A Square Wave Electromagnetic Flowmeter for Application to Intact Blood Vessels By ADAM B. DENISON, J R . , M.D., MERRILL P. SPENCER, M.D., HAROLD D. GREEN, M.D. AND A new type electromagnetic flowmeter which utilizes an alternating square wave magnetic field applied to the unopened blood vessel is described. It attains stability of baseline and sensitivity not possible with older D.C. and A.C. meters and therefore puts measurement of blood flow through the unopened vessel on a practical basis. Downloaded from http://circres.ahajournals.org/ by guest on October 2, 2016 T amplitude and polarity of the voltage produced is proportional to the velocity and direction of flow. Unfortunately, recording presents a problem since the flow voltages are quite small and easily obscured by electrode potentials. Amplification of the signal, which is necessary, is troublesome for direct currents. These difficulties can be minimized by careful design but the basic problem remains. An AC recording system using a magnet energized with a sinusoidal alternating current avoids the polarization difficulties mentioned. This AC may be of any convenient frequency, though 60 cycles per second is popular because it is readily obtainable. With the AC magnet, the flow voltage is also AC since it depends upon the strength of the magnet. Therefore, the electrode potentials difficulty may be obviated by using capacitor-coupled amplifier circuits. However, another difficulty arises due to the AC magnetic field itself. The AC voltage induced in the electrode leads passing through the magnetic field is much lai-ger than the flow voltage. Though it is 90° out of phase with the flow voltage and can largely be balanced out, residual variations still obscure the true flow voltage. Satisfactory meters of this type have been made6-* but the induced electrode voltage remains as a limiting factor in the range of applicability, especially for recording small flows. We have, in the past9, used the AC system for recording flows in cannulated vessels. With a magnet supply frequency of 200 cycles per second and with the magnet-electrode assembly cast in a rigid block of plastic, it was possible to obtain satisfactory stability to record flows in the range of 5 to 150 ml per minute. Attempts to adapt this system to the unopened vessel were not successful to a practical degree, however, because the alternating magnetic field induces electrical eddy currents not only in the blood but also in the wall of the artery and in surrounding plasma or saline; this gives rise to large electrode voltages. In the rigidly controlled eannulaelectrode assembly, these are steady enough to be balanced out; but changes in the conductivity, thickness or orientation of the artery in the intact HIS paper deals with a new application of the principle of electromagnetic blood flow recording which avoids many of the troubles inherent in previous systems2- ••4. The reader is referred to numerous previous articles for details of the background theory not covered here6 ' ' ' 7 - 8 . Briefly, the electromagnetic flowmeter depends for its operation upon the fact that if a conductor of electricity is moved through a magnetic field so as to cut the lines of force, a voltage will be generated which is proportional to the velocity of the motion, the strength of the magnet, and the length of the moving conductor. In the case of blood flowing through a blood vessel, the length of the conductor is the diameter of that portion of the blood stream at right angles to the magnet field and to the axis of flow. The voltage can be led off by electrodes at either end of the conductor, i.e., the surface of the vessel in this case. Electromagnetic flowmeters have heretofore been of two genenil ty|3es, according to the kind of magnet used: "DC" or "AC". The DC system uses a permanent magnet or an electromagnet energized by direct current. This type illustrates the principle of electromagnetic flow recording quite nicely, since From the Department of Physiology and Pharmacology of the Bowman Gray School of Medicine of Wake Forest College, Winston-Sulem, N. C. Received for Publication : August 5, 1954. This meter was demonstrated at the 1954 meeting of the Federation of American Societies for Experimontal Biology1. This investigation was supported by research grants H-4S7 and H-1094 from the National Heart Institute, of the National Institute of Health, Public Health Service. 