Impedance determination

• US 8,836,345 B2
• Filed: 10/15/2008
• Issued: 09/16/2014
• Est. Priority Date: 11/05/2007
• Status: Active Grant

• Current Assignee: ImpediMed Limited
• Original Assignee: ImpediMed Limited
• Inventors: Chetham, Scott, Daly, Christopher Newton, Bruinsma, Ian John
• Primary Examiner(s): Phan, Huy Q
• Assistant Examiner(s): Astacio-Oquendo, Giovanni
• Application Number:
  US12/741,368
• Publication Number:
  US 20110025348A1
• Time in Patent Office: 2,162 Days
• Field of Search: 324/649, 324/57, 324/408, 324/679, 600/372, 600/509, 600/547
• US Class Current: 324/649
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/6885 Monitoring or controlling sensor contact pressure
• CPC Class Codes: A61B 5/7203 for noise prevention, reduction or removal
• CPC Class Codes: G01R 1/06 Measuring leads; Measuring probes G01R19/145, G01R19/165 take precedence
• CPC Class Codes: G01R 1/18 Screening arrangements against electric or magnetic fields, e.g. against earth's field
• CPC Class Codes: G01R 1/30 Structural combination of electric measuring instruments with basic electronic circuits, e.g. with amplifier
• CPC Class Codes: G01R 27/02 Measuring real or complex resistance, reactance, impedance, or other two-pole characteristics derived therefrom, e.g. time constant by measuring phase angle only G01R25/00

Abstract

Apparatus for use in performing impedance measurements on a subject. The apparatus includes a processing system for causing a first signal to be applied to the subject, determining an indication of a second signal measured across the subject, using the indication of the second signal to determine any imbalance and if an imbalance exists, determining a modified first signal in accordance with the imbalance and causing the modified first signal to be applied to the subject to thereby allow at least one impedance measurement to be performed.

Claims

1. An apparatus for use in performing impedance measurements on a subject, wherein the apparatus includes a processing system for:

a) causing a first signal to be applied to the subject, the first signal being voltage drive signals to be applied to the subject via first electrodes

b) determining sensed current signals caused by the voltage drive signals;

c) determining an indication of a second signal measured across the subject, the indication of the second signal being a body centre voltage derived from sensed voltages measured via respective second electrodes;

d) using the indication of the second signal to determine if an unacceptable imbalance exists; and

,

e) if an unacceptable imbalance exists;

i) determining a modified first signal in accordance with the imbalance by;

determining upper and lower impedances for the subject using the sensed current signals, the voltage drive signals, and the body centre voltage; and

determining modified voltage drive signals using the upper and lower impedances and an ideal current signal indication; and

,

ii) causing the modified first signal to be applied to the subject to thereby allow at least one impedance measurement to be performed.

2. The apparatus according to claim 1, wherein the processing system is for:

a) comparing the second signal to a threshold; and

,

b) determining if an unacceptable imbalance exists depending on the results of the comparison.

3. The apparatus according to claim 1, wherein the second signal includes voltages sensed at respective second electrodes, and wherein the processing system is for:

a) determining the voltage sensed at each of the second electrodes;

b) determining an additive voltage; and

,

c) determining the imbalance using the additive voltage.

4. The apparatus according to claim 3, wherein the additive voltage is a common mode signal.

5. The apparatus according to claim 1, wherein the processing system is for determining the modified first signal so as to reduce the imbalance.

6. The apparatus according to claim 5, wherein first signals are applied to the subject via at least two first electrodes, and wherein the processing system is for modifying the first signal by modifying at least one of a phase and a magnitude of at least one first signal applied to at least one of the first electrodes.

7. The apparatus according to claim 1, wherein:

a) the first signal is applied via first electrodes coupled to first and second limbs of the subject; and

,

b) the second signal is sensed via second electrodes coupled to third and fourth limbs of the subject, the third and fourth limbs being different to the first and second limbs.

8. The apparatus according to claim 1, wherein the processing system is for:

a) causing the first signal to be applied via first electrodes;

b) determining indications of second signals sensed at each of a number of second electrodes;

c) selecting second signals sensed at selected ones of the second electrodes; and

,

d) determining any imbalance using the selected second signals.

9. The apparatus according to claim 1, wherein the first signal includes voltages applied to the subject using first electrodes and the second signal includes voltages sensed at respective second electrodes.

10. The apparatus according to claim 1, wherein the processing system is for performing an impedance measurement by:

a) determining a sensed current caused by applying the first signal to the subject;

b) determining a sensed voltage across the subject; and

,

c) determining an impedance parameter using the sensed current and voltage.

