Measurement device, measurement method, and recording medium storing a measurement program

• US 10,085,650 B2
• Filed: 10/22/2012
• Issued: 10/02/2018
• Est. Priority Date: 10/28/2011
• Status: Active Grant

• Current Assignee: Omron Healthcare Company Limited (Omron Corporation)
• Original Assignee: Omron Healthcare Company Limited (Omron Corporation)
• Inventors: Sato, Hironori, Utsuno, Hideo, Matsuhisa, Hiroshi, Yamada, Keisuke, Ogura, Toshihiko
• Primary Examiner(s): Agahi, Puya
• Application Number:
  US14/353,475
• Publication Number:
  US 20140257117A1
• Time in Patent Office: 2,171 Days
• Field of Search: 600301, 600481, 600485, 600490-504
• CPC Class Codes: A61B 5/02014 Determining aneurysm
• CPC Class Codes: A61B 5/02125 of pulse wave propagation time
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/6828 Leg
• CPC Class Codes: A61B 5/7246 using correlation, e.g. template matching or determination of similarity
• CPC Class Codes: A61B 5/7257 using Fourier transforms
• 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

Abstract

A measurement device includes a detection device to detect a pulse wave signal at a first measurement location in a vascular pathway from the heart of a measurement subject to an area where an arterial aneurysm is predicted to occur and a pulse wave signal at a second measurement location in a vascular pathway from the heart of the measurement subject to an area that is different from the area where an arterial aneurysm is predicted to occur, a comparison device to calculate a comparison result by comparing frequency characteristics between the pulse wave signals, and a determination device to determine at least one of the presence/absence and size of an arterial aneurysm based on a predetermined characteristic amount for a frequency contained in the comparison result.

Claims

1. A measurement device comprising:

a first pressure cuff comprising a first cuff pressure sensor configured to detect transmitted pressure, as a first pulse wave signal, at a first measurement location in a first vascular pathway connecting the heart of a measurement subject to an area where an abdominal arterial aneurysm is predicted to occur;

a second pressure cuff comprising a second cuff pressure sensor configured to detect transmitted pressure, as a second pulse wave signal, at a second measurement location in a second vascular pathway connecting the heart of the measurement subject to an area that is different from the area where the abdominal arterial aneurysm is predicted to occur;

a display; and

at least one processor configured to;

receive, from the first pressure cuff, the first pulse wave signal on the basis of a first pressure sensor detection result;

receive, from the second pressure cuff, the second pulse wave signal on the basis of a second pressure sensor detection result, the first pulse wave signal and the second pulse wave signal being detected by measuring voltage changes that arise due to changes in an impedance when a constant current is applied to the first measurement location where the first pressure cuff is located and the second measurement location where the second pressure cuff is located, respectively;

transform the received first pulse wave signal and the received second pulse wave signal into first phase characteristics, and second phase characteristics, respectively, which include frequency-domain information covering different frequencies;

compare the first phase characteristics with the second phase characteristics;

produce phase difference characteristics therebetween in each frequency of the different frequencies;

calculate a regression line based on the phase difference characteristics;

determine a degree of variation of the phase difference characteristics for each frequency from the regression line;

compare the degree of variation with a predetermined threshold; and

control the display to display;

when the degree of variation is greater than the predetermined threshold, an indication of a possibility of presence of abdominal arterial aneurysm; and

when the degree of variation is less than the predetermined threshold, an indication that presence of abdominal arterial aneurysm is low.

2. The measurement device according to claim 1, wherein the at least one processor is further configured to:

determine the degree of variation based on an area between the regression line and the phase difference characteristics.

3. The measurement device according to claim 1, wherein the at least one processor is further configured to:

determine the degree of variation based on a shift amount of the phase difference characteristics from the regression line.

6. The measurement device according to claim 1, wherein the at least one processor is further configured to:

determine the degree of variation based on a frequency interval between adjacent extreme values of the phase difference characteristics.

7. The measurement device according to claim 1, wherein the first pressure cuff is configured to be attached to one of the lower extremities and the second pressure cuff is configured to be attached to one of the upper extremities.

8. The measurement device according to claim 1, wherein the first pressure cuff is configured to be attached to an ankle area that includes the periphery of the anterior tibial artery of the measurement subject.

