Medical sensor for use with headband

• US 9,138,181 B2
• Filed: 12/16/2011
• Issued: 09/22/2015
• Est. Priority Date: 12/16/2011
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Haisley, Charles K., Lin, Andy S., Schlottau, Friso, Hayman, Sarah
• Primary Examiner(s): Winakur, Eric
• Assistant Examiner(s): Fardanesh, Marjan
• Application Number:
  US13/328,619
• Publication Number:
  US 20130158372A1
• Time in Patent Office: 1,376 Days
• Field of Search: 600309-344
• US Class Current: 1/1
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/14553 specially adapted for cerebral tissue
• CPC Class Codes: A61B 5/6803 Head-worn items, e.g. helmets, masks, headphones or goggles

Abstract

Medical sensors configured to provide enhanced patient comfort when worn over a period of time are provided. The medical sensors may include a first padding layer and a second padding layer disposed on either side of an emitter and a detector for measuring a physiological parameter of a patient. The medical sensors may also include an island padding layer secured to a patient-facing side of the second padding layer for reducing localized pressure points that may be caused by protrusions of the sensor. Additionally or alternatively, certain edges of the sensors may be rounded and/or stepped to reduce marking on the patient'"'"'s tissue and to reduce strain and shear forces produced on the patient'"'"'s tissue. Still further, certain embodiments provide enhanced light transmission between the emitter and detector of the sensors.

Claims

1. A spectrophotometric medical sensor, comprising:

a first padding layer;

a second padding layer secured to the first padding layer and comprising an emitter well and a detector well;

an emitter positioned within the emitter well and configured to transmit one or more wavelengths of light toward a patient'"'"'s tissue;

a detector positioned within the detector well and configured to receive the one or more wavelengths of light transmitted by the emitter to measure a physiological parameter of the patient; and

an island padding layer secured to a patient-facing side of the second padding layer such that the island padding layer is the closest padding layer to the patient'"'"'s tissue when the sensor is placed on the patient to measure the physiological parameter, the island padding layer comprising an emitter opening and a detector opening, wherein the emitter and detector openings are distinct from one another and are configured to enable light transmission from and to the emitter and the detector, respectively, and the second padding layer defines a periphery that is larger than the island padding layer.

2. The medical sensor of claim 1, wherein the island padding layer and the second padding layer are molded as a single piece.

3. The medical sensor of claim 1, wherein the island padding layer and the second padding layer are adhesively secured to one another.

4. The medical sensor of claim 1, wherein the first, second, and island padding layers are opaque with respect to the one or more wavelengths of light transmitted by the emitter and detected by the detector.

5. The medical sensor of claim 1, wherein the first padding layer, the second padding layer, the island padding layer, or any combination thereof, comprise rounded edges.

6. The medical sensor of claim 1, wherein the periphery defined by the second padding layer is larger than the first padding layer.

7. The medical sensor of claim 1, comprising an emitter lens and a detector lens disposed over the emitter and detector, respectively, wherein the emitter lens and the detector lens comprise respective patient-facing surfaces that are substantially flush with a patient-facing surface of the island padding layer.

8. The medical sensor of claim 1, comprising an emitter lens and a detector lens disposed over the emitter and detector, respectively, wherein the emitter lens and the detector lens comprise respective inner walls and one or more reflective materials disposed on the respective inner walls, wherein the one or more reflective materials are configured to increase light transmission through the emitter lens and the detector lens.

9. The medical sensor of claim 8, wherein the one or more reflective materials comprise a metalized paint, a foil, a metalized tape, a white paint, or a combination thereof, and the emitter lens and the detector lens comprise pre-formed lenses.

10. The medical sensor of claim 1, comprising a compressible emitter lens and a compressible detector lens disposed over the emitter and detector, respectively, wherein the compressible emitter lens and the compressible detector lens have respective Shore OO durometer values that are greater than a Shore OO durometer value of the island padding layer and less than approximately 60 on the Shore OO durometer scale.

11. The medical sensor of claim 10, wherein the compressible emitter lens and the compressible detector lens comprise respective patient-facing surfaces that are substantially flush with or protrude beyond a patient-facing surface of the island padding layer.

12. The medical sensor of claim 1, comprising an emitter lens and a detector lens disposed over the emitter and detector, respectively, wherein the respective circumferences of the second emitter opening and the second detector of the island padding layer are at least approximately 5% larger than the respective circumferences of the emitter lens and the detector lens.

13. The medical sensor of claim 1, comprising an emitter lens and a detector lens disposed over the emitter and detector, respectively, wherein the emitter lens and the detector lens comprise respective patient-facing surfaces that are closer to the first padding layer than a patient-facing surface of the island padding layer, and the respective patient-facing surfaces of the emitter lens and the detector lens are configured to be substantially flush with or protrude beyond the patient-facing surface of the island padding layer when the medical sensor is compressed against the patient.

14. The medical sensor of claim 1, comprising an adhesive layer secured to the second padding layer and about the island padding layer and configured to secure the medical sensor to the patient, wherein the adhesive layer comprises a patient-contacting surface that is substantially flush with a patient-contacting surface of the island padding layer such that a patient-contacting side of the medical sensor has a substantially flat profile.

