WO1998053732A1 - Portable system with telemetric data transmission for the measurement of metabolic parameters - Google Patents

Portable system with telemetric data transmission for the measurement of metabolic parameters Download PDF

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Publication number
WO1998053732A1
WO1998053732A1 PCT/IT1997/000197 IT9700197W WO9853732A1 WO 1998053732 A1 WO1998053732 A1 WO 1998053732A1 IT 9700197 W IT9700197 W IT 9700197W WO 9853732 A1 WO9853732 A1 WO 9853732A1
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WO
WIPO (PCT)
Prior art keywords
breath
individual
portable
measurement
flowmeter
Prior art date
Application number
PCT/IT1997/000197
Other languages
French (fr)
Inventor
Paolo Brugnoli
Original Assignee
Cosmed S.R.L.
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Cosmed S.R.L. filed Critical Cosmed S.R.L.
Priority to JP11500441A priority Critical patent/JP2001500042A/en
Priority to US09/202,528 priority patent/US6206837B1/en
Priority to EP97935761A priority patent/EP0944348A1/en
Publication of WO1998053732A1 publication Critical patent/WO1998053732A1/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802—Sensor mounted on worn items
    • A61B5/6803—Head-worn items, e.g. helmets, masks, headphones or goggles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024—Detecting, measuring or recording pulse rate or heart rate
    • A61B5/02438—Detecting, measuring or recording pulse rate or heart rate with portable devices, e.g. worn by the patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
    • A61B5/083—Measuring rate of metabolism by using breath test, e.g. measuring rate of oxygen consumption
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
    • A61B5/087—Measuring breath flow
    • A61B5/09—Measuring breath flow using an element rotated by the flow

Abstract

The portable system for the measurement of the metabolic parameters of an individual or athlete or patient, in real conditions of physical activity with 'breath by breath' technique is composed by a portable unit (1) of reduced weight and dimensions, fixed to the body by means of an anatomic harness (2) during the test, comprising a turbine flowmeter (3-4-8) applied at the mouth through an anatomic face mask (6-7-8), a heart rate monitor belt (10), a rechargeable battery (11) for supplying the system and a receiver unit (12) that, connected to a personal computer (14) by RS232 connection (13), allows to receive and display in real time the measurement on the screen. The portable unit is mainly composed by a fast CO-2 analyzer, an intrinsically slow oxygen analyzer, whose output signal is elaborated in order to obtain a response time short enough to allow the accurate measurements on a 'breath by breath' basis, a microprocessor, a memory for data storage, a UHF transmitter, an LCD display and a keyboard. The receiver unit contains mainly a UHF receiver module and an interface for the connection to the personal computer. The flowmeter is composed by a bidirectional turbine (3) and by an optoelectronic reader that, based on the infrared interruption technique, detect the rotations of a blade and consequently the volumes ventilated by the individual.

