Implantable Sensor and Method for Such Sensor

Abstract

The present invention relates to an implantable sensor configured to be implanted within the body of the subject and being configured to measure impedance within a body tissue of the subject resulting from an electrical current flowing through the body tissue, wherein the body tissue is sub-dermal or subcutaneous tissue of the subject. One pair of injection electrodes is configured for injection of electrical current into the body tissue and one pair of sensing electrodes is configured to detect the resulting voltage. A detector is operatively connected to the sensing electrodes and is configured to receive the voltage detected by the sensing electrodes, wherein the detector is configured to measure the impedance of the body tissue based on the voltage detected by the pair of sensing electrodes. A microcontroller is operatively connected to the detector and is configured to receive impedance signals from the detector and to provide control signals to the current signal output circuit and a powering and communication circuit including a coil configured to be powered by an electromagnetic field produced by an external coil.

Claims

1. A device for measuring impedance in an object, the device being configured to be implanted within a tissue of the object and being configured to measure impedance within the tissue of the object resulting from an electrical current flowing through the tissue, comprising: one pair of injection electrodes configured for injection of electrical current into the tissue, wherein the electrical current is passed from one of the one pair of injection electrodes to the other of the one pair of injection electrodes through the object; one pair of sensing electrodes configured to detect a voltage caused by the current flowing between the one pair of injection electrodes and through the tissue whereby the one pair of injection electrodes and the one pair of sensing electrodes are arranged physically separated and at a distance from one another; the pair of injection electrodes and the pair of sensing electrodes being arranged in a row, wherein the pair of sensing electrodes are arranged in between the pair of injection electrodes; a current signal output circuit and a microcontroller, the current signal output circuit being operatively connected to the microcontroller and the one pair of injection electrodes and being configured to provide electrical current at predetermined frequencies to the one pair of injection electrodes; a detector operatively connected to the pair of sensing electrodes and configured to receive the voltage detected by the pair of sensing electrodes, wherein the detector is configured to measure the impedance of the tissue based on the voltage detected by the one pair of sensing electrodes wherein the current signal output circuit and the one pair of injection electrodes constitute an electric circuit separate from the one pair of sensing electrodes and the detector; the microcontroller operatively connected to the detector and being configured to receive impedance signals from the detector and to provide control signals to the current signal output circuit; a powering and communication circuit including a coil configured to be powered by an electromagnetic field produced by an external coil, the powering circuit being operatively connected to the microcontroller and configured to power the microcontroller, the current signal output circuit and the detector; wherein the detector is a I/Q (In-phase/Quadrature) demodulator comprising one signal path for extraction of both the I and Q components, wherein a sensed voltage is received from the sensing electrodes as input and an output of the I/Q demodulator is at least one direct current (DC) signal; and, wherein the microcontroller is configured to determine a glucose level in the object by correlating the measured impedance with a predetermined relationship between impedance and blood glucose levels.

2. The device according to claim 1, wherein the microcontroller is configured to communicate the measured impedance to an external device via the powering and communication circuit and wherein a monitoring engine is arranged in the external device.

3. The device according to claim 1, wherein the microcontroller is configured to communicate the measured impedance to an external device via the powering and communication circuit and wherein a monitoring engine is arranged in the external device and is configured to determine a glucose level in a subject by correlating the measured impedance with a predetermined relationship between impedance and blood glucose levels.

4. The device according to claim 1, wherein the current signal output circuit is configured to provide the injected current at a plurality of frequencies in a range between 1 kHz to 3 MHz.

5. The device according to claim 1, further comprising a frequency generation circuit operatively connected to the detector and being configured to generate reference signals having a frequency between 5 kHz to 50 MHz.

6. The device according to claim 1, wherein the I/Q demodulator comprises a multiplier configured to multiply the received voltage with a reference signal.

7. The device according to claim 1, wherein the detector further comprises a voltage amplifier for amplifying the voltage sensed by the sensing electrodes.

8. The device according to claim 1, wherein the detector further comprises a low pass filter for filtering amplified signals.

