Device and method for real-time monitoring of an electrocardiogram during magnetic resonance imaging

• US 6,073,039 A
• Filed: 11/07/1997
• Issued: 06/06/2000
• Est. Priority Date: 11/07/1997
• Status: Expired due to Term

• Current Assignee: The United States of America, as represented by the Secretary, Department of Health and Human Services
• Original Assignee: United States Department Of Health And Human Services (Government of the United States of America)
• Inventors: Berson, Alan S.
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): GIBSON, ROY DEAN
• Application Number:
  US08/965,869
• Time in Patent Office: 942 Days
• Field of Search: 600/372, 600/382, 600/383, 600/384, 600/386, 600/391, 600/393, 600/394, 600/509, 600/544, 600/546, 600/554
• US Class Current: 600/372
• CPC Class Codes: A61B 5/282 Holders for multiple electrodes for introduction into the body A61B5/287

Abstract

An electrode assembly for monitoring bioelectric signals includes a first electrode member and a second electrode member disposed around the first electrode member. When the electrode assembly is placed on a body of a person, a bioelectric signal is monitored by measuring the electrical potential between the first and second electrode members with the measurement device. The first and second electrode members may be single electrodes or two or more electrodes connected by conductors. Alternatively, the first and second electrodes can be formed from an array of electrodes by connecting the electrodes in a desired configuration either electrically or by use of a software algorithm.

Claims

1. An electrode assembly for monitoring bioelectric signals, the electrode assembly comprising:

a first electrode member;

a second electrode member that comprises two or more electrodes connected together by conductors, disposed around the first electrode member; and

a first lead electrically connected to the first electrode member and a second lead electrically connected to the second electrode member, the first and second leads being adapted for coupling to a measurement device;

whereby, when the electrode assembly is placed on a body of a person, a bioelectric signal is monitored by measuring the electrical potential between the first and second electrode members with the measurement device.

2. The electrode assembly of claim 1, wherein the first electrode member defines a simple closed curve.

3. The electrode assembly of claim 1, wherein the first electrode member comprises two or more electrodes connected together by conductors.

4. The electrode assembly of claim 1, wherein the first electrode member comprises three or more electrodes formed around the perimeter of a ring.

5. The electrode assembly of claim 4, wherein the three or more electrodes are spaced at regular intervals around the ring.

6. The electrode assembly of claim 1, wherein the first electrode member comprises three or more electrodes formed around the perimeter of a rectangle.

7. The electrode assembly of claim 1, wherein the first electrode member comprises a single electrode formed as a ring-like structure.

8. The electrode assembly of claim 1, wherein the first electrode member comprises one or more silver/silver chloride electrodes.

9. The electrode assembly of claim 1, wherein, when the electrode assembly is positioned on a patient, the electrode assembly is capable of monitoring electrical signals from the heart.

10. A device for monitoring bioelectric signals, comprising:

a plurality of electrodes arranged in an array;

a plurality of conductors connecting individual electrodes;

two or more leads, each lead being coupled to either an electrode or a conductor, the leads being adapted for coupling to a measurement device; and

a mechanism operatively connected to each of the electrodes to define two or more electrode members, each electrode member comprising two or more electrodes, one of the electrode members being disposed around the other electrode member, each of the electrode members being electrically coupled to at least one of the leads;

whereby, when the electrode array is placed on a body of a person, a bioelectric signal is monitored by measuring the electrical potential between the leads coupled to the two electrode members.

11. The device of claim 10, wherein the mechanism is a switching mechanism which is configured and arranged to open or close electrical connections between the electrodes via the conductors.

12. The device of claim 10, wherein the mechanism is a software mechanism which defines the two or more electrode members by combining electrical measurements of two or more electrodes.

13. The device of claim 10, wherein the device further comprises a processor for operating the mechanism to sequentially form a series of pairs of the electrode members so that acceptable pairs of the electrode members can be determined for monitoring the bioelectric signals.

14. A method for monitoring bioelectric signals, the method comprising:

positioning an electrode assembly on a body of a person, the electrode assembly comprising a first electrode member and a second electrode member, the second electrode member comprising two or more electrodes connected together by conductors, the second electrode member being disposed around the first electrode member; and

measuring the potential between the first and second electrode members to monitor the bioelectric signal.

