This invention provides a system and method for confirming the proper
placement of a penetrating catheter into a vascular compartment without
undesirable arterial cannulation using principles of oximetry in which
blood from the penetrated region is subjected to light of a plurality of
wavelengths and detected for absorption levels. The result is analyzed by
a processor and the level of oxygen saturation of the blood is indicated.
The characteristic level of saturation informs the practitioner whether
oxygenated arterial blood is present due to an inadvertent puncture. The
catheter is introduced using an introduction needle. Thereafter the
needle is removed to allow blood to communicate with sensing elements
that consist of a light-emitting LED array and opposed photodetector.
Light in the infrared and visible red wavelengths can be provided by
separate LED units. Aspiration of blood through the catheter by an
attached syringe allows the processor to compute the level of oxygen
saturation, based upon detected light absorption of passing blood, using
the Beer-Lambert law. The sensing elements can be miniaturized so as to
be located in the distal tip of the catheter, and can be operatively
connected to an external connector via embedded leads that connects a
base unit with the processor and a display of saturation level. The
catheter allows subsequent insertion of a guidewire and, after catheter
removal a CVC.