METERING DEVICE FOR BLOOD GLUCOSE CONCENTRATION BASED ON MICROWAVE SIGNALS
20220378338 · 2022-12-01
Inventors
- Jorge CASTIÑEIRA MOREIRA (Mar del Plata, Provincia de Buenos Aires, AR)
- Juan Carlos BONADERO (Mar del Plata, Provincia de Buenos Aires, AR)
- Alejandro José URIZ (Mar del Plata, Provincia de Buenos Aires, AR)
- Iván Exequiel GELOSI (Mar del Plata, Provincia de Buenos Aires, AR)
- Ramiro AVALOS RIBAS (Mar del Plata, Provincia de Buenos Aires, AR)
- Leonardo Oscar COPPOLILLO (Mar del Plata, Provincia de Buenos Aires, AR)
Cpc classification
A61B5/14532
HUMAN NECESSITIES
A61B5/6844
HUMAN NECESSITIES
A61B2562/164
HUMAN NECESSITIES
G16H50/20
PHYSICS
G16H50/70
PHYSICS
A61B2560/0223
HUMAN NECESSITIES
A61B5/7275
HUMAN NECESSITIES
G16H40/40
PHYSICS
International classification
A61B5/145
HUMAN NECESSITIES
A61B5/00
HUMAN NECESSITIES
Abstract
Non-invasive measuring device for measuring blood glucose concentrations on a user's finger, based on microwave signals sensitive to differences in electrical permittivity caused by changes in blood glucose concentration, comprising a rectangular cross-sectional hollow prismatic resonant cavity, which is filled with a dielectric material, an antenna and a mold; a signal-generating means capable of generating microwave signals connected to the antenna through a signal-differentiating means; a signal-detecting means connected to the antenna through the signal-differentiating means; at least one means of control, connected to the signal-detecting means and to the signal-generating means, which controls signal generation and signal reception from the signal-detecting means.
Claims
1. Non-invasive measuring device for measuring blood glucose concentrations on a user's finger, based on microwave signals sensitive to differences in electrical permittivity caused by changes in blood glucose concentration, wherein the device comprises: a hollow prismatic resonant cavity, which has a width, height and length, with rectangular cross-section defined by the width and the height of the resonant cavity, being the longitudinal central axis of the resonant cavity in a horizontal position, where the resonant cavity is filled with a dielectric material, and where the resonant cavity comprises: two longitudinally opposite faces defined by the width and the height of the resonant cavity that define longitudinal ends of the resonant cavity, two laterally opposite faces defined by the length and the height of the resonant cavity, and two vertically opposite faces defined by the width and the length of the resonant cavity; an antenna inside the resonant cavity, with the capability to transmit a microwave signal to the blood, with the antenna being inserted into a hole located on one of the laterally opposite or vertically opposite faces; a mold for location and hold of the user's finger inside the resonant cavity, with the mold being inserted into a hole located on at least one of the laterally opposite faces or in a hole located on at least one of the vertically opposite faces; a signal-generating means capable of generating microwave signals connected to the antenna through a signal-differentiating means; a signal-detecting means connected to the antenna through the signal differentiating means; and at least one means of control, connected to the signal-generating means and to the signal-detecting means, which controls signal generation from the signal-generating means and the reception of signals from the signal-detecting means.
2. The measuring device according to claim 1, wherein the resonant cavity is obtained from a metallic hollow prismatic profile.
3. The measuring device according to claim 2, wherein the hollow prismatic profile is made of bronze.
4. The measuring device according to claim 1, wherein the signal-generating means generates signals in microwaves in the range of 0.5-3 GHz.
5. The measuring device according to claim 1, wherein the dielectric material is epoxy resin that has a relative dielectric constant ER approximately equal to 43.
6. The measuring device according to claim 1, wherein the signal-differentiating means is selected from the group comprising a bidirectional coupler, a directional coupler and a circulator.
7. The measuring device according to claim 1, wherein the at least one means of control comprises a means of control connected to the signal-detecting means and which controls the reception of signals from the signal-detecting means, and a means of control connected to the signal-generating means and which controls the generation of signals.
8. The measuring device according to claim 1, wherein the at least one means of control is selected from the group comprising a microprocessor and a programmable gate array.
