Electronic sphygmomanometer for measuring blood pressure and pulse

• US 10,390,710 B2
• Filed: 01/24/2013
• Issued: 08/27/2019
• Est. Priority Date: 01/25/2012
• Status: Active Grant

• Current Assignee: Omron Healthcare Company Limited (Omron Corporation)
• Original Assignee: Omron Healthcare Company Limited (Omron Corporation)
• Inventors: Umeda, Shota, Sawanoi, Yukiya, Matsumura, Naomi, Kitagawa, Tsuyoshi
• Primary Examiner(s): Moher, Amanda Lauritzen
• Application Number:
  US13/749,039
• Publication Number:
  US 20130190629A1
• Time in Patent Office: 2,406 Days
• Field of Search: 600479, 600490
• CPC Class Codes: A61B 5/02 Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
• 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 5/02158 provided with two or more sensor elements
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• CPC Class Codes: A61B 5/02208 using the Korotkoff method
• CPC Class Codes: A61B 5/02225 using the oscillometric method
• CPC Class Codes: A61B 5/02233 Occluders specially adapted therefor tourniquets A61B17/132
• CPC Class Codes: A61B 5/0225 the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds
• CPC Class Codes: A61B 5/0235 Valves specially adapted therefor
• 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 5/02422 within occluders
• CPC Class Codes: A61B 5/6824 Arm or wrist
• 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 5/742 using visual displays A61B5/339 takes precedence

Abstract

An electronic sphygmomanometer includes a cuff including an air bladder, a pressure sensor, an artery volume sensor, and a computation device. The computation device includes an inner pressure control section, a volume sensor signal receive section for receiving a pulse wave signal detected by the artery volume sensor, a pressure sensor signal receive section for receiving a pressure pulse wave signal superimposed on the inner pressure of the air bladder and detected by the pressure sensor, a judgment section for choosing either the pulse wave signal or the pressure pulse wave signal as a signal for calculating pulse rate of the patient during a period when the inner pressure of the air bladder is increased and/or decreased by the inner pressure control section, and a pulse rate calculation section for calculating pulse rate of the patient based on the pulse wave signal and the signal chosen by the judgment section.

Claims

1. An electronic sphygmomanometer for measuring a blood pressure and a pulse rate, comprising:

a cuff comprising an air bladder for wrapping around a measurement location of a patient;

a pressure sensor mounted on the cuff that measures an inner pressure of the air bladder;

an artery volume sensor mounted on the cuff that detects a pulse wave signal of the patient based on a change of volume of an artery;

a processor connected to the pressure sensor and the artery volume sensor that is programmed to calculate the blood pressure and the pulse rate based on the signal received from the pressure sensor and the artery volume sensor, the processor being further programmed to;

increase or decrease the inner pressure of the air bladder at a predetermined timing;

receive the pulse wave signal detected by the artery volume sensor;

receive a pressure pulse wave signal, which is superimposed on the inner pressure of the air bladder and detected by the pressure sensor;

choose only one of the detected pulse wave signal and the detected pressure pulse wave signal as a signal for calculating the pulse rate of the patient in accordance with a predetermined method during a period when the inner pressure of the air bladder is increased or decreased,

wherein the predetermined method comprises;

comparing the detected pressure pulse wave signal with a first predetermined reference value,

wherein if the detected pressure pulse wave signal is below the first predetermined reference value, the detected pulse wave signal is the chosen signal, and

wherein if the detected pressure pulse wave signal is above the first predetermined reference value, comparing the detected pulse wave signal with a second predetermined reference value,

wherein if the detected pulse wave signal is below the second predetermined reference value, the detected pressure pulse wave signal is the chosen signal, and

wherein if the detected pulse wave signal is above the second predetermined reference value, comparing a signal to noise ratio of the detected pressure pulse wave signal with a signal to noise ratio of the detected pulse wave signal to determine the chosen signal,

wherein if the signal to noise ratio of the detected pressure pulse wave signal is greater than the signal to noise ratio of the detected pulse wave signal, the detected pressure pulse wave signal is the chosen signal, and

wherein if the signal to noise ratio of the detected pulse wave signal is greater than the signal to noise ratio of the detected pressure pulse wave signal, the detected pulse wave signal is the chosen signal;

calculate the pulse rate of the patient based on the chosen signal; and

calculate the blood pressure based on the received pressure pulse wave signal.

2. The electronic sphygmomanometer according to claim 1, wherein the processor is further programmed to choose the signal having a higher signal to noise ratio as the chosen signal for calculating the pulse rate of the patient as a result of comparing the signal to noise ratio of the detected pressure pulse wave signal with the signal to noise ratio of the detected pulse wave signal.

3. The electronic sphygmomanometer according to claim 1, wherein the artery volume sensor is a photoelectronic sensor.

4. The electronic sphygmomanometer according to claim 1, wherein the artery volume sensor is an impedance sensor.

5. The electronic sphygmomanometer according to claim 1, wherein the electronic sphygmomanometer is a wrist sphygmomanometer that measures the blood pressure and the pulse rate on a wrist of the patient.

6. A method of measuring a blood pressure and a pulse rate of a patient comprising:

wrapping a cuff comprising an air bladder around an arm of a patient, wherein the cuff is provided with a pressure sensor that measures an inner pressure of the air bladder and an artery volume sensor that detects a volume of an artery;

detecting a pulse wave signal by using the artery sensor based on a change of the volume of the artery;

inflating and deflating the air bladder to measure the blood pressure and detecting a pressure pulse wave signal by using the pressure sensor based on a change of the inner pressure of the air bladder, which is superimposed on the inner pressure of the air bladder during the inflation and deflation;

choosing only one of the detected pulse wave signal and the detected pressure pulse wave signal as a signal for calculating the pulse rate of the patient in accordance with a predetermined method during the inflation and deflation of the air bladder, wherein the predetermined method comprises;

providing the processor of claim 1,

comparing the detected pressure pulse wave signal with a first predetermined reference value,

wherein if the detected pressure pulse wave signal is below the first predetermined reference value, the detected pulse wave signal is the chosen signal, and

wherein if the detected pressure pulse wave signal is above the first predetermined reference value, comparing the detected pulse wave signal with a second predetermined reference value,

wherein if the detected pulse wave signal is below the second predetermined reference value, the detected pressure pulse wave signal is the chosen signal, and

wherein if the detected pulse wave signal is above the second predetermined reference value, comparing a signal to noise ratio of the detected pressure pulse wave signal with a signal to noise ratio of the detected pulse wave signal to determine the chosen signal,

wherein if the signal to noise ratio of the detected pressure pulse wave signal is greater than the signal to noise ratio of the detected pulse wave signal, the detected pressure pulse wave signal is the chosen signal, and

wherein if the signal to noise ratio of the detected pulse wave signal is greater than the signal to noise ratio of the detected pressure pulse wave signal, the detected pulse wave signal is the chosen signal; and

calculating the pulse rate of the patient based on the signal chosen during the inflation and deflation of the air bladder.

7. The method according to claim 6, further comprising comparing a signal to noise ratio value of the pulse wave signal and a signal to noise ratio value of the pressure pulse wave signal, and choosing the signal having a higher signal to noise ratio value for calculating pulse rate of the patient.

8. The method according to claim 6, wherein the artery volume sensor is a photoelectronic sensor.

9. The method according to claim 6, wherein the artery volume sensor is an impedance sensor.

10. The method according to claim 6, wherein the electronic sphygmomanometer is a wrist sphygmomanometer that measures the blood pressure and the pulse rate on a wrist of the patient.