Patent Application
20140288407
The present invention relates to an electrocardiograph and a bioelectrode pad which is used for the electrocardiograph and is applied to a skin of a living body for measuring an electrocardiac signal. Particularly, the present invention relates to the electrocardiograph and the bioelectrode pad which can stably measure the electrocardiac signal without being disturbed by a body motion noise.
The conventional electrocardiograph and the bioelectrode pad are known for example from a patent document 1 which is previously proposed by an applicant of this patent application. In the electrocardiograph mentioned above, it is possible to measure the electrocardiac signal without being disturbed by the body motion noise by: using a plurality of bioelectrode pads each having a plurality of electrodes having different areas respectively which are contacted with a skin surface of a specific portion of living body respectively; measuring an original electrocardiac signal by contacting the bioelectrode pads with the skin surface of living body and obtaining a difference between signals supplied from either one electrodes of these bioelectrode pads; measuring a signal of the body motion noise by obtaining a difference between a signal supplied from the electrode having a relatively small area and a signal supplied from the electrode having a relative large area, with respect to respective bioelectrode pads; and removing a low frequency component of the signal of the body motion noise from the original electrocardiac signal. In this case, the signal of the body motion noise is generated, since a polarization potential and impedance, which generate between the electrode and a conductive gel or between the conductive gel and the skin surface, are varied due to the body motion.
Meanwhile, where the inventors according to the invention further investigated the conventional electrocardiograph and the bioelectrode pad mentioned above, tasks such as the following were newly found. That is, in the conventional bioelectrode pad, since the signal of the body motion noise is obtained by an area difference of the electrodes, it is not always possible to obtain the signal of the body motion noise having a sufficient level from the electrode having a small area due to an practical size limitation of the bioelectrode pad. Therefore, in the conventional electrocardiograph utilizing the bioelectrode pad mentioned above, since it is difficult to set a gain of the signal of the body motion noise, it is not possible to sufficiently eliminate an effect of the body motion from the electrocardiac signal.
Then, as a result that the tasks mentioned above are further investigated, it is confirmed that the signal of the body motion noise and the original electrocardiac signal can be obtained in a sufficient level respectively by stacking a plurality of electrodes in a thickness direction via the conductive gel sheet therebetween.
The present invention is intended to solve the tasks of the conventional electrocardiograph and bioelectrode pad with taking into consideration of the findings mentioned above advantageously. An electrocardiograph according to the invention relates to an electrocardiograph for measuring an electrocardiac signal by processing an electrical signal detected by using a plurality of bioelectrode pads which are applied to a skin of a living body, wherein the plurality of bioelectrode pads each comprises: plural sheets of electrodes stacked mutually; and conductive gel sheets arranged alternately with the plural sheets of electrodes and interposed between the electrodes; and wherein the electrocardiograph comprises: a first difference circuit for determining an original electrocardiac signal by obtaining a difference between signals supplied from either one electrodes of each of two bioelectrode pads among the plurality of bioelectrode pads; a second difference circuit for determining a body motion noise signal by obtaining a difference between signals supplied from either two of the electrodes of the respective two bioelectrode pads; and a body motion noise removing circuit for removing a low frequency component of the body motion noise signals supplied from respective two bioelectrode pads from the original electrocardiac signal.
Moreover, according to the invention, a bioelectrode pad for the electrocardiograph mentioned above, comprises: plural sheets of electrodes stacked mutually; and conductive gel sheets arranged alternately with the plural sheets of electrodes and interposed between the electrodes.
In the electrocardiograph and the bioelectrode pad mentioned above, if the bioelectrode pad is fitted to a surface of the skin at a specified portion of the living body, the plural sheets of the electrodes of the bioelectrode pad are pressed to the skin surface in such a manner that the electrodes are stacked with each other and the conductive gel is interposed between the electrodes. Therefore, the electrodes are connected in series with each other and it is possible to detect and output a signal by utilizing the electrode having a sufficient area. In this manner, voltages of the signals output from the electrodes sandwiched between the electrode and the skin are decreased by a predetermined ratio defined by the number of the sheets of the electrodes and the conductive gel sheets with respect to a voltage of the signal output from the outer electrode positioned on an outside opposite to a skin side.
