CA1084576A - Data plotter - Google Patents

Data plotter

Info

Publication number
CA1084576A
CA1084576A CA277,267A CA277267A CA1084576A CA 1084576 A CA1084576 A CA 1084576A CA 277267 A CA277267 A CA 277267A CA 1084576 A CA1084576 A CA 1084576A
Authority
CA
Canada
Prior art keywords
data
time
printing
plotter
derived
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired
Application number
CA277,267A
Other languages
French (fr)
Inventor
Robert A. Stratbucker
John S. Hagood
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
HEALTH TECHNOLOGY LABORATORIES Inc
Original Assignee
HEALTH TECHNOLOGY LABORATORIES Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by HEALTH TECHNOLOGY LABORATORIES Inc filed Critical HEALTH TECHNOLOGY LABORATORIES Inc
Application granted granted Critical
Publication of CA1084576A publication Critical patent/CA1084576A/en
Expired legal-status Critical Current

Links

Classifications

    • GPHYSICS
    • G01MEASURING; TESTING
    • G01DMEASURING NOT SPECIALLY ADAPTED FOR A SPECIFIC VARIABLE; ARRANGEMENTS FOR MEASURING TWO OR MORE VARIABLES NOT COVERED IN A SINGLE OTHER SUBCLASS; TARIFF METERING APPARATUS; MEASURING OR TESTING NOT OTHERWISE PROVIDED FOR
    • G01D9/00Recording measured values
    • G01D9/38Producing one or more recordings, each recording being produced by controlling the recording element, e.g. stylus, in accordance with one variable and controlling the recording medium, e.g. paper roll, in accordance with another variable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/333Recording apparatus specially adapted therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/333Recording apparatus specially adapted therefor
    • A61B5/338Recording by printing on paper
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01DMEASURING NOT SPECIALLY ADAPTED FOR A SPECIFIC VARIABLE; ARRANGEMENTS FOR MEASURING TWO OR MORE VARIABLES NOT COVERED IN A SINGLE OTHER SUBCLASS; TARIFF METERING APPARATUS; MEASURING OR TESTING NOT OTHERWISE PROVIDED FOR
    • G01D9/00Recording measured values
    • G01D9/28Producing one or more recordings, each recording being of the values of two or more different variables
    • G01D9/30Producing one or more recordings, each recording being of the values of two or more different variables there being a separate recording element for each variable, e.g. multiple-pen recorder
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records

Abstract

ABRIDGEMENT
A data plotter for use in a multi-channel chart re-corder operable to record time-variant analog scalar compo-nents of vector data signals on a moving recording medium.
The data plotter comprises stationary printing means, prefer-ably a thermal print head, for plotting vectors and other data derived from sampled scalar components as an aid in the interpretation of their analog traces.

Description

108~S76 . :
This invention relates in general to chart record-ers, and more particularly, to a data plotter for use there~
inO
Well-known multiple channel strip chart recorders have been provided for recording time-variant analog data by means of ink or heat pens in contact with a moving paper strip or other recording mediumO Such recorders are frequently em-ployed to record analog data comprising time-variant scalar or magnitude components of vector data signals having both magni-tude and direction. Along with the recording of such scalardata, it is frequently desirable to simultaneously plot or re-cord vector information and other data derived from the scalr data as an aid in the interpretation of their analog traces0 For example, in the clinical interpretation of elec-trocardiographic information, which includes analog trace of time-variant scalar components of vector heat potentials or voltages, it is a significant aid to diagnostic accuracy to observe plots of the voltage vectors and other data derived from the scalar data components along with the standard scalar electrocardiogram. In the cardiac cycle, the heart generates time-variant voltages or potentlals which are vector quan-tities having both magnitude and directionO During each heart cycle, these voltages sweep through a three-dimensional path-way called a vector loop, initially increasing from zero value while being directed toward one side of the heart, then reach-ing a maximum, and then decreasing back to zero value while directed toward the opposite side o~ the heartO A standard electrocardiogram separately records along three mutually per-pendicular axes only the scalar components or magnitudes of these three-dimensional time-variant vector potentials. How-ever, observation of the planar vector loops is ext~emely : :
. ,:: .
, . . : :

helpful in the interpretation of the standard electrocardio~
gram data. An analysis o~ the heart vector potentials and the interpretation of their vector loops can be found in Clin1cal VectorcardiograPhy~ by Chou, Helm and Kaplan, published by Grune and Stratton of New York and London in 19740 Although available, instrumentation for recording or displaying such vector loops and other derived data is ex-tremely expensive and cumbersome to operate in a clinical set-tingO Such equipment typically involves the photography of vector loops while they are being displayed on a cathode ra~
screen, and requires an expensive camera, a hooded cathode ray tube, electronic amplifiers and a power supplyO Furthermore~
it is dif~icult for the operator, while viewing the screen through the hood, to correlate the brie~ly displayed vector loops with the conventional electrocardlogram tracingsO
Although chart recorders such as those disclosed in U.S. Letters Patent No. 3,840,878, which issued October 8, 1974 to Houston and Wilson, have been provided with print heads movable across the chart paper for recording dlgital characters and data, we are unaware of any self-contained chart recorder having a stationary printing device capable of printing or plotting data derived or computed from sampled in-put data.
The present invention is a simple and convenient solution to this problem and provides a relatively inexpensive data plotter for use within a self-contained chart recorder for printing, on a single document, not only the time-variant analog components of input data signals but also data derived therefrom.
In general, the present invention comprises a data plotter for use in a multi-channel chart recorder receptive of --2~

