The present disclosure relates generally to medical devices and, more particularly, to sensors used for sensing physiological parameters of a patient.
This section is intended to introduce the reader to various aspects of art that may be related to various aspects of the present disclosure, which are described and/or claimed below. This discussion is believed to be helpful in providing the reader with background information to facilitate a better understanding of the various aspects of the present disclosure. Accordingly, it should be understood that these statements are to be read in this light, and not as admissions of prior art.
In the field of medicine, doctors often desire to monitor certain physiological characteristics of their patients. Accordingly, a wide variety of devices have been developed for monitoring many such physiological characteristics. Such devices provide doctors and other healthcare personnel with the information they need to provide the best possible healthcare for their patients. As a result, such monitoring devices have become an indispensable part of modern medicine.
One technique for monitoring certain physiological characteristics of a patient is commonly referred to as pulse oximetry, and the devices built based upon pulse oximetry techniques are commonly referred to as pulse oximeters. Pulse oximetry may be used to measure various blood flow characteristics, such as the blood-oxygen saturation of hemoglobin in arterial blood, the volume of individual blood pulsations supplying the tissue, and/or the rate of blood pulsations corresponding to each heartbeat of a patient. In fact, the “pulse” in pulse oximetry refers to the time varying amount of arterial blood in the tissue during each cardiac cycle.
Pulse oximeters typically utilize a non-invasive sensor that transmits light through a patient's tissue and that photoelectrically detects the absorption and/or scattering of the transmitted light in such tissue. One or more of the above physiological characteristics may then be calculated based upon the amount of light absorbed and/or scattered. More specifically, the light passed through the tissue is typically selected to be of one or more wavelengths that may be absorbed and/or scattered by the blood in an amount correlative to the amount of the blood constituent present in the blood. The amount of light absorbed and/or scattered may then be used to estimate the amount of blood constituent in the tissue using various algorithms. This determination may be performed in a monitor coupled to the sensor that receives the necessary data for the blood constituent calculation.
Some sensors may be capable of application to multiple placement sites on a patient's body. For example, sensors may be placed on a patient's forehead, a patient's digit, etc. To determine the amount of constituent based on the sensor data, the monitor coupled to the sensor may use specific algorithms or calibration coefficients for each placement site and sensor configuration. However, the monitor should recognize (have) the correct site on which the sensor is being placed to properly calculate physiological characteristics of the patient. Accordingly, if the user of the sensor incorrectly notifies (or does not notify) the monitor of the configuration of the sensor, incorrect data may be obtained when physiological measurements are made by the pulse oximeter.
Advantages of the disclosed techniques may become apparent upon reading the following detailed description and upon reference to the drawings in which:
One or more specific embodiments of the present techniques will be described below. In an effort to provide a concise description of these embodiments, not all features of an actual implementation are described in the specification. It should be appreciated that in the development of any such actual implementation, as in any engineering or design project, numerous implementation-specific decisions must be made to achieve the developers' specific goals, such as compliance with system-related and business-related constraints, which may vary from one implementation to another. Moreover, it should be appreciated that such a development effort might be complex and time consuming, but would nevertheless be a routine undertaking of design, fabrication, and manufacture for those of ordinary skill having the benefit of this disclosure.
Present embodiments relate to non-invasively measuring physiologic parameters corresponding to blood flow in a patient by emitting light into a patient's tissue with light emitters (e.g., light emitting diodes) and photoelectrically detecting the light after it has passed through the patient's tissue. More specifically, present embodiments are directed to automatically allowing a pulse oximetry monitor to receive sensor coefficients from a flexible type pulse oximetry sensor. The sensor may be deformable such that the sensor may be used on multiple sensor sites on a patient. For example, the sensor may be curved to be placed on a digit of a patient or it may be straightened for use on the forehead of a patient. The sensor may include a separate memory corresponding to each of these configurations. Alternatively, the sensor may include one or more resistors, for example, whose values correspond to the actual wavelengths and to coefficients used in algorithms for computing the physiological parameters. Based on a switch, which may be implemented via contacts in the sensor, the monitor may be coupled to the memory (or resistors) that include coefficients related to the current configuration of the sensor. The monitor may read the coefficients from the activated memory (or resistor) to allow for proper decoding of physiological parameters of a patient.
