Multidepth tissue oximeter

• US 8,938,279 B1
• Filed: 01/26/2009
• Issued: 01/20/2015
• Est. Priority Date: 01/26/2009
• Status: Active Grant

• Current Assignee: ViOptix, Inc.
• Original Assignee: Viooptix Incorporated
• Inventors: Heaton, Larry C. II, Lash, Robert E., Mao, Jimmy Jian-min
• Primary Examiner(s): Hindenburg, Max
• Assistant Examiner(s): Pani, John
• Application Number:
  US12/359,792
• Time in Patent Office: 2,185 Days
• Field of Search: 600323-340
• US Class Current: 600/323
• CPC Class Codes: A61B 2562/043 in a linear array
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/061 Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body A61B1/00158 takes precedence
• CPC Class Codes: A61B 5/063 using impedance measurements
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/1459 invasive, e.g. introduced into the body by a catheter A61B5/1464 takes precedence
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence

Abstract

An oximeter measures oxygen saturation for two or more different tissue depths and shows these results on a screen. A probe of the oximeter has multiple different distances between source and detector sensors. One probe implementation has fixed sensor positions. Other implementations include sensors on a moveable platform or openings to accept sensors, which allow a user to vary a distance between sensors.

Claims

1. A method comprising:

providing a probe comprising a plurality of first structures, a plurality of second structures, and a plurality of third structures, wherein the first structures comprise sources, and the second and third structures comprise detectors,

the first structures are arranged in a first line, the second structures are arranged in a second line, and the third structures are arranged in a third line,

the first, second, and third lines are parallel to each other, and

the second line is between the first and the third lines;

using the first and second structures of the probe, calculating a first oxygen saturation measurement for a first tissue at a first depth below a tissue surface, wherein the first tissue comprises a three-dimensional region and at the first depth, this region extends in directions parallel and transverse to the second line;

using the first and third structures of the probe, calculating a second oxygen saturation measurement for a second tissue at a second depth below the tissue surface, wherein the second depth is beneath the first depth, and the second tissue comprises a three-dimensional region and at the second depth, this region extends in directions parallel and transverse to the third line;

displaying a first value indicative of the first oxygen saturation measurement at a first position on a screen; and

displaying a second value indicative of the second oxygen saturation measurement at a second position on the screen,

wherein the probe comprises a first light shading film, associated with the second structures, allowing a first spectrum of light to pass through to the second structures, and

a second light shading film, associated with the third structures, allowing a second spectrum of light to pass through to the third structures, wherein the first spectrum is different from the second spectrum.

2. The method of claim 1 wherein the first value comprises a first number and the second value comprises a second number.

3. The method of claim 1 wherein the first value comprises a first curve displayed in a first color and the second value comprises a second curve displayed in a second color, different from the first color.

4. The method of claim 1 comprising:

repeatedly alternating between the calculating a first oxygen saturation measurement and the calculating a second oxygen saturation measurement to provide real-time first and second values.

5. The method of claim 3 wherein the first and second curves are displayed concurrently and superimposed on each other.

6. The method of claim 1 comprising:

displaying a first warning indicator on the screen if the first oxygen saturation measurement drops below a first threshold value; and

displaying a second warning indicator on the screen if the second oxygen saturation measurement drops below a second threshold value.

7. The method of claim 6 wherein displaying the first warning indicator comprises causing the first value to be displayed differently.

8. The method of claim 1 wherein a first distance extends between the first line and the second line, a second distance extends between the first line and the third line, and the second distance is greater than the first distance.

9. The method of claim 1 wherein the probe comprises a plurality of fourth structures, wherein the fourth structures comprise detectors and are arranged in a fourth line.

10. The method of claim 1 wherein the first shading film comprises a first spectral filter;

and

the second shading film comprises a second spectral filter.

11. The method of claim 10 wherein the first spectral filter has a greater attenuation at a wavelength range of light than the second spectral filter.

12. The method of claim 10 wherein the first spectral filter and the second spectral filter comprise the same attenuation for at least one wavelength of light.

13. The method of claim 1 wherein the three-dimensional region at the second depth is greater than the three-dimensional region at the first depth.

