Method and device for measuring pulse rate, blood pressure, and monitoring blood vessel access

• US 20050010118A1
• Filed: 07/09/2004
• Published: 01/13/2005
• Est. Priority Date: 07/10/2003
• Status: Abandoned Application

• Current Assignee: Nikkiso Company Limited
• Original Assignee: Nikkiso Company Limited
• Inventors: Yamazaki, Hiromi, Toyoda, Masahiro
• Application Number:
  US10/887,752
• Publication Number:
  US 20050010118A1
• Time in Patent Office: Days
• US Class Current: 600/486
• 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 5/02133 by using induced vibration of the blood vessel
• 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 5/7257 using Fourier transforms

Abstract

A method and device for measuring a patient'"'"'s pulse rate and blood pressure and also the condition of the blood vessel access can be accurately monitored by identifying a frequency component of the pressure wave caused by the patient'"'"'s heartbeat among other pressure waves in a fluid by frequency analysis. The method and device are used when a medical device is connected to the patient'"'"'s blood vessel via a blood vessel access and has a mechanical device for applying pressure to a fluid to transport it to said blood vessel.

Claims

1. A method of measuring a patient'"'"'s pulse rate in a medical device, which is connected the patient'"'"'s blood vessel by a blood vessel access and has a mechanical device for applying a pressure to a fluid in order to transport the fluid to said blood vessel, comprising steps of:

measuring the pressure of said fluid;

detecting a spectrum consisting of frequency components comprising the step of applying a frequency analysis to said measured pressure for a period of time;

identifying a frequency component caused by the patient'"'"'s heartbeat by removing a frequency component caused by said mechanical device from said spectrum; and

measuring the patient'"'"'s pulse rate from said frequency component caused by the patient'"'"'s heartbeat.

2. A method of measuring a patient'"'"'s pulse rate according to claim 1, comprising steps of:

measuring the pressure of said fluid prior to installing the blood vessel access;

detecting the frequency component caused by said mechanical device comprising the step of applying a frequency analysis to said measured pressure for a certain period of time; and

removing the frequency component caused by said mechanical device from said spectrum.

3. A method of measuring a patient'"'"'s pulse rate according to claim 1, comprising steps of:

transmitting an operation frequency of said mechanical device to identify the frequency caused by said mechanical device; and

removing the operation frequency component caused by said mechanical device from said spectrum.

4. A method of measuring a patient'"'"'s pulse rate in a medical device, which is connected the patient'"'"'s blood vessel by a blood vessel access and has a mechanical device for applying a pressure to a fluid in order to transport the fluid to said blood vessel, comprising steps of:

measuring the pressure of said fluid prior to installing the blood vessel access while causing a pump to fluctuate a rotating frequency within a certain range of a standard frequency;

detecting a spectrum consisting of a frequency component caused by the patient'"'"'s heartbeat by applying a frequency analysis to said measured pressure for a period of time; and

measuring the patient'"'"'s pulse rate from said frequency component caused by the patient'"'"'s heartbeat.

5. A method of measuring blood pressure in a medical device, which is connected the patient'"'"'s blood vessel by a blood vessel access and has a mechanical device for applying a pressure to a fluid in order to transport the fluid to said blood vessel, comprising steps of:

measuring the pressure of said fluid;

detecting a spectrum consisting of frequency components by applying a frequency analysis to said measured pressure for a period of time;

identifying a frequency component caused by the patient'"'"'s heartbeat by removing a frequency component caused by said mechanical device from said spectrum; and

measuring the patient'"'"'s blood pressure from an intensity of said frequency component caused by the patient'"'"'s heartbeat.

6. A method of measuring a patient'"'"'s blood pressure according to claim 5, comprising steps of:

measuring the pressure of said fluid prior to installing the blood vessel access;

detecting the frequency component caused by said mechanical device by applying a frequency analysis to said measured pressure for a period of time; and

removing the operation frequency component caused by said mechanical device from said spectrum.

7. A method of measuring a patient'"'"'s blood pressure according to claim 5, comprising steps of:

transmitting an operation frequency of said mechanical device to identify the frequency caused by said mechanical device; and

removing the operation frequency component caused by said mechanical device from said spectrum.

