Methods of enhancing optical signals by mechanical manipulation in non-invasive testing

• US 6,222,189 B1
• Filed: 05/06/1998
• Issued: 04/24/2001
• Est. Priority Date: 07/15/1992
• Status: Expired due to Fees

• Current Assignee: Optix LP
• Original Assignee: Optix LP
• Inventors: Block, Myron J., Misner, Michael, Guthermann, Howard E.
• Primary Examiner(s): Ham, Seungsook
• Assistant Examiner(s): HANIG, RICHARD E
• Application Number:
  US09/073,575
• Time in Patent Office: 1,084 Days
• Field of Search: 290/341.1, 290/341.5, 290/339.12, 356/39, 356/40, 356/42, 600/322, 600/331, 600/335
• US Class Current: 250/341.1
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/14546 for measuring analytes not otherwise provided for, e.g. ions, cytochromes
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/6843 Monitoring or controlling sensor contact pressure
• CPC Class Codes: G01N 2021/3137 with selection of wavelengths after the sample
• CPC Class Codes: G01N 21/359 using near infrared light
• CPC Class Codes: G01N 21/4795 spatially resolved investigating of object in scattering medium in vivo A61B
• CPC Class Codes: G01N 21/49 within a body or fluid

Abstract

The invention relates to the enhancement of the signal-to-background ratio of a non-invasive measurement of the concentration of a blood constituent at a measurement site by applying an external pressure at a location near the measurement site. In one embodiment, sufficient pressure is applied proximate to a measurement site to stop blood flow. The pressure is then suddenly relased, thereby generating a blood bolus passing through the site. By illuminating the measurement site before and during the passage of the blood bolus and observing the interaction of the input radiation with the measurement site, the concentration of a blood constituent can be measured. In another embodiment, the venous pulse is occluded by applying a pressure midway between systolic and diastolic pressure. By illuminating the measurement site in the absence of a venous pulse, the signal-to-background ration can be enhanced and the concentration of a blood constituent can be measured.

Claims

1. A method for enhancing the signal-to-background ratio of a non-invasive measurement of the concentration of a blood constituent at a measurement site, the method comprising the steps of:

applying a pressure at a location proximate to a measurement site to stop all of the flow of blood to the measurement site,

releasing said pressure to provide a rapid increase of the localized blood volume in the measurement site during a selected interval,

illuminating the measurement site with input radiation during at least of a portion of said selected interval, and

detecting output radiation representative of the interaction of the input radiation with the blood constituent in the blood at said measurement site during a measurement interval determined by the selected interval.

2. The method of claim 1 wherein the step of increasing the localized blood volume includes the steps of:

releasing the blood rapidly from said area of applied pressure proximate to said measurement site, thereby allowing a blood bolus to flow into the measurement site, thereby transiently increasing the localized blood volume in the measurement site.

3. The method of claim 2 wherein

the step of applying pressure comprises applying a mechanical pressure in excess of the natural systolic pressure, and

the step of releasing the blood bolus includes the step of reducing the mechanical pressure to below the natural systolic pressure, thereby allowing the blood bolus to enter the measurement site.

4. The method of claim 1 further comprising the step of selecting the measurement site to be the volume distal to the last joint on a finger.

5. The method of claim 1 further comprising the step of selecting a measurement site having a rigid restriction to the force exerted by the cardiac pulse.

6. The method of claim 5 further comprising the step of selecting the rigid restriction to be a fingernail.

7. The method of claim 1 wherein the step of illuminating the measurement site includes the step of selecting a range of illumination wavelengths which includes an absorption wavelength of hemoglobin.

8. The method of claim 7 further comprising the step of selecting the range of illumination wavelengths to extend between 700 and 1200 nanometers.

9. The method of claim 1 wherein the step of detecting the output radiation includes the step of providing a plurality of detectors having overlapping frequency responses.

10. A method for enhancing the signal-to-background ratio of a non-invasive measurement of the concentration of a blood constituent at a measurement site, the method comprising the steps of:

applying, to a location proximate to the measurement site, an external mechanical pressure between the natural systolic pressure and the natural diastolic pressure,

illuminating the measurement site with input radiation, and

detecting output radiation representative of the interaction of the input radiation with the blood constituent in the blood at the measurement site.

11. The method of claim 10 further comprising the step of selecting the external mechanical pressure to be the average of the natural systolic pressure and the natural diastolic pressure.

12. The method of claim 10 further comprising the step of adaptively selecting the external mechanical pressure to maximize coupling between the output radiation and the arterial blood flow into the measurement site.

13. The method of claim 10 further comprising the step of selecting the measurement site to be a volume distal to the last joint on a finger.

14. The method of claim 10 further comprising the step of selecting a measurement site having a rigid restriction to the force exerted by the cardiac pulse.

15. The method of claim 14 further comprising the step of choosing the rigid restriction to be a fingernail.

16. The method of claim 10 wherein the step of illuminating the measurement site includes the step of selecting a range of illumination wavelengths which includes an absorption wavelength of hemoglobin.

17. The method of claim 16 further comprising the step of selecting the range of illumination wavelengths to extend between 700 and 1200 nanometers.

18. The method of claim 10 wherein the step of detecting the output radiation includes the step of providing a plurality of detectors having overlapping frequency responses.