The monitor 12 of the pulse oximeter 16 may be configured to display calculated parameters on a display 11. As illustrated in
As described above, the monitor 12 may connect to an external sensor 10, via a cable 14 which connects to the monitor 12 via a sensor connector 15. The sensor 10 may be of a disposable or a non-disposable type. Furthermore, the sensor 10 may obtain readings from a patient that can be used by the monitor to calculate certain physiological characteristics such as the blood-oxygen saturation of hemoglobin in arterial blood, the volume of individual blood pulsations supplying the tissue, and/or the rate of blood pulsations corresponding to each heartbeat of a patient.
Furthermore, to upgrade conventional operation provided by the monitor 12 (e.g., to provide additional functions), the monitor 12 may be coupled to a multi-parameter patient monitor 17 via a cable 18 connected to a sensor input port or via a cable 20 connected to a digital communication port, or through wireless transmission components (not shown). Alternatively, the monitor 12 may be integrated into the multi-parameter patient monitor 17. To facilitate user input, the monitor 12 may include a plurality of control inputs 19. The control inputs 19 may include fixed function keys, programmable function keys, and soft keys. Specifically, the control inputs 19 may correspond to soft key icons in the display 11. Pressing control inputs 19 associated with, or adjacent to, an icon in the display may select a corresponding option that may change the operation of, for example, the monitor 12 and/or the sensor 10. Alternatively, the multi-parameter patient monitor 17 may connect directly to the sensor 10 and may perform in a substantially similar manner to the monitor 12.
The sensor 10 may be a multiple configuration sensor capable of being applied to a multiple placement sites (e.g., multiple tissue sites such as a patient's finger, a patient's forehead, etc.). The sensor 10 may include a sensor body 22 that includes an emitter 24 and a detector 26 disposed on its surface. As depicted, the emitter 24 and detector 26 may be arranged in a reflectance-type configuration in which the emitter 24 and detector 26 are typically placed on the same side of the sensor site. Reflectance type sensors may operate by emitting light into the tissue and detecting the reflected light that is transmitted and scattered by the tissue. Reflectance type sensors detect light photons that are scattered back to the detector 26. The sensor 10 may also be configured as a transmittance type sensor whereby the emitter 24 and detector 26 are typically placed on differing sides of the sensor site. In this manner, the detector 26 may detect light that has passed through one side of a tissue site to an opposite side of the tissue site. Furthermore, the sensor 10 may include both reflectance and transmittance type arrangements, as further described below with respect to
Sensor 10 disclosed herein may have multiple possible configurations.
The sensor 10A may also include one or more sets of contacts 32A-B and 34A-B. As may be seen, contact 32A may be coupled to sensor cable 14 for receiving, for example, power, from the monitor 12 along conductive path 35. Contact 32B may be coupled to memory 36 along conductive path 38 and also may be coupled to memory 40 along conductive path 42. In operation, contact 32A and contact 32B may operate as a switch such that when the sensor 10A is in a curved position, such as seen in
It should also be noted that while memory 36 and 40 are illustrated as housed in the sensor 10A, in other embodiments, memory 36 and/or memory 40 may be housed in the sensor connector 15. Additionally, resistors may be utilized in place of memory 36 and 40, whereby the resistors correspond to calibration coefficients (or calibration curves) stored in the monitor 12. That is, resistors that best fit calibration curves stored in the monitor 12 for a given sensor (e.g., 10A) at a given patient site (i.e. in a given configuration) may be utilized such that the resistor values correspond to the actual wavelengths transmitted by the a given emitter (e.g., 24) as well as coefficients used in algorithms for computing the physiological parameters of the patient at a given site. In this manner, the resistors and/or memory 36 and 40 may be sensor configuration devices.
Contacts 34A-B may operate in a manner similar to that described above with respect to contacts 32A-B. Contact 34A may be coupled to the monitor 12 via conductive path 44. Contact 34B may be coupled to emitter 24 along conductive path 46, which may include a convergence of conductive paths 48 and 50. In operation, contact 34A and contact 34B may operate as a switch such that when the sensor 10A is in a curved position, such as seen in
Turning to
In one embodiment, the detector 26 may be an array of detector elements that may be capable of detecting light at various intensities and wavelengths. In operation, light enters the detector 26 after passing through the tissue of the patient 52. The detector 26 may convert the light at a given intensity, which may be directly related to the absorbance and/or reflectance of light in the tissue of the patient 52, into an electrical signal. That is, when more light at a certain wavelength is absorbed or reflected, less light of that wavelength is typically received from the tissue by the detector 26. After converting the received light to an electrical signal, the detector 26 may send the signal to the monitor 12, where physiological characteristics may be calculated based at least in part on the absorption of light in the tissue of the patient 52.
