Abstract: A pulse oximeter sensor with a light source optimized for low oxygen saturation ranges and for maximizing the immunity to perturbation induced artifact. Preferably, a red and an infrared light source are used, with the red light source having a mean wavelength between 700-790 nm. The infrared light source can have a mean wavelength as in prior art devices used on patients with high saturation. The sensor of the present invention is further optimized by arranging the spacing between the light emitter and light detectors to minimize the sensitivity to perturbation induced artifact. The present invention optimizes the chosen wavelengths to achieve a closer matching of the absorption and scattering coefficient products for the red and IR light sources. This optimization gives robust readings in the presence of perturbation artifacts including force variations, tissue variations and variations in the oxygen saturation itself.

Abstract: A pulse oximeter sensor with a light source optimized for low oxygen saturation ranges and for maximizing the immunity to perturbation induced artifact. Preferably, a red and an infrared light source are used, with the red light source having a mean wavelength between 700-790 nm. The infrared light source can have a mean wavelength as in prior art devices used on patients with high saturation. The sensor of the present invention is further optimized by arranging the spacing between the light emitter and light detectors to minimize the sensitivity to perturbation induced artifact. The present invention optimizes the chosen wavelengths to achieve a closer matching of the absorption and scattering coefficient products for the red and IR light sources. This optimization gives robust readings in the presence of perturbation artifacts including force variations, tissue variations and variations in the oxygen saturation itself.

Abstract: An improved fetal pulse oximeter sensor. The friction provided on the sensor head surface to engage the fetus is higher than the friction on the back side of the sensor head. Thus, any contact with a maternal surface by the back side of the sensor head is less likely to dislodge the sensor, since the maternal tissues will slide over the sensor head. The portion of the sensor surface in contact with the fetus' head will not move because of the increased friction. The increased friction can be achieved by using two different materials with different coefficients of friction, or by using a smooth surface on the back of the sensor head, and a rough surface on the sensor face.

Abstract: An apparatus of and method for measuring arterial blood oxygen saturation at a particular tissue level of interest. Visible and near infrared radiation is emitted into a patient at the measurement site using two different wavelengths. Detection at two different detection sites permits rejection of oxygen saturation at undesired tissue levels.

Abstract: A pulse oximeter which modifies the alarm condition when motion is detected. Basically, if the lack of a pulse is determined to be as a result of motion artifact, the generation of an alarm is postponed. In addition, the display indicates that motion is present and that the last reading is questionable due to the presence of motion. The invention also determines if motion artifact is present from the pulse oximeter detector signal itself. The ratio of the positive and negative peaks of the derivative of the pulse signal are compared to a motion/blood pulse threshold.

Abstract: This invention provides apparatus for collecting parameter disturbance information from each connected apparatus which can disturb measuring vital signs, and broadcasting a message regarding the disturbance and a coordinating clock signal to all apparatus. Connected sensors susceptible to parameter disturbances identify them from the message and suppress their audible alarm during an interval given in the message. This eliminates false audible alarms caused by such disturbances. The disturbance interval can be extended for later disturbances unless it is a new source or disturbance type and the alarm is already suppressed. A brickwall timer limits the total maximum suppressed interval to a safe maximum. A recovery timer allows a sensor to recover from a parameter disturbance before responding to a subsequent one.

Abstract: The present invention provides an encoding mechanism for a medical sensor which uses a modulated signal to provide the coded data to a remote analyzer. The modulated signal could be, for instance, a pulse width modulated signal or a frequency modulated signal. This signal is amplitude independent and thus provides a significant amount of noise immunity.

Abstract: An apparatus and method for sensing respiratory motion to detect sleep apnea and the like. An acoustic pulse stimulator or generator located on one side of a body sends impulses through the body to impinge on one or more sensors on the opposite side of the body. Because time delay between transmitter and receiver is determined by distance, and because distance is directly related to breathing motions of the body, measurement of the time delay will have a direct correspondence to breathing motions.

Abstract: The present invention provides a method and apparatus for adapting to noise sources affecting a pulse oximeter. Various available frequencies are evaluated to determine their respective noise levels and one is selected to act as the operating demultiplexer frequency. During normal operation of the pulse oximeter, the various available demultiplexer frequencies are periodically scanned to determine which has the lowest associated noise. The noise level associated with the operating frequency is used to determine the signal-to-noise ratio of the pulse oximeter signals and thereby qualify certain signals from the pulse oximeter. Those pulses associated with a signal-to-noise ratio below a predetermined threshold are rejected and excluded from use in calculating blood oxygen saturation.

Abstract: A network or telemetry system which allows virtual services at the application or presentation layer to communicate with other virtual services without regard to the physical interconnections. Each message, called a parcel, includes the information to be transmitted along with a virtual address header. The parcel is provided to a gateway, which inserts the parcel without modification into a packet with address information for the physical through session layers in the packet header. The packet is then transmitted to another network node, which receives and delivers the unmodified parcel to the addressed destination virtual service. A number of parcels from the same or different virtual services can be packed into a single packet for transmission from the gateway in cases where these parcels are all directed to virtual services at the same destination node.

