An Integrated Circuit-Based Optical Sensor for In Vivo Measurement of Blood Oxygenation

The theory, design, and initial evaluation of an optkal sensor for the measurement of blood oxygen saturation (SO2) and hematocrit (Hct) are presented. A model based on the diffusion of light in an anisotropically scattering medium is developed and used to predict the effects of physiological parameters and the source/detector configuration on the diffuse reflectance of blood measured by the sensor. From model results, a ratiometric method is developed by which SO2 and Hct can be determined using a sensor comprised of three light sources and a detector. An implantable integrated circuit-based sensor was built to perform the blood reflectance measurements. The design of the monolithic signal processor is discussed, along with techniques for combining the chip with hybrid optoelectronics on the same glasscapped silicon substrate. Finally, preliminary results of an in vitro evaluation of prototype sensors are presented.

[1]  A Ishimaru,et al.  Diffuse reflectance from a finite blood medium: applications to the modeling of fiber optic catheters. , 1976, Applied optics.

[2]  Estafanous Fg,et al.  Continuous S-vO2 measurement and oxygen transport patterns in cardiac surgery patients. , 1984 .

[3]  G. Wallis,et al.  Field Assisted Glass‐Metal Sealing , 1969 .

[4]  R. Chadwick,et al.  A laser study of the motion of particles suspended in a slow viscous shear flow , 1973 .

[5]  M. Polanyi,et al.  A new reflection oximeter. , 1960, The Journal of thoracic and cardiovascular surgery.

[6]  W. Wiscombe Improved Mie scattering algorithms. , 1980, Applied optics.

[7]  R. L. Longini,et al.  A Note on the Theory of Backscattering of Light by Living Tissue , 1968 .

[8]  V. Twersky Multiple scattering of waves and optical phenomena. , 1962, Journal of the Optical Society of America.

[9]  D. Harrison,et al.  Fiber optics oximeter-densitometer for cardiovascular studies. , 1967, Applied Optics.

[10]  A Wirtzfeld,et al.  Central Venous Oxygen Saturation for the Control of Automatic Rate‐Responsive Pacing * , 1982, Pacing and clinical electrophysiology : PACE.

[11]  Joseph Lee,et al.  Central Venous Oxygen Saturation in Shock: A Study in Man , 1972, Anesthesiology.

[12]  S. Yee,et al.  A Proposed Miniature Red/Infrared Oximeter Suitable for Mounting on a Catheter Tip , 1977, IEEE Transactions on Biomedical Engineering.

[13]  F A RODRIGO,et al.  The determination of the oxygenation of blood in vitro by using reflected light. , 1953, American heart journal.

[14]  P. Southorn,et al.  Continuous Monitoring of Mixed Venous Oxygen Saturation in Critically Ill Patients , 1982, Anesthesia and analgesia.