Abstract
A noninvasive oximeter that analyses the oxygen saturation of arterial blood in the fingertip is described. The light, after attenuating the infrared portion to avoid thermal injury, is applied to the fingertip through an optical transmitter made of glass fibres. The transmitted light is transferred to an optical reception system where a spectrophotometric determination of oxygen saturation is performed. The determination is performed by considering only the change in the attenuation of light caused by the inflow of arterial blood into the fingertip. The correlation between the oxygen saturation measured with the present instrument (y) and that with the blood-gas method (x), was y=0·907x+8·592 with a standard deviation and a correlation coefficient of 0·135% and 0·983, respectively. The reproducibility was assessed in a healthy subject by measuring the oxygen saturation repeatedly 60 times. The mean saturation was 95·82±0·675% (mean±standard deviation). The instrument has been useful in monitoring arterial oxygenation in patients with respiratory failure in our intensive-care unit. One of the disadvantages of the instrument is that the measurement is interrupted when the fingertip changes its position against the light beam.
Similar content being viewed by others
References
Gordy, E. andDrabkin, D. L. (1957) Spectrophotometric studies XVI: determination of the oxygen saturation of blood by a simplified technique available to standard equipment.J. Biol. Chem.,227, 285–296.
Horecker, B. L. (1943) The absorption spectra of haemoglobin and its derivatives in the visible and near infra-red regions.J. Biol. Chem.,148, 173–183.
Le Souëf, P. N., Morgan, A. K., Soutter L. P., Reynolds, E. O. R. andParker, D. (1978) Continuous comparison of transcutaneous and arterial oxygen tension in newborn infants with respiratory illnesses.Acta Anaesth. Scand. Suppl.,68, 91–97.
Nakajima, S., Hirai, Y., Takase, H., Kuse, A., Aoyagi, S., Kishi, M. andYamaguchi, K. (1975) New pulsed-type earpiece oximeter.Kokyu to Junkan,23, 709–713.
Nilsson, N. J. (1960) Oximetry.Physiol. Rev.,40, 1–26.
Okada, Y., Tyuma, I. andSugimoto, T. (1977) Evaluation of Severinghaus' equation and its modification for 2,3-DPG.Jap. J. Physiol.,27, 135–144.
Peabody, J. L., Willis, M. M., Gregory, G. A., Tooley, W. H. andLucey, J. F. (1978) Clinical limitations and advantages of transcutaneous oxygen electrodes.Acta Anaesth. Scand. Suppl.,68, 76–82.
Severinghaus, J. W. (1966) Blood gas calculator.J. Appl. Physiol.,21, 1108.
Winter, P. M. andSmith, G. (1972) Oxygen toxicity.Anaesthesiology,37, 210–241.
Wood, E. G. andGeraci, J. E. (1949) Photoelectric determination of arterial oxygen saturation in man.J. Lab. Clin. Med.,34, 387–401.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Yoshiya, I., Shimada, Y. & Tanaka, K. Spectrophotometric monitoring of arterial oxygen saturation in the fingertip. Med. Biol. Eng. Comput. 18, 27–32 (1980). https://doi.org/10.1007/BF02442476
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02442476