Voltage sensing system with input impedance balancing for electrocardiogram (ECG) sensing applications

• US 6,925,325 B2
• Filed: 10/10/2003
• Issued: 08/02/2005
• Est. Priority Date: 02/03/1999
• Status: Expired due to Term

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Yonce, David J.
• Primary Examiner(s): Evanisko, George R.
• Application Number:
  US10/683,323
• Publication Number:
  US 20040077961A1
• Time in Patent Office: 662 Days
• Field of Search: 600/509, 128/901, 128/902, 128/905, 128/908
• US Class Current: 600/509
• CPC Class Codes: A61B 5/30 Input circuits therefor
• CPC Class Codes: A61B 5/305 Common mode rejection
• CPC Class Codes: A61B 5/308 for electrocardiography [ECG]
• CPC Class Codes: H03F 2200/261 Amplifier which being suitable for instrumentation applications
• CPC Class Codes: H03F 3/45475 using IC blocks as the active amplifying circuit
• CPC Class Codes: H03F 3/45932 by using feedback means H03F3/45968 takes precedence
• CPC Class Codes: Y10S 128/901 Suppression of noise in electric signal
• CPC Class Codes: Y10S 128/902 Biological signal amplifier

Abstract

A voltage sensing system includes input impedance balancing for electrocardiogram (ECG) sensing or other applications, providing immunity to common-mode noise signals while capable of use with two electrodes. Signals are received at first and second electrodes having associated impedances. An impedance circuit includes a feedback controller that adjusts an effective impedance associated with the second electrode based on a difference signal, a common mode signal, a phase-shifted (e.g., quadrature common mode) signal, and an impedance associated with the first electrode. As a result, signals associated with each electrode undergo a similar degree of gain/attenuation and/or phase-shift. This reduces common mode noise and enhances the signal-to-noise characteristics of a desired ECG or other output signal, without requiring the use of more than two electrodes.

Claims

1. An apparatus for sensing signals relative to a voltage at a ground node, the apparatus comprising:

first, second, third, fourth, control, and ground nodes;

a first series impedance providing a first gain between the first and third nodes;

a first shunt impedance between the third and ground nodes;

a second series impedance providing a second gain between the second and fourth nodes;

a second shunt impedance between the fourth and control nodes;

a differential amplifier having inputs coupled to the third and fourth nodes and an output representative of a differential signal;

a common mode amplifier having inputs coupled to the third and fourth nodes and an output representative of a common mode signal; and

a control circuit, coupled to the differential amplifier output to receive the differential signal and coupled to the common mode amplifier to receive the common mode signal, the control circuit also coupled to the control node for providing a control signal such that a first gain between the first and third nodes approximately matches a second gain between the second and fourth nodes.

2. The apparatus of claim 1, in which the common mode amplifier includes an averager.

3. The apparatus of claim 2, further comprising:

a first electrode coupled to the first node;

a second electrode coupled to the second node; and

wherein the differential amplifier is adapted to amplify an electrocardiographic (ECG) signal.

4. The apparatus of claim 2, wherein the control circuit comprises an impedance circuit having a first input coupled to the output of the differential amplifier, a second input coupled to the output of the averager, and an output representative of the control signal.

5. The apparatus of claim 4, wherein the impedance circuit comprises;

a first bandpass filter, coupled to the output of the differential amplifier, to filter the differential signal;

a second bandpass filter, coupled to the output of the averager, to filter the common mode signal;

a phase-shifter, coupled to the second bandpass filter, to phase-shift the filtered common mode signal;

a feedback controller coupled to the first bandpass filter, the second bandpass filter, and the phase-shifter, to derive a resistive matching signal and a capacitive matching signal from the filtered differential signal, the filtered common mode signal, and the phase-shifted filtered common-mode signal; and

an impedance control subcircuit, coupled to the feedback controller, to derive the control signal from the resistive matching signal and the capacitive matching signal.