Therefore, according to the bioelectrode pad of the present invention, for example, there may be a case that the outer electrode positioned opposite to the skin side is made to be a body motion noise detection electrode and also the electrode sandwiched between the electrode and the skin is made to be an original electrocardiac signal detection electrode, or, there may be a case that the outer electrode positioned opposite to the skin side is made to be the original electrocardiac signal detection electrode and also the electrode sandwiched between the electrode and the skin is made to be the body motion noise detection electrode. In the embodiments mentioned above, it is possible to detect a body motion noise signal and an original electrocardiac signal each having a sufficient level by utilizing these electrodes. Moreover, it is possible to make the signal from the electrode sandwiched between the electrode and the skin to a value decreased by a predetermined ratio defined by the number of sheets of the electrodes and the conductive gel sheets, with respect to the voltage of the signal output from the outer electrode positioned opposite to the skin side.
Moreover, according to the electrocardiograph of the present invention which utilizes the bioelectrode pad of the present invention, it is possible to obtain the body motion noise signal and the original electrocardiac signal each having a sufficient level mentioned above. In addition, it is possible to easily perform a gain setting of the body motion noise or the original electrocardiac signal. Therefore, it is possible to easily remove an influence of the body motion from the electrocardiac signal.
In addition, in the electrocardiograph according to the present invention, the followings are preferable. That is, the two bioelectrode pads mentioned above have respectively three sheets of the electrodes stacked mutually. The first difference circuit mentioned above obtains a difference between the signals supplied from the electrode positioned at an intermediate portion among three sheets of the electrodes to obtain the original electrocardiac signal. The second difference circuit mentioned above obtains a difference between the signals supplied from the electrodes positioned at both sides of three sheets of the electrodes to obtain the body motion noise signal.
In the preferable embodiment mentioned above, since one of the electrodes positioned at both side portions is the electrode positioned nearest to the skin surface and the other is the electrode positioned most far from the skin surface, a voltage of the body motion noise signal can be detected between the electrodes positioned at both side portions, and a voltage of the original electrocardiac signal and a voltage having 1/2 level of the body motion noise signal can be detected between the electrodes positioned at an intermediate portion. Therefore, all body motion noise signal supplied from the electrodes positioned at an intermediate portion can be detected by the electrodes positioned at both side portions, and thus it is possible to effectively remove the body motion noise signal from the original electrocardiac signal at respective bioelectrode pads.
Meanwhile, in the bioelectrode pads according to the present invention, it is preferable to further arrange a conductive gel sheet in a stacked manner outside of the plural sheets of the electrodes, which is also arranged at the skin side and in the stacked direction of the plural sheets of the electrodes.
According to the preferable embodiment mentioned above, since the conductive gel sheet is interposed between the skin surface and the electrode positioned nearest to the skin surface, it is possible to detect the body motion noise signal even at the electrode positioned nearest to the skin surface, and also it is possible to cover the electrodes by the conductive gel sheet.
Moreover, in the bioelectrode pad according to the present invention, it is preferable to form the electrode at least sandwiched by the conductive gel sheets among the plural sheets of the electrodes mentioned above in a net-like shape or in a porous shape such as fabric or the like.
According to the preferable embodiment mentioned above, since the conductive gel is penetrated through the net-like electrode or the porous electrode, properties of the conductive gel sheets arranged at both sides of the electrode become even. Therefore, in the electrocardiograph, it is possible to easily perform the gain settings of the body motion noise and the original electrocardiac signal. Moreover, a contact area between the electrode and the conductive gel sheet becomes larger as compared with a plane electrode, and further the electrode is deformed flexibly along the skin surface. Therefore, it is possible to improve a detection level of the signal also from this point.
Then, in the bioelectrode pad according to the present invention, it is preferable to further comprise a fitting sheet having: an intermediate portion for supporting the electrodes and the conductive gel sheets in a stacked condition, which is stacked outside of the electrode at an opposite side with respect to the skin side and in an stacked direction of the plural sheets of electrodes; and an end portion for fitting the electrodes and the conductive gel sheets supported by the intermediate portion to a skin surface at a predetermined portion of the living body, which is continued with the intermediate portion, positioned outside of the electrodes and the conductive gel sheets in an extended direction of the plural sheets of electrodes, and has an adhesive surface.
