In-vivo Blood Pressure Sensor - PowerPoint PPT Presentation

About This Presentation
Title:

In-vivo Blood Pressure Sensor

Description:

Anup Pillai Dhanya Premkumar Nair * * * * * * * * * * * * * * * * * * * – PowerPoint PPT presentation

Number of Views:175
Avg rating:3.0/5.0
Slides: 39
Provided by: facultyUm1
Learn more at: https://faculty.uml.edu
Category:
Tags: blood | pressure | sensor | vivo

less

Transcript and Presenter's Notes

Title: In-vivo Blood Pressure Sensor


1
In-vivo Blood Pressure Sensor
  • Anup Pillai
  • Dhanya Premkumar Nair

2
Outline
  • Current blood pressure sensors in use
  • Background
  • Long-Term Implantable Blood Pressure Monitoring
    System and Advantages
  • Wireless Battery less In VIVO Blood
    PressureSensing Micro system and Advantages
  • System Architecture
  • Our Objectives
  • Timeline and Division of work
  • Conclusions

3
Need to measure blood pressure
  • To diagnose critical medical conditions like
    hypertension
  • -causes strokes, heart attacks, heart failures
  • Low blood pressure causes hypotension, which
    results in dizziness, fainting or shock

4
Conventional blood pressure monitoring systems
(non-invasive sensors)
  • Auscultatory method
  • Mercury Manometer

5
Current blood pressure sensors in use
With the new sensor, no cuff is required Device
takes advantage of the method called pulse wave
velocity which allows blood pressure to be
calculated by measuring the pulse at 2 points
along an artery This was developed at MIT's
d'Arbeloff Laboratory for Information Systems and
Technology
6
Outline
  • Current blood pressure sensors in use
  • Background
  • Long-Term Implantable Blood Pressure Monitoring
    System and Advantages
  • Wireless Battery less In VIVO Blood
    PressureSensing Micro system and Advantages
  • System Architecture
  • Our Objectives
  • Timeline and Division of work
  • Conclusions

7
Background
  • In vivo-Latin for within the living
  • Experimentations are done using a whole, living
    organism
  • In vivo monitoring is critical for developing
    effective treatments

8
Background (Contd.)
  • Long-Term Implantable Blood Pressure Monitoring
    System
  • Wireless Battery less In VIVO Blood
    PressureSensing Micro system

9
Outline
  • Current blood pressure sensors in use
  • Background
  • Long-Term Implantable Blood Pressure Monitoring
    System and Advantages
  • Wireless Battery less In VIVO Blood
    PressureSensing Micro system and Advantages
  • System Architecture
  • Our Objectives
  • Timeline and Division of work
  • Conclusions

10
Long-Term Implantable Blood Pressure Monitoring
System
  • The system employs an instrumented elastic cuff,
    wound around a blood vessel
  • Operates in a linear diameter v.s. pressure
    region of the vessel for real time blood pressure
    monitoring
  • The elastic cuff is made of soft bio-compatible
    rubber, filled with bio-compatible insulating
    fluid with an immersed MEMS pressure sensor
  • The MEMS sensor detects the vessel blood pressure
    wave form with a constant scaling factor,
    independent of the cuff bias pressure exerting on
    the vessel.

11
Implantable blood pressure monitoring system
MEMS sensor
Insulating Liquid
Vein
Cuff
12
Advantages
  • This technique avoids vessel insertion
  • Also substantially minimizes vessel movement
    restriction due to the soft cuff elasticity
  • Attractive for minimizing long-term adverse
    biological effects

13
Outline
  • Current blood pressure sensors in use
  • Background
  • Long-Term Implantable Blood Pressure Monitoring
    System and Advantages
  • Wireless Battery less In VIVO Blood
    PressureSensing Micro system and Advantages
  • System Architecture
  • Our Objectives
  • Timeline and Division of work
  • Conclusions

14
Wireless Battery less In VIVO Blood
PressureSensing Micro system
  • Wireless powering and data telemetry are also
    incorporated in the micro system
  • This eliminates the need of external wire
    connections and any bulky battery
  • The micro system can be used to obtain reliable
    measurements without suffering from stress
    induced distortion

15
Wireless Battery less In VIVO Blood
PressureSensing Micro system
16
Outline
  • Current blood pressure sensors in use
  • Background
  • Long-Term Implantable Blood Pressure Monitoring
    System and Advantages
  • Wireless Battery less In VIVO Blood
    PressureSensing Micro system and Advantages
  • System Architecture
  • Our Objectives
  • Timeline and Division of work
  • Conclusions

