US20220280048A1 - Multi-Wavelength Pulse Oximetry - Google Patents

Abstract

In one embodiment, a method for creating a blood oxygen saturation (SpO2) value, the method comprises receiving one or more photoplethysmography (PPG) signals for SpO2 detection from one or more PPG sensors; receiving one or more PPG signals for characterizing a heart rate from the one or more PPG sensors; using the one or more PPG signals for SpO2 detection, forming one or more SpO2 datasets wherein the SpO2 datasets respectively comprise one or more noise components; removing the one or more noise components from the one or more SpO2 datasets that are inconsistent with a feature of the one or more PPG signals characterizing the heart rate to produce one or more filtered SpO2 datasets; and using the one or more filtered SpO2 datasets, creating and storing the SpO2.

Description

INCORPORATION BY REFERENCE
• An Application Data Sheet is filed concurrently with this specification as part of the present application. Each application that the present application claims benefit of or priority to as identified in the concurrently filed Application Data Sheet is incorporated by reference herein in its entirety and for all purposes.
FIELD OF THE DISCLOSURE
• The present disclosure generally relates to digital apparatus for reflectance-based pulse oximetry for noninvasively measuring oxygen saturation in blood vessels. The disclosure relates more specifically, in some cases, to techniques for removing noise from signals representing oxygen saturation that are received in a digital apparatus for reflectance-based pulse oximetry for noninvasively measuring oxygen saturation in blood vessels.
BACKGROUND
• The approaches described in this section are approaches that could be pursued, but not necessarily approaches that have been previously conceived or pursued. Therefore, unless otherwise indicated, it should not be assumed that any of the approaches described in this section qualify as prior art merely by virtue of their inclusion in this section.
• Blood oxygen saturation (SpO₂) refers to a fraction of oxygen-saturated hemoglobin relative to total hemoglobin in the blood. Decreased SpO₂in the blood can lead to impaired mental function, or loss of consciousness, and may serve to indicate other serious health conditions, such as sleep apnea or cardiovascular disease. Therefore, accurately measuring SpO₂is important in certain kinds of health monitoring.
• Methods for measuring SpO₂in the blood include invasive procedures, such as drawing blood, and noninvasive methods of monitoring SpO₂, such as through reflectance-based pulse oximetry. Reflectance-based pulse oximetry is a technique for monitoring SpO₂by detecting the volumetric change of aerial blood vessels using photoplethysmography (PPG) with wavelengths in the red and infrared regions.
• Pulse oximetry tends to be most effective when performed on areas of the body where blood vessels are close to the surface of the skin, such as the fingertip or forehead. While pulse oximetry tends to be most effective in these areas, devices for monitoring SpO₂through pulse oximetry on the fingertip or forehead can be cumbersome. If a person wishes to monitor SpO₂throughout the day, a device on the fingertip or forehead may be impractical.
• In terms of wearing a device capable of measuring SpO₂, a user may prefer to wear such a device on other parts of the body, like on their wrist, which may be the case especially if the user is wearing the device for extended periods of time. However, measuring SpO₂through pulse oximetry tends to be more difficult on these other body parts. Differences in skin morphology can cause light emitters to be less effective for some people than others. For instance, a person may have a mole or hair that covers a light emitter, thereby decreasing the quality of the signal received by the detector. The presence of cosmetic features such as tattoos also can affect signal quality. In addition, when blood vessels are further from the skin surface, or when there is low blood perfusion due to cool skin temperature, the presence of fatty tissue or other morphology such as cardiovascular disease, signal noise may decrease the quality of the received PPG signals.
SUMMARY
• The appended claims may serve as a summary of the disclosure.
BRIEF DESCRIPTION OF THE DRAWINGS
• In the drawings:
• FIG. 1 illustrates a monitoring device worn by a user, in accordance with one example.
• FIG. 2 illustrates an example hardware architecture of the monitoring device ofFIG. 1,FIG. 5.
• FIG. 3 illustrates an example method characterizing a heart rate using PPG signals for SpO₂detection and PPG signals for heartrate.
• FIG. 4 illustrates an example topology of a light source and a plurality of detectors.
• FIG. 5 illustrates a perspective view of a monitoring device, in accordance with one example.
• FIG. 6 illustrates a flow diagram of an example method for creating and storing a SpO₂value using PPG signals for SpO₂detection and PPG signals for characterizing a heart rate.
• FIG. 7 is a two-part graph that illustrates example PPG signals before and after removal of noise based upon a heart rate signal.
• FIG. 8 illustrates a flow diagram of a method for creating and storing a SpO₂value using a plurality of spaced apart light sources, in accordance with an example.
• FIG. 9 illustrates an example computer system that may be specially configured to perform various techniques described herein.
DETAILED DESCRIPTION
• In the following description, for the purposes of explanation, numerous specific details are set forth in order to provide a thorough understanding of the present disclosure. It will be apparent, however, that embodiments may be practiced without these specific details. In other instances, well-known structures and devices are shown in block diagram form in order to avoid unnecessarily obscuring the present disclosure. Embodiments are described according to the following outline:
• 1. GENERAL OVERVIEW
• 2. EXAMPLE MONITORING DEVICE
• 3. NOISE REDUCTION THROUGH OTHER PPG SIGNALS
• 4. MULTIPLE EMITTERS WITH SPACING
• 5. OTHER ARRANGEMENTS OF LIGHT SOURCES AND/OR DETECTORS
• 6. IMPLEMENTATION EXAMPLE— HARDWARE OVERVIEW
1. General Overview
• In one embodiment, a method for creating a blood oxygen saturation (SpO₂) value, the method comprises receiving one or more photoplethysmography (PPG) signals for SpO₂detection from one or more PPG sensors; receiving one or more PPG signals for characterizing a heart rate from the one or more PPG sensors; using the one or more PPG signals for SpO₂detection, forming one or more SpO₂datasets wherein the SpO₂datasets respectively comprise one or more noise components; removing the one or more noise components from the one or more SpO₂datasets that are inconsistent with a feature of the one or more PPG signals characterizing the heart rate to produce one or more filtered SpO₂datasets; and using the one or more filtered SpO₂datasets, creating and storing the SpO₂value.
