Acquiring electrophysiological signals is of great importance in current medical technologies. Electrical activity of heart (electrocardiogram ECG), brain (electroencephalogram EEG), nerves (electromyogram EMG) or pregnant women (fetus electrocardiogram or fECG) or other electrical measurement (electrooculography (EOG) for eyes, ERG EEG for intestine activities, and the like) are commonly recorded for diagnostic or monitoring purpose. In addition, stimulation by electric signals or imaging based on impedance measurements of a part of the body of a subject (EIT: electrical impedance tomography) are spreading quickly in medical practice. Achieving correct measurements of electrophysiological signals requires to locate precisely measuring electrodes. Correct placement of electrodes for stimulation or imaging is necessary for accurate readings.
Similarly, when a given pathology required co deployment of electrodes (or other sensors) with specific placement and other type of skin contact sensors like light emitting diodes and photoreceptors or sensors created using Silicon integrated cells (MEMS) it is required for correct measurement to reach correct positions precisions in many medical cases.
The detailed description is set forth with reference to the accompanying figures. In the figures, the left-most digit(s) of a reference number identifies the figure in which the reference number first appears. The use of the same reference numbers in different figures indicates similar or identical items or features.
Examples of the present disclosure can comprise systems and methods for providing and using an expandable sensor set. When using a conventional sensor set to measure three-dimensional body parts, it is often difficult to properly align the sensors at the correct position on the body (part) of a patient to try to get as accurate of a reading as possible. This often limits the use of conventional sensor sets to hospitals or other facilities in which a technician is available for the installation. Because of the need for specialists to install conventional sensor sets, the costs to use conventional sensor sets can be prohibitively expensive as well as inconvenient, this in turns create limited capacities to leverage the data that can be acquired in many medical cases. It should be noted that, while some of the figures are described in terms of installation onto a subject by a second person, the presently disclosed subject matter is not limited in that manner, as various examples of the presently disclosed subject matter may be installed by the subject themselves.
Referring back to
The electrode set 100 further includes measurement leads 106A and 106B and measurement connectors 108A and 108B. The measurement leads 106A and 106B receive electrical signals from the nodes 102 through the connectors 104. The measurement leads 106A and 106B have within them wires from each of the nodes 102 that run from the nodes 102 to the measurement leads 106A and 106B. The measurement leads 106A and 106B are connected to a device that measures the electrical signals from the nodes 102 (shown in more detail in
As noted above, in conventional electrode sets, a technician or other qualified individual is often required in order to ensure that the electrode set is properly positioned on a body part. The reason for this is that the nodes that measure bodily electrical activity need to be placed at certain points on the body to get as accurate of a reading as possible. The electrode set 100 of
A first mechanism that allows for the proper placement of the electrode set 100 on a body part are alignment markers 110A-110D (collectively referred to herein as the “alignment markers 110,” and individually the “alignment marker 110A,” the “alignment marker 110B,” and so forth). The alignment markers 110 are used by a person installing the electrode set 100 to properly align the electrode set 100. The alignment markers 110 are configured to be put in contact with a predefined anatomical landmark on a person to be studied. The landmarks can be based on various factors, including standards defined by a medical community to place the nodes 102 so as to record correctly electrophysiological signals. Such systems exist for ECG, EEG, EMG, and/or fECG or other electrical physiological signal as well as placement of other sensors sources for other measurement technologies. However, the presently disclosed subject matter does not require the use of specific landmarks, as other locations on a body may be used and are considered to be within the scope of the presently disclosed subject matter. For example, the ears, nose, belly button, or other landmark may be used for the proper placement of the electrode set 100. It should also be noted that the electrode set 100 is not limited to use on humans, as the electrode set 100 may be used on non-human subjects. In the example illustrated in
A person installing the electrode set 100 places and temporarily affixes (using tape or other adhesive appropriate for use on a body) the one or more alignment markers 110 on one or more locations (i.e. the landmarks). In the example illustrated in
The action of the pulling of the electrode set 100 in the direction of two or more force vectors (such as XE, XN, XW, and XS) causes the electrode set 100 to warp or deform. As used herein, “warp” refers to a material that has been deformed from a planar state (as illustrated in
Thus, construction of the electrode set 100 and its components, especially the connectors 104, are designed to provide a balance between rigidity and flexibility. In the example illustrated in
The sinusoidal shape also allows the spacing between the nodes 102 to be changed from a first distance to one or more second distances depending on how much the connectors 104 are pulled. The one or more second distances may be used to allow the electrode set 100 to be deployed in various uses. In an embodiment, the ratio of a first distance between two nodes linked by a connector, such as the nodes 102B and 102F connected by the connector 104H, in the deployed configuration and the distance between the same two nodes linked by the same connector element in the undeployed configuration is greater than 1.05, and in some examples, greater than the ratios of 1.05 and up to 2.0, though greater ratios may be achievable depending on the particular materials, dimensions, and the like.
