Blood pressure monitoring system

• US 5,099,853 A
• Filed: 05/02/1988
• Issued: 03/31/1992
• Est. Priority Date: 12/25/1986
• Status: Expired due to Term

• Current Assignee: Omron Healthcare Company Limited (Omron Corporation)
• Original Assignee: Colin Electronics Co., Ltd.
• Inventors: Uemura, Masahiro, Tsuda, Hideichi, Yokoe, Hifumi
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Lacyk, John P.
• Application Number:
  US07/204,555
• Time in Patent Office: 1,429 Days
• Field of Search: 128/672, 128/677-690
• US Class Current: 600/492
• CPC Class Codes: A61B 5/02116 of pulse wave amplitude A61B5/02225 takes precedence
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• CPC Class Codes: A61B 5/02225 using the oscillometric method

Abstract

It is desirable to minimize discomfort of a living body due to pressing by a blood pressure monitoring system of a type which monitors the blood pressure of the living body for a long period of time. The present invention is constituted by including pulse wave detecting device for detecting pulse waves of an arterial vessel of a living body, blood pressure measuring device for measuring an actual blood pressure of the living body, and control device for determining a relationship between the pulse waves detected by the pulse wave detecting device and the actual blood pressure measured by the blood pressure measuring device, determining blood pressures according to the thus-determined relationship and based on the pulse waves, and commanding a display to continuously display the thus-determined blood pressures thereon. In accordance with the present invention, blood pressures are determined according to the relationship between the actual blood pressure and the pulse waves, which is determined by the control device, and based on the pulse waves, and the thus determined blood pressures are continuously displayed, thereby eliminating the operation of successively obtaining measurements of the actual blood pressure by using a cuff, for example, and minimizing discomfort felt by the living body.

Claims

1. A blood pressure monitoring system for continuously measuring blood pressure of a living body, the system comprising:

pulse wave detecting means for detecting pulse waves of an arterial vessel of said living body,

said pulse wave detecting means comprising a plurality of pressure sensors which are adapted to be set on a body surface of said living body above said arterial vessel, each of said pressure sensors having a dimension smaller than a diameter of said arterial vessel as viewed in a direction perpendicular to said arterial vessel;

pressing means for pressing said pulse wave detecting means against said arterial vessel via said body surface and thereby at least partially flattening said arterial vessel, at least one of said pressure sensors detecting said pulse waves through a flattened wall of said arterial vessel;

blood pressure measuring means for measuring an actual blood pressure of said living body;

control means for determining a relationship between blood pressure and magnitude of pulse waves, based on the pulse waves detected by said at least one pressure sensor through said flattened wall of said arterial vessel and the actual blood pressure measured by said blood pressure measuring means, such that blood pressure is a linear function of magnitude of said pulse waves,

said control means determining blood pressures according to the thus-determined relationship based on magnitudes of the pulse waves detected by said at least one pressure sensor through said flattened wall of said arterial vessel; and

display means for displaying the blood pressures determined by said control means.

2. A blood pressure monitoring system as recited in claim 1, wherein said pulse wave detecting means is adapted to be located on the body surface of said living body above a radial artery, a carotid artery, or a dorsal pedal artery of said living body.

3. A blood pressure monitoring system as recited in claim 1, wherein said pulse wave detecting means comprises a semiconductor strain sensor or a piezoelectric element.

4. A blood pressure monitoring system as recited in claim 1, wherein said pulse wave detecting means is pressed against said arterial vessel of said living body via said body surface under a predetermined pressure by said pressing means.

5. A blood pressure monitoring system as recited in claim 4, wherein said pressure applied to said pulse wave detecting means is predetermined to be a comparatively low, constant pressure not more than about 20 mmHg.

6. A blood pressure monitoring system as recited in claim 4, wherein said pressing means comprises a band which is wound around a body portion of said living body.