14. The method of claim 1 wherein a structure of the probe retains the first and second structures at fixed positions, such that the first line and second line are at a first fixed distance from each other.

15. The method of claim 14 wherein a structure of the probe retains the first and third structures at fixed positions, such that the first line and third line are at a second fixed distance from each other, and the second fixed distance is greater than the first fixed distance.

16. A method comprising:

providing a probe comprising a plurality of first structures, a plurality of second structures, and a plurality of third structures, wherein the first structures comprise sources, and the second and third structures comprise detectors,

the first structures are arranged in a first line, the second structures are arranged in a second line, and the third structures are arranged in a third line,

the first, second, and third lines are parallel to each other, and

the second line is between the first and the third lines;

using the first and second structures of the probe, calculating a first oxygen saturation measurement for a first tissue at a first depth below a tissue surface, wherein the first tissue comprises a three-dimensional region and at the first depth, this region extends in directions parallel and transverse to the second line;

using the first and third structures of the probe, calculating a second oxygen saturation measurement for a second tissue at a second depth below the tissue surface, wherein the second depth is beneath the first depth, and the second tissue comprises a three-dimensional region and at the second depth, this region extends in directions parallel and transverse to the third line;

displaying a first value indicative of the first oxygen saturation measurement at a first position on a screen; and

displaying a second value indicative of the second oxygen saturation measurement at a second position on the screen,

wherein the probe comprises a first light shading film, associated with the second structures, allowing a first spectrum of light to pass through to the second structures, and

a second light shading film, associated with the third structures, allowing a second spectrum of light to pass through to the third structures, wherein the first spectrum is different from the second spectrum,

the probe comprises a plurality of fourth structures, wherein the fourth structures comprise detectors and are arranged in a fourth line, and

the probe comprises a plurality of fifth structures,

wherein the fifth structures comprise detectors,

the fifth structures are arranged in a fifth line, and

the fourth and fifth lines are parallel to the first, second, and third lines.

17. A method comprising:

providing a probe comprising a plurality of first structures, a plurality of second structures, and a plurality of third structures, wherein the first structures comprise sources, and the second and third structures comprise detectors,

the first structures are arranged in a first line, the second structures are arranged in a second line, and the third structures are arranged in a third line,

the first, second, and third lines are parallel to each other, and

the second line is between the first and the third lines;

using at least one processor, electronically selecting the first and second structures of the probe to send and receive a first combination of light signals;

based on the first combination of light signals, calculating a first oxygen saturation measurement for a first tissue at a first depth below a tissue surface, wherein the first tissue comprises a cross section extending in a direction parallel to the second line;

using at least one processor, electronically selecting the first and third structures of the probe to send and receive a second combination of light signals;

using the second combination of light signals, calculating a second oxygen saturation measurement for a second tissue at a second depth below the tissue surface, wherein the second depth is beneath the first depth, and the second tissue comprises a cross section extending in a direction parallel to the third line;

displaying a first value indicative of the first oxygen saturation measurement at a first position on a screen; and

displaying a second value indicative of the second oxygen saturation measurement at a second position on the screen,

wherein the probe comprises a light shading film, coupled to the probe, positioned below the second structures such that light received at the second structures passes through the light shading film, and light received at the third structures does not pass through the light shading film.

18. The method of claim 17 wherein a structure of the probe retains the first and second structures at fixed positions, such that the first line and second line are at a first fixed distance from each other.

19. The method of claim 18 wherein a structure of the probe retains the first and third structures at fixed positions, such that the first line and third line are at a second fixed distance from each other, and the second fixed distance is greater than the first fixed distance.

20. The method of claim 17 wherein the first value comprises a first number and the second value comprises a second number.

21. The method of claim 17 wherein the first value comprises a first curve displayed in a first color and the second value comprises a second curve displayed in a second color, different from the first color.

22. The method of claim 21 wherein the first and second curves are displayed concurrently and superimposed on each other.

23. The method of claim 17 comprising:

repeatedly alternating between the calculating a first oxygen saturation measurement and the calculating a second oxygen saturation measurement to provide real-time first and second values.

