A. P. Shepherd

A. P. Shepherd is the first named coauthor of a 1989 instrument paper that separated hemoglobin concentration from oxygen saturation in a sample of whole blood. The published byline uses these initials. The apparatus illuminated a blood-filled capillary tube with red and infrared light-emitting diodes; scattered light travelled along the tube to a photodetector, followed by amplification, digitization and microprocessor calculation.^[ref]

The important distinction is hemoglobin-concentration and saturation separation. Oxygen saturation measures the fraction of available hemoglobin oxygen-binding capacity that is occupied. In a simplified accounting model, the amount of oxygen bound to hemoglobin per unit blood volume is $C_{\mathrm{bound}}=\kappa c_{\mathrm{Hb}}S$, where $c_{\mathrm{Hb}}$ is hemoglobin mass concentration, $S$ is fractional oxygen saturation and $\kappa$ is oxygen-binding capacity per unit hemoglobin mass. At the same $S=0.98$, stipulated concentrations of $150$ and $75\mathrm{g}{\mathrm{L}}^{-1}$ therefore give a twofold difference in bound oxygen content. The example omits dissolved oxygen and illustrates why oxygen saturation alone cannot determine the oxygen carried per unit blood volume.

The paper's instrument calibration addressed this separation optically: the microprocessor used a nonlinear function of infrared intensity for total hemoglobin concentration and a ratio of logarithms of red and infrared intensities for oxygen saturation. Those are distinct calibrated transformations of the detector signals; a two-colour reading is not automatically a concentration-independent saturation measurement.^[ref]