EP1220638A1 - Method and device for blood component concentration determination - Google Patents
Method and device for blood component concentration determinationInfo
- Publication number
- EP1220638A1 EP1220638A1 EP00966351A EP00966351A EP1220638A1 EP 1220638 A1 EP1220638 A1 EP 1220638A1 EP 00966351 A EP00966351 A EP 00966351A EP 00966351 A EP00966351 A EP 00966351A EP 1220638 A1 EP1220638 A1 EP 1220638A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- coil
- concentration
- blood
- measuring
- repetition rate
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
- 238000000034 method Methods 0.000 title claims abstract description 18
- 239000012503 blood component Substances 0.000 title description 3
- 239000008280 blood Substances 0.000 claims abstract description 29
- 210000004369 blood Anatomy 0.000 claims abstract description 29
- 230000002123 temporal effect Effects 0.000 claims abstract description 5
- 210000000707 wrist Anatomy 0.000 claims abstract 2
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 claims description 9
- 239000008103 glucose Substances 0.000 claims description 9
- 230000010355 oscillation Effects 0.000 claims description 6
- 230000005672 electromagnetic field Effects 0.000 claims description 4
- 230000000737 periodic effect Effects 0.000 claims description 3
- 239000000126 substance Substances 0.000 claims 3
- 239000000654 additive Substances 0.000 claims 1
- 230000000996 additive effect Effects 0.000 claims 1
- 238000001514 detection method Methods 0.000 claims 1
- 230000001678 irradiating effect Effects 0.000 claims 1
- 230000003252 repetitive effect Effects 0.000 claims 1
- 238000005259 measurement Methods 0.000 description 15
- 239000000306 component Substances 0.000 description 10
- 239000000523 sample Substances 0.000 description 3
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 2
- 230000000295 complement effect Effects 0.000 description 2
- 230000000875 corresponding effect Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 230000005284 excitation Effects 0.000 description 2
- NOESYZHRGYRDHS-UHFFFAOYSA-N insulin Chemical compound N1C(=O)C(NC(=O)C(CCC(N)=O)NC(=O)C(CCC(O)=O)NC(=O)C(C(C)C)NC(=O)C(NC(=O)CN)C(C)CC)CSSCC(C(NC(CO)C(=O)NC(CC(C)C)C(=O)NC(CC=2C=CC(O)=CC=2)C(=O)NC(CCC(N)=O)C(=O)NC(CC(C)C)C(=O)NC(CCC(O)=O)C(=O)NC(CC(N)=O)C(=O)NC(CC=2C=CC(O)=CC=2)C(=O)NC(CSSCC(NC(=O)C(C(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC=2C=CC(O)=CC=2)NC(=O)C(CC(C)C)NC(=O)C(C)NC(=O)C(CCC(O)=O)NC(=O)C(C(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC=2NC=NC=2)NC(=O)C(CO)NC(=O)CNC2=O)C(=O)NCC(=O)NC(CCC(O)=O)C(=O)NC(CCCNC(N)=N)C(=O)NCC(=O)NC(CC=3C=CC=CC=3)C(=O)NC(CC=3C=CC=CC=3)C(=O)NC(CC=3C=CC(O)=CC=3)C(=O)NC(C(C)O)C(=O)N3C(CCC3)C(=O)NC(CCCCN)C(=O)NC(C)C(O)=O)C(=O)NC(CC(N)=O)C(O)=O)=O)NC(=O)C(C(C)CC)NC(=O)C(CO)NC(=O)C(C(C)O)NC(=O)C1CSSCC2NC(=O)C(CC(C)C)NC(=O)C(NC(=O)C(CCC(N)=O)NC(=O)C(CC(N)=O)NC(=O)C(NC(=O)C(N)CC=1C=CC=CC=1)C(C)C)CC1=CN=CN1 NOESYZHRGYRDHS-UHFFFAOYSA-N 0.000 description 2
- 102000004877 Insulin Human genes 0.000 description 1
- 108090001061 Insulin Proteins 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 239000003086 colorant Substances 0.000 description 1
- 230000000052 comparative effect Effects 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 238000007599 discharging Methods 0.000 description 1
- 238000002592 echocardiography Methods 0.000 description 1
- 238000002847 impedance measurement Methods 0.000 description 1
- 230000006698 induction Effects 0.000 description 1
- 229940125396 insulin Drugs 0.000 description 1
- 239000004973 liquid crystal related substance Substances 0.000 description 1
- 230000010358 mechanical oscillation Effects 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- QHGVXILFMXYDRS-UHFFFAOYSA-N pyraclofos Chemical compound C1=C(OP(=O)(OCC)SCCC)C=NN1C1=CC=C(Cl)C=C1 QHGVXILFMXYDRS-UHFFFAOYSA-N 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 238000001228 spectrum Methods 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue
- A61B5/14532—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue for measuring glucose, e.g. by tissue impedance measurement
Definitions
- the invention relates to a method for the non- invasive determination of the concentration of at least one component in blood and to a device for carrying out this method according -to the preamble of the independent claims.