39 Circulaiion Re*tartht Volume III. January1955 ry 1955 40 ELECTROMAGNETIC FLOWMETER FUNCTIONAL BLOCK DIAGRAM OF THE SQUARE-WAVE ELECTROMAGNETIC FLOWMETER Electrode Mogntt Asstmbly 30 Cycle Square Wave Oscillator Amplifier Amplifier ond Goin Control Electrode Bolonce Power Supply and Voltage Regulators for entire unit Blanking Circuit tor Mognet Switching P u l m Synchronizing Circuit 30 cycle Filter (optional) Amplifier and Synchronous Rectifier D. C Current Amplifier Recorder Synchronizing (and photing) Circuit for oscillator and rectifier 120 v Downloaded from http://circres.ahajournals.org/ by guest on October 2, 2016 Fia. 1. Block diagram of circuits for electromagnet flowmeter. vessel-pickup unit change the net induced electrode voltage, upset the balance and often result in large zero drift; this difficulty is inherent in the AC magnetic system. It was felt that the electromagnetic flowmeter would not be practical for routine measurement of flow in intact vessels until a system could be developed which had the inherent characteristic of being immune to effects not only of electrical eddy currents but also of electrode polarization voltages. This paper describes a system which appears to approach this ideal. The improved design described here makes non-cannulating electromagnetic flow recording practical as well as improving the linearity and stability of flow recording through cannula-electrode assemblies. DESCRIPTION OF METER The square wave electromagnetic flowmeter system uses a magnet energized by direct current periodically reversed in polarity. The flow voltage is, therefore, a square wave which can be amplified by an AC amplifier, thus minimizing polarization and amplifier drift problems. Electrode voltage pulses induced by the reversing of magnet polarity are of such high frequency and short duration that they can be filtered out or removed by a synchronized switching circuit leaving approximately 90% of the cycle representative of the flow alone. The amplifier output is converted to DC in a synchronous discriminator circuit to drive the galvanometer of a direct writing recorder. The direction of flow determines the polarity of the deflection, so backflow is recorded below and forward flow above the zero flow line. With the attainment of a square magnetic field, variations in electrode contact resistance, vessel wall thickness and pulsation affect mainly the switching pulse and do not disturb significantly the flow potentials recorded during the intervals of constant magnetic field. Several circuit arrangements are possible for applying the square wave principle and it appears that the particular experimental needs determine to some extent which is best. The meter described here uses a frequency of 30 cycles per second and normally is damped for mean flow recording on the Esterline-Angus recorder. For recording instantaneous arterial blood velocities a higher frequency may be used. Figures 1-5 diagram the circuit currently used for mean flow recording. The filter may be used to reduce interference from 60 cycles AC, cardiac potentials or large fluctuating polarization voltages if the flow is small but since it makes the calibration somewhat non-linear we prefer not to use it. Figure 6 gives the details of the magnetelectrode assembly as built for application to the unopened vessel. The small electromagnet and electrodes are oriented as indicated and molded in plastic*. The exact position and * Ward's Bioplastic, 3000 Ridge Road, Rochester 9, New York. East Magnit Supply Sq. w. otc-omp Synchronizing Cktt. Juml, 1934 .01 • Sjnch pin 5 Downloaded from http://circres.ahajournals.org/ by guest on October 2, 2016 Blonk Synch pin 7 Fin. 2. The upper portion of this circuit is a symmetrical 25-cycle multivibrator and flip Hop to actuate the 6AG7's. The lower portion is a similar multivibrator and sj'nchronizing pulse amplifier for subsequent circuits. Both are synchronized to 30 cycles sec. by pulses derived from the 60 cycle line; the magnet oscillator is actuated by a slightly delayed pulse and the oscillators are interconnected to maintain the same relative phase. Mo; 28, 1994 *• 1000 A M - million J V Copocitits undtr 3 art in pf obon Sort In^i Fiu. 'A. The dilTerential amplifier in the upper portion of this circuit amplifies the signal derived from the electrodes; tho 6SL7-6H6 gate circuit interrupts the signal while the magnet polarity is boing reversed; thus the switching spike is not recorded. The lower (blanking) portion is a singleshot multivibrator and flip flop to actuate tho gate circuit; it disables the amplifior for approximately 0.002 second at the beginning of each half of the square wave cycle. 