METHOD AND SYSTEM UTILIZING SpO2 PLETHYSMOGRAPH SIGNAL TO REDUCE NIBP DETERMINATION TIME

• US 20080082006A1
• Filed: 09/07/2006
• Published: 04/03/2008
• Est. Priority Date: 09/07/2006
• Status: Active Grant

• Current Assignee: General Electric Company
• Original Assignee: General Electric Company
• Inventors: Menshouse, Heather, Hersh, Lawrence T., Medero, Richard, Kolluri, Sai
• Granted Patent: US 7,462,152 B2
• Time in Patent Office: Days
• US Class Current: 600/490
• CPC Class Codes: A61B 5/02225 using the oscillometric method
• CPC Class Codes: A61B 5/02255 the pressure being controlled by plethysmographic signals, e.g. derived from optical sensors

Abstract

A method and system for operating a non-invasive blood pressure monitor that utilizes an SpO₂ plethysmographic signal to reduce the time required to obtain an estimation of a patient'"'"'s blood pressure. During operation of the NIBP monitor, the NIBP monitor utilizes the SpO₂ plethysmographic signal to determine a timing period and a deflation period for each pulse associated with the patient'"'"'s heartbeat. Upon receiving an oscillation pulse, the NIBP monitor determines the oscillation amplitude during the timing period and deflates the blood pressure cuff during the deflation period immediately following the timing period. Preferably, the deflation period occurs during the same oscillation pulse used to calculate the oscillation pulse amplitude to decrease the amount of time required to obtain a blood pressure estimate from the patient.

Claims

1. A method of monitoring blood pressure in a patient, the method comprising the steps of:

providing a non-invasive blood pressure (NIBP) monitor having a selectively inflatable and deflatable blood pressure cuff and at least one pressure transducer for detecting oscillation pulses from the patient;

acquiring a waveform of the patient, the waveform having a series of time-spaced pulses each representing a patient heartbeat;

analyzing the waveform to determine a timing period and a deflation period based upon the waveform;

inflating the pressure cuff to a first pressure level;

detecting the beginning of one of the oscillation pulses from the pressure transducer;

determining the amplitude of the oscillation pulse at the first pressure level during the timing period following the beginning of the oscillation pulse; and

deflating the blood pressure cuff during the deflation period to a second pressure level, wherein the deflation period follows the timing period.

2. The method of claim 1 wherein the timing period is the amount of time from a diastolic point of the patient heartbeat to the peak of the pulse.

4. The method of claim 2 wherein the deflation period is less than the amount of time from the peak of the pulse to the diastolic point of the next pulse.

5. The method of claim 1 wherein the deflation of the blood pressure cuff occurs during the deflation period independent of the pressure reduction during deflation of the pressure cuff.

6. The method of claim 1 wherein the waveform is a plethysmographic waveform received from a pulse oximeter sensor.

7. The method of claim 1 wherein the blood pressure cuff is deflated to the second pressure level during a portion of a single oscillation pulse.

8. The method of claim 1 wherein the amplitude of only a single oscillation pulse is detected at each pressure level.

3. (canceled)

9. The method of claim 3 further comprising the steps of:

deflating the pressure cuff in a series of pressure steps each determined by the deflation period;

determining the amplitude of a single oscillometric pulse at each pressure level; and

determining the systolic pressure, mean arterial pressure and diastolic pressure for the patient based upon the amplitude of the oscillation pulses determined at each pressure level.

10. A system for determining the blood pressure of a patient, comprising:

a non-invasive blood pressure (NIBP) monitor including a central processor and a display;

a blood pressure cuff positionable on the patient, the blood pressure cuff being selectively inflatable and deflatable by the NIBP monitor;

a pressure transducer associated with the blood pressure cuff and coupled to the central processor, the pressure transducer being operable to detect oscillation pulses from the patient; and

a sensing system configured to provide a plethysmographic waveform having a series of time-spaced plethysmographic pulses each representing a patient heartbeat;

wherein the central processor controls the deflation of the pressure cuff from an initial inflation pressure in a series of pressure steps each defined by a deflation period determined from the plethysmographic pulses of the plethysmographic waveform.

11. The system of claim 10 wherein the remote sensing system is a pulse oximeter sensor.

12. (canceled)

13. A method of monitoring the blood pressure of a patient, the method comprising the steps of:

providing a non-invasive blood pressure (NIBP) monitor having a selectively inflatable and deflatable blood pressure cuff and at least one pressure transducer for detecting oscillation pulses from the patient;

acquiring a plethysmographic waveform of the patient, the plethysmographic waveform having a series of time-spaced plethysmographic pulses each representing a patient heartbeat;

analyzing the plethysmographic waveform to determine a timing period;

inflating the blood pressure cuff to an initial inflation pressure;

detecting the beginning of an oscillation pulse from the pressure transducer at a first pressure level of the blood pressure cuff;

determining the amplitude of the oscillation pulse during the timing period immediately following the beginning of the oscillation pulse;

deflating the blood pressure cuff for a deflation period after the timing period to a second pressure level, wherein the deflation occurs during the oscillation pulse; and

storing the amplitude of the oscillation pulse in a processor of the NIBP monitor,

14. The method of claim 13 further comprising the steps of:

deflating the pressure cuff in a series of pressure steps each determined by the deflation period; and

determining the amplitude of only a single oscillation pulse at each pressure step.

15. The method of claim 14 further comprising the steps of:

determining a time differential between the cuff oscillation pulse and the plethysmographic pulse for the same patient heartbeat;

monitoring for the presence of the plethysmographic pulse within the time differential following the determination of the amplitude of the oscillation pulse; and

discarding the stored amplitude when the plethysmographic pulse is absent within the time differential.

16. The method of claim 15 wherein the time differential follows the oscillation pulse when the plethysmographic waveform is obtained from a pulse oximeter sensor.

17. The method of claim 14 further comprising the steps of:

determining a time differential between the cuff oscillation pulse and the plethysmographic pulse for the patient heartbeat;

monitoring for the presence of the plethysmographic pulse within the time differential following the determination of the amplitude of the oscillation pulse; and

assigning a weighting factor to the stored amplitude based upon the timing between the plethysmographic pulse and the cuff oscillation pulse.

18. The method of claim 17 further comprising the steps of:

selectively discarding stored oscillation amplitudes based upon the weighting factor; and

determining the systolic pressure, mean arterial pressure and diastolic pressure for the patient based upon the amplitude of the remaining oscillation pulses determined at each pressure step.

19. The method of claim 13 wherein the blood pressure cuff is deflated for the deflation period independent of the pressure reduction within the blood pressure cuff.

20. The method of claim 13 wherein the deflation period is the amount of time from the peak of the plethysmographic pulse to the diastolic point of the next plethysmographic pulse.