8. A method of measuring a patient'"'"'s blood pressure in a medical device, which is connected the patient'"'"'s blood vessel by a blood vessel access and has a mechanical device for applying a pressure to a fluid in order to transport the fluid to said blood vessel, comprising steps of:

measuring the pressure of said fluid prior to installing the blood vessel access while causing a pump to fluctuate a rotating frequency within a certain range of a standard frequency;

detecting a spectrum consisting of a frequency component caused by the patient'"'"'s heartbeat by applying a frequency analysis device to said measured pressure for a period of time; and

measuring the patient'"'"'s blood pressure from an intensity of said frequency component caused by the patient'"'"'s heartbeat.

9. A medical device, which is connected the patient'"'"'s blood vessel by a blood vessel access and has a mechanical device for applying a pressure to a fluid in order to transport the fluid to said blood vessel, characterized in having a pulse rate measuring circuit comprising:

a pressure detection device measuring the pressure of said fluid;

a frequency analysis device detecting a spectrum comprising frequency components by applying a frequency analysis device to said measured pressure for a period of time;

a removal device removing a frequency component caused by the patient'"'"'s heartbeat by removing a frequency component caused by said mechanical device from said spectrum; and

a pulse rate conversion device converting the frequency of said frequency component caused by the patient'"'"'s heartbeat into the patient'"'"'s pulse rate.

10. A medical device according to claim 9, wherein a plurality of said periods of time can be preset, and further comprising:

a pulse rate measuring circuit for measuring a pulse rate at each preset time period.

11. A medical device according to claim 10 further comprising:

a pulse rate warning circuit for issuing an alarm when a pulse rate measured by said pulse rate measuring circuit falls outside of a predetermined pulse rate normal value range.

15. A medical device according to claim 9, wherein the pressure of said fluid is measured on at least one of an arterial side fluid and a venous side fluid.

12. A medical device, connected to the patient'"'"'s blood vessel by a blood vessel access and has a mechanical device for applying a pressure to a fluid in order to transport the fluid to said blood vessel, characterized in having a blood pressure measuring circuit comprising:

a pressure detection device measuring the pressure of said fluid,

a frequency analysis device detecting a spectrum consisting of frequency components by applying a frequency analysis to said measured pressure for a period of time;

a removal device removing a frequency component caused by the patient'"'"'s heartbeat by removing a frequency component caused by said mechanical device from said spectrum, and

a blood pressure conversion device converting an intensity of said frequency component caused by the patient'"'"'s heartbeat into the patient'"'"'s blood pressure.

13. A medical device according to claim 12, wherein a plurality of said periods of time can be preset, and further comprising:

a blood pressure measuring circuit for measuring a blood pressure at each preset time period.

14. A medical device according to claim 13 further comprising:

a blood pressure warning circuit for issuing an alarm when a blood pressure value measured by said blood pressure measuring circuit falls outside of a predetermined blood pressure normal value range.

16. A medical device according to claim 12, wherein the pressure of said fluid is measured on at least one of an arterial side fluid and a venous side fluid.

17. A method of monitoring a blood vessel access in a medical device, which is connected the patient'"'"'s blood vessel by a blood vessel access and has a mechanical device for applying a pressure to a fluid in order to transport the fluid to said blood vessel, comprising steps of:

measuring the pressure of said fluid;

detecting a spectrum consisting of frequency components by applying a frequency analysis device to said measured pressure for a period of time;

identifying a frequency component caused by the patient'"'"'s heartbeat by removing a frequency component caused by said mechanical device from said spectrum, and

monitoring anomalies of said blood vessel access by judging an intensity level of said frequency component caused by the patient'"'"'s heart beat.

18. A method of monitoring a blood vessel access according to claim 17, wherein said removal device:

measures said pressure of the fluid prior to installation of said blood vessel access;

detects said frequency component caused by said mechanical device by applying a frequency analysis to said measured pressure for a certain period of time; and

removes said frequency component caused by said mechanical device from said spectrum.