9. The measuring device according to claim 1, wherein both laterally opposite faces each comprises a hole for mold insertion so that both holes are concentric to each other.
10. The measuring device according to claim 1, wherein both vertically opposite faces each comprises a hole for mold insertion so that both holes are concentric to each other.
11. The measuring device according to claim 1, wherein the antenna and the mold are parallel to each other.
12. The measuring device according to claim 1, wherein the antenna and the mold are located on the same face and aligned with the longitudinal center axis of the resonant cavity.
13. The measuring device according to claim 1, wherein the resonant cavity has a width equal to twice its height.
14. The measuring device according to claim 13, wherein the resonant cavity has a width of 50 mm, a height of 25 mm and a length of 110 mm.
15. The measuring device according to claim 14, wherein the optimal location of the mold is at a distance of 21 mm from one end of the resonant cavity and the optimal location of the antenna is at a distance of 22 mm from the other end of the resonant cavity.
16. The measuring device according to claim 1, wherein the antenna is at a distance equal to a quarter of the length of the resonant cavity relative to one end and the mold is at a distance equal to a quarter of the length of the resonant cavity relative to the other end, so that the antenna and mold are separated from each other by a distance equal to half the length of the resonant cavity.
17. The measuring device according to claim 1, wherein the antenna is at a distance approximately equal to one fifth of the length of the resonant cavity relative to one of the ends and the mold is at a distance approximately equal to one fifth of the length of the resonant cavity relative to the other end, so that the antenna and the mold are separated from each other by a distance approximately equal to three-fifths of the length of the resonant cavity.
18. The measuring device according to claim 1, wherein the position of the mold relative to the position of the antenna is half the wavelength of the microwave used.
19. The measuring device according to claim 1, wherein the antenna is located at a distance of one quarter of the wavelength of the used microwave from one end of the resonant cavity and the mold is located at a distance of half a wavelength of the used microwave from the antenna.
20. The measuring device according to claim 1, wherein the mold for finger location and hold is made of rigid plastic material.
21. The measuring device according to claim 20, wherein the device comprises an additional flexible plastic material mold for holding the user's finger, located inside the rigid plastic material mold.
22. The measuring device according to claim 21, wherein the rigid plastic mold has an inner threading for fastening the flexible plastic material mold.
23. The measuring device according to claim 21, wherein the flexible plastic material mold comprises an optical distance sensor for controlling that the finger penetration level is suitable for measurement.
24. The measuring device according to claim 1, wherein the device measures the reflection coefficient of the resonant cavity input.
Description
BRIEF DESCRIPTION OF FIGURES
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DETAILED DESCRIPTION OF THE INVENTION
[0063] Given the extent of diabetes (number of cases worldwide), there are significant scientific and technological efforts to develop noninvasive methods and devices to measure blood glucose. In particular, the method based on the use of microwave signals is based on the capability of microwaves to pass through the components of a finger such as skin, muscle and bone, for example, and thus interact with the blood present inside. A property of all materials, which is electrical permittivity, determines how the tissue behaves when interacting with microwaves, thus also affecting that electromagnetic wave. In this case, the significant feature is that changes in blood glucose content modify the electrical permittivity values of the fluid. Thus, given an incident microwave signal, the reflected signal will be modified according to the electrical permittivity values of the fluid under study. Therefore, the introduction of a finger, as described below, will modify the response in reflected frequency or signal in the measuring device of the present invention, so that by measuring the reflected signal and, from an appropriate calibration, the values of glucose present in blood can be obtained. More specifically, by means of graphs obtained through clinical tests on healthy volunteers and on volunteers with diabetes who used the measuring device of the present invention, as described below, when glucose concentration increases, the resonance frequency of the measuring device decreases and when the glucose concentration decreases the resonance frequency increases.
[0064] For the purposes of the present invention, the terms “resonant cavity” and “resonator” are used interchangeably. Similarly, the terms “microwave” and “wave” are used interchangeably to refer to electromagnetic waves in the microwave range, and the expression “sensor” will always refer to the resonant cavity unless the context clearly indicates otherwise. In addition, the terms “parameter S11”, “S11 response” and “frequency response” or derivations thereof all refer to the reflected signal or wave in the resonant cavity which separates from the signal or wave incident to that resonant cavity.
[0065] In each one of the figures the same numerical references are used for each element of the device of the invention.
