Biomedical Instrumentation: Time Allowed: 2 Hours Full Marks: 35

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642(S) June –2019 1

642(S)
June –2019
BIOMEDICAL INSTRUMENTATION
Time Allowed : 2 Hours Full Marks : 35
Answer to Question No.l is compulsory and to be answered first.
This answer is to be made in separate loose script(s) provided for the
purpose. Maximum time allowed is 30 minutes, after which the loose
answer scripts will be collected and fresh answer scripts for answering
the remaining part of the question will be provided. On early
submission of answer scripts of Question No.l, a student will get the
remaining script earlier.
Answer any five questions from the rest.
1. A. Choose the correct answer from the given alternatives (any
five) : 5×1
(a) The bio signal frequencies from various sections of the human
body are in the—
(i) RF frequency range, (ii) Microwave range,
(iii) 0 to few KHz, (iv) few kHz to few MHz
Ans. (iii) 0 to few KHz.
(b) The EEG signals are originated from the—
(i) Glia cells, (ii) Motor units,
(iii) Sino arterial node, (iv) Acetycholine.
Ans. (ii) Motor units.
(c) The bio electric generator of heart is situated at—
(i) Aortic valve, (ii) SA node,
(iii) AV node, (iv) The brain.
Ans. (ii) SA node.
(d) The valve located between left atrium and left ventricle is
called—
(i) tricuspid valve, (ii) Semilunar valve,
(iii) bicuspid valve, (iv) aortic valve.
Ans. (iii) bicuspid valve.
(e) The level of consciousness can be followed by means of—
(i) EEG, (ii) ECG,
(iii) EMG, (iv) ERG.
Ans. (iii) EMG

1
2 Solution of Biomedical Instrumentation (Semester) 642(S) 642(S) June –2019 3
(f) Natural pacemaker of human heart is— scan slices in a similar fashion from the skin to the central part of the
(i) AV node, (ii) SA node, body being examined. When these levels are further “added” together, a
(iii) Bundle of HIS, (iv) Purkinje’s Fibers. three-dimensional picture of an organ or abnormal body structure can be
Ans. (ii) SA node. obtained.
(g) Normal human heart rate range at rest is— (b) Draw the equivalent circuit for surface electrode.
(i) 110-175 beats/min, (ii) 60-90 beats/min, Ans.
(iii) 150-300 beats/min, (iv) None of the above.
Ans. (ii) 60-90 beats/min. Lead wire Insulation
(h) The number of electrodes required to record an
electrocardiogram is usually— R4
(i) 6, (ii) 12, AgoCl–
(iii) 5, (iv) None of these. surface layer + –
Ans. (iv) None of these. Ag metal
Electrolyte Ehc R2
(i) The value of let-go current in man is— containing
(i) 5 mA, (ii) 9 mA, Cl– ions
C4
(iii) 16 mA, (iv) 21 mA.
Ans. (ii) 9 mA. Fig. 1 Fig. 2
B. Answer the following questions (any five) : 5×1
(a) What does Computed Axial Tomography measure? (c) What is diastolic blood pressure?
Ans. Computerized (or computed) tomography, and often formerly Ans. The diastolic reading, or the bottom number, is the pressure in the
referred to as computerized axial tomography (CAT) scan, is an X-ray arteries when the heart rests between beats. This is the time when the heart
procedure that combines many X-ray images with the aid of a computer fills with blood and gets oxygen.
to generate cross-sectional views and, if needed, three-dimensional images A normal diastolic blood pressure is lower than 80. A reading of 90 or
of the internal organs and structures of the body. Computerized higher means you have high blood pressure.
tomography is more commonly known by its abbreviated names, CT scan (d) What is significance of CMRR?
or CAT scan. A CT scan is used to define normal and abnormal structures Ans. The CMRR is defined as the ratio of the powers of the differential
in the body and/or assist in procedures by helping to accurately guide the gain over the common-mode gain, measured in positive decibels (thus
placement of instruments or treatments. using the 20 log rule): As differential gain should exceed common-mode
gain, this will be a positive number, and the higher the better.
