Minute ventilation sensor with dynamically adjusted excitation current

• US 7,092,757 B2
• Filed: 07/12/2002
• Issued: 08/15/2006
• Est. Priority Date: 07/12/2002
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Larson, Dennis E., Daum, Douglas R.
• Primary Examiner(s): LAYNO, CARL HERNANDZ
• Application Number:
  US10/195,135
• Publication Number:
  US 20040049237A1
• Time in Patent Office: 1,495 Days
• Field of Search: 607/9, 607/17, 607/24, 607/28, 600508-509, 600/513, 600/547, 600/554, 128/901
• US Class Current: 607/17
• CPC Class Codes: A61B 5/0535 Impedance plethysmography for measuring blood flow A61B5/0295
• CPC Class Codes: A61B 5/7203 for noise prevention, reduction or removal
• CPC Class Codes: A61N 1/36521 the parameter being derived from measurement of an electrical impedance
• CPC Class Codes: A61N 1/3702 Physiological parameters A61N1/365 takes precedence; evoked response A61N1/371

Abstract

A minute ventilation sensing device in which transthoracic impedance is measured with a excitation current waveform at a specified amplitude and frequency. In order reduce interference with the impedance measurement from external noise sources, a noise detection operation may be performed with the amplitude and/or frequency of the excitation current waveform adjusted accordingly.

Claims

1. A minute ventilation sensing device, comprising:

excitation current electrodes for imposing a current field in the thoracic cavity;

an exciter for supplying excitation current between the excitation current electrodes as a bipolar excitation current waveform at a specified excitation frequency and amplitude, wherein the excitation current waveform is output as a strobe made up of a specified number of excitation current waveform cycles with each strobe repeated at a specified strobing frequency;

voltage sense electrodes for generating a voltage sense signal corresponding to a potential difference between two points in the thoracic cavity;

sampling circuitry for sampling the voltage sense signal during the excitation waveform strobe at a specified sampling rate that corresponds to the excitation frequency;

circuitry for initiating a noise detection operation wherein the voltage sense signal is sampled when no excitation current is supplied and the samples are then processed to detect a noise level; and

,

circuitry means for adjusting the excitation current in accordance with the detected noise level, wherein the excitation current adjusting circuitry means adjusts the excitation current amplitude in response to a detected noise level in order to approximately maintain a specified signal-to-noise ratio.

2. The device of claim 1 wherein the sampling rate corresponding to an excitation frequency is equal to twice the excitation frequency.

3. The device of claim 1 further comprising circuitry for causing a noise detection operation and excitation current adjustment to be performed periodically.

4. The device of claim 1 further comprising:

a demodulator for generating a weighted average of the voltage sense signal samples of each strobe with a filter coefficient for each sample that is positive or negative in accordance with the polarity of the excitation current waveform such that an impedance portion of the voltage sense signal is low-pass filtered while an external field portion of the voltage sense signal is high-pass filtered;

circuitry for filtering the demodulated voltage sense signal samples into a ventilation band to thereby generate a ventilation signal; and

,

circuitry for deriving a signal proportional to minute ventilation from the ventilation signal.

5. The device of claim 4 wherein the voltage sense signal samples are filtered by a demodulator with weighting coefficients that high-pass filter the samples in order to detect a noise level during a noise detection operation.

6. The device of claim 5 wherein the weighting coefficients for filtering the voltage sense signal samples during a noise detection operation are equal to the weighting coefficients for filtering the voltage sense signal samples of an excitation current waveform strobe.

7. The device of claim 5 wherein the voltage sense signal signals are further filtered into the ventilation band in order to detect a noise level during a noise detection operation.

8. The device of claim 4 further comprising circuitry for varying the sampling rate during a noise detection operation over sampling rates corresponding to possible excitation frequencies that the exciter may generate in order to determine an excitation frequency that passes a minimum amount of noise into the ventilation band.

9. The device of claim 8 wherein the excitation current adjusting circuitry adjusts the excitation frequency to a value corresponding to a sampling rate that passes a minimum amount of noise into the ventilation band during a noise detection operation.

10. The device of claim 4 wherein the sampling circuitry is incorporated into the demodulator which generates a weighted average of the voltage sense signal samples of each strobe in the analog domain.

11. The device of claim 4 further comprising an analog-to-digital converter for digitizing the sampled voltage sense signals and wherein the demodulator is implemented as a digital filter.

