Blood oxygen sensor having leakage compensation

• US 5,113,862 A
• Filed: 09/25/1990
• Issued: 05/19/1992
• Est. Priority Date: 09/25/1990
• Status: Expired due to Term

• Current Assignee: Pacesetter AB (Abbott Laboratories)
• Original Assignee: Siemens Pacesetter, Inc. (Abbott Laboratories)
• Inventors: Mortazavi, Said
• Primary Examiner(s): Smith, Ruth S.
• Assistant Examiner(s): NASSER, ROBERT L
• Application Number:
  US07/587,883
• Time in Patent Office: 602 Days
• Field of Search: 128/633, 128/634, 128/664-666, 128/419 PG, 356/41
• US Class Current: 600/331
• CPC Class Codes: A61N 1/36557 controlled by chemical substances in blood

Abstract

An improved blood oxygen sensor apparatus having a special leakage compensation circuit that allows proper initialization of the oxygen sensor regardless or the value of leakage resistance which typically might be present in parallel with the oxygen sensor. During an initialization mode, in which a capacitor arranged in parallel with oxygen sensor is charged by a small initialization current, the leakage compensation circuit monitors the capacitor voltage and controllably increases the current if it is determined that the capacitor is charging at an insufficient rate, due to unspecified leakage resistance. This enables the oxygen sensor to be properly initialized such that it can thereafter accurately measure blood oxygen levels.

Claims

1. A leakage compensation circuit for use in a blood oxygen sensor of the kind that includes a light-emitting diode for selectively illuminating the blood and a photosensor for sensing the intensity of light reflected by the blood, wherein the light-emitting diode has a capacitor and leakage resistance arranged in parallel with it, the leakage compensation circuit comprising:

initialization means for supplying an initialization current during an initialization mode to controllably charge the capacitor arranged in parallel with the light-emitting diode to a predetermined voltage that is less than an onset voltage at which the light-emitting diode emits substantial light, wherein the initialization means includes means for controllably increasing the initialization current with time, to compensate for the presence of the leakage resistance in parallel with the capacitor; and

pulse means for supplying a light-generating current to the light-emitting diode during a measurement mode, which follows the initialization mode, the light-generating current being substantially greater than the initialization current, such that the light-emitting diode emits substantial light for reflection by the blood and sensing by the photosensor;

wherein the charging of the capacitor to the predetermined voltage during the initialization mode facilitates the emission by the light-emitting diode of a more well-defined amount of light and the generation by the sensor of an accurate measurement of blood oxygen saturation.

2. A leakage compensation circuit as defined in claim 1, wherein the initialization means is operable to charge the capacitor to the predetermined voltage substantially linearly.

3. A leakage compensation circuit as defined in claim 2, wherein the initialization means comprises:

means for generating a voltage ramp reference signal; and

means for comparing the capacitor voltage with the ramp reference signal and for adjusting the initialization current in discrete steps in accordance with the outcome of the comparison.

4. A leakage compensation circuit as defined in claim 2, wherein the initialization means comprises means for comparing the capacitor voltage with a predetermined reference at a series of discrete times and for adjusting the initialization current at those discrete times in accordance with the outcome of the successive comparisons.

5. A leakage compensation circuit as defined in claim 4, wherein the means for comparing and adjusting comprises means for generating a voltage ramp signal that constitutes the predetermined reference.

6. A leakage compensation circuit as defined in claim 1, wherein the initialization means comprises:

means for monitoring the capacitor voltage at a series of discrete times and for producing an adjusted voltage indicative of the state of the capacitor voltage at the series of discrete times; and

means for comparing the adjusted voltage signal with a fixed reference voltage at the series of discrete times and for adjusting the initialization current at those discrete times in accordance with the successive comparisons.

7. A leakage compensation circuit as defined in claim 1, wherein:

the leakage resistance has a non-predetermined value within a predetermined range; and

the initialization means comprises means for controllably increasing the initialization current so as to charge the capacitor to the predetermined voltage regardless of the value of the leakage resistance.

