Method and apparatus for continuously monitoring systolic blood pressure

• US 4,030,485 A
• Filed: 11/12/1974
• Issued: 06/21/1977
• Est. Priority Date: 11/12/1974
• Status: Expired due to Term

• Current Assignee: Glenfield Warner
• Original Assignee: Glenfield Warner
• Inventors: Warner, Glenfield
• Primary Examiner(s): Michell, Robert W.
• Assistant Examiner(s): Cohen, Lee S.
• Application Number:
  US05/523,196
• Time in Patent Office: 952 Days
• Field of Search: 128/2.05 A, 128/2.05 M, 128/2.05 N, 128/2.05 P, 128/2.05 Q, 128/2.05 R, 128/2 L
• US Class Current: 600/480
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/02255 the pressure being controlled by plethysmographic signals, e.g. derived from optical sensors
• 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 5/7239 using differentiation including higher order derivatives

Abstract

The invention relates to a method and apparatus for continuously monitoring systolic blood pressure of a subject. The instrument includes a light transducer for detecting variations in light intensity corresponding to variations in blood volume of tissue of the subject under the transducer and for converting the changes in light intensity to changes in voltage. In one embodiment, a heater is provided to dilate the tissue under the transducer. The voltage signals are differentiated with respect to time, and the differentiated signal is sampled once every heart beat of the subject at the beginning of diastole, or at the maximum value of the differentiated signal sampled during diastole, to produce a sampled voltage signal. To this sampled voltage signal is added a voltage representative of a steady pressure, and the sum is a voltage representative of systolic pressure. The amplitude of the steady pressure is a function of blood pressure in the aorta and large arteries of the subject, stiffness of the aorta and large arteries, and the total peripheral resistance of the subject.

Claims

1. A method for continuously monitoring systolic pressure in a human or animal subject by means of a calibrated instrument including light transducer means for converting variations in light intensity to variations in amplitude of an electrical quantity comprising:

detecting, with said transducer means, variations in light intensity corresponding to variations in blood volume of the tissue of said subject under said transducer means;

whereby the output of said tranducer means comprises variations in amplitude of said electrical quantity corresponding to said variations in blood volume;

differentiating said variations in amplitude of said electrical quantity with respect to time to provide a differentiated amplitude representative of the rate of said variations in blood volume;

periodically selecting a sample of said differentiated amplitude; and

adding to said sample an amplitude of a like electrical quantity representative of a reference pressure;

to thereby produce an electrical signal whose amplitude is proportional to systolic pressure of said subject; and

providing said electrical signal to a display means to drive said display means whereby the magnitude of said systolic pressure is displayed on said display means.

2. A method as defined in claim 1 wherein said samples are selected once every heart beat of said subject.

3. A method as defined in claim 2 wherein said samples are selected at the beginning of diastole.

4. A method as defined in claim 3 wherein said amplitude of said reference pressure is a function of blood pressure in the aorta and large arteries of said subject, stiffness of said aorta and large arteries, and total peripheral resistance of the blood of said subject.

5. A method as defined in claim 4 and further comprising heating the tissue under the transducer means to dilate it to near maximum dilation.

6. A method as defined in claim 4 and further comprising monitoring skin temperature of said subject on the skin of said subject under said transducer means;

and

modifying said differentiated amplitude in accordance with variations in said skin temperature.

7. A method as defined in claim 4 where said electrical quantity is voltage, and wherein said instrument is calibrated to read in mm Hg.

8. A method as defined in claim 4 wherein said reference pressure is considered a constant, whereby said amplitude of said electrical quantity representative of said reference pressure is a constant amplitude;

including precalibrating the instrument comprising the steps of;

adjusting the instrument to read zero on the display means;

measuring the subject'"'"'s diastolic pressure by some other means;

adjusting the amplitude representative of said reference pressure to read one third of said diastolic pressure, or other suitable value, on said display means;

measuring the subject'"'"'s systolic pressure; and

adjusting the sum of said sample and said amplitude representative of said reference pressure to read said systolic pressure on said display means.

9. A method as defined in claim 2 wherein said samples are selected at the maximum value of the differentiated signal during diastole.

10. A method as defined in claim 9 wherein said amplitude of said reference pressure is a function of blood pressure in the aorta and large arteries of said subject, stiffness of said aorta and large arteries, and total peripheral resistance of the blood of said subject.

11. A method as defined in claim 10 and further comprising heating the tissue under the transducer means to dilate it to near maximum dilation.

12. A method as defined in claim 10 and further comprising monitoring skin temperature of said subject on the skin of said subject under said transducer means;

and

modifying said differentiated amplitude in accordance with variations in said skin temperature.

13. A method as defined in claim 10 where said electrical quantity is voltage, and wherein said instrument is calibrated to read in mm Hg.

14. A method as defined in claim 10 wherein said reference pressure is considered a constant, whereby said amplitude of said electrical quantity representative of said reference pressure is a constant amplitude;

including precalibrating the instrument comprising the steps of;

adjusting the instrument to read zero on the display means;

measuring the subject'"'"'s diastolic pressure by some other means;

adjusting the amplitude representative of said reference pressure to read one third of said diastolic pressure, or other suitable value, on said display means;

measuring the subject'"'"'s systolic pressure; and

adjusting the sum of said sample and said amplitude representative of said reference pressure to read said systolic pressure on said display means.

15. A calibrated instrument for continuously monitoring the systolic pressure of a human or animal subject comprising;

transducer means for detecting variations in light intensity corresponding to variations in blood volume of the tissue of said subject under said transducer means;

means for converting said variations in light intensity to variations in amplitude of an electrical quantity;

differentiating means for differentiating said variations in amplitude of said electrical quantity with respect to time to provide a differentiated amplitude representative of the rate of said variations in blood volume;

sampling means for periodically selecting a sample of said differentiated amplitude;

means for providing an amplitude of a like electrical quantity representative of a reference pressure;

adding means to add said sample and said amplitude representative of reference pressure;

whereby to produce an electrical signal whose amplitude is proportional to the systolic pressure of said subject;

display means for receiving said electrical signal and displaying the magnitude of the systolic pressure.

16. An instrument as defined in claim 15 wherein said electrical quantity comprises a voltage and further comprising;

voltage amplifier means for amplifying the voltage signal at the output of said converting means;

said amplifier means comprising means for adjusting the gain thereof;

and filter means for filtering the amplified voltage and for feeding said differentiating means;

and wherein said means for providing a voltage amplitude representative of said reference pressure comprises a potentiometer and a source of voltage connected across said potentiometer, the output of said potentiometer being fed to said adding means.

17. An instrument as defined in claim 16 and further comprising compensating means for modifying said differentiated output in accordance with variations in temperature of the skin of the subject under said transducer means, said compensating means comprising an amplifier with variable gain;

and thermistor means, adapted to be located on the skin of the subject under the transducer means, the output of said thermistor means being connected to said amplifier for adjusting the gain of said amplifier in accordance with said variations in skin temperature.

18. An instrument as defined in claim 16 and further comprising heating means for dilating the tissue under the transducer means.