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US6615065B1 Expired / Lapsed US ⏱️ 0.0 years remaining

Multi-channel non-invasive tissue oximeter

Assignee: Covidien LP
•
Filing: 1999-10-13
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Granted: 2003-09-02
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Expires: 2019-10-13
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Abstract

Abstract A method and apparatus for spectrophotometric in vivo monitoring of blood metabolites such as hemoglobin oxygen concentration at a plurality of different areas or regions on the same organ or test site on an ongoing basis, by applying a plurality of spectrophotometric sensors to a test subject at each of a corresponding plurality of testing sites and coupling each such sensor to a control and processing station, operating each of said sensors to spectrophotometrically irradiate a particular region within the test subject; detecting and receiving the light energy resulting from said spectrophotometric irradiation for each such region and conveying corresponding signals to said control and processing station, analyzing said conveyed signals to determine preselected blood metabolite data, and visually displaying the data so determined for each of a plurality of said areas or regions in a comparative manner.

Inventors

  • 👤 Bruce J. Barrett
  • 👤 Oleg Gonopolsky
  • 👤 Richard S. Scheuing

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-24 02:54
CPC Classifications
A; A61; A61B; A61B5/00; A61B5/68; A61B5/6801; A61B5/6813; A61B5/6814; A61B5/145; A61B5/1455; A61B5/14551; A61B5/14553; A61B2562/00; A61B2562/04; A61B2562/16; A61B2562/164; A61B5/14552

