Arterial pressure measuring apparatus

• US 4,597,393 A
• Filed: 03/28/1984
• Issued: 07/01/1986
• Est. Priority Date: 03/31/1983
• Status: Expired due to Term

• Current Assignee: Kabushiki Kaisha A & D
• Original Assignee: Kabushiki Kaisha Copal Takeda Medical Kenyusho
• Inventors: Shimazu, Hideaki, Yamakoshi, Ken-ichi
• Primary Examiner(s): Howell, Kyle L.
• Assistant Examiner(s): Sykes, Angela D.
• Application Number:
  US06/594,353
• Time in Patent Office: 825 Days
• Field of Search: 128/664-667, 128/672, 128/677, 128/680-683
• US Class Current: 600/490
• CPC Class Codes: A61B 5/02255 the pressure being controlled by plethysmographic signals, e.g. derived from optical sensors

Abstract

An arterial pressure measuring apparatus which comprises in combination a cuff adapted to be applied to a portion a human body where arterial pressure is measured, a light emitting diode, a phototransistor, a transducer, a pump for the control of the cuff, a control unit for the pump, a transducer for measuring the pressure of the cuff, a current control circuit for the light emitting diode, a DC amplifier circuit, an AC amplifier circuit for the output of the phototransistor and an operation circuit.

Claims

1. A non-invasive arterial pressure measuring apparatus for detecting arterial pressure, comprising:

systolic pressure value Pas measuring means including a cuff adapted to be applied to a limb of a body having arterial pressure for inflation of the cuff to raise the internal pressure therein to a value above the systolic arterial pressure of the body whose arterial pressure is to be measured by the systolic pressure value Pas and for gradually reducing the pressure to the systolic pressure;

sequence control means coupled with said cuff for measuring the output thereof at a highest arterial pressure value Pas and responsive to said cuff output for storing the highest amplitude output while discarding previous lower amplitude outputs and non-storing of subsequent lower amplitude outputs to obtain and provide a mean arterial pressure value Pam; and

means coupled with said cuff and responsive thereto for determining the lowest arterial pressure value Pad.

2. Apparatus as claimed in claim 1, wherein:

said sequence control means includes an arterial pressure pulse wave detection sensor including a central processing unit and a pulse wave detection sensor; and

said lowest arterial pressure value determining means includes a wave form constant operation unit having its inputs coupled to said arterial pressure pulse wave detection sensor and said central processing unit, and an output coupled to said central processing unit, said constant operation unit determining said minimum value Pad and being responsive to said pulse wave detection sensor thereby producing an arterial wave form constant α

p, wherein said arterial wave form constant α

p is defined by the equation;

##EQU8## and the lowest arterial pressure value Pad is calculated by ##EQU9##

3. Apparatus as claimed in claim 2, including a pressure sensor coupled to the cuff and an analog to digital converter having one of its inputs coupled to said pressure sensor and another of its inputs coupled, providing sequence control thereto, to said central processing unit thereby sequence controlling the output of said pressure sensor and converting the output thereof to digital and maintaining in said central processing unit the highest Pas applied from said analog to digital converter.

4. Apparatus as claimed in claim 3, wherein said central processing unit includes means responsive to the output of said arterial pressure pulse value detection sensor for sequence controlling the measurement of arterial pressure Pam, by peak value holding the highest value Pas and reverse peak value holding the lowest value Pad to measure the area value of one pulse wave as S.sub.(p) during a repeating time of t.sub.(p) to provide by integration the mean value of one pulse wave as follows:

space="preserve" listing-type="equation">Pam=S.sub.(p) /t.sub.(p),

said control processing unit feeding the output mean value Pam to said wave form constant operation unit.

5. Apparatus as claimed in claim 2, including:

photoelectric means coupled with said cuff for producing a volume pulse wave form output responsive to volume;

said central processing unit being coupled to said photoelectric means and to said cuff and being responsive to the highest arterial pressure value Pas and the mean arterial pressure value Pam as measured from the output of said cuff and said photoelectric means.

6. Apparatus as claimed in claim 5, wherein said photoelectric means includes a light receiving and signal converting circuit providing output to vs representative of the highest amplitude values and other outputs representative of the highest amplitude values vd, from volume pulse wave forms corresponding to one heart beat, the pulse wave area value being measured as S.sub.(v) for each repeating time to t.sub.(v), the mean value being as follows:

space="preserve" listing-type="equation">Vm=S.sub.(v) /tv

and the volume wave form constant being defined as follows;

##EQU10## and the lowest arterial pressure value being defined as follows;

##EQU11##

7. Apparatus as claimed in claim 6, wherein said central processing unit includes multiplier means for multiplying at least one of the highest values vs, lowest values vd, mean values vm and volume wave form constant α

v as multiplied by a proportional coefficient.

8. Apparatus as claimed in claim 5, wherein said photoelectric means includes:

a light emitting drive circuit having its input coupled to the output of said central processing unit;

a light receiving element in said cuff including an infrared light emitting diode which emits light responsive to said light emitting drive circuit; and

a phototransistor having a input coupled to said central processing unit and responsive to light emitted from said diode after it passes through the limb on which said cuff is positioned and responsive to variation in light caused by absorption and having its output coupled to said central processing unit, the output being in proportion to the amount of liquid within the blood vessel in the limb.

