SE545864C2 - An optical sensor plate for measuring blood flow via the skin of a patient - Google Patents

An optical sensor plate for measuring blood flow via the skin of a patient Download PDF

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Publication number
SE545864C2
SE545864C2 SE2051096A SE2051096A SE545864C2 SE 545864 C2 SE545864 C2 SE 545864C2 SE 2051096 A SE2051096 A SE 2051096A SE 2051096 A SE2051096 A SE 2051096A SE 545864 C2 SE545864 C2 SE 545864C2
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SE
Sweden
Prior art keywords
optical
flexible support
major surface
optical source
cover
Prior art date
Application number
SE2051096A
Other languages
Swedish (sv)
Other versions
SE2051096A1 (en
Inventor
Martin Jepsson
Stefan Grönqvist
Tova Persson
Original Assignee
Pu Sensor Ab
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Pu Sensor Ab filed Critical Pu Sensor Ab
Priority to SE2051096A priority Critical patent/SE545864C2/en
Priority to EP21773904.4A priority patent/EP4213706A1/en
Priority to PCT/SE2021/050884 priority patent/WO2022060280A1/en
Publication of SE2051096A1 publication Critical patent/SE2051096A1/en
Publication of SE545864C2 publication Critical patent/SE545864C2/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/44Detecting, measuring or recording for evaluating the integumentary system, e.g. skin, hair or nails
    • A61B5/441Skin evaluation, e.g. for skin disorder diagnosis
    • A61B5/447Skin evaluation, e.g. for skin disorder diagnosis specially adapted for aiding the prevention of ulcer or pressure sore development, i.e. before the ulcer or sore has developed
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/026Measuring blood flow
    • A61B5/0261Measuring blood flow using optical means, e.g. infrared light
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/026Measuring blood flow
    • A61B5/0295Measuring blood flow using plethysmography, i.e. measuring the variations in the volume of a body part as modified by the circulation of blood therethrough, e.g. impedance plethysmography
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/1455Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7271Specific aspects of physiological measurement analysis
    • A61B5/7275Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0233Special features of optical sensors or probes classified in A61B5/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/04Arrangements of multiple sensors of the same type
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/12Manufacturing methods specially adapted for producing sensors for in-vivo measurements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/16Details of sensor housings or probes; Details of structural supports for sensors
    • A61B2562/164Details of sensor housings or probes; Details of structural supports for sensors the sensor is mounted in or on a conformable substrate or carrier
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0062Arrangements for scanning
    • A61B5/0064Body surface scanning
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/44Detecting, measuring or recording for evaluating the integumentary system, e.g. skin, hair or nails
    • A61B5/441Skin evaluation, e.g. for skin disorder diagnosis
    • A61B5/445Evaluating skin irritation or skin trauma, e.g. rash, eczema, wound, bed sore

Abstract

An optical sensor plate (1) for measuring blood flow, comprising: a flexible support (2) having a first (2a) and a second major surface (2b), an optical source (3) and an optical detector (4) arranged on the first major surface (2a). The optical source (3) emitting light into the skin of a subject and the detector (4) detecting light after reflection in the skin and underlying tissue. The optical source (3) and the optical detector (4) being separated on the first major surface (2a) by an optically opaque wall (5), such that the amount of light reaching the optical detector (4) directly from the optical source (3) is limited. A cover (6) is arranged on the first major surface (2a) of the flexible support (2), covering and embedding the optical detector (4), the optical source (3) and the opaque wall (5).

Description

1 AN OPTICAL SENSOR PLATE FOR l\/IEASURING BLOOD FLOW XfåA THE SKEN OF A PATIENT TECHNICAL FIELD [001] The present document relates to an optical sensor plate and to a method of producing such an optical sensor plate.
BACKGROUND ART [002] Pressure ulcers afflict people of all ages across the globe and are one of the most common injuries suffered by patients in the course of care. A pressure ulcer is an injury to the skin and/or underlying tissue caused by insufficient blood flow as a result of pressure on the skin, for example, due to extended periods of laying or sitting. The pressure deprives the cells of the oxygen and nutrients they need. Pressure ulcers are the cause of tremendous suffering, high healthcare costs and can occasionally lead to death.
