CA2260928C - Direct to digital oximeter - Google Patents

Direct to digital oximeter Download PDF

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Publication number
CA2260928C
CA2260928C CA002260928A CA2260928A CA2260928C CA 2260928 C CA2260928 C CA 2260928C CA 002260928 A CA002260928 A CA 002260928A CA 2260928 A CA2260928 A CA 2260928A CA 2260928 C CA2260928 C CA 2260928C
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CA
Canada
Prior art keywords
analog
oximeter
light
oxygen saturation
voltage signal
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CA002260928A
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French (fr)
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CA2260928A1 (en
Inventor
Michael T. Larsen
James L. Reuss
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Criticare Systems Inc
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Criticare Systems Inc
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Publication date
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Publication of CA2260928A1 publication Critical patent/CA2260928A1/en
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Publication of CA2260928C publication Critical patent/CA2260928C/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/1455Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters
    • A61B5/14551Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters for measuring blood gases

Abstract

This invention is an oximeter for non-invasive measure of the oxygen saturation in blood with increased speed and accuracy. The device includes a sensor unit (20) which can be attached to a patient, and a n oximeter (10) which determines the oxygen saturation in the blood based on signals received from the sensor (20). In the present invention, the detected signal is immediately converted to a digital value (30).

Description

Direct to Digital Oximeter The present invention is concerned generally with an improved oximeter for non=lnvasivel~ measuring arterial oxygen saturation. More particularly, this invention is concerned with an improved method for direct digital signal formation from input signals produced by a sensor device which is connected to the oximeter.
In all oximeters, input signals are received from a sensor device which is directly connected to the blood-carrying tissue of a patient, such as a finger or ear lobe. The sensor device generally consists of a red LED, an infrared LED, and one or two photodetectors. Light from each LED is transmitted through the tissue, and the photodetectors detect the amount of light which passes through the tissue. The detected light consists of two components for each bandwidth. An AC component represents the amount of pulsating blood detected, while the DC component represents the amount of non-pulsating blood. Therefore, four separate components of detected light are examined in order to determine the arterial oxygen saturation: red DC, red AC, infrared DC and infrared AC. The amount of light detected is then used to determine the oxygen saturation in the blood of the patient based on the following equation:
(IR(AC) / IR(DC)) / (Red(AC) / Red(DC)) In a traditional oximeter, the sensor output signal is converted to an analog voltage and then separated into infrared and red components. Some oximeters further separate the AC and DC components. Separate analog circuits are then used to sample, demultiplex, and filter these signals. In these systems, therefore, it is necessary to carefully match the analog components to minimize errors which can result from differences in gain or frequency response in the two circuits.
The instant invention improves on this method by receiving input current signals from at least two and preferably three LED's of different wavelengths and converting these input signals directly to digital voltage values, without first converting to analog voltages or separating the signals. This is accomplished by using a charge digitizing analog to digital converter with suff cient range to represent the large DC
signals and sufficient resolution to represent the small AC signals. This charge digitizing converter employs a current integrator as the front stage, which tends to average and filter input noise.
This is an improvement over the analog current to voltage conversion used in traditional oximeters, which tend to amplify noise.
Once the input current is converted to a digital voltage value, all input signals are processed along the same digital hardware path, instead of the separate analog hardware paths required by the traditional method. This system eliminates the need to match analog hardware components, and therefore further reduces potential errors. Furthermore, once the signals are digitized, a microprocessor can perform all of the signal processing, demultiplexing, and filtering steps required by traditional oximeters. This reduction in the analog signal processing stage increases both the speed and accuracy of the oximeter, decreases cost by eliminating expensive analog components, and reduces the size of the oximeter by eliminating physically large analog components.
Accordingly, this invention seeks to provide an improved method for non-invasively measuring fluid parameters.
Further, this invention seeks to provide an improved method for measuring arterial blood saturation.
Still further, the invention seeks to provide improved speed and accuracy in the measurements provided by oximeters.
Further still, the invention seeks to provide a direct analog to digital conversion of the input current signal with sufficient range to measure large DC signals and enough resolution to represent small AC signals so that accurate measurements can be made with reduced analog signal processing.
Moreover, the invention seeks to provide a reduction in potential errors by directly converting the input current signal to a digital voltage signal, thereby bypassing the current to voltage conversion step which can amplify noise.
Yet further, the invention seeks to provide a reduction in potential errors by processing all signals along one digital hardware path, thereby eliminating the need for matched analog components.
The invention in another aspect seeks to provide an improved oximeter having a reduced number of electronic circuit components.
Therefore, the invention in one broad aspect pertains to a method for non-invasively measuring arterial oxygen saturation, comprising the steps of: producing light of at least first:
and second wavelengths; directing the light at a tissue sample containing a pulsating blood supply; detecting the light, after passing through the tissue sample, and producing an analog electrical current signal representing the absorption rate of each wavelength of the light; then directly converting the analog electrical current signal to a digital voltage signal; and then processing the digital voltage signal to calculate an arterial oxygen saturation.
The invention in another broad aspect provides an oximeter for non-invasively measuring arterial oxygen saturation, comprising a sensor including at least first and second light emitting devices for producing light in at least two wavelengths, and at least one photodetector for detecting the light, after passing through a tissue sample containing a pulsating blood supply, and for producing an analog electrical current signal representing the absorption of each wavelength of the light. An analog to digital converter is provided for directly converting the analog electrical current signal to a digital voltage signal, and a processing unit processes the digital voltage signal to calculate an arterial oxygen saturation.
More particularly, the analog to digital converter directly receives the analog electrical current signal produced by the photodetectors for directly converting the analog electrical signal to a digital voltage signal without first converting the analog electrical current to an analog voltage signal.
These and other aspects and advantages of the invention, together with the organization and manner of operation thereof, will become apparent from the following detailed description when taken in conjunction with the accompanying drawings described below.

