Method for monitoring body characteristics

• US 4,008,712 A
• Filed: 11/14/1975
• Issued: 02/22/1977
• Est. Priority Date: 11/14/1975
• Status: Expired due to Term

• Current Assignee: RJL Systems, Inc.
• Original Assignee: J M Richards Laboratories
• Inventors: Nyboer, Jan
• Primary Examiner(s): Michell, Robert W.
• Assistant Examiner(s): Cohen, Lee S.
• Application Number:
  US05/632,038
• Time in Patent Office: 466 Days
• Field of Search: 128/2.1 Z, 128/2.1 R, 128/2.05 V
• US Class Current: 600/547
• CPC Class Codes: A61B 5/0537 Measuring body composition by impedance, e.g. tissue hydration or fat content
• CPC Class Codes: A61B 5/201 Assessing renal or kidney functions
• CPC Class Codes: A61B 5/4869 Determining body composition

Abstract

A method and apparatus for performing electrical measurement of body mutual electrical impedances to determine changes in total body water in normal and deranged states of the body. The apparatus is particularly useful in determining the progression of dialysis cases during the period when renal dialysis is being performed on the patient. The method and apparatus utilizes a special electrical circuit for measuring electrical characteristics at selected body locations. Certain electrical characteristics are measured such as the resistance, the capacitive impedance, and the total reactance of the body, and the phase angle is calculated or measured. Utilizing some of these measurements, the total body water relative to the body weight may be determined.

Claims

1. In a method of dialysis of a patient in which there is an established selected electrical characteristic having a normal magnitude indicative of a normal body fluid condition and which electrical characteristic changes in response to dialysis, the steps comprising:

attaching a first pair of electrodes to the patient, attaching a second pair of electrodes to the patient, supplying an electrical signal to said first pair of electrodes, operating on said electrical signal via said second pair of electrodes to provide an indication of the measured magnitude of the selected electrical characteristic of the patient, performing dialysis on the patient, monitoring the change in magnitude of the selected electrical characteristic as a result of dialysis on the patient and comparing the change in magnitude of the selected electrical characteristic as measured on the patient with said normal magnitude whereby an indication of the effectiveness of the dialysis can be determined.

2. The method of claim 1 wherein said selected electrical characteristic is the electrical impedance of the patient between selected ones of said electrodes.

3. The method of claim 2 wherein said electrical characteristic includes resistance and capacitive reactance.

4. The method of claim 3 wherein said electrical signal is generated from a constant current source.

5. The method of claim 2 wherein said characteristic includes the transfer impedance of the electrode network.

6. The method of claim 5 wherein said transfer impedance is the ratio of the voltage between the second pair of electrodes to the current between the first pair of electrodes.

7. The method of claim 1 wherein said characteristic is the phase angle of the impedance of the patient between selected ones of said electrodes.

8. The method of claim 7 wherein said electrical signal is generated from a constant current source.

9. The method of claim 1 wherein said electrical signal is an alternating current signal of a preselected frequency and wherein said characteristic is the capacitive reactance of the patient between selected ones of said electrodes.

10. The method of claim 9 wherein said electrical signal is generated from a constant current source.

11. The method of claim 9 wherein said preselected frequency is less than 50 megahertz.

12. The method of claim 1 with said dialysis being terminated upon said measured magnitude attaining a preselected relationship to said normal magnitude.

13. The method of claim 12 with one of said first pair of electrodes being placed on the metacarpal-phalangeal region and the other placed over the metatarsal-phalangeal region and with said second pair of electrodes being located proximate the associated wrist and ankle of said regions.