and operable to record time-variant input data signals on a moving recording medium, characterized in that said data plot-ter includes printing means having a series of selectively ac-; tuable printing elements spaced transversely to the longitu~
: dinal axis of said medium, means for mounting said prlnting means to maintain said elements in printing contact with said medium; means for selecting a time sample of said data signals9 means for deriving a time-variant data set from said si.gnals, means for storing said derived data set as a time sequential series of values, means for converting said derived data set into integer data form in correspondence with said elements, and means for actuating said printing elements corresponding to said derived integer data for printing on said moving medi~
um in order to plot said derived data setO
One important advantage of the present invention is that it provides a device for plotting derived ~igital data along with analog time-variant data recorded by a chart re~
corder.
Furthermore, the data plotter of this invention ; 20 preferably employs a relatively inexpensive microcomputer ~or deriving or computing digital data from input data signalsO
The data plotter of this invention is compact and readily adaptable for use in a multi-channel chart recorder.
Still another important feature of this invention is to provide a device for plotting vector loops of cardiac volt-ages as an aid in the clinical interpretation of a standard electrocardiogram.
Numerous other features and advantages of the pres ent invention will be apparent from the following description, which, when taken in conjunction with the accompanying draw~

ings, discloses a preferred embodiment of the invention~

. , ' : . -, 10~34~76 : In the drawings:
Figure 1 is a perspective view of a multi-channel electrocar`diogram recorder having a data plotter of the present invention for printing derived data alongside the analog elec-trocardiogram traces;
Figure 2 is an enlarged perspective view taken from the left-hand side of Figure 1J with parts broken away9 show- .
ing the details of a thermal print head used in the data plot-: ter illustrated ln Figure l;
: 10 Figure 3 illustrates a sample of a typical output document produced by the recorder o~ Figure ly containing both the analog traces of the three time-variant scalar components of cardiac voltages along with plots of derived vector loops and plots of the sampled data;
Figures 4 and 5 are typical plots of two time-vari-ant scalar components of heart potentials occurrlng during a cardiac cycle;
Figure 6 is a planar vector loop derived from the data illustrated in Figures ~ and 5 for the purpose o~ illus-trating the process of deriving a veetor loop from its relatedscalar c~mponents as employed in the present invention, Figure 7 is a schematic block diagram illustrating the basic features of the electronic circuitry of the data ; plotter of the preferred embodiment of the present invention' Figure 8 is a basic flow chart of the microprocessor program; and Figures 9 through 13 are additional flow charts il-lustrating in further detail aspects of the program generally diagrammed in Figure 80 With particular reference to Figure 1~ reference numeral 20 indicates a three-channel chart recorder having --4~

lV8 4 5 7~

analog pens 21~ 22 and 23 controlled by pen motors 24~ 26 and 27 for recording time~variant traces 28, 29 and 31g respective-ly, on a moving strip chart paper or recordlng medium 320 The pen motors 24, 26 and 27 are connected to known electrical con-trol circuitry (not shown) which receives time-variant analog data and controls corresponding movement of the pens 219 22 and 23 in a direction transverse to the direction of paper move-ment, which is indicated by the large arrow in Figure lo The preferred embodiment of the present invention will be described and illustrated in conjunction with a chart recorder operable to provide a standard electrocardiogram, which indicates three time-variant scalar components of cardiac heart voltages or potentials measured along three mutually per-pendicular axes conventionally designated the X, Y and Z axes Recorder 20 includes a pair o.f side plates 33, 34 (Figure 1) joined to a rear plate 36, an upper front bar 379 a lower ~ront bar 38 and an upper horizontal support 39 which .
mounts a printing means 41 in stationary relation to the re-corder. Printing means 41 i5 operable to plot or print on the recording paper 32 one or more vector loops typified by refer~
ence numeral 42 and other data 43 derived or computed by a mi.crocomputer circuit, in a manner to be described, from the analog data recorder by the pens 21, 22 and 23~ The printing means 41 plots the derived data alongside the analog traces 289 29 and 31 as a convenient aid in their interpretationO
The microcomputer comprises relatively ine~pensive miniature integrated circuit chips which are conveniently lo-cated in a package (not shown) suitably secured to the outside o~ the recorder 20. The microcomputer or data processing unit comprises a commercially available microprocessor3 such as Model 8080 manufactured by the Intel Corporation of Santa .. ..