• In another embodiment, a monitoring device for creating a SpO₂value comprises one or more processors coupled to electronic digital memory; in the memory, instructions which when executed by the one or more processors cause the one or more processors to perform: receive one or more PPG signals for SpO₂detection from one or more PPG sensors; receive one or more PPG signals for characterizing a heart rate from the one or more PPG sensors; use the one or more PPG signals for SpO₂detection, forming one or more SpO₂datasets wherein the SpO₂datasets respectively comprise one or more noise components; remove the one or more noise components from the one or more SpO₂datasets that are inconsistent with a feature of the one or more PPG signals characterizing the heart rate, to produce one or more filtered SpO₂datasets; and using the one or more filtered SpO₂datasets, creating and storing a SpO₂value.
• In yet another embodiment, a data processing method comprises activating one or more first light sources from one or more PPG sensors; receiving one or more first PPG signals for SpO₂detection from the one or more PPG sensors; determining that a quality of the one or more first PPG signals for SpO₂detection is below a stored minimum signal value; based on the determining, activating one or more second light sources from the one or more PPG sensors; receiving one or more second PPG signals for SpO₂detection from the one or more PPG sensors; and using the one or more second PPG signals, creating and storing a SpO₂value.
• In a further embodiment, a monitoring device comprises one or more processors coupled to electronic digital memory; and in the memory, instructions which when executed by the one or more processors cause the one or more processors to: activate one or more first light sources of a plurality of spaced apart light sources, receive one or more first PPG signals for blood oxygen saturation SpO₂detection from one or more PPG sensors, determine that a quality of the one or more first PPG signals for SpO₂detection is below a stored minimum signal value, based on the determining, activate one or more second light sources of the plurality of spaced apart light sources, receive one or more second PPG signals for SpO₂detection from the one or more PPG sensors, determine that a quality of the one or more second PPG signals for SpO₂detection is above the stored minimum signal value, and using the one or more second PPG signals, create and store a SpO₂value.
• In yet another embodiment, a monitoring device comprises an electronic digital microprocessor coupled to electronic digital memory; one or more detectors on a substrate and coupled to the microprocessor; one or more pairs of light sources that are laterally aligned on the substrate with respect to the one or more detectors; and one or more light sources that are longitudinally aligned on the substrate with respect to the one or more detectors.
• In some embodiments, the execution of the method is performed using a monitoring device. Depending on embodiment, the monitoring device can be worn on a wrist (e.g., watch, band), finger (e.g., ring, clip), around a torso (e.g., chest strap), leg, head (e.g., clip on ear, headband, eye wear, and the like), or any other body part. In other embodiments, the techniques described herein may be performed using a server computer, desktop computer, or other computer that is not wearable, in which the computer receives a dataset and performs filtering and other processing operations as further described.
• Various other aspects and features of different embodiments will become apparent from the description, drawings and claims.
2. Example Monitoring Device
• FIG. 1 illustrates an example monitoring device in relation to a human hand.FIG. 2 illustrates an example hardware architecture of the monitoring device ofFIG. 1,FIG. 5.FIG. 5 illustrates a perspective view of a monitoring device, in accordance with one example. For purposes of illustrating a clear example,FIG. 1 and other aspects of this disclosure describe a monitoring device that is configured for wearing on the wrist, but other embodiments may be implemented using monitoring devices that are wearable in other anatomical locations such as the fingertips, ankle, neck, upper arm, torso, leg and/or forehead.
• In an embodiment, amonitoring device100 comprises one or more pairs oflight sources102, one or more secondarylight sources104 and one ormore detectors106. For purposes of illustrating a clear example,FIG. 1 depictslight sources102,104 anddetectors106 in an enlarged form, and in practical embodiments, these elements may be implemented using miniature components that are smaller than shown inFIG. 1. In practice, thelight sources102,104 are positioned to permit thedetector106 to detect reflected light that is emitted from the light sources toward the skin and therefore the light sources and detector may be closely located on a miniature substrate within a housing, band or other protective elements of themonitoring device100.
• As seen inFIG. 2, themonitoring device100 may further comprise a central processing unit (CPU)110 coupled to amemory112,display114,bus116, and one or more input/output (I/O)devices120, and awireless networking interface124.Display114 and/or I/O devices120 may be omitted in certain embodiments.Display114 may comprise a liquid crystal display, light-emitting diode display, touchscreen, or other electronic digital display device that a CPU can drive.Display114 may be programmed or configured to display data, such as time, heart rate, and SpO₂levels of a user. In an embodiment, themonitoring device100 is a wristband and thedisplay114 is configured such that the display faces away from the outside of a user's wrist when the user wears the monitoring device. In other embodiments, thedisplay114 may be omitted and data detected by themonitoring device100 may be transmitted using thewireless networking interface124 via near-field communication (NFC), BLUETOOTH, WiFi, or other suitable wireless communication protocols to ahost computer900 for analysis, display and/or reporting.
• I/O devices120 may include, for example, motion sensors, vibration devices, lights, loudspeakers or sound devices, microphones, or other analog or digital input or output devices.Memory112 may comprise RAM, ROM, FLASH memory or other digital data storage, and may include acontrol program118 comprising sequences of instructions which when loaded from the memory and executed using theCPU110 cause the CPU to perform the functions that are described herein. Thelight sources102,104 anddetectors106 may be coupled tobus116 directly or indirectly using driver circuitry by which the CPU may drive the light sources and obtain signals from the detectors.
• Thehost computer900 may be coupled to thewireless networking interface124 via one ormore networks128, which may include one or more local area networks, wide area networks, and/or internetworks using any of terrestrial or satellite links. In some embodiments,host computer900 executes control programs and/or application programs that are configured to perform some of the functions described herein including but not limited to the processes described herein with respect toFIG. 6,FIG. 8.
• Further, for purposes of illustrating a clear example,FIG. 1 depicts six pairs oflight sources102, two secondarylight sources104, and onedetector106, but in other embodiments themonitoring device100 may contain any number of pairs oflight sources102, secondarylight sources104, anddetectors106.
