Non-invasive non-spectrophotometric infrared measurement of blood analyte concentrations

• US 5,424,545 A
• Filed: 01/14/1994
• Issued: 06/13/1995
• Est. Priority Date: 07/15/1992
• Status: Expired due to Fees

• Current Assignee: Optix LP
• Original Assignee: Myron J. Block
• Inventors: Block, Myron J., Sodickson, Lester
• Primary Examiner(s): Dzierzynski, Paul M.
• Assistant Examiner(s): Hanig, Richard
• Application Number:
  US08/182,572
• Time in Patent Office: 515 Days
• Field of Search: 250/343, 250/339, 250/340, 250/341, 250/343, 356/405
• US Class Current: 250/343
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/14546 for measuring analytes not otherwise provided for, e.g. ions, cytochromes
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/6826 Finger
• CPC Class Codes: A61B 5/6838 Clamps or clips
• CPC Class Codes: G01N 2021/3137 with selection of wavelengths after the sample
• CPC Class Codes: G01N 21/359 using near infrared light
• CPC Class Codes: G01N 21/4795 spatially resolved investigating of object in scattering medium in vivo A61B

Abstract

A new non-invasive non-spectrophotometric method for measuring the blood concentration of analytes such as glucose has been developed. The apparatus and methods of the invention exploit analogies with colorimetry and color perception to extract concentration measurements from the global structure of the intensity versus wavelength absorbance or transmission profile. A plurality of broad spectrum filters transmit distinguishably coded beams of radiation in overlapping portions of the spectrum to the sample. Radiation reflected or transmitted by the sample is detected and decoded. LED'"'"'s may be used instead of the broad spectrum radiation generating device and the filters. Further, a scanning interferometer can be used as the illuminating and coding device. In a preferred mode, congruent illumination is utilized. The coded signals are analyzed by analogy to colorimetry and visual processing and can be converted into concentration measurements.

Claims

1. An apparatus for determining the concentration of a constituent of interest in a sample which has absorbance or reflectance in a selected region of the spectrum comprising:

radiation generating means which generates a plurality of beams of radiation in a selected region of the spectrum;

coding means for placing an identifiable, distinct code on each of said plurality of beams of radiation;

filtering means for individually optically filtering each of said plurality of beams such that each of said beams is limited in wavelength to a distinct portion of said selected region of said spectrum, the portion of the spectrum for which each of said beams is limited having at least a partial overlap with the portion of the spectrum for at least one other beam;

transmission means for transmitting said coded beams to illuminate said sample;

a sample chamber for confining said sample during illumination;

detection means for detecting the intensity of radiation transmitted or reflected by said sample, said detection means including decoding means for identifying the code on each of said coded beams, said detection means generating an output signal which is a function of the information carried by each coded beam; and

analysis means for converting said output signal into a measure of said concentration of said constituent of interest in said sample.

2. The apparatus of claim 1 wherein said selected region of said spectrum comprises 700-2500 nm.

3. The apparatus of claim 1 wherein said radiation generation means comprise a radiation source and beam splitters splitting the radiation emitted by said radiation source into said plurality of beams.

4. The apparatus of claim 1 wherein said radiation generation means comprise a plurality of separate radiation sources.

5. The apparatus of claim 1 wherein said plurality of separate beams provide congruent illumination.

6. The apparatus of claim 1 wherein said coding means individually temporally modulates the intensity of said beams.

7. The apparatus of claim 6 wherein said coding means comprises a chopper associated with each of said beams.

8. The apparatus of claim 1 wherein said filtering means comprises a plurality of broad bandpass filters, each said filters having a spectral transmission centered about a separate portion of said selected region of the spectrum, said portion of spectral transmission for each filter partially overlapping that of at least one other filter.

9. The apparatus of claim 1 wherein said transmission means comprise a plurality of optical fibers, one end of each of said plurality of fibers admitting radiation from one of said beams, the other ends of said fibers being randomly distributed in a bundle so as to uniformly distribute said beams to illuminate said sample.

10. The apparatus of claim 9 wherein said radiation generation means and said plurality of optical fibers are arranged to provide congruent illumination.

