WO2009033189A1

WO2009033189A1 - Method and apparatus for sensing blood oxygen

Info

Publication number: WO2009033189A1
Application number: PCT/US2008/075651
Authority: WO
Inventors: Hans C. Lee; Michael J. Lee
Original assignee: Emsense Corporation
Priority date: 2007-09-07
Filing date: 2008-09-08
Publication date: 2009-03-12
Also published as: US8376952B2; US20090069652A1

Abstract

An exemplary embodiment providing one or more improvements includes a blood oxygen sensing apparatus and method in which an infra-red light is absorbed blood in portions that are related to levels of oxygen in the blood along a path.

Description

METHOD AND APPARATUS FOR SENSING BLOOD OXYGEN

BACKGROUND

P Blood oxygen sensors have been used in the medical field for many years These sensors are used for determining heart rate and blood oxygen levels of a person in a hospital or clinical setting Pulse rate, oxygenation levels and/or other information determined by the sensor are typically displayed on a monitor for a healthcare professional or other individual to view and evaluate to determine the person's health

\2 Blood oxygen sensors are typically attached to the person by clipping to the person's ear, or by slipping onto a person's finger Conventional sensors measure the blood oxygen by measuring the difference in absorption of light at two different wavelengths. The blood oxygen level in these sensors is determined based on a ratio of absorbance of the two different wavelengths. Pulse rate is determined using the changes in blood oxygen level over an interval of time

<J3 Conventional blood oxygen sensors have several drawbacks which can cause the sensors to produce results that are inaccurate, or in some instances may prevent the sensois from producing results at all One of these drawbacks is caused by interference from other light sources. Light from these other sources can interfere with the detection of the two wavelengths and can distort the ratios of the two wavelengths, leading to inaccurate results in blood oxygen levels

14 Other light sources can be the sun, inteiior lighting such as fluorescent and incandescent lights and other sources These sources add light to the sensor which is unrelated to the oxygen levels in the blood of the person This additional light can cause difficulties in distinguishing between light levels that are related to the blood oxygen content and light levels that are unrelated The additional light is considered to be unwanted noise

\5 Another source of inaccuracy in traditional sensors is a result of movement of the person and the sensor during use Movement can cause variations in amplitude of the additional light sources which can interfere with the operation of the blood oxygen sensor

¹P Traditional blood oxygen sensors use a system in which the two wavelengths of light pass through the tissue in a limited path The path in the ear mounted device usually consists of the light passing straight through the tissue of the earlobe where a detector then detects the light. Other types of devices detect a reflection of the light. In either case, the light path through the tissue is limited and the light may miss substantial blood flow, thereby making inaccurate or non-existent readings. These devices also have a limited resolution to pick up and extract secondary signals that are related to blood oxygen levels, such as breathing

EMS-3 Page 1 of 19 ψ Another issue involves the optical detectors used in traditional sensors These sensors tend to produce a non-linear response at the lower light levels encountered when detecting blood oxygen levels This non-linear response can make it difficult to determine characteristics of the blood oxygen levels that are represented in the lower light levels

118 The foregoing examples of the related art and limitations related therewith are intended to be illustrative and not exclusive Other limitations of the related art will become apparent to those of skill in the art upon reading of the specification and a study of the drawings.

SUMMARY

1[9 The following embodiments and aspects thereof are described and illustrated in conjunction with systems, tools and methods which are meant to be exemplary and illustrative, not limiting in scope In various embodiments, one or more of the above-described problems have been reduced or eliminated, while other embodiments are directed to other improvements.

flO In general, a blood oxygen sensing apparatus and method are described for use in determining circulatory related characteristics of a person. In one embodiment, an oscillating light is generated having an intensity that oscillates at an oscillating light frequency. The oscillating light includes an electromagnetic wavelength which causes the oscillating light to be absorbed by some tissue of the person in amounts that are proportional to a volume of oxygenated blood in the tissue of the person. The oscillating light is directed towards the tissue of the person to cause the oscillating light to enter the tissue and pass through the tissue The oscillating light passes through the tissue along a light path from which a first portion of the oscillating light exits the tissue and along which a second portion of the oscillating light is absorbed by the oxygenated blood The first portion is modulated by a volume of oxygenated blood that is present in said light path Levels of light are detected near the tissue and a detector signal is created which is related to the detected light levels The detected light includes at least some of the first portion of oscillating light exiting from the tissue and a secondary light from other sources The detector signal includes a first component caused by detection of the first portion of oscillating light exiting the tissue, and a second component caused by the detection of the secondary light The detector signal is filtered to attenuate at least a part of the second component of the detector signal and to pass the first component of the detector signal substantially un-attenuated. At least one characteristic relating to the person is determined based on a volume of oxygenated blood in the light path through the tissue as characterized by the modulation of the first component of the detector signal.