• In an embodiment,light sources102,104 anddetectors106 are configured to be aligned proximate to a user's skin when monitoringdevice100 is worn. “Proximate” may mean any of slightly separated from, near, adjacent to, or in direct contact with, but direct contact is not required. For example, inFIG. 1,monitoring device100 is worn on the wrist of a user such thatlight sources102,104 anddetectors106 are adjacent to the inner wrist of the user. The positioning of themonitoring device100 as shown inFIG. 1 is provided merely as an example, and other embodiments may use alternative positioning. For example, the device may be positioned wherelight sources102,104 anddetectors106 are oriented on the outer wrist rather than the inner wrist. Themonitoring device100 may be formed with perimeter dimensions of different sizes that cause thelight sources102,104 anddetectors106 to be in contact with the skin, or separated from the skin.
• FIG. 5 illustrates a schematic perspective view of a monitoring device in one embodiment. In this embodiment,monitoring device100 comprises a wrist band in whichlight sources102,104 anddetectors106 are mounted on or within an underside ofmonitoring device100.Monitoring device100 may include a fastening means to attach monitoring device to a portion of a user's body and the specific form of the fastening means is not critical. The fastening means may be a strap that is passed through a receiving portion of the strap and fastened with hook and/or loop fasteners. Other fastening means may include clips, latches, hook-and-loop fasteners such as VELCRO, clasps, ties, pegs, and/or adhesives. The fastening means may be located on any side ofmonitoring device100 such that the fastening device does not interfere with movement or activity.
• In an embodiment, themonitoring device100 may comprise a processor, memory, user interface, wireless transceiver, one or more environmental sensors, and one or more biometric sensors other than thedetectors106. For example, embodiments may be implemented using a monitoring device of the type shown in U.S. Pat. No. 8,948,832 of Fitbit, Inc., San Francisco, Calif., the entire contents of which are hereby incorporated by reference for all purposes as if fully set forth herein. In other words, the monitoring device of the type shown in U.S. Pat. No. 8,948,832 could be modified based upon the additional disclosure herein to result in a working activity monitoring apparatus capable of performing the functions that are described herein. Therefore, the present disclosure presumes that the reader knows and understands U.S. Pat. No. 8,948,832, and this disclosure is directed to persons having a level of skill sufficient to modify or adapt the monitoring device of the type shown in U.S. Pat. No. 8,948,832 based upon the additional disclosure herein to result in a working activity monitoring apparatus capable of performing the functions that are described herein.
• In an embodiment, thelight sources102 may comprise one or more pairs of electronic semiconductor light sources, such as light-emitting diodes (LEDs), which are laterally aligned on a substrate withdetectors106. For example,FIG. 1 andFIG. 5 depict three pairs oflight sources102 on either side ofdetectors106.Light sources102,104 may be coupled to a power source or driver circuit.
• In an embodiment, each pair oflight sources102 includes a red light source and an infrared light source. Thelight sources102 may emit light with peak wavelengths typically in the range of 650 nm to 940 nm. For example, in various embodiments a particular red light source may emit light with a peak wavelength of 660 nm. The infrared light source may emit light with peak wavelengths in the range of 750 nm to 1700 nm. By way of example and not limitation, a particular infrared light source may emit light with a peak wavelength of 730 nm, 760 nm, 850 nm, 870 nm, or 940 nm. Commercial light sources such as LEDs tend to provide output at about 20 nm intervals with a center wavelength tolerance of +/−10 nm from the manufacturer's specified wavelength and thus one possible range of useful peak wavelengths for the light sources is 650 nm to 950 nm.
• In an embodiment, thelight sources102 are mounted in positions that are spaced apart along the substrate. Pairs of light sources on one side ofdetectors106 may be equally spaced fromdetectors106 as corresponding pairs on an opposite side ofdetectors106. Additionally and/or alternatively, pairs of light sources may be equally spaced from each other. For example, on one side ofdetectors106, a first pair of light sources may be placed 1 mm from the detectors; a second pair of light sources may be placed 1 mm from the first light sources; and a third pair of light sources may be placed 1 mm from the second pair of light sources.
• The spacing of the light sources may be measured from the side of the light source or the center of the light source. For example, the light sources may be configured such that the center of each light source of a first pair of light sources is 2 mm from the edge ofdetectors106 and the center of each light source of a second pair of light sources is 2 mm from the center of a corresponding light source in the first pair of light sources. The particular magnitude of the spacing may depend on a number of factors and this disclosure does not limit the embodiments to any particular spacing. For example, spacing in a range of 1 mm (or less) to 10 mm would be workable in various embodiments.
• The orientation of the light sources on either side ofdetectors106 may be the same. For example, in the orientation depicted inFIG. 5, each pair of light sources may comprise a top light source comprising a red LED and a bottom light source comprising an infrared LED. In other embodiments, light sources on either side ofdetectors106 may have opposite orientations. For example,FIG. 5 depicts light sources on one side ofdetectors106 which comprise a top light source comprising a red LED while the light sources on the opposite side ofdetectors106 comprise a top light source comprising an infrared LED.
• Additionally and/or alternatively, light sources on one side ofdetectors106 may have different orientations. For example, a first pair of light sources on one side ofdetectors106 may comprise a top light source comprising a red LED and a second light source on the same side ofdetectors106 may comprise a top light source comprising an infrared LED.
• In an embodiment,light sources104 may comprise one or more light sources that are longitudinally aligned on a fixed substrate withdetectors106. For example,FIG. 1 andFIG. 5 depict twolight sources104, one which is above thedetectors106 and one which is below thedetectors106. In an embodiment,light sources104 may be green light sources, such as green LEDs. The green light sources may be configured to emit light with wavelengths in the range of 495 nm to 570 nm. For example, a particular green light source may emit light with a wavelength of 528 nm. The green light sources may be equally spaced fromdetectors106 as the pairs of red and infrared light sources. For example, if the distance betweendetectors106 and a center of a first red light source is 2 mm, the distance betweendetectors106 and a green light source may also be 2 mm. Further, in some embodiments, one or more of thelight sources104 may comprise a single LED package that emits multiple wavelengths, such as green, red and infrared wavelengths, at the same location with respect to multiple detectors. Such LEDs may include multiple semiconductor elements co-located using a single die in a single packages, and thereforeFIG. 1,FIG. 5 are not intended to imply that separate components in separate packages are required.
