Monitoring system

• US 8,548,580 B2
• Filed: 06/30/2006
• Issued: 10/01/2013
• Est. Priority Date: 07/01/2005
• Status: Active Grant

• Current Assignee: ImpediMed Limited
• Original Assignee: ImpediMed Limited
• Inventors: Chetham, Scott, Ward, Andrew William, Kennedy, James McFarlane
• Primary Examiner(s): Towa, Rene
• Assistant Examiner(s): EISEMAN, ADAM JARED
• Application Number:
  US11/993,340
• Publication Number:
  US 20110087129A1
• Time in Patent Office: 2,650 Days
• Field of Search: 600/547
• US Class Current: 600/547
• CPC Class Codes: A61B 2562/08 Sensors provided with means for identification, e.g. barcodes or memory chips
• CPC Class Codes: A61B 2562/166 the sensor is mounted on a specially adapted printed circuit board
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/0535 Impedance plethysmography for measuring blood flow A61B5/0295
• CPC Class Codes: A61B 5/0537 Measuring body composition by impedance, e.g. tissue hydration or fat content
• CPC Class Codes: A61B 5/6801 specially adapted to be attached to or worn on the body surface
• CPC Class Codes: A61B 5/7203 for noise prevention, reduction or removal
• CPC Class Codes: A61B 5/7221 Determining signal validity, reliability or quality A61B5/7207 and A61B5/7217 take precedence
• CPC Class Codes: A61B 5/7225 Details of analog processing, e.g. isolation amplifier, gain or sensitivity adjustment, filtering, baseline or drift compensation A61B5/30, A61B5/316 take precedence; transformers for specific applications H01F38/00; amplifiers H03F
• CPC Class Codes: A61B 5/7257 using Fourier transforms
• CPC Class Codes: A61B 5/7278 Artificial waveform generation or derivation, e.g. synthesising signals from measured signals A61B5/327 takes precedence
• CPC Class Codes: A61B 5/746 Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: A61B 5/7495 using a reader or scanner device, e.g. barcode scanner

Abstract

Apparatus for performing impedance measurements on a subject. The apparatus includes a first processing system for determining an impedance measurement procedure and determining instructions corresponding to the measurement procedure. A second processing system is provided for receiving the instructions, using the instructions to generate control signals, with the control signals being used to apply one or more signals to the subject. The second processing system then receives first data indicative of the one or more signals applied to the subject, second data indicative of one or more signals measured across the subject and performs at least preliminary processing of the first and second data to thereby allow impedance values to be determined.

Claims

1. Apparatus for performing impedance measurements on a subject, the apparatus including:

a) a first processing system for;

i) determining an impedance measurement procedure; and

,

ii) selecting instructions corresponding to the measurement procedure; and

,

b) a second processing system for;

i) generating, using the instructions, control signals, the control signals being used to apply one or more signals to the subject;

ii) receiving an indication of the one or more signals applied to the subject;

iii) receiving an indication of one or more signals measured across the subject;

iv) performing, using the instructions, at least preliminary processing of the indications to thereby allow impedance values to be determined.

2. Apparatus according to claim 1, wherein the apparatus transfers the instructions from the first processing system to the second processing system.

3. Apparatus according to claim 1, wherein the apparatus selects the instructions using configuration data.

4. Apparatus according to claim 3, wherein the apparatus receives the configuration data from a remote processing system.

5. Apparatus according to claim 1, wherein the instructions are in the form of at least one of:

a) firmware; and

,

b) embedded systems.

6. Apparatus according to claim 1, wherein the second processing system is an FPGA.

7. Apparatus according to claim 1, wherein the apparatus includes an input device, and wherein the first processing system is coupled to the input device to thereby determine the impedance measurement procedure in accordance with input commands from an operator.

8. Apparatus according to claim 1, wherein the first processing system includes a store for storing at least one profile, the at least one profile representing a predetermined impedance measurement procedure.

9. Apparatus according to claim 1, wherein the control signals represent a sequence of predetermined electrical signals, the sequence being dependent on the selected impedance measurement type.

10. Apparatus according to claim 1, wherein the apparatus includes:

a) a current ADC for;

i) receiving signals from a current circuit; and

,

ii) providing the indication of the one or more signals applied to the subject to the second processing system; and

,

b) a voltage ADC for;

i) receiving signals from a voltage circuit; and

,

ii) providing the indication of the one or more signals measured from the subject to the second processing system.

11. Apparatus according to claim 10, wherein the apparatus includes at least one buffer circuit for:

a) receiving voltage signals from a voltage electrode;

b) filtering and amplifying the voltage signals; and

,

c) transferring the filtered and amplified voltage signals to the voltage ADC via a differential amplifier.

12. Apparatus according to claim 10, wherein the apparatus includes a current source circuit for:

a) receiving one or more control signals;

b) filtering and amplifying the control signals to thereby generate one or more current signals;

c) applying the current signals to a current electrode; and

,

d) transferring an indication of the applied signals to the current ADC.

13. Apparatus according to claim 1, wherein the apparatus includes a control signal DAC for:

a) receiving the control signals from the second processing system; and

,

b) providing analogue control signals to a current circuit to thereby cause one or more current signals to be applied to the subject in accordance with the control signals.

14. Apparatus according to claim 1, wherein the second processing system is formed from first and second processing system portions, the first and second processing system portions being electrically isolated to thereby electrically isolate the subject from the first processing system.