[0066] With reference to
[0067] With reference to
[0068] It should be noted that in resonant cavities it is possible to input an electromagnetic signal that, under certain circumstances established by the geometry of the structure and the constituting materials, keeps the inner energy of the resonant cavity in resonance modes that occur at certain frequencies and are possible to be measured by using the appropriate instrument. When this electromagnetic signal is input, a sustained exchange of electrical to magnetic energy occurs and vice versa, which, at resonance frequencies, involves a maximum amount of energy in the resonant cavity.
[0069] These resonances depend on the dimensions and geometry of the resonant cavity, as well as the material that fills the same. The operating principle of the non-invasive glucose measuring device, as described below, is to make a human finger part of the inner structure of the resonant cavity, by inserting it at the appropriate point that maximizes the effect of the electric field on the finger. In this way, acted by an electric field that is distributed with high intensity on the finger, it is achieved that changes in the dielectric constant that result from changes in blood glucose level, have a significant impact on the resonator, changing both its frequency response and its resonance frequency. Analyzing and processing frequency response variables such as resonance frequency, amplitude of the reflected signal in the resonance frequency, and reflected amounts in frequencies in the resonance frequency environment (bandwidth), the level of present blood glucose can be determined. The mentioned variables are by way of example, and should not be interpreted as the only data to be used for blood glucose determination, being possible to use other simple measurement data from analysis of the frequency response in order to improve the obtained results.
[0070] In rectangular resonant cavities, resonant modes or resonance modes are designated TE.sub.n,m,l, where integers “n”, “m” y “1” refer to the number of electric field maximums in a stationary wave pattern in each of the coordinate directions, respectively. As seen below, f.sub.r;n,m,l refers to the resonant frequency for a given mode and the way to obtain it for a rectangular resonant cavity is given by the following equation
Where a and b are the width and height of the resonant cavity (in its transverse dimensions) and L is its length. Respectively, n, m, and l refer to Cartesian axes x, y, z that are parallel to the width, height, and length of the resonant cavity, respectively. For its part, v is the phase speed.
[0071] That is, using equation (1) resonance frequency values can be obtained for infinite “modes”. Each mode is a spatial arrangement specific to the electrical and magnetic fields within the resonator.
[0072] In said equation (1), n is the number of wave semi-cycles entering dimension x (width of the resonant cavity), m is the number of wave semi-cycles entering the y dimension (height of the resonant cavity), and/is the number of wave semi-cycles entering dimension z (length of the resonant cavity). In order to maximize the interaction of the finger and antenna on the energy of the excited wave, it is beneficial to place both in the exact positions of those maximums.
[0073] By means of some software to simulate electromagnetic problems, such as CST Studio or ANSOFT, the responses can be observed so as to determine the reflection coefficient parameter of the input, known as S11, which provides information on resonance as a function of changes in dielectric constant produced as a result of a variation of the dielectric constant due to the presence of glucose in blood.
[0074] For a constant frequency wave, switching from one medium to another with different μ (permeability) or ε (permittivity) produces a change in wavelength. This is the reason why the materials inside the resonator change the resonance frequency. The resonance condition is only met when the wavelength of the incoming signal (which depends on its frequency, and the characteristics of the medium) matches the resonance wavelength (which depends on dimensions). For example, the resonance frequency of one of the modes can be maintained by modifying the permittivity of the materials inside the cavity, as long as the cavity dimensions are changed accordingly.
[0075] Therefore, placing elements inside the resonator modifies the arrangement of stationary wave patterns, and resonance frequencies. This is the result of the discontinuity between materials and their electromagnetic properties.