Abstract: A conformable sensor which uses a flexible substrate, preferably a polyester strip is disclosed. The emitter and detector are mounted on one portion of the strip with conductive traces connecting to them. The second portion of the strip is folded over to cover the emitter and detector and traces, with openings for the emitter and detector. A conductive coating is applied to the strip to provide shielding from electromagnetic interference. Preferably, a second portion of the strip, which folds over the first portion, also has a Faraday shield covering the opening over the detector. The detector and emitter semiconductor chip die (rather than use encapsulated chips) may be mounted directly on the polyester strip so that it is in contact with one of the conductive traces.

Abstract: A CO.sub.2 monitor which has a reusable portion and a disposable portion is disclosed. The disposable portion includes an airway sensor for connecting between a ventilator output and an endotracheal tube. The airway sensor has ports on opposite sides. In one port a disposable infrared light source is inserted with wire contacts extending to the exterior of the airway sensor body. The reusable portion is a detector module which includes a detector and an amplifier. The detector module attaches to the airway sensor so that the detector is disposed in the second port and so that contacts in the detector module communicate with the wire contacts of the light source. The detector module may be removed from the airway sensor without removing the light source from the airway sensor.

Abstract: A pulse oximeter which modifies the alarm condition when motion is detected. Basically, if the lack of a pulse is determined to be as a result of motion artifact, the generation of an alarm is postponed. In addition, the display indicates that motion is present and that the last reading is questionable due to the presence of motion. The invention also determines if motion artifact is present from the pulse oximeter detector signal itself. The ratio of the positive and negative peaks of the derivative of the pulse signal are compared to a motion/blood pulse threshold.

Abstract: The present invention provides a method and apparatus for adapting to noise sources affecting a pulse oximeter. Various available frequencies are evaluated to determine their respective noise levels and one is selected to act as the operating demultiplexer frequency. During normal operation of the pulse oximeter, the various available demultiplexer frequencies are periodically scanned to determine which has the lowest associated noise. The noise level associated with the operating frequency is used to determine the signal-to-noise ratio of the pulse oximeter signals and thereby qualify certain signals from the pulse oximeter. Those pulses associated with a signal-to-noise ratio below a predetermined threshold are rejected and excluded from use in calculating blood oxygen saturation.

Abstract: A compact pulse oximetry system which separates the combined signal into its respective AC and DC components. By separating the signal into AC and DC components, a smaller order bit A/D converter may be used while still maintaining signal accuracy. Instead of using the combined signal to calculate the oxygen saturation content, the system microprocessor computes the Ratio of Ratios using the derivative of the separated AC component of the diffused signal to calculate the oxygen saturation of the measured fluid. To calculate the Ratio of Ratios, a ratio of the derivative value of the separated AC component is used. Instead of taking a single sample between the peak and valley of the signal, the oximeter system samples each value. To decrease the effect of system noise, a linear regression is performed over each sample.

Abstract: An electronic processor for calculating in vivo blood oxygenation concentration levels using pulsed light that eliminates both requirements for comparing photosensor signal amplitudes with analog/digital circuit dynamic ranges and also adjusting electronic processor parameters. The invention uses monolithic a/d converters with expanded capacity and a microcontroller/processor with a pulse control module to synchronize switching in an oversampling demodulator with pulsing of light sources to overcome prior circuitry limitations that consumed substantial central processor capacity.

Abstract: A graphics coprocessor adapter with hardware support for horizontal scrolling is disclosed. A graphics processor provides both a row address with a RAS signal and a column address with a CAS signal to two banks of video RAMs. Both banks are provided with the same scrolling column address signal. Translating logic intercepts the column address signal for the static plane RAM bank and translates it into a fixed value. Thus, a single column address signal can control both the scrolling and static planes.

Abstract: A method and apparatus for a simple pulse oximeter measurement of an area of the body with a small amount of blood vessels by using a counterirritant to profuse the blood and then apply a modern oximeter probe is disclosed. The counterirritant is either applied to the skin immediately before attaching the probe, or, preferably, is contained in an adhesive pad which couples the probe to the skin.

Abstract: A method and apparatus for improving the calculation of oxygen saturation and other blood constituents by non-invasive pulse oximeters. The method and apparatus permit more accurate determination of blood flow by collecting time-measures of the absorption signal at two or more wavelengths and processing the collected time-measure to obtain composite pulsatile flow data from which artifacts have been filtered. The processing may occur in the time domain or in the frequency domain. In the preferred time domain embodiment, successive portions of periodic information are weighted and added together in synchrony to obtain the composite pulse information. In the preferred frequency domain embodiment, the time-measure is Fourier transformed into its spectral components to form the composite information.