Procedure for measuring a patient's impedance

• US 5,879,308 A
• Filed: 01/23/1998
• Issued: 03/09/1999
• Est. Priority Date: 05/26/1995
• Status: Expired due to Fees

• Current Assignee: Instrumentarium Dental Incorporated (Envista Holdings Corporation)
• Original Assignee: Instrumentarium Corporation
• Inventors: Rasanen, Taisto
• Primary Examiner(s): Jaworski, Francis J.
• Application Number:
  US09/012,301
• Time in Patent Office: 410 Days
• Field of Search: 600/536, 600/547, 600/506, 600/509, 600/513
• US Class Current: 600/536
• CPC Class Codes: A61B 5/0295 using plethysmography, i.e. measuring the variations in the volume of a body part as modified by the circulation of blood therethrough, e.g. impedance plethysmography
• CPC Class Codes: A61B 5/0535 Impedance plethysmography for measuring blood flow A61B5/0295
• CPC Class Codes: A61B 5/0809 by impedance pneumography

Abstract

The present invention relates to a procedure for measuring a patient'"'"'s impedance. Based on the impedance, it is possible to monitor the patient'"'"'s respiration and/or blood circulation. In the procedure, a plurality of electrodes (1a, 1b; 1d, 2; 2a) are connected to be patient and the changes in the impedance relationships between the electrodes (1a, 1b, 2) are measured. The invention makes it possible to use the same measuring conductors and measuring electrodes for impedance measurement as are used in ECG measurement.

Claims

1. A method for measuring a patient'"'"'s impedance comprising the steps of:

connecting first and second electrodes to the patient at spaced locations on the skin of the patient;

connecting the second electrode to ground through a grounding impedance;

supplying a periodically varying measuring signal to the first electrode to provide an electrical signal through the patient'"'"'s impedance to the second electrode and the grounding impedance, a characteristic of the electrical signal being determined by the impedance of the patient; and

measuring an electrical characteristic at the grounding impedance resulting from the provision of the electrical signal to the grounding impedance to ascertain the impedance of the patient.

2. A method as defined in claim 1 wherein the measuring step is further defined as measuring at least one of the voltage across the grounding impedance, the current flowing through the grounding impedance, and a phase characteristic of the voltage or current resulting from the periodically varying measuring signal.

3. A method as defined in claim 1 wherein variations in the impedance of the patient alter the electrical signal characteristic, and wherein the measuring step is further defined as measuring changes in the electrical characteristic at the grounding impedance resulting from the altered electrical signal to ascertain variations in the impedance of the patient.

4. A method as defined in claim 3 wherein physiological functioning of the patient varies the impedance of the patient and wherein the method is further defined as a method for measuring the variations in the patient'"'"'s impedance resulting from the physiological functioning of the patient.

5. A method as defined in claim 4 further defined as a method for measuring the variations of the patient'"'"'s impedance resulting from the physiological functioning of the lungs of the patient and wherein the step of connecting the electrodes is further defined as connecting the electrodes at spaced locations having a desired orientation with respect to the position of the lungs in the body of the patient.

6. A method as defined in claim 5 further defined as a method for determining the variation of the patient'"'"'s impedance resulting from the respiratory functioning of the lungs.

7. A method as defined in claim 6 wherein the connecting steps are further defined as connecting first and second ECG electrodes to the patient.

8. A method as defined in claim 1 wherein the measuring step is further defined as comparing the electrical characteristic at the grounding impedance to a reference value to ascertain the impedance of the patient.

9. A method as defined in claim 4 further defined as measuring the variations in the patient'"'"'s impedance produced by a physiological functioning of the patient'"'"'s cardiovascular system and wherein the step of connecting the electrodes is further defined as connecting the electrodes at spaced locations having a desired orientation with respect to the position of a selected portion of the cardiovascular system in the body of the patient.

10. A method as defined in claim 1 further defined as supplying a measuring signal having a frequency of substantially 10-100 kHz to the first electrode.

11. The method as defined in claim 10 further defined as supplying a measuring signal having a frequency of substantially 30 kHz.

12. A method as set forth in claim 1 further defined as supplying a measuring signal comprising a voltage signal to the first electrode.

13. A method as defined in claim 1 further defined as supplying a measuring signal comprising a current signal to the first electrode.

14. A method for measuring impedance characteristics of a patient comprising the steps of:

connecting first, second, and third electrodes to the patient at spaced locations on the skin of the patient;

connecting the third electrode to ground through a grounding impedance;

supplying a periodically varying measuring signal to the first electrode to provide a first electrical signal to the grounding impedance, a characteristic of the first electrical signal being determined by an impedance of the patient;

supplying a periodically varying measuring signal to the second electrode having a predetermined phase relationship to the signal supplied to the first electrode to provide a second electrical signal to the grounding impedance, a characteristic of the second electrical signal being determined by an impedance of the patient; and

measuring an electrical characteristic produced at the grounding impedance by the provision of the first and second electrical signals to the grounding impedance to ascertain the impedance characteristics of the patient.

15. A method as defined in claim 14 wherein the measuring step is further defined as measuring the voltage across the grounding impedance, the current flowing through the grounding impedance, or the phase characteristic of the voltage or current resulting from the periodically varying measuring signals.

16. A method as defined in claim 14 wherein the step of supplying a measuring signal to the second electrode is further defined as supplying a measuring signal having a phase property differing from the signal supplied to the first electrode and wherein the measuring step is further defined as measuring a net electrical characteristic produced at the grounding impedance by the first and second signals.