11. The apparatus of claim 6 wherein said decoding means comprises electrical narrow bandpass filters substantially centered about the temporal frequency of modulation.

12. The apparatus of claim 2 wherein said analysis means generates an output which corresponds to a location in a multi-dimensional space, said multi-dimensional space being an analog of a colorimetric space in the visible region.

13. The apparatus of claim 1 wherein said analysis means comprises an artificial neural network.

14. The apparatus of claim 1 wherein said detection means is selected from the group consisting of silicon photocells and lead selenide cells.

15. The apparatus of claim 1 wherein said sample chamber is arranged for non-invasive measurements on a portion of a human body.

16. The apparatus of claim 15 wherein said human body portion comprises a finger.

17. The apparatus of claim 15 wherein said constituent of interest is an analyte of clinical interest.

18. The apparatus of claim 17 wherein said constituent of interest is selected from the group consisting of glucose and glucose indicating constituents.

19. The apparatus of claim 17 wherein said constituent of interest is selected from the group consisting of drugs of abuse, drugs of abuse indicating constituents, alcohol, hemoglobin and its variants, cholesterol and lipids.

20. The apparatus of claim 1 wherein said detection means comprises an array of detectors.

21. The apparatus of claim 20 wherein said array of detectors are arranged to provide congruent sampling.

22. The apparatus of claim 20 wherein said array of detectors are arranged so that incongruent sampling is effected and said analysis means comprises means to compare said plurality of decoded signals in order to generate an information signal indicative of said concentration of said constituent of interest while rendering the interfering features of the backgrounds from each of said detectors in the array to be less distinct than the backgrounds are in any of the individual detector'"'"'s signals.

23. The apparatus of claim 1 wherein a portion of at least one of said beams is directed through a reference material to an additional detector to generate reference values which can be used to correct for color constancy.

24. The apparatus of claim 23 wherein said plurality of beams are congruently combined before said portion of any beam is directed to said reference material.

25. The apparatus of claim 1 wherein stored reference values are used to correct for color constancy.

26. The apparatus of claim 1 wherein paired detectors are used to provide congruent sampling.

27. A method of measuring the concentration of a constituent of interest in a sample which has absorbance or reflectance in a selected region of the spectrum comprising the steps of:

illuminating said sample with a plurality of beams of radiation, each of said beams being limited in wavelength to a distinct portion of said selected spectral region, with each of said distinct spectral portions having at least partial overlap in wavelength with the distinct spectral portion of at least one other of said beams, each of said beams also having an identifiable code associated therewith which is distinct from the code of any other of said beams;

detecting transmitted or reflected radiation from said sample;

decoding said identifiable code from each of said beams to generate a signal indicative of said detected radiation; and

analyzing said signals to measure the concentration of said constituent of interest.

28. The method of claim 27 wherein the code associated with each of said beams comprises a distinct and identifiable modulation.

29. The method of claim 28 wherein said modulation comprises temporally modulating the intensity of said beams.

30. The method of claim 29 wherein said temporal modulation is achieved using choppers.

31. The method of claim 27 wherein said plurality of partially overlapping portions of the spectrum lie between 700-2500 nm.

32. The method of claim 30 wherein said detecting and said decoding steps generate signals which are analogs of the signals generated by the retinal cones.

33. The method of claim 32 wherein said analysis step generates an output which is an analog of a location in a colorimetric multi-dimensional space.

34. The method of claim 27 wherein said analysis means comprises an artificial neural network.

35. The method of claim 27 wherein said method is used for non-invasive testing for a constituent in a human body.

36. The method of claim 35 wherein said sample comprises a finger.

37. The method of claim 35 wherein said constituent of interest is an analyte of clinical interest.

38. The method of claim 37 wherein said constituent of interest is selected from the group consisting of drugs of abuse, drugs of abuse indicating constituents, alcohol, hemoglobin and its variants, cholesterol and lipids.

39. The method of claim 37 wherein said constituent of interest is selected from the group consisting of glucose and glucose-indicating constituents.

40. The method of claim 27 wherein said illumination step comprises congruent illumination.

41. The method of claim 27 wherein said detection step is carried out by an array of detectors arranged to provide congruent sampling.

