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COI Index Test for Medical Indoor Lighting

Cyanosis Observation Index (COI)

WHAT IS CYANOSIS? What is cyanosis?

Cyanosis is a medical term that refers to the skin/membrane turning blue or purple. This indicates that the tissue oxygen saturation near the skin/membrane is low. Therefore, it is a visual representation of a range of potential heart or respiratory problems and a symptom that medical professionals are trained to look for.

  

HOW DOES LIGHTING HELP? What does lighting help with?

Because cyanosis is a visual indication of medical symptoms based on observable colors, lighting conditions and light quality play an important role in its visual detection. The detection of skin "turning blue" largely depends on the accurate reproduction of "normal" skin tone and blue hue, so it is particularly important to consider the factors of light chromatography (as well as color rendering index) when developing lighting designs.

Lighting Design Considerations

Article 7.2 of AS/NZS 1680.2.5 Interior Lighting Part 2.5: Hospital and Medical Tasks specifies the characteristics of light sources used under visual conditions suitable for detecting cyanosis.

     

CYANOSIS OBSERVATION INDEX Cyanosis Observation Index

Appendix G of AS/NZS 1680.2.5 specifies the calculation procedure for determining the cyanotic observation index (COI) of a light source.

This principle is based on the calculated size of the color and appearance changes of fully oxygenated blood (100% oxygen saturation) and oxygen reduced blood (50% oxygen saturation blue purple blood) when illuminated compared to a 4000K reference light source. Provide spectral reflectance data for oxygenated blood and cyanide blood, multiplied by the spectral distribution data of the considered light source. The color was calculated in CIE Lab * space and compared with a 4000K reference light source to obtain the value of Cyanosis Observation Index (COI). The lower the COI value, the smaller the change in color appearance under the considered light source illumination.

     

     

The COI index test for medical lighting is the key to ensuring that doctors can accurately determine patient cyanosis (skin turning blue). It evaluates lighting quality by quantifying the light source's ability to reproduce blood color. Simply put, the lower the COI value, the more accurate the light source is in identifying cyanosis.

 

Testing principle
The COI value is calculated by comparing the color changes of fully oxygenated blood (bright red) and hypoxic blood (blue purple) under specific light sources. The standard requires the use of a 4000K reference light source, and the results are obtained through spectral data and CIE Lab color space analysis.

 

Why is it important? ‌
Cyanosis is a visual signal of hypoxia, and accurate recognition relies on the light source's ability to restore blue color. COI testing ensures that lighting designs comply with medical standards (such as AS/NZS 1680.2.5) to avoid misdiagnosis.

 

Practical application
Operating room: A high COI value is required to distinguish between tissue and blood.
Emergency room: Low COI values may affect the assessment of skin cyanosis.
Standard: AS/NZS 1680.2.5 specifies the COI testing method to ensure that the light source is suitable for medical tasks.
LCS Testing is currently one of the few laboratories in China with instruments and equipment that can independently complete tests and issue test reports. For detailed testing requirements, please consult the LCS specialist.

 

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