Medical isolation amplifiers provide an ultra-low conductive pathway between the input (patient) terminals and the output terminals and ground. This pathway provides what is called ohmic or galvanic isolation for a patient. In medical applications, this isolation is required for reasons of patient safety. The dc resistance between input and output terminals is typically on the order of thousands of mega ohms; at ac, capacitance between the input and output terminals is on the order of single picofarad.
There are five established isolation architectures:
- Transformer isolation in which power is magnetically coupled using transformer to the (isolated input stage by high-frequency current and signal is coupled to the output stage also by transformer, by modulating the power supply oscillator.
- Photo-optic coupling in which the isolated conditioned input signal is coupled to the output by means of photo-optic couplers (Using an LED and a photodiode or photoresistor). Power is still supplied through high-frequency isolation transformer.
- Capacitive coupling of a signal-modulated, high-frequency digital carrier from the isolated input stage through a pair of 1-pF capacitors to a demodulator in the output stage.
- Magnetic coupling using giant magneto-resistive resistors (GMRs) in a Wheatstone bridge. A GMR’s resistance is altered by its local magnetic field. The isolated input signal is converted to a current that is passed through coils in close proximity to two GMRs in a bridge. The ΔRs unbalance the bridge, which is on the output side of the Isolation Amplifier. The unbalance is detected by a differential amplifier, which generates a current used to re-null the bridge. The re-nulling current is sensed and is proportional to the input voltage. Isolation is maintained by the ohmic isolation between the input coils and the GMR bridge resistors.
- The flying capacitor chopper capacitor uses a small capacitor charged up by the signal voltage and then switched by a high-speed double pole double throw (DPDT) relay to an output amplifier that reads the voltage across the capacitor. Such switched-capacitor isolation amplifiers have ohmic isolation set by the relay structure and are useful only for dc or very low-frequency signals.
Related: The Essential Requirements of Biopotential Amplifiers for Medical applications
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