[0076] With reference to
[0077] Mold 3 is preferably made of rigid plastic material and comprises a hollow cylinder, preferably with a 1 mm wall thickness with holes at its longitudinal ends. Mold 3 can be tailored to a user's finger by using, for example, 3D printing to fit the finger shape and facilitate finger immobilization. However, mold 3 does not need to replicate exactly the shape of the user's finger, but its inner surface may have a slightly conical shape, not shown in
[0078] Antenna 5 generates an electric field due to microwave signals transmitted to resonant cavity 1 as it is connected to a signal-differentiating means and this, in turn, to a radiofrequency signal-generating means (not shown) capable of generating and scanning signals of microwaves in the frequency range of 0.5 GHz to 3 GHz. When a patient's finger under study is inserted into mold 3 it is possible to determine the disturbance in the electrical conditions of resonant cavity 1 generated by the introduction of the finger. The signal-differentiating means can be selected from the group comprising a bidirectional coupler, a directional coupler, and a circulator. In the case of the circulator, it must be specially designed in order to separate the reflected wave. In a preferred embodiment, the signal-differentiating means is a bidirectional coupler (not shown). This signal-differentiating means is essential for measuring the S11 response of the finger-resonator assembly which gives information about the present glycaemia level, since it separates the incident wave from the reflected wave allowing the measurement of the parameter S11 module. This signal-differentiating means is connected to the signal-generating means and also connected to a signal-detecting means (not shown) which synthesizes a signal proportional to the required measured amplitude and obtains in its frequency scan measurement the frequency response of the measuring device of the present invention. The signal-generating means and signal-detecting means can both be arranged, for example, by means of a spectrum analyzer (not shown), for example, the HP-8594E model produced by Hewlett-Packard or can be arranged separately by means of corresponding electronics. In addition, the measuring device has at least one means of control, such as, by way of example, a microprocessor or a programmable gates array, connected to the signal-detecting means and to the signal-generating means, and which controls the generation of signals and the reception of signals from the signal-detecting means. That is, it controls the operations of the measuring device, taking care of controlling the signal scan of the signal-generating means and acquiring amplitude signals from the signal-detecting means. In addition, it is in communication with either a PC or a mobile device, via USB or Bluetooth, so that all measured information can be processed to obtain the patient's glycaemia values and stored in order to keep a historical record of the measurements. In an embodiment, a low-noise amplifier (not shown) can be coupled between the signal-differentiating means and the radiofrequency signal-generating means so as to provide higher gain and frequency range levels.
[0079] With reference again to
[0080] Dielectric material 6 is preferably an epoxy resin because its relative dielectric constant ε.sub.R is approximately equal to 4.3 what leads to the wavelength inside the resonator to be in the order of the finger diameter, allowing that in the sinusoidal semi-cycles distribution the finger is immersed in the region of maximum amplitude value of this geometric wave distribution. This maximizes the influence of the finger on the resonance frequency, as well as the variation in frequency with changes in glycaemia.
[0081] Performing various simulations using CST Studio or ANSOFT with different dimensions of width, height and length of resonant cavity 1, it was found that in order to achieve an adequate isolation between resonance modes it is convenient that height b be equal to half the width a of resonant cavity 1,
[0082] In addition, the use of epoxy resin as a dielectric material allows a design of acceptable dimensions for resonant cavity 1 such as a=50 mm, b=25 mm, L=110 mm. For these dimensions it is possible to obtain an adequate resonance mode which resonates in frequencies around 2 GHz which allows the use of commercially available electronics to implement the metering device of the present invention. As noted above, these dimensions change when the filling material has another relative dielectric constant different than the one used.
[0083] In a preferred embodiment, a resonance mode is adopted where the electric field is distributed in two sinusoidal semi-cycles along the length L of the resonator. Each semi-cycle has a maximum electric field. The design is based in principle on housing the two objects of interest, the mold-finger assembly and the antenna, in those maximum electrical field positions. To his end, hole 4 to insert antenna 5 is at a distance equal to a quarter of the length L of resonant cavity 1 relative to one end, and holes 2 and 2′ for inserting mold 3 are at a distance equal to a quarter of the length L of resonant cavity 1 relative the other end, so that hole 4 for inserting antenna 5 and holes 2 and 2′ for inserting mold 3 are separated from each other by a distance equal to half the length L of resonant cavity 1.
[0084] In an even more preferred embodiment, hole 4 for inserting antenna 5 is at a distance approximately equal to one fifth of the length L of resonant cavity 1 relative to one end and holes 2 and 2′ for inserting mold 3 are at a distance approximately equal to one fifth of the length L of resonant cavity 1 relative to the other end, so that hole 4 for inserting antenna 5 and holes 2 and 2′ for inserting mold 3 are separated from each other by a distance approximately equal to three-fifths of the length L of resonant cavity 1.