108~S7~
:
Clara, Californla, and compatible input and output circuitsOSince the data processing unit is well-known and commercially available, its physical details will not be described herein.
However, the basic electrical block diagram of the electronic ;
; circuitry for controlling printing means 41 is found in Figure 7 and will be described later.
With reference to ~igure 2, printing means 41 com- ~:
prises a known print head 44 and mounting means for maintain-ing printing contact between the print head and the paper 32.
The print head 44 is secured to a substrate block 46 which is connected to one end of a horizontal metal mounting plate 47 having an upwardly extending end catch 480 Plate 47 extends rearwardly through an aperture 49 in the cross bar 39~ and the rear end of plate 47 is suitably fastened to one plate 51 of a hinge 52 having another plate 53 suitably secured to the rear side of the cross bar. The hinge 52 is operable to pivotally support the plate 47 in order to effect vertical adJustment of the print head 44 with respect to the paper 32.
A spring means generally indicated by reference nu-mera} 54 and preferably made of brass, phosphor-bronze or berrylium-copper alloys includes a vertical plate 55 secured to the front of cross bar 39, a horizontal portion 56 integral~
ly ~Drmed with an inverted V-shaped end having a front leg 57 in contact with the inside edge of catch 48 and a rear leg 58 in contact with the end of an ad~ustment screw 59 threadedly disposed within a hole 61 in the cross bar. As the adjustment screw 59 is rotated forwardly relative to the cross bar 399 screw contact with the rear leg 58 forces the front leg 57 downwardly, thereby urging plate 47, substrate 46 and the print head 44 closer to the paper 32. Ad~ustment of the screw 59 insures printing contact between the print head 44 and the ., . ~ ~ . .

.

paper 320 In the preferred embodiment of the present invention9 the analog pens preferably comprise electrically operated heating elements which release encapsulated ink on thermosen~
sitive paper 32 along their tracesO The print head 44 is preferably a thermal print head of known design having a two inch span of 128 selectively energizable resistive printing elements spaced transversely to the longitudinal axis of the paper 32. These printing elements are connected to an ener~
gizing matrix of column and row conductors 62 (Figure 2) wh.ich in turn are connected to the microcomputer output circuitryO
; When such a resistive element is energized, it releases encap-sulated ink at its point of contact with the paper 32, thereby printing a dot. Thus, as the paper is moved by its known drive means (not shown), the analog pens 21, 22 and 23 record time-variant analog data traces and the selectlvely energizab]e printing elements of the print head 44 plot or prlnt digital data alongside the analog traces 28, 29 and 31 in the margin of the paper 32 for convenient trace and plot correlation.
Figure 3 illustrates a sample of a typical segment of the output of recorder T~ As an aid in the interpretation of the analog traces 28, 29 and 31, the printing means 41 is operable to slmultaneously print or plot in sequence, in the margin of continuously moving paper 32~ the following data de-rived from the time-variant scalar components of vector data signalso an X versus Y vector loop 63 taken along the frqntal heart plane, an X ~ersus Z vector loop 64 taken along the hor-izontal plane, a Z versus Y vector loop 66 taken along the sagittal plane, an X versus time plot 67, a Y versu~ time plot 68, a Z versus time plot 69 and a plot 71 of the vector magni~
tude versus time~ Since the vector loops 639 64 and 66 are derived from sampled scalar data, plots 679 68, 69 and 71 of the sampled data indicate whether they are representative samplesO These seven plots are produced for the heart volt~
ages occurring during each cardiac cycle. As will be ex~
plained, the printing means 41 also prints re~erence axes for these derived data foregoing plotsO The data plotter o~ the present invention is alternatively operable to print on dis continuously moving paper in a manner to be describedO
; It should be noted that Figure 3 illustrates curves fitted to the dots produced by the printing means 41. Depend~
ing upon the number o~ printing elements, varioUs degrees o~
printing resolution will be obtained, but it is su~ficient ~or diagnostic purposes to plot the vector loops and other derived data with a print head having 64 printing elements per inch.
The cyclical ventricular complex o~ primary diagnos tic importance i8 conventionally designated the QRS complex having points Q, R and S, which are marked on plots 67g 68 and 69 in Figure 3. The initial de~lection below the isoelectrlc line is called the Q point or portion, the ~irst rise or volt-age deflection above the isoelectric line is called the Rpoint and the terminal deflectionS referstO the last point be-low the isoelectric line ~r~m which the voltage decreases back to zero.
Before the microprocessor program is described, it will be help~ul to examine a typical example o~ an X versus time plot o~ Figure 4~ a Y versus time plot of Figure 5 and the process by which the X versus Y vector loop o~ Figure 6 is derived from the data of Figures 4 and 50 For this example, the time-associated X and Y values for 17 time intervals each having a 20 millisecond duration are charted below as time sequential series o~ values:

.

