There is a need for Electrical Impedance Spectroscopy (EIS) in a variety of industries. For example, this technique is used to measure two-terminal impedance over a wide frequency range in material and biomedical sciences. With measurement frequencies less than about 100 KHz, the EIS technique often uses a Kelvin type connection to the target material. The Kelvin method normally drives a constant and known sinusoidal current of specified frequency into the target material using one pair of electrodes and then, with a second pair of interposed electrodes, measures the real and imaginary voltage components using multiplicative phase detectors, amplifiers and data acquisition methods. The ratio of these “real” and “imaginary” voltages to the known drive current is the impedance at the drive frequency. The physical equipment to implement EIS is normally quite large as compared to, say, a postage stamp. Further, this equipment requires multiple watts of power during operation. However, new applications for EIS require substantial miniaturization and extremely low power compatible with long term, unattended battery operation.
For example, the medical arena of wearable medical monitors is now becoming popular and, in particular, Electrical Impedance Tomography holds promise for identifying various medical disorders before they are otherwise apparent. (ref. 1, 2). This application requires that a plurality of EIS devices be placed on a patient's body and that ideally, the person must be ambulatory and able to function normally. Further, EIS is shown to be particularly helpful in the prediction of premature births (ref 3, 4, 5). These applications require a substantially smaller measurement device which operates with micro-watts of average power. No such device is known to be available.
What is sought is an EIS means and method which is capable of measuring biological impedances from 10 Hz to 100 KHz, is capable of being miniaturized to approximately one-half the size of a postage stamp with a thickness of tens of mils and able to function on similarly small batteries for days to months. Further, it's collected EIS data must be wirelessly accessed on a regular interval to fulfill its “wearable” mission. The subject invention employs very small micro-computer-based techniques with a minimal number of external components to accomplish the above goals and is hereafter called the Pulsed-Kelvin Impedance Measurement method (PKIM).
The system and the method of this invention is herein referred to as Pulsed Kelvin-connected Impedance Measurement (PKIM). PKIM can be employed wherever miniaturization and low power usage are required to determine potential of current flow through a biological load such as, for example, measuring impedance of biological tissue.
In accordance with the invention, a series of timed, voltage pulses at a first polarity of known frequency, amplitude and driver resistance followed by a series of timed, voltage pulses at an opposite polarity of known frequency, amplitude and driver resistance are applied to a material, typically a biological load, via at least two separate electrodes operatively connected to specifically timed sample and hold circuits. The voltage output from these sample and hold circuits is converted to numbers with one or more analog-to-digital convertors (ADC). By a combination of local data processing and post-processing of these numbers, the desired EIS data is extracted and reported.
As used hereinafter the term “biological load” refers to biological tissue for which determination of tissue impedance is desired.
As used herein the term “sample” means a rapid closure, then opening of a switch which is coupled to a time varying voltage source. The switch closure time is understood to be small compared to the time rate of change of the voltage source. This switch is coupled to an ADC or a capacitor for charge-up purposes.
“Sampling” may be considered to be the act of sensing a potential at a specific point in time on a time varying potential source, and this potential source may have a non-zero source impedance.
“Binary” as applied to current pulses means that the pulse may be positive or negative depending on the polarity of the circuit.
Referring to
In an embodiment of the invention, a low power direct current source 11 provides positive supply voltage (Vs) to a micro-controller 12. Micro-controller 12 drives a series of current-limited positive voltage pulses through resistors 17, 18 and 19 into a biological load via the positive injection electrode 14 followed by reversing the polarity of the supply voltage and driving a series of current-limited negative voltage pulses into the biological load via the negative injection electrode 16.
The current is limited by the resistors 17 (1.0K), 18 (3.16K) and 19 (10K) which may be enabled by the micro-controller 12 in any combination. These resistors set a desired range of current injected into the tissues via electrodes 14 and 16. It is understood by one skilled in the art that additional resistors and micro-controller port drivers could be employed if so desired. The actual current driven into the tissues may be computed by measurement of the potential at electrode 14 (Ve1) and a knowledge of the pulse drive voltage, (VgP) for positive pulses and at electrode 16 and a knowledge of pulse drive voltage (VgN) for negative pulses. VgP and VgN are typically the micro-computer's supply voltage for positive pulse production or supply voltage through the local common 28 for negative pulse production.
