Ekg Manual
Ekg Manual
Ekg Manual
Biomedical Engineering
The University of Connecticut
Instructors:
April Dixon
Pete Flosdorf
Chris Liebler
Laura Romonosky
Beth Showers
UConn Biomedical Engineering
Welcome to the University of Connecticut Biomedical Engineering lab. In
this session, you will learn about an electrocardiogram machine (EKG).
You will begin by learning about some background information on EKGs.
From there, we will cover some basic electronics, such as resistors and
capacitors and how they function. Then, we will show you how to build
your own EKG, and how to test it out.
BACKGROUND
Electrocardiography
Electrocardiography is a method of monitoring and recording the electric
currents generated during the alternating contractions of the atria and
ventricles of the heart. The device used to monitor and record these
signals is an electrocardiogram, or ECG for short. An ECG is commonly
called an EKG, which is what we will refer to an electrocardiogram as from
this point on. When using an EKG, electrodes are applied to the skin in
places where the heart’s signals can be measured easily. Usually, these
spots are between muscles on the upper arms and lower legs. Cables
connect the electrodes to the EKG, where the electrical signal is turned
into a waveform on a computer or a paper plot. The results produced from
this machine allow doctors to observe the performance and condition of
the heart as well as diagnose any problems they may find in the signal. A
Figures 1 and 2: A normal EKG signal and the different segments of a single
waveform respectively.
• Angina (chest pain resulting from the heart not getting enough
oxygen)
Many people with coronary artery disease, heart valve disease or heart
muscle disease will eventually have abnormal EKG readings. Because
many EKGs are done while the patient is at rest, certain abnormalities that
occur during periods of stress may not appear even in patients with
significant disease. In fact, it has been estimated that the resting EKG is
accurate only about 50 percent of the time. Because it is very common to
see this false-negative result (i.e., the EKG doesn’t find the damage or
abnormality that is really present), a normal EKG is not enough to rule out
suspected heart disease.
You will have the opportunity to create a plot of your own EKG and analyze
your heart rate using a real electrocardiogram machine, called the
Siemens Burdick EK10. Instructions on how to operate the EKG are
located at the end of this booklet in APPENDIX A.
After creating your own EKG in this project you will apply the electrodes to
your arms and legs and observe your heart’s own signal on a computer
screen.
BASIC ELECTRONICS
Before discussing the elements used to create a circuit, the nature of
electricity should first be discussed. Current is known as the flow of
electricity through is circuit. Resistance is the opposition to the flow
current. Voltage refers to the amount of electrical force that must be used
to move current through the circuit.
In the case of a circuit, electricity acts much like water in a pipe. In this
analogy voltage is the pressure in the pipe, current is how fast the water
flows through the pipe, and resistance acts like a valve that, only allows a
certain amount of water to pass through the circuit. The circuit acts as the
different pathways the water can take. Each of the different circuit
elements acts to manipulate the “water” in different ways. To understand
what is happening in the circuit, keep this analogy of water in mind as you
read the following section.
Resistors
A resistor acts exactly like its name. It resists the flow of current through
the circuit. As the strength of a resistor increases, it becomes more
difficult for current to flow in the circuit. A color-coded band indicates the
strength of each resistor. The unit of resistance is the Ohm (Ω). Our EKG
will consist of six resistors with resistance values of 1K (1,000) ohm and
1M (1,000,000) ohm. The schematic symbol of a resistor is shown below in
Figure 4.
Black Brown Red Orange Yellow Green Blue Violet Gray White
0 1 2 3 4 5 6 7 8 9
First find the tolerance band; it will be gold. Starting from the
other end, identify the first band. Write down the number
associated with that color from the color code chart on the
previous page. In the example here, the blue band is 6. Now
read the next color, here it is red so write down a '2' next to the
six. Now read the third or 'multiplier' band and write down that
number of zeros. In this example it is two, so we get '6200' or
'6,200'. If the 'multiplier' band is Black (for zero) don't write any
zeros down. This is the strength of your resistor!
Capacitors
A capacitor is a circuit element that is used for storage. The
capacitor itself is made of two conductor plates that are
separated by an insulator (dielectric) such as air, glass or water. A
capacitor is “charged” when one plate of the capacitor has more electrons
than the other. The unit of capacitance is the Farad (F). Your project will
include two capacitors, a 3.2 micro (0.0032) farad and a 1 pico
(0.000000001) farad. A diagram of a simple capacitor and its schematic
symbol are shown below in Figure 5.