9. The device according to claim 1, wherein the device is configured to be implanted within a body of the subject sub-dermally or subcutaneously.

10. The device according to claim 1, wherein the powering and communication circuit is configured to communicate with an external communication device using a back-scattering technique.

11. The device according to claim 1, wherein the object is an organ intended for transplantation, or a section of a female reproductory tract.

12. The device according to claim 1, wherein the object is a subject and wherein the tissue is body tissue.

13. The device according to claim 1, wherein the current signal output circuit is configured to provide the injected current at a plurality of frequencies in a range between 1.5 kHz and 2.5 MHz.

14. The device according to claim 1, wherein the current signal output circuit is configured to provide the injected current at a plurality of frequencies in a range between 1.90 kHz and 2 MHz.

15. The device according to claim 1, further comprising a frequency generation circuit operatively connected to the detector and being configured to generate reference signals having a frequency between and preferably in a range between 10 kHz to 20 MHz and to deliver the reference signals to the detector.

16. The device according to claim 1, further comprising a frequency generation circuit operatively connected to the detector and being configured to generate reference signals having a frequency between and preferably in a range between 16 kHz to 16 MHz and to deliver the reference signals to the detector.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0058] The present invention will now be described, for exemplary purposes, in more detail by way of embodiments and with reference to the enclosed drawings, in which:

[0059] FIG. 1 is a schematic view of an embodiment of a system according to the present invention;

[0060] FIG. 2 is a schematic view of an embodiment of a computing device suitable for use in the system according to the present invention;

[0061] FIG. 3 is a schematic view of another embodiment of a computing device suitable for use in the system according to the present invention;

[0062] FIG. 4 is a schematic view of an embodiment of the computing device;

[0063] FIG. 5 is a schematic view of a reader module according to the present invention;

[0064] FIG. 6 is a schematic view of an embodiment of the implantable impedance sensor according to the present invention;

[0065] FIG. 7 is a schematic flow diagram of an embodiment of the method according to the present invention; and

[0066] FIG. 8 is a schematic view of a further embodiment of the implantable impedance sensor according to the present invention.

DETAILED DESCRIPTION OF EMBODIMENTS

[0067] With reference first to FIG. 1, an embodiment of a system for measuring or monitoring user related conditions or parameters such as different physiological parameters including hydration, glucose levels etc., health status, drug compliance, in connection with organ transplantations to monitor the vitality of an organ during transportation from donor to recipient, and to monitor signs or rejection, infections or ischemia, monitor the ovarian cycle using e.g. temperature, and monitoring glucose and hydration to identify alertness of aviators, truck drivers etc. There is clearly a need of such a system that can be used with small, reliable, easy and cheap to produce and that can be carried over extended periods of time will be described. In preferred embodiments of the invention, the system uses a sensor that measures the impedance of body tissue and the impedance measurements are used to detect or monitor glucose levels.

[0068] A sensor 10 for measuring electrical bio-impedance of a subject 12 is implanted into the subject, for example sub-dermally or sub-cutaneously. The implantable sensor 10 according to the present invention will be described in detail below with reference to FIG. 6. The sensor 10 is powered by an external reader module 14 by using inductive coupling, for example, at frequencies around 10-15 MHz. The reader module 14 is capable of communicating with a microcontroller 61 of the sensor 10 (see e.g. FIG. 6). For example, the reader module 14 may be arranged to perform half-duplex back-scattering serial communication with the sensor 10, also known as impedance modulation or load modulation. This technique works by reflecting electromagnetic waves back to the source. The short distance relative to the wavelength means that the reflected wave is received almost instantly. Therefore instead of receiving a pulse back the mutual inductance behaves as a feedback loop and changes the apparent impedance of the inductor. The change in inductance will then change the current that passes through the coil. The changed current will then change the amplitude of the voltage over the coil, and the data can be treated as an amplitude modulated signal. In principle any method that changes the impedance in the secondary resonator can be used to transmit data. For example, amplitude modulation for the downlink (from the reader 14 to the implantable device or sensor 10) by changing the voltage that is available in the sensor 10. The uplink (from the implantable device 10 to the reader 14) uses load shift keying, where the quality factor of the load is changed according to the data being sent. The load is sensed by using a transformer (not shown), which senses the current that passes through the coil used to transmit power. An envelope detector (not shown) followed by a band pass filter (not shown) and comparator (not shown) is used to recover the data.

