Method for detection of aberrant tissue spectra

• US 9,801,584 B2
• Filed: 08/29/2012
• Issued: 10/31/2017
• Est. Priority Date: 03/09/2007
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Baker, Jr., Clark R.
• Primary Examiner(s): Winakur, Eric
• Assistant Examiner(s): Liu, Chu Chuan (JJ)
• Application Number:
  US13/598,312
• Publication Number:
  US 20120323095A1
• Time in Patent Office: 1,889 Days
• Field of Search: 600310, 600322, 600323, 600324, 600326, 600331, 600336, 600340, 600473, 600476, 356 41
• 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 5/6843 Monitoring or controlling sensor contact pressure
• CPC Class Codes: A61B 5/7203 for noise prevention, reduction or removal

Abstract

A method is provided for determining contact of a sensor with a patient'"'"'s tissue. The method comprises comparing the intensity of detected light at a first wavelength to a threshold, wherein the first wavelength is not used to determine a physiological characteristic of the patient, and determining if the sensor is in contact with the patient'"'"'s tissue based on the comparison. In addition, a method is provided for determining the amount of light shunting during operation of the sensor. The method comprises comparing the intensity of detected light at a first wavelength to a threshold, wherein the first wavelength is not used to determine a physiological characteristic of the patient, and determining the amount of light shunting based on the comparison.

Claims

1. A method for correcting light shunting, comprising:

emitting light at three or more wavelengths from at least one emitter of a sensor into a patient'"'"'s tissue, wherein the three or more wavelengths includes a first wavelength that is not used to determine a physiological characteristic of the patient;

detecting the light with at least one detector of the sensor;

comparing the intensity of the detected light at the first wavelength to a threshold;

determining the amount of light shunting between the at least one emitter and the at least one detector based on the comparison; and

processing the detected light at one or more of a second wavelength or a third wavelength to compensate for the amount of light shunting.

2. The method of claim 1, wherein processing the detected light comprises comprising correcting the intensity of the detected light at one or more of the second wavelength or the third wavelength based on the amount of light shunting.

3. The method of claim 2, wherein correcting the intensity comprises subtracting the amount of light shunting from the intensity of the detected light at the second wavelength or the third wavelength.

4. The method of claim 2, comprising determining a physiological characteristic based upon the corrected intensity of the detected light at the second or third wavelengths.

5. The method of claim 1, wherein comparing the intensity comprises comparing a ratio of the intensity of the detected light at the first wavelength to a reference intensity of light at the first wavelength to the threshold.

6. The method of claim 1, wherein comparing the intensity comprises comparing a ratio of the intensity of the detected light at the first wavelength to a reference intensity of light at a different wavelength to the threshold.

7. The method of claim 1, wherein the first wavelength is primarily absorbed by water.

8. The method of claim 7, wherein the first wavelength of the detected light is between about 1200 nanometers to about 1600 nanometers.

9. The method of claim 1, wherein the sensor comprises a sensor configured to measure tissue hydration.

10. The method of claim 1, wherein the sensor comprises a pulse oximetry sensor.

11. The method of claim 1, determining if the sensor is in contact with the patient'"'"'s tissue based on the comparison.

12. A patient monitor, comprising:

a port configured to connect to a sensor; and

a processor configured to receive signals from the port and to use the signals when executing an algorithm configured to compare an intensity of a first wavelength of detected light to a threshold, wherein the first wavelength is not used to determine a physiological characteristic of a patient, and wherein the processor is also configured to execute a second algorithm configured to determine an amount of light shunting between at least one emitter of the sensor and at least one detector of the sensor based on the comparison, and wherein the processor is configured to process the signals related to one or more other wavelengths of detected light to compensate for the amount of light shunting.

13. The patient monitor of claim 12, wherein the algorithm comparing the intensity is configured, when executed by the processor, to compare a ratio of the intensity of the first wavelength of the detected light to a reference intensity of light at the first wavelength to the threshold.

14. The patient monitor of claim 12, wherein the algorithm comparing the intensity is configured, when executed by the processor, to compare a ratio of the intensity of the first wavelength of the detected light to a reference intensity of light at a different wavelength to the threshold.

15. The patient monitor of claim 12, wherein the first wavelength is configured to be primarily absorbed by water.

16. The patient monitor of claim 12, wherein the first wavelength is configured to be primarily absorbed by myoglobin or hemoglobin.

17. The patient monitor of claim 12, wherein the processor is configured to execute a third algorithm to determine if the sensor is in contact with the patient'"'"'s tissue based on the comparison.

18. A patient monitoring system, comprising:

a sensor comprising;

an emitter configured to emit light at three or more wavelengths into a patient'"'"'s tissue; and

a detector configured to detect the light; and

a monitor configured to execute an algorithm configured to compare an intensity of a wavelength of detected light to a threshold, wherein the wavelength is not used to determine a physiological characteristic of the patient, and a second algorithm configured to determine an amount of light shunting between the emitter and the detector based on the comparison, and to process the detected light at one or more other wavelengths of the three or more wavelengths to compensate for the amount of light shunting.

19. The patient monitoring system of claim 18, wherein the algorithm comparing the intensity is configured, when executed by the monitor, to compare a ratio of the intensity of the wavelength of the detected light a reference intensity of light at the wavelength to the threshold.

20. The patient monitoring system of claim 18, wherein the algorithm comparing the intensity is configured, when executed by the monitor, to compare a ratio of the intensity of the wavelength of the detected light to a reference intensity of light at a different wavelength to the threshold.