15. The medical sensor of claim 1, comprising a plurality of stacked adhesive layers secured to the second padding layer, each stacked layer of the plurality of stacked adhesive layers being configured to secure the medical sensor to the patient and comprising an opening enabling the respective adhesive layer to be positioned about the island padding layer.

16. A medical sensor, comprising:

a first padding layer;

a second padding layer secured to the first padding layer and comprising an emitter opening and a detector opening, wherein the second padding layer defines a periphery that is greater than the first padding layer in an area of the sensor that contacts a patient'"'"'s tissue;

an emitter positioned within the emitter opening and configured to transmit one or more wavelengths of light toward the patient'"'"'s tissue; and

a detector positioned within the detector opening and configured to receive the one or more wavelengths of light transmitted by the emitter to measure a physiological parameter of the patient; and

wherein the second padding layer is positioned between a patient-contacting surface of the medical sensor and the first padding layer, and an outer edge of the periphery of the second padding layer is configured to curve in a direction generally away from the patient as the medical sensor is compressed against the patient'"'"'s tissue.

17. The medical sensor of claim 16, comprising an island padding layer secured to a patient-facing side of the second padding layer, the island padding layer comprising first and second openings corresponding to the emitter and the detector, respectively, wherein the first and second openings are distinct and the island padding layer has a periphery that is smaller than the the second padding layer.

18. The medical sensor of claim 16, wherein the emitter and the detector are positioned in a generally central portion of the medical sensor, and a profile of the medical sensor is tapered such that the medical sensor comprises a thickness that is greater in the central portion and is reduced toward an outer edge of the medical sensor.

19. The medical sensor of claim 18, wherein the first and second padding layers each have a respective thickness that is greater in the central portion than at their respective outer edges.

20. The medical sensor of claim 16, wherein the first padding layer comprises an outward-facing surface having a substantially flat profile, and the substantially flat profile is configured to enable the medical sensor to place a substantially even pressure on the patient'"'"'s tissue as the medical sensor is pressed against the patient.

21. A patient monitoring system, comprising:

a medical sensor, comprising;

a first padding layer;

a second padding layer secured to the first padding layer and comprising an emitter well and a detector well;

an emitter positioned within the emitter well and configured to transmit one or more wavelengths of light toward a patient'"'"'s tissue;

an emitter lens disposed over the emitter and comprising an emitter lens surface adapted to face the patient'"'"'s tissue upon placement of the medical sensor on the patient;

a detector positioned within the detector well and configured to receive the one or more wavelengths of light transmitted by the emitter to measure a physiological parameter of the patient;

a detector lens disposed over the detector and comprising a detector lens surface adapted to face the patient'"'"'s tissue upon placement of the medical sensor on the patient; and

an island padding layer secured to the second padding layer and comprising a second emitter opening and a second detector opening, wherein the second emitter and detector openings are distinct from one another and are configured to enable light transmission from and to the emitter and the detector, respectively, and wherein the island padding layer defines a periphery that is smaller than the second padding layer.

22. The patient monitoring system of claim 21, wherein the emitter lens surface and the detector lens surface are substantially flush with one another, a first distance from the emitter to the emitter lens surface is less than a second distance from the detector to the detector lens surface, and the emitter lens and the detector lens are formed around the emitter and the detector, respectively.

23. The patient monitoring system of claim 21, comprising a sensor cable having a first set of conductors and a second set of conductors coupled to the emitter and the detector, respectively, and the sensor cable comprises a flat portion configured to be placed against the patient'"'"'s tissue.

24. The patient monitoring system of claim 23, wherein the sensor cable is rounded on a side positioned opposite the flat portion.

25. The patient monitoring system of claim 23, wherein the sensor cable comprises a ribbon cable or a flexible circuit cable comprising a polymeric dielectric material, wherein the first and second sets of conductors are disposed on the polymeric dielectric material.

26. The patient monitoring system of claim 23, wherein the first padding layer comprises an outer surface and the second padding layer comprises a patient-facing surface, and a thickness defined by a distance between the outer surface and the patient-facing surface is greater than a circumference of the sensor cable.

27. The patient monitoring system of claim 23, comprising a physiological monitor adapted to receive a connector of the sensor cable, wherein the sensor cable is adapted to provide an interface between the physiological monitor and the medical sensor.

28. The patient monitoring system of claim 27, wherein the physiological monitor comprises a pulse oximetry monitor and the medical sensor comprises a pulse oximetry sensor.

29. The patient monitoring system of claim 21, comprising a headband associated with the medical sensor, wherein the headband is configured to apply a normal force within a desired range against the medical sensor to enable the medical sensor to accurately measure the physiological parameter of the patient.

30. The patient monitoring system of claim 29, wherein the emitter lens surface and the detector lens surface are recessed within the island padding layer and are configured to be substantially flush with or protrude beyond the island padding layer and into the patient tissue upon application of the normal force within the desired range using the headband.