Breath sensor apparatus and methods of use
11209417 · 2021-12-28
Assignee
Inventors
Cpc classification
A61B5/097
HUMAN NECESSITIES
A61B5/0002
HUMAN NECESSITIES
A61B5/082
HUMAN NECESSITIES
G01N33/0016
PHYSICS
International classification
Abstract
Breath sensor apparatus and methods of use are described herein where a flow control apparatus may generally comprise a sampling chamber defining a volume and one or more openings into the sampling chamber, at least one sensor in fluid communication with the sampling chamber, wherein the at least one sensor is configured to detect the analyte. The sampling chamber may also be configured to receive the breath sample into the sampling chamber and into contact with the at least one sensor via diffusion into the sampling chamber.
Claims
1. A flow control apparatus for measuring an analyte from a breath sample of a subject, comprising: a main receiving channel and two secondary channels extending away from a dispersion channel at an angle opposite to one another; a sampling chamber defining a volume and in fluid communication with the main receiving channel with one or more openings into the sampling chamber; at least one sensor in fluid communication with the sampling chamber, wherein the at least one sensor is configured to detect the analyte; at least one filter element positioned within the volume and between the one or more openings and the at least one sensor, and wherein the sampling chamber is configured to receive a zero net flow of the breath sample into the sampling chamber and into contact with the at least one sensor via diffusion through the at least one filter element and into the sampling chamber, wherein the at least one filter element maintains the sampling chamber as a sealed environment such that a diffused breath sample is maintained in contact against the at least one sensor.
2. The apparatus of claim 1 wherein the volume is approximately 0.13 mL.
3. The apparatus of claim 1 wherein the one or more openings comprise three openings each having a diameter of 1.2 mm.
4. The apparatus of claim 1 wherein a ratio of the one or more openings and the volume is about 25 mm.sup.2/mL for detecting CO levels.
5. The apparatus of claim 1 wherein the at least one filter comprises a porous or fibrous material configured to slow diffusion of moisture to the sensor.
6. The apparatus of claim 1 wherein the at least one filter is comprised of activated carbon.
7. The apparatus of claim 1 wherein the at least one filter is a CO filter.
8. The apparatus of claim 1 further comprising: a proximal receiving channel sized to receive the breath sample; a dispersion channel fluidly connected to the proximal receiving channel; wherein the dispersion channel is configured to divert a portion of the breath sample to the main receiving channel and a majority of the breath sample to the two secondary channels for venting; and wherein the flow control apparatus is fluidly connected to the main receiving channel.
9. The apparatus of claim 8 further comprising a housing sized to contain the flow control apparatus within.
10. The apparatus of claim 8 wherein the main receiving channel is sized to receive about 20% of the breath sample.
11. The apparatus of claim 8 wherein the main receiving channel is sized to receive less than 50% of the breath sample.
12. The apparatus of claim 8 further comprising one or more seals for sealing between the sampling chamber and the at least one sensor.
13. The apparatus of claim 12 wherein the sampling chamber further defines an annular tapered surface configured to urge the one or more seals into contact against a surface of the sensor.
14. The apparatus of claim 8 wherein the main receiving channel comprises a plurality of barriers or baffles which define a tortuous flow path from the dispersion channel to the flow control apparatus.
15. The apparatus of claim 1 wherein the at least one sensor comprises one or more CO sensors.
16. The apparatus of claim 15 further comprising at least one H.sub.2 sensor.
17. A flow apparatus for measuring a concentration of an analyte of interest from an individual's breath, comprising: a main receiving channel and two secondary channels extending away from a dispersion channel at an angle opposite to one another; a sampling chamber in fluid communication with the main receiving channel and including at least one opening to receive a portion of the breath, wherein a remainder of the breath is diverted via the two secondary channels and vented; at least one sensor positioned in fluid communication with the sampling chamber, wherein the at least one sensor is configured to detect the analyte of interest; at least one filter element positioned between the at least one opening and the at least one sensor, and wherein the sampling chamber is configured such that a majority of the portion of the breath in contact with the sensor is introduced via diffusion through the at least one filter element, rather than flow, into the sampling chamber, wherein the at least one filter element maintains the sampling chamber as a sealed environment such that a diffused breath sample is maintained in contact against the at least one sensor.
