Method and apparatus for improved photoplethysmographic monitoring of oxyhemoglobin, deoxyhemoglobin, carboxyhemoglobin and methemoglobin

• US 5,842,979 A
• Filed: 02/14/1997
• Issued: 12/01/1998
• Est. Priority Date: 02/14/1997
• Status: Expired due to Term

• Current Assignee: Datex-Ohmeda Incorporated (General Electric Company)
• Original Assignee: Ohmeda, Inc. (Linde Plc)
• Inventors: Jarman, Kristin Hoyer
• Primary Examiner(s): Bahr, Jennifer
• Assistant Examiner(s): WINAKUR, ERIC FRANK
• Application Number:
  US08/800,372
• Time in Patent Office: 655 Days
• Field of Search: 600/310, 600/311, 600/322, 600/323, 600/324, 600/330, 356/39, 356/41
• US Class Current: 600/322
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: G01N 21/314 with comparison of measurements at specific and non-specific wavelengths dual wavelength spectrometry G01J3/427

Abstract

An improved method and apparatus for the photoplethysmographic monitoring of blood analyte parameters, specifically oxyhemoglobin, deoxyhemoglobin (reduced hemoglobin), carboxyhemoglobin and methemoglobin, uses a plurality of beams of light having different spectral contents to trans-illuminate the tissue of a patient. Received light is measured and the normalized differential absorption is used in a forward calibration equation to generate estimated relative blood analyte concentration values. Error in the blood analyte concentration values is minimized by applying constraints to the estimated analytes. Specifically, the constraints require that all relative analyte concentration values are greater than or equal to zero and sum to one hundred percent. An alternate method of applying constraints to the determination of the stabilized analyte concentration values reduces computation time by using an inverse calibration equation and substituting the inverse equation for the forward equation in the minimization process.

Claims

1. A method for measuring a concentration value for each of a plurality of blood analytes in a portion of tissue of a patient comprising the steps of:

a. generating a plurality of light beams each having a distinct spectral content;

b. directing each of the plurality of light beams into the portion of tissue;

c. detecting light transmitted through the portion of tissue to generate a plurality of received light intensity signals representative of the detected light for each of the plurality of light beams;

d. calculating an estimated blood analyte concentration value from the plurality of received light intensity signals for each of the plurality of blood analytes by minimizing an error function associated with said estimated blood analyte concentration values while satisfying a predetermined set of constraints placed on said estimated blood analyte concentration values.

2. The method according to claim 1 wherein a first constraint in the set of constraints is that each of the estimated blood analyte concentration values must fall within a predetermined range.

3. The method according to claim 2 wherein the predetermined range requires each estimated blood analyte concentration value to exceed 0 and to be below 100.

4. The method according to claim 2 wherein a second constraint in the set of constraints is that the sum of all of the estimated blood analyte concentration values must equal 100.

5. The method according to claim 1 wherein the step of calculating the estimated blood analyte concentration values further comprises:

(i) generating a set of closed form equations in a stabilization matrix;

(ii) solving the set of closed form equations in the stabilization matrix.

6. The method according to claim 1 wherein the step of calculating the estimated blood analyte concentrations further comprises:

(i) generating normalized differential absorption values from the plurality of received light intensities;

(ii) calculating an estimate for each blood analyte concentration value from the normalized differential absorption values;

(iii) determining if error in the estimated blood analyte concentration values is minimized; and

,

(iv) repeating steps (ii)and (iii) until the error is minimized.

7. An apparatus for the generation of stabilized blood analyte concentration values corresponding to the concentration of a plurality of blood analytes in a tissue portion of a patient comprising:

one or more emitters which illuminate the tissue portion of the patient with a plurality of light signals each having a distinct spectral content;

a photodetector which detects the light transmitted through the tissue portion and generates a plurality of received light intensity signals;

a microprocessor;

a means for communicating said plurality of received light intensity signals from the photodetector to said microprocessor;

wherein said microprocessor executes a series of computer program instructions thereby calculating an estimated analyte value from the plurality of received light intensity signals while minimizing error associated with said estimated analyte values and while satisfying a set of constraints placed on said estimated analyte values.

8. The apparatus for generation of stabilized blood analyte concentration values according to claim 7 wherein one emitter emits a plurality of light signals each having distinct spectral contents.

9. The apparatus for generation of stabilized blood analyte concentration values according to claim 7 wherein said one or more emitters comprise a plurality of emitters and said plurality of emitters each emit one light signal of the plurality of light signals each having a distinct spectral content.

10. The apparatus for generation of stabilized blood analyte concentration values according to claim 7 further comprising a display wherein the stabilized analyte concentration values are displayed to a user.

11. The apparatus for generation of stabilized blood analyte concentration values according to claim 7 further comprising a user input device whereby a user inputs the set of constraints.

12. The apparatus for generation of stabilized blood analyte concentration values according to claim 7 wherein said microprocessor executes a series of computer program instructions for generating a stabilization matrix comprising a set of closed form equations and for calculating the stabilized blood analyte concentration values from said stabilization matrix.

13. The apparatus for generation of stabilized blood analyte concentration values according to claim 7 wherein said microprocessor calculates the stabilized blood analyte concentration values by iteratively calculating an estimated analyte concentration value until the error function is minimized while satisfying the set of constraints.