Noninvasive physiological monitoring systems for measuring constituents of circulating blood have advanced from basic pulse oximeters capable of measuring blood oxygen saturation to advanced blood parameter monitors capable of measuring various blood constituents. A basic pulse oximeter typically includes an optical sensor, a monitor for processing sensor signals and displaying results and a cable electrically interconnecting the sensor and the monitor. A basic pulse oximetry sensor typically has a red wavelength light emitting diode (LED), an infrared (IR) wavelength LED and a photodiode detector. The LEDs and detector are attached to a patient tissue site, such as a finger. The cable transmits drive signals from the monitor to the LEDs, and the LEDs respond to the drive signals to transmit light into the tissue site. The detector generates a photoplethysmograph signal responsive to the emitted light after attenuation by pulsatile blood flow within the tissue site. The cable transmits the detector signal to the monitor, which processes the signal to provide a numerical readout of oxygen saturation (SpO2) and pulse rate, along with an audible pulse indication of the person's pulse. The photoplethysmograph waveform may also be displayed.
Conventional pulse oximetry assumes that arterial blood is the only pulsatile blood flow in the measurement site. During patient motion, venous blood also moves, which causes errors in conventional pulse oximetry. Advanced pulse oximetry processes the venous blood signal so as to report true arterial oxygen saturation and pulse rate under conditions of patient movement. Advanced pulse oximetry also functions under conditions of low perfusion (small signal amplitude), intense ambient light (artificial or sunlight) and electrosurgical instrument interference, which are scenarios where conventional pulse oximetry tends to fail.
Advanced pulse oximetry is described in at least U.S. Pat. Nos. 6,770,028; 6,658,276; 6,157,850; 6,002,952; 5,769,785 and 5,758,644, which are assigned to Masimo Corporation (“Masimo”) of Irvine, Calif. and are incorporated in their entirety by reference herein. Corresponding low noise optical sensors are disclosed in at least U.S. Pat. Nos. 6,985,764; 6,813,511; 6,792,300; 6,256,523; 6,088,607; 5,782,757 and 5,638,818, which are also assigned to Masimo and are also incorporated in their entirety by reference herein. Advanced pulse oximetry systems including Masimo SET® low noise optical sensors and read through motion pulse oximetry monitors for measuring SpO2, pulse rate (PR) and perfusion index (PI) are available from Masimo. Optical sensors include any of Masimo LNOP®, LNCS®, SofTouch™ and Blue™ adhesive or reusable sensors. Pulse oximetry monitors include any of Masimo Rad-8®, Rad-5®, Rad®-5v or SatShare® monitors.
Advanced blood parameter measurement systems are capable of measuring various blood parameters in addition to SpO2, such as total hemoglobin and carboxyhemoglobin to name a few. Advanced blood parameters measurement systems are described in at least U.S. Pat. 7,647,083, filed Mar. 1, 2006, titled Multiple Wavelength Sensor Equalization; U.S. Pat. No. 7,729,733, filed Mar. 1, 2006, titled Configurable Physiological Measurement System; U.S. Pat. No. 7,957,780, filed Mar. 1, 2006, titled Physiological Parameter Confidence Measure and U.S. Pat. No. 8,224,411, filed Mar. 1, 2006, titled Noninvasive Multi-Parameter Patient Monitor, all assigned to Cercacor Laboratories, Inc., Irvine, Calif. (“Cercacor”) and all incorporated in their entirety by reference herein. An advanced parameter measurement system that includes acoustic monitoring is described in U.S. Pat. Pub. No. 2010/0274099, filed Dec. 21, 2009, titled Acoustic Sensor Assembly, assigned to Masimo and incorporated in its entirety by reference herein.
Advanced blood parameter measurement systems include Masimo Rainbow® SET, which provides measurements in addition to SpO2, such as total hemoglobin (SpHb™), oxygen content (SpOC™), methemoglobin (SpMet®), carboxyhemoglobin (SpCO®) and PVI®. Advanced blood parameter sensors include Masimo Rainbow® adhesive, ReSposable™ and reusable sensors. Advanced blood parameter monitors include Masimo Radical-7™, Rad87™ and Rad57™ monitors, all available from Masimo. Advanced parameter measurement systems may also include acoustic monitoring such as acoustic respiration rate (RRa™) using a Rainbow Acoustic Sensor™ and Rad87™ monitor, available from Masimo. Such advanced pulse oximeters, low noise sensors and advanced parameter systems have gained rapid acceptance in a wide variety of medical applications, including surgical wards, intensive care and neonatal units, general wards, home care, physical training, and virtually all types of monitoring scenarios.
