Peripheral arterial monitoring instruments

• US 5,103,833 A
• Filed: 12/20/1989
• Issued: 04/14/1992
• Est. Priority Date: 12/20/1989
• Status: Expired due to Term

• Current Assignee: GE Medical Systems Information Technologies Incorporated (General Electric Company)
• Original Assignee: Critikon, Inc.
• Inventors: Apple, Howard P.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Pfaffle, Krista M.
• Application Number:
  US07/453,519
• Time in Patent Office: 846 Days
• Field of Search: 128/680, 128/681, 128/682, 128/683, 128/687, 128/691, 128/694, 128/672, 128/677
• US Class Current: 600/500
• CPC Class Codes: A61B 5/02007 Evaluating blood vessel condition, e.g. elasticity, compliance
• 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

A method and apparatus are described for determining characteristics of peripheral arterial volume and compliane. A blood pressure cuff is inflated and deflated around a limb of the body and pressure measurements are taken. The volume of air removed from the cuff is determined in a quantifiable manner, such as by expelling air through an orifice of known characteristics or by means of a volume of know characteristics. The detected pressures and volume of air removed are used to compute oscillation volume, which in turn is used to display arterial capacity and compliance as a function of transmural pressure and time. Arterial capacity may be displayed in terms of arterial radius, arterial cross-sectional area, or arterial volume. A display of these characteristics as a function of pre and post anesthetic administration is particularly useful to the anesthesiologist and surgeon.

Claims

1. Instrumentation for performing measurements of arterial volume comprising:

an inflatable cuff;

means, connected to aid cuff, for inflating said cuff and deflating said cuff by expelling air in decrements;

means for detecting pressure levels within said cuff;

means for determining a flow of the expelled decrements of air from said cuff as a function of cuff pressure;

means, responsive to said determined flow of the expelled decrements of air, for computing values of oscillation volume; and

means for computing said arterial volume as a function of said values of oscillation volume and cuff pressure.

2. Instrumentation according to claim 1, wherein said means for computing arterial volume computes arterial volume as a function of said values of oscillation volume, cuff pressure, systolic pressure, and diastolic pressure.

3. Instrumentation according to claim 1, wherein said means for computing arterial volume computes arterial volume as a function of transmural pressure.

4. Instrumentation for performing measurements of arterial volume comprising:

an inflatable cuff;

means, connected to said cuff, for inflating and deflating said cuff;

means for detecting pressure levels within said cuff;

means, coupled to said cuff inflating and deflating means, for expelling air decrementally for said cuff in a quantifiable manner, and means for determining the quantified decrements of expelled air; and

means for computing arterial volume as a function of said quantified decrements of air expelled from said cuff and said detected pressure levels.

5. Instrumentation according to claim 4, wherein said expelling means comprises an orifice of known flow characteristics.

6. Instrumentation according to claim 5, wherein said air expelling means includes a deflate valve for expelling air from said cuff through said orifice;

and wherein said computing means includes;

means for computing flow through said orifice as a function of cuff pressure;

means for computing the volume flow of air expelled as a function of flow, orifice characteristics, and the time said deflate valve is open; and

means for computing arterial volume as a function of said volume of air expelled and cuff pressure.

7. Instrumentation according to claim 6, wherein said arterial volume computing means further computes arterial volume as a function of systolic pressure.

8. Instrumentation according to claim 4, wherein said expelling means comprises a volume of known characteristics which is selectively coupled to said cuff.

9. Instrumentation for performing measurements of arterial comprising:

an inflatable cuff;

means, connected to said cuff, for inflating and deflating said cuff;

means for detecting pressure levels within said cuff;

means for measuring volumetric decrements of air expelled from said cuff upon deflation, as a function of cuff pressure;

means for computing arterial capacity as a function of said detected pressure levels within said cuff and the measured decrements of expelled air;

means for displaying arterial capacity as a function of pressure; and

means for displaying arterial capacity as a function of time.

10. Instrumentation according to claim 9, further including means to display arterial capacity in terms of arterial volume.

11. Instrumentation according to claim 9, further including means to display arterial capacity in terms of arterial radius.

12. Instrumentation according to claim 9, further including means to display arterial capacity in terms of arterial cross-sectional area.

13. Instrumentation for performing measurements of the effects of an introduction of a substance in the blood stream comprising:

an inflatable cuff;

means, connected to said cuff, for inflating and deflating said cuff;

means for detecting pressure levels within said cuff;

means for computing arterial volume as a function of said detected pressure levels within said cuff;

means for computing arterial capacity from said computed arterial volume and said detected cuff pressure levels;

means for displaying arterial capacity prior to said introduction of the substance into the blood stream; and

means for displaying on a comparative basis arterial capacity subsequent to said introduction of the substance into the blood stream.

14. Instrumentation according to claim 13, wherein said displaying means displays said computed arterial capacity in terms of arterial volume.

15. Instrumentation according to claim 13, wherein said displaying means displays said computed arterial capacity in terms of arterial radius.

16. Instrumentation according to claim 13, wherein said displaying means displays said computed arterial capacity in terms of arterial cross-sectional area.