Further, the sinusoidal shape along with the predetermined elastic force provided by the connectors 104 allow for the electrode set 100 to be used on various sizes and shapes of body parts. For example, the electrode set 100 may be used for skulls or abdomens, as well as differently shaped body parts, including those of various cultures and ethnicities. As the electrode set 100 is installed on a body part, the sinusoidal shape and the elastic force cause the electrode set 100 to deform in a predetermined manner. For example, as the electrode set 100 is deformed to fit over a body part, the elastic force and the sinusoidal shape cause the nodes 102 of the electrode set 100 to space apart at distances in the direction of the force vectors that allow for a proper placement of the nodes 102 on the locations of the body part to be measured. This means that when installed, the electrode set 100 will not have an area of nodes 102 that remain bunched together at or near pre-deformation distances and other nodes 102 that are spread too far apart at or near post-deformation distances. The consistent deformation across all force vectors allows the electrode set 100 to be used on various body sizes and shapes. During the process from the undeformed to the deformed state, the length of the connectors 104 remain the same, meaning the connectors 104 don't stretch, but rather, their shape changes from a sinusoidal to linear shape.
In some examples, the connectors 104 are constructed using a polyimide, polyethylene, polyether ether ketone (PEEK), or other fully or partially insulative polymer. In some examples, the connectors 104 (including any internal components such as copper tracks or wiring) preferably have a thickness within a range of 90 μm to 200 μm, a range of 100 μm to 170 μm, and in a more preferable configuration, a range of thickness from 118 μm to 122 μm. In some examples, the thickness of the connectors 104 is 120 μm with a tolerance of twenty percent (20%). It should be noted that the thickness of the connectors 104 may vary depending on the particular material used in order to provide a similar elastic force.
Referring back to
The pad stiffener 406 is used to stiffen or secure the electrical connection between the pad 402 and a wire 302A. A wire 302B is used by another node 102. The wire 302A is use by a measurement device to detect electrical activity the subject being studied (the passive configuration) or, in an alternative configuration, deliver electrical energy (the active configuration). For example, in a passive configuration, the node 402 may be used to detect electrical activity from a subject being studied. In the active configuration, the node 402 may receive enough electrical energy from the wire 302A to allow for the imaging of a portion of the body by stimulating the subject with electrical signals. For example, a body part may be imaged by deploying the node 102J, applying a current through the wire 302A into the pad 402, recording potentials, and reconstructing an image from the potentials of the node 102J and other nodes 102.
The pad 402 of the node 102J further includes a passing hole 408. The passing hole 408 is an opening through the pad 402 and is used to allow an injection through the passing hole 408 for introducing a layer of an electroconductive material between the active area of the pad 402 and a portion of skin of the subject being studied while the pad 402 is proximate to the skin of the subject being studied. A type of electroconductive material may be gel used with EEG or ECG cup electrodes, though other types of electroconductive materials may be used and are considered to be within the scope of the presently disclosed subject matter. The pad 402 of the node 102J further includes orifices 410. The orifices 410 may be used to provide a means for affixing the node 102J in a manner similar to the passing hole 408 or may be used to allow air to escape when the node 102J is affixed, among other uses. The passing hole 408 may also be used to determine if sufficient gel or cream is dispensed, as the cream or gel may leak through the passing hole 408 when a sufficient amount is used. It should be noted that the node 102J may include more or fewer orifices 410 and more passing holes 408 or no passing holes 408. In alternative designs, this passing hole is not present, and the gel is dispensed under the electrode by lifting it to inject the gel.
The electrode set system 500 further includes a monitoring service 502 communicatively connected to the monitoring/input device 200 through a network 504. The network 504 may be any type of network that communicatively connects the monitoring/input device 200 to the monitoring service 502, including, but not limited to, a Wi-Fi network, a local area network, or a cellular network. One of skill in the art will recognize that the systems and methods described herein can also be used with a variety of networks.
During use, the user of the electrode set 100 installs the electrode set on a body to be monitored and/or measured. The electrode set 100 is connected to the monitoring/input device 200. The monitoring/input device 200 is connected to the monitoring service 502. In some examples, the monitoring/input device 200 stores data locally while in use. In further examples, the monitoring/input device 200 transmits data to the monitoring service 502 while the electrode set 100 is in use or at anytime thereafter. In still further examples, the monitoring service 502 transmits instructions to the monitoring/input device 200 to configure the operation of the monitoring/input device 200. For example, while the monitoring/input device 200 is detecting bodily signals, the monitoring service 502 may detect an anomaly. The monitoring service 502 may send an instruction to the monitoring/input device 200 to modify its configuration from a measuring or detecting mode to an imaging mode to try to determine more information about the anomaly.
