Electrocardiogram (ECG) /portable ECG and Electroencephalogram (EEG)
Electrocardiogram (ECG) /portable ECG and Electroencephalogram (EEG)
Electrocardiogram (ECG) /portable ECG and Electroencephalogram (EEG)
Therapy
➔ Electrocardiogram (ECG)/Portable ECG and Electroencephalogram (EEG)
Biophysical Monitoring Overview wall contraction spreads electrical cur- spikes, respiration (which may be
The human medical data acquisition rents from the heart throughout the rhythmic or sporadic), electromagnetic
system, in particular the patient moni- body. The spreading electrical currents interference (EMI), and noise from other
toring system, presents the challenge create different potentials at different electronic components that couple into
to designers of measuring very small points on the body, which can be the input. Some of the noise can be
electrical signals in the presence of sensed by electrodes on the skin cancelled with a high-input-impedance
much larger common-mode voltages surface using biological transducers instrumentation amplifier (INA), like the
and noise. Front-end amplifiers made of metals and salts. This INA333 or INA118, which removes the
perform the essential conditioning that electrical potential is an AC signal with AC line noise common to both inputs
comple- ments downstream digital bandwidth of 0.05Hz to 100Hz, and amplifies the remaining unequal
processing, which in turn refines the sometimes up to 1kHz. It is generally signals present on the inputs; higher
measurement and communicates with around 1mV peak-to-peak in the INA common-mode rejection (CMR)
other systems. Biophysical presence of much larger external high will result in greater rejection. Because
measurements include electrical and frequency noise plus 50/60Hz they originate at different points on the
mechanical signals for general interference normal-mode (mixed body, the left-arm and right-arm ECG
monitoring, diagnostic and scientific with the electrode signal) and com- signals are at different voltage levels
purposes both in clinic and non-clinic mon-mode voltages (common to all and are amplified by the INA. To
environments. Successfully meeting electrode signals). further reject 50 and 60Hz noise, an
the signal acquisition chal- lenge opera- tional amplifier deriving
requires system designers to have The common-mode is comprised of common-mode voltage is used to invert
knowledge of the signal source, good two parts: 50Hz or 60Hz interference the common- mode signal and drive it
design practice and ICs with and DC electrode offset potential. back into
appropriate characteristics, features Other noise or higher frequencies the patient through the right leg using
and performance. within the biophysical bandwidth come amplifier A2. Only a few microamps or
from movement artifacts that change less are required to achieve significant
Signal Acquisition Challenges the skin-electrode interface, muscle CMR improvement and stay within the
The action potential created by heart contraction or electromyographic UL544 limit.
Backlight
LCD
Integrated Analog Front End
Touch Screen Control
Display Driver
ADC
Ref DS Converter
Summer (resistive) Is Wired: USB RS232
ol
Clock
ati
Signal Processor on
Human Body
SDRAM
Plug
DDR
AC/DC Green Mode Control
Battery Management
Power
Supply
Memory
LEGEND Logic
Processor Power
AC Line Interface ADC/DAC
Power Management RF/IF Clocks
Amplifier Other
Product Availability and Design Disclaimer – The system block diagram depicted above and the devices recommended are designed in this manner as a reference. Please contact your local TI sales office or
distributor for system design specifics and product availability.
Three ECG electrodes connected to patient using CMOS components with 5V single supply. This circuit will
operate on a 3.3V supply.
Medical Applications Guide 1 Texas Instruments 2010
➔ Electrocardiogram (ECG)/Portable ECG and Electroencephalogram (EEG)
Key Features
• Dual core SoC The OMAP-L137 is a low-power applications processor based on an ARM926EJ-S™
• 300MHz ARM926EJ-S™ and a C674x DSP core. It consumes significantly lower power than other members
RISC MPU of the TMS320C6000™ platform of DSPs. The OMAP-L137 enables OEMs and
ODMs to quickly bring to market devices featuring robust operating systems sup-
• 300MHz C674x VLIW DSP
port, rich user interfaces, and high processing performance life through the maxi-
• TMS320C674x fixed/floating-point
mum flexibility of a fully integrated mixed processor solution. The dual-core archi-
VLIW DSP core
tecture of the OMAP-L137 provides benefits of both DSP and Reduced Instruction
• Enhanced direct-memory-access Set Computer (RISC) technologies, incorporating a high-performance TMS320C674x
controller 3 (EDMA3) DSP core and an ARM926EJ-S core. The ARM926EJ-S is a 32-bit RISC processor
• 128K-byte RAM shared memory core that performs 32-bit or 16-bit instructions and processes 32-bit, 16-bit, or 8-bit
• Two external memory interfaces data.
