CA1047115A - Compressed data display system - Google Patents
Compressed data display systemInfo
- Publication number
- CA1047115A CA1047115A CA218,702A CA218702A CA1047115A CA 1047115 A CA1047115 A CA 1047115A CA 218702 A CA218702 A CA 218702A CA 1047115 A CA1047115 A CA 1047115A
- Authority
- CA
- Canada
- Prior art keywords
- electro
- paper
- cylinder
- optical
- devices
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired
Links
- 230000033001 locomotion Effects 0.000 claims description 19
- 230000003287 optical effect Effects 0.000 claims description 13
- 238000004891 communication Methods 0.000 claims description 6
- 230000006854 communication Effects 0.000 claims description 6
- 230000002401 inhibitory effect Effects 0.000 claims 1
- 230000000694 effects Effects 0.000 abstract description 6
- 239000004020 conductor Substances 0.000 description 36
- 239000007787 solid Substances 0.000 description 6
- 238000004458 analytical method Methods 0.000 description 5
- 230000000875 corresponding effect Effects 0.000 description 4
- 238000012360 testing method Methods 0.000 description 4
- 206010015856 Extrasystoles Diseases 0.000 description 3
- 230000000994 depressogenic effect Effects 0.000 description 3
- 238000012544 monitoring process Methods 0.000 description 3
- 230000001360 synchronised effect Effects 0.000 description 3
- 208000000418 Premature Cardiac Complexes Diseases 0.000 description 2
- 239000003990 capacitor Substances 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
- 230000002028 premature Effects 0.000 description 2
- 238000013519 translation Methods 0.000 description 2
- 230000002861 ventricular Effects 0.000 description 2
- 101100536893 Schizosaccharomyces pombe (strain 972 / ATCC 24843) thi9 gene Proteins 0.000 description 1
- 241000282887 Suidae Species 0.000 description 1
- 206010047289 Ventricular extrasystoles Diseases 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 230000001351 cycling effect Effects 0.000 description 1
- 230000000881 depressing effect Effects 0.000 description 1
- 238000003255 drug test Methods 0.000 description 1
- 230000012447 hatching Effects 0.000 description 1
- 208000019622 heart disease Diseases 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 230000001960 triggered effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/333—Recording apparatus specially adapted therefor
- A61B5/338—Recording by printing on paper
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/333—Recording apparatus specially adapted therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
- A61B5/7232—Signal processing specially adapted for physiological signals or for diagnostic purposes involving compression of the physiological signal, e.g. to extend the signal recording period
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Biophysics (AREA)
- Pathology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Cardiology (AREA)
- Physics & Mathematics (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
- Recording Measured Values (AREA)
- Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
- Measuring And Recording Apparatus For Diagnosis (AREA)
Abstract
ABSTRACT OF THE DISCLOSURE
A compressed data display system. There is disclosed a system for recording over extended periods of time EKG and other vital signs of a patient and for automatically displaying the waveforms in a compressed and readily interpretable manner. The EKG waveform is recorded on looped paper supported by and/or wrapped around rotatable drum or drums which may have cylindrical shape. The EKG is recorded in helical or spiral fashion by simul-taneously rotating the drum and transversely moving a galvanometer pen in the direction of the axis of rotation of the drum or cylinder. After the paper is removed, if it is a continuous or closed loop, it can be slit and opened into a single sheet. The recorded EKG waveforms are thus displayed compressed in a line-over-line manner and provide the physician with a clear picture of the patient's heart activity for extended periods of time.
A compressed data display system. There is disclosed a system for recording over extended periods of time EKG and other vital signs of a patient and for automatically displaying the waveforms in a compressed and readily interpretable manner. The EKG waveform is recorded on looped paper supported by and/or wrapped around rotatable drum or drums which may have cylindrical shape. The EKG is recorded in helical or spiral fashion by simul-taneously rotating the drum and transversely moving a galvanometer pen in the direction of the axis of rotation of the drum or cylinder. After the paper is removed, if it is a continuous or closed loop, it can be slit and opened into a single sheet. The recorded EKG waveforms are thus displayed compressed in a line-over-line manner and provide the physician with a clear picture of the patient's heart activity for extended periods of time.
Description
~47~
` BACKGROUND OF THE INV~NTION
.
1 Field of the Inventlon-The present invention relates generally to the field of medical electronics. More specifically, the present invention relates to means for monitoring and displaying vital signs including EKG of a patient in a line-over--line compressed-data manner which facilitates analysis.
` BACKGROUND OF THE INV~NTION
.
1 Field of the Inventlon-The present invention relates generally to the field of medical electronics. More specifically, the present invention relates to means for monitoring and displaying vital signs including EKG of a patient in a line-over--line compressed-data manner which facilitates analysis.
2 Descri tion of Prior Art:
Over the years, various medical-electronic systems have been developed which aid physicians in diagnosing and providing therapy to patients. Particular?y, in the area of cardiology and heart disease, there have been significant advances. For example, heart pacers and EKG monitoring equip-ment are but two of the types of equipment that have proved to be valuable to physician and patient alike. These devices are now tending to become somewhat famil~ar to laymen as well.
As is well known in the medical field, EKG strips are taken by a physician by attaching Leads or conductors to the body of a patient (generally three leads). Electrical signal activity generated by the patient's heart is sensed by these conductors or sensors. These electrical signals are extended to EKG amplifiers and eventua:Lly to galvanometer pens for scribing on the surface of a paper. The paper is generally spool-wound chart paper and advanced in a continuous manner, the direction of ~.
mb/~l 2 -47~
advance of paper belng the direction of a time axis. Deflec-tions of the galvanometer pen are generally perpendicular or transverse to direction of motion of the paperO The resultant trace, if the EKG is taken for any appreciable length of time, is very long Anyone with experience in this field knows that the accumulated chart paper is unwieldy and cumbersome.
It is thus difficult to accurately compare a patient's heart activity over periods of an hour or more when the EKG is left running continuously. Simply, too much paper exists for facile manual control and analysis. This is a severe problem of the prior art.
The present invention is a solution to the prior art problem of recording and displaying large quantities of vital sign data and particularly the EKG of a patient. It provides an automatic line-over-line compression of data in a compact and easily usable form and thus facilitates analysis.
mb/~- ~ 3 ~
47~S
The present invention relates to a system for dis~
playing vital signs of a patient, comprising: means for sensing the vital signs and for providing analogous electrical signals, means for amplifying the electrical signals, a chassis, a cylinder having axially directed slit means in the surface of the cylinder and extending the entire length of the cylinder for receiving two substantially parallel edges of looped paper fitted to and support-- ed by the surface and for clamping the edges to create a smooth overlapping of the paper around the cylinder, means supported by the chassis for rotating the cylinder thereby advancing and re~
cycling the paper, galvanometer pen means for scribing of the paper in scribing directions transverse to the direction of motion of the paper, means connected to the chassis for supporting the pen means and for translatlonally moving the pen means in one of the scrlbing directions from an initial position towards a final position, and means for extending the signals to the galvanometer pen means.
SUMMARY OF TH~ INVENTION
Thus, the chart paper direction is one time axis, and ~he direction of motion of the galvanometer pen is a second quan-ti~ed time axis. Continuous transverse motion of the galvanometer pen permits scribing a helix on the surface of the cylinder's chart paper. Deflections due to the EKG signal are in directions also ~ransverse to direction of chart paper motion. The display system includes EKG sensing and amplifying means, a rotatably mounted cylinder, closed loop chart paper fitted to the cylinder, and a transversely movable galvanometer pen assembly for scribing on the paper in the manner described above. Another feature of the pres-ent invention includes circuitry for providing a ditherin8 mark a-t :, .
~t`JJj" - 4 s selected portions of the recorded data either upon manual command or automatically to indicate the average rate of heartbeat for a given portion of EKG data.
An advantage of the present invention is that it compresses vital sign data, from a long paper trace readaut into a single sheet line-over-line vital sign "picture" thereby facil-itating analysis. It is thus advantageous to patient and physician alike.
It is thus an ob;ect of the present invention to pro vide an improved system for displaying vital signs of a patient.
It is another object of the present invention to provide an improved EKG monitor and display device.
It is a ~urther object of the present inventlon to provlde an improved EKG display system that has means for indicat-ing average heartbea~ rate for a selectable period of time and has means for marking occurrences of other events on a chart paper trace.
