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ELECTRONICS &
IONM
ANURAG TEWARI MD
Electronics and Intra Operative Neurophysiological Monitoring
ELECTRICITY & ELECTRONICS
Virtually all of the intra operative neurophysiological monitoring is
based on ELECTRONS
ELECTRONICS
• The MANIPULATION of electrons, electrical charges
and their
• Electrostatic
• Magnetic
• Electromagnetic fields
To ACCOMPLISH a purpose
ELECTRICITY
Electricity is the set of physical phenomena associated with the
presence and flow of electric charge.
ELECTRICITY
• Depends upon the nature of electrical charges (electrons &
protons) and
• Electrostatic
• Magnetic
• Electromagnetic fields
ELECTRICITY
• The fundamental unit of the electrical charge is the
negatively charged ELECTRON
• Though, counterbalanced by the positively charged
PROTON
• In electronics, including the electrical devices, the unit of the
Sir Joseph John
Thomson
Nobel Prize 1906
ELECTRICITY
• Current flows from the
• NEGATIVE POLE (considered a relative excess of electrons)
to the
• POSITIVE POLE (considered a relative deficit of electrons)
FLOW OF ELECTRICITY
• CATHODAL CURRENT or the negative current is the flow of
electrons “from” the device
• ANODAL CURRENT or the positive current is the flow of
electrons “to” the device (flow of positive current to the
device)
ELECTRON
• Has a negative electrical charge creating an
ELECTROSTATIC field
• Static electricity
• Like walking on a carpet, touching a door knob
• Magnetic field
• Electrons spin, that means they are magnetic and/or
have a magnetic field
• Electrons can be affected by a magnetic field
ELECTRICITY IN BRAIN
• In the nervous system the fundamental unit of electricity is the ION
(charged atoms – unequal number of electrons or protons)
• The basic unit is still the ELECTRON, but here it is bound to the proton, and
not FREE as in a metal conductor (e.g. electronic devices)
• The CATION or positively charged ion
• Relative deficiency of electrons
• Na+, K+, Ca++
• The ANION or negatively charged ion
• Relative excess of electrons
• Cl-
SPIN OF AN ELECTRON
ELECTROMAGNETISM
• An accelerating or decelerating ELECTRON produces an electromagnetic
field, which is a combination of an electrostatic and magnetic field
• Thus, electromagnetic field has an effect on ELECTRONS by virtue of the
electrons electrical charge (static) and magnetism
ELECTROMAGNETISM
ELECTROMAGNETIC FORCES
• Requires accelerating electrical charges
• Constant flow of electrical charges produces a stable magnetic
field
• A changing (accelerating electrical charge produces a
fluctuating magnetic field)
• A stable magnetic field does not move electrical charges
• A fluctuating magnetic field moves electrical charges
Electronics and Intra Operative Neurophysiological Monitoring
ELECTROSTATIC, MAGNETIC &
ELECTROMAGNETIC FIELD AFFECTS
ELECTRONS
•These forces move ELECTRONS
•Purposeful in a controlled manner to allow
recordings of neuronal activity and for stimulation
•In the environment it causes noise & artifact
•Successful IONM requires precise control of these
forces
ELECTROSTATIC, MAGNETIC &
ELECTROMAGNETIC FIELD AFFECTS
ELECTRONS
• Stimulating electrodes activate neurons by electrostatic charges
• Neurons generate signals by changes in electrostatic charges
• Recoding Electrodes pick up signals by electrostatic mechanism
(CAPACITANCE)
ELECTROSTATIC, MAGNETIC &
ELECTROMAGNETIC FIELD AFFECTS
ELECTRONS
• Solid state amplification of electrical signals
• TRANSISTORS
• Valve that controls flow of electrons/current/voltage and
acts as a switch or gate for electronic signals
• A high voltage source (collector)
• A valve or base
• An output (emitter)
ELECTRIC CHARGE
• Electric charge is the physical property of matter that causes it to
experience a force when placed in an electromagnetic field
“like-charged objects repel and opposite-charged objects attract”
• By convention, the charge of an electron is −1, while that of a proton is
+1
• The SI unit of quantity of electric charge is COULOMB
• The charge of an electron is approximately −1.602×10−19 C
Charles-Augustin de Coulo
CHARGE = COULOMB
• The coulomb is defined as the quantity of charge that has passed through
the cross section of an electrical conductor carrying one ampere within one
second
C = Amp X Second
• It takes 6.242×1018 electrons to make one coulomb
CHARGE = COULOMB
•A lightening bolt is 10-20 coulombs
•A flash camera uses about 0.025 coulombs to
produce a flash
•In IONM we use microcoulombs
ELECTRIC CURRENT
• An electric current is a flow of charged particles through a
conducting medium
• In electric circuits this charge is often carried by moving
electrons in a wire
• It can also be carried by ions in an electrolyte, or by both ions
and electrons such as in a plasma
I = Q/t
Where I = Current in Amperes (Coulombs per second)
André-Marie
Ampère
ELECTRIC CURRENT
• One AMPERE is approximately equivalent to 6.2415093×1018