7. A blood pressure monitoring system as recited in claim 1, wherein said pressure sensors of said pulse wave detecting means are arranged in a direction intersecting said arterial vessel on the body surface of said living body above said arterial vessel, each of said pressure sensors being pressed on said body surface and generating a pulse wave signal representative of said pulse waves produced by said arterial vessel,

the system further comprising pressure force regulating means for regulating a pressing force of said pressing means so that a magnitude of the pulse wave signal from the middle of a group of said plurality of pressure sensors which group is located on a portion of said body surface right above said arterial vessel, is lower than magnitudes of the pulse wave signals from the opposite ends of said group.

8. A blood pressure monitoring system as recited in claim 7, wherein said plurality of pressure sensors comprise a single semiconductor plate and a plurality of pressure-sensitive diodes formed on said single semiconductor plate, said semiconductor plate being pressed against said arterial vessel via said body surface by said pressing means so as to at least partially flatten said arterial vessel, each of said plurality of pressure-sensitive diodes having said dimension smaller than said diameter of said arterial vessel.

9. A blood pressure monitoring system as recited in claim 7, wherein said pressing means comprises a main body, a presser member provided inside said main body, an elastically deformable diaphragm which is disposed between said presser member and said main body to air-tightly define a pressure room and support said presser member such that said presser member is movable relative to said main body, and a pressurized fluid supplying means for supplying a pressurized fluid to said pressure room.

10. A blood pressure monitoring system as recited in claim 7, wherein said pressing force regulating means determines maximum peak values of said pulse wave signals generated by said plurality of pressure sensors and regulates said pressing force of said pressing means so that a varying trend of said maximum peak values in the direction intersecting said arterial vessel has a pair of maximal points and a minimal point located between said pair of maximal points and that the maximum peak value of said minimal point is not more than a predetermined proportion of an average of the maximum peak values of said maximal points.

11. A blood pressure monitoring system as recited in claim 1, wherein said control means determines a maximum blood pressure based on a speed of increase of the pulse wave or a rate of change of an increasing portion of the pulse wave.

12. A blood pressure monitoring system as recited in claim 1, wherein said control means determines said relationship by selecting, from a plurality of pre-stored data maps representing different relationships between blood pressure and magnitude pulse waves, one data map corresponding to a relationship between the actual blood pressure measured by the blood pressure measuring means and the pulse waves detected by the pulse wave detecting means.

13. A blood pressure monitoring system as recited in claim 1, wherein said control means stores said relationship, and calculates blood pressures according to the stored relationship based on magnitudes of the pulse waves detected after said relationship has been stored.

14. A blood pressure monitoring system as recited in claim 1, wherein said control means updates said relationship at predetermined regular intervals of time based on the actual blood pressures which are measured by said blood pressure measuring means at said predetermined regulate intervals.

15. A blood pressure monitoring system as recited in claim 14, wherein the regular interval of time is predetermined to fall within the range of about 5 to 10 minutes.

16. A blood pressure monitoring system as recited in claim 1, wherein said control means includes abnormal pulse wave detecting means for detecting an abnormality of the pulse waves, said blood pressure measuring means automatically measuring an actual blood pressure of said living body upon the detection of said abnormality of the pulse waves, said control means updating said relationship based on the thus-measured actual blood pressure and the pulse waves detected after the detection of said abnormality.

17. A blood pressure monitoring system as recited in claim 1, wherein said blood pressure measuring means includes a cuff which is wound around a body portion of said living body, and a pressure supplying means for supplying a pressure to said cuff, said blood pressure measuring means determining said actual blood pressure based on variation in magnitude of the pulse waves of said arterial vessel which variation is detected through said cuff as the pressure of said cuff is varied.

18. A blood pressure monitoring system as recited in claim 1, wherein said blood pressure measuring means measures actual maximum and minimum blood pressures of said living body, said control means determining a maximum and a minimum magnitude of one of the pulse waves detected by said pulse wave detecting means, and determining a first relationship between maximum blood pressure and maximum pulse wave magnitude and a second relationship between minimum blood pressure and minimum pulse wave magnitude, said first and second relationships being expressed by linear functions (1) and (2), respectively,