Claims Analysis

Total Claims: 53
Claim 1
Independent Claim 241 words
A method for comparative spectrophotometric in vivo monitoring and display of selected blood metabolites present in a plurality of different internal regions of the same test subject on a continuing and substantially concurrent basis, comprising the steps of: applying separate spectrophotometric sensors to a test subject at each of a plurality of separate testing sites and coupling each of said sensors to a control and processing station; operating a selected number of said sensors on a substantially concurrent basis to spectrophotometrically irradiate at least two separate internal regions of the test subject during a common time interval, each of said regions being associated with a different of said testing sites; separately detecting and receiving light energy resulting from said spectrophotometric irradiation for each of said at least two separate internal regions, and conveying separate sets of signals to said control and processing station which correspond to the separately detected light energy from said at least two separate internal regions; separately and concurrently analyzing said conveyed separate sets of signals to separately determine quantified data representative of a blood metabolite in each of said at least two separate internal regions; and concurrently visually displaying said separately determined quantified data for each of said at least two separate internal regions for direct concurrent mutual comparison, wherein said sensors are applied to a head of the test subject and are used to monitor two mutually separate regions within a brain of the test subject.
Claim 2
Independent Claim 241 words
A method for comparative spectrophotometric in vivo monitoring and display of selected blood metabolites present in a plurality of different internal regions of the same test subject on a continuing and substantially concurrent basis, comprising the steps of: applying separate spectrophotometric sensors to a test subject at each of a plurality of separate testing sites and coupling each of said sensors to a control and processing station; operating a selected number of said sensors on a substantially concurrent basis to spectrophotometrically irradiate at least two separate internal regions of the test subject during a common time interval, each of said regions being associated with a different of said testing sites; separately detecting and receiving light energy resulting from said spectrophotometric irradiation for each of said at least two separate internal regions, and conveying separate sets of signals to said control and processing station which correspond to the separately detected light energy from said at least two separate internal regions; separately and concurrently analyzing said conveyed separate sets of signals to separately determine quantified data representative of a blood metabolite in each of said at least two separate internal regions; and concurrently visually displaying said separately determined quantified data for each of said at least two separate internal regions for direct concurrent mutual comparison, wherein said sensors are applied to a head of the test subject and are used to monitor two mutually separate regions within a brain of the test subject.
Claim 3
Dependent Claim 28 words
The method of claim 1 , wherein said step of analyzing comprises quantitative determination of blood oxygenation levels within each of said at least two separate internal regions.
Claim 4
Dependent Claim 30 words
The method of claim 2 , wherein said analyzing step includes producing separate quantitative value determinations for hemoglobin oxygen saturation for each of said at least two separate internal regions.
Claim 5
Dependent Claim 30 words
The method of claim 3 , wherein said analyzing step includes production of ongoing graphical traces representing a plurality of said quantitative value determinations made at successive points in time.
Claim 6
Dependent Claim 36 words
The method of claim 4 including the step of visually displaying a plurality of said graphical traces at substantially the same time and in predetermined relationship to one another to facilitate rapid and accurate visual comparison.
Claim 7
Dependent Claim 38 words
The method of claim 5 , including the step of visually displaying a plurality of said quantitative value determinations at substantially the same time and in predetermined relationship to one another to facilitate rapid and accurate visual comparison.
Claim 8
Dependent Claim 38 words
The method of claim 3 , including the step of visually displaying a plurality of said quantitative value determinations at substantially the same time and in predetermined relationship to one another to facilitate rapid and accurate visual comparison.
Claim 9
Dependent Claim 12 words
The method of claim 1 , wherein said metabolite comprises hemoglobin oxygen.
Claim 10
Dependent Claim 31 words
The method of claim 1 , wherein said sensors are positioned in locations proximate to different brain hemispheres and said two mutually separate regions are located in a different brain hemisphere.
Claim 11
Dependent Claim 14 words
The method of claim 9 , wherein said metabolite comprises cerebral blood hemoglobin oxygenation.
Claim 12
Independent Claim 264 words