17
Microsystem architecture
18
The in vivo blood pressure sensor inside an
actual lab rat
19
Outline
  • Current blood pressure sensors in use
  • Background
  • Long-Term Implantable Blood Pressure Monitoring
    System and Advantages
  • Wireless Battery less In VIVO Blood
    PressureSensing Micro system and Advantages
  • System Architecture
  • Our Objectives
  • Timeline and Division of work
  • Conclusions

20
Our Objectives
  • The sensor specified in the background exhibits
    increased noise levels
  • The transmitter of the same dissipated a 80 of
    the system power
  • Our objectives are
  • a) To design a similar sensor which exhibits
    less noise levels
  • b) To design a better and more power efficient
    transmitter for the sensor

21
Objective 1
  • To find a solution which exhibits less noise
    levels
  • We began by investigating the reason for the high
    noise levels in the current design

22
Reason for noise
  • Animal body vapor penetration into the device
  • Affect the functioning of the electrical
    connections within the sensor.

23
The damage caused
  • The high impedance node can be highly sensitive
    to vapor penetration
  • Electrical connections between the sensor
    diaphragm and IC chip

24
Solution proposed
  • Protection for moisture penetration is required
    for the sensor diaphragm as well as the
    electrical connections between the sensor
    diaphragm and IC chip.

25
Solution proposed (Contd.)
  • A passivation layer, such as silicon dioxide
    (SiO2) and silicon nitride (Si3N4), can be
    deposited on the top of diaphragm.
  • An encapsulant material with strong moisture
    resistance can be used to protect the bond wires
    between the sensor and IC before applying
    silicone passivation layer.

26
Objective 2
  • To design a better and more power efficient
    transmitter for the sensor
  • In the microsystem, an oscillator based FSK
    transmitter was employed for data telemetry
  • This transmitter was on throughout and hence
    resulted in 80 power dissipation

27
Solution
  • To use a transmitter operating with a low duty
    cycle
  • One can also use a transmitter with an increased
    bandwidth

28
Numerical Calculations
  • If the sampling frequency is 2 kHz, with data
    rate of 48 kbps, corresponding bit rate is 24 per
    0.5 ms
  • This is the current specification for the system

29
Numerical Calculations (Contd.)
  • Instead if we the transmitter is designed to be
    on for 0.05 ms and off for the remaining 0.45 ms
  • This results in one order magnitude power
    reduction at increased data rate of 480 kbps
  • This corresponds to 72 overall system power
    reduction

30
Outline
  • Current blood pressure sensors in use
  • Background
  • Long-Term Implantable Blood Pressure Monitoring
    System and Advantages
  • Wireless Battery less In VIVO Blood
    PressureSensing Micro system and Advantages
  • System Architecture
  • Our Objectives
  • Timeline and Division of work
  • Conclusions

31
Timelines
February March April May
Research project topic and preparation for report 1
Report 1
Objective 1
Presentation 2
Objective 2
Final Report
32
Division of Work
  • First Objective
  • To design a similar sensor which exhibits less
    noise levels-A. Pillai
  • Second Objective
  • To design a better and more power efficient
    transmitter for the sensor-D. Nair

33
Conclusions
  • A review of current in-vivo blood pressure
    sensors was presented in this review study
  • We identified the potential problems with
    existing solutions
  • We have proposed two solutions that will enhance
    the performance of the current design

34
References
  • "Normal Blood Pressure Range Adults". Health and
    Life.
  • http//www.nhlbi.nih.gov/health/dci/Diseases/hyp/h
    yp_whatis.html
  •  Klabunde, Richard (2005). Cardiovascular
    Physiology Concepts. Lippincott Williams
    Wilkins. pp. 934. ISBN 978-0781750301.
  • Chobanian AV, Bakris GL, Black HR, et
    al (December 2003). "Seventh report of the Joint
    National Committee on Prevention, Detection,
    Evaluation, and Treatment of High Blood
    Pressure".Hypertension 42 (6) 120652. doi10.116
    1/01.HYP.0000107251.49515.c2. PMID 14656957.
  • "Diseases and conditions index - hypotension".
    National Heart Lung and Blood Institute.
    September 2008. Retrieved 2008-09-16.
  •  "Hypertension management of hypertension in
    adults in primary care". NICE clinical guideline
    34. London National Institute for Health and
    Clinical Excellence (NICE). June 2006. Retrieved
    2008-09-15.
  •  "Understanding blood pressure readings". American
    Heart Association. 11 January 2011. Retrieved 30
    March 2011.
  •  Pesola GR, Pesola HR, Nelson MJ, Westfal RE
    (January 2001). "The normal difference in
    bilateral indirect BP recordings in normotensive
    individuals". American Journal of Emergency
    Medicine 19 (1) 435. doi10.1053/ajem.2001.20021
    . PMID 11146017.
  •  Reckelhoff, Jane F (1 May 2001). "Gender
    differences in the regulation of blood
    pressure". Hypertension 37 (5)
    1199208. PMID 11358929.