• Detectors106 are sensors adapted to detect wavelengths of light emitted fromlight sources102,104 and together with the light sources form sensors such as PPG sensors. A particularlight source102 combined with aparticular detector106 may comprise a sensor such as a PPG sensor. A first PPG sensor and a second PPG sensor can share components, such as the same light sources and/or detectors, or have different components and thus the term “PPG sensor” is used for simplicity of description although actual embodiments may use multiple components in implementing a PPG sensor.Detectors106, in an embodiment, may comprise one or more detectors for detecting each different wavelength of light that is used by the light sources. For example, a first detector may be configured to detect light with a wavelength of 660 nm, a second detector may be configured to detect light with a wavelength of 940 nm, and a third detector may be configured to detect light with a wavelength of 528 nm. Examples include photodiodes fabricated from semiconductor materials and having optical filters that admit only light of a particular wavelength or range of wavelengths.
• In other embodiments,detectors106 comprise one or more detectors configured to detect multiple wavelengths of light. For example, a single detector may be configured to tune to different frequencies based on data received from an electrical digital microprocessor coupled todetectors106. In another way, the single detector may include multiple active areas where each active area is sensitive to a given range of wavelengths. In an embodiment, a single detector is configured to detect light with wavelengths in the red and infrared frequencies and a second detector is configured to detect light with wavelengths in the green frequencies. Further, each of thelight sources102,104 may use any of one or more different wavelengths of light as previously described.
• In an embodiment,detectors106 are mounted in a housing with one or more filters configured to filter out wavelengths of light other than wavelengths emitted bylight sources102,104. For example, a first portion of the housing may be covered with a filter which removes ambient light other than light in wavelengths emitted bylight sources102 and a second portion of the housing may be covered with a filter which removes all ambient light other than light in wavelengths emitted bylight sources104. For example, signals from one or more PPG sensors may be received through an ambient light filter that filters out an ambient light source that generates an ambient light with a wavelength that is different from the wavelength that is detected by at least one of the sensors.
• FIG. 4 illustrates an example topology of a light source and a plurality of detectors (e.g., photodiodes).FIG. 4 is shown in simplified, schematic format for purposes of illustrating a clear example. In an embodiment, a multi-color light-emitting diode (LED)186 is affixed to a substrate within themonitoring device100. Afirst photodiode180 is located in a position on a first light path with respect toLED186. Second andthird photodiodes182,184 are located symmetrically opposite the LED and are aligned on light paths that are different from the first light path. In one embodiment,LED186 is capable of emitting three (3) wavelengths of light in the red, infrared, and green portions of the spectrum, using multiple semiconductor devices within a single lens or package. Thefirst photodiode180 is configured to receive PPG signals based upon emission of red and infrared light and is used to produce a SpO₂signal. The second andthird photodiodes182,184 are configured to detect PPG signals based upon emission of green light and to generate a heart rate signal based on those PPG signals. The SpO₂signal and heart rate signal may be processed in the manner that is described herein, for example, with respect to the flow diagrams and other functional descriptions.
3. Noise Reduction Through Other Ppg Signals
• A number of flow diagrams are presented herein to illustrate various methods that may be performed by example embodiments. The flow diagrams illustrate example algorithms that may be programmed, using any suitable programming environment or language, to create machine code capable of execution by a CPU or microcontroller of themonitoring device100. In other words, the flow diagrams, together with the written description in this document, are disclosures of algorithms for aspects of the claimed subject matter, presented at the same level of detail that is normally used for communication of this subject matter among skilled persons in the art to which the disclosure pertains. Various embodiments may be coded using assembly, C, OBJECTIVE-C, C++, JAVA, or other human-readable languages and then compiled, assembled, or otherwise transformed into machine code that can be loaded into ROM, EPROM, or other recordable memory of the activity monitoring apparatus that is coupled to the CPU or microcontroller and then then executed by the CPU or microcontroller.
• For purposes of illustrating a clear example, this disclosure may describe the methods with reference to the devices/components shown in other figures, such asFIGS. 1 and 2. However, other embodiments may be implemented using data from other sources and computers or apparatus other than those shown in the aforementioned figures.
• To begin,FIG. 3 illustrates an example method for creating a SpO₂value using a PPG signal as a reference signal to filter PPG signals used to determine the SpO₂value.
• The method shown inFIG. 3 may begin atblock350 when a monitoring device receives a first set of one or more PPG signals from one or more PPG sensors. The first set of PPG signals may be represented in any suitable form capable of being processed by a processor, such as the analog signals or digital data sampled from the analog components and stored in computer memory. In an example, the first set of PPG signals may correspond to red and/or infrared light previously emitted by a light source (or light sources) after the emitted light has interacted with a user's skin, when the monitoring device is worn. It is to be appreciated that the first set of PPG signals may include a noise component, as discussed above.
• The method shown inFIG. 3 may continue atblock352 when the monitoring device receives a second set of one or more PPG signals from the one or more PPG sensors. Again, the second set of PPG signals may be represented in any suitable form capable of being processed by a processor, such as the analog signals or digital data sampled from the analog components and stored in computer memory. In an example, the second set of PPG signals is obtained from different ranges of wavelengths emitted from the light source than the first set of PPG signals. For example, the second set of PPG signals may be obtained from green light sources. In some cases, the second set of PPG signals is obtained from a system within the monitoring device used for tracking a user's heart rate. In other cases, the second set of PPG signals is received from a system separate from heart rate detection.
• Atblock354, the monitoring device filters the first set of PPG signals based on a feature of the second set of PPG signals to generate a filtered set of PPG signals. Various filtering techniques may be used, depending on embodiment, to remove noise or other features from the first set of PPG signals based on a feature of the second set of PPG signals. As one example, heart rate may be the feature of the second set of PPG signals. In the case of a heart rate, the monitoring device may create a filter based the detected frequency of the heart rate signal. Examples of filters include a low-pass filter, a high-pass filter, and a narrow band filter that excludes frequencies that are inconsistent with the frequency of the heart rate signal.
