Method and device for stable impedance plethysmography

• US 5,749,369 A
• Filed: 03/17/1997
• Issued: 05/12/1998
• Est. Priority Date: 08/09/1996
• Status: Expired due to Term

• Current Assignee: RS Medical Monitoring Limited
• Original Assignee: RS Medical Monitoring Limited
• Inventors: Milman, Oscar, Zeldin, Vladimir, Rabinovich, Pavel, Shochat, Michael
• Primary Examiner(s): Jaworski, Francis
• Application Number:
  US08/820,464
• Time in Patent Office: 421 Days
• Field of Search: 128/734, 128/735, 128/693, 128/723
• US Class Current: 600/547
• CPC Class Codes: A61B 5/0535 Impedance plethysmography for measuring blood flow A61B5/0295
• CPC Class Codes: A61B 5/276 Protection against electrode failure

Abstract

A method and device for impedance plethysmography, with relative immunity to skin-electrode contact resistance drift are provided. The method comprises: (a) placing: (i) first and second measurement electrodes on a biological object; (ii) first and second reference electrodes on opposite sides of the first measurement electrode; and (iii) third and fourth reference electrodes on opposite sides of the second measurement electrode, so as to define a measurement electrical circuit and six reference electrical circuits; (b) measuring: (i) a first electrical impedance of the measurement circuit; (ii) a second, third and fourth electrical impedances of three reference circuits which include the first measurement electrode, the first reference electrode and the second reference electrode; (iii) a fifth, sixth and seventh electrical impedances of three reference circuits which include the second measurement electrode, the third reference electrode and the fourth reference electrode; (c) calculating: (i) the skin-electrode resistance drift of the first measurement electrode based on the second, third and fourth electrical impedances; (ii) the skin-electrode resistance drift of the second measurement electrode based on the fifth, sixth and seventh electrical impedances; and (d) calculating the internal impedance of the biological object by subtracting the skin-electrode resistance drifts of the first and second measurement electrodes from the first electrical impedance.

Claims

1. A method for monitoring the internal electrical impedance of a biological object, with compensation for skin-electrode resistance drift, during an extended monitoring period, comprising the steps of:

(a) placing a first measurement electrode and a second measurement electrode on the biological object, said first measurement electrode and said second measurement electrode being part of a measurement circuit;

(b) placing a first reference electrode and a second reference electrode on the biological object, substantially adjacent to said first measurement electrode, said first measurement electrode and said first reference electrode being part of a first reference circuit, said first measurement electrode and said second reference electrode being part of a second reference circuit, said first reference electrode and said second reference electrode being part of a third reference circuit;

(c) at least once during the monitoring period;

(i) measuring a first electrical impedance of said measurement circuit;

(ii) measuring a second electrical impedance of said first reference circuit;

(iii) measuring a third electrical impedance of said second reference circuit; and

(iv) measuring a fourth electrical impedance of said third reference circuit.

2. The method of claim 1, further comprising the step of:

at least once during the monitoring period, calculating the value of the skin-electrode resistance drift of said first measurement electrode.

3. The method of claim 1, further comprising the steps of:

(a) placing a third reference electrode and a fourth reference electrode on the biological object, substantially adjacent to said second measurement electrode, said second measurement electrode and said third reference electrode being part of a fourth reference circuit, said second measurement electrode and said fourth reference electrode being part of a fifth reference circuit, said third reference electrode and said fourth reference electrode being part of a sixth reference circuit;

(c) at least once during the monitoring period;

(i) measuring a fifth electrical impedance of said fourth reference circuit;

(ii) measuring a sixth electrical impedance of said fifth reference circuit; and

(iii) measuring a seventh electrical impedance of said sixth reference circuit.

4. The method of claim 1, wherein said first reference electrode and said second reference electrode are placed on opposite sides of said first measurement electrode.

5. The method of claim 4, further comprising the step of:

at least once during the monitoring period, calculating the value of the skin-electrode resistance drift of said first measurement electrode according to;

space="preserve" listing-type="equation">Z.sub.1 =(Z.sub.I +Z.sub.II -Z.sub.III)/2

where;

Z₁ is the skin-electrode resistance drift of said first measurement electrode;

Z_I is said second electrical impedance;

Z_II is said third electrical impedance; and

Z_III is said fourth electrical impedance.