41 42 ELECTROMAGNETIC FLOWMETER From! 8H6 J .1 Downloaded from http://circres.ahajournals.org/ by guest on October 2, 2016 Synch pin 6 Synch pin 3 Fio. 4. The upper circuits are another 6SL7-6H6 gate circuit followed by a conventional current amplifier suitable for driving a commercial direct-writing recorder. The lower portion shows another multivibrator-flip flop. This actuates the gate circuit so as to select half waves alternately from the two sides of the push-pullflowsignal, thus accomplishing rectification and phase discrimination and producing essentially a direct current output whose voltage and polarity reflect the velocity and direction of the blood flow. length of the electrodes is not critical so long as the artery is between them at all times. This may be assured by a thin plastic cap having a ridge which fits into the groove and holds the artery slightly away from the outer electrode. Since the other electrode is in the bottom of the groove the artery will always bear the correct orientation to it. Overall size of units now in use are approximately 23-~2 x 2 x 2 cms, tapered at the magnet poles so that the groove is 8 to 10 mm in length. A groove 5 mm. in depth and 2 mm. in width accommodates the renal arteries of dogs up to 18 Kgm. For larger vessels the groove and magnet should be increased in size so that the flow is not restricted. When cannulation is desired this assembly is modified so that the groove is replaced by a plastic tube channel in which the electrodes are oriented and through which the blood is conducted from the vessel cannula. PERFORMANCE Attaching the magnel-clcclrode assembly to the vessel: The magnet-electrode assembly shown in figure 6 is attached by freeing about three centimeters of vessel from surrounding structures, placing the vessel in the indicated groove, and securing the hinged cap. The electrodes are then in close proximity to, or contacting, the vessel wall. Actual contact is not essential as long as all air is excluded from the spaces surrounding the vessel. These spaces should be filled with suitable electrolyte fluid such as saline, plasma or blood. To accomplish this it 43 A. B. DENISON, JR., M. P. SPENCER AND H. D. GREEN 6AX5 120 » J Downloaded from http://circres.ahajournals.org/ by guest on October 2, 2016 Power Supply June I, 1954 6V DC lor Ilrtt 3 GSC7'l in omptilitr + 150 OK + IS0 amp + 130 Ml. Fio. 5. Power supply for entire unit. Separate voltage regulator tubes are used for the difTerent portions of the circuit as shown, to minimize interactions between them through the common power supply. is best to flood the region of the flowmeter with such fluid. Further precaution in grounding nearby tissues at the site of application of the assembly is desirable. The ground wire should not be on a distant part of the body as in that case potentials from the heart may be disturbing. Establishing the Zero Voltage-Zero Flow Reference: The best baseline is one of zero net electrode voltage and is established in three stages while the flow is interrupted; first, by centering the recorder to the desired position without input; secondly, both sections of the amplifier are centered to zero output, and lastly the electrode voltages are balanced until the recorder registers zero position. This latter adjustment balances one electrode against the other in the manner indicated in the circuit diagram of figure 1, thus mini- mizing residual disturbances caused by any imperfections in the magnetic field wave form. The accuracy of this adjustment can be checked by switching the magnet off. If the recorder continues on the same baseline the adjustment is correct. When the blood is now allowed to flow it will deflect the recorder pen according to the direction and velocity of flow. If the zero voltage reference was properly adjusted the zero flow reference will agree with it. During an experiment the zero flow reference may be checked by either of two methods. The first of these is the simple expedient of occluding the flow temporarily by constriction of the vessel proximally or distally to the meter. The agreement between the proximal and distal baseline illustrates the inconsequence of electrode polarizing potentials caused by variations in contact with electrolyte or vessel wall 44 ELECTROMAGNETIC FLOWMETER Plastic Casting Slot for vessel Downloaded from http://circres.ahajournals.org/ by guest on October 2, 2016 3 2 Electrodes o Magnet Coil • 4 0 0 0 turns 4 0 Enameled Wire, Center Tapped. Core- Laminated Silicon Steel kj" x '/4" cross section Fici. 6. Diagram of magnet-electrode assembly for application to the unopened vessel. Numbers on leads refer to corresponding numbers in detailed circuit diagrams. and proves that the position and shape of the vessel segment tetween the electrodes is not critical. Figure 7 illustrates this point in a record taken during the measurement of renal arterial blood flow where the zero flow following a strong epinephrine injection is seen to agree with the zero reference obtained by occlusion of the vessel upstream to the meter. Stability of Zero Flow Reference: Drift of the zero flow reference has been found to be no greater than a deflection corresponding to 5 ml per minute over a two hour period for a magnet-electrode assembly designed for an artery carrying 100 