• It is to be appreciated that, based onblock354, the monitoring device may use one range of wavelengths to better measure an underlying signal on which the wavelengths of the first set of PPG signals operates. Based on this underlying signal (or features derived therefrom), the monitoring device can improve the first set of PPG signals based on filtering noise from the first set of PPG signals.
• Continuing with the method shown inFIG. 3, atblock356, the monitoring device may use the filtered set of PPG signals to create and store a SpO₂value. As an example, the filtered set of PPG signals may have a reduced or eliminated noise component and therefore may serve as a more accurate basis for creating and storing the SpO₂value.
• Accordingly, the method shown inFIG. 3 illustrates a method for using a first set of PPG signals to detect an underlying signal to improve another set of PPG signals that may be used to determine a SpO₂value. Alternative or specific embodiments are now discussed.
• FIG. 6 illustrates a flow diagram of another method for creating and storing a SpO₂value using PPG signals for SpO₂and PPG signals for characterizing or determining a heart rate.
• Atstep602, one or more PPG signals for SpO₂detection are received from one or more PPG sensors. For example, power from a power supply, such as a battery and power supply circuit, is coupled to red and infraredlight sources102, which are energized and, when the monitoring device is worn, produce light toward the skin that is proximate to blood vessels. Reflected light is detected using thedetector106 and PPG signals are formed using thedetector106 and gated or signaled for transient storage in memory within themonitoring device100. Under program control, the CPU or microcontroller may load a set of PPG signals from the memory into registers or other data storage. The PPG signals may be obtained from the detectors based upon light sources operating at any of the frequencies that have been described above with respect toFIG. 1,FIG. 5.
• Atstep604, one or more PPG signals for characterizing a heart rate are received from the one or more PPG sensors. Step604 may be implemented in the manner described above forstep602, except that, in some cases, thegreen light sources104 are used and the PPG signals for characterizing a heart rate are formed based upon reflected green light that is detected using thedetectors106. The PPG signals for characterizing the heart rate may, in some cases, be suitable to represent an underlying signal from the PPG sensors. However, compared to the PPG signals for SpO₂detection, the PPG signals for characterizing the heart rate may be obtained from a wavelength that better exhibits the underlying signal. In some cases, the PPG signals for characterizing a heart rate may be based upon detection of reflected green light from the green light sources. The PPG signals for characterizing the heart rate may characterize the heart rate in that one or more of the following features may be determinable: a fundamental frequency (e.g., of the green light), one or more different harmonic frequencies (e.g., of the green light), a template of the underlying signal (e.g., the green light), and the like.
• As an alternative to using the green PPG signal from themonitoring device100, a signal characteristic of a heart rate may be obtained from an entirely different apparatus, such as from an electrocardiogram (EKG) apparatus in real time, or from stored EKG data that is obtained from a server computer by direct retrieval from storage that is coupled to the server computer, or programmatically using an application program interface (API) call, or using any other suitable data retrieval operation. In other words, the heart rate signal that is used in adaptively filtering the red and infrared PPG signals need not come from the activity monitoring apparatus, and need not be received at the same time as the red and infrared signals; instead any other source of the heart rate signal may be used.
• In some embodiments, the PPG signals for SpO₂and heart rate may be correlated in time by interlacing or another form of multiplexing, and stored in that format. Thus various embodiments may store separate streams of PPG signal data for heart rate and SpO₂or an integrated stream in which both kinds of data are interleaved or mixed. In some embodiments, the PPG signals that are used for determining characteristics of heart rate may be obtained from a system that measures a user's heart rate and is separate from the systems described herein. Such an embodiment may contribute PPG signals to the system disclosed herein, and those contributed signals then may be improved based upon the PPG signals for SpO₂that are obtained using the system disclosed herein. For example, a medical-grade fingertip pulse oximetry device could be used to acquire PPG signals indicating pulse, and those signals may be received at a server computer that also obtains PPG signals for SpO₂in the manner described herein. The server computer may be programmed to implement the noise removal and other signal improvement techniques described herein.
• Atstep606, one or more SpO₂datasets are formed where the SpO₂includes one or more noise components, using the one or more PPG signals for SpO₂detection that have been obtained or received from detectors in any of the topologies for light sensors and detectors that are described herein. In an embodiment, under program control, the PPG signals that were received atstep602 are stored as SpO₂datasets in digital memory. A “dataset,” as used herein, may refer to a computer usable representation of data stored in computer memory. The dataset may be organized or otherwise structured to allow for a processor or program to access given elements of the datasets, such as an indexed (e.g., the Nth) sample of the PPG signal. In an example, the dataset may be stored in a buffer used for temporary processing or storing or in computer memory used for longer-term processing or storage.
• In many cases, the PPG signals for SpO₂and the corresponding SpO₂datasets include a noise component. Noise may be introduced into a PPG signal, for example, from skin morphology of the wearer of the apparatus, the presence of hair, tattoos, fatty tissue, pathological conditions that result in weak blood circulation, movement of the device, or other conditions.
• Atstep608, the noise components are removed from the one or more SpO₂datasets to produce one or more filtered SpO₂datasets, which can be performed by using an adaptive filter for which the one or more SpO₂datasets and a characteristic of the one or more PPG signals for characterizing a heart rate are inputs. For example, the SpO₂datasets formed atstep606 may be filtered based upon the signals received atstep604 to remove all or part of noise components from the SpO₂datasets to yield filtered SpO₂datasets. In one embodiment, the PPG signals obtained using infrared and red light sources typically are weaker than signals based upon green light sources (e.g., seeFIG. 7); however, a heart rate signal determined using the green light source may be used to improve the PPG signals with an adaptive filter that uses the heart rate information detected using the green light sources to remove noise that are inconsistent with the heart rate frequency. In an embodiment, the PPG signals for SpO₂comprise primary inputs to an adaptive filter and the heart rate signal is the reference input.
