Non-interfering blood pressure measuring

• US 10,052,036 B2
• Filed: 05/18/2015
• Issued: 08/21/2018
• Est. Priority Date: 05/19/2014
• Status: Active Grant

• Current Assignee: Philips Healthcare Informatics Incorporated (Koninklijke Philips N.V.)
• Original Assignee: Qualcomm, Inc.
• Inventors: Lading, Lars, Baek, David Boettcher
• Primary Examiner(s): WEARE, MEREDITH H
• Application Number:
  US14/714,776
• Publication Number:
  US 20150327784A1
• Time in Patent Office: 1,191 Days
• CPC Class Codes: A61B 2560/0223 of calibration, e.g. protocols for calibrating sensors
• CPC Class Codes: A61B 2560/0238 Means for recording calibration data
• CPC Class Codes: A61B 2560/0242 adapted to measure environmental factors, e.g. temperature, pollution
• CPC Class Codes: A61B 2560/0247 for compensation or correction of the measured physiological value
• CPC Class Codes: A61B 2562/0214 Capacitive electrodes
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 5/0059 using light, e.g. diagnosis by transillumination, diascopy, fluorescence A61B5/0093, A61B5/1455, A61B5/02416 and A61B5/0261 take precedence
• CPC Class Codes: A61B 5/0082 adapted for particular medical purposes
• CPC Class Codes: A61B 5/02007 Evaluating blood vessel condition, e.g. elasticity, compliance
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/02108 from analysis of pulse wave characteristics
• CPC Class Codes: A61B 5/02116 of pulse wave amplitude A61B5/02225 takes precedence
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/0535 Impedance plethysmography for measuring blood flow A61B5/0295
• CPC Class Codes: A61B 5/1075 for measuring dimensions by non-invasive methods, e.g. for determining thickness of tissue layer A61B8/0858 takes precedence
• CPC Class Codes: A61B 5/1126 using a particular sensing technique
• CPC Class Codes: A61B 5/6898 Portable consumer electronic devices, e.g. music players, telephones, tablet computers
• CPC Class Codes: A61B 5/725 using specific filters therefor, e.g. Kalman or adaptive filters A61B5/316 take precedence
• CPC Class Codes: A61B 5/726 using Wavelet transforms
• CPC Class Codes: A61B 5/7275 Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• CPC Class Codes: A61B 5/7278 : Artificial waveform generation or derivation, e.g. synthesising signals from measured signals A61B5/327 takes precedence
• CPC Class Codes: A61B 5/7282 : Event detection, e.g. detecting unique waveforms indicative of a medical condition A61B5/4094, A61B5/4818, A61B5/349, A61B5/0823 take precedence
• CPC Class Codes: A61B 5/7285 : for synchronising or triggering a physiological measurement or image acquisition with a physiological event or waveform, e.g. an ECG signal A61B6/5205, A61B6/541, A61B8/5207, A61B8/543 take precedence
• CPC Class Codes: A61B 8/04 : Measuring blood pressure

Abstract

Systems, methods, and devices of various embodiments enable measurement of blood pressure from an artery. The various embodiments may measure, using a non-interfering arterial measurement sensor, a first change in distension of the artery at a measurement location without interference to an arterial pressure at the measurement location during a series of pulses. A first pulse rate and estimated pulse pressures may be determined from the first change in distension. A coefficient may be determined fitting an exponentially decaying function representing an exponential decay of a portion of a diastolic phase to select ones of the estimated pulse pressures corresponding to the diastolic phase. An absolute blood pressure may be determined by applying the coefficient to a select mathematical model expressing a first relationship between the first change in distension of the artery and the pulse pressure in the artery at the measurement location.

