This paper presents an amplifier with low noise, high gain, low power consumption, and high linearity for electrocardiogram (ECG) recording. The core of this design is a chopper-stabilized capacitive-feedback operational transconductance amplifier (OTA). The proposed OTA has a two-stage structure, with the first stage using a combination of current reuse and cascode techniques to obtain a large gain at low power and the second stage operating in Class A state for better linearity. The amplifier additionally uses a DC servo loop (DSL) to improve the rejection of DC offsets. The amplifier is implemented in a standard 0.13 μm CMOS process, consuming 1.647 μA current from the supply voltage of 1.5 V and occupying an area of 0.97 mm2. The amplifier has a 0.5 Hz to 6.1 kHz bandwidth and 59.7 dB gain while having no less than a 65 dB common-mode rejection ratio (CMRR). The amplifier’s total harmonic distortion (THD) is less than 0.1% at 800 mVpp output. The amplifier can provide a noise level of 1.18 μVrms in the 0.5 Hz to 500 Hz bandwidth that the ECG signal is interested in and has 3.38 μVrms input-referred noise (IRN) over the entire bandwidth, so its noise efficiency factor (NEF) is 2.13.
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