ECG recorder and playback unit

• US 5,406,955 A
• Filed: 03/12/1993
• Issued: 04/18/1995
• Est. Priority Date: 03/12/1993
• Status: Expired due to Fees

• Current Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Original Assignee: HP Inc.
• Inventors: Smith, David E., Dunn, Brian C., Setterberg, Brian D., Feldhousen, Edward L., Ochs, Dennis E., Hilton, Howard E., Burton, David L., Bledsoe, J. Daren
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US08/031,437
• Time in Patent Office: 767 Days
• Field of Search: 128/696, 128/710, 128/711
• US Class Current: 600/524
• CPC Class Codes: A61B 5/333 Recording apparatus specially adapted therefor
• CPC Class Codes: A61B 5/336 Magnetic recording apparatus
• CPC Class Codes: A61B 5/349 Detecting specific parameters of the electrocardiograph cycle
• CPC Class Codes: A61B 5/7203 for noise prevention, reduction or removal
• CPC Class Codes: A61B 5/7225 Details of analog processing, e.g. isolation amplifier, gain or sensitivity adjustment, filtering, baseline or drift compensation A61B5/30, A61B5/316 take precedence; transformers for specific applications H01F38/00; amplifiers H03F
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives
• CPC Class Codes: A61B 5/7257 using Fourier transforms

Abstract

An ECG recorder and playback unit which includes software-implemented digital signal processing filters which compensate for phase and magnitude distortion occurring when an ECG signal is recorded on a Holter recorder and played back. This permits "tuning" a recorder and playback unit which may be unrelated, as when made by different manufacturers. An impulse or step signal is recorded and played back to provide a system frequency response measurement. Coefficients for a digital correction filter are derived from the discrete Fourier transform of the impulse or step response and a desired system response. When recorded ECG data is played back, it is filtered on a substantially real-time basis with the digital correction filter to compensate for phase and magnitude distortion. Prior to recording, the high frequencies of the ECG signal are boosted to compensate for high frequency losses inherent in the recording and playing back of ECG signals. A calibration pulse and a system characterization pulse are derived by statistically selecting from a plurality of pulses and averaging the selected pulses in order to minimize the effects of noise and tape defects in the pulses. High frequency components of the ECG signal can be amplified prior to recording the signal. This results in decreased amplification, and therefore noise, when the recorded signals are played back. Cardiac pacer pulse detection is performed prior to the step of filtering the played back signal to optimize pulse detection.

Claims

1. A method for obtaining corrected ECG data in a system comprising a recorder and a playback unit, said method comprising the steps of:

dynamically measuring a system frequency response of said system;

deriving a correction filter response from the system frequency response and a predetermined desired response;

recording ECG data with said recorder, thereby creating recorded ECG data;

filtering said recorded ECG data according to the correction filter response, thereby creating said corrected ECG data; and

outputting said corrected ECG data.

2. The method of claim 1, wherein said step of dynamically measuring a system frequency response further comprises the steps of:

generating an input characterization signal;

recording said input characterization signal, thereby creating a recorded characterization signal;

playing back the recorded characterization signal, thereby creating an output characterization signal; and

generating said system frequency response from the input characterization signal and the output characterization signal.

3. The method of claim 2 wherein said method further comprises the step of integrating the output characterization signal to compensate for a differentiation effect produced by said playback unit.

4. The method of claim 3, wherein the step of integrating the output characterization signal further comprises the steps of:

forward filtering the recorded ECG data to provide a first data set in a forward time sequence;

reversing the order of the first data set;

reverse filtering the first data set to provide a second data set in a reverse time sequence; and

reversing the order of the second data set to provide an integrated output data set with a linear phase response.

5. The method of claim 2 wherein said step of generating said input characterization signal further comprises the step of:

interleaving calibration pulses with an impulse signal to obtain the input characterization signal;

said method further comprising the step of;

using said calibration pulses to scale the recorded ECG data to more correctly represent said ECG data.

6. The method of claim 1, wherein said step of dynamically measuring a system frequency response comprises the steps of:

generating a plurality of input characterization signals;

recording and playing back each of said plurality of input characterization signals to generate a corresponding plurality of output characterization signals;

averaging said plurality of output characterization signals to obtain an average output characterization signal; and

generating the system frequency response from one of said input characterization signals and the average output characterization signal.

7. The method of claim 1 wherein said method further comprises the step of integrating the ECG data to compensate for a differentiation effect produced by said playback unit.

8. The method of claim 7, further comprising the step of:

simultaneously performing said step of integrating said ECG data and filtering said recorded ECG data.

