METHOD AND APPARATUS FOR PULSE OXIMETRY

• US 20030069487A1
• Filed: 10/10/2001
• Published: 04/10/2003
• Est. Priority Date: 10/10/2001
• Status: Active Grant

• Current Assignee: Welch Allyn Incorporated
• Original Assignee: Mortara Instrument, Inc. (Baxter International Inc.)
• Inventors: Mortara, David W.
• Granted Patent: US 6,564,077 B2
• Time in Patent Office: Days
• US Class Current: 600/323
• CPC Class Codes: A61B 5/14551 for measuring blood gases

Abstract

An apparatus for determining the oxygenation of blood. The apparatus includes a detector that is configured to sense a first signal of a first wavelength, the first signal having a first arterial blood component and a first noise component. The detector is also configured to sense a second signal of a second wavelength, the second signal having a second arterial blood component and a second noise component. The first arterial blood component is related to the second arterial blood component by an arterial blood absorption ratio and the first noise component is related to the second noise component by a noise absorption ratio. The apparatus also includes a controller that is configured to determine a value of the noise absorption ratio that maximizes the magnitude of an autocorrelation function. The controller is further configured to determine the oxygenation of blood from the noise absorption ratio.

Claims

1. A method for determining the oxygenation of blood comprising:

sensing a first signal of a first wavelength, the first signal having a first arterial blood component and a first noise component;

sensing a second signal of a second wavelength, the second signal having a second arterial blood component and a second noise component, the first arterial blood component being related to the second arterial blood component by an arterial blood absorption ratio and the first noise component being related to the second noise component by a noise absorption ratio;

determining a value of the noise absorption ratio that maximizes the magnitude of an autocorrelation function; and

determining the oxygenation of blood from the noise absorption ratio.

2. The method for determining the oxygenation of blood according to claim 1, wherein the determining the oxygenation of blood step further comprises determining the arterial blood absorption ratio from the noise absorption ratio and the determining the oxygenation of blood step comprises determining the oxygenation of blood from the arterial blood absorption ratio that is determined from the noise absorption ratio.

3. The method for determining the oxygenation of blood according to claim 2, wherein the determining the value of the noise absorption ratio step further comprises maximizing the magnitude of the autocorrelation function by setting a derivative of the autocorrelation function with respect to the noise absorption ratio to zero.

4. The method for determining the oxygenation of blood according to claim 1, wherein the determining the value of the noise absorption ratio step further comprises determining the value of the noise absorption ratio by minimizing the mean square of the derivative of the autocorrelation function with respect to the noise absorption ratio and with respect to the arterial blood absorption ratio.

5. The method for determining the oxygenation of blood according to claim 1, wherein the determining the value of the noise absorption ratio step further comprises

determining a normalized autocorrelation function, and

determining the value of the noise absorption ratio at a lag where the normalized autocorrelation function reaches a maximum on a specified interval.

6. The method for determining the oxygenation of blood according to claim 5, wherein the determining the normalized autocorrelation function step comprises dividing the autocorrelation function by the autocorrelation function at a time lag of zero to obtain the normalized autocorrelation function.

7. The method for determining the oxygenation of blood according to claim 1, wherein the determining the value of the noise absorption ratio step further comprises determining the best estimate of a pulse-to-pulse interval.

8. The method for determining the oxygenation of blood according to claim 7, wherein the best estimate of a pulse-to-pulse interval is determined from at least one of external information and information determined from available pulse oximetry data.

9. The method for determining the oxygenation of blood according to claim 1, further comprising:

determining the quality of at least one solution of the noise absorption ratio with respect to another solution of the noise absorption ratio based on the highest signal to noise ratio; and

choosing the best solution based on the quality of the solution.

10. An apparatus for determining the oxygenation of blood comprising:

a detector configured to sense a first signal of a first wavelength, the first signal having a first arterial blood component and a first noise component, the detector also configured to sense a second signal of a second wavelength, the second signal having a second arterial blood component and a second noise component, the first arterial blood component being related to the second arterial blood component by an arterial blood absorption ratio and the first noise component being related to the second noise component by a noise absorption ratio; and

a controller configured to determine a value of the noise absorption ratio that maximizes the magnitude of an autocorrelation function and configured to determine the oxygenation of blood from the noise absorption ratio.

11. The apparatus for determining the oxygenation of blood according to claim 10, wherein the controller is further configured to determine the oxygenation of blood by determining the arterial blood absorption ratio from the noise absorption ratio and determining the oxygenation of blood from the arterial blood absorption ratio determined from the noise absorption ratio.

12. The apparatus for determining the oxygenation of blood according to claim 11, wherein the controller is further configured to determine the value of the noise absorption ratio by maximizing the magnitude of the autocorrelation function by setting a derivative of the autocorrelation function with respect to the noise absorption ratio to zero.

13. The apparatus for determining the oxygenation of blood according to claim 10, wherein the controller is further configured to determine the value of the noise absorption ratio by minimizing the mean square of the derivative of the autocorrelation function with respect to the noise absorption ratio and with respect to the arterial blood absorption ratio.

