Device for measuring impedance of biologic tissues including an alternating current (AC) coupled voltage-to-current converter
10357176 ยท 2019-07-23
Assignee
Inventors
Cpc classification
A61B5/053
HUMAN NECESSITIES
G01R27/26
PHYSICS
G01R1/30
PHYSICS
G01R27/02
PHYSICS
A61B5/0537
HUMAN NECESSITIES
G01N33/4833
PHYSICS
Y10T29/49007
GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
International classification
A61B5/00
HUMAN NECESSITIES
G01R27/26
PHYSICS
G01R1/30
PHYSICS
G01R27/02
PHYSICS
Abstract
A device for measuring impedance of biological tissue may include electrodes and a voltage-to-current converter coupled to the electrodes to drive an alternating current (AC) through the tissue and sense an AC voltage. The converter may include an amplifier having first and second inputs and an output, a first voltage divider coupled to the first input, a second voltage divider coupled to the second input, a filter capacitor coupled between the output and the second voltage divider, a current limiting resistor coupled between the second input the second voltage divider, and a bypass capacitor coupled to the second input of the amplifier and in parallel with the resistor. A single-ended amplitude modulation (AM) demodulator may demodulate the AC voltage and generate a corresponding baseband voltage representing the impedance. The device may also include an output circuit to generate output signals representative of DC and AC components of the baseband voltage.
Claims
1. A voltage-to-current converter for a device for measuring impedance of biological tissue, the device comprising a pair of electrodes for contacting the biological tissue, at least one single-ended amplitude modulation (AM) demodulator configured to demodulate an AC voltage and to generate a corresponding output voltage representing the impedance, the voltage-to-current converter comprising: an amplifier to be coupled to the pair of electrodes and configured to drive an alternating current (AC) through the biological tissue and to sense an AC voltage, said amplifier having a first input, a second input, and an output; a current limiting resistor coupled to said second input; and a bypass capacitor coupled to the second input of said amplifier and in parallel with said current limiting resistor.
2. The voltage-to-current converter of claim 1, further comprising: an output node; an input node configured to receive an AC drive voltage; a first resistive voltage divider having a middle terminal and coupled between the output node and the input node; and a second resistive voltage divider having a middle terminal and a same voltage ratio as said first resistive voltage divider, and coupled between a common terminal with one of said pair of electrodes and to the output node, and another one of said pair of electrodes being coupled to the middle terminal; said first input of said amplifier coupled to the middle node of said first resistive voltage divider, and said second input of said amplifier coupled to the middle terminal of the second resistive voltage divider through said current limiting resistor.
3. A voltage-to-current converter for a device for measuring impedance of biological tissue, the device comprising a pair of electrodes for contacting the biological tissue, at least one single-ended amplitude modulation (AM) demodulator configured to demodulate an AC voltage and to generate a corresponding output voltage representing the impedance, the voltage-to-current converter comprising: an amplifier to be coupled to the pair of electrodes and configured to drive an alternating current (AC) through the biological tissue and to sense an AC voltage, said amplifier having a first input, a second input, and an output; a first resistive voltage divider coupled to the first input; a second resistive voltage divider coupled to the second input; and a direct current (DC) filter capacitor coupled between the output of said amplifier and said second resistive voltage divider; wherein for a given working frequency of said amplifier, values of said first and second resistive voltage dividers and said DC filter capacitor are chosen according to:
_o=(_p/(k_2R_3C))=(_GBP/(k_1k_2R_3C)) wherein o is the given working frequency, R.sub.3 is a resistive value of a first resistor of said second resistive voltage divider, C is a value of said DC filter capacitor, k2=1+((R.sub.4a+R.sub.4b)/R.sub.3) wherein R.sub.4a and R.sub.4b are respective resistive values of second and third resistors of said second resistive voltage divider, and GBP=pk1 is a gain-bandwidth product of said amplifier, wherein k1=1+(R2/R1), and wherein R1 and R2 are respective resistive values of first and second resistors of said first resistive voltage divider.