8. A blood oxygen sensor apparatus for use with a pacemaker, comprising:

a light-emitting diode positioned such that its emitted light is directed at blood whose oxygen saturation level is to be measured, wherein a capacitor and leakage resistance are arranged in parallel with the light-emitting diode;

a photodetector positioned to detect light emitted by the light-emitting diode and reflected by the blood and to produce a corresponding intensity signal;

detection means responsive to the intensity signal, for determining the blood'"'"'s oxygen content; and

initialization means for supplying an initialization current during an initialization mode to charge the capacitor substantially linearly to a predetermined voltage that is less than an onset voltage at which the light-emitting diode emits substantial light, wherein the initialization means includes means for controllably increasing the initialization current with time, to compensate for the presence of the leakage resistance, and wherein the charging of the capacitor to the predetermined voltage during the initialization mode facilitates the emission by the light-emitting diode of a well-defined amount of light and the generation by the apparatus of an accurate measurement of blood oxygen saturation and means for driving said LED.

9. A blood oxygen sensor apparatus as defined in claim 8, wherein the initialization means comprises:

means for generating a voltage ramp reference signal; and

means for comparing the capacitor voltage with the ramp reference signal and for adjusting the initialization current in discrete steps in accordance with the outcome of the comparison.

10. A blood oxygen sensor apparatus as defined in claim 8, wherein the initialization means comprises means for comparing the capacitor voltage with a predetermined reference at a series of discrete times and for adjusting the initialization current at those discrete times in accordance with the outcome of the successive comparisons.

11. A blood oxygen sensor apparatus as defined in claim 10, wherein the means for comparing and adjusting comprises means for generating a voltage ramp signal that constitutes the predetermined reference.

12. A blood oxygen sensor apparatus as defined in claim 8, wherein the initialization means comprises:

means for monitoring the capacitor voltage at a series of discrete times and for producing an adjusted voltage indicative of the state of the capacitor voltage at the series of discrete times; and

means for comparing the series of adjusted voltage signals with a fixed reference voltage at the series of discrete times and for adjusting the initialization current at those discrete times in accordance with the successive comparisons.

13. A blood oxygen sensor apparatus as defined in claim 12, wherein the means for comparing and adjusting comprises:

a comparator having as inputs the adjusted voltage and the fixed reference voltage.

14. A blood oxygen sensor apparatus as defined in claim 13, wherein the means for comparing and adjusting adjusts the initialization current whenever the adjusted voltage is less than the fixed reference voltage.

15. A blood oxygen sensor apparatus as defined in claim 12, wherein the means for monitoring comprises:

a first test capacitor having a fixed value, the first test capacitor having a first terminal and a second terminal, the first terminal of the first test capacitor being connected to the capacitor; and

a second test capacitor having a variable value, the second test capacitor having a first terminal and a second terminal, the second terminal of the first test capacitor being connected to the first terminal of the second test capacitor and serving as the point at which the adjusted voltage is measured, the second terminal of the second test capacitor being connected to the fixed reference voltage.

16. A blood oxygen sensor apparatus as defined in claim 15, additionally comprising:

means for incrementally increasing the value of the second test capacitor between each of the series of discrete times.

17. A blood oxygen sensor apparatus as defined in claim 16, additionally comprising:

means for precharging the first test capacitor prior to each of the series of discrete times; and

means for discharging the second test capacitor prior to each of the series of discrete times.

18. A blood oxygen sensor apparatus as defined in claim 8, wherein:

the leakage resistance has a non-predetermined value within a predetermined range; and

the initialization means comprises means for controllably increasing the initialization current so as to charge the capacitor to the predetermined voltage regardless of the value of the leakage resistance.