42. The method of claim 27 wherein said detection step is carried out by an array of detectors arranged to provide incongruent sampling, wherein the decoded signals from said detectors are mixed and recombined to create a color constant measure of the concentration of said constituent of interest which includes correction for changes in effective illumination.

43. The method of claim 27 wherein a portion of at least one of said beams is directed through a reference material to an additional detector to generate reference values which can be used to correct for color constancy.

44. The method of claim 43 wherein said plurality of beams are congruently combined before said portion of any beam is directed to said reference material.

45. The method of claim 27 wherein stored reference values are used to correct for color constancy.

46. The method of claim 27 wherein paired detectors are used to provide congruent sampling.

47. An apparatus for determining the concentration of a constituent of interest in a sample which has absorbance or reflectance in a selected region of the spectrum comprising:

a plurality of LED'"'"'s each of which generate a beam of radiation in a selected region of the spectrum, each of said beams having at least partial overlap in wavelength with at least one other of said beams;

coding means for placing a separate and identifiable, distinct code on each of said beams of radiation;

transmission means for transmitting said coded beams to illuminate said sample;

a sample chamber for confining said sample during illumination;

detection means for detecting the intensity of radiation transmitted or reflected by said sample, said detection means including decoding means for identifying the code on each of said coded beams, said detection means generating an output signal which is a function of the information carried by each coded beam; and

analysis means for converting said output signal into a measure of said concentration of said constituent of interest in said sample.

48. The apparatus of claim 47 wherein said selected region of said spectrum comprises 700-2500 nm.

49. The apparatus of claim 47 wherein said coding means individually temporally modulates the intensity of said beams.

50. The apparatus of claim 49 wherein said coding means comprises a means for turning said LED'"'"'s on and off to generate the code associated with each of said beams.

51. The apparatus of claim 47 wherein said plurality of LED'"'"'s are physically arranged to provide congruent illumination.

52. The apparatus of claim 47 wherein said transmission means comprise a plurality of optical fibers, one end of each of said plurality of fibers admitting radiation from one of said beams, the other ends of said fibers being randomly distributed in a bundle so as to uniformly distribute said beams to illuminate said sample.

53. The apparatus of claim 52 wherein said LED'"'"'s and said plurality of optical fibers are arranged to provide congruent illumination.

54. The apparatus of claim 49 wherein said decoding means comprises electrical narrow bandpass filters substantially centered about the temporal frequency of modulation.

55. The apparatus of claim 48 wherein said analysis means generates an output which corresponds to a location in a multi-dimensional space, said multi-dimensional space being an analog of a colorimetric space in the visible region.

56. The apparatus of claim 47 wherein said analysis means comprises an artificial neural network.

57. The apparatus of claim 47 wherein said detection means is selected from the group consisting of silicon photocells and lead selenide cells.

58. The apparatus of claim 47 wherein said sample chamber is arranged for non-invasive measurements on a portion of a human body.

59. The apparatus of claim 58 wherein said human body portion comprises a finger.

60. The apparatus of claim 58 wherein said constituent of interest is an analyte of clinical interest.

61. The apparatus of claim 60 wherein said constituent of interest is selected from the group consisting of glucose and glucose indicating constituents.

62. The apparatus of claim 60 wherein said constituent of interest is selected from the group consisting of drugs of abuse, drugs of abuse indicating constituents, alcohol, hemoglobin and its variants, cholesterol and lipids.

63. The apparatus of claim 47 wherein said detection means comprises an array of detectors.

64. The apparatus of claim 63 wherein said array of detectors are arranged to provide congruent sampling.

65. The apparatus of claim 47 wherein said array of detectors are arranged so that congruent sampling is effected and said analysis means comprises means to compare said plurality of decoded signals in order to generate an information signal indicative of said concentration of said constituent of interest while rendering the interfering features of the backgrounds from each of said detectors in the array to be less distinct than the backgrounds are in any of the individual detector'"'"'s signals.

66. The apparatus of claim 47 wherein a portion of at least one of said beams is directed through a reference material to an additional detector to generate reference values which can be used to correct for color constancy.

67. The apparatus of claim 66 wherein said plurality of beams are congruently combined before said portion of any beam is directed to said reference material.

