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BIOMEDICAL
INSTRUMENTATION
Biomedical Amplifiers
A negative feedback system (left) with closed loop gain G1G2 > 1 and no
phase shift in the loop will always be stable since we are just
subtracting in-phase components from the input and amplifying.
Q: What if we change the feedback to positive? (right)
A: Now we are taking a signal from the output, ADDING it to the input
and amplifying it → UNSTABLE!!
Feedback and stability
Q: What if we have NEGATIVE feedback, high closed loop gain G1G2, but
a phase shift of 180o in the amplifier?
A: The negative feedback becomes POSITIVE feedback and we get
INSTABILITY!
Most modern opamps are stable when used as designed but if we are
creating our own feedback loops with RLD circuits we must be careful.
Methods of preventing negative feedback instability:
Reduce phase shift in the loop
Reduce the loop gain at the frequency where the phase is 180o.
Op-amps
+VBB
The basic building block of amplifiers
used to measure biopotentials is the
operational amplifier (op-amp or
opamp) RL RL
A simplified circuit of a BJT (bipolar
junction transistor) op-amp front end is
shown right, together with the op-amp’s IB1 IB2
circuit symbol
VOUT
Ideal opamp Q1 Q2
A = (infinite gain)
v+ = v- (no offset voltage) Vs1 RC Vs2
Rd = (infinite input impedance)
Ro = 0 (zero output impedance)
BW = (infinite bandwidth) -VBB (a)
Ф = 0 (zero phase shift)
v1
No opamp is ideal – we must design the -
VOUT
circuit to account for the characteristics
of the opamp used v2 +
(b)
Non-ideal opamps
GAIN
Typically ~ 100,000 at dc.
Several stages, each of which has stray or
junction capacitance → the gain falls off as
the frequency increases.
As an amplifier, the op-amp is never used in
open-loop mode. It always has negative
feedback around it.
Op-amps such as the 741 have a unity-gain
bandwidth of about 1 MHz, but for high
frequency applications op-amps with
bandwidths of >100 MHz are available.
OFFSET VOLTAGE
The two input voltages v+ and v- may differ
by a few mV.
When amplifying small signals the offset
voltage may need to be nulled out.
Alternatively you can use multiple gain
stages with AC coupling to remove the offset.
Or find a precision op-amp
Non-ideal opamps
SLEW RATE
The frequency response referred to above,
is for small signal inputs.
For large signals, there is an additional
limitation. When rapid changes in
outputs are demanded, the compensation
capacitor must be charged up from an
internal source that has limited current
capacity.
The rate of change in voltage across the
capacitor is then limited, and as a
consequence the rate of change of the
output voltage is limited to a maximum
slew rate – often of the order of 1 volt per
microsecond.
Slew rate is not normally an issue for
biological signals which have fairly long
rise times, even when using micropower
opamps (low slew rate)
Non-ideal opamps
INPUT RESISTANCE
For the typical BJT op-amp, this is about 0.5 meg ohms. However,
the amplifier itself, because of feedback, will exhibit a much higher
input resistance.
For a voltage follower, it is A times as great. For an inverting
amplifier, it is equal to the external input resistor value. In some
applications, where extremely high input resistances are required,
FET-input op-amps are useful.
OUTPUT RESISTANCE
Typically, this is about 100 ohms, but because of feedback in the
overall amplifier, its value is reduced by a factor A and so becomes
negligible for most applications.
Non-ideal opamps
NOISE
Low frequency (drift) noise is generated when temperature
variations cause the offset voltage to vary.
At more cost, op-amps with tighter drift specification (eg 0.1V/C)
are available than ordinary low-cost types.
Temperature drift is usually not a big issue for biomedical
instrumentation which is usually used in office conditions
(constant temp)
BIAS CURRENT
Base current must flow all the time to keep the input transistors
turned on
The error is minimized by connecting, at the non-inverting input, a
resistor equal to the parallel resistance to ground connected to the
inverting input (i.e. the input and feedback resistors).
There will still be a small error remaining because of the slight
difference between the bias currents of the two input transistors
(called the input offset current in the specifications).
Basic amplifier circuits
Inverting amplifier Vo R2 / R1 Va
R2
Input impedance = R1
R1
va -
vo
+
Non-inverting R2 R1
Vo Vb
amplifier R2 R1
Input impedance of R1
open loop opamp is -
increased vo
vb
+
Basic amplifier circuits
v1 + R1 R2
v3
-
v4 R3 vo
+
v5
- R4
v2 +
With buffered inputs:
eliminates the influences of electrode impedances on input impedance
and their imbalance on CMRR
R1 and R3 have no influence on input impedance
2 R1 R3
AD (1 )
Rgain R2
Advantages
varying Rgain does not change the common mode signal hence CMRR
increases in direct proportion to differential gain (a useful property);
If V+ = V-, 0 V across Rgain, and ACM = 1 (in first stage, see later).
Large CM voltages can be handled
if the two input amps are similar, their common-mode errors tend to
be cancelled by the 3rd amp due to symmetry.