Other objects and advantages of the present invention will become apparent to one having reasonable skill in the art after referring to the detailed description of the appended drawings in whlch:
.~
r~
1~47~15 BRIEF DESCRIPTION OF T~E DRAWINGS
Fig. 1 depicts a block diagram of an illustrative embodiment of the present invention;
Fig. 2 depicts certain detail of the block diagram of Fig. l;
Fig. 3 depicts a perspective view of certain mechanical detail of the illustrative embodiment of the present invention;
Fig. 4 depicts another perspective view of other certain mechanical aspects of the illustrative embcdiment of the present invention; and Fig. 5 depicts the resultant chart paper compressed data display generated by the present invention.
mb/~ 6 -1~7~15 DESCRIPTION OF T~IE PREFERRED EMBODIMENTS
In Fig. 1, patient 101 i6 connected by ~KG leads 102 to EKG (ECG) amplifier electronics 103. ~lerein, a conductor or lead is intended to imply conductors or leads if approprlate.) Outpu~ from amplifier electronics 103 is extended on conductor 104 to selector switch 105. Likewise, output from ECG amplifier electronics 103 is extended on conductor 115 to heart rate module 117. Output from heart rate module 117 is extended to selector switch 105 on conductor 137. Output from selector switch 105 is provided on conductor 106 to galvano~eter drive electronics 107. Output from electronics 107 is extended on conductor 108 to galvanometer pen and carriage assembly 109. Scribing output from carriage assembly 109 i9 provided to chart paper on drum 111 via input (pen) 110. This is the basic sensing, amplifying, monitoring, and recording (and/or displaying) functional chain.
Synchronous motor 129 provides rotational mechanical output 128 to gear train 125 which, in turn, provides rotational outputs 126 and 127 to assembly 109 and drum 111, respectively.
Synchronous motor 129 is supplied by AC line power 131 through speed control 150 on conductor 130. AC line power 131 likewise provides power inputs to power supply 119 on conductor 132, and to dither circuitry 134 on condutor 133. Power supply 119 i9 a DC power supply, and suplies DC voltage to dither circuitry 134 over conductor 124, heart rate module 117 over conductor 123, selector switch 105 over conductor 122, mb/Jk - 7 -~471~L~
electronics 107 over conductor 121, ampliEier electronics 103 over conductor 120, and speed control 150 aver conductor 151.
A rotational position input 112 is provided frorn cylindrical drum 111 to electro-optics 113. The OUtptlt from electro-optics 113 is provided to selector switch 105 on conductor 114. A manual input 116, in the form of a push-button switch (not shown) or other switch, is provided to ~elector switch 105.
Re~erring now to Fig. 2, cylindr:ical drum 200, which rotates in direction 250, shows axially directed slit 201 at its surface. Electro-optics assembly 113, located in general at the periphery of the cylinder, provides input 114 through selector switch 105. (In Fig. 2, phantom line 105 represents the outline of selector switch 105 as shown in Fig. 1,) Input 114 is provided to reset circuitry 213, output thereof being extended on conductor 210 to digital counter 204. The other input to counter 204 is provided on conductor 203 from clock 202. Counter 204 provides an output on conductor 205 to ramp generator 206. Output from ramp generator 206 is extended on conductor 207 to one input of comparator 208. The other input of compar~tor 208 is provided by heart rate module 117 on conductor 137. 0utput from comparator 208 is extended on co~ductor 209 as an input to monostable circuitry 214. Another input to monostable circuitry 214 is manual input 116. 0utput from mon~stable circuitry 214 is provided to solid state switch 212 on conductor 2110 Other inputs to solid state switch 212 include inputs on conductors 135~ and 104O 0utpu~ from solld state switch 212 is extended on conductor 106 to galvano-meter drive electronics 107 as indicated in Figo 1.
mb/i~ - 8 -1~4~ S
Next, proceeding with description of Figs. 3 and 4 prior to describing operation o the preferred embodiment, Flg,
Over the years, various medical-electronic systems have been developed which aid physicians in diagnosing and providing therapy to patients. Particular?y, in the area of cardiology and heart disease, there have been significant advances. For example, heart pacers and EKG monitoring equip-ment are but two of the types of equipment that have proved to be valuable to physician and patient alike. These devices are now tending to become somewhat famil~ar to laymen as well.
As is well known in the medical field, EKG strips are taken by a physician by attaching Leads or conductors to the body of a patient (generally three leads). Electrical signal activity generated by the patient's heart is sensed by these conductors or sensors. These electrical signals are extended to EKG amplifiers and eventua:Lly to galvanometer pens for scribing on the surface of a paper. The paper is generally spool-wound chart paper and advanced in a continuous manner, the direction of ~.
mb/~l 2 -47~
advance of paper belng the direction of a time axis. Deflec-tions of the galvanometer pen are generally perpendicular or transverse to direction of motion of the paperO The resultant trace, if the EKG is taken for any appreciable length of time, is very long Anyone with experience in this field knows that the accumulated chart paper is unwieldy and cumbersome.
It is thus difficult to accurately compare a patient's heart activity over periods of an hour or more when the EKG is left running continuously. Simply, too much paper exists for facile manual control and analysis. This is a severe problem of the prior art.
The present invention is a solution to the prior art problem of recording and displaying large quantities of vital sign data and particularly the EKG of a patient. It provides an automatic line-over-line compression of data in a compact and easily usable form and thus facilitates analysis.
mb/~- ~ 3 ~
47~S
The present invention relates to a system for dis~
playing vital signs of a patient, comprising: means for sensing the vital signs and for providing analogous electrical signals, means for amplifying the electrical signals, a chassis, a cylinder having axially directed slit means in the surface of the cylinder and extending the entire length of the cylinder for receiving two substantially parallel edges of looped paper fitted to and support-- ed by the surface and for clamping the edges to create a smooth overlapping of the paper around the cylinder, means supported by the chassis for rotating the cylinder thereby advancing and re~
cycling the paper, galvanometer pen means for scribing of the paper in scribing directions transverse to the direction of motion of the paper, means connected to the chassis for supporting the pen means and for translatlonally moving the pen means in one of the scrlbing directions from an initial position towards a final position, and means for extending the signals to the galvanometer pen means.
SUMMARY OF TH~ INVENTION
Thus, the chart paper direction is one time axis, and ~he direction of motion of the galvanometer pen is a second quan-ti~ed time axis. Continuous transverse motion of the galvanometer pen permits scribing a helix on the surface of the cylinder's chart paper. Deflections due to the EKG signal are in directions also ~ransverse to direction of chart paper motion. The display system includes EKG sensing and amplifying means, a rotatably mounted cylinder, closed loop chart paper fitted to the cylinder, and a transversely movable galvanometer pen assembly for scribing on the paper in the manner described above. Another feature of the pres-ent invention includes circuitry for providing a ditherin8 mark a-t :, .
~t`JJj" - 4 s selected portions of the recorded data either upon manual command or automatically to indicate the average rate of heartbeat for a given portion of EKG data.
An advantage of the present invention is that it compresses vital sign data, from a long paper trace readaut into a single sheet line-over-line vital sign "picture" thereby facil-itating analysis. It is thus advantageous to patient and physician alike.
It is thus an ob;ect of the present invention to pro vide an improved system for displaying vital signs of a patient.
It is another object of the present invention to provide an improved EKG monitor and display device.
It is a ~urther object of the present inventlon to provlde an improved EKG display system that has means for indicat-ing average heartbea~ rate for a selectable period of time and has means for marking occurrences of other events on a chart paper trace.