[003] Patients undergo a pressure ulcer risk assessment when admitted to hospitals and care homes according to established methods; usually through the application of assessment scales. Those patients who are assessed to have the greatest risk of developing pressure ulcers are the most likely to be treated using preventative measures. Assessment scales are widely used, but these are not very precise since they rely on an assessment of the patient's condition and are rather subjective. ln WO2019/190378 is described a method and technique based on an assessment of the individual's physiological status, through an examination of the patient's superficial blood flow in places where pressure ulcers tend to occur, and the skin is bearing the patient's body weight. Blood flow data related to the assessed area while subjecting the assessed area to the at least two different pressure states is obtained by means of photoplethysmography and the risk of pressure ulcers on the patient is based on assessment ofthe blood flow data obtained for the at least two different pressure states. [004] ln photoplethysmography (PPG) the skin is illuminated and the reflected light is measured by applying a sensor unit to a skin surface. This is an established technology that is used in for example heart rate monitors and other devices. 2 [005] A PPG sensor for use in pressure ulcer risk assessment, as well as other optical sensors used for measuring blood flow in superficial tissue, need to be flexible such as to follow the shape ofthe body ofthe patient and also be biocompatible as it is applied in contact with the skin surface of the patient. [006] ln for example WO2014/165022, is shown a flexible optical sensor comprising a flexible support pad onto which optical light sources and light detectors are mounted. The support pad being arranged to be in contact with a skin surface of a patient allowing light from the light source to be reflected in the superficial tissue and thereafter detected by the detector.
SUMMARY OF THE INVENTION [007] lt is an object of the present disclosure to provide an improved or at least an alternative flexible optical sensor plate to what is known in prior art and a method of producing such a optical sensor plate.
[008] The invention is defined by the appended independent patent claims. Non- limiting embodiments emerge from the dependent patent claims, the appended drawings and the following description.
[009] According to a first aspect there is provided an optical sensor plate for measuring blood flow of a subject. The optical sensor plate comprises a flexible support having a first major surface and an opposing second major surface, at least one optical source arranged on the first major surface ofthe flexible support, and arranged to emit light, and at least one optical detector arranged on the first major surface of the flexible support, and arranged to detect light from said optical source. The flexible support is configured to conform to a skin surface of a subject such that the at least one optical source emits light into the skin and underlying tissue and the at least one optical detector detects light from the at least one optical source after reflection in the skin and underlying tissue. The at least one optical source and the at least one optical detector are separated on the first major surface of the flexible support by (a) wall(s) being optically opaque to wavelengths implemented by the at least one optical source and the at least one optical detector, such that the amount of light reaching the optical detector directly from the optical source is limited. A biocompatible, transparent and elastic cover is arranged on the first major surface of the flexible support, covering andembedding the at least one optical detector, the at least one optical source and the opaque wall(s) arranged on the flexible support.
[0010] The optical sensor plate may for example be used in photoplethysmography or in other optical sensors used for measuring blood flow in the skin and underlying tissue of a patient. [0011] As the at least one optical source and the at least one optical detector are separated on the first major surface ofthe flexible substrate by optically opaque walls, no or very little light reaches the optical detector directly from the at least one optical source through cross-talk, and light detected by the detector is mainly light reflected in the skin and underlying tissue.
[0012] The cover is arranged on the first major surface of the support, covering and embedding the at least one optical detector, the at least one optical source and the opaque wall(s) arranged on the support. When measuring a blood flow of a patient, the cover is arranged in contact with the skin of the patient. The cover, hence, protects the optical elements on the major surface of the support during measurements.
[0013] By embedding is here meant that not only does the cover lie on top ofthe optical elements and opaque wall(s) arranged on the support. The cover is also arranged to fill in all cavities between optical elements and opaque walls arranged on the first major surface ofthe flexible support.
[0014] With such an optical sensor plate, the first major surface thereof, provided with the cover and arranged to be in contact with the skin of a patient during measurements, exhibits a smooth, biocompatible surface, without cavities, cracks orjoints, thereby preventing bacterial accumulation at the first major surface. Further, the cover also makes the optical sensor plate possible to clean.
[0015] As the optical components and wall(s) are embedded in the cover, there are no or at least very small air pockets created in the vicinity of the optical components. Thereby, light emitted from the optical source, reflected in the skin or underlying tissue and detected by the optical detector travels through the transparent cover without phase transitions created by air pockets in the vicinity of the optical components.