f 11 Another embodiment involves a blood oxygen sensor for determining at least one circulatory related characteristic of a person that includes an oscillating light generator for generating an oscillating light having an intensity that oscillates at an oscillating light frequency. The oscillating light includes an electromagnetic wavelength which causes the oscillating light to be absorbed by tissue of the person in amounts that are

EMS-3 Page 2 of 19 proportional to a volume of oxygenated blood in some tissue toward which the oscillating light is directed A light directing apparatus is used for directing the oscillating light toward the tissue of the person to cause the oscillating light to enter the tissue and pass through the tissue along a light path from which a first portion of the oscillating light exits the tissue and along which a second portion of the light is absorbed by the oxygenated blood in the light path such that the first portion is modulated by a volume of oxygenated blood that is present in said light path A light detector detects levels of light near the tissue in a spaced apart relationship to the light directing apparatus. The light detector also creates a detector signal which is related to the detected light levels The detected light includes at least some of the first portion of oscillating light exiting from the tissue and a secondary light from sources other than the oscillating light generator The detector signal includes a first component caused by detection of the first portion of oscillating light exiting the tissue, and a second component caused by the detection of the secondary light A filter is included for filtering the detector signal to attenuate at least part of the second component of the detector signal and to pass the first component of the detector signal substantially un- attenuated. A computing device is also included for receiving the filtered detector signal and for determining one or more characteristics relating to the person based on a volume of oxygenated blood in the light path through the tissue as characterized by the modulation of the first component of the detector signal.

1(12 Yet another embodiment involves a method for determining at least one circulatory related characteristic of a person in which light is generated at a wavelength which causes the light to be absorbed by tissue of the person in amounts that are proportional to a volume of oxygenated blood in some tissue towards which the light is directed The light is directed towards the tissue of the person to cause the light to enter the tissue The light is guided to cause the light to pass through the tissue along a light path which includes the light entering and exiting the tissue a plurality of times. A first portion of the light exits the tissue and a second portion of the light is absorbed by the oxygenated blood in the light path such that the first portion is modulated by a volume of oxygenated blood that is present in the light path. Levels of light are detected near the tissue after the light has passed through the light path and a detector signal is created which is related to the detected light levels The detected light includes at least some of the first portion of light exiting from the tissue and a secondary light from other sources The detector signal includes a first component caused by detection of a first portion of light exiting the tissue, and a second component caused by the detection of the secondary light At least one characteristic relating to the person is determined based on a volume of oxygenated blood in the light path through the tissue as characterized by the modulation of the first component of the detector signal.

1113 Still another embodiment involves a blood oxygen sensor for determining at least one circulatory related characteristic of a person which includes a light generator for generating a light at a wavelength which causes the light to be absorbed by tissue of the person in amounts that are proportional to a volume of oxygenated blood in some tissue toward which the light is directed A light directing apparatus is included EMS-3 Page 3 of 19 for directing the light toward the tissue of the person to cause the light to enter the tissue. A light guide guides the light to pass through the tissue along a light path which includes the light entering and exiting the tissue a plurality of times A first portion of the light exits the tissue and a second portion of the light is absorbed by the oxygenated blood in the light path such that the first portion is modulated by a volume of oxygenated blood that is present in the light path A light detector detects levels of light near the light guide which includes at least some of the first portion of light exiting from the tissue The light detector creates a detector signal which is related to the detected light levels A computing device receives the detector signal and determines one or more characteristics relating to the person based on a volume of oxygenated blood in the light path through the tissue as characterized by the modulation of the first portion of the light exiting the tissue

114 In addition to the exemplary aspects and embodiments described above, further aspects and embodiments will become apparent by reference to the drawings and by study of the following descriptions

BRIEF DESCRIPTION OF THE DRAWINGS

115 Fig 1 is a perspective view of blood oxygen sensing device as described herein, attached to a head of a person for reading blood oxygen in tissue of the person

116 Fig 2 is a diagrammatic view of a sensor mount of the blood sensing device shown in Fig 1 showing an oscillating light source, a bias light source and a photosensor