[0069] In embodiments of the present invention, the reader module 14 and the sensor 10 includes LRC resonant circuits configured for frequencies in a range between 10-15 MHz for power transmission and signal reception (at the reader 14). The reader module 14 is configured to communicate with a computing device 15, for example, using wireless communication including infrared, BLUETOOTH? wireless technology, 802.11a7b/g/n, cellular or other radio frequency communication systems.

[0070] In embodiments of the present invention, the reader module is included in the computing device as shown in FIG. 2. For example, a reader module 38 may be connected or coupled to the computing device at a USB port of the computing device 15. The reader module may alternatively be included into the computing device as module.

[0071] With reference to FIG. 3, the computing device 15 includes, in some embodiments, at least one processing device 16, such as a central processing device (CPU). A variety of processing devices are available from a variety a manufacturers, for example, Intel or Advanced Micro Devices. In this embodiment, the computing device also comprises a system memory 17.

[0072] Examples of computing devices suitable for use in the present system include, but without limitation to the mentioned examples, a desktop computer, a laptop computer, a tablet computer, a mobile computing device such as a smart phone (e.g. an iPhone? or a phone based on Android OS), an iPod?, an iPad?, a mobile digital device or other mobile devices, or other devices configured to process digital instructions.

[0073] The system memory 17 includes read only memory and random access memory. A basic input/output system containing basic routines that act to transfer information within the computing device 15, such as start-up, is typically stored in the read only memory.

[0074] Further, the computing device 15 also includes a secondary storage 19 in some embodiments, such as a hard disk drive, for storing digital data. The secondary storage 19 and associated computer readable media provide non-volatile storage of computer readable instructions (including programs and program modules), data structures and other data for the computing device 15.

[0075] Although the exemplary environment described herein employs a hard disk drive and a secondary storage, other types of computer readable storage media are used in other embodiments. Examples of these other types of computer readable storage media include magnetic cassettes, flash memory cards, digital video disks, compact disc read only memories, digital versatile disk read memories, random access memories, or read only memories. Some embodiments include non-transitory media. Additionally, such computer readable storage media can include local storage or cloud-based storage.

[0076] As illustrated in FIG. 4, a number of program modules can be stored in the secondary storage 19 and/or system memory 17 including an operating system 21, one or more application programs 22, a user interface engine 23, a medical system communication engine 24 and a monitoring engine 25. The computing device 15 can utilize any suitable operating system, such as Microsoft Windows?, Google Chrome?, Apple OS, Android OS and any other operating systems suitable for a computing device. The monitoring engine may, in some embodiments, be arranged to determine or monitor a physiological parameter such as a glucose level based on measured impedance. In the embodiment shown in FIG. 2, the computing device is capable of determining or monitoring a physiological parameter such as glucose based on impedance measurements. The impedance measurements are performed by the sensor 10 and the impedance data is then transmitted to the reader module 14 via a powering and communication module 62 of the sensor (see FIG. 6).

[0077] In some embodiments, a user provides input to the computing device 15 through one or more input devices 30. Examples of input devices 30 include a keyboard, a mouse, a microphone, a touch sensor (such as a touchpad or touch sensitive display), an IR sensor or web-camera. The input device 30 is connected to the processing device 16 through an input/output interface that is coupled to a system bus (not shown).

[0078] In preferred embodiments of the present invention, the computing device 15 includes a display device 32 such as a monitor, liquid crystal display device, a projector or touch sensitive display device.

[0079] When used in a local area networking environment or a wide area networking environment (such as the Internet), the computing device 15 is typically connected to the network 40 (FIG. 1) through a network interface (not shown) such as an Ethernet interface. Other embodiments use other communication devices. For example, some embodiments of the computing device 15 include a modem for communicating across the network.

