Defibrillator with electrocardiogram monitor

• US 5,376,104 A
• Filed: 02/02/1993
• Issued: 12/27/1994
• Est. Priority Date: 02/07/1992
• Status: Expired due to Fees

• Current Assignee: Nihon Kohden Corporation
• Original Assignee: Nihon Kohden Corporation
• Inventors: Sakai, Yoshio, Tsumura, Ikuhiro, Kobayashi, Nobutaka
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US08/012,228
• Time in Patent Office: 693 Days
• Field of Search: 607/5, 607/63, 128/695, 128/696, 128/908
• US Class Current: 607/5
• CPC Class Codes: A61B 5/30 Input circuits therefor
• CPC Class Codes: A61B 5/308 for electrocardiography [ECG]
• CPC Class Codes: A61N 1/3925 Monitoring; Protecting
• CPC Class Codes: Y10S 128/908 Patient protection from electric shock

Abstract

In a defibrillator with an electrocardiographic monitor which monitors electrocardiographic signals induced at electrodes by means of a preamplifier and supplying the signals to an electrocardiographic signal processing circuit through high-pass filters, the dynamic range of a preamplifier is made wider in accordance with the amplitude of a polarization voltage which is developed when a defibrillator is operated. A high-pass filter is formed of a first high-pass filter which operates in a normal state and a second high-pass filter whose blocking frequency is higher than that of the first high-pass filter so that the polarization voltage is attenuated without erasing the electrocardiographic signals. The second high-pass filter is operated in synchronization with the operation of the defibrillator during a time period corresponding to the time period in which the polarization voltage is generated.

Claims

1. In combination, defibrillator for generating a polarization voltage signal and an electrocardiographic monitor, said monitor comprising:

a first preamplifier for amplifying electrocardiographic signals received at the first preamplifier, the first preamplifier having a dynamic range corresponding to the amplitude of the polarization voltage signal that is generated by the defibrillator;

a first high-pass filter to which the electrocardiographic signals amplified by the preamplifier are supplied, the first high pass filter having a predetermined cut-off frequency;

a second high-pass filter to which the electrocardiographic signals amplified by the first preamplifier are supplied, the second high-pass filter having a cut-off frequency that is higher than the cut-off frequency of the first high-pass filter so that any portion of the polarization voltage signal present within the electrocardiographic signal is attenuated without erasing the electrocardiographic signals;

filter switching means for actuating the second high-pass filter for a time period corresponding to the time period in which the polarization voltage signal is generated by the defibrillator;

an electrocardiographic signal processing circuit for processing electrocardiographic signals transmitted through one of the first high pass filter and the first and second high-pass filters; and

output means for monitoring the electrocardiographic signals processed by the electrocardiographic signal processing circuit.

2. A combination according to claim 1, wherein the second high-pass filter is a high-pass filter having a third-order cut-off frequency of approximately 0.6 Hz, the second high-pass filter further including at least two RC circuits and a second preamplifier, the at least two RC circuits being cascade-connected in two steps through the second preamplifier to the first high-pass filter.

3. A combination according to claim 1, wherein the first and the second high-pass filters include at least one digital filter, the at least one digital filter including an A/D converter for converting an amplified output signal from the first preamplifier into a digital form, and the A/D converter is positioned at an anterior position relative to the digital filter.

4. A combination according to claim 3, wherein the digital filter includes an A/D converter and a differential amplifier, the A/D converter having a dynamic range that is smaller than a dynamic range of the first preamplifier and the differential amplifier including a first and a second input terminal, the first input terminal of the differential amplifier being electrically connected to the first preamplifier, and wherein the differential amplifier is positioned at an anterior position relative to the A/D converter, further comprising:

instantaneous processing means, the instantaneous processing means for supplying a first subtraction signal corresponding to an output-signal level of the A/D converter to the second input terminal of the differential amplifier through a D/A converter during a time period in which the polarization voltage signal is present to change the input signal level of the A/D converter to within the dynamic range of the first preamplifier;

window processing means, the window processing means for supplying a second subtraction signal of an amplitude corresponding to a window width of the D/A converter if the window processing means determines that the input-signal level is outside of the window, wherein the second subtraction signal is added to move the input-signal level of the A/D converter to within the dynamic range of the first preamplifier after the instantaneous processing means has supplied the first subtraction signal;

OR gate means, the OR gate means for inputting at least one of the first and second subtraction signals from the window processing means and the instantaneous processing means, respectively, and generating a subtraction output signal; and

adding means, the adding means for adding the subtraction output signal from the OR gate means to an output signal from the A/D converter to generate an addition signal and outputting the addition signal to the at least one digital filter.