A Brief History of Pulse Oximetry

1850's Russian physiologist I.M. Sechenovobtain "bloodless" reference. [7,8]
developed a vacuum blood pump which was1942 G. Millikan and H. Sarre used local heating to
laterly used for research purpose. [8]arterialize capillary blood.[1,8]
1864 Sir George Gabriel Stokes, 1st Baronet, an1942 Light reflection oximetry was developed.
Irish physicist and mathematician, discovered the1970 Oximetry becomes clinically feasible, after
respiratory function of haemoglobin. [1,2]scientists at Hewlett-Packard developed
1876 Karl von Vierordt, a German physician whocommercial ear oximeter that preferentially
developed techniques and tools for the monitoringmeasured arterial saturation by heating the tissue
of blood circulation, used a light source toto 41 Celcius degree to increase local cutaneous
distinguish fully saturated blood from that which isblood flow. [1,4]
not. [1,3]1974 Takuo Aoyagi found that arterial oxygen
1898 English physiologist Halden brought forwardsaturation could be measured by quantifying
the principle of chemical expulsion of oxygen frompulsations in the light signals coming through tissue,
its complexes with haemoglobin. J.Barcoft usedwhich made heating the tissue unnecessary. This
this principle for the examination of gasdevice was the ancester of most modern pulse
composition of blood. [8]oximeters. [4]
1900 R. Vierordt demonstrated that application of1978 William New, MD, PhD invented the
Hufner tourniquet caused a decrease in theprototype for modern pulse oximetry.[6]
intensity of red light passed through a human1980s Oximeters became smaller in size, easier to
hand.apply, and less expensive. [1]
1922 American biochemist D. van Slyke combined1995 Fingertip oximeters, which are small enough
the vacuum and chemical principles of gasto put a finger in, first appeared on the market.
expulsion from blood and used them in his[1]
manometric appratus.[8]2000 U.S.A. Medicare accepts physicians' billing for
1932 German physiologist L. Nicolai opticallyin-office oximeter readings. [1]
recorded the in vivo oxygen consumption of aReferences:
hand after circulatory occlusion in Gottingen,[1] Portable Oxygen: A User's Perspective, Viewed
Germany. [5]May 2007
1935 The first device developed by Carl Matthes[2] George Gabriel Strokes, Viewed May 2007
to noninvasively measure oxygen saturation in[3] Karl von Vierordt, Viewed May 2007
human blood by transilluminating it with coloured[4] Pulse oximetry, C Crawford Mechem, MD,
light,which employed an ear probe. [1,2,5]FACEP, Viewed May 2007
1939 K.Matthews and F. Gross used photometry[5] History of blood gas analysis. VI. Oximetry,
in examination of the ear auricle. Two-wavelengthSeveringhaus JW; Astrup PB, J Clin Monit 1986
spectrophotometry was used to avoid theOct;2(4):270-88.
absorption of light by surrounding tissues.[6] Saving Lives One Breath At A Time, Viewed
1940's The development of pulese oximeterMay 2007
intensified due to the need of pilots flying at high[7] Medical Electronics Lecture, Neil Townsend,
altitudes in lack pressurized cabins during WW II.Viewed May 2007
This technique saved pilots in the war.[3,5][8] The history of oximetry, B.D.Zislin and
1941 Oximetry testing is first used to identify theA.V.Chistyakov, Biomedical Engineering, Vol. 40, No.
process of obtaining saturation readings with an1, 2006, pp. 53-56. Translated from Meditsinskaya
pulse oximeter. [1]Tekhnika, Vol. 40, No. 1, 2006, pp. 44-47.
1942 E.Goldie used compression of earlobe to