Description

PORTABLE SYSTEM WITH TELEMETRIC DATA TRANSMISSION FOR THE MEASUREMENT OF METABOLIC PARAMETERS
The present invention consists of a portable system for the "breath by breath" measurement of the metabolic parameters of an individual, with telemetric data transmission and storage of results for further analysis.
It is known that, nowadays, the analysis of the metabolic response of an individual is usually perfonned in laboratories using statitionary equipment able to measure mainly the following parameters: oxygen uptake (VO2), carbon dioxide production (VCO2), respiratory quotient (RQ=VCθ2/Vθ2), ventilation (VE) and heart rate (HR).
These equipments allow to carry out exercise tests making the individual perfonning a physical activity using an ergometer (cycle or treadmill...).
The major limitation of the previous mentioned methodology is related to the fact that most of the activities (sports and non), such as for instance ski, tennis, the daily job or the drive of a wheelchair, cannot be correctly simulated in the lab.
Up to some years ago, portable systems for metabolic tests were not available; the device described in the U.S. Patent No. 4,658,832 (BRUGNOLI), of 21 April 1987, was the first system with limited dimensions introduced in the market.
During the last years, however, the measurement techniques of the metabolic parameters used by the stationary systems has been interested by an evolution, turning from the "mixing chamber" methodology to the "breath by breath" technique.
The first one, as it is well known, provides the results as an average of the all breaths carried out in a consistent time interval (typically 30 seconds), while the second one provides results for each breath of the individual.
The "breath by breath" analysis is described in detail in the following publications: - Beaver, Wasserman, Whipp, JAP. 34(1): 128-132, 1973: "On line computer analysis and breath by breath graphical display of exercise function tests";
- Sue, Hansen, Blais, Wasserman, JAP. 49(3): 456-461, 1980: "Measurement and analysis of gas exchange, using a programmable calculator";
- Wasserman et al. 1994: "Principles of exercise testing and interpretation", 2nd edition.
The origin of the two previous mentioned techniques is related to a technological limitation: the measurement of the oxygen uptake (VO2) and carbon dioxide production (VCO2) in correspondence of each breath, requires the use of two gas analyzers with a response time lower than 200 milliseconds. When such analyzers are not available, it is possible to mix the expired air in a "mixing chamber" in order to average the concentrations of the two gases (02 and CO2) making the fluctuations so slow as to be accurately detected by the slow response time analyzers.
The "mixing chamber" analysis has however some great limitations:
- it does not allow the detection of fast variations of the metabolic functions following sudden changes in the workload;
- it does not allow to analyze the gas exchange correspondent to each breath, but only related to the average of several breaths;
- it does not allow the measurement of some important parameters such as FetC02 or VD/Vt.
Nowadays, although some portable systems for the measurements of metabolic parameters in real conditions are already available, no one of those is able to provide measurements with the "breath by breath" technique.
The main reason for this lack is that oxygen analyzers with a fast response time (tr < 200 msec) with dimensions and power consumption compatible with the requirements of a portable system, are not available.
The aim of the present invention is to provide a portable system for the monitoring of the metabolic parameters of an individual (oxygen uptake, carbon dioxide production, ventilation and heart rate), in real conditions, without affecting significantly the physical performance, using the "breath by breath" technique. The system according to the present invention will be described more in detail hereinbelow, according to the enclosed drawings in which a preferred embodiment is shown.
Fig. 1 shows an axonometric view and a partially exploded view of the main components of the system according to the present invention.
Fig. 2 shows the block diagram of the electronic circuitry.
Fig. 3 shows a graph of the output of the oxygen sensor, following a step solicitation, before and after the numerical elaboration of the signal.
The enclosed figures show a portable system for the measurement "breath by breath" of the metabolic parameters of an individual, with telemetric data transmission and storage for further analysis, consisting of:
- a portable unit 1, transported by the individual during the test, fixed to an anatomic harness 2 incorporating a pump that samples continuously a fraction of the expired breath through a sampling line 9 connected near the mouth, bringing the gas into the analyzer (O2 and CO2) to provide the measurement of the oxygen and carbon dioxide concentrations; electrical signals coming from a turbine flowmeter 3-4-8 are elaborated to provide the measurement of the volumes of air ventilated by the individual; a detector circuit that receives the magnetic pulses transmitted by a heart monitor belt 10 to provide the heart rate; all the acquired signals are elaborated by the microprocessor incorporated in the portable unit and transmitted to a receiver unit 12 or stored in an internal non volatile memory and transferred afterwards to a personal computer 14 for the analysis of the results; the portable unit 1 is powered by means of a rechargeable battery 11 fixed to the rear side of the harness in order to balance the weights;