Claims

1. A method of measuring blood pressure from an artery in a limb of a subject, comprising:

measuring, by a non-interfering arterial measurement sensor, a first change in distension of the artery at a measurement location on the limb without interference to an arterial pressure at the measurement location during a series of pulses;

determining, by a processor, a first pulse rate and estimated pulse pressures in response to measuring the first change in distension, the estimated pulse pressures comprising pressure values during at least a portion of a pulse including a diastolic phase;

determining, by the processor, a coefficient fitting an exponentially decaying function representing an exponential decay of a portion of the diastolic phase to select ones of the estimated pulse pressures corresponding to the diastolic phase, the coefficient indicative of a nonzero asymptotic value of the exponentially decaying function; and

determining, by the processor, an absolute blood pressure by applying the coefficient to a select mathematical model expressing a first relationship between the first change in distension of the artery and a transmural pressure in the artery at the measurement location.

2. The method of claim 1, further comprising:

measuring, by an elevation sensor, a change in elevation of the measurement location in response to moving the limb;

determining, by the processor, an incremental sensitivity between a second change in distension of the artery from the measurement location on the limb and a predicted change in the estimated pulse pressures after the change in elevation; and

determining, by the processor, the estimated pulse pressures using another mathematical model describing a second relationship between changes in distension and transmural pressure with the incremental sensitivity applied to the another mathematical model.

3. The method of claim 2, wherein the predicted change in distension is based on a last measured physiological parameter at a first elevation and a hydrostatic pressure change corresponding to the change in elevation.

4. The method of claim 1, further comprising:

determining a second pulse rate; and

determining the estimated pulse pressures further in response to determining that there is no change between the second pulse rate and the first pulse rate.

5. The method of claim 1, further comprising:

determining a second pulse rate; and

discarding measured changes of distension in response to determining that there is a change between the second pulse rate the first pulse rate.

6. The method of claim 1, wherein measuring the first change in distension of the artery without interfering with a pressure in the artery at the measurement location during the series of pulses includes applying a counter pressure that is below a diastolic pressure of the subject on or near the measurement location.

7. The method of claim 1, wherein measuring the first change in distension of the artery without interference to the arterial pressure in the artery at the measurement location during the series of pulses includes applying no man-made pressure to a portion of skin on the limb that is closest to the measurement location.

8. The method of claim 1, wherein the coefficient fitting the exponentially decaying function representing the exponential decay of the diastolic phase is an additive value applied.

9. The method of claim 1, further comprising:

measuring, by the non-interfering arterial measurement sensor, a second change in distension of the artery from the measurement location on the limb without interference to the arterial pressure at the measurement location during an earlier series of pulses; and

determining, by the processor, a second pulse rate and a preliminary blood pressure using the second change in distension, wherein determining the absolute blood pressure is in response to determining the first pulse rate is equal to the second pulse rate.

10. A device, comprising:

a non-interfering arterial measurement sensor configured to measure a first change in distension of an artery at a measurement location on a limb of a subject without interference to an arterial pressure at the measurement location during a series of pulses; and

a processor in communication with the non-interfering arterial measurement sensor, wherein the processor is configured with processor executable instructions to perform operations to;

receive the first change in distension of the artery measured by the non-interfering arterial measurement sensor;

determine a first pulse rate and estimated pulse pressures in response to receiving the first change in distension, the estimated pulse pressures comprising pressure values during at least a portion of a pulse including a diastolic phase;

determine a coefficient by curve fitting sensor measurements to an exponentially decaying function representing an exponential decay of a portion of the diastolic phase to select ones of the estimated pulse pressures corresponding to the diastolic phase, the coefficient indicative of a nonzero asymptotic value of the exponentially decaying function; and

determine an absolute blood pressure by applying the coefficient to a select mathematical model expressing a first relationship between the first change in distension of the artery and a transmural pressure in the artery at the measurement location.

11. The device of claim 10, further comprising:

an elevation sensor in communication with the processor and configured to measure a change in elevation of the measurement location in response to moving the limb, wherein the processor is further configured with the processor executable instructions to perform operations to;

determine an incremental sensitivity between a second change in distension of the artery from the measurement location on the limb and a predicted change in the estimated pulse pressures after the change in elevation; and

determine the estimated pulse pressures using another mathematical model describing a second relationship between changes in distension and the transmural pressure with the incremental sensitivity applied to the another mathematical model.