According to the preferable embodiment mentioned above, the electrodes and the conductive gel sheets are supported in a stacked condition by the intermediate portion of the fitting sheet, which is stacked outside of the electrode at an opposite side with respect to the skin side and in a stacked direction of the plural sheets of electrodes. Moreover, the electrodes and the conductive gel sheets supported by the intermediate portion are fitted to the skin surface at a predetermined portion of the living body by the end portion which is positioned outside of the electrodes and the conductive gel sheets in an extended direction of the plural sheets of electrodes, and has an adhesive surface. Therefore, it is possible to securely maintain the electrode and the conductive gel sheet in a staked condition on the skin surface of the predetermined portion of the living body.
Hereinafter, embodiments for carrying out the present invention will be explained in detail with reference to the drawings by specific embodiments.
A bioelectrode pad according to this embodiment comprises: as shown in
The fitting sheet 6 is made of a normal nonconductive material and has a substantially circular shape. Moreover, the fitting sheet 6 has an adhesive layer 6a arranged on all rear surface (lower surface in the figure). Further, the fitting sheet 6 comprises: an intermediate portion 6b for supporting the dynamic pressure stabilizing plate 5, the electrodes 1, 2 and the conductive gel sheets 3, 4 in a stacked condition by means of the adhesive layer 6a, which is stacked outside of the dynamic pressure stabilizing plate 5 (upper side in the figure) at an opposite side with respect to the skin side in a stacked direction of the two sheets of electrodes 1, 2; and an external end portion 6c for fitting the dynamic pressure stabilizing plate 5, the electrodes 1, 2 and the conductive gel sheets 3, 4 supported by the intermediate portion 6b to the skin surface not shown at a predetermined portion of the living body positioned at a lower side in the figure by means of the adhesive layer 6a, which is continued with the intermediate portion 6b and is positioned outside of the dynamic pressure stabilizing plate 5, the electrodes 1, 2 and the conductive gel sheets 3, 4 in an extended direction (horizontal direction in the figure) of the two sheets of electrodes 1, 2.
Here, it is preferable that the electrode 1 is used as a detection electrode for a body motion noise signal since the conductive gel sheet 3 is interposed between the electrodes 1 and 2 and thus a noise generated from the conductive gel due to a body motion is large. Moreover, it is preferable that the electrode 2 is used as a detection electrode for an original electrocardiac signal since a distance between the skin surface and the electrode 2 is lesser than that of the electrode 1. However, if the electrode 1 is used as the detection electrode for the original electrocardiac signal and the electrode 2 is used as the detection electrode for the body motion noise signal, it is possible to detect the body motion noise signal and the original electrocardiac signal.
The dynamic pressure stabilizing plate 5 is formed by a substrate made of for example plastic as a whole and has a substantially disc-like shape. Moreover, the electrode 1 is formed by a substrate made of for example plastic as a whole and having a substantially planar shape, and has a connection terminal 1a projected upward from its upper surface. Further, the planar portion and a surface of the connection terminal 1a are coated by a plating of for example silver chloride which is a high-conductive material, and an outer surface of a shaft portion of the connection terminal 1a of the electrode 1 is coated by an insulating material. Furthermore, a tip portion of the connection terminal 1a is projected at a surface side of the fitting sheet 6 by penetrating it from a rear side via a through hole of the dynamic pressure stabilizing plate 5 and a through hole of the intermediate portion 6b of the fitting sheet 6.
On the other hand, the electrode 2 is formed by for example metal wires as a whole and having a substantially net-like shape, and has a connection terminal 2a projected upward from its upper surface. Moreover, the net-like portion and a surface of the connection terminal 2a are coated by a plating of for example silver chloride which is a high-conductive material, and an outer surface of a shaft portion of the connection terminal 2a of the electrode 2 is coated by an insulating material. Further, a tip portion of the connection terminal 2a is projected at a surface side of the fitting sheet 6 by penetrating it from a rear side via through holes of the conductive gel sheet 3, the electrode 1 and the dynamic pressure stabilizing plate 5 and a through hole of the intermediate portion 6b of the fitting sheet 6.
