This application note provides a method to make an analog front-end plethysmograph (from
the ancient greek plethysmos, which means increase), which is an instrument for measuring
changes in volume within an organ or whole body, usually resulting from fluctuations in the
amount of blood or air it contains. In this context, we refer in particular to the fluctuations in
the quantity of blood in blood vessels.
This application note describes a demonstration board which is designed for demonstration
purposes only, and shall not be used as a medical instrument, nor for domestic installation.
The technical data included in this document shall be taken as a guideline.
1.2 Theoretical background
The contraction of the heart causes a pressure wave which moves along the arteries
producing, as a consequence, their expansion during the positive peak. The wave is faster
than the blood flow and its speed reaches a few meters per second. The pulse wave can be
sensed at a limb as well as the wrist or a finger.
The two possibilities for sensing the pulse wave are via a pressure sensor or through an
optoelectronic plethysmograph which uses the physical mechanism of light absorption.
Hemoglobin present in the blood absorbs the light emitted in a particular wavelength range
(see figure below). In this system infrared light can be used with no distinction between
oxyhemoglobin and deoxyhemoglobin.
Figure 1.Light absorption by hemoglobin at different wavelengths
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For this reason, the light which is able to pass through the body at a wavelength of
600-900 nm depends on the quantity of hemoglobin flowing in the blood vessels. Therefore,
since the quantity of hemoglobin at a given time is proportional to the pulse wave at that
time, it is possible to calculate the pulse wave from the transmitted light.
The information from the pulse wave is often used in conjuntion with a three-lead
electrocardiogram (ECG or EKC) with the differential electrodes placed on the thorax. In
fact, from the two measurements, it is possible to calculate the PWTT (pulse wave transit
time) which is the time interval between the R wave peak of the ECG and the positive peak
of the plethysmography (see Figure 2) and can be correlated with blood pressure.
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Figure 2.Schematic representation of the pulse wave transit time (PWTT)
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Model for creating a plethysmographAN2944
2 Model for creating a plethysmograph
2.1 Getting started
The construction of the board described in the following sections has been inspired from
other projects already developed in an educational and scientific context [see 1 and 2 in
Section 5: References]. However, in order to prevent accidents, the electrical installation of
the power supply shall be completed in accordance with safety requirements (e.g. by
assuring a satisfactory cross-section of the conductors, by using a fuse, etc.).
2.2 Sensors
The sensor consists of an infrared (800 nm) light emitter diode, the SFH309FA, and an NPN
phototransistor light receiver, the SFH487. The source and detector have to be mounted
side by side on a finger. The light passes through the tissues and the amount of light
captured by the photodetector depends on the quantity of hemoglobin. Timed samples of
the photodetector output allow us to reconstruct the pulse wave. An easy way to mount
these two components to have steady contact with the finger is to use a wooden clothespin
to hold them in a fixed position (see figure below). The infrared filter of the phototransistor
reduces the interference from the fluorescent lights, which exhibit a large AC component in
their output.
Figure 3.Sensing system
2.3 Analog front-end
The analog front-end, used for conditioning the output signal of the phototransistor, is made
of two high-precision rail-to-rail operational amplifiers (TS507) and a programmable shunt
voltage reference (TS3431AILT) with a small number of passive components.
The schematic, shown in Figure 4, consists of an amplification and a filtering block. The
signal received from the phototransistor is high-pass filtered to remove the DC voltage offset
and then amplified by 100 and low-pass filtered with a cutoff frequency of 10 Hz. The power
supply voltage is set to 3.3 V while the VREF signal is set to 1.65 V through the resistors
R12 and R13.
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Figure 4.Schematic diagram for the analog front-end plethysmograph
In order to acquire the pulse wave measurement, we suggest connecting the output pin of
the analog board (pin 6 of J6 in figure above) to a digital subsystem where the input of a
microcontroller (e.g. STM32) can be acquired through an A/D converter. The board that
implements the analog front-end and a picture showing the measurement setup are
presented in Figure 5 and 6.
Figure 5.Analog front-end demonstration board
Figure 6.Entire system
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Bill of materialAN2944
3 Bill of material
Table 1.BOM
ItemQuantityValuePart reference
112.2 µC1
2122 nC2
312.2 µC3
4122 nC4
51100 nC6
6110 µC7
71100 nC9
81CON4J4
91CON8J6
101120 ΩR1
11122 kΩR2
12147 kΩR3
13110 kΩR4
141220 kΩR5
15110 kΩR6
16147 kΩR7
17110 kΩR8
181220 kΩR9
1912.5 kΩR10
2013.3 kΩ ±1%R12
21110 kΩ ±1%R13
251TS507IDU1
261TS507IDU2
271TS3431AILTU3
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4 Results
An example of the pulse wave measurement as recorded by the plethysmograph is shown in
Figure 7. The experiment was carried out on a healthy subject at rest because movement of
the finger causes additional compression of the blood volume which varies the DC
component of the measurement. The peaks in the signals correspond to a maximum in the
blood flow because the greater the voltage, the lesser the light which is received by the
phototransistor and the greater the voltage between the phototransistor collector and
ground.
The time interval between two consecutive peaks can be easily measured by combining the
A/D converter with a triggered timer of the microcontroller which computes this interval.
Figure 7.Five seconds recording by plethysmograph of a healthy subject
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ReferencesAN2944
5 References
1.The PicoTech project on calculating the heart rate
2. Proceeding of the 2006 IEEE/RSJ International Conference on Intelligent Robots and
Systems (IROS2006), pp. 2620 - 2625 (2006)
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6 Revision history
Table 2.Document revision history
DateRevisionChanges
28-Jan-20101Initial release
Doc ID 15467 Rev 111/12
AN2944
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