Skin pigmentation Archives

Pulse Oximetry FAQ

This FAQ has been compiled by our team of experts. Please submit your questions at the bottom of this page!

Pulse Oximetry FAQ

Skin pigmentation

Does skin pigment impact pulse oximeter accuracy?

How accurate are pulse oximeters?

How is pulse oximeter clinical validation done for FDA 510k clearance and ISO CE marking?

How is skin color measured for the purposes of oximeter performance validation?

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About Community Data Oximetry FAQ Protocols Publications Press

Healthy Human Performance Tests

To meet ISO standards (80601-2-61) or FDA guideline adherence for clinical use, pulse oximeter performance must be tested in healthy humans in a laboratory setting. Independent device testing for the Open Oximetry Project follows our protocol consistent with ISO and FDA. Only devices labeled as ‘verified’ or ‘disputed’ have been independently tested by the Open Oximetry Project.
All other devices listed show data from manufacturers or published literature and have not been confirmed by the Open Oximetry Team. Scoring criteria will be modified based on evolving data on this topic. See the table below for scoring criteria for this category:

No Data

1 (red)

>4%

2 (red)

<4%

AND/OR Data suggesting Arms for dark skin color of >4%

AND/OR Data suggesting Arms for PI<1 in dark or light skin color of >4%

3 (yellow)

<4%

AND/OR Data suggesting Arms for dark skin color of 3-4%

AND/OR Data suggesting Arms for PI<1 in dark or light skin color of 3-4%

4 (green)

<3%

AND No data for or against performance problems in darker skin colors

AND No data for or against performance problems in low perfusion

5 (green)

<3%

AND Extended testing beyond ISO/FDA recommendations Criteria TBD April 2023

* only independently tested devices by OpenOximetry (Hypoxia Lab and Clinimark) get labeled as ‘verified’