• Keep parts clean: grease, fingerprints, and dirt will keep solder from
sticking properly.
• Keep the soldering iron clean: clean the soldering iron by wiping it
on a wet sponge. Make sure the iron is not blobbed with solder.
• Keep your hands clean: solder contains lead, so it’s a good idea to
wash your hands when you are done.
• Heat parts: use the soldering iron to heat the parts. Touch the solder
to the parts, not the iron. The hot parts melt the solder. Don't melt
the solder with the iron directly because a blob of molten solder will
not stick to your cold parts.
• Amount of Solder: too little solder will not attach the parts, too much
gets in the way and may touch other components.
• Cooling: things don't cool instantly. You need to hold the parts
together a few seconds after removing the iron before you let go.
3. Do not apply round solder joints. This will result in a bad connection.
• Determine what portion of the signal is noise and whether the noise
is time dependant.
Software
When viewing the EKG signal, software must be used to convert the
electrical impulse into a visual representation that we can see and
understand. There are different software packages for different
applications.
LabView
LabView (Laboratory Virtual Instrument Engineering Workbench) is a
software package developed to build programs with symbols (icons) rather
than writing out lines and lines of text. LabView uses symbols,
terminology and formats that are familiar to technicians, scientists, and
engineers. LabView is programmed to act as an interface, helping pieces
of hardware “communicate” with each other. LabView also has built-in
libraries that allow the user to work over the internet and use different
programming formats and systems.
LabView Applications
The applications to LabView are endless. In the past, multiple instruments
were necessary to obtain the data a researcher wanted. In the case of the
EKG, several oscilloscopes would be needed to view more than one
heartbeat simultaneously. Instead, LabView has virtual instruments (VIs).
These are programs that are built into LabView and perform the same
function as another piece of equipment such as an oscilloscope. In our
case we can view as many heartbeats as we want. We just need to
specify how many channels we will need rather than use multiple
oscilloscopes to do the same thing.
There are many advantages to LabView. Virtual instruments may be
modified for each specific application. This means the user can manually
add functions to their VI at any time. Furthermore, LabView can be
“plugged” into the internet, so progress can be controlled from remote
locations. In other words, someone in the U.S. could monitor and control
the heat in their house in Russia!
• Computer
Virtual instrument
System
The back screen has two sub-panels known as palettes. These palettes
are used to build the VI. The tools palette changes the function of the
mouse. An arrow can be used to select different controls and place them
on the screen. A finger might be used to press the buttons and turn the
dials on the front screen. The cursor allows labels to be added to the
program so it is better organized and clear to follow. The front panel has a
control palette where different knobs, switches and monitors may be
selected. The back panel has a functions palette that allows one to choose
icons that make the VI work specifically. Figures 9 and 10 show the front
and back screens respectively.
Figure 9: The front screen with the tool and control palettes.
Figure 10: The back screen with the tool and functions palettes.
Figure 11 shows an example of a constructed front panel. This VI is a
converter from Celsius to Fahrenheit temperature scales. The “Numeric”
palette is one of the options within the control palette. To construct the
instrument, simply drag the components from the palettes to the desired
location.
Figure 11: A sample front panel that monitors temperature conversion, the
numeric palette where the thermometers and readouts are obtained.
DegF=(DegC)(1.8)+32
Assembly Instructions
Checklist
When you receive your EKG kit, go through the parts list below and make
sure your kit contains everything listed to complete your project. Record
the contents of your kit by checking the box next to each part name. If
you have trouble identifying a part, or a part is missing from your kit, let
someone know, and they will help you.
Chec
QTY ITEM
k
1 Black Project Box
1 Printed Circuit Board (PCB)
2 9 Volt Batteries
2 9 Volt Battery Holders
4 Wire Bundle - Black Brown
1
White Red
Single Wires: 2 Orange, 1
4
Black, 1 Green
2 IC Chips
2
IC Sockets
1K Ohm Resistors – Brown
2
Black Red
1M Ohm Resistors – Brown
4
Black Green
2 Capacitors: 1Green, 1Brown
4 Screws
Banana Jacks: 2 Orange, 1
4
Black, 1 Green
1 Toggle Switch
Procedure
1. The circuit board will be assembled from left to right. First place the
3.2 uf (microfarad) capacitor into the C1 slot.
2. Bend both ends of the wire to the back, solder, and clip. Refer to the
instructions in the Soldering section.