[0080] The computing device 15 is capable of communicating with, for example, a health care provide unit 36 via the network 40 using the medical system communication engine 24. The health care provider unit 36 comprises a patient portal 37, wherein an authorized user such as a medical doctor can access patient information via the patient portal 37. In embodiments of the present invention, the computing device 15 uploads information, for example, related to measure physiological parameters of the subject or patient to the health care provide unit 36. An authorized user, e.g. a medical doctor, can access the uploaded information via the patient portal 37. Other information such health status, drug compliance, etc. can also be uploaded to the health care provide unit from the computing device 15. An authorized user may also communicate with the patient via the patient portal 37, for example, send a prescription of a drug or send updated information related to health status of the patient. Other user related conditions or parameters such as different physiological parameters including hydration, glucose levels etc., health status, drug compliance, in connection with organ transplantations to monitor the vitality of an organ during transportation from donor to recipient, and to monitor signs of rejection, infections or ischemia, monitor the ovarian cycle using e.g. temperature, and monitoring glucose and hydration to identify alertness of aviators, truck drivers etc. can also be monitored or followed up in the present system 8.

[0081] In embodiments of the present invention, the monitoring engine 25 may be included in a storage unit 51 of the reader module 14 as illustrated in FIG. 5, e.g. a read only memory and random access memory and a secondary storage such as a hard disk drive, for storing digital data. The secondary storage and associated computer readable media provide non-volatile storage of computer readable instructions (including programs and program modules), data structures and other data for the reader device. Although the exemplary environment described herein employs a hard disk drive and a secondary storage, other types of computer readable storage media are used in other embodiments. Examples of these other types of computer readable storage media include magnetic cassettes, flash memory cards, digital video disks, compact disc read only memories, digital versatile disk read memories, random access memories, or read only memories. Some embodiments include non-transitory media. Additionally, such computer readable storage media can include local storage or cloud-based storage.

[0082] The reader module 14 may also include devices such as a display device 52 such as a monitor, liquid crystal display device, a projector or touch sensitive display device and an input device 53 such as a keyboard, a mouse, a microphone, a touch sensor (such as a touchpad or touch sensitive display), an IR sensor or web-camera.

[0083] The reader module 14 further comprises a coil 54 for producing electromagnetic fields for powering the sensor 10. The coil 54 is connected to power generator 55 configured to generate the current and voltage for the electromagnetic field and a communication module 56 for receiving transmitted data from the sensor 10.

[0084] The reader module 14 may also comprise a communication bus 57 for connection to the computing device 15, for example, via direct connection via a USB port (as shown in FIG. 5) or wirelessly, for example, via IR communication or via BLUETOOTH?.

[0085] Turning now to FIG. 6, the implantable impedance device or impedance sensor will be discussed in more detail. FIG. 6 shows a block diagram of an embodiment of the sensor according to the present invention.

[0086] A powering and communication circuit 62 comprising analog circuits provides power to the sensor 10. The powering and communication circuit comprises a coil 63 for external powering by the reader module 14 using inductive coupling and the powering and communication circuit 62 is also configured to establish a communication mechanism with the reader module 14 using, for example, half duplex back-scattering serial technique. The powering and communication circuit 62 includes a full-wave rectifier circuit 64 which resonates with the coil 63, for example, at frequencies in a range between 10-15 MHz. The input to the powering and communication circuit 62 is an electromagnetic field produced by the coil 13 of the reading module 14. Output of the powering and communication circuit 62 is a DC voltage. The powering and communication circuit 62 is operatively connected to the microcontroller 61.

[0087] A frequency generation circuit 65 is configured to generate frequency reference clocks from signals having a frequency between 5 kHz to 50 MHz, and preferably in a range between 10 kHz to 20 MHz and more preferably in a range between 16 kHz to 16 MHz. These frequencies are used to generate sinusoidal current and I/Q waveforms for the I/Q impedance detection mechanism performed in an I/Q detector 66.

