Blood flow measurement device and method

• US 4,608,993 A
• Filed: 07/31/1984
• Issued: 09/02/1986
• Est. Priority Date: 07/31/1984
• Status: Expired due to Fees

• Current Assignee: Quinton Instrument Co. (Cardica Incorporated)
• Original Assignee: Quinton Instrument Co. (Cardica Incorporated)
• Inventors: Albert, David E.
• Primary Examiner(s): Howell, Kyle L.
• Assistant Examiner(s): Smith, Ruth S.
• Application Number:
  US06/636,383
• Time in Patent Office: 763 Days
• Field of Search: 128/660, 128/661, 128/663, 128/713, 128/715, 73/861.25
• US Class Current: 600/457
• CPC Class Codes: A61B 8/065 to determine blood output from the heart in general A61B5/029

Abstract

The disclosure relates to systems for measuring blood flow by detecting Doppler shift of ultrasound reflected by blood components moving in a blood vessel. The systems employ electronic techniques for providing accurate tracking of portions of the frequency spectra of Doppler shift signals to determine peak and means velocity and acceleration.

Claims

1. An apparatus for measuring instantaneous peak velocity in blood flow through a blood vessel, comprising

means for obtaining a Doppler signal having a frequency spectrum determined by Doppler shifting of an ultrasonic signal caused by relative movement of components of the blood in the blood vessel;

and

means for tracking a high frequency edge of said frequency spectrum to produce a signal representative in value to the instantaneous peak velocity of the blood components, said tracking means including means for modulating said Doppler signal up to a frequency above 100 kHz.

2. The apparatus of claim 1 wherein said Doppler signal obtaining means comprises:

transducer means for directing ultrasonic energy at blood flowing in a blood vessel and for receiving ultrasonic energy reflected by blood components flowing in the blood vessel; and

means for electronically extracting audio frequency Doppler shift signals from the reflected and received ultrasonic energy.

3. The apparatus of claim 2 wherein said modulating means comprises:

controllable oscillator means for producing a signal having a frequency greater than 100 kHz;

means for mixing the audio frequency Doppler shift signals with the oscillator means signal to thereby modulate the Doppler signal up to a frequency above 100 kHz;

wherein said tracking means further comprises a fixed, band pass filter means for filtering the mixed signal; and

wherein the oscillator means is controlled so that a portion of the mixed signal, corresponding to a high frequency edge of the spectrum of the Doppler shift signal, is maintained in the pass band of the filter.

4. The apparatus of claim 3 wherein the band pass filter means is a ceramic filter with fixed band pass characteristics.

5. The apparatus of claim 3 wherein the band pass filter means has a Q greater than 100.

6. The apparatus of claim 3 wherein the audio frequency Doppler shift signals from the extracting means are band limited to between about 100 Hz and 10,000 Hz.

7. The apparatus of claim 1 further comprising means for differentiating said signal representative in value to the instantaneous peak velocity of the blood components to produce a signal representative in value to the instantaneous peak acceleration of the blood flow.

8. The apparatus of claim 1 further comprising an automatic gain control circuit for normalizing the power in the frequency spectrum of said Doppler signal during the heart beat while preserving the frequency distribution in the spectrum, including

a source of a sinusoidal signal having a frequency lower than about 1000 Hz;

and

means for summing the Doppler signal and the sinusoidal signal and for maintaining approximately constant the peak to peak amplitude of the summed signal;

said gain controlled signal being applied to the tracking means.

9. A method for measuring instantaneous peak acceleration in blood flow through a blood vessel, comprising the steps of:

(a) directing ultrasonic energy at blood flowing in the blood vessel;

(b) receiving ultrasonic energy reflected by blood components flowing in the blood vessel;

(c) electronically extracting audio frequency Doppler shift signals from the reflected and received ultrasonic energy;

(d) mixing the audio frequency Doppler shift signal with a signal having a frequency greater than 100 kHz generated by a local oscillator;

(e) filtering the mixed signal;

(f) controlling the local oscillator responsive to said filtered signal to vary the frequency of the local oscillator signal so that a portion of a side band of the mixed signal, corresponding to a high frequency edge of the spectrum of the Doppler shift signal, is maintained in a pass band of the filter; and

(g) differentiating with respect to time the filtered signal to produce a signal representative in value to the instantaneous peak acceleration of the blood flow.

10. The method of claim 9 further comprising the step of calibrating the measurement of instantaneous peak acceleration in blood flow by employing a band limited white noise signal with a known cut-off frequency in place of said audio frequency Doppler shift signal and adjusting the signal representative in value of blood acceleration in accordance with a known calibration value associated with said band limited white noise signal.