117 Fig 3 is diagrammatic cross section view of the sensor mount shown in Fig. 2 and a portion of the person's head

118 Fig. 4 is a diagram of an oscillating light generator.

119 Fig 5 is a diagram of a bias light source.

120 Fig 6 is a diagram of a light detector, filtering sections and an absolute value section

DETAILED DESCRIPTION

121 A blood oxygen sensor 30 for determining a volume of oxygenated blood in tissue 32 of a person 34 is shown in Fig 1 attached to the forehead of the person with a band 36 at a position that is centered on or slightly offset from a vertical center of the person's forehead. Sensor 30 measures circulatory related characteristics of the person, and in the present example, displays an indication of the characteristic on a display 56 One example of these characteristics is changes in the volume of blood pumped by each heart beat in the tissue of the forehead Each time that the heart beats, oxygenated blood is pumped into the arteries and out to tissue 32 in the forehead With each beat, the pressure inside of the capillaries increases and the EMS-3 Page 4 of 19 capillaries expand in volume with the blood Between the heart beats, the blood flows fiom the capillaries into the blood vessels which decreases the volume of blood in the tissue Sensor 30 can also be used on other tissue of the person and can be attached to the person in other ways

1[22 Blood oxygen sensor 30 uses light at a substantially single wavelength to determine the blood oxygen and circulatory related characteristics of the person while reducing or eliminating the adverse effects of other secondary light sources, movement of the person or sensor during the use as well as other issues associated with traditional sensors

^<fl23 In one embodiment, blood oxygen sensor 30 utilizes an oscillating oxygen sensing light 38 that is oscillated in level or intensity to determine circulatory related characteristics of the person, including for example, blood oxygen level, heart rate, breathing rate and the relative volume of blood in the tissue at any given time Oscillating light 38 is generated at an electromagnetic wavelength frequency that is absorbed by oxygenated blood, for example in a range of 800 - 900 nanometers (nm) for instance 850 nm The intensity of the oscillating light is oscillated at a frequency of about 3 2 kilo-Hertz in the present example Other frequencies can also be used so long as the frequency is different than frequencies common to sources of noise external light, such as 60 Hz which is common in incandescent lights Frequencies above about 120 Hz are generally considered to be suitable

f24 Oscillating light 38 is directed into the tissue and the oscillating light passes through and emerges from or exits the tissue where the light is detected Oscillating light 38 travels along a light path between points where the light is generated and where the light is detected The oscillating light on the path also passes through the tissue of the person where the light enters the tissue and exits the tissue at least once. In some circumstances, the light enters and exits the tissue multiple times along the light path which increases the amount of blood encountered by the oscillating light. Some portion of the oscillating light is absorbed by oxygenated blood and another portion of the oscillating light exits the tissue where it is detected The amount of oscillating light absorbed is related to the level of oxygen in the blood,

f25 Once the portion of the oscillating light exiting the tissue is detected, a detector signal is created that is related to the detected light levels. In some circumstances, secondary light other than the oscillating light is detected along with the oscillating light exiting the tissue The secondary light can be from external from sources other than blood oxygen sensor 30, or from other sources in sensor 30, or a combination of both The detector signal includes a first component that is caused by the detection of the portion of the oscillating light exiting the tissue and a second component caused by the detection of the secondary light

<fl26 The detector signal is filtered to attenuate at least a portion of the second component and to pass the first component substantially without attenuation. The first component of the oscillating light can be considered to be modulated at the oscillation frequency The filtering removes components of the detector

EMS-3 Page 5 of 19 signal that are related to environmental noise at lower frequencies, such as fluorescent light, while passing the oscillating light The first component is then used for determining at least one circulatory characteristic of the person An inverse relationship exists between the first portion of oscillating light exiting the tissue and the second portion of oscillating light absorbed by the oxygenated blood. Because of this, more oscillating light exiting the tissue means that less of the oscillating light has been absorbed by oxygenated blood On the other hand, less oscillating light exiting the tissue means that more of the oscillating light has been absorbed by oxygenated blood Accordingly, more detected oscillating light means that there is a lower level of oxygenated blood in the light path, while less detected oscillating light means that there is a higher level of oxygenated blood in the light path

1[27 Sensor 30, shown in Fig. 2, includes a light generator 40 having a light source 42 for generating oscillating light 38 at the wavelength that is absorbed by the oxygenated blood A light detector 44 having a light sensor 46 is aπanged to receive oscillating light 38 (Fig. 3) generated by the light generator 40 A bias light driver 48 includes a bias light source 50 that is positioned adjacent to light sensor 46 Bias light driver 48 and bias light source 50 are discussed in more detail below Light sensor 46 is positioned in a spaced apart relationship with light source 42. In the present example, light sensor 46 and light source 42 are spaced about 0 75 inches apart Other spacing is also suitable such as between 0 5 and 1 inches depending on light intensity levels, skin pigmentation or other factors

f28 A light reflector 52 is aπanged to surround light source 42, light sensor 46, and bias light source 50 as well as to include the space between light source 42 and light sensor 46. Light reflector 52 can be made of an infrared (IR) reflective material Light reflector 52 can be suπounded by light absorber 54 that is made of an IR absorbing material Light reflector 52 serves as a light pipe or light guide to guide oscillating light 38 through the tissue of the person as will be described immediately hereinafter