[0088] A current signal output circuit 67 is operatively connected to a pair of injection electrodes 68 and is configured to provide electrical current at predetermined frequencies to the injection electrodes 68. The injection electrodes 68 is configured to inject the electrical current into the body tissue, wherein the electrical current is passed from one of the injection electrodes to the other of the injection electrodes through the body. The current signal output circuit 67 is configured to provide the injected current at a plurality of frequencies in a range between 1 kHz to 3 MHz, and preferably within a range between 1.5 kHz and 2.5 MHz, and more preferably in a range between 1.90 kHz and 2 MHz. In embodiments of the present invention, the frequencies are 1.95 kHz, 3.9 kHz, 7.8125 kHz, 15.625 kHz, 31.25 kHz, 62.5 kHz, 125 kHz, 250 kHz, 500 kHz, 1 MHZ and 2 MHz.

[0089] A pair of sensing electrodes 69 is configured to detect the resulting voltage caused by the current flowing between the pair of injection electrodes 68 and through the body tissue. The sensing electrodes 69 are operatively connected to the detector 66, which receives the sensed voltage. The detector 66 comprises circuit for generating sinusoidal current waveform 70, amplifying circuits 71 for amplifying sensed voltage, multiplier 72 for multiplying the voltage with I/Q reference signals and low pass filter circuit 73 for low pass filtering the signals.

[0090] The detector 66 has one path to extract the I- and Q-components of the signal. The result of the I/Q demodulation is a DC signal, which entails that the extraction of the I and Q components can be performed when required. This is in contrast to prior art I/Q demodulation in communication systems, where phase and amplitude change over time and the processing therefore has to be performed in parallel.

[0091] A control and calibration circuit 75 is operatively connected to the microcontroller 61, current frequency generation circuit 65, the current signal output circuit 67 and the detector 66. The control and calibration circuit 75 is configured to control and/or calibrate the different circuits and to communicate with the microcontroller 61.

[0092] According to embodiments of the present invention, there is provided a method for measuring impedance in a subject using a device being configured to be implanted within the body of the subject and being configured to measure impedance within a body tissue of the subject resulting from an electrical current flowing through the body tissue, wherein the body tissue is sub-dermal or subcutaneous tissue of the subject [organs for transplantation start outside the body]. The method comprises on a general level the following steps:

[0093] providing, 100, power for the impedance measurement by receiving power at a coil via an electromagnetic field produced by an external coil;

[0094] injecting, 110, electrical current into the body tissue via one pair of injection electrodes, wherein the electrical current is passed from one of the injection electrodes to the other of the injection electrodes through the body;

[0095] sensing, 120, the resulting voltage caused by the current flowing between the pair of injection electrodes and through the body tissue at one pair of sensing electrodes;

[0096] measuring or determining, 130, the impedance of the body tissue based on the voltage detected by the pair of sensing electrodes.

[0097] According to embodiments of the method according to the present invention, an I/Q (In-phase/Quadrature) demodulation is performed in the step of measuring 130 on one signal path for extraction of the I and Q components, respectively, wherein a sensed voltage is received from the sensing electrodes as input and an output of the I/Q demodulation is at least one DC signal.

[0098] According to embodiments of the method according to the present invention, the method further comprises determining or monitoring 140 at least one physiological parameter of the body of the subject by correlating the measured impedance with a predetermined relationship between impedance and at least one physiological parameter.

[0099] According to embodiments of the method according to the present invention, the step of monitoring 140 at least one physiological parameter comprises determining a glucose level in the subject by correlating the measured impedance with a predetermined relationship between impedance and blood glucose levels.

[0100] According to embodiments of the method according to the present invention, the method further comprises communicating 150 the measured impedance and/or a determined value of the physiological parameter (such as a glucose level) to an external device via the coil using electromagnetic fields. If the measured impedance is communicated to the external device, the determination of the physiological parameter can be performed in the external device and the step of communicating 150 is executed before the step of determining 140 at least one physiological parameter.