- Such methods or devices, respectively, are in particular used for determining the glucose concentration in blood.
- WO 95/04496 describes a method based on an impedance measurement of the human body. It involves the application of electrodes to the body, which makes the measurement dependent on skin humidity and pressure ap- plied to the electrodes. Furthermore, it requires complex electronics for processing the measured signal .
- a coil is brought within range of the body surface. Then, a measuring value depending on the inductance or loss of the coil, preferably the inductance, is measured at least at one frequency, and from this value the desired concentration of the component is e.g. determined by means of a suited calibration function.
- a de- vice comprising a coil, a holder for attaching the coil and a driver for generating a periodically changing current in the coil.
- a detector is used for detecting at least one measured signal depending on the temporal evolution of a voltage over or a current through the coil . It is found that the desired concentration can be derived from such a measured signal using suited calibration data.
- no permanent magnetic field source is required of a size and direction where nuclear resonant oscillations could occur at the excitation frequencies.
- Fig. 1 is a sectional view of an embodiment of the device according to the invention
- Fig. 2 is a circuit block diagram of the de ⁇
- Fig. 3 is the driver for the measuring coil
- Fig. 4 is the temporal evolution of the currents m Fig. 3
- Fig. 5 is a comparative table of measured and reference results.
- a preferred mechanical set-up of the device in the shape of a w ⁇ stwatch is shown m Fig. 1. It comprises a housing 1, which is held to a body surface 3 by means of a holder or wristband 2. A support 4 is arranged in the housing 1, which support carries an electronic circuit 5 and a liquid crystal display 6. An opening 7 is provided on the side of the housing 1 that faces the body. Optics 8 are arranged m the opening 7. A light source 9 and a light sensor 10 are arranged behind the optics, wherein the light sensor 10 is positioned such that it receives light of the light source 9 reflected from the body.
- a cylindrical electrical coil L is ar- ranged around the light source 9 and the light sensor 10, the axis of the coil being perpendicular to the body surface.
- a further small permanent magnet 12 can be arranged in or beside coil L, the field of which permanent magnet is substantially parallel to the one of the coil . Even though such a permanent magnet is not absolutely required, it is found that its field improves the quality of the measured signals.
- Fig. 2 shows a block diagram of the circuit of the device of Fig. 1. It comprises a microprocessor 14 connected to an input and output section 15. The latter comprises the display 6 as well as conventional control elements that can be operated by the user.
- the microprocessor 14 and the input and output section 15 possess all capabilities of a conventional wristwatch. Beyond that, the microprocessor is, however, capable to measure the glucose level or other components in the body tissue. For this purpose, it is connected via a driver circuit 16 to coil L.
- a driver stage 17 is provided for driving the light source 9, which consists of three LEDs 9a, 9b, 9c of differing color (preferably red, yellow, and green or blue) .
- the signals of the light sensor 10 are fed to an amplifier 18 with A/D-converter and then also to microprocessor 14.
- the driver circuit 16 for coil L is shown in Fig. 3. It comprises two complementary transistors Tl, T2 , which are individually controlled by microprocessor 14 by means of signals Ul, U2.
- the output of the complementary transistor pair Tl, T2 which are arranged between a supply voltage and ground, is connected to one terminal of coil L.
- the second terminal of coil L is on ground.
- a threshold value detector 20 measures the voltage U L over the coil and generates a signal as soon as the absolute value of the voltage U L is above a threshold value Up-
- the operation of the driver circuit 16 is illustrated in Fig. 4.
- Microprocessor 15 first switches on the upper transistor Tl during a first measuring phase, which causes the voltage U_, over the coil to rise to the value of the positive supply voltage. Then, transistor Tl is switched off while transistor T2 remains switched off during a second measuring phase. During this second meas- uring phase, the driver circuit 16 is therefore in high impedance state. Disconnecting the coil from the voltage UL generates a negative induction voltage over the coil. At the same time, the output "Out" of the threshold value detector 20 goes from 0 to 1. When the value of the volt- age U j _, drops, after a time T x , below the threshold value Uf, the output "Out" goes from 1 to 0. Then, after a predefined time, at the end of the second measuring phase, the lower transistor T2 can optionally be switched on for fully discharging the voltage over the coil. Thereafter, the measuring cycle starts anew with the first measuring phase .