A large donut-shaped X-ray machine or scanner takes X-ray images
(e) What is EMG?
at many different angles around the body. These images are processed by
Ans. Electromyography (EMG) is a diagnostic procedure to assess the
a computer to produce cross-sectional pictures of the body. In each of
health of muscles and the nerve cells that control them (motor
these pictures the body is seen as an X-ray “slice” of the body, which is
neurons). EMG results can reveal nerve dysfunction, muscle dysfunction
recorded on a film. This recorded image is called a tomogram.
or problems with nerve-to-muscle signal transmission
“Computerized axial tomography” refers to the recorded tomogram (f) What is value of resting potential of the inside of the neuron?
“sections” at different levels of the body. Ans. n most neurons the resting potential has a value of
Imagine the body as a loaf of bread and you are looking at one end approximately “70 mV. The resting potential is mostly determined by
of the loaf. As you remove each slice of bread, you can see the entire the concentrations of the ions in the fluids on both sides of the cell
surface of that slice from the crust to the center. The body is seen on CT membrane and the ion transport proteins that are in the cell membrane.
4 Solution of Biomedical Instrumentation (Semester) 642(S) 642(S) June –2019 5
(g) What is cardiac output? 3. (a) Discuss the classifications of surface electrodes. 3
Ans. The amount of blood the heart pumps through the circulatory Ans. Surface electrodes are types of electrodes applied to the skin of
system in a minute. The amount of blood put out by the left ventricle of the subject. Major applications include electrocardiography (ECG),
the heart in one contraction is called the stroke volume. electromyography (EMG), or electroencephalography (EEG), which are
The stroke volume and the heart rate determine the cardiac output. A techniques for recording and evaluating the electrical activities of the
normal adult has a cardiac output of 4.7 liters (5 quarts) of blood per heart, skeletal muscles and neurons of the brain, respectively, from the
surface of the skin. Other types of electrodes are used to measure
minute.
the conductance of body parts. Examples are measurements of skin
(h) What is micro electrode?
conductance or transthoracic impedance. In some cases, electrodes are
Ans. A microelectrode is an electrode used in electrophysiology either
simple metal plates connected with a lead wire. Electrode may be made
for recording neural signals or for the electrical stimulation of nervous
in the form of a suction cup attached with a bulb, facilitating easy
tissue (they were developed by Gilbert Ling and Ralph W. Gerard). attachment and relocation (see Fig. 8.2A). Commonly used
2. (a) Define action potential. 2 for EEG measurements are cup-shaped gold electrodes with an open apex,
Ans. An action potential occurs when a neuron sends information from which electrolyte gel can be added to improve connection (Fig.
down an axon, away from the cell body. Neuroscientists use other words, 8.2B). Dry electrodes are types of electrodes that do not use electrolyte.
such as a “spike” or an “impulse” for the action potential. The action They are typically made of silicone elastomer added with graphite
potential is an explosion of electrical activity that is created by a powder (Fig. 8.2C). One of the most important goals for desirable surface
depolarizing current. electrodes is to obtain a lower contact impedance, which is crucial to
(b) Explain different phases of bio electricity with suitable attain high signal-to-noise ratio.
diagram. 3 Bulb
Ans.
Hole for electrolyte

Lead

Terminal
Contact
Contact
Contact
(A) (B) (C)
Fig. 4
(b) What are different problems associated with surface electrodes? 2
Embryonic Ans. Recordings of electrical activity of muscles can be contaminated
Remodeling Morphostasis Regeneration time
Development by interference from the electrical supply, mechanical artifacts, stimulus
artifacts, and activity of other muscles. The advantages and disadvantages
of surface electromyography and intramuscular EMG are compared and
Birth Wear-and-tear Aging, Severe injury,
Defects (microtrauma) Cancer regenerative medicine contrasted, and precautions to be taken when recording and interpreting
these data are described. Surface electromyography is usually more
Fig. 3 susceptible to artifacts than is intramuscular EMG. It is possible, however,
6 Solution of Biomedical Instrumentation (Semester) 642(S) 642(S) June –2019 7
to make useful recordings with the surface electrodes from large superficial (b) Explain sphygmomanometric method for blood pressure
muscles if appropriate precautions are observed. Intramuscular electrodes, measurement. 3
on the other hand, may be preferred for recording the activity from small Ans. A sphygmomanometer has three parts:
peripheral muscles or muscles located deep within the body. l a cuff that can be inflated with air,
4. Describe the different lead configurations of ECG. 5 l a pressure meter (manometer) for measuring air pressure in the
Ans. An EKG lead consists of two surface electrodes of opposite
cuff, and
polarity (one positive and one negative) or one positive surface electrode
l a stethoscope for listening to the sound the blood makes as it flows
and a reference point. A lead composed of two electrodes of opposite
through the brachial artery (the major artery found in your upper
polarity is called bipolar lead. A lead composed of a single positive
electrode and a reference point is a unipolar lead. arm).
