Intermittent measuring of arterial oxygen saturation of hemoglobin

• US 6,005,658 A
• Filed: 06/19/1997
• Issued: 12/21/1999
• Est. Priority Date: 04/18/1997
• Status: Expired due to Term

• Current Assignee: Koninklijke Philips N.V.
• Original Assignee: Hewlett-Packard Company (HP Inc.)
• Inventors: Blank, Michael, Kaluza, Michael
• Primary Examiner(s): Font, Frank G.
• Assistant Examiner(s): Ratliff, Reginald A.
• Application Number:
  US08/878,890
• Time in Patent Office: 915 Days
• Field of Search: 356/39, 356/41, 356/42
• US Class Current: 356/39
• CPC Class Codes: A61B 2560/0209 adapted for power saving
• CPC Class Codes: A61B 5/145 Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissuemeasuring of blood pressure or blood flow A61B5/02; non-radiation detecting or locating of foreign bodies in blood A61B5/06
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: G06F 1/32 Means for saving power

Abstract

Described is a method and a system for detecting the arterial oxygen saturation of hemoglobin (also called blood oxygenation, SpO2 or SaO2 measuring), comprising a measuring device for performing a blood oxygenation measurement and a controller unit. The measuring device is controllable by the controller unit so that the blood oxygenation measurement can be performed non-continuously. In a first step the measuring device is powered on, in a second step the blood oxygenation measurement is performed, and in a third step the measuring device or parts thereof are powered down, whereby the three steps are repeatable periodically. This provides SpO2 measurement applicable in telemetric or handhold instruments. The system is preferably used in telemetric or handhold instruments.

Claims

1. A system for detecting blood oxygenation, comprising a measuring device for performing a blood oxygenation measurement and a controller unit, characterized in that the measuring device is controlled by the controller unit, said controller unit responsive to a measured value from said measuring device reaching a threshold value to disable operation of said measuring device and to re-enable said measuring device upon a further criteria being reached, whereby the blood oxygenation measurement is performable non-continuously.

2. The system of claim 1, further comprising means for periodically carrying out the blood oxygenation measurement in accordance with a predetermined temporal test pattern or on demand.

3. The system of claim 1, further comprising means for indicating a representative blood oxygenation value, when one or more measured blood oxygenation values fulfil a pre-given confidence criterion.

4. The system of claim 1, further comprising means for adapting the time between successive measuring intervals or for adapting the time between the start of successive measuring intervals to the time durance of a respective measuring interval, an indicated blood oxygenation value, or to a confidence value of the indicated blood oxygenation value.

5. The system of claim 1, further comprising means for statistically analyzing the measured blood oxygenation values measured during a measuring interval.

6. A method for detecting blood oxygenation, through use of a measuring device for performing a blood oxygenation measurement and a controller unit, said method comprising the steps of:

a) controlling the measuring device is to make blood oxygen measurements;

b) disabling operation of said measuring device upon a measured value from said measuring device reaching a threshold value; and

c) re-enabling said measuring device upon a further criteria being reached, whereby the blood oxygenation measurement is performed non-continuously.

12. A method for detecting blood oxygenation, characterized in that the measuring of the blood oxygenation is performed non-continuously.

7. The method of claim 12, wherein step a) comprises a first step of powering on a measuring device for performing a blood oxygenation measurement, a second step of performing the blood oxygenation measurement, and step b) comprises a third step of powering down the measuring device or parts thereof, whereby the three steps are repeatable periodically.

8. The method of claim 12, wherein the time between successive measuring intervals is adapted to the time duration of a respective measuring interval, an indicated blood oxygenation value, or to a confidence value of the indicated blood oxygenation value.

9. The method of claim 13, further comprising prior to the third step a step of statistically analyzing the measured blood oxygenation values measured during each measuring interval.

10. The method of claim 13, further comprising a step prior to the third step of indicating a blood oxygenation value representative for a measured time interval.

11. The method of claim 13, wherein the second step comprises a step of predicting the stability of measured blood oxygenation values by

a) determining individual beat-to-beat blood oxygenation values,

b) assessing an estimated standard deviation for the blood oxygenation values based on empirical knowledge,

c) interpolating the confidence value to the estimated standard deviation.

13. A method of claim 12, comprising a first step of powering on a measuring device for performing a blood oxygenation measurement, a second step of performing the blood oxygenation measurement, a third step of powering down the measuring device or parts thereof, whereby the three steps are repeatable periodically.

14. The method of claim 12, wherein the blood oxygenation measurement is carried out periodically according to a predetermined temporal test pattern or on demand.

15. The method of claim 13, wherein the blood oxygenation measurement is carried out periodically according to a predetermined temporal test pattern or on demand.

16. The method of claim 12, wherein a representative blood oxygenation value is indicated when one or more measured blood oxygenation values fulfil a pre-given confidence criterion.

17. The method of claim 12, wherein the time between successive measuring intervals is adapted to the time durance of a respective measuring interval, an indicated blood oxygenation value, or to a confidence value of the indicated blood oxygenation value.

18. The method of claim 12, further comprising prior to the third step a step of statistically analyzing the measured blood oxygenation values measured during each measuring interval.

19. The method of claim 18, wherein the step of statistically analyzing the measured blood oxygenation values comprises a step of determining the standard deviation of the measured blood oxygenation values.

20. The method of claim 12, further comprising a step prior to the third step of indicating a blood oxygenation value representative for a measured time interval.

21. The method of claim 20, wherein the step of indicating a blood oxygenation value is first executed when the confidence criterion is met.

22. The method of claim 12, wherein the second step comprises a step of predicting the stability of measured blood oxygenation values by

a) determining individual beat-to-beat blood oxygenation values,

b) assessing an estimated standard deviation for the blood oxygenation values based on empirical knowledge,

c) interpolating the confidence value to the estimated standard deviation.

23. The method of claim 22, wherein the step of predicting the stability of measured blood oxygenation values is executed until enough measured blood oxygenation values are available for a collective processing.

24. The method of claim 12, wherein the time between successive measuring intervals or the time between the start of successive measuring intervals is increased when the indicated blood oxygenation values only differ slightly and their respective confidence values show high confidence, and/or decreased when the indicated blood oxygenation values differ significantly, their respective confidence values just pass the confidence criterion, or the confidence criterion is first met after a certain time period.