9. Apparatus as claimed in claim 1, wherein said cuff includes:

detection means for detecting the maximum arterial pressure Pas, the lowest arterial pressure Pad; and

said central processing unit includes means to control pressure sensor means for sequence controlling the measurement of the arterial pressure to measure the mean arterial pressure Pam by peak value holding the highest value Pas and reverse peak holding the lowest value Pad to measure the area value of one pulse wave as S.sub.(p) during a repeating time of t.sub.(p) to provide by integration the mean value of one pulse wave as follows;

space="preserve" listing-type="equation">Pam=S.sub.(p) /t.sub.(p) ;

said central processing unit determining the arterial wave form constant α

p which is defined by the equation ##EQU12## and the lower arterial pressure value is defined as follows;

##EQU13##

10. A non-invasive method for measuring arterial pressure, comprising the steps of:

raising the internal pressure within a cuff applied to a human or other animal above the systolic arterial pressure thereof whose arterial pressure is to be measured;

obtaining more than one arterial pressure and selecting the highest arterial pressure value Pas in a central processing unit;

obtaining the output wave form of an arterial pressure pulse wave detection sensor corresponding to one heart beat and enlarging the waveform; and

measuring the highest and lowest amplitude values from a predetermined reference level as highest value Pas and lowest value Pad.

11. The method of claim 10, wherein more than one arterial pressure is obtained by gradually reducing the internal cuff pressure to the systolic pressure value and then raising the pressure in the cuff and applying it to the central processing unit which will accept it and store it, if it is higher than a previously stored value to obtain the highest systolic pressure value Pas.

12. The method of claim 10, wherein the highest value Pas and lowest value Pad are measured respectively by peak value holding and reverse peak value holding detection operations;

and the area value of one pulse wave form is t_p, the mean value of one pulse wave being obtained by an integrating operation;

space="preserve" listing-type="equation">Pam=S.sub.(p) /t.sub.p.

13. The method of claim 12, including sampling a number of pulse wave forms to obtain the arterial pressure wave form constant α

p, and

said central processing unit seeking the highest arterial pressure value Pad by;

##EQU14##

14. The method of claim 13, wherein the arterial wave form constant is obtained by a wave form constant operation unit which is responsive to the central processing unit, where ##EQU15##

15. The method of claim 12, including utilizing the cuff as a detection means for obtaining the arterial pressure pulse wave constant α

p, wherein the operational function of the central processing unit is used to obtain the lowest arterial pressure Pad, the arterial pressure constant α

p being obtained by sampling a number of pulse wave forms to obtain the mean arterial pressure value Pam, where ##EQU16## and the lowest arterial pressure value Pad is obtained as follows;

##EQU17##

16. The method of claim 10, wherein the lowest arterial pressure Pad is detected by a volume pulse wave form constant α

v from which is obtained a highest value vs, a lowest value vd and a mean value vm in a volume pulse wave in a wave form corresponding to one heart beat from the equation;

##EQU18## wherein one pulse wave area value is measured as S.sub.(v) and the repetitive time of the pulse wave is measured as tv, and the mean value vm is obtained from the equation;

space="preserve" listing-type="equation">vm=S.sub.(v) /t.sub.v.

17. The method of claim 16, including:

detecting the volume pulse wave form as a photoelectric volume pulse wave form;

said detecting step including driving an infrared light receiving diode in the cuff to emit infrared light;

applying the infrared light to hemoglobin in the limb arteria for affecting light by absorption to vary the light;

detecting the cuff pressure sensor output by determining the variation in light amount, the amount of received light detected being in proportion to the amount of liquid with the limb blood vessel.

18. The method of claim 17, wherein:

the highest arterial pressure value Pas and the mean arterial pressure value Pam are measured from the volume pulse wave form and the cuff pressure sensor output;

the volume wave form constant α

v has the following relationship to the highest value vs, the mean value vm, and the lowest values vd;

##EQU19## and the lowest arterial pressure value Pas is derived as follows;

##EQU20##

19. The method of claim 18, including the step of multiplying the highest value Vm, the lowest value vd, the mean value Vm, the volume wave form constant α

v, the highest value Pas, lowest value Pad and the mean value Pam by proportional coefficients to compensate for differences between these values and actual measured results.

20. Apparatus for measuring arterial pressure in human fingers, comprising:

a cuff for placement over the finger;

light emitting means within said cuff proximate to the finger, and

light receiving means within said cuff proximate to the finger;

first transducer means for measuring arterial pressure directly;

pump means for controlling said cuff and means for controlling said pump means;

second transducer means coupled to said cuff for measuring pressure therein;

current control circuit means for said light emitting means coupled thereto;

DC amplifier circuit means and AC amplifier circuit means coupled to the output of said light receiving means; and

operation circuit means coupled to the outputs of both said DC amplifier circuit means and said AC amplifier circuit means for producing an output characteristic of the ratio of the output of said AC amplifier circuit means to that of said DC amplifier circuit means, said ratio increasing and decreasing as the cuff pressure increases or decreases, respectively.