• Three configurable 16550 type UART
modules
DSP PRU
ARM9
• LCD controller Subsystem Subsystem
Subsystem
2x PRU
GPIOs
4K+4K Prog
• Two serial peripheral interfaces (SPI) ARM 926EJ-S CPU 512+512 Data
C674x
• Multimedia card (MMC)/secure DSP
Core
digital (SD) L1P 18K L1D 18K L1P 32K
• Two master/slave inter- L1D 32K
L2 256K LCD
LCD 128KB RAM
integrated circuit Controller
Controller
Key Benefits
The eight-channel, 24-bit ADS1298 is the first in a family of fully integrated analog
• Reduce components and board front ends (AFEs) for patient monitoring, portable and high-end electrocardiogram
size by 95% (ECG) and electroencephalogram (EEG). Succeeding four- and six-channel versions
• 1mW/channel reduces solution and 16-bit versions offer designers a migration path to varying resolutions and
power by 95% channel combinations for low-noise medical equipment. Examples include patient
• Single-chip solution increases monitors, rest and stress ECG, fetal monitoring, hospital and public access AEDs,
sys- tem reliability and patient as well as sports and fitness monitors.
mobility
Key Features ADS1298 REF
• Eight low-noise PGAs
• Eight high-resolution, simultaneous
PGA1 ADC1
sampling ADCs
SPI
• Integrated amplifier for right-leg drive and Control
MUX
• Integrated amplifiers for Wilson
Central Terminal (WCT) and PGA8ADC8
Goldberger Central Terminals (GCT)
• Digital pace detection capability Oscillator
Lead Off
• Continuous lead-off detection Temperature
RLD
Test Respiration
• Onboard oscillator and reference for Pace
Detect
smaller footprint and low-power
applications Wilson
Applications
ADS1298 block diagram.
• ECG and EEG applications
➔ Electrocardiogram (ECG)/Portable ECG and Electroencephalogram (EEG)
Key Features
Applications The OPA378 (single) and OPA2378
• Low noise 0.1Hz to 10Hz: (dual) represent a new generation of
• Battery-powered instruments
0.4µVPP micropower op amps featuring a com-
• Medical instrumentation
• Low offset voltage: 15µV (typ) bination of rail-to-rail I/O, low input
• Temperature measurement
• Quiescent current: 125µA (typ) offset voltage (50µV (max)), low quies-
• Handheld test equipment cent current and 90kHz bandwidth. It
• Offset drift: 0.1µV/°C (typ)
• Single-supply operation has excellent PSRR which makes it an
ideal choice for applications that run
• Supply voltage: 2.2V to 5.5V
direct from batteries without
• EMI input filters and RRIO
regulation.
• Packaging: SC70-5, SOT23-5
100
10
1
Time (1s/div) 1 10 100 1k 10k 30k
Frequency (Hz)
Key Features
The OPA334 and OPA335 CMOS op amps use auto-zeroing techniques to
• GBW: 2MHz
• Low offset voltage: 5µV simultaneously provide very low offset voltage and near-zero drift over time and
(max) temperature. These high-precision amps offer high input impedance and rail-to-rail
• Zero drift: 0.05µV/°C (max) output swing.
VEX R
• Quiescent current: 285µA
• EMI input filtered
• Shutdown available on OPA344
• Packaging: SOT23-5, SOT23-6,
SO-8, MSOP-10 (dual)
VOUT
Applications
• Transducer applications, such as 1
pressure sensing
• Electronic weight scales
+5V
R R
RR
OPA335
R1
VREF
• Temperature measurement OPA335 –5V supply bridge amplifier for high CMRR
➔ Electrocardiogram (ECG)/Portable ECG and Electroencephalogram (EEG)
Precision, Rail-to-Rail I/O Instrumentation Amplifier
INA326
Get samples, datasheets, evaluation modules and application reports at: www.ti.com/sc/device/INA326
Key Features The INA326 is a precision instrumentation amplifier with rail-to-rail input and
• Low offset: 100µV (max) output and with true single-supply operation it offers very low DC errors and
input common-mode ranges that extend beyond the positive and negative rails.
• Low offset drift: 0.4µV/°C
(max) Excellent long-term stability and very low 1/f noise assure low offset voltage and
drift throughout the life of the product.
• Excellent long-term stability
• Very low 1/f noise V+ V-
• Input common-mode range: 200mV Applications 7
2
below negative rail to 100mV above • Medical instruments
VIN–
1 4
positive rail
• Multi-channel data acquisition
• Wide output swing: Within 10mV systems R1 INA326
6
VO
of rails • Low-level transducer amplifier for 8
• Single supply: +2.7V to +5.5V 35
bridges, load cells, thermocouples G = 2(R2/R1)
VIN+
• Packaging: MSOP-8, MSOP-10 • Wide dynamic range sensor
measurements R2 C2
Key Features The ADS8341 is a 4-channel, 16-bit ADC with synchronous serial interface. Typical
• Conversion rate: up to 100kHz power dissipation is 8mW at a 100kHz throughput rate and a +5V supply. The ref-
• 4-/8-channel single-ended or erence voltage can be varied between 500mV and VCC, providing a corresponding
input voltage range of 0V to VREF. It is tested down to 2.7V operation. The serial
2-channel differential input
interface also provides low-cost isolation for remote data acquisition.
