Method and apparatus for the non-invasive monitoring of arterial blood pressure waves

• US 4,660,566 A
• Filed: 11/25/1985
• Issued: 04/28/1987
• Est. Priority Date: 05/13/1983
• Status: Expired due to Fees

• Current Assignee: Fidelity Medical, Inc. (Lisata Therapeutics, Inc.)
• Original Assignee: Fidelity Medical, Inc. (Lisata Therapeutics, Inc.)
• Inventors: Palti, Yoram
• Primary Examiner(s): Howell, Kyle L.
• Assistant Examiner(s): Jaworski, Francis J.
• Application Number:
  US06/802,024
• Time in Patent Office: 519 Days
• Field of Search: 128/677, 128/680-683, 128/687-690
• US Class Current: 600/490
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/0225 the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds

Abstract

A method and apparatus for the non-invasive monitoring of the arterial blood pressure of a subject are described in which a plurality of discretely-spaced single-polarity pressure pulses, each having a duration which is a fraction of the duration of the subject'"'"'s blood pressure pulse, are applied to a local, discrete, external point of the subject overlying an artery to effect either a blocking or unblocking condition of the artery. When the condition is detected, the instant value of the applied pressure pulse is measured to thereby provide a measurement of the subject'"'"'s blood pressure.

Claims

1. A method for the non-invasive monitoring of the arterial blood pressure of a subject, comprising the steps:

applying a plurality of discretely spaced single-polarity pressure pulses, each having a duration which is a fraction of the duration of the subject'"'"'s blood pressure pulse, to a local, discrete, external point of the subject overlying an artery to effect either a blocking or unblocking condition of the artery;

detecting when said condition in the artery occurs;

and measuring the instant value of each applied pressure pulse when said condition is detected to thereby provide a measurement of the subject'"'"'s blood pressure.

2. The method according to claim 1, including the further steps of:

monitoring the subject'"'"'s complete arterial blood pressure pulse;

and synchronizing at least two of the applied pressure pulses to coincide with the maximum and minimum values of the subject'"'"'s blood pressure pulse to thereby provide a measurement of the systolic and diastolic values of the subject'"'"'s blood pressure.

3. The method according to claim 2, wherein more than two unidirectional pulses are synchronized to coincide with other points of the subject'"'"'s complete arterial blood pressure pulse to thereby provide a continuous measurement of other discrete points of the subject'"'"'s blood pressure.

4. The method according to claim 1, wherein said single-polarity pressure pulses are applied in a pressure-increasing direction to effect a blocking condition of the artery for a fraction of the duration of the subject'"'"'s blood pressure pulse.

5. The method according to claim 1, wherein the single-polarity pulses are applied in a pressure decreasing direction to effect an unblocking condition of the artery for a fraction of the duration of the subject'"'"'s blood pressure pulse.

6. A method for the non-invasive monitoring of the arterial blood pressure of a subject, comprising the steps:

applying a plurality of discretely spaced single-polarity pressure pulses, each having a duration which is a fraction of the duration of the subject'"'"'s blood pressure pulse, to a local, discrete, external point of the subject overlying an artery to effect blocking of the artery;

detecting when said blocking in the artery occurs;

and measuring the instant value of each applied pressure pulse when said blocking is detected to thereby provide a measurement of the subject'"'"'s blood pressure.

7. The method according to claim 6, including the further steps of:

monitoring the subject'"'"'s complete arterial blood pressure pulse;

and synchronizing at least two of the applied pressure pulses to conicide with the maximum and minimum values of the subject'"'"'s blood pressure pulse to thereby provide a measurement of the systolic and diastolic values of the subject'"'"'s blood pressure.

8. The method according to claim 7, wherein more than two single-polarity pulses are synchronized to coincide with other points of the subject'"'"'s complete arterial blood pressure pulse to thereby provide a continuous measurement of other discrete points of the subject'"'"'s blood pressure.

9. A method for the non-invasive monitoring of the arterial blood pressure of a subject, comprising the steps:

applying a plurality of discretely spaced single-polarity pressure pulses, each having a duration which is a fraction of the duration of the subject'"'"'s blood pressure pulse, to a local, discrete, external point of the subject overlying an artery to effect an unblocking of the artery;

detecting when said unblocking in the artery occurs;

and measuring the instant value of each applied pressure pulse when said unblocking is detected to thereby provide a measurement of the subject'"'"'s blood pressure.

10. The method according to claim 9, including the further steps of:

monitoring the subject'"'"'s complete arterial blood pressure pulse;

and synchronizing at least two of the applied pressure pulses to coincide with the maximum and minimum values of the subject'"'"'s blood pressure pulse to thereby provide a measurement of the systolic and diastolic values of the subject'"'"'s blood pressure.

11. The method according to claim 10, wherein more than two single-polarity pulses are synchronize to coincide with other points of the subject'"'"'s complete arterial blood pressure pulse to thereby provide a continuous measurement of other discrete points of the subject'"'"'s blood pressure.

12. Apparatus for the non-invasive monitoring of the arterial blood pressure of a subject, comprising:

pressure applying means for applying a plurality of discretely spaced single-polarity pressure pulses, each having a duration which is a fraction of the duration of the subject'"'"'s blood pressure pulse, to a local, discrete, external point of the subject overlying an artery to effect either a blocking or unblocking condition of the artery;

detector means for detecting when said condition in the artery occurs;

and measuring means for measuring the instant value of each applied pressure pulse when said condition is detected to thereby provide a measurement of said subject'"'"'s blood pressure.