Other objects and advantages of the present invention will become apparent to one having reasonable skill in the art after referring to the detailed description of the appended drawings in whlch:
.~
r~
1~47~15 BRIEF DESCRIPTION OF T~E DRAWINGS
Fig. 1 depicts a block diagram of an illustrative embodiment of the present invention;
Fig. 2 depicts certain detail of the block diagram of Fig. l;
Fig. 3 depicts a perspective view of certain mechanical detail of the illustrative embodiment of the present invention;
Fig. 4 depicts another perspective view of other certain mechanical aspects of the illustrative embcdiment of the present invention; and Fig. 5 depicts the resultant chart paper compressed data display generated by the present invention.
mb/~ 6 -1~7~15 DESCRIPTION OF T~IE PREFERRED EMBODIMENTS
In Fig. 1, patient 101 i6 connected by ~KG leads 102 to EKG (ECG) amplifier electronics 103. ~lerein, a conductor or lead is intended to imply conductors or leads if approprlate.) Outpu~ from amplifier electronics 103 is extended on conductor 104 to selector switch 105. Likewise, output from ECG amplifier electronics 103 is extended on conductor 115 to heart rate module 117. Output from heart rate module 117 is extended to selector switch 105 on conductor 137. Output from selector switch 105 is provided on conductor 106 to galvano~eter drive electronics 107. Output from electronics 107 is extended on conductor 108 to galvanometer pen and carriage assembly 109. Scribing output from carriage assembly 109 i9 provided to chart paper on drum 111 via input (pen) 110. This is the basic sensing, amplifying, monitoring, and recording (and/or displaying) functional chain.
Synchronous motor 129 provides rotational mechanical output 128 to gear train 125 which, in turn, provides rotational outputs 126 and 127 to assembly 109 and drum 111, respectively.
Synchronous motor 129 is supplied by AC line power 131 through speed control 150 on conductor 130. AC line power 131 likewise provides power inputs to power supply 119 on conductor 132, and to dither circuitry 134 on condutor 133. Power supply 119 i9 a DC power supply, and suplies DC voltage to dither circuitry 134 over conductor 124, heart rate module 117 over conductor 123, selector switch 105 over conductor 122, mb/Jk - 7 -~471~L~
electronics 107 over conductor 121, ampliEier electronics 103 over conductor 120, and speed control 150 aver conductor 151.
A rotational position input 112 is provided frorn cylindrical drum 111 to electro-optics 113. The OUtptlt from electro-optics 113 is provided to selector switch 105 on conductor 114. A manual input 116, in the form of a push-button switch (not shown) or other switch, is provided to ~elector switch 105.
Re~erring now to Fig. 2, cylindr:ical drum 200, which rotates in direction 250, shows axially directed slit 201 at its surface. Electro-optics assembly 113, located in general at the periphery of the cylinder, provides input 114 through selector switch 105. (In Fig. 2, phantom line 105 represents the outline of selector switch 105 as shown in Fig. 1,) Input 114 is provided to reset circuitry 213, output thereof being extended on conductor 210 to digital counter 204. The other input to counter 204 is provided on conductor 203 from clock 202. Counter 204 provides an output on conductor 205 to ramp generator 206. Output from ramp generator 206 is extended on conductor 207 to one input of comparator 208. The other input of compar~tor 208 is provided by heart rate module 117 on conductor 137. 0utput from comparator 208 is extended on co~ductor 209 as an input to monostable circuitry 214. Another input to monostable circuitry 214 is manual input 116. 0utput from mon~stable circuitry 214 is provided to solid state switch 212 on conductor 2110 Other inputs to solid state switch 212 include inputs on conductors 135~ and 104O 0utpu~ from solld state switch 212 is extended on conductor 106 to galvano-meter drive electronics 107 as indicated in Figo 1.
mb/i~ - 8 -1~4~ S
Next, proceeding with description of Figs. 3 and 4 prior to describing operation o the preferred embodiment, Flg,
3 depicts cylinder or ~riting surface 200 with slit 201, the writing surface rotatably mounted about a substantially vertical axis 350. Writing surface 200 can have cylindrical, conical, or other shape. Writing surface 200 is intended to be adapted for magnetic drum recording as well as paper displays. Thls axis need not be vertical; however, for purposes of clarity of illustration it is herein thus depicted. ~xis 350 is shown rotatably mounted to base or chassis ~00 in Fig. 4. Galvano-meter pen 300 is arranged to scribe on the surface of cylinder or drum 200, there being chart paper or paper 351 (partially indlcated for purposes of clarity of illustration) wrapped around and fastened in slit 201, It is to be understood that paper 351 extends the entire substantial length of cylinder or drum 200 and essentially wraps around and covers the surface area of the drum. Pen 300 scribes or writes on paper 351.
Lead screw 302 is shown substantially parallel to axis 350 and is likewise rotatably mounted to chassis 400. Rod 303 i8 fixedly mounted parallel to lead screw 302. Sliding on rod 303 is slidably mounted carriage 304 which, in turn, supports galvanometer 301. Galvanometer 301 receives an electrical signal input on conductor wires (not shown in Figs. 3, 4) which signals are transduced into mechanical motion of pen 300. Motor 305 (depicted in Fig. l as 129) provides rotational output to gear train 307 tdepicted in Fig. l as 125). The gear train provides rotational motion 250 to cylinder 200 about axis 350, and provideq rotational motlon to lead screw 302 about its longitudinal axis, Carrlsge 304 is threadingly en8aged with threads of lead screw 302, Thus, rotatlonal mo~ion of lead screw 302 provides trans-latlonal motlon mb/~ 9 , ~4~
of carriage 304 in a dlrection substantlally parallel to axis 350. Gears of gear train 307 are des-lgned to provide a plurality of rotations of drum 200 corresponding to a slngle motion in a translational manner from the top of drum 350 (an initial posltion) to the bottom of drum 350 (a final position), Thus, gear train 307 need not have the specific arrangement depicted in Fig. 3.
When chassis 304 reaches final position, it makes physical contact and operates micro-switch 306. The micro-switch is electrically connected between power 131 and motor 305 3 and operation of the micro-switch disconnects power to the motor thereby stopping the rotational and translational motions of the system. There is provided carriage disengagement means (not shown) for rapid return of the galvanometer to the initial position~ not causing the drum to rotate.
In Fig, 1, electro-optlcs 113 was depicted as being functionally connected between the drum and the selector switch 105. In Pigs. 3 and 4, the electro-optics 9 which is comprised of phototransistors and photodiodes, commercially available, are mounted as shown. Electro-optic elements 113a and 113b are approximately 90 displaced on the periphery of one end of drum 200. These electro-optical elements rotate with the rotating dru~.
Mounted on base or chassis 400 is a fixed electro-optic sensor 113c. As the rotatable electro-optical elements 113a and 113b in turn pa9s ad~acent electro-optical element 113c, optical communi-catlon is achieved there betweenD The purposes of these optical elements will be discussed more fuliy below~
Slit 201 is shown in Fig~. 2, 3, and 40 Chart paper having fixed length and having substantially parallel edges may be wrapped around drum 200. Edges of paper 351 are inserted into slit 201 and are fastened there~n by rotatable mb/`~f~ ; 10 -~ L~D47~LS
clamping con~rol 352.
In operation, the preferred embodiment as descrlbed in Fig~ 4, and the obtained dlsplay of Fig. 5 to be described, provides a compressed EKG ~or other vital sign) data display.
The RKG signal of patient 101 is amplified in electronics 103, extended to selector switch 105 extended to galvanome~er driver electronics 107 which drives galvanometer pen means 301 which in turn causes pen 300 to scribe on paper 351 supported on cylinder 200. While this signal is being applied to pen 300 and while scribing motion is taking place, cylinder or drum 200 rotates in direction 250. Si~ultaneously carriage 30~ translated in a downward vertical direction. This combined rotational and translation motion crestes a helical base line on paper 351.
(It is intended herein that the words "helix","spiral" and "cQil"
can be used interchangeably.) The result can be seen in Fig. 5.
In Fig. 5, paper 500 (which is shown partially as paper 351 in Fig. 3? is depicted as having usable display length 511 which corresponds to the circumference of drum 200, Dotted lines 501 indicate where folds of the paper are made for insertion of these folds into slit 201 as described earlier. Paper 500 is shown in a broken diagrammatic fashion for purposes of clarity of illustration. A time scale of zero through sixty seconds is provided and break 504 in the paper takes place at approximately be~ween 23 seconds and 53 seconds.
The scribing of pen 300 on paper 500 provides EKG wave fDr~s 502. As intended to be depicted by lines 508, 509, 512, and 513, the entire surface of the page can be scribed with EKG
signals. As noted earlier, the base line scribed on the surface m~
~471~
of paper 500 when mounted on drum 200 would be a helix or spiral When the paper is removed from slit 201 and opened flat, straight lines with a slightly downward slope are observed. Thus, data line 2 identified by numeral 2 at the left-hand edge of the usable display paper, corresponds in time to the end of data line 1 identified as 2' at the right-hand data e~ge of the paper.