Additionally the sensor 10A may include memory 36 and 40, which may contain information about the sensor 10A, such as what type of sensor it is (e.g., whether the sensor is intended for placement on a forehead 29 or digit 27) and the wavelengths of light emitted by the emitter 24 or calibration coefficients. That is, memory 36 may include information relating to the sensor 10A when it is in, for example, a curved position (e.g., contacting a digit 27 of the patient 52) while memory 40 may include information relating to the sensor 10A when it is in, for example, a straightened position (e.g., contacting the forehead 29 of the patient 52). This information may allow the monitor 12 to select appropriate algorithms and/or calibration coefficients for calculating the patient's 52 physiological characteristics. The memory 36 and 40 may be erasable programmable read-only memory (EPROM) or may be another type of non-volatile memory that retains its data when regardless of whether power is supplied. Each of memory 36 and 40 may, for instance, store one or more of the following information for communication to the monitor 12: the type of the sensor 10A; the wavelengths of light emitted by the emitter 24; and the proper calibration coefficients and/or algorithms to be used for calculating the patient's 52 physiological characteristics.
As previously discussed with respect to
As described above, the monitor 12 may include processor(s) 58 that may include one or more microprocessors, such as one or more “general-purpose” microprocessors, one or more special-purpose microprocessors and/or ASICS, or some combination of such processing components. The processors 58 also may be connected to an internal bus 60. Also connected to the bus 60 may be a RAM memory 62 and the display 11. A time processing unit (TPU) 64 may provide timing control signals to light drive circuitry 66, which controls when the emitter 24 is activated, and if multiple light sources are used, the multiplexed timing for the different light sources. TPU 64 may also control the gating-in of signals from detector 26 through a switching circuit 68. These signals are sampled at the proper time, depending at least in part upon which of multiple light sources is activated, if multiple light sources are used. The received signal from the detector 26 may be passed through an amplifier 70, a low pass filter 72, and an analog-to-digital converter 74 for amplifying, filtering, and digitizing the electrical signals from the sensor BOA. The digital data may then be stored in a queued serial module (QSM) 76, for later downloading to RAM 62 as QSM 76 fills up. In an embodiment, there may be multiple parallel paths for separate amplifiers, filters, and A/D converters for multiple light wavelengths or spectra received.
The monitor 12 may also be able to determine if a sensor 10A is connected to the monitor 12 and may begin an initialization process when a sensor 10A is connected to the monitor. For example, when a sensor 10A is first connected to the monitor 12, the monitor may determine certain characteristics of the sensor 10A. For example, the monitor 12 may determine the manufacturer of the sensor 10A to determine compatibility, the type of sensor 11A (e.g., transmittance type, reflectance type, flat, curved, etc.), the wavelengths of light emitted by the emitter 24, etc. It should be noted that these characteristics may be read from an activated memory, e.g. 36. Once the sensor 10A is determined to be compatible, and the sensor 10A characteristics are identified, the monitor 12 may begin to operate in the manner described above with respect to
In one embodiment, the TPU 64 may be connected to the emitter 24 via conducting line 44 and switch 78. Switch 78 may be representative of contacts 34A-B of
This initialization process may include reading information from the activated memory, e.g., 36 if the sensor 10A is curved and 40 if the sensor 10A is straightened. In this manner, if the sensor 10A is initially in a curved configuration, the monitor 12 receives proper calibration coefficients and/or algorithms from memory 36 corresponding to a curved configuration of the sensor 10A for use in calculating the patient's 52 physiological characteristics. Furthermore, if the sensor 10A is then straightened, switch 78 will cause the monitor 12 to sense a lack of a sensor 10A and the monitor 12 will attempt to perform the initialization process with the sensor 10A once switch 78 is connected to conducting line 50. The straightening of the sensor 10A will have also caused the switch 54 to switch to allow line 42 to be coupled to conductive line 35, thus activating memory 40. Thus, monitor 12 accesses active memory 40 from which the monitor 12 receives proper calibration coefficients and/or algorithms corresponding to the straightened configuration of the sensor 10A. These coefficients may then be utilized calculating the patient's 52 physiological characteristics. Accordingly, proper coefficients relating to either a straightened or a curved configuration of the sensor 10A may be transmitted to the monitor 12 without any input from a user separate from shaping the sensor 10A into a desired configuration.