17. A method as defined in claim 16 wherein the step of supplying a measuring signal to the second electrode is further defined as supplying a measuring signal having an opposite phase relationship to the signal supplied to the first electrode.

18. A method as defined in claim 16 for determining a patient'"'"'s impedance characteristic that varies as a result of the physiological functioning of the patient, wherein the steps of supplying the measuring signals to the first and second electrodes generate first and second electrical signals to the grounding electrode, each, respectively, comprising a carrier signal component and a modulating signal component produced by variations in the impedance characteristics of the patient;

and wherein the measuring step is further defined as substantially nulling out the carrier signal components to produce a net electrical characteristic at the grounding impedance resulting from the modulating signal components indicative of the impedance characteristics of the patient.

19. A method as defined in claim 18 further including the step of altering the magnitude of one of the measuring signals to null out the carrier signal components.

20. A method as defined in claim 14 further including the step of altering the magnitude of one of the measuring signals to produce a given net electrical characteristic at the grounding impedance.

21. A method as defined in claim 14 for determining a patient'"'"'s impedance characteristic that varies as a result of the physiological functioning of the patient, wherein the steps of supplying the measuring signals to the first and second electrodes generate first and second electrical signals to the grounding electrode, each, respectively, comprising a carrier signal component and a modulating signal component produced by variations in the impedance characteristics of the patient;

and wherein the measuring step is further defined as substantially nulling out the carrier signal components to produce an electrical characteristic at the grounding impedance resulting from the modulating signal components indicative of the impedance characteristics of the patient.

22. A method as defined in claim 21 further including the step of altering the magnitude of one of the measuring signals to null out the carrier signal components.

23. A method as defined in claim 14 wherein the measuring step is further defined as comparing the electrical characteristic at the grounding impedance to a reference value to ascertain the impedance of the patient.

24. A method as defined in claim 14 for determining changes in impedance produced by the physiological functioning of an internal organ located at a given position in the body of the patient and wherein the step of connecting the electrodes is further defined as connecting the electrodes to the skin at locations that are asymmetric with respect to the position of the internal organ in the body so that the functioning of the organ establishes different impedance characteristics to the first and second measuring signals.

25. A method as defined in claim 24 further defined as a method for measuring the impedance characteristics of a patient resulting from the physiological functioning of the lungs of the patient and wherein the step of connecting the electrodes is further defined as connecting the electrodes to the patient at locations which are asymmetric with respect to the lungs of the patient.

26. A method as defined in claim 25 further defined as a method for determining the impedance characteristics of a patient resulting from the respiratory function of the lungs of the patient.

27. A method as defined in claim 25 wherein the connecting steps are further defined as connecting first, second, and third ECG electrodes to the patient.

28. A method as defined in claim 24 further defined as measuring impedance characteristics produced by a physiological functioning of the patient'"'"'s cardiovascular system and wherein the step of connecting the electrodes is further defined as connecting the electrodes to the skin at locations which are asymmetric with respect to the position of a selected portion of the cardiovascular system.

29. A method as defined in claim 14 wherein the measuring step is further defined as measuring an electrical voltage characteristic produced at the grounding impedance.

30. A method as defined in claim 14 further defined as supplying a measuring signals having a frequency of substantially 10-100 kHz to the first and second electrodes.

31. A method as defined in claim 14 further defined as supplying a measuring signals having a frequency of substantially 30 kHz.

32. A method as defined in claim 14 further defined as supplying measuring signals comprising voltage signals to the first and second electrodes.

33. A method as defined in claim 14 further defined as supplying measuring signals comprising current signals to the first and second electrodes.

34. A method as defined in claim 14 further including the steps of connecting at least one additional electrode to the skin of the patient, supplying a periodically varying measuring signal to said additional electrode to provide an additional electrical signal, and measuring an electrical property produced in the grounding impedance by the provision of the first, second, and additional electrical signals to the grounding impedance to ascertain the impedance characteristics of the patient.

35. A method as defined in claim 34 further defined as connecting at least one additional electrode corresponding to a first electrode and at least one additional electrode corresponding to a second electrode to the skin of the patient.

36. A method for measuring impedance characteristics of a patient comprising the steps of:

connecting first and second electrodes to the patient at spaced locations on the skin of the patient;

connecting the first electrode to ground through a grounding impedance;

supplying a periodically varying measuring signal to the first electrode to provide an electrical signal to the first electrode; and

measuring an electrical characteristic produced at the second electrode to ascertain the impedance characteristics of the patient.

37. A method as defined in claim 36, wherein the connecting step is further defined as additionally connecting a third electrode to the patient at a location on the skin of the patient spaced from the first and second electrodes and wherein said measuring step is further defined as measuring an electrical characteristic produced at said third electrode for measuring the impedance characteristics of the patient from the electrical characteristics produced at said second and third electrodes.

38. A method for measuring impedance characteristics of a patient comprising the steps of:

connecting first and second electrodes to the patient at spaced locations on the skin of the patient;

connecting a third electrode on the skin of the patient to form an electrocardiographic common electrode;

providing a common mode drive signal to said third electrode;

supplying a periodically varying impedance measuring signal to the common mode drive signal; and

measuring an electrical property produced at at least one of said first and second electrodes to ascertain the impedance characteristics of the patient.