15. The method of claim 14, wherein the first electrode member comprises three or more electrodes connected by conductors.

16. The method of claim 14, wherein the second electrode member comprises three or more electrodes connected by conductors.

17. The method of claim 14, wherein the first electrode member comprises a single electrode formed in a ring.

18. The method of claim 14, wherein the method further comprises moving the electrode assembly one or more times to different positions on the patient and monitoring the bioelectric signal to determine which positions provide a predetermined signal quality.

19. The method of claim 14, wherein the method further comprises directing operation of an imaging apparatus in response to the monitored bioelectric signal.

20. A method for monitoring bioelectric signals, comprising:

positioning an array of electrodes on a body of a patient, the array of electrodes comprising a plurality of electrodes forming the array;

a plurality of conductors connecting individual electrodes;

two or more leads, each lead being connected to either one of the electrode or one of the conductors, the leads being adapted for coupling to a measurement device; and

a mechanism operatively connecting the electrodes for defining pairs of electrode members;

sequentially forming a series of pairs of electrode members using a switching mechanism, each electrode member comprising two or more electrodes, one of the electrode members being disposed around the other electrode member, and each of the electrode members being electrically coupled to one of the leads;

determining, for each pair of electrode members in the series, a quality characteristic of the bioelectric signal;

choosing one of the pairs based on the quality characteristic; and

monitoring the bioelectric signal with the array configured as the chosen one of the pairs of electrode members, the bioelectric signal being measured as the potential between the leads attached to the electrode members.

21. The method of claim 20, wherein sequentially forming a series of pairs of electrode members comprises engaging a switching mechanism to close connections between electrodes forming the electrode members and to open connections between electrodes which do not form the electrode members.

22. The method of claim 21, wherein engaging the switching mechanism comprises operating the switching mechanism using signals from a processor coupled to the switching mechanism.

23. The method of claim 20, wherein the quality characteristic comprises at least one complete cycle of the bioelectric signal.

24. The method of claim 20, wherein the quality characteristic comprises a signal-to-noise ratio obtained from the electrode members.

25. The method of claim 20, wherein sequentially forming a series of pairs of electrode members comprises operating a software mechanism to form the electrode members by combining electrical measurements from two or more electrodes.

26. A method of monitoring a bioelectric signal, the method comprising:

positioning a first electrode array and a second electrode array on a patient, each of the first and second electrode arrays comprising a first electrode member and a second electrode member, the first electrode member comprising two or more electrodes connected together by conductors, the second electrode member being disposed around the first electrode member; and

measuring the potential between the first and second electrode members of each of the first and second electrode arrays to monitor the bioelectric signal.

27. The method of claim 26, wherein positioning the first and second electrode arrays on a patient comprises positioning the first and second electrode arrays so that a first vector between the heart of the patient and the first electrode array is approximately orthogonal to a second vector between the heart of the patient and the second electrode array.

28. An electrode assembly for monitoring bioelectric signals, the electrode assembly comprising:

a first electrode member comprising two or more electrodes connected together by conductors;

a second electrode member disposed around the first electrode member; and

a first lead electrically connected to the first electrode member and a second lead electrically connected to the second electrode member, the first and second leads being adapted for coupling to a measurement device;

whereby, when the electrode assembly is placed on a body of a person, a bioelectric signal is monitored by measuring the electrical potential between the first and second electrode members with the measurement device.

29. A method for monitoring bioelectric signals, the method comprising:

positioning an electrode assembly on a body of a person, the electrode assembly comprising a first electrode member and a second electrode member, the first electrode member comprising two or more electrodes connected together by conductors and being disposed around the first electrode member; and

measuring the potential between the first and second electrode members to monitor the bioelectric signal.

30. A method of monitoring a bioelectric signal, the method comprising:

positioning a first electrode array and a second electrode array on a patient, each of the first and second electrode arrays comprising a first electrode member and a second electrode member, the first electrode member comprising two or more electrodes connected together by a conductor and being disposed around the first electrode member; and

measuring the potential between the first and second electrode members of each of the first and second electrode arrays to monitor the bioelectric signal.