Instrumentation & Measurement in Biomedical SEBB 3043 Chapter 1: Introduction to Biomedical Instrumentation and Measurement UTM SEBB3043 Ch1 1 Outline • Terminology • Biomedical Signals • Medical Instrumentation Systems, Modes and Constrains • Medical Instrumentation Classification • Biomedical Inputs & Compensation Techniques UTM SEBB3043 Ch1 2 Terminology • Biology-Deals with broad spectrum of life sciences (study of all living organisms i.e. plants, animals, insects) • Medical sciences-Study of only human being • Medical Engineering-Study Engineering principles in medical science. • Bio- Medical Engineering- Cover more animals on the earth • Engineering or Instrumentation is defined as science of using measurements. UTM SEBB3043 Ch1 3 The science of structure of the body is known as Anatomy and it is classified according to the following basis: • Gross anatomy deals with the study of the structure of the organs as seen by the naked eye on dissection. It describes the shape, size, component and appearance of the organ under study. • Topographical Anatomy deals with the position of the organs in relation to each other, as they are seen in section through the body in different planes. • Microscopic anatomy (Histology) is the study of the minute structure of the organs by means of microscopy. • Cytology is a special field of histology in which the structure, function and development of the cell are studied. UTM SEBB3043 Ch1 4 Physiology, related to the normal function of the organs of the body – Can be classified in different ways. For example: • Cell physiology is the study of the function of the cell. • Pathophysiology relates to the pathological (study or symptoms of disease) function of the organs. – In addition, classification into various sub-areas dealing with different organs can be made. E.g: • Circulatory physiology is the study of the blood circulation relating to functioning of the heart. • Respiratory physiology deals with the functioning of breathing organs. UTM SEBB3043 Ch1 5 Physiological Systems of the Body • Human body consists of many systems – Respiratory system – Endocrine system – Heart and Circulatory system (Cardiovascular) – Nervous system – Digestive system – Reproduction system – Etc UTM SEBB3043 Ch1 6 Biomedical Signals – Bioelectric Signals: Generated by nerve cells and muscle cells. Their basic source is the cell membrane potential which under certain conditions may be excited to generate an action potential. The electric field generated by the action of many cells constitutes the bio-electric signal. • Eg:) signals. – Bioacoustic Signals: The measurement of acoustic signals created by many biomedical phenomena provides information about the underlying phenomena. • Eg: UTM SEBB3043 Ch1 7 – Biomechanical Signals: These signals originate from some mechanical function of the biological system. They include all types of motion and displacement signals, pressure and flow signals etc. • Eg:: – Biochemical Signals: The signals which are obtained as a result of chemical measurement from the living tissue or from sample analyzed in the laboratory. • Eg:: – Biomagnetic Signals: Extremely weak magnetic fields are produced by various organs such as the brain, heart, and lungs. The measurement of these signals provides information which is not available in other types of bio-signals such as bio-electric signals. • Eg: UTM SEBB3043 Ch1 8 – Bio-Optical Signals: These signals are generated as result of optical function of the biological systems, occurring either naturally or induced by the measurement process. • Eg: – Bio-impedance Signals: The impedance of the tissue is a source of important information concerning its composition, blood distribution and blood volume etc. The measurement of galvanic skin resistance is a typical example of this type of signals. The bio-impedance signal is also obtained by injecting sinusoidal current in the tissue and measuring the voltage drop generated by the tissue impedance. • Eg: UTM SEBB3043 Ch1 9 Medical Instrumentation Systems UTM SEBB3043 Ch1 10 • Measurand: The physical quantity or condition that the system measures is called the measurand. The measurand may be internal (blood pressure), on the body surface (electrocardiogram potential), emanating from the body (infrared radiation) or from a tissue sample (biopsy). • Sensor/Transducer: A transducer is a device that converts one form of the energy to