Abstract

Pulmonary ailments are conventionally diagnosed by spirometry. The complex forceful breathing maneuver as well as the extreme cost of spirometry renders it unsuitable in many situations. This work is aimed to facilitate an emerging direction of tidal breathing-based pulmonary evaluation by designing a novel, equitable, precise and portable device for acquisition and analysis of directional tidal breathing patterns, in real time. The proposed system primarily uses an in-house designed blow pipe, 40-kHz air-coupled ultrasound transreceivers, and a radio frequency (RF) phase-gain integrated circuit (IC). Moreover, in order to achieve high sensitivity in a cost-effective design philosophy, we have exploited the phase measurement technique, instead of selecting the contemporary time-of-flight (TOF) measurement; since application of the TOF principle in tidal breathing assessments requires sub-micro to nanosecond time resolution. This approach, which depends on accurate phase measurement, contributed to enhanced sensitivity using a simple electronics design. The developed system has been calibrated using a standard 3-L calibration syringe. The parameters of this system are validated against a standard spirometer, with maximum percentage error below 16%. Further, the extracted respiratory parameters related to tidal breathing have been found to be comparable with relevant prior works. The error in detecting respiration rate only is 3.9% compared to manual evaluation. These encouraging insights reveal the definite potential of our tidal breathing pattern (TBP) prototype for measuring tidal breathing parameters in order to extend the reach of affordable healthcare in rural regions and developing areas.

Highlights

  • Pulmonary diseases affect urban and rural demographics worldwide [1,2,3,4].Obstructive airway diseases (OAD), viz., chronic obstructive pulmonary disease (COPD) is the second largest cause of death worldwide [1,2]

  • The tidal breathing pattern recorder (TBPR) blow pipe is attached to the calibration syringe and the complete setup is kept at rest on a steady horizontal attached to the calibration syringe and the complete setup is kept at rest on a steady horizontal platform

  • We indicated the average value of the three trials conducted for each of the subjects, along with the standard deviation given in parenthesis

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Summary

Introduction

Pulmonary diseases affect urban and rural demographics worldwide [1,2,3,4]. Obstructive airway diseases (OAD), viz., chronic obstructive pulmonary disease (COPD) is the second largest cause of death worldwide [1,2]. Lifestyle, pollution, smoking habits and a dearth of awareness are the main causes of adverse effects in the pulmonary system, triggering respiratory ailments at an epidemic scale [5,6,7]. COPD, pneumothorax, and obstructive sleep apnea (OSA), to name a few, are barely detected at their initial stages [1,2,5]. Since most OADs are not reversible and are thereby never completely curable, it is crucial to detect these ailments at the earliest stage possible. It is very difficult to differentiate between the types of OADs, for example

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