elementary charges moving past a boundary in one second
Why is current represented by an I
intensité de
courant
VOLTAGE
• Voltage, also called electromotive force, is a quantitative expression of the
potential difference in charge between two points in an electrical field
• The voltage between two points is equal to the work done per unit of
charge against a static electric field to move the test charge between two
points and is measured in units of volts (a joule per coulomb)
• A voltage may represent either a source of energy (electromotive force), or
lost, used, or stored energy (potential drop)
• The greater the voltage, the greater the flow of electrical current
• Measure in Volts
RESISTANCE
• Forces that oppose the flow of the electrical charges
• In METAL conductors
• Outer shell electrons around the metal ions loosely held
• Metal atoms have relatively few electrons in outer orbits and lots of vacant spots
where electrons can move into
• In BRAIN conductors
• Resistance to the movement of ions
Electronics and Intra Operative Neurophysiological Monitoring
Electronics and Intra Operative Neurophysiological Monitoring
Electronics and Intra Operative Neurophysiological Monitoring
RESISTANCE OF THE FLOW OF ELECTRIC
CHARGE
• Many factors can impede the flow of the electrical charges
• In METALS
• The typical notion of resistance relates to how tightly the
electrons are held to the atoms of the material
• Tight bond gives rise to high resistance
• Electrostatic magnetic and electromagnetic forces add to resistance, to
create IMPEDANCE
RESISTANCE VERSUS IMPEDANCE
• Resistance is one type of opposition to the flow of
electrons
• IMPEDANCE
• General term for opposition
• IMPEDANCE = Resistance + Reactance
• REACTANCE
• Effect of electrostatic and magnetic forces created by the
flow of the electrical changers that acts against the flow of
the electrical charges, i.e.
• Inductance
IMPEDANCE
• The opposition to the flow of current
• Two components
• Resistance
• Reactance
• Two components
• CAPACITIVE (electrostatic) reactance
• INDUCTIVE (magnetic) reactance
Electronics and Intra Operative Neurophysiological Monitoring
IMPEDANCE
• CAPACITIVE REACTANCE (Electromagnetic)
• Requires a change in the electrical conductivity
• In a single pure conductor NO change in electrical conductivity
• INDUCTIVE REACTANCE (Magnetic)
• To have an effect on flow of electrical charges, induced magnetic field
must fluctuate
• For magnetic field to fluctuate, the flow of electrical charges must
fluctuate
• NOT the case in DC electronics and hence
• INDUCTIVE REACTANCE IS NOT A FACTOR IN IMPEDANCE IN DIRECT
CAPACITIVE REACTANCE
• Related to capacitance
• Any object that can be electrically charged exhibits capacitance
• The SI unit of capacitance is the farad (symbol: F), named after the English physicist
Michael Faraday.
• Typical example: The CAPACITOR: One that stores CHARGE
• Farads are the number of coulombs that can be stored per volt: F =C/V
• 1 farad capacitor, when charged with 1 coulomb of electrical charge, has a potential
difference of 1 volt between its plates
Michael
Faraday
CAPACITIVE REACTANCE
• Occurs when there is DISCONTINUITY of the dielectric constant in the
flow of electrical charges
• Creates an electrostatic charge or field
• Inhomogeneity within the conductor
• Including brain at the boundary of grey and white matter (white matter has higher
dielectric constant)
• At connections between different conductors
• Conductors do not have to be in physical continuity
DIELECTRIC CONSTANT: a quantity measuring the ability of a substance to store electrical energy in
an electrical field
INDUCTIVE REACTANCE
• Electromagnetism
• Flow of electrons through a conductor generate magnetic fields
• In a straight conductor
• In coil
• Movement of a conductor through a magnetic filed causes the
electrons to flow
• Electrons are mini-magnets, hence can be moved by a magnetic field
• Flowing electrons give rise to CURRENTS
• The faster the magnetic field moves, the faster the electrons move and
greater the current
INDUCTIVE REACTANCE
• Flow of electrons in a straight conductor
• Expanding and falling currents create expanding and collapsing
magnetic fields
• The expanding and collapsing magnetic field essentially moves
the magnetic field of the same conductor
• Induces a voltage or current that opposes the original flow of
electrons
OHM’S LAW
• Ohm's law states that the current through a conductor between
two points is directly proportional to the voltage across the two
points.
Georg
Ohm
OHM’S LAW IN DC ELECTRONICS
• Direct Current (DC) electronics means a single or non-varying
electrical current
• Resistance is the biggest factor
• Impedance is less of a factor
OHM’S LAW IN AC ELECTRONICS
• In alternating current or time varying currents
• We replace the Resistance with IMPEDANCE
• Does our nervous system have AC or DC current flowing
through them?
