Pulse wave detecting apparatus

• US 5,119,822 A
• Filed: 04/13/1990
• Issued: 06/09/1992
• Est. Priority Date: 10/19/1988
• Status: Expired due to Fees

• Current Assignee: Colin Medical Technology Corporation (Omron Corporation)
• Original Assignee: Colin Electronics Co., Ltd.
• Inventors: Niwa, Minoru
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): SHUMAKER, STEVEN
• Application Number:
  US07/508,609
• Time in Patent Office: 788 Days
• Field of Search: 128/677, 128/687-690, 128/695, 128/696, 128/701, 128/713-715, 128/679, 128/680, 128/681, 128/672
• US Class Current: 600/485
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/02108 from analysis of pulse wave characteristics
• CPC Class Codes: A61B 5/02444 Details of sensor A61B5/02427 takes precedence

Abstract

A pulse wave detecting apparatus including a pulse wave sensor; a pressing device for pressing the sensor against an arterial vessel of a subject, while varying the pressing force; a first device for determining an amplitude of each of pulses of pulse wave which are detected by the sensor while the pressing force is varied; a second device for determining, based on the determined pulse amplitudes, a first range of the pressing force within which the pulse amplitudes are generally constant, the first range including a point at which a rate of change of the pulse amplitudes with respect to the pressing force is zero; a third device for determining a minimum value of each of the pulses detected by the sensor; a fourth device for determining, based on the determined pulse minimum magnitude, a second range of the pressing force within which the pulse minimum magnitudes are generally constant, the second range including a point at which a rate of change of the pulse minimum magnitudes with respect to the pressing force is minimum; a fifth device for determining an optimum range of the pressing force based on the first and second ranges, and determining an optimum value of the pressing force such that the optimum value falls within the optimum range; and a sixth device for adjusting the pressing device to the optimum pressing force, and obtaining a pulse wave of the subject through the sensor pressed with the optimum pressing force.

Claims

1. A pulse wave detecting apparatus for detecting a pressure pulse wave produced from an arterial vessel of a subject, comprising:

a pulse wave sensor having a press surface on which at least one pressure sensing element is provided, said pulse wave sensor being pressed against an arterial vessel of a subject via a body surface above said arterial vessel so that said at least one pressure sensing element detects a pressure pulse wave produced from said arterial vessel of said subject, said at least one pressure sensing element providing an electric signal representing the detected pressure pulse wave;

pressing means for pressing said pulse wave sensor against said arterial vessel via said body surface, while varying the pressing force thereof over a predetermined force range;

first means for determining an amplitude of each of pulses of the pressure pulse wave represented by said electric signal which is provided by said at least one pressure sensing element while the pressing force of said pressing means is varied;

second means for determining, based on the pulse amplitudes determined by said first means, a first force range of said pressing force within which said pulse amplitudes are generally constant, said first force range including a point at which a rate of change of said pulse amplitudes with respect to said pressing force is zero;

third means for determining a minimum magnitude of said each pulse of the pressure pulse wave represented by said electric signal provided by said at least one pressure sensing element;

fourth means for determining, based on the pulse minimum magnitudes determined by said third means, a second force range of said pressing force within which said pulse minimum magnitudes are generally constant, said second force range including a point at which a rate of change of said pulse minimum magnitudes with respect to said pressing force is minimum;

fifth means for determining, as an optimum force range of said pressing force, at least a portion of said first and second force ranges, and determining an optimum value of said pressing force such that said optimum value falls within said optimum force range; and

sixth means for adjusting said pressing means to said optimum value of said pressing force, and obtaining a pressure pulse wave of said subject through said pulse wave sensor pressing against said arterial vessel with the optimum pressing force.

2. The apparatus as set forth in claim 1, wherein, in the event that neither said first force range nor said second force range is zero, said fifth means determines as said optimum force range an overlap portion of said first and second force ranges.