24. The method of claim 17 comprising:

displaying a first warning indicator on the screen if the first oxygen saturation measurement drops below a first threshold value; and

displaying a second warning indicator on the screen if the second oxygen saturation measurement drops below a second threshold value.

25. The method of claim 24 wherein displaying the first warning indicator comprises causing the first value to be displayed differently.

26. The method of claim 17 wherein a first distance extends between the first line and the second line, a second distance extends between the first line and the third line, and the second distance is greater than the first distance.

27. The method of claim 17 wherein the probe comprises a plurality of fourth structures, wherein the fourth structures comprise detectors and are arranged in a fourth line.

28. The method of claim 17 wherein the light shading film comprises a spectral filter.

29. A method comprising:

providing a probe comprising a plurality of first structures, a plurality of second structures, and a plurality of third structures, wherein the first structures comprise sources, and the second and third structures comprise detectors,

the first structures are arranged in a first line, the second structures are arranged in a second line, and the third structures are arranged in a third line,

the first, second, and third lines are parallel to each other, and

the second line is between the first and the third lines;

using at least one processor, electronically selecting the first and second structures of the probe to send and receive a first combination of light signals;

based on the first combination of light signals, calculating a first oxygen saturation measurement for a first tissue at a first depth below a tissue surface, wherein the first tissue comprises a cross section extending in a direction parallel to the second line;

using at least one processor, electronically selecting the first and third structures of the probe to send and receive a second combination of light signals;

using the second combination of light signals, calculating a second oxygen saturation measurement for a second tissue at a second depth below the tissue surface, wherein the second depth is beneath the first depth, and the second tissue comprises a cross section extending in a direction parallel to the third line;

displaying a first value indicative of the first oxygen saturation measurement at a first position on a screen; and

displaying a second value indicative of the second oxygen saturation measurement at a second position on the screen,

wherein the probe comprises a light shading film, coupled to the probe, positioned below the second structures such that light received at the second structures passes through the light shading film, and light received at the third structures does not pass through the light shading film,

a structure of the probe retains the first and second structures at fixed positions, such that the first line and second line are at a first fixed distance from each other,

a structure of the probe retains the first and third structures at fixed positions, such that the first line and third line are at a second fixed distance from each other, and the second fixed distance is greater than the first fixed distance, and

upon moving the probe from one location to another, the structure of the probe maintains the first and second fixed distances without needing to reposition the first, second, and third structures separately.

30. A method comprising:

providing a probe comprising a plurality of first structures, a plurality of second structures, and a plurality of third structures, wherein the first structures comprise sources, and the second and third structures comprise detectors,

the first structures are arranged in a first line, the second structures are arranged in a second line, and the third structures are arranged in a third line,

the first, second, and third lines are parallel to each other, and

the second line is between the first and the third lines;

using at least one processor, electronically selecting the first and second structures of the probe to send and receive a first combination of light signals;

based on the first combination of light signals, calculating a first oxygen saturation measurement for a first tissue at a first depth below a tissue surface, wherein the first tissue comprises a cross section extending in a direction parallel to the second line;

using at least one processor, electronically selecting the first and third structures of the probe to send and receive a second combination of light signals;

using the second combination of light signals, calculating a second oxygen saturation measurement for a second tissue at a second depth below the tissue surface, wherein the second depth is beneath the first depth, and the second tissue comprises a cross section extending in a direction parallel to the third line;

displaying a first value indicative of the first oxygen saturation measurement at a first position on a screen; and

displaying a second value indicative of the second oxygen saturation measurement at a second position on the screen,

wherein the probe comprises a light shading film, coupled to the probe, positioned below the second structures such that light received at the second structures passes through the light shading film, and light received at the third structures does not pass through the light shading film,

the probe comprises a plurality of fourth structures, wherein the fourth structures comprise detectors and are arranged in a fourth line, and

the probe comprises a plurality of fifth structures,

wherein the fifth structures comprise detectors,

the fifth structures are arranged in a fifth line, and

the fourth and fifth lines are parallel to the first, second, and third lines.