• SINAD: 86dB
• Serial interface
• Single supply: 2.7V to 5V
• Packaging: SSOP-16 DCLK
SAR
Applications
• Portable medical devices CS
CH0 Comparator
• Test and measurement SHDN
Four Channel Multiplexer Serial Interface and Control
• Data acquisition CH1
DIN
CDAC
CH2
DOUT
CH3
BUSY
COM
VREF
Key Features The ADS1271, ADS1274 and ADS1278 are single-, quad- and octal-channel ADCs,
• Single-channel or simultaneously respectively. These 24-bit, delta-sigma ADCs have data rates of up to 128kSPS,
measures 4/8 channels allowing simultaneous sampling of all channels, and are offered in identical pack-
• Up to 128kSPS data rate ages for drop-in expandability. The devices offer excellent DC and AC specifica-
• AC performance: tions for high-precision measurement applications. They provide a usable signal
• Bandwidth: 62kHz bandwidth of up to 90 percent of the Nyquist rate with less than 0.005dB of ripple.
• SNR: 111dB (high-resolution mode) Four operating modes allow for optimization of speed, resolution and power.
• THD: –108dB THD
VREFP VREFN AVDD DVDD
• DC accuracy:
• Offset drift: 0.8µV/°C
Control Logic SYNC/PDWN MODE
• Gain drift: 1.3ppm/°C CLK
• Linear-phase digital filter
• SPI or frame-sync serial interface
• Analog supply: 5V DRDY/FSYNC SCLK
AINP DOUT DIN
• Packaging: HTQFT-64 PowerPAD™ Digital Filter FORMAT
Modulator Serial Interface
Applications AINN
• Pressure sensors
• Patient monitoring
• Vibration/modal analysis AGND DGND
• Multi-channel data acquisition
ADS1271/4/8 functional block diagram.
• Acoustics/dynamic strain gauges
Key Features The THS4521(single), THS4522 (dual), and THS4524 (quad) are negative rail input,
• Low quiescent current: 1.14mA (typ) rail- to-rail output, fully differential amplifiers operating from a single +2.5V to +5.5V
• Power down capability: 20μA (typ) supply. The low 1.14mA/channel quiescent current and power down capability to
• Input voltage noise: 4.6nV/√Hz 20µA make it a good choice for low power applications. The output common-mode
• Slew rate: 490V/µs control with low offset and drift allows for dc-coupling in high accuracy data
acquisition systems.
• Neg. rail-input and rail-to-rail output
1k
• Power supply voltage:
+2.5V (±1.25V) to +5.5V (±2.75V) 1.5nF
Key Features
To reduce the time to market for medical device companies, TI has launched a
• ECG AFE module key components
set of medical application development tools with complete signal chain designs
• ADS1258: 16-channel, 24-bit and software for electrocardiograms, digital stethoscopes, and pulse oximeter
sigma delta analog-to-digital
products. Each of the three medical development kits (MDKs) is comprised by
converter (ADC)
purchasing an analog front-end (AFE) module with specific circuitry design opti-
• INA128: precision, low power
mized for each end product plus a TMS320C5515 DSP Evaluation Module (EVM)
instrumentation amplifier
based on the industry’s lowest power DSP – TMS320C5515. MDKs provide a
• PCA9535: remote 16-bit I2C and
great evaluation platform to help medical device manufacturers focus on product
SMBus low-power I/O expander
differentiation, like algorithm development and feature enhancement.
• TLV3404: nanopower open drain
output comparator
The TMDXMDKEK1258 Electrocardiogram (ECG) Analog Front End (AFE) module
• REF5025: low-noise, very low drift
is part of the ECG medical development kit (MDK) that consists of the ECG AFE
precision voltage reference
module, a processor board (C5515 DSP evaluation module), a set of collateral and
• ECG MDK system features
C5515 based application sample code to implement the ECG application. The
• Based on industry’s lowest
ECG MDK delivers a complete signal chain solution to enable ECG developers
power DSP processor –
to build a complete ECG system quickly for evaluation and get to production
TMS320C5515
faster.
• 12-lead ECG output using
10 electrode input
• 0.05Hz to 150Hz bandwidth
• Leads off detection
• Real-time 12-lead ECG waveform
display on EVM LCD, one lead at a
time
• Real-time 12-lead ECG waveform
display on PC, three leads at a
time
• Heart beat rate display
• Recording of ECG data, and
offline display option of recorded
ECG data
Applications
TMDXMDKEK1258 EVM .
• Portable ECG devices
• Patient monitoring
A new ECG Analog Front End module is also now available using the latest
ECG ADC – the ADS1298. The P/N for this is ADS1298ECGFE-PDK and it can
be used seamlessly with the C5515 EVM (TMDXEVM5515).