Non-invasive cardiorespiratory monitor with synchronized bioimpedance sensing

• US 6,022,322 A
• Filed: 02/06/1998
• Issued: 02/08/2000
• Est. Priority Date: 02/06/1998
• Status: Expired due to Fees

• Current Assignee: Intermedics Incorporated (Boston Scientific Corporation)
• Original Assignee: Intermedics Incorporated (Boston Scientific Corporation)
• Inventors: Prutchi, David
• Primary Examiner(s): O'Connor, Cary
• Assistant Examiner(s): ASTORINO, MICHAEL C
• Application Number:
  US09/020,277
• Time in Patent Office: 732 Days
• Field of Search: 600/528-538, 600/500-509, 600/300, 600/481, 607/32, 607/27, 607/60, 607/62, 607/28, 607/20, 128/903, 128/904
• US Class Current: 600/506
• CPC Class Codes: A61B 5/0537 Measuring body composition by impedance, e.g. tissue hydration or fat content
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
• CPC Class Codes: A61B 5/4869 Determining body composition

Abstract

A cardiorespiratory monitor that generates bioimpedance sensing signals that produce substantially no interference with bioimpedance signals generated by implanted devices. The monitor detects the bioimpedance signal generated by the implanted device, using a voltage detector or a telemetry circuit, for example. The monitor analyzes this detected signal to generate a bioimpedance sensing signal that will not interfere with the sensed signal. For instance, if the monitor produces a pulsed sensing signal, the pulses are delivered in an interval of the detected signal where no pulses are present. Similarly, if the monitor produces a high frequency AC sensing signal, the zero crossings of the AC sensing signal are positioned during the delivery of a pulse by the implanted device.

Claims

1. A cardiorespiratory measurement device comprising:

means for determining timing of an impedance test signal generated by an implanted device;

means for generating a bioimpedance sensing signal, and

means for correlating generation of said bioimpedance sensing signal so that generation of said bioimpedance sensing signal produces substantially no interference with the signal of the implanted device.

2. The device, as set forth in claim 1, wherein the determining means comprises means for detecting pulses generated by the implanted device.

3. The device, as set forth in claim 1, wherein the determining means comprises means for communicating with the implanted device.

4. The device, as set forth in claim 1, wherein the generating means comprises means for generating a pulsed bioimpedance sensing signal.

5. The device, as set forth in claim 1, wherein the generating means comprises means for generating a high frequency AC bioimpedance sensing signal.

6. A cardiorespiratory measurement device comprising:

means for detecting signal properties of a pulsed signal emitted by a bioimpedance sensor of an implanted device;

means for analyzing the detected signal properties to determine properties of an impedance sensing signal;

means for generating the impedance sensing signal that produces substantially no interference with the pulsed signal of the implanted device.

7. The device, as set forth in claim 6, wherein the detecting means comprises means for communicating with the implanted device.

8. The device, as set forth in claim 6, wherein the analyzing means comprises a processing circuit.

9. The device, as set forth in claim 6, wherein the generating means comprises means for generating a pulsed impedance sensing signal.

10. The device, as set forth in claim 6, wherein the generating means comprises means for generating a high frequency AC impedance sensing signal.

11. A cardiorespiratory monitor comprising:

a first pair of electrodes adapted to be coupled in spaced apart relation to one another on a patient'"'"'s body;

a second pair of electrodes adapted to be coupled in spaced apart relation to one another on the patient'"'"'s body;

a voltage sensor coupled to the first pair of electrodes to detect pulsed voltage signals within the patient'"'"'s body generated by a device implanted in the patient'"'"'s body;

a processor coupled to the voltage sensor, the processor receiving the detected pulsed voltage signals and having means for determining a frequency and timing of the detected pulsed voltage signals, and means for generating a timing signal correlative to the frequency and timing of the detected pulsed voltage signals; and

an impedance sensor control circuit coupled to receive the timing signal from the processor, the impedance sensor control circuit having means for generating an impedance sensing signal correlative to the timing signal and delivering the impedance sensing signal to one of the second pair of electrodes, and means for timing the generation of the impedance sensing signal to produce substantially no interference with the pulsed voltage signals generated by the implanted device.

12. The monitor, as set forth in claim 11, wherein the impedance sensor control circuit comprises a current source coupled to deliver a pulsed impedance sensing signal to one of the second pair of electrodes.

13. The monitor, as set forth in claim 11, wherein the impedance sensor control circuit comprises a current source coupled to deliver a high frequency AC impedance sensing signal to one of the second pair of electrodes.

14. The monitor, as set forth in claim 11, further comprising a voltage sampling device coupled to the impedance sensor control circuit, the voltage sampling device detecting the impedance sensing signal and delivering the detected impedance sensing signal to the processor, the processor generating at least one signal correlative to the detected impedance sensing signal.

