SYSTEMS AND METHODS FOR MEASURING ARTERIAL STIFFNESS

• US 20120226173A1
• Filed: 05/15/2012
• Published: 09/06/2012
• Est. Priority Date: 05/25/2010
• Status: Active Grant

• Current Assignee: Welch Allyn Incorporated
• Original Assignee: Welch Allyn Incorporated
• Inventors: Quinn, David E., Kinsley, Matt, Whitaker, Tyson B., Seller, John D.
• Granted Patent: US 9,022,942 B2
• Time in Patent Office: Days
• US Class Current: 600/490
• CPC Class Codes: A61B 5/02007 Evaluating blood vessel condition, e.g. elasticity, compliance
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• CPC Class Codes: A61B 5/02225 using the oscillometric method
• CPC Class Codes: A61B 5/0225 the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds
• CPC Class Codes: A61B 5/1107 Measuring contraction of parts of the body, e.g. organ, muscle apparatus for measuring work or force in general G01L
• CPC Class Codes: A61B 5/6824 Arm or wrist

Abstract

Disclosed herein is a system for monitoring a patient that includes a cuff configured to inflate to at least partially occlude an artery of the patient and a cuff controller configured to control inflation and deflation of the cuff. The system also includes a sensor configured to receive a signal associated with the at least partially occluded artery and generate an output signal based on the received signal. Also included is a signal analysis module configured to receive the output signal and determine a first hemodynamic parameter based on a first set of data obtained during inflation of the cuff and a second set of data obtained during deflation of the cuff.

Claims

1. A system for monitoring a patient, comprising:

a cuff configured to inflate to at least partially occlude an artery of the patient;

a cuff controller configured to control inflation and deflation of the cuff;

a sensor configured to receive a signal associated with the at least partially occluded artery and generate an output signal based on the received signal; and

a signal analysis module configured to receive the output signal and determine a first hemodynamic parameter based on a first set of data obtained during inflation of the cuff and a second set of data obtained during deflation of the cuff.

2. The system of claim 1, wherein the sensor is configured to operate with an oscillometric method.

3. The system of claim 2, wherein the first set of data comprises a first oscillometric pulse envelope curve and the second set of data comprises a second oscillometric pulse envelope curve.

4. The system of claim 3, wherein the signal analysis module is further configured to compare the first oscillometric pulse envelope curve to the second oscillometric pulse envelope curve and determine a difference.

5. The system of claim 4, wherein the first hemodynamic parameter is related to the difference between the first oscillometric pulse envelope curve and the second oscillometric pulse envelope curve.

6. The system of claim 3, wherein the signal analysis module is further configured to determine a peak of the first oscillometric pulse envelope curve and a peak of the second oscillometric pulse envelope curve.

7. The system of claim 6, wherein the signal analysis module is further configured to compare the peak of the first oscillometric pulse envelope curve to the peak of the second oscillometric pulse envelope curve and determine a difference.

8. The system of claim 7, wherein the first hemodynamic parameter is related to the difference between the peak of the first oscillometric pulse envelope curve and the peak of the second oscillometric pulse envelope curve.

9. The system of claim 6, wherein the peak of the second oscillometric pulse envelope curve substantially corresponds to a mean arterial pressure.

10. The system of claim 1, wherein the first hemodynamic parameter is selected from the group consisting of blood pressure, heart rate, aortic index, augmentation index, reflected wave ratio, and mean arterial pressure.

11. The system of claim 1, wherein the signal analysis module is further configured to determine a second hemodynamic parameter based on the output signal.

12. The system of claim 11, wherein the signal analysis module uses the first hemodynamic parameter in determining the second hemodynamic parameter.

13. The system of claim 1, wherein a third set of data is obtained during a suprasystolic pressure.

14. The system of claim 13, wherein the signal analysis module uses the third set of data to determine arterial stiffness.

15. A method of determining a hemodynamic parameter of a patient, comprising:

providing a cuff configured to at least partially occlude a vessel of the patient;

inflating the cuff over an inflation period;

obtaining a first set of data from the cuff during at least a portion of the inflation period;

deflating the cuff over a deflation period;

obtaining a second set of data during at least a portion of the deflation period; and

using a processor to determine a first hemodynamic parameter based on the first set of data and the second set of data.

16. The method of claim 15, wherein the first hemodynamic parameter is selected from the group consisting of blood pressure, heart rate, aortic index, augmentation index, reflected wave ratio, and mean arterial pressure.

17. The method of claim 15, further comprising determining a second hemodynamic parameter.

18. The method of claim 17, further comprising determining the second hemodynamic parameter based, at least in part, on the first hemodynamic parameter.

19. A system for monitoring a patient, comprising:

a cuff configured to inflate to at least partially occlude an artery of the patient;

a cuff controller configured to control inflation and deflation of the cuff;

a sensor configured to receive a signal associated with the at least partially occluded artery and generate an output signal based on the received signal;

a signal analysis module configured to receive the output signal and determine a first hemodynamic parameter based on a first set of data obtained during inflation of the cuff and a second set of data obtained during deflation of the cuff; and

an accelerometer configured to receive a first accelerometer signal corresponding to the first set of data and a second accelerometer signal corresponding to the second set of data.

20. The system of claim 19, wherein the signal analysis module is further configured to determine the presence of an irregular signal in the first accelerometer signal and the second accelerometer signal.

21. The system of claim 20, wherein the signal analysis module cancels the determination of the first hemodynamic parameter based upon the presence of an irregular signal.