of the maximum value of the slope found by said means for determining the slope over a time interval approximately equal to the time length of a QRS complex on an ECG signal;

2) means for creating a reference slope signal representing the maximum value of the slope found over a relatively long time interval by said means for determining the slope comprising;

i) means for generating a threshold slope signal representative of the maximum slope determined by said means for determining the slope of the ECG signal over an intermediate time period;

ii) means for comparing the instantaneous slope of the ECG signal determined by said means for determining the slope to said threshold slope signal;

iii) means for decaying the value of said threshold slope if the instantaneous value of the slope found by said means for determining the slope does not become greater than the instantaneous slope within a preset time interval;

iv) means for generating a reference slope signal representing the maximum slope determined by said means for determining the slope of the ECG signal over a relatively long time period; and

v) means for replacing the current value of said reference slope signal with the instantaneous slope value of the ECG signal determined by said means for determining the slope when the instantaneous slope value has a greater value than said threshold slope signal; and

3) means for determining a ratio of said dilation slope signal and said reference slope signal whereby a control signal is generated in response to the ratio determined by said means for determining a ratio;

whereby during the part of the ECG signal presented to the input not having a QRS complex, said means for determining the presence of a QRS complex and creating a control signal creates a control signal in a first state, said control signal in said first state directing said low pass filter to operate at said relatively low cutoff frequency and when a QRS complex is detected in the ECG signal by said means for determining the presence of a QRS complex, said means for determining the presence of a QRS complex and creating a control signal creates a control signal in a second state, said control signal in said second state directing said low pass filter to operate at said relatively higher cutoff frequency so that the QRS complex of the ECG signal delayed by said means for delaying is presented to said low pass filter just after said low pass filter begins operating at said relatively higher cutoff frequency, thereby passing the QRS complex through said low pass filter with relatively little attenuation.

15. In a device means for sensing the electrical signals of a beating heart to produce an initial ECG signal, means for processing the initial ECG signal to produce a processed ECG signal and means for providing useful information about the processed ECG signal, a system for removing unwanted electrical signals from the initial ECG signal comprising:

a) means for receiving the initial ECG signal;

b) a variable cutoff frequency low pass filter capable of operating at at least two different cutoff frequencies, each specific cutoff frequency enabled in response to a control signal;

c) means, connected to said means for receiving and said low pass filter, for delaying an ECG signal presented at said means for receiving before passing the ECG signal to said low pass filter;

d) means, connected to said means for receiving, for determining the presence of a QRS complex in the ECG signal and for creating a control signal in response thereto, said control signal having a plurality of states, each of said states corresponding to a specific cutoff frequency of said low pass filter, said control signal passed to said low pass filter;

whereby during the part of the ECG signal presented to the input not having a QRS complex, said means for determining the presence of a QRS complex and creating a control signal creates a control signal in a first state, said control signal in said first state directing said low pass filter to operate at said relatively low cutoff frequency and when a QRS complex is detected in the ECG signal by said means for determining the presence of a QRS complex, said means for determining the presence of a QRS complex and creating a control signal creates a control signal in a second state, said control signal in said second state directing said low pass filter to operate at said relatively higher cutoff frequency so that the QRS complex of the ECG signal delayed by said means for delaying is presented to said low pass filter just after said low pass filter begins operating at said relatively higher cutoff frequency, thereby passing the QRS complex through said low pass filter with relatively little attenuation.

16. A device for filtering unwanted electrical signals from an electrocardiograph (ECG) signal and for communicating the filtered ECG signal to a device to record or display the filtered ECG signal comprising:

a) means for sensing the electrical signals of a beating heart to produce an initial ECG signal;

b) means, connected to said means for sensing, for processing said initial ECG signal including;

i) a means for processing input connected to said means for sensing;

ii) a variable cutoff frequency low pass filter having a filter input and a filter output, said filter capable of operating at at least two different cutoff frequencies, each specific cutoff frequency enabled in response to a control signal;

iii) means, connected between said means for processing input and said filter input, for delaying an ECG signal presented at said means for processing input before passing the ECG signal to said filter input;

iv) means, connected to said means for processing input, for determining the presence of a QRS complex in the ECG signal and for creating a control signal in response thereto, said control signal having a plurality of states, each of said states corresponding to a specific cutoff frequency of said low pass filter, said control signal passed to said low pass filter;

v) a means for processing output connected to said filter output;

whereby during the part of the ECG signal presented to the input not having a QRS complex, said means for determining the presence of a QRS complex and creating a control signal creates a control signal in a first state, said control signal in said first state directing said low pass filter to operate at said relatively low cutoff frequency and when a QRS complex is detected in the ECG signal by said means for determining the presence of a QRS complex, said means for determining the presence of a QRS complex and creating a control signal creates a control signal in a second state, said control signal in said second state directing said low pass filter to operate at said relatively higher cutoff frequency so that the QRS complex of the ECG signal delayed by said means for delaying is presented to said low pass filter just after said low pass filter begins operating at said relatively higher cutoff frequency, thereby passing the QRS complex through said low pass filter with relatively little attenuation; and

,

c) means, connected to said means for processing output, for communicating said filtered ECG signal to a device to record or display the filtered ECG signal.

17. A method for filtering unwanted electrical signals from an electrocardiograph (ECG) signal presented to an input comprising:

a) delaying an ECG signal presented at the input;

b) determining the presence of a QRS complex in the ECG signal presented at the input;

c) creating a control signal in response to a determination of the presence of a QRS complex;

d) operating a variable cutoff frequency low pass filter capable of operating at at least two different cutoff frequencies, the specific cutoff frequency enabled in response to said control signal, at a relatively low cutoff frequency during the part of the ECG signal presented to the input not having a QRS complex, while operating said variable cutoff frequency low pass filter at a relatively higher cutoff frequency when a QRS complex is detected in the ECG signal;

e) passing said delayed ECG signal through said variable cutoff frequency low pass filter;

whereby during the part of the ECG signal presented to the input not having a QRS complex, said low pass filter operates at a relatively low cutoff frequency and when a QRS complex is detected in the ECG signal, said control signal directs said low pass filter to operate at a relatively higher cutoff frequency so that the QRS complex of said delayed ECG signal is presented to said low pass filter just after said low pass filter begins operating in its relatively higher cutoff frequency mode, thereby passing the QRS complex through said low pass filter with relatively little attenuation.