Non-invasive uterine activity sensor

• US 5,879,293 A
• Filed: 06/19/1996
• Issued: 03/09/1999
• Est. Priority Date: 06/20/1995
• Status: Expired due to Term

• Current Assignee: Spacelabs Healthcare LLC (OSI Systems Incorporated)
• Original Assignee: Spacelabs Medical Incorporated (OSI Systems Incorporated)
• Inventors: Malinouskas, Donald, Hojaiban, George
• Primary Examiner(s): Lateef, Marvin M.
• Assistant Examiner(s): Mercader, Eleni Mantis
• Application Number:
  US08/666,886
• Time in Patent Office: 993 Days
• Field of Search: 128/633, 128/664, 128/665, 128/666, 128/687, 128/688, 128/689, 128/690, 128/774, 128/775, 128/778, 600/310, 600/473, 600/476, 600/500, 600/503, 600/587, 600/588, 600/591, 600/571
• US Class Current: 600/310
• CPC Class Codes: A61B 5/0261 using optical means, e.g. infrared light
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: G11C 7/106 Data output latches
• CPC Class Codes: G11C 7/1069 I/O lines read out arrangements

Abstract

Uterine activity is sensed by passing light through the patient'"'"'s abdominal wall and detecting the light reflected from abdominal tissues. The intensity of the reflected light varies with the state of contraction of the patient'"'"'s uterus. The use of light for monitoring uterine activity avoids the problems of size, fixation, and measurement accuracy exhibited by the conventional tocodynamometer technique.

Claims

1. A method for monitoring uterine activity of a gravid patient comprising:

applying light to the patient'"'"'s abdominal wall so that the light passes into the tissues of the patient'"'"'s abdominal wall and is then detectable at an external surface of the abdominal wall, the magnitude of the light that is detectable being a function of the volume of blood in the abdominal wall;

detecting the light at the external surface of the abdominal wall;

transforming the detected light into an electrical signal that is indicative of the volume of blood in the abdominal wall; and

monitoring the electrical signal to detect uterine activity.

2. The method of claim 1 wherein the light has a wavelength in a range where the absorptions of at least some hemoglobin fractions of blood are similar.

3. The method of claim 2 wherein the light has a wavelength in a range where the absorptions of the major hemoglobin fractions are similar.

4. The method of claim 3 wherein the light has a wavelength in a range where the absorptions of oxyhemoglobin and deoxyhemoglobin are similar.

5. The method of claim 4 wherein the light has a wavelength in the range from about 500 nm to about 600 nm.

6. The method of claim 4 wherein the light has a wavelength of about 800 nm.

7. A method for monitoring uterine activity of a gravid patient comprising:

applying light of a first wavelength to the patient'"'"'s abdominal wall so that the light passes into the tissues of the patient'"'"'s abdominal wall, the first wavelength being selected so that the absorption of light of the first wavelength passing into the abdominal wall is substantially insensitive to the level of oxygen saturation of blood in the tissues;

detecting the light of the first wavelength which has passed into the tissues of the abdominal wall and is detectable at an external surface of the abdominal wall;

transforming the detected light of the first wavelength into a first electrical signal;

applying light of a second wavelength to the patient'"'"'s abdominal wall so that the light passes into the tissues of the patient'"'"'s abdominal wall, the second wavelength being selected so that the absorption of light of the second wavelength passing into the abdominal wall is substantially insensitive to the level of oxygen saturation of blood in the tissues;

detecting the light of the second wavelength which has passed into the tissues of the abdominal wall and is detectable at an external surface of the abdominal wall;

transforming the detected light of the second wavelength into a second electrical signal;

processing the first and second electrical signals to form a third electrical signal; and

monitoring the third electrical signal to detect uterine activity.

8. The method of claim 7 wherein the light having the first wavelength is absorbed by blood to a different extent than the light having the second wavelength.

9. The method of claim 7 wherein the step of processing the first and second electrical signals to form a third electrical signal comprises determining the difference between the first and second electrical signals.

10. The method of claim 7 wherein the step of processing the first and second electrical signals to form a third electrical signal comprises determining the ratio of the first and second electrical signals.

11. A method for monitoring uterine activity of a gravid patient comprising:

applying light of at least one wavelength to at least two locations on the patient'"'"'s abdominal wall, so that the light passes into the tissues of the patient'"'"'s abdominal wall at each of the locations, the wavelengths being selected so that the absorption of light of the wavelengths passing into the abdominal wall is substantially insensitive to the level of oxygen saturation of blood in the tissues;

detecting the light which has passed into the tissues of the abdominal wall and is detectable at an external surface of the abdominal wall at each of the locations;

for each of the locations, transforming the detected light into an electrical signal that is indicative of the volume of blood in the abdominal wall, one signal for each location; and

monitoring the electrical signals produced in the step of transforming the detected light into an electrical signal to detect uterine activity.