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Basics About CMS Pulse Oximeters

By Madeline Pittman


CMS pulse oximeters refer to pieces of equipment utilized to do pulse oximetry. This type of oximetry is a noninvasive technique for assessing the levels of saturation of O2 gas in human body. This device was first developed by a physician named Glenn Allan Millikan around 1940s. This first equipment operated on 2 wavelengths and was put on the ear. The 2 wavelengths were green and red filters.

This original model was later improved by some physician called Wood in 1949. Wood incorporated a pressure capsule for squeezing blood out of the ear to get zero setting in an attempt to get absolute Oxygen saturation level. The present models work on the same principals as the original one. The working principal was however difficult to implement due to unstable light sources and photocells.

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 very crucial noninvasive way of determining the level of oxygen in the human body. It uses a pair of tiny light emitting diodes that face a photodiode through a translucent part of the body. Such translucent parts include fingertips, toe tips, and earlobes. One LED is red while the other one is infrared. The infrared LED is normally 940, 910, or 905 nm while the red one is usually 660 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 changing absorption section only, the blood oxygen monitor can display the percentage of arterial hemo-globin in oxyhemoglobin configuration. People without COPD with hypoxic drive conditions have a reading that lies between 99 and 95 percent. Patients with hypoxic drive conditions usually have values that lie between 94 and 88 percent. Usually figures of one hundred percent might suggest carbon monoxide poisoning.

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 come in many varieties. Some are cheap costing a few dollars while others are very complex and expensive. They can be obtained from any store that deals with such pieces of equipment.




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