9. The method of claim 1, wherein said step of dynamically measuring a system frequency response comprises the steps of:

generating a plurality of input characterization signals;

recording and playing back each of said plurality of input characterization signals to generate a corresponding plurality of output characterization signals;

statistically selecting a subset of said corresponding plurality of output characterization signals;

averaging said subset of said corresponding plurality of output characterization signals to obtain an average output characterization signal; and

generating the system frequency response from one of said input characterization signals and the average output characterization signal.

10. The method of claim 1 further comprising the steps of:

recording new ECG data with said recorder, thereby creating new recorded ECG data;

deriving an updated correction filter response from one of said input characterization signals, the average output characterization signal, and said predetermined desired response; and

filtering the new ECG data with the updated correction filter response.

11. An ECG recorder and playback system for obtaining corrected ECG data, comprising:

means for dynamically measuring a system frequency response of said system;

means for deriving a correction filter response from the system frequency response and a predetermined desired response;

means for recording ECG data with said recorder, thereby creating recorded ECG data;

means for filtering said recorded ECG data according to the correction filter response, thereby creating said corrected ECG data; and

means for outputting said corrected ECG data.

12. The system of claim 11, wherein the system further comprises means for selectively boosting the amplitude of the ECG data and the amplitude of the input characterization signal within a predetermined frequency range prior to recording.

13. The system of claim 11, wherein said means for dynamically measuring a system frequency response further comprises:

means for generating an input characterization signal;

means for recording said input characterization signal, thereby creating a recorded characterization signal;

means for playing back the recorded characterization signal, thereby creating an output characterization signal; and

means for generating said system frequency response from the input characterization signal and the output characterization signal.

14. The system of claim 13, wherein the input characterization signal comprises a repetitive impulse signal.

15. The system of claim 13, wherein the input characterization signal comprises calibration pulses, said system further comprising:

means for using said calibration pulses to scale the recorded ECG data to more correctly represent said ECG data.

16. The system of claim 15, wherein the input characterization signal comprises an impulse signal interleaved between said calibration pulses.

17. The system of claim 16 wherein the system transfer function generating means further comprises means for extracting the impulse signal from the input characterization signal.

18. The system of claim 13, wherein said input characterization signal further comprises noise, said means for dynamically measuring a system frequency response of said system further comprising:

means for reducing said noise in said output characterization signal.

19. The system of claim 18 wherein the noise reduction means comprises:

means for using a phase ramp on unaligned pulses in the frequency domain of the output characterization signal to a predetermined reference point, thereby creating a plurality of aligned pulses;

means for accumulating said plurality of aligned pulses;

means for averaging the accumulated aligned pulses to create a composite characterization signal; and

means for generating said system frequency response from said input characterization signal and said composite characterization signal.

20. The system of claim 11, further comprising:

means for integrating the ECG patient and characterization signals to compensate for a differentiation effect produced by said system.

21. The system of claim 20, wherein the means for integrating the output characterization signal further comprises:

a first filter for forward filtering the recorded EGG data to provide a first data set in a forward time sequence;

means for reversing the order of the first data set;

a second filter for reverse filtering the first data set to provide a second data set in a reverse time sequence; and

means for reversing the order of the second data set to provide an integrated output data set with a linear phase response.

22. The system of claim 21, wherein said first filter is a high pass filter.

23. The system of claim 21, wherein said second filter is a low pass filter.

24. The system of claim 21, wherein said second filter is a band pass filter.

25. The system of claim 11, wherein said means for outputting said corrected ECG data is a printer.

26. The system of claim 11, wherein said means for outputting said corrected ECG data is a display.

27. A system for obtaining corrected ECG data, comprising:

an ECG recorder for recording ECG data, thereby creating recorded ECG data;

a playback unit, comprising;

a playback transport having an output for playing back said recorded ECG data;

an amplifier having an input coupled to the output of the playback transport and an output for providing amplified ECG data;

a correction filter having an input coupled to the amplifier output, an output for providing corrected ECG data, said correction filter responsive to a dynamically measured system frequency response of said system and a predetermined desired response of said system; and

a printer for printing said corrected ECG data.

28. The system of claim 27, wherein the correction filter has a transfer function created to be the inverse of a transfer function for the system.

29. The system of claim 27, further comprising means for integrating the recorded ECG data to compensate for a differentiation effect produced by said playback unit.

30. The system of claim 29, wherein the means for integrating the recorded ECG data further comprises:

a first filter for forward filtering the recorded ECG data to provide a first data set in a forward time sequence;

means for reversing the order of the first data set;

a second filter for reverse filtering the first data set to provide a second data set in a reverse time sequence; and

means for reversing the order of the second data set to provide an integrated output data set with a linear phase response.

31. The system of claim 30, wherein said first filter is a high pass filter.

32. The system of claim 30, wherein said second filter is a low pass filter.

33. The system of claim 30, wherein said second filter is a bandpass filter.