4. The voltage-to-current converter of claim 3, wherein k1 is equal to k2.
5. The voltage-to-current converter of claim 3, wherein values of said first and second resistive voltage dividers and said DC filter capacitor are chosen according to: wherein Cp is a parasitic capacitance.
6. The voltage-to-current converter of claim 3, further comprising: an output node; and an input node configured to receive an AC drive voltage; said first resistive voltage divider having a middle terminal and being coupled between the output node and the input node; and said second resistive voltage divider having a middle terminal and a same voltage ratio as said first resistive voltage divider, and being coupled between a common terminal with one of said pair of electrodes and to the output node, and another one of said pair of electrodes coupled to the middle terminal; said first input of said amplifier coupled to the middle node of said first resistive voltage divider, and said second input of said amplifier coupled to the middle terminal of the second resistive voltage divider.
7. The voltage-to-current converter of claim 3, further comprising: a current limiting resistor coupled between the second input of said amplifier and said second resistive voltage divider; and a bypass capacitor coupled to the second input of said amplifier and in parallel with said current limiting resistor.
8. A method of making a voltage-to-current converter for a device for measuring impedance of biological tissue, the device comprising a pair of electrodes for contacting the biological tissue, at least one single-ended amplitude modulation (AM) demodulator configured to demodulate an AC voltage and to generate a corresponding output voltage representing the impedance, the method comprising: coupling an amplifier to the pair of electrodes to drive an alternating current (AC) through the biological tissue and to sense an AC voltage, the amplifier having a first input, a second input, and an output; coupling a first resistive voltage divider to the first input; coupling a second resistive voltage divider to the second input; and coupling a direct current (DC) filter capacitor between the output of amplifier and second resistive voltage divider; wherein for a given working frequency of the amplifier, values of the first and second resistive voltage dividers and the DC filter capacitor are chosen according to: wherein o is the given working frequency, R.sub.3 is a resistive value of a first resistor of the second resistive voltage divider, C is a value of the DC filter capacitor, k2=1+((R4a+R4b)/R3) wherein R.sub.4a and R.sub.4b are respective resistive values of second and third resistors of the second resistive voltage divider, and GBP=pk1 is a gain-bandwidth product of said amplifier, wherein k1=1+(R2/R1), and wherein R1 and R2 are respective resistive values of first and second resistors of the first resistive voltage divider.
9. The method of claim 8, wherein k1 is equal to k2.
10. The method of claim 8, wherein values of the first and second resistive voltage dividers and the DC filter capacitor are chosen according to: wherein Cp is a parasitic capacitance.
11. The method of claim 8, further comprising: coupling a middle terminal of the first resistive voltage divider between an output node and an input node for receiving an AC drive voltage; coupling a middle terminal of the second resistive voltage divider between a common terminal with one of the pair of electrodes and to the output node, and coupling another one of the pair of electrodes to the middle terminal, the second resistive voltage divider having a same voltage ratio as the first resistive voltage divider; and coupling first input of the amplifier to the middle node of the first resistive voltage divider and coupling the second input of the amplifier to the middle terminal of the second resistive voltage divider.
12. The method of claim 8, further comprising: coupling a current limiting resistor between the second input of the amplifier and the second resistive voltage divider; and coupling a bypass capacitor to the second input of the amplifier in parallel with the current limiting resistor.
13. A voltage-to-current converter for a device for measuring impedance of biological tissue, the device comprising a pair of electrodes for contacting the biological tissue, at least one single-ended amplitude modulation (AM) demodulator configured to demodulate an AC voltage and to generate a corresponding output voltage representing the impedance, the voltage-to-current converter comprising: an amplifier to be coupled to the pair of electrodes and configured to drive an alternating current (AC) through the biological tissue and to sense an AC voltage, said amplifier having a first input, a second input, and an output; a first resistive voltage divider coupled to the first input; a second resistive voltage divider coupled to the second input; a direct current (DC) filter capacitor coupled between the output of said amplifier and said second resistive voltage divider; a current limiting resistor coupled between the second input of said amplifier and said second resistive voltage divider; and a bypass capacitor coupled to the second input of said amplifier and in parallel with said current limiting resistor.
