Method and apparatus for continuously and non-invasively measuring the blood pressure of a patient

• US 4,960,128 A
• Filed: 11/14/1988
• Issued: 10/02/1990
• Est. Priority Date: 11/14/1988
• Status: Expired due to Term

• Current Assignee: Masimo Corporation
• Original Assignee: Paramed Technology Incorporated
• Inventors: Brunot, Frank A., Gordon, Deborah C.
• Primary Examiner(s): Jaworski, Francis
• Application Number:
  US07/270,224
• Time in Patent Office: 687 Days
• Field of Search: 128/672, 128/677-690
• US Class Current: 600/490
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers

Abstract

In the present invention, a method and an apparatus for measuring the blood pressure of a patient continuously and non-invasively is disclosed. The blood pressure is determined by measuring the harmonic frequencies and displacements of an arterial wall of the patient. The measurements are then calibrated against an absolute blood pressure supplied by an operator at a particular time. The blood pressure is then the sum of the relative changes of the measurements and the absolute blood pressure.

Claims

1. An instrument for non-invasively measuring the blood pressure of a patient, said instrument comprising:

non-invasive sensor means for measuring the frequencies and displacements of an arterial wall of said patient, and for generating a first signal in response thereto;

means for processing said first signal to produce a processed first signal, said processing means comprising;

means for filtering said first signal to produce a filtered first signal;

programmable gain means for amplifying said filtered first signal to produce an amplified first signal;

digitizing means for digitizing said amplified first signal to produce a digital first signal; and

fourier transform means for transforming said digital first signal into said processed first signal, said instrument further comprising;

means for receiving a calibration signal indicative of the absolute blood pressure of said patient at a particular point in time;

means for storing said processed first signal corresponding to said particular point in time; and

means for comparing said processed first signal to said stored processed first signal and for generating a signal indicative of the blood pressure of said patient, said comparing means comprising;

means for subtracting said processed first signal from said stored processed first signal and for generating a scale factor and an offset in response thereto;

means for adjusting said integrating said first signal from said sensor means to produce an integrated signal; and

means for adjusting said integrated signal by said scale factor and said offset to generate said signal indicative of the blood pressure of said patient.

2. The instrument of claim 1, wherein said non-invasive sensor means comprises a piezo-electric sensor.

3. The instrument of claim 1 further comprising:

means for storing said integrated signal corresponding to said particular point in time.

4. The instrument of claim 3 wherein said subtracting means further comprising:

means for determining the change of the maximum frequency from said processed first signal to said stored processed first signal;

look up table means for converting said change of the maximum frequency into said scale factor;

means for determining the change of the frequency of the maximum amplitude of said integrated signal to said stored integrated signal; and

means for calculating said offset in response to said determining means of the change of the frequency of the maximum aplitude.

5. A method for non-invasively measuring the blood pressure of a patient, said method comprising:

non-invasively measuring the frequencies and displacements of an arterial wall of said patient and for generating a first signal in response thereto;

processing said first signal to produce a processed first signal, said processing step further comprising;

filtering and first signal from said measuring step to produce a filtered first signal;

amplifying said filtered first signal to produce an amplified first signal;

digitizing said amplified first signal to produce a digital first signal; and

fourier transforming said digital first signal into said processed first signal, said method further comprising;

calibrating said processed first signal at a particular point in time by;

receiving a calibration signal indicative of the absolute blood pressure of said patient at said particular point in time;

storing said processed first signal corresponding to said particular point in time;

comparing said processed first signal to said stored processed first signal, said comparing step further comprising;

subtracting said processed first signal from said stored processed first signal and generating a scale factor and an offset in response thereto; and

integrating said first signal from the measuring step to produce an integrated signal, said method further comprising;

generating a signal indicative of the blood pressure of said patient based upon said comparison.

6. The method of claim 5, wherein said generating step further comprising:

adjusting said integrated signal by said scale factor and said offset to generate said signal indicative of the blood pressure of said patient.

7. The method of claim 6 further comprising:

storing said integrated signal corresponding to said particular point in time.

8. The method of claim 7 wherein said subtracting step further comprising:

determining the change of the maximum frequency from said processed first signal to said stored processed first signal;

converting said change of the maximum frequency into said scale factor;

determining the change of the frequency of the maximum amplitude of said integrated signal to said stored integrated signal; and

calculating said offset in response to said step of determining the change of the frequency of the maximum amplitude.

9. A non-invasive arterial sensor emulator for supplying a patient monitor signal to a patient monitor indicative of the blood pressure of a patient, said emulator comprising:

non-invasive sensor means for measuring the frequencies and displacements of an arterial wall of said patient, and for generating a first signal in response thereto;

means for processing said first signal to produce a processed first signal, said processing means comprising;

means for filtering said first signal to produce a filtered first signal;

programmable gain means for amplifying said filtered first signal to produce an amplified first signal;

digitizing means for digitizing said amplified first signal to produce a digital first signal; and

fourier transform means for transforming said digital first signal into said processed first signal, said emulator further comprising;

means for receiving a calibration signal indicative of the absolute blood pressure of said patient at a particular point in time;

means for storing said processed first signal corresponding to said particular point in time; and

means for comparing said processed first signal to said stored processed first signal and for generating said patient monitor signal to said patient monitor,

means for subtracting said processed first signal from said stored processed first signal and for generating a scale factor and an offset in response thereto;

means for integrating said first signal from said sensor means to produce an integrated signal, and

means for adjusting said integrated signal by said scale factor and said offset to generate said patient monitoring signal for said patient monitor.

10. The emulator of claim 9, wherein said non-invasive sensor means comprises a piezo-electric sensor.

11. The emulator of claim 9 further comprising:

means for storing said integrated signal corresponding to said particular point in time.

12. The instrument of claim 11 wherein said subtracting means further comprising:

means for determining the change of the maximum frequency from said processed first signal to said stored processed first signal;

look up table means for converting said change of the maximum frequency into said scale factor;

means for determining the change of the frequency of the maximum amplitude of said integrated signal to said stored integrated signal; and

means for calculating said offset in response to said determining means of the change of the frequency of the maximum amplitude.

13. The emulator of claim 9 further comprising:

means for generating said calibration signal indicative of the absolute blood pressure of said patient; and

means for controlling said generating means to receive said calibration signal automatically.