129 As shown in the cross section view in Fig 3, light reflector 2 guides oscillating light 38 along light path 60 Light path 60 shown in Fig 3 is diagrammatic in nature so as to illustrate certain concepts In practical application, the oscillating light will travel through the tissue on several different paths which may be collectively referred to herein as the light path In the example shown in Fig 3, light source 42 generates and directs oscillating light 38 into tissue 32 between light reflector 52 and skull bone 62 (illustrated as a line for purposes of simplicity) of person 34 through an opening 72 in light reflector 52 The oscillating light enters the tissue near light source 42 at point 64a and travels through the tissue to the skull Skull 62 reflects the oscillating light, as shown in Fig 3 at point 66a which causes the oscillating light to pass through more tissue toward the exterior of the tissue where the oscillating light exits the tissue at point 68a The oscillating light is then reflected off of light reflector 52 at point 70a which redirects the oscillating light back into the tissue at point 64b At this point the process is generally repeated through points 64b-e to 70b-d along light

EMS-3 Page 6 of 19 path 60 until the oscillating light exits the tissue at point 68e and the oscillating light passes through opening 74 in light reflector 52 where the oscillating light reaches light sensoi 46.

130 Light reflector 52 acts as a light pipe to guide the oscillating light from light source 42 through the tissue multiple times before the oscillating light is detected. By guiding the oscillating light in this way, light reflector 52 causes the oscillating light to pass through more tissue than traditional blood oxygen sensors; this increases the amount of blood encountered by the oscillating light and increases the amount of oscillating light absorbed by oxygen in the blood

131 Light absorber 54, Figs 2 and 3, is used to absorb external secondary light 76 that comes from sources external to blood oxygen sensor 30 in order to reduce or prevent the external secondary light 76 from reaching light sensor 46 External secondary light 76 acts as uncontrolled interference or noise reaching sensor 30 and therefore should be minimized Light absorber 54 can absorb light at all of the frequencies to which light sensor 46 responds. An outer surface 78 can be made of an opaque material that blocks external light of all frequencies.

^<P2 In the present example, sensor 30 is mounted with the light source 42 and light sensor 46 facing toward the forehead of person 34 in an area where there is no hair The example shown in Fig 3 shows sensor 30 a short distance from the forehead of the person to illustrate the operation of sensor 30 It is not necessary for sensor 30 to contact skin surface 80 of the person to operate, although sensor 30 is also operable when in contact with the skin surface. In the present example, sensor 30 is mounted in a way which maintains a constant distance from the skin of the person. To accomplish this, sensor 30 can include materials which allow the sensor to flex in order to conform to the contours of the person's skin or tissue The constant distance between the sensor and the skin of the person may be maintained in other ways as well.

^<P3 Bias light driver 48 includes bias light source 50 which is positioned adjacent to light sensor 46 in the examples shown in Figs. 2 and 3 Bias light driver 48, (Figs 2 and 5), generates a bias light 90 that is used in compensating for external secondary light 76 Bias light 90 couples to light sensor 46 and combines with the portion of external secondary light 76 that is sensed by light sensor 46 and is customized to create a constant target level of secondary light at light sensor 46

134 Light sensor 46, in the present example, is a type of optical detector which has a non-linear response The response of light sensor 46 to oscillating light 38 is a function of secondary light External secondary light 76 typically contains unwanted noise from several sources which adds unwanted noise to the measurement of oscillating light 38. As will be seen, sensor 30 determines the level of external secondary light 76 and uses bias light 90 as an additional secondary light to bring the total secondary light up to a target operating level that is higher than any external secondary light expected during normal operation of sensor 30

EMS-3 Page 7 of 19 By biinging the total secondary light up to the target operating level, light sensor 46 is biased into an operating range that is generally linear

135 Attention is now directed to the manner in which sensor 30 compensates for variations in external secondary light 76 Light sensor 46 generates a detector signal 124 (Fig 6) in response to the detection of the total secondary light (external secondary light 76 and bias light 90) and oscillating light 38 Since the external secondary light is generated by ambient noise, which typically oscillates in intensity below 120 Hz, total secondary light is also relatively low frequency compared with the oscillating light 38 which is modulated at a relatively higher frequency. As will be seen, detector signal 124 is band pass filtered to pass signals resulting from the detection of the oscillating light while blocking signals resulting from the secondary light The resulting filtered signal is used for determining the circulatory related characteristics of the person

136 Circuit diagrams in Figs. 4-8 are illustrative of one embodiment which incorporates several different concepts Power sources for circuitry in blood oxygen sensor 30 can be derived from portable power sources, such as batteries, or from a fixed source such as from an electric utility company Power is provided for the circuitry in a manner that is known to those skilled in the art of circuit design In the present examples, Vl is ground, V2 is approximately 1 65 volts and V3 is approximately 3.3 volts.

