Pressure-pulse-wave detecting apparatus

• US 4,976,268 A
• Filed: 06/21/1989
• Issued: 12/11/1990
• Est. Priority Date: 06/24/1988
• Status: Expired due to Term

• Current Assignee: Colin Medical Technology Corporation (Omron Corporation)
• Original Assignee: Colin Electronics Co., Ltd.
• Inventors: Kurosawa, Kimimasa, Sakai, Hiroshi, Niwa, Minoru, Harada, Chikao
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Getzow, Scott M.
• Application Number:
  US07/369,684
• Time in Patent Office: 538 Days
• Field of Search: 128/687, 128/689, 128/690, 128/691, 128/633, 128/748, 128/667, 128/666, 128/664, 128/665
• US Class Current: 600/500
• CPC Class Codes: A61B 5/02233 Occluders specially adapted therefor tourniquets A61B17/132
• CPC Class Codes: A61B 5/02255 the pressure being controlled by plethysmographic signals, e.g. derived from optical sensors

Abstract

An apparatus for detecting pressure pulse wave, including a main body having a pressing surface which is pressed against the body surface of a subject, and a plurality of through holes formed therethrough and opening in the pressing surface; a plate member secured to the pressing surface of the main body such that the plate member covers the openings of the through holes, the pressing plate having flexibility and including a plurality of displaceable portions each of which is aligned with the opening of a corresponding through hole; a plurality of optical fibers, one of opposite ends of each optical fiber being fitted in a corresponding through hole of the main body, such that an end face of the one end is opposed to a corresponding displaceable portion of the plate member at a predetermined distance therefrom; and a plurality of signal generating devices each of which is connected to the other of the opposite ends of a corresponding optical fiber, each signal generating device detecting the pressure pulse wave transmitted to a corresponding displaceable portion of the plate member, based on minute displacement of the corresponding displaceable portion which is optically detected through the corresponding optical fiber, and generating an electric signal representing the detected pressure pulse wave.

Claims

1. A pressure-pulse-wave detecting apparatus for detecting a pressure pulse wave produced from an arterial vessel of a subject, at a plurality of positions on a body surface right above said arterial vessel, the apparatus comprising:

a main body having a pressing surface which is pressed against said body surface, and a plurality of through holes formed therethrough and opening in said pressing surface;

a plate member secured to said pressing surface of said main body such that said plate member covers the openings of said plurality of through holes, said plate member having flexibility and including a plurality of displaceable portions each of which is aligned with the opening of a corresponding one of said plurality of through holes;

a plurality of optical fibers, one of opposite ends of each of said plurality of optical fibers being fitted in a corresponding one of said plurality of through holes of said main body, such that an end face of said one of opposite ends is opposed to a corresponding one of said plurality of displaceable portions of said plate member at a predetermined distance therefrom; and

a plurality of signal generating devices each of which is connected to the other of the opposite ends of a corresponding one of said plurality of optical fibers, said each signal generating device detecting the pressure pulse wave transmitted to a corresponding one of said plurality of displaceable portions of said plate member, based on minute displacement of said corresponding displaceable portion which is optically detected through said corresponding optical fiber, and generating an electrical signal representing the detected pressure pulse wave.

2. The apparatus as set forth in claim 1, further comprising:

pressing means for pressing said plate member secured to said pressing surface of said main body, against said body surface, wherein said pressing means comprises;

a cylindrical housing with a bottom wall, for accommodating said main body;

a flexible diaphragm disposed between said housing and said main body, for securing said main body to said housing, said diaphragm cooperating with said housing and said main body to define a fluid-tight pressure chamber;

a band attached to two sides of said housing for holding said housing on said body surface; and

a pressure source connected to said pressure chamber, said pressure source supplying pressurized fluid so as to inflate said diaphragm and thereby press said main body against said body surface.

3. The apparatus as set forth in claim 1, wherein said main body has rigidity.

4. The apparatus as set forth in claim 1, wherein said main body has grooves formed in said pressing surface thereof, said grooves being covered by said plate member secured to said pressing surface, said plurality of through holes communicating with the atmosphere via said grooves covered by said plate member.

5. The apparatus as set forth in claim 1, wherein said plurality of through holes are formed through said main body such that the through holes are arranged in a row at regular intervals of distance.

6. The apparatus as set forth in claim 5, wherein each of said regular intervals of distance is about 0.2 mm long.

7. The apparatus as set forth in claim 5, wherein, about 3 to 5 of said regular intervals of distance are equal to the width of said arterial vessel with said main body pressed against said body surface.

8. The apparatus as set forth in claim 1, wherein each of said signal generating devices comprises:

a laser source for emitting laser beams having a single wavelength and an optical path;

a first convex lens disposed along said optical path for forming said laser beams into parallel beams and for transmitting said parallel beams along said optical path;

a non-polar beam splitter disposed along said optical path for dividing said parallel beams into a first and a second beam, such that said beam splitter transmits said first beam along said optical path and reflects said second beam along a second optical path;

a second convex lens disposed along said optical path for permitting said first beam to be incident on an end face of the other of the opposite ends of a corresponding one of said plurality of optical fibers, said first beam being transmitted by said corresponding optical fiber, reflected by a corresponding one of said displaceable portions of said plate member, again transmitted by said corresponding optical fiber, and reflected by said non-polar beam splitter along a third optical path, said first beam having a phase varying due to said minute displacement of said corresponding displaceable portion;

a reflector mirror for reflecting said second beam, said second beam being reflected by said reflector mirror in an opposite direction along said second optical path and transmitted by said non-polar beam splitter along said third optical path, said second beam having a reference phase;

a photosensor disposed across said third optical path for detecting a mixture light consisting of the first beam reflected by said beam splitter and the second beam transmitted through said beam splitter; and

a detector circuit for reading a shift in phase between said phase and said reference phase in said mixture light at regular minute intervals of time, and generating said electric signal based on the readings at said regular minute intervals of time.

9. The apparatus as set forth in claim 1, further comprising:

a control device operably connected to said signal generating devices, wherein said control device further comprises;

means for processing the electric signals supplied from said plurality of signal generating devices;

means for selecting one of said electric signals which is free from influences of the wall of said arterial vessel; and

means for monitoring blood pressure of said subject based on the selected electric signal.

10. The apparatus as set forth in claim 1, further comprising:

a control device operably connected to said signal generating devices and a pressure source, wherein said control device further comprises;

means for receiving the electric signals from said plurality of signal generating devices;

means for varying the pressing force, based on a control signal between said control device and said pressure source, with which said main body is pressed against said body surface; and

means for determining a degree of arterial sclerosis of said arterial vessel based on the received electric signals.