18. The apparatus of claim 17 wherein the at least one opening into the sampling chamber is configured so as to reduce transport of moisture to the sensor.
19. The apparatus of claim 17 wherein the at least one filter is a CO filter.
20. The apparatus of claim 17 wherein the sampling chamber has a volume of approximately 0.13 mL.
21. The apparatus of claim 17 wherein the at least one opening comprises three openings each having a diameter of 1.2 mm.
22. The apparatus of claim 17 wherein a ratio of the at least one opening and a volume of the sampling chamber is about 25 mm.sup.2/mL for detecting CO levels.
23. The apparatus of claim 17 wherein the at least one filter comprises a porous or fibrous material configured to slow diffusion of moisture to the sensor.
24. The apparatus of claim 17 wherein the at least one sensor comprises one or more CO sensors.
25. The apparatus of claim 24 further comprising at least one H.sub.2 sensor.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
(20)
(21)
(22)
(23)
(24)
DETAILED DESCRIPTION OF THE INVENTION
(25) In engaging individuals who smoke and quantifying their smoking behavior, methods and systems may be implemented to allow for improved measuring and quantifying of a smoker's behavior. Once the individual smoker is identified, the same methods and systems may allow for a learn and explore phase where the individual's specific smoking behavior can be tracked and quantified and the individual's behavioral data may also be tracked to identify potential triggers to smoking or simply to educate the individual on the extent of their smoking. These methods and systems also allow for a more active monitoring of the individual that has decided to engage in a quit program, where such monitoring allows the individual to self-monitor as well as monitoring by peers, coaches, or counselors.
(26) Certain biometric data of the subject may be obtained by non-invasively detecting and quantifying the smoking behavior for a patient based on measuring one or more of the patient's biometric data such as CO level or exhaled CO level. However other biometric data can also be used. Such measurements or data collection can use a portable measuring unit or a fixed measuring unit, either of which communicates with one or more electronic devices for performing the quantification analysis. Alternatively, the analysis can be performed in the portable/fixed unit. For example, the portable unit can be coupled to a keychain, to the individual's cigarette lighter, cell phone, or other item that will be with the individual on a regular basis. Alternatively, the portable unit can be a stand-alone unit or can be worn by the individual.
(27) Systems and methods for assisting a subject in quantifying and quitting their smoking behavior as well as details of how such a breath sensing device may be used or incorporated into such systems and methods are described in further detail in U.S. patent application Ser. No. 15/092,475 filed Apr. 6, 2016 (U.S. Pat. Pub. 2017/0055572) and U.S. patent application Ser. No. 15/258,921 filed Sep. 7, 2016 (U.S. Pat. Pub. 2017/0055573), each of which is incorporated herein by reference in its entirety and for any purpose.
(28) For instance,
(29) The measurement of exhaled CO level has been known to serve as an immediate, non-invasive method of assessing a smoking status of an individual. The levels of eCO levels for non-smokers can range between, e.g., 0 ppm to 6 ppm, or more particularly between, e.g., 3.61 ppm and 5.6 ppm.