19. A blood oxygen sensor apparatus as defined in claim 8, wherein:

wherein said means for driving said LED, comprises pulse means for supplying a light-generating current to the light-emitting diode during a measurement mode, which follows the initialization mode, the light-generating current being substantially greater than the initialization current, such that the light-emitting diode emits substantial light for reflection by the blood and sensing by the photodetector;

the detection means comprises

integrator means for integrating the intensity signal produced by the photodetector, to produce an integrated intensity signal, and

comparator means for comparing the integrated voltage signal with a predetermined threshold and for providing an output signal at a detection time when the integrated voltage signal reaches the threshold, the time delay from initiation of the measurement mode until the detection time being inversely related to the blood'"'"'s oxygen saturation level.

20. A blood oxygen sensor apparatus as defined in claim 19, wherein:

the comparator means is configured such that, when the integrated voltage signal reaches the predetermined threshold, it accepts a substantial portion of the light-generating current supplied by the pulse means and therefore reduces the voltage applied to the light-emitting diode below the onset voltage; and

the detection means further comprises means for monitoring the voltage applied to the light-emitting diode and for establishing the detection time when the voltage is reduced below the onset voltage.

21. A blood oxygen sensor apparatus as defined in claim 19, wherein:

the photodetector comprises a phototransistor; and

the integrator means and comparator means together comprise;

a transistor having its collector terminal connected to the base terminal of the phototransistor, its base terminal connected to the collector terminal of the phototransistor, and its emitter terminal connected to a first terminal of the light-emitting diode, the emitter terminal of the phototransistor being connected to a second terminal of the light-emitting diode,

a first resistor connected between the base and emitter terminals of the transistor, and

a second resistor connected between the base and emitter terminals of the phototransistor.

22. A blood oxygen sensor apparatus as defined in claim 21, wherein:

the transistor is a pnp transistor and the phototransistor is an npn transistor;

the resistance of the first resistor is substantially larger than the resistance of the second resistor; and

the first terminal of the light-emitting diode is its anode, and the second terminal of the light-emitting diode is its cathode.

23. A blood oxygen sensor apparatus as defined in claim 22, wherein the initialization current supplied to the light-emitting diode by the initialization means is insufficient to develop a voltage drop across the first resistor sufficient to bias on the transistor.

24. A method for use with a heart pacemaker in sensing blood oxygen content, comprising steps of:

positioning a light-emitting diode such that its emitted light is directed at blood whose oxygen saturation level is to be measured, and a capacitor in parallel with the light-emitting diode, with leakage resistance also being arranged in parallel with the capacitor;

positioning a photodetector so as to detect light emitted by the light-emitting diode and reflected by the blood, thereby producing a corresponding intensity signal;

monitoring the intensity signal, to determine the blood'"'"'s oxygen content; and

supplying an initialization current during an initialization mode to charge the capacitor to a predetermined voltage that is less than an onset voltage at which the light-emitting diode emits substantial light, wherein the step of supplying includes a step of controllably increasing the initialization current with time, to compensate for the presence of leakage resistance;

wherein the charging of the capacitor to the predetermined voltage in the step of supplying facilitates the emission by the light-emitting diode of a well-defined amount of light and the generation in the step of monitoring of an accurate measurement of blood oxygen saturation.

25. A method as defined in claim 24, wherein the step of supplying charges the capacitor to the predetermined voltage substantially linearly.

26. A method as defined in claim 24, wherein the step of supplying comprises the steps of:

generating a voltage ramp reference signal; and

comparing the capacitor voltage with the ramp reference signal and adjusting the initialization current in discrete steps in accordance with the outcome of the comparison.

27. A method as defined in claim 24, wherein the step of supplying comprises the steps of comparing the capacitor voltage with a predetermined reference at a series of discrete times and adjusting the initialization current at those discrete times in accordance with the outcome of the successive comparisons.

28. A method as defined in claim 27, wherein the steps of comparing and adjusting comprise a step of generating a voltage ramp signal that constitutes the predetermined reference.

