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Telemetry PDF
Telemetry PDF
Biotelemetry
JOACHIM NAGEL
Department of Biomedical Engineering
University of Miami
Coral Gables, Florida
I.
II.
III.
IV.
V.
VI.
VII.
VIII.
IX.
X.
XI.
XII.
XIII.
Introduction
Classification and Principles of Biotelemetry
Cable Transmission
Radiotelemetry
Carrier Frequency
Multiplexing
Modulation
Pulse Modulation
Passive Telemetry Systems
Implantable Systems
Batteries
Ultrasound and Light Telemetry
Telephonic Telemetry
References
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183
184
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190
192
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INTRODUCTION
182
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Joachim Nagel
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Animal application
Remote measurements
Tracking
Human application
Patient monitoring
Function tests
Rehabilitation
Remote diagnosis
Mobile clinical
emergency systems
Work and sport
Research
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183
6. Biotelemetry
MOOF
')]'.,TANC[
DI~.GRAM
BLOCK
&l
PATIENT
20-40 m
SHIELDED CABLE
~r-----ld-Q_-----ll'd--Q
DIRELT
----1/RECURDER
PATIENT
61-Jm~unn
IO~-
PREAMPLI f I ER
lOW I"PfDANCE
300
OUiPUf
'lARGER
DISTANCES
[>
Q~-----'c~-t---lJI
RfrOROER
I - - \ - J /
PREAMPLIFIER.
FREQUlNCI
MODUlAT iO~
II
DISTANCE
POWfR
BLOCK
DIAGRAM
PAT IE~T
RECORDER
'EAR fin D
5-iO II
fM
or
AM
FlI
5111\1
or
AM
REC[ IVE~
I-J ...
RECORDER
100 IIlW
[>
LAAGER
DISTA.'CES
F"
or
AM
FM
or
AM
fM
or
AI4
10-70 W
IUBCARRIER
HOOULAlION
SUBCARRIER
MODULATION
CABLE TRANSMISSION
The easiest way to transmit data from the patient to the recorder is to use
a shielded cable link. Transmission is limited in range and bandwidth
because the cable reactance causes frequency-dependent attenuation of the
III
Joachim Nagel
184
signal. Within the bandwidth range of physiological signals, cable capacitance is the most important limiting factor. The bandwidth of a shielded
cable, driven from a voltage source with an output resistance R, is given by
0.16 x 10 12
f3dB =
RCI.
(Hz)
(I)
IV
RADIOTELEMETRY
Many different types of radiotelemetry systems are being used [5]. Their
basic construction, however, is always the same. Transducers provide the
signal to be transmitted, and a radio-frequency (rt) carrier is modulated by
the signal and fed to the radiating antenna. For short-range transmission,
the antenna is often omitted, radiation being emitted by the oscillator coil
as in the simple radio transmitter shown in Fig. 3a. The antimony/silver
chloride (Sbl AgCI) electrodes that are in contact with the gastric acid
represent a galvanic element that provides pH-dependent voltage modulation of the transistor. The magnesium/antimony (Mg/Sb) electrodes
together with the physiologic sodium chloride (NaC\) solution form a
battery providing the operating power. The capsule is swalIowed and then
transmits a frequency according to the sensed pH.
In most applications, however, batteries are required as well as a distinct
modulator. Figure 3b shows an ultrahigh-frequency (UHF) tunnel-diode
(TO) transmitter. Frequency modulation is achieved by the two variable
capacitance diodes (CD) that are controlled by the signal voltage Us. The
185
6. Biotelemetry
(d)
Hg o----_---~_-__,
Sbo-----.--~
AgClo-_-..I
TO
CD
(b)
Us '.
S I 911d
Fig. 3. Circuits of simple radio transmitters. (a) Single-stage electrode powered pHtransmitted and (b) tunnel-dIOde battery-operated modulation stage.
1)
186
Joachim Nagel
+1.35 to 6 V
antenna
pul se
code
signal
aV
Fig. 4. Circuit diagram of a two-stage transmitter for pulse code telemetry. Frequency
range is 100-150 MHz.
CARRIER FREQUENCY
6. Biotelemetry
187
MULTIPLEXING
VI
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Joachim Nagel
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VII
MODULATION
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6. Biotelemetry
AMPL nUDE
(#1)
fREQUENCY
(FM)
(PAM)
PULSE DURATION
(PDM)
PULSE POSITION
(PPM)
PULSE CODE
(PCM)
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Joachim Nagel
Multichannel telemetry systems use double modulation. Both the subcarriers and the radio-wave carrier have to be modulated. Modulation
principles must not be identical but are chosen according to the best
realization for the special application. Four different combinations are
possible: AM/AM, AM/FM, ~/ AM, and FM/FM.
VIII
PULSE MODULATION
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6. Biotelemetry
TIS
~IJE
.------,-------,
LZ
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192
Joachim Nagel
r---------------------------'I....IRClIfT
F~!k
~~~'~":~~l~;~~~::1
t--+----I----
rl.t. If(!l,~
' - - - - - - - - - - --1
Fig. 9. Block diagram of an implantable cardiac pacemaker using passive telemetry for
intracardiac ECG transmission.
IMPLANTABLE SYSTEMS
Special design requirements apply for total implant systems [8-10). The
most important features of an implant are reliability and long operating
life. Both requirements. however. are impeded by further demands. such
as low weight, small size, and protection against body fluids by hermetic
metallic sealing. Additional problems are tissue incompatibility and the
danger of lead breakage. General solutions to these problems do not exist;
they depend upon the application. Progress in hybrid and integrated circuit
production have partly solved problems of size. weight, reliability, and
lifetime. The main limitation, however, remains the power supply, which
at present occupies more than 50% of the total space and weight of the
implanted system and is responsible for more than 50% of system failures.
Chapters 4 and 5 by Tarjan and Gold present a comprehensive treatment
of implantable devices.
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6. Biotelemetry
BATTERIES
XI
TABLE II
Typical Performance Parameters of Batteries Used in Biotelemetry
Energy density
Anode
C.lIhode
LI
LI
Lil
LiAICI. + AI 2 O,
NaOH + Ag
NiOOH
Zn
Ni
Voltage.
open
Weight
(g)
Volume
(em"')
2.8
3.66
1.36
33
16
14
12
10
1.27
7
3
7
Capacity
(A, h)
3
2
0.2
(W h/kg)
(W h/cm')
230
410
100
20
0.8
1.0
0.5
O.OS
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Joachim Nagel
XII
XIII
TELEPHONIC TELE.METRY
Telemetry by public telephone can improve clinical surveillance of nonhospitalized patients. The main application fields are the surveillance of
pregnancy, the postoperative monitoring of patients with cardiac diseases,
and the control of cardiac pacemakers. See Fig. 10.
Providing the patient with simple measuring equipment enables him
either to contact the hospital at regular intervals or to have immediate
access to examination if he suspects an emergency. Telemetric monitoring
of pregnancy has especially proven its value in rural areas, where the
alternatives without telemetry often are hospitalization or the complete
absence of surveillance. Besides the psychological aspects of pregnancy
that recommend limiting hospitalization to the absolutely necessary minimum and the augmented risk of unmonitored pregnancy, telephone
telemetry also offers strong financial arguments.
The basic principle of telephonic telemetry is shown in Fig. 10. The
patient system consists of an EeG amplifier, a modulator, usually FM, and
an adapter or converter that translates the signal to a form corresponding
to the regulations of telephonic data transfer. The receiver demodulates
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6. Biotelemetry
SIGNAL TRAN"lUClR
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PA([P SIGNALS
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MEASUREMENT
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