Our goal is to quantify muscle activity and fatigue using LED spectroscopy to track oxygen trends in muscle tissue over time. Near-infrared light penetrates tissue better than visible light and can detect deoxygenated hemoglobin and myoglobin in muscle. Using a single infrared LED, we can track relative oxygen saturation trends but cannot account for changing path length within muscle during movement. To normalize signals across subjects, we measure maximal deoxygenation during induced ischemia. Infrared signal declines seen in most samples may indicate decreased blood flow or oxygen consumption exceeding supply during static loads. Moving forward, combining ultrasound and infrared signals could help separate muscle influence from oxygen changes and classify activity.
5 things to know about Pulse Oximeter.
What is a pulse oximeter?
A pulse oximeter is a device that is used to measure oxygen saturation levels (SPO2 levels) / oxygen levels in the blood. The pulse oximeter gives out two readings which are oxygen levels and pulse rate.
What happens when oxygen levels drop below the normal oxygen level in the body?
It is very important for the oxygen levels in the body to be in the normal range. The proper functioning of the body depends on oxygen which is carried by the blood to all the cells in the body. When the oxygen levels in the body drop, the functioning of various organs like the brain, heart, and kidneys can get affected. The condition of low oxygen levels in the body is called hypoxemia.
Importance of fingertip pulse oximeter in the times of COVID-19
According to medical experts, low oxygen levels are registered in coronavirus patients. So, it is important to monitor the oxygen levels in the blood to detect covid pneumonia in the early stage. COVID pneumonia is a deadly condition seen in severe covid cases.
But a pulse oximeter cannot be trusted solely to detect coronavirus. Low oxygen levels can be a symptom of various other conditions as well.
What is the normal oxygen level reading?
You can find the normal pulse oxygen level readings here 0:49
When the oxygen levels drop below the ideal oxygen level readings, it is a cue to consult a doctor.
How Pulse oximeter works- Principle and Limitations I SpO2 I Respiratory Phys...HM Learnings
How Pulse oximeter works- Principle and Limitations I SpO2 I Respiratory Physiology I COVID
The slides will discuss about
1. Introduction
2. Principle of Pulse oximeter
3. Limitation of Pulse oximeter
You can also watch the same topic on HM Learnings Youtube channel.
You can also follow HM Learnings on facebook, instagram and twitter for daily updates
Pulse oximetry is a noninvasive method for monitoring a person's oxygen saturation. Peripheral oxygen saturation (SpO2) readings are typically within 2% accuracy (within 4% accuracy in the worst 5% of cases) of the more desirable (and invasive) reading of arterial oxygen saturation (SaO2) from arterial blood gas analysis.
5 things to know about Pulse Oximeter.
What is a pulse oximeter?
A pulse oximeter is a device that is used to measure oxygen saturation levels (SPO2 levels) / oxygen levels in the blood. The pulse oximeter gives out two readings which are oxygen levels and pulse rate.
What happens when oxygen levels drop below the normal oxygen level in the body?
It is very important for the oxygen levels in the body to be in the normal range. The proper functioning of the body depends on oxygen which is carried by the blood to all the cells in the body. When the oxygen levels in the body drop, the functioning of various organs like the brain, heart, and kidneys can get affected. The condition of low oxygen levels in the body is called hypoxemia.
Importance of fingertip pulse oximeter in the times of COVID-19
According to medical experts, low oxygen levels are registered in coronavirus patients. So, it is important to monitor the oxygen levels in the blood to detect covid pneumonia in the early stage. COVID pneumonia is a deadly condition seen in severe covid cases.
But a pulse oximeter cannot be trusted solely to detect coronavirus. Low oxygen levels can be a symptom of various other conditions as well.
What is the normal oxygen level reading?
You can find the normal pulse oxygen level readings here 0:49
When the oxygen levels drop below the ideal oxygen level readings, it is a cue to consult a doctor.
How Pulse oximeter works- Principle and Limitations I SpO2 I Respiratory Phys...HM Learnings
How Pulse oximeter works- Principle and Limitations I SpO2 I Respiratory Physiology I COVID
The slides will discuss about
1. Introduction
2. Principle of Pulse oximeter
3. Limitation of Pulse oximeter
You can also watch the same topic on HM Learnings Youtube channel.
