
PULSE OXIMETRY
At PRL, we test pulse oximeter performance through controlled desaturation studies that adhere to ISO 80601-2-61 and FDA guidance. Our protocols are designed to reduce SpO₂ levels from 100% down to 70%, using gold-standard co-oximetry to evaluate device accuracy. In support of development studies that do not require arterial lines, we can utilize a well-characterized reference pulse oximeter transfer standard.
A core focus of our methodology is ensuring equitable performance across skin pigmentations, which is achieved through deliberate recruitment from a diverse participant population representing the full Monk Skin Tone Scale and ITA values. This inclusive, data-rich approach provides manufacturers with the robust, submission-ready evidence needed for regulatory success.
Our studies are executed by a dedicated, multidisciplinary team of physicians, nurses, and researchers operating under strict GCP and participant safety protocols. Arterial lines are placed exclusively by our full-time Principal Investigator, a board-certified anesthesiologist, ensuring the highest level of clinical precision and oversight. Our team is skilled in arterial blood sampling and co-oximetry, enabling accurate, real-time validation across all saturation levels. Thanks to this clinical expertise and thoughtful protocol design, we achieve high participant completion rates even at lower saturation targets, with over 90% of participants tolerating desaturations below 80% SaO₂ and 100% below 85% SaO₂.
With low screen failure and withdrawal rates, and a large, actively managed participant database, PRL ensures rapid, demographically balanced enrollment and consistently high-quality outcomes.
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ARTERIAL BLOOD GAS AS A REFERENCE
PRL conducts controlled desaturation studies using arterial blood gas (ABG) reference measurements for both development studies and regulatory submissions.
Reference Methodology
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Arterial line placement performed by board-certified anesthesiologist
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Radiometer ABL-90 Flex analyzers for SaO₂ measurement
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Redundant measurements and analyzer cross-checks for data integrity
Controlled Desaturation Environment
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Precise, computer-controlled gas blending system
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Exceptionally stable desaturation plateaus across all target SpO₂ ranges, enabling best-in-class data quality and precision

TRANSFER STANDARD AS A REFERENCE
PRL offers controlled desaturation studies using a transfer standard pulse oximeter as the reference, providing a flexible and efficient option for calibration development, feasibility testing, and algorithm optimization. This method delivers high-quality comparative data without arterial line placement or blood draws. While not intended for regulatory submission, it is a valuable tool for early-stage development and internal performance benchmarking.
Transfer Standard Approach
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Reference measurements obtained using a well-characterized pulse oximeter
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Calibration directly traceable to Co-oximeter
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Eliminates invasive procedures
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Reduces participant burden and study complexity
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