There is a need for a technique to compensate for, or eliminate, motion-induced artifacts in patient-attached critical care monitoring instruments. Also, a need exists to extend the accurate operational range of patient-attached pulse oximeters in environments when the patient's blood oxygen saturation is well below the normal physiologic range, or where there is low blood flow. Accordingly, the invention is directed to improving pulse-oximetry by incorporating additional signals to aid in the triggering of the pulse-oximeter or in analyzing the data received by the pulse oximeter. These approaches include measuring a pulsatile characteristic of the patient at a position close to, or at the pulse-oximetry measurement site, or using pulsatile characteristics that result from contraction of the patient's heart.
An optical motion sensing device included a sensor frame defining an opening, a sensor pad disposed in the opening, an optical sensing system adapted to detect an amount of movement of the sensor pad in the sensor frame, and an output unit. The optical sensing system includes an optical waveguide, an optical source device, and an optical detector. The optical waveguide is positioned within the sensor frame such that the movement of the sensor pad results in the flexing or compressing of the optical waveguide. The optical source device supplies optical energy to the optical waveguide. The optical detector detects an amount of optical energy exiting the optical waveguide. The output unit is configured to receive a signal indicative of the amount of optical energy exiting the optical waveguide and to generate a measure of the amount of movement of the sensor pad from the received signal.
A variable indication estimator which determines an output value representative of a set of input data. For example, the estimator can reduce input data to estimates of a desired signal, select a time, and determine an output value from the estimates and the time. In one embodiment, the time is selected using one or more adjustable signal confidence parameters determine where along the estimates the output value will be computed. By varying the parameters, the characteristics of the output value are variable. For example, when input signal confidence is low, the parameters are adjusted so that the output value is a smoothed representation of the input signal. When input signal confidence is high, the parameters are adjusted so that the output value has a faster and more accurate response to the input signal.
A variable indication estimator which determines an output value representative of a set of input data. For example, the estimator can reduce input data to estimates of a desired signal, select a time, and determine an output value from the estimates and the time. In one embodiment, the time is selected using one or more adjustable signal confidence parameters determine where along the estimates the output value will be computed. By varying the parameters, the characteristics of the output value are variable. For example, when input signal confidence is low, the parameters are adjusted so that the output value is a smoothed representation of the input signal. When input signal confidence is high, the parameters are adjusted so that the output value has a faster and more accurate response to the input signal.
A sensor may be adapted to provide output to indicate when the sensor experiences abnormal forces or pressure. The forces may be outside forces, or the forces may be generated by patient motion. A sensor system as provided may also be adapted to correct for such forces when calculating measurements related to a physiological characteristic.
A medical sensor may be adapted to be affixed to a patient's skin. A sensor for pulse oximetry or other spectrophotometric uses is provided with a gripping region that contacts the patient's skin and provides gripping strength to reduce movement of the sensor. Also provided herein is a method of contacting a sensor to a patient's skin and method of manufacturing a sensor.
