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EP0182197A2 Expired / Lapsed EP ⏱️ 0.0 years remaining

Apparatus and method for automatic lead fail detection in electrocardiography

Assignee: Spacelabs Medical Inc
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Filing: 1985-11-05
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Granted: —
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Expires: 2005-11-05
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Abstract

Abstract @ An ECG electrode impedance measuring approach is utilized which can determine, simultaneously, the condition of all electrodes in a three or five lead ECG monitoring configuration. A CPU (108) automatically selects an ECG lead configuration in which all electrodes are attached to the patient and are below an impedance threshold. if the CPU (108) cannot select a good ECG lead configuration, then the CPU (108) signals a total lead failure. Electrode impedance is determined by passing a small DC current through each active electrode and the current is returned via the reference electrode. A comparator tests the resultant offset voltage induced between each active electrode and the reference. If the offset voltage exceeds a fixed threshold, then a flag is set and transferred to the CPU (108). The CPU (108) can change the ECG lead configuration by issuing commands to an electrode lead switching network. The CPU software tests each lead configuration in a logical sequence to find one in which all the necessary electrodes are functional and a good quality ECG waveform can be processed and displayed. If a useable lead configuration cannot be found, then an alarm is activated to alert the operator to check all electrodes.

Inventors

  • 👤 Mark I. Simon
  • 👤 Christopher G. Cotter
  • 👤 Carolyn L. Stein-Gelinas

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-10-25 14:26
CPC Classifications
G; G01; G01R; G01R31/00; G01R31/50; G01R31/54; A; A61; A61B; A61B5/00; A61B5/02; A61B5/24; A61B5/25; A61B5/276; A61B5/279; A61B5/28

Claims Analysis

Total Claims: 13
Claim 1
Independent Claim 55 words
An ECG monitor comprising: a switch controlled ECG signal preprocessor coupled to a patient through a plurality of ECG leads and associated electrodes for providing an ECG signal from one of a plurality of ECG lead configurations; and detection means coupled to said ECG leads for detecting and identifying one or more ECG lead failures.
Claim 2
Dependent Claim 55 words
An ECG monitor comprising: a switch controlled ECG signal preprocessor coupled to a patient through a plurality of ECG leads and associated electrodes for providing an ECG signal from one of a plurality of ECG lead configurations; and detection means coupled to said ECG leads for detecting and identifying one or more ECG lead failures.
Claim 3
Dependent Claim 38 words
The apparatus of Claim 1 wherein a processor means is coupled to said switch controlled ECG signal preprocessor for automatically switching said leads to change said ECG lead configuration in response to the output of said detector means.
Claim 4
Dependent Claim 41 words
The apparatus of Claim 1 and 2 wherein said detector means further comprises means for measuring the impedances of the electrodes attached to the patient and comparing said impedances with a predetermined threshold impedance level in order to determine lead failures.
Claim 5
Dependent Claim 33 words
4 . The apparatus of Claim 3 wherein said impedance measuring means further comprises means for passing a dc current through each electrode for return through a preselected reference electrode coupled to ground.
Claim 6
Dependent Claim 20 words
The ECG monitor of Claim 4 wherein said plurality of lead configurations comprises both three lead and five lead configurations.
Claim 7
Dependent Claim 48 words
The ECG monitor of Claim 2 wherein said processor means further comprises automatic lead switching means for automatically determining which leads are to be switched to obtain an improved ECG signal in response to the present lead configuration and the identification of failed leads from said detection means.
Claim 8
Dependent Claim 45 words
The ECG monitor of Claim 6 wherein said plurality of lead configurations comprises both three lead and five lead configurations and said automatic lead switching means operates to switch from five lead configurations to three lead configurations depending on the output of said detection means.
Claim 9
Independent Claim 40 words
A method of monitoring a patient's ECG signal formed from a plurality of ECG electrodes and leads combined in one of a plurality of possible lead configurations comprising the step of: automatically detecting and identifying one or more electrode failures.
Claim 10
Independent Claim 40 words
A method of monitoring a patient's ECG signal formed from a plurality of ECG electrodes and leads combined in one of a plurality of possible lead configurations comprising the step of: automatically detecting and identifying one or more electrode failures.
Claim 11
Dependent Claim 19 words
The method of Claim 8 wherein said lead configurations are automatically changed in response to said detection and identification.
Claim 12
Dependent Claim 36 words
The method of Claim 8 wherein said method further comprises the step of measuring the impedance offset between each of the active elec- . trodes and a predetermined threshold impedance to determine which electrodes have failed.
Claim 13
Dependent Claim 48 words
The method of Claim 10 wherein said step of measuring the offset impedance comprises: passing a small dc current through each active electrode and the patient to ground through a preselected reference electrode; and comparing the dc voltage produced by said dc current with a preselected reference voltage.

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