The Kelvin-configured electrodes 21 and 22, are coupled to fast analog switches 24 which in turn connect to relatively large storage sample and hold capacitors 25, (C1), to accumulate charge from specifically timed samples of the tissue potentials. The sample and hold capacitors 25 permit conventional, slower sampling analog to digital converters 26 (ADC's) to be used without incorporating active operational amplifier buffers at the electrode nodes 14, 16, 20 and 22. This reduces parts count and power draw, both critical to the intended applications.
As illustrated, the polarity of the circuit is positive, and the resulting pulses are positive. Reversing current flow by drawing the supply voltage through the local common 28 reverses polarity of the circuit and the resulting pulses are negative. Circuit polarity is controlled by the micro-controller 12.
By application of PKIM, applicant can:
The system of the present invention includes circuitry that is miniaturized and operates on a low voltage DC supply such as a 3 volt battery. Present day micro-controllers such as the Texas Instruments MSP430 series have become quite competent with peripheral resources and the invention's methods attempt to take advantage of those capabilities to reduce parts count and size of the PKIM process.
Conventionally, an EIS measurement system employs sinusoidal voltage drive signals of alternating current to the measured tissues. The potential through the biological load is used to determine the impedance of the biological load. However, the use of alternating current requires circuitry employing large capacitors and more components which render miniaturization of the circuit.
In accordance with the invention the two embodiments are described to approximate alternating current for EIS determinations using a binary pulse driver. The first embodiment modifies the pulse timing to better approximate the harmonic content of a sine wave.
For example, in an embodiment instead of complex sinewave shaping of the voltage drive to the Kelvin electrodes, micro-controller 12 port-driven, square wave positive pulses (VgP) 30 and square wave negative pulses (VgN) 31 are used as shown in
By proper pulse timing, the odd harmonic components of these pulses are substantially reduced, permitting a much closer approximation to a sinusoidal drive waveform. As illustrated in
A second embodiment used to approximate a sinusoidal driven EIS system is to select drive frequencies in which the pulse harmonics encounter essentially the same impedance as the fundamental frequency.
Some versions of the micro-controller 12 include up to four Delta-Sigma, 24 bit Analog-to-Digital convertors (ADC) permitting extra-ordinarily small signals to be digitized with adequate resolution for these EIS applications. However, the Delta-Sigma ADC's acquisition time is too long to acquire phase-sensitive analog data for frequencies much higher than 5 KHz. Further, while available micro-controller ADCs incorporate their own sample and hold circuits, these circuits require a low-impedance drive source and are not suitable therefore to be directly connected to biological tissues. PKIM employs a novel repetitive sampling method to affect the desired measurement while using this type of ADC.
Referring to
Further. in conventional EIS instrumentation, relatively large AC coupling capacitors are typically used with biological tissue measurements because the electrode to tissue conductors form a half-cell potential which can severely bias the computed impedance results. This equivalent DC voltage is shown in
However, the PKIM method employs a novel method to eliminate this requirement which further reduces size, parts count and, due to a lower data acquisition time, it also reduces average power draw. Electrodes connected to tissues typically develop half-cell potentials as shown in
It is important to note that, in practice with biological loads, the electrode DC offsets (Vb #) will change when driven with an AC signal versus direct measurement. Thus, simply measuring Vb # by making VgP and VgN zero and then subtracting that value from AC measured sample values will not usually give a correct result. For instance, in one case, a zero excitation DC potential between two electrodes connected to a biological load measured 55 millivolts but when excited by AC currents, it increased to 83 millivolts. With a 3V supply voltage-based measurement, this difference would cause substantial measurement error if a direct DCV offset correction method had been used.
In a conventional EIS system using Kelvin configured electrodes, a constant-current, sinusoidal signal is applied to the E1 and E4 electrodes. However, due to the low battery voltage (3V approx.) and minimal parts count goal, a constant-current driver is not a good choice. Further, as will be described, the above DC offset correction method requires that the measured voltage drop across the Kelvin electrodes (E2, E3) not reverse in potential sign due to comparatively large bias voltages, Vb2, Vb3. This places a lower limit on the current and hence the voltage drop across the biological load. Therefore, the pulse generator's current sensing resistor, Rg, must not be too large relative to the biological load impedance at the frequency being tested.