- the output "Out" is fed to microprocessor 15, which determines the time T x .
- This determination can e.g. be carried out by a suitable fast counter or analogue in- tegration of the signal and analog-digital conversion thereof .
- measurement frequencies can be used, such as 75.95 MHz for the determi- nation of the concentration of NaCl in solution or 86.4 MHz for insulin.
- the measurement frequency for a component is determined by calibration measurements, wherein probes of differing concentration of the component are measured. For each probe, the inductance and/or loss or the value of T x is measured as a function of the frequency F. The spectra measured in this way are compared to each other, and the frequency showing the strongest dependence of the measured signal from the component's concentration is used as measurement frequency.
- a pre- ferred range of frequencies F lies between 10 kHz and 1 GHz, preferably between 10 MHz and 1 GHz, in particular between 50 MHz and 200 MHz. It is, however, also possible to measure at other frequencies .
- the device only de- termines the blood sugar level and is fixedly set to the frequency 75.87 MHz. It is, however, also possible to vary the measuring frequency for measuring the concentration of other components.
- the value of the measuring signal not only depends on the concentration of the component to be measured, but also on the quantity of blood in the measuring range. Since the quantity of blood can vary e.g. depending on blood circulation in the vessels or because of variations in blood pressure, it is preferred to run a second measurement.
- This second measurement can e.g. be based on the method described above and determine the concentration of a second blood component in the measuring area, whereby the amount of blood can be determined and the blood sugar value can be corrected.
- a further improvement can be achieved by an additional optical measurement.
- the magnitude of the signal received by light sensor 10, i.e. the reflected light is determined.
- This signal i.e. the reflection coefficient of the body, also depends of the amount of blood in the analyzed tissue.
- the measuring signal T x is converted into the desired blood sugar level by means of a calibration table or calibration coefficient.
- a calibration step is performed where the measured signal is compared to a blood sugar level that was determined in conventional manner.
- the number of calibration measurements depends on the desired accuracy. For most applications, one calibration measurement above 10 mmol/lt and one between 4 and 6 mmol/lt is sufficient.
- the calibration step allows to calculate a calibration function (consisting e.g. of a calibration factor or a calibration table) .
- this calibra- tion step is repeated for each new user.
- Fig. 5 shows a table of measurements of a calibrated device in comparison with analytically found reference results. It is found that the present method has a high accuracy.
- the inventor assumes that in the present method the magnetic pulses of coil L excite intermolecu- lar oscillations in the blood, and in particular also in frequency ranges below 1 GHz.
- the inductance and/or loss of the coil and the value of the time T x depend on the amplitude of the excited oscillations.
- a possible measurement range is between 10 kHz and 1 GHz, a preferred measurement range is 10 MHz to 1 GHz, wherein it a range between 50 MHz and 200 MHz has been found to be especially suited for measurements.
- a periodic electromagnetic signal is applied and a coupling of the elec- tromagnetic field and the atoms and/or bonds of the molecule is used.
- a piezoelectric emitter 22 for sound or ultrasound which generates mechanical oscillations and receives corresponding echoes. While there are shown and described presently preferred embodiments of the invention, it is to be distinctly understood that the invention is not limited thereto but may be otherwise variously embodied and practiced within the scope of the following claims.
