Optical measuring device for cardiovascular diagnostics

• US 10,085,652 B2
• Filed: 03/18/2016
• Issued: 10/02/2018
• Est. Priority Date: 03/18/2016
• Status: Active Grant

• Current Assignee: Philips Healthcare Informatics Incorporated (Koninklijke Philips N.V.)
• Original Assignee: Qualcomm, Inc.
• Inventors: Baek, David Boettcher, Gruhlke, Russell, Poliakov, Evgeni, Alam, Khurshid, Lading, Lars
• Primary Examiner(s): Porter, Jr., Allen
• Application Number:
  US15/074,482
• Publication Number:
  US 20170265753A1
• Time in Patent Office: 928 Days
• Field of Search: 600476, 600479, 600480
• CPC Class Codes: A61B 2562/0233 Special features of optical sensors or probes classified in A61B5/00
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/02438 with portable devices, e.g. worn by the patient
• CPC Class Codes: A61B 5/6801 specially adapted to be attached to or worn on the body surface
• CPC Class Codes: A61B 5/6826 Finger

Abstract

An optical sensor and a method of using the optical sensor in an optical measuring device that measures cardiovascular properties and compensates for movement artifacts by directing a sheet of light towards an artery. The optical sensor may include one or more light sources, one or more transmit light guides coupled to the one or more light sources and configured to direct light from the one or more light sources as a sheet of light towards an artery, such that the cross-sectional profile of the sheet of light may have a length transverse to a longitudinal direction of the artery that is longer than the diameter of the artery. The optical sensor may include one or more light detectors configured to receive backscattered light and generate an output based on the received backscattered light that is a reflection of the sheet of light from the artery and surrounding tissues.

Claims

1. An optical measuring device for measuring cardiovascular properties, comprising:

a flexible substrate configured as a patch to wrap around a first region and a second region of a subject, the first region movable with respect with the second region;

a first optical sensor attached to an inner surface of the flexible substrate and comprising a first light source, a first light detector, and a first transmit light guide coupled to the first light source, the first transmit light guide being configured to direct light from the first light source as a first sheet of light towards an artery in the first region, the first light detector being configured to receive first backscattered light and generate a first output based on the received first backscattered light, wherein the first backscattered light is light from the first sheet of light that is reflected from the artery and tissues surrounding the artery in the first region; and

a second optical sensor attached to the inner surface of the flexible substrate comprising a second light detector, a second light source and a second transmit light guide coupled to the second light source, the second transmit light guide being configured to direct light from the second light source as a second sheet of light towards the artery in the second region, the second light detector being configured to receive second backscattered light and generate a second output based on the received second backscattered light, wherein the second backscattered light is light from the second sheet of light that is reflected from the artery and tissues surrounding the artery in the second region.

2. The optical measuring device of claim 1, wherein a cross-sectional profile of the first sheet of light and of the second sheet of light has a width parallel to a longitudinal direction of the artery that is shorter than, respectively, a length of the first sheet of light and a length of the second sheet of light.

3. The optical measuring device of claim 1, wherein a cross-sectional profile of the first sheet of light and of the second sheet of light has an elliptical, rectangular, triangular, or polygonal shape.

4. The optical measuring device of claim 1, wherein the first transmit light guide includes flexible material and is configured to:

conform to a partial circumference of a limb of the subject in the first region; and

direct the first sheet of light towards the first region such that a transverse axis of the first sheet of light extends along and conforms to the partial circumference.

5. The optical measuring device of claim 4, wherein the transverse axis of the first sheet of light extends along the partial circumference of the limb for at least forty degrees.

6. The optical measuring device of claim 1, wherein the first transmit light guide and the second transmit light guide are comprise one or more of optical facets, refractive index structures, a volume hologram, a diffractive surface relief element, or any combination thereof.

7. The optical measuring device of claim 1, wherein the first transmit light guide and the second transmit light guide are comprise a planar optical waveguide, a prism, or any combination thereof.

8. The optical measuring device of claim 1, wherein the first transmit light guide and the second transmit light guide are comprise one or more lenses configured to focus, respectively, the first sheet of light and the second sheet of light at a targeted focal depth.

9. The optical measuring device of claim 8, wherein the one or more lenses of the first transmit light guide and the second transmit light guide are configured to focus, respectively, the first sheet of light and the second sheet of light with a targeted width at the targeted focal depth.

10. The optical measuring device of claim 1, wherein the first transmit light guide and the second transmit light guide are configured to conform to a surface of a limb of the subject.

11. The optical measuring device of claim 1, wherein:

the first and second light detectors of the first optical sensor and the second optical sensor are configured to receive the first backscattered light and the second backscattered light along a partial circumference of a limb of the subject.

12. The optical measuring device of claim 1, wherein each of the first optical sensor and the second optical sensor comprises a single light detector, the optical measuring device further comprising:

one or more receive light guides coupled to the single light detector, wherein each of the one or more receive light guides is configured to collect the first backscattered light and the second backscattered light to direct the collected first backscattered light and the collected second backscattered light towards the single light detector of, respectively, the first optical sensor and the second optical sensor.

13. The optical measuring device of claim 1, wherein each of the first optical sensor and the second optical sensor further comprises a plurality of light detectors, the optical measuring device further comprising:

a plurality of receive light guides, wherein each of the plurality of receive light guides is coupled to a respective one of the plurality of light detectors and is configured to collect the backscattered light and direct the collected backscattered light towards the respective one of the plurality of light detectors.

14. The optical measuring device of claim 1, wherein each of the first optical sensor and the second optical sensor comprises one or more light detectors coupled to one or more receive light guides.

15. The optical measuring device of claim 1, wherein the first optical sensor and the second optical sensor comprise a plurality of light detectors distributed along a length of, respectively, the first transmit light guide and the second transmit light guide.

