Automatic mean blood pressure reading device

• US 4,349,034 A
• Filed: 03/31/1980
• Issued: 09/14/1982
• Est. Priority Date: 04/10/1978
• Status: Expired due to Term

• Current Assignee: Critikon Co. LLC
• Original Assignee: Johnson & Johnson
• Inventors: Ramsey, Maynard III
• Primary Examiner(s): Howell, Kyle L.
• Assistant Examiner(s): Jaworski, Francis J.
• Application Number:
  US06/136,129
• Time in Patent Office: 897 Days
• Field of Search: 128/679-683
• US Class Current: 600/494
• 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 5/02225 using the oscillometric method
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives

Abstract

A method for producing information indicative of the mean blood pressure of a living creature through indirect measurement, practiced in a system comprising an inflatable cuff, a pump connected to the cuff, a deflating valve connected to the cuff, measuring apparatus connected to the cuff adapted to measure cuff pressure and pressure oscillations occurring in the cuff caused by the heartbeat of the living creature and control apparatus connected to the pressure measuring apparatus, pump and deflating valve. Deflation of the cuff occurs in pressure increments, with processing being done at each given increment to evaluate plural successive pulsations for purposes of artifact rejection and identification of a true pulsation.

Claims

1. A method for automatically taking indirect mean blood pressure readings comprising the steps of:

a. placing a cuff around a portion of a person'"'"'s body;

b. inflating the cuff to a predetermined pressure;

c. taking a measurement of the peak to peak oscillation values of the cuff pressure with each heartbeat and a substantially simultaneous measurement of the cuff pressure;

d. incrementally deflating the cuff at a predetermined increment of pressure, and maintaining said cuff pressure at a constant value for a predetermined period of time while taking a measurement of the peak-to-peak oscillation values of the cuff pressure with each heartbeat and a simultaneous measurement of the cuff pressure;

e. continuously comparing the measurement of the peak to peak oscillation values at each cuff pressure to determine the maximum peak to peak value and storing said cuff pressure measurement obtaining when said maximum peak to peak value measurement was determined;

f. repeating the steps (d) and (e) at least two more times after the maximum peak-to-peak value has been determined;

g. determining and storing the lowest cuff pressure at which the maximum peak to peak value measurement is obtained;

h. deflating the cuff if a measure of the peak-to-peak oscillation value is not obtained which is greater than or equal to the measurement value obtained at least two measurements before; and

i. indicating the values of pressures obtained in said method steps.

2. The method of claim 1 including the steps of:

i. waiting a period of time for the venous system to drain after the cuff is deflated; and

j. automatically inflating the cuff up to a predetermined pressure above the lowest cuff pressure at which the maximum peak to peak value was obtained.

3. A method for automatically taking mean blood pressure readings as claimed in claim 1, wherein said cuff is inflated up to a predetermined pressure of 60 millimeters of mercury above the mean pressure obtained during the previous measurement of the blood pressure.

5. A method as in claim 1 or 4 wherein said peak-to-peak oscillation value measurement step comprises effecting plural pulse peak-to-peak amplitude measurements, and averaging said plural amplitude measurements.

6. A method as in claim 5 further comprising the step of artifact rejection, said artifact rejection step comprising comparing said plural peak-to-peak amplitude measurements, and accepting said measurements as valid only if said amplitudes match within a prescribed maximum differential bound.

7. A method as in claim 5 further comprising the step of artifact rejection, said artifact rejection comprising determining the slope of said averaged amplitude measurements by determining the difference between successive measurements, and accepting said measurements as valid only if said differential does not exceed a prescribed maximum bound therefor.

8. A method as in claim 5 further comprising the step of artifact rejection, said artifact rejection step comprising determining the interval between successive averaged amplitude measurements, and accepting said measurements as valid only if said elapsed time interval does not exceed a prescribed bound therefor.

4. A method for automatically taking indirect mean blood pressure readings comprising:

a. placing a cuff connected to a transducer around a portion of a person'"'"'s body;

b. automatically determining the transducer zero offset;

c. inflating the cuff to a predetermined pressure while compensating for the initial transducer zero offset;

d. taking a measurement of substantially peak to peak oscillation values of the cuff pressure having similar peak-to-peak values, duration between pulse peaks, and rise time characteristics;

e. incrementally deflating the cuff a predetermined amount of pressure and maintaining said cuff at a constant pressure for a predetermined time period and taking measurements until substantially similar peak to peak oscillation value characteristics of the cuff pressure occur while measuring the cuff pressure;

f. continuously comparing the measurement at each cuff pressure to determine the maximum peak to peak value;

g. repeating steps (e) and (f) at least two more times beyond the maximum peak to peak value obtained;

h. indicating the cuff pressure at which the maximum peak to peak value was obtained;

i. deflating the cuff if a value is not obtained for said measurement of said peak-to-peak oscillation values which is greater than or equal to the peak to peak value measurement obtained at least two measurements before; and

j. printing out the values obtained during the taking of said measurements.