Method and apparatus for obtaining an electrocardiograph

• US 6,873,869 B2
• Filed: 05/05/2000
• Issued: 03/29/2005
• Est. Priority Date: 05/07/1999
• Status: Expired due to Fees

• Current Assignee: SCHILLER Medical
• Original Assignee: SCHILLER Medical
• Inventors: Fischer, Roland
• Primary Examiner(s): Sykes, Angela D.
• Assistant Examiner(s): BRADFORD, RODERICK D
• Application Number:
  US09/566,240
• Publication Number:
  US 20030114768A1
• Time in Patent Office: 1,789 Days
• Field of Search: 600/509, 600/508, 600/411, 600/413, 128/901
• US Class Current: 600/509
• CPC Class Codes: A61B 5/28 for electrocardiography [ECG]
• CPC Class Codes: A61B 5/30 Input circuits therefor
• CPC Class Codes: A61B 5/7285 for synchronising or triggering a physiological measurement or image acquisition with a physiological event or waveform, e.g. an ECG signal A61B6/5205, A61B6/541, A61B8/5207, A61B8/543 take precedence
• CPC Class Codes: Y10S 128/901 Suppression of noise in electric signal

Abstract

A method of obtaining an electrocardiograph (ECG) of a patient located in a turbulent electromagnetic environment. The method includes recovering an ECG signal from a patient. The signal, including added noise, is recovered near the cardiac region as the differential signal resulting from signals delivered by two electrodes forming part of a first measurement loop. The signal further consists of simultaneously recovering from the patient a second measurement signal incorporating at least the noise, as a differential signal resulting from the signals delivered by two electrodes forming part of a second measurement loop distinct from the first measurement loop. Then, the second measurement signal is added or subtracted from the first noisy ECG signal, in real time. The second measurement signal is as a function of the polarity of the noise in the second signal relative to the noise in the first noisy ECG signal. The resulting signal is processed, converted, transmitted and displayed in real time representing the ECG essentially devoid of noise.

Claims

1. A method of obtaining an electrocardiograph of a patient under environment conditions in which the patient is also simultaneously undergoing at least one other procedure generating at least one other electromagnetic noise signal, the method comprising the steps of:

subjecting the patient to the at least one other procedure generating the at least one other electromagnetic noise signal;

dividing the patient lengthwise by a median plane;

forming a first measurement circuit (2) consisting of a first pair of electrodes;

forming a second measurement circuit (4) consisting of a second pair of electrodes;

simultaneously obtaining an electrocardiograph signal (S1), including the electromagnetic noise signal, on a side of the median plane including the heart of the patient as a first differential signal measured across the first pair of electrodes;

obtaining, under essentially identical environmental conditions, a second measurement signal (S2), including the electromagnetic noise signal, on an opposite side of the median plane remote from the heart of the patient as a second differential signal measured across the second pair of electrodes and is different from the first measurement circuit;

one of adding and subtracting the second differential signal from the first differential signal, in real time, based on a polarity of the electromagnetic noise signal in the second measurement signal (S2) relative to the electromagnetic noise signal in the electrocardiograph signal (S1) to obtain a resulting signal (SR) substantially devoid of the electromagnetic noise signal; and

processing and displaying, in real time, the resulting signal (SR) representing the electrocardiograph signal (S1).

2. The method of obtaining the electrocardiograph according to claim 1, further comprising the steps of detecting a secondary electrocardiograph signal in addition to or mixed with the second measurement signal including the other electromagnetic noise signal, and arranging the second measurement circuit (4) to obtain the secondary electrocardiograph signal having at least one of an opposite polarity and a lesser amplitude to the electrocardiograph signal (S1) obtained by the first measurement circuit (2).

3. The method of obtaining the electrocardiograph according to claim 1, further comprising the steps of situating the first and second pair of electrodes on the patient along a cornal plane such that a magnetic flux generated across the first pair of electrodes is substantially equal to a magnetic flux generated across the second pair of electrodes.

4. The method of obtaining the electrocardiograph according to claim 1, further comprising the step of forming the first and second measurement circuits (2 and 4) such that one of the first pair of electrodes and second pair of electrodes is an electrode (3′

, 5′

) common to both the first and second measurement circuits (2 and 4).

5. The method of obtaining the electrocardiograph according to claim 3, further comprising the step of arranging the first and second pair of electrodes essentially symmetrically relative to a median plane (PM) of the patient (1).

6. The method of obtaining the electrocardiograph according to claim 4, further comprising the step of arranging the first and second pair of electrodes essentially symmetrically relative to a median plane (PM) of the patient (1).

