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20-Bio-B6 Analytical Biochemistry · May 2013

Question 3 of 6: Temporomandibular Joint (TMJ) Sound Diagnostic System

Nivaar worked solution (AI-drafted; not reviewed by a licensed engineer)

Notes on this paper

Paper format: National Exams, May 2013 — 04-Bio-B6 Bioinstrumentation. Three hours, open book, non-communicating calculator permitted. Six questions of equal value (25 marks each); four constitute a complete paper and only the first four appearing in the answer book are marked. All six are solved here as a complete study resource. Every question is a design/essay question (block-diagram instrumentation-system design, or descriptive explanation).

Reference texts (the books a candidate should have reviewed for this subject):

Question 3: Temporomandibular Joint (TMJ) Sound Diagnostic System (25 marks)

Question text not reproduced: the examination questions are © Engineers and Geoscientists BC. Open the official past paper (linked at the top of this page) to read the question, then follow the worked solution below.

Piezo contactmic over TMJCharge amp +50 Hz-2 kHz BPFAnti-alias +ADC (>=4 kHz)Spectrogram(amp vs freq)Bite-forcesensor (FSR)Bridge amp +0-10 Hz LPFADC(50-100 Hz)Synchroniseddisplay/storesoundspectrumchewingforce
TMJ joint-sound spectrum acquisition, synchronised with a low-bandwidth chewing-force channel.

(i) Transducers and attachment

A miniature piezoelectric contact microphone (or a small piezoresistive accelerometer) is used to pick up the joint sound: the piezoelectric element generates a charge proportional to the mechanical vibration/pressure applied to it, which a charge amplifier converts to a voltage. It is taped directly to the skin over the TMJ (immediately anterior to the tragus of the ear, the standard auscultation point for joint sounds), using a low-mass adhesive pad so its own inertia does not load or damp the vibration being measured, with light, consistent contact pressure. Chewing force is measured with a thin force-sensing resistor (FSR) or strain-gauge load cell embedded in a bite plate/occlusal splint the subject bites down on; the sensor's resistance (FSR) or strain-gauge bridge imbalance changes proportionally with the applied bite force, converting a mechanical force into an electrical signal.

(ii) Analog instrumentation

The microphone/accelerometer signal passes through a charge (or high-impedance voltage) preamplifier, then a bandpass filter set to 50 Hz-2 kHz to match the stated joint-sound spectrum and reject out-of-band noise, followed by an anti-aliasing low-pass filter ahead of the ADC. The force-sensor bridge is amplified by an instrumentation amplifier (specified for low offset drift, since the signal of interest is near-DC) and low-pass filtered at ~10-20 Hz to match the stated 0-10 Hz chewing-force bandwidth while rejecting higher-frequency mechanical noise, again followed by an anti-alias filter matched to its own (much lower) sample rate.

(iii) Data acquisition, processing and display

The sound channel is sampled at ≥4 kHz (Nyquist rate for the 2 kHz upper band edge), and the force channel at 50-100 Hz (ample margin above its 10 Hz content). Both channels are sampled from a common clock so every joint-sound sample can be time-tagged against the simultaneous chewing-force value. The processor computes a short-time spectrogram (sliding-window FFT) of the sound channel to show amplitude vs. frequency vs. time, and overlays or time-aligns this with the chewing-force trace so the clinician can see how the joint-sound spectrum and amplitude change as bite force is applied and released. The synchronised sound-spectrum/force data are shown on a real-time display and logged for offline diagnostic review.

(iv) Patient safety

Both transducers are non-invasive, biocompatible, contact-only sensors: the contact microphone uses a hypoallergenic adhesive pad, and the bite-force sensor is built into a smooth, inert (medical-grade polymer) occlusal splint with no sharp or rigid metal parts that could injure the mouth. The entire signal chain from patient-attached sensors through to any mains-powered instrument is electrically isolated (battery-powered front end or an isolation amplifier/optocoupler at the interface, as detailed in Question 5) so no hazardous current path exists between the subject and line power.