15. Apparatus according to claim 1, wherein the apparatus includes:

a) a measuring device including at least the first processing system; and

,

b) one or more subject units, each subject unit including at least part of the second processing system.

16. Apparatus according to claim 1, wherein the apparatus includes at least two current electrodes for applying current signals to the subject, and a switch connected to the current electrodes for discharging the subject prior to measuring the induced voltage.

17. Apparatus according to claim 1, wherein the apparatus includes a housing having:

a) a display;

b) a first circuit board for mounting at least one of the processing systems;

c) a second circuit board for mounting at least one of an ADC and a DAC; and

,

d) a third circuit board for mounting a power supply.

18. Apparatus according to claim 17, wherein the housing is formed from at least one of a mu-metal and aluminium with added magnesium, to thereby provide electrical/magnetic shielding.

19. Apparatus according to claim 1, wherein the apparatus includes multiple channels, each channel being for performing impedance measurements using a respective set of electrodes.

20. Apparatus according to claim 1, wherein the apparatus is for:

a) determining an electrode identifier associated with at least one electrode provided on the subject;

b) determining, using the electrode identifier, an electrode position indicative of the position of the at least one electrode on the subject; and

,

c) performing at least one impedance measurement using the electrode position.

21. Apparatus according to claim 1, wherein the apparatus is for:

a) determining a parameter associated with at least one electrode lead; and

,

b) causing at least one impedance measurement to be performed using the determined parameter.

22. Apparatus according to claim 1, wherein the apparatus is for:

a) receiving configuration data, the configuration data being indicative of at least one feature;

b) determining, using the configuration data, instructions representing the at least one feature; and

,

c) causing, using the instructions, at least one of;

i) at least one impedance measurement to be performed; and

,

ii) at least one impedance measurement to be analysed.

23. Apparatus according to claim 1, wherein the apparatus is for:

a) causing a first signal to be applied to the subject;

b) determining at least one parameter relating to at least one second signal measured across the subject;

c) comparing the at least one parameter to at least one threshold; and

,

d) depending on the results of the comparison, selectively repeating steps (a) to (d) using a first signal having an increased magnitude.

24. A method of performing impedance measurements on a subject, the method including:

a) using a first processing system for;

i) determining an impedance measurement procedure; and

,

ii) selecting instructions corresponding to the measurement procedure; and

,

b) using a second processing system for;

i) generating, using the instructions, control signals, the control signals being used to apply one or more signals to the subject;

ii) receiving an indication of the one or more signals applied to the subject;

iii) receiving an indication of one or more signals measured across the subject;

iv) performing, using the instructions, at least preliminary processing of the first and second data to thereby allow impedance values to be determined.

25. A method of diagnosing conditions in a subject, the method including, in a processing system:

a) using a first processing system for;

i) determining an impedance measurement procedure; and

,

ii) selecting instructions corresponding to the measurement procedure; and

,

b) using a second processing system for;

i) generating, using the instructions, control signals, the control signals being used to apply one or more signals to the subject;

ii) receiving an indication of the one or more signals applied to the subject;

iii) receiving an indication of one or more signals measured across the subject;

iv) performing, using the instructions, at least preliminary processing of the first and second data to thereby allow impedance values to be determined.

26. A method for performing impedance measurements on a subject, the method including:

a) in a first processing system;

i) determining an impedance measurement procedure; and

,

ii) selecting instructions corresponding to the measurement procedure; and

,

b) in a second processing system;

i) generating, using the instructions, control signals, the control signals being used to apply one or more signals to the subject;

ii) receiving an indication of the one or more signals applied to the subject;

iii) receiving an indication of one or more signals measured across the subject;

iv) performing, using the instructions, at least preliminary processing of the indications to thereby allow impedance values to be determined.

27. Apparatus for use in diagnosing conditions in a subject, the apparatus including:

a) a first processing system for;

i) determining an impedance measurement procedure; and

,

ii) selecting instructions corresponding to the measurement procedure; and

,

b) a second processing system for;

i) generating, using the instructions, control signals, the control signals being used to apply one or more signals to the subject;

ii) receiving an indication of the one or more signals applied to the subject;

iii) receiving an indication of one or more signals measured across the subject;

iv) performing, using the instructions, at least preliminary processing of the indications to thereby allow impedance values to be determined.

28. A method for use in diagnosing conditions in a subject, the method including:

a) using a first processing system for;

i) determining an impedance measurement procedure; and

,

ii) selecting instructions corresponding to the measurement procedure; and

,

b) using a second processing system for;

i) generating, using the instructions, control signals, the control signals being used to apply one or more signals to the subject;

ii) receiving an indication of the one or more signals applied to the subject;

iii) receiving an indication of one or more signals measured across the subject;

iv) performing, using the instructions, at least preliminary processing of the first and second data to thereby allow impedance values to be determined.

29. A method for use in diagnosing conditions in a subject, the method including:

a) in a first processing system;

i) determining an impedance measurement procedure; and

,

ii) selecting instructions corresponding to the measurement procedure; and

,

b) in a second processing system;

i) generating, using the instructions, control signals, the control signals being used to apply one or more signals to the subject;

ii) receiving an indication of the one or more signals applied to the subject;

iii) receiving an indication of one or more signals measured across the subject;

iv) performing, using the instructions, at least preliminary processing of the indications to thereby allow impedance values to be determined.