Method and arrangement for measuring blood pressure

• US 4,105,021 A
• Filed: 08/13/1976
• Issued: 08/08/1978
• Est. Priority Date: 08/13/1976
• Status: Expired due to Term

• Current Assignee: Lawrence S. Weisman
• Original Assignee: Joseph H. Allen, Lawrence S. Weisman
• Inventors: Williams, William J., Heetderks, William J.
• Primary Examiner(s): Michell, Robert W.
• Assistant Examiner(s): Jaworski, Francis J.
• Application Number:
  US05/714,097
• Time in Patent Office: 725 Days
• Field of Search: 128/2.05 A, 128/2.05 C, 128/2.05 E, 128/2.05 P, 128/2.05 M
• US Class Current: 600/496
• CPC Class Codes: A61B 5/02141 Details of apparatus construction, e.g. pump units or housings therefor, cuff pressurising systems, arrangements of fluid conduits or circuits A61B5/02233, A61B5/0235 take precedence
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• CPC Class Codes: A61B 5/02241 of small dimensions, e.g. adapted to fingers
• CPC Class Codes: A61B 5/103 Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes A61B5/08 takes precedence; measuring aids for tailors A41H1/00; measuring instruments specially adapted for dentistry A61C19/04
• CPC Class Codes: A61B 5/6888 Cabins

Abstract

A method and arrangement for the indirect measurement of systolic and diastolic blood pressure is disclosed which involves applying an occluding inflatable cuff to a body member, with the pressure applied thereby being cycled between a pressure greater than systolic and a pressure less than diastolic. Systolic blood pressure is detected by sensing the point in the pressure cycle at which the blood flow in the occluded member shifts between a flow and no flow condition, while diastolic blood pressure is detected by sensing a characteristic change in slope of blood pulse wave form changes occurring with changing cuff pressures which occurs at a cuff pressure equal to the diastolic pressure. An approach for correcting the systolic and diastolic pressure measurements obtained by this method at one point of the body to give equivalent readings of the systolic and diastolic blood pressure at another point is also disclosed.

Claims

1. A method of measuring blood pressure of a subject including the steps of:

occluding blood flow in a body member by applying a pressure force to said body member, said application step including the step of changing said pressure force between a level whereat said blood flow is substantially occluded and a level whereat said blood flow is substantially unoccluded;

monitoring said pressure applying said pressure force during said change in levels, including detecting variations in said pressures induced by blood pressure pulses;

analyzing the shape of each wave form constituted by said pressure variations over the enitre course of each blood pressure pulse, including the step of calculating a wave form index value providing a quantitative indicator of the shape of said wave form;

analyzing the changes in the wave form index values produced by successive changes in pressure applied in said occluding step;

detecting a change in slope in the successive changes of said wave form index values at said pressure level corresponding to unoccluded blood flow;

determining the average pressure monitored by said monitoring step at said pressure level, whereby the pressure level corresponding to diastolic blood pressure is measured.

2. The method of claim 1 further including the step of detecting a change in blood flow condition between a flow and a no-flow condition, and determining the average pressure monitored by said monitoring step at said change in blood flow condition whereby the pressure level corresponding to systolic is determined.

3. The method according to claim 1 wherein in said wave form shape analyzing step the average variation of said pressure variations is calculated and successive changes in said average are detected in said detecting step in order to determine said change in slope.

4. The method according to claim 1 wherein in said occluding step a finger is occluded by applying said pressure force.

5. A method according to claim 4 further including the step of developing physiological data of the subject and correcting said blood pressure determined to correspond to equivalent blood pressure reading at said subject'"'"'s upper arm.

6. The method according to claim 1 wherein in said occluding step a wrist is occluded by applying said pressure force.

7. The method according to claim 1 wherein in said wave form analyzing step, said pressure variations wave forms are normalized whereby said index values are independent of pressure variation amplitude.

