EP0235137A1 - Apparatus and method for monitoring organs of the body - Google Patents
Apparatus and method for monitoring organs of the bodyInfo
- Publication number
- EP0235137A1 EP0235137A1 EP85905646A EP85905646A EP0235137A1 EP 0235137 A1 EP0235137 A1 EP 0235137A1 EP 85905646 A EP85905646 A EP 85905646A EP 85905646 A EP85905646 A EP 85905646A EP 0235137 A1 EP0235137 A1 EP 0235137A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- impedance
- signals
- electrodes
- organ
- recorder
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
- 238000000034 method Methods 0.000 title claims abstract description 13
- 238000012544 monitoring process Methods 0.000 title claims abstract description 9
- 210000000056 organ Anatomy 0.000 title claims description 19
- 230000010355 oscillation Effects 0.000 claims abstract description 3
- 230000008602 contraction Effects 0.000 claims description 11
- 238000006073 displacement reaction Methods 0.000 claims description 5
- 210000001835 viscera Anatomy 0.000 claims description 4
- 238000004458 analytical method Methods 0.000 claims description 2
- 230000002596 correlated effect Effects 0.000 claims 1
- 230000000875 corresponding effect Effects 0.000 claims 1
- 238000002955 isolation Methods 0.000 abstract description 3
- 210000002784 stomach Anatomy 0.000 description 10
- 230000000747 cardiac effect Effects 0.000 description 4
- 210000002216 heart Anatomy 0.000 description 3
- 238000005259 measurement Methods 0.000 description 3
- 230000007423 decrease Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 210000004072 lung Anatomy 0.000 description 2
- 210000003932 urinary bladder Anatomy 0.000 description 2
- 210000004291 uterus Anatomy 0.000 description 2
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 230000002496 gastric effect Effects 0.000 description 1
- 230000000155 isotopic effect Effects 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 235000012054 meals Nutrition 0.000 description 1
- 210000004165 myocardium Anatomy 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
- A61B5/053—Measuring electrical impedance or conductance of a portion of the body
- A61B5/0535—Impedance plethysmography
Definitions
- This invention relates to apparatus for monitoring hollow visceral organs of the body.
- This invention is based on the observation that it is possible to monitor body function, for example, the function of hollow visceral organs such as the stomach including measuring the volume of the heart, lungs, bladder and uterus dand the volume of fluid within any of these organs, electronically, by measuring differences in impedance across the body through the organ in question using a plurality of electrodes.
- apparatus for monitoring body functions comprises oscillator means for generating a high frequency oscillation, an oscillator driven constant current generating source, at least one pair of current driven electrodes for attachment to the body of a patient, at least two pairs of voltage sensing electrodes for attachment to the body of the patient, tuner/voltage amplifier means tuned to the frequency of the generator means, converter means for measuring impedance changes registering between pairs of voltage sensing electrodes, impedance indicator means isolating circuit means for receiving signals from the impedance converter, filter means for excluding electronic or biological fluctuations from the equipment or the subject and an impedance offset control, and recorder means for recording the subject signals, the subject signals being received by the recorder means as separate signals.
- the recorder means may, for example, comprise a chart recorder or oscilloscope, a tape recorder or a microcomputer and preferably in addition to having the capability for receiving the signals from the different electrode pairs separately also has the capability of correcting phase displacement between the signals and recording a combination of the signals.
- the apparatus can be used to monitor, for example, size, rate of filling or emptying and wall contraction in hollow visceral organs of the body, for example, the stomach, heart, lungs, bladder and uterus.
- the recording produced by the recorder gives a continuous reading of impedance changes. It shows a base line with fluctuations indicating contractions in the wall of the organ causing changes in impedance.
- the organ fills the trace rises to a maximum and then decreases towards a base level value, the subsiding trace similarly being superimposed by fluctuations indicating contractions in the wall of the organ.
- Filling and emptying times of the organ are shown by the speed of ascent to a peak and subsequent decline.
- Volume can be determined as a function of the magnitude of change of impedance.
- the magnitude of contractions of the wall are shown as a function of the area of the minor peaks superimposed on the main trace.
- Processing for example, by Fourier analysis of the signals indicates contractions of the organ in different regions covered by the electrode and by dividing the trace into, for example, time intervals, differences in contractions at different times can be determined giving an indication of, for example, response to a meal or drugs or other stimulus.
- the trace produced by combining the signals from a large number of electrodes gives an indication of the full impedance displacement of the organ and therefore gives a more sensitive indication of the volume that can be derived from the separate signals.