(30) As shown, a portable or personal sampling unit 20 may communicate with either a personal electronic device 10 or a computer 12. Where the personal electronic device 10 includes, but is not limited to a smart phone, cellular phone, or other personal transmitting device designed or programmed for receiving data from the personal sampling unit 20. Likewise, the computer 12 is intended to include a personal computer, local server, remote server, etc. Data transmission 14 from the personal sampling unit 20 can occur to both or either the personal electronic device 10 and/or the computer 12. Furthermore, synchronization 16 between the personal electronic device 10 and the computer 12 is optional. Either the personal electronic device 10, the computer 12, and/or the personal sampling unit 20 can transmit data to a remote server for data analysis as described herein. Alternatively, data analysis can occur, fully or partially, in a local device (such as the computer or personal electronic device). In any case, the personal electronic device 10 and/or computer 12 can provide information to the individual, caretaker, or other individual as shown in
(31) The personal sampling unit 20 receives a sample of exhaled air 18 from the individual via a collection tube 22. Hardware within the personal sampling unit 20 may include any commercially available electrochemical gas sensor that detects carbon monoxide (CO) gas within the breath sample, commercially available transmission hardware that transmits data 14 (e.g., via Bluetooth, cellular, or other radio waves to provide transmission of data). The transmitted data and associated measurements and quantification are then displayed on either (or both) a computer display 12 or a personal electronic device 10. Alternatively, or in combination, any of the information can be selectively displayed on the portable sampling unit 20.
(32) The personal sampling unit 20 (or personal breathing unit) can also employ standard ports to allow direct-wired communication with the respective devices 10 and 12. In certain variations, the personal sampling unit 20 can also include memory storage, either detachable or built-in, such that the memory permits recording of data and separate transmission of data. Alternatively, the personal sampling unit can allow simultaneous storage and transmission of data. Additional variations of the device 20 do not require memory storage. In addition, the unit 20 can employ any number of GPS components, inertial sensors (to track movement), and/or other sensors that provide additional information regarding the patient's behavior.
(33) The personal sampling unit 20 can also include any number of input trigger (such as a switch or sensors) 24, 26. As described below, the input trigger 24, 26 may allow the individual to prime the device 20 for delivery of a breath sample 18 or to record other information regarding the cigarette such as quantity of cigarette smoked, the intensity, etc. In addition, variations of the personal sampling unit 20 also associate a timestamp of any inputs to the device 20. For example, the personal sampling unit 20 can associate the time at which the sample is provided and provide the measured or inputted data along with the time of the measurement when transmitting data 14. Alternatively, the personal sampling device 20 can use alternate mechanisms to identify the time that the sample is obtained. For example, given a series of samples rather than recording a timestamp for each sample, the time periods between each of the samples in the series can be recorded. Therefore, identification of a timestamp of any one sample allows determination of the time stamp for each of the samples in the series.
(34) In certain variations, the personal sampling unit 20 may be designed such that it has a minimal profile and can be easily carried by the individual with minimal effort. Therefore the input triggers 24 can comprise low profile tactile switches, optical switches, capacitive touch switches, or any commonly used switch or sensor. The portable sampling unit 20 can also provide feedback or information to the user using any number of commonly known techniques. For example, as shown, the portable sampling unit 20 can include a screen 28 that shows select information as discussed below. Alternatively or in addition, the feedback can be in the form of a vibrational element, an audible element, and a visual element (e.g., an illumination source of one or more colors). Any of the feedback components can be configured to provide an alarm to the individual, which can serve as a reminder to provide a sample and/or to provide feedback related to the measurement of smoking behavior. In addition, the feedback components can provide an alert to the individual on a repeating basis in an effort to remind the individual to provide periodic samples of exhaled air to extend the period of time for which the system captures biometric (such as eCO, CO levels, H.sub.2 etc.) and other behavioral data (such as location either entered manually or via a GPS component coupled to the unit, number of cigarettes, or other triggers). In certain cases, the reminders can be triggered at higher frequency during the initial program or data capture. Once sufficient data is obtained, the reminder frequency can be reduced.
(35) In obtaining the breath sample with the sampling unit 20, instructions may be provided on the personal electronic device 10 or computer display 12 for display to the subject in a guided breath test for training the subject to use the unit 20. Generally, the subject may be instructed, e.g., on the electronic device 10, to first inhale away from the unit 20 and then to exhale into the unit 20 for a set period of time. The unit 20 may optionally incorporate one or more pressure sensors fluidly coupled with, e.g., check valves, to detect if the subject inhales through the unit 20.
