Process and apparatus for measuring blood pressure

• US 4,437,470 A
• Filed: 05/14/1982
• Issued: 03/20/1984
• Est. Priority Date: 08/28/1979
• Status: Expired due to Fees

• Current Assignee: Battelle Memorial Institute
• Original Assignee: Battelle Memorial Institute
• Inventors: Prost, Jean-Louis
• Primary Examiner(s): Howell, Kyle L.
• Assistant Examiner(s): Jaworski, Francis J.
• Application Number:
  US06/378,254
• Time in Patent Office: 676 Days
• Field of Search: 128/666-667, 128/679, 128/687-690
• US Class Current: 600/492
• CPC Class Codes: A61B 5/02241 of small dimensions, e.g. adapted to fingers
• CPC Class Codes: A61B 5/02255 the pressure being controlled by plethysmographic signals, e.g. derived from optical sensors
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence

Abstract

A photoelectric transparency detector juxtaposed under a certain contact pressure with the tip of a finger works into a computer also receiving the values of an astringent pressure simultaneously applied to another part of the finger by an inflatable air cushion of a flow-blocking cuff. The computer calculates a predetermined fraction, specifically one-half, of the sum of several air-pressure values measured during a period of progressive relaxation of the astringent pressure, taken at instants coinciding with certain points of a continuous curve representing changes in the mean transparency of a skin area contacted by the detector, which constitutes a close approximation of systolic blood pressure. Diastolic blood pressure may be measured during a heartbeat immediately following a low point of the mean-transparency curve.

Claims

1. A process for measuring a person'"'"'s blood pressure, comprising the steps of:

(a) temporarily blocking the flow of blood on an extremity of such person'"'"'s body by the application of astringent pressure;

(b) applying a photosensitive element to an illuminated skin area of said extremity, downstream of the flow-blocking location, with a contact pressure ranging between substantially 50 and 150 g/cm² ;

(c) continuously measuring an output signal of said photosensitive element, representative of the instantaneous transparency of said skin area, during a period of progressive relaxation of said astringent pressure;

(d) averaging said output signal to obtain a mean-transparency curve plotted against time;

(e) measuring several values of said astringent pressure at instants corresponding to respective points of said mean-transparency curve; and

(f) calculating a predetermined fraction of the sum of said several values as an indication of systolic blood pressure.

2. A process as defined in claim 1 wherein the values measured in step (e) are a first value taken at an instant corresponding to an upper inflection point of said curve, a second value taken at an instant corresponding to a low point of said curve, and a third value taken at an instant corresponding to a leveling-off point of said curve.

3. A process as defined in claim 2 wherein said fraction is calculated in step (f) as one-half the sum of said first, second and third values.

4. A process as defined in claim 2 or 3, comprising the further step of measuring an additional value of said astringent pressure at an instant coinciding with a heartbeat immediately following said low point of said curve as an indication of diastolic blood pressure.

5. A process as defined in claim 1, 2 or 3 wherein steps (a) and (b) are performed on the person'"'"'s finger.

6. An apparatus for measuring a person'"'"'s blood pressure, comprising:

a cuff provided with an air-inflatable cushion applicable to an extremity of a person'"'"'s body for exerting an astringent pressure temporarily cutting off the blood flow;

a detector including a light source and a photosensor positionable, with a contact pressure ranging between substantially 50 and 150 g/cm², on a skin area of said extremity downstream of said cuff;

operating means connected with said cushion for inflating and controlledly deflating same;

transducer means coupled with said operating means for converting measured values of said astringent pressure into first electrical signals representative of blood pressure;

circuit means connected to said detector for continuously converting output signals of said photosensor into second electrical signals representative of the mean transparency of said skin area; and

computer means connected to said circuit means and to said transducer means for calculating a predetermined fraction of the sum of several values of said first electrical signals, coinciding with predetermined points of a mean-transparency curve derived from said second electrical signals, as an indication of systolic blood pressure.

7. An apparatus as defined in claim 6, further comprising display means connected to an output of said computer means.

8. An apparatus as defined in claim 6 or 7 wherein said circuit means includes a differentiator deriving from said curve a high-frequency component representative of the person'"'"'s heartbeat rhythm for enabling the calculation by said computer means of a further value of said first electrical signals, following by one heartbeat a low point of said curve, as an indication of diastolic blood pressure.

9. An apparatus as defined in claim 8 wherein said differentiator comprises a high-pass filter.

10. An apparatus as defined in claim 6 or 7 wherein said cuff fits around a person'"'"'s finger, said detector comprising a cap accommodating a fingertip.