Professional Documents
Culture Documents
Part 1
DATA ACQUISITION SYSTEMS Digital Data Acquisition System, Various ways of multiplexing, Computer controlled instrumentation.
Part 2
BIO-MEDICAL MEASUREMENTS Bioelectric signals (ECG,EMG,ERG,EOG) and electrodes. Elementary Principles of Electrocardiograph, Electromyograph, Electroencephalograph.
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Physical Variable
Transducer
PC Based Controller
Transducer
To Process
M O N I T O R
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K E Y B O A R D
P R I N T E R
Electrocardiograph (ECG)
Electrocardiography (ECG) (Greek: kardia, meaning heart) is a transthoracic (across the thorax or chest) interpretation of the electrical activity of the heart over a period of time, as detected by electrodes attached to the surface of the skin and recorded by a device external to the body. The recording produced by this noninvasive procedure is termed an electrocardiogram. An ECG is used to measure the rate and regularity of heartbeats, as well as the size and position of the chambers, the presence of any damage to the heart, and the effects of drugs or devices used to regulate the heart.
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ECG Electrodes
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Working
An ECG is a way to measure and diagnose abnormal rhythms of the heart,particularly abnormal rhythms caused by damage to the conductive tissue that carries electrical signals, or abnormal rhythms caused by electrolyte imbalances. The ECG can identify if the heart muscle has been damaged in specific areas, though not all areas of the heart are covered. The ECG cannot reliably measure the pumping ability of the heart, for which ultrasound-based (echocardiography) or nuclear medicine tests are used. It is possible for a human or other animal to be in cardiac arrest, but still have a normal ECG signal (a condition known as pulseless electrical activity). The ECG device detects and amplifies the tiny electrical changes on the skin that are caused when the heart muscle depolarizes during each heartbeat. At rest, each heart muscle cell has a negative charge, called the membrane potential, across its cell membrane. Decreasing this negative charge towards zero, via the influx of the positive cations, Na+ and Ca++, is called depolarization, which activates the mechanisms in the cell that cause it to contract. During each heartbeat, a healthy heart will have an orderly progression of a wave of depolarisation that is triggered by the cells in thesinoatrial node, spreads out through the atrium, passes through the atrioventricular node and then spreads all over the ventricles. This is detected as tiny rises and falls in the voltage between two electrodes placed either side of the heart which is displayed as a wavy line either on a screen or on paper. This display indicates the overall rhythm of the heart and weaknesses in different parts of the heart muscle. Usually, more than two electrodes are used, and they can be combined into a number of pairs (For example: left arm (LA), right arm (RA) and left leg (LL) electrodes form the three pairs LA+RA, LA+LL, and RA+LL). The output from each pair is known as a lead. Each lead looks at the heart from a different angle. Different types of ECGs can be referred to by the number of leads that are recorded, for example 3-lead, 5lead or 12-lead ECGs (sometimes simply "a 12-lead"). A 12-lead ECG is one in which 12 different electrical signals are recorded at approximately the same time and will often be used as a one-off recording of an ECG, traditionally printed out as a paper copy. Three- and 5-lead ECGs tend to be monitored continuously and viewed only on the screen of an appropriate monitoring device, for example during an operation or whilst being transported in an ambulance. There may or may not be any permanent record of a 3- or 5-lead ECG, T Srinivasa Rao Electronic Measurements and Instrumentation (EC-226) depending on the equipment used.
T-Wave:
Origin: Ventricular repolarisation Amplitude: 0.1 to 0.5 mv Duration: 0.05 to 0.15 sec
U-Wave:
Origin: Due to after potentials in the Ventricular muscle. Amplitude: < 0.1 mv Duration: 0.2 sec
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Rhythm Strip
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Electroencephalograph (EEG)
EEG is the recording of electrical activity along the scalp. EEG measures voltage fluctuations resulting from ionic current flows within the neurons of the brain. In clinical contexts, EEG refers to the recording of the brain's spontaneous electrical activity over a short period of time, usually 2040 minutes, as recorded from multiple electrodes placed on the scalp. Diagnostic applications generally focus on the spectral content of EEG, that is, the type of neural oscillations that can be observed in EEG signals. Brain cells communicate by producing tiny electrical impulses. In an EEG, electrodes are placed on the scalp over multiple areas of the brain to detect and record patterns of electrical activity and check for abnormalities. EEG cannot be used to "read the mind," measure intelligence, or diagnose mental illness. EEG activity can be broken down into 4 distinct frequency bands: Beta activity > 13 Hz Alpha activity 8 Hz-13 Hz Theta activity 4 Hz-7 Hz Delta activity < 4 Hz T Srinivasa Rao
Electronic Measurements and Instrumentation (EC-226)
Electrodes
Metal Disk and Cup Electrodes Disk and Cup electrodes are generally made of high purity tin, silver, gold or even surgical steel, or some combination of these (i.e. gold plated silver). They usually have a diameter that is within 4-10 mm as smaller than 4mm, or larger than 10mm, will not make sufficient mechanical/electrical contact with the scalp. The application site is determined and prepared by sterilizing with alcohol, using an abrasive to remove dead skin. Once the electrode is secure, the cup is filled with a conductive gel which aids conductivity. These electrodes can also be placed on other parts of the body to monitor skin potentials and filter these out, increasing the reliability of the readings.