An apparatus for concurrent comparative spectrophotometric in vivo monitoring of selected blood metabolites present in each of a plurality of different internal regions on a continuing basis, comprising: a plurality of spectrophotometric sensors, each attachable to a test subject at different test locations and adapted to separately but concurrently spectrophotometrically irradiate at least two different internal regions within the test subject associated with each of said test locations; a controller and circuitry coupling each of said sensors to said controller for separately and individually but concurrently operating certain of said sensors to spectrophotometrically irradiate each of said different internal regions within the test subject associated with each of said test locations; said sensors each further adapted to receive light energy resulting from the separate spectrophotometric irradiation of said sensors associated one of said at least two different internal regions on a substantially concurrent basis with other said sensors, and to produce separate signals corresponding to the light energy received, said circuitry acting to convey said separate signals to said controller for separate analytic processing; said controller adapted to analytically process said conveyed signals separately and determine separate quantified blood metabolite data therefrom for each of said sensors and said sensors associated one of said at least two different internal regions; and a visual display coupled to said controller and adapted to separately but concurrently display the quantified blood metabolite data determined for each of said sensors in a mutually-comparative manner, wherein said sensors are adapted to be applied to a head of the test subject and to monitor a brain of the test subject.
Claim 13
Independent Claim 264 words
An apparatus for concurrent comparative spectrophotometric in vivo monitoring of selected blood metabolites present in each of a plurality of different internal regions on a continuing basis, comprising: a plurality of spectrophotometric sensors, each attachable to a test subject at different test locations and adapted to separately but concurrently spectrophotometrically irradiate at least two different internal regions within the test subject associated with each of said test locations; a controller and circuitry coupling each of said sensors to said controller for separately and individually but concurrently operating certain of said sensors to spectrophotometrically irradiate each of said different internal regions within the test subject associated with each of said test locations; said sensors each further adapted to receive light energy resulting from the separate spectrophotometric irradiation of said sensors associated one of said at least two different internal regions on a substantially concurrent basis with other said sensors, and to produce separate signals corresponding to the light energy received, said circuitry acting to convey said separate signals to said controller for separate analytic processing; said controller adapted to analytically process said conveyed signals separately and determine separate quantified blood metabolite data therefrom for each of said sensors and said sensors associated one of said at least two different internal regions; and a visual display coupled to said controller and adapted to separately but concurrently display the quantified blood metabolite data determined for each of said sensors in a mutually-comparative manner, wherein said sensors are adapted to be applied to a head of the test subject and to monitor a brain of the test subject.
Claim 14
Dependent Claim 28 words
The apparatus of claim 11 , wherein said controller is adapted to analyze said data to quantitatively determine blood oxygenation within said at least two different internal regions.
Claim 15
Dependent Claim 29 words
The apparatus of claim 12 , wherein said controller is adapted to produce separate numeric value designations for hemoglobin oxygen saturation for said at least two different internal regions.
Claim 16
Dependent Claim 37 words
The apparatus of claim 13 , wherein said controller and said display are adapted to produce ongoing graphical traces representing a plurality of said numeric value designations for the same region taken over a period of time.
Claim 17
Dependent Claim 43 words
The apparatus of claim 14 , wherein said controller and said display are adapted to visually display at least two of said graphical traces on a substantially concurrent basis and in predetermined relationship to one another to facilitate rapid and accurate visual comparison.
Claim 18
Dependent Claim 53 words
The apparatus of claim 15 , wherein said controller and said display are adapted to visually display at least two of said numeric value designations as well as at least two of said graphical traces on a substantially concurrent basis and in proximity to one another to facilitate rapid and accurate visual comparison.
Claim 19
Dependent Claim 44 words
The apparatus of claim 13 , wherein said controller and said display are adapted to visually display at least two of said numeric value designations on a substantially concurrent basis and in predetermined relationship to one another to facilitate rapid and accurate visual comparison.
Claim 20
Dependent Claim 47 words
The apparatus of claim 11 , wherein said sensors are adapted to provide signals to said controller which comprise at least two separate data sets that cooperatively define at least portions of a particular area within a given one of said at least two different internal regions.
Claim 21
Dependent Claim 38 words
The apparatus of claim 18 , wherein said data sets provided by said sensors include a first set characterizing a first part of said particular area and a second set characterizing a second part of said particular area.
Claim 22
Dependent Claim 30 words
The apparatus of claim 19 , wherein said second part of said particular area characterized by said second set includes at least part of said first part of said area.
Claim 23
Dependent Claim 19 words
The apparatus of claim 11 , wherein said controller is adapted to determine blood oxygenation saturation in said brain.
Claim 24
Dependent Claim 47 words
The apparatus of claim 11 , wherein at least two of said sensors are adapted to be positioned in locations associated with mutually different hemispheres of the brain and each of said sensors is operable to separately monitor at least portions of each of said different hemispheres.
Claim 25
Dependent Claim 23 words
The apparatus of claim 22 , wherein said controller is adapted to determine cerebral blood oxygenation saturation within each of said different hemispheres.