35
References (Contd.)
  • National Heart, Lung and Blood Institute. Blood
    pressure tables for children and adolescents.
    (Note that the median BP is given by the 50th
    percentile and hypertension is defined by the
    95th percentilefor a given age, height, and
    gender.)
  • (Pickering et al. 2005, p. 145) See Isolated
    Systolic Hypertension.
  • "...more than half of all Americans aged 65 or
    older have hypertension." (Pickering et al. 2005,
    p. 144)
  • Eguchi K, Yacoub M, Jhalani J, Gerin W, Schwartz
    JE, Pickering TG (February 2007). "Consistency of
    blood pressure differences between the left and
    right arms". Arch Intern Med 167 (4)
    38893.doi10.1001/archinte.167.4.388. PMID
    17325301.
  • Agarwal R, Bunaye Z, Bekele DM (March 2008).
    "Prognostic significance of between-arm blood
    pressure differences". Hypertension 51 (3)
    65762. doi10.1161/HYPERTENSIONAHA.107.104943.PMI
    D 18212263.
  • Appel LJ, Brands MW, Daniels SR, Karanja N, Elmer
    PJ, Sacks FM (February 2006). "Dietary approaches
    to prevent and treat hypertension a scientific
    statement from the American Heart
    Association".Hypertension 47 (2) 296308.
    doi10.1161/01.HYP.0000202568.01167.B6. PMID
    16434724.
  • Mayo Clinic staff (2009-05-23). "Low blood
    pressure (hypotension) Causes". MayoClinic.com.
    Mayo Foundation for Medical Education and
    Research. Retrieved 2010-10-19.
  • Rosenson RS, Wolff D, Green D, Boss AH, Kensey KR
    (February 2004). "Aspirin. Aspirin does not alter
    native blood viscosity". J. Thromb. Haemost. 2
    (2) 3401. PMID 14996003.
  • Klabunde, RE (2007). "Cardiovascular Physiology
    Concepts - Mean Arterial Pressure". Retrieved
    2008-09-29. Archived version 2009-10-03

36
References (Contd.)
  • Klabunde, RE (2007). "Cardiovascular Physiology
    Concepts - Pulse Pressure". Retrieved 2008-10-02.
    Archived version 2009-10-03
  • Markham LW, Knecht SK, Daniels SR, Mays WA,
    Khoury PR, Knilans TK (November 2004).
    "Development of exercise-induced arm-leg blood
    pressure gradient and abnormal arterial
    compliance in patients with repaired coarctation
    of the aorta". Am. J. Cardiol. 94 (9) 12002.
    doi10.1016/j.amjcard.2004.07.097. PMID 15518624.
  • Messerli FH, Williams B, Ritz E (2007).
    "Essential hypertension". Lancet 370 (9587)
    591603. doi10.1016/S0140-6736(07)61299-9. PMID
    17707755.
  • O'Rourke M (1 July 1995). "Mechanical principles
    in arterial disease". Hypertension 26 (1) 29.
    PMID 7607724.
  • Mitchell GF (2006). "Triangulating the peaks of
    arterial pressure". Hypertension 48 (4) 5435.
    doi10.1161/01.HYP.0000238325.41764.41. PMID
    16940226.
  • Klabunde, RE (2007). "Cardiovascular Physiology
    Concepts - Arterial Baroreceptors". Retrieved
    2008-09-09. Archived version 2009-10-03
  • Booth, J (1977). "A short history of blood
    pressure measurement". Proceedings of the Royal
    Society of Medicine 70 (11) 7939. PMC 1543468.
    PMID 341169. Retrieved 2009-10-06.
  • "Vital Signs (Body Temperature, Pulse Rate,
    Respiration Rate, Blood Pressure)". OHSU Health
    Information. Oregon Health Science University.
    Retrieved 2010-04-16.
  • Deakin CD, Low JL (September 2000). "Accuracy of
    the advanced trauma life support guidelines for
    predicting systolic blood pressure using carotid,
    femoral, and radial pulses observational study".
    BMJ321 (7262) 6734. doi10.1136/bmj.321.7262.673
    . PMC 27481. PMID 10987771.
  • Interpretation - Blood Pressure - Vitals,
    University of Florida. Retrieved on 2008-03-18.
  • G8 Secondary Survey, "Manitoba". Retrieved on
    2008-03-18.
  • (Pickering et al. 2005, p. 146) See Blood
    Pressure Measurement Methods.