[0016] The opaque wall(s) may be made of a plastic material, silicone or rubber.
[0017] The plastic material may for example be polyurethane or epoxy. 4 [0018] The biocompatible, transparent and elastic cover may be made of a plastic material or silicone.
[0019] The plastic material may for example be polyurethane or epoxy. [0020] The cover may have a level of transmission of at least 85%. [0021] With a lower level of transmission, the quality of the blood flow measurements may deteriorate. Using a cover with a lower transmission level is possible, such as a transmission level of 70% or more, if the brightness of the optical source is adjusted.
[0022] A thickness of the cover covering the optically opaque wall(s) may be less than 0.6 mm. [0023] The thickness of the cover covering the wall(s) may be less than about 0.6 mm but preferably not less than about 0.1 mm. The thinner the thickness of the cover covering the wall(s), the less problems with light reaching the optical detector directly from the at least one optical source through cross-talk over the wall(s), and light detected by the detector is mainly light reflected in the skin and underlying tissue.
[0024] The thickness of the cover covering the optical elements may be similar to the thickness of the cover covering the wall(s) or be slightly thicker as the walls may protrude from the major surface a bit longer than the optical elements protrude from the major surface. The thickness of the cover covering the optical elements may be about 0.1 mm to about 1 mm.
[0025] A coating layer may be arranged on the cover having a thickness of 0.5 mm or less. [0026] According to a second aspect there is provided a method of producing an optical sensor plate for measuring blood flow of a subject. The method comprises to provide a flexible support having a first major surface and an opposing second major surface, arrange at least one optical source on the first major surface ofthe flexible support, the optical source being arranged to emit light, and arrange at least one optical detector on the first major surface of the flexible support, wherein the at least one optical detector is arranged to detect light from said optical source. The flexible support is configured to conform to a skin surface of a subject such that the at least one optical source emits light into the skin and underlying tissue and the at least one optical detector detects light from the at least one optical source after reflection in the skin and underlying tissue. The at least one optical source and the at least one optical detector are separated on the first major surface ofthe flexible support by walls being optically opaque to wavelengths implemented by the at least one optical source and the at least one optical detector such that the amount of light reaching the optical detector directly from the optical source is limited, and a biocompatible, transparent and elastic cover casted on the first major surface ofthe flexible support, covering and embedding the optical detector, optical source and opaque wall(s) arranged on the flexible support.
[0027] The optically opaque wall(s) may be arranged on the first major surface by gluing.
[0028] Prior to casting, the optically opaque wall(s) may be treated with plasma and/or primer.
[0029] The casting step may comprise to provide a casting tool comprising a first part arranged to receive the first major surface of the flexible support and a second part arranged to form a lid over the first part, cover the insides of at least the first part of the casting tool with a layer of liquid covering material, heating the casting tool with covering material until the covering material is partially cured, arranging the flexible support with the at least one optical source, the at least one optical detector and the optically opaque wall(s) arranged thereon on the partially cured covering material in the first part of the casting tool, arranging the second part ofthe casting tool on the first part covering the flexible support, adding liquid covering material to the casting tool, heating the casting tool until the covering material is fully cured, and removing the thus formed covered optical sensor plate from the casting tool.
[0030] The method may further comprise applying a coating layer on the cover.
BRIEF DESCRIPTION OF THE DRAWINGS
[0031] Fig. 1 is a cross sectional side view of an optical sensor plate comprising a flexible support with an optical source and an optical detector arranged on a major surface thereof. The optical elements being separated by an optically opaque wall. A cover is arranged on the first major surface ofthe flexible support, covering and embedding the optical detector, the optical source and the opaque wall.
[0032] Fig. 2 shows a top view of a flexible support with an optical source and an optical detector arranged on a major surface thereof.
