Method and device for non-invasive in vivo determination of blood constituents

• US 6,285,894 B1
• Filed: 09/27/1999
• Issued: 09/04/2001
• Est. Priority Date: 03/25/1997
• Status: Expired due to Fees

• Current Assignee: Siemens AG
• Original Assignee: Siemens AG
• Inventors: Oppelt, Arnulf, Kestler, Joachim
• Primary Examiner(s): Winakur, Eric F.
• Assistant Examiner(s): KREMER, MATTHEW J
• Application Number:
  US09/381,986
• Time in Patent Office: 708 Days
• Field of Search: 600/309-310, 600/316, 600/322-324, 600/326, 600/334-335
• US Class Current: 600/322
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/6843 Monitoring or controlling sensor contact pressure

Abstract

The body part under examination has its thickness modulated by mechanical influence with at least two pressure modulation frequencies. At least four measured signals that are dependent both on the influence of the light as well as on the mechanical thickness change are acquired by irradiating the body part with light.

Claims

1. Method for non-invasive in vivo determination of a blood constituent in a body part by measuring the light absorption in the body part comprising the steps of harmonically modulating the body part in thickness with a pressure modulation frequency, and with a second pressure modulation frequency differing from zero and irradiating the thickness-modulated body part with light of at least two monochromatic wavelengths, at least one but not all of said wavelengths being lie in a range of optical absorption of the blood constituent, acquiring at least four measured signals that are dependent on an influence of the light as well as on a mechanical change in thickness, and determining a concentration of the blood constituent from the at least four measured signals.

2. Method according to claim 1, comprising simultaneously modulating the body part in thickness with the first and second pressure modulation frequencies.

3. Method according to claim 1 comprising simultaneously irradiating the body part with said light of at least two wavelengths and amplitude modulating the light of at least two wavelengths with respectively different frequencies.

4. Method according to claim 1 comprising acquiring the at least four measured signals after transmission through said body part with an optical detector.

5. Method according to claim 1 comprising acquiring the at least four measured signals after reflection by said body part with an optical detector.

6. Method according to claim 1 comprising acquiring the at least four measured signals with an acoustic detector.

7. Method according to claim 1 wherein the at least four measured signals have respectively different frequencies due to light modulation, and comprising separating said at least four measured signals by frequency filters according to the light modulation.

8. Method according to claim 7 comprising separating the frequencies of the light modulation.

9. Method according to claim 1 wherein the at least four measured signals have respectively different frequencies due to thickness modulation, and comprising separating said at least four measured signals by frequency filters according to the thickness modulation.

10. Method according to claim 9 comprising separating the frequencies of the thickness modulation by phase-sensitive rectifiers.

11. Method according to claim 1 wherein the first and second pressure modulation frequencies have different amplitudes.

12. Method according to claim 1 comprising selecting one of the pressure modulation frequencies so that only tissue is modulated but blood-filled vessels are not modulated.

13. Method according to claim 1 comprising synchronizing one of the pressure modulation frequencies with a heart beat.

14. Method according to claim 1 comprising forming a quantity from the at least four measured signals as a criterion for the concentration of the blood constituent, by forming a difference between a measured signal that arises at a first wavelength at which the blood constituent does not absorb and at the first pressure modulation frequency, and a product of a measured signal that arises at a second wavelength at which water and the blood constituent absorb and the second pressure modulation frequency, multiplied by a relationship of the at least four measured signals at the first wavelength and the first and second pressure modulation frequencies and the relationship of the at least four measured signals at the first and second wavelengths at the first pressure modulation frequency.

15. Method according to claim 1 comprising identifying glucose as said blood constituent.

16. Method according to claim 15, comprising comparing a quantity derived from the measured signals to results of a conventional blood glucose measurement and allocating said quantity to one of said results, and storing the allocation in a data bank.

17. An apparatus for non-invasive in vivo determination of blood constituents in a body part, comprising:

a light source adapted to emit light into a body part;

a detector disposed to detect light from said light source after passing through said body part;

a compression unit adapted for placement on said body part for harmonically modulating said body part in thickness; and

a first pressure modulation frequency generator, operating at a first pressure modulation frequency, and a second modulation frequency generator, operating at a second modulation frequency, connected to said compression unit, and said compression unit harmonically modulating said body part in thickness with said first and second pressure modulation frequencies.

18. An apparatus as claimed in claim 17 wherein said compression unit includes a piezoelectric transducer connected to said first and second pressure modulation frequency generators.

19. An apparatus as claimed in claim 17 wherein said compression unit includes a electromagnetic transducer connected to said first and second pressure modulation frequency generators.

20. An apparatus as claimed in claim 17 wherein said compression unit comprises a clamp having thermally insulated clamp jaws.

21. An apparatus as claimed in claim 17 wherein said compression unit comprises a clamp having thermostat-controlled clamp jaws.