Patent Application
20180360373
The present invention relates to a wearable device and a corresponding method for determining electro-dermal activity of a subject.
In general, regulation of physiological states of arousal is achieved by a balance of activity within sympathetic and parasympathetic subdivisions of the autonomic nervous system (ANS). While the parasympathetic nervous system promotes restoration and conservation of bodily energy, the sympathetic nervous system stimulates increased metabolic output to deal with external challenges. As such, increased sympathetic activity (sympathetic arousal) elevates heart rate, blood pressure, and sweating, as well as redirects blood from the intestinal reservoir toward skeletal muscles, lungs, heart, and brain in preparation for motor action. Sympathetic postganglionic fibers consisting of non-myelinated class C nerve fibers surround eccrine sweat glands and their activity modulates sweat secretion. Since sweat is a weak electrolyte and good conductor, the filling of sweat ducts results in many low-resistance parallel pathways, thereby increasing the conductance of an applied current. Changes in skin conductance at the surface, referred to as electro-dermal activity (EDA), reflect activity within the sympatheticaxis of the ANS and provide a sensitive and convenient measure of assessing alterations in sympathetic arousal associated with emotion, cognition, and attention.
Stress is generally defined as a disruption of the autonomic balance involving a state of high sympathetic activation. Since EDA is solely determined by the activity of the sympathetic branch of the ANS, which is predominant in stress states, tonic EDA parameters may be regarded as suitable measures of ANS activity induced by stress. Autonomic responses in the skin such as sweating, piloerection, and vasomotor changes can thus be elicited by various emotional states via the Papez circuit in the limbic system. In addition, it is widely recognized that attention-grabbing stimuli and attention-demanding tasks also evoke increased EDA responses. Despite improvements in measuring equipment since the discovery of electro-dermal phenomena more than 100 years ago, much of the research in this area is limited to observational measurements performed over short periods of time in laboratory settings or artificial clinical environments.
The need for monitoring patients over extensive periods of time has stimulated interest in wearable technologies—unobtrusive wearable devices that can be worn during normal daily activity to gather physiological data over periods of several weeks or months. Long-term monitoring of EDA will allow the observation of patterns of sympathetic arousal and regulation at a significantly longer time scale (days to months) compared to existing studies (minutes to hours) and could potentially reveal previously unobservable trends. In addition, long-term measurements taken in a person's natural home environment also provide a clearer picture of the person's physiological state than a short period of assessment in an unnatural clinical setting. Clinically, wearable EDA sensors can be used in psychopathology, dermatology, and neurology for diagnostic purposes and therapy evaluation.
WO 2007/144817 A1 discloses a skin monitoring device for application near the skin, comprising a processing circuit connecting means and at least one photosensor configured to detect at least one approximate wavelength of light reflected and/or emitted by the skin, wherein a signal receiving circuit is provided for receiving signals from the at least one photosensor.
It is an object of the present invention to provide an improved wearable device and a corresponding method for determining electro-dermal activity of a subject with higher reliability and accuracy.
In a first aspect of the present invention there is presented a wearable device for determining electro-dermal activity of a subject, said wearable device comprising
a light source for emitting light including infrared light in the wavelength range between 750 and 950 nm into tissue of the subject,
a light sensor for receiving at least part of the emitted light after an interaction of the emitted light with the tissue,
an evaluation unit for determining the electro-dermal activity from the received light, and
a support for carrying the light source, the light sensor and the evaluation unit, wherein the light source and the light sensor are arranged at a predetermined distance from each other.
In another aspect of the present invention there is presented a corresponding method for determining electro-dermal activity of a subject.
In contrast to most common ways for measuring the electro-dermal activity (EDA) by injecting an electric current into the skin, which is intrusive, the device and method according to the present invention the measurement uses an optical principle, particularly by use of infrared light. This principle is passive since the light emitted into the skin is harmless. This optical principle for monitoring vital signs, e.g. heart rate, SpO2, etc., of a subject is generally known and used in wearable devices, such as a wrist-worn device, a finger-clip device, etc. Hence, such a known wearable device may also be modified as disclosed herein to be able to determine a subject's EDA, in particular by making use of infrared light in a particular region of the spectrum. In other embodiment a wearable device may solely be constructed for this purpose, or other existing wearable devices may be provided with additional means as disclosed herein.