Disadvantages
High parts count but can be bought as a single IC
Typical instrumentation amp
VD
V1 VCM
2 + V1 '
-
R4
R3
R1
R2 -
v Vo
R2 R1 +
R3
VD VD
VCM VCM VCM
2 2
Current flowing VD R1
V1 ' Vcm 1
and
VD VD 2 R 2
Vcm Vcm
2 2 VD VD R1
I V2 ' Vcm 1
2 R2 2 R2 2 R 2
Instrumentation amplifier CMRR
Since VCM is not amplified, best strategy is to maximise CMRR by
maximising gain of first stage
R
1 1
R2
HOWEVER, AAMI says we need to cope with offsets of ± 300mV on any
lead.
So this limits the gain, depending on our power supplies and capacities
of amp, e.g. ± 5V rails we should not use a gain much higher than 10
(may cause saturation)
Note the following stage is just a common differential amplifier (with
gain of R4/R3)
Output
R1 R4 VO / VD
VO VD 1 CMRR
R2 R3 VO / VCM
We can either use the potentiometer to get high CMRR or use precision
resistors.
A gain of 10 would add 20dB to CMRR attainable just from a differential
amplifier.
AC instrumentation amplifier
DC offsets can be a problem – lose high
CMRR Gain(magnitude)
Place a capacitor in series with R2.
DC gain of front stage is 1 (for
differential and common mode).
This means we can make front end
gain as high as we like without 1
worrying about offset voltages. In turn
leads to very high CMRR
But since R2 is small for high gain
means we need to use very high f
capacitances for low fc (0.05Hz). fc=1/(2πR2C)
Capacitances this high are only
available as polarised, electrolytic
capacitors
Patient Protection
10K, 3000V
10K
The first resistor must be able to withstand very high voltages for short
periods of time (~10msec)
Example: carbon composition type resistor (NOT film type)
The second resistor limits current into the amplifier (which has its own
internal protection diodes)
The gas discharge tube in middle can be replaced by zener diodes
It clamps the midpoint voltage to a few hundred volts
The resistors also protect the patient against fault conditions and the
amp against RF interference
Isolation amplifiers
An Power
isolation amplifier is an Power
instrumentation
Supply amp that has its Supply
signal input circuit isolated from
the power input and signal output
ut circuits (2-port isolator).
Output
Input
Output
Is vs
Insulated To balanced
Stray Cs ECG amp
capacity shoes
-
3
Rf
Ra
VCM + R3
R1
VCM 1 -
R2 5
VCM + 2 +
- R1 Ra4
R
-
4 +
Insulated RL + Vout
shoes -
Iids RRLR
out
Right leg driven (RLD) circuit
Ra/2 Rf
KCL at opamp -ve input
id 2
v
c
m
/
Ra
vo
/
Rf 2Vcm / Ra V0 / R f 0
+ - Ro V0 2 R f Vcm / R a , but
vo
vc + Vcm R RL id V0 , thus
m
vc
m RRL id
Vcm
RRL
(1 2 R f / Ra )
id RRL id
Vcm
Example: with reference to the figure (1 G )
determine the common mode voltage where G 2 R f / Ra gain of RLD cct
Vcm on the patient when a displacement
current of id = 0.2 A flows to the The effective resistance between the right leg
patient from the power lines. Choose and ground is thus
resistance values so that the common
mode voltage is minimal and there is
only a high resistance path to ground R e f f RRL /(1 G)
when the drive op-amps saturates.
Designing RLD
When the differential amplifier saturates the saturation voltage appears
at the input to the drive circuit and could result in a high voltage at the
right leg electrode.
Note due to high gain of RLD cct that it will saturate before the
differential amplifier does
When the RLD amp is saturated the normal laws of feedback no longer
apply. Under such conditions VCM increases and there is increased current
flow to the subject. Ro is thus usually included to limit any current to safe
levels (from 10KΩ to 5MΩ depending on other isolation).
However, when the amplifier is not saturated, it is desirable to make the
common mode voltage as low as possible. Hence Ro is usually included in
the feedback loop
To minimise common mode voltage Vcm requires the ratio Rf/Ra to be
large. Rf may be as large as 5MΩ and typically Ra is around 25 KΩ giving
a loop gain of 400. The effective resistance between right leg and ground
Reff is then (if RRL = 20KΩ):
If the loop gain G is high and sufficient phase shift occurs, instability
and oscillations can result.
Note other phase shifts in circuit affect this, such as input lead
shield capacitance.
This can be partly compensated for by replacing Rf by a capacitor
(next slide), and ensuring that the amp is well isolated and has a
low leakage capacitance to ground.
So far we have only considered 50 Hz of mains CM voltage.
But fluorescent lights can cause a CM voltage as a short burst of
1kHz of radiation at 10ms intervals which depending on the
patients position and other factors, could be as large as 10-50%
of the 50Hz CM voltage.
This high frequency interference can be transformed into 100 Hz
interference by non-linearities in the electronics or recorder.
The driven right leg circuit, provided it has sufficient gain at 1
kHz will also reduce this noise signal to an acceptable level.
Overall front end for ECG amp
To avoid instability, loop -
Input a
gain of driven shield +
circuit is made < 1 10k 100 -
-
+
Loop gain of the driven +
improvement in CMRR +
The voltages of leads I, II and III can be considered to be projections of the equivalent cardiac dipole
on an approximately equilateral triangle in the frontal plane – Einthoven’s triangle
The bipolar limb leads add vectorially: II = I + III
I = VLA – VRA, II = VLL – VRA, III = VLL – VLA
ECG Limb leads
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