In other words, lines of EKG data are identified by numerals 1, 2, 3, and 4 ....n, and the end of each line corresponds in time to the beginning of the next successive line. Thus, the point marked 2' corresponds in time to the end of line 1 and the beginning of line 2, The designation "n" indicates that there are an extensive plurality of data lines obtained and limited only by size of paper and drum. The preferred embodiments are designed to provide 60 seconds of data per line with 30 lines per sheet thereby displaying a half hour of electrical heart activity and to provide four minutes per line with 30 lines per sheet thus providing a two hour displayO
Reference numeral 510 depicts a selectable period of time during which heart rate is averaged in heart rate module 117 co~prised of standard circuitry. Module 117 is triggered by each EKG wave to provide a constant width and constant amplitude pulse output in response thereto. This pulse train is then averaged on capacitor circuitry or other means to provide a DC
level corresponding to average heart rate.
Turning to Fig. 2, heart rate module 117 provides this DC voltage to comparator 208. Digital counter 204 is reset by a signal coming from optics 113 when pen 300 i5 positioned at slit 201 as will be fully explained below, This is the zero or reset setting for the scribing motion. Digital mb/l~ - 12 ~
" ~471~5 `- counter 204 is stepped by clock generator 202 once each second.
Clock generator 202 iB synced to 60 hertz power 131. At a pre-determined count, which according to Yig. 5 i9 equal to about 56 counts (or 56 seconds), ramp generator 206 is energi~ed.
Counter 204 is constructed from standard digital circuitry and may be a ring counter. Ramp generator 206 is likewise con~
structed from standard circuitry for charging a capacitor in a linear fashion. Thus, ramp generator 206 is energized after about 56 seconds and this energlzation takes place at line 520 on Fig. 5. Comparator 208 compares the two inputs and at co-incidence between ramp generator voltage and DC ~oltage on conductor 137, the comparator output is extended on conductor 209 to monostable 214. Comparator 208 is likewise standard operational amplifier clrcuitry. Omission of deta~led discussion of the circuit elements in these standard circuits does not inhibit full understanding of the present invention.
In Fig. 1, dither generator 134 is powered by AC line power 131 and is a conduit for 60 hertz power at a substantially reduced power value. This 60 cycle/second signal is provided on conductor 135 in Fig. 2, to solid state switch 212. Operation of monostable 214 causes connection of the dithering signal on conductor 135 to output conductor 106, Solid state switch 212 is comprised of standard transistor switching circuitry and omission of detailed description does not detract from complete understanding of the present invention. The average DC voltage ~enerated by heart rate module 117 corresponds ta rate scale 506 in Fig. 5 and thus, dithering mark 505 is indicated to be approx-imately 60 beat~
m~ 3 : ~471~5 per minute. After a predetermined period of time determined by time constants of monostable 21~, solid state switch 212 returns to its prior connection of conductors 104 and 106, thereby reconnecting the EKG signal to pen 300. Mark 505 indicates average heartbeat rate for time period 510 of line 1.
Accordingly, a dithering rate mark is provided in the other lines of data. This is very useful information since it provides at a glance a hlstogram effect of heartbeat rate change of the patient over a long period of time.
Numeral 503a and 503b refer to ectopic beats, whlch are clearly visible in this display. Another module which detects ventricular premature beats ~a form of ectopic beats) can be connected between conductor 115 and selectr switch 105 ir. a manner slmllar to connectlon of module 117. A premature ventrL-cular contraction detector is dlsclosed in applicant's U.S. Patent 3,616,790 entitled MULTIFORM VE~TRICULAR PREMATURE BEAT VETECTCR
issued on November 2, 1971, which discloses suitable background information. Portions of circuitry disclosed in this paten~
can be used with other circuitry to provide a DC voltage corres-ponding to the number of PVC's per data line. Similarly to the hlstogram display of average heartbeat rate for a patient of a lLne by line basis, a separate histogram can be displayed at a different location of the paper having a 14 _ ~.':', ' ~
1~47~1S
d-lfferent scale for lndicatlng the number of occurrences of premature ventricular be~ts.
In Eig, 5, direction 522 represents d$rection of translational motion of carriage 30~ umerical designation 507 represents cross hatching which may be spread throughout the page in a uniform manner as depicted. It is illustrated only in a portion of sheet 500 for the purpose of clarity of illustration.
Fig. 1 and Fig. 2 indicate manual input 116 to selector switch 105 and more specifically tomonostable circuitry 214. This ùtilizes a push-button or other manual switch arrangement whereby the phyician or operator of the system can mark at ~ill on sheet 500, a dither signal such as mark 521.
As before, output 211 from monostable 21~ causes solid state switch to make a connection between conductors 135 and 106.
Dither generator 134 provides a 60 cycle dithering signal to conductor 106 and thus to pen 300 which scribes in a dithering or vibrating manner on chart paper 500. Dither mark 521 is displayed at this point in Fig. 5 ~or a special reason. It marks the occurrence of a significant event such as patient complaints of discomfort, or infusion of a drug, or the begin-ning of exercise testing, etc.
After one minute and 21 seconds of EKG recording, the p tient is subjected to exercise testing (not shown, but can be treadmill walking with EKG leads attached to the patient). A
feature of the present invention is a speed-up switch 15~ as shown in Fig. 1. This speed-up push-button switch, which is de~ignated on the chassis of the preferred embodi~ent as "reset'79 increases the speed of the synchronous motor 129 thereby mb/ ~ - 15 -~471~S
operating gear train 125 more rapidly, As depicted in Fig, 5, line 2, a~ter 22 seconds of recorded data, the galvanometer pen iB translated to pocition 3' in a time ~hich is equal to or less than the time between the last hearbeat and the next heartbeat.
At point 3', the speed control 150 is returned to its standard speed arrangement. A purpose of this feature is to provide the beginning of exerc$se testing at a beginning point of line 3 for purposes of clarity of presentation for later analysis.
Speed controi 150 is a device which changes current flow to motor 129 ~305).
LiXewise, as noted the same display method can be utilized with other tests such as drug testing. If the patient is given certain drugs for medical reasons, the speed control can be operated to "reset" the display, where the heartbeats begin from the left-hand side of the paper as described above.
From Fig. 5, it is seen that approximately 8 seconds elapse after exercise begins before a noticeable change in heart rate occurs. This time value may not be realistic but does not detract from understanding of the present invention. Manual means 116 may also be operated to create designation 521 indicat-ing the beginning of the increased heart rate.
Optlcal pick-ups 113a, 113b, and 113c are utilized in the operation of speed control 150 as well as in other features of the present invention. Speed control 150 is made to return to its original state when optical pick-up 113b ~s ~ i'k - 16 -, .
:1~47115 - in optical communication with pick-up 113c. At ~hls point, galvanometer pen 300 i8 positioned at slit 201. A signal from optical pick-up 113c causes the switch in speed control 150 to return to its original state.
The optical pick-ups function in at least two modes.
The first mode was described above. When the "reset button"
i8 depressed speed control 150 is operated and causes drum 200 to move rapidly until optical pick-up 113b is aligned with optical pick-up 113c, (thus causing pen 300 to line up with slit 201). In another feature, when a "load button" is depressed, speed control 150 again increases speed of motor 129, thereby increasing speeds of rotation and translation of the system components. But, when optical pick-up 113a is in optical com-munication with 113c, all motion of the sys~em is stopped.
Control 150 disconnects motor 129 from AC power line 131. This load button is depressed when it i9 desired to have the slit position to the fr~nt of the apparatus for easy access regarding loading and unloading of the paper. Depressing the "run" button reconnects power to the motor.
The invention may be embodied in yet other specific forms without departing from the spirit or essential character-istics thereof. For example, one can use three galvanometers with three galvanometer pens to monitor EKG leads 102. Leads 102 generally are three in number, and each of these leads may be thus monitored. Thereby, lines 1, 29 and 3 in Fig. 5 could be made to represent the outputs from three leads 102 from patient 101. However, pitch or relative speed of lead screw 302 must be altered to accommodate this featureO In mb/l~ - 17 -~47~15 -order for this to work properly, the end of line 1 would have to correspond to the beginning of line 4, being sufficiently displaced downward so as to not create interference with other lines corresponding to the other two leads. Furthermore, other sensors may be used to sense other vital signs (e.g.: blood pressure) simultaneously with EKG. For another example, it is to be understood that speeds other than constant speeds can be utilized in the translational motion and rotational motions of the invention. Rather than providing continuous translational motion of carriage 304 transverse to direction of paper motion, one could provide ra~chet means for stepping carriage 304 in transverse manner upon each completion of a revolution of drum 200.