The conductive gel sheets 3, 4 are made of a normal gel sheet having a disc-like shape respectively larger than the electrodes 1, 2 and having an adhesion. The conductive gel sheet 3 is stuck to the dynamic pressure stabilizing plate 5 at its peripheral portion, and the electrode 1 is fixed by sandwiching it between the conductive gel sheet 3 and the dynamic pressure stabilizing plate 5. The conductive gel sheet 4 is stuck to the conductive gel sheet 3 at its peripheral portion, and the electrode 2 is fixed by sandwiching it between the conductive gel sheets 3 and 4.
Further, in the bioelectrode pad of this embodiment, in order to cover and protect whole portions of the adhesive layer 6a of the external end portion 6c of the fitting sheet 6 mentioned above and the outer conductive gel sheet 4, a peeling sheet not shown made of a normal film, to which a surface treatment is performed, is arranged so as to be easily peel off from the adhesive layer 6a and the conductive gel sheet 4.
In the bioelectrode pad of the embodiment mentioned above, if the bioelectrode pad is applied to a skin surface S of a predetermined portion of the living body as shown in
Therefore, according to the bioelectrode pad of this embodiment, since the outermost electrode 1 is used as the detection electrode of the body motion noise signal and also the inner electrode 2 is used as the detection electrode of the original electrocardiac signal, it is possible to detect the voltage VN of the body motion noise signal and the voltage VHN of the original electrocardiac signal in a sufficient level by means of these electrodes 1 and 2. In addition, it is possible to decrease the voltage VN of the body motion noise signal supplied from the inner electrode 2 by 1/2 which is a predetermined ratio defined by the number of the electrodes 1, 2 and the conductive gel sheets 3, 4 with respect to a voltage 2VN of the body motion noise signal output from the outermost electrode 1.
Then, in the electrocardiograph of the embodiment mentioned above, the first differential amplifier 11 obtains a difference between the signals supplied from respective electrodes 2 of the two bioelectrode pads of the embodiment mentioned above so as to determine the original electrocardiac signal. Moreover, the second differential amplifiers 12, 13 obtain a difference between the signals supplied from the electrode 1 and 2 with respect to each of the two bioelectrode pads of the embodiment mentioned above so as to determine the body motion noise signal as mentioned above. Then, the body motion noise removing circuit constructed by the two low-pass filters 14, 15 and the two differential amplifiers 16, 17 removes the low frequency component of the body motion noise signals supplied from respective two bioelectrode pads of the embodiment mentioned above from the original electrocardiac signal so as to output an electrocardiac signal. In this case, a level controlling circuit not shown is arranged to an input side of respective differential amplifiers so as to compensate an arbitrary signal by the difference.
Therefore, according to the electrocardiograph of this embodiment, it is possible to obtain the body motion noise signal and the original electrocardiac signal in a sufficient level as mentioned above, and it is possible to easily perform gain settings of the body motion noise signal and the original electrocardiac signal. Therefore, it is possible to sufficiently remove an influence of the body motion from the electrocardiac signal.
Further, according to the bioelectrode pad of this embodiment, since the bioelectrode pad comprises the conductive gel sheet 4 which is stacked in an outer side of a lower side of the two sheets of electrodes 1, 2 in the stacked direction thereof, the conductive gel sheet 4 is interposed between the skin surface S and the electrode 2 arranged nearest to the skin surface S. Therefore, it is possible to detect the voltage VN of the body motion noise signal even by the electrode 2 arranged nearest to the skin surface, and also it is possible to cover the electrode 2 by the conductive gel sheet 4.