For a routine analysis of the heart’s electrical activity an ECG recorded The scale of the pressure meter ranges from 0 to 300 mmHg. The
from 12 separate leads is used. A 12-lead ECG consists of three bipolar pressure meter has a rubber pump on it for inflating the cuff and a button
limb leads (I, II, and III), the unipolar limb leads (AVR, AVL, and AVF), for letting the air out.
and six unipolar chest leads, also called precordial or V leads, To measure blood pressure, the cuff is placed around the bare and
( , , , , , and ). stretched out upper arm, and inflated until no blood can flow through the
Limb leads: I, II, III, IV, V, and VI brachial artery. Then the air is slowly let out of the cuff.
Lead IV also called AVR As soon as the air pressure in the cuff falls below the systolic blood
Lead V also called AVL pressure in the brachial artery, blood will start to flow through the arm
Lead VI also called AVF once again. This creates a pounding sound when the arteries close again
Chest leads: V1,V2,V3,V4,V5 and V6.
and the walls of the vessels hit each other after a heart beat. The sound
5. (a) What is difference between “Electrocardiogram &
can be heard by placing the stethoscope close to the elbow. Right when
Electrocardiograph”? 2
you start to hear this pounding for the first time you can read your
Ans. The fact of the matter is that an ECG and an EKG are the exact
same thing. That’s right, the most surprising difference between an ECG systolic blood pressure off the pressure meter.
and an EKG is that there is no difference at all. Both ECG and EKG The pounding sound stops when the air pressure in the cuff falls
stand for electrocardiogram. below the diastolic blood pressure in the brachial artery. Then the blood
So, if an ECG is the same thing as an EKG, then why are there two vessels remain open. Right when the pounding stops, you can read the
different abbreviations? It’s actually quite simple—when the word diastolic blood pressure off the pressure meter.
electrocardiogram is translated into the German language, it is spelled 6. (a) Describe the principle of generation of X-ray with neat
Elektro-kardiographie. EKG is just the way some people choose to say diagram. 4
ECG based on this translation. Ans. X-radiation is created by taking energy from electrons and
The NeuroSky CardioChipTM Enables ECG and EKG converting it into photons with appropriate energies. This energy
he NeuroSky CardioChipTM takes full advantage of the data collected conversion takes place within the x-ray tube. The quantity (exposure)
via ECG and EKG technology—presenting a number of benefits to
and quality (spectrum) of the x-radiation produced can be controlled by
wearable device manufacturers. The world’s smallest ECG biosensor, it
adjusting the electrical quantities (KV, MA) and exposure time, S, applied
is incredibly small, measuring in at 3mm x 3mm. It’s also the most
to the tube. In this chapter we first become familiar with the design and
completely integrated chip on the market, making it ideal for enabling
easy-to-use mHealth wearables, devices, and apps to better track and construction of x-ray tubes, then look at the x-ray production process,
manage physical and mental wellness. and conclude by reviewing the quantitative aspects of x-ray production.
8 Solution of Biomedical Instrumentation (Semester) 642(S) 642(S) June –2019 9
THE X-RAY TUBE and it has a high melting point and a relatively low rate of evaporation.
Function For many years, pure tungsten was used as the anode material. In recent
An x-ray tube is an energy converter. It receives electrical energy and years an alloy of tungsten and rhenium has been used as the target
converts it into two other forms: x-radiation and heat. The heat is an material but only for the surface of some anodes. The anode body under
undesirable byproduct. X-ray tubes are designed and constructed to the tungsten-rhenium surface on many tubes is manufactured from a
maximize x-ray production and to dissipate heat as rapidly as possible. material that is relatively light and has good heat storage capability. Two
The x-ray tube is a relatively simple electrical device typically such materials are molybdenum and graphite. The use of molybdenum as
containing two principle elements: a cathode and an anode. As the an anode base material should not be confused with its use as an anode
electrical current flows through the tube from cathode to anode, the surface material. Most x-ray tubes used for mammography have
electrons undergo an energy loss, which results in the generation of x- molybdenum-surface anodes. This material has an intermediate atomic
radiation. A cross-sectional view of a typical x-ray tube is shown in number (Z = 42), which produces characteristic x-ray photons with
below. energies well suited to this particular application. Some mammography
Glass tubes also have a second anode made of rhodium, which has an atomic
number of 45. This produces a higher energy and more penetrating
Rotor radiation, which can be used to image dense breast.
