Impedance measurement system

• US 9,113,805 B2
• Filed: 03/04/2013
• Issued: 08/25/2015
• Est. Priority Date: 03/04/2013
• Status: Active Grant

• Current Assignee: Welch Allyn Incorporated
• Original Assignee: Mortara Instrument, Inc. (Baxter International Inc.)
• Inventors: Mortara, David W.
• Primary Examiner(s): Koval, Melissa
• Assistant Examiner(s): Farrow, Felicia
• Application Number:
  US13/784,399
• Publication Number:
  US 20140247058A1
• Time in Patent Office: 904 Days
• Field of Search: 324600-725, 600/372, 600/483, 600500-525, 600544-548, 700/65
• US Class Current: 1/1
• CPC Class Codes: A61B 5/0531 Measuring skin impedance
• CPC Class Codes: A61B 5/276 Protection against electrode failure
• CPC Class Codes: A61B 5/28 for electrocardiography [ECG]
• CPC Class Codes: A61B 5/282 Holders for multiple electrodes for introduction into the body A61B5/287
• CPC Class Codes: A61B 5/6843 Monitoring or controlling sensor contact pressure

Abstract

Systems and methods for monitoring the condition of electrodes used in biological signal measurement are provided. One method includes applying a first test signal having a first frequency to at least one of a plurality of electrodes and applying a second test signal having a second frequency to at least one of the plurality of electrodes. Both frequencies are below a frequency range associated with the biological signal. The method further includes capturing the biological signal while applying the plurality of test signals and generating an output signal that includes both the measured biological signal and the plurality of test signals. The method further includes retrieving an output amplitude for each of the plurality of test signals from the output signal and calculating an estimated impedance for each of the plurality of electrodes based on the retrieved output amplitudes of the plurality of test signals.

Claims

1. A method of monitoring a condition of a plurality of electrodes used in the measurement of a biological signal, the method comprising:

applying a plurality of test signals to the plurality of electrodes, wherein applying the plurality of test signals to the plurality of electrodes comprises applying a first test signal having a first frequency to at least one of the plurality of electrodes and concurrently applying a second test signal having a second frequency different from the first frequency to at least one of the plurality of electrodes at a same time during which the first test signal is applied, wherein both the first frequency and the second frequency are below a frequency range associated with the biological signal;

capturing the biological signal while applying the plurality of test signals and generating an output signal that includes both the measured biological signal and the plurality of test signals;

retrieving an output amplitude for each of the plurality of test signals from the output signal, retrieving the output amplitude for each of the plurality of test signals comprising;

determining the output amplitude for the first test signal by measuring a first amplitude of a first signal component of the output signal corresponding to the first frequency; and

determining the output amplitude for the second test signal by measuring a second amplitude of a second signal component of the output signal corresponding to the second frequency;

calculating an estimated impedance for each of the plurality of electrodes based on the retrieved output amplitudes of the plurality of test signals;

generating a quantitative indication of the condition of the plurality of electrodes based on the calculated estimated impedances for the plurality of electrodes; and

providing the quantitative indication of the condition of the plurality of electrodes to a user.

2. The method of claim 1, wherein the biological signal comprises an electrocardiogram (ECG) signal.

3. The method of claim 1, wherein the first frequency and the second frequency are both less than 0.5 Hz.

4. The method of claim 1, wherein the plurality of test signals are applied over a measurement timeframe of at least twenty seconds.

5. The method of claim 1, wherein calculating an estimated impedance for each of the plurality of electrodes comprises, for each electrode, calculating a plurality of estimated impedance values over a measurement timeframe, and wherein the method further comprises, for each electrode, calculating a final estimated impedance based on a combination of the plurality of estimated impedance values to reduce an impact of noise on the final estimated impedance.

6. The method of claim 1, wherein retrieving the output amplitude for each of the plurality of test signals from the output signal comprises calculating Fourier signal components of the output signal corresponding to the first frequency of the first test signal and the second frequency of the second test signal.

7. The method of claim 1, further comprising, for each of the plurality of electrodes:

comparing the estimated impedance for the electrode with a threshold impedance; and

generating an alert separate from the quantitative indication to the user indicating a problem with the electrode when the estimated impedance for the electrode exceeds the threshold impedance.

8. The method of claim 1, wherein a measurement circuit through which the plurality of test signals are applied and the biological signal is captured does not include a switching device.

9. The method of claim 1, wherein generating the output signal that includes both the measured biological signal and the plurality of test signals comprises generating the output signal using a DC amplifier.

10. The method of claim 1, wherein the plurality of electrodes comprise two electrodes, and wherein applying the plurality of test signals comprises applying the first test signal to a first electrode and applying the second test signal to a second electrode.

11. The method of claim 1, wherein the plurality of electrodes comprises at least three electrodes, wherein the at least three electrodes comprise a reference electrode and at least two remaining electrodes, and wherein applying the plurality of test signals comprises applying the first test signal to the reference electrode and applying the second test signal to each of the at least two remaining electrodes.

