Theory of Operation and System Architecture

NBP

The NBP processing uses an oscillometric technique to provide needed measurements at

Processing

selected intervals. This technique uses an inflatable sphygmomanometer cuff similar to those

 

used by clinicians in routine measurements.

 

A motorized pump inflates the cuff to approximately 180 mmHg initially, at which point the

 

pressure effectively stops the flow of blood. Then, under monitor control, the pressure in the

 

cuff is gradually reduced, while a pressure transducer detects the air pressure and transmits

 

the parameter signal to the NBP input circuitry.

 

As the pressure is reduced, blood flows in the previously occluded artery, and changes the

 

measurements made by the transducer. The point at which oscillation increases sharply is

 

defined as systolic pressure. As the cuff continues to deflate, oscillation amplitude increases

 

to a maximum, and then decreases. The peak oscillation amplitude is defined as the mean

 

arterial pressure. The point at which the system detects a rapid decrease in oscillation is

 

defined as the diastolic pressure.

SpO2

Measurement of oxygen saturation in the blood uses a specrophotometry technique. It is based

Processing

on the facts that oxyhemoglobin and deoxyhemoglobin differ in their absorbtion of red and

 

infrared light, and that the volume of arterial blood in tissue changes during the pulse.

 

Using these facts, a pulse oximeter passes red and infrared light into an arteriolar bed and

 

measures changes in light absorption during the pulsatile cycle. The light sources are red and

 

infrared light emitting diodes (LEDs), while the detection is accomplished by a photo diode.

 

To identify the oxygen saturation of arterial hemoglobin, the monitor uses the pulsatile nature

 

of arterial flow. During systole, a new pulse of arterial blood enters the vacular bed, and both

 

blood volume and light absorption increase. During diastole, blood volume and light

 

absorption reach their lowest point. The measurement is based upon the difference between

 

maximum and minimum absorption, focusing on the pulsatile arterial blood.

 

In addition to the oximetry function, the input signals may be used to calculate heart rate.

CO2

The Microstream CO2 board consists of an 80C552 Controller, the memory system (Flash

Processing

ROM, RAM, PLA, etc.), the Flow system (FilterLine recognition system, Inlet, solenoid

 

valve), Measurement Cell (Exciter, IR Source, Detectors and Temp Sensor) and an analog

 

section with ADC.

 

The gas inlet allows the connection of Microstream FilterLines. The FilterLines are detected

 

by the Optical Code Recognition.

Temperature

Measurement of patient temperature is accomplished by processing the signal from a probe

Processing

containing a resistor whose impedance is temperature dependent. The class of such

 

components is called thermistor.

 

The C3 is designed to accept the signals from electrically isolated Series 400 probes

 

manufactured by Yellow Springs Incorporated. Interchangeable probes in this series may be

 

used for esophageal, rectal, skin or surface, or airway temperature measurement. Probes are

 

furnished with a standard 10-feet lead. Extension leads are available.

 

The signal from the probe is conditioned by the monitor’s input circuitry, processed, and used

 

to drive the numeric display.

11-10Training

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Philips 862478, 862474 manual Nbp, Temperature

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