There is yet another important PKIM design consideration in the selection of Rg at the frequency being tested. Specifically, the selected Rg and the magnitude of the pulse amplitude potential (i.e.: the supply voltage, Vs) should not cause the total voltage across electrodes E1 and E4 to exceed approximately 2.1 volts or else electrolysis may take place at those electrode sites.
Thus, the choice of resistance, Rg, for proper PKIM operation on biological loads must be “windowed” between some minimum and some maximum value at each frequency measured before the actual measurement is made. A PKIM process for accomplishing this selection automatically is detailed in the flow diagram of
As shown in
The next actions 46 are to iteratively try each Rg value from the highest value toward the lowest values to find a drive potential which first causes the average sampled voltage, V1avg, to exceed this Ve(min) value. The sampling point was chosen to be at 45 degrees (relative to the drive wave maximum amplitude) to assure approximately equal parts of real and imaginary impedance contributions. Assuming that V1avg is less than 2.1 vdc, then that Rg value, Rg(f) is stored and used thereafter for all EIS measurements that are made at that frequency. Once Rg values are chosen for each frequency to be measured, the PKIM method then makes impedance measurements at each pre-selected frequency. This Rg selection process is normally only performed once but may be repeated if V1 is determined to be less than Ve(min) at any time in the future.
With suitable Rg values chosen, the impedance measurement process may be started. This process is summarized in
Referring to
The digitized potential is wirelessly transmitted to an external receiver 162. The external receiver 162 may be a nearby computer for computation to impedance and subsequent display of the computed impedance or a computer or other device, such as a cell phone, which includes a more robust transmission system for relaying the digitized potential to a remote computer 164 for computing the impedance and displaying the computed impedance.
Lymphedema is a chronic disease that produces swelling in body tissue due to fluids caused by a malfunction of the lymphatic system. Breast cancer patients who have had some or all the lymph nodes removed from an arm due to the progress of the cancer are subject to contracting lymphedema. Early detection and treatment can reduce the severity of the disease although in its very early stages (subclinical lymphedema), but it is extremely difficult to detect by conventional clinical methods, such as measurement of the dimensions of the arm, to detect swelling in the case of breast cancer patients. Subclinical lymphedema normally progresses into chronic lymphedema. Subclinical lymphedema can exist in the body with no outward or detectable sign for months.
Bioimpedance as a screening tool for lymphedema is under study, particularly as it is non-invasive and is relatively inexpensive. The impedance of the tissue is affected by the buildup of fluid. The PKIM circuitry of the present invention is highly suited for screening purposes as it simulates electro impedance spectroscopy (EIS) in its operation, and it can be miniaturized for convenient wear by the patient.
Referring to
It will be understood that the micro-device presents a non-invasive and painless method for early detection of lymphedema and is utilized in a form that can be worn for an extended period. Persons at risk for lymphedema, such as breast cancer patients, may be screened immediately after surgery and for a period of time thereafter so that tissue swelling due to fluids may be recognized early on and treatment can be started to reduce the effects of lymphedema.
The present invention allows for the advantages of electro impedance spectroscopy to be achieved by a micro-device powered by a low voltage direct current battery. The parts count of the micro-device is reduced allowing for substantial miniaturization.
The embodiments disclosed above are illustrative only, as the disclosure may be modified and practiced in different but equivalent manners apparent to those skilled in the art having the benefit of the teachings herein. Furthermore, no limitations are intended to the details of construction or design herein shown, other than as described in the claims below. The embodiments disclosed above may be altered or modified and all such variations are considered within the scope and spirit of the disclosure. Accordingly, the protection sought herein is as set forth in the claims below.
This application is a continuation-in-part of application Ser. No. 17/516,805, filed Nov. 2, 2021 which is a divisional application of application Ser. No. 16/285,714, filed Feb. 26, 2019.
Number | Date | Country | |
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Parent | 16285714 | Feb 2019 | US |
Child | 17516805 | US |
Number | Date | Country | |
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Parent | 17516805 | Nov 2021 | US |
Child | 17851575 | US |