The use of a rhenium-tungsten alloy improves the long-term radiation
output of tubes. With x-ray tubes with pure tungsten anodes, radiation
output is reduced with usage because of thermal damage to the surface.
Design : Most anodes are shaped as beveled disks and attached to
the shaft of an electric motor that rotates them at relatively high speeds
during the x-ray production process. The purpose of anode rotation is to
Anode
Cathods dissipate heat and is considered in detail in another chapter..
Fig. 5 Focal Spot : Not all of the anode is involved in x-ray production.
The radiation is produced in a very small area on the surface of the anode
Anode : The anode is the component in which the x-radiation is known as the focal spot. The dimensions of the focal spot are determined
produced. It is a relatively large piece of metal that connects to the by the dimensions of the electron beam arriving from the cathode. In
positive side of the electrical circuit. most x-ray tubes, the focal spot is approximately rectangular. The
The anode has two primary functions: (1) to convert electronic energy dimensions of focal spots usually range from 0.1 mm to 2 mm. X-ray
into x-radiation, and (2) to dissipate the heat created in the process. The tubes are designed to have specific focal spot sizes; small focal
material for the anode is selected to enhance these functions. spots produce less blurring and better visibility of detail, and large focal
The ideal situation would be if most of the electrons created x-ray spots have a greater heat-dissipating capacity. Focal spot size is one
photons rather than heat. The fraction of the total electronic energy that factor that must be considered when selecting an x-ray tube for a specific
is converted into x-radiation (efficiency) depends on two factors: the application. Tubes with small focal spots are used when high image
atomic number (Z) of the anode material and the energy of the electrons. visibility of detail is essential and the amount of radiation needed is
Most x-ray tubes use tungsten, which has an atomic number of 74, as the relatively low because of small and thin body regions as in
anode material. In addition to a high atomic number, tungsten has several mammography.Most x-ray tubes have two focal spot sizes (small and
other characteristics that make it suited for this purpose. Tungsten is large), which can be selected by the operator according to the imaging
almost unique in its ability to maintain its strength at high temperatures, procedure.
10 Solution of Biomedical Instrumentation (Semester) 642(S) 642(S) June –2019 11
Cathode : The basic function of the cathode is to expel the electrons a vacuum in the tube. The presence of gases in the x-ray tube would allow
from the electrical circuit and focus them into a well-defined beam aimed electricity to flow through the tube freely, rather than only in the electron
at the anode. The typical cathode consists of a small coil of wire (a beam. This would interfere with x-ray production and possibly damage the
filament) recessed within a cup-shaped region, as shown below. circuit.
Housing : The x-ray tube housing provides several functions in addition
Cathode to enclosing and supporting the other components. It functions as a shield
High Energy
and absorbs radiation, except for the radiation that passes through the
Electrons (100 keV)
Potential Energy Kinetic Energy window as the useful x-ray beam. Its relatively large exterior surface
dissipates most of the heat created within the tube. The space between the
housing and insert is filled with oil, which provides electrical insulation
and transfers heat from the insert to the housing surface.
THE X-RAY CIRCUIT : The energy used by the x-ray tube to produce
x-radiation is supplied by an electrical circuit as illustrated below. The
circuit connects the tube to the source of electrical energy, that in the x-
ray room is often referred to as the generator. As described in another
Anode
chapter, the generator receives the electrical energy from the electrical
Low Energy power system and converts it into the appropriate form (DC, direct current)
X-ray
Electrons
to apply to the x-ray tube. The generator also provides the ability to
adjust certain electrical quantities that control the x-ray production process.
Fig. 6 Energy Exchange within an X-Ray Tube The three principle electrical quantities that can be adjusted are the :
l KV (the voltage or electrical potential applied to the tube)
Electrons that flow through electrical circuits cannot generally escape l MA (the electrical current that flows through the tube)
from the conductor material and move into free space. They can, however, l S (duration of the exposure or exposure time, generally a fraction
if they are given sufficient energy. In a process known as thermionic of a second)
emission, thermal energy (or heat) is used to expel the electrons from the The circuit is actually a circulatory system for electrons.
cathode. The filament of the cathode is heated in the same way as a light They pickup energy as the pass through the generator and transfer
bulb filament by passing a current through it. This heating current is not their energy to the x-ray tube anode as described above.
the same as the current flowing through the x-ray tube (the MA) that THE X-RAY SYSTEM
produces the x-radiation. During tube operation, the cathode is heated to AN ELECTRON CIRCULATORY SYSTEM
a glowing temperature, and the heat energy expels some of the electrons
GENERATOR
from the cathode.
