Blood Gas Analyzer
Blood Gas Analyzer
Blood Gas Analyzer
Work
Dr. Fadhl
Agenda
1- Theory of operation.
.block diagram- 2
.implementation- 3
. Survey- 4
Definition
IMPORTANT
An ABG analysis evaluates how
effectively the lungs are delivering
oxygen to the blood and how
efficiently they are eliminating carbon
dioxide from it. The test also indicates
how well the lungs and kidneys are
interacting to maintain normal blood
pH (acid-base balance).
Cont.
interfacial potential difference, E, of an
The
electrode can be calculated using the Nernst
equation [3]:
E=Eo
Cont
.
2) PCO2: This value is measured directly by
the CO2electrode. An increased PCO2 Is often
the result of acute, chronic or impending
respiratory failure, whereas a decreased
PCO2 is the result of hyperventilation
stimulated by a metabolic acidosis or
hysteria and severe anxiety reactions. The
normal arterial PCO2 is 40 mmHg.
Cont
.
3) PO2: The partial pressure
of oxygen in the
blood is measured directly by electrode.
The normal acceptable range is roughly
between 85 and 100. An increased PO2 is
usually the result of excessive oxygen
administration that needs to be adjusted
downwards on such results. A decreased PO2
is often the result of any number of
respiratory or cardiopulmonary problems.
Theory of operation
PO2 Electrode
The PO2 electrode basically consists of two
terminals (1).The cathode, which usually
made of platinum (negatively charged) and
(2) the anode, which usually made of silver
sliver chloride (positively charged). How does
this unit measure PO2 in the blood sample?
As shown in Fig.5, the electricity source
(battery or wall electricity) supplies the
platinum cathode with energy (voltage of 700
mV).
Cont.
Cont.
pH Electrode
Cont.
rather than two terminals (as in the
PO2electrode). Practically, one common pHsensitive glass electrode terminal between the
two solutions is adequate. This glass terminal
allows the hydrogen ions to diffuse into it from
each side. The difference in the hydrogen ions
concentration across this glass terminal
creates a net electrical potential (voltage). A
specific equation is used to calculate the blood
sample pH, using the reference fluid pH, the
created voltage, and the fluid temperature.
PCO2 Electrode
Cont.
The amount of the hydrogen ions produced by the
hydrolysis process in the bicarbonate solution is
proportional to the amount of the CO 2 diffused
through the silicone membrane. The difference in the
hydrogen ions concentration across the pH-sensitive
glass terminal creates a voltage. The measured
voltage (by voltmeter) can be converted to PCO 2
units. The other difference is that the CO 2 electrode
has two similar electrode terminals (silversilver
chloride). However, the pH electrode has two
different electrode terminals (silversilver chloride
and mercurymercurous chloride)
Block diagram
Most blood gas analyzers have multiple
sensors that are driven through an amplifier
and a multiplexer to an analog-to-digital
converter (ADC). The data is processed in
the microcontroller, which is connected to a
PC or other instruments through RS-232,
USB, or Ethernet. A digital-toanalog
converter (DAC) is often used to calibrate
the sensor amplifiers to maximize the
sensitivity of the electrodes.
Source: www.maxim-ic.com/medical
Implementation
Opamp Amplifier
Approx. Vin
I2 approx = I1
I1 = VIN/R1
I2 = (VOUT - VIN)/R2 => VOUT = VIN + I2R2
VOUT = I1R1 + I2R2 = (R1+R2)I1 = (R1+R2)VIN/R1
Therefore VOUT = (1 + R2/R1)VIN
27
FIGURE
multiplexer
MODEL
AVL
FAILED TO RESPOND *
Compact 3
BAYER
Rapidlab 248
NOVA
Stat Profile M
VIA MEDICAL
ABG
WHERE MARKETED
Worldwide
Worldwide
Worldwide
Japan, USA
FDA CLEARANCE
Yes
Yes
Yes
Yes
TESTS AVAILABLE
Measured (range)
BP, mm Hg
pH
PCO2, mmHg
PO2, mmHg
300-800
6.000-8.000
4-200
0-740
400-825
6.500-8.000
5-250
0-749
450-800
6.5-8.0
3-200
0-800
No
6.80-7.70
10-150
20-699
AMBIENT TEMPERATURE
RANGE, C
15-32
15-32
16-30
18-30
SAMPLE VOLUME, mL
Normal
Micro
55
25 (step mode)
90
35
190
85
NA
WAVELENGTH OXIMETER
NO
NO
Yes
No
VISIBLE SAMPLE
CHAMBER
Yes
Yes
Yes
No
20
60
108
70
USER-ENTERED DATA
ELECTRODE
MAINTENANCE
Zero-maintenance or
optional premembraned electrode
housing replacement
None
Disposable
DISPLAY
LCD
LCD
CRT
Vacuum fluorescent
PRINTOUT
Thermal printer,
optional ticket
printer
Roll printer
Thermal printer,
optional ticket
printer
Thermal
CALIBRATION
Automatic,
programmable and
point calibration
Automatic,
programmable
Automatic (point
every 2-6 hr;
point with every
Sample.
Initial point;
automatic point
every 10 min
after initial
STANDBY MODE
Yes
Yes
Not specified
Yes
DATA MANAGEMENT
Optional
Yes
INTERFACE
RS232 (3)
RS232
RS232
RS232
BAR-CODE READER
Yes
Not specified
Optional
No
PASSWORD PROTECTION
Yes
Not specified
Yes
No
POWER REQUIREMENTS,
VAC, Hz
100-240,
50/60
100/120/220/240,
50/60
90-264,
50/60
110/120/220/240,
50/60
POWER CONSUMPTION
Not specified
200 W
Not specified
H x W x D, cm
34 x 34 x 31.5
38.1 x 38.1 x 33
46 x 56 x 48
WEIGHT, kg
13
9.1
31
7.3
LIST PRICE
$16,995
$19,500
$25,750-52,750
varies by test menu
Not specified
Warranty
1 year, including
electrodes
1 year
1 year
1 year
references
[1] John D. Enderle, S. M. B., Joseph D. Bronzino
(2005). INTRODUCTION TO BIOMEDICAL
ENGINEERING, Elsevier Inc.
[2] Akay, M. (2006). WILEY ENCYCLOPEDIA OF
BIOMEDICAL ENGINEERING. Washington,
simultaneously in Canada.
[3] ECRI, Blood Gas/pH Analyzers, H.P.C. System,
Editor. 2001. p. 1-4.
[4] Khandpur, R. S. (2003). Handbook of Biomedical
Instrumentation New Delhi, Tata McGraw-Hill.
[5] Bronzino, J.D., The Biomedical Engineering
HandBook. Second ed. 2000.
following
http//www.AVL.com/support
http://www.labtestsonline.org/understandi
ng/analytes/blood_gases/test.html
http://www.nlm.nih.gov/medlineplus/ency
/article/003855.htm
www.ecri.org