6. The apparatus of claim 5, wherein the control signal is a voltage signal.

7. An apparatus for sensing signals relative to a voltage at a ground node, the apparatus comprising:

first, second, third, fourth, control, and ground nodes;

a first series impedance providing a first phase between the first and third nodes;

a first shunt impedance between the third and ground nodes;

a second series impedance providing a second phase between the second and fourth nodes;

a second shunt impedance between the fourth and control nodes;

a differential amplifier having inputs coupled to the third and fourth nodes and an output representative of a differential signal;

a common mode amplifier having inputs coupled to the third and fourth nodes and an output representative of a common mode signal; and

a control circuit, coupled to the differential amplifier output to receive the differential signal and coupled to the common mode amplifier to receive the common mode signal, the control circuit also coupled to the control node for providing a control signal such that a first phase between the first and third nodes approximately matches a second phase between the second and fourth nodes.

8. The apparatus of claim 7, in which the common mode amplifier includes an averager.

9. The apparatus of claim 8, further comprising:

a first electrode coupled to the first node;

a second electrode coupled to the second node; and

wherein the differential amplifier is adapted to amplify an electrocardiographic (ECG) signal.

10. The apparatus of claim 8, wherein the control circuit comprises an impedance circuit having a first input coupled to the output of the differential amplifier, a second input coupled to the output of the averager, and an output representative of the control signal.

11. The apparatus of claim 10, wherein the impedance circuit comprises;

a first bandpass filter, coupled to the output of the differential amplifier, to filter the differential signal;

a second bandpass filter, coupled to the output of the averager, to filter the common mode signal;

a phase-shifter, coupled to the second bandpass filter, to phase-shift the filtered common mode signal;

a feedback controller coupled to the first bandpass filter, the second bandpass filter, and the phase-shifter, to derive a resistive matching signal and a capacitive matching signal from the filtered differential signal, the filtered common mode signal, and the phase-shifted filtered common-mode signal; and

an impedance control subcircuit, coupled to the feedback controller, to derive the control signal from the resistive matching signal and the capacitive matching signal.

12. The apparatus of claim 11, wherein the control signal is a voltage signal.

13. An apparatus for sensing signals relative to a voltage at a ground node, the apparatus comprising:

first, second, third, fourth, control, and ground nodes;

a first series impedance providing a first gain between the first and third nodes;

a first shunt impedance between the third and ground nodes;

a second series impedance providing a second gain between the second and fourth nodes;

a second shunt impedance between the fourth and control nodes;

a differential amplifier having inputs coupled to the third and fourth nodes and an output representative of a differential signal;

a common mode amplifier having inputs coupled to the third and fourth nodes and an output representative of a common mode signal; and

a means, coupled to the differential amplifier output to receive the differential signal and coupled to the common mode amplifier to receive the common mode signal, the means also coupled to the control node, for providing a control signal such that a first gain between the first and third nodes approximately matches a second gain between the second and fourth nodes.

14. The apparatus of claim 13, in which the common mode amplifier includes an averager.

15. The apparatus of claim 14, further comprising:

a first electrode coupled to the first node;

a second electrode coupled to the second node; and

wherein the differential amplifier is adapted to amplify an electrocardiographic (ECG) signal.

16. The apparatus of claim 14, wherein the control circuit comprises an impedance circuit having a first input coupled to the output of the differential amplifier, a second input coupled to the output of the averager, and an output representative of the control signal.

17. The apparatus of claim 16, wherein the impedance circuit comprises;

a first bandpass filter, coupled to the output of the differential amplifier, to filter the differential signal;

a second bandpass filter, coupled to the output of the averager, to filter the common mode signal;

a phase-shifter, coupled to the second bandpass filter, to phase-shift the filtered common mode signal;

a feedback controller coupled to the first bandpass filter, the second bandpass filter, and the phase-shifter, to derive a resistive matching signal and a capacitive matching signal from the filtered differential signal, the filtered common mode signal, and the phase-shifted filtered common-mode signal; and

an impedance control subcircuit, coupled to the feedback controller, to derive the control signal from the resistive matching signal and the capacitive matching signal.