16. The optical measuring device of claim 1, further comprising a processor coupled to the first and second light detectors and configured with processor-executable instructions to determine cardiovascular properties based on the output from the one or more first and second light detectors.

17. The optical measuring device of claim 1, further comprising flexible wired connections attached on the flexible substrate and coupled with each of the first optical sensor and the second optical sensor;

wherein the flexible wired connections are configured to accommodate relative movement between the first region and the second region of the subject.

18. The optical measuring device of claim 1, further comprising a processor configured to determine a pulse transit time based on the first output and the second output.

19. The optical measuring device of claim 1, wherein the first light source is configured to emit light of a first wavelength;

wherein the second light source is configured to emit light of a second wavelength;

wherein the optical measuring device further comprises a processor configured to determine a difference between a first degree of absorption of the light of the first wavelength by the artery and a second degree of absorption of the light of the second wavelength by the artery.

20. A method of measuring cardiovascular properties using an optical measuring device applied to a subject, comprising:

directing, using a first light guide attached to an inner surface of a flexible substrate, a first sheet of light from a first light source also attached to the inner surface of the flexible substrate towards an artery in a first region of the subject, the flexible substrate being wrapped around the first region and a second region of the subject, the first region being movable with respect to the second region;

directing, using a second light guide attached to the inner surface of the flexible substrate, a second sheet of light from a second light source also attached to the inner surface of the flexible substrate towards the artery in the second region of the subject;

receiving, using a first light detector attached to the inner surface of the flexible substrate, first backscattered light that is light from the first sheet of light reflected from the artery and tissues surrounding the artery in the first region;

receiving, using a second light detector attached to the inner surface of the flexible substrate, second backscattered light that is light from the second sheet of light reflected from the artery and tissues surrounding the artery in the second region; and

generating an output based on the first backscattered light received by the first light detector and the second backscattered light received by the second light detector.

21. The method of claim 20, further comprising:

determining one or more cardiovascular properties based on the output.

22. The method of claim 20, wherein a cross-sectional profile of the first sheet of light and of the second sheet of light has a width parallel to a longitudinal direction of the artery that is shorter than, respectively, a length of the first sheet of light and a length of the second sheet of light.

23. The method of claim 20, wherein a cross-sectional profile of the first sheet of light and of the second sheet of light has an elliptical, rectangular, triangular, or polygonal shape.

24. The method of claim 20, wherein directing the first sheet of light towards the artery in the subject comprises directing the first sheet of light towards the first region such that a transverse axis of the first sheet of light extends along and conforms to a partial circumference of a limb of the subject.

25. The method of claim 24, wherein:

directing the first sheet of light along the partial circumference of the limb comprises directing the first sheet of light along the partial circumference of the limb for at least forty degrees; and

receiving the first backscattered light comprises receiving the first backscattered light along the partial circumference of the limb.

26. An optical measuring device for measuring cardiovascular properties, comprising:

means for wrapping around a first region and a second region of a subject, the second region being movable with respect to the first region;

means for directing a first sheet of light towards an artery in the first region of the subject;

means for directing a second sheet of light towards the artery in a second region of the subject;

means for receiving first backscattered light that is light from the first sheet of light reflected from the artery and tissues surrounding the artery in the first region;

means for receiving second backscattered light that is light from the second sheet of light reflected from the artery and tissues surrounding the artery in the second region; and

means for generating an output based on the received first backscattered light and the received second backscattered light,

wherein the means for directing the first sheet of light, the means for directing the second sheet of light, the means for receiving the first backscattered light, and the means for receiving the second backscatter light are attached to the means for wrapping around the first region and the second region.

27. The optical measuring device of claim 26, further comprising:

means for determining one or more cardiovascular properties based on the output.

28. The optical measuring device of claim 26, wherein a cross-sectional profile of the first sheet of light and of the second sheet of light has a width parallel to a longitudinal direction of the artery that is shorter than, respectively, a length of the first sheet of light and a length of the second sheet of light.

29. The optical measuring device of claim 26, wherein a cross-sectional profile of the first sheet of light and of the second sheet of light has an elliptical, rectangular, triangular, or polygonal shape.

30. An optical measuring device for measuring cardiovascular properties, comprising:

a flexible substrate configured as a patch to wrap around a first region and a second region of a subject, the first region movable with respect with the second region;

a first optical sensor attached to an inner surface of the flexible substrate and comprising a first light source, a first light detector, and a first transmit light guide coupled to the first light source, the first transmit light guide being configured to direct light from the first light source as a first sheet of light towards an artery in the first region, the first light detector being configured to receive first backscattered light and generate a first output based on the received first backscattered light, wherein the first backscattered light is light from the first sheet of light that is reflected from the artery and tissues surrounding the artery in the first region;

a second optical sensor attached to the inner surface of the flexible substrate comprising a second light detector, a second light source and a second transmit light guide coupled to the second light source, the second transmit light guide being configured to direct light from the second light source as a second sheet of light towards the artery in the second region, the second light detector being configured to receive second backscattered light and generate a second output based on the received second backscattered light, wherein the second backscattered light is light from the second sheet of light that is reflected from the artery and tissues surrounding the artery in the second region; and

a processor coupled to the first optical sensor and the second optical sensor and configured to determine one or more cardiovascular properties based on outputs from the first optical sensor and the second optical sensor.

31. The optical measuring device of claim 30, wherein a cross-sectional profile of the first sheet of light and of the second sheet of light has a width parallel to a longitudinal direction of the artery that is shorter than, respectively, a length of the first sheet of light and a length of the second sheet of light.

32. The optical measuring device of claim 30, wherein a cross-sectional profile of the first sheet of light and of the second sheet of light has an elliptical, rectangular, triangular, or polygonal shape.