~t i9 to be understood that other means oE paper attachment could be made. An assembly cartridge including drum and paper could be used where one cylinder with paper is removed and another cylinder with paper is installed ~where the paper is not a single sheet but is an endless loop or belt of paper).
Furthermore, if cylinder 200 were held in a horizontal position (rather than vertical as shown for purposes of clarity of illustration only), a paper loop of the endless belt variety (not shown), can be used which has a circumference in excess of the circumference of drum 200. The system ~orks well if the scribing point of contact between pen 300 and the surface of the paper 351 on drum 200 remains smooth, Accordingly, even more data can be recorded and displayed. And, another cylinder (not shown) can be installed at a remote distance, to provide pulley s~pport mesns for thi9 extended circumference endless paper loop, However, these are alternative embodiments and the preferred ~0 embodiment is that which is shown in the Figures.
mb~ ~ - 18 -~L~47~lS
It is to be further understood th~t more than 60 seconds or less than 60 seconds per line can be recorded and that more than or le~s than 30 lines per page can be recorded.
A particularly advantageous util:Lty of the present invention is in connection with the transc]ription of EKG
cassette tape recorders. Presently, portable tape recorders exist which record a patient's EKG for long periods of time, 24 hours or more. Playback of 24 hours of EKG data at real time would take thus 24 hours. On ordinary EKG chart paper, this would amount to many feet of paper. But, to playback this portable tape recorder data in a transcribing manner utilizing the present invention, both the tape recorder and the present invention's speed control can be increased by a factor of 20 or more (with respect to real time). Thus, all of this data can be recorded on a large single sheet of paper in an hour or less. The tremendous advantage of being able to analyze 2~
hours of EKG activity of a patient within an hour or less after receiving that data on tape from the patient is cl~ar.
Thus, the present embodiments are to be considered in all r~spects as illustrative and not restrictive, the scope of the invention being indicated by the appended claims rather than by the foregoing description and all changes which come within the meaning and range of the equivalency of the claims are therefor intended to be embraced therein, mb 1-?~ - 19
Lead screw 302 is shown substantially parallel to axis 350 and is likewise rotatably mounted to chassis 400. Rod 303 i8 fixedly mounted parallel to lead screw 302. Sliding on rod 303 is slidably mounted carriage 304 which, in turn, supports galvanometer 301. Galvanometer 301 receives an electrical signal input on conductor wires (not shown in Figs. 3, 4) which signals are transduced into mechanical motion of pen 300. Motor 305 (depicted in Fig. l as 129) provides rotational output to gear train 307 tdepicted in Fig. l as 125). The gear train provides rotational motion 250 to cylinder 200 about axis 350, and provideq rotational motlon to lead screw 302 about its longitudinal axis, Carrlsge 304 is threadingly en8aged with threads of lead screw 302, Thus, rotatlonal mo~ion of lead screw 302 provides trans-latlonal motlon mb/~ 9 , ~4~
of carriage 304 in a dlrection substantlally parallel to axis 350. Gears of gear train 307 are des-lgned to provide a plurality of rotations of drum 200 corresponding to a slngle motion in a translational manner from the top of drum 350 (an initial posltion) to the bottom of drum 350 (a final position), Thus, gear train 307 need not have the specific arrangement depicted in Fig. 3.
When chassis 304 reaches final position, it makes physical contact and operates micro-switch 306. The micro-switch is electrically connected between power 131 and motor 305 3 and operation of the micro-switch disconnects power to the motor thereby stopping the rotational and translational motions of the system. There is provided carriage disengagement means (not shown) for rapid return of the galvanometer to the initial position~ not causing the drum to rotate.
In Fig, 1, electro-optlcs 113 was depicted as being functionally connected between the drum and the selector switch 105. In Pigs. 3 and 4, the electro-optics 9 which is comprised of phototransistors and photodiodes, commercially available, are mounted as shown. Electro-optic elements 113a and 113b are approximately 90 displaced on the periphery of one end of drum 200. These electro-optical elements rotate with the rotating dru~.
Mounted on base or chassis 400 is a fixed electro-optic sensor 113c. As the rotatable electro-optical elements 113a and 113b in turn pa9s ad~acent electro-optical element 113c, optical communi-catlon is achieved there betweenD The purposes of these optical elements will be discussed more fuliy below~
Slit 201 is shown in Fig~. 2, 3, and 40 Chart paper having fixed length and having substantially parallel edges may be wrapped around drum 200. Edges of paper 351 are inserted into slit 201 and are fastened there~n by rotatable mb/`~f~ ; 10 -~ L~D47~LS
clamping con~rol 352.
In operation, the preferred embodiment as descrlbed in Fig~ 4, and the obtained dlsplay of Fig. 5 to be described, provides a compressed EKG ~or other vital sign) data display.
The RKG signal of patient 101 is amplified in electronics 103, extended to selector switch 105 extended to galvanome~er driver electronics 107 which drives galvanometer pen means 301 which in turn causes pen 300 to scribe on paper 351 supported on cylinder 200. While this signal is being applied to pen 300 and while scribing motion is taking place, cylinder or drum 200 rotates in direction 250. Si~ultaneously carriage 30~ translated in a downward vertical direction. This combined rotational and translation motion crestes a helical base line on paper 351.
(It is intended herein that the words "helix","spiral" and "cQil"
can be used interchangeably.) The result can be seen in Fig. 5.
In Fig. 5, paper 500 (which is shown partially as paper 351 in Fig. 3? is depicted as having usable display length 511 which corresponds to the circumference of drum 200, Dotted lines 501 indicate where folds of the paper are made for insertion of these folds into slit 201 as described earlier. Paper 500 is shown in a broken diagrammatic fashion for purposes of clarity of illustration. A time scale of zero through sixty seconds is provided and break 504 in the paper takes place at approximately be~ween 23 seconds and 53 seconds.
The scribing of pen 300 on paper 500 provides EKG wave fDr~s 502. As intended to be depicted by lines 508, 509, 512, and 513, the entire surface of the page can be scribed with EKG
signals. As noted earlier, the base line scribed on the surface m~
~471~
of paper 500 when mounted on drum 200 would be a helix or spiral When the paper is removed from slit 201 and opened flat, straight lines with a slightly downward slope are observed. Thus, data line 2 identified by numeral 2 at the left-hand edge of the usable display paper, corresponds in time to the end of data line 1 identified as 2' at the right-hand data e~ge of the paper.
In other words, lines of EKG data are identified by numerals 1, 2, 3, and 4 ....n, and the end of each line corresponds in time to the beginning of the next successive line. Thus, the point marked 2' corresponds in time to the end of line 1 and the beginning of line 2, The designation "n" indicates that there are an extensive plurality of data lines obtained and limited only by size of paper and drum. The preferred embodiments are designed to provide 60 seconds of data per line with 30 lines per sheet thereby displaying a half hour of electrical heart activity and to provide four minutes per line with 30 lines per sheet thus providing a two hour displayO
Reference numeral 510 depicts a selectable period of time during which heart rate is averaged in heart rate module 117 co~prised of standard circuitry. Module 117 is triggered by each EKG wave to provide a constant width and constant amplitude pulse output in response thereto. This pulse train is then averaged on capacitor circuitry or other means to provide a DC
level corresponding to average heart rate.
Turning to Fig. 2, heart rate module 117 provides this DC voltage to comparator 208. Digital counter 204 is reset by a signal coming from optics 113 when pen 300 i5 positioned at slit 201 as will be fully explained below, This is the zero or reset setting for the scribing motion. Digital mb/l~ - 12 ~
" ~471~5 `- counter 204 is stepped by clock generator 202 once each second.
Clock generator 202 iB synced to 60 hertz power 131. At a pre-determined count, which according to Yig. 5 i9 equal to about 56 counts (or 56 seconds), ramp generator 206 is energi~ed.
