WEIGHING SCALE WITH EXTENDED FUNCTIONS

• US 20160317043A1
• Filed: 04/30/2015
• Published: 11/03/2016
• Est. Priority Date: 04/30/2015
• Status: Abandoned Application

• Current Assignee: Withings S.A.
• Original Assignee: Withings S.A.
• Inventors: Karam, Ghaleb, Campo, David, Buard, Nadine, Carreel, Eric
• Application Number:
  US14/701,054
• Publication Number:
  US 20160317043A1
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61B 5/02007 Evaluating blood vessel condition, e.g. elasticity, compliance
• CPC Class Codes: A61B 5/02028 Determining haemodynamic parameters not otherwise provided for, e.g. cardiac contractility or left ventricular ejection fraction
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/02125 of pulse wave propagation time
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• CPC Class Codes: A61B 5/0295 using plethysmography, i.e. measuring the variations in the volume of a body part as modified by the circulation of blood therethrough, e.g. impedance plethysmography
• CPC Class Codes: A61B 5/0535 Impedance plethysmography for measuring blood flow A61B5/0295
• CPC Class Codes: A61B 5/1102 Ballistocardiography
• CPC Class Codes: A61B 5/6801 specially adapted to be attached to or worn on the body surface
• CPC Class Codes: A61B 5/6887 mounted on external non-worn devices, e.g. non-medical devices
• CPC Class Codes: A61B 5/6892 Mats
• CPC Class Codes: G01G 19/50 having additional measuring devices, e.g. for height

Abstract

Methods of determination of the blood pressure, determination of a heart stroke volume, determination of the state of stress or relaxation of a user, with use of a ballistocardiogram signal reflecting the user'"'"'s heart beats, with a measure of characteristic amplitude of ballistocardiogram signal, and measure for each couple of consecutive heart beats, beat time intervals DeltaHB(i) between successive heart beats, extracted from a ballistocardiogram signal or from an impedance plethysmography signal measured at the user'"'"'s foot, leading to determination of a heart rate variability index, over at least six successive heart beats, leading to determination of mean arterial pressure, leading to determination of state of relaxation or stress of the user.

Claims

1. A method to determine a blood arterial pressure of an individual user (U) in a system comprising a smartphone, a cuff pressure monitor device and a personal electronic scale having a top surface with conductive pads, the method comprising the steps of:

S1—

measure a first mean arterial pressure (MAP1) of the individual user (U) with the help of the cuff pressure monitor device, at a first instant (GT1),

S2—

determine a first arterial pulse wave velocity value (PWV1) of the individual user (U) standing on the personal electronic scale, at a second instant (GT2), temporally close to the first instant (GT1),

/a/—

acquiring weight variations, and extracting therefrom a ballistocardiogram (21) of the user'"'"'s heart beat,

/b/—

acquiring impedance plethysmography signals across one of the foot of the user, and extracting therefrom a blood pulse signal at the foot,

/c/—

calculating a time delay (DT) between the heart beat and the blood pulse signal arriving at the foot,

/d1/ deducing therefrom a value of the arterial pulse wave velocity of the user,

S3—

determine a second arterial pulse wave velocity value (PWV2) in a similar manner as for step S2, at a third instant (GT3),

S4—

determine a second mean arterial pressure (MAP2) of the individual user (U) from the first mean blood pressure MAP1 and a function Fcorr of PWV1 and PWV2, namely MAP2=MAP1+Fcorr (PWV1, PWV2).

2. The method of claim 1, wherein

a determination of an arterial pulse wave velocity can be performed each time the user (U) stands on the personal electronic scale (step S2 and S3), for example on a daily basis, and

the measurement of a first mean blood pressure MAP1 of the individual user (U) with the cuff pressure monitor device (step S1) is performed at a lower frequency, for example once a month.

7. The method according to claim 1, further comprising:

determine user'"'"'s Heart Rate (HR) and cardiac output CO by CO=HR×

SV

determine a user'"'"'s cardiovascular parameter known as peripheral resistance RP, by dividing the mean arterial pressure by the Cardiac output, namely RP=MAP1/CO, or RP=MAP2/CO.

3. A method to assess a stroke volume of the heart systolic contraction of an individual user (U) standing on a personal electronic scale, the method comprising:

/a/—

acquire weight variations, and extracting therefrom a ballistocardiogram signal reflecting the user'"'"'s heart beats,

identify, in the ballistocardiogram signal, for at least one heart beat HB(i) exhibiting a pulse-like wave signal PW(i), having a first and a second significant negative apexes I,K and a first and a second significant positive apexes H,J,

identify, one or more characteristic value WCV from at least two of the first and second positive and negative apexes, H,I,J,K,

assess a user'"'"'s stroke volume SV, as a mathematical function of the one or more characteristic value WCV.

