Photon density wave based determination of physiological blood parameters

• US 8,712,492 B2
• Filed: 05/31/2011
• Issued: 04/29/2014
• Est. Priority Date: 05/31/2011
• Status: Expired due to Fees

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Lisogurski, Daniel, Miller, Doug P., Schlottau, Friso, Li, Youzhi, Lin, Andy S., McKenna, Edward M.
• Primary Examiner(s): Winakur, Eric
• Assistant Examiner(s): Fardanesh, Marjan
• Application Number:
  US13/149,606
• Publication Number:
  US 20120310058A1
• Time in Patent Office: 1,064 Days
• Field of Search: 600309-344
• US Class Current: 600/322
• CPC Class Codes: A61B 5/02028 Determining haemodynamic parameters not otherwise provided for, e.g. cardiac contractility or left ventricular ejection fraction
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters

Abstract

A system for measuring a physiological parameter of blood in a patient is presented. The system includes a transmission module configured to emit a plurality of photon density waves into tissue of the patient from a plurality of modulated light sources. The system also includes a receiver module configured to detect characteristics of the plurality of photon density waves. The system also includes a processing module configured to identify characteristics of a pulsatile perturbation of the tissue based on the characteristics of the plurality of photon density waves, and identify a value of the physiological parameter based on at least the characteristics of the pulsatile perturbation of the tissue and the characteristics of the plurality of photon density waves.

Claims

1. A system for measuring a physiological parameter of blood in a patient, the system comprising:

a transmission module configured to emit a plurality of photon density waves into tissue of the patient from a plurality of modulated light sources;

a receiver module configured to detect characteristics of the plurality of photon density waves; and

a processing module configured to;

identify time based characteristics of a pulsatile perturbation of the tissue based on the characteristics of the plurality of photon density waves; and

identify a value of the physiological parameter based on at least the characteristics of the pulsatile perturbation of the tissue and the characteristics of the plurality of photon density waves.

2. The system of claim 1, wherein the physiological parameter comprises a total hemoglobin parameter of the blood of the patient.

3. The system of claim 1, wherein the pulsatile perturbation of the tissue comprises changes in arterial blood volume due to ejection of the blood from the heart of the patient.

4. The system of claim 1, wherein the characteristics of the plurality of photon density waves comprise an amplitude of each of the plurality of photon density waves and a phase delay of each of the plurality of photon density waves.

5. The system of claim 1, wherein the receiver module is configured to detect the plurality of photon density waves scattered through the tissue during the pulsatile perturbation to detect the characteristics of the plurality of photon density waves.

6. The system of claim 1, wherein the plurality of modulated light sources each comprise a modulated laser light of a different wavelength from each other, wherein the transmission module is configured to emit individual wavelengths over ones of a first plurality of optical fibers to emit the plurality of photon density waves into the tissue, and wherein the receiver module is configured to detect the plurality of photon density waves over a second plurality of optical fibers.

7. The system of claim 1, wherein the transmission module comprises:

a switching module configured to sequentially provide a modulation signal to a plurality of light sources to produce the plurality of modulated light sources, wherein each of the plurality of light sources comprises a different wavelength of light.

8. The system of claim 1, wherein the transmission module comprises:

a switching module configured to simultaneously provide a modulation signal to a plurality of light sources to produce the plurality of modulated light sources, wherein each of the plurality of light sources comprises a different wavelength of light.

9. The system of claim 1, further comprising:

a digital direct synthesis module configured to synthesize a modulation drive signal for the plurality of modulated optical signals, wherein the direct digital synthesis module receives instructions on synthesizing the modulation drive signal from the processing module.

10. The system of claim 9, comprising:

the digital direct synthesis module configured to synthesize a modulation reference signal at a predetermined phase delay from the modulation drive signal and provide the modulation reference signal to the processing module;

the processing module configured to identify the characteristics of the plurality of photon density waves based on the modulation reference signal and on at least a scattering of the plurality of photon density waves through the tissue during the pulsatile perturbation.

11. The system of claim 1, further comprising:

a user interface configured to receive the value of the physiological parameter and display the value of the physiological parameter.

12. A system for measuring a physiological parameter of blood in a patient, the system comprising:

a transmission module configured to emit a first modulated optical signal and a second modulated optical signal into tissue of the patient;

a receiver module configured to detect the first modulated optical signal and the second modulated optical signal propagated in the tissue during a pulsatile perturbation;

a processing module configured to;

process the detected first modulated optical signal and the detected second modulated optical signal to determine at least an amplitude and a phase delay of both the detected first modulated optical signal and the detected second modulated optical signal;

determine time based characteristics of the pulsatile perturbation of the tissue based on at least the amplitude and the phase delay of both the detected first modulated optical signal and the detected second modulated optical signal; and

determine a value of the physiological parameter based on at least the characteristics of the pulsatile perturbation of the tissue and the amplitude and the phase delay of both the detected first modulated optical signal and the detected second modulated optical signal.

13. The system of claim 12, wherein the physiological parameter comprises at least one of a total hemoglobin concentration (tHb) parameter, regional oxygen saturation (rSO2) parameter, and arterial oxygen saturation (SpO2) parameter of the blood of the patient.

14. The system of claim 12, wherein the first modulated optical signal comprises a first modulated laser light with a wavelength of 660 nanometers, wherein the second modulated optical signal comprises a second modulated laser light with a wavelength of 808 nanometers, and wherein the modulation frequency of the first modulated optical signal and of the second modulated optical signal is at least 400 megahertz (MHz).

15. The system of claim 14, wherein the first modulated optical signal modulates between a first amplitude and a second amplitude, wherein the first amplitude is greater than the second amplitude, and wherein the second amplitude is at a lasing threshold of the first modulated laser light;

and

wherein the second modulated optical signal modulates between a third amplitude and a fourth amplitude, wherein the third amplitude is greater than the fourth amplitude, and wherein the fourth amplitude is at a lasing threshold of the second modulated laser light.

16. The system of claim 12, wherein the transmission module is configured to increase a modulation frequency of at least the first modulated optical signal until the detected phase delay of the detected first modulated optical signal crosses a phase delay threshold.

17. A method of operating a system for measuring a physiological parameter of blood in a patient, the method comprising:

emitting a plurality of photon density waves into tissue of the patient from a plurality of modulated light sources;

detecting characteristics of the plurality of photon density waves;

identifying time based characteristics of a pulsatile perturbation of the tissue based on the characteristics of the plurality of photon density waves; and

identifying a value of the physiological parameter based on at least the characteristics of the pulsatile perturbation of the tissue and the characteristics of the plurality of photon density waves.

18. The method of claim 17, wherein the physiological parameter comprises a total hemoglobin parameter of the blood of the patient.

19. The method of claim 17, wherein the characteristics of the plurality of photon density waves comprise an amplitude of each of the plurality of photon density waves and a phase delay of each of the plurality of photon density waves.

20. The method of claim 17, wherein detecting the characteristics of the plurality of photon density waves comprises detecting the plurality of photon density waves scattered through the tissue during the pulsatile perturbation.