Counter 204 is constructed from standard digital circuitry and may be a ring counter. Ramp generator 206 is likewise con~
structed from standard circuitry for charging a capacitor in a linear fashion. Thus, ramp generator 206 is energized after about 56 seconds and this energlzation takes place at line 520 on Fig. 5. Comparator 208 compares the two inputs and at co-incidence between ramp generator voltage and DC ~oltage on conductor 137, the comparator output is extended on conductor 209 to monostable 214. Comparator 208 is likewise standard operational amplifier clrcuitry. Omission of deta~led discussion of the circuit elements in these standard circuits does not inhibit full understanding of the present invention.
In Fig. 1, dither generator 134 is powered by AC line power 131 and is a conduit for 60 hertz power at a substantially reduced power value. This 60 cycle/second signal is provided on conductor 135 in Fig. 2, to solid state switch 212. Operation of monostable 214 causes connection of the dithering signal on conductor 135 to output conductor 106, Solid state switch 212 is comprised of standard transistor switching circuitry and omission of detailed description does not detract from complete understanding of the present invention. The average DC voltage ~enerated by heart rate module 117 corresponds ta rate scale 506 in Fig. 5 and thus, dithering mark 505 is indicated to be approx-imately 60 beat~
m~ 3 : ~471~5 per minute. After a predetermined period of time determined by time constants of monostable 21~, solid state switch 212 returns to its prior connection of conductors 104 and 106, thereby reconnecting the EKG signal to pen 300. Mark 505 indicates average heartbeat rate for time period 510 of line 1.
Accordingly, a dithering rate mark is provided in the other lines of data. This is very useful information since it provides at a glance a hlstogram effect of heartbeat rate change of the patient over a long period of time.
Numeral 503a and 503b refer to ectopic beats, whlch are clearly visible in this display. Another module which detects ventricular premature beats ~a form of ectopic beats) can be connected between conductor 115 and selectr switch 105 ir. a manner slmllar to connectlon of module 117. A premature ventrL-cular contraction detector is dlsclosed in applicant's U.S. Patent 3,616,790 entitled MULTIFORM VE~TRICULAR PREMATURE BEAT VETECTCR
issued on November 2, 1971, which discloses suitable background information. Portions of circuitry disclosed in this paten~
can be used with other circuitry to provide a DC voltage corres-ponding to the number of PVC's per data line. Similarly to the hlstogram display of average heartbeat rate for a patient of a lLne by line basis, a separate histogram can be displayed at a different location of the paper having a 14 _ ~.':', ' ~
1~47~1S
d-lfferent scale for lndicatlng the number of occurrences of premature ventricular be~ts.
In Eig, 5, direction 522 represents d$rection of translational motion of carriage 30~ umerical designation 507 represents cross hatching which may be spread throughout the page in a uniform manner as depicted. It is illustrated only in a portion of sheet 500 for the purpose of clarity of illustration.
Fig. 1 and Fig. 2 indicate manual input 116 to selector switch 105 and more specifically tomonostable circuitry 214. This ùtilizes a push-button or other manual switch arrangement whereby the phyician or operator of the system can mark at ~ill on sheet 500, a dither signal such as mark 521.
As before, output 211 from monostable 21~ causes solid state switch to make a connection between conductors 135 and 106.
Dither generator 134 provides a 60 cycle dithering signal to conductor 106 and thus to pen 300 which scribes in a dithering or vibrating manner on chart paper 500. Dither mark 521 is displayed at this point in Fig. 5 ~or a special reason. It marks the occurrence of a significant event such as patient complaints of discomfort, or infusion of a drug, or the begin-ning of exercise testing, etc.
After one minute and 21 seconds of EKG recording, the p tient is subjected to exercise testing (not shown, but can be treadmill walking with EKG leads attached to the patient). A
feature of the present invention is a speed-up switch 15~ as shown in Fig. 1. This speed-up push-button switch, which is de~ignated on the chassis of the preferred embodi~ent as "reset'79 increases the speed of the synchronous motor 129 thereby mb/ ~ - 15 -~471~S
operating gear train 125 more rapidly, As depicted in Fig, 5, line 2, a~ter 22 seconds of recorded data, the galvanometer pen iB translated to pocition 3' in a time ~hich is equal to or less than the time between the last hearbeat and the next heartbeat.
At point 3', the speed control 150 is returned to its standard speed arrangement. A purpose of this feature is to provide the beginning of exerc$se testing at a beginning point of line 3 for purposes of clarity of presentation for later analysis.
Speed controi 150 is a device which changes current flow to motor 129 ~305).
LiXewise, as noted the same display method can be utilized with other tests such as drug testing. If the patient is given certain drugs for medical reasons, the speed control can be operated to "reset" the display, where the heartbeats begin from the left-hand side of the paper as described above.
From Fig. 5, it is seen that approximately 8 seconds elapse after exercise begins before a noticeable change in heart rate occurs. This time value may not be realistic but does not detract from understanding of the present invention. Manual means 116 may also be operated to create designation 521 indicat-ing the beginning of the increased heart rate.
Optlcal pick-ups 113a, 113b, and 113c are utilized in the operation of speed control 150 as well as in other features of the present invention. Speed control 150 is made to return to its original state when optical pick-up 113b ~s ~ i'k - 16 -, .
:1~47115 - in optical communication with pick-up 113c. At ~hls point, galvanometer pen 300 i8 positioned at slit 201. A signal from optical pick-up 113c causes the switch in speed control 150 to return to its original state.
The optical pick-ups function in at least two modes.
The first mode was described above. When the "reset button"
i8 depressed speed control 150 is operated and causes drum 200 to move rapidly until optical pick-up 113b is aligned with optical pick-up 113c, (thus causing pen 300 to line up with slit 201). In another feature, when a "load button" is depressed, speed control 150 again increases speed of motor 129, thereby increasing speeds of rotation and translation of the system components. But, when optical pick-up 113a is in optical com-munication with 113c, all motion of the sys~em is stopped.
Control 150 disconnects motor 129 from AC power line 131. This load button is depressed when it i9 desired to have the slit position to the fr~nt of the apparatus for easy access regarding loading and unloading of the paper. Depressing the "run" button reconnects power to the motor.
The invention may be embodied in yet other specific forms without departing from the spirit or essential character-istics thereof. For example, one can use three galvanometers with three galvanometer pens to monitor EKG leads 102. Leads 102 generally are three in number, and each of these leads may be thus monitored. Thereby, lines 1, 29 and 3 in Fig. 5 could be made to represent the outputs from three leads 102 from patient 101. However, pitch or relative speed of lead screw 302 must be altered to accommodate this featureO In mb/l~ - 17 -~47~15 -order for this to work properly, the end of line 1 would have to correspond to the beginning of line 4, being sufficiently displaced downward so as to not create interference with other lines corresponding to the other two leads. Furthermore, other sensors may be used to sense other vital signs (e.g.: blood pressure) simultaneously with EKG. For another example, it is to be understood that speeds other than constant speeds can be utilized in the translational motion and rotational motions of the invention. Rather than providing continuous translational motion of carriage 304 transverse to direction of paper motion, one could provide ra~chet means for stepping carriage 304 in transverse manner upon each completion of a revolution of drum 200.
~t i9 to be understood that other means oE paper attachment could be made. An assembly cartridge including drum and paper could be used where one cylinder with paper is removed and another cylinder with paper is installed ~where the paper is not a single sheet but is an endless loop or belt of paper).
Furthermore, if cylinder 200 were held in a horizontal position (rather than vertical as shown for purposes of clarity of illustration only), a paper loop of the endless belt variety (not shown), can be used which has a circumference in excess of the circumference of drum 200. The system ~orks well if the scribing point of contact between pen 300 and the surface of the paper 351 on drum 200 remains smooth, Accordingly, even more data can be recorded and displayed. And, another cylinder (not shown) can be installed at a remote distance, to provide pulley s~pport mesns for thi9 extended circumference endless paper loop, However, these are alternative embodiments and the preferred ~0 embodiment is that which is shown in the Figures.
mb~ ~ - 18 -~L~47~lS
It is to be further understood th~t more than 60 seconds or less than 60 seconds per line can be recorded and that more than or le~s than 30 lines per page can be recorded.