Needle Electrodes Needle electrodes are sterilized, single-use needles placed under the skin. These electrodes are typically made of surgical grade steel and are inserted into the scalp after thorough disinfection of the insertion site. The advantage of this particular type of electrode is fast application, perhaps being useful in emergency situations or on comatose patients; however the invasive nature of the application and pain caused to the patient means that they are not commonly used. These electrodes also have a risk of infection and unfavorable electrical behavior due to their shape. These electrodes are usually used during intra-operative recordings as well as in association with T Srinivasa electrode Rao intra-cranial recording. Electronic Measurements and Instrumentation (EC-226)
Electroencephalograph (EEG)
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Amplification
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Electroencephalograph (EEG)
Beta activity is a normal activity present when the eyes are open or closed. It tends to be seen in the channels recorded from the centre or front of the head. Some drugs will increase the amount of beta activity in the EEG.
Alpha activity is also a normal activity when present in waking adults. It is mainly seen in the channels recorded from the back of the head. It is fairly symmetrical and has an amplitude of 40 V to 100 V. It is only seen when the eyes are closed and should disappear or reduce in amplitude when the eyes are open.
Theta activity can be classed as both a normal and abnormal activity depending on the age and state of the patient. In adults it is normal if the patient is drowsy. However it can also indicate brain dysfunction if it is seen in a patient who is alert and awake. In younger patients, theta activity may be the main activity seen in channels recorded from the back and central areas of the head. Rao T Srinivasa Electronic Measurements and Instrumentation (EC-226)
Electroencephalograph (EEG)
Delta activity is only normal in an adult patient if they are in a moderate to deep sleep. If it is seen at any other time it would indicate brain dysfunction. Abnormal activity may be seen in all or some channels depending on the underlying brain problem.
Spike and wave activity indicates a seizure disorder and may be seen in the EEG even if the patient is not having an epileptic seizure. Other epileptic conditions may be diagnosed if spikes or sharp waves are seen.
Triphasic waves are sometimes seen if the patient has severe liver or kidney disease that is affecting brain function.
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Electromyograph (EMG)
Electromyography, or EMG, involves testing the electrical activity of muscles. Often, EMG testing is performed with another test that measures the conducting function of nerves called nerve conduction study. Because both tests are often performed at the same office visit and by the same personnel, the risks and procedures generally apply to both tests. Muscular movement involves the action of muscles and nerves and needs an electrical current. This electrical current is much weaker than the one in your household wiring. In some medical conditions the electrical activity of the muscles or nerves is not normal. Finding and describing these electrical properties in the muscle or nerve may help doctors diagnose patient condition. EMG may aid with the diagnosis of nerve compression or injury, nerve root injury and with other problems of the muscles or nerves.
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Electrodes
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Electromyograph (EMG)
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Electro-Oculogram (EOG)
Electrooculography (EOG/E.O.G.) is a technique for measuring the resting potential of the retina. The resulting signal is called the electrooculogram. The main applications are in ophthalmological diagnosis and in recording eye movements. Unlike the electroretinogram, the EOG does not represent the response to individual visual stimuli. Eye movement measurements: Usually, pairs of electrodes are placed either above and below the eye or to the left and right of the eye. If the eye is moved from the center position towards one electrode, this electrode "sees" the positive side of the retina and the opposite electrode "sees" the negative side of the retina. Consequently, a potential difference occurs between the electrodes. Assuming that the resting potential is constant, the recorded potential is a measure for the eye position.
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There are a number of corneal electrodes that are in common use. Some are speculum structures that hold the eye open and have a contact lens with a wire ring that floats on the cornea supported by a small spring. Some versions use carbon, wire or gold foil to record electrical activity. There are also cotton wick electrodes. Each of these electrodes record large voltage responses directly from the cornea or sclera and each have advantages and disadvantages. Burian speculum electrodes are used when possible. Sizes are available down to a size that fits in the eye of most full-term babies
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Electroretinogram (ERG)
The electroretinogram (ERG) is a recording of electrical potentials (action potentials) that are generated within the retina (typically in response to a flash of light). It is recorded using two electrodes, with one electrode placed on or close to the cornea of the eye whilst the other is placed on the forehead, cheek or earlobe. Electroretinography tests are commonly performed after a subject has spent several minutes in complete darkness, thereby ensuring the light flash is a significant stimulus. Under these conditions the ERG response will be relatively large in amplitude (approximately 500 V to 1mV), approximately 2 seconds in duration (depending on species) and will consist of several distinct components. In brief, the ERG may be separated into 4 waveform components (a, b, c and d waves). One electrode is placed on or close to the cornea of the eye. Several types of corneal electrodes are available for this application, including: Contact lens with a steel or silver wire embedded in the inner surface A piece of gold leaf tucked underneath the lower eye lid T Srinivasa Rao A skin electrode placed on the external surfaceand of Instrumentation the lower eye lid . Electronic Measurements (EC-226)
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Electroretinogram
Electroretinography measures the electrical responses of various cell types in the retina, including the photoreceptors (rods and cones), inner retinal cells (bipolar and amacrine cells), and the ganglion cells
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