Peripheral arterial monitoring instruments

• US 5,218,968 A
• Filed: 01/22/1992
• Issued: 06/15/1993
• Est. Priority Date: 12/20/1989
• Status: Expired due to Term

• Current Assignee: GE Medical Systems Information Technologies Incorporated (GE Healthcare Technologies, Inc.)
• Original Assignee: Critikon, Inc. (Johnson & Johnson)
• Inventors: Apple, Howard P.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Pfaffle, K. M.
• Application Number:
  US07/823,909
• Time in Patent Office: 510 Days
• Field of Search: 128/691, 128/694, 128/672, 128/677, 128/680-683, 128/687
• 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 compliance. 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 said cuff, for inflating and deflating said cuff;

means for detecting pressure levels of said cuff;

means, responsive to said detected pressure levels, for determining volumetric measurements of arterial blood; and

means for calibrating said volumetric determining means, including means for measuring the volume of air removed from said cuff during the deflation of said cuff.

2. Instrumentation according to claim 1, wherein said calibrating means includes means, responsive to said inflating and deflating means, for transferring a predetermined quantity of air from said cuff.

3. 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 of said cuff;

means, responsive to said detected pressure levels, for determining volumetric measurements of arterial blood;

means for calibrating said volumetric determining means, including means for measuring the volume of air removed from said cuff during the deflation of said cuff;

wherein said calibrating means includes means, responsive to said inflating and deflating means, for transferring a predetermined quantity of air from said cuff; and

wherein said transferring means is periodically activatable to incrementally remove said predetermined quantity of air from said cuff.

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 of said cuff;

means, responsive to said detected pressure levels, for determining volumetric measurements of arterial blood; and

means for calibrating said volumetric determining means, including means for measuring the