Claim 26
Dependent Claim 41 words
The apparatus of claim 22 , wherein said sensors are adapted to provide signals to said controller which comprise at least two data sets that cooperatively define at least portions of a particular area within the same hemisphere of said brain.
Claim 27
Dependent Claim 26 words
The apparatus of claim 11 , wherein said sensors are adapted to be applied to the outside periphery of the test subject and to operate non-invasively.
Claim 28
Independent Claim 186 words
A method for concurrent comparative in vivo monitoring of blood metabolites in each of a plurality of different internal regions in a selected test subject, comprising the steps of: spectrophotometrically irradiating each of a plurality of different testing sites on said test subject; detecting light energy resulting from said spectrophotometric irradiation of said testing sites, and providing separate sets of signals to a control and processing station which are representative of the light energy received by each of said testing sites and which cooperatively define blood metabolite data for an individual one of at least two different internal regions; analyzing said separate signals to determine quantified blood metabolite data representative of at least one defined region within said at least one test subject associated with each of at least two different of said testing sites, each said defined region being different from the other; and concurrently displaying data sets for each of said at least two different internal regions at substantially the same time for direct mutual comparison, wherein said at least two different internal regions are located within different brain hemispheres of said test subject.
Claim 29
Independent Claim 186 words
A method for concurrent comparative in vivo monitoring of blood metabolites in each of a plurality of different internal regions in a selected test subject, comprising the steps of: spectrophotometrically irradiating each of a plurality of different testing sites on said test subject; detecting light energy resulting from said spectrophotometric irradiation of said testing sites, and providing separate sets of signals to a control and processing station which are representative of the light energy received by each of said testing sites and which cooperatively define blood metabolite data for an individual one of at least two different internal regions; analyzing said separate signals to determine quantified blood metabolite data representative of at least one defined region within said at least one test subject associated with each of at least two different of said testing sites, each said defined region being different from the other; and concurrently displaying data sets for each of said at least two different internal regions at substantially the same time for direct mutual comparison, wherein said at least two different internal regions are located within different brain hemispheres of said test subject.
Claim 30
Dependent Claim 55 words
The method of claim 26 , wherein said data sets include a first set which characterizes a first zone within one of said at least two different internal regions and a second set which characterizes a second zone that is at least partially within the same one of said at least two different internal regions.
Claim 31
Dependent Claim 63 words
The method of claim 26 , wherein said spectrophotometric irradiation comprises application of at least two different wavelengths applied in an alternating sequence of timed pulses, and wherein detection of light energy corresponding to each of said at least two different wavelengths is done on a timed periodic basis using detection periods whose occurrence generally corresponds to that of said applied spectrophotometric irradiation.
Claim 32
Dependent Claim 32 words
The method of claim 28 , wherein the duration of each of said detection periods is limited to a length which is less than that of each pulse of applied spectrophotometric irradiation.
Claim 33
Dependent Claim 28 words
The method of claim 29 , wherein the duration of each of said detection periods is less than half that of a pulse of said applied spectrophotometric irradiation.
Claim 34
Dependent Claim 37 words
The method of claim 30 , wherein a plurality of said detection periods are used during pulses of said applied spectrophotometric irradiation, and a corresponding energy detection occurs during each of a plurality of said detection periods.
Claim 35
Dependent Claim 40 words
The method of claim 31 , further including the steps of averaging a selected number of energy detection event values to obtain a resultant value therefor, and using said resultant value to compute a metabolite value which is representative thereof.
Claim 36
Dependent Claim 15 words
The method of claim 32 , wherein said display includes said computed representative metabolite value.
Claim 37
Dependent Claim 47 words
The method of claim 33 , wherein said display is refreshed periodically by using a sequence of computed representative metabolite values which are based upon and represent the averaged detection event values produced during the different time intervals corresponding to the intervals of said periodic display refreshment.
Claim 38
Dependent Claim 244 words