12. A system for monitoring a condition of a plurality of electrodes used in the measurement of a biological signal, the system comprising:

a circuit configured to;

apply a plurality of test signals to the plurality of electrodes, wherein the circuit is configured to apply a first test signal having a first frequency to at least one of the plurality of electrodes and concurrently apply a second test signal having a second frequency different from the first frequency to at least one of the plurality of electrodes at a same time during which the first test signal is applied, wherein both the first frequency and the second frequency are below a frequency range associated with the biological signal,

capture the biological signal while applying the plurality of test signals and generate an output signal that includes both the measured biological signal and the plurality of test signals,

retrieve an output amplitude for each of the plurality of test signals from the output signal, retrieving the output amplitude for each of the plurality of test signals including;

determining the output amplitude for the first test signal by measuring a first amplitude of a first signal component of the output signal corresponding to the first frequency, and

determining the output amplitude for the second test signal by measuring a second amplitude of a second signal component of the output signal corresponding to the second frequency,

calculate, for each electrode, a plurality of estimated impedance values over a measurement timeframe based on the retrieved output amplitudes of the plurality of test signals, and

calculate, for each electrode, an estimated impedance based on a combination of the plurality of estimated impedance values for the electrode.

13. The system of claim 12, wherein the circuit comprises a microprocessor configured to retrieve the output amplitude for each of the plurality of test signals and calculate the estimated impedance for each of the plurality of electrodes.

14. The system of claim 12, wherein the biological signal comprises an electrocardiogram (ECG) signal.

15. The system of claim 12, wherein the first frequency and the second frequency are both less than 0.5 Hz.

16. The system of claim 12, wherein the circuit is configured to calculate Fourier signal components of the output signal corresponding to the first frequency of the first test signal and the second frequency of the second test signal to retrieve the output amplitudes of the first test signal and the second test signal from the output signal.

17. The system of claim 12, wherein the circuit is configured to:

generate a quantitative indication of the condition of the plurality of electrodes based on the calculated estimated impedances for the plurality of electrodes, the quantitative indication for each electrode comprising a value indicative of a relative quality of an electrode connection based on comparison of the calculated estimated impedance to at least one of;

an initial impedance value measured at application of the electrode;

or

a reference impedance value associated with a predetermined quality of the electrode connection; and

provide the quantitative indication of the condition of the plurality of electrodes to a user.

18. The system of claim 17, wherein the circuit is configured to, for each of the plurality of electrodes:

compare the estimated impedance for the electrode with a threshold impedance; and

generate an alert separate from the quantitative indication to the user indicating a problem with the electrode when the estimated impedance for the electrode exceeds the threshold impedance.

19. The system of claim 12, wherein the circuit does not include a switching device.

20. The system of claim 12, wherein the circuit comprises a DC amplifier used in generating the output signal.

21. A system for measuring an electrocardiogram (ECG) signal, the system comprising:

a plurality of electrodes;

a circuit comprising a microprocessor and a DC amplifier, wherein the circuit is configured to;

apply a plurality of test signals to the plurality of electrodes, wherein the circuit is configured to apply a first test signal having a first frequency to at least one of the plurality of electrodes and concurrently apply a second test signal having a second frequency to at least one of the plurality of electrodes at a same time during which the first test signal is applied, wherein both the first frequency and the second frequency are less than 0.5 Hz and are below a frequency range associated with the ECG signal,

capture the ECG signal while applying the plurality of test signals and generate, using the DC amplifier, an output signal that includes both the measured ECG signal and the plurality of test signals,

retrieve an output amplitude for each of the plurality of test signals from the output signal, retrieving the output amplitude for each of the plurality of test signals including;

determining the output amplitude for the first test signal by measuring a first amplitude of a first signal component of the output signal corresponding to the first frequency, and

determining the output amplitude for the second test signal by measuring a second amplitude of a second signal component of the output signal corresponding to the second frequency,

calculate an estimated impedance for each of the plurality of electrodes based on the retrieved output amplitudes of the plurality of test signals,

generate a quantitative indication of the condition of the plurality of electrodes based on the calculated estimated impedances for the plurality of electrodes, the quantitative indication for each electrode comprising a value indicative of a relative quality of an electrode connection based on comparison of the calculated estimated impedance to at least one of;

an initial impedance value measured at application of the electrode, or

a reference impedance value associated with a predetermined quality of the electrode connection,

compare the estimated impedance for the electrode with a threshold impedance,

generate an alert separate from the quantitative indication to the user indicating a problem with the electrode when the estimated impedance for the electrode exceeds the threshold impedance, and

provide the quantitative indication of the condition of the plurality of electrodes and the alert to the user.

22. The system of claim 21, wherein the circuit is configured to calculate Fourier signal components of the output signal corresponding to the first frequency of the first test signal and the second frequency of the second test signal to retrieve the output amplitudes of the first test signal and the second test signal from the output signal.

23. The system of claim 21, wherein the value comprises at least one of a numerical value or a percentage calculated based on the comparison of the calculated estimated impedance to the at least one of the initial impedance value or the reference impedance value.