[0085] In a more preferred embodiment, the distance of mold 3 from antenna 5 is half a wavelength, i.e. at maximum electric field in order to maximize system resolution. In yet another preferred embodiment, antenna 5 is located at a distance of one quarter of a wavelength from one end of resonant cavity 1 and mold 3 for finger location and hold is located at a half wavelength distance from antenna 5 so as to optimize sensor resolution.
[0086] In a more preferred embodiment of the present invention, considering the dimensions of resonant cavity 1 mentioned above, that is, a=50 mm, b=25 mm, L=110 mm, the optimal location of mold 3 is at a distance of 21 mm from one end of resonant cavity 1 and the optimal location of antenna 5 is at a distance of 22 mm from the other end of resonant cavity 1.
[0087] With reference to
[0088] In an even more preferred embodiment of the present invention, the mold comprises an optical distance sensor (not shown) to determine and control the penetration level of the finger, that is, how much the finger entered in mold 7. Thus, the distance value between the optical sensor and the finger is recorded and the repeatability of this distance for subsequent measurements is achieved. In addition, a measurement can be considered correct, or having a minimal error, when the finger entered mold 7 correctly and the distance to the optical sensor is equal or similar to that obtained during the calibration process, which is described below. El optical sensor is located on the outside and on the bottom face of resonant cavity 1, making hole 2′ necessary.
[0089] With reference to
[0090] By means of at least one means of control and the means of generating radiofrequency signals, a frequency scan is made and microwave, preferably in the range of 0.5 to 3 GHz, are sent to the resonant cavity by means of the signal-differentiating means and the antenna contained in said cavity and then by means of the signal-differentiating means, the antenna and the signal-detecting means capturing and obtaining the frequency response of the reflected waves. Said signal-differentiating means, as described above, makes it possible to differentiate microwaves sent to the resonant cavity from the waves reflected in the resonant cavity. From the obtained frequency response, two parameters are obtained that correspond to the resonance frequency and bandwidth at the resonance frequency, in which is the most significant information that allows to relate the frequency with glycaemia. The frequency response of the measuring device can be processed in various ways as described below in different embodiments.
[0091] In an embodiment of the present invention, a neural network is implemented, with which, by inputting the parameters of resonance frequency and bandwidth and parameters specific to the patient such as sex, height, weight, age, cholesterol level, hematocrits, among others, the value of final glycaemia is obtained. Such a neural network can be developed using different network topologies, such as feedforward, and different software, such as Python, and can be implemented on different devices such as cell phones, or even in the means of control.
[0092] This neural network works based on three stages. The first stage defines the morphology and main characteristics of the network. Once defined, the second stage proceeds which is a training session, in which a series of input-output values (in this case frequency—glycaemia) are delivered to the network and errors are corrected iteratively. The network is said to be trained when the error between known and predicted values by the neural network is less than an initially defined threshold. Finally, the third stage is the use stage, in which when inputting the neural network with the frequency values obtained by the measuring device, the network can predict the corresponding glycaemia. In other words, the implemented network functions as a predictor, responsible for translating the measured parameters (frequency response, bandwidth, resonance frequency, etc.) into a glycaemia value.
[0093] In another embodiment of the present invention, a polynomial is applied that allows converting frequencies into glycaemia values. This mechanism has the advantage that it is simple to implement, as it requires only a simple mathematical procedure to obtain the glycaemia value.
[0094] In another more preferred embodiment of the present invention, a joint system is implemented, joining characteristics of the two systems mentioned above. Given the characteristics of the two methods and their advantages, a more complex system is implemented, which allows reducing the error while maintaining a simple implementation. In addition, this system includes another parameter associated with the validity of the measurement, with which, observing the characteristics of the obtained curves, it may be determined whether it was a correct or erroneous measurement. On the other hand, training can be performed dynamically, and increase system accuracy as the number of samples increases.
Calibration of the Measuring Device
[0095] The designed resonant cavity is characterized by allowing the existence of electromagnetic waves inside, preferably with specific frequencies that are dependent on their dimensions. When analyzing the reflected wave, at frequencies from 0.5 to 3 GHz, the amount of return energy is minimal, so resonant frequencies can be observed as peak values in the transfer. It is this resonance that is affected when the finger enters the mold, and shifts to another frequency value. For the proper functioning of the measuring device, it is necessary that the influence on the response of that resonance caused by finger insertion is as intense as possible, so that changes in blood glucose level are reflected as clearly as possible as changes in the resonance frequency value. Due to the strong influence of various parameters of this resonance, which depend on the individual characteristics of each volunteer, the device requires an individual calibration, which is performed with the volunteer who will perform the clinical test. The calibration process, described below, seeks to maximize the finger effect on the frequency response of the resonator-finger system.
