Non-invasive medical sensor

• US 5,419,321 A
• Filed: 09/30/1994
• Issued: 05/30/1995
• Est. Priority Date: 05/17/1990
• Status: Expired due to Fees

• Current Assignee: GE Medical Systems Information Technologies Incorporated (General Electric Company)
• Original Assignee: Johnson & Johnson Vision Care Incorporated (Johnson & Johnson)
• Inventors: Evans, Peter D.
• Primary Examiner(s): Sykes, Angela D.
• Application Number:
  US08/316,065
• Time in Patent Office: 242 Days
• Field of Search: 128/633, 128/664-667, 356/39-41
• US Class Current: 600/407
• CPC Class Codes: A61B 5/0059 using light, e.g. diagnosis by transillumination, diascopy, fluorescence A61B5/0093, A61B5/1455, A61B5/02416 and A61B5/0261 take precedence
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: G01N 21/49 within a body or fluid

Abstract

Apparatus 1 for non-invasive quantitative measurement of a substance in living tissue, the apparatus comprising an electromagnetic radiation emitter 5 to contact a patient'"'"'s skin, tissue or organ 6, first radiation detector 3 spaced from the radiation emitter 5, and which is also to contact the skin, tissue or organ 6, and second radiation detector 2 which is spaced from the radiation emitter 5 by a distance greater than the spacing between the first radiation detector 3 and the radiation emitter 5, and is to contact the skin, tissue or organ 6. Electrical output signals are produced dependent on the intensity of the radiation detected by the radiation detectors and processed to obtain a value for the concentration of the substance in living tissue.

Claims

1. Apparatus for non-invasive monitoring of a substance in living tissue, which apparatus comprises:

a) emitter means capable of emitting electromagnetic radiation, said emitter means being arrangeable in use in contact with the skin, tissue or an organ of a patient;

b) first radiation detection means arrangeable in use in contact with the skin, tissue or organ of said patient, said first radiation detection means being spaced from said emitter means to detect radiation which has been scattered and attenuated by the skin, tissue or organ of said patient;

c) means for producing a first electrical output signal dependent on the intensity of the radiation detected by said first radiation detection means;

d) second radiation detection means arrangeable in use in contact with the skin, tissue or organ of said patient, said second radiation detection means being spaced farther away from said emitter means than said first radiation detection means and be in a ranged to detect radiation which has been scattered and attenuated by the skin, tissue or organ of said patient;

e) means for producing a second electrical output signal dependent on the intensity of the radiation detected by said second radiation detection means; and

f) processor means providing a quantitative measure of said substance in said living tissue, said quantitative measure being dependent on the ratio of said first and second output signals.

2. A method for the non-invasive measurement of a substance in living tissue comprising:

contacting a patient with said emitter means and said first and second radiation detection means of said apparatus of claim 1;

emitting electromagnetic radiation through said emitter means into said patient;

detecting electromagnetic radiation which has been scattered and attenuated by said patient with said first and second radiation detection means; and

producing a quantitative measure of said substance in said living tissue by determining the ratio of the intensities of said electromagnetic radiation detected by said first and second radiation detection means.

3. The apparatus of claim 1, wherein said first and second radiation detection means are annular and concentrically arranged around said emitter means.

4. The apparatus of claim 1, wherein said emitter means is capable of emitting electromagnetic radiation of a characteristic absorbtion wavelength for said substance.

5. The apparatus of claim 4, wherein said emitter means is capable of emitting electromagnetic radiation of a wavelength between 700 and 1300 nm.

6. The apparatus of claim 1, wherein said emitter means comprises a plurality of independently actuatable subemitters.

7. The apparatus of claim 6, wherein each of said subemitters is arranged to emit radiation of a discrete wavelength.

8. The apparatus of claim 6, wherein there are four said sub-emitters.

9. The apparatus of claim 1, wherein said first detection means and said means for producing said first output signal are combined and said second detection means and said means for producing said second output signal are combined.

10. The apparatus of claim 1, wherein said emitter means and said first and second radiation detection means are provided in a unitary housing.

11. The apparatus of claim 1, including means for administering oxygen to the patient.

12. The apparatus of claim 1, including means for attachment of the apparatus to the skin of the patient.

13. Apparatus for non-invasive monitoring of a substance in living tissue, which apparatus comprises:

a) emitter means capable of emitting electromagnetic radiation, said emitter means being arrangeable in use in contact with the skin, tissue or organ of a patient;

b) first radiation detection means arrangeable in use in contact with the skin, tissue or organ of said patient, said first radiation detection means being spaced by a first distance from said emitter means to detect radiation which has been scattered and passed through the patient;

c) means for producing a first electrical output signal dependent on the intensity of the radiation detected by said first radiation detection means;

d) second radiation detection means arrangeable in use in contact with the skin, tissue or organ of said patient, said second radiation detection means being spaced by a second distance from said emitter means and by a third distance from said first radiation detection means to detect radiation which has been scattered and passed through the patient, wherein said first distance is at least as great as said third distance;

e) means for producing a second electrical output signal dependent on the intensity of the radiation detected by said second radiation detection means; and

f) processor means arranged to provide a quantitative measure of said substance in said living tissue, said quantitative measure being dependent on said first and second output signals.

14. Apparatus according to claim 13, wherein said processor means provides a quantitative measurement of said substance in said living tissue dependent on the ratio of said first and second output signals.

15. Apparatus for non-invasive monitoring of a substance in living tissue comprising:

a) emitter means capable of emitting electromagnetic radiation, said emitter means being arrangeable in use in contact with the skin, tissue or organ of a patient;

b) first annular radiation detector means extending around and spaced from said emitter means, and arrangeable in use in contact with the skin, tissue or organ of said patient;

c) means for producing a first electrical output signal dependent on the intensity of the radiation detected by said first radiation detector means;

d) second annular radiation detector means arranged concentrically with said first annular radiation detector means, said second annular radiation detector means extending around said emitter means and being spaced from said emitter means by a distance greater than said spacing between said first radiation detector means and said emitter means, said second radiation detector means being arrangeable in use in contact with the skin, tissue or organ of said patient;

e) means for producing a second electrical output signal dependent on the intensity of the radiation detected by said second radiation detector means; and

f) signal processor means providing a quantitative measurement of said substance in said living tissue dependent on the ratio of said first and second output signals.