4. The method of claim 3, wherein the characteristic value WCV is given by:

WCV=∫

_H^Q|PW(t)(t)|dt, Q being either I or J, and SV is inferred from WCV.

5. The method of claim 3, wherein the one or more characteristic value WCV comprise:

a first amplitude A1, measured from the first positive apex H to the first negative apex I, a second amplitude A2, measured from the first negative apex I to the second positive apex J, a third amplitude A3, measured from the second positive apex J to the second negative apex K,

wherein the stroke volume is given by SV=G (A1,A2,A3), G being a linking function with predefined coefficients.

6. The method of claim 5, wherein the linking function G can be expressed by:

G=K×

√

{square root over (α

1A1+α

2A2+α

3A3)}×

(HR)^BR

where K, α

1, α

2, α

3 and BR are either predefined coefficients and HR is the user'"'"'s heart rate.

8. A method to assess a state of stress and/or relaxation of an individual user (U) standing on a personal electronic scale, the method comprising:

/a/—

acquire weight variations, and extracting therefrom a ballistocardiogram signal reflecting the user'"'"'s heart beats,

/PA1/—

identify, in the ballistocardiogram signal, for each of a plurality of consecutive heart beats HB(i), a pulse wave PW(i),

/PA2/—

measure, for each pulse wave PW(i), at least one characteristic amplitude WA(i) of the pulse wave PW(i),

measure, for each couple of consecutive heart beats, beat time intervals DeltaHB(i) between successive heart beats, from the ballistocardiogram signal or from an impedance plethysmography signal measured at the user'"'"'s foot,

/PR1/—

determine a user expiration phase whenever characteristic amplitude WA(i) decreases and/or beat time intervals DeltaHB(i) increases,

/PR2/—

determine a user inspiration phase whenever characteristic amplitude WA(i) increases and/or beat time intervals DeltaHB(i) decreases,

assess a state of stress and/or relaxation of the user, as a function of synchronization index between the inspiration/expiration phases and the user heart beats.

9. The method of claim 8, further comprising:

/PR3/—

reconstruct, from steps /PR1/ and /PR2/, a respiration cycle as a cosine-like function of time, with null phase at a time of switch between inspiration and expiration (T_ie) or at a time of switch between expiration and inspiration (T_ei),

wherein the synchronization index is defined from an evolution over time of a phase difference DeltaPhi, which separates the null phase of the respiration cycle and the nearest heart beat HB(i).

10. The method of claim 8, wherein the characteristic amplitude WA(i) of the pulse wave PW(i) is defined by the amplitude A_JKi, measured from the second positive apex Ji to the second negative apex Ki or the amplitude A_IJi measured from the first negative apex Ii to the second positive apex Ji.

11. A method to assess a state of fatigue of an individual user (U) standing on a personal electronic scale, the method comprising:

measure, for each couple of consecutive heart beats, beat time intervals DeltaHB(i) between successive heart beats, extracted from a ballistocardiogram signal or from an impedance plethysmography signal measured at the user'"'"'s foot,

determine a heart rate variability index HRVI, over at least six successive heart beats.

12. The method of claim 11, wherein the heart rate variability index HRVI can be expressed by:

Max [DeltaHB(i)]−

Min [DeltaHB(i)], where indicia i is ranging from 1 to i0, i0 being the number of monitored heart beats when the user is standing on the scale, i0 being at least 6.

13. The method of claim 12, wherein i0 is defined such that at least one complete respiration cycle is recorded during i0 heart beats, preferably more one complete respiration cycle are recorded, whereby the respiration cycle is retrieved by the following steps:

/PA1/—

identify, in the ballistocardiogram signal, for each of a plurality of consecutive heart beats HB(i), a pulse wave PW(i),

/PA2/—

measure, for each pulse wave PW(i), at least one characteristic amplitude WA(i) of the pulse wave PW(i),

/PR1/—

determine a user expiration phase whenever characteristic amplitude WA(i) decreases and/or beat time intervals DeltaHB(i) increases,

/PR2/—

determine a user inspiration phase whenever characteristic amplitude WA(i) increases and/or beat time intervals DeltaHB(i) decreases.

14. The method of claim 11, wherein the heart rate variability index HRVI can be expressed by