137 Light generator 40 is shown in Fig. 4 along with light source 42 and oscillating light 38 Light generator 40 includes an op amp 102 that is configured as an oscillator to provide an oscillating output signal 104 at a frequency of 3 2 kHz between a low voltage state and a high voltage state Oscillating output signal 104 controls a transistor 106 which is connected to light source 42. Light source 42 is in this instance an infra-red LED that produces infra-red light in response to current flow and turns off when no current is flowing through transistor 106 Current flows through transistor 106 between V3 and Vl when oscillating output signal 104 is in the high voltage state. In response, light source 42 produces oscillating light 38 with a generally square wave Curient does not flow through transistor 106 when oscillating signal 104 is in the low voltage state and this causes light source 42 to not produce oscillating light 38 In this way light generator 40 produces oscillating light 38 with an oscillating intensity

138 One embodiment of bias light driver 48 is shown in Fig 5. Bias light driver 48 receives a reference signal 112 from light detector 44 and generates bias light 90 from bias light source 50 in response The generation of reference signal 112 will be described in further detail below, but for the moment, it is sufficient to understand that this signal is related to the levels of light received at light sensor 46. Bias light driver 48, in the present example, is configured to include a low pass filter that removes signals resulting from the oscillation of oscillating light 38 This causes a bias source op amp 114 to create output signal 116 that is inversely proportional to the amount of secondary light detected by light detector 44 In other words, larger amounts of secondary light sensed by light detector 44 result in a smaller output signal 116 and smaller

EMS-3 Page 8 of 19 amounts of secondary light sensed by light detector 44 result in a larger output signal 116. Bias light driver 48 uses output signal 1 16 to control a bias transistor 118 which supplies curient to bias light source 50. In this way, bias light driver 48 produces bias light 90 at a level that causes the total level of the secondary light to be at a target level

139 Light detector 44 is shown in Fig 6 along with circuitry used in producing the circulatory related signals A portion of light 38 that is not absorbed by oxygenated blood along path 60 is received by light sensor 46 along with secondary bias light 90 and external secondary light 76. Light sensor 46 generates a detector current 124 in response to the light received Detector current 124 is one example of a detector signal in which the signal is generally unmodified Other detector signals are also discussed with each one having some processing, manipulation or filtering. Light detector 44 includes an op amp 126 that is configured for converting detector current 124 into a voltage that is reference signal 1 12. Light detector 44 is connected to a first filter stage 130 which includes an op amp that is configured as a band pass filter First filter stage 130 operates to pass signals that are within a certain band that includes 3.2 kHz, in the present example, while attenuating lower frequencies such as those in the frequencies of external secondary light 76 First filter stage 130 also amplifies signals within the pass band and generates a pass band signal 134.

1140 An absolute value section 140 receives pass band signal 134 and generates an absolute value signal 142. Absolute value signal 142 is an absolute value representation and amplification of pass band signal 134 Positive and negative components of pass band signal 134 can be amplified by different amounts using absolute value section 140 Absolute value section 142 includes first and second op amps 144 and 146 used for amplification and diodes 148 and 150 used for rectification

1141 In one embodiment, the positive component of pass band signal 134 is amplified more than the negative component of pass band signal 134 This can be considered as asymmetric amplification. In further examples, the positive component is amplified three or four times as much as the negative component Amplification of the positive and negative components of pass band signal 134 to different degrees extends the range of pass band signals that can be used In the case of a large pass band signal, the positive component of the signal saturates during the positive half of the cycle while the inverted negative component is in a linear range In the case of a small pass band signal, the positive component of the signal is in the linear range while the inverted negative component is very small. In the case of a medium size pass band signal, both the positive and the negative components of the pass band signal are in the linear range Absolute value section 140 therefore extends the range of signals that are usable on both the small and large ends of pass band signals Among other things, this allows blood oxygen sensor 30 to be poorly situated on the person while still providing a robust measurement.

EMS-3 Page 9 of 19 142 Second filter stage 160 includes an op amp 162 that is configured as a band pass filter to receive and filter and amplify absolute value signal 142 and to produce second filter stage signal 158 A third filter stage 154 includes an op amp 156 that is also configured as a band pass filter Filter stage 154 further amplifies the signal while attenuating higher and lower frequency components Filter stage 154 produces blood oxygen signal 170.

