Device for monitoring measurement electrodes, devised for picking up physiological measurement signals, and their leads

• US 5,792,063 A
• Filed: 04/11/1997
• Issued: 08/11/1998
• Est. Priority Date: 04/12/1996
• Status: Expired due to Fees

• Current Assignee: Siemens AG
• Original Assignee: Siemens-Elema AB (Siemens AG)
• Inventors: Danielsson, Peter, Ohlsson, Thomas
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US08/834,664
• Time in Patent Office: 487 Days
• Field of Search: 600/508, 600/509
• US Class Current: 600/509
• CPC Class Codes: A61B 5/0531 Measuring skin impedance
• CPC Class Codes: A61B 5/0535 Impedance plethysmography for measuring blood flow A61B5/0295
• CPC Class Codes: A61B 5/276 Protection against electrode failure
• CPC Class Codes: A61B 5/321 Accessories or supplementary instruments therefor, e.g. cord hangers

Abstract

In a device for monitoring measurement electrodes, attached to a patient in order to pick up physiological measurement signals, and a neutral electrode and associated leads at the same time as physiological measurement signals are picked up, each measurement electrode is connected to an input terminal on its associated measurement amplifier. A test signal generator is arranged to generate a pure AC signal, without any direct current component, across the neutral electrode attached to a patient during the pickup of measurement signals.

Claims

1. A device for obtaining and measuring physiological measurement signals comprising:

a plurality of measurement electrodes and a neutral electrode adapted for attachment to a patient for picking up physiological measurement signals from said patient, each electrode being connected to an electrode lead, and means for monitoring said electrodes and said leads for faults during pick-up of said measurement signals comprising a plurality of measurement amplifiers respectively connected to said leads and each amplifier having an output, said amplifiers being arranged in two groups, each group containing at least one of said amplifiers, a noise suppression amplifier having a first input connected only to the outputs of a first of said two groups of amplifiers, and test signal generator means for generating a first alternating current signal through an input impedance and an associated electrode impedance of each of the amplifiers in a second of said two groups of measurement amplifiers, and for generating a second alternating current through the input impedance and associated electrode impedance of each of said amplifiers in said first group, and means for measuring voltages generated by said two alternating current signals.

2. The device according to claim 1 wherein said test signal generator comprises means for generating a test signal as a voltage between two poles and wherein said noise suppression amplifier has a second input, in a first phase, connecting said first pole of said test signal generator to said second input of said noise suppression amplifier and, via separate impedances, to input terminals of measurement amplifiers in the first group and connecting said second pole of said test signal generator, via separate impedances, to input terminals of measurement amplifiers in the second group and, in a second phase, connecting said first pole of said test signal generator to said second input of said noise suppression amplifier and, via separate impedances, to input terminals of measurement amplifiers in the second group and connecting said second pole of said test signal generator, via separate impedances, to input terminals of measurement amplifiers in the first group.

3. The device according to claim 1 wherein said test signal generator means comprises a first test signal generator which generates said first alternating current signal at a first frequency and a second test signal generator Which generates said second alternating current signal at a second frequency, each of said first and second test signal generators respectively having first and second poles, and said device further comprising means for connecting said first pole of said first signal generator to a second input of said noise suppression amplifier and, via separate impedances, to inputs of said measurement amplifiers in the first group and for connecting said second pole of said first test signal generator, via individual impedances, to the inputs of the measurement amplifiers in the second group, while connecting said first pole of said second test signal generator to said second input of said noise suppression amplifier and, via individual impedances, to the inputs of measurement amplifiers in the second group and for connecting said second pole of said second test signal generator, via individual impedances, to the inputs of the measurement amplifiers in said first group.

4. The device according to claim 1, further comprising measurement means connected for measuring a potential at an output of the noise suppression amplifier.

5. The device according to claim 1, further comprising measurement means connected to respective outputs of the measurement amplifier, for measuring output signals of said measurement amplifier resulting from the test signals and for detecting from said output signals faults in electrode contact and leads.

6. The device according to claim 1, wherein said first measurement means comprises means for forming a difference between the output signals, resulting from the test signal, from any selected two of the measurement amplifiers.

7. The device according to claim 1, wherein the physiological measurement signals are ECG signals, and further comprising measurement means employing a fast sampling rate for measuring the physiological measurement signals, and for performing downsampling, after derived signal formation, to eliminate the test signal.

8. The device according to claim 1, wherein the test signal is a sinusoidal signal, and further comprising a plurality of narrow band block filters respectively connected to outputs of the measurement amplifiers to remove the test signal from measurement signals.

9. The device according to claim 1, further comprising switching means are connected to an output of the test signal generator for selectively switching the test signal between said neutral electrode and an input of one of the measurement amplifiers.

10. The device according to claim 1, wherein said test signal generator means comprises means for generating a test signal having an amplitude which is negligible compared to respective amplitudes of the measurement signals.

11. The device according to claim 1, wherein said test signal generator means comprises means for generating a test signal having a frequency outside a frequency range for ECG signals.

12. The device according to claim 11 wherein said test signal generator means comprises means for generating a test signal having a frequency below 1 Hz.

13. The device according to claim 11 wherein said test signal generator means comprises means for generating a test signal having a frequency greater than 250 Hz.