11. The apparatus according to claim 1, wherein the processing system is for:

a) determining a sensed current caused by applying the first signal to the subject;

b) comparing the sensed current to a threshold; and

,

c) selectively halting the impedance measurement process depending on the results of the comparison.

12. The apparatus according to claim 1, wherein the processing system is for:

a) determining a sensed current caused by applying the first signal to the subject; and

,

b) using the sensed current in determining the modified first signal.

13. The apparatus according to claim 1, wherein the processing system is for:

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

b) determining an indication of a second signal measured across the subject;

c) using the indication of the second signal to determine any imbalance;

d) if no unacceptable imbalance exists, using at least the indication of the second signal to determine at least one impedance value;

e) if an unacceptable imbalance exists;

i) determining a modified first signal in accordance with the imbalance;

ii) causing the modified first signal to be applied to the subject;

iii) determining an indication of a modified second signal measured across the subject; and

iv) repeating steps c) to e) for the indication of the modified second signal;

f) repeating steps a) to e) for at least one second frequency.

14. The apparatus according to claim 1, wherein the voltage drive signals include first and second voltage drive signals applied to the subject via respective first electrodes, the first voltage drive signal having a first magnitude and first phase, and the second voltage drive signal having a second magnitude and second phase and wherein the processing system is for determining the modified voltage drive signals by modifying at least one of:

a) the first phase;

b) the first magnitude;

c) the second phase; and

,

d) the second magnitude.

15. The apparatus according to claim 1, wherein the processing system is for:

a) causing the modified voltage drive signals to be applied to the subject;

b) determining sensed voltages measured via respective second electrodes;

c) determining if an unacceptable imbalance exists using the sensed voltages; and

,

d) if an unacceptable imbalance exists;

i) determining further modified voltage drive signals; and

,

ii) repeating steps (a) to (d) until any imbalance is acceptable.

16. The apparatus according to claim 1, wherein the processing system is for performing impedance measurements at multiple frequencies, in turn.

17. The apparatus according to claim 16, wherein the processing system is for:

a) for a first frequency;

i) determining a modified first signal that results in an acceptable imbalance; and

,

ii) causing an impedance measurement to be performed using the modified first signal; and

,

b) for a second frequency;

i) causing a first signal to be applied to the subject, the first signal being based on the modified first signal determined for the first frequency; and

,

ii) determining if an unacceptable imbalance exists.

18. The apparatus according to claim 17, wherein the processing system is for:

a) for a first frequency;

i) causing first and second voltage drive signals to be applied to the subject via respective first electrodes;

ii) determining modified first and second voltage drive signals that result in an acceptable imbalance, the first voltage drive signal having a first magnitude and first phase, and the second voltage drive signal having a second magnitude and second phase; and

,

b) for a second frequency;

i) causing first and second voltage drive signals to be applied to the subject, the first voltage drive signal having the first magnitude and the first phase, and the second voltage drive signal having the second magnitude and the second phase; and

,

ii) determining if an unacceptable imbalance exists.

19. The apparatus according to claim 1, wherein the processing system is for:

a) generating control signals;

b) transferring the control signals to at least one signal generator thereby causing the first signal to be applied to the subject;

c) receiving an indication of the one or more signals applied to the subject from the at least one signal generator;

d) receiving an indication of one or more second signals measured across the subject from at least one sensor; and

,

e) performing at least preliminary processing of the indications to thereby allow impedance values to be determined.

20. The apparatus according to claim 1, wherein the apparatus includes a differential amplifier for amplifying second signals measured at each of two second electrodes.

21. The apparatus according to claim 20, wherein the differential amplifier generates at least one of:

a) a differential voltage indicative of the voltage measured at the second electrodes; and

,

b) a common mode signal indicative of any imbalance.

22. The apparatus according to claim 1, wherein the apparatus includes at least one signal generator for applying the first signal to the subject via a first electrode.

23. The apparatus according to claim 22, wherein each signal generator is for:

a) receiving one or more control signals from the processing system; and

,

b) amplifying the control signals to thereby generate the first signal.

24. The apparatus according to claim 22, wherein each signal generator is for:

a) determining a sensed current caused by applying the first signal to the subject; and

,

b) providing an indication of the sensed current to the processing system.

25. The apparatus according to claim 22, wherein the apparatus includes at least two signal generators, each signal generator being for connection to a respective first electrode.

26. The apparatus according to claim 22, wherein the apparatus includes at least one sensor for measuring the second signal via second electrodes.