Other disadvantages overcome by the proposed solution include wearing off of the electrodes needed for measuring electrical activity, and the interference of the electrical signals with the hair, which is not the case for the optical sensor, since hair is mostly transparent for infrared light.
Sweat does not flow continuously through the duct to the skin surface, but rather in a pulsatile manner with pulsations of 12-21 Hz. Rhythmic contractions of the myoepithelia, surrounding not only the secretory but also the ductal part of the sweat gland like a helix, are regarded as the source of the pulse.
According to the present invention a particular part of the infrared spectrum is evaluated, in particular a wavelength range between 750 and 950 nm, which has been found to see the correlation between the sensed light and the subject's electro-dermal activity. This wavelength range has the further advantage that the heart beat pulse is less visible so that it would not interfere with the measurement signal, and further, that the measurement signal does not accumulate noise.
In some embodiments the light source, in particular a light source (e.g. an LED) for emitting incoherent light, the light sensor (e.g. a photodiode) and/or the evaluation unit (e.g. a processor) are configured to emit, receive and/or evaluate only infrared light in the wavelength range between 750 and 950 nm, in particular in the wavelength range between 775 and 825 nm or at a wavelength of 800 nm. In particular a wavelength range of 800 nm (±50 nm) has been found to deliver the best results.
In another embodiment the light source and the light sensor are arranged at a distance (preferably between their centers) in the range between 0.5 mm and 5 mm, in particular in the range between 1 mm and 4 mm, from each other. It has been found that the distance has a large impact on the reliability and accuracy of the measurement. The optimal distance of the light source and the light sensor, which are preferably arranged such that they are in contact with the skin (or at least in close proximity (i.e. less than 2 mm) to the skin) when the wearable device is worn by the subject, has been found to be in the range of 4 mm. At a very small distance or the desired effect was too small or even not measurable. The same holds for much larger distances, where the light scattered or reflected by the skin and/or tissue would even not sufficiently reach the light sensor.
In another embodiment said evaluation unit is configured to evaluate the intensity of the received light to determine the electro-dermal activity. The amplitude of the measured signal (i.e. the received light) is correlated with the EDA and is thus preferably used to determine the subject's EDA. The amplitude of the received signals may generally depend on the color used, the time of the measurement and the properties of the physical layer that created EDA (like sweat). In principle, the spectroscopic results can be used to determine what type of sweat it is, leaving open the possibility to discriminate the physical circumstances creating the EDA (emotion, stress, sport, etc.). Generally, a trend of the EDA may be determined over time and a threshold may be used to decide if there is EDA or not.
The wearable device may further comprise a holding element for holding the wearable device at the subject's body. Options for holding elements may include a wristband, a belt, a sticker, a band, or a clip, but other options are possible. Further, the holding element may also be an external element provided separately and/or not fixedly arranged at the wearable device.
Still further, the wearable device may further comprise a user interface for issuing information about the determined electro-dermal activity. Such a user interface may e.g. include a display or loudspeaker, but may also include a transmitter for transmitting the output to an external device, such as a computer, laptop, smartphone, physician's workstation, etc. for being issued and/or processed there.
These and other aspects of the invention will be apparent from and elucidated with reference to the embodiment(s) described hereinafter. In the following drawings
The light source 11 may comprise one (or more) LED(s), e.g. infrared LED(s), that emit(s) light into a skin portion of the subject 1, e.g., the skin portion at the subject's wrist or face. This emitted light interacts with the tissue of the subject 1 and in particular with the pulsating blood in this tissue. Part of the emitted light may be transmitted through the tissue and part of it may be reflected. After this interaction, at least part of the emitted light is received by means of the light sensor 12, e.g. a photosensor.
Based upon the received light, information about the electro-dermal activity of the subject is derived in the evaluation unit 13, e.g. a processor. In particular, changes in the intensity of the light received by the light sensor 12 are correlated with the electro-dermal activity. E.g. a sudden increase in the received light signal, which lasted few tens of seconds, may be seen if the electro-dermal activity suddenly changes. This may particularly be a response from the sweat accumulated at the moment.