[0033] Fig. 3 is a side view of the flexible support shown in Fig. 2. [0034] Fig. 4 shows a sheet of optically opaque material with cut-outs for optical elements. 6 [0035] Figs 5a and 5b show a casting tool for producing a cover on a flexible support with optical elements as shown in Figs 2 and 3. ln Fig. 5a a first part ofthe casting tool is shown arranged to receive the first major surface of the flexible support with the optical elements and opaque walls arranged thereon. ln Fig. 5b a second part ofthe casting tool is shown which is arranged to form a lid over the first part of the casting tool. [0036] Fig. 6 is a top view of the optical sensor plate shown in Fig. 1. [0037] Fig. 7 schematically illustrates a method of producing the optical sensor plate shown in Figs 1 and DETAILED DESCRIPTION [0038] A photoplethysmography sensor plate for use in pressure ulcer risk assessment, as well as other optical sensors plates used for measuring blood flow in superficial tissue, need to be flexible such as to follow the shape of the body of the patient allowing light from light sources to be reflected in the superficial tissue and thereafter detected by detectors. Such a sensor plate also needs to be biocompatible as it is applied in contact with the skin surface of the patient. [0039] ln Fig. 1 is shown a cross sectional side view of an optical sensor plate 1 for use in measuring blood flow of a subject for example in photoplethysmography. The optical sensor plate 1 comprises a flexible support 2 having a first major surface 2a and an opposing second major surface 2b. The flexible support 2 may be a substantially flat shaped, flexible support. ln one alternative embodiment, at least the first major surface 2a inay have a cohcave curvatißre in an unbiased state. in some esnbodintents, the flexâbie support 2 is configureci to flex in at Eeast one orthogonai direction. Aiteritativeiy, the fiexibie support :nav be configureci to flex in at Eeast tvvo orthogonal directions, such as the x and y-directions.
[0040] At least one optical source 3 is arranged on the first major surface 2a of the flexible support 2, and is arranged to emit light. The optical source may be a LED. At least one optical detector 4 is arranged on the first major surface 2a of the flexible support 2, and is arranged to detect light from the optical source 3. The optical detector may be a photodetector. ln some embodiments, the optical sensor plate 1 comprises at least two optical sources 3, each optical source 3 emitting light of different wavelengths, such as red and green light. 7 [0041] The optical source 3 and optical detector 4 are arranged on the first major surface 2a of the flexible support 2, protruding in a direction normal to the first major surface 2a. The flexible support 2 may he a prlhtefl Circuit board (PCB), see Figs 1-3, having a first rrlajor' surface Ba with cohcluctive traces thereon and the optical elements, i.e. optical source(s) and optical detectorlsl, arranged thereon and electrically couplecl to the eonductlve traces of the FEB, The flexible support 2 ihay be comprised of rlgld parts onto vvhlch the optical elements 3, 4 [and cohcluctlve tracesj are arranged tft/lth flexible parts cohnectlng the rlgid parts of the PCB. The rigid parts could for example he ofglass~reinforced epoxy lamlhate material such as FR-Ål. The flexible parts may for example be rnacle of polyamide, [0042] The flexible support 2 is configured to conform to a skin surface of a subject, such as an area of the back of a patient, such that the optical source(s) 3 emit(s) light into the skin and underlying tissue and the at least one optical detector 4 detects light from the at least one optical source 3 after reflection in the skin and underlying tissue. [0043] The at least one optical source 3 and optical detector 4 are separated on the first major surface 2a of the flexible substrate 2 by an optically opaque wall or walls 5. The wall 5 being optically opaque to wavelengths implemented by the at least one optical source 3 and the at least one optical detector 4, such that the amount of light reaching the optical detector 4 directly from the optical source 3 is limited, i.e no or little cross-talk, and light detected by the detector 4 is mainly light reflected in the skin and underlying tissue. The material of the optically opaque wall(s) 5 may be a plastic material, silicone, or rubber. The plastic material may for example be polyurethane or epoxy. [0044] The optically opaque wall(s) 5 arranged on the first major surface 2a ofthe flexible support, protrudes in a direction normal to the first major surface 2a. The optically opaque walls 5 may have the form of a sheet or liner with cut-outs, see Fig. 4, for optical elements and other components arranged on the first major surface of the flexible support 2. Alternatively, the walls 5 may be comprised of strips, squares or similar arranged on the first major surface. The optically opaque walls (5) may be glued on the first major surface 2a ofthe flexible support (2). [0045] ln Fig. 7 is schematically illustrated a method for producing the optical sensor plate 1 described above. Having provided 100 the flexible support 2, arranged thereon 101, 102 at least one optical source 3 and at least one optical detector 4, and separated 103 the at least one optical source 3 and the at least one optical detector 4 with optically opaque walls 5,a biocompatible, transparent and elastic cover 6 is casted 104 on the first major surface 2a of the flexible support 2, covering and embedding the optical detector 4, optical source 3 and opaque wa||(s) 5 arranged on the flexible support 2. Prior to casting 104, the optically opaque wa||(s) 5 may be treated with plasma and/or primer
[0046] ln Fig. 6 is shown an optical sensor plate with such a cover 6. [0047] When measuring a blood flow of a patient using the optical sensor plate 1, the cover 6 is arranged in contact with the skin ofthe patient. The other parts arranged on the major surface are, hence, protected from direct contact with the skin surface.