Apparatus for spectrophotometric in vivo monitoring of a selected metabolic condition in each of a plurality of different test subject regions on a substantially concurrent basis, comprising: a plurality of spectrophotometric emitters, each adapted to separately spectrophotometrically irradiate a designated region within a test subject from a test location on said test subject; a controller and circuitry coupling each of said emitters to said controller for individually operating selected ones of said emitters to spectrophotometrically irradiate at least two particular regions within the test subject; a plurality of detectors, each adapted to separately receive light energy resulting from the spectrophotometric irradiation of said at least two particular regions, and to produce at least one separate set of signals for each one of said at least two particular regions; and circuitry acting to convey said at least one separate set of signals to said controller for analytic processing; said controller adapted to analytically process said at least one separate set of signals to determine separate sets of quantified data representative of a metabolic condition in said at least two particular regions; and a visual display coupled to said controller and adapted to display separate representations of said separate sets of quantified data for each of said at least two particular regions in a mutually-comparative manner and on a substantially concurrent basis, wherein at least two of said at least two particular regions are located in mutually separate regions of a brain of said test subject.
Claim 39
Dependent Claim 244 words
Apparatus for spectrophotometric in vivo monitoring of a selected metabolic condition in each of a plurality of different test subject regions on a substantially concurrent basis, comprising: a plurality of spectrophotometric emitters, each adapted to separately spectrophotometrically irradiate a designated region within a test subject from a test location on said test subject; a controller and circuitry coupling each of said emitters to said controller for individually operating selected ones of said emitters to spectrophotometrically irradiate at least two particular regions within the test subject; a plurality of detectors, each adapted to separately receive light energy resulting from the spectrophotometric irradiation of said at least two particular regions, and to produce at least one separate set of signals for each one of said at least two particular regions; and circuitry acting to convey said at least one separate set of signals to said controller for analytic processing; said controller adapted to analytically process said at least one separate set of signals to determine separate sets of quantified data representative of a metabolic condition in said at least two particular regions; and a visual display coupled to said controller and adapted to display separate representations of said separate sets of quantified data for each of said at least two particular regions in a mutually-comparative manner and on a substantially concurrent basis, wherein at least two of said at least two particular regions are located in mutually separate regions of a brain of said test subject.
Claim 40
Dependent Claim 33 words
The apparatus of claim 35 , wherein said controller includes a computer programmed to analyze said signals to separately determine a blood oxygenation state within each of said at least two particular regions.
Claim 41
Dependent Claim 46 words
The apparatus of claim 35 , wherein said computer comprises a processor, data buffers, and a timing signal generator, said data buffers adapted to store data representative of said blood oxygenation state and said timing signal generator adapted to control actuation of said emitters and detectors.
Claim 42
Dependent Claim 20 words
The apparatus of claim 36 , wherein said controller comprises a unitary device which includes said computer and said display.
Claim 43
Dependent Claim 18 words
The apparatus of claim 38 , wherein said unitary device further includes a keyboard interface to said computer.
Claim 44
Dependent Claim 16 words
The apparatus of claim 38 , wherein said unitary device further includes a data output interface.
Claim 45
Dependent Claim 19 words
The apparatus of claim 40 , wherein said unitary device further includes an integral keyboard interface to said computer.
Claim 46
Dependent Claim 16 words
The apparatus of claim 38 , wherein said display comprises a flat electroluminescent visual display screen.
Claim 47
Dependent Claim 19 words
The apparatus of claim 42 , wherein said unitary device further includes an integral keyboard interface to said computer.
Claim 48
Dependent Claim 60 words
The apparatus of claim 35 , wherein at least certain of said detectors and certain of said emitters comprise operational pairs, and said controller is arranged to operate the emitters and detectors of at least certain of said operational pairs in predetermined timed relationship while maintaining the emitters and detectors of other of said operational pairs in a non-operating condition.
Claim 49
Dependent Claim 24 words
The apparatus of claim 44 , wherein said controller is adapted to sequence the operation of said at least certain of said operational pairs.
Claim 50
Dependent Claim 43 words
The apparatus of claim 45 , wherein at least one of said operational pairs include a plurality of said detectors arranged at mutually spaced locations which are spaced at differing distances from the emitter of said at least one of said operational pairs.
Claim 51
Dependent Claim 88 words
The apparatus of claim 46 , wherein said controller is adapted to operate the emitter and a selected number less than all of the detectors of at least one of said operational pairs substantially in unison while holding the other detectors of said at least one of said operational pairs in a non-operating condition, and said controller is further arranged to operate said other detectors substantially in unison with said emitter at another time during which said selected number of said detectors are maintained in a non-operating condition.
Claim 52
Dependent Claim 53 words
The apparatus of claim 44 , wherein at least one of said operational pairs includes a first detector and a second detector, and wherein the first detector is located nearer the emitter than the second detector to thereby provide near and far detector groupings for said at least one of said operational pairs.
Claim 53
Dependent Claim 24 words
The apparatus of claim 48 , wherein said controller is adapted to sequence the operation of said at least one of said operational pairs.

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