Oximeter ambient light cancellation

• US 8,315,684 B2
• Filed: 07/14/2008
• Issued: 11/20/2012
• Est. Priority Date: 02/25/2004
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Petersen, Ethan, Shea, William, Chew, Bradford B.
• Primary Examiner(s): WINAKUR, ERIC FRANK
• Application Number:
  US12/172,981
• Publication Number:
  US 20090005662A1
• Time in Patent Office: 1,590 Days
• Field of Search: 600/310, 600/322, 600/323, 600/336
• US Class Current: 600/336
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• 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 5/7225 Details of analog processing, e.g. isolation amplifier, gain or sensitivity adjustment, filtering, baseline or drift compensation A61B5/30, A61B5/316 take precedence; transformers for specific applications H01F38/00; amplifiers H03F
• CPC Class Codes: A61B 5/7228 Signal modulation applied to the input signal sent to patient or subject; demodulation to recover the physiological signal modulation H03C
• CPC Class Codes: A61B 5/725 using specific filters therefor, e.g. Kalman or adaptive filters A61B5/316 take precedence
• CPC Class Codes: A61B 5/7278 Artificial waveform generation or derivation, e.g. synthesising signals from measured signals A61B5/327 takes precedence

Abstract

A pulse oximeter method and apparatus which provides (1) a notch filter at a distance between a modulation frequency and a common multiple of commonly used power line frequencies (50, 60, 100 and 120) and also (2) a demodulation frequency greater than a highest pulse rate of a person and lower than any harmonic of 50, 60, 100 or 120 Hz, to filter ambient light interference, while choosing an optimum demodulation frequency that avoids interference from the notch filter or from harmonics of the line interference. Also, ambient light for any low frequency interference, such as power line interference, is measured both before and after each of the light emitter wavelengths and the average of the ambient light is then subtracted from the detected signal.

Claims

1. A pulse oximetry system comprising:

an emitter capable of directing one or more wavelengths of light into a tissue;

a detector capable of detecting the one or more wavelengths of light to provide an analog sensor signal;

an amplifier configured to amplify the analog sensor signal to provide an amplified analog sensor signal;

a sigma-delta modulator having an input coupled to receive the amplified analog sensor signal;

a multiple bit analog-to-digital converter coupled to an output of the sigma-delta modulator to provide a digital signal;

a decimator configured to receive the digital signal and output a decimated signal;

a digital filter configured to operate on the decimated signal; and

a controller configured to preload the decimator and digital filter with an estimate of a settled output value.

2. The pulse oximetry system, as set forth in claim 1, wherein the amplifier comprises a hardware amplifier.

3. The pulse oximetry system, as set forth in claim 1, wherein the digital filter comprises a Bessel filter.

4. The pulse oximetry system, as set forth in claim 1, wherein the controller comprises a control program.

5. The pulse oximetry system, as set forth in claim 1, wherein the controller is configured to preload the decimator and the digital filter after a step change in the decimated signal.

6. The pulse oximetry system, as set forth in claim 1, wherein the controller is configured to preload the decimator and the digital filter in response to a change in a gain setting of the amplifier.

7. The pulse oximetry system, as set forth in claim 1, wherein the controller is configured to preload the decimator and the digital filter in response to a change in an LED associated with the analog sensor signal being activated.

8. The pulse oximetry system, as set forth in claim 1, wherein the controller is configured to preload the decimator and the digital filter in response to a power change in an LED associated with the analog sensor signal.

9. The pulse oximetry system, as set forth in claim 1, wherein the controller is configured to preload the decimator and the digital filter in response to the controller changing a setting of the oximeter apparatus.

10. A non-transitory computer-readable medium, comprising executable instructions for:

controlling light at two wavelengths to be alternately driven into a tissue site using a modulation frequency that is a predetermined distance from a common multiple of 50, 60, 100, and 120, where the predetermined distance is greater than a highest pulse rate of a person and lower than a distance of any harmonic of 50, 60, 100, or 120;

processing a signal received from the tissue site to generate a processed signal;

notch filtering the processed signal at a frequency equivalent to the predetermined distance to produce a filtered signal; and

calculating at least one patient characteristic based on the filtered signal.

11. The non-transitory computer-readable medium, as set forth in claim 10 wherein processing the received signal comprises digitizing the received signal.

12. The non-transitory computer-readable medium, as set forth in claim 10 wherein the common multiple comprises 1200.

13. The non-transitory computer-readable medium, as set forth in claim 10 wherein the predetermined distance is between 5 and 20 hertz.

14. The non-transitory computer-readable medium, as set forth in claim 10 wherein the predetermined distance is approximately 11 hertz.

15. The non-transitory computer-readable medium, as set forth in claim 10 wherein the notch filtering is performed by providing a zero in a digital filter at the predetermined distance.

16. The non-transitory computer-readable medium, as set forth in claim 10 wherein calculating at least one patient characteristic comprises executable calculating a blood flow characteristic.

17. A non-transitory computer-readable medium for measuring a detected light signal in a pulse oximeter, comprising executable instructions for:

controlling light to be alternately driven into a tissue site using a modulation frequency to alternate between a first period of time when a first wavelength is being generated, a dark period of time when no light is being generated, and a second period of time when a second wavelength is being generated;

estimating a first level of ambient light in a signal received from the tissue site during the first period of time by averaging detected light received during the dark periods before and after the first period;

estimating a second level of ambient light in the signal received from the tissue site during the second period of time by averaging detected light received during the dark periods before and after the second period;

calculating a total light signal by subtracting the first level of ambient light from the signal received from the tissue site generated during the first period of time and subtracting the second level of ambient light from the signal received from the tissue site generated during the second period of time; and

calculating at least one patient characteristic based on the total light signal.

18. The non-transitory computer-readable medium, as set forth in claim 17 wherein calculating at least one patient characteristic comprises calculating a blood flow characteristic.

19. The non-transitory computer-readable medium, as set forth in claim 17 wherein calculating at least one patient characteristic comprises calculating an oxygen saturation.

20. The non-transitory computer-readable medium, as set forth in claim 17 wherein calculating at least one patient characteristic comprises calculating a pulse rate.