Multi-stream emitter for noninvasive measurement of blood constituents

• US 8,515,509 B2
• Filed: 08/03/2009
• Issued: 08/20/2013
• Est. Priority Date: 08/04/2008
• Status: Active Grant

• Current Assignee: Willow Laboratories Incorporated
• Original Assignee: Cercacor Laboratories
• Inventors: Bruinsma, Johannes, Lamego, Marcelo, Merritt, Sean, Dalvi, Cristiano, Vo, Hung, Poeze, Jeroen, Lesmana, Ferdyan, Kiani, Massi Joe E.
• Primary Examiner(s): LaBalle, Clayton E
• Assistant Examiner(s): Hancock, Dennis
• Application Number:
  US12/534,825
• Publication Number:
  US 20100030041A1
• Time in Patent Office: 1,478 Days
• Field of Search: 600/322
• US Class Current: 600/322
• CPC Class Codes: A61B 2562/0233 Special features of optical sensors or probes classified in A61B5/00
• CPC Class Codes: A61B 2562/04 Arrangements of multiple sensors of the same type
• CPC Class Codes: A61B 2562/046 in a matrix array
• CPC Class Codes: A61B 2562/146 for optical coupling
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/02427 Details of sensor
• 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 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/4875 Hydration status, fluid retention of the body
• CPC Class Codes: A61B 5/6816 Ear lobe
• CPC Class Codes: A61B 5/6826 Finger
• CPC Class Codes: A61B 5/6829 Foot or ankle
• CPC Class Codes: A61B 5/6838 Clamps or clips
• CPC Class Codes: A61B 5/6843 Monitoring or controlling sensor contact pressure
• CPC Class Codes: A61B 5/70 Means for positioning the patient in relation to the detecting, measuring or recording means
• CPC Class Codes: A61B 5/7275 Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor

Abstract

The present disclosure relates to an emitter that is suitable for a noninvasive blood constituent sensor. The emitter is configured as a point optical source that comprises a plurality of LEDs that emit a sequence of pulses of optical radiation across a spectrum of wavelengths. In some embodiments, the plurality of sets of optical sources may each comprise at least one top-emitting LED and at least one super luminescent LED. In some embodiments, the emitter comprises optical sources that transmit optical radiation in the infrared or near-infrared wavelengths suitable for detecting glucose. In order to achieve the desired SNR for detecting analytes like glucose, the emitter may be driven using a progression from low power to higher power. In addition, the emitter may have its duty cycle modified to achieve a desired SNR.

Claims

1. A multi-stream emitter for a noninvasive, physiological device configured to transmit optical radiation in a tissue site, said emitter comprising:

a set of optical sources comprising;

a top-emitting diode affixed to a first surface, and

a side-emitting diode affixed to a second surface, wherein the first surface is approximately perpendicular to the second surface; and

a driver configured to;

drive the top-emitting diode to transmit first infrared optical radiation at a first power into a tissue site of a patient, wherein the top-emitting diode is configured to emit the first infrared optical radiation in a first direction substantially perpendicular to the first surface; and

drive the side-emitting diode to transmit second infrared optical radiation at a second power into the tissue site of the patient, wherein the side-emitting diode is configured to emit the second infrared optical radiation in a second direction substantially parallel to the second surface, and wherein the second power is greater than the first power;

enabling measurement of an analyte in the tissue site of the patient.

2. The emitter of claim 1, wherein the side-emitting diode comprises a super luminescent light emitting diode.

3. The emitter of claim 1, wherein the side-emitting diode comprises a laser diode.

4. The emitter of claim 1 further comprising a submount that configures the set of optical sources as a single point source.

5. The emitter of claim 4 wherein the submount is configured to position the set of optical sources within a diameter of about 2 mm of each other.

6. The emitter of claim 4 wherein the submount is configured to position the set of optical sources within a diameter of about 4 mm of each other.

7. The emitter of claim 1, wherein the top-emitting diode is configured to emit the first infrared optical radiation at a wavelength of approximately 900 to approximately 1350 nm.

8. The emitter of claim 1, wherein the side-emitting diode is configured to emit the second infrared optical radiation at wavelengths of approximately 1600 to approximately 1800 nm.

9. The emitter of claim 1, further comprising a heat sink thermodynamically coupled to the set of optical sources.

10. The emitter of claim 1, further comprising at least one thermistor.

11. The emitter of claim 10, wherein the at least one thermistor is configured to detect a temperature of at least one of the optical sources.

12. The emitter of claim 10, wherein the at least one thermistor is configured to detect a temperature of the tissue site.