~1~84S~
' . TIME UNIT X VALUE Y VA.LUE
2 -4.2 600
3 -603 14
4 -201 20 6.o 26 . 9 30 8.1 0.2 14 8.2 --10 4.0 -602 ;
16 2.1 -400 17 0.0 000 The plots of X versus time (Figure 4) and Y versus time (Figure
5) were made directly from the above chart of digital data de-rived from a time sample of electrocardiogram dataO
In the operation of the microprocessor used in the present invention, after the sampled data is stored as indicat-ed by the above chart and converted into integer form, one set of data, called the independent variable datag the X data in this example, must be arranged as a numerically ordered series of values. The Y or dependent variable data must then be sorted so that the time-associated values of Y data can be identi~ied for each value of X data. Thls sorting procedure is accomplished by the microprocessor in a manner to be de- :
scribed, and, for the present example, the result is shown in .9_ 10 8~15 ~

, the ~ollowing data array tableo TIME-ASSOC~ATED
SCAN NUMBER X VALUE _ L =

2 3o o~8
6 22 -
7 20 ~10
8 18
9 16 28 18 -2 2,~0 In order to print the vector loop shown in Figure 6, the paper 32 will move relative to the printing elements i.n increments corresponding to value variations in the X or in-dependent variable data. The data processing unit will actu~
ate the selectively energizable printing elements correspond-ing to the one or more Y or dependent variable data values time-associated with each value of X or independent variable data. With reference to Figure 6~ the first scan corresponds to an X value o~ 32, for which there are no associated Y

1084~7~

valuesg as indicated in the above charts. In the second scan~ -~
for the X value of 30, there are two time~associate values of Y, O and 80 The scanning and printing process is repeated un~
til the complete vector l.oop is plottedO It will be noted that -Y is plotted upward by convention, and, in the present invention, the scanning is performed for X values varying ~rom +32 to -32. For cross reference, the time units marked on ~
each abscissa in the horizontal time scales of Figures 4 and :
5 appear adjacent to the points plotted in Figure 6, which . .
also shows the voltage vectors drawn to each of these pointsO
The locus of vector heads, the vector loop, indicates that during the illustrated cardiac cycle, the frontal plane heart voltages increased from zero, while being directed toward the lower left-hand or third quadrant, then reached their maximum value at the lower right-hand or fourth quadrant~ and then de~
creased back to zero while in the upper ri~ht~hand or first quadrant.
Figure 7 is the basic electrical schematic block .
diagram of the microcomputer and associated input and output circui.try for the data plotter of the present inventionO
general purpose eight bit digital computer central processing unit (CPU) 76, such as the previously identified ~ntel Corpora-tion Model No~ 8080 microprocessor, is connected to a random access memory (RaM) 77, a read-only memory (ROM) 78, a system controller 79, an input port or latch and buffer unit ~1 and similar output ports 82 and 83 through an eight bit or line bidirectional data bus 8.4 and a sixteen bit address bus 86, all of these mlcrocomputer elements comprising i.ntegrated cir cuit devices well~known in the art and described in detail in the Intel Corporation 8080 Microcomputer System ManualO The data bus 84 provides bidirectional communlcation between the .
.. . . . ..
.

;
CPU 76, the RAM 77 and ports 81, 82 and 83 for instructions . and data transfersO A clock driver 87 is connected to the CPU
- 76 a.nd to the system controller 79 through lines 88 and 89, . while the system controller 79 is connected to the RAM 77 and . to the ROM 79 through lines 91 and 923 respectivelyO Input . port 81 is connected to CPU 76 through lines 93 for a purpose : to be described.
An X input line 94, a Y input line 96 and a Z input line 97 are connected, along with the input circuitry to the pen motors 24, 26 and 27, to three substantially mutually per-pendicular attachments to the body whose vector heart poten tials are to be monitored. Inputs 94, 96 and 97 are respec~
tively connected to identical known signal conditioners 98, 99 and 101, comprising.amplifiers and filters, these signal . conditioners being in turn connected, by means of lines 102 . 103 and 104, to a known three-to-one analog multiplexer 106 and to another similar signal conditioner 1070 The signal con-ditioner 107 supplies to analog multiplexer 106 the computer signals corresponding to the vector magnitude, designated 20 herein by "M", through a line 108.
In response to control signals furnished through output port 82 to a set of three multiplexer select lines 1099 111 and 112, the analog multiplexer 106 selectively supplies to a known analog to digital (A/D) converter 113, through eight bit lines 114, either the Xg Y, Z or M signalsD The A/D
converter 113 supplies the selected signals to the input port 81 through eight bit lines 116 for entry into the RAM 77~
Truncation of the data furnished to the A/D converter 113 is automatically achieved by dropping the least significant bits over eightO
The present invention comprises means ~or selecting -- 10~4S7 6 a time sample of X, Y and Z input data signals. For this pur- -pose, CPU 76 furnishes control signals through output pGrt to a pair of peak select lines 117, 118 instructing the signal conditioner 107 which one of the X, Y and Z input signals are to be examinedO The examined signals are furnished through lines 119 to a peak detector 121~ which responds to the R por-tion of the examined signal to provide a QRS interrupt signal on a line 122 to input port 81 when requested by CPU 76 in re~
sponse to an interrupt request signal furnished on line 930 The QRS interrupt signal, which is supplied to the CPU, sets a flag in the data stream furnished by the A/D converter 1139 which previously has been simultaneously supplying X, Y, Z and M data signals to input port 81 for destructive read-in entry into RAM 77.
Output port 82 is connected through a start line 123 and a stop line 124 to a known driver 126 operable to control a motor 127, through control lines 128, for regulating the :-substantially continuous.movement of the paper 320 Output port 83 is connectedthrough lmes 129toa driver 131 operable to 20 supply appropriate electrical voltages through lines 62 to the print head 44 for selectively actuating or energizing its printing elements in accordance with microprocessor control.
In the preferred embodiment of the present invention, RAM 77 stores the addressable working or variable data compris-ing 128 values of each of the X, Y, Z and M i~put signalsO
The approximate peak value of the data is marked by the flag furnished as a signal on QRS interrupt line 122, and, for each of the inputs, the memory contains 64 values or words symmet-rically positioned about this flagged peakO
ROM 78 stores the addressable program instructions executed by the CPU 76. The program of ROM instructions is -13~