Brief Description of the Drawings FIGURE 1 illustrates a block diagram of the direct to digital oximeter as connected to a sensor device; and FIGURE 2 illustrates the sensor device and direct to digital oximeter connected to a patient.
Detailed Description of the Preferred Embodiment , A block diagram of a direct to digital oximeter 10 constructed in accordance with the invention, along with an external sensor device 20 is shown in FIG. 1. The direct to digital oximeter 10 comprises a charge digitizing analog to digital converter 30, a microprocessor 40, a digital to analog converter/LED driver 50, and a flash EPROM 60. In order to achieve sufficient accuracy, the charge digitizing analog to digital converter 30 preferably converts the input analog signal to a digital signal of at least 20 bits.
In a preferred embodiment (see FIG. 2) the sensor 20 is attached to a blood-carrying tissue sample, such as the finger or ear lobe of a patient. Here, the sensor 20 is shown to consist of a red LED 70, an infrared LED 80, and a single photodetectar 90, but the sensor device 20 can include three or more LED's of different wavelengths and an associated plurality of photodetectors. The LED's 70 and 80 are driven by digital signals from the microprocessor 40. These digital signals are converted to analog voltages by means of the digital to analog converter/LED driver 50. Light from the LED's 70 and 80 is transmitted through the tissue sample, and is detected by the photodetector 90, which produces an analog current signal with an amplitude proportional to the amount of light detected in each bandwidth. The current signal from the photodetector 90 is then digitized with 20 bits of resolution by the charge digitizing analog to digital converter 30, and is sent to the microprocessor 40. Demultiplexing, ambient interference identification and elimination, and signal filtering are performed by means of digital signal processing software routines in the microprocessor 40. Once the signals are processed, the microprocessor 40 calculates the value of the ratio (IR(AC) / IR(DC)) / (Red(AC) / Red(DC)) where the DC component represents the non-pulsating blood flow, and the AC
component indicates the pulsatile blood flow. The microprocessor 40 then determines the absolute arterial oxygen saturation by comparing the result to the value stored in a look-up table in flash EPROM 60.
While preferred embodiments of the invention have been shown and described, it will be clear to those skilled in the art that various changes and modifications can be made without departing from the invention in its broader aspects as set forth in the claims provided hereinafter.

