Abstract:
A system for determining the hematocrit transcutaneously and noninvasively. Disclosed are a finger clip assembly (6) and an earlobe clip assembly (10), each including at least a pair of emitters (1, 2) and a photodiode (3) in appropriate alignment to enable operation in either a transmittion mode or a reflectance mode. At least two, and preferably three, predetermined wavelengths of light are passed onto or through body tissues such as the finger (7), earlobe (11), or scalp, etc. and the extinction of each wavelength is detected. Mathematical manipulation of the detected values compensates for the effects of body tissue and fluid and determines the hematocrit value. If a fourth wavelength of light is used which is extinguished substantially differently by oxyhemoglobin and reduced hemoglobin and which is not substantially extinguished by plasma, then the blood oxygen saturation value, is determinable independently of the hematocrit value. It is also within the scope of the present invention to detect and analyze multiple wavelengths using a logarithmic DC analysis technique. In this embodiment, a pulse wave is not required. Hence, this embodiment may be utilized in states of low blood pressure or low blood flow.
Abstract:
An apparatus for measuring the concentration of blood constituents in which the architecture of the electronic processor reduces the amount of controller processing time required for tasks such as data acquisition and generation of system control signals. A demodulator is coupled to a probe for converting a first electrical signal to digital data. An interface is coupled to the demodulator for receiving the digital data and generating interrupts when a first amount of the digital data has been received. A buffer memory is coupled to the interface for storing the digital data. A controller having a controller memory (in specific embodiments, a CPU having a CPU memory) is also coupled to the buffer memory. The controller transfers the digital data from the buffer memory to the controller memory in response to the interrupts. The controller then processes the digital data to calculate the arterial oxygen concentration.
Abstract:
A system for examination of biological tissue of a subject (10) includes a light source (14), (16), a light detector (22), a gated integrator (26), (28), and an integrator timing control (19) adapted to integrate detected photons over at least two selected time intervals. The light source (14), (16) is adapted to introduce into the tissue, at an input port, pulses of electromagnetic radiation of a selected wavelength in the visible or infrared range. The detector (22) detects photons of modified pulses that have migrated in the tissue from the input port. The integrator (26), (28) registers all photons detected over preselected time intervals of the arrival time of the modified pulses. A processor (30) adapted to receive data from the integrator (26), (28) determines a physiological property of the examined tissue based on the number of photons integrated over each time interval.
Abstract:
The apparatus and method of screening and diagnosing trauma or disease in body tissues involves the use of DC bio-potential sensing electrodes (26) having DC offset potentials wihtin an acceptable range and electrical characteristics which enhance the accuracy of the bio-potential measurement. The apparatus (10) checks the electrodes (26) connected thereto prior to a measurement cycle and will not initiate the measurement cycle if improper electrodes are present. The electrodes (26) may be formed to selectively pass only certain ions thereby enhancing the sensitivity of the electrodes.
Abstract:
A subcutaneous radiation reflection probe for measuring oxygen saturation in living tissue includes an elongate drive shaft (4) on one end of which is detachably coupled to a mounting cup (20). The mounting cup (20) includes a hollow (48) for receiving and holding a base element (40) on which is mounted a spiral needle (24) which coils outwardly from the mounting cup (20) to terminate in a pointed end (24a). A window (60) is formed in the spiral needle (24) near the pointed end (24a) thereof for receiving and holding a radiation emitter, such as a light emitting diode (64). A radiation detector (44) is disposed on the base element (40) within the coil of the spiral needle (24). The probe may be used to measure oxygen saturation in living tissue, such as a fetal scalp, by inserting the mounting cup (20) and drive shaft (4) through an introducer (36) into a woman's vagina until the spiral needle (24) contacts the fetal scalp.
Abstract:
A method and apparatus for monitoring glucose, ethyl alcohol and other blood constituents in a noninvasive manner. The measurements are made by monitoring infrared absorption of the desired blood constituent in the long infrared wavelength range. The long wavelength infrared energy generated by source (400) is passed through a finger (406). To prevent the high energy source from burning or causing patient discomfort, shutter (404) and bandpass filters (410) cause only short bursts of energy to be sent through the finger with a very low duty cycle and low optical bandwidth. The bursts are further synchronized by shutter (404) with systole and diastole of the cardiac cycle so that only two pulses are sent per heart beat, one during diastole and one during systole. The detection signals measured at detectors (412) during application of these bursts of energy are used to calculate the concentration of blood constituents in accordance with a polynomial equation.
Abstract:
A dialysis probe for insertion into the human or animal body comprises a tubular dialysis membrane (2) closed at its distal end (3); an inlet tube (4) for supplying perfusion fluid into the body of the dialysis membrane (2); and an outlet tube (5) for the exit of perfusion fluid from the body of the dialysis membrane, the inlet and outlet tubes being provided at the proximal end of the tubular dialysis membrane (2) and making sealed connection with the interior of the dialysis membrane. An anchoring member (7, 20) is provided at the proximal end of the probe and in a first embodiment comprises a plate-like member for securing directly to the body of the subject, and in a second embodiment comprises a stopper cap (21, 22, 23, 24) for plugging a cannula itself attached to the body of the subject. The anchoring member has all the remaining component parts of the probe bonded, directly or indirectly, to it.
Abstract:
A measurement device for non-invasively determining the concentration of polarising substances in the human body, in particular for measuring the sugar concentration in human blood, has a light source (3), a periodically rotating polariser/analyser (6, 4) linked to an angle sensor (3) for determining the rotation frequency of the polariser (6), and a light detector (1), as well as an electronic assembly (8) for determining the blood sugar concentration from the measured values. The periodically rotating polariser (6) converts the angle of rotation of polarisation into a phase angle of the intensity curve of the transmitted light. The blood sugar concentration may be non-invasively determined by measuring the phase shift through the object (5) to be measured with respect to the reference phase, by static extinction measurement (tissues and blood) and by a dynamic measurement (only pulsating part of the blood). The measurement may be a transmission or a diffraction measurement. With only one sensor system this device is ccapable of carrying out two independent measurements (phase modulation and extinction measurement). As the modulation frequency may be freely selected, noise and interferences affecting the evaluation electronic assembly may be suppressed to a maximum extent.
Abstract:
A noncontact infrared tympanic thermometer which does not require environmental stabilization or waveguide temperature control because it utilizes an optically stabilized infrared detector for detecting the infrared energy emitted by the tympanic membrane. This stability is accomplished by locating a neutral density filter (164) over half of the optical aperture (162) of the detector package (16) such that the neutral density filter (164) ''shadows'' only one of two thermopile channels (163) for detecting the infrared energy emitted by the tympanic membrane. The two thermopile channels (163) are connected in series opposition such that any optical signal equally present in both channels will yield a zero net output. Since the infrared energy emitted by the walls (161) of the detector package (16) reach each detector (163) equally, the effects of these emissions on the temperature measurement are eliminated.