- the generator means is a 100 kHz oscillator and the current control means produces a 4 milliamp peak-to-peak constant current drive.
- a non-invasive method for monitoring stomach volume and rate of filling and/or emptying has long been sought by gastroenterological physicians.
- a non-invasive method has the advantages of repeatability unlike X-ray or isotopic methods so that the progress of illness or the effects of treatment can be measured.
- the new device proposed has this capability and has proved so sensitive in practice that it may also be used to quantify the contractions of the stomach. Because pairs of electrodes can be used separately to monitor stomach contractions the progress of contractions through the stomach can be assessed. At the same time because a plurality of electrodes is used the accuracy of the volume measurement is enhanced by surveying an increased region of the body thus including the entire region of the stomach even though the exact position of the stomach cannot be identified from without.
- the use of at least two pairs of voltage sensing electrodes increases the possibility of recording signals from the region of interest, within the body, which cannot be identified from without.
- 2 is a 4 milliamp peak-to-peak constant current drive
- 3 is the stomach
- 4 is a pair of current driving electrodes
- 5 is a pair of voltage sensing electrodes
- 6 is a 100 kHz tuner/voltage amplifier
- 7 is a detector to recover impedance changes
- 8 is an impedance meter
- 9 is a subject signal isolation amplifier
- 10 is a low pass filter and impedance offset control
- 11 is a chart recorder
- 12 is a tape recorder or microcomputer.
- the current driving and voltage sensing electrodes 4 and 5 are placed on the body of the patient around the organ to be monitored.
- the signal recorded by the voltage sensing electrodes 5 is passed to the amplifier 6 and converted to impedance by detector/converter 7.
- the signal from the detector/converter 7 is passed both to impedance meter 8 which gives a direct read out of impedance and to trhe signal isolation amplifier 9 and thence to the low pass filter and recorder.
- the signals from the separate pairs of voltage sensing electrodes are maintained separate and are individually passed to the recorder so that impedance changes detected by each pair of voltage sensing electrodes can be recorded individually.
- the recorder preferably also includes means for correcting phase displacement of the individual signals and combining the signals so that the total of the impedance changes recorded by a number of electrodes can also be indicated by the recorder.
- Figs. 2 and 3 are more detailed self-explanatory circuit diagrams in which like reference numerals have been used to indicate the various components of the apparatus. It will be appreciated that only one set of electrodes 5 is shown in these figures and the circuitry will be duplicated as appropriate to accommodate from the sets of electrodes 5.
- circuitry shown is merely exemplary of one especially preferred embodiment of the invention - 5 - and the invention is not to be regarded in any way as limited to the arrangement shown.
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Physics & Mathematics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biophysics (AREA)
- Pathology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Radiology & Medical Imaging (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
- Measuring And Recording Apparatus For Diagnosis (AREA)
Abstract
Appareil de surveillance des fonctions corporelles comprenant un dispositif oscillateur (1) pour générer une oscillation à très haute fréquence, une source constante de courant (2) commandée par l'oscillateur, au moins deux électrodes (4) conductrices de courant pour fixation sur le corps d'un patient, au moins deux paires électrodes (5) détectrices de tension pour fixation sur le corps d'un patient, un dispositif amplificateur de tension/syntomisateur (6) accordé sur la fréquence du générateur (1), un convertisseur (7) pour mesurer les variations d'impédance entre les paires d'électrodes détectrices de tension (5), un indicateur d'impédance, un ciruit d'isolation pour recevoir les signaux en provenance du convertisseur d'impédance (7), un filtre (10) pour exclure les fluctuations électroniques ou biologiques provenant du matériel ou du sujet, et une commande de correction d'impédance, ainsi que des moyens (11 ou 12) pour enregistrer le processus et analyser les signaux provenant du sujet, ces derniers étant reçus par les moyens d'enregistrement (11 ou 12) sous forme de signaux distincts. Sont également décrits des procédés de réalisation d'un enregistrement de la fonction et du volume d'un viscère creux.Apparatus for monitoring body functions comprising an oscillator device (1) for generating a very high frequency oscillation, a constant current source (2) controlled by the oscillator, at least two current-conducting electrodes (4) for attachment to the body of a patient, at least two pairs of voltage detector electrodes (5) for attachment to the body of a patient, a voltage amplifier/syntomizer device (6) tuned to the frequency of the generator (1), a converter ( 7) for measuring the impedance variations between the pairs of voltage detecting electrodes (5), an impedance indicator, an isolation circuit for receiving the signals coming from the impedance converter (7), a filter (10) for excluding electronic or biological fluctuations originating from the material or subject, and an impedance correction control, as well as means (11 or 12) for recording the process and analyzing the signals originating from the subject, the latter being received by the recording means (11 or 12) in the form of distinct signals. Also described are methods of performing a recording of the function and volume of a hollow viscus.