another. A sensor converts a physical measurand to an electric output. The sensor should respond only to the form of energy present in the measurand. Eg: a piezo-electric crystal converts mechanical vibrations into an electrical signal Sensor: Primary sensing element (diaphragm: converts pressure to displacement) and a variable-conversion element (strain gage: converts displacement to electric voltage). UTM SEBB3043 Ch1 11 Medical Instrumentation Systems UTM SEBB3043 Ch1 12 • Signal Conditioner: Converts the output of the transducer into an electrical quantity suitable for operation of the display or recording system. Simple signal conditioners may only amplify and filter the signal or merely match the impedance of the sensor to the display. Eg: Signal filtering may reduce undesirable sensor signals or average repetitive signals to reduce noise or may convert information from time domain to frequency domain. • Display System: The result of the measurement process must be displayed in a form that the human operator can perceive: numerical or graphical, discrete or continuous, permanent or temporary. – Most displays are in a visual form, but audible signals forms like alarms or Doppler ultrasonic signals can also be found. • Auxiliary Elements: Calibration, Control and feedback, Data Storage – Alarm System - with upper and lower adjustable thresholds to indicate when the measurand goes beyond present limits. – Data transmission- information obtained may be carried to other parts of an integrated system or to transmit it from one location to another. UTM SEBB3043 Ch1 13 Alternative Operational Modes • Direct – Indirect Modes: Measurand can interface directly to the sensor or needs another measurand to interact between the original measurand and the sensor. Eg: Cardiac output (vol blood/min pumped by heart) by measurement of respiration and blood gas concentration or dyes; Morphology of internal organs by x-ray shadows. • Sampling and Continuous Modes: Body temperature & ion concentration change so slowly that may be sampled infrequently. Electrocardiogram & respiratory gas flow require continuous sampling. – Type of measurand, objective of measurement, condition of patients… influence the frequency of sampling. UTM SEBB3043 Ch1 14 • Generating and Modulating Sensors Generating sensors produce signal output from energy taken directly from measurand - photovoltaic cell (produces output voltage related to its radiation, without external energy source) Modulating sensors use the measurand to alter the flow of energy from an external source in a way that affects the output of the sensor – photoconductive cell (external energy must be applied to measure its change in resistance with irradiation) • Analog and Digital Modes Analog signals are continuous and able to take on any value within dynamic range. Digital signals are discrete and only able to take a finite number of different values. • Real-Time and Delayed-Time Modes: Sensor must acquire signals in real time as the signal actually occur. The output of the system may not display the results immediately due to types of signal processing. Often such short delays are acceptable unless urgent feedback required. UTM SEBB3043 Ch1 15 Medical Measurement Constrains • Parameters measurement ranges are quite low (µvolts) • Inaccessible crucial variables (damage syst) – indirect measurements • Quantities vary with time • Medical measurements vary widely among normal patients even at similar conditions • To cope with this variability is to assume empirical statistics and deterministic distribution functions • Safe levels of various types of energy (x-ray, ultrasound…) are difficult to establish because mechanism of tissue damage are not well understood UTM SEBB3043 Ch1 16 • Equipment must be reliable, easy to operate, and capable of withstanding physical abuse and exposure to corrosive chemicals. • Electronic equipment must be designed to minimize electric-shock hazards. • Safety of patients and medical personnel must be considered in all phases of the design and testing of the instrument. • The Medical Device Amendments (1976) & Safety Medical Devices Act (1990) amend the Federal Food, Drug and Cosmetics Act to provide for the safety and effectiveness of medical devices intended for human use. UTM SEBB3043 Ch1 17 Classification of Biomedical Instruments Quantity Sensed Principle of Transduction Organ System Clinical Medicine