Usually, the light source 11 includes an LED, which may be operated in pulsed mode, i.e. emits light in short pulses. This may also be referred to as burst mode. The LED may be operated periodically, e.g. 0.5 ms on per 8 ms period time. Continuously operating the optical sensor arrangement particularly refers to operating the LED in such a pulsed mode. Normally, it is not required that the LED is powered on all the time. Power considerations require the LED to be in its on state as little as possible. It may, however, also be possible that the LED is operated in a continuous mode, i.e. always on.
An embodiment of the wearable device 10 is a wrist-worn device as shown in
For holding the wearable device 10 at the respective subject's body part the wearable device 10 further comprises a holding element 15, which may e.g. comprise a wristband, a belt, a sticker, a band, or a clip.
The distance d between the light source and the light sensor (both preferably in contact with the skin or at a small distance from the skin less than 5 mm, preferably less than 1 mm). The distance d is preferably the distance between the centers of the light source and the light sensor and is in the range between 0.5 mm and 5 mm, in particular in the range between 1 mm and 4 mm, from each other. An optimal distance d may e.g. be about 4 mm. If the distance is smaller than 1 mm, the desired effect may not be present or not strong enough. If the distance is larger than 5 mm, the light would be lost into the skin, and few light would reach the light sensor.
The advantage of using a multicolor approach is robustness against different artifacts, like motion artifacts. In such cases, all wavelength channels of the wearable device will present the same artifact, and the wearable device will be configured to filter that data.
From each light source 11, 11′, not only a single element may be provided, but two or more of the same type may be provided to increase the amount of light emitted into the tissue.
In another embodiment a single light source is provided for emitting light in a broad (full) spectrum, wherein the light sensor 12 is configured to sense only light in the desired part(s) of the spectrum and/or wherein the evaluation unit is configured to evaluate only sensed light in the desired part(s) of the spectrum.
Further, in the embodiment shown in
The wearable device itself can be placed on other parts of the skin (like forehead, or foot), which respond strongly with sweat to emotions. Further, the wearable device can be also integrated into garments like helmets (for athletes), headbands, gloves, jewelry, glasses (like google glasses), into the bra or in the sole (because the lower part of the feet respond also well with sweat to emotions).
The wearable device may be worn at the radial artery. Because the wrist-worn device representing the wearable device may change its position during wearing, some measures may be taken additionally to keep the same location of the measurement. For example, the wrist-worn device may be tightened. Further, a multisensory approach may be applied, where more sensors measure around radial artery and the best signal is chosen. This embodiment can be extended further with a camera in contact with the skin.
The present invention seeks to detect a fluid layer or galvanic skin response of the skin. It is the property of the human body that causes continuous variation in the electrical characteristics of the skin. Conventionally, electro-dermal activity has also been known as skin conductance, galvanic skin response (GSR), electro-dermal response (EDR), psycho-galvanic reflex (PGR), skin conductance response (SCR), and skin conductance level (SCL).
Incoherent light is emitted into the skin (preferably via one or more LEDs). The light is preferably chosen in a wavelength of the infrared light where the heart beat pulse was less visible. A preferred wavelength range is between 750 and 950 nm, in particular a wavelength range between 775 and 825 nm or at a wavelength of 800 nm. With this choice the light does not interfere with the measurement. The wavelength shall also not very because the signal would accumulate noise that would be less than 900 nm. It turned out that 800 nm (plus/min 50 nm) is a good choice.
In the claims, the word “comprising” does not exclude other elements or steps, and the indefinite article “a” or “an” does not exclude a plurality. A single element or other unit may fulfill the functions of several items recited in the claims. The mere fact that certain measures are recited in mutually different dependent claims does not indicate that a combination of these measures cannot be used to advantage.
A computer program may be stored/distributed on a suitable non-transitory medium, such as an optical storage medium or a solid-state medium supplied together with or as part of other hardware, but may also be distributed in other forms, such as via the Internet or other wired or wireless telecommunication systems.
Any reference signs in the claims should not be construed as limiting the scope.
| Number | Date | Country | Kind |
|---|---|---|---|
| 15199717.8 | Dec 2015 | EP | regional |
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/EP2016/079802 | 12/6/2016 | WO | 00 |