, - . ~

108457~

: generally set forth in the ~low charts of Figures 8 through 13, which will now be describedO
In the drawings, following conventional format, a rectangular box symbolizes an action, step or operation, a diamond-shaped box denotes a decision and the inverted trap-ezoidal boxes denote input and output functionsO The loops or steps are connected at points denoted by circles containi~g reference letters.
With reference to Figure 8, which is a flow chart illustrating the basic features of the microprocessor program~
the program begins and ends at a mode control loop 131 dia-grammed in further detail in Figure 9. The mode control loop 131 governs the performance of various formats and manipula-tions for each of the plots of the vector loops 63, 64 and 66 and the derived time functions 67, 68, 69 and 71 which are shown in Figure 3.
As also shown in Figure 8, a QRS interrupt loop 132 and a data input loop 133, which are illustrated in detail in Figure 10, provlde means for selecting a time sample o~ the X, Y and Z time-variant analog scalar components of the three~
dimensional vector data signals and also provide means for storing the sampled data as time sequential series of values.
A largest value loop 134J a scale factor loop 136 and a sort loop 137, shown generally in Figure 8, are illus-trated in further detail in Figure 11. These loops or steps govern means for converting the analog scalar components into integer data form in correspondence with the 128 printing ele-ments of the print head 44, means for arranging each inde-pendent data set (such as the X input data of the numerical 30 example of Figures 4 through 6) as a numeri.cally ordered series of values and sorting means for incrementally varying os4~76 :.
each ordered data series and for identifying for each value ineach series the time-associated values of stored data in the dependent data set (such as the Y data in the numerical ex-ample).
An output loop 138 contains the instructions for ac-tuating the printing elements corresponding to the derived in~
teger data on the moving paper or recording medium 320 An output loop generally illustrated by reference numeral 138(a) - is illustrated in Figure 12 for a discontinuously moving strip chart medium 32, while an alternate output loop indicated by reference numeral 138(b) is shown in Figure 13 for a contin~
UOU8 ly moving medium.
With reference to Figure 9, when the program i9 started, a mode control counter, designated "MC", is initially set at zero by an operation or step 139, and the program pro~
ceeds to the data lnput loop 133 (Figure lO)o After the out-put loop 138 (Figure 8) is terminated, the program is continued through an action or step 141 which increments the mode con-trol counter by one. A series of decisions 142 through 148 test the value of the mode control counter and require termin-ation of the program if the counter value is 7 or above. For MC values from 0 through 6, the decisions 142 through 148 se-quentially initiate routines 149 through 156, respectively, which generally symbolize the formats and manipulations for the identification of the X versus Y, the X versus Z and the Z
versus Y two-dimensional data pairs for vector loop plots and the X versus time, the Y versus time, the Z versus time and the vector magnitude (M) versus time derived function plotsO
The vector format routines 149, 151 and 152 govern operations by the largest value loop 134, the scale factor loop 136 and the sort loop 137, while the derived time function routines
10~34S7~