3. Place the 1 pf (picofarad) capacitor into the C2 slot. Solder and cut.
4. Insert the 1M ohm resistor into slot R1. To make insertion easier,
bend the wire straight down on both sides of the resistor, and place
in the holes. Solder and clip. Put the second 1M ohm resistor into
R2, solder and clip.
5. Strip both ends of the black wire with the strippers. Insert into the
hole labeled BLK, solder and clip.
6. Repeat Step 5 for both orange wires and the green wire. These
holes are labeled OR and GR, respectively.
7. Insert sockets into the circuit board at slots IC1 and IC2. Solder two
opposite corners first. To avoid damaging the chips do not insert
them into the socket now. The heat from the soldering iron could
ruin the chip.
8. Repeat Step 2 for the other 4 resistors. Put a 1K ohm resistor into
R3, a 1M ohm resistor into R4, a 1K ohm resistor into R5, and a 1M
ohm resistor into R6.
9. Insert the red wire of one of the battery straps into the hole labeled
V1+. Solder and cut. Do the same for the black (ground) wire of the
same strap into the V1-. Repeat for the second battery strap, using
slots V2+ and V2-.
10. Before inserting the switch into the board wires must be
soldered to it. Then place one wire into one of the holes labeled SW.
Place the other wire into the other SW hole. Solder and clip each.
Do not be concerned with polarity of the switch.
11. Now insert the IC Chips in the sockets at slots IC1 and IC2.
Each chip has a left and a right side. The left side has a small black
dot on the bottom corner. This must go over the shiny notch on the
circuit board.
13. Attach the jacks to the box in the color order orange, orange,
green, black.
14. Tape the battery straps to the top of the box with the double-
sided tape
Have Fun!
1
Appendix A:
Using the “SIEMENS Burdick EK10” EKG Machine
• The PR interval is the portion of the EKG wave from the beginning of
the P wave (onset of atrial depolarization) to the beginning of the
QRS complex (onset of ventricular depolarization). It is normally 0.12
- 0.20 seconds.
• The PR segment is the portion on the EKG wave from the end of the
P wave to the beginning of the QRS complex. The PR segment
corresponds to the time between the ends of atrial depolarization to
the onset of ventricular depolarization. It is an isoelectric segment,
during which the impulse travels from the AV node through the
conducting tissue (bundle branches, and Purkinje fibers) towards the
ventricles.
• The QT interval begins at the onset of the QRS complex and to the
end of the T wave. It represents the time of ventricular
depolarization until ventricular repolarization.
• Remove a limb sensor and place it on the inside of your right calf
between your bone and muscle.
• Attach lead LA to the tab of the limb sensor on your left arm.
• Attach lead RA to the tab of the limb sensor on your left arm.
• Attach lead RL to the tab of the limb sensor on your right leg.
• Attach lead LL to the tab of the limb sensor on your left leg.
• Press 1 or 2, and use the EKG that looks most like the model EKG.
Figure A-1: Model EKG format, showing P wave, QRS complex, and T
wave.
• Multiply this number by 60. That will give you your heart rate in
beats per minute.
• Fill out the back of the EKG paper with your general information.
The number you calculated in part 4 can be placed as “Rhythm.”
• On the reverse side of the given paper, peel off the stickers and
place you r four best EKG readings on it.
EKG Paper
5
APPENDIX B:
Oscilloscope
Electronic equipment can be divided into two types: analog and digital.
Analog equipment works with continuously variable voltages, while digital
equipment works with discrete binary numbers that may represent voltage
samples. For example, a conventional phonograph turntable is an analog
device; a compact disc player is a digital device. The oscilloscope we will
be using is capable of both analog and digital signals.
The generic term for a pattern that repeats over time is a wave - sound
waves, brain waves, ocean waves, and voltage waves are all repeating
patterns. An oscilloscope measures voltage waves. One cycle of a wave is
the portion of the wave that repeats. A waveform is a graphic
For our purposes, we will be using sine waves and square waves. The sine
wave is the fundamental wave shape for several reasons. It has
harmonious mathematical properties - it is the same sine shape you may
have studied in high school trigonometry class. Test signals produced by
the oscillator circuit of a signal generator are often sine waves. The square
wave is another common wave shape. Basically, a square wave is a
voltage that turns on and off (or goes high and low) at regular intervals. It
is a standard wave for testing amplifiers - good amplifiers increase the
amplitude of a square wave with minimum distortion. Television, radio,
and computer circuitry often use square waves for timing signals.
• Turn the three red knobs all the way to the right