3. The apparatus as set forth in claim 2, wherein, in the event that a value Δ

Pc obtained by subtracting a lower limit Pcmin of said overlap portion from an upper limit thereof is smaller than a first predetermined value S, said fifth means determines said optimum pressing force Pa by the following expression;

Pa=Pcmin+Δ

Pc/2, and, in the event that said value Δ

Pc is not smaller than said first predetermined value S, said fifth means determines said optimum pressing force Pa by the following expression;

Pa=Pcmin+S/2.

4. The apparatus as set forth in claim 1, wherein, in the event that said first force range is not zero and said second force range is zero, said fifth means determines said first force range as said optimum force range.

5. The apparatus as set forth in claim 4, wherein, in the event that a value Δ

Pp obtained by subtracting a lower limit Ppmin of said first force range from an upper limit thereof is smaller than a second predetermined value T, said fifth means determines said optimum pressing force Pa according to the following expression;

Pa=Ppmin+Δ

Pp/2, and, in the event that said value Δ

Pp is not smaller than said second predetermined value T, said fifth means determines said optimum pressing force Pa according to the following expression;

Pa=Ppmin+T/2.

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

means for, in the event that said first force range is zero, informing an operator that a position of said pulse wave sensor on said body surface with respect to said arterial vessel is inappropriate, and causing the pulse wave detecting apparatus to be deactivated.

7. The apparatus as set forth in claim 1, wherein said pressing means comprises:

a housing;

a diaphragm fluid-tightly secured to inner surfaces of said housing, said diaphragm cooperating with said housing to define a fluid-tight pressure chamber, said pulse wave sensor being secured to an outer surface of said diaphragm so that said pulse wave sensor is movable together with said diaphragm relative to said housing;

supply means for supplying said pressure chamber with a pressurized fluid so as to press said pulse wave sensor against said arterial vessel via said body surface; and

pressure regulating means for regulating said pressurized fluid supplied to s id pressure chamber and thereby adjusting a fluid pressure in said pressure chamber,

said pressing force of said pressing means with which said pulse wave sensor is pressed against said arterial vessel being varied as said fluid pressure is varied by said pressure regulating means.

8. The apparatus as set forth in claim 1, wherein said pulse wave sensor comprises:

a semiconductor chip of monocrystalline silicon; and

a plurality of pressure sensing diodes provided in a row on one surface of said semiconductor chip, said one surface of said semiconductor chip serving as said press surface of said pulse wave sensor, each of said plurality of pressure sensing diodes detecting a pulse wave produced from said arterial vessel.

9. The apparatus as set forth in claim 1, wherein said at least one pressure sensing element comprise a plurality of pressure sensing elements, and wherein (a) said first means determines an amplitude of each of pulses of the pulse wave which are detected by each of said plurality of pressure sensing elements while said pressing force of said pressing means is varied, (b) said second means selects as an optimum pressure sensing element one of said plurality of pressure sensing elements which element has detected a pulse whose amplitude is the greatest of the amplitudes of the pulses detected by said plurality of pressure sensing elements, and determines said first force range based on the amplitudes of the pulses detected by said optimum pressure sensing element, (c) said third means determines an minimum magnitude of each of the pulses detected by said optimum pressure sensing element, and (d) said fourth means determines said second force range based on the pulse minimum magnitudes determined by said third means.

10. The apparatus as set forth in claim 9, wherein said plurality of pressure sensing elements comprise at least three pressure sensing elements provided in a row on said press surface of said pulse wave sensor,

the apparatus further comprising

means for, in the event that said second means selects as said optimum pressure sensing element one of two pressure sensing elements respectively positioned at opposite ends of said row, discarding the pressure sensing element selected by said second means, and re-selecting as said optimum pressure sensing element another pressure sensing element which has detected a pulse whose amplitude is the greatest of the amplitudes of the pulses detected by said at least three pressure sensing elements except the discarded pressure sensing element.

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

means for displaying and recording said pulse wave detected through said pulse wave sensor pressed with said optimum pressing force.

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

means for determining a blood pressure of said subject based on said pulse wave detected through said pulse wave sensor pressed with said optimum pressing force.