[0048] A thickness of the cover 6 covering the optically opaque wa||(s) 5 may be less than 0.6 mm. The thinner the thickness of the cover 6 covering the wa||(s) 5, the less problems with light reaching the optical detector 4 directly from the at least one optical source 3 through cross-talk over the wa||(s) 5, and light detected by the detector 4 is mainly light reflected in the skin and underlying tissue. The thickness of the cover 6 covering the optical elements 3, 4 may be similar to the thickness of the cover covering the wa||(s) or be slightly thicker as the walls may protrude from the major surface a bit longer than the optical elements 3,
[0049] That the cover 6 is biocompatible is here meant that a two-way response, i.e., the body's response to the cover and the cover's response to the body. The biocompatibility refers to the ability of the cover to perform its intended function, without eliciting any significant or long-term undesirable local or systemic effects in the patient. The biocompatible cover should preferably be compatible in accordance with the ISO 10993 standard.
[0050] That the cover 6 is transparent is here meant that objects covered can be distinctly seen and that the cover is being transparent to wavelengths emitted by or detected by the optical elements, and may have a level of transmission of at least 85%.
[0051] The cover 6 may be made of a plastic material or silicone. The plastic material may for example be polyurethane or epoxy. The material may for example be a two- component silicone.
[0052] That the cover 6 is elastic is here meant that the cover conforms to the flexibility of the flexible support 2 without rupturing. The elastic cover should have an elastic elongation, i.e. the maximum length the cover can be stretched without breaking as a percentage of the material's original length, such as at least 50%, or at least 75% or at least 100%. 9 [0053] The cover 6 is arranged on the first major surface 2a of the support 2, covering and embedding the at least one optical detector 3, the at least one optical source 4 and the opaque wa||(s) 5 arranged on the support 2. The cover 6, hence, protects the optical elements on the major surface of the support. The cover is arranged to cover at least a portion of the first major surface. The cover can also be arranged to cover the whole first major surface 2a and possibly also edges thereof. The cover 6 may also be arranged to cover the second major surface 2b of the flexible support 2. The optical sensor plate 1 may also comprise other electronic components, protected by the cover 6, such as a micro controller, lCs, AD converter, etc. [0054] By embedding is here meant that not only does the cover 6 lie on top ofthe optical elements 3, 4 and opaque wa||(s) 5 arranged on the support. The cover 6 is also arranged to fill in all cavities between optical elements 3, 4 and opaque walls 5 arranged on the first major surface 2a of the flexible support 2. [0055] With such an optical sensor plate 1, the first major surface 2a thereof, provided with the cover and arranged to be in contact with the skin of a patient during measurements, exhibits a smooth, biocompatible surface, without cavities, cracks orjoints, thereby preventing bacterial accumulation at the first major surface. Further, the cover 6 also makes the optical sensor plate 1 possible to clean. An outer surface of the cover may have a surface finish of at least Ra 3.2 pm. (Ra being the arithmetic average of a set of individual measurements of surface peaks and valleys.) [0056] As the optical components 3, 4 and wa||(s) 5 are embedded in the cover 6, there are no or at least very small air pockets created in the vicinity of the optical components. Thereby, light emitted from the optical source 3, reflected in the skin or underlying tissue and detected by the optical detector 4 travels through the transparent cover 6 without phase transitions created by air pockets in the vicinity of the optical components. [0057] ln Fig. 7 is further illustrated an embodiment ofthe casting step 104. A casting tool 10, see Figs 5a and 5b, is provided 104a and comprises a first part 10a arranged to receive the first major surface 2a of the flexible support 2 with optical elements 4, 5 and opaque wa||(s) 5 arranged thereon, and a second casting tool part 10b is arranged to form a lid over the first part 10a. The insides of the first part 10a of the casting tool 10 are covered 104b with a layer of liquid covering material. Optionally also the insides of the second part 10b ofthe casting tool 10 are covered 104b with a layer ofthe liquid covering material. The casting tool with covering material is heated 104c until the covering material is partially cured. Thereafter, the flexible support 2 with the at least one optical source 3, the at least one optical detector 4 and the optically opaque wall(s) 5 arranged thereon is arranged 104d on the partially cured covering material in the first part 10a of the casting tool 10. The second part 10b of the casting tool 10 is arranged 104e on the first part 10a covering the second major surface 2b ofthe flexible support 2. Thereafter liquid covering material is added 104f to the casting tool 10, and the casting tool 10 heated 104g until the covering material is fully cured. Finally, the thus formed covered optical sensor plate 1 is removed 104h from the casting tool 10. lf also the second part 10b ofthe casting tool is 10 is covered with covering material the second major surface 2b of the support 2 will also be covered with cover 6. The casting tool may be made ofaluminium.
