Method and apparatus for blood pressure measurement

• US 4,484,584 A
• Filed: 02/08/1982
• Issued: 11/27/1984
• Est. Priority Date: 02/08/1982
• Status: Expired due to Term

• Current Assignee: Colin Electronics Co., Ltd.
• Original Assignee: Nippon Colin Company Limited
• Inventors: Uemura, Masahiro
• Primary Examiner(s): Howell, Kyle L.
• Assistant Examiner(s): Jaworski, Francis J.
• Application Number:
  US06/346,769
• Time in Patent Office: 1,023 Days
• Field of Search: 128/680-683, 346/33 ME
• US Class Current: 600/493
• CPC Class Codes: A61B 5/02208 using the Korotkoff method
• CPC Class Codes: A61B 5/02225 using the oscillometric method
• CPC Class Codes: A61B 5/7207 of noise induced by motion artifacts
• CPC Class Codes: A61B 7/045 Detection of Korotkoff sounds A61B5/0225 takes precedence; measuring blood pressure A61B5/021

Abstract

Blood pressure measuring method and an apparatus applicable therefor, wherein a graph indicating the relation between pressure in a cuff which is variable in the measurement process and magnitude of pulse waves generated from a part of a human body under the pressure of the cuff is described, and a mark is given for indicating the cuff pressure at a blood pressure measuring point on to the graph, for allowing judgement whether the measured data are appropriate or not by comparison of the distribution condition of the magnitude of the pulse waves and the position of the mark. Even when noises difficult to be discriminated in the circuit only should be mingled into the pulse waves so as to automatically proceed the measurement, the erroneous measurement caused by the noises can be judged by the above comparison so that the error data can be excluded or cancelled.

Claims

1. A method of measuring blood pressure of a subject through use of a cuff placed over a body part of the subject to apply a cuff pressure to a blood vessel in the body part, said method comprising the steps of:

varying said cuff pressure as a function of time, and detecting said cuff pressure and a pulse wave produced in association with said blood vessel, to take repeated readings of said cuff pressure and said pulse wave;

determining and recording a first and a second level of said cuff pressure as a systolic and a diastolic blood pressure, respectively, by analyzing said repeated readings of said cuff pressure and said pulse wave;

providing a visible indication of values of said repeated readings of the pulse wave as a function of said cuff pressure, in the form of a two-dimensional graph representing said cuff pressure as a first variable along a first axis, and varying magnitudes of said pulse wave as a second variable along a second axis;

attaching two marks to said graph at positions along said first axis, thereby indicating said first and second levels of the cuff pressure respectively determined as said systolic and diastolic blood pressures; and

checking the recorded data of said first and second levels of the cuff pressure for validity thereof as to represent said systolic and diastolic blood pressures, by analyzing the positions of said two marks with respect to the indicated readings of the pulse wave magnitudes against a known characteristic of variations in the pulse wave magnitude in relation to the transition of the cuff pressure through the systolic and diastolic pressure levels.

2. A method in accordance with claim 1, wherein said pulse wave is detected in the form of Korotkoff sounds detected through a microphone system.

3. A method in accordance with claim 1, wherein said pulse wave is detected in the form of pressure oscillation of said cuff.

4. A method in accordance with claim 1, wherein said two-dimensional graph is constituted by a plurality of graphic indicia disposed along said first axis and representing the values of said repeated readings of said pulse wave along said second axis.

5. A method in accordance with claim 4, wherein said graphic indicia consists of a plurality of bars printed on a medium.

6. An apparatus for measuring blood pressure of a subject, comprising:

means including a cuff placed over a body member of said subject for applying a cuff pressure to a blood vessel in the body member;

means for gradually varying said cuff pressure;

detector means for detecting said cuff pressure and generating pressure signals each representing a varying level of the detected cuff pressure, and for detecting a pulse wave associated with said blood vessel and generating pulse wave signals each representing a varying magnitude of the detected pulse wave;

peak hold means for maintaining peak values of the wave form represented by said pulse wave signals;

a memory for storing, synchronously with generation of said pulse wave signals, said peak values as the magnitudes of said pulse wave, and the corresponding levels of said cuff pressure represented by said pressure signals;

output means for providing a visible indication of said peak values as a function of said cuff pressure, in the form of a two-dimensional graph representing said cuff pressure along a first axis and said peak values along a second axis;

data processing means for controlling said output means to provide said visible indication, and determining and measuring a first and a second level of said cuff pressure as a systolic and a diastolic blood pressure, respectively, based on said peak values and said cuff pressure levels stored in said memory, said data processing means further controlling said output means to attach two marks to said graph at positions along said first axis to indicate said first and second levels of the cuff pressure which have been respectively determined as said systolic and diastolic blood pressures, whereby said graph and said two marks provide visible information for checking said first and second levels for validity thereof as measurement data to represent said systolic and diastolic blood pressures, said checking being made with reference to a known characteristic of variation in the pulse wave magnitude in relation to the transition of the cuff pressure through the systolic and diastolic pressure levels.

7. An apparatus in accordance with claim 6, wherein said detector means comprises a microphone for picking up pulse wave sounds from said body member and generating pulse wave sound signals representing said pulse wave sounds, said peak hold means maintaining the peak values of Korotkoff sounds included in said pulse wave sound signals.

8. An apparatus in accordance with claim 6, wherein said detector means comprises a filter for detecting pressure oscillation of said cuff and generating pulse wave signals representing the magnitude of said pressure oscillation, said peak hold means maintaining the peak values of said pulse wave signals.

9. An apparatus in accordance with claim 6, wherein said output means comprises a printer which prints said two-dimensional graph and said two marks on a paper medium.

10. An apparatus in accordance with claim 6, wherein said two-dimensional graph is constituted by a plurality of graphic indicia disposed along said first axis and representing the magnitudes of said pulse wave along said second axis.

11. An apparatus in accordance with claim 10, wherein said graphic indicia consists of a plurality of bars printed on a medium.