18. The apparatus of claim 17, wherein the control signal is a voltage signal.

19. An apparatus for sensing signals relative to a voltage at a ground node, the apparatus comprising:

first, second, third, fourth, control, and ground nodes;

a first series impedance providing a first phase between the first and third nodes;

a first shunt impedance between the third and ground nodes;

a second series impedance providing a second phase between the second and fourth nodes;

a second shunt impedance between the fourth and control nodes;

a differential amplifier having inputs coupled to the third and fourth nodes and an output representative of a differential signal;

a common mode amplifier having inputs coupled to the third and fourth nodes and an output representative of a common mode signal; and

a means, coupled to the differential amplifier output to receive the differential signal and coupled to the common mode amplifier to receive the common mode signal, the means also coupled to the control node, for providing a control signal such that a first phase between the first and third nodes approximately matches a second phase between the second and fourth nodes.

20. The apparatus of claim 19 in which the common mode amplifier includes an averager.

21. The apparatus of claim 20, further comprising:

a first electrode coupled to the first node;

a second electrode coupled to the second node; and

wherein the differential amplifier is adapted to amplify an electrocardiographic (ECG) signal.

22. The apparatus of claim 20, wherein the control circuit comprises an impedance circuit having a first input coupled to the output of the differential amplifier, a second input coupled to the output of the averager, and an output representative of the control signal.

23. The apparatus of claim 22, wherein the impedance circuit comprises;

a first bandpass filter, coupled to the output of the differential amplifier, to filter the differential signal;

a second bandpass filter, coupled to the output of the averager, to filter the common mode signal;

a phase-shifter, coupled to the second bandpass filter, to phase-shift the filtered common mode signal;

a feedback controller coupled to the first bandpass filter, the second bandpass filter, and the phase-shifter, to derive a resistive matching signal and a capacitive matching signal from the filtered differential signal, the filtered common mode signal, and the phase-shifted filtered common-mode signal; and

an impedance control subcircuit, coupled to the feedback controller, to derive the control signal from the resistive matching signal and the capacitive matching signal.

24. The apparatus of claim 23, wherein the control signal is a voltage signal.

25. An apparatus for sensing signals relative to a voltage at a ground node, the apparatus comprising:

first, second, third, fourth, control, and ground nodes;

a first series impedance providing a first gain and a first phase between the first and third nodes;

a first shunt impedance between the third and ground nodes;

a second series impedance providing a second gain and a second phase between the second and fourth nodes;

a second shunt impedance between the fourth and control nodes;

a differential amplifier having inputs coupled to the third and fourth nodes and an output representative of a differential signal;

a common mode amplifier having inputs coupled to the third and fourth nodes and an output representative of a common mode signal; and

a control circuit coupled to the differential amplifier for receiving the differential signal and coupled to the common mode amplifier for receiving the common mode signal, the control circuit also coupled to the control node for providing a control signal such that a first gain and phase between the first and third nodes approximately matches a second gain and phase between the second and fourth nodes.

26. The apparatus of claim 25, in which the common mode amplifier includes an averager.

27. The apparatus of claim 26, further comprising:

a first electrode coupled to the first node;

a second electrode coupled to the second node; and

wherein the differential amplifier is adapted to amplify an electrocardiographic (ECG) signal.

28. The apparatus of claim 26, wherein the control circuit comprises an impedance circuit having a first input coupled to the output of the differential amplifier, a second input coupled to the output of the averager, and an output representative of the control signal.

29. The apparatus of claim 28, wherein the impedance circuit comprises;

a first bandpass filter, coupled to the output of the differential amplifier, to filter the differential signal;

a second bandpass filter, coupled to the output of the averager, to filter the common mode signal;

a phase-shifter, coupled to the second bandpass filter, to phase-shift the filtered common mode signal;

a feedback controller coupled to the first bandpass filter, the second bandpass filter, and the phase-shifter, to derive a resistive matching signal and a capacitive matching signal from the filtered differential signal, the filtered common mode signal, and the phase-shifted filtered common-mode signal; and

an impedance control subcircuit, coupled to the feedback controller, to derive the control signal from the resistive matching signal and the capacitive matching signal.

30. The apparatus of claim 29, wherein the control signal is a voltage signal.