- a flowmeter 3-4-8, manufactured so that the ventilated air passing through a turbine 3, composed by two elycoidal conveyors which impress a rotation on it, proportional for its intensity to the flow and for its spin to the direction of the breath (inspiration/ expiration); a blade, free to rotate on an axis parallel to the flow and perpendicular to the conveyors, assumes a rotation, whose spin and intensity are measurable through the interruptions of the rays transmitted by three infrared diode emitters, and received by as many receiving phototransistors; the pulsed signals coming from the optoelectronic reader 4 are acquired by the portable unit and elaborated; an aerodynamic cover 8, fixed to the front side of the flowmeter, is intended to avoid that, when the individual is moving during the test, the measurement of the ventilation is affected by the air entering the flowmeter;
- a face mask 5-6-7, connected to the flowmeter, manufactured with antiallergenic material, provided with two inspiratory valves 7, whose task is to reduce the inspiratory resistance and to help the elimination of the sweat from the face, is fixed to the individual by means of an anatomic head cap 6;
- a battery unit 11 that supplies the portable unit 1 , fixed to the rear side of the harness 2 so that the weights are balanced;
- a heart monitor belt 10, provided with two electrodes to detect the electrical signals generated by the heart on the skin of the individual, incorporating an electronic circuit that amplifies the signals and transforms them into magnetic pulses corresponding to each beat; these pulses can be detected by the portable unit 1 wireless;
- a receiver unit 12 that receives the results of the measurements transmitted by the portable unit via telemetric communication; this data, although transmitted, are however stored in the non volatile memory of the portable unit and can be transferred to the personal computer 14 once the test is completed.
The main functions of the system can be described referring to the block diagram of fig. 2:
- the expired gas of the individual is sampled by the line 9 connected at the output of the flowmeter 3-4; a miniaturized pump 15 provides the necessary depression to let the gas sample pass through the oxygen 16 and carbon dioxide 17 analyzers, connected in series in the pneumatic circuit; the output signals (02 and CO2) are converted in numeric format and elaborated;
- pulses coming from the flowmeter 3-4 are counted in order to obtain the measurement of the volume, and their width is measured for the flow calculation; since the pulses are distributed on three different lines, corresponding to the three couples of infrared emitters/receivers, determining the order by which those are detected, it is possible to provide the versus of the individual's breath (inspiration/expiration); - a detector probe 18, consisting of a coll and conditioning circuit, detects the magnetic pulses transmitted by the heart rate belt 10 and provides electrical pulses which, counted by the microprocessor, allow the calculation of the heart rate;
- all the operating procedures carried out during the normal use of the system (calibration, configuration, test execution...) are managed activating the keys of the keyboard 19 and controlling the messages prompted by the LCD display 21 or through the commands sent by the personal computer 14 via RS232, if eventually connected;
- the results of the measurements of the test are stored in a non volatile memory (flash memory) and in the meantime transmitted through the on board transmitter 20 to the receiver unit 12, connected to the personal computer 14 to allow the operator to control in real time the metabolic response of the individual under test;
- the calculations used to obtain from the acquired signals (flow, 02, C02 and HR) the main metabolic parameters (V02, VC02, RQ...), are the same described in literature, however the particular elaboration of the oxygen concentration signal represents a particularity of the present invention.
As formerly discussed, the response time of O2 and CO2 analyzers must be lower than 200 msec, for correctly carrying out correctly the measurement with the "breath by breath" technique. The C02 analyzer 17, based on the infrared absorption technology, is fast enough to meet the specification.
The oxygen analyzer 16 instead, is a galvanic fuel cell and has an intrinsic response time of about 800 msec. The numeric elaboration performed on the 02 concentration signal allows to "speed up" the dynamic response so as to obtain a response time lower than 130 msec.
The graph of figure 3 shows the output signal of the oxygen sensor 16 following a step solicitation (obtained by suddenly turning the sampling line from room air to a calibration gas) before and after the elaboration; from the above mentioned plot it is possible to verify that the combination of the low response oxygen sensor plus the numeric elaboration completely meets the requirements of the portable breath by breath metabolic system.

