Measuring apparatus and measuring method

• US 10,010,292 B2
• Filed: 01/15/2016
• Issued: 07/03/2018
• Est. Priority Date: 01/28/2015
• Status: Active Grant

• Current Assignee: Nihon Kohden Corporation
• Original Assignee: Nihon Kohden Corporation
• Inventors: Ukawa, Teiji, Morimoto, Haruka
• Primary Examiner(s): Natnithithadha, Navin
• Application Number:
  US14/996,924
• Publication Number:
  US 20160213332A1
• Time in Patent Office: 900 Days
• Field of Search: 600481, 600483, 600484, 600485, 600486, 600488, 600490-504
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/02116 of pulse wave amplitude A61B5/02225 takes precedence
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• CPC Class Codes: A61B 5/02233 Occluders specially adapted therefor tourniquets A61B17/132
• CPC Class Codes: A61B 5/02422 within occluders
• CPC Class Codes: A61B 5/0295 using plethysmography, i.e. measuring the variations in the volume of a body part as modified by the circulation of blood therethrough, e.g. impedance plethysmography
• CPC Class Codes: A61B 5/7278 Artificial waveform generation or derivation, e.g. synthesising signals from measured signals A61B5/327 takes precedence

Abstract

An apparatus and a method for measuring a respiration-induced blood pressure fluctuation are provided. A blood pressure calculating section calculates a pulse pressure of a subject. A pulse wave measuring section measures a pulse wave of the subject. A respiration-induced fluctuation calculating section calculates the respiration-induced blood pressure fluctuation of the subject as a pressure value, based on the pulse pressure and a fluctuation and an amplitude of the pulse wave in a given time period.

Claims

1. A measuring apparatus comprising:

a blood pressure calculating section configured to calculate a pulse pressure of a subject;

a pulse wave measuring section configured to measure a pulse wave of the subject;

a respiration-induced fluctuation calculating section configured to;

calculate a respiration-induced blood pressure fluctuation of the subject as a pressure value, based on the pulse pressure and a fluctuation and an amplitude of the pulse wave in a given time period,

calculate a ratio of the respiration-induced blood pressure fluctuation to the pulse pressure, based on a maximum value and a minimum value of the pulse wave in the given time period and the amplitude, in terms of pressure value, of a pulse in the pulse wave, and

calculate the respiration-induced blood pressure fluctuation by multiplying the pulse pressure by said ratio; and

a display configured to display the respiration-induced blood pressure fluctuation and change a display effect when the respiration-induced blood pressure fluctuation contains an abnormal value.

2. The measuring apparatus according to claim 1, wherein the amplitude is an average or a median amplitude of pulses in the pulse wave in the given time period.

3. The measuring apparatus according to claim 1, wherein the given time period is one respiratory cycle of the subject.

4. The measuring apparatus according to claim 1, wherein the pulse wave measuring section is configured to measure the pulse wave in a state in which a portion of the subject is pressurized at a pressure equal to or higher than a pressure that is assumed to be higher than a venous pressure.

5. The measuring apparatus according to claim 1, wherein the blood pressure calculating section is configured to calculate the pulse pressure based on a systolic blood pressure and a diastolic blood pressure as detected by and acquired from a blood pressure cuff.

6. The measuring apparatus according to claim 1,

wherein the blood pressure calculating section is configured to calculate the pulse pressure before the measurement of the pulse wave, and

wherein the pulse wave measuring section is configured to measure the pulse wave consecutively after the calculation of the pulse pressure.

7. The measuring apparatus according to claim 1, wherein the pulse wave measuring section is configured to measure the pulse wave in a state in which a portion of the subject is pressurized at a pressure equal to lower than a diastolic blood pressure of the subject.

8. The measuring apparatus according to claim 1, wherein the pulse wave measuring section is configured to acquire the pulse wave from a pulse oximeter probe.

9. The measuring apparatus according to claim 8, wherein the pulse wave measuring section is configured to control the pulse oximeter probe to pressurize a portion of the subject only during an acquisition of the pulse wave.

10. A measuring method comprising:

calculating a pulse pressure of a subject;

measuring a pulse wave of the subject;

calculating a respiration-induced blood pressure fluctuation of the subject as a pressure value, based on the pulse pressure and a fluctuation and an amplitude of the pulse wave in a given time period;

calculating a ratio of the respiration-induced blood pressure fluctuation to the pulse pressure, based on a maximum value and a minimum value of the pulse wave in the given time period and the amplitude, in terms of pressure value, of a pulse in the pulse wave;

calculating the respiration-induced blood pressure fluctuation by multiplying the pulse pressure by said ratio; and

displaying the respiration-induced blood pressure fluctuation, wherein an effect of the displayed respiration-induced blood pressure fluctuation is changed when the respiration-induced blood pressure fluctuation contains an abnormal value.

11. A non-transitory computer readable medium storing a program that, when executed by a computer, causes the computer to execute a method comprising:

calculating a pulse pressure of a subject;

measuring a pulse wave of the subject;

calculating a respiration-induced blood pressure fluctuation of the subject as a pressure value, based on the pulse pressure and a fluctuation and an amplitude of the pulse wave in a given time period;

calculating a ratio of the respiration-induced blood pressure fluctuation to the pulse pressure, based on a maximum value and a minimum value of the pulse wave in the given time period and the amplitude, in terms of pressure value, of a pulse in the pulse wave;

calculating the respiration-induced blood pressure fluctuation by multiplying the pulse pressure by said ratio; and

displaying the respiration-induced blood pressure fluctuation, wherein an effect of the displayed respiration-induced blood pressure fluctuation is changed when the respiration-induced blood pressure fluctuation contains an abnormal value.