Method and apparatus for optical sensing of tissue variation at increased accuracy

• US 10,433,738 B2
• Filed: 11/10/2016
• Issued: 10/08/2019
• Est. Priority Date: 05/22/2014
• Status: Active Grant

• Current Assignee: Koninklijke Philips N.V.
• Original Assignee: Koninklijke Philips N.V.
• Inventors: Vermeulen, Olaf Thomas Johan Antonie, Presura, Cristian Nicolae
• Primary Examiner(s): Remaly, Mark
• Application Number:
  US15/347,876
• Publication Number:
  US 20170055860A1
• Time in Patent Office: 1,062 Days
• CPC Class Codes: A61B 2562/0238 Optical sensor arrangements for performing transmission measurements on body tissue
• CPC Class Codes: A61B 2562/04 Arrangements of multiple sensors of the same type
• CPC Class Codes: A61B 5/02427 Details of sensor
• CPC Class Codes: A61B 5/02433 for infrared radiation
• CPC Class Codes: A61B 5/02438 with portable devices, e.g. worn by the patient
• CPC Class Codes: A61B 5/7214 using signal cancellation, e.g. based on input of two identical physiological sensors spaced apart, or based on two signals derived from the same sensor, for different optical wavelengths
• CPC Class Codes: A61B 5/7225 Details of analog processing, e.g. isolation amplifier, gain or sensitivity adjustment, filtering, baseline or drift compensation A61B5/30, A61B5/316 take precedence; transformers for specific applications H01F38/00; amplifiers H03F
• CPC Class Codes: A61B 5/7228 Signal modulation applied to the input signal sent to patient or subject; demodulation to recover the physiological signal modulation H03C

Abstract

The present embodiment relates to a method and apparatus for measuring a tissue variation signal (e.g. a photoplethysmographic (PPG) signal) without large direct current (DC) or low frequency (LF) offset which normally limit the sensor accuracy through motion artefacts and/or dynamic range requirements. The proposed solution is based on a separation of the PPG signal from the disturbance. This can be achieved by creation of a modulated PPG signal, or by creation of a differential PPG signal and an optimized sensor configuration which is adapted to remove DC or LF components.

Claims

1. An apparatus for optical sensing of a variation of a matter provided in a tissue region, the apparatus comprising:

at least one optical radiation source for transmitting a first optical signal of a first wavelength and a second optical signal of a second wavelength towards a tissue region, wherein a change of the matter'"'"'s wavelength-dependent absorption coefficient between the first wavelength and the second wavelength differs by more than 50 cm-1 from a corresponding change of the wavelength-dependent absorption coefficient of other matter which influences the first and second optical signals during transmission, while the difference between the first and second wavelengths is not greater than 30 nm;

at least one optical radiation detector for detecting a first portion of the first optical signal reflected at or transmitted through the tissue region and a second portion of the second optical signal reflected at or transmitted though the tissue region; and

at least one filter for filtering a predetermined component of the first portion of the first optical signal and a predetermined component of the second optical signal so that an unwanted component caused by the other matter is suppressed before amplification and subsequent signal processing.

2. The apparatus of claim 1, wherein the at least one optical radiation source is adapted to generate the first and second wavelengths with a separation of less than 20 nm.

3. The apparatus of claim 1, further comprising a modulator for modulating the amplitudes of the first and second optical signals out of phase at a predetermined frequency, and wherein the at least one filter comprises a capacitor or a DC restoration loop for removing a DC component as the unwanted component of the first and second portions.

4. The apparatus of claim 3, wherein the modulator is adapted to modulate the first and second optical signals to be alternately switched on and off at the predetermined frequency.

5. The apparatus of claim 3, further comprising a further modulator for modulating the amplitudes of the first and second optical signals by a further predetermined frequency which differs from the predetermined frequency, to thereby introduce an unbalance of intensities of the first and second optical signals so as to obtain a motion component in the first and second portions.

6. The apparatus of claim 3 wherein the modulator is adapted to modulate the unwanted component of the first and second portions.

7. The apparatus of claim 3, wherein the modulator is adapted to modify the first and second optical signals at a second frequency that is different from the predetermined frequency such that a first carrier frequency is generated for the PPG signal and a second carrier frequency is generated for a combination of the PPG signal and motion artefacts.

8. The apparatus of claim 1, wherein the at least one filter comprises a first band-pass filter for filtering the first wavelength and for supplying the filtered output signal to a first optical radiation detector of the at least one optical radiation detector, and a second band-pass filter for filtering the second wavelength and for supplying the filtered output signal to a second optical radiation detector of the at least one optical radiation detector, and wherein the apparatus is adapted to subtract electrical output signals generated by the first and second optical radiation detectors from each other.

9. The apparatus of claim 1, wherein the at least one optical radiation source is adapted to generate a third optical signal of a third wavelength, wherein the first, second and third optical wavelengths are selected so that the value of the wavelength-dependent absorption of the other matter at the second wavelength equals the average of the values of the wavelength-dependent absorption of the other matter at the first and third wavelengths, wherein the at least one filter comprises a first filter for filtering the second wavelength only and for supplying the filtered output signal to a first optical radiation detector of the at least one optical radiation detector and a second filter for filtering the first and third wavelengths only and for supplying the filtered output signal to a second optical radiation detector of the at least one optical radiation detector, and wherein the apparatus is adapted to subtract electrical output signals generated by the first and second optical radiation detectors from each other to suppress the unwanted component.

10. The apparatus of claim 9, wherein the at least one optical radiation source comprises a first optical radiation source for generating the first optical signal and a second optical radiation source for generating the second optical signal, and wherein the apparatus further comprises a feedback loop for controlling the first and second optical radiation sources in response to a detected remaining amount of the unwanted component.

11. The apparatus of claim 8, further comprising a controllable current divider for adjusting the ratio of the electrical output signals of the first and second optical radiation detectors based on a control signal generated by a feedback loop in response to a detected remaining amount of the unwanted component.

12. The apparatus of claim 8, further comprising a switched integrator amplifier for amplifying the resultant signal of the subtracted electrical output signals.

13. The apparatus of claim 12, wherein the switched integrator amplifier is provided in a current-to-time converter circuit.

14. The apparatus of claim 12, wherein the first and second optical radiation detectors are scaled by size and or sensitivity.

15. The apparatus of claim 1, wherein the matter is blood and the other matter is skin tissue.

16. The apparatus of claim 1 wherein the first and second wavelengths are selected from an amber or blue wavelength region.

17. A method of optical sensing of a variation of a matter provided in a tissue region, the method comprising:

transmitting by at least one optical radiation source a first optical signal of a first wavelength and a second optical signal of a second wavelength towards a tissue region, wherein a change of the matter'"'"'s wavelength-dependent absorption coefficient between the first wavelength and the second wavelength differs by more than 50 cm-1 from a corresponding change of the wavelength-dependent absorption coefficient of other matter which influences the first and second optical signals during transmission, while the difference between the first and second wavelengths is not greater than 30 nm;

detecting by at least one optical radiation detector a first portion of the first optical signal reflected at or transmitted though the tissue region and a second portion of the second optical signal reflected at or transmitted though the tissue region; and

filtering by at least one filter a predetermined component of the first portion of the first optical signal and a predetermined component of the second optical signal so that unwanted components caused by the other matter are suppressed before amplification and subsequent signal processing.

18. The method of claim 17 wherein the first and second wavelengths are selected from an amber or blue wavelength region.