Blood monitoring apparatus and methods with amplifier input dark current correction

• US 4,781,195 A
• Filed: 12/02/1987
• Issued: 11/01/1988
• Est. Priority Date: 12/02/1987
• Status: Expired due to Term

• Current Assignee: Datex-Ohmeda Incorporated (General Electric Company)
• Original Assignee: BOC Group Pty Limited (Linde Plc)
• Inventors: Martin, Alan D.
• Primary Examiner(s): Cohan, Alan
• Application Number:
  US07/127,742
• Time in Patent Office: 335 Days
• Field of Search: 128/633, 128/664, 128/665, 128/667, 356/41
• US Class Current: 600/336
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence

Abstract

In photoelectric apparatus such as a pulse oximeter for monitoring a parameter of the blood in a living organism, a dark current correction signal is applied to the input at the preamplifier. The correction signal is substantially equal in magnitude but opposite in sense to the photodetector output during dark intervals when the illumination means of the apparatus is disabled. Because dark current correction is accomplished at the input of the preamplifier, the preamplifier has substantially increased resistance to overloading caused by ambient light and hence may have higher gain.

Claims

1. Apparatus for monitoring a parameter of the blood in a body structure comprising:

(a) photodetector means for producing a photodetector output signal related to the amount of light impinging upon said photodetector means;

(b) preamplification means having an input node for providing an amplified signal related to a signal supplied to said input node, said input node being connected to to said photodetector means for receipt of said photodetector output signal;

(c) illumination means for emitting light and directing the emitted light through the body structure so that emitted light transmitted through said body structure will impinge upon said photodetector means;

(d) means for periodically interrupting operation of said illumination means to provide dark intervals, whereby the photodetector output signal during each said dark interval will be a dark interval photodetector output indicative of ambient light impinging on said photodetector means;

(e) correction means for applying to said input node of said preamplification means a correction signal substantially equal in magnitude but opposite in sense to the dark interval photodetector output signal whereby said amplified signal will be substantially corrected for the effects of ambient light on said photodetector means; and

(f) interpretation means for determining said parameter of the blood from said corrected, amplified signal.

2. Apparatus as claimed in claim 1 wherein said correction means includes means for determining the photodetector output signal prevailing during each said dark interval by monitoring said amplified signal.

3. Apparatus as claimed in claim 2 wherein said correction means includes feedback means for adjusting said correction signal during each dark interval so as to bring said amplified signal substantially to a predetermined null value and then maintaining said correction signal as so adjusted until the next dark interval.

4. Apparatus as claimed in claim 3 wherein said feedback means includes means for integrating said amplified signal during each said dark interval and means for providing said correction signal during each period between dark intervals responsive to the integrated amplified signal accumulated during the last previous dark interval.

5. Apparatus as claimed in claim 1, wherein said photodetector means includes means for providing said photodetector output signal as a photodetector current such that the magnitude of said photodetector current is directly related to the amount of light impinging upon said photodetector means, said correction means including means for applying said correction signal as a current substantially equal but opposite to the photodetector current prevailing during the last preceding dark interval.

6. Apparatus as claimed in claim 5 wherein said preamplifier means includes a transresistance amplifier stage incorporating an operational amplifier defining said input node, an output node and a feedback resistor connected between said input and output nodes.

7. Apparatus as claimed in claim 6 wherein said correction means includes integrator means having an input and an output for integrating a signal applied to said integrator input and providing an integrator output voltage proportional to said integrated signal, integrator switching means for connecting said integrator input to said output node of said preamplification means only during said dark intervals, and current generator means for generating said correction current in response to said integrator output voltage.

8. Apparatus as claimed in claim 6 wherein said current generator means includes an inverter operational amplifier having inverter input and output nodes, an inverter feedback resistor connected across said inverter input and output nodes, an inverter input resistor connected between said inverter input node and said integrator output node, and a proportioning resistor connected between said inverter output node and said input node of said preamplification means.

9. Apparatus as claimed in claim 7 wherein said current generator means includes a correction current circuit branch connected between said input node of said preamplification means and a source of a predetermined bias voltage, and means for providing an impedance in said correction current circuit branch such that said impedance depends upon said integrator output voltage.

10. Apparatus as claimed in claim 9 wherein said current generator means includes a pair of resistors connected in series between said integrator output node and a source of predetermined bias voltage, said resistances defining therebetween a circuit node, said means for providing an impedance being responsive to the voltage at said circuit node.

11. Apparatus as claimed in claim 10 wherein said means for providing an impedance includes a transistor having a control input connected to said circuit node.

12. Apparatus as claimed in claim 7 wherein said means for periodically interrupting operation of said illumination means includes a timing means and wherein said integrator switching means is connected to said timing means and responsive thereto.

13. Apparatus as claimed in claim 1 wherein said illumination means includes means for emitting light at a plurality of wavelengths, the apparatus further includes sequence control means for controlling said illumination means to emit light of different wavelengths in alternating sequence at times other than said dark intervals, and wherein said interpretation means includes means for sampling said corrected, amplified signal in sequence correlated with said alternating sequence of wavelengths and interpreting different samples of said amplified signal as representing transmissivity of the body structure at different wavelengths.

14. A method of monitoring a parameter of the blood in a body structure comprising the steps of:

(a) producing a photodetector output signal related to the amount of light impinging upon a photodetector means and providing said photodetector output signal to an input of a preamplifier;

(b) amplifying the signal applied to said input of said preamplifier so as to provide an amplified signal;

(c) illuminating the body structure by emitting light and directing the emitted light through the body structure so that emitted light transmitted through said body structure impinges upon said photodetector;

(d) periodically interrupting said illuminating step to provide dark intervals, whereby the photodetector output signal during each said dark interval will be a dark interval photodetector output indicative of ambient light impinging on said photodetector means; and

(e) subtracting a correction signal from said photodetector output signal before said photodetector output signal is amplified in step (b), the magnitude of said correction signal being substantially equal to the magnitude of said dark interval photodetector output signal, whereby said amplified signal will be substantially corrected for the effect of ambient light; and

(f) determining said parameter of the blood from said corrected amplified signal.