Alignment guide system for transmissive pulse oximetry sensors

• US 5,680,857 A
• Filed: 08/28/1992
• Issued: 10/28/1997
• Est. Priority Date: 08/28/1992
• Status: Expired due to Term

• Current Assignee: Spacelabs Healthcare LLC (OSI Systems Incorporated)
• Original Assignee: Spacelabs Medical Incorporated (OSI Systems Incorporated)
• Inventors: Pelikan, Glenn W., Hartwig, Robert, Habibi, Hodjat
• Primary Examiner(s): Lacyk, John P.
• Application Number:
  US07/937,248
• Time in Patent Office: 1,887 Days
• Field of Search: 128/633, 128/634, 128/664-7, 356/41, 356/39, 356/40, 356/152
• US Class Current: 600/323
• CPC Class Codes: A61B 5/02427 Details of sensor
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/6826 Finger
• CPC Class Codes: A61B 5/6838 Clamps or clips
• CPC Class Codes: A61B 5/6843 Monitoring or controlling sensor contact pressure

Abstract

An alignment guide system for use with conventional pulse oximetry monitors connected to transmissive pulse oximetry sensors. The system generates a bar graph or other display showing the magnitude of the optical coupling between the LED'"'"'s and light detector used in the sensor. By manipulating the position of the sensor while observing the bar graph, medical practitioners can optimize the mount of light from the LED'"'"'s reaching the light detector. The bar graph also contains an alarm limit marker. If the bar graph falls below the alarm limit marker, the entire bar graph flashes to alert the medical practitioner that the mount of light transmitted to the LED'"'"'s to the light detector may not be enough to permit sufficiently accurate oxygen saturation measurements.

Claims

1. A system for optimally positioning a light source with respect to a light detector in a plethysmograph sensor, said system comprising:

a light driver connected to said light source to energize said light source, thereby causing said light source to emit light;

a receiver circuit connected to said light detector, said receiver circuit generating an indicator signal that is indicative of the magnitude of the light transmitted from said light source to said light detector; and

a display operably connected to said receiver circuit, said display providing a visual display of the magnitude of the light transmitted from said light source to said light detector as indicated by said indicator signal so that said display can be monitored while said plethysmograph sensor is being attached to a patient in order to optimize the positioning of said light source with respect to said light detector.

2. The system of claim 1 wherein said display includes a bar graph on which the magnitude of said indicator signal is displayed as a function of a dimension of said bar graph.

3. The system of claim 2 wherein said bar graph contains a threshold marking at a position on said bar graph corresponding to the magnitude of said indicator signal at which the light transmitted from said light source to said light detector falls below an acceptable level.

4. The system of claim 3 further including alarm means for signaling when the magnitude of said indicator signal shown on said bar graph has fallen below said threshold marking.

5. The system of claim 4 wherein said alarm means comprise:

comparitor means for comparing said indicator signal to a predetermined reference value, said comparitor means providing an alarm signal when the magnitude of said indicator signal has fallen below said reference value; and

alarm display means operatively coupled to said comparitor means and said display, said alarm display means flashing at least a portion of said bar graph responsive to said alarm signal thereby providing a visual indication when the light transmitted from said light source to said light detector falls below said acceptable level.

6. A pulse oximetry system, comprising:

a pulse oximetry sensor, comprising

at least one light source and at least one light detector, said light sensor and said light detector being attachable to the skin of a patient so that said light detector and said light source can face each other; and

a pulse oximetry monitor, comprising;

a light driver connected to said light source to energize said light source, thereby causing said light source to emit light;

a receiver circuit connected to said light detector, said receiver circuit generating first and second indicator signals that are indicative of the magnitude of the light transmissivity beneath said sensor at two different wavelengths, respectively; and

a processor operatively connected to said receiver circuit, said processor receiving said first and second indicator signals, calculating the oxygen saturation of tissues beneath the skin of said patient to which said pulse oximetry sensor is attached, and generating a saturation signal corresponding the oxygen saturation of said tissues;

a display operably connected to said processor and to said receiver circuit to receive said saturation signal and at least one of said indicator signals, said display providing a visual indication of the magnitude of the light transmitted from said light source to said light detector as indicated by said indicator signal received by said display so that said display can be monitored while said pulse oximetry sensor is being attached to said patient in order to optimize the positioning of said sensor, said display further providing a visual indication of the oxygen saturation of said tissues.

7. The pulse oximetry system of claim 6 wherein said display includes a bar graph on which the magnitude of said indicator signal is displayed as a function of a dimension of said bar graph.

8. The pulse oximetry system of claim 7 wherein said bar graph contains a threshold marking at a predetermined position on said bar graph corresponding to the magnitude of said indicator signal at which the light transmitted from said light source to said light detector fails to an unacceptable level.

9. The pulse oximetry system of claim 8 wherein said processor further includes alarm means for signaling when the magnitude of said indicator signal shown on said bar graph has fallen below said threshold marking.

10. The pulse oximetry system of claim 9 wherein said alarm means comprise:

comparitor means for comparing said indicator signal to a predetermined reference value, said comparitor means providing an alarm signal when the magnitude of said indicator signal has fallen below said reference value; and

alarm display means operatively coupled to said comparitor means and said display, said alarm display means flashing at least a portion of said bar graph responsive to said alarm signal thereby providing a visual indication when the light transmitted from said light source to said light detector falls below said acceptable level.

11. The pulse oximetry system of claim 6 wherein said display includes a cathode ray tub screen which displays both a numerical value corresponding to the oxygen saturation of said tissues and an analog indication corresponding to the magnitude of the indicator signal received by said processor.

12. The pulse oximetry system of claim 6 wherein said display continuously provides a visual indication of the magnitude of the indicator signal received by said processor while a visual indication of the oxygen saturation of said tissues is shown on said display.

13. A method of optimally positioning a light source with respect to a light detector in a plethysmograph sensor, said system comprising:

(a) placing said plethysmograph sensor on a patient;

(b) measuring the magnitude of light transmitted from said light source to said light detector and providing an indicating signal corresponding thereto;

(c) providing a visual indication of the magnitude of light transmitted from said light source to said light detector as indicated by said indicating signal; and

(d) repeating steps (a)-(c) while viewing said visual indicator until the magnitude of light transmitted from said light source to said light detector reaches an acceptable level.

14. The method of claim 13 further including the step of comparing the magnitude of said indicating signal to the magnitude of said indicator signal at which the light transmitted from said light source to said light detector falls to an unacceptable level.