12. The device of claim 11, wherein the predicted change in distension is based on a last measured physiological parameter at a first elevation and a hydrostatic pressure change corresponding to the change in elevation.

13. The device of claim 10, wherein the processor is configured with the processor executable instructions to perform operations to:

determine a second pulse rate; and

determine the estimated pulse pressures further in response to determining that there is no change between the second pulse rate and the first pulse rate.

14. The device of claim 10, wherein the processor is configured with the processor executable instructions to perform operations to:

determine a second pulse rate; and

discard measured changes of distension in response to determining that there is a change between the second pulse rate the first pulse rate.

15. The device of claim 10, wherein measuring the first change in distension of the artery without interfering with a pressure in the artery at the measurement location during the series of pulses includes applying a counter pressure that is below a diastolic pressure of the subject on or near the measurement location.

16. The device of claim 10, wherein measuring the first change in distension of the artery without interference to the arterial pressure in the artery at the measurement location during the series of pulses includes applying no man-made pressure to a portion of skin on the limb that is closest to the measurement location.

17. The device of claim 10, wherein the coefficient fitting the exponentially decaying function representing the exponential decay of the diastolic phase is an additive value applied.

18. The device of claim 10, wherein the non-interfering arterial measurement sensor is further configured to measure a second change in distension of the artery from the measurement location on the limb without interference to the arterial pressure in the artery at the measurement location during an earlier series of pulses, and the processor is further configured with the processor executable instructions to perform operations to determine a second pulse rate and a preliminary blood pressure using the second change in distension, wherein determining the absolute blood pressure is in response to determining the first pulse rate is equal to the second pulse rate.

19. A device, comprising:

means for measuring a first change in distension of an artery at a measurement location on a limb of a subject without interference to an arterial pressure at the measurement location during a series of pulses;

means for determining a first pulse rate and estimated pulse pressures in response to measuring the first change in distension, the estimated pulse pressures comprising pressure values during at least a portion of a pulse including a diastolic phase;

determining a coefficient fitting an exponentially decaying function representing an exponential decay of a portion of the diastolic phase to select ones of the estimated pulse pressures corresponding to the diastolic phase, the coefficient indicative of a nonzero asymptotic value of the exponentially decaying function; and

determining an absolute blood pressure by applying the coefficient to a select mathematical model expressing a first relationship between the first change in distension of the artery and a transmural pressure in the artery at the measurement location.

20. The device of claim 19, further comprising:

means for measuring a change in elevation of the measurement location in response to moving the limb;

means for determining an incremental sensitivity between a second change in distension of the artery from the measurement location on the limb and a predicted change in the estimated pulse pressures after the change in elevation; and

means for determining the estimated pulse pressures using another mathematical model describing a second relationship between changes in distension and transmural pressure with the incremental sensitivity applied to the another mathematical model.

21. The device of claim 20, wherein the predicted change in distension is based on a last measured physiological parameter at a first elevation and a hydrostatic pressure change corresponding to the change in elevation.

22. The device of claim 19, further comprising:

means for determining a second pulse rate; and

means for determining the estimated pulse pressures further in response to determining that there is no change between the second pulse rate and the first pulse rate.

23. The device of claim 19, further comprising:

means for determining a second pulse rate; and

means for discarding measured changes of distension in response to determining that there is a change between the second pulse rate the first pulse rate.

24. The device of claim 19, wherein measuring the first change in distension of the artery without interfering with a pressure in the artery at the measurement location during the series of pulses includes applying a counter pressure that is below a diastolic pressure of the subject on or near the measurement location.

25. The device of claim 19, wherein measuring the first change in distension of the artery without interference to the arterial pressure in the artery at the measurement location during the series of pulses includes applying no man-made pressure to a portion of skin on the limb that is closest to the measurement location.