13. The emitter of claim 1, wherein the set of optical sources comprises a plurality of side-emitting diodes.

14. The emitter of claim 1, wherein the set of optical sources comprises a plurality of top-emitting diodes.

15. An emitter of a noninvasive optical sensor, the emitter configured to transmit optical radiation into a tissue site to be detected after attenuation by said tissue site and processed to determine one or more physiological parameters of a patient, said emitter comprising:

an optical source;

including;

a top-emitting diode having a first surface connected to an electrical contact, and

a side-emitting diode having a second surface connected to an electrical contact; and

a driver;

configured to drive the top-emitting diode to transmit light at a first wavelength into the tissue site, wherein the top-emitting diode is configured to transmit light at the first wavelength in a first direction substantially perpendicular to the first surface; and

configured to drive the side-emitting diode to transmit light at a second wavelength into the tissue site, wherein the side-emitting diode is configured to transmit light at the second wavelength in a second direction substantially parallel to the second surface.

16. The emitter of claim 15, wherein the second wavelength is between approximately 1650 nm and approximately 1800 nm.

17. The emitter of claim 15, wherein the driver is configured to deliver a progression of about 1 mW for emitting the light at the first wavelength and about 40 to about 100 mW for emitting the light at the second wavelength.

18. The emitter of claim 15, wherein the driver is configured to:

drive the top-emitting diode at a first power; and

drive the side-emitting diode at a second power, wherein the second power is greater than the first power.

19. The emitter of claim 15, wherein the top-emitting diode and the side-emitting diode are placed on orthogonal planes.

20. The emitter of claim 15, wherein the top-emitting diode and the side-emitting diode do not face the same plane.

21. A method of transmitting a stream of pulses of optical radiation in a tissue site, said method comprising:

transmitting with a top-emitting diode affixed to a first surface, at a first power, at least one pulse of first infrared optical radiation having a first pulse width, wherein the top-emitting diode is configured to transmit light at the first infrared optical radiation in a first direction substantially perpendicular to the first surface; and

transmitting with a side-emitting diode affixed to a second surface not parallel to the first surface, at a second power, at least one pulse of second infrared optical radiation, wherein the side-emitting diode is configured to transmit light at the second infrared optical radiation in a second direction substantially parallel to the second surface.

22. The method of claim 21, further comprising waiting for an idle period before transmitting at the second power.

23. The method of claim 21, further comprising waiting for a stabilization period between transmitting at the second power and repeating transmission at the first power.

24. The method of claim 21, further comprising adjusting the pulse widths of the at least one pulse of the first or the second infrared optical radiation.

25. The method of claim 21, further comprising:

monitoring a temperature of sources of the first or the second infrared optical radiation; and

adjusting transmission of the at least one pulse of the first or the second infrared optical radiation based on the temperature.

26. The method of claim 21, further comprising:

monitoring a temperature of the tissue site; and

adjusting transmission of the at least one pulse of the first or the second infrared optical radiation based on the temperature.

27. The method of claim 21, further comprising synchronizing transmission of the pulses of the first and the second infrared optical radiation with a sampling frequency at a detector detecting optical radiation from the tissue site.

28. The method of claim 21, wherein the stream of optical pulses are transmitted by optical sources that are within about a 2 mm diameter of each other.

29. The method of claim 21, wherein the stream of optical pulses are transmitted by the top-emitting diode and the side-emitting diode that are within about a 4 mm diameter of each other.

30. The method of claim 21, transmitting the at least one pulse of the first infrared optical radiation comprises transmitting at a wavelength of approximately 900 to approximately 1350 nm.

31. The method of claim 21, transmitting the at least one pulse of the second infrared optical radiation comprises transmitting at a wavelength of approximately 1650 to approximately 1800 nm.

32. A light source for a noninvasive, physiological device configured to transmit optical radiation in a tissue site, said light source comprising:

a set of optical sources, the set of optical sources comprising;

a first emitting diode affixed to a first surface, and

a side emitting diode affixed to a second surface, said second surface being in a non-parallel plane to said first surface; and

a driver configured to;

drive the first emitting diode to transmit first optical radiation into a tissue site of a patient, wherein the first emitting diode is configured to emit the first optical radiation in a first direction, and

drive the second emitting diode to transmit second optical radiation into the tissue site of the patient, wherein the second emitting diode is configured to emit the second optical radiation in the first direction;

wherein the first direction is generally toward the tissue site of the patient, wherein the first optical radiation is emitted at a first intensity and the second optical radiation is emitted at a second intensity, the second intensity be substantially greater than the first intensity.

33. The light source of claim 32, wherein the second emitting diode is configured to transmit optical radiation at wavelengths of approximately 1650 to approximately 1800 nm.

34. The light source of claim 32, wherein the driver is configured to deliver a progression of about 1 mW for emitting the first optical radiation and about 40 to about 100 mW for emitting the second optical radiation.

35. The light source of claim 32, wherein the first surface is approximately perpendicular to the second surface.

36. The light source of claim 32, wherein the first emitting diode comprises one or more top-emitting diodes and the second emitting diode comprises one or more side-emitting diodes.