X-RAY TUBE
Envelope : The anode and cathode are contained in an airtight
enclosure, or envelope. The envelope and its contents are often referred to
as the tube insert, which is the part of the tube that has a limited lifetime
and can be replaced within the housing. The majority of x-ray tubes have X-RAY
glass envelopes, although tubes for some applications have metal and
ceramic envelopes.
The primary functions of the envelope are to provide support and
electrical insulation for the anode and cathode assemblies and to maintain
Fig. 7
12 Solution of Biomedical Instrumentation (Semester) 642(S) 642(S) June –2019 13
(b) Give some uses of X-Ray examination. 1 (b) Why biotelemetry system is needed in biomedical
Ans. The most common form of X-ray used is X-ray radiography, instrumentation? 1
which can be used to help detect or diagnose : Ans. The biotelemetry measurements can be applied to two categories:
l Bone fractures. 1. Bioelectrical variables such as ECG, EMG and EEG. Here the signal is
l Infections (such as pneumonia) obtained directly in electrical form. 2. Physiological variables that require
l Calcifications (like kidney stones or vascular calcifications) transducers such as blood pressure, gastrointestinal pressure, blood flow
l Some tumors. and temperatures. It requires excitation because the physiological
l Arthritis in joints. parameters are measured as variations of resistance, inductance or
l Bone loss (such as osteoporosis)
capacitance.
l Dental issues.
8. Discuss the different types of ventilators used in biomedical
7. (a) Draw the block diagram of biotelemetry system and explain
instrumentation. 5
each block of the system. 4
Ans. Ventilator types are broken up into two categories: noninvasive
Ans. Biotelemetry consists of two parts i.e. Bio and Telemetry. Bio is
related to living being or process or phenomenon occurring in the human ventilators and invasive ventilators.
body. Telemetry is the measurement at a distance. Noninvasive ventilators provide breathing support through an external
So, Biotelemetry is a method of measuring biological parameters from interface, such as a mask or nasal prongs. These are positive airway
a distance. pressure ventilators that use positive pressure to force gas or air into a
The transmission of data from the point of generation to the point of patient's lungs. Breathing can be triggered by either the patient or the
reception can be done in various ways. We can transmit data using machine. There are six types of positive pressure ventilators.
telephone links, or radio transmission, etc. l Volume-cycled ventilators-deliver a preset volume of gas/air or a
The simplest example of biotelemetry is stethoscope. The device ‘‘tidal’’ volume and allow passive exhalation. This is ideal for
amplifies acoustically the heartbeats and transmits their sound to the ears patients with acute respiratory distress syndrome or bronchospasm.
of a doctor through a hollow tube system. l Pressure-cycled ventilators-deliver gases at a preset pressure and
Biotelemetry Working : A biotelemetry system consists of transmitter allow passive exhalation. They decrease the risk of lung damage
and receiver. The biotelemetry transmitter and receiver block diagram are from high inspiratory pressures. A disadvantage is that the tidal
shown below. Physiological (EEG, ECG, EMG, etc.) signals are obtained
volume delivered can vary with changes in lung resistance and
by a suitable transducer which is amplified and subjected to modulate the
compliance if the patient has poor lung compliance and increased
carrier waves for transmission. The receiver receives the transmission and
airway resistance. It is often used in short-term therapy.
demodulates to separates to separate the signal from the carrier waves to
l Flow-cycled ventilators-deliver oxygenation until a preset flow rate
display or record the signal as shown in the block diagram.
is achieved during inhalation.
Physiological l Time-cycled ventilators-deliver oxygenation over a preset time
Signals
Physiological
period. These are not used as frequently as the volume-cycled and
Amplifier Processor Modulator
Signals pressure-cycled ventilators.
Physiological
Variable
Transducer l Continuous positive airway pressure ventilators-increase the work
of breathing by forcing the user to exhale against resistance. Because
Excitation Carrer this ventilator provides a continuous flow of air at the same level
wave
Biotelemetry Transmitter
generator of pressure during inhalation and exhalation to keep the airway
open, it is ideal for treating obstructive sleep apnea. This type of
Tuner Demodulator Display or
record ventilator is not considered a true ventilator because it doesn't assist
Slotelemetry Receiver with breathing.