6. The method of claim 5, further comprising the steps of:

(a) placing a third reference electrode and a fourth reference electrode on the biological object, substantially adjacent to said second measurement electrode, said second measurement electrode and said third reference electrode being part of a fourth reference circuit, said second measurement electrode and said fourth reference electrode being part of a fifth reference circuit, said third reference electrode and said fourth reference electrode being part of a sixth reference circuit;

(b) at least once during the monitoring period;

(i) measuring a fifth electrical impedance of said fourth reference circuit;

(ii) measuring a sixth electrical impedance of said fifth reference circuit; and

(iii) measuring a seventh electrical impedance of said sixth reference circuit.

7. The method of claim 6, further comprising the step of:

at least once during the monitoring period, calculating the value of the skin-electrode resistance drift of said second measurement electrode.

8. The method of claim 7, further comprising the step of:

at least once during the monitoring period, calculating the value of the skin-electrode resistance drift of said second measurement electrode according to;

space="preserve" listing-type="equation">Z.sub.2 =(Z.sub.IV +Z.sub.V -Z.sub.VI)/2

where;

Z₂ is the skin-electrode resistance drift of said second measurement electrode;

Z_IV is said fifth electrical impedance;

Z_V is said sixth electrical impedance; and

Z_VI is said seventh electrical impedance.

9. The method of claim 8, further comprising the step of:

at least once during the monitoring period, calculating the internal electrical impedance of the biological object according to;

space="preserve" listing-type="equation">Z.sub.IN =Z.sub.T -(Z.sub.1 +Z.sub.2)

where;

Z_IN is the internal electrical impedance of the biological object;

Z₁ is the skin-electrode resistance drift of said first measurement electrode;

Z₂ is the skin-electrode resistance drift of said second measurement electrode; and

Z_T is said first electrical impedance.

10. The method of claim 9, further comprising the step of:

if the electrical impedance of the biological object decreases below a threshold value;

initiating an emergency procedure.

11. The method of claim 9, wherein the electrical impedance of the biological object is calculated at least twice during the monitoring period.

12. The method of claim 11, further comprising the step of:

if the change in the electrical impedance of the biological object exceeds a threshold value;

initiating an emergency procedure.

13. A method for monitoring the internal electrical impedance of a biological object, with compensation for skin-electrode resistance drift, during an extended monitoring period, comprising the steps of:

(a) placing a first measurement electrode and a second measurement electrode on the biological object, said first measurement electrode and said second measurement electrode being part of a measurement circuit;

(b) placing a first reference electrode and a second reference electrode on the biological object, substantially adjacent to said first measurement electrode, said first measurement electrode and said first reference electrode being part of a first reference circuit, said first measurement electrode and said second reference electrode being part of a second reference circuit, said first reference electrode and said second reference electrode being part of a third reference circuit;

(c) at least once during the monitoring period;

(i) imposing an alternating electrical current between said first measurement electrode and said second measurement electrode and obtaining a first voltage signal representative of a voltage drop in said measurement circuit;

(ii) imposing an alternating electrical current between said first measurement electrode and said first reference electrode and obtaining a second voltage signal representative of a voltage drop in said first reference circuit;

(iii) imposing an alternating electrical current between said first measurement electrode and said second reference electrode and obtaining a third voltage signal representative of a voltage difference in said second reference circuit;

(iv) imposing an alternating electrical current between said first reference electrode and said second reference electrode and obtaining a fourth voltage signal representative of a voltage drop in said third reference circuit.