143 Blood oxygen signal 170 contains information about the volume of blood in tissue 32 (Fig. 3) at a given time because the absorption of oscillating light 38 is proportional to the volume of oxygenated red blood cells in path 60

144 Pulse rate can be determined by determining heart beats by increases in oxygen levels in the blood and then determining how many beats occur per minute Blood oxygen signal 170 can be low pass filtered at about 20 Hz for determining the timing and shape within the heart beat For determining the heart beat spacing blood oxygen signal 170 can be low pass filtered at about 2 Hz

^45 Blood oxygen sensor 30 can also be used for determining breathing. Breathing modulates the frequency and amplitude of the heart rate For example, breathing can vary the heart rate as much as 10% Breathing can be detected by blood oxygen sensor 30 as relatively low amplitude increases and decreases in blood oxygen levels The resolution of the present blood oxygen sensor 30 allows the determination of the breathing rate where traditional blood oxygen sensors have failed. Information about breathing rate can be related to emotional state and emotional responses of the person. Emotional state can also be detected as constrictions in blood flow

146 Although the present blood oxygen sensor has been described in detail using an oscillating light source, the light directing or guiding apparatus (or light reflector and absorber) and bias light concepts described herein can be used with one or more non-oscillating light sources. Sensors with non-oscillating light sources also benefit from passing through tissue multiple times as is accomplished by using the light guiding apparatus, and also benefit by having a light level that is biased into the linear range of the light detector

147 Detector current 124 or other signals can be converted to digital and processed thereafter in the digital format, including filtering Digital processing of these signals minimizes the impact of noise An exemplary computing device 180, shown in Fig. 6, converts blood oxygen signal 170 into digital format and provides a display signal 182 to display 56. Computing device 180 can be used for other types of processing as well

148 The circulatory information determined by blood oxygen sensor can be displayed for viewing by the person oi a health care professional Sensor 30 can include wired or wireless communication to a display device, either integral to the sensor, or separate Sensor 30 can also be connected to a computing device for

EMS-3 Page 10 of 19 storage of the information or for further processing and/or display In one instance, the circulatory related information can be used

1[49 The information can also be used in systems for determining mental state of the person alone or in conjunction with other sensors.

1(50 While a number of exemplary aspects and embodiments have been discussed above, those of skill in the art will recognize certain modifications, permutations, additions and sub-combinations thereof It is therefore intended that the following appended claims and claims hereafter introduced are interpreted to include all such modifications, permutations, additions and sub-combinations as are within their true spirit and scope

EMS-3 Page 11 of 19

Claims

What is claimed is:

1 A method for determining at least one circulatory related characteristic of a person, comprising: generating an oscillating light having an intensity that oscillates at an oscillating light frequency, the oscillating light including an electromagnetic wavelength which causes the oscillating light to be absorbed by some tissue of the person in amounts that are proportional to a volume of oxygenated blood in the tissue of the person; directing the oscillating light towards the tissue of the person to cause the oscillating light to enter the tissue and pass through the tissue along a light path from which a first portion of the oscillating light exits the tissue and along which a second portion of the oscillating light is absorbed by the oxygenated blood in the light path such that the first portion is modulated by a volume of oxygenated blood that is present in said light path; detecting levels of light near the tissue and creating a detector signal which is related to the detected light levels, the detected light including at least some of the first portion of the oscillating light exiting from the tissue and a secondary light from other sources, the detector signal including a first component caused by detection of the first portion of the oscillating light exiting the tissue, and a second component caused by the detection of the secondary light; filtering the detector signal to attenuate at least a part of the second component of the detector signal and to pass the first component of the detector signal substantially un-attenuated; and determining at least said circulatory characteristic based on a volume of oxygenated blood in the light path through the tissue as characterized by the modulation of the first component of the detector signal

2. A method as defined in claim 1 , further comprising guiding the oscillating light to cause the oscillating light to enter and exit the tissue a plurality of times along the light path before the levels of light are detected near the tissue

3 A method as defined in claim 2 wherein guiding the oscillating light includes reflecting the oscillating light with a reflective surface.

4 A method as defined in claim 1 wherein the oscillating light is directed to reflect off bone of the person before exiting the tissue

5 A method as defined in claim 4 wherein the oscillating light is directed to reflect off skull bone of the person before exiting the tissue.

6. A method as defined in claim 1 wherein the characteristic is determined based on an inverse relationship between the first portion of oscillating light exiting the tissue and the second portion of the oscillating light absorbed by the oxygenated blood

EMS-3 Page 12 of 19

7 A method as defined in claim 1 , further comprising blocking exterior light from entering the light path through the tissue.

