Blood constituent determination based on differential spectral analysis

• US 5,372,135 A
• Filed: 03/21/1994
• Issued: 12/13/1994
• Est. Priority Date: 12/31/1991
• Status: Expired due to Term

• Current Assignee: Lock J. Paul, Morrow & Co. Partnership, Robert A. Peura, Stephen Wells
• Original Assignee: VivaScan Corp.
• Inventors: Wang, Yi, Gross, Brian D., Harjunmaa, Hannu, Mendelson, Yitzhak
• Primary Examiner(s): Sykes, Angela D.
• Application Number:
  US08/216,083
• Time in Patent Office: 267 Days
• Field of Search: 128/633-634, 128/664-666, 356/39-41, 422/82.09
• US Class Current: 600/322
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: G01N 21/314 with comparison of measurements at specific and non-specific wavelengths dual wavelength spectrometry G01J3/427

Abstract

The present invention relates to the determination of an analyte or multiple analytes in blood using information derived from the differential optical absorption spectra of blood. Specifically, the information is derived from the differential spectra of tissue before and immediately after the volume of blood in the tissue has been changed.

Claims

1. A non-invasive in vivo method for obtaining a differential absorption spectrum relating to the concentration of analyte in living tissue comprising the steps of:

a) illuminating the tissue with a first light beam which is varied in wavelength in a substantially continuous manner about a first wavelength over a first time period;

b) detecting the wavelength varied first light beam after the beam has traversed a first blood volume of tissue containing said analyte to produce a first absorption spectrum comprising a substantially continuous plot of absorption in said first volume versus wavelength;

c) changing the blood volume of tissue;

d) illuminating the changed blood volume of tissue with a second light beam which is varied in wavelength in a substantially continuous manner about a second wavelength over a second time period;

e) detecting the wavelength varied second light beam after the beam has traversed a second blood volume of tissue containing said analyte to produce a second absorption spectrum comprising a substantially continuous plot of absorption in said changed volume versus wavelength;

f) combining the two absorption spectrums to produce a differential absorption spectrum.

2. The method of claim 1 including processing of the differential spectrum to determine analyte concentration.

3. The method of claim 2 wherein the analyte is glucose.

4. The method of claim 2 including detecting of the light by a photodetector and wherein the absorption spectrum is comprised of an electrical signal.

5. The method of claim 1 including varying the wavelength of at least one of said first and second light beams over a range between about 1100 nanometers and 2500 nanometers.

6. The method of claim 1 wherein the blood volume is changed electromechanically.

7. The method of claim 1 wherein the blood volume is changed by the natural blood pressure pulse of the cardiac cycle.

8. The method of claim 1 wherein the wavelength is varied in step d) over a range which is similar to the wavelength variation in step a).

9. A non-invasive method for obtaining a differential absorption spectrum relating to the concentration of analyte in living tissue comprising the steps of:

a) illuminating the tissue at a first tissue site with a light beam which is varied in wavelength during a first time period;

b) during a second time period changing the blood volume of the tissue at the first tissue site from a first volume to a second volume;

c) detecting the light beam during the first time period after the wavelength varied beam has traversed the first volume of tissue containing said analyte to produce a first absorption spectrum;

d) detecting the light beam during the second time period after the wavelength varied beam has traversed the second volume of tissue containing said analyte to produce a second absorption spectrum;

e) combining the two absorption spectrum to produce a differential absorption spectrum which represents tissue absorption versus a spectrum of wavelengths.

10. The method of claim 9 including processing the differential spectrum to determine analyte concentration.

11. The method of claim 9 wherein the analyte is glucose.

12. Apparatus for non-invasive generation of a differential signal relating to the concentration of analyte in living tissue comprising:

a) a light source generating a beam of light;

b) a tuner varying the frequency of said beam of light over a predetermined time period;

c) a photosensitive detector for detecting said frequency varying light after traversing said tissue;

(ii) when the tissue contains a first volume of blood; and

(iii) when the tissue contains a second volume of blood;

to produce two separate absorption signals a first one of which is proportional to the absorption of said frequency varying light by said tissue containing the first volume of blood versus frequency and a second of which is proportional to the absorption of said frequency varying light by said tissue containing the second volume of blood versus frequency; and

d) generating means for generating said differential signal which is proportional to the difference between the light detected versus frequency for each signal detected in (c) (i) and (ii) above.

13. The apparatus of claim 12 wherein the tuner comprises an acousto-optical tunable filter.

14. The apparatus of claim 12 including a beam splitter dividing the frequency varied beam of light into two beams, one of which traverses a greater volume of blood than the other.

15. The apparatus of claim 12 including clamp means for varying the volume of blood in the tissue traversed by the light.

16. The apparatus of claim 15 wherein the clamp means is an optically transparent body.