Moreover, according to the bioelectrode pad of this embodiment, since the electrode 2 sandwiched between the conductive gel sheets 3, 4 among the two sheets of electrodes 1, 2 has a net-like shape, the properties of the conductive gel sheets 3, 4 arranged at both sides of the electrode 2 become even, due to the penetration of the conductive gel through the net-like electrode 2. Therefore, it is possible to easily perform the gain settings of the body motion noise and the original electrocardiac signal in the electrocardiograph. Moreover, it is possible to increase a contact area between the electrode 2 and the conductive gel sheets 3, 4 as compared with the planar electrode. Further, it is possible to deform the electrode 2 flexibly along the skin surface S. From these points, it is possible to improve a signal detection level.
Then, according to the bioelectrode pad of this embodiment, the bioelectrode pad further comprises the fitting sheet 6 having: the intermediate portion 6b for supporting the dynamic pressure stabilizing plate 5, the electrodes 1, 2 and the conductive gel sheets 3, 4 in a stacked condition, which is stacked outside of the dynamic pressure stabilizing plate 5 in a stacked direction of the two sheets of electrodes 1, 2; and the end portion 6c for fitting the dynamic pressure stabilizing plate 5, the electrodes 1, 2 and the conductive gel sheets 3, 4 supported by the intermediate portion 6b to the skin surface S at a predetermined portion of the living body, which is continued with the intermediate portion 6b and is positioned outside of the dynamic pressure stabilizing plate 5, the electrodes 1, 2 and the conductive gel sheets 3, 4 in an extended direction of the two sheets of electrodes 1, 2 and has the adhesive layer 6a. Therefore, it is possible to securely maintain the dynamic pressure stabilizing plate 5, the electrode 1, 2 and the conductive gel sheets 3, 4 in a staked condition on the skin surface S of the predetermined portion of the living body.
a) and 4(b) are a partially-cutout perspective view and a cross-sectional view respectively showing one modified embodiment of the bioelectrode pad of the embodiment mentioned above. In this modified embodiment, the electrode 2 is directly contacted to the skin surface S of a predetermined portion of the living body by omitting the conductive gel sheet 4 of a side of the skin surface S among the two sheets of conductive gel sheets 3, 4, and the other points are constructed in the same manner as those of the embodiment mentioned above.
Also in the construction of this modified embodiment, it is possible to exert the same functions and effects as those of the embodiment mentioned above. Especially, since the electrode 2 among the two sheets of electrodes 1, 2 has a net-like shape, a contact area between the electrode 2 and the conductive gel sheet 3 is increased as compared with the planar electrode by penetrating the conductive gel of the conductive gel sheet 3 through the net-like electrode 2. In addition, the electrode 2 is deformed flexibly along the skin surface S. In this manner, it is possible to improve the detection level of the original electrocardiac signal.
Namely, here, the electrode 7 has a substantially net-like shape formed by for example a metal wire as a whole, and has a connection terminal 7a projected from its upper surface. Moreover, surfaces of the net-like portion and the connection terminal 7a are coated by a plating of for example silver chloride which is a high-conductive material, and an outer surface of a shaft portion of the connection terminal 7a of the electrode 7 is coated by an insulating material. Further, a tip portion of the connection terminal 7a is projected at a surface side of the fitting sheet 6 by penetrating it from a rear side via through holes of the conductive gel sheets 3, 4, the electrodes 1, 2 and the dynamic pressure stabilizing plate 5 and a through hole of the intermediate portion 6b of the fitting sheet 6. Then, the electrode 7 is maintained in a stacked condition with the other electrodes 1, 2 by an adhesive force of the lower conductive gel sheet 4.
In the bioelectrode pad of the embodiment mentioned above, if the bioelectrode pad is applied to a skin surface S of a predetermined portion of the living body as shown in
Therefore, according to the bioelectrode pad of this embodiment, since the outer electrodes 1, 7 are used as the detection electrode of the body motion noise signal and also the interposed electrode 2 is used as the detection electrode of the original electrocardiac signal, it is possible to detect the voltage VN of the body motion noise signal and the voltage VHN of the original electrocardiac signal in a sufficient level by means of these electrodes 1, 2, 7. In addition, it is possible to decrease the voltage VN of the body motion noise signal supplied from the interposed electrode 2 by 1/2 which is a predetermined ratio defined by the number of the electrodes 1, 2, 7 and the conductive gel sheets 3, 4 with respect to the voltage 2VN of the body motion noise signal output from the outer electrodes 1, 7.