A particularly advantageous util:Lty of the present invention is in connection with the transc]ription of EKG
cassette tape recorders. Presently, portable tape recorders exist which record a patient's EKG for long periods of time, 24 hours or more. Playback of 24 hours of EKG data at real time would take thus 24 hours. On ordinary EKG chart paper, this would amount to many feet of paper. But, to playback this portable tape recorder data in a transcribing manner utilizing the present invention, both the tape recorder and the present invention's speed control can be increased by a factor of 20 or more (with respect to real time). Thus, all of this data can be recorded on a large single sheet of paper in an hour or less. The tremendous advantage of being able to analyze 2~
hours of EKG activity of a patient within an hour or less after receiving that data on tape from the patient is cl~ar.
Thus, the present embodiments are to be considered in all r~spects as illustrative and not restrictive, the scope of the invention being indicated by the appended claims rather than by the foregoing description and all changes which come within the meaning and range of the equivalency of the claims are therefor intended to be embraced therein, mb 1-?~ - 19
Claims (5)
OR PRIVILEGE IS CLAIMED ARE DEFINED AS FOLLOWS:
1. A system for displaying vital signs of a patient, said system comprising: means for sensing said vital signs and for providing analogous electrical signals, means for amplifying said electrical signals, a chassis, a cylinder having axially directed slit means in the surface of said cylinder and extending the entire length of said cylinder for receiving two substantially parallel edges of looped paper fitted to and supported by the surface and for clamping said edges to create a smooth overlapping of said paper around said cylinder, means supported by said chassis for rotating said cylinder thereby advancing and re-cycling said paper, galvanometer pen means for scribing on said paper in scribing directions trans-verse to the direction of motion of said paper, means connected to said chassis for supporting said pen means and for translation-ally moving said pen means in one of said scribing directions from an initial position towards a final position, and means for extending said signals to said galvanometer pen means.
2. A system as recited in claim 1 and wherein said cylinder further comprises two electro-optical devices mounted on the periphery of said cylinder, said two devices being relatively angularly displaced by approximately 90°, one of said two electro-optical devices being mounted adjacent said slit, and a third electro-optical device mounted on said chassis adjacent said periphery and in substantial alignment with the scribing point between said paper and said pen means and arranged to be in optical communication with each of said two electro-optical devices as each of said two electro-optical devices rotates adjacent said third electro-optical device.
3. A system as recited in claim 2 including means responsive to the optical communication between said third electro-optical device and said other of said two electro-optical devices for controlling speed of said rotating means when said other of said two electro-optical devices is adjacent said third electro-optical device.
4. A system as recited in claim 2 including means responsive to the optical communication between said third electro-optical device and said one of said two electro-optical devices for inhibiting operation of said rotating means and said transla-tionally moving means when said one of said two electro-optical devices is adjacent said third electro-optical device.
5. A system as recited in claim 1 and wherein said cylinder further comprises two switching devices mounted on the periphery of said cylinder, said two devices being relatively angularly displaced by approximately 90°, one of said two switching devices being mounted adjacent said slit, and a third switching device mounted on said chassis adjacent said periphery and in substantial alignment with the scribing point between said paper and said pen means and arranged to be in communication with each of said two switching devices as each of said two switching devices rotates adjacent said third switching device.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CA236,479A CA1047116A (en) | 1974-02-11 | 1975-09-26 | Compressed data display system |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US441684A US3893453A (en) | 1974-02-11 | 1974-02-11 | Compressed data display system |
Publications (1)
Publication Number | Publication Date |
---|---|
CA1047115A true CA1047115A (en) | 1979-01-23 |
Family
ID=23753877
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA218,702A Expired CA1047115A (en) | 1974-02-11 | 1975-01-27 | Compressed data display system |
Country Status (9)
Country | Link |
---|---|
US (1) | US3893453A (en) |
JP (1) | JPS50114085A (en) |
CA (1) | CA1047115A (en) |
DE (1) | DE2503822A1 (en) |
FR (1) | FR2260320B1 (en) |
GB (1) | GB1499516A (en) |
IL (1) | IL46481A (en) |
NL (1) | NL7501596A (en) |
SE (1) | SE7501435L (en) |
Families Citing this family (49)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4051482A (en) * | 1976-04-26 | 1977-09-27 | American Optical Corporation | Graticule with cursors |
NL7704185A (en) * | 1977-04-18 | 1978-10-20 | Philips Nv | ELECTROCARDIOGRAPHER. |
US4103678A (en) * | 1977-04-21 | 1978-08-01 | American Medical Systems, Inc. | Nocturnal penile tumescense monitor |
US4214590A (en) * | 1977-11-28 | 1980-07-29 | International Medical Corporation | Method and apparatus for processing and displaying data in compressed form |
JPS55102483U (en) * | 1979-01-12 | 1980-07-17 | ||
US4417254A (en) * | 1979-10-24 | 1983-11-22 | Del Mar Avionics | Validator for electrocardial data processing system |
US4331159A (en) * | 1979-12-31 | 1982-05-25 | Pfizer Inc. | Electrocardiographic storage system using a rotating film drum |
US4506881A (en) * | 1982-12-20 | 1985-03-26 | International Business Machines Corporation | Duplexing paper handling system |
JP5030338B2 (en) * | 2001-06-26 | 2012-09-19 | 勇治 大須賀 | Deep fermentation tank |
US11238983B2 (en) | 2012-04-16 | 2022-02-01 | Airstrip Ip Holdings, Llc | Systems and methods for and displaying patient data |
AU2013249502B2 (en) * | 2012-04-16 | 2017-12-14 | Airstrip Ip Holdings, Llc | Systems and methods for displaying patient data |
CA3113943C (en) | 2012-04-16 | 2023-04-25 | Airstrip Ip Holdings, Llc | Systems and methods for displaying patient data |
US9655538B2 (en) | 2013-09-25 | 2017-05-23 | Bardy Diagnostics, Inc. | Self-authenticating electrocardiography monitoring circuit |
US9717432B2 (en) | 2013-09-25 | 2017-08-01 | Bardy Diagnostics, Inc. | Extended wear electrocardiography patch using interlaced wire electrodes |
US9408551B2 (en) * | 2013-11-14 | 2016-08-09 | Bardy Diagnostics, Inc. | System and method for facilitating diagnosis of cardiac rhythm disorders with the aid of a digital computer |
US9408545B2 (en) | 2013-09-25 | 2016-08-09 | Bardy Diagnostics, Inc. | Method for efficiently encoding and compressing ECG data optimized for use in an ambulatory ECG monitor |
US10806360B2 (en) | 2013-09-25 | 2020-10-20 | Bardy Diagnostics, Inc. | Extended wear ambulatory electrocardiography and physiological sensor monitor |
US9504423B1 (en) | 2015-10-05 | 2016-11-29 | Bardy Diagnostics, Inc. | Method for addressing medical conditions through a wearable health monitor with the aid of a digital computer |
US10463269B2 (en) | 2013-09-25 | 2019-11-05 | Bardy Diagnostics, Inc. | System and method for machine-learning-based atrial fibrillation detection |
US20190167139A1 (en) | 2017-12-05 | 2019-06-06 | Gust H. Bardy | Subcutaneous P-Wave Centric Insertable Cardiac Monitor For Long Term Electrocardiographic Monitoring |
US9615763B2 (en) | 2013-09-25 | 2017-04-11 | Bardy Diagnostics, Inc. | Ambulatory electrocardiography monitor recorder optimized for capturing low amplitude cardiac action potential propagation |
