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Facts About CMS Pulse Oximeters

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 make was improved later by some physician named Wood in 1949. Wood integrated a pressure capsule for constricting blood out of an ear to get nil setting in a bid to get absolute O2 saturation level. The current models function on the same principals like the original one. The functioning principal was however hard to implement because of unstable light sources and/or 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 vital noninvasive technique of establishing the quantity of oxygen in blood. It applies a pair of tiny LEDS, light emitting diodes facing face a photodiode through some translucent body tissue. Examples of translucent body parts used are earlobes, toe tips, and fingertips. One LED is infrared while the other is red. The red diode is normally 660 nm whereas the infrared diode is 910, 940, or 905 nm.

The absorption speed of the 2 wavelengths differs between oxygenated and deoxygenated versions of oxygen in human body. This disparity in rate of absorption may be utilized to gauge the ratio between de-oxygenated and oxygenated blood oxygen. The indicated signal is changed over time with each heartbeat since arterial blood veins constrict and expand with each passing heartbeat. The monitors are capable of assuming other tissues or makeup on nails by monitoring the varying portion of absorption spectrum alone.

By observing the varying absorption section alone, the blood oxygen monitor only displays the percentage of arterial hemoglobin in oxyhemoglobin configuration. Patients without COPD but with hypoxic drive issues have a reading that ranges between 95 and 99 percent. Those with hypoxic drive issues normally have values that range between 88 and 94 percent. Usually figures of 100 percent may suggest carbon monoxide poisoning.

An oximeter is usable in many environments and applications where oxygenation of a person is unstable. Among the major environments of use consist of ward and hospital settings, surgical rooms, cockpits in un-pressurized airplane s, recovery units, and intensive care units. The disadvantage of these equipment is that it can only measure the percentage of saturation of blood hemoglobin and not ventilation. Hence therefore, it is not a full evaluation of respiratory sufficiency.

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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