Apparatus and method for acquiring oximetry and electrocardiogram signals
First Claim
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1. A method of acquiring pulse oximetry and electrocardiogram signals from a patient, the method comprising:
- configuring a single transducer and attaching the single transducer to a finger of a patient, wherein the single transducer includes a single electrode such that when the single transducer is attached to the finger of the patient, the single transducer is configured to acquire a pulse oximetry signal and acquire an electrocardiogram signal with the single electrode, wherein the acquired electrocardiogram signal is either one of a reference electrocardiogram signal or a non-reference electrocardiogram signal, and further wherein a neural-muscular transmission device is coupled to the single transducer, and includes a support member that extends to a thumb of the patient;
acquiring the pulse oximetry signal and the electrocardiogram signal with the single electrode;
stimulating the patient with the neural-muscular transmission device; and
measuring the strength of muscle contraction caused by the stimulating step;
wherein the acquired pulse oximetry signal is processed to account for effects of the stimulating step to provide an artifact free pulse oximetry signal.
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Abstract
A method and apparatus for acquiring pulse oximetry and electrocardiogram signals from an appendage of a patient. The apparatus can include a substrate that can be attached to the appendage of the patient, an emitter coupled to the substrate, a detector coupled to the substrate, and an electrode coupled to the substrate. The apparatus can generate a blood oxygen saturation output signal based on radiation received by the detector. The apparatus can also generate a reference or non-reference electrocardiogram signal. The apparatus can include a neural-muscular transmission device.
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Citations
42 Claims
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1. A method of acquiring pulse oximetry and electrocardiogram signals from a patient, the method comprising:
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configuring a single transducer and attaching the single transducer to a finger of a patient, wherein the single transducer includes a single electrode such that when the single transducer is attached to the finger of the patient, the single transducer is configured to acquire a pulse oximetry signal and acquire an electrocardiogram signal with the single electrode, wherein the acquired electrocardiogram signal is either one of a reference electrocardiogram signal or a non-reference electrocardiogram signal, and further wherein a neural-muscular transmission device is coupled to the single transducer, and includes a support member that extends to a thumb of the patient; acquiring the pulse oximetry signal and the electrocardiogram signal with the single electrode; stimulating the patient with the neural-muscular transmission device; and measuring the strength of muscle contraction caused by the stimulating step; wherein the acquired pulse oximetry signal is processed to account for effects of the stimulating step to provide an artifact free pulse oximetry signal. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13)
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14. A device for acquiring pulse oximetry and electrocardiogram signals from an appendage of a patient, the device comprising:
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a substrate that can be attached to the appendage of the patient; at least one emitter coupled to the substrate, the at least one emitter positioned to emit radiation through the appendage; at least one detector coupled to the substrate, the at least one detector positioned to receive the radiation emitted through the appendage, the at least one detector generating a pulse oximetry signal based on the received radiation; an electrode coupled to the substrate, the electrode configured to generate either one of a reference electrocardiogram signal or a, non-reference electro-cardiogram signal; and a neural-muscular transmission device (NMT), wherein the NMT includes a semi-rigid support member coupled to the substrate and extending in a clam shell shape, such that the NMT measures the strength of muscle contractions of the patient caused by an applied stimulus and said device is configured to provide an artifact free pulse oximetry signal. - View Dependent Claims (15, 16, 17, 18, 19, 20, 21, 22, 23)
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24. A system for monitoring pulse oximetry and electrocardiogram signals acquired from a patient, the system comprising:
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a transducer including a substrate that can be attached to an appendage of the patient, at least one emitter coupled to the substrate, the at least one emitter positioned to emit radiation through the appendage, at least one detector coupled to the substrate, the at least one detector positioned to receive the radiation emitted through the appendage, the at least one detector generating a pulse oximetry signal, and a first electrode coupled to the substrate, the first electrode generating either one of a reference or a non-reference electrocardiogram signal; at least one second electrode that can be attached to the patient, the at least one second electrode generating a non-reference electrocardiogram signal when the first electrode generates a reference electrocardiogram signal, and generating a reference electrocardiogram signal when the first electrode generates a non-reference electrocardiogram signal; and a monitoring instrument that receives the pulse oximetry signal, the reference electrocardiogram signal, and the non-reference electrocardiogram signal, the monitoring instrument generating a blood oxygen saturation output signal and at least one electrocardiogram output signal; and a neural-muscular transmission device (NMT), wherein the NMT includes a semi-rigid support member coupled to the substrate and extending in a clam shell shape, such that the NMT measures the strength of muscle contractions of the patient caused by an applied stimulus and the monitoring instrument is configured to provide an artifact free pulse oximetry signal. - View Dependent Claims (25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37)
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38. A method of acquiring pulse oximetry and electrocardiogram signals from a patient, the method comprising:
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configuring a transducer to include at least one emitter, at least one detector, and a first electrode and attaching the transducer to an appendage of the patient; attaching at least one second electrode to the patient wherein the transducer is configured such that a pulse oximetry signal is acquired from the at least one detector and a reference or non-reference electrocardiogram signal is acquired from the first electrode, further wherein the at least one second electrode is configured to acquire a non-reference electrocardiogram signal from the at least one second electrode when the first electrode acquires a reference electrocardiogram signal and a reference electrocardiogram signal when the first electrode acquires a non-reference signal, and further wherein a neural-muscular transmission device is coupled to the transducer, and includes a support member that extends to a thumb of the patient; stimulating the patient with the neural-muscular transmission device; and measuring the strength of muscle contraction caused by the stimulating step; generating a blood oxygen saturation output signal based on the pulse oximetry signal including generating an artifact free pulse oximetry signal during use of the neural-muscular transmission device; and generating at least one electrocardiogram output signal based on the reference electrocardiogram signal and the non-reference electrocardiogram signal. - View Dependent Claims (39, 40, 41)
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42. A method of acquiring pulse oximetry and electrocardiogram signals from an infant, the method comprising:
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configuring a transducer to include at least one emitter;
at least one detector, and a first electrode, and attaching the transducer to a finger of the infant;attaching at least two additional electrodes to the infant wherein the transducer is configured such that a pulse oximetry signal is acquired from the detector, a reference electrocardiogram signal is acquired from any one of the electrodes, and at least two non-reference electrocardiogram signals are acquired from the remaining electrodes, and further wherein a neural-muscular transmission device is coupled to the transducer, and includes a support member that extends to a thumb of the patient; stimulating the patient with the neural-muscular transmission device; and measuring the strength of muscle contraction caused by the stimulating step; and generating a blood oxygen saturation output signal based on the pulse oximetry signal including generating an artifact free pulse oximetry signal during use of the neural-muscular transmission device and generating at least one electrocardiogram signal based on the reference electrocardiogram signal and the at least two non-reference electrocardiogram signals.
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Specification