Venous pressure measuring method and apparatus

• US 4,566,462 A
• Filed: 11/21/1983
• Issued: 01/28/1986
• Est. Priority Date: 11/21/1983
• Status: Expired due to Fees

• Current Assignee: Texas Tech University Health Sciences Center (Texas Tech University System)
• Original Assignee: School of Medicine Texas Tech University Health Servcs CTR
• Inventors: Janssen, Herbert F.
• Primary Examiner(s): Howell, Kyle L.
• Assistant Examiner(s): Jaworski, Francis J.
• Application Number:
  US06/553,951
• Time in Patent Office: 799 Days
• Field of Search: 128/672, 128/663, 128/677, 128/691-694
• US Class Current: 600/490
• CPC Class Codes: A61B 5/02152 specially adapted for venous pressure
• CPC Class Codes: A61B 8/04 Measuring blood pressure
• CPC Class Codes: A61B 8/06 Measuring blood flow measuring volume flow in general G01F, e.g. G01F1/66, G01F1/72; measuring speed of fluids in general G01P5/00

Abstract

Venous pressure is measured by monitoring blood flow in a vein with a Doppler probe, exerting pressure on the vein downstream of the probe with a cuff inflated at the rate of 10 mm Hg/second or more and recording the pressure at the instant blood flow stops. The cuff is immediately deflated. Measuring apparatus is also disclosed.

Claims

1. A method of measuring venous pressure in a human patient comprising:

providing a flow responsive transducer capable of generating an electrical signal representative of fluid flow,

providing an inflatable cuff capable of exerting pressure on a selected vein until blood flow therein is stopped,

inflating the cuff at the rate of at least 10 mm Hg/Sec on a limb of the patient while monitoring the pressure and while holding the transducer adjacent the vein being acted on by the cuff on the other side of the cuff from the heart,

observing the pressure exerted by the inflated cuff at the moment fluid flow in the vein stops, and

rapidly deflating the cuff.

2. A method according to claim 1 which includes using a Doppler transducer as the flow responsive transducer.

3. A method according to claim 2 and including repeating the steps of inflating the cuff, observing the pressure and deflating the cuff a plurality of times, and averaging the pressures observed.

4. A method according to claim 3 and further including the steps of terminating cuff inflation and immediately deflating the cuff without regard to continued flow when the observed pressure reaches a predetermined pressure above the normal range of pressures.

5. A method according to claim 4 wherein said predetermined pressure is between about 50 and about 150 mm Hg.

6. An apparatus for measuring substantially constant venous pressure in a human patient comprising

fluid flow sensor means for producing an electrical signal representative of the flow of liquid through a vein when placed adjacent the skin outside of said vein;

means for exerting increasing pressure on said vein to stop liquid flow therein; and

means connected to said means for exerting pressure for measuring and recording the pressure applied by said means for exerting pressure in rsponse to said signal from said sensor means when said flow stops;

said means for exerting pressure being responsive to the measurement of pressure to stop exerting pressure on said vein for a predetermined short interval after the pressure is measured and recorded and to re-exert pressure thereon for making a new measurement.

7. An apparatus according to claim 6 wherein said means for exerting pressure includes an inflatable flow occluder and means for inflating said occluder at a substantially constant rate.

8. An apparatus according to claim 7 wherein said rate is between about 10 mm Hg/sec. and about 15 mm Hg./sec.