SC 7000 and SC 9000XL Patient Monitors Service Manual
ASK-T898-03-7600 Siemens Medical Systems, EM-PCS Danvers 23
7k9kXLTM.c2.CD_ROM.fm/04-99/kaupp
NOT A CONTROLLED DOCUMENT
Figure 2-9 Lead Forming Network
The Wilson point, "W", the average of the LA, RA, and LL electrode
potentials, serves as the negative reference potential for the V and V' lead-
pairs and is also used as a measure of the common-mode potential of the
patient Figure 2-9. By driving the isolated common of the front end at the
same potential as the Wilson point, the common-mode voltage across the
electrodes is reduced nearly to zero and the effective common-mode
rejection is improved. As most of the common-mode current is now forced
through the neutral electrode, it becomes noisier and hence is not used as
part of another signal path. Switches are provided to select other electrodes
to be neutral if the RL electrode is off or missing. If the V' electrode is
present, then it can be selected to be neutral so that the three Einthoven
and the V lead pairs can still be used. However, the V' lead-pair will be
corrupted due to neutral current noise. Similarly the V electrode can be
selected to be neutral. Now that the RL is disconnected from the neutral
driver, its potential can be monitored to determine whether it has been
reconnected to the patient and thus is able to be reselected to be neutral.
If only the three Einthoven (LA, RA, and LL) electrodes are connected, one
is selected as neutral leaving the remaining two electrodes to form one valid
lead-pair. The "W" now contains the neutral drive signal which bypasses
the neutral electrode and reduces the gain of the neutral driver amplifier. To
improve the resulting poor common-mode rejection, a Wilson Grounding
"WG" switch is activated to selectively disable the offending input to the
"W".
Respiration Refer to Figure 2-10.
• Respiration is both ac- and dc-coupled in hardware. DC is used for
high Z sensing; ac is used for signal acquisition.
• Respiration may be monitored on leads I and II.
• Detection sensitivity has low dependence on base resistance or
electrode unbalance.
+ Clamp
RF Filter
- Clamp
RA
RA
+ Clamp
RF Filter
- Clamp
LL
+ Clamp
RF Filter
- Clamp
LA
LA
+ Clamp
RF Filter
- Clamp
RLRL
RF Filter
Chest
+ Clamp
- Clamp
RA
LA
LL
I
II
III
Chest
W
V
Normal Leads
Augmented Leads
LL
RA
LA
aVF
aVLaVR
Chest
LL
Wilson
Star
Augmented
Leads
aVL, aVR,
aVF
Ref
Resp
Demod
MUX