Fiberoptic blood pressure and oxygenation sensor

• US 5,280,786 A
• Filed: 01/21/1992
• Issued: 01/25/1994
• Est. Priority Date: 01/21/1992
• Status: Expired due to Term

• Current Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Original Assignee: Fibergel Technologies Incorporated (Agritech Worldwide, Inc.)
• Inventors: Anderson, Charles D., Vokovich, Daniel L., Wlodarczyk, Marek T.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Pontius, Kevin
• Application Number:
  US07/823,143
• Time in Patent Office: 735 Days
• Field of Search: 128/633, 128/634, 128/748, 128/670, 128/675, 128/673, 356/41
• US Class Current: 600/327
• CPC Class Codes: A61B 5/02154 by optical transmission
• CPC Class Codes: A61B 5/1459 invasive, e.g. introduced into the body by a catheter A61B5/1464 takes precedence

Abstract

A fiberoptic based sensor for patient care use. The sensor includes a catheter placed transcutaneously into a blood vessel which is connected to an external measuring head. A sensing tip of the catheter includes a pressure sensing element and an oxygen saturation measuring element. Features of the invention include novel tip designs, measuring head features, and approaches for enhancing measurement though correlation of the saturation and pressure readings.

Claims

1. A sensor for in vivo evaluation of blood pressure and blood oxygen saturation of a patient, comprising:

a catheter having a distal end for introduction within patient blood vessels and a proximal end, said catheter having at least a first optical fiber means for blood pressure sensing and a second optical fiber means separate from said first optical fiber means for blood oxygen saturation measurement,

a sensing tip affixed to said catheter distal end having pressure sensing means for modulating a light signal sent along said first optical fiber means, said sensing tip further having means for causing said blood to interact with a light signal sent along said second optical fiber means, said means for causing having a chamber which is filled with blood when said sensing tip is within said blood vessels and is positioned adjacent the distal end of said second optical fiber means, said chamber defining a concave reflective surface means for reflecting light signals emitting from said second optical fiber means after passing through said blood back into said second optical fiber means, and

a sensing head means coupled to said catheter proximal end for injecting light signals into said first and second optical fiber means and for receiving light signals returned along said first and second optical fiber means thereby enabling said blood pressure and blood oxygen saturation evaluation, said sensing head having at least a first light source coupled into said first and second optical fiber means.

2. A sensor according to claim 1 wherein said pressure sensing means comprises a deformable diaphragm positioned adjacent the distal end of said first optical fiber means and adapted to be exposed to said blood whereby said diaphragm is deformed in response to blood pressure, and said diaphragm modulating the intensity of a light signal sent along said first optical fiber means.

3. A sensor according to claim 1 wherein said catheter further comprises a lumen means for calibrating said pressure sensing means by allowing a known pressure of a fluid to act on said pressure sensing means.

4. A sensor according to claim 1 wherein said means for causing defines a recess adjacent said distal end and including a termination of said second optical fiber means which is displaced at least 2 millimeters from the outer surface of said catheter toward a longitudinal center axis of said catheter tip.

5. A sensor according to claim 1 wherein said second optical fiber means comprises a single optical fiber for transmitting both an inputted and returned light signals.

6. A sensor according to claim 1 wherein said second optical fiber means comprises a pair of optical fibers with a first fiber for transmitting an inputted light signal and a second fiber for transmitting a returned light signal.

7. A sensor according to claim 1 wherein said first optical fiber means comprises a reflective surface at the distal end of said first optical fiber means for reflecting light from said first light source to form a reference signal for blood pressure measurement.

8. A sensor assembly according to claim 7 wherein at least one of said first and said second fiber means comprise a fiber core having a main section within said catheter and a branching portion within said sensing head means optically coupled to said first light source.

9. A sensor according to claim 1 wherein said sensing head means comprises a second light source coupled to both said first and second optical fiber means.

10. A sensor according to claim 9 wherein both said first and said second fiber means comprise a fiber core having a main section within said catheter and separate branching portions within said sensing head means optically coupled to said first and second light sources.

11. A sensor according to claim 1 wherein said sensing head means measures a blood pressure waveform from said light signals and said sensing head means gates light signals received along said second fiber means in response to said waveform to evaluate blood oxygen concentration during a prescribed segment of a period of said waveform.