13. The apparatus of claim 12, further comprising:

monitoring means for monitoring the subject'"'"'s complete arterial blood pressure pulse;

and synchronizing means for synchronizing the application of at least two of the applied pressure pulses to coincide with the maximum and minimum values of the subject'"'"'s blood pressure pulse to thereby provide a measurement of the systolic and diastolic values of the subject'"'"'s blood pressure.

14. The apparatus according to claim 13, wherein said synchronizing means synchronizes the application of more than two single-polarity pulses to coincide with other points of the subject'"'"'s complete arterial pulse to thereby provide a continuous measurement of other discrete points of the subject'"'"'s blood pressure.

15. The apparatus according to claim 12, wherein said pressure applying means applies single-polarity pressure pulses in a pressure increasing direction to effect a blocking of the artery for a fraction of the duration of the subject'"'"'s blood pressure pulse.

16. The apparatus according to claim 12, wherein said pressure applying means applies the single-polarity pressure pulses in a pressure-decreasing direction to effect an unblocking of the artery for a fraction of the duration of the subject'"'"'s blood pressure pulse.

17. The apparatus according to claim 12, wherein said detector means comprises an electrical impedance detector for detecting the change in the electrical impedance of the subject'"'"'s external area in the vicinity of said artery.

18. The apparatus according to claim 12, wherein said detector means comprises a Doppler device measuring blood flow to detect a change in the blood flow of said artery.

19. The apparatus according to claim 12, wherein said detector means comprises a photoelectric sensor for detecting a change in the optical characteristics of the subject'"'"'s external area in the vicinity of said artery.

20. The apparatus according to claim 12, wherein said pressure applying means comprises a plurality of pressure applicators, and control means for controlling them according to a sequence minimizing shunting of the blood flow with respect to other arteries.

21. The apparatus according to claim 12, wherein said pressure applying means comprises at least three pressure applicators arranged in a line along said artery.

22. The apparatus according to claim 12, wherein said control means controls said three pressure applicators according to the following sequence, starting with the condition that the pressure to all the applicators is released;

(a) the pressure to the center applicator is applied

(b) the pressure to the two end applicators is applied;

(c) the pressure to the center applicator is released;

(d) the pressure to the end applicator proximate to the heart is released in a controlled manner while the value of the pressure at the center applicator is measured when unblocking is detected; and

(e) the pressure to the two end applicators is released.

23. The apparatus according to claim 12, further including a bracelet to be worn around the subject'"'"'s wrist, said pressure applying means and said detector means being mounted on said bracelet.

24. The apparatus according to claim 23, wherein said pressure applying means comprises an inflatable air bag carried by said bracelet for applying a local pressure to the radial artery in the subject'"'"'s wrist.

25. The apparatus according to claim 24, wherein said pressure detector means comprises a photoelectric sensor mounted centrally of said inflatable air bag.

26. Apparatus for the non-invasive monitoring of the arterial blood pressure of a subject, comprising:

pressure applying means for applying a plurality of discretely spaced single-polarity pressure pulses, each having a duration which is a fraction of the duration of the subject'"'"'s blood pressure pulse, to a local, discrete, external point of the subject overlying an artery to effect blocking of the artery;

detector means for detecting when said blocking in the artery occurs;

and measuring means for measuring the instant value of each applied pressure pulse when said blocking is detected to thereby provide a measurement of said subject'"'"'s blood pressure.

27. The apparatus of claim 26, further comprising:

monitoring means for monitoring the subject'"'"'s complete arterial blood pressure pulse;

and synchronizing means for synchronizing the application of at least two of the applied pressure pulses to coincide with the maximum and minimum values of the subject'"'"'s blood pressure pulse to thereby provide a measurement of the systolic and diastolic values of the subject'"'"'s blood pressure.

28. The apparatus according to claim 27, wherein said synchronizing means synchronizes the application of more than two single-polarity pulses to coincide with other points of the subject'"'"'s complete arterial pulse to thereby provide a continuous measurement of other discrete points of the subject'"'"'s blood pressure.

29. Apparatus for the non-invasive monitoring of the arterial blood pressure of a subject, comprising:

pressure applying means for applying a plurality of discretely spaced single-polarity pressure pulses, each having a duration which is a fraction of the duration of the subject'"'"'s blood pressure pulse, to a local, discrete, external point of the subject overlying an artery to effect unblocking of the artery;

detector means for detecting when said unblocking of the artery occurs;

and measuring means for measuring the instant value of each applied pressure pulse when said unblocking is detected to thereby provide a measurement of said subject'"'"'s blood pressure.

30. The apparatus of claim 29, further comprising:

monitoring means for monitoring the subject'"'"'s complete arterial blood pressure pulse;

and synchronizing means for synchronizing the application of at least two of the applied pressure pulses to coincide with the maximum and minimum values of the subject'"'"'s blood pressure pulse to thereby provide a measurement of the systolic and diastolic values of the subject'"'"'s blood pressure.

31. The apparatus according to claim 30, wherein said pressure applying means applies more than two single-polarity pulses to coincide with other points of the subject'"'"'s complete arterial pulse to thereby provide a continuous measurement of other discrete points of the subject'"'"'s blood pressure.