A finger-placement sensor tape aligns and removably secures a finger to a sensor pad of a reusable finger-clip optical sensor so as to assure the finger is repeatably aligned between the sensors emitters and detectors and that the finger stays aligned during a test procedure. The sensor tape has a double-sided tape layer having a silicon-based adhesive on a finger side and a abrasive adhesive on a sensor-side. An aperture is defined in the tape layer so as to allow emitters disposed in a top sensor pad to emit light through the tape layer to detectors disposed in a bottom sensor pad. A finger-side release layer is removably disposed over the silicon-based adhesive. A sensor-side release layer is removably disposed over the abrasive adhesive. The finger-placement sensor tape is installed on one or both sensor pads of the finger-clip sensor. The sensor-side release layer is firstly removed from the tape layer so as to dispose the tape layer within a finger bed portion of a sensor pad. The finger-side release layer is secondly removed from the tape layer so as to adhere a finger to the tape layer and within the finger bed accordingly.
In various embodiments, the finger-placement sensor tape has a peel tab extending from the sensor-side release layer so as to facilitate removal of the sensor-side release layer from the tape layer. The double-sided tape layer adhesively attaches to a sensor pad via the second adhesive after removal of the sensor-side release layer. A finger attaches to the double-sided tape layer via the first adhesive after removal of the finger-side release layer. The first adhesive is a silicon-based adhesive and the second adhesive is an acrylic-based adhesive. A roll liner is removably disposed on an adhesive-side of the finger-side release layer. An applicator attaches to the adhesive-side of the finger-side release layer after removal of the roll liner so as to facilitate placement of the double-sided tape layer within a reusable finger-clip sensor. A pull tab extends from the finger-side release layer so as to facilitate removal of the finger-side release layer after placement of the double-sided tape layer within a reusable finger-clip sensor.
An aspect of a finger-placement sensor is a method for securely adhering a fingertip within a reusable optical sensor having a top sensor pad and a bottom sensor pad urged proximate the fingertip in a closed sensor position. A finger-placement sensor method comprises configuring a double-sided tape layer having a first adhesive on a finger side and a second adhesive on a sensor-side, disposing an aperture in the tape layer so as to allow emitters disposed in a top sensor pad to emit light through the tape layer to detectors disposed in a bottom sensor pad, removing a sensor-side release layer disposed over the second adhesive and adhesively attaching the tape layer within a finger bed portion of the bottom sensor pad.
In various embodiments, the finger-side release layer is removed from the tape layer so as to so as to expose the first adhesive, enabling the first adhesive to adhere a fingertip to the tape layer within the finger bed portion accordingly. A third adhesive is disposed on the finger-side release layer. A liner is removably disposed over the third adhesive. The liner is removed to expose the third adhesive. An applicator is attached to the third adhesive. The applicator is used to attach the double-sided tape layer within the finger bed. The applicator and attached finger-side release layer are rolled off of the double-sided tape layer and a finger tip is removably adhered to the exposed first adhesive.
Another aspect of a finger-placement sensor tape comprises a double-sided tape means for removably adhering a fingertip within a finger bed portion of a reusable, clip-on optical sensor. A first adhesive means adheres the tape means to the finger bed disposed on a sensor-side of the tape means. A first release layer means is disposed on the sensor-side of the tape means over the first adhesive means. The first release layer means is removed from the tape means so as to expose the first adhesive means and so as to attach the double-sided tape means to the finger bed portion of the optical sensor.
In various embodiment, a second adhesive means is disposed on a finger-side of the tape means. A second release layer means is disposed on the finger-side of the tape means over the second adhesive means and the second release layer removed from the tape means so as to expose the second adhesive means and secure a fingertip to the tape means and within the finger bed portion of the optical sensor. A third adhesive is disposed on a finger-side of the second release layer means and a third liner means disposed over the third adhesive. An applicator means for attaching the double-sided tape means to the finger bed portion is adhered to the third adhesive after removal of the third liner. A pull tab means extends from the second release layer means.
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In an embodiment, the applicator 350 length and width are sized so as to center the sensor tape 310 within the sensor pad cavity 124. In an embodiment, the applicator tip 352 is also shaped to precisely fit the sensor pad cavity 124. The applicator 350 advantageously acts as a precision guide for sensor tape 300 attachment to the sensor pad 122, which provides further consistency as to subsequent finger placement within the sensor pad 122. Applicator 350 use is particularly advantageous for applying a sensor tape 310 to a large sensor pad 122.
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A finger-placement sensor tape has been disclosed in detail in connection with various embodiments. These embodiments are disclosed by way of examples only and are not to limit the scope of the claims that follow. One of ordinary skill in art will appreciate many variations and modifications.
The present application claims priority benefit under 35 U.S.C. §119(e) to U.S. Provisional Patent Application Ser. No. 61/778,446 filed Mar. 13, 2013, titled Finger-Placement Sensor Tape. The above-cited provisional patent application is hereby incorporated in its entirety by reference herein.
Number | Date | Country | |
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61778446 | Mar 2013 | US |