12. A sensor for in vivo evaluation of blood pressure and blood oxygen saturation of a patient, comprising:

a catheter having a distal end for introduction within patient blood vessels and a proximal end, said catheter having a sensing tip having a means for sensing blood pressure and a means for sensing blood oxygen, said blood pressure sensing means enabling a blood pressure waveform responsive to a heartbeat to be measured, and

a sensing head means coupled to said proximal end of said catheter for gating signals received from said blood oxygen sensing means in response to said waveform to evaluate blood oxygen concentration during a prescribed segment of a period of said waveform thereby minimizing pressure dependent effects on blood oxygen saturation by said blood oxygen sensing means.

13. A sensor according to claim 12 wherein said pressure sensing means comprises a deformable diaphragm positioned adjacent the distal end of a first optical fiber means extending between said catheter distal and proximal ends and adapted to be exposed to said blood whereby said diaphragm is deformed in response to blood pressure, and said diaphragm modulating the intensity of a light signal sent along said first optical fiber means.

14. A sensor according to claim 13 wherein said blood oxygen sensing means comprising a second optical fiber means for causing light inputted into said second optical fiber means to be modulated in response to blood oxygen content.

15. A sensor for in vivo evaluation of blood pressure and blood oxygen saturation of a patient, comprising:

a catheter having a distal end for introduction within patient blood vessels and a proximal end, said catheter having at least a first optical fiber means for blood pressure sensing and a second optical fiber means separate from said first optical fiber means for blood oxygen saturation measurement,

a sensing tip affixed to said catheter distal end having pressure sensing means for modulating a light signal sent along said first optical fiber means, said sensing tip further having means for causing said blood to interact with a light signal sent along said second optical fiber means including a surface along a section of a fiber of said second optical fiber means adapted to be exposed to said blood wherein light traveling along said fiber interacts with said blood through an evanescence effect and a reflective surface is positioned at the terminal end of said second optical fiber means whereby light signals cross past said fiber section and are thereafter reflected back along said second optical fiber means, and

a sensing head coupled to said catheter proximal end for injecting light signals into said first and second optical fiber means and for receiving light signals returned along said first and second optical fiber means thereby enabling said blood pressure and blood oxygen saturation evaluation, said sensing head having at least a first light source coupled into said first and second optical fiber means.

16. A sensor according to claim 15 wherein said second of said fiber comprises a polished length of the outer surface of said fiber adapted to be in direct contact with said blood.

17. A sensor for in vivo evaluation of blood pressure and blood oxygen saturation of a patient, comprising:

a catheter having a distal end for introduction within patient blood vessels and a proximal end, said catheter having at least a first optical fiber means for blood pressure sensing and a second optical fiber means separate from said first optical fiber means for blood oxygen saturation measurement,

a sensing tip affixed to said catheter distal end having pressure sensing means for modulating a light signal sent along said first optical fiber means, said sensing tip further having means for causing said blood to interact with a light signal sent along said second optical fiber means in the form of a polished length of the outer surface of fiber of said second optical fiber means adapted to be in direct contact with said blood along a section of said fiber of said second optical fiber means adapted to be exposed to said blood wherein light traveling along said fiber interacts with said blood through an evanescence effect, and

a sensing head coupled to said catheter proximal end for injecting light signals into said first and second optical fiber means and for receiving light signals returned along said first and second optical fiber means thereby enabling said blood pressure and blood oxygen saturation evaluation, said sensing head having at least a first light source coupled into said first and second optical fiber means.

18. A sensor for in vivo evaluation of blood pressure and blood oxygen saturation of a patient, comprising:

a catheter having a distal end for introduction within patient blood vessels and a proximal end, said catheter having at least a first optical fiber means for blood pressure sensing and a second optical fiber means separate from said first optical fiber means for blood oxygen saturation measurement,

a sensing tip affixed to said catheter distal end having pressure sensing means for modulating a light signal sent along said first optical fiber means, said sensing tip further having means for causing said blood to interact with a light signal sent along said second optical fiber means in a form of a surface along a section of a fiber of said second optical fiber means having a perturbation of the cross-sectional configuration of said fiber along said surface, said surface adapted to be exposed to said blood wherein light traveling along said fiber interacts with blood through an evanescence effect, and

a sensing head coupled to said catheter proximal end for injecting light signals into said first and second optical fiber means and for receiving light signals returned along said first and second optical fiber means thereby enabling said blood pressure and blood oxygen saturation evaluation, said sensing head having at least a first light source coupled into said first and second optical fiber means.

19. A sensor according to claim 18 wherein said perturbation comprises a local reduction in the cross sectional area of said fiber.