Abstract:
A thin, lightweight optical source/receiver unit (12) adapted for application to the human forehead, for use in a cerebral oximeter, has a source of electromagnetic radiation of selected wavelengths (36) (e.g., light in the near infrared range) at a first position and a pair of sensors located at particular and differing distances from the source. The source may comprise light-emitting diodes (36a-36b) and the detectors may comprise photosensors (32, 34), all of which are preferably mounted on a small and flexible printed circuit strip (30). Electromagnetic shielding (42) substantially surrounds the source and detectors as well as the adjacent electrical conductors associated with each. The shielded printed circuit (30) and components are housed within layers of thin flexible material, of which the layer that contacts the patient preferably comprises soft, light-absorbing open-celled foam material (26) which is transmissible by water vapor, to dissipate moisture at the patient-sensor interface.
Abstract:
A sensor (10) for spectrophotometric-type patient examination devices includes a thin, flexible, elongated support frame (22) of opaque material which defines integral socket-like mounting bases (32, 32a, 32b) for positioning an electro-optical light source (14) and detectors (16, 18) in particular relative locations, and the support frame further defines light passages (30, 30', 30") in alignment with each such electro-optical component. A thin metallic member (24, 34) overlays each side of the frame to shield the electro-optical components from electric noise-producing fields, and a compliant outer cover (12) overlies the shield on one side for contact with the patient. An adhesive outer layer on the cover secures the sensor to the patient. The cover and shield have apertures (24a, 24b) aligned with the electro-optical components for passage of light to and from the latter. The source and detectors are solid-state devices, which are mounted on lead-frame assemblies and have an optically clear lens-like deposit covering them.
Abstract:
A method and apparatus for spectrophotometrically determining internal physiological parameters such as blood constituents, wherein a source (132) of selected electromagnetic wavelenghts is disposed at a first location and at least two detectors (128, 130) are located at particular different distances from the source, selected such that both detectors receive energy that has traversed not only perimetral layers (114, 142, 214, 242, 314, 342) such as bone, tissue, etc. but also internal tissue (140, 240, 340) disposed beyond such perimetral layers, and one such detector (130) receives energy which has traversed only a small amount of the selected internal tissue while the other (128) receives energy which has traversed substantially more of such tissue, whereby comparative analysis of the data from the two detectors provides information which consistently characterizes only the selected internal tissue. In cerebral oximetry, where the detector and receivers are applied to the forehead, the particular distances from the source to the two detectors are about 30 and 40 mm., respectively.
Abstract:
The invention relates to methods and apparatus for improving the signal quality, and hence the operational accuracy, of clinical biomedical spectrophotometric apparatus such as oximeters, in which wavelength-specific light is applied to a test subject at one point and resultant light intensity is detected at another such point after passing through a given volume of the test subject tissue and/or other biological substance within the particular such volume involved.
Abstract:
An optical sensor (12) for use in spectrophotometric patient-examination apparatus, having a body (26) of softly deformable material so as to be conformable to the patient, with an internally mounted electro-optical source (36) and receivers (32 and 34) for obtaining patient data by transmission of selected wavelengths through a tissue volume adjacent the sensor (12), including substantially non-deforming light transfer members (60) disposed in alignment with the source and detector and between them and the patient to provide substantially constant and unchanging light transfer passages or conduits therebetween. In the most preferred form, the light transfer members comprise generally tubular elements having light reflective inner walls, and the sensor body (26) comprises either a layered structure of opaque, soft polymeric foam or the like (cellular urethane) or a substantially one-piece molded or other such structure of generally analogous characteristics.
Abstract:
A cerebral oximeter for use with a sensor unit (12) applied to the forehead of a patient, or other such selected cranial area, whihc emits selected wavelengths of electromagnetic radiation (e.g. light in the near infrared range) that passes through a selected volume of brain tissue inside the patient's skull. The emitted wavelengths are selectively absorbed by the blood within the irradiated brain tissues, present in arterial, venous, capillary, and/or other supply, and the resulting radiation is detected and analyzed by a computer (20) to determine the hemoglobin oxygen saturation of the composite blood supply within the selected volume of brain tissue, with readout provided as a quantified particular value (e.g., a number representing the instantaneous value measured), and/or also in graphical or other time-representative display, as for example on the CRT monitor (22) of the computer, with attendant storage of digital values for record purposes or other subsequent use.