14. The method of claim 13, further comprising the steps of:

(a) placing a third reference electrode and a fourth reference electrode on the biological object, substantially adjacent to said second measurement electrode, said second measurement electrode and said third reference electrode being part of a fourth reference circuit, said second measurement electrode and said fourth reference electrode being part of a fifth reference circuit, said third reference electrode and said fourth reference electrode being part of a sixth reference circuit;

(b) at least once during the monitoring period;

(i) imposing an alternating electrical current between said second measurement electrode and said third reference electrode and obtaining a fifth voltage signal representative of a voltage drop in said fourth reference circuit;

(ii) imposing an alternating electrical current between said second measurement electrode and said fourth reference electrode and obtaining a sixth voltage signal representative of a voltage drop in said fifth reference circuit; and

(iii) imposing an alternating electrical current between said third reference electrode and said fourth reference electrode and obtaining a seventh voltage signal representative of a voltage drop in said sixth reference circuit.

15. An impedance plethysmography device, comprising:

(a) a first measurement electrode;

(b) a second measurement electrode;

(c) a first reference electrode;

(d) a second reference electrode;

(e) a measurement electrical circuit including said first measurement electrode, said second measurement electrode, and a first impedance measurement means for measuring a first electrical impedance;

(f) a first reference electrical circuit including said first measurement electrode, said first reference electrode, and a second impedance measurement means for measuring a second electrical impedance;

(g) a second reference electrical circuit including said first measurement electrode, said second reference electrode, and a third impedance measurement means for measuring a third electrical impedance;

(h) a third reference electrical circuit including said first reference electrode, said second reference electrode, and a fourth impedance measurement means for measuring a fourth electrical impedance.

16. The device of claim 15, further comprising:

(a) a third reference electrode;

(b) a fourth reference electrode;

(c) a fourth reference electrical circuit including said second measurement electrode, said third reference electrode, and a fifth impedance measurement means for measuring a fifth electrical impedance;

(d) a fifth reference electrical circuit including said second measurement electrode, said fourth reference electrode, and a sixth impedance measurement means for measuring a sixth electrical impedance;

(e) a sixth reference electrical circuit including said third reference electrode, said fourth reference electrode, and a seventh impedance measurement means for measuring a seventh electrical impedance.

17. The device of claim 16, wherein said measurement electrical circuit, and said first, second, third, fourth, fifth and sixth reference electrical circuits share a common source of alternating electrical current.

18. The device of claim 17, further comprising a commutator element for alternately connecting said source of alternating current with said measurement circuit, and said first, second, third, fourth, fifth and sixth reference electrical circuits.

19. The device of claim 15, wherein said measurement electrical circuit, and said first, second and third reference electrical circuits share a common source of alternating electrical current.

20. The device of claim 19, wherein said alternating electrical current has a frequency of between about 50 Khz and about 200 Khz.

21. The device of claim 19, further comprising a commutator element for alternately connecting said source of alternating current with said measurement circuit, said first reference circuit, said second reference circuit, and said third reference circuit.

22. A medical monitoring system comprising an impedance plethysmography device, said impedance plethysmography device further comprising:

(a) a first measurement electrode;

(b) a second measurement electrode;

(c) a first reference electrode;

(d) a second reference electrode;

(e) a measurement electrical circuit including said first measurement electrode, said second measurement electrode, and a first impedance measurement means for measuring a first electrical impedance;

(f) a first reference electrical circuit including said first measurement electrode, said first reference electrode, and a second impedance measurement means for measuring a second electrical impedance;

(g) a second reference electrical circuit including said first measurement electrode, said second reference electrode, and a third impedance measurement means for measuring a third electrical impedance;

(h) a third reference electrical circuit including said first reference electrode, said second reference electrode, and a fourth impedance measurement means for measuring a fourth electrical impedance.

23. The medical monitoring system of claim 22, wherein said impedance plethysmography device further comprises:

(a) a third reference electrode;

(b) a fourth reference electrode;

(c) a fourth reference electrical circuit including said second measurement electrode, said third reference electrode, and a fifth impedance measurement means for measuring a fifth electrical impedance;

(d) a fifth reference electrical circuit including said second measurement electrode, said fourth reference electrode, and a sixth impedance measurement means for measuring a sixth electrical impedance;

(e) a sixth reference electrical circuit including said third reference electrode, said fourth reference electrode, and a seventh impedance measurement means for measuring a seventh electrical impedance.