26. The device of claim 19, wherein the coefficient fitting the exponentially decaying function representing the exponential decay of the diastolic phase is an additive value applied.

27. The device of claim 19, further comprising:

means for measuring a second change in distension of the artery from the measurement location on the limb without interference to the arterial pressure at the measurement location during an earlier series of pulses; and

means for determining a second pulse rate and a preliminary blood pressure using the second change in distension, wherein determining the absolute blood pressure is in response to determining the first pulse rate is equal to the second pulse rate.

28. A non-transitory processor readable medium having stored thereon processor executable instructions configured to cause a processor to perform operations comprising:

determining a first pulse rate and estimated pulse pressures in response to a first change in distension of an artery at a measurement location on a limb of a subject, wherein the first change in distension is measured without interference to an arterial pressure at the measurement location during a series of pulses and the estimated pulse pressures comprise pressure values during at least a portion of a pulse including a diastolic phase;

determining, by the processor, a coefficient fitting an exponentially decaying function representing an exponential decay of a portion of the diastolic phase to select ones of the estimated pulse pressures corresponding to the diastolic phase, the coefficient indicative of a nonzero asymptotic value of the exponentially decaying function; and

determining, by the processor, an absolute blood pressure by applying the coefficient to a select mathematical model expressing a first relationship between the first change in distension of the artery and a transmural pressure in the artery at the measurement location.

29. The non-transitory processor readable medium of claim 28, wherein the processor executable instructions are configured to cause the processor to perform operations further comprising:

measuring, by an elevation sensor, a change in elevation of the measurement location in response to moving the limb;

determining an incremental sensitivity between a second change in distension of the artery from the measurement location on the limb, measured in response to the change in elevation of the measurement location in response to moving the limb, and a predicted change in the estimated pulse pressures after the change in elevation; and

determining the estimated pulse pressures using another mathematical model describing a second relationship between changes in distension and transmural pressure with the incremental sensitivity applied to the another mathematical model.

30. The non-transitory processor readable medium of claim 29, wherein the processor executable instructions are configured to cause the processor to perform operations such that the predicted change in distension is based on a last measured physiological parameter at a first elevation and a hydrostatic pressure change corresponding to the change in elevation.

31. The non-transitory processor readable medium of claim 28, wherein the processor executable instructions are configured to cause the processor to perform operations further comprising:

determining a second pulse rate; and

determining the estimated pulse pressures further in response to determining that there is no change between the second pulse rate and the first pulse rate.

32. The non-transitory processor readable medium of claim 28, wherein the processor executable instructions are configured to cause the processor to perform operations further comprising:

determining a second pulse rate; and

discarding measured changes of distension in response to determining that there is a change between the second pulse rate the first pulse rate.

33. The non-transitory processor readable medium of claim 28, wherein the processor executable instructions are configured to cause the processor to perform operations such that measuring the first change in distension of the artery without interfering with a pressure in the artery at the measurement location during the series of pulses includes applying a counter pressure that is below a diastolic pressure of the subject on or near the measurement location.

34. The non-transitory processor readable medium of claim 28, wherein the processor executable instructions are configured to cause the processor to perform operations such that measuring the first change in distension of the artery without interference to the arterial pressure in the artery at the measurement location during the series of pulses includes applying no man-made pressure to a portion of skin on the limb that is closest to the measurement location.

35. The non-transitory processor readable medium of claim 28, wherein the processor executable instructions are configured to cause the processor to perform operations such that the coefficient fitting the exponentially decaying function representing the exponential decay of the diastolic phase is an additive value applied.

36. The non-transitory processor readable medium of claim 28, wherein the processor executable instructions are configured to cause the processor to perform operations further comprising:

determining a second pulse rate and a preliminary blood pressure using a second change in distension of the artery from the measurement location on the limb measured by a non-interfering arterial measurement sensor without interference to the arterial pressure at the measurement location during an earlier series of pulses, wherein determining the absolute blood pressure is in response to determining the first pulse rate is equal to the second pulse rate.