Then, in the electrocardiograph of the embodiment mentioned above, the first differential amplifier 11 obtains a difference between the signals supplied from respective electrodes 2 of the two bioelectrode pads of the embodiment mentioned above so as to determine the original electrocardiac signal. Moreover, the second differential amplifiers 12, 13 obtain a difference between the signals supplied from the electrode 1 and 7 with respect to each of the two bioelectrode pads of the embodiment mentioned above so as to determine the body motion noise signal as mentioned above. Then, the body motion noise removing circuit constructed by the two low-pass filters 14, 15 and the two differential amplifiers 16, 17 removes the low frequency component of the body motion noise signals supplied from respective two bioelectrode pads of the embodiment mentioned above from the original electrocardiac signal so as to output the electrocardiac signal. In this case, a level controlling circuit not shown is arranged to an input side of respective differential amplifiers so as to compensate an arbitrary signal by the difference.
Therefore, according to the electrocardiograph of this embodiment, as is the same as the previous embodiment, it is possible to obtain the body motion noise signal and the original electrocardiac signal in a sufficient level as mentioned above, and it is possible to perform gain settings of the body motion noise signal and the original electrocardiac signal in an easier manner than that of the previous embodiment. Therefore, it is possible to sufficiently remove an influence of the body motion from the electrocardiac signal.
Hereinbefore, the explanation is performed on the basis of the embodiment shown in the drawings. However, the present invention is not limited to the embodiments mentioned above, but various suitable alterations are possible within the scope of the descriptions of claims. In the bioelectrode pad according to the present invention, for example, the fitting sheet 6 and the peeling sheet are omitted, and a stacked member formed by the dynamic pressure stabilizing plate 5, the electrodes 1, 2, the conductive gel sheets 3, 4 and the like may be fitted on the skin surface S by means of an adhesive tape and the like. Moreover, the electrodes 2, 7 may be formed by a flexible porous member such as a fabric-like member and the like, or a rigid porous member, or a plate with no holes without using the net-like member. Further, the dynamic pressure stabilizing plate 5 may be made by a soft member, or the electrode 1 may be used also as the dynamic pressure stabilizing plate without using the dynamic pressure stabilizing plate 5. In this case, the electrode 1 may be made of a flexible member having a net-like shape and the like.
Moreover, in the electrocardiograph of the present invention, for example, the electrode 1 may be used as the detection electrode of the original electrocardiac signal, while the electrode 2 may be used as the detection electrode of the body motion noise signal. Further, as is the same as the conventional embodiment, a myoelectric noise may be removed from the original electrocardiac signal by using an indifferent electrode connected to a ground circuit and a high-pass filter.
As mentioned above, according to the bioelectrode pad of the present invention, for example, if the electrode at the outer side of the opposite side with respect to the skin side is used as the detection electrode of the body motion noise signal and the electrode sandwiched between the electrode and the skin is used as the detection electrode of the original electrocardiac signal, or, if the electrode at the outer side of the opposite side with respect to the skin side is used as the detection electrode of the original electrocardiac signal and the electrode sandwiched between the electrode and the skin is used as the detection electrode of the body motion noise signal, the body motion noise signal and the original electrocardiac signal can be detected respectively in a sufficient level by using these electrodes. Moreover, the signal supplied from the electrode sandwiched between the electrode and the skin can be decreased by a predetermined ratio defined by the number of the electrodes and the conductive gel sheets with respect to the voltage of the signal output from the electrode at the outer side of the opposite side with respect to the skin side.
Moreover, according to the electrocardiograph of the present invention utilizing the bioelectrode pad of the present invention, it is possible to easily obtain the body motion noise signal and the original electrocardiac signal in a sufficient level as mentioned above. In addition, it is possible to easily perform the gain settings of the body motion noise signal and the original electrocardiac signal. Therefore, it is possible to sufficiently remove an influence of the body motion from the electrocardiac signal.
| Filing Document | Filing Date | Country | Kind | 371c Date |
|---|---|---|---|---|
| PCT/JP2011/075313 | 11/2/2011 | WO | 00 | 4/30/2014 |