; 153, 154, 155 and 156 design~te only the manipulations by the largest value loop and the scale factor loop~
As noted earlier, the QRS interrupt loop 132 and thedata input loop 133 generally illustrated in Figure 10 have as their purpose the selection of a time sample of ventricular QRS
complex data input signals from which the vector loops and the other plotted time functions can be derived. Once the data values for the X, Y, Z and M variables encompassing one QRS
complex are stored in RAM 77, the data input loop 133 will be skipped until all of the vector and time function plots have been printed.
In response to the presence of a QRS interrupt sig-nal on line 122 represented by an operation 157 in Figure 10, a decision 158 determines whether the-microprocessor system is in an analysis mode or, alternatively, is in condition for re-ceiving data. As noted earlier, input port 81 receives an in-terrupt request signal from CPU 76 on line 93. If the input flag is not set, indicating that the system is in an analysis mode, a step 159 requires that the proeram be resumed. If, however, the input flag is set, indicating that the system is receptive of data, a subsequent decision 161 questions whether RAM 77 is at least one-half full of data by checking whether a half full flag is set (by an operation to be described). If, however, RAM 77 is half full of data, an operation or action 162 requires that the current RAM counter or address be stored as a half memory location. Since the QRS interrupt is pro~
duced in response to the peak of the R portion of the QRS
complex, the portion of maximum diagnostic interest, the peak value of the signal examined by signal conditioner 107 is marked by a step 162. Signal conditioner 107 is controlled to selectively examine either the X, Y, Z or M data by control iO845~6 signals on peak select lines 117 and 118 generated by manualor automatically programmed operation of a suitable switching means (not shown). Thereafter, an operation 163 sets a sampl-ing flag for a purpose to be describedO
As also shown in Figure 10~ an operation 164 initial-izes at zero both a RAM storage counter and a half full count-er. An input step 166 illustrates the simultaneous storage of ' the X, Y, Z and M data into RAM 77, and operations or actions 167 and 168 require that the RaM storagb counter and the half full counter be incremented. If the memory is half full, a decision 169 requires that the memory half full flag be set by an operation 171. Thereafter, a decision 172 que~tions whether the sampling flag has been set by operation 163 as previously describedu If not, the input step 166 continues the storage of data into RAM 77. If the sampling flag has been set, an operation or action 173 increments a data entry counterg which is tested at a decision 174, to determine whether data entry ` has been completed. Since the RAM 77 should contain 64 values of X, Y, ~ and M data symmetrically positioned about the peak flag, decision 174 insures that the RAM should receive 64 ad-ditional samples counted from the half memory location stored by step 162, the memory half full flag indicating that 64 data samples have already been stored. When the data acquisition has been accomplished, the loops diagrammed in Figure 11 are then entered.
The largest value loop 134 (Figure 11) obtains the address locations of the largest values of X, Y, Z and Mo Address locations instead of actual data values are obtained since any data value is readily obtainable simply by address~
30 ing R~M 77 at the desired address lo~ation. Thls routine 134 is well-known in the art, and is accomplished simply by com ... .

~084S~76 paring each data element in turn with its neighbor If thedata element is smaller than its neighbor, the value of the ;~ neighbor is used to replace the original element value. The process is repeated until no neighbor is found with a higher value, at which point the maximum value is obtained. The pro-cess if repeated for each of the sets of X~ Y3 Z and M dataO
Thereafter, the scale factor loop 136, which com~
prises a well-known routine, determines a scale factor for scaling the largest of the X, Y, Z and M data into optimum correspondence with the physical dimensions of the print head 44, which, as noted earlier, preferably contains 128 printing elements. This scale factor is then applied to all of the X, Y, Z and M data so that new scaled data tables are generatedO
The sort loop 137 then obtains, in a known manner, a table of address locations of descending values for each of the X, Y and Z data. This sorting procedure is not required for the M data, as governed by the mode control 1ODP of Figure 9. The sort loop or routine 137 rearranges each independent variable data set as a numerically ordered serles of values similar to decreasing series of X values found in the chart appearing on page 11 for the previously described numeral example of Figures 4, 5 and 6~ As illustrated by that ex-ample, the time-associated values of stored data in the depen-dent data set will be ldentified for each ordered value in the associated independent variable data set. Because of the op eration of the scale factor loop 136, the maximum value of the independent variable cannot exceed 64, and the minimum negative value cannot drop below -64, resulting in a field o~ 128 bits or less.
Figures 12 and 13 illustrate alternate means for selectively actuating the printing elements of the print head 44 to register or plot dots on the paper 32, Figure 12 showing an output loop 138(a) for a discontinuously moving medium, and Figure 13 illustrating an output loop 138(b) for a continuous ly moving medium and producing an output similar to that shown in Figure 3.
In general, for each two-dimensional data pair com-prising an independent and an associated dependent data set, beginning at the maximum positive value of the independent variable and proceeding downward, each value of the independent variable data which has one or more tlme-associated values of the dependent variable data causes the dependent variable data to be registered or plotted on the paper 32 by the selectively actuable elements of the print head 44. The derived time func tion plots are sequentially generated in a similar manner. The printing elements of print head 44 are also actuated for plot-ting independent and dependent variable axes for reference.
In addition, stored alphanu~eric indicia such as patient iden-tification data could also be plotted in a known manner, but such character data plots are omitted from this disclosure for simp.lification~
With reference to Figure 12, a step 176 sets a flag denoted "F", equal to the address of the beginning entry in the table of descending independent variable values, that table having been previously gen~rated by the sort loop 1370 A second flag, "K", is set equal to 64. Another operation or action 177 sets a flag "A" equal to the contents of the ad-dress location "F", that is, equal to the beginning entry in the table of descending independent variable values. In addi-tion, a counter "B" is set equal to the value of the indepen dent variable being tested for printing or fit.
At a decision 178, the identity between "B"~ the .

