METHOD OF CONTROLLING INFLATION OF A CUFF IN BLOOD PRESSURE DETERMINATION

• US 20080243009A1
• Filed: 03/30/2007
• Published: 10/02/2008
• Est. Priority Date: 03/30/2007
• Status: Abandoned Application

• Current Assignee: General Electric Company
• Original Assignee: General Electric Company
• Inventors: Hersh, Lawrence T., Medero, Richard, Kolluri, Sai, Friedman, Bruce
• Application Number:
  US11/694,178
• Publication Number:
  US 20080243009A1
• Time in Patent Office: Days
• US Class Current: 600/494
• 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

The present application discloses a method of calculating an initial inflation pressure during a blood pressure determination using an NIB system. The cuff provided with the system is inflated towards a default initial inflation pressure and a plurality of oscillometric pulses are obtained during inflation. A quick systolic pressure is estimated from a pre-defined function having a physiologically- expected shape of an oscillometric envelope fitted to oscillometric data obtained during the inflation. In an embodiment, the parameters within the function are specifically found by fitting a plurality of oscillometric pulse amplitudes along with their corresponding cuff pressures obtained during inflation to the pre-defined function. The cuff is inflated up to a calculated initial inflation pressure, which is found from the estimated quick systolic pressure. After the cuff is brought to the initial inflation pressure, deflation is begun for determining the actual systolic and diastolic pressures for output to a user.

Claims

1. A method of calculating an initial inflation pressure, while monitoring blood pressure, comprising the steps of:

(a) inflating a blood pressure cuff;

(b) monitoring for the presence of oscillometric pulses during the inflation of the blood pressure cuff;

(c) estimating a quick systolic blood pressure for a patient based on the oscillometric pulses detected during the inflation of the blood pressure cuff; and

(d) defining the initial inflation pressure as a predetermined pressure above the estimated systolic pressure;

wherein the systolic blood pressure is estimated by curve fitting with a pre-defined function having a physiologically-expected shape of an oscillometric envelope, the curve fitting being done by using a plurality of oscillometric pulses along with corresponding cuff pressures obtained during an early part of inflation.

2. A method as in claim 1, wherein the step of inflating the blood pressure cuff comprises increasing cuff pressure at a rate such that the initial inflation pressure, is defined before the cuff pressure reaches a default initial inflation pressure.

3. A method as in claim 1, wherein the step of monitoring for the presence of oscillometric pulses, comprising the steps of:

(a) receiving a plurality of oscillations from a pressure transducer during the inflation of the blood pressure cuff; and

(b) filtering a cuff pressure waveform to extract the oscillometric pulses.

4. A method as in claim 3, wherein while monitoring for the presence of oscillometric pulses, further comprises defining an oscillometric envelope using amplitudes of the oscillometric pulses along with corresponding cuff pressures.

5. A method as in claim 1, wherein estimating the systolic blood pressure, comprises the steps of:

(a) finding the function parameters within the pre-defined function with curve fitting using oscillometric pulses along with corresponding cuff pressures obtained during the inflation of the cuff;

(b) obtaining a mean arterial pressure and a diastolic pressure from the fitted curve; and

(c) estimating the systolic pressure from the estimated mean arterial pressure and a diastolic pressure.

6. A method as in claim 5, wherein estimating systolic blood pressure from the estimated mean arterial pressure and diastolic pressure, further comprises the steps of:

(a) selecting at least one oscillometric pulse from the plurality of oscillometric pulses obtained during the inflation;

(b) calibrating the selected oscillometric pulse with the obtained mean arterial pressure and diastolic pressure; and

(c) estimating the systolic pressure from the calibrated oscillometric pulse.

7. A method as in claim 5, wherein estimating systolic blood pressure from the estimated mean arterial pressure and diastolic pressure, further comprises estimating systolic pressure using any mathematical formula relation of mean arterial pressure and diastolic pressure with systolic pressure.

8. A method as in claim 5, wherein the quick systolic pressure is estimated based on data gathered from only part of the inflation pressure range.

9. A method as in claim 1, wherein defining the initial inflation pressure comprises the step of calculating the initial inflation-pressure before the cuff pressure achieves the default initial inflation pressure.

10. A method as in claim 9, which further comprises the step of terminating the process for attempting the calculation of the initial inflation pressure, if the cuff pressure reaches the default initial inflation pressure before calculating the new initial inflation pressure.

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

(a) providing a non-invasive blood pressure (NIB) monitor having a selectively inflatable and deflatable blood pressure cuff and at least one pressure transducer for detecting oscillometric pulses;

(b) inflating the blood pressure cuff;

(c) generating an oscillometric envelope from the oscillometric pulses obtained when varying cuff pressure during the inflation of the blood pressure cuff;

(d) estimating the MAP and diastolic pressures for the patient by curve fitting using a pre-defined function having a physiologically-expected shape of an oscillometric envelope and using a plurality of oscillometric pulse amplitudes obtained during inflation along with their corresponding cuff pressures so that the values of parameters within the function are found to completely specify that same function; and

(e) terminating the inflation of the blood pressure cuff at an initial inflation pressure above the estimated systolic blood pressure, where the systolic pressure is estimated from a calibrated cuff pressure oscillation or from a mathematical formula that relates systolic to diastolic and MAP.

14. A method as in claim 11, further comprising:

(a) deflating the blood pressure cuff from the initial inflation pressure;

(b) monitoring for oscillometric pulses from the pressure transducer during the deflation of the blood pressure cuff from the initial inflation pressure; and

(c) determining the systolic pressure, mean arterial pressure and diastolic pressure of the patient based upon the oscillometric pulses detected during the deflation of the blood pressure cuff from the initial inflation pressure.

12. A method as in claim 12, wherein the oscillometric envelope used for curve fitting is obtained from a portion of the inflation period.

13. A method as in claim 12, wherein the systolic pressure is estimated during the inflation of the cuff, at a point in time when the amplitude of the obtained oscillometric pulses start decreasing.

15. A method of controlling inflation of a cuff during monitoring blood pressure of a patient using a NIB system comprising the steps of:

(a) providing the patient with a selectively inflatable and deflatable non-invasive blood pressure cuff arranged to be worn about a limb of the patient and operatively connected to a non-invasive blood pressure monitor;

(b) estimating a systolic blood pressure for the patient from oscillometric information measured from only part of the inflation pressure range and based on using a pre-defined function having a physiologically-expected shape of an oscillometric envelope for curve fitting to a plurality of oscillometric pulse amplitudes along with their corresponding cuff pressures; and

(c) controlling inflation of the blood pressure cuff based on the calculated initial inflation pressure, the initial inflation pressure being obtained from an estimated systolic pressure, during inflation of the blood pressure cuff.

16. A method as in claim 15, wherein the systolic pressure is estimated from a calibrated cuff pressure oscillation or from a mathematical formula that relates systolic to diastolic and MAP.

17. A method as in claim 15, wherein controlling inflation further comprises the steps

(a) setting an initial inflation pressure at the beginning of inflation of the cuff

(b) monitoring the status of cuff pressure during inflation, the status being assigned based on whether the cuff pressure reached the set initial inflation pressure;

(c) terminating the inflation of the blood pressure cuff at a calculated initial inflation pressure, if the new initial inflation pressure is calculated before the cuff pressure achieves the first set initial inflation pressure; and

(d) deflating the blood pressure cuff from the initial inflation pressure.