(36) Turning now to the personal sampling unit 20 itself,
(37)
(38) In other variations, at least one CO sensor or multiple CO sensors may be implemented alone. Alternatively, one or more CO sensors may be used along with one or more H.sub.2 sensors in combination. If both a CO and H.sub.2 sensor are used, the readings from the H.sub.2 sensor may be used to account for or compensate for any H.sub.2 signals detected by the CO sensor since many CO sensors have a cross-sensitivity to H.sub.2 which is frequently present in sufficient quantity to potentially affect CO measurement in the breath of people. If a CO sensor is used without an H.sub.2 sensor, various methods may be applied to reduce any H.sub.2 measurement interference to a nominally acceptable level. However, the use of an H.sub.2 sensor to directly measure and compensate for the presence of H.sub.2 may facilitate CO measurement. The sensors may also include any number of different sensor types including chemical gas sensors, electrochemical gas sensors, etc. for detecting agents such as carbon monoxide in the case of detecting smoking related inhalation.
(39) When detecting agents from breath samples from a subject, it is generally desirable to avoid temperature and humidity impacts on the sensors 38, 42 particularly in breath sensing devices which are compact as temperature swings and humidity may interfere with the detected signals in the sensors 38, 42. Larger breath sensing devices are able to readily contend with temperature and humidity variances due to their relatively larger mass and longer flow paths as the sampled breath temperature is reduced and moisture is removed prior to the breath sample reaching the sensor.
(40) As an example of the effects of humidity upon the sensors,
(41) Hence, the diffusion pathways that the sampled breath follows to the sensors 38, 42 helps to minimize the equivalent signal from breath humidity. Additionally, the implementation of algorithmic extrapolation of relatively short breaths still enable accurate approximation of true values, as described in further detail herein. While creating diffusion resistance may reduce the effects of humidity, diffusion resistance may also increase the sensor equilibration time which may make extrapolation relatively more difficult, e.g., by increasing the time required to achieve a certain level of accuracy. However, within the context of a relatively small sampling unit 20, the implementation of these mechanisms or processes enable the detection and processing of optimal signals.
(42) In order for a relatively smaller device such as the personal sampling unit 20 described herein to accurately detect breath samples, one or several mechanisms may be employed to filter out moisture from the breath sample as well as reduce its temperature.
(43) One or more primary channels 64, 66 may further extend away from and fluid coupled with the dispersion channel 54 so that the primary channels 64, 66 open into a main receiving channel 68 which is defined by a barrier 78 formed around the receiving channel 68. The illustration shows two primary channels 64, 66 in parallel which divide the flow into at least two different paths; however, a single primary channel or more than two primary channels may be used in other variations. Regardless, the receiving channel 68 may be in fluid communication with the first and second sensors 38, 42 through openings 72, 76 extending into respective first and second sampling chambers 70, 74 which are formed as individual chambers for receiving the sample breath directly over the sensors 38, 42.
(44) The dispersion channel 54 helps to divert a majority of the sampled breath into the secondary channels 56, 58 so that a relatively smaller portion of the breath passes through the primary channels 64, 66 and into the receiving channel 68. For instance, about 80% of the breath sample may be diverted into the secondary channels 56, 58 where it may then be vented out from of the housing 30. The remaining, e.g., 20% of the breath sample, may then enter into the receiving channel 68 so that the diverted flow helps to decrease the moisture level in the sampled breath. Additionally, the relatively larger volume defined by the receiving channel 68 may further help to reduce the temperature of the sampled breath.
(45) The openings 72, 76 extending into the respective first and second sampling chambers 70, 74 are sized to be relatively smaller and may number from a single opening to multiple openings which help to further maintain the flow rate of the sampled breath entering the sampling chambers 70, 74 to a minimum flow rate of, e.g., about 4 mL/sec.
