Bio-impedance sensor and sensing method

• US 8,204,585 B2
• Filed: 12/20/2005
• Issued: 06/19/2012
• Est. Priority Date: 12/20/2005
• Status: Active Grant

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Hatlestad, John D., Brockway, Marina, Moon, Loell Boyce, Dalal, Yousufali Husaini
• Primary Examiner(s): Hindenburg, Max
• Assistant Examiner(s): DANEGA, RENEE A
• Application Number:
  US11/312,278
• Publication Number:
  US 20070142733A1
• Time in Patent Office: 2,373 Days
• Field of Search: 600/508, 600/547
• US Class Current: 600/547
• CPC Class Codes: A61B 5/0535 Impedance plethysmography for measuring blood flow A61B5/0295
• CPC Class Codes: A61B 5/0809 by impedance pneumography
• CPC Class Codes: A61B 5/7207 of noise induced by motion artifacts
• CPC Class Codes: A61N 1/36521 the parameter being derived from measurement of an electrical impedance
• CPC Class Codes: A61N 1/3684 for stimulating the heart at multiple sites of the ventricle or the atrium
• CPC Class Codes: A61N 1/36843 Bi-ventricular stimulation
• CPC Class Codes: A61N 1/39622 Pacing therapy

Abstract

Implantable medical devices and techniques are implemented that use bio-impedance to measure aspects of patient physiology. A signal separation method is performed at least in part in an implantable device. The method involves detecting a plurality of impedance signals using a plurality of implantable electrodes coupled to the implantable device. The method further involves separating one or more signals from the plurality of impedance signals using a signal separation technique, such as an algorithm-based separation technique.

Claims

1. A signal separation method performed at least in part in an implantable device, the method comprising:

coupling a plurality of implantable electrodes to the implantable device to allow concurrent measurement of bio-impedance across multiple vectors, including intracardiac, trans-cardiac, and trans-thoracic vectors;

measuring a plurality of impedance signals concurrently across the multiple vectors using the plurality of implantable electrodes, the plurality of impedance signals comprising a primary impedance signal that includes a respiratory component and noise comprising a cardiac stroke component that corrupts the respiratory component due to an overlap in heart and respiratory rates or an unstable heart rate; and

separating a respiration signal from the plurality of impedance signals including the cardiac stroke component using a signal separation technique on a combination of the plurality of impedance signals, the separated respiration signal characterized by the primary impedance signal substantially free of the corrupting cardiac stroke component; and

providing a system output based on the respiration signal.

2. The method of claim 1, further comprising storing the separated respiration signal within the implantable device.

3. The method of claim 1, further comprising using the separated respiration signal within the implantable device.

4. The method of claim 1, further comprising transferring the separated respiration signal from the implantable device to a patient-external location.

5. The method of claim 1, wherein the signal separation technique comprises forming a linear combination of impedance signals that increases a signal-to-noise ratio for the separated respiration signal.

6. The method of claim 5, wherein forming the linear combination comprises forming the linear combination of impedance signals using blind source separation.

7. The method of claim 1, wherein the signal separation technique comprises adaptive noise cancellation.

8. The method of claim 1, further comprising identifying one or more additional separated signals with one or more signals of interest.

9. The method of claim 8, wherein identifying the one or more additional separated signals comprises identifying the one or more additional separated signals by a maximum of a correlation between the one or more separated signals and a signal of interest.

10. The method of claim 8, wherein the one or more signals of interest comprise a physiological signal.

11. The method of claim 10, wherein the physiological signal comprises a signal associated with cardiac activity.

12. The method of claim 10, wherein the physiological signal comprises a signal useful for detecting presence of thoracic fluid.

13. The method of claim 8, wherein identifying the one or more separated signals comprises matching a morphology of a separated signal with a morphology of a signal of interest.

14. The method of claim 8, wherein identifying the one or more separated signals comprises matching frequency content of a separated signal with frequency content of a signal of interest.

15. The method of claim 8, wherein identifying the one or more separated signals comprises matching timing of events within a separated signal with timing of events within a signal of interest.

16. An implantable medical device, comprising:

a plurality of implantable electrodes configured for concurrent sensing of bio-impedance across multiple vectors to provide a plurality of impedance signals, the multiple vectors including intracardiac, trans-cardiac, and trans-thoracic vectors, the plurality of impedance signals comprising a primary impedance signal that includes a respiratory component and noise comprising a cardiac stroke component that corrupts the respiratory component due to an overlap in heart and respiratory rates or an unstable heart rate; and

a processor coupled to the plurality of electrodes and configured to receive the plurality of impedance signals, the processor further configured to separate a respiration signal from the plurality of impedance signals including the cardiac stroke component using a signal separation technique on a combination of the plurality of impedance signals, the separated respiration signal characterized by the primary impedance signal substantially free of the corrupting cardiac stroke component.

17. The device of claim 16, wherein the processor is coupled to memory, and the separated respiration signal is stored in the memory.

18. The device of claim 16, further comprising communication circuitry coupled to the processor, the communication circuitry configured to transfer the separated respiration signal to a patient-external receiver.

19. The device of claim 16, wherein the processor is configured to form a linear combination of impedance signals that increases a signal-to-noise ratio for the separated respiration signal.

20. The device of claim 19, wherein the processor is configured to perform blind source separation when forming the linear combination of impedance signals.

21. The device of claim 16 wherein the processor is configured to perform adaptive noise cancellation to separate the respiration signal.

22. The device of claim 16, wherein the processor is configured to identify one or more additional separated signals with one or more signals of interest.

23. The device of claim 22, wherein the one or more signals of interest comprise a physiological signal.

24. The device of claim 23, wherein the physiological signal comprises a signal associated with one or more of respiration, cardiac activity, and a signal useful for detecting presence of thoracic fluid.

25. The device of claim 22, wherein the processor is configured to perform matching of a morphology of a separated signal with a morphology of a signal of interest.

26. The device of claim 22, wherein the processor is configured to perform matching of frequency content of a separated signal with frequency content of a signal of interest.

27. The device of claim 22, wherein the processor is configured to perform matching of timing of events within a separated signal with timing of events within a signal of interest.

28. An implantable medical device, comprising:

a plurality of implantable electrodes coupled to the implantable device to allow concurrent measurement of bio-impedance across multiple vectors, including intracardiac, trans-cardiac, and trans-thoracic vectors; and

a processor coupled to the plurality of implantable electrodes and configured to receive concurrently measured impedance signals across the multiple vectors using the plurality of implantable electrodes, the plurality of impedance signals comprising a primary impedance signal that includes a respiratory component and noise comprising a cardiac stroke component that corrupts the respiratory component due to an overlap in heart and respiratory rates or an unstable heart rate, the processor configured to separate a respiration signal from the plurality of impedance signals including the cardiac stroke component using a source separation technique on a combination of the plurality of impedance signals, the separated respiration signal characterized by the primary impedance signal substantially free of the corrupting cardiac stroke component.

29. The device of claim 28, wherein the source separation technique comprises blind source separation.