Methods and systems for determining regional blood oxygen saturation

• US 9,861,317 B2
• Filed: 02/19/2015
• Issued: 01/09/2018
• Est. Priority Date: 02/20/2014
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Ochs, James
• Primary Examiner(s): Winakur, Eric
• Assistant Examiner(s): Liu, Chu Chuan (J J)
• Application Number:
  US14/626,703
• Publication Number:
  US 20150230758A1
• Time in Patent Office: 1,055 Days
• CPC Class Codes: A61B 2562/0238 Optical sensor arrangements for performing transmission measurements on body tissue
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/7203 for noise prevention, reduction or removal
• CPC Class Codes: A61B 5/7221 Determining signal validity, reliability or quality A61B5/7207 and A61B5/7217 take precedence
• CPC Class Codes: A61B 5/7278 Artificial waveform generation or derivation, e.g. synthesising signals from measured signals A61B5/327 takes precedence
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence

Abstract

Methods and systems are presented for determining regional blood oxygen saturation (rSO₂) of a subject. Differential absorption values may be determined based on received first and second light signals corresponding to light attenuated by respective first and second regions of the subject. Reference absorption curves are received, each associated with an rSO₂ value and containing expected absorption values. The differential absorption values are compared with the expected absorption values to determine a best fit reference absorption curve. An rSO₂ value is determined based on the best fit reference absorption curve. An rSO₂ value may also be determined based on a combination of two or more rSO₂ estimates. The rSO₂ estimates are determined based on two or more pairs of the differential absorption values. The differential absorption values are determined based on received first and second lights signals corresponding to three or more wavelengths of light.

Claims

1. A system for determining regional blood oxygen saturation (rSO₂) of a subject comprising:

an oximeter configured for;

generating a light drive signal configured to cause one or more light sources to emit a plurality of light signals, wherein the plurality of light signals corresponds to a plurality of wavelengths of light;

receiving a first plurality of light signals that have been attenuated by a first region of the subject, wherein the first plurality of light signals corresponds to the plurality of wavelengths of light;

determining a first plurality of absorption values corresponding to the first region of the subject, wherein each of the first plurality of absorption values corresponds to a respective one of the plurality of wavelengths of light;

receiving a second plurality of light signals that have been attenuated by a second region of the subject, wherein the second plurality of light signals corresponds to the plurality of wavelengths of light;

determining a second plurality of absorption values corresponding to the second region of the subject, wherein each of the second plurality of absorption values corresponds to a respective one of the plurality of wavelengths of light;

determining a difference between each of the first plurality of absorption values and a respective one of the second plurality of absorption values to generate a plurality of differential absorption values corresponding, respectively, to the plurality of wavelengths of light;

receiving reference sets of absorption data, wherein each of the reference sets corresponds to a different rSO₂ value and comprises expected absorption values for each of the plurality of wavelengths of light;

comparing the plurality of differential absorption values to the expected absorption values of the reference sets;

determining a best fit reference set of the reference sets based on the comparison; and

determining the rSO₂ of the subject based on the determined best fit reference set.

2. The system of claim 1, wherein the oximeter is further configured for displaying the rSO₂ of the subject.

3. The system of claim 1, wherein the oximeter is further configured for calculating a derivative of the plurality of differential absorption values to generate a plurality of derivative absorption values;

and wherein comparing the plurality of differential absorption values to the expected absorption values of the reference sets comprises comparing the plurality of derivative absorption values to the expected absorption values of the reference sets.

4. The system of claim 1, wherein comparing the plurality of differential absorption values to the expected absorption values of the reference sets comprises computing a correlation measure for each reference set based on a comparison of the respective expected absorption values to the plurality of differential absorption values.

5. The system of claim 4, wherein the correlation measure is based on a Pearson product-moment correlation coefficient.

6. The system of claim 4, wherein determining the best fit reference set comprises

selecting the reference set associated with the correlation measure corresponding to the best correlation between the expected absorption values of the reference sets and the plurality of differential absorption values and wherein

determining the rSO₂ of the subject based on the determined best fit reference set comprises determining the rSO₂ of the subject based on the rSO₂ value corresponding to the selected reference set.

7. The system of claim 6, wherein the oximeter is further configured for:

determining a confidence measure associated with the determined rSO₂ of the subject based on the correlation measure of the selected reference set;

comparing the confidence measure with a predetermined threshold; and

displaying the rSO₂ of the subject based on the comparison.

8. The system of claim 6, wherein the oximeter is further configured for:

determining a confidence measure associated with the determined rSO₂ of the subject based on the correlation measure of the selected reference set; and

displaying the confidence measure.

9. The system of claim 6, wherein the oximeter is further configured for determining a sensor off indication based on the correlation measure corresponding to the best correlation.

10. The system of claim 1, wherein the expected absorption values of the reference sets comprise empirically determined absorption values.

11. The system of claim 1, wherein the reference sets correspond to each possible rSO₂ value.