(46) Contained within the first and second sampling chambers 70, 74 are respective first and second filters 80, 84 which further help to remove any additional moisture from the sampled breath. Additionally, respective first and second seals 82, 86 may surround the sampling chambers 70, 74 to contain the sampled breath over the sensors for detection. These first and second filters 80, 84 help to diffuse the flow path through a matrix, e.g., porous material, which not only removes moisture but also helps to further reduce the temperature of the sampled breath due to their additional thermal mass. The filters 80, 84 may be comprised of various materials that also filter out various chemicals such as alcohols, sulfur compounds, carbon monoxide, etc.
(47)
(48) Another variation for reducing moisture and cooling the sampled breath may include incorporating a tortuous flow path which increases the surface area in contact with the sampled breath. This may include a coiled path or a maze which helps to drop the temperature and further allows for moisture to condense out of the breath and onto the surface area.
(49) In yet another variation, rather than utilizing barriers or baffles to create a tortuous flow path, tubing 122 may be used for flowing the breath sample. The tubing 122, as illustrated in
(50) In yet another variation, an active mechanism such as a pump 126 may be used to draw a portion 128 of the sample 125 from the flow path 123 after the initial puff from the subject is introduced into the unit.
(51) Once the breath sample has been introduced through the openings 76 and past the filter 84, the sample may come be introduced within a sensing chamber 134 contained within an interior of the sampling chamber 74 where it comes into contact with the sensor 38, as illustrated in the cross-sectional detail perspective view of
(52) The surface 132 of the sensor 38 generally presents a planar face against which a contact region 136 of the sampling chamber 74 may be positioned against. The sample breath within the sensing chamber 134 is desirably maintained within for contacting against the sensor surface 132 and also to prevent the sample breath from escaping into the rest of the housing 30 by sealing the contact region 136 with an interface such as a seal 86 which encircles the sensing chamber 134. Preventing the breath sample from escaping into the rest of the housing 30 not only may provide for better signal sensing and response speed but also avoids the contact against the other electronics contained within the housing. The sample breath is prevented from escaping from the receiving channel 68 by the barrier 140 which may be sealed against the housing interior by a seal 142.
(53) It is still desirable to divert or vent a majority of the sample breath flow as a greater flow over the diffusion chambers may increase net moisture content and hence increase the dew point, T.sub.d, whereas a reduction of the dew point may increase the sensor response.
(54) Due to the assembly tolerances of the flow control assembly 50, which may have a positional tolerance with respect to the sensor surface 132 of up to, e.g., +/−0.010 in., the seal 86 may be positioned upon a tapered surface 138 which may be formed in an annular configuration around the sampling chamber 74. The tapered surface 138 may be angled so that the tapered surface 138 extends away from the contact region 136 as shown in
(55) With respect to the sampling chambers, its volume for receiving the sampled breath through the openings 76 may vary. In one variation, the volume may be, e.g., approximately 0.13 mL with 3×1.2 mm diameter openings 76 (3.4 mm.sup.2). A larger or smaller sampling chamber may be used and the area or size of the openings may change linearly with chamber volume. Thus, a ratio of opening area per chamber volume may be used as an indicator for determining optimal opening size and sampling chamber volume. This ratio of, e.g., about 25 mm.sup.2/mL, works well for CO and the ratio may change with the target gas as a smaller ratio may be more effective in blocking water. For instance, H.sub.2 diffuses relatively faster than CO and so a ratio of about 10 mm.sup.2/mL would be effective if H.sub.2 were the main gas of interest.