In nerves the NERVE ACTION POTENTIAL is generated at a
frequency of 40-50Hz

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Electronics and Intra Operative Neurophysiological Monitoring

  • 3. ELECTRICITY & ELECTRONICS Virtually all of the intra operative neurophysiological monitoring is based on ELECTRONS
  • 4. ELECTRONICS • The MANIPULATION of electrons, electrical charges and their • Electrostatic • Magnetic • Electromagnetic fields To ACCOMPLISH a purpose
  • 5. ELECTRICITY Electricity is the set of physical phenomena associated with the presence and flow of electric charge.
  • 6. ELECTRICITY • Depends upon the nature of electrical charges (electrons & protons) and • Electrostatic • Magnetic • Electromagnetic fields
  • 7. ELECTRICITY • The fundamental unit of the electrical charge is the negatively charged ELECTRON • Though, counterbalanced by the positively charged PROTON • In electronics, including the electrical devices, the unit of the Sir Joseph John Thomson Nobel Prize 1906
  • 8. ELECTRICITY • Current flows from the • NEGATIVE POLE (considered a relative excess of electrons) to the • POSITIVE POLE (considered a relative deficit of electrons)
  • 9. FLOW OF ELECTRICITY • CATHODAL CURRENT or the negative current is the flow of electrons “from” the device • ANODAL CURRENT or the positive current is the flow of electrons “to” the device (flow of positive current to the device)
  • 10. ELECTRON • Has a negative electrical charge creating an ELECTROSTATIC field • Static electricity • Like walking on a carpet, touching a door knob • Magnetic field • Electrons spin, that means they are magnetic and/or have a magnetic field • Electrons can be affected by a magnetic field
  • 11. ELECTRICITY IN BRAIN • In the nervous system the fundamental unit of electricity is the ION (charged atoms – unequal number of electrons or protons) • The basic unit is still the ELECTRON, but here it is bound to the proton, and not FREE as in a metal conductor (e.g. electronic devices) • The CATION or positively charged ion • Relative deficiency of electrons • Na+, K+, Ca++ • The ANION or negatively charged ion • Relative excess of electrons • Cl-
  • 12. SPIN OF AN ELECTRON
  • 13. ELECTROMAGNETISM • An accelerating or decelerating ELECTRON produces an electromagnetic field, which is a combination of an electrostatic and magnetic field • Thus, electromagnetic field has an effect on ELECTRONS by virtue of the electrons electrical charge (static) and magnetism
  • 15. ELECTROMAGNETIC FORCES • Requires accelerating electrical charges • Constant flow of electrical charges produces a stable magnetic field • A changing (accelerating electrical charge produces a fluctuating magnetic field) • A stable magnetic field does not move electrical charges • A fluctuating magnetic field moves electrical charges
  • 17. ELECTROSTATIC, MAGNETIC & ELECTROMAGNETIC FIELD AFFECTS ELECTRONS •These forces move ELECTRONS •Purposeful in a controlled manner to allow recordings of neuronal activity and for stimulation •In the environment it causes noise & artifact •Successful IONM requires precise control of these forces
  • 18. ELECTROSTATIC, MAGNETIC & ELECTROMAGNETIC FIELD AFFECTS ELECTRONS • Stimulating electrodes activate neurons by electrostatic charges • Neurons generate signals by changes in electrostatic charges • Recoding Electrodes pick up signals by electrostatic mechanism (CAPACITANCE)
  • 19. ELECTROSTATIC, MAGNETIC & ELECTROMAGNETIC FIELD AFFECTS ELECTRONS • Solid state amplification of electrical signals • TRANSISTORS • Valve that controls flow of electrons/current/voltage and acts as a switch or gate for electronic signals • A high voltage source (collector) • A valve or base • An output (emitter)
  • 20. ELECTRIC CHARGE • Electric charge is the physical property of matter that causes it to experience a force when placed in an electromagnetic field “like-charged objects repel and opposite-charged objects attract” • By convention, the charge of an electron is −1, while that of a proton is +1 • The SI unit of quantity of electric charge is COULOMB • The charge of an electron is approximately −1.602×10−19 C Charles-Augustin de Coulo
  • 21. CHARGE = COULOMB • The coulomb is defined as the quantity of charge that has passed through the cross section of an electrical conductor carrying one ampere within one second C = Amp X Second • It takes 6.242×1018 electrons to make one coulomb
  • 22. CHARGE = COULOMB •A lightening bolt is 10-20 coulombs •A flash camera uses about 0.025 coulombs to produce a flash •In IONM we use microcoulombs
  • 23. ELECTRIC CURRENT • An electric current is a flow of charged particles through a conducting medium • In electric circuits this charge is often carried by moving electrons in a wire • It can also be carried by ions in an electrolyte, or by both ions and electrons such as in a plasma I = Q/t Where I = Current in Amperes (Coulombs per second) André-Marie Ampère