[0058] The curing may be done in an oven at temperatures up to 150°C. The curing temperature depends on the material used for the cover 6. With partially cured is here meant that the material is cured during only a part of its curing time, such that the material becomes hard but still sticky so it will adhere well to material that is added and such that when placing the flexible support 2 with the elements arranged thereon on the partially cured cover material, the flexible support will not sink to the bottom ofthe first part 10a of the casting tool 10 but stay on top of the half-cured material.
[0059] The thickness of the layer of casting material in the second part 2b of the casting tool may be in the order of 0.05-1.5 mm. Thereby, a thickness of the cover 6 on the second major surface 2b of the support 2 may be 0.05-1.5 mm.
[0060] Through the casting procedure, also edges of the support 2 connecting the first and second major surfaces 2a, 2b, may be covered with the cover 6 (see Fig. 1).
[0061] Prior to casting, the optically opaque walls may be treated with plasma and/or primer for activation of the material and better wettability. The plasma treatment could be for example low-pressure plasma or atmospheric pressure plasma. The primer could for example be applied by brush or spray.
[0062] A coating layer 7 may be applied 106 on the cover 6 (see Fig. 1) through for example flow coating, spray coating or dip coating. The coating layer may for example be of silicone, polyurethane or epoxy. The coating layer 7 may increase the strength and durability of the cover layer 6 and, hence, ofthe optical sensor plate 1. The thickness ofthe coating layer may be less than 0.5 mm and preferably less than 0.1 mm, such that the coating layer 7 doesnot affect the properties of the cover 6 and the optical sensor plate 1. The coating layer 7 may be arranged on the cover 6 on the first major surface 2a, and/or on the second major surface 2b and/or on edges of the support 2 connecting the first and second major surfaces 2a, 2b. [0063] The transmission requirements on the coating layer 7 are similar to the transmission requirements on the cover 6. The coating layer 7 could be a layer, which is somewhat harder than the cover 6. As the coating layer 7 is arranged to be in contact with the skin of a patient during measurements, it should exhibit a smooth, biocompatible surface, without cavities, cracks orjoints, thereby preventing bacterial accumulation. lt should further be possible to clean. An outer surface of the coating layer 7 may have a surface finish of at least Ra 3.2 pm.

Claims (11)

1. An optical sensor plate (1) for measuring blood flow of a subject, comprising: a flexible support (2) having a first major surface (2a) and an opposing second major surface (2b), at least one optical source (3) arranged on the first major surface (2a) of the flexible support (2), and arranged to emit light, at least one optical detector (4) arranged on the first major surface (2a) of the flexible support (2), and arranged to detect light from said optical source (3), the flexible support (2) being configured to conform to a skin surface of a subject such that the at least one optical source (3) emits light into the skin and underlying tissue and the at least one optical detector (4) detects light from the at least one optical source (3) after reflection in the skin and underlying tissue, the at least one optical source (3) and the at least one optical detector (4) being separated on the first major surface (2a) of the flexible support (2) by (a«}~wall(s) (5) being optically opaque to wavelengths implemented by the at least one optical source (3) and the at least one optical detector (4), such that the amount of light reaching the optical detector (4) directly from the optical source (3) is limited, a biocompatible, transparent and elastic cover (6) arranged on the first major surface (2a) of the flexible support (2), covering and embedding the at least one optical detector (4), the at least one optical source (3) and the opaque wall(s) (5) arranged on the flexible support (2).