Referring to
The process 600 continues to operation 604, where alignment markers 110 are affixed to landmarks on the part 202 or another location on the subject being studied. There may be one or more alignment markers 110 depending on the particular configuration of the electrode set 100. As the alignment markers 110 are being placed on the particular landmarks, the connectors 104 are pulled to cause a warping of at least a portion of the electrode set 100. This warping allows the electrode set 100 to transform from an undeployed, planar (or flat) configuration, to a deployed, three-dimensional confirmation that conforms to the general shape of the part 202 being monitored/imaged.
The process 600 continues to operation 606, where the measurement connectors 108 are connected to the monitoring/input device 200. In some examples, the monitoring/input device 200 may be executing a monitoring application or an imaging application (described in more detail in
The process 600 continues to operation 608, where the monitoring or imaging of the part 202 is commenced. The process 600 thereafter ends at operation 610.
The process 700 commences at operation 702, where the electrode set 100 form is created. The form may be made using various processes using various materials. The form is the shape of the electrode set 100 structure. For example, in
The process 700 continues at operation 704, where wires 302 are plated onto the form (or the base material if performed before operation 702). The wires 302 connect individual nodes 102 to the monitoring/input device 200 through the measurement leads 106A and 106B. The wires 302 may be formed using various plating or deposition technologies. The wires 302 may be formed from various conductive or semiconductive materials such as, but not limited to, copper, aluminum, gold, silver, and alloys thereof. The thickness of the wires 302 may vary, but in some examples, are between 0.3 and 0.5 μm.
The process 700 continues to operation 706, where the nodes 104 are affixed to the form. The nodes may be preformed metal discs of various conductive or semiconductive materials such as, but not limited to, copper, aluminum, gold, silver, and alloys thereof.
The process 700 continues to operation 708, where the nodes 104 are affixed to the wires 302 thru the pad stiffener 406 for each of the nodes 102. The pad stiffeners 406 may be formed from various materials, including polyimide or other polymers that provide sufficient structure support for the connection between the wires 302 and the pads 402.
The process 700 ends at operation 710.
The monitoring/input device 200 can comprise several components to execute various above-mentioned functions. The monitoring/input device 200 can comprise memory 802 including an operating system (OS) 804 and one or more standard applications 806. The standard applications 806 can include applications to control the various components of the monitoring/input device 200. In this case, the standard applications 806 can also comprise a monitoring application 830 and an imaging application 832. The monitoring application 830 may be instantiated to control the operation of the monitoring/input device 200 for detecting signals generated from a body. The control may also include the determination of which nodes receive what signals and the storage of that data. The imaging application 832 may be instantiated to configure the monitoring/input device 200 to act as an imaging device, whereby one or more of the nodes are energized to input electrical energy. For example, if instantiated, the imaging application 832 may cause the monitoring/input device 200 to applying a current to one or more of the nodes, record potentials of nodes not receiving a current, and constructing an image from the potentials.
In this method, the monitoring/input device 200 or the monitoring service 502 (or another device) defines a subset of nodes 102 to which a current is applied. Then monitoring/input device 200 records potentials on the nodes 102 that do not receive the current. Optionally, several subsets of the nodes 102 having different patterns are defined successively and resulting potentials are recorded successively. In other words, sets of the nodes 102 are changed and the application of current is repeated with different nodes 102. The monitoring/input device 200 or the monitoring service 502 determines an image of the part 202 of the body of the subject, for instance with an image reconstruction algorithm. Such method is suitable for noninvasive imaging such as electrical impedance tomography (EIT), in absolute (a-EIT), time difference (td-EIT) or multifrequency (MF-EIT) mode. Various part of the body may be imaged with this method, in particular lung, muscles, breast, cervix, brain, bladder, or limb. This method may be used for imaging volume variation of body parts, in particular under blood flow or perfusion.
In another example, one or more of the pads 402 of the nodes 102 may be replaced by other types of electromagnetic energy emitters, such as an infrared, visible, or near infrared light emitting diode (LED). In some examples, as explained above, the nodes 102 may be emitters, sensors, or a coupling of an emitter/sensor. For example, a coupled emitter/sensor may be used to acquire a signal in the case of a non-self-emitted physiologic signal. The near infrared emitters can by used in processes such as near infrared spectroscopy or optical coherence tomography. The standard applications 806 can also include one or more functions or operations as those described in
The monitoring/input device 200 can also comprise one or more processors 812 and one or more of removable storage 814, non-removable storage 816, transceiver(s) 818, output device(s) 820, and input device(s) 822. In various implementations, the memory 802 can be volatile (such as random access memory (RAM)), non-volatile (such as read only memory (ROM), flash memory, etc.), or some combination of the two. The memory 802 may be used to store various data received from the electrode set 100 and/or data received from the monitoring service 502 through the network 504.
