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开发具有更高准确性和可及性的低成本便携式脉搏血氧仪设备。

Development of Low-Cost and Portable Pulse Oximeter Device with Improved Accuracy and Accessibility.

作者信息

Nemomssa Hundessa Daba, Raj Hakkins

机构信息

School of Biomedical Engineering, Jimma Institute of Technology, Jimma University, Jimma, Oromia, Ethiopia.

出版信息

Med Devices (Auckl). 2022 May 5;15:121-129. doi: 10.2147/MDER.S366053. eCollection 2022.

Abstract

PURPOSE

In a clinical setting, blood oxygen saturation is one of the most important vital sign indicators. A pulse oximeter is a device that measures the blood oxygen saturation and pulse rate of patients with various disorders. However, due to ethical concerns, commercially available pulse oximeters are limited in terms of calibration on critically sick patients, resulting in a significant error rate for measurement in the critical oxygen saturation range. The device's accessibility in developing countries' healthcare settings is also limited due to portability, cost implications, and a lack of recognized need. The purpose of this study was to develop a reliable, low-cost, and portable pulse oximeter device with improved accuracy in the critical oxygen saturation range.

METHODS

The proposed device measures oxygen saturation and heart rate using the reflectance approach. The rechargeable battery and power supply from the smartphone were taken into account, and the calibration in critical oxygen saturation values was performed using Prosim 8 vital sign simulator, and by comparing with a standard pulse oximeter device over fifteen iterations.

RESULTS

The device's prototype was successfully developed and tested. Oxygen saturation and heart rate readings were both accurate to 97.74% and 97.37%, respectively, compared with the simulator, and an accuracy of 98.54% for the measurement of blood oxygen saturation was obtained compared with the standard device.

CONCLUSION

The accuracy of oxygen measurement attained in this study is significant for measuring oxygen saturation for patients in critical care, anesthesia, pre-operative and post-operative surgery, and COVID-19 patients. The advancements made in this research have the potential to increase the accessibility of pulse oximeter in resource limited areas.

摘要

目的

在临床环境中,血氧饱和度是最重要的生命体征指标之一。脉搏血氧仪是一种测量患有各种疾病患者的血氧饱和度和脉搏率的设备。然而,出于伦理考虑,市售脉搏血氧仪在危重症患者的校准方面存在限制,导致在临界血氧饱和度范围内的测量误差率较高。由于便携性、成本因素以及缺乏公认的需求,该设备在发展中国家医疗环境中的可及性也受到限制。本研究的目的是开发一种可靠、低成本且便携的脉搏血氧仪设备,在临界血氧饱和度范围内具有更高的准确性。

方法

所提出的设备采用反射法测量血氧饱和度和心率。考虑了可充电电池和来自智能手机的电源,并使用Prosim 8生命体征模拟器进行临界血氧饱和度值的校准,并与标准脉搏血氧仪设备进行了十五次迭代比较。

结果

该设备的原型已成功开发并测试。与模拟器相比,血氧饱和度和心率读数的准确率分别为97.74%和97.37%,与标准设备相比,血氧饱和度测量的准确率为98.54%。

结论

本研究中获得的氧气测量准确性对于重症监护、麻醉、术前和术后手术患者以及新冠肺炎患者的血氧饱和度测量具有重要意义。本研究取得的进展有可能提高脉搏血氧仪在资源有限地区的可及性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f566/9084508/aec34af98e8b/MDER-15-121-g0001.jpg

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