37
References (Contd.)
  • (Pickering et al. 2005, p. 147) See The
    Oscillometric Technique.
  • Laurent, P (2003-09-28). "Blood Pressure
    Hypertension". Retrieved 2009-10-05.
  • Elliot, Victoria Stagg (2007-06-11). "Blood
    pressure readings often unreliable". American
    Medical News (American Medical Association).
    Retrieved 2008-08-16.
  • Jhalani, Juhee Tanya Goyal, Lynn Clemow, et al
    (2005). "Anxiety and outcome expectations predict
    the white-coat effect". Blood Pressure Monitoring
    10 (6) 3179. doi10.1097/00126097-200512000-0000
    6. PMID 16496447. Retrieved 2009-10-03.
  • (Pickering et al. 2005, p. 145) See White Coat
    Hypertension or Isolated Office Hypertension.
  • (Pickering et al. 2005, p. 146) See Masked
    Hypertension or Isolated Ambulatory Hypertension.
  • Mancia G, De Backer G, Dominiczak A, et al. (June
    2007). "2007 Guidelines for the management of
    arterial hypertension The Task Force for the
    Management of Arterial Hypertension of the
    European Society of Hypertension (ESH) and of the
    European Society of Cardiology (ESC)". Eur Heart
    J 28 (12) 1462536. doi10.1093/eurheartj/ehm236.
    PMID 17562668.
  • Niiranen, TJ Kantola IM, Vesalainen R, et al
    (2006). "A comparison of home measurement and
    ambulatory monitoring of blood pressure in the
    adjustment of antihypertensive treatment". Am J
    Hypertens19 (5) 46874. doi10.1016/j.amjhyper.20
    05.10.017. PMID 16647616.
  • Shimbo, Daichi Thomas G. Pickering, Tanya M.
    Spruill, et al (2007). "Relative utility of home,
    ambulatory, and office blood pressures in the
    prediction of end-organ damage". Am J Hypertens
    20 (5) 47682. doi10.1016/j.amjhyper.2006.12.011
    . PMC 1931502. PMID 17485006.dead link
  • National Heart, Lung and Blood Institute. Tips
    for having your blood pressure taken.
  • Table 30-1 in Trudie A Goers Washington
    University School of Medicine Department of
    Surgery Klingensmith, Mary E Li Ern Chen Sean
    C Glasgow (2008). The Washington manual of
    surgery. Philadelphia Wolters Kluwer
    Health/Lippincott Williams Wilkins. ISBN
    0-7817-7447-0.
  • Dugdale, David. "Blood Pressure". Retrieved 1
    April 2011.
  • Klabunde, Richard. "Arterial Blood Pressure".
    Retrieved 31 March 2011.
  • Fung, Yuan-cheng (1997). BiomechanicsCirculation.
    New York Springer. pp. 571. ISBN 038794383.

38
References (Contd.)
  • Munson Young, Okiishi, Huebsch
    (2009). Fundamentals of Fluid Mechanics (Sixth
    ed.). New Jersey John Wiley Sons, Inc..
    pp. 725. ISBN 9780470262849.
  • Womersley, J. R. (1955). "Method for The
    Calculation of Velocity, Rate of Flow and Viscous
    Drag in Arteries When The Pressure Gradient is
    Known". Journal of Physiology 127 553563.
  • Sircar, Sabyasach (2008). Principles of Medical
    Physiology. India vistasta Publishing. ISBN 97815
    8890572.
  • Fung, Yuan-cheng Zweifach, B.W. (1971).
    "Microcirculation Mechanics of Blood Flow in
    Capillaries". Annual Review of Fluid Mechanics 3
    189210.
  • What Is Pulmonary Hypertension? From Diseases and
    Conditions Index (DCI). National Heart, Lung, and
    Blood Institute. Last updated September 2008.
    Retrieved on 6 April 2009.
  • Chapter 41, page 210 in Cardiology secrets By
    Olivia Vynn Adair Edition 2, illustrated
    Published by Elsevier Health Sciences, 2001 ISBN
    1560534206, 9781560534204
  • Struijk PC, Mathews VJ, Loupas T, et al (October
    2008). "Blood pressure estimation in the human
    fetal descending aorta". Ultrasound Obstet
    Gynecol 32 (5) 67381. doi10.1002/uog.6137.PMID 
    18816497.
  • Sharon, S. M. Emily, S. M.(2006). Foundations
    of Maternal-Newborn Nursing. (4th ed p.476).
    PhiladelphiaElsevier.
  • Textbook of Medical Physiology, 7th Ed., Guyton
    Hall, Elsevier-Saunders, ISBN 0-7216-0240-1, page
    220.
  • Gottdiener JS, Panza JA, St John Sutton M, Bannon
    P, Kushner H, Weissman NJ (July 2002). "Testing
    the test The reliability of echocardiography in
    the sequential assessment of valvular
    regurgitation".American Heart Journal 144 (1)
    11521. doi10.1067/mhj.2002.123139. PMID 12094197
    . Retrieved 2010-06-30.
Write a Comment
User Comments (0)
About PowerShow.com