ECG Recording on a Bed During Sleep Without Direct Skin-Contact

A new indirect contact (IDC) electrocardiogram (ECG) measurement method (IDC-ECG) for monitoring ECG during sleep that is adequate for long-term use is provided. The provided method did not require any direct conductive contact between the instrument and bare skin. This method utilizes an array of high-input-impedance active electrodes fixed on the mattress and an indirect-skin-contact ground made of a large conductive textile sheet. A thin cotton bedcover covered the mattress, electrodes, and conductive textile, and the participants were positioned on the mattress over the bedcover. An ECG was successfully obtained, although the signal quality was lower and the motion artifact was larger than in conventional direct-contact measurements (DC-ECG). The results showed that further studies are required to apply the provided method to an ECG diagnosis of cardiovascular diseases. However, currently the method can be used for HRV assessment with easy discrimination of R-peaks

[1]  C A Grimbergen,et al.  High-quality recording of bioelectric events , 1991, Medical and Biological Engineering and Computing.

[2]  C J Harland,et al.  A compact electric potential sensor array for the acquisition and reconstruction of the 7-lead electrocardiogram without electrical charge contact with the skin , 2005, Physiological measurement.

[3]  Kajiro Watanabe,et al.  Noninvasive measurement of heartbeat, respiration, snoring and body movements of a subject in bed via a pneumatic method , 2005, IEEE Transactions on Biomedical Engineering.

[4]  Robert Plonsey,et al.  Bioelectromagnetism: Principles and Applications of Bioelectric and Biomagnetic Fields , 1995 .

[5]  A. Malliani,et al.  Heart rate variability. Standards of measurement, physiological interpretation, and clinical use , 1996 .

[6]  Larry K. Baxter,et al.  Capacitive Sensors: Design and Applications , 1996 .

[7]  Toshiyo Tamura,et al.  Fully automated monitoring system of health status in daily life , 2000, Proceedings of the 22nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (Cat. No.00CH37143).

[8]  J. Alihanka,et al.  A static charge sensitive bed. A new method for recording body movements during sleep. , 1979, Electroencephalography and clinical neurophysiology.

[9]  M. Ishijima Monitoring of electrocardiograms in bed without utilizing body surface electrodes , 1993, IEEE Transactions on Biomedical Engineering.

[10]  L. Kirkup,et al.  A direct comparison of wet, dry and insulating bioelectric recording electrodes. , 2000, Physiological measurement.

[11]  Jaakko Malmivuo,et al.  12-Lead ECG System , 1995 .

[12]  John G. Webster,et al.  Reductionl of Interference Due to Common Mode Voltage in Biopotential Amplifiers , 1983, IEEE Transactions on Biomedical Engineering.

[13]  Kwangsuk Park,et al.  Air mattress sensor system with balancing tube for unconstrained measurement of respiration and heart beat movements , 2005, Physiological measurement.

[14]  W. M. Portnoy,et al.  Insulated ECG electrodes , 1973 .

[15]  W. M. Portnoy,et al.  Improved capacitive electrocardiogram electrodes for burn applications , 1979, Medical and Biological Engineering and Computing.

[16]  S. Tanaka,et al.  Unconstrained and non-invasive measurement of heart-beat and respiration periods using a phonocardiographic sensor , 2002, Medical and Biological Engineering and Computing.

[17]  Yong Gyu Lim,et al.  ECG measurement on a chair without conductive contact , 2006, IEEE Transactions on Biomedical Engineering.

[18]  W. Flemons,et al.  Home diagnosis of sleep apnea: a systematic review of the literature. An evidence review cosponsored by the American Academy of Sleep Medicine, the American College of Chest Physicians, and the American Thoracic Society. , 2003, Chest.

[19]  R DiMonda Electrical safety. , 1977, Clinical engineering news.