68. The apparatus of claim 47 wherein stored reference values are used to correct for color constancy.

69. The apparatus of claim 47 wherein paired detectors are used to provide congruent sampling.

70. A method of measuring the concentration of a constituent of interest in a sample which has absorbance or reflectance in a selected region of the spectrum comprising the steps of:

illuminating said sample with a plurality of beams of radiation, each of said beams being generated by LED'"'"'s which are limited in wavelength to a distinct portion of said selected spectral region, with each of said distinct spectral portions having at least partial overlap in wavelength with the distinct spectral portion of at least one other of said beams, each of said beams also having an identifiable code associated therewith which is distinct from the code of any other of said beams;

detecting transmitted or reflected radiation from said sample;

decoding said identifiable code from each of said beams to generate a signal indicative of said detected radiation from each of said beams; and

analyzing said signals to measure the concentration of said constituent of interest.

71. The method of claim 70 wherein the code associated with each of said beams comprises a distinct and identifiable modulation.

72. The method of claim 71 wherein said modulation comprises temporally modulating the intensity of said beams.

73. The method of claim 72 wherein said temporal modulation is achieved by turning the LED'"'"'s on and off at the modulation frequency.

74. The method of claim 70 wherein said plurality of partially overlapping portions of the spectrum in said spectral region lie between 700-2500 nm.

75. The method of claim 74 wherein said detecting and said decoding steps generate signals which are analogs of the signals generated by the retinal cones.

76. The method of claim 74 wherein said analysis means generates an output which is an analog of a location in a colorimetric multi-dimensional space.

77. The method of claim 70 wherein said analysis means comprises an artificial neural network.

78. The method of claim 70 wherein said method is used for non-invasive testing for a constituent in a human body.

79. The method of claim 78 wherein said sample comprises a finger.

80. The method of claim 78 wherein said constituent of interest is an analyte of clinical interest.

81. The method of claim 80 wherein said constituent of interest is selected from the group consisting of drugs of abuse, drugs of abuse indicating constituents, alcohol, hemoglobin and its variants, cholesterol and lipids.

82. The method of claim 80 wherein said constituent of interest is selected from the group consisting of glucose and glucose-indicating constituents.

83. The method of claim 70 wherein said illumination step comprises congruent illumination.

84. The method of claim 70 wherein said detection step is carried out by an array of detectors arranged to provide congruent sampling.

85. The method of claim 70 wherein said detection step is carried out by an array of detectors arranged to provide incongruent sampling, wherein the decoded signals from said detectors are mixed and recombined to create a color constant measure of the concentration of said constituent of interest which includes correction for changes in effective illumination.

86. The method of claim 70 wherein a portion of at least one of said beams is directed through a reference material to an additional detector to generate reference values which can be used to correct for color constancy.

87. The method of claim 86 wherein said plurality of beams are congruently combined before said portion of any beam is directed to said reference material.

88. The method of claim 70 wherein stored reference values are used to correct for color constancy.

89. The method of claim 70 wherein paired detectors are used to provide congruent sampling.

90. An apparatus for performing colorimetry or an analog of colorimetry using absorption or reflectance of radiation in a selected portion of the spectrum comprising:

radiation generation means generating a plurality of broad wavelength beams of radiation in said selected region of the spectrum;

coding means for producing a distinct, identifiable code associated with each of said beams;

optical filtering means in the form of a plurality of broad bandpass filters, each said filter having a spectral transmission centered about a separate portion of said selected radiation, the spectral transmission for each filter partially overlapping that of at least one other filter;

detection means differentially responsive to said coded beams, said response being in the form of an output signal which is a function of the information carried by said coded beams; and

analysis means for converting said output into the colorimetry or analog of colorimetry values.

91. The apparatus of claim 90 wherein said selected region of the spectrum comprises 700-2500 nm.

92. The apparatus of claim 90 wherein said coding comprises temporal modulation of the intensity of said beams.

93. The apparatus of claim 90 wherein said analysis is carried out using a neural net.

94. The apparatus of claim 90 wherein a portion of at least one of said beams is directed through a reference material to an additional detector to generate reference values which can be used to correct said colorimetry or analog of colorimetry values for color constancy.