8 A method as defined in claim 7, further comprising blocking the exterior light by conforming a flexible at least partially opaque material to the tissue

9. A method as defined in claim 1 wherein the oscillating light is generated at a substantially constant wavelength

10 A method as defined in claim 9 wherein the oscillating light is generated at a wavelength of about 850 nm

11 A method as defined in claim 1 wherein the light is oscillated at a frequency above 120 Hz

12 A method as defined in claim 11 wherein the light is oscillated at about 3 2 kH

13. A method as defined in claim 1 wherein generating the oscillating light includes turning a light source on and off

14. A method as defined in claim 1 wherein the detector signal is created with a linear relationship to the detected light levels

15 A method as defined in claim 14, further comprising generating a bias light and detecting the level of bias light as at least a portion of the secondary light to cause the detector signal to have a linear relationship to the detected light levels

16 A method as defined in claim 15 wherein the bias light is generated to cause the level of the secondary light to be at a predetermined level.

17 A method as defined in claim 1 wherein the characteristic determined is a breathing rate of the person.

18 A method as defined in claim 1 wheiein the characteristic determined is a heart rate of the person

19. A method as defined in claim 1, further comprising: asymmetrically amplifying the first component of the detector signal to extend a range of detector signals which are usable for determining the characteristics of the person

20 A method as defined in claim 19 wherein positive portions of the first component of the detector signal are amplified about four times as much as negative portions of the first component of the detector signal. EMS-3 Page 13 of 19

21 A blood oxygen sensor for determining at least one circulatory related characteristic of a person, comprising: an oscillating light generator for generating an oscillating light having an intensity that oscillates at an oscillating light frequency, the oscillating light including an electromagnetic wavelength which causes the oscillating light to be absorbed by some tissue of the person in amounts that are proportional to a volume of oxygenated blood in the tissue toward which the oscillating light is directed; a light directing apparatus for directing the oscillating light toward the tissue of the person to cause the oscillating light to enter the tissue and pass through the tissue along a light path from which a first portion of the oscillating light exits the tissue and along which a second portion of the light is absorbed by the oxygenated blood in the light path such that the first portion is modulated by a volume of oxygenated blood that is present in said light path; a light detector for detecting levels of light near the tissue in a spaced apart relationship to the light directing apparatus, and for creating a detector signal which is related to the detected light levels, the detected light including at least some of the first portion of the oscillating light exiting from the tissue and a secondary light from sources other than the oscillating light generator, the detector signal including a first component caused by detection of the first portion of the oscillating light exiting the tissue, and a second component caused by the detection of the secondary light; a filter for filtering the detector signal to attenuate at least part of the second component of the detector signal and to pass the first component of the detector signal substantially un-attenuated; and a computing device for receiving the filtered detector signal and for determining at least said circulatory characteristics relating to the person based on a volume of oxygenated blood in the light path through the tissue as characterized by the modulation of the first component of the detector signal.

22 A blood oxygen sensor as defined in claim 21, further comprising: a light guide for returning oscillating light exiting from the tissue back into the tissue at a position between the light directing apparatus and the light detector, the oscillating light thereafter exiting the tissue at a position where the light detector detects the levels of the first portion oscillating light and the secondary light

23 A blood oxygen sensor as defined in claim 22 wherein the light guide includes a reflective surface for returning oscillating light back into the tissue

24. A blood oxygen sensor as defined in claim 22 wherein the light guide includes an opaque portion to reduce secondary light at the light detector

EMS-3 Page 14 of 19

25 A blood oxygen sensor as defined in claim 21 wherein the computing device determines the characteristic based on an inverse relationship between the first portion of oscillating light exiting the tissue and the second portron of the oscillating light absorbed by the oxygenated blood

26. A blood oxygen sensor as defined in claim 21 wherein the oscillating light generator generates the oscillating light at a substantially constant wavelength

27. A blood oxygen sensor as defined in claim 26 wherein the oscillating light generator generates the oscillating light at a wavelength of about 850 nm.

28 A blood oxygen sensor as defined in claim 21 wherein the oscillating light generator oscillates the light at a frequency above 120 Hz

29 A blood oxygen sensor as defined in claim 28 wherein the oscillating light generator oscillates the light at a frequency of about 3.2 kH

30 A blood oxygen sensor as defined in claim 21 wherein the oscillating light generator oscillates the light by turning a light source on and off.