[0101] According to embodiments of the method according to the present invention, the at least one physiological parameter include body temperature, hydration levels, hormone levels, lactate levels, pH, pO2, other specific ions or molecules, local pressure inside brain or scull

[0102] According to embodiments of the method according to the present invention, the step of providing, 130, electrical current at predetermined frequencies to the injection electrodes comprises providing current for the injection electrodes at a plurality of frequencies in a range between 1 kHz to 3 MHz, and preferably within a range between 1.5 kHz and 2.5 MHz, and more preferably in a range between 1.90 kHz and 2 MHz.

[0103] According to embodiments of the method according to the present invention, further comprises generating reference signals having a frequency between 5 kHz to 50 MHz, an preferably in a range between 10 kHz to 20 MHz and more preferably in a range between 16 kHz to 16 MHz for the I/Q demodulation.

[0104] With reference now to FIG. 8, another embodiment of the implantable impedance device or impedance sensor according to the present invention will be discussed in more detail. FIG. 8 shows a block diagram of this embodiment of the sensor according to the present invention.

[0105] A powering and communication circuit 62 comprising analog circuits provides power to the sensor 210. The powering and communication circuit comprises a coil 63 for external powering by the reader module 14 using inductive coupling and the powering and communication circuit 62 is also configured to establish a communication mechanism with the reader module 14 using, for example, half duplex back-scattering serial technique. The powering and communication circuit 62 includes a full-wave rectifier circuit 64 which resonates with the coil 63, for example, at frequencies in a range between 10-15 MHz. The input to the powering and communication circuit 62 is an electromagnetic field produced by the coil 13 of the reading module 14. Output of the powering and communication circuit 62 is a DC voltage. The powering and communication circuit 62 is operatively connected to the microcontroller 61.

[0106] A frequency generation circuit 65 is configured to generate frequency reference clocks from signals having a frequency between 5 kHz to 50 MHz, and preferably in a range between 10 kHz to 20 MHz and more preferably in a range between 16 kHz to 16 MHz. These frequencies are used to generate sinusoidal current and I/Q waveforms for the I/Q impedance detection mechanism performed in an I/Q detector 66.

[0107] A current signal output circuit 67 is operatively connected to a pair of electrodes 268 and is configured to provide electrical current at predetermined frequencies to the electrodes 268. The electrodes 268 are configured to inject the electrical current into the body tissue, wherein the electrical current is passed from one of the electrodes 268 to the other of the electrodes 268 through the body. The current signal output circuit 67 is configured to provide the injected current at a plurality of frequencies in a range between 1 kHz to 3 MHz, and preferably within a range between 1.5 kHz and 2.5 MHz, and more preferably in a range between 1.90 kHz and 2 MHz. In embodiments of the present invention, the frequencies are 1.95 kHz, 3.9 kHz, 7.8125 kHz, 15.625 kHz, 31.25 kHz, 62.5 kHz, 125 kHz, 250 kHz, 500 kHz, 1 MHZ and 2 MHz.

[0108] The resulting voltage caused by the current flowing between the pair of electrodes 268 and through the body tissue is detected at the electrodes 268. The electrodes 69 are also operatively connected to the detector 66, which receives the sensed voltage. The detector 66 comprises circuit for generating sinusoidal current waveform 70, amplifying circuits 71 for amplifying sensed voltage, multiplier 72 for multiplying the voltage with I/Q reference signals and low pass filter circuit 73 for low pass filtering the signals.

[0109] The detector 66 has one path to extract the I- and Q-components of the signal. The result of the I/Q demodulation is a DC signal, which entails that the extraction of the I and Q components can be performed when required. This is in contrast to prior art I/Q demodulation in communication systems, where phase and amplitude change over time and the processing therefore has to be performed in parallel.

[0110] A control and calibration circuit 75 is operatively connected to the microcontroller 61, current frequency generation circuit 65, the current signal output circuit 67 and the detector 66. The control and calibration circuit 75 is configured to control and/or calibrate the different circuits and to communicate with the microcontroller 61.

[0111] The features of the different embodiments of the sensor, method and system disclosed above may be combined in various possible ways providing further advantageous embodiments.

[0112] The invention shall not be considered limited to the embodiments illustrated, but can be modified and altered in many ways by one skilled in the art, without departing from the scope of the appended claims.