Claims

1. A portable system for the measurement "breath by breath" of the metabolic parameters of an individual, with telemetric data transmission and storage for afterwards analysis, characterized in:
- a portable unit (1), transported by the individual during the test fixed to an anatomic harness (2) provided with an internal pump that samples continuously a fraction of the expired breath tlirough a sapling line (9) connected near the mouth, bringing the gas into the analyzer (O2 and CO2) to provide the measurement of the oxygen and carbon dioxide concentrations while electrical signals coming from a turbine flowmeter (3-4-8) are elaborated to provide the measurement of the volumes of air ventilated by the individual; a detector circuit that receives the magnetic pulses transmitted by a heart monitor belt (10) to provide the heart rate; all the acquired signals are elaborated by the microprocessor incorporated in the portable unit (1) and transmitted to a receiver unit (12) or stored in an internal non volatile memory and transferred after the test to a personal computer (14) for the analysis of the results;
- a flowmeter (3-4-8), manufactured so that the ventilated air passing through a turbine (3) composed by two elycoidal conveyors which impress a rotation on it, proportional for its intensity to the flow and for its spin to the direction of the breath (inspiration/ expiration); a blade, free to rotate on an axis parallel to the flow and perpendicular to the conveyors, assumes a rotation, whose spin and intensity are measurable tlirough the interruptions of the rays transmitted by three infrared diode emitters, and received by as many receiving phototransistors; the pulsed signals coming from the optoelectronic reader (4) are acquired by the portable unit and elaborated; an aerodynamic cover (8), fixed to the front side of the flowmeter, is intended to avoid that, when the individual is moving during the test, the measurement of the ventilation is affected by the air entering the flowmeter;
- a face mask (5-6-7), connected to the flowmeter, manufactured with antiallergenic material, provided with two inspiratory valves (7), whose task is to reduce the inspiratory resistance and to help the elimination of the sweat from the face, is fixed to the individual by means of an anatomic head cap (6);
- a battery unit (11) that supplies the portable unit (1), fixed to the rear side of the harness (2) so that the weights are balanced; - a heart monitor belt (10), provided with two electrodes to detect the electrical signals generated by the heart on the skin of the individual, and an electronic circuit that amplifies the signals and transforms them into magnetic pulses corresponding to each beat; these pulses can be detected by the portable unit (1) wireless;
- a receiver unit (12) that receives the results of the measurements transmitted by the portable unit via telemetric communication; this data, although transmitted, are however stored in the non volatile memory of the portable unit and can be transferred to the personal computer (14) once the test is completed.
2. A portable system according to claim 1, characterized in that the expired gas of the individual is sampled by the line (9) connected to the output of the flowmeter (3-4), while a miniaturized pump (15) provides for the necessary depression to let the gas samples pass tlirough the oxygen (16) and carbon dioxide (17) analyzers in series, in the pneumatic circuit, which continuously detect concentrations of 02 and CO2, while the output signals are converted in numeric format and elaborated by the microprocessor.
3. A portable system according to claim 1, characterized in that the pulses coming from the flowmeter (3-4) are counted in order to obtain the measurement of the volume, and their width is measured for the flow calculation; since the pulses are distributed on three different lines, corresponding to the three couples of infrared emitter/receiver, determining the order by which those are detected, it is possible to provide the versus of the individual's breath (inspiration/expiration).
4. A portable system according to claim 1, characterized in that a detector probe (18), consisting of a coll and conditioning circuit, detects the magnetic pulses transmitted by the heart rate belt (10), and provides electrical pulses which, counted by the microprocessor, allow the calculation of the heart rate.
5. A portable system according to claim 1, characterized in that all operating procedures carried out during the normal use of the system (calibration, configuration, test execution...) are managed by activating the keys of the keyboard (19) and controlling the messages prompted by the LCD display (21) or through the commands sent by the personal computer (14) via RS232, if eventually connected. A portable system according to claim 1, characterized in that the results of the measurements of the test are stored in a non volatile memory (flash memory), and in the meantime transmitted tlirough the on board transmitter (20) to the receiver unit (12), connected to the personal computer (14) to allow the operator to control in real time the metabolic response of the individual under test. A portable system according to claim 1, characterized in that the elaboration of the oxygen concentration signal, coming from a slow response time analyzer, allows to "speed up" the dynamic response so as to obtain a response time lower than 130 msec.
PCT/IT1997/000197 1997-05-27 1997-07-31 Portable system with telemetric data transmission for the measurement of metabolic parameters WO1998053732A1 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
JP11500441A JP2001500042A (en) 1997-05-27 1997-07-31 Portable system for measuring metabolic parameters of individuals with "breath-by-breath" technology, with transmission and storage of telemetry data for further analysis of the results
US09/202,528 US6206837B1 (en) 1997-05-27 1997-07-31 Portable system with telemetric data transmission for the measurement of metabolic parameters
EP97935761A EP0944348A1 (en) 1997-05-27 1997-07-31 Portable system with telemetric data transmission for the measurement of metabolic parameters

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ITRM97A000314 1997-05-27
IT97RM000314A IT1295815B1 (en) 1997-05-27 1997-05-27 PORTABLE SYSTEM FOR "BREATH BY BREATH" MEASUREMENT OF THE METABOLIC PARAMETERS OF A SUBJECT, WITH TRANSMISSION OF DATA IN TELEMETRY AND

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WO1998053732A1 true WO1998053732A1 (en) 1998-12-03

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US (1) US6206837B1 (en)
EP (1) EP0944348A1 (en)
JP (1) JP2001500042A (en)
IT (1) IT1295815B1 (en)
WO (1) WO1998053732A1 (en)

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EP0944348A1 (en) 1999-09-29
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ITRM970314A1 (en) 1998-11-27
JP2001500042A (en) 2001-01-09

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