The memory 802 can also include the OS 804. The OS 804 contains the modules and software that support basic functions, such as scheduling tasks, executing applications, and controlling peripherals. In some examples, the OS 804 can enable the monitoring application 830, the imaging application 832, and provide other functions, as described above, via the transceiver(s) 818. The OS 804 can also enable the monitoring/input device 200 to send and retrieve other data and perform other functions. It should be noted that one or more functions of the presently disclosed subject matter may be executed by other systems than the OS 804, such as firmware/FPGA/ASIC.
The monitoring/input device 200 can also comprise one or more processors 812. In some implementations, the processor(s) 812 can be a central processing unit (CPU), a graphics processing unit (GPU), both CPU and GPU, or any other processing unit such as an application-specific integrated circuit (ASIC) or Field Programmable Gate Arrays (FPGA), by way of example and not by way of limitation. The monitoring/input device 200 may also include additional data storage devices (removable and/or non-removable) such as, for example, magnetic disks, optical disks, or tape. Such additional storage is illustrated in
Non-transitory computer-readable media may include volatile and nonvolatile, removable and non-removable tangible, physical media implemented in technology for storage of information, such as computer readable instructions, data structures, program modules, or other data. The memory 802, removable storage 814, and non-removable storage 816 are all examples of non-transitory computer-readable media. Non-transitory computer-readable media include, but are not limited to, RAM, ROM, electronically erasable programmable ROM (EEPROM), flash memory or other memory technology, compact disc ROM (CD-ROM), digital versatile discs (DVD) or other optical storage, magnetic cassettes, magnetic tape, magnetic disk storage or other magnetic storage devices, or any other tangible, physical medium which can be used to store the desired information and which can be accessed by the monitoring/input device 200. Any such non-transitory computer-readable media may be part of the monitoring/input device 200 or may be a separate database, databank, remote server, or cloud-based server.
In some implementations, the transceiver(s) 818 include any transceivers known in the art. In some examples, the transceiver(s) 818 can include wireless modem(s) to facilitate wireless connectivity with other components (e.g., between the monitoring/input device 200 and the network 504), the Internet, and/or an intranet, as well as wireless network adapters or other capable equipment.
The transceiver(s) 818 may also include one or more radio transceivers that perform the function of transmitting and receiving radio frequency communications via an antenna (e.g., Wi-Fi or Bluetooth®). In other examples, the transceiver(s) 818 may include wired communication components, such as a wired modem or Ethernet port, for communicating via one or more wired networks. The transceiver(s) 818 can enable the monitoring/input device 200 to download files, access web applications, and provide other communications associated with the systems and methods, described above.
In some implementations, the output device(s) 820 include any output devices known in the art, such as a display (e.g., a liquid crystal or thin-film transistor (TFT) display), a touchscreen, speakers, a vibrating mechanism, or a tactile feedback mechanism. Thus, the output device(s) can include a screen, or display. The output device(s) 820 can also include speakers, or similar devices, to play sounds or ringtones when an audio call or video call is received. Output device(s) 820 can also include ports for one or more peripheral devices, such as headphones, peripheral speakers, or a peripheral display.
In various implementations, input device(s) 822 include any input devices known in the art. For example, the input device(s) 822 may include one or more components of the electrode set 100. In another example, the input device(s) 822 may include a camera, a microphone, or a keyboard/keypad. The input device(s) 822 can include a touch-sensitive display or a keyboard to enable users to enter data and make requests and receive responses via web applications (e.g., in a web browser), make audio and video calls, and use the standard applications 806, among other things. For example, the monitoring/input device 200 may be a cellular telephone having input ports capable of receiving data from the electrode set 100. The touch-sensitive display or keyboard/keypad may be a standard push button alphanumeric multi-key keyboard (such as a conventional QWERTY keyboard), virtual controls on a touchscreen, or one or more other types of keys or buttons, and may also include a joystick, wheel, and/or designated navigation buttons, or the like.
The presently disclosed examples are considered in all respects to be illustrative and not restrictive. The scope of the disclosure is indicated by the appended claims, rather than the foregoing description, and all changes that come within the meaning and range of equivalents thereof are intended to be embraced therein.