14. The voltage-to-current converter of claim 13, further comprising: an output node; and an input node configured to receive an AC drive voltage; said first resistive voltage divider having a middle terminal and being coupled between the output node and the input node; said second resistive voltage divider having a middle terminal and being coupled between a common terminal with one of the pair of electrodes and to the output node, and another one of the pair of electrodes coupled to the middle terminal.
15. The voltage-to-current converter of claim 14, wherein said first input of said amplifier is coupled to the middle node of said first resistive voltage divider, and said second input of said amplifier coupled to the middle terminal of the second resistive voltage divider.
16. The voltage-to-current converter of claim 14, wherein the second resistive voltage divider has a same voltage ratio as said first resistive voltage divider.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
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(17)
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
(18) An embodiment of a device for measuring the impedance of biological tissue is illustrated in
(19) The device has two single-end AM demodulators. Each demodulates the voltage towards ground of a respective electrode and generates a respective baseband signal. The demodulated baseband signals are supplied in input to an INA that generates an amplified copy of their difference.
(20) Differently from the known device of
(21) Differently from the prior device of
(22) Preferably, the voltages towards ground of the two electrodes are read by two single ended AC coupled buffers, thus rejecting electrode offset rejection and high input impedance before being AM demodulated. This approach is preferred because unitary gain buffers have the largest bandwidth for a given operational amplifier, and, at the same time, the very good match of the unitary gain provides a good CMRR. Noise, that is a reason for which a gain in the first stages is usually preferred, is generally not an issue in this case because the first stage works on a relatively high frequency signal in a bandwidth in which the noise of common operational amplifiers is relatively low.
(23) Any skilled person will be capable of identifying AC buffer architectures configured to be used in the device, and for this reason, they are not illustrated in detail. In a four electrode configuration, as the architecture shown in
(24) The voltage-to-current converter may be a Howland voltage-to-current converter or, more generally, any voltage-to-current converter. An exemplary voltage-to-current converter may be the converter illustrated in
(25) Another voltage-to-current converter is the classic Howland converter illustrated in
(26) The load current is
(27)
in which Vin is the driving voltage. If
(28)
the current Iz is independent on the load impedance Zload. If the driving voltage Vin of the Howland circuit is an AC signal centered around the reference voltage Vref, then no DC current flows through the load. Unfortunately, this condition may not be guaranteed, for example, in the case of a single fault on the operational amplifier (i.e. one of the pins of the amplifier shorted to ground or to the supply).
(29) A Howland converter with protections against overcurrents and DC currents, thus configured to be used for applications on the human body, is illustrated in
(30) The architecture of
(31) Even if the architecture of
(32) The device of
(33) This eventual limitation may be overcome in the device of
(34) Moreover, the frequency of the pole associated with the capacitors depends on unknown parameters, such as, for example, electrode to skin contact impedance and body impedance. For this reason, the choice of the value of capacitors may be of a particular importance.
(35) Appropriate values of these capacitors may range from 1 nF to 100 nF, if the thoracic impedance is to be measured. Different values may be chosen depending on the particular application for which the device is designed.
(36) The AM demodulator used in the device may be of any kind. According to a preferred embodiment, the AM demodulator is as illustrated in
(37) Differently from commonly used AM demodulators, the demodulator of
(38) By contrast, if an operational amplifier were used instead of the comparator XU1, the output recovery time after saturation and the slew-rate of the amplifier would limit the speed with which the signal OUTCOMP switches high. As a consequence, it may not be possible to demodulate AM signals at relatively high frequencies unless a relatively expensive and power consuming high frequency operational amplifier is used.
