Patient Monitoring System and Leadset Having Multiple Capacitive Patient Connectors and a Single Galvanic Patient Connector

Abstract

A patient monitoring system having defibrillation protection includes a data acquisition device and a leadset. The data acquisition device records physiological signals from a patient, the data acquisition device having at least three receiving ports, each receiving port configured to connect to a patient connector. The leadset includes a galvanic patient connector that galvanically connects a first receiving port of the data acquisition device and the patient and at least a first capacitive patient connector and a second capacitive patient connector, wherein each capacitive patient connector capacitively couples a respective receiving port of the data acquisition device and the patient.

We claim: 
     
         1 . A patient monitoring system having defibrillation protection, the patient monitoring system comprising:
 a data acquisition device that records physiological signals from a patient, the data acquisition device having at least three receiving ports, each receiving port configured to connect to a patient connector;   a leadset comprising:
 a galvanic patient connector that galvanically connects a first receiving port of the data acquisition device and the patient; and 
 at least a first capacitive patient connector and a second capacitive patient connector, wherein each capacitive patient connector capacitively couples a respective receiving port of the data acquisition device and the patient. 
   
     
     
         2 . The patient monitoring system of  claim 1 , wherein the physiological signals recorded from the patient are cardiac potentials between the first capacitive patient connector and the second capacitive patient connector; and
 wherein the galvanic patient connector acts as a reference electrode.   
     
     
         3 . The patient monitoring system of  claim 2 , further comprising at least a third capacitive patient connector;
 wherein the first capacitive patient connector is connected at a right arm location on the patient, the second capacitive patient connector is connected at a left arm location on the patient, the third capacitive patient connector is connected at a left leg location on the patient, and the galvanic patient connector is connected at a right leg location on the patient.   
     
     
         4 . The patient monitoring system of  claim 1 , wherein the physiological signals recorded include respiration potentials between the first capacitive patient connector and the second capacitive patient connector; and
 wherein the first capacitive patient connector and the second capacitive patient connector are drive electrodes to inject an AC current into the patient, and the galvanic patient connector acts as a ground.   
     
     
         5 . The patient monitoring system of  claim 1 , wherein the first capacitive patient connector includes a first capacitive electrode and a first leadwire configured to connect the first capacitive electrode to the respective receiving port; and
 wherein the second capacitive patient connector includes a second capacitive electrode and a second leadwire configured to connect the second capacitive electrode to the respective receiving port.   
     
     
         6 . The patient monitoring system of  claim 1 , wherein the first capacitive patient connector and the second capacitive patient connector each include a capacitive leadwire configured to connect to a galvanic electrode, the capacitive leadwire comprising:
 an electrode end configured to connect to the galvanic electrode;   a first conductive layer extending from the electrode end;   a device end connectable to a data acquisition device;   a second conductive layer extending from the device end; and   wherein the first conductive layer is galvanically isolated from the second conductive layer such that the first conductive layer and the second conductive layer form a capacitor.   
     
     
         7 . The patient monitoring system of  claim 6 , wherein the first conductive layer and the second conductive layer are parallel wires divided by a substrate. 
     
     
         8 . The patient monitoring system of  claim 7 , wherein the first conductive layer and the second conductive layer are comprised of a conductive ink printed on a substrate. 
     
     
         9 . The patient monitoring system of  claim 8 , wherein the galvanic patient connector includes a conductive leadwire configured to connect to a galvanic electrode, wherein the conductive leadwire is comprised of a conductive ink printed on a substrate, and further comprising a resistor of at least 1 kilo-ohm printed on the conductive leadwire. 
     
     
         10 . The patient monitoring system of  claim 1 , wherein the data acquisition device is a 12 lead electrocardiograph that records cardiac potentials from the patient, the 12 lead electrocardiograph having 10 receiving ports; and
 wherein the leadset includes the galvanic patient connector and nine capacitive patient connectors.   
     
     
         11 . A respiration monitoring system having defibrillation protection, the respiration monitoring system comprising:
 a data acquisition device that records cardiac potentials from a patient, the data acquisition device having at least three receiving ports, each receiving port configured to connect to a patient connector;   a galvanic patient connector that galvanically connects a first receiving port of the data acquisition device and the patient;   at least a first capacitive patient connector and a second capacitive patient connector, wherein each capacitive patient connector capacitively couples a respective receiving port of the data acquisition device and the patient;   wherein the cardiac potentials are recorded from the patient between the first capacitive patient connector and the second capacitive patient connector; and   wherein the galvanic patient connector acts as a reference.   
     
     
         12 . The respiration monitoring system of  claim 11 , further comprising at least a third capacitive patient connector;
 wherein the first capacitive patient connector is connected at a right arm location on the patient, the second capacitive patient connector is connected at a left arm location on the patient, the third capacitive patient connector is connected at a left leg location on the patient, and the galvanic patient connector is connected at a right leg location on the patient.   
     
     
         13 . The respiration monitoring system of  claim 12  wherein the galvanic patient connector is utilized to remove artifact caused by a change in a DC offset in the cardiac potentials recorded between the each of the capacitive patient connector, the second capacitive patient connector, and the third capacitive patient connector. 
     
     
         14 . The respiration monitoring system of  claim 11 , wherein the first capacitive patient connector includes a first capacitive electrode and a first leadwire connecting the first capacitive electrode to the respective receiving port; and
 wherein the second capacitive patient connector includes a second capacitive electrode and a second leadwire connecting the second capacitive electrode to the respective receiving port.   
     
     
         15 . The respiration monitoring system of  claim 14 , wherein the first capacitive patient connector and the second capacitive patient connector each include a capacitive leadwire configured to connect to a galvanic electrode, the capacitive leadwire comprising:
 an electrode end configured to connect to the galvanic electrode;   a first conductive layer extending from the electrode end;   a device end connectable to a data acquisition device;   a second conductive layer extending from the device end toward the electrode end; and   wherein the first conductive layer is galvanically isolated from the second conductive layer such that the first conductive layer and the second conductive layer form a capacitor.   
     
     
         16 . The respiration monitoring system of  claim 15 , wherein the first conductive layer and the second conductive layer are parallel wires divided by a substrate. 
     
     
         17 . A leadset for recording physiological signals from a patient, the leadset comprising:
 a galvanic patient connector comprising a conductive leadwire and a galvanic electrode; and   at least two capacitive patient connectors, wherein each capacitive patient connector includes a capacitive leadwire configured to connect to a galvanic electrode.   
     
     
         18 . The leadset of  claim 17 , wherein each capacitive leadwire comprises:
 an electrode end connecting to the galvanic electrode;   a first conductive layer extending from the electrode end;   a device end connectable to a data acquisition device;   a second conductive layer extending from the device end toward the electrode end; and   wherein the first conductive layer is galvanically isolated from the second conductive layer such that the first conductive layer and the second conductive layer form a capacitor.   
     
     
         19 . The leadset of  claim 18 , wherein the first conductive layer and the second conductive layer are parallel wires divided by a substrate. 
     
     
         20 . The leadset of  claim 18 , wherein the first conductive layer and the second conductive layer are comprised of a conductive ink printed on a substrate.