14 Solution of Biomedical Instrumentation (Semester) 642(S) 642(S) June –2019 15
l Bi-level positive airway pressure ventilators-deliver air at two (iii) EMG : Electromyography (EMG) is a diagnostic procedure to
pressures for inhalation and for exhalation. They help treat assess the health of muscles and the nerve cells that control them (motor
neuromuscular disease with a spontaneous timed mode or backup neurons). EMG results can reveal nerve dysfunction, muscle dysfunction
rate that initiates breathing, particularly at night. or problems with nerve-to-muscle signal transmission.
Invasive ventilators deliver air through an endotracheal tube inserted Motor neurons transmit electrical signals that cause muscles to contract.
into the patient's nose or mouth, or through a tracheostomy, a surgical An EMG uses tiny devices called electrodes to translate these signals into
incision in the neck to access the trachea. Air is delivered on a timed cycle graphs, sounds or numerical values that are then interpreted by a specialist.
through the tube and ensures that the patient takes a minimum number of During a needle EMG, a needle electrode inserted directly into a muscle
breaths per minute. These ventilators can be adjusted to respond to the records the electrical activity in that muscle.
patient's own efforts to breathe or to override these efforts. A nerve conduction study, another part of an EMG, uses electrode
9. Write short notes (any two)—(i) Pacemaker, (ii) Bundle of HIS, stickers applied to the skin (surface electrodes) to measure the speed and
(iii) EMG, (iv) Microelectrode. 21 / 2×2 strength of signals traveling between two or more points.
Ans. (iv) Microelectrode : Microelectrodes are biopotential electrodes with
(i) Pacemaker : A pacemaker is a small device that's placed in the an ultrafine tapered tip that can be inserted into individual biological
chest or abdomen to help control abnormal heart rhythms. This device cells. These electrodes serve an important role in recording action potentials
uses electrical pulses to prompt the heart to beat at a normal rate. from single cells and are commonly used in neurophysiological studies.
Pacemakers are used to treat arrhythmias (ah-RITH-me-ahs). The tip of these electrodes must be small with respect to the dimensions
Arrhythmias are problems with the rate or rhythm of the heartbeat. During of the biological cell to avoid cell damage and at the same time sufficiently
an arrhythmia, the heart can beat too fast, too slow, or with an irregular strong to penetrate the cell wall. Figure 10.8 illustrates the construction
rhythm. of three typical types of microelectrodes: glass micropipettes, metal
A heartbeat that's too fast is called tachycardia (TAK-ih-KAR-de-ah). microelectrodes, and solid-state microprobes.
A heartbeat that's too slow is called bradycardia (bray-de-KAR-de-ah). Ag/AgCl wire
During an arrhythmia, the heart may not be able to pump enough KCl electrolyte
blood to the body. This can cause symptoms such as fatigue (tiredness), (a) Lead
shortness of breath, or fainting. Severe arrhythmias can damage the body's
vital organs and may even cause loss of consciousness or death. Glass Capillary
A pacemaker can relieve some arrhythmia symptoms, such as fatigue
and fainting. A pacemaker also can help a person who has abnormal heart insulation
metal
rhythms resume a more active lifestyle.
(ii) Bundle of HIS : The bundle of His is a collection of heart muscle (b) tip
cells specialized for electrical conduction that transmits the electrical shank stem
impulses from the AV node (located between the atria and the ventricles)
bonding pads
to the point of the apex of the fascicular branches via the bundle branches Exposed Recording
The bundle of His branches into the left and the right bundle branches, Electrodes
which run along the interventricular septum. The left bundle branch further Insulated Leads
divides into the left anterior and the left posterior fascicles. These bundles
Leads
and fascicles give rise to thin filaments known as Purkinje fibers. These (c)
fibers distribute the impulse to the ventricular muscle. The ventricular
conduction system comprises the bundle branches and the Purkinje network. Support Structure
It takes about 0.03-0.04 seconds for the impulse to travel from the bundle Fig. 9 Biopotential microelectrodes : (a) a capillary glass
of His to the ventricular muscle. microelectrode, (b) an insulated metal microelectrode, and
(c) a solid-state multisite recording microelectrode.
———

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