• With respect to the operation of removing the noise components, various embodiments may use least mean squares (LMS) filtering of the one or more SpO₂datasets with the one or more PPG signals for heart rate, recursive least squares (RLS) filtering, and similar techniques, implemented in executable code in themonitoring device100 or inhost computer900 that is processing data received from the monitoring device. Other example techniques include creating a template from a high-quality PPG signal to use as filter coefficients for a matched filter to maximize signal to noise in the presence of additive, stochastic noise. Yet another technique is using an adaptive filter that tunes a band-pass in real-time based upon heartbeat data derived from the PPG datasets, usually based upon green light sources. Correlation computations may be computed between SpO₂datasets obtained from red or infrared light sources and PPG signals obtained from green light sources, to identify motion artifacts. Thus one embodiment may comprise using the adaptive filter with one or more SpO₂datasets and a feature of the one or more PPG signals for characterizing a heart rate as inputs, and removing the noise components from the one or more SpO₂datasets, that are inconsistent with a characteristic of the heart rate frequency PPG signal, to produce one or more filtered SpO₂datasets as output, using a least mean squares fitting or recursive least squares fitting of the one or more SpO₂datasets to the heart rate frequency PPG signal.
• The utility ofstep608 may be further understood with reference toFIG. 7.FIG. 7 is a two-part graph that illustrates example PPG signals before and after removal of noise based upon a heart rate information. A first graph at the top ofFIG. 7 depicts lines representing green, red, and infrared PPG signals obtained from detection of reflected light from green, red, and infrared light sources respectively, illustrated as amplitude versus time. It will be seen that the red and infrared signals include significant noise components expressed as repeated short changes in amplitude over a given time span. The green signal exhibits a sharp upward peak, and the peak-to-peak distance may be used to determine a likely true heart rate frequency of the subject. An adaptive filter, tuned to the heart rate frequency, may be used to smooth or remove noise that is located around the peak points of the green signal when superimposed on the red and infrared signals. As seen in the second graph at the top ofFIG. 7, this form of filtering results in outputting a filtered red PPG signal and a filtered infrared PPG signal that are smoother and therefore more accurate in indicating SpO₂data.
• With reference back toFIG. 6, atstep610, an SpO₂value is created and stored using the one or more filtered SpO₂datasets; the resulting value may be stored in memory of themonitoring device100 or thehost computer900. An “SpO₂value,” as used herein, may refer to a metric that estimates a user's SpO₂level or changes in the user's SpO₂level. Thus some embodiments may generate metrics representing absolute SpO₂values or relative changes in SpO₂.
• The result of themethod600 can be a more accurate SpO₂value. Further, the infrared and red light PPG signals may be processed with more robustness to noise, and therefore themonitoring device100 may be designed or engineered to accommodate less strict noise floor requirements. For example, the monitoring device may be, in some cases, capable of accommodating a less snug attachment to the body, and/or the monitoring device may, in some cases, be capable of accommodating hair and skin conditions, or other noise sources that can interfere with the monitoring device when mounted on the body.
• It is to be appreciated that themethod600 may be performed by one or more of: firmware operating on the monitoring device or a secondary device (e.g., a mobile device paired to the monitoring device, a server, or the like). For example, the monitoring device may execute operations relating to generating the PPG signals (for SpO₂detection and for characterizing a heart rate), which, in turn, are uploaded or otherwise communicated to a server that performs operations for removing the noise data sets and creating the SpO₂value. Alternatively, the monitoring device may execute operations relating to generating the PPG signals (for SpO₂detection and for characterizing a heart rate) and removing the noise data sets to produce the filtered SpO₂datasets. In this case, the filtered SpO₂datasets are uploaded or otherwise communicated to a server that performs operations for creating the SpO₂value. As another alternative, the monitoring device may execute each operation described with reference to themethod600 shown inFIG. 6.
4. Multiple Emitters with Spacing
• In an embodiment, the use of multiple light sources or other emitters in configurations that are spaced differently with respect to the detector permits themonitoring device100 to control the effective detector-emitter spacing to optimize for signal strength under various user skin conditions, by activating different pairs of red and infrared emitters. As the detector-emitter spacing increases, for example, a light path between the emitter and detector samples tissue content over a longer and deeper path, thereby improving signal strength. For example, users who exhibit periods of time of low perfusion, due to conditions such as cooling of the skin, may benefit from increasing the emitter-detector spacing automatically under program control, by activating the red light sources and infrared light sources that are farther away from the detector. The same effect can be obtained using a single emitter and a plurality of detectors.
• FIG. 8 illustrates a flow diagram of a method for creating and storing a SpO₂value using a plurality of spaced apart light sources.
• Atstep802, one or more first light sources of a plurality of spaced apart light sources are activated. For example, step802 may comprise using the CPU to signal a display driver circuit to energize a first pair of red and infrared light sources in themonitoring device100.
• Atstep804, one or more first PPG signals for SpO₂detection are received from one or more PPG sensors. Step804 may comprise operations similar to those described above for step602 (FIG. 6).
• Atstep806, a quality of a particular PPG signal of the one or more first PPG signals for SpO₂detection is determined to be below a stored minimum signal value. Step806 may comprise the CPU110 (FIG. 2) comparing a stored threshold value, which represents a minimum acceptable signal value, to the amplitude of the PPG signals received atstep804.
• Atstep808, based on determining that the quality of the particular PPG signal is below the stored minimum signal value, one or more second light sources of the plurality of spaced apart light sources are activated. For example, step808 may comprise the CPU signaling the display driver circuit to energize a second pair of red and infrared light sources at a different second position from the first pair.
• Further, using these techniques, an embodiment ofFIG. 8 may comprise: activating only a first pair of two or more pairs of light sources, and deactivating one or more other pairs; receiving, from one or more detectors, a first red PPG signal and a first infrared PPG signal from only the first pair of two or more pairs of red light sources and infrared light sources; determining that a first red PPG signal quality is below a stored minimum red PPG signal value or that a first infrared PPG signal quality is below a stored minimum infrared PPG signal value; and based on the determining, activating a second pair of the two or more pairs of red light sources and infrared light sources, receiving from the one or more detectors a second red PPG signal and a second infrared PPG signal associated with the second pair; determining that a second red PPG signal quality is above the stored minimum red PPG signal value and that the second infrared PPG signal quality is above the stored minimum infrared PPG signal quality value; using the second red PPG signal and the second infrared PPG signal as the one or more PPG signals for SpO₂detection, determining one or more SpO₂datasets. In some embodiments, the first signals that were used for quality determination are discarded or deleted from memory in favor of using the second signals, but this step is not required in all embodiments.