27. The apparatus according to claim 26, wherein the apparatus includes at least two sensors, each sensor being for connection to a respective second electrode.

28. The apparatus according to claim 1, wherein the apparatus includes a number of electrode systems, and wherein each electrode system includes:

a) a sensor; and

,

b) a signal generator.

29. The apparatus according to claim 28, wherein electrode system includes:

a) a first substrate having the signal generator and sensor mounted thereon; and

,

b) a second substrate having at least two conductive pads mounted thereon, the conductive pads forming a first and a second electrode for coupling the signal generator and the sensor to a subject in use.

30. The apparatus according to claim 28, wherein the electrode system includes a capacitive cancelling circuit for cancelling capacitive coupling between the first and second electrodes.

31. The apparatus according to claim 30, wherein the capacitive cancelling circuit includes an inverting amplifier for coupling a signal generator output to a sensor input.

32. The apparatus according to claim 31, wherein the inverting amplifier applies a capacitive cancelling signal to the sensor input to thereby cancel any effective capacitance between the first electrode and the second electrode.

33. The apparatus according to claim 31, wherein an inverting amplifier output is coupled to the sensor input via at least one of:

a) a resistor;

b) a capacitor; and

,

c) an inductor.

34. The apparatus according to claim 33, wherein at least one of a resistor and capacitor are adjustable, thereby allowing a capacitive cancelling signal applied to the sensor input to be controlled.

35. The apparatus according to claim 28, wherein the electrode system includes an input capacitance cancelling circuit for cancelling an effective input capacitance at a sensor input.

36. The apparatus according to claim 28, wherein the electrode system includes a feedback loop for connecting a sensor output to the sensor input.

37. The apparatus according to claim 36, wherein the feedback loop includes at least one of:

a) a resistor;

b) a capacitor; and

,

c) an inductor.

38. The apparatus according to claim 37, wherein at least one of a resistor and capacitor are adjustable, thereby allowing a current flow from the sensor output to the sensor input to be controlled.

39. The apparatus according to claim 37, wherein the feedback loop applies an input capacitance cancelling signal to the sensor input to thereby cancel any effective capacitance at the sensor input.

40. The apparatus according to claim 1, wherein the apparatus includes:

a) a number of electrode systems, and wherein each electrode system includes a signal generator and sensor; and

,

b) at number of leads for connecting the measuring device to the electrode systems, each lead including;

i) at least two connections for connecting the measuring device and the signal generator, and the measuring device and the sensor; and

,

ii) a shield for each of the at least two connections, the shields being electrically connected, and electrically connected to a reference voltage in each of the measuring device and the electrode system.

41. The apparatus according to claim 40, wherein the apparatus includes:

a) at least two electrode systems, each electrode system including;

i) a signal generator for applying a first signal to the subject;

ii) a sensor for sensing a second signal across the subject;

iii) a first electrode for coupling the signal generator to the subject; and

,

iv) a second electrode for coupling the sensor to the subject; and

,

b) a measuring device for controlling the electrode systems to allow impedance measurements to be performed; and

,

c) at least two leads for connecting the measuring device to the electrode systems.

42. The apparatus according to claim 41, wherein the leads are arranged in use to at least one of:

i) extend from the measuring device in different directions to thereby reduce inductive coupling therebetween; and

,

ii) minimise the lead length.

43. The apparatus according to claim 1, wherein the apparatus includes an interface for coupling the processing system to a computer system, the processing system being for:

a) generating control signals in accordance with commands received from the computer system; and

,

b) providing data indicative of measured impedance values to the computer system to allow impedance values to be determined.

44. The apparatus according to claim 1, wherein the first signal is includes two first signals applied to the subject via at least two first electrodes, and the second signal includes two second signals sensed at two second electrodes.

45. A method for use in performing impedance measurements on a subject, wherein the method includes, in a processing system:

a) causing a first signal to be applied to the subject, the first signal being voltage drive signals to be applied to the subject via first electrodes

b) determining sensed current signals caused by the voltage drive signals;

c) determining an indication of a second signal measured across the subject, the indication of the second signal being a body centre voltage derived from sensed voltages measured via respective second electrodes;

d) using the indication of the second signal to determine any imbalance; and

,

e) if an unacceptable imbalance exists;

i) determining a modified first signal in accordance with the imbalance by;

determining upper and lower impedances for the subject using the sensed current signals, the voltage drive signals, and the body centre voltage; and

determining modified voltage drive signals using the upper and lower impedances and an ideal current signal indication; and

,

ii) causing the modified first signal to be applied to the subject to thereby allow at least one impedance measurement to be performed.