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A Brief History of Pulse Oximetry

1850's Russian physiologist I.M. Sechenov
developed a vacuum blood pump which was1942 G. Millikan and H. Sarre used local
laterly  used  for  research  purpose.  [8]heating  to arterialize capillary blood.[1,8]
1864 Sir George Gabriel Stokes, 1st Baronet,1942 Light reflection oximetry was developed.
an Irish physicist and mathematician,
discovered the respiratory function of1970 Oximetry becomes clinically feasible,
haemoglobin.  [1,2]after scientists at Hewlett-Packard developed
commercial ear oximeter that preferentially
1876 Karl von Vierordt, a German physicianmeasured arterial saturation by heating the
who developed techniques and tools for thetissue to 41 Celcius degree to increase local
monitoring of blood circulation, used a lightcutaneous  blood  flow.  [1,4]
source to distinguish fully saturated blood
from  that  which  is  not.  [1,3]1974 Takuo Aoyagi found that arterial oxygen
saturation could be measured by quantifying
1898 English physiologist Halden broughtpulsations in the light signals coming
forward the principle of chemical expulsionthrough tissue, which made heating the tissue
of oxygen from its complexes withunnecessary. This device was the ancester of
haemoglobin. J.Barcoft used this principlemost  modern  pulse  oximeters.  [4]
for the examination of gas composition of
blood.  [8]1978 William New, MD, PhD invented the
prototype  for  modern  pulse  oximetry.[6]
1900 R. Vierordt demonstrated that
application of Hufner tourniquet caused a1980s Oximeters became smaller in size,
decrease in the intensity of red light passedeasier  to  apply,  and  less  expensive. [1]
through  a  human  hand.
1995 Fingertip oximeters, which are small
1922 American biochemist D. van Slykeenough to put a finger in, first appeared on
combined the vacuum and chemical principlesthe  market.  [1]
of gas expulsion from blood and used them in
his  manometric  appratus.[8]2000 U.S.A. Medicare accepts physicians'
billing for in-office oximeter readings. [1]
1932 German physiologist L. Nicolai optically
recorded the in vivo oxygen consumption of aReferences:
hand after circulatory occlusion in
Gottingen,  Germany.  [5][1] Portable Oxygen: A User's Perspective,
Viewed  May  2007
1935 The first device developed by Carl
Matthes to noninvasively measure oxygen[2]  George  Gabriel Strokes, Viewed May 2007
saturation in human blood by
transilluminating it with coloured[3]  Karl  von  Vierordt,  Viewed  May  2007
light,which  employed  an  ear probe. [1,2,5]
[4] Pulse oximetry, C Crawford Mechem, MD,
1939 K.Matthews and F. Gross used photometryFACEP,  Viewed  May  2007
in examination of the ear auricle.
Two-wavelength spectrophotometry was used to[5] History of blood gas analysis. VI.
avoid the absorption of light by surroundingOximetry, Severinghaus JW; Astrup PB, J Clin
tissues.Monit  1986  Oct;2(4):270-88.
1940's The development of pulese oximeter[6] Saving Lives One Breath At A Time, Viewed
intensified due to the need of pilots flyingMay  2007
at high altitudes in lack pressurized cabins
during WW II. This technique saved pilots in[7] Medical Electronics Lecture, Neil
the  war.[3,5]Townsend,  Viewed  May  2007
1941 Oximetry testing is first used to[8] The history of oximetry, B.D.Zislin and
identify the process of obtaining saturationA.V.Chistyakov, Biomedical Engineering, Vol.
readings  with  an  pulse  oximeter.  [1]40, No. 1, 2006, pp. 53-56. Translated from
Meditsinskaya Tekhnika, Vol. 40, No. 1, 2006,
1942 E.Goldie used compression of earlobe topp. 44-47.
obtain  "bloodless"  reference.  [7,8]



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