21. A method of monitoring a blood vessel access according to claim 17, wherein the pressure of said fluid is measured on at least one of an arterial side fluid and a venous side fluid.

22. A method of monitoring a blood vessel access according to claim 18, wherein the pressure of said fluid is measured on at least one of an arterial side fluid and a venous side fluid.

19. A method of monitoring a blood vessel access in a medical device, which is connected the patient'"'"'s blood vessel by the blood vessel access and has a mechanical device for applying a pressure to a fluid in order to transport the fluid to said blood vessel, comprising steps of:

measuring the pressure of said fluid prior to installing the blood vessel access while causing a pump to fluctuate a rotating frequency within a certain range of a standard frequency;

detecting a spectrum consisting of a frequency component caused by the patient'"'"'s heartbeat by applying a frequency analysis device to said measured pressure for a period of time; and

monitoring anomalies of the blood vessel access comprising the step of judging an intensity level of said frequency component caused by the patient'"'"'s heart beat.

23. A method of monitoring a blood vessel access according to claim 19, wherein the pressure of said fluid is measured on at least one of an arterial side fluid and a venous side fluid.

20. A method of monitoring a blood vessel access in a medical device, which is connected the patient'"'"'s blood vessel by a blood vessel access and has a mechanical device for applying a pressure to a fluid in order to transport the fluid to said blood vessel, comprising steps of:

measuring the pressure of said fluid;

detecting a first spectrum consisting of a frequency component by applying a frequency analysis device to said measured pressure for a first period of time;

storing said first spectrum;

detecting a second spectrum consisting of a frequency component by applying a frequency analysis to said measure pressure for a second period of time after said first period of time;

storing said second spectrum;

obtaining a difference between the frequency component of said first spectrum and the frequency component of said second spectrum; and

judging the intensity level of said difference.

24. A method of monitoring a blood vessel access according to claim 20, wherein the pressure of said fluid is measured on at least one of an arterial side fluid and a venous side fluid.

25. A medical device, connected a patient'"'"'s blood vessel by a blood vessel access and has a mechanical device for applying a pressure to a fluid in order to transport the fluid to said blood vessel, having a blood vessel access monitoring circuit comprising:

a pressure detection device measuring the pressure of said fluid,

a frequency analysis device detecting a spectrum consisting of each frequency component by applying a frequency analysis device to said measured pressure for a period of time;

a removal device removing a frequency component caused by the patient'"'"'s heartbeat by removing a frequency component caused by said mechanical device from said spectrum, and

a judgment device judging anomalies of said blood vessel access by measuring an intensity level of said frequency component caused by the patient'"'"'s heartbeat.

26. A medical device according to claim 25, wherein said removal device:

measures said pressure of the prior to installation of said blood vessel access,

detects the frequency component caused by said mechanical device by applying a frequency analysis to the measured pressure for a certain period of time; and

removing said frequency component caused by said mechanical device from said spectrum.

28. A medical device according to claim 25 further comprising:

a blood vessel access warning circuit for issuing an alarm when said judgment device detects an anomaly.

29. A medical device according to claim 25, wherein the pressure of said fluid is measured on at least one of an arterial side fluid and a venous side fluid.

27. A medical device connected a patient'"'"'s blood vessel by a blood vessel access and has a mechanical device for applying a pressure to a fluid in order to transport the fluid to said blood vessel, having a blood vessel access monitoring circuit comprising:

a pressure detection device measuring pressure of said fluid;

a frequency analysis device detecting a first spectrum consisting of frequency components by applying a frequency analysis device to said measured pressure for a first period of time;

a first storage device for storing said first spectrum;

said frequency analysis device detecting a second spectrum consisting of frequency components by applying a frequency analysis device to said measured pressure for a second period of time;

a second storage device for storing said second spectrum; and

a judgment device judging the intensity level of the difference between said frequency component of said first spectrum and said frequency component of said second spectrum.

30. A medical device according to claim 27 further comprising:

a blood vessel access warning circuit for issuing an alarm when said judgment device detects an anomaly.

31. A medical device according to claim 27, wherein the pressure of said fluid is measured on at least one of an arterial side fluid and a venous side fluid.