7. A method of obtaining an electrocardiograph of a patient under environment conditions in which the patient is also simultaneously undergoing a magnetic resonance imager process generating at least one other electromagnetic noise signal, the method comprising the steps of:

subjecting the patient to the magnetic resonance imager generating the at least one other electromagnetic noise signal;

dividing the patient lengthwise by a median plane;

forming a first measurement circuit (2) consisting of a first pair of electrodes;

forming a second measurement circuit (4) consisting of a second pair of electrodes, the first pair of electrodes being placed symmetrically, on the patient in relation to the median plane, with respect to the second pair of electrodes;

simultaneously obtaining an electrocardiograph signal (S1), including the electromagnetic noise signal, on a side of the median plane including the heart of the patient, as a first differential signal measured across the first pair of electrodes;

obtaining, under essentially identical environmental conditions, a second measurement signal (S2), including the electromagnetic noise signal, on an opposite side of the median plane remote from the heart of the patient as a second differential signal measured across the second pair of electrodes and is different from the first measurement circuit;

subtracting the second differential signal from the first differential signal, in real time, based on a polarity of the electromagnetic noise signal in the second measurement signal (S2) relative to the electromagnetic noise signal in the electrocardiograph signal (S1) to obtain a resulting signal (SR) substantially devoid of the electromagnetic noise signal; and

processing and displaying, in real time, the resulting signal (SR) representing the electrocardiograph signal (S1).

8. The method of obtaining the electrocardiograph according to claim 7, further comprising the steps of detecting a secondary electrocardiograph signal in addition to or mixed with the second measurement signal including the other electromagnetic noise signal, and arranging the second measurement circuit (4) to obtain the secondary electrocardiograph signal having at least one of an opposite polarity and a lesser amplitude to the electrocardiograph signal (S1) obtained by the first measurement circuit (2).

9. The method of obtaining the electrocardiograph according to claim 7, further comprising the steps of situating the first and second pair of electrodes on the patient along a cornal plane such that a magnetic flux generated across the first pair of electrodes is substantially equal to a magnetic flux generated across the second pair of electrodes.

10. The method of obtaining the electrocardiograph according to claim 7, further comprising the step of forming the first and second measurement circuits (2 and 4) such that one of the first pair of electrodes and second pair of electrodes is an electrode (3′

, 5′

) common to both the first and second measurement circuits (2 and 4).

11. A method of obtaining an electrocardiograph of a patient, using a maximum of four electrodes, under environment conditions which also the patient is also simultaneously undergoing a magnetic resonance imager process generating at least one other electromagnetic noise signal, the method comprising the steps of:

subjecting the patient to the magnetic resonance imager generating the at least one other electromagnetic noise signal;

dividing the patient lengthwise by a median plane;

forming a first measurement circuit (2) consisting of a first pair of electrodes;

forming a second measurement circuit (4) consisting of a second pair of electrodes, the first measurement circuit (2) being placed symmetrically, on the patient in relation to the median plane, with respect to the second measurement circuit (4);

while subjecting the patient to the at least one other procedure generating the at least one other electromagnetic noise signal, simultaneously obtaining an electrocardiograph signal (S1), including the electromagnetic noise signal, on a side of the median plane including the heart of the patient, as a first differential signal measured across the first pair of electrodes;

obtaining, under essentially identical environmental conditions, a second measurement signal (S2), including substantially only the electromagnetic noise signal, on an opposite side of the median plane remote from the heart of the patient as a second differential signal measured across only the second pair of electrodes and is different from the first measurement circuit;

subtracting the second differential signal from the first differential signal, in real time, based on a polarity of the electromagnetic noise signal in the second measurement signal (S2) relative to the electromagnetic noise signal in the electrocardiograph signal (S1) to obtain a resulting signal (SR) substantially devoid of the electromagnetic noise signal; and

further processing in real time the resulting signal (SR) with one or more of a pass-through filter, a frequency modulation unit and an electro-optic conversion module connected by a fiber optic to an opto-electronic conversion module before displaying the resulting signal (SR).

12. The method of obtaining the electrocardiograph according to claim 11, further comprising the steps of detecting a secondary electrocardiograph signal in addition to or mixed with the second measurement signal including the other electromagnetic noise signal, and arranging the second measurement circuit (4) to obtain the secondary electrocardiograph signal having at least one of an opposite polarity and a lesser amplitude to the electrocardiograph signal (S1) obtained by the first measurement circuit (2).

13. The method of obtaining the electrocardiograph according to claim 11, further comprising the steps of situating the first and second pair of electrodes on the patient along a cornal plane such that a magnetic flux generated across the first pair of electrodes is substantially equal to a magnetic flux generated across the second pair of electrodes.

14. The method of obtaining the electrocardiograph according to claim 11, further comprising the step of forming the first and second measurement circuits (2 and 4) such that one of the first pair of electrodes and second pair of electrodes is an electrode (3′

, 5′

) common to both the first and second measurement circuits (2 and 4).