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Fundamentals Of CMS Pulse Oximeters

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By Madeline Pittman


CMS pulse oximeters are pieces of equipment used to perform pulse oximetry. This kind of oximetry is a non-invasive technique for monitoring the level of saturation of Oxygen gas in the body. This equipment was first invented by a physician called Glenn Allan Millikan in 1940s. This first device operated on two wavelengths and was placed on the ear. The two wavelengths were red and green filters.

This original product was improved later on in 1949 by a physician named Wood. Wood added a capsule for compressing blood out of ears to obtain nil setting in the attempt to obtain absolute O2 saturation levels. The current makes function on similar principals like the initial one. However, the functioning principal was hard to implement in first makes because of unstable photocells and/or light sources.

Oximetry itself was first developed in 1972 by two bioengineers, Kishi and Aoyagi at Nihon Kohden. These two used the ratio of red to infrared light absorption of pulsating parts at measuring spots. Commercial distribution of the oximeter happened in 1981 through a company called Biox. At that time, the device was mostly used in operating rooms and companies that produced it focused most of their marketing in the same direction.

Oximetry is a crucial noninvasive technique of determining the amount of oxygen in human body. It utilizes a pair of small LEDS, light emitting diodes, which face some photodiode through a translucent portion of the body. Examples of such translucent parts are fingertips, earlobes, and toe tips. One LED is red whereas the other is infrared. The red LED is usually 660 nm while the infrared LED is 940, 910, or 905 nm.

The absorption rate of the two wavelengths varies between the deoxygenated and oxygenated forms of oxygen in blood. The difference in absorption rate can be used to calculate the ratio between oxygenated and deoxygenated blood O2. The signal observed changes over time with every heart beat because arterial blood vessels contract and expand with every heartbeat. The monitor is able to ignore other tissues or nail makeup by monitoring only the changing section of the absorption spectrum.

By observing the varying absorption section only, blood oxygen monitors can display percentage of arterial hemo-globin in oxy-hemoglobin configuration. Individuals with hypoxic drive conditions without COPD have a value that stands between 99 and 95 percent. People with hypoxic drive problems usually have readings that fall between 94 and 88 percent. Often, figures of a hundred percent may or may not suggest poisoning by carbon monoxide.

An oximeter is useful in a number of applications and environments where the oxygenation of a patient is unstable. Some of the major environments of application include intensive care units, surgical rooms, hospital and ward settings, recovery units, and cockpits in unpressurized aircrafts. The limitation of these gadget is that it only determines the saturation of hemoglobin and not ventilation. It is therefore not a complete measure of respiratory adequacy.

CMS pulse oximeters appear in several models. Some are low-priced costing a few US dollars whilst others are sophisticated and costly. They may be bought from any shop, which stocks related pieces of equipment.




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