11. An apparatus for noninvasively measuring blood flow in a blood vessel comprising:

ultrasonic probing means for obtaining a Doppler signal caused by Doppler shifting due to reflection of ultrasonic energy from moving components of the blood in the blood vessel including means for demodulating the Doppler signal to produce an audio frequency Doppler signal; and

means for receiving said audio frequency Doppler signal and for producing a signal representative in value to the instantaneous peak velocity of the blood components including modulation means employing a local oscillator producing a signal of a frequency greater than 100 kHz.

12. An apparatus for measuring blood flow through a blood vessel comprising:

means for obtaining a Doppler signal produced by Doppler shifting of an ultrasonic signal by reflection from moving blood in the blood vessel;

an automatic gain control circuit for receiving said Dopper signal and for normalizing the power in the frequency spectrum of said Doppler signal during the heart beat while preserving the frequency distribution in the spectrum, including means for summing the Doppler signal with a sinusoidal signal having a frequency lower than any Doppler frequency shift to be evaluated, and maintaining the peak to peak amplitude of the summed signal at an approximately constant value; and

means for tracking Doppler frequency shift in the Doppler signal as it varies during the heartbeat and producing a signal representative in value of a blood flow parameter.

13. The apparatus of claim 12 wherein said signal producing means includes means for producing a signal representative in value of instantaneous peak velocity.

14. The apparatus of claim 12 further comprising

means for differentiating the peak velocity signal with respect to time to provide a signal representative of the instantaneous peak acceleration of the blood.

15. The apparatus of claim 12 wherein said signal producing means includes means for producing a signal representative in value of instantaneous mean velocity of reflecting blood components.

16. The apparatus of claim 15 further comprising means for differentiating the velocity signal with respect to time to provide a signal representative in value of the mean acceleration of the reflecting blood components.

17. A method for measuring blood flow through a blood vessel, comprising the steps of:

obtaining a Doppler signal produced by Doppler shifting of an ultrasonic signal by reflection from moving blood in the blood vessel;

summing the Doppler signal with a continuous sinusoidal signal having a frequency less than about 1000 Hz;

electronically maintaining said summed signal at an approximately constant amplitude during the heart beat; and

electronically tracking frequency components of the approximately constant amplitude signal to produce a signal representative in value of the velocity of the blood.

18. The method of claim 17, wherein said tracking is performed by heterodying the approximately constant amplitude signal with a signal having a frequency above 100 kHz.

19. The method of claim 17, wherein the sinusoidal signal has a frequency above the frequency of sounds produced by the heart beat.

20. The method of claim 19, wherein the sinusoidal signal has a frequency from 100 to 1000 Hz.

21. The method of claim 17, wherein the step of electronically tracking frequency components include the determining of the instantaneous mean velocity of the reflecting blood components by applying the approximately constant amplitude signal to first and second electronically controlled filters arranged in parallel, said first filter passing relatively higher frequency components of the Doppler signal and said second filter passing relatively lower frequency components, said filters being controlled by a feedback control signal so that the power in the portion of the Doppler signals passed by each is maintained approximately equal, the instantaneous mean velocity being determined from the feedback control signal.

22. An apparatus for measuring the mean velocity of blood flowing in a blood vessel comprising:

transducer means for producing ultrasonic energy directed at blood flowing in the blood vessel;

means for receiving ultrasonic reflected by blood components flowing in the blood vessel and for electronically extracting audio frequency Doppler shift signals from the reflected and received ultrasonic energy;

a first electronically controlled filter;

a second electronically controlled filter, wherein the Doppler shift signal is applied to each of the electronically controlled filters and wherein said filters selectively pass different portions of the audio frequency spectrum of the Doppler shift signal;

feedback circuit means for providing a signal for controlling the first and second filter so that the portion of the Doppler shift signal passed by each filter maintain a predetermined relationship to one another, said feedback signal being related in value to the instantaneous mean velocity of moving, reflecting components of the blood in the blood vessel.

23. The apparatus of claim 23 wherein the said audio frequency Doppler signal is band-limited and the spectrum of the band-limited signal is divided into a high pass portion and a low pass portion by the first and second filters, respectively.

25. The apparatus of claim 23 further comprising:

(a) circuit means for producing a signal responsive to an envelope of an absolute value of signal peaks in the signal passed by the first filter;

(b) circuit means for producing a signal responsive to an envelope of an absolute value of signal peaks in the signal passed by the second filter; and

wherein said feedback circuit means includes means for differentially combining output signals of circuit means (a) and (b), and for producing said feedback control signal therefrom.

27. The apparatus of claim 25 wherein the feedback circuit further comprising a voltage controlled oscillator and wherein said filters are monolithic and each are controlled responsive to a signal from the voltage controlled oscillator, the control signal for said oscillator being said feedback control signal.

24. The apparatus of claim 24 wherein the lower boundary frequency of the high pass portion is substantially equal to the upper boundary frequency of the low-pass portion.

26. The apparatus of claim 26 further comprising means for differentiating the feedback control signal to obtain a signal related in value to the instantaneous mean acceleration of the reflection components of the blood.