The sensor 10B may also include one or more sets of contacts 32A-B and 34A-B. As may be seen, contact 32A may be coupled to sensor cable 14 for receiving, for example, power, from the monitor 12 along conductive path 35. Contact 32B may be coupled to memory 36 along conductive path 38 and also may be coupled to memory 40 along conductive path 42. In operation, contact 32A and contact 32B may operate as a switch such that when the sensor 10B is in a straightened position, such as seen in
Contacts 34A-B may operate in a manner similar to that described above with respect to contacts 32A-B. Accordingly, contact 34A may be coupled to the monitor 12 via conductive path 44 while contact 34B may be coupled to emitter 24A along conductive path 80 and emitter 24B along conductive path 82. In operation, contact 34A and contact 34B may operate as a switch such that when the sensor 10A is in a straightened position, such as seen in
Turning to
In one embodiment, the detector 26 may be an array of detector elements that may be capable of detecting light at various intensities and wavelengths. In operation, light enters the detector 26 after passing through the tissue of the patient 52. The detector 26 may convert the light at a given intensity, which may be directly related to the absorbance and/or reflectance of light in the tissue of the patient 52, into an electrical signal. That is, when more light at a certain wavelength is absorbed or reflected, less light of that wavelength is typically received from the tissue by the detector 26. After converting the received light to an electrical signal, the detector 26 may send the signal to the monitor 12, where physiological characteristics may be calculated based at least in part on the absorption of light in the tissue of the patient 52.
Additionally the sensor 10A may include memory 36 and 40, which may contain information about the sensor 10A, such as what type of sensor it is (e.g., whether the sensor is intended for placement on a forehead or digit) and the wavelengths of light emitted by the emitter 24. That is, memory 36 may include information relating to the sensor 10A when it is in, for example, a straightened position (e.g., contacting the forehead 29 of the patient 52) while memory 40 may include information relating to the sensor 10A when it is in, for example, a curved position (e.g., contacting a digit 27 of the patient 52). This information may allow the monitor 12 to select appropriate algorithms and/or calibration coefficients for calculating the patient's 52 physiological characteristics.
As previously discussed with respect to
The monitor 12 may include substantially similar components to those described above with respect to
In one embodiment, the TPU 64 may be connected to emitters 24A-B via conducting line 44 and switch 84. Switch 84 may be representative of contacts 34A-B of
This initialization process may include reading information from the activated memory, e.g., 36 if the sensor 10B is straightened and 40 if the sensor 10B is curved. In this manner, if the sensor 10B is initially in a straightened configuration, the monitor 12 receives proper calibration coefficients and/or algorithms from memory 36 corresponding to a curved configuration of the sensor 10B for use in calculating the patient's 52 physiological characteristics. Furthermore, if the sensor 10B is then curved, switch 84 will cause the monitor 12 to sense a lack of a sensor 10B and the monitor 12 will attempt to perform the initialization process with the sensor 10B once switch 84 is connected to conducting line 82. The curving of the sensor 10B will have also caused the switch 54 to switch to allow line 42 to be coupled to conductive line 35, thus activating memory 40. Thus, monitor 12 accesses active memory 40 from which the monitor 12 receives proper calibration coefficients and/or algorithms corresponding to the curved configuration of the sensor 10B. These coefficients may then be utilized calculating the patient's 52 physiological characteristics. Accordingly, proper coefficients relating to either a straightened or a curved configuration of the sensor 10A may be transmitted to the monitor 12 without any input from a user separate from shaping the sensor 10A into a desired configuration.
Similar to switch 84, switch 86 may also be located in contacts 34A-B. Accordingly, the curving of the sensor 10B may also cause the switch 86 to switch from activating conductive line 88 to activating conductive line 90, causing the light drive circuitry 66, which controls when the emitters 24A-B are activated, to cease to activate emitter 24A and instead, activate emitter 24B. In this manner, the act of manipulating the sensor 10B into a curved or a straightened position may allow for a transmittance or reflectance type emitter to automatically be selected for use. Furthermore, the monitor 12 may be able to automatically determine which type of emitter 24A-B is being activated based on the configuration of the sensor 10B.
While the disclosure may be susceptible to various modifications and alternative forms, specific embodiments have been shown by way of example in the drawings and have been described in detail herein. However, it should be understood that the embodiments provided herein are not intended to be limited to the particular forms disclosed. Indeed, the disclosed embodiments may not only be applied to measurements of blood oxygen saturation, but these techniques may also be utilized for the measurement and/or analysis of other blood constituents. For example, using the same, different, or additional wavelengths, the present techniques may be utilized for the measurement and/or analysis of carboxyhemoglobin, met-hemoglobin, total hemoglobin, factional hemoglobin, intravascular dyes, and/or water content. Rather, the various embodiments may cover all modifications, equivalents, and alternatives falling within the spirit and scope of the disclosure as defined by the following appended claims.
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