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Physics & Mathematics (AREA)
- Medical Informatics (AREA)
- Surgery (AREA)
- Biophysics (AREA)
- Pathology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Molecular Biology (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Optics & Photonics (AREA)
- Emergency Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
Abstract
Description
Claims
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP00966351A EP1220638A1 (en) | 1999-10-13 | 2000-10-13 | Method and device for blood component concentration determination |
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP99810933 | 1999-10-13 | ||
EP99810933A EP1092386A1 (en) | 1999-10-13 | 1999-10-13 | Method and device for determining the concentration of a substance in blood |
EP00966351A EP1220638A1 (en) | 1999-10-13 | 2000-10-13 | Method and device for blood component concentration determination |
PCT/IB2000/001464 WO2001026538A1 (en) | 1999-10-13 | 2000-10-13 | Method and device for blood component concentration determination |
Publications (1)
Publication Number | Publication Date |
---|---|
EP1220638A1 true EP1220638A1 (en) | 2002-07-10 |
Family
ID=8243085
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP99810933A Withdrawn EP1092386A1 (en) | 1999-10-13 | 1999-10-13 | Method and device for determining the concentration of a substance in blood |
EP00966351A Withdrawn EP1220638A1 (en) | 1999-10-13 | 2000-10-13 | Method and device for blood component concentration determination |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP99810933A Withdrawn EP1092386A1 (en) | 1999-10-13 | 1999-10-13 | Method and device for determining the concentration of a substance in blood |
Country Status (3)
Country | Link |
---|---|
EP (2) | EP1092386A1 (en) |
AU (1) | AU7678600A (en) |
WO (1) | WO2001026538A1 (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP2329764A2 (en) | 2005-11-10 | 2011-06-08 | Solianis Holding AG | Device for determining the glucose level in body tissue |
Families Citing this family (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
SK12272003A3 (en) | 2001-03-06 | 2004-06-08 | Pendragon Medical Ltd | Method and device for determining the concentration of a substance in body liquid |
US7315767B2 (en) | 2001-03-06 | 2008-01-01 | Solianis Holding Ag | Impedance spectroscopy based systems and methods |
US7050847B2 (en) | 2002-03-26 | 2006-05-23 | Stig Ollmar | Non-invasive in vivo determination of body fluid parameter |
DE60234138D1 (en) | 2002-09-04 | 2009-12-03 | Solianis Holding Ag | METHOD AND APPARATUS FOR GLUCOSE MEASUREMENT |
EP1691672B1 (en) * | 2002-09-24 | 2009-01-07 | Solianis Holding AG | Device for the measurement of glucose concentrations |
CA2444211C (en) | 2002-10-11 | 2013-11-19 | Dermal Therapy (Barbados) Inc. | Determination of biological conditions using impedance measurements |
US8197406B2 (en) | 2003-12-02 | 2012-06-12 | Biovotion Ag | Device and method for measuring a property of living tissue |
PL1718200T3 (en) | 2004-02-05 | 2017-01-31 | Dermal Devices Inc. | Apparatus for measuring blood glucose using sub-dermal body tissue impedance measurements |
US9179856B2 (en) | 2009-04-17 | 2015-11-10 | Biovotion Ag | Sensing device for body tissue properties |
KR102144448B1 (en) * | 2018-08-07 | 2020-08-13 | 건국대학교 글로컬산학협력단 | Apparatus and method for measuring photo-magneto plethysmography |
CN113358912B (en) | 2021-06-11 | 2022-03-08 | 南方电网数字电网研究院有限公司 | Voltage measuring device, voltage measuring method, and storage medium |
Family Cites Families (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4509531A (en) * | 1982-07-28 | 1985-04-09 | Teledyne Industries, Inc. | Personal physiological monitor |
US4690149A (en) * | 1985-10-28 | 1987-09-01 | The Johns Hopkins University | Non-invasive electromagnetic technique for monitoring physiological changes in the brain |
US4875486A (en) * | 1986-09-04 | 1989-10-24 | Advanced Techtronics, Inc. | Instrument and method for non-invasive in vivo testing for body fluid constituents |
US5119819A (en) * | 1990-05-02 | 1992-06-09 | Miles Inc. | Method and apparatus for non-invasive monitoring of blood glucose |
US5508203A (en) * | 1993-08-06 | 1996-04-16 | Fuller; Milton E. | Apparatus and method for radio frequency spectroscopy using spectral analysis |
IL128873A (en) * | 1996-09-09 | 2005-05-17 | Internat Diagnostics Technolog | Photonic molecular probe |
US5804967A (en) * | 1996-11-15 | 1998-09-08 | The United States Of America As Represented By The Secretary Of The Navy | Apparatus and method for generating short pulses for NMR and NQR processing |
-
1999
- 1999-10-13 EP EP99810933A patent/EP1092386A1/en not_active Withdrawn
-
2000
- 2000-10-13 WO PCT/IB2000/001464 patent/WO2001026538A1/en active Application Filing
- 2000-10-13 AU AU76786/00A patent/AU7678600A/en not_active Abandoned
- 2000-10-13 EP EP00966351A patent/EP1220638A1/en not_active Withdrawn
Non-Patent Citations (1)
Title |
---|
See references of WO0126538A1 * |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP2329764A2 (en) | 2005-11-10 | 2011-06-08 | Solianis Holding AG | Device for determining the glucose level in body tissue |
Also Published As
Publication number | Publication date |
---|---|
WO2001026538A1 (en) | 2001-04-19 |
AU7678600A (en) | 2001-04-23 |
EP1092386A1 (en) | 2001-04-18 |
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