  • 24. ELECTRIC CURRENT • One AMPERE is approximately equivalent to 6.2415093×1018 elementary charges moving past a boundary in one second Why is current represented by an I intensité de courant
  • 25. VOLTAGE • Voltage, also called electromotive force, is a quantitative expression of the potential difference in charge between two points in an electrical field • The voltage between two points is equal to the work done per unit of charge against a static electric field to move the test charge between two points and is measured in units of volts (a joule per coulomb) • A voltage may represent either a source of energy (electromotive force), or lost, used, or stored energy (potential drop) • The greater the voltage, the greater the flow of electrical current • Measure in Volts
  • 26. RESISTANCE • Forces that oppose the flow of the electrical charges • In METAL conductors • Outer shell electrons around the metal ions loosely held • Metal atoms have relatively few electrons in outer orbits and lots of vacant spots where electrons can move into • In BRAIN conductors • Resistance to the movement of ions
  • 30. RESISTANCE OF THE FLOW OF ELECTRIC CHARGE • Many factors can impede the flow of the electrical charges • In METALS • The typical notion of resistance relates to how tightly the electrons are held to the atoms of the material • Tight bond gives rise to high resistance • Electrostatic magnetic and electromagnetic forces add to resistance, to create IMPEDANCE
  • 31. RESISTANCE VERSUS IMPEDANCE • Resistance is one type of opposition to the flow of electrons • IMPEDANCE • General term for opposition • IMPEDANCE = Resistance + Reactance • REACTANCE • Effect of electrostatic and magnetic forces created by the flow of the electrical changers that acts against the flow of the electrical charges, i.e. • Inductance
  • 32. IMPEDANCE • The opposition to the flow of current • Two components • Resistance • Reactance • Two components • CAPACITIVE (electrostatic) reactance • INDUCTIVE (magnetic) reactance
  • 34. IMPEDANCE • CAPACITIVE REACTANCE (Electromagnetic) • Requires a change in the electrical conductivity • In a single pure conductor NO change in electrical conductivity • INDUCTIVE REACTANCE (Magnetic) • To have an effect on flow of electrical charges, induced magnetic field must fluctuate • For magnetic field to fluctuate, the flow of electrical charges must fluctuate • NOT the case in DC electronics and hence • INDUCTIVE REACTANCE IS NOT A FACTOR IN IMPEDANCE IN DIRECT
  • 35. CAPACITIVE REACTANCE • Related to capacitance • Any object that can be electrically charged exhibits capacitance • The SI unit of capacitance is the farad (symbol: F), named after the English physicist Michael Faraday. • Typical example: The CAPACITOR: One that stores CHARGE • Farads are the number of coulombs that can be stored per volt: F =C/V • 1 farad capacitor, when charged with 1 coulomb of electrical charge, has a potential difference of 1 volt between its plates Michael Faraday
  • 36. CAPACITIVE REACTANCE • Occurs when there is DISCONTINUITY of the dielectric constant in the flow of electrical charges • Creates an electrostatic charge or field • Inhomogeneity within the conductor • Including brain at the boundary of grey and white matter (white matter has higher dielectric constant) • At connections between different conductors • Conductors do not have to be in physical continuity DIELECTRIC CONSTANT: a quantity measuring the ability of a substance to store electrical energy in an electrical field
  • 37. INDUCTIVE REACTANCE • Electromagnetism • Flow of electrons through a conductor generate magnetic fields • In a straight conductor • In coil • Movement of a conductor through a magnetic filed causes the electrons to flow • Electrons are mini-magnets, hence can be moved by a magnetic field • Flowing electrons give rise to CURRENTS • The faster the magnetic field moves, the faster the electrons move and greater the current
  • 38. INDUCTIVE REACTANCE • Flow of electrons in a straight conductor • Expanding and falling currents create expanding and collapsing magnetic fields • The expanding and collapsing magnetic field essentially moves the magnetic field of the same conductor • Induces a voltage or current that opposes the original flow of electrons
  • 39. OHM’S LAW • Ohm's law states that the current through a conductor between two points is directly proportional to the voltage across the two points. Georg Ohm
  • 40. OHM’S LAW IN DC ELECTRONICS • Direct Current (DC) electronics means a single or non-varying electrical current • Resistance is the biggest factor • Impedance is less of a factor
  • 41. OHM’S LAW IN AC ELECTRONICS • In alternating current or time varying currents • We replace the Resistance with IMPEDANCE • Does our nervous system have AC or DC current flowing through them?
  • 42. In nerves the NERVE ACTION POTENTIAL is generated at a frequency of 40-50Hz