to 150 ml of blood per minute. In actual use occasional redetermination and adjustment of the zero reference further minimizes even this error. Calibration Procedure: Calibration of the flowmeter may best be accomplished by applying the unit to a convenient vessel in the animal, such as the carotid artery, which is cannulated distally for measurement of outflow into a graduated cylinder. This method can be used at the end of each experiment when the animal is sacrificed. Another method whereby the meter may be calibrated in situ during the experiment is that of injecting known volumes of blood, containing a strong vasoconstrictor, downstream to the meter and noting the backflow deflection of the recorder. In vitro calibration can be performed conveniently by use of an excised vessel. Varying quantities of saline or blood can be forced through under pressure while the magnetelectrode assembly is immersed in saline. This method of calibration is the one used in most of the studies contained herein. Linearity and Sensitivity: The calibration pictured in figure 8 demonstrates the linearity of this instrument for both forward and backward flow at two separate sensitivity settings. The constancy of sensitivity from day to day is also shown in this figure. Due to differences in electrical conductivity, the instrument is more sensitive to saline than to blood but this factor does not affect the linearity or stability. Since saline is cheaper and easier to handle, most of the studies of FIG. 7. Record of renal blood flow as measured with tho non-caunulating square wave electromagnetic flowmeter. (A) Control blood flow. (B) Epinephrine, 10 jigm injected intra-arterially. (C) Occlusion of renal artery between the flowmeter and the aorta with a small clamp. (D) Power to magnet-electrode assembly turned off, demonstrating that zero reference is one of zero voltage. A. B. DENISON, JR., M. P. SPENCER AND H. D. GREEN 40 y DC 40 AC 60 DC 60 »C SOy" 30 45 tends to "ride" with the vessel and because these disturbances are damped when mean flow is recorded. APPLICATIONS 20 • Mo?1 8 1954 S • Mar 191934 < l i U o ) 21, 10 • 0 -10 -ISO -100 - 5 0 0 50 100 150 FLOW ml/minutt I 200 I 250 I 300 Downloaded from http://circres.ahajournals.org/ by guest on October 2, 2016 FIG. 8. Calibration of Non-cannulating Electromagnetic Flowmeter O, • and O represent the calibration variation from day to day. X demonstrates one of the many additional sensitivity settings available. this report were, therefore, performed with normal saline. Effect of Variation in Vessel Size, Position and Movement: The vessel size has no appreciable effect on the calibration of the instrument as shown by studies in which large and small arteries and veins were perfused with saline. The stability of sensitivity is dependent primarily upon the fixed relationship between the electrodes and the magnetic field so that within the confines of the assembly groove, variations in the size of the vessel or in its position, relative to the electrodes, are not critical. The instrument accurately integrates pulsatile flow into mean flow. Calibration with a pulsatile stream superimposes upon that of a non pulsatile one. Pulsations of artery walls have no net disturbing effect upon the mean flow as it is measured and do not affect significantly the baseline of the zero reference. This latter point is illustrated in figure 7 by the downstream baseline established by epinephrine constriction. It is seen that the net zero reference is not disturbed significantly in spite of the remaimng pulsations. If the vessel is pulled sharply through the groove the baseline is momentarily disturbed but quickly settles back to its original position. This type of longitudinal movement of blood vessels under experimental conditions is not usually sufficient to be a disturbing factor probably because the assembly is small and Up to the present time this meter has been used mainly on the renal artery of dogs10 but also has been applied to the carotid, mesenteric and femoral arteries. The ease of application to a surgically remote vessel such as the renal artery demonstrates one of its outstanding practical features. Theflowmeterdoes not require that an anticoagulant be used, thus avoiding hemorrhage as one of the factors in the general deterioration of the animal. In practice, the use of thisflowmeterin measuring renal arterial inflow has been a gratifying experience since the flow remains steady for many hours. Through the attainment of a zero flow reference corresponding to zero electrode voltage, this meter becomes applicable to long term experiments in unanesthetized animals where the small magnet-electrode assembly may be implanted under sterile technique. The incasement of the magnet-electrode assembly and leads in plastic makes for