14. The apparatus for determining the oxygenation of blood according to claim 10, wherein the controller is further configured to determine the value of the noise absorption ratio by determining a normalized autocorrelation function and determining the value of the noise absorption ratio at a lag where the normalized autocorrelation function reaches a maximum on a specified interval.

15. The apparatus for determining the oxygenation of blood according to claim 14, wherein the controller is further configured to determine the normalized autocorrelation function by dividing the autocorrelation function by the autocorrelation function at a time lag of zero to obtain the normalized autocorrelation function.

16. The apparatus for determining the oxygenation of blood according to claim 10, wherein the controller is further configured to determine the value of the noise absorption ratio by determining the best estimate of a pulse-to-pulse interval.

17. The apparatus for determining the oxygenation of blood according to claim 16, wherein the best estimate of a pulse-to-pulse interval is determined from at least one of external information and information determined from available pulse oximetry data.

18. The apparatus for determining the oxygenation of blood according to claim 10, wherein the controller is further configured to determine the quality of at least one solution of the noise absorption ratio with respect to another solution of the noise absorption ratio based on the highest signal-to-noise ratio and configured to choose the best solution based on the quality of the solution.

19. A pulse oximeter comprising:

a light source configured to provide first signal of a first wavelength and a second signal of a second wavelength;

a detector configured to sense the first signal of the first wavelength, the first signal having a first arterial blood component and a first noise component, the detector also configured to sense the second signal of the second wavelength, the second signal having a second arterial blood component and a second noise component, the first arterial blood component being related to the second arterial blood component by an arterial blood absorption ratio and the first noise component being related to the second noise component by a noise absorption ratio;

a processor configured to determine a value of the noise absorption ratio that maximizes the magnitude of an autocorrelation function and configured to determine the oxygenation of blood from the noise absorption ratio.

20. The pulse oximeter according to claim 19, wherein the processor is further configured to determine the oxygenation of blood by determining the arterial blood absorption ratio from the noise absorption ratio and determining the oxygenation of blood from the arterial blood absorption ratio.

21. The pulse oximeter according to claim 20, wherein the processor is further configured to determine the value of the noise absorption ratio by maximizing the magnitude of the autocorrelation function by setting a derivative of the autocorrelation function with respect to the noise absorption ratio to zero.

22. A method for determining the oxygenation of blood comprising:

transmitting a signal through a medium containing blood;

sensing a first signal of a first wavelength, the first signal having a first arterial blood component and a first noise component;

sensing a second signal of a second wavelength, the second signal having a second arterial blood component and a second noise component, the first arterial blood component being related to the second arterial blood component by an arterial blood absorption ratio and the first noise component being related to the second noise component by a noise absorption ratio;

determining a value of the noise absorption ratio that maximizes the magnitude of an autocorrelation function; and

determining the oxygenation of blood from the noise absorption ratio.

23. The method for determining the oxygenation of blood according to claim 22, further comprising:

determining the quality of at least one solution of the noise absorption ratio with respect to another solution of the noise absorption ratio based on the highest signal to noise ratio; and

choosing the best solution based on the quality of the solution.

24. The method for determining the oxygenation of blood according to claim 23, wherein the at least one solution comprises a method including the step of minimizing a mean square of the autocorrelation function and the another solution comprises a method including the step of normalizing the autocorrelation function.

25. The method for determining the oxygenation of blood according to claim 23, wherein the at least one solution comprises a method including the step of minimizing a mean square of the autocorrelation function and the another solution comprises a method including the step of determining the best estimate of a pulse-to-pulse interval.

26. The method for determining the oxygenation of blood according to claim 23, wherein the at least one solution comprises a method including the step of normalizing the autocorrelation function and the another solution comprises a method including the step of determining the best estimate of a pulse-to-pulse interval.

27. The method for determining the oxygenation of blood according to claim 23, wherein the at least one solution is selected from a set of methods including:

a method including the step of determining the best estimate of a pulse-to-pulse interval;

a method including the step of normalizing the autocorrelation function; and

a method including the step of minimizing a mean square of the autocorrelation function.

28. An apparatus for determining the oxygenation of blood comprising:

a transmitter configured to transmit a signal through a medium containing blood;

a detector configured to sense a first signal of a first wavelength, the first signal having a first arterial blood component and a first noise component, the detector also configured to sense a second signal of a second wavelength, the second signal having a second arterial blood component and a second noise component, the first arterial blood component being related to the second arterial blood component by an arterial blood absorption ratio and the first noise component being related to the second noise component by a noise absorption ratio; and

a controller configured to determine a value of the noise absorption ratio that maximizes the magnitude of an autocorrelation function and configured to determine the oxygenation of blood from the noise absorption ratio.

29. The apparatus for determining the oxygenation of blood according to claim 28, wherein the controller is further configure to determine the quality of at least one solution of the noise absorption ratio with respect to another solution of the noise absorption ratio based on the highest signal-to-noise ratio and configured to choose the best solution based on the quality of the solution.

30. The method for determining the oxygenation of blood according to claim 29, wherein the at least one solution is selected from a set of solutions including:

a solution obtained by determining the best estimate of a pulse-to-pulse interval,

a solution obtained by normalizing the autocorrelation function, and

a solution obtained by minimizing a mean square of the autocorrelation function.