2. The optical sensor plate (1) of claim 1, wherein the optically opaque wall(s) (5) is/are made of a plastic material, silicone or rubber.
3. The optical sensor plate (1) of claim 1 or 2, wherein the biocompatible, transparent and elastic cover (6) is made of a plastic material or silicone.
4. The optical sensor plate (1) of any of claims 1-3, wherein the cover (6) has a level of transmission of at least 85%.
5. The optical sensor plate (1) of any of claims 1-4, wherein a thickness of the cover (6) covering the optically opaque wa||(s) (5) is less than 0.6 mm.
6. The optical sensor plate (1) of any of claims 1-5, wherein a coating layer (7) is arranged on the cover (6) having a thickness of 0.5 mm or less.
7. A method of producing an optical sensor plate (1) for measuring blood flow of a subject, comprising: providing (100) a flexible support (2) having a first major surface (2a) and an opposing second major surface (2b), arranging (101) at least one optical source (3) on the first major surface (2a) of the flexible support (2), the optical source (3) being arranged to emit light, arranging (102) at least one optical detector (4) on the first major surface (2a) of the flexible support (2), wherein the at least one optical detector (4) is arranged to detect light from said optical source (3), the flexible support (2) being configured to conform to a skin surface of a subject such that the at least one optical source (3) emits light into the skin and underlying tissue and the at least one optical detector (4) detects light from the at least one optical source (3) after reflection in the skin and underlying tissue, separating (103) the at least one optical source (3) and the at least one optical detector (4) on the first major surface (2a) of the flexible support (2) by (a)~wall(s) (5) being optically opaque to wavelengths implemented by the at least one optical source (3) and the at least one optical detector (4) such that the amount of light reaching the optical detector (4) directly from the optical source (3) is limited, casting (104) a biocompatible, transparent and elastic cover (6) on the first major surface (2a) of the flexible support (2), covering and embedding the optical detector (4), optical source (3) and opaque wa||(s) (5) arranged on the flexible support (2).
8. The method of claim 7, wherein the optically opaque wa||(s) (5) are arranged on the first major surface (2a) by gluing. 3
9. The method of any of claims 7 and 8, wherein prior to Casting, the optically opaque wall(s) (5) is/are treated with plasma and/or primer (105).
10. The method of any of claims 7-9, wherein the casting step (104) comprises: - providing (104a) a casting tool (10) comprising a first part (10a) arranged to receive the first major surface (2a) of the flexible support (2) and a second part (10b) arranged to form a |id over the first part (10a), - covering (104b) the insides of at least the first part (10a) of the casting tool (10) with a layer of liquid covering material, - heating (104c) the casting tool (10) with covering material until the covering material is partially cured, - arranging (104d) the flexible support (2) with the at least one optical source (3), the at least one optical detector (4) and the optically opaque wall(s) (5) arranged thereon on the partially cured covering material in the first part (10a) of the casting tool (10), - arranging (104e) the second part (10b) of the casting tool (10) on the first part (10a) covering the flexible support (2), - adding (104f) liquid covering material to the casting tool (10), - heating (104g) the casting tool (10) until the covering material is fully cured, - removing (104h) the thus formed covered optical sensor plate (1) from the casting tool (10).
11. The method of any of claims 7-10, further comprising applying (106) a coating layer (7) on the cover (6).
SE2051096A 2020-09-21 2020-09-21 An optical sensor plate for measuring blood flow via the skin of a patient SE545864C2 (en)

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SE2051096A SE545864C2 (en) 2020-09-21 2020-09-21 An optical sensor plate for measuring blood flow via the skin of a patient
EP21773904.4A EP4213706A1 (en) 2020-09-21 2021-09-15 An optical sensor plate for measuring blood flow of a patient
PCT/SE2021/050884 WO2022060280A1 (en) 2020-09-21 2021-09-15 An optical sensor plate for measuring blood flow of a patient

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