easy sterilization, and the thermosetting plastic will withstand autoclaving without injury; this makes possible the use of this meter in human surgery, particularly in peripheral vascular disorders and in human hemodynamic experimentation. SUMMARY An electromagnetic flowmeter principle is described which is applicable to unopened blood vessels and which avoids the sources of instability characteristic of previous meters. By imposing a square magnetic field on the vessel and recording only the voltage generated during the phases of constant magnetic flux most spurious electrode potentials are eliminated. The square wave flow voltage suitably amplified and rectified is proportional to the volumetric rate and direction offlowand is of a magnitude sufficient to be recorded on conventional direct writing recorders. The following important advantages are cited: (1) Zero drift is small. (2) The calibra- 46 ELECTROMAGNETIC FLOWMETER tion for forward and backward flow is linear and reproduceable. (3) Vessel size, position and pulsation do not materially effect the operation of the meter Avhen mean flow is desired. (4) The plastic magnet-electrode assembly for attachment to the vessel is small, easily applied and can be sterilized. (5) Anticoagulant is not necessary. The meter accurately measures blood flow through any large or medium sized vessel which can be exposed surgically. Through modifications in construction of the magnet-electrode unit many special needs of a variety of human and experimental situations can be met. Downloaded from http://circres.ahajournals.org/ by guest on October 2, 2016 REFERENCES 1 GREEN, H. D., DENISON, A. B., JB. AND SPENCEH, M. P.: Vascular responses to adrenergic stimulation and blockade and demonstration of an electromagnetic flowrneter for unopened blood vessels. Fed. Proc. 13 (No 1. Part II) 643, 1954. 2 KOLIN, A.: An electromagnetic flowmeter, principle of the method and its application to blood flow measurements. Proc. Soc. Exper. Biol. and Med., 36: 54, 1936. 1 —, An A.C. induction flow meter for measurement of blood flow in intact blood vessels. Proc. Soc. Exper. Biol. and Med., 46: 235, 1941. MVETTERER, E.: New method of registering rate of blood circulation in unopened vessels. Ztschr. f. Biol. 98: 26, 1937. 5 KATZ, L. N. AND KOLIN, A.: The flow of blood in the carotid artery of the dog under various circumstances as determined with the electromagnetic flowmeter. Am. J. PhysioL, 122: 78S, 1938. * KOLIN, A.: Improved apparatus and technique for electromagnetic determination of blood flow. Rev. Scient. Instruments, 23: 235, 1952. 7 JOCHIM, K. E.: Electromagnetic flow meter, in Methods in Med. Research 1. Chicago, The Year Book Publishers, 194S. 8 KOLIN, A.: A method for adjustment of the two settings of an electromagneticflowmeterwithout interruption of flow. Rev. Scient. Instruments, 24: 235, 1953. ' RICHABDSON, A. W., DENISON, A. B. AND GREEN, H. D.: A newly modified electromagnetic blood flowmeter capable of high fidelity flow registration. Circulation 5: 430, 1952. 10 SPENCER, M. P., ROBERTS, G., AND GREEN, H. D.: The direct renal vascular effects of epinephrine and norepinephrine before and after adrenergic blockade. Che Research 2: 537, 1954. Effect of Blood Velocity on its Spectral Transmission Characteristics In spectrophotometric studies of hemoglobin solutions the extinction of monochromatic light depends on the thickness of the transilluminated layer, the concentration of hemoglobin and the degree of its oxygenation. The presence of corpuscles in whole blood causes extinction to deviate from Beer's law—that absorption of light is directly proportional to the number of molecules that rays must penetrate. When whole blood flows through tubes extinction is further affected by the velocity of flow. The reason for the latter has recently been studied by Wever. On the basis of observations on whole bloodflowingthrough tubes and blood sedimenting by gravity, as well 1 as by other tests, he concludes that the effect of blood velocity on extinction is explained by changes in density of the axial stream. He suggests that this effect of flow can be eliminated by placing in opposition two photo cells which measure the passage of light in the red and infrared spectra respectively. From R. Wever: Arch. ges. Physiol. 259, 97, 1954. A Square Wave Electromagnetic Flowmeter for Application to Intact Blood Vessels ADAM B. DENISON, JR., MERRILL P. SPENCER and HAROLD D. GREEN Downloaded from http://circres.ahajournals.org/ by guest on October 2, 2016 Circ Res. 1955;3:39-46 doi: 10.1161/01.RES.3.1.39 Circulation Research is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231 Copyright © 1955 American Heart Association, Inc. All rights reserved. Print ISSN: 0009-7330. 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