(39) The AM demodulator of
(40) These characteristics make the devices suitable for a vast range of bioimpedance measures and applications. The flexibility and reduced dimensions may make it ideal for wearable applications, both in a clinical environment or in home monitoring tasks, such as, a band-aid, a T-shirt, or a bangle. Examples of measurements that may be carried out with the devices are the monitoring of breath rate, heart rate, and other heart related parameters in thoracic bioimpedance, body composition analysis, or local impedance measures in limbs. When relatively high precision measures are desired, the four electrode architecture may be preferred.
(41) Referring now to
(42) An improved version of the circuit illustrated in
(43) For these circuits the Howland condition becomes:
(44)
while the condition described above requiring the working frequency f.sub.0 to be much higher than
(45)
is translated for the circuit of
(46)
(47) A relatively important parameter for the voltage to current converter is the output impedance. Since the frequency of the exciting current is usually greater than 10 kHz, and may be, for example, some MHz, it may not be relatively easy to achieve relatively good output impedance for the V/I converter.
(48) The limited gain-bandwidth product (GBP) of the operational amplifier constitutes a main problem for determining the decreasing of the output impedance with frequency (See, for example, LL in
(49) This is not the only issue: parasitic capacitances in parallel with the output of the V/I converter often become the bottleneck, and it happens to reach excellent theoretical impedances which are not met in practical implementations. For this reason, the cancellation of parasitic capacitance through a negative impedance converter (NIC) has been also proposed (See A. S. Ross, G. J. Saulnier, J. C. Newell1, and D. Isaacson, Current source design for electrical impedance tomography, Physiological Measurements, vol. 24, pp. 509-516, 2003). However, this still requires GBP that is relatively higher than the working frequency and an increased number of operational amplifiers.
(50) In some applications, like the emerging one related to wearable sensors for healthcare monitoring, the additional power consumption may be relatively important. Even limiting the working frequency in the range of tens of kHz, the approaches proposed in literature usually use op-amps with a gain-bandwidth product (GBP) of, at least, tens of MHz up to GHz and, since the GBP of an op-amp is generally proportional to current consumption, this is translated in supply currents in the range of some mA. Furthermore, many approaches require more than one op-amp to work, increasing the overall supply current for the circuit.
(51) It may be relatively important to highlight that circuits of
(52) A person having ordinary skill in the art may readily recognize based upon the description herein and the circuit of
(53) The particular configuration which is described below is applied to the general circuit of
(54)
in which f.sub.0 indicates the working frequency and C.sub.bp is a value of the bypass capacitor. In this way, at the working frequency, circuits of
(55) The Howland condition expressed by EQ. 2 is still satisfied. The capacitor C, instead, is used in a different way. Its function was typically DC-blocking in the previous circuit(s), and its value was chosen according to EQ. 3, which means that the pole of the capacitor must generally be much lower than then the working frequency. In the embodiments described herein, instead, the pole of the capacitor is used to obtain a resonance effect with the first pole of the op-amp in order to have a couple of complex and conjugate poles at the working frequency, as illustrated by the line DL in
(56)
in which
(57)
is the pole of the non-inverting amplifier with feedback R.sub.2 and R.sub.1. The poles of Z.sub.out can be made complex and conjugate. The pulsation of the complex conjugate poles is:
(58)
(59) For example with the typical assumption of the Howland circuit expressed by EQ. 2, it is k.sub.1=k.sub.2, and complex and conjugate poles are obtained satisfying the condition
(60)
which result in a quality factor:
(61)
(62) The GBP still plays a role: the DC impedance is determined by R.sub.3+R.sub.4a, while, once that .sub.0 has been fixed, the quality factor may generally only depend on the value of .sub.p which is influenced by the GBP. For small values of k.sub.1 and k.sub.2 (they are always greater than one), .sub.p.sub.GBP and a relatively good Q, (and so a good increase of the impedance at working frequency) can be obtained also with an op-amp with bandwidth between 10 and 100 times of the working frequency.
