Abstract:
An apparatus for use in measuring fetal blood flow characteristics. The apparatus includes a non-invasive pulse oximetry probe that is inserted into the uterus between the fetus and the uterine wall. The probe is deformable and is positively attached to the fetal tissue surface using a vacuum pump which causes the probe to deform from a pre-set curvature to the curvature of the fetal tissue surface and to form a gasket-type seal with the fetal tissue surface. The probe is manually inserted into the uterus using a curved insertion tool, and is shaped to fit through a slightly dilated cervix. In a preferred embodiment, the probe includes fetal and maternal ECG sensors and additional sensing devices, and is provided with apparatus for improving the efficiency of the pulse oximetry optics.
Abstract:
A method and apparatus for reducing the effects of noise on a system for measuring physiological parameters, such as, for example, a pulse oximeter. The method and apparatus of the invention take into account the physical limitations on various physiological parameters being monitored when weighting and averaging a series of measurements. Varying weights are assigned different measurements, measurements are rejected, and the averaging period is adjusted according to the reliability of the measurements. Similarly, calculated values derived from analyzing the measurements are also assigned varying weights and averaged over adjustable periods. More specifically, a general class of filters such as, for example, Kalman filters, is employed in processing the measurements and calculated values. The filters use mathematical models which describe how the physiological parameters change in time, and how these parameters relate to measurement in a noisy environment. The filters adaptively modify a set of averaging weights to optimally estimate the physiological parameters.
Abstract:
A method and apparatus for reducing the effects of noise on a system for measuring physiological parameters, such as, for example, a pulse oximeter. The method and apparatus of the invention take into account the physical limitations on various physiological parameters being monitored when weighting and averaging a series of measurements. Varying weights are assigned different measurements, measurements are rejected, and the averaging period is adjusted according to the reliability of the measurements. Similarly, calculated values derived from analyzing the measurements are also assigned varying weights and averaged over adjustable periods. More specifically, a general class of filters such as, for example, Kalman filters, is employed in processing the measurements and calculated values. The filters use mathematical models which describe how the physiological parameters change in time, and how these parameters relate to measurement in a noisy environment. The filters adaptively modify a set of averaging weights to optimally estimate the physiological parameters.
Abstract:
A network or telemetry system (10) which allows virtual services at the application or presentation layer to communicate with other virtual services without regard to the physical interconnections. Each message, called a parcel, includes the information to be transmitted along with a virtual address header. The parcel is provided to a gateway (12, 26), which inserts the parcel without modification into a packet with address information for the physical through session layers in the packet header. The packet is then transmitted to another network node (62, 64, 66, 68, 70, 72) which receives and delivers the unmodified parcel to the addressed destination virtual service. A number of parcels from the same or different virtual services can be packed into a signal packet (712) for transmission from the gateway in cases where these parcels are all directed to virtual services at the same destination node. Once a session is established, such as between a gateway and a workstation, virtual services at the gateway node and the workstation can communicate with each other without requiring a lot of header overhead for each transmission.
Abstract:
An improved gas analyzer system and method for detecting and displaying the constituent gases of a respiratory gas stream, the system comprising an optical bench comprising a gas pathway for the flow of a gas stream, a flow shaping inlet (228) three infrared detection (206, 208, 210) channel assemblies for measuring the partial pressures of constituent gases, and measuring sensitivity changes in the detectors of the three infrared detection channel assemblies (206, 208, 210), a pressure sensor (274, 276) for measuring the pressure within the gas pathway, a temperature sensor for measuring the temperature within the optical bench, a flow rate sensor for measuring the gas flow rate through the gas pathway; analog processing circuitry for processing the detected partial gas pressures, sensitivity changes, the measured values for pressure, temperature, and flow rate; and display processing circuitry.
Abstract:
A method and apparatus for measuring and correlating a patient's heart activity with optical detection of the patient's blood flow. The method and apparatus permit more accurate determination of blood flow characteristics such as oxygen saturation and pulse rate. In a preferred embodiment, the heart activity is detected by monitoring the patient's EKG waveform (100), and the blood flow is detected by a non-invasive pulse oximeter (200). The occurrence of the R wave portion of the EKG signal is detected and the time delay by which an arterial pulse follows the R wave is determined to establish a time window in which an arterial is to be expected. The established time window provides the oximeter (200) with a parameter enabling the oximeter (200) to analyze the blood flow only when it is likely to present an arterial blood pulse for waveform analysis. The invention also includes means for adjusting the polarity of the detected EKG signal (160) to obtain a preselected uniform upgoing or downgoing polarity.
Abstract:
The present invention provides a medical sensor for detecting a blood characteristic. The sensor includes a transducer for producing an analog signal related to the blood characteristic. The analog signal is converted into a transmission signal which is in amplitude-independent form for transmission to a remote analyzer. In one embodiment, a current-to-frequency converter converts a signal from a pulse oximeter sensor into a frequency signal which can be transmitted over a transmission line to a remote pulse oximeter.
Abstract:
The present invention provides an encoding mechanism for a medical sensor which uses a modulated signal to provide the coded data to a remote analyser. The modulated signal could be, for instance, a pulse width modulated signal or a frequency modulated signal. This signal is amplitude independent and thus provides a significant amount of noise immunity.
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 pulse oximeter sensor (410) with a light source optimized for low oxygen saturation ranges and for maximizing the immunity to perturbation induced artifact. Preferably, a red (112) and an infrared light source (114) are used, with the red light source (112) having a mean wavelength between 700-790 nm. The infrared light source (114) can have a mean wavelength as in prior art devices used on patients with high saturation. The sensor of the present invention is further optimized by arranging the spacing between the light emitter (112, 114) and light detectors (116) to minimize the sensitivity to perturbation induced artifact. The present invention optimizes the chosen wavelengths to achieve a closer matching of the absorption and scattering coefficient products for the red and IR light sources. This optimization gives robust readings in the presence of perturbation artifacts including force variations, tissue variations and variations in the oxygen saturation itself.