Method and apparatus for monitoring the fluid balance of the body

• US 4,793,362 A
• Filed: 12/21/1983
• Issued: 12/27/1988
• Est. Priority Date: 04/22/1982
• Status: Expired due to Fees

• Current Assignee: Karolinska Intitutet
• Original Assignee: Karolinska Institute
• Inventors: Tedner, Bo
• Primary Examiner(s): Coven, Edward M.
• Application Number:
  US06/567,849
• Time in Patent Office: 1,833 Days
• Field of Search: 128/734, 128/748
• US Class Current: 600/547
• CPC Class Codes: A61B 5/0535 Impedance plethysmography for measuring blood flow A61B5/0295
• CPC Class Codes: A61B 5/0537 Measuring body composition by impedance, e.g. tissue hydration or fat content
• CPC Class Codes: A61B 5/103 Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes A61B5/08 takes precedence; measuring aids for tailors A41H1/00; measuring instruments specially adapted for dentistry A61C19/04
• CPC Class Codes: A61B 5/4869 Determining body composition
• CPC Class Codes: A61B 5/6824 Arm or wrist
• CPC Class Codes: A61B 5/6829 Foot or ankle

Abstract

The change in body fluid is monitored by placing a pair of electrodes at spaced locations on a body, i.e. a wrist and a diametrically opposed ankle and generating two high frequency alternating currents, one of 1.5 kHz and the other 150 kHz, through the body via the electrodes. Another pair of electrodes is placed in the current path of the first pair of electrodes and connected to a detector for measuring body impedances at the two frequencies. A microprocessor calculates the change in fluid weight of the body according to the empiric formula: ##EQU1## where ΔV=change in fluid weight

k=a proportionality constant having a negative value

S=body surface area, based on the patient'"'"'s weight and length

Z₁ and Z₂ =impedance at the lower frequency (for example 1.5 kHz), and respectively, the higher frequency (for example 150 kHz) at the second measuring occasion

Z₁.sbsb.i and Z₂.sbsb.i =corresponding impedances at the first measuring occasion (intitial values).

Claims

1. A method for monitoring the fluid balance of a body comprising the steps of:

(1) attaching a first pair of electrodes to the body at spaced locations to establish a path for current to pass therebetween;

(2) attaching a second pair of electrodes to the body, each located at a short distance from one of the first pair of electrodes and located in the current path between said first pair of electrodes;

(3) simultaneously passing first and second high-frequency alternating currents between said first pair of electrodes, one of said currents having a frequency on the order of 1.5 kHz and the other 150 kHz;

(4) measuring the voltage drop between said second pair of electrodes for a first measurement;

(5) separating the voltage drop into two components of different frequencies, each of which scalarly represents the impedance of the body at the respective frequency;

(6) repeating steps 4 and 5 after a desired time period for a second measurement; and

(7) calculating the ratio between the differences in impedance taken in the first measurement and the difference in impedances in the second measurement to thereby indicate a change in fluid balance of the body so that a tapping or refilling of fluid may be effected to restore fluid balance.

2. A method as defined in claim 1, wherein the change in the fluid balance is calculated by an empirically constructed formula ##EQU3## where Δ

V=change in fluid weight

k=a proportionality constant having a negative value

S=body surface area, based on the patient'"'"'s weight and length

Z₁ and Z₂ =impedance at the lower frequency (for example 1.5 kHz) and, respectively, the higher frequency (for example 150 kHz) at the second measuring occasion

Z₁.sbsb.i and Z₂.sbsb.i =corresponding impedances at the first measuring occasion (initial values).

3. A method as defined in claim 1, wherein the spaced locations are one wrist and the diametrically opposed ankle of the body, respectively.

4. An apparatus for monitoring the fluid balance of a body comprising:

means for simultaneously generating two constant high frequency alternating currents, one of the frequencies being on the order of 1.5 kHz and the other 150 kHz;

a first pair of electrodes for attachment to the body at spaced locations so as to establish a current path therebetween, each electrode being connected to said generating means by a flexible conductor;

a second pair of electrodes for attachment to the body at locations near each electrode of the first pair of electrodes and in the current path between said first pair of electrodes;

a detector means connected to each of the second pair of electrodes by flexible conductors for dividing a sensed voltage drop into an output representative of two components of the two frequencies, each component being proportional to the impedance of the body at the respective frequency; and

means for processing the output taken during an initial measurement of the output and a second subsequent measurement of the output according to the empiric formula;

##EQU4## where Δ

V=change in fluid weight

k=a proportionality constant having a negative value

S=body surface area, based on the patient'"'"'s weight and length

Z₁ and Z₂ =impedance at the lower frequency (for example 1.5 kHz) and, respectively, the higher frequency (for example 150 kHz) at the second measuring occasion

Z₁.sbsb.i and Z₂.sbsb.i =corresponding impedances at the first measuring occasion (initial values).

5. An apparatus as defined in claim 4, further includes means for attaching said electrodes to one wrist and the diametrically opposed ankle of the body.

6. An apparatus as defined in claim 4, wherein the means for processing is a microprocessor connected to the detector means via and A/D-converter, with a memory means for storing a preceding or initial measuring result, said microprocessor having inputs for feeding in the weight and length of the patient from corresponding setting means and an output for connection to a recording unit.

7. An apparatus as defined in claim 6, wherein said recording unit is a digital indicator for direct digit indication of the change in fluid in liters.