[0096]
[0097] The frequency response in each of these
[0098] It can be seen in said
[0099] For the calibration of the measuring device of the present invention, the frequency response obtained by the non-invasive measuring device is contrasted with blood glucose concentration values obtained in the laboratory following the “gold standard” or some other invasive glucose measurement device that serves as a pattern.
[0100] As only an example of calibration and the accuracy of the measuring device, clinical tests were performed on healthy volunteers (non-diabetic, i.e. baseline glycaemia values between 70 mg/dL and 110 mg/dL) consisting of a glycaemia overload, in which each of the volunteers, after between eight and ten hours of fasting, ingested 75 g of glucose powder dissolved in water and their glycaemia levels were observed every 15 minutes. A moment before ingesting glucose, at 15 minutes, 30 minutes, 45 minutes, and 60 minutes after ingesting glucose, measurements were made with the non-invasive measuring device and blood samples were taken for laboratory testing. In
[0101] For such graphs, blood glucose is extracted from a laboratory test following the “golden standard”, which is adopted as a rule for calibration, and therefore error-free. Instead, the resonance frequency has slight changes in a single moment of measurement, resulting from errors in the position of the finger. The average measured frequency value along with its error bars are included in the frequency data of the right-side charts (in dashed-line), for each sampling moment, symbolizing the range of variation that was experienced during the test when changing the position of the finger. Finally, adjacent points are joined together, as linear interpolation, to favor visualization.
[0102] On the other hand, the charts on the left side include the same sampled points, for both variables of interest, but overlapping with trend curves (in continuous line) calculated by quadratic regression, following the criterion of least squares. These are the second-order polynomials that best fit the data, in each case, and that would allow predicting, with minimal error (understood as the smallest possible average error, for the regression order used), the glycaemia and frequency values that would be observed at every moment of time. These charts are used to qualitatively identify trends, or behavior patterns, in the data, and to corroborate the measurement capability of the measuring device. Not all charts are displayed with the same scale, but expanded information is displayed so that, in each case, the curves occupy the widest possible range.
[0103] The graphs shown in
[0104] For metering device users being able to use it, they initially have to calibrate the device. To do this, they must take samples day by day with a conventional glucometer (normally), i.e. invasive, and compare the measurements of the glucometer with those obtained by the non-invasive measuring device. An example of calibration can be seen in
[0105]
glyc(.sub.f)=−0.0141921.f.sup.3+85.1084179.f.sup.2−170129.99818.f+113364033.3241
where f is the resonance frequency and glyc.sub.(f) is the glycaemia value corresponding to said resonance frequency value.
[0106] Once the approximation curve is achieved, the values thereof can be replaced either through a PC or mobile device and the conversion between frequency and glycaemia directly made with the aforementioned curve. In other words, the non-invasive glycaemia prediction made with the noninvasive metering device would be sufficiently accurate, and it would not be required to continue to train the device with the invasive glucometer. The non-invasive metering device would be independent from now on, having an associated error that would tend to that of the invasive glucometer since it was based thereon for calibration, i.e. ±15%. However, as a person skilled in the art will appreciate, if the data provided to the measuring device of the present invention for training the neural network came from a gold standard, they would bring the non-invasive prediction of the non-invasive measuring device closer to actual glycaemia.
[0107] Finally,
Comparative Results
[0108] The following are the improvements of the device of the present invention compared to the AR 104766 A1 patent application device. Unlike the AR 104766 A1 patent application device, the device of the present invention is not susceptible to the electromagnetic fields present in the environment because the hollow prismatic resonant cavity with rectangular cross section has a closed arrangement so as to avoid interference that could be caused by such electromagnetic fields. In addition,
[0109] On the other hand, in the case of the measurement with the resonant cavity of closed arrangement of the present invention, the repeatability turned out to be much better, presenting minimal discrepancies between different measurements, as can be seen in