(63) The Z.sub.out expression also presents a couple of zeros, and they act at frequency higher than .sub.0, otherwise they would mitigate or cancel the effect of the poles. This condition is expressed by EQ. 7 for the zero located at .sub.p and, for the other one, by:
(64)
(65) EQ. 8 becomes
(66)
for the circuit of
(67) In
(68) The complete frequency response
(69)
is, for this circuit, different from the one described with respect to the embodiments above. The results are complex and involve all the parameters of the circuit. In general, since the output impedance is very high only at the working frequency, the frequency response also depends on Z.sub.load. Nevertheless, to dimension the circuit, it is generally enough to calculate it at the working frequency .sub.0, for which the impedance is very high. With this assumption the frequency response can be considered independent on the load and can be calculated in the particular case Z.sub.load=0 for which the circuit results simplified:
(70)
in which the approximation is the same already discussed about the zeros of Z.sub.out.
(71) Since all the parameter results are correlated, the proper design of the circuit is not obvious. Anyway there are enough degrees of freedom to satisfy, at the same time, equations 6, 7, 8 and 9. A first consideration to properly define the circuit parameters is that resistors R.sub.3 and R.sub.4a should be large to increase Z.sub.out, improve the output swing and reduce power consumption. On the other side if they are too large a very small C may be desired to properly design .sub.0, and this would impact current amplitude (EQ. 9). Thus, a compromise about their order of magnitude is desirable. Once an op-amp with a gain-bandwidth produce is given, a proper design can be obtained following these steps: once the working frequency is defined, Q can be obtained fixing k.sub.1 (and k.sub.2); Q defines the amplitude of the peak in the expression of the output impedance and it can be increased only reducing k.sub.1 and k.sub.2 (which in any case are greater than one) or selecting a different op-amp with a higher gain-bandwidth product; .sub.0 can be placed at the desired value adjusting R.sub.3 and C; and the proper amplitude for the current can be chosen adjusting the amplitude of V.sub.in.
(72) The presence of a parasitic capacitance in parallel with the output is an effect typical of practical realization of a voltage to current converter. At least a few pico-Farads can be quite common in standard PCB technology, and this can strongly decrease the output impedance of the converter. The approach allows the compensation of the effect of a parasitic capacitance.
(73) With a parasitic capacitor C.sub.p in parallel to the output, the overall output admittance becomes
(74)
in which Z.sub.out is reported in EQ. 5. An approximated analysis can be done, remembering that the zeros must be at high frequency (EQ. 8). In this way C.sub.p adds a first order term (R.sub.3+R.sub.4a)C.sub.ps and the new Q becomes:
(75)
so making:
(76)
it is possible to restore the original quality factor of EQ. 7 and the circuit still provides relatively high output impedance.
(77) It may be particularly important to highlight that it is generally not necessary that the relations above are exactly satisfied: it is enough to reduce the residual term added to
(78)
as much as possible. This makes the use of a mismatch between k.sub.1 and k.sub.2 a viable approach, since the exact value of C.sub.p may be unknown, but an estimation is enough.
(79) All the considerations done can be extended to the circuit of
(80) The working principle of the circuit intrinsically makes it suitable to work with a fixed frequency. A multi-frequency extension, anyway, can be obtained with the circuit showed in
(81) Each terminal of the switch is connected to ground through a parasitic capacitance which is desirable to be kept as small as possible to avoid interferences with the circuit working principle.
(82) The shown distribution of switches, anyway, is chosen to reduce or minimize the effect of parasitic capacitance associated to them. With the choice shown in the picture, the branches connected to the open circuit path results in a ground connection through parasitic capacitance. They did not interfere with the circuit since they are driven directly by the amplifier output. Parasitic capacitance is present in parallel to Z.sub.out, but its effect can be cancelled if desired, as already discussed.
(83) Many modifications and other embodiments of the invention will come to the mind of one skilled in the art having the benefit of the teachings presented in the foregoing descriptions and the associated drawings. Therefore, it is understood that the invention is not to be limited to the specific embodiments disclosed, and that modifications and embodiments are intended to be included within the scope of the appended claims.