31 A blood oxygen sensor as defined in claim 21 wherein the light detector operates in a linear range when detecting levels of light

32 A blood oxygen sensor as defined in claim 31 further comprising: a bias light source positioned to supply a bias light to the light detector, and wherein the secondary light includes external light from at least one source that is not associated with the blood oxygen sensor and the bias light from the bias light source and the bias light is supplied by the bias light source at a level which causes the secondary light to be at a predetermined level to bias the light detector in the linear range

33 A blood oxygen sensor as defined in claim 21 wherein the computing device determines a breathing rate from the filtered detector signal

34 A blood oxygen sensor as defined in claim 21 wherein the computing device determines a heart rate from the filtered detector signal

35 A blood oxygen sensor as defined in claim 34, further comprising: an asymmetric amplifier for asymmetrically amplifying the first component of the detector signal to extend a range of detector signals which are usable for determining the heart rate.

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36 A blood oxygen sensor as defined in claim 35 wherein the amplifier is configured to amplify positive portions of the first component of the detector signal about four times as much as negative portions of the first component of the detector signal

37 A blood oxygen sensor as defined in claim 21 wherein at least part of the filter is accomplished by the computing device

38 A method for determining at least one circulatory related characteristic of a person, comprising: generating light at a wavelength which causes the light to be absorbed by some tissue of the person in amounts that are proportional to a volume of oxygenated blood in the tissue towards which the light is directed; directing the light towards the tissue of the person to cause the light to enter the tissue; guiding the light to cause to light to pass through the tissue along a light path which includes the light entering and exiting the tissue a plurality of times, a first portion of the light exiting the tissue and a second portion of the light is absorbed by the oxygenated blood in the light path such that the first portion is modulated by a volume of oxygenated blood that is present in said light path; detecting levels of light near the tissue after the light has passed through the light path and creating a detector signal which is related to the detected light levels, the detected light including at least some of the first portion of light exiting from the tissue and a secondary light from other sources, the detector signal including a first component caused by detection of a first portion of light exiting the tissue, and a second component caused by the detection of the secondary light; and determining at least said circulatory characteristic based on a volume of oxygenated blood in the light path through the tissue as characterized by the modulation of the first component of the detector signal

39 A method as defined in claim 38 wherein the light is guided to reflect off of bone of the person in at least one portion of the light path through the tissue

40. A method as defined in claim 39 wherein the light is guided to reflect off of the skull bone of the person

41. A method as defined in claim 38 wherein the light is guided to reflect off of the skull bone of the person a plurality of times before the levels of light are detected.

42 A method as defined in claim 38, further comprising: generating a bias light, and wherein detecting levels of light includes detecting the bias light as at least a portion of the second component to cause the levels of light detected to be at an approximately constant average level.

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43 A method as defined in claim 38 wherein the light is generated to have an oscillatory characteristic

44. A method as defined in claim 38 wherein the detector signal is amplified asymmetrically.

45 A blood oxygen sensor for determining at least one circulatory related characteristic of a person, comprising: a light generator for generating a light at a wavelength which causes the light to be absorbed by some tissue of the person in amounts that are proportional to a volume of oxygenated blood in the tissue toward which the light is directed; a light directing apparatus for directing the light toward the tissue of the person to cause the light to enter the tissue; a light guide for guiding the light to pass through the tissue along a light path which includes the light entering and exiting the tissue a plurality of times, a first portion of the light exiting the tissue and a second portion of the light is absorbed by the oxygenated blood in the light path such that the first portion is modulated by a volume of oxygenated blood that is present in said light path; a light detector for detecting levels of light near the light guide which includes at least some of the first portion of light exiting from the tissue and for creating a detector signal which is related to the detected light levels; and a computing device for receiving the detector signal and for determining at least said circulatory characteristic based on a volume of oxygenated blood in the light path through the tissue as characterized by the modulation of the first portion of the light exiting the tissue.

46 A blood oxygen sensor as defined in claim 45 wherein the light guide is arranged to reflect light exiting the tissue back into the tissue at least once.

47 A blood oxygen sensor as defined in claim 45 wherein the light directing apparatus directs the light toward tissue of the person in a location which causes the light to reflect off of bone of the person

48 A blood oxygen sensor as defined in claim 47 wherein the light is directed at a location which causes the light to reflect off of the skull bone of the person

49 A blood oxygen sensor as defined in claim 45, further comprising: a bias light source positioned to supply a bias light to the light detector to bias the detector into a linear range

50 A blood oxygen sensor as defined in claim 49 wherein the light guide is arranged to reflect light exiting the tissue back into the tissue at least once

EMS-3 Page 17 of 19 51 A blood oxygen sensor as defined in claim 45 further comprising: a flexible light blocking apparatus for conforming to the tissue of the person and at least partially blocking light that is not generated by the blood oxygen sensor from reaching the light detector

52 A blood oxygen sensor as defined in claim 45 wherein the detector signal is amplified asymmetrically

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