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ADS1298RECGFE-PDK: issues on reading respiration from a real patient

Part Number: ADS1298RECGFE-PDK
Other Parts Discussed in Thread: ADS1298R

Hi,

my company has bought a ADS1298RECGFE-PDK Evauation Module and we are interested in the respiration signal.

First we tryed to read respiration data generated by a Patient Simulator (Rigel 333) with board configurations illustrated on ADS1298RECG-FE User's Guide Section 5.3 (the only one difference is that I've set Channel Control Register Gain to 1 instead of 6). The simulation reported next is with: Rate = 15 bpm, Imp = 500 Ohm, dR = 1.0 Ohm, Apne = off.

The results it's, IMHO, good. In one minute of recording I can count clearly 13 breaths and I can understand that there is two more on the beginning that I can't see because of "Unsettled Points to Remove" and convergence of the Low-Pass filter or probably some noise induced by me on starting operations (like involuntary touching ECG cables from Patient Simulator to Evaluation Board).

So until here it's all right.

After that we has choose to test on a Real Patient with medical electrodes (FIAB, Euro ECG Electrodes: F9089) positioned in V6 and V6R as shown in the image below:

We kept the same board configurations as the Patient Simulator test. To try to be in the most similar conditions possible to the previous test we used a metronome to simulate a breath rate at 15 bpm and this is the result:

We has test many times and the results is all like the one reported above, that are really far away from the ones from Patient Simulator.

The only one thing that change on the two kind of test is the source of data, where on first there is the Patient Simulator on second test there is connected electrodes positioned on the Patient (I mean that we use the same cables, same connectors and same electronics excepts for electrodes).

Someone has some suggestion or some explanation for what is happening? There is something that I don't understand or I don't see that will cause this difference in results?

Thank you very much in advance.

Best regards:

Manuel Bonini.

  • Hello Manuel,

    Thanks for your interest in ADS1298R!

    My first guess would be that the DC level of the signal is drifting due to changes in electrode-skin contact impedance. I see that these electrodes use a type of gel, but even still, the contact impedance can vary from one electrode to the next and also change over time.

    In additional, any subtle movements by the patient could introduce a change in the impedance between the electrode pair as well.


    Best Regards,

  • Hi Ryan,

    at the light of your answer I'm askyng you: what should I use on a real patient to record respiration data? I mean: what is your scenario on a real person that will lead to a respiration result comparable to the patient simulator results? what kind of connetion to the skin should I use? in what condition should the patient be?

    Thank you very much,
    best regards: Manuel Bonini.
  • Hi Manuel,

    I understand your question. Our EVM was never intended to be connected to a real patient, nor has it ever been tested by TI in this manner. I have to emphasize that we cannot guarantee the safety of the patient or the quality of the results under these conditions.

    My only advice would be to use gel electrodes to lower the contact impedance as much as possible, which I believe you are doing already. Body hair and different skin types can have a big impact on this as well, so the results will still vary. Of course, the patient should also remain as still as possible throughout the measurement to minimize motion artifacts.

    I'm sorry that I cannot provide any further assistance on this.

    Best Regards,

  • Hi Ryan,

    thank you very much for your availability, you've been very clear.

    Best regards: Manuel Bonini.