29. A method as defined in claim 27, wherein the step of supplying comprises the steps of:

monitoring the capacitor voltage at a series of discrete times and producing an adjusted voltage indicative of the state of the capacitor voltage at the series of discrete times; and

comparing the series of adjusted voltage signals with a fixed reference voltage at the series of discrete times and adjusting the initialization current at those discrete times in accordance with the successive comparisons.

30. A method as defined in claim 24, wherein:

the leakage resistance has a non-predetermined value within a predetermined range; and

the step of supplying comprises a step of controllably increasing the initialization current so as to charge the capacitor to the predetermined voltage, thereby compensating for the value of the leakage resistance.

31. A method as defined in claim 24, wherein:

the method further comprises a step of supplying a light-generating current to the light-emitting diode during a measurement, which follows the initialization mode, the light-generating current being substantially greater than the initialization current, such that the light-emitting diode emits substantial light for reflection by the blood and sensing by the photodetector; and

the step of monitoring comprises the steps of;

integrating the intensity signal produced by the photodetector, to produce an integrated intensity signal, and

comparing the integrated voltage signal with a predetermined threshold and providing an output signal at a detection time when the integrated voltage signal reaches the threshold, the time delay from initiation of the measurement mode until the detection time being inversely related to the blood'"'"'s oxygen saturation level.

32. A blood oxygen content sensor apparatus for use with a pacemaker, comprising:

a light-emitting diode positioned such that its emitted light is directed at blood whose oxygen saturation level is to be measured, wherein a capacitor and leakage resistance are arranged in parallel with the light-emitting diode, the leakage resistance having a non-predetermined value within a predetermined range;

a phototransistor positioned to detect light emitted by the light-emitting diode and reflected by the blood and to produce a corresponding intensity signal;

detection means responsive to the intensity signal, for determining the blood'"'"'s oxygen content;

initialization means for supplying an initialization current to the light-emitting diode during an initialization mode, to charge the capacitor substantially linearly to a predetermined voltage substantially the same as, but slightly less than, an onset voltage at which the light-emitting diode emits substantial light; and

pulse means for supplying a light-generating current to the light-emitting diode during a measurement mode, following the initialization mode, the light-generating current being substantially greater than the initialization current, such that the light-emitting diode emits substantial light for reflection by the blood and sensing by the phototransistor;

wherein the detection means includes;

integrator means for integrating the intensity signal produced by the photodetector during the measurement mode, to produce an integrated intensity signal,

comparator means for comparing the integrated voltage signal with a predetermined threshold and, when the integrated voltage signal reaches the predetermined threshold, for accepting a substantial portion of the light-generating current supplied by the pulse means, thereby reducing the voltage applied to the light-emitting diode below the onset voltage, and

means for monitoring the voltage applied to the light-emitting diode and for establishing a detection time when the voltage is reduced below the onset voltage, the time delay from initiation of the measurement mode until the detection time being inversely related to the blood'"'"'s oxygen saturation level;

wherein the charging of the capacitor to the predetermined voltage during the initialization mode facilitates the emission by the light-emitting diode of a well-defined amount of light and the generation by the apparatus of an accurate measurement of blood oxygen content.

33. A blood oxygen content sensor apparatus as defined in claim 32, wherein the initialization means comprises means for comparing the capacitor voltage with a predetermined reference at a series of discrete times and for adjusting the initialization current at those discrete times in accordance with the outcome of the successive comparisons.

34. A blood oxygen content sensor apparatus as defined in claim 33, wherein the means for comparing and adjusting comprises means for generating a voltage ramp signal that constitutes the predetermined reference.

35. A blood oxygen content sensor apparatus as defined in claim 33, wherein the means for comparing and adjusting comprises:

means for monitoring the capacitor at the series of discrete times and for producing an adjusted voltage indicative of the state of the capacitor voltage at the series of discrete times; and

means for comparing the series of adjusted voltage signals with a fixed reference voltage at the series of discrete times and for adjusting the initialization current at those discrete times in accordance with the successive comparisons.