31. A method comprising:

providing a probe comprising a plurality of first structures, a plurality of second structures, and a plurality of third structures, wherein the first structures comprise sources, and the second and third structures comprise detectors,

the first structures are arranged in a first line, the second structures are arranged in a second line, and the third structures are arranged in a third line,

the first, second, and third lines are parallel to each other, and

the second line is between the first and the third lines;

using the first and second structures of the probe, calculating a first oxygen saturation measurement for a first tissue at a first depth below a tissue surface, wherein the first tissue comprises a three-dimensional region and at the first depth, this region extends in directions parallel and transverse to the second line;

using the first and third structures of the probe, calculating a second oxygen saturation measurement for a second tissue at a second depth below the tissue surface, wherein the second depth is beneath the first depth, and the second tissue comprises a three-dimensional region and at the second depth, this region extends in directions parallel and transverse to the third line;

displaying a first value indicative of the first oxygen saturation measurement at a first position on a screen; and

displaying a second value indicative of the second oxygen saturation measurement at a second position on the screen,

wherein the probe comprises a first light shading film, associated with the second structures, allowing a first spectrum of light to pass through to the second structures, and

a second light shading film, associated with the third structures, allowing a second spectrum of light to pass through to the third structures, wherein the first spectrum is different from the second spectrum,

a structure of the probe retains the first and second structures at fixed positions, such that the first line and second line are at a first fixed distance from each other,

a structure of the probe retains the first and third structures at fixed positions, such that the first line and third line are at a second fixed distance from each other, and the second fixed distance is greater than the first fixed distance, and

upon moving the probe from one location to another, the structure of the probe maintains the first and second fixed distances without needing to reposition the first, second, and third structures separately.

32. A method comprising:

providing a probe comprising a plurality of first structures, a plurality of second structures, and a plurality of third structures, wherein the first structures comprise sources, and the second and third structures comprise detectors,

the first structures are arranged in a first line, the second structures are arranged in a second line, and the third structures are arranged in a third line,

the first, second, and third lines are parallel to each other, and

the second line is between the first and the third lines;

using the first and second structures of the probe, calculating a first oxygen saturation measurement for a first tissue at a first depth below a tissue surface, wherein the first tissue comprises a three-dimensional region and at the first depth, this region extends in directions parallel and transverse to the second line;

using the first and third structures of the probe, calculating a second oxygen saturation measurement for a second tissue at a second depth below the tissue surface, wherein the second depth is beneath the first depth, and the second tissue comprises a three-dimensional region and at the second depth, this region extends in directions parallel and transverse to the third line;

displaying a first value indicative of the first oxygen saturation measurement at a first position on a screen; and

displaying a second value indicative of the second oxygen saturation measurement at a second position on the screen,

wherein the probe comprises a light shading film, coupled to the probe, positioned below the second structures such that light received at the second structures passes through the light shading film, and light received at the third structures does not pass through the light shading film.

33. The method of claim 32 wherein the first value comprises a first number and the second value comprises a second number.

34. The method of claim 32 wherein the first value comprises a first curve displayed in a first color and the second value comprises a second curve displayed in a second color, different from the first color.

35. The method of claim 32 comprising:

repeatedly alternating between the calculating a first oxygen saturation measurement and the calculating a second oxygen saturation measurement to provide real-time first and second values.

36. The method of claim 32 wherein the first and second curves are displayed concurrently and superimposed on each other.

37. The method of claim 32 comprising:

displaying a first warning indicator on the screen if the first oxygen saturation measurement drops below a first threshold value; and

displaying a second warning indicator on the screen if the second oxygen saturation measurement drops below a second threshold value.

38. The method of claim 37 wherein displaying the first warning indicator comprises causing the first value to be displayed differently.

39. The method of claim 32 wherein a first distance extends between the first line and the second line, a second distance extends between the first line and the third line, and the second distance is greater than the first distance.

40. The method of claim 32 wherein the probe comprises a plurality of fourth structures, wherein the fourth structures comprise detectors and are arranged in a fourth line.

41. The method of claim 40 wherein the probe comprises a plurality of fifth structures,

wherein the fifth structures comprise detectors,

the fifth structures are arranged in a fifth line, and

the fourth and fifth lines are parallel to the first, second, and third lines.

42. The method of claim 32 wherein the shading film comprises a spectral filter.

43. The method of claim 32 wherein a structure of the probe retains the first and second structures at fixed positions, such that the first line and second line are at a first fixed distance from each other.