15. A cardiorespiratory monitor comprising:

a first telemetry circuit adapted to communicate with a second telemetry circuit of an implantable device to receive a synchronization signal correlative to a pulsed voltage signal generated by the implantable device;

a processor coupled to the first telemetry circuit, the processor receiving the synchronization signal and determining a frequency and timing of the pulsed voltage signal, and the processor having means for generating a timing signal correlative to the frequency and timing of the pulsed voltage signal;

an impedance sensor control circuit coupled to receive the timing signal from the processor, the impedance sensor control circuit having means for generating an impedance sensing signal correlative to the timing signal, and means for timing the generation of the impedance sensing signal to produce substantially no interference with the pulsed voltage signal generated by the implanted device;

a first pair of electrodes adapted to be coupled in spaced apart relation to one another on a patient'"'"'s body, the first pair of electrodes delivering the impedance sensing signal to the patient'"'"'s body; and

a second pair of electrodes adapted to be coupled in spaced apart relation to one another on the patient'"'"'s body, the second pair of electrodes detecting the impedance sensing signal delivered by the first pair of electrodes and delivering the detected impedance sensing signal to the processor, the processor generating at least one signal correlative to the detected impedance sensing signal.

16. The monitor, as set forth in claim 15, wherein the impedance sensor control circuit generates a pulsed signal.

17. The monitor, as set forth in claim 15, wherein the impedance sensor control circuit generates a high frequency AC signal.

18. The monitor, as set forth in claim 15, wherein the second pair of electrodes delivers the detected impedance sensing signal to a voltage sampler that delivers the impedance sensing signal to the processor.

19. The monitor, as set forth in claim 18, wherein the voltage sampler operates synchronously with the impedance sensor control circuit.

20. The monitor, as set forth in claim 15, wherein the first telemetry circuit delivers the at least one signal correlative to the detected impedance sensing signal to the second telemetry circuit.

21. A cardiorespiratory monitor comprising:

a detector adapted to detect a pulsed voltage signal generated by the implantable device;

a processor coupled to the detector, the processor receiving the detected pulsed voltage signal and having means for determining a frequency and timing of the detected pulsed voltage signal, and means for generating a timing signal correlative to the frequency and timing of the detected pulsed voltage signal;

an impedance sensor control circuit coupled to receive the timing signal from the processor, the impedance sensor control circuit having means for generating an impedance sensing signal correlative to the timing signal, and means for timing the generation of the impedance sensing signal to produce substantially no interference with the pulsed voltage signal generated by the implanted device;

a first pair of electrodes adapted to be coupled in spaced apart relation to one another on a patient'"'"'s body, the first pair of electrodes delivering the impedance sensing signal to the patient'"'"'s body; and

a second pair of electrodes adapted to be coupled in spaced apart relation to one another on the patient'"'"'s body, the second pair of electrodes detecting the impedance sensing signal delivered by the first pair of electrodes and delivering the detected impedance sensing signal to the processor, the processor generating at least one signal correlative to the detected impedance sensing signal.

22. The monitor, as set forth in claim 21, wherein the detector comprises a pulse detector.

23. The monitor, as set forth in claim 21, wherein the detector comprises a telemetry circuit.

24. The monitor, as set forth in claim 21, wherein the impedance sensor control circuit generates a pulsed signal.

25. The monitor, as set forth in claim 21, wherein the impedance sensor control circuit generates a high frequency AC signal.

26. The monitor, as set forth in claim 21, wherein the second pair of electrodes delivers the detected impedance sensing signal to a voltage sampler that delivers the impedance sensing signal to the processor.

27. The monitor, as set forth in claim 26, wherein the voltage sampler operates synchronously with the impedance sensor control circuit.

28. A device for calibrating a bioimpedance sensor of an implanted device, the device comprising:

a first telemetry circuit adapted to communicate with a second telemetry circuit of the implanted device to receive a synchronization signal correlative to a pulsed voltage signal generated by the implanted device;

a processor coupled to the first telemetry circuit, the processor receiving the synchronization signal from the first telemetry circuit and having means for determining a frequency and timing of the pulsed voltage signal, and means for generating a timing signal correlative to the frequency and timing of the pulsed voltage signal;

an impedance sensor control circuit coupled to receive the timing signal from the processor, the impedance sensor control circuit having means for generating an impedance sensing signal correlative to the timing signal, and means for timing the generation of the impedance sensing signal to produce substantially no interference with the pulsed voltage signal generated by the implanted device;

a first pair of electrodes adapted to be coupled in spaced apart relation to one another on a patient'"'"'s body, the first pair of electrodes delivering the impedance sensing signal to the patient'"'"'s body; and

a second pair of electrodes adapted to be coupled in spaced apart relation to one another on the patient'"'"'s body, the second pair of electrodes detecting the impedance sensing signal delivered by the first pair of electrodes and delivering the detected impedance sensing signal to the processor, the processor generating a calibration signal correlative to the detected impedance sensing signal and delivering the calibration signal to the first telemetry circuit for delivery to the second telemetry circuit, the calibration signal being usable by the implanted device to calibrate the bioimpedance sensor of the implanted device.

29. The device, as set forth in claim 28, wherein the impedance sensor control circuit generates a pulsed signal.

30. The device, as set forth in claim 28, wherein the impedance sensor control circuit generates a high frequency AC signal.

31. The device, as set forth in claim 28, wherein the second pair of electrodes delivers the detected impedance sensing signal to a voltage sampler that delivers the impedance sensing signal to the processor.

32. The device, as set forth in claim 31, wherein the voltage sampler operates synchronously with the impedance sensor control circuit.