12. The device of claim 4 further comprising an analog-to-digital converter for digitizing the demodulated voltage sense signal samples.

13. A cardiac rhythm management device, comprising:

a sensing channel for detecting intrinsic cardiac activity;

a pacing channel for pacing the heart;

a controller for delivering paces in accordance with a programmed mode as modulated by a minute ventilation sensor;

a minute ventilation sensor, comprising;

excitation current electrodes for imposing a current field in the thoracic cavity;

an exciter for supplying excitation current between the excitation current electrodes as a bipolar excitation current waveform at a specified excitation frequency and amplitude, wherein the excitation current waveform is output as a strobe made up of a specified number of excitation current waveform cycles with each strobe repeated at a specified strobing frequency;

voltage sense electrodes for generating a voltage sense signal corresponding to a potential difference between two points in the thoracic cavity;

sampling circuitry for sampling the voltage sense signal during the excitation waveform strobe at a specified sampling rate that corresponds to the excitation frequency;

a demodulator for generating a weighted average of the voltage sense signal samples of each strobe with a filter coefficient for each sample that is positive or negative in accordance with the polarity of the excitation current waveform such that an impedance portion of the voltage sense signal is low-pass filtered while an external field portion of the voltage sense signal is high-pass filtered;

circuitry for filtering the demodulated voltage sense signal samples into a ventilation band defined by an upper ventilation frequency and a lower ventilation frequency to thereby generate a ventilation signal;

circuitry for deriving a signal proportional to minute ventilation from the ventilation signal;

circuitry for initiating a noise detection operation wherein the voltage sense signal is sampled when no excitation current is supplied and the resulting samples are processed to detect a noise level; and

,

circuitry means for adjusting the excitation current in accordance with the detected noise level, wherein the excitation current adjusting circuitry means adjusts the excitation current amplitude in response to a detected noise level in order to approximately maintain a specified signal-to-noise ratio.

14. A method for sensing minute ventilation, comprising:

imposing a current field in the thoracic cavity as a bipolar excitation current waveform at a specified excitation frequency and amplitude, wherein the excitation current waveform is output as a strobe made up of a specified number of excitation current waveform cycles with each strobe repeated at a specified strobing frequency;

generating a voltage sense signal corresponding to a potential difference between two points in the thoracic cavity;

sampling the voltage sense signal during the excitation waveform strobe at a sampling rate that corresponds to the excitation frequency;

initiating a noise detection operation wherein the voltage sense signal is sampled when no excitation current is supplied and the samples are then processed to detect a noise level; and

,

adjusting the excitation current in accordance with the detected noise level by adjusting the excitation current amplitude in response to a detected noise level in order to approximately maintain a specified signal-to-noise ratio.

15. The method of claim 14, further comprising:

demodulating the voltage sense signal samples by generating a weighted average of the voltage sense signal samples of each strobe with a filter coefficient for each sample that is positive or negative in accordance with the polarity of the excitation current waveform such that an impedance portion of the voltage sense signal is low-pass filtered while an external field portion of the voltage sense signal is high-pass filtered;

filtering the demodulated voltage sense signal samples into a ventilation band to thereby generate a ventilation signal; and

,

deriving a signal proportional to minute ventilation from the ventilation signal.

16. The method of claim 15 wherein the sampling rate corresponding to an excitation frequency is equal to twice the excitation frequency.

17. The method of claim 15 further comprising adjusting the excitation current amplitude in accordance with the detected noise level in order to approximately maintain a specified signal-to-noise ratio.

18. The method of claim 15 further comprising varying the sampling rate during a noise detection operation over sampling rates corresponding to different excitation frequencies in order to determine an excitation frequency that passes a minimum amount of noise into the ventilation band.

19. The method of claim 18 further comprising adjusting the excitation frequency to a value corresponding to a sampling rate that passes a minimum amount of noise into the ventilation band during a noise detection operation.

20. The method of claim 15 wherein the voltage sense signal samples are filtered with weighting coefficients that high-pass filter the samples in order to detect a noise level during a noise detection operation.

21. The method of claim 20 wherein the weighting coefficients for filtering the voltage sense signal samples during a noise detection operation are equal to the weighting coefficients for filtering the voltage sense signal samples of an excitation current waveform strobe.

22. The method of claim 20 further comprising filtering the voltage sense signal signals into the ventilation band in order to detect a noise level during a noise detection operation.