Specialty Pressure Resistive Cardiovascular Pediatrics Flow Inductive Pulmonary Obstetrics Temperature Capacitive Nervous Cardiology Current Ultrasound Endocrine Radiology Concentration Electrochemical Gastrointestinal Neurology UTM SEBB3043 Ch1 18 BLOOD INSTRUMENTS HEART INSTRUMENT Blood Pressure meter ECG Blood PH meter Pace Maker Blood flow meter Defibrillator Blood cell counter Heart Lung Machine Calorimeter Bed side monitor Spectra – Photometer Plethysmograph Flame photometer Electronic stethoscope Digital BP meter Phonocardiograph UTM SEBB3043 Ch1 19 BRAIN INSTRUMENTS MUSCLE INSTRUMENTS EEG EMG Tomograph Muscle Stimulator UTM SEBB3043 20 KIDNEY INSTRUMENTS EAR INSTRUMENTS Dialysis Instrument Audiometer Lithotripsy Hearing aid UTM SEBB3043 Ch1 21 EYE INSTRUMENTS LUNG INSTRUMENTS Occulometer Spirometer Aid for blind UTM SEBB3043 Ch1 22 BODY INSTRUMENTS PHYSIOTHERAPY INSTRUMENTS Ultra Sonography Diathermy, Short wave Thermograph Electrosleeper Radiograph Vibrator (Massage type) EPF U.V. Lamp Endoscope Microwave diathermy UTM SEBB3043 Ch1 23 Interfering & Modifying Inputs Desired input – measurand that the instrument is designed to isolate Interfering input – quantities that inadvertently affect the instrument Modifying input – undesired quantities that indirectly affect output and performance of instrument Desired input: Vecg Interfering input: 60 Hz noise ac magnetic field (in series with desired) Modifying input Plane of patients cable: If parallel to magnetic field – inteference = 0 If perpendicular = max UTM SEBB3043 Ch1 24 Compensation Techniques Effects of interfering or modifying inputs can be reduced or eliminated by altering the design or adding components to the original instrument. • Inherent Insensitivity: All instrument components have inherently sensitivity ONLY to desired input • Negative Feedback: Makes the output less dependent on the transfer function. Takes a portion of output and feeds it back to the input. The output dependent signal is subtracted from input and the difference is the effective input. • Signal Filtering: input filters block interfering and modifying inputs without altering the desired signal. Output filters are more difficult because the desired & undesired output signals are superimposed • Opposing Inputs: Additional interfering inputs can be used to cancel undesired output components. UTM SEBB3043 Ch1 25 BASIC OBJECTIVES INSTRUMENTATION 1. 2. 3. 4. 5. Information Gathering: measure variable for knowledge, characteristic of the measurements may not be known in advance. Diagnosis: measurements are made to help in the detection & the correction of some malfunction of the system being measured Evaluation: measurements are used to determine the ability of a system to meet its functional requirements. Monitoring: measure of process in order to obtain continuous or periodic information about the state of the system being measured. Control the operation of a system based on changes in one or more of the internal. UTM SEBB3043 Ch1 26 • Significant Figures Metric prefix What’s the current on a circuit with 10V and a resistance of 3 Ω? tera • Scientific Notation n.ij x 10x • Units and physical constants (SI) Multiplying factor 1012 Symbol T giga* G mega M kilo k hecto h deka da deci d centi c CGS - centimeter grams seconds milli m micro µ MKS - meters kilograms second nano n pic p femto f atto UTM SEBB3043 Ch1 10-18 a 27 Physical constants and units Constant Value Boltzmann’s constant Capacitance-Faraday Electric charge-Coulomb Conductance-Siemens Conductivity-Siemens/meter Current- ampere Energy-Joule Frequency-Hertz Power-watt Resistance-ohm … Electric charge (e-) Electron (volt) Electron (mass) eV 9.12x10-31 Kg 8.85x10-12 F/m SEBB3043 Ch1 q 1.6x10-19 J Permittivity of free space Pi K 1.6x10-19 C 4πx10-7 H/m Velocity of electromagnetic waves UTM 1.38x10-23 J/K Permeability of free space Planck’s constant Symbol km U0 εo 6.3626x10-34 J-s h 3x10-8 m/s c 3.141592654 π 28 Logarithmic representation of signal levels: decibel Decibel: means of logarithmically expressing the ratio between two signal levels • Converting between dB to gain notation Voltage gain = Voutput / Vinput= 6V/0.5V=12 dB= 20 log (Vo/Vin) = 20 log (12)= 21.6 Current - dB= 20 log (Io/Iin) Power - dB= 100 log (Po/Pin)* • Converting dB to voltage Vo =Vin 10dB/20 * Power is proportional to the square of the voltage current UTM SEBB3043 Ch1 29 Summary UTM SEBB3043 Ch1 30