9. The measurement device according to claim 1, wherein the second pressure cuff is configured to be attached to an upper arm area including the periphery of the brachial artery of the measurement subject.

10. The measurement device according to claim 1, wherein the first and second pressure cuffs are inflated, thereby pressurizing the corresponding measurement areas, to allow for the pressure changes resulting from pulse waves at the measurement areas to be transmitted.

11. The measurement device according to claim 1, wherein the at least one processor is further configured to:

determine the presence/absence and/or size of an arterial aneurysm based on a number of times the phase difference characteristics intersect with a phase angle calculated based on the average of phase delay times at each frequency.

12. The measurement device according to claim 1, wherein the at least one processor is further configured to:

determine the presence/absence and/or size of an arterial aneurysm based on the frequency interval where the phase difference characteristics intersect with a phase angle calculated based on the average of the phase delay times at each frequency.

4. A measurement method comprising:

receiving, by at least one processor from a first pressure cuff comprising a first pressure sensor configured to detect transmitted pressure, as a first pulse wave signal, at a first measurement location in a first vascular pathway connecting the heart of a measurement subject to an area where an abdominal arterial aneurysm is predicted to occur;

receiving, by the at least one processor from a second pressure cuff comprising a second pressure sensor configured to detect transmitted pressure, as a second pulse wave signal, at a second measurement location in a second vascular pathway connecting the heart of the measurement subject to an area that is different from the area where the abdominal arterial aneurysm is predicted to occur, the first pulse wave signal and the second pulse wave signal being detected by measuring voltage changes that arise due to changes in an impedance when a constant current is applied to the first measurement location where the first pressure cuff is located and the second measurement location where the second pressure cuff is located, respectively;

transforming, by the at least one processor, the received first pulse wave signal and the received second pulse wave signal into first phase characteristics, and second phase characteristics, respectively, which include frequency-domain information covering different frequencies;

comparing, by the at least one processor, the first phase characteristics with the second phase characteristics;

producing, by the at least one processor, phase difference characteristics therebetween in each frequency of the different frequencies;

calculating, by the at least one processor, a regression line based on the phase difference characteristics;

determining, by the at least one processor, a degree of variation of the phase difference characteristics for each frequency from the regression line;

comparing, by the at least one processor, the degree of variation with a predetermined threshold; and

control a display to display;

when the degree of variation is greater than the predetermined threshold, a first indication of a possibility of presence of an abdominal arterial aneurysm in the first vascular pathway; and

when the degree of variation is less than the predetermined threshold, a second indication, which is different from the first indication and that indicates that a possibility of presence of abdominal arterial aneurysm in the first vascular pathway is low.

5. A non-transitory computer readable recording medium storing computer program code that, when executed by a computer causes the computer to:

receive, from a first pressure cuff comprising a first pressure sensor configured to detect transmitted pressure, as a first pulse wave signal, at a first measurement location in a first vascular pathway connecting the heart of a measurement subject to an area where an abdominal arterial aneurysm is predicted to occur;

receive, from a second pressure cuff comprising a second pressure sensor configured to detect transmitted pressure, as a second pulse wave signal, at a second measurement location in a second vascular pathway connecting the heart of the measurement subject to an area that is different from the area where the abdominal arterial aneurysm is predicted to occur, the first pulse wave signal and the second pulse wave signal being detected by measuring voltage changes that arise due to changes in an impedance when a constant current is applied to the first measurement location where the first pressure cuff is located and the second measurement location where the second pressure cuff is located, respectively;

transform the received first pulse wave signal and the received second pulse wave signal into first phase characteristics, and second phase characteristics, respectively, which include frequency-domain information covering different frequencies;

compare the first phase characteristics with the second phase characteristics;

produce phase difference characteristics therebetween in each frequency of the different frequencies;

calculate a regression line based on the phase difference characteristics;

determine a degree of variation of the phase difference characteristics for each frequency from the regression line;

compare the degree of variation with a predetermined threshold; and

control a display to display;

when the degree of variation is greater than the predetermined threshold, a first indication of a possibility of presence of an abdominal arterial aneurysm in the first vascular pathway; and

when the degree of variation is less than the predetermined threshold, a second indication, which is different from the first indication and that indicates that a possibility of presence of abdominal arterial aneurysm in the first vascular pathway is low.