Book Review
Design of Pulse Oximeters, edited by John G. Webster. Bris-
tol, U.K.: IOP Publishing, 1997, 244 pp., ISBN: 0 7503 04677,
$99.00.
Pulse oximeters represent a relatively recent innovation in non-
invasive oxygen monitoring and are widely used in a number
of medical disciplines including intensive care and surgery.
This book presents a clear and in-depth analysis of pulse
oximeters with an emphasis on design. The book is well writ-
ten and provides a smooth progression from principles through
instrumentation, control, signal processing, calibration tech-
niques, accuracy, and user interface. A wealth of design data is
provided.
The first two chapters discuss oxygen transport in normal
and pathological conditions, and the need for measuring oxy-
gen partial pressure. The third chapter describes various tech-
niques to measure Po2, and presents an introduction to pulse
oximetry. Principles of light absorbency in blood and tissue and
the principles of pulse oximeters are described in detail in
chapter four including the effects of scattering. The relevant
equations are systematically developed.
Characteristics of light-emitting diodes LEDs and the
problems with the use of LEDs are discussed in the next chap-
ter, including a LED driver circuit. Characteristics of photode-
tectors and amplifiers are discussed in Chap. 6 along with LED
and photodiode packaging.
Next, the assembly of the probe of the pulse oximeter is
described. The typical probe consists of two LEDs and a de-
tector photodiode. Construction of both the transmittance-type
probe and the reflectance-type probe are discussed, as well as
reusable and disposable probes. Also, sensor placement, distor-
tion due to optical shunting, and other important features are
presented. Techniques for electronic instrumentation control in-
cluding the microprocessor-based system, analog signal pro-
cessing, ECG detection, power supply, and analog-to-digital
conversion are described in detail in chapter eight.
The ninth chapter presents various signal processing algo-
rithms in detail. ECG synchronization algorithms are also dis-
cussed with the pertinent equations developed from basics.
Flow charts and examples presented in the chapter make it very
easy to understand the material. The next chapter describes
calibration and bench testing techniques. Accuracy and error
analysis are discussed in Chap. 11 and human interface aspects
are discussed in Chap. 12. The last chapter describes the ap-
plication of pulse oximeters in various medical disciplines and
clinical situations.
Overall, this is an excellent, easy to read, and comprehen-
sive book with numerous illustrations, block diagrams, and
flow diagrams. It is a must for biomedical engineers, students,
and designers interested in pulse oximetry. In addition, the
book can serve as a textbook for a course on the design of
pulse oximeters or could be a great reference book for a course
on medical devices.
Narender P. Reddy, PhD
Department of Biomedical Engineering
University of Akron
Akron, OH 44325-0302
npreddy@brain.biomed.uakron.edu
Annals of Biomedical Engineering, Vol. 27, pp. 414–414, 1999 0090-6964/99/273/414/1/$15.00
Printed in the USA. All rights reserved. Copyright © 1999 Biomedical Engineering Society
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