Non-contact optical monitoring of physiological parameters

• US 5,995,856 A
• Filed: 11/22/1995
• Issued: 11/30/1999
• Est. Priority Date: 11/22/1995
• Status: Expired due to Term

• Current Assignee: Nellcor Incorporated (Medtronic Plc)
• Original Assignee: Nellcor Incorporated (Medtronic Plc)
• Inventors: Fein, Michael E., Mannheimer, Paul D.
• Primary Examiner(s): WINAKUR, ERIC FRANK
• Application Number:
  US08/562,169
• Time in Patent Office: 1,469 Days
• Field of Search: 128/633, 128/664, 128/665, 128/666, 356/41, 600/322, 600/323, 600/326, 600/330, 600/336, 600/340, 600/473, 600/476, 600/479
• US Class Current: 600/322
• 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

Abstract

Apparatus and method for the monitoring of physiological parameters of a patient through the use of optical systems which do not require direct physical contact with the patient. The method and apparatus relate primarily to pulse oximetry for monitoring of pulse rate and arterial blood oxygen saturation. However, the apparatus and method of this invention are applicable to any form of optical detection of the physiological parameters in which light of any wavelength, visible or invisible, is directed from a remote instrument into a patient at a first imaging site, and subsequently collected at a second site spaced from the first site.

Claims

1. A method of remotely monitoring a characteristic of arterial blood in pulsatile tissue, comprising the steps of:

providing a light source including optics for illuminating a first area of tissue, a light detector including collection optics for collecting essentially only re-emitted light from a second area of the tissue spaced a predetermined distance from said first area, and means for mounting the light source and light detector remotely from the pulsatile tissue;

positioning said mounting means remotely from the first and second areas of tissue and tissue adjacent thereto;

projecting light from the light source on the first area of tissue;

collecting light with the light detector from the second area of tissue; and

calculating the characteristic of the arterial blood in the pulsatile tissue using a first step which separates time dependent from non-time dependent collected light intensities and a second step which utilizes said time dependent light intensities to calculate the characteristics of the arterial blood in the pulsatile tissue.

2. The method of claim 1 wherein said collection optics includes imaging means for preventing reemitted light from said first area from reaching said light detector.

3. The method of claim 1, wherein said light source provides light at a plurality of wavelengths, and said detector senses each of said plurality of wavelengths.

4. The method of claim 3, further comprising providing computation means connected to said light detector for calculating a motion correction algorithm from said sensed plurality of wavelengths and measuring variable portions of amplitudes of said wavelengths and plurality of with the computation means wavelengths.

5. The method of claim 1, further comprising compensating for relative motion between the tissue and either of the light source or the light detector by the steps of measuring amplitudes and calculating a ratio of collected light of at least two different wavelengths.

6. The method of claim 1, wherein the light source and light detector are positioned to prevent light shunt.

7. Apparatus for remotely monitoring a characteristic of arterial blood in pulsatile tissue, said apparatus comprising:

a) a light source having optic means for illuminating a first area of tissue;

b) a light detector having collection optic means for collecting essentially only re-emitted light from a second area of the tissue spaced a predetermined distance from said first area;

said light source and said light detector having mounting means for mounting said light source and said light detector remotely from the pulsatile tissue, with said mounting means being positioned remotely from the first and second areas of tissue and tissue adjacent thereto; and

c) calculating means for calculating the characteristic of the arterial blood in the pulsatile tissue by separating time dependent from non-time dependent light intensities sensed by said light detector and utilizing said time dependent light intensity information to determine the characteristics of the arterial blood in the pulsatile tissue.

8. The apparatus of claim 7, wherein said collection optic means further comprises imaging means for preventing reemitted light from said first area from reaching said light detector.

9. The apparatus of claim 7, wherein said light source provides light at a plurality of wavelengths, and wherein said light detector senses each of said plurality of wavelengths.

10. The apparatus of claim 9, wherein said calculating means further comprises means for implementing a computational algorithm utilizing signals from said light detector sensed plurality of wavelengths that compensates for relative motion between the mounting means and the tissue by determining amplitudes of said plurality of wavelengths, calculating ratios of variable portions of said amplitudes, and comparing the ratios of the variable portions.

11. The apparatus of claim 7, wherein said calculating means further comprises means for compensating for relative motion between the tissue and either of the light source or the light detector by determining and utilizing a ratio of collected light from at least two different wavelengths.

12. The apparatus of claim 7, wherein said light source and said light detector are positioned to prevent light shunt.