8. An arrangement for measuring blood pressure in a subject comprising:

means for occluding blood flow in a body member, including means for applying a pressure force to said body member, said means further including means for changing said pressure force between a level wherein said blood flow is substantially occluded and a level wherein blood flow is substantially unoccluded;

means for monitoring said pressure force, during said change in levels, including means for detecting variations in said pressures induced by blood pressure pulses;

means analyzing the shape of each wave form constituted by said pressure variations over the entire course of each blood pressure pulse, said means including means producing a wave form index value signal providing a quantitative indicator value signal corresponding to the shape of said wave form;

means analyzing the changes in wave form index signal values produced by successive changes in pressure applied by said occluding means;

means for detecting a change in slope in the successive changes of said wave form index signal values at said pressure level corresponding to unoccluded blood flow;

means for determining the average pressure monitored by said monitoring means at said pressure level, whereby said pressure level corresponding to diastolic pressure is measured.

9. The arrangement according to claim 8 further including means for detecting the changes in blood flow condition between a flow and a no-flow condition, further including means for determining the average pressure monitored by said monitoring means said change in blood flow condition whereby the pressure level corresponding to systolic is determined.

10. The arrangement according to claim 8 wherein said means for occluding blood flow in a body member includes an inflatable cuff adapted to encircle said body member and further includes means for pressurizing said inflatable cuff.

11. The arrangement as in claim 8 wherein said means analyzing the changes in wave form index signal values of said pressure variations includes means measuring the average pressure level variation during a said blood pressure pulse, and means for measuring successive changes in said average pressure level variation.

12. The arrangement according to claim 8 wherein said occluding means includes inflatable cuff adapted to encircle a finger of the subject and means for inflating said inflatable cuff.

13. The arrangement according to claim 12 further including means for generating physiological data corresponding to said subject and further including means for converting said blood pressure readings obtained from said finger location to an equivalent corresponding upper arm, blood pressure reading based on said physiological data.

14. The arrangement according to claim 8 wherein said occluding means includes inflatable cuff adapted to encircle a wrist of the subject and means for inflating said inflatable cuff.

15. The arrangement according to claim 8 further including coin receiving means and means activating said arrangement upon receipt of a predetermined number of coins of a proper denomination whereby said blood pressure measuring arrangement is coin operated.

16. The arrangement according to claim 8 wherein said means analyzing said pressure variation wave form shape includes means normalizing said pressure variation signal values whereby said index values are independent of pressure variation amplitude.

17. A method of measuring blood pressure of a subject including the steps of:

occluding blood flow in a body member by applying a pressure force to said body member, said application step including the step of changing said pressure force between a level whereat said blood flow is substantially occluded and a level whereat said blood flow is substantially unoccluded;

monitoring said pressure applying said pressure force during said change in levels, including detecting variations in said pressures induced by blood pressure pulses;

analyzing each wave form constituted by said pressure variations over the entire course of each blood pressure pulse;

analyzing the changes in the wave form of said pressure variations produced by successive changes in pressure applied in said occluding step;

detecting a change in the successive changes of said wave form at said pressure level corresponding to unoccluded blood flow;

determining the average pressure monitored by said monitoring step at said pressure level, whereby the pressure level corresponding to diastolic blood pressure is measured.

18. An arrangement for measuring blood pressure in a subject comprising:

means for occluding blood flow in a body member, including means for applying a pressure force to said body member, said means further including means for changing said pressure force between a level wherein said blood flow is substantially occluded and a level wherein blood flow is substantially unoccluded;

means for monitoring said pressure force, during said change in levels, including means for detecting variations in said pressures induced by blood pressure pulses;

means analyzing each wave form constituted by said pressure variations over the entire course of each blood pressure pulse;

means analyzing the changes in wave form of said pressure variations produced by successive changed in pressure applied by said occluding means;

means for detecting a change in the successive changes of said wave form at said pressure level corresponding to unoccluded blood flow;

means for determining the average pressure monitored by said monitoring means at said pressure level, whereby said pressure level corresponding to diastolic pressure is measured.