Description
Claims
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GB848428831A GB8428831D0 (en) | 1984-11-15 | 1984-11-15 | Monitoring organs of body |
GB8428831 | 1984-11-15 |
Publications (1)
Publication Number | Publication Date |
---|---|
EP0235137A1 true EP0235137A1 (en) | 1987-09-09 |
Family
ID=10569750
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP85905646A Withdrawn EP0235137A1 (en) | 1984-11-15 | 1985-11-15 | Apparatus and method for monitoring organs of the body |
Country Status (5)
Country | Link |
---|---|
EP (1) | EP0235137A1 (en) |
JP (1) | JPS62501267A (en) |
AU (1) | AU5069685A (en) |
GB (2) | GB8428831D0 (en) |
WO (1) | WO1986002819A1 (en) |
Families Citing this family (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE68922452T2 (en) * | 1988-08-19 | 1995-09-07 | Hewlett Packard Co | Device for measuring uterine contractions. |
WO1995035060A1 (en) * | 1994-06-20 | 1995-12-28 | Auckland Uniservices Limited | Brain damage monitor |
US6631292B1 (en) * | 2001-03-23 | 2003-10-07 | Rjl Systems, Inc. | Bio-electrical impedance analyzer |
AU2002952265A0 (en) * | 2002-10-25 | 2002-11-07 | Upfal, Jonathan | Implantable sensor |
US7758522B2 (en) * | 2007-01-03 | 2010-07-20 | General Electric Company | Combined uterine activity and fetal heart rate monitoring device |
US20090204017A1 (en) * | 2008-02-12 | 2009-08-13 | Pandit Ashit M | Uterine activity monitoring using impedance plethysmography |
Family Cites Families (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US387436A (en) * | 1888-08-07 | o neil | ||
US3874368A (en) * | 1973-04-19 | 1975-04-01 | Manfred Asrican | Impedance plethysmograph having blocking system |
FR2294677A1 (en) * | 1973-11-09 | 1976-07-16 | Thomson Medical Telco | Cardio-pulmonary diagnostic appts using HF current - has electrodes mounted in front and rear of thorax |
US4059169A (en) * | 1976-02-09 | 1977-11-22 | Hagen Winston H | Monitor for biological volume changes |
FR2354744A1 (en) * | 1976-06-16 | 1978-01-13 | Commissariat Energie Atomique | OCCLUSION RHEOPLETHYSMOGRAPHY DEVICE |
US4506678A (en) * | 1982-06-07 | 1985-03-26 | Healthdyne, Inc. | Patient monitor for providing respiration and electrocardiogram signals |
-
1984
- 1984-11-15 GB GB848428831A patent/GB8428831D0/en active Pending
-
1985
- 1985-11-15 GB GB08711445A patent/GB2190751B/en not_active Expired
- 1985-11-15 AU AU50696/85A patent/AU5069685A/en not_active Abandoned
- 1985-11-15 WO PCT/GB1985/000521 patent/WO1986002819A1/en not_active Application Discontinuation
- 1985-11-15 EP EP85905646A patent/EP0235137A1/en not_active Withdrawn
- 1985-11-15 JP JP60505007A patent/JPS62501267A/en active Pending
Non-Patent Citations (1)
Title |
---|
See references of WO8602819A1 * |
Also Published As
Publication number | Publication date |
---|---|
JPS62501267A (en) | 1987-05-21 |
GB2190751B (en) | 1988-07-13 |
GB8428831D0 (en) | 1984-12-27 |
AU5069685A (en) | 1986-06-03 |
GB2190751A (en) | 1987-11-25 |
WO1986002819A1 (en) | 1986-05-22 |
GB8711445D0 (en) | 1987-06-17 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
PUAI | Public reference made under article 153(3) epc to a published international application that has entered the european phase |
Free format text: ORIGINAL CODE: 0009012 |
|
17P | Request for examination filed |
Effective date: 19870514 |
|
AK | Designated contracting states |
Kind code of ref document: A1 Designated state(s): AT BE CH DE FR IT LI LU NL SE |
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STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: THE APPLICATION HAS BEEN WITHDRAWN |
|
18W | Application withdrawn |
Withdrawal date: 19880527 |