44. The method of claim 43 wherein a structure of the probe retains the first and third structures at fixed positions, such that the first line and third line are at a second fixed distance from each other, and the second fixed distance is greater than the first fixed distance.

45. The method of claim 44 wherein upon moving the probe from one location to another, the structure of the probe maintains the first and second fixed distances without needing to reposition the first, second, and third structures separately.

46. A method comprising:

providing a probe comprising a plurality of first structures, a plurality of second structures, and a plurality of third structures, wherein the first structures comprise sources, and the second and third structures comprise detectors,

the first structures are arranged in a first line, the second structures are arranged in a second line, and the third structures are arranged in a third line,

the first, second, and third lines are parallel to each other, and

the second line is between the first and the third lines;

using at least one processor, electronically selecting the first and second structures of the probe to send and receive a first combination of light signals;

based on the first combination of light signals, calculating a first oxygen saturation measurement for a first tissue at a first depth below a tissue surface, wherein the first tissue comprises a cross section extending in a direction parallel to the second line;

using at least one processor, electronically selecting the first and third structures of the probe to send and receive a second combination of light signals;

using the second combination of light signals, calculating a second oxygen saturation measurement for a second tissue at a second depth below the tissue surface, wherein the second depth is beneath the first depth, and the second tissue comprises a cross section extending in a direction parallel to the third line;

displaying a first value indicative of the first oxygen saturation measurement at a first position on a screen; and

displaying a second value indicative of the second oxygen saturation measurement at a second position on the screen,

wherein the probe comprises a first light shading film, associated with the second structures, allowing a first spectrum of light to pass through to the second structures, and

a second light shading film, associated with the third structures, allowing a second spectrum of light to pass through to the third structures, wherein the first spectrum is different from the second spectrum.

47. The method of claim 46 wherein the first value comprises a first number and the second value comprises a second number.

48. The method of claim 46 wherein the first value comprises a first curve displayed in a first color and the second value comprises a second curve displayed in a second color, different from the first color.

49. The method of claim 46 comprising:

repeatedly alternating between the calculating a first oxygen saturation measurement and the calculating a second oxygen saturation measurement to provide real-time first and second values.

50. The method of claim 49 wherein the first and second curves are displayed concurrently and superimposed on each other.

51. The method of claim 46 comprising:

displaying a first warning indicator on the screen if the first oxygen saturation measurement drops below a first threshold value; and

displaying a second warning indicator on the screen if the second oxygen saturation measurement drops below a second threshold value.

52. The method of claim 51 wherein displaying the first warning indicator comprises causing the first value to be displayed differently.

53. The method of claim 46 wherein a first distance extends between the first line and the second line, a second distance extends between the first line and the third line, and the second distance is greater than the first distance.

54. The method of claim 46 wherein the probe comprises a plurality of fourth structures, wherein the fourth structures comprise detectors and are arranged in a fourth line.

55. The method of claim 54 wherein the probe comprises a plurality of fifth structures,

wherein the fifth structures comprise detectors,

the fifth structures are arranged in a fifth line, and

the fourth and fifth lines are parallel to the first, second, and third lines.

56. The method of claim 46 wherein the first shading film comprises a first spectral filter;

and

the second shading film comprises a second spectral filter.

57. The method of claim 56 wherein the first spectral filter has a greater attenuation at a wavelength range of light than the second spectral filter.

58. The method of claim 56 wherein the first spectral filter and the second spectral filter comprise the same attenuation for at least one wavelength of light.

59. The method of claim 46 wherein the three-dimensional region at the second depth is greater than the three-dimensional region at the first depth.

60. The method of claim 46 wherein a structure of the probe retains the first and second structures at fixed positions, such that the first line and second line are at a first fixed distance from each other.

61. The method of claim 60 wherein a structure of the probe retains the first and third structures at fixed positions, such that the first line and third line are at a second fixed distance from each other, and the second fixed distance is greater than the first fixed distance.

62. The method of claim 61 wherein upon moving the probe from one location to another, the structure of the probe maintains the first and second fixed distances without needing to reposition the first, second, and third structures separately.