(56) The sampling chamber may be filled with a porous or fibrous material that functions as a filter that can absorb moisture. This will not only remove some moisture from the gas diffusing through, but will also preferentially slow down the diffusion of moisture that does ultimately diffuses to the sensor. Furthermore, the filter material may be selected so that it removes unwanted contaminants, such as volatile organic compounds (VOCs). Materials such as activated carbon may be selected as it removes moisture and also many contaminants including alcohol which is particularly applicable for breath sensing.
(57) Additionally, the ideal diffusion chamber geometry may also depend on the sensor. For instance, a relatively fast sensor may be able to handle a “slower” diffusion chamber characteristic, but a sensor with faster detection characteristics may be limited by the type and construction of the sensor.
(58) When a subject blows into the collection tube 22 for submitting a breath sample, predicting a terminal value of the sensors 38, 42 in a limited-duration breath test may be difficult due to the stabilization time typically needed for many types of sensors to accurately detect parameters from the breath sample. For instance, gas sensors (such as CO sensors) may take up to 10-30 seconds of sampling time to stabilize and yield a final value. However, subjects may not be able to (or should not need to) exhale for more than 5-10 seconds into the collection tube 22 in order to obtain an accurate reading. Hence, the final value may be estimated based upon the transient signals obtained from the sensor.
(59) During a test 156, the input response sensor curve may be associated with the calibration curve. The association may be accomplished using a number of different methods. In one variation, the sensor value at test time t=t.sub.1 may be compared to the calibration value at t=t.sub.1, where t.sub.1 is a selected to be a time of interest, e.g., time at the peak, time at the end of the test, or a specific time during the test (e.g. 10 seconds, etc.). In another variation, a least-squares fit may be performed of the input sensor curve to the calibration curve multiplied by a constant, and optimizing for that constant. For example, a constant of 0.6 would mean the input value is calculated to be 0.6*the calibration value. The calibration constant is calculated for each device and may be based on the calibrated input from the subject. Finally, the final value may be determined 158 by extrapolating the sample result based the calibrated curve.
(60) Hence, if the rates of stabilization are fixed or can be estimated accurately based on other known parameters, e.g. temperature, then the process illustrated in the diagram 150 of
(61)
(62) If the rate of stabilization is not sufficiently well known for a sensor but the shape of the calibration curve is known, in particular an exponential settling function of the type y(t)=y.sub.terminal*(1−e.sup.−t/τ), then the process illustrated in diagram 160 of
(63) Compensation in step 162 may be done in either of the following situations. The first situation is when the input breath sample does not immediately propagate to the sensor due to the device geometry but the gas concentration at the sensor surface can be modeled for example by an exponential decay function. The second situation is when a subject's CO level in their breath is not evenly distributed throughout the sample breath, but is actually highest at the end of the exhaled breath. Compensation may be done by adjusting the slope up in the analysis, essentially amplifying the early part of the curve. Several constants that were derived experimentally by optimizing using existing datasets may be utilized.
(64) Over time, the sensors may begin to degrade with repeated use and the calibration data initially used may no longer be valid after some amount of time has passed. Thus, aging data may be used to determine typical behavior over time and also used to compensate the calibration data accordingly. For example, the approximate degradation of certain sensors may be known to be, e.g., 0.6% per month for the first six months and then 0.3% per month thereafter. With this known degradation rate, these parameters may be used to compensate the analysis of each measured value thereafter based upon the amount of time which has elapsed since the device was calibrated.
(65) In another variation of the sampling unit 20, the device may additionally and/or alternatively incorporate one or more spirometers 180 for monitoring or screening for various conditions, e.g., COPD, asthma, etc. The spirometer 180 may be incorporated into the unit 20 so that it is in fluid communication with a sample breath 125 passing through the flow path 123 to detect and/or monitor parameters, as shown in
(66) While illustrative examples are described above, it will be apparent to one skilled in the art that various changes and modifications may be made therein. Moreover, various apparatus or procedures described above are also intended to be utilized in combination with one another, as practicable. The appended claims are intended to cover all such changes and modifications that fall within the true spirit and scope of the invention.