You can also follow HM Learnings on facebook, instagram and twitter for daily updates
Pulse oximetry is a noninvasive method for monitoring a person's oxygen saturation. Peripheral oxygen saturation (SpO2) readings are typically within 2% accuracy (within 4% accuracy in the worst 5% of cases) of the more desirable (and invasive) reading of arterial oxygen saturation (SaO2) from arterial blood gas analysis.
SUMMARY:
- Neurophysiologic monitoring not universally adopted but in many centers has become routine monitor for some surgical procedures
- Ideal neurophysiologic monitoring in the neurosurgical procedure should be: non-invasive (v.s invasive), high sensitivity & specificity, cost effective, easy to use, simple instrumentation, and real time or continous monitoring.
Design of the Pulse Oximetry Measurement Circuit and Its Sensing System Based...IOSRJEEE
The pulse oximetry circuit and its sensing system is designed based on the standard CMOS technology of 0.18um. The reflection oxygen sensor is used to collect the pulse oximeter signal of human body, then the collected physiological signals are processed by the data processing circuit The data processing circuit is composed of two parts: the amplifying circuit and the band-pass filter circuit, and the pulse oximeter data processed by the data processing circuit is written into the tag through the SPI communication The RFID reader read the data in the RFID tag through wireless communication, and display the data . The experimental results show that the maximum error is ±1%. The maximum error of the pulse is ±1.9%. The stability and feasibility of pulse blood oxygen sensing system is demonstrated in this paper and it will have a good application prospect in the direction of wearable medical wisdom research
Problems in Getting Ambulatory Blood Pressure Monitoring using Infrared PPGIJSRD
In the current study, a non-invasive technique for blood pressure (BP) measurement based on the detection of Photoplethysmographic (PPG) pulses during pressure-cuff deflation was compared to sphygmomanometryâ€â€the Korotkoff sounds technique. The PPG Senor used to measure blood pressure using the technique of correlation of volume and pressure. The performance of portable and wearable biosensorsis highly influenced by motion artifact, artery stiffness, measurement sites, light wavelength, sensor pressure, A novel real time system is proposed for accurate motion-tolerant extraction of heart rate (HR) and pulse oximeter oxygen saturation (SpO2) from wearable Photoplethysmographic (PPG) biosensors. Recently, monitoring of blood pressure fluctuation in the daily life is focused on in the hypertension care area to predict the risk of cardiovascular and cerebrovascular disease events. The main problem is using with digital BP monitoring machine is Doctors are not believe on digital machines they believe with only sphygmomanometer. In this paper, in order to propose an alternative system to the existed ambulatory blood pressure monitoring (ABPM) sphygmomanometer, to sort out the problems using small wearable device consisting of photoplethysmograph (PPG) sensors. Recent advances in optical technology have facilitated the use of high-intensity green LEDs for PPG, increasing the adoption of this measurement technique. In this paper, we briefly present the problems of PPG sensor and recent developments in wearable pulse rate sensors with green LEDs.
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International Journal of Engineering Research and Applications (IJERA) is an open access online peer reviewed international journal that publishes research and review articles in the fields of Computer Science, Neural Networks, Electrical Engineering, Software Engineering, Information Technology, Mechanical Engineering, Chemical Engineering, Plastic Engineering, Food Technology, Textile Engineering, Nano Technology & science, Power Electronics, Electronics & Communication Engineering, Computational mathematics, Image processing, Civil Engineering, Structural Engineering, Environmental Engineering, VLSI Testing & Low Power VLSI Design etc.
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2. Our Goal
We hope to quantify the dynamics of an active
muscle.
LED spectroscopy provides a way to track fatigue
and oxygen trends of an area of interest.
3.
4.
5.
6. Properties of the Red and IR LED
• Near-IR light has much better penetration into
biological tissue than visible light
• NIR light absorption affected by: hemoglobin,
myoglobin and cytochrome c oxidase molecules
(90%Hb)
• To track specifically muscle activity, it appears
that Infrared light will be the most appropriate
signal to track
7. IR signal
We know from Beer-Lambert’s law that the absorption of
an LED is a function of each absorbed substance given
their:
1. extinction factor
2. concentration
3. path length.