` 10E34576 value of the independent variable being tested for printing~
and the current value of "K" is questioned. I~ "B" is equal to "K"~ indicating a fit condition, an action 179 requires that the dependent variable time-associated with the value of counter "A" be fetchedO The magnitude of this fetched depen-dent variable is stored by a step 181, an operation 182 in-crements the value of the "F" counter by one, and this fit-testing loop is re-entered. When the derived time function data sets are plotted, the operation 179 similarly fetches or obtains the values of derived data time-associated with the current independent variable value.
If the value of the independent variable being - tested for printing is not equal to the current value of "K"
an action 183 requires storage of the independent variable axis value, a step 184 decreases the value of the "K" counter by one, and decisions 186 and 187 then test the equivalence of the current value of K to 0 and -64, respectivelyO
If the current value of "K" is neither 0 nor -64, all of the stored values are printed by an output operation 188, the discontinuous paper drive is incremented by an action 189 and the output loop is continued through the decision 1780 When the value of "K" reaches 0, an operation 191 requires storage of the dependent variable axis values for subsequent registration or plotting thereofO When the value of "K" reaches 64, the output loop 138(a) is exited, and the program is continued through operation 141 of the mode control loop illustrated in Figure 9.
It should be noted that operation of the output loop 138(a) occurs after the sampled analog scalar data are record-ed by the pens 21, 22 and 23, and the vector loops and derivedtime functions are sequentially plotted~

` iO~4576 Figure 13 illustrates the output loop 138(b) for acontinuously moving medium 320 Operations 192 and 193 perform the identical functions as operations 176 and 177, respective~
ly, for the output loop 138(a) of Figure 120 A decision 194 ascertains the identity between the value of the independent variable being tested for printing and the value of ''K''g ini-tially set at 64. If there is an identity or fit condition, the dependent variable time-associated with the beginning entry in the table of descending independent variable values is fetched or obtained by an operation or action 196, and this dependent varlable is immediately printed by an output action 197. Thereafter, a step 198 increments the "F" counter by one, and an action 201 sets a first round flag. The operation 196 obtains values of derived data time-associated with the current independent variable value for sequential plotting of the derived data sets.
In the output loop 138(b), each output cycle is divided into two identical time periods, one for printing of dependent variable data (called the "flrst round") and the other for printing of axis values. In the event there are two independent variable values time-associated with a value of the independent variable being tested for printing, the axis printing will be skipped. If there are more than two inde-pendent variable data values, a skewing of the data plotting will be experienced until the condition is relievedO However, this skewing effect will not adversely effect the diagnostic value of the plotted vector loops. If there is no fit or printing, only the axis values will be printedO
When "B", the value of the independent variable be ing t~sted for printing, is found to be unequal to 649 a deci-sion 202 will inquire whether the first round flag has been ~21 10~576 set by operation 201. If so, a step 203 will cl.ear the first round flag and the value of the counter "K" will be decrement-ed by one at an action 204. If, however, the first round flag has not been set, a time delay will be required by time delay means comprising a decision 206, the delay being equal to the printing time consumed by the output operation 197. The pur-pose of this time delay means is to schedule actuation of the printing elements corresponding to the identified time-asso-ciated dependent variable data as the paper 32 moves in in-crements corresponding to value variations in the stored inde~pendent variable data, the microprocessor operations occurring far more rapidly than the paper movement. An output operation 207 thereafter requires printing of the independent variable axis value.
When the current value of the counter "K" is equal to 0, as determined by a decision 208, an output operation 209 requires printing of the dependent variable axisO When the current value of the counter "K" reaches -64J as determined by a decision 211, the program is contlnued through operation 141 of the mode control loop illustrated in Figure 9, but until then, the output loop is continued through decision 194.
It is thought that this invention and many o~ its attendant advantages will be understood from the foregoing de-scription, and it is apparent that various changes may be made in the form, construction and arrangement of its component parts without departing from the spirit and scope of the in-vention or sacrificing all of its material advantages9 the form described being merely a preferred embodiment thereofO

Claims (20)