• Atstep810, one or more second PPG signals for SpO₂detection are received from the one or more PPG sensors. Step810 may comprise obtaining signals from the second pair of light sources as well as the first pair of light sources. Atstep812, a quality of the one or more second PPG signals for SpO₂is determined to be above the stored minimum signal value. Atstep814, a SpO₂value is created and stored using the one or more second PPG signals.
• Additionally or alternatively, the process ofFIG. 8 may receive input from biometric sensors or environmental sensors indicating an ambient temperature or a skin temperature of the wearer of the activity monitoring apparatus. Based on changes in temperature values received from these sensors, the process may energize or de-energize different pairs of light sources. In this embodiment, the process ofFIG. 8 may include: activating only a first pair of two or more pairs of red light sources and infrared light sources, and deactivating all other pairs; receiving, from the one or more detectors, a first red PPG signal and a first infrared PPG signal from only the first pair of the two or more pairs of red light sources and infrared light sources; receiving an ambient temperature signal from an ambient temperature sensor that is located proximate to the two or more first pairs; determining that the ambient temperature signal is less than a stored minimum temperature signal; based on the determining, activating a second pair of the two or more pairs of red light sources and infrared light sources, receiving from the one or more detectors a second red PPG signal and a second infrared PPG signal associated with the second pair, forming a combined red PPG signal using the first red PPG signal and the second red PPG signal, and forming a combined infrared PPG signal using the first infrared PPG signal and the second infrared PPG signal.
• The process ofFIG. 8 may include a feedback loop and other test operations that result in selectively energizing or de-energizing different pairs of red and infrared light sources of themonitoring device100 as ambient conditions change. For example, the process ofFIG. 8 may be implemented as part of a continuous loop that is active whenever themonitoring device100 is powered on, and may include operations to de-energize the second pair of light sources when signals received from the first pair of light sources are determined to be greater than the stored minimum signal value. Further, the process as a whole may be repeated for any one or more pairs of the light sources, so that the process results in energizing three or more pairs of light sources at any one time. In this manner, over time, different combinations of pairs may be energized or de-energized dynamically in response to changing ambient conditions, changing skin temperature, movement of themonitoring device100 on the body of the user, or other conditions that result in changes in the strength of signals from the light sources.
5. Other Arrangements of Light Sources and/or Detectors
• In an embodiment,light sources102 are positioned on a rotatable substrate proximate todetectors106. The rotatable substrate may be communicatively coupled to an electrical digital microprocessor and configured to alter a position of one or more pairs oflight sources102. The rotatable substrate may move pairs oflight sources102 laterally or may rotate pairs oflight sources102 around an axis. For example,FIG. 5 depicts three pairs oflight sources102 on either side ofdetectors106. The rotatable substrate may be configured to shift a single pair oflight sources102 to the different positions depicted inFIG. 5. As another example, the rotatable substrate may be configured to flip the positions of each light source of a pair of light sources, such that a red light sources switches positions with an infrared light source.
• The rotatable substrate may comprise a flat disk formed of metal or plastic that is affixed to a driving mechanism that is operable under control of the processor using a geared mechanism, or using electromagnetic means. For example, two or more points spaced apart around the circumference or perimeter of the substrate may comprise fixed rare earth magnets and the processor may be coupled to a single electromagnetic coil that may be energized at a first polarity or second polarity, which induces within the coil a magnetic field of a first polar orientation or a second polar orientation; using this means one of the magnets on the rotatable substrate will be alternatively attracted to or repelled from the coil, resulting in rotated or lateral motion of the substrate to an opposite circumferential position.
• In an embodiment, a plurality of thelight sources102 may be positioned around one or more detectors, on a planar substrate that is circular or having other geometry, at different fixed angles with respect to one or more detectors at a center of the substrate or arranged at different angles around the substrate near the light sources. The light sources may be single-color, arranged in pairs such as red-infrared, red-green, or infrared-green. In this arrangement, thecontrol program118 may be programmed to selectively drive different light sources at different angular positions with respect to the detectors, and to test the quality of data resulting from driving those light sources. For example, thecontrol program118 may be configured to iterate through a plurality of different combinations of angular positions of light sources, while testing the amplitude of signals obtained via each combination, and to select a particular combination of light sources that is providing the signals of greatest amplitude. In this manner, over time, different combinations of light sources or pairs may be energized or de-energized dynamically in response to changing ambient conditions, changing skin temperature, movement of themonitoring device100 on the body of the user, or other conditions that result in changes in the strength of signals from the light sources.
• In these embodiments, the processes ofFIG. 6,FIG. 8 may be implemented with additional operations that drive repositioning the rotatable substrate. For example, referring toFIG. 8, step808 may comprise using the processor to energize the coil using a first particular polarity, thereby causing the rotatable substrate to rotate other light sources into position.
6. Implementation Example—Hardware Overview
• According to one embodiment, the techniques described herein are implemented by one or more special-purpose computing devices. The special-purpose computing devices may be hard-wired to perform the techniques, or may include digital electronic devices such as one or more application-specific integrated circuits (ASICs) or field programmable gate arrays (FPGAs) that are persistently programmed to perform the techniques, or may include one or more general purpose hardware processors programmed to perform the techniques pursuant to program instructions in firmware, memory, other storage, or a combination. Such special-purpose computing devices may also combine custom hard-wired logic, ASICs, or FPGAs with custom programming to accomplish the techniques. The special-purpose computing devices may be desktop computer systems, portable computer systems, handheld devices, networking devices or any other device that incorporates hard-wired and/or program logic to implement the techniques.
• For example,FIG. 9 is a block diagram that illustrates acomputer system900 upon which an embodiment may be implemented.Computer system900 includes abus902 or other communication mechanism for communicating information, and ahardware processor904 coupled withbus902 for processing information.Hardware processor904 may be, for example, a general purpose microprocessor.