95. The apparatus of claim 94 wherein said plurality of beams are congruently combined before said portion of any beam is directed to said reference material.

96. The apparatus of claim 90 wherein stored reference values are used to correct for color constancy.

97. The apparatus of claim 90 wherein paired detectors are used to provide congruent sampling.

98. A method for performing colorimetry or an analog of colorimetry using transmission or reflectance measurements comprising the steps of:

illuminating a sample with a plurality of beams of radiation, each of said beams being centered about a different portion of a selected region of the spectrum and partially overlapping spectrally with the portion of at least one other beam;

detecting transmitted or reflected radiation from said sample;

generating at least one signal corresponding to said detected radiation; and

analyzing said signal to convert it to the colorimetry or analog of a colorimetry value;

wherein each of said beams is distinguishably coded with an identifying code prior to impinging on the sample and is decoded subsequent to impinging on the detector.

99. The method of claim 98 wherein said selected region of the spectrum comprises 700-2500 nm.

100. The method of claim 98 wherein said coding comprises temporal modulation of the intensity of each of said beams.

101. The method of claim 98 wherein a portion of at least one of said beams is directed through a reference material to an additional detector to generate reference values which can be used to correct said colorimetry or analog of colorimetry values for color constancy.

102. The method of claim 101 wherein said plurality of beams are congruently combined before said portion of any beam is directed to said reference material.

103. The method of claim 98 wherein stored reference values are used to correct for color constancy.

104. The method of claim 98 wherein paired detectors are used to provide congruent sampling.

105. An apparatus for performing colorimetry or an analog of colorimetry using absorption or reflectance of radiation in a selected portion of the spectrum comprising:

a plurality of LED'"'"'s each emitting a broad wavelength beam of radiation in said selected region of the spectrum, the spectral emission for each LED partially overlapping that of at least one other LED;

coding means for producing a distinct, identifiable code associated with each of said beams;

detection means differentially responsive to said coded beams, said response being in the form of an output signal which is a function of the information carried by said coded beams; and

analysis means for converting said output into the colorimetry or analog of colorimetry values.

106. The apparatus of claim 105 wherein said selected region of the spectrum comprises 700-2500 nm.

107. The apparatus of claim 105 wherein said coding comprises temporal modulation of the intensity of said beams.

108. The apparatus of claim 105 wherein said analysis is carried out using a neural net.

109. The apparatus of claim 105 wherein a portion of at least one of said beams is directed through a reference material to an additional detector to generate reference values which can be used to correct said colorimetry or analog of colorimetry values for color constancy.

110. The apparatus of claim 109 wherein said plurality of beams are congruently combined before said portion of any beam is directed to said reference material.

111. The apparatus of claim 105 wherein stored reference values are used to correct for color constancy.

112. The apparatus of claim 105 wherein paired detectors are used to provide congruent sampling.

113. An apparatus for determining the concentration of a constituent of interest in a sample which has absorbance or reflectance in a selected region of the spectrum comprising:

radiation generating means which generates a beam of broad spectrum radiation;

coding means for placing a distinct, identifiable frequency of modulation on each of the wavelengths in said beam of radiation;

transmission means for transmitting said coded beams to illuminate said sample;

a sample chamber for confining said sample during illumination;

detection means for detecting the intensity of radiation transmitted or reflected by said sample, said detection means including filtering means for electronically filtering said reflected or transmitted radiation, said filtering means comprising a plurality of electrical broad bandpass filters each having a frequency transmission centered about a selected portion of the frequencies of modulation of the wavelengths, each of said selected portions transmitted by said electronic broad bandpass filters having at least a partial overlap with the portion of the selected region for at least one other electronic broad bandpass filter, said detection means generating an output signal which is a function of the information carried by said coded wavelengths; and

analysis means for converting said output signal into a measure of said concentration of said constituent of interest in said sample.

114. The apparatus of claim 113 wherein said analysis means comprises an integrator to integrate the output of the each of said electric broad bandpass filters.

115. The apparatus of claim 113 wherein said radiation generating means and said coding means comprise a scanning interferometer.