The embodiments of the invention in which an exclu-sive property or privilege is claimed are as follows:
1. In a multi-channel chart recorder receptive of and operable to record first and second time-variant analog scalar components of input vector data signals on a moving recording medium, a data plotter comprising: stationary print-ing means having a series of selectively actuable printing elements spaced transversely to the longitudinal axis of said medium, means for mounting said printing means on the recorder in printing contact with said medium, means for selecting a time sample of said data signals, means for storing each of said first and second data for said selected sample as a time sequen-tial series of values, means for converting said first and second analog scalar components into integer data form in cor-respondence with said elements, means for arranging said stored first data as a numerically ordered series of values, sorting means for incrementally varying said ordered first data and for identifying for each value thereof the time-associated values of said stored second data, and means for actuating said printing elements corresponding to said identified second data as said medium moves in increments corresponding to value varia-tions of said stored first data.
2. The plotter of Claim 1 and means for actuating said printing elements for plotting reference axes corresponding to said first and second data.
3. The plotter of Claim 1 wherein said printing means comprises a thermal print head having selectively energizable printing elements.
4. The plotter of Claim 1 wherein said mounting means comprises a spring for urging said head into printing contact with said medium.
5. The plotter of Claim 1 and means for deriving a time-variant data set from at least one of said components of said sampled vector data signals, means for storing said derived data set as a time sequential series of values, means for con-verting said derived data set into integer data form in corres-pondence with said elements, and means for actuating said printing elements corresponding to said derived integer data for printing on said moving medium in order to plot said derived data set.
6. The plotter of Claim 5 wherein said recorder is operable to compute the time-variant magnitude of said sampled vector data signals.
7. The plotter of Claim 1 wherein said recorder is operable to record first and second time-variant analog scalar components of ventricular QRS complex data signals and said data plotter is operable to print QRS vector loops.
8. The plotter of Claim 7 wherein said selecting means comprises means for identifying the peak of the R portion of a selected one of said scalar components.
9. The plotter of Claim 7 wherein said medium is con-tinuously moving, and time delay means for scheduling actuation of said printing elements corresponding to said identified second data as said medium moves in increments corresponding to value variations of said stored first data.
10. In a multi-channel chart recorder receptive of and operable to record first, second and third time-variant analog scalar components of three-dimensional input vector data signals on a continuously moving recording medium, a data plotter comprising: stationary printing means having a series of selec-tively actuable printing elements spaced transversely to the longitudinal axis of said medium, means for mounting said print-ing means on the recorder in printing contact with said medium, means for selecting a time sample of said data signals, means for storing each of said first, second and third data for said selected sample as a time sequential series of values, means for converting said first, second and third analog scalar components into integer data form in correspondence with said elements, means for identifying from said stored first, second and third integer data three two-dimensional data pairs each comprising an indepen-dent and a dependent data set thereof, means for arranging each independent data set as a numerically ordered series of values, sorting means for incrementally varying each said ordered data series and for identifying for each value thereof the time-asso-ciated values of stored data in the dependent data set associated therewith, and means for sequentially plotting said identified dependent data sets as functions of their associated independent data sets comprising means for energizing said printing elements corresponding to said identified dependent data sets as said medium moves in increments corresponding to value variations in said independent data sets.
11. The plotter of Claim 10 and means for actuating said printing elements for plotting reference axes correspond-ing to said independent and dependent data sets.
12. The data plotter of Claim 10 wherein said print-ing means comprises a thermal print head having selectively energizable printing elements.
13. The data plotter of Claim 10 wherein said mount-ing means comprises a spring for urging said head into printing contact with said medium.
14. The data plotter of Claim 10 and means for deriving a time-variant data set from at least one of said com-ponents of said sampled vector data signals, means for storing said derived data set as a time sequential series of values, means for converting said derived data set into integer data form in correspondence with said elements, and means for actuating said printing elements corresponding to said derived integer data for printing on said moving medium in order to plot said derived data set.
15. The data plotter of Claim 14 wherein said deriv-ing means is operable to compute the time-variant magnitude of said sampled vector data signals.
16. The data plotter of Claim 10 wherein said recorder is operable to record first, second and third time-variant analog scalar components of ventricular QRS complex data signals and s said data plotter is operable to print QRS vector loops for the transverse, sagittal and frontal planes each corresponding to one of said data pairs.
17. The data plotter of Claim 16 wherein said select-ing means comprises means for identifying the peak of the R por-tion of a selected one of said scalar components.
18. The data plotter of Claim 16 wherein said medium is continuously moving, and time delay means for scheduling actuation of said printing elements corresponding to said identi-fied second data as said medium moves in increments corresponding to value variations of said stored first data.
19. The data plotter of Claim 16 and means for deriv-ing a time-variant data set from each of said components of said sampled vector data signals, means for deriving the time-variant magnitude of said sampled vector data signals, means for storing each said derived data set as a time sequential series of values, means for converting each said derived data set into integer data form in correspondence with said elements, means for actuating said printing elements corresponding to said derived integer data for printing on said moving medium in order to sequentially plot said derived data sets, and means for actuating said printing elements for plotting reference axes for each of said vector loops and said derived data sets.
20. In a multi-channel chart recorder receptive of and operable to record time-variant input data signals on a moving recording medium, a data plotter comprising: printing means having a series of selectively actuable printing elements spaced transversely to the longitudinal axis of said medium, means for mounting said print head to maintain said elements in printing contact with said medium, means for selecting a time sample of said data signals, means for deriving a time-variant data set from said signals, means for storing said derived data set as a time sequential series of values, means for converting said derived data set into integer data form in correspondence with said elements, and means for actuating said printing elements corresponding to said derived integer data for printing on said moving medium in order to plot said derived data set.
CA277,267A 1976-04-28 1977-04-28 Data plotter Expired CA1084576A (en)

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DE2719803A1 (en) 1978-02-23
JPS552567B2 (en) 1980-01-21
US4085407A (en) 1978-04-18

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