Blood pressure monitor

• US 4,458,690 A
• Filed: 05/24/1982
• Issued: 07/10/1984
• Est. Priority Date: 05/24/1982
• Status: Expired due to Fees

• Current Assignee: Novatec Incorporated
• Original Assignee: Novatec Incorporated
• Inventors: O'Connor, Arthur H., Rossman, Robert A.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Sykes, Angela D.
• Application Number:
  US06/381,429
• Time in Patent Office: 778 Days
• Field of Search: 128/672, 128/675, 128/677-678, 128/680-682, 128/685, 128/687, 128/689
• US Class Current: 600/494
• CPC Class Codes: A61B 5/02208 using the Korotkoff method
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 7/045 Detection of Korotkoff sounds A61B5/0225 takes precedence; measuring blood pressure A61B5/021
• CPC Class Codes: Y10T 24/1459 Separate connections

Abstract

A digital readout electronic blood pressure and pulse rate monitor. A finger cuff occluder is pressurized by a single stroke plunger and an automatic vent means provides linear pressure decay while a pressure transducer measures the pressure and converts it to an electronic signal. A sound transducer senses sound transmitted from the cuff through the pressure tube, and an electronic system distinguishes the various characteristics of the sound to measure the systolic and diastolic pressures. The electronic system also measures the pulse rate. All three readings are digitally displayed only if several predetermined conditions indicating a proper reading are fulfilled.

Claims

1. A blood pressure measuring apparatus comprising:

a manifold pressurizable with a compressed gas;

pressurization means connected to the manifold to apply compressed gas to the manifold;

linear pressure decay means connected to the manifold;

blood flow occluder means connected to the manifold and configured to block arterial blood flow of the user;

gas connection means, which is the only means interconnecting the occluder means and the manifold, and which transmits sound and gas pressure pulses from the occluder means to the manifold and interchanges gas flow and pressure between the manifold and the occluder means;

pressure transducer means connected to the manifold and yielding an electrical signal varying in amplitude with the static pressure in the manifold;

pulse transducer means connected to the manifold and yielding an electrical signal varying in amplitude and frequency with sound and gas pressure pulses in the manifold;

electronic circuit means, connected to the pressure transducer means and the pulse transducer means, by non-flexible connections, measuring the systolic and diastolic pressure points by determining the pressure values, as measured by the pressure transducer means, at which the sound and gas pressure pulses derived from the pulse transducer means change characteristics; and

display means connected to the electronic circuit means, and displaying the systolic and diastolic pressures measured by the electronic circuit means.

2. A blood pressure measuring apparatus as in claim 1 wherein the occluder means is a finger cuff.

3. A blood pressure measuring apparatus as in claim 1 wherein the pressurization means is a pump which pressurizes the manifold with a single stroke.

4. A blood pressure measuring apparatus as in claim 1 further comprising a manually operated valve connected to the manifold which releases all gas pressure from the manifold and occluder means when operated.

5. A blood pressure measuring apparatus as in claim 1 further comprising pulse rate measuring means within the electronic circuit means to determine the rate of blood pressure pulses from the pulse transducer means output and connected to additional display means which displays the pulse rate.

6. A blood pressure measuring apparatus of claim 5 wherein the pulse rate measuring means comprises an integrator receiving signals from the pulse transducer means for a predetermined number of pulses and a mathematical inversion circuit connected to and receiving the integrator output, inverting the integrator signal and transmitting it to the additional display means.

7. The blood pressure measuring apparatus of claim 1 wherein the electronic circuit means includes pressure operated delay means comprising lock-out means to prevent operation of the electronic circuit means, other than the lock-out means, when the manifold is pressurized above a predetermined level;

high pressurization means wherein the pressurization means includes high pressure means to assure that normal initial pressurization surpasses the predetermined level; and

decay delay means wherein the linear pressure decay means operates to delay the reduction of pressure to below the predetermined level until after initial pressure transients in the manifold have essentially dissipated.

8. The blood pressure measuring apparatus of claim 7 wherein the pressure operated delay means comprises a higher pressure comparator receiving signals from the pressure transducer means and a gate circuit connected to the higher pressure comparator, the gate circuit preventing other portions of the elctronic circuit means from functioning.

9. The blood pressure measuring apparatus of claim 1 wherein the electronic circuit means includes gating means comprising means to verify that the pulse transducer means is sensing both pulse and high frequency components before the output signal of the pulse transducer means is processed to display readings.

10. The blood pressure measuring apparatus of claim 9 wherein the gating means comprises a pulse threshold circuit and a high pass filter circuit, both receiving signals from the pulse transducer means;

a pulse shaping circuit connected to the pulse threshold circuit;

a threshold detector circuit connected to the high pass filter circuit; and

an AND gate circuit with inputs connected to both the threshold detector circuit and the pulse shaping circuit and its output connected to and feeding electronic systems to measure and display the readings.

11. The blood pressure measuring apparatus of claim 1 wherein the electronic circuit means includes counting means to verify that the pulse transducer means senses a predetermined number of blood pressure pulses before the output signal of the pulse transducer means is processed to display readings.

12. The bood pressure measuring apparatus of claim 11 wherein the counting means comprises a counter means receiving an input signal originated by the pulse transducer means, connected to and supplying a predetermined number of pulses to an integrator means, and wherein the output of the integrator means is connected to and furnishes an input signal to an inverter means to convert the integrator means output to a pulse rate reading.

13. The blood pressure measuring apparatus of claim 1 wherein the electronic circuit means includes timing means to verify that the output signal of the pulse transducer means contains pulses with no greater than a predetermined period between them before the signal is processed to display readings.

14. The blood pressure measuring apparatus of claim 13 wherein the timing means comprises a timer which times out in a predetermined time and upon timing out resets the electronic circuit means to reinitiate signal processing.

15. The blood pressure measuring apparatus of claim 1 wherein the electronic circuit means includes low pressure lock-out means to prevent electronic processing of signals from the pulse transducer means and the pressure transducer means if the manifold pressure falls below a predetermined level.

16. The blood pressure measuring apparatus of claim 15 wherein the low pressure lock-out means comprises a low pressure comparator receiving signals from the pressure transducer means and a gate circuit connected to the low pressure comparator, the gate circuit preventing electronic processing of signals from the pulse transducer means.

17. The blood pressure measuring apparatus of claim 1 wherein the electronic circuit means means includes threshold modification means to increase the sensitivity of the electronic circuit to changes in the output signal of the pulse transducer means after the systolic pressure point is measured and before the diastolic pressure point is anticipated.

18. The blood pressure measuring apparatus of claim 11 wherein the threshold modification means comprises means to increase the sensitivity of the electronic circuit means by lowering the threshold level at which the electronic circuit means ceases to respond to the signal from the pulse transducer means to no more than 80 percent of the threshold level at which the electronic circuit means began to respond to the signal from the pulse transducer means.

19. The blood pressure measuring apparatus of claim 1 wherein the display means is a digital display and includes an indicator identifying low voltage from a power source which powers the electronic circuit means.

20. The blood pressure measuring apparatus of claim 1 further comprising an indicator light connected to the electronic circuit means which activates when the manifold is pressurized above a predetermined level.

21. The blood pressure measuring apparatus of claim 1 further comprising an indicator light connected to the electronic circuit means which activates when the electronic circuit means is in the process of making a measurement.

22. The blood pressure measuring apparatus of claim 1 further comprising an indicator light connected to the electronic circuit means which activates momentarily as each blood pressure pulse is sensed by the pulse transducer means.