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Patent

Coupling circuit with driven guard

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TLDR
In this article, the effects of common mode potentials on the patient's body are minimized without requiring any patient electrodes other than those acting as signal sources, by using an operational amplifier to drive the floating ground toward the common modes on the patients body.
Abstract
In signal measurement circuits which are referred to a floating ground and which derive their input signals from electrodes attached to a patient's body, the effects of common mode potentials on the patient's body are minimized without requiring any patient electrodes other than those acting as signal sources, by using an operational amplifier to drive the floating ground toward the common mode potential on the patient's body. This process is accomplished without significantly degrading the isolation impedance between the measurement circuits and true ground. The patient is protected from hazardous electrical shock by incorporating a current limiting impedance in the amplifier circuit.

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References
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Electrocardiograph lead distribution and contact testing apparatus

TL;DR: In this article, an electrocardiograph apparatus including a recorder electrically connected by a patient cable to a number of electrical terminals in a distribution head so that each terminal forms a contact point for a series of lead wires each adapted to receive electrical impulses from a selected location of the patient's body.
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