WO2002075289A3 - Method and apparatus for improving the accuracy of noninvasive hematocrit measurements - Google Patents

Method and apparatus for improving the accuracy of noninvasive hematocrit measurements Download PDF

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Publication number
WO2002075289A3
WO2002075289A3 PCT/US2002/007760 US0207760W WO02075289A3 WO 2002075289 A3 WO2002075289 A3 WO 2002075289A3 US 0207760 W US0207760 W US 0207760W WO 02075289 A3 WO02075289 A3 WO 02075289A3
Authority
WO
WIPO (PCT)
Prior art keywords
tissue
blood
water
wavelengths
intensities
Prior art date
Application number
PCT/US2002/007760
Other languages
French (fr)
Other versions
WO2002075289A2 (en
Inventor
Joseph M Schmitt
Original Assignee
Nellcor Puritan Bennett Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Nellcor Puritan Bennett Inc filed Critical Nellcor Puritan Bennett Inc
Priority to EP02709832A priority Critical patent/EP1368638B1/en
Priority to DE60223787T priority patent/DE60223787T2/en
Priority to JP2002573656A priority patent/JP4176480B2/en
Priority to CA2441017A priority patent/CA2441017C/en
Publication of WO2002075289A2 publication Critical patent/WO2002075289A2/en
Publication of WO2002075289A3 publication Critical patent/WO2002075289A3/en
Priority to HK04104183A priority patent/HK1063072A1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6813—Specially adapted to be attached to a specific body part
    • A61B5/6825—Hand
    • A61B5/6826—Finger
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/14535—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring haematocrit
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/14546—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring analytes not otherwise provided for, e.g. ions, cytochromes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/683—Means for maintaining contact with the body
    • A61B5/6838—Clamps or clips
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00—Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/17—Systems in which incident light is modified in accordance with the properties of the material investigated
    • G01N21/25—Colour; Spectral properties, i.e. comparison of effect of material on the light at two or more different wavelengths or wavelength bands
    • G01N21/31—Investigating relative effect of material at wavelengths characteristic of specific elements or molecules, e.g. atomic absorption spectrometry
    • G01N21/35—Investigating relative effect of material at wavelengths characteristic of specific elements or molecules, e.g. atomic absorption spectrometry using infrared light
    • G01N21/359—Investigating relative effect of material at wavelengths characteristic of specific elements or molecules, e.g. atomic absorption spectrometry using infrared light using near infrared light
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/72—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving blood pigments, e.g. haemoglobin, bilirubin or other porphyrins; involving occult blood
    • G01N33/721—Haemoglobin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/022—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers

Abstract

A device and a method to provide a more reliable and accurate measurement of hematocrit (Hct) by noninvasive means. The changes in the intensities of light of multiple wavelengths transmitted through or reflected light from the tissue location are recorded immediately before and after occluding the flow of venous blood from the tissue location with an occlusion device positioned near the tissue location. As the venous return stops and the incoming arterial blood expands the blood vessels, the light intensities measured within a particular band of near-infrared wavelengths decrease in proportion to the volume of hemoglobin in the tissue location; those intensities measured within a separate band of wavelengths in which water absorbs respond to the difference between the water fractions within the blood and the displaced tissue volume. A mathematical algorithm applied to the time-varying intensities yields a quantitative estimate of the absolute concentration of hemoglobin in the blood. To compensate for the effect of the unknown fraction of water in the extravascular tissue on the Hct measurement, the tissue water fraction is determined before the occlusion cycle begins by measuring the diffuse transmittance or reflectance spectra of the tissue at selected wavelengths.
PCT/US2002/007760 2001-03-16 2002-03-13 Method and apparatus for improving the accuracy of noninvasive hematocrit measurements WO2002075289A2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
EP02709832A EP1368638B1 (en) 2001-03-16 2002-03-13 Method and apparatus for improving the accuracy of noninvasive hematocrit measurements
DE60223787T DE60223787T2 (en) 2001-03-16 2002-03-13 METHOD AND DEVICE FOR IMPROVING THE ACCURACY OF NONINVASIVE HEMATOCRIT MEASUREMENTS
JP2002573656A JP4176480B2 (en) 2001-03-16 2002-03-13 Method and apparatus for improving the accuracy of non-invasive hematocrit measurements
CA2441017A CA2441017C (en) 2001-03-16 2002-03-13 Method and apparatus for improving the accuracy of noninvasive hematocrit measurements
HK04104183A HK1063072A1 (en) 2001-03-16 2004-06-10 Method and apparatus for improving the accuracy ofnoninvasive hematocrit measurements

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US09/811,328 US6606509B2 (en) 2001-03-16 2001-03-16 Method and apparatus for improving the accuracy of noninvasive hematocrit measurements
US09/811,328 2001-03-16

Publications (2)

Publication Number Publication Date
WO2002075289A2 WO2002075289A2 (en) 2002-09-26
WO2002075289A3 true WO2002075289A3 (en) 2002-11-21

Family

ID=25206245

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2002/007760 WO2002075289A2 (en) 2001-03-16 2002-03-13 Method and apparatus for improving the accuracy of noninvasive hematocrit measurements

Country Status (8)

Country Link
US (1) US6606509B2 (en)
EP (1) EP1368638B1 (en)
JP (1) JP4176480B2 (en)
CA (1) CA2441017C (en)
DE (1) DE60223787T2 (en)
ES (1) ES2299558T3 (en)
HK (1) HK1063072A1 (en)
WO (1) WO2002075289A2 (en)

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