Claims (15)

  1. WHAT IS CLAIMED IS:
    An oximeter for non-invasively measuring arterial oxygen saturation, comprising:
    a sensor including at least first and second light emitting devices for producing light in at least two wavelengths;
    at least one photodetector for detecting said light, after passing through a tissue sample containing a pulsating blood supply, and for producing an analog electrical current signal representing the absorption of each wavelength of said light;
    an analog to digital converter for directly converting said analog electrical current signal to a digital voltage signal; and a processing unit for processing said digital voltage signal to calculate an arterial oxygen saturation.
  2. 2. The oximeter of claim 1 wherein said sensor comprises LED's which produce light in three wavelengths.
  3. 3. The oximeter of claim 1 wherein said analog to digital converter comprises a charge digitizing analog to digital converter.
  4. 4. The oximeter of claim 1 wherein said analog to digital converter has sufficient range to measure large DC signals and sufficient resolution to represent small AC
    signals modulated on the DC signals.
  5. 5. The oximeter of claim 1 wherein said analog to digital converter includes a current integrator in the first stage.
  6. 6. The oximeter of claim 1 wherein said processing unit comprises a computer executing software routines.
  7. 7. The oximeter of claim 1 further comprising a stored look-up table for calculating oxygen saturation.
  8. 8. The oximeter of claim 1 further comprising a stored look-up table stored in flash EPROM for calculating oxygen saturation.
  9. 9. A method for non-invasively measuring arterial oxygen saturation, comprising the steps of:
    producing light of at least first and second wavelengths;
    directing said light at a tissue sample containing a pulsating blood supply;
    detecting said light, after passing through said tissue sample, and producing an analog electrical current signal representing the absorption rate of each wavelength of said light;
    then directly converting said analog electrical current signal to a digital voltage signal;
    and then processing the digital voltage signal to calculate an arterial oxygen saturation.
  10. 10. The method as defined in claim 9 further including the step of utilizing a stored look-up table to calculate the oxygen saturation.
  11. 11. The method as defined in claim 9 further including the steps of storing a look-up table in a flash EPROM and utilizing this look-up table to calculate the oxygen saturation.
  12. 12. The method as defined in claim 9 further including the steps of identifying and filtering ambient noise from the digital voltage signal.
  13. 13. The method as defined in claim 9 further including the step of mathematically integrating the analog electrical current signal before converting the analog current signal to the digital voltage signal.
  14. 14. The method as defined in claim 9 further including the step of demultiplexing the digital voltage signal to provide a first value representative of light detected of the first wavelength and a second value representative of light detected of the second wavelength.
  15. 15. The method as defined in claim 14 further including the step of digitally filtering the first and second values of the digital voltage signal.
CA002260928A 1996-07-17 1997-07-17 Direct to digital oximeter Expired - Fee Related CA2260928C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US08/683,617 US5842981A (en) 1996-07-17 1996-07-17 Direct to digital oximeter
US08/683,617 1996-07-17
PCT/US1997/012484 WO1998002087A1 (en) 1996-07-17 1997-07-17 Direct to digital oximeter

Publications (2)

Publication Number Publication Date
CA2260928A1 CA2260928A1 (en) 1998-01-22
CA2260928C true CA2260928C (en) 2005-05-24

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Family Applications (1)

Application Number Title Priority Date Filing Date
CA002260928A Expired - Fee Related CA2260928C (en) 1996-07-17 1997-07-17 Direct to digital oximeter

Country Status (10)

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US (1) US5842981A (en)
EP (1) EP0955869B1 (en)
JP (1) JP2000514683A (en)
CN (1) CN1160021C (en)
AU (1) AU720111B2 (en)
BR (1) BR9710330A (en)
CA (1) CA2260928C (en)
DE (1) DE69724822T2 (en)
ES (1) ES2206740T3 (en)
WO (1) WO1998002087A1 (en)

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US5842981A (en) 1998-12-01
WO1998002087A1 (en) 1998-01-22
AU3802997A (en) 1998-02-09
DE69724822T2 (en) 2004-07-01
DE69724822D1 (en) 2003-10-16
BR9710330A (en) 2000-01-11
CN1225562A (en) 1999-08-11
ES2206740T3 (en) 2004-05-16
JP2000514683A (en) 2000-11-07
EP0955869A4 (en) 2001-03-14
EP0955869A1 (en) 1999-11-17
AU720111B2 (en) 2000-05-25
CN1160021C (en) 2004-08-04
CA2260928A1 (en) 1998-01-22

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