Our IR light detects mostly Hb/Mb-deoxygenation in
muscle tissue but we cannot account for path length
using 1 LED.
8. Path Length
For a fixed optode (forehead) we could assume
path length to be constant.
However, we are interested in quantifying
muscle movement within exercise, and our
signal includes an initial contraction of muscle
(change of path length)
9. Accounting for path length
The optical path length was accounted for by
measuring the absorbance changes obtained during
cuff ischemia.
The percent deoxygenation during exercise is then
calculated from the maximal deoxygenation of the
ischemic response.
A way of normalizing NIRS signals across subjects.
10. Oxygen saturations
Boushel claims one must use multiple
wavelengths to generate algorithms for NIRS.
• Coefficients used at each wavelength
deconvolute the overlapping absorption
spectra.
• Algorithms are used for either trend
monitoring or to assess relative
concentrations.
11. Below are wavelengths and coefficients used in
the laboratory at Duke for assessing relative
concentrations.
12. Measurements with Two
Wavelengths
Other NIRS applications use two near-IR LEDs
(760 and 850nm) and use the difference
between the signals to determine relative
oxygen saturation. The sum of the signals to
provide a reference to blood volume changes.
13. Red-IR= relative O2
While I am using a
Red LED and IR LED,
the data shows
plausible oxygen
trends in that the
bicep oxygen content
desaturates with
increased load in
isometric exercise.
14. Infrared Trends
We changed the experiment set up
Infrared signals have shown a promising fatigue
trend in almost all of our samples.
15.
16. Analyzing IR trends
Static load in some types of activity compromise
blood flow to working muscle.
Are our IR decline trends due to decreased
blood flow, or is the use of oxygen in the muscle
exceeding a continuous supply?
17. Moving Forward
Ultrasound & IR signal of Nellcor sensor in
cooperation. Separate muscle influence and oxygen
Classify experiment activity, static load or active
Use multiple NIRS LEDs?
• Overlapping spectra= trend monitoring/ find
relative concentrations of each molecule.
Editor's Notes
The basis for our sensor are two LED signals, Red and Infrared. They have wavelengths of 660 and 910nm, respectively.
When there is high oxygen saturation, the IR pulse amplitude is higher, and Red pulse amplitude greater for lower oxygen saturation. A red-to-infrared pulse modulation ratio is needed to determine Oxygen saturation.
We have a Nellcor SpO2 Forehead Sensor that was designed to track poor pulse perfusion as fast as possible as arterial blood reaches the head before the fingers.
Nellcor products have monitors that account for calibration curves that correlate the pulse Modulation Ratio to oxygen saturation.
Using that system, oxygen content for an area of interest is easily monitored. However, we are using a TI SP02-FE EVM dac that allows us to capture raw Infrared and Red LED signals from the sensor.
A chromophore is the part of a molecule responsible for its color. The color arises when a molecule absorbs certain wavelengths of visible light and transmits or reflects others.
Cut off the supply of oxygen to the area of interest and use the max deoxygenation measurement to calculate the oxygenation during exercise
(scaled to the maximum and minimum values).
However, without accounting for the influence of tissue and the change within the muscle, there exists the problem of normalizing the data between people, and determining true oxygen saturation changes. You can also see some activity in the signal with the contraction in the first few seconds, and it doesn’t seem intuitive to assume that is due to oxygen saturation changes over milliseconds.
The experiments were taken over 5 minutes with the subject maintaining a steady force of 30% of their maximum contraction against a table top. They were seated with their arm at about 90 degrees, without any support and the maximum force was calibrated for each person.
HOPES: to track fatigue over a longer time period, paying attention to IR and less on initial contraction fluctuations in the data— put aside path length
We hope to get an ultrasound that will be able to track muscle diameter in cooperation with the Nellcor sensor’s Infrared signal.
Ideally, the ultrasound will be a useful tool to provide a real-time picture of the muscle, and I think we will be able to better account for the muscle thickness in the individual signal.
Something we may want to consider is using multiple Near-Infrared LEDs as they penetrate to the muscular level well.
We could explore how to deconvolute the overlapping absorption spectra to trend monitoring or to assess relative concentrations.
Keep in mind the type of activity we are tracking– keep in mind the intramuscular pressure and it’s affect on blood flow.