• Computer system900 also includes amain memory906, such as a random access memory (RAM) or other dynamic storage device, coupled tobus902 for storing information and instructions to be executed byprocessor904.Main memory906 also may be used for storing temporary variables or other intermediate information during execution of instructions to be executed byprocessor904. Such instructions, when stored in non-transitory storage media accessible toprocessor904, rendercomputer system900 into a special-purpose machine that is customized to perform the operations specified in the instructions.
• Computer system900 further includes a read only memory (ROM)908 or other static storage device coupled tobus902 for storing static information and instructions forprocessor904. Astorage device910, such as a magnetic disk, optical disk, or solid-state drive is provided and coupled tobus902 for storing information and instructions.
• Computer system900 may be coupled viabus902 to adisplay912, such as a cathode ray tube (CRT), for displaying information to a computer user. Aninput device914, including alphanumeric and other keys, is coupled tobus902 for communicating information and command selections toprocessor904. Another type of user input device iscursor control916, such as a mouse, a trackball, or cursor direction keys for communicating direction information and command selections toprocessor904 and for controlling cursor movement ondisplay912. This input device typically has two degrees of freedom in two axes, a first axis (e.g., x) and a second axis (e.g., y), that allows the device to specify positions in a plane.
• Computer system900 may implement the techniques described herein using customized hard-wired logic, one or more ASICs or FPGAs, firmware and/or program logic which in combination with the computer system causes orprograms computer system900 to be a special-purpose machine. According to one embodiment, the techniques herein are performed bycomputer system900 in response toprocessor904 executing one or more sequences of one or more instructions contained inmain memory906. Such instructions may be read intomain memory906 from another storage medium, such asstorage device910. Execution of the sequences of instructions contained inmain memory906 causesprocessor904 to perform the process steps described herein. In alternative embodiments, hard-wired circuitry may be used in place of or in combination with software instructions.
• The term “storage media” as used herein refers to any non-transitory media that store data and/or instructions that cause a machine to operate in a specific fashion. Such storage media may comprise non-volatile media and/or volatile media. Non-volatile media includes, for example, optical disks, magnetic disks, or solid-state drives, such asstorage device910. Volatile media includes dynamic memory, such asmain memory906. Common forms of storage media include, for example, a floppy disk, a flexible disk, hard disk, solid-state drive, magnetic tape, or any other magnetic data storage medium, a CD-ROM, any other optical data storage medium, any physical medium with patterns of holes, a RAM, a PROM, and EPROM, a FLASH-EPROM, NVRAM, any other memory chip or cartridge.
• Storage media is distinct from but may be used in conjunction with transmission media. Transmission media participates in transferring information between storage media. For example, transmission media includes coaxial cables, copper wire and fiber optics, including the wires that comprisebus902. Transmission media can also take the form of acoustic or light waves, such as those generated during radio-wave and infra-red data communications.
• Various forms of media may be involved in carrying one or more sequences of one or more instructions toprocessor904 for execution. For example, the instructions may initially be carried on a magnetic disk or solid-state drive of a remote computer. The remote computer can load the instructions into its dynamic memory and send the instructions over a telephone line using a modem. A modem local tocomputer system900 can receive the data on the telephone line and use an infra-red transmitter to convert the data to an infra-red signal. An infra-red detector can receive the data carried in the infra-red signal and appropriate circuitry can place the data onbus902.Bus902 carries the data tomain memory906, from whichprocessor904 retrieves and executes the instructions. The instructions received bymain memory906 may optionally be stored onstorage device910 either before or after execution byprocessor904.
• Computer system900 also includes acommunication interface918 coupled tobus902.Communication interface918 provides a two-way data communication coupling to anetwork link920 that is connected to alocal network922. For example,communication interface918 may be an integrated services digital network (ISDN) card, cable modem, satellite modem, or a modem to provide a data communication connection to a corresponding type of telephone line. As another example,communication interface918 may be a local area network (LAN) card to provide a data communication connection to a compatible LAN. Wireless links may also be implemented. In any such implementation,communication interface918 sends and receives electrical, electromagnetic or optical signals that carry digital data streams representing various types of information.
• Network link920 typically provides data communication through one or more networks to other data devices. For example,network link920 may provide a connection throughlocal network922 to anotherhost computer924 or to data equipment operated by an Internet Service Provider (ISP)926.ISP926 in turn provides data communication services through the world wide packet data communication network now commonly referred to as the “Internet”928.Local network922 andInternet928 both use electrical, electromagnetic or optical signals that carry digital data streams. The signals through the various networks and the signals onnetwork link920 and throughcommunication interface918, which carry the digital data to and fromcomputer system900, are example forms of transmission media.
• Computer system900 can send messages and receive data, including program code, through the network(s),network link920 andcommunication interface918. In the Internet example, aserver930 might transmit a requested code for an application program throughInternet928,ISP926,local network922 andcommunication interface918.
• The received code may be executed byprocessor904 as it is received, and/or stored instorage device910, or other non-volatile storage for later execution.
• In the foregoing specification, embodiments have been described with reference to numerous specific details that may vary from implementation to implementation. The specification and drawings are, accordingly, to be regarded in an illustrative rather than a restrictive sense. The sole and exclusive indicator of the scope of the disclosure, and what is intended by the applicants to be the scope of the disclosure, is the literal and equivalent scope of the set of claims that issue from this application, in the specific form in which such claims issue, including any subsequent correction.

Claims (1)

What is claimed is:

1. A method for creating a blood oxygen saturation (SpO₂) value, the method comprising:

receiving one or more photoplethysmography (PPG) signals for SpO₂detection from one or more PPG sensors;

receiving one or more PPG signals for characterizing a heart rate from the one or more PPG sensors;

using the one or more PPG signals for SpO₂detection, forming one or more SpO₂datasets wherein the SpO₂datasets respectively comprise one or more noise components that are inconsistent with a feature of the one or more PPG signals characterizing the heart rate;

removing, from the one or more SpO₂datasets, the one or more noise components that are inconsistent with a feature of the one or more PPG signals characterizing the heart rate to produce one or more filtered SpO₂datasets; and

using the one or more filtered SpO₂datasets, creating and storing the SpO₂value.

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