US9730593B2 (en) | 2013-09-25 | 2017-08-15 | Bardy Diagnostics, Inc. | Extended wear ambulatory electrocardiography and physiological sensor monitor |
US10820801B2 (en) | 2013-09-25 | 2020-11-03 | Bardy Diagnostics, Inc. | Electrocardiography monitor configured for self-optimizing ECG data compression |
US9655537B2 (en) | 2013-09-25 | 2017-05-23 | Bardy Diagnostics, Inc. | Wearable electrocardiography and physiology monitoring ensemble |
US10624551B2 (en) | 2013-09-25 | 2020-04-21 | Bardy Diagnostics, Inc. | Insertable cardiac monitor for use in performing long term electrocardiographic monitoring |
WO2015048194A1 (en) | 2013-09-25 | 2015-04-02 | Bardy Diagnostics, Inc. | Self-contained personal air flow sensing monitor |
US10433751B2 (en) | 2013-09-25 | 2019-10-08 | Bardy Diagnostics, Inc. | System and method for facilitating a cardiac rhythm disorder diagnosis based on subcutaneous cardiac monitoring data |
US9700227B2 (en) | 2013-09-25 | 2017-07-11 | Bardy Diagnostics, Inc. | Ambulatory electrocardiography monitoring patch optimized for capturing low amplitude cardiac action potential propagation |
US9345414B1 (en) | 2013-09-25 | 2016-05-24 | Bardy Diagnostics, Inc. | Method for providing dynamic gain over electrocardiographic data with the aid of a digital computer |
US9717433B2 (en) | 2013-09-25 | 2017-08-01 | Bardy Diagnostics, Inc. | Ambulatory electrocardiography monitoring patch optimized for capturing low amplitude cardiac action potential propagation |
US10667711B1 (en) | 2013-09-25 | 2020-06-02 | Bardy Diagnostics, Inc. | Contact-activated extended wear electrocardiography and physiological sensor monitor recorder |
US10888239B2 (en) | 2013-09-25 | 2021-01-12 | Bardy Diagnostics, Inc. | Remote interfacing electrocardiography patch |
US9364155B2 (en) | 2013-09-25 | 2016-06-14 | Bardy Diagnostics, Inc. | Self-contained personal air flow sensing monitor |
US9737224B2 (en) | 2013-09-25 | 2017-08-22 | Bardy Diagnostics, Inc. | Event alerting through actigraphy embedded within electrocardiographic data |
US9619660B1 (en) | 2013-09-25 | 2017-04-11 | Bardy Diagnostics, Inc. | Computer-implemented system for secure physiological data collection and processing |
US9775536B2 (en) | 2013-09-25 | 2017-10-03 | Bardy Diagnostics, Inc. | Method for constructing a stress-pliant physiological electrode assembly |
US10736531B2 (en) | 2013-09-25 | 2020-08-11 | Bardy Diagnostics, Inc. | Subcutaneous insertable cardiac monitor optimized for long term, low amplitude electrocardiographic data collection |
US10799137B2 (en) | 2013-09-25 | 2020-10-13 | Bardy Diagnostics, Inc. | System and method for facilitating a cardiac rhythm disorder diagnosis with the aid of a digital computer |
US9433367B2 (en) | 2013-09-25 | 2016-09-06 | Bardy Diagnostics, Inc. | Remote interfacing of extended wear electrocardiography and physiological sensor monitor |
US11723575B2 (en) | 2013-09-25 | 2023-08-15 | Bardy Diagnostics, Inc. | Electrocardiography patch |
US10433748B2 (en) | 2013-09-25 | 2019-10-08 | Bardy Diagnostics, Inc. | Extended wear electrocardiography and physiological sensor monitor |
US10736529B2 (en) | 2013-09-25 | 2020-08-11 | Bardy Diagnostics, Inc. | Subcutaneous insertable electrocardiography monitor |
US11213237B2 (en) | 2013-09-25 | 2022-01-04 | Bardy Diagnostics, Inc. | System and method for secure cloud-based physiological data processing and delivery |
US10165946B2 (en) | 2013-09-25 | 2019-01-01 | Bardy Diagnostics, Inc. | Computer-implemented system and method for providing a personal mobile device-triggered medical intervention |
US10251576B2 (en) | 2013-09-25 | 2019-04-09 | Bardy Diagnostics, Inc. | System and method for ECG data classification for use in facilitating diagnosis of cardiac rhythm disorders with the aid of a digital computer |
US9433380B1 (en) | 2013-09-25 | 2016-09-06 | Bardy Diagnostics, Inc. | Extended wear electrocardiography patch |
US11696681B2 (en) | 2019-07-03 | 2023-07-11 | Bardy Diagnostics Inc. | Configurable hardware platform for physiological monitoring of a living body |
US11096579B2 (en) | 2019-07-03 | 2021-08-24 | Bardy Diagnostics, Inc. | System and method for remote ECG data streaming in real-time |
US11116451B2 (en) | 2019-07-03 | 2021-09-14 | Bardy Diagnostics, Inc. | Subcutaneous P-wave centric insertable cardiac monitor with energy harvesting capabilities |
Family Cites Families (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2235894A (en) * | 1938-01-18 | 1941-03-25 | Clarence D Lee | Device for recording pulse waves, respiration, and blood pressure changes |
US2539009A (en) * | 1945-10-26 | 1951-01-23 | Sun Oil Co | Cylindrical recording chart construction |
US2635195A (en) * | 1951-03-12 | 1953-04-14 | Northrop Aircraft Inc | Graph sensing device |
US2741530A (en) * | 1952-05-06 | 1956-04-10 | Times Facsimile Corp | Electric facsimile recorders |
US2718224A (en) * | 1952-07-01 | 1955-09-20 | Apstein Maurice | Miniature direct-writing electro-cardiograph |
US3302639A (en) * | 1964-06-23 | 1967-02-07 | Koffler Arthur | Recording diagnostic machines |
US3478364A (en) * | 1967-07-02 | 1969-11-11 | Hellige & Co Gmbh F | Recorder having distinguishable records |
US3681774A (en) * | 1971-01-26 | 1972-08-01 | American Optical Corp | Two-variable strip chart recorder |
-
1974
- 1974-02-11 US US441684A patent/US3893453A/en not_active Expired - Lifetime
-
1975
- 1975-01-21 IL IL46481A patent/IL46481A/en unknown
- 1975-01-27 CA CA218,702A patent/CA1047115A/en not_active Expired
- 1975-01-30 DE DE19752503822 patent/DE2503822A1/en not_active Withdrawn
- 1975-02-07 FR FR7503838A patent/FR2260320B1/fr not_active Expired
- 1975-02-10 JP JP50016402A patent/JPS50114085A/ja active Pending
- 1975-02-10 SE SE7501435A patent/SE7501435L/xx unknown
- 1975-02-11 NL NL7501596A patent/NL7501596A/en unknown
- 1975-02-11 GB GB5802/75A patent/GB1499516A/en not_active Expired
Also Published As
Publication number | Publication date |
---|---|
NL7501596A (en) | 1975-08-13 |
SE7501435L (en) | 1975-08-12 |
GB1499516A (en) | 1978-02-01 |
JPS50114085A (en) | 1975-09-06 |
FR2260320A1 (en) | 1975-09-05 |
FR2260320B1 (en) | 1977-11-18 |
US3893453A (en) | 1975-07-08 |
IL46481A0 (en) | 1975-04-25 |
IL46481A (en) | 1977-06-30 |
DE2503822A1 (en) | 1975-08-14 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CA1047115A (en) | Compressed data display system | |
USRE29921E (en) | Electrocardiographic computer | |
US4006737A (en) | Electrocardiographic computer | |
CA2054609C (en) | Device for detecting abnormal heart muscle electrical activity | |
US5606978A (en) | Heart monitoring apparatus | |
US4475558A (en) | System for providing short-term event data and long-term trend data | |
US4739772A (en) | Brain wave monitoring mechanism and method | |
US3951135A (en) | Compressed data display system | |
Kayed et al. | The actioculographic monitor of sleep | |
CA1047116A (en) | Compressed data display system | |
US3894533A (en) | Vital sign trend intuitive display system | |
US4051482A (en) | Graticule with cursors | |
EP0463620B1 (en) | Recorder for pulse and oxygen in breathing | |
HIDA et al. | Home sleep monitor for detecting apnea episodes by nasal flow and tracheal sound recordings | |
DE4440985C2 (en) | Measuring device for analyzing and recording a person's sleep and waking phases | |
US5474079A (en) | Signal acquisition method | |
KR910000428B1 (en) | Electrocardiograph | |
Anderson et al. | Data logging technology in ambulatory medical instrumentation | |
Latour et al. | A micro-computerised system to measure the colonic contractile activity. Application to pharmacological tests in dogs | |
CN214484716U (en) | Tooth looseness degree detection equipment | |
CN210158595U (en) | Novel multifunctional electrocardiogram diagnosis and treatment vehicle | |
Marriott et al. | Improved ECG monitoring during cardiac catheterization using radiotransparent electrodes and chest leads | |
Riggins et al. | An evaluation of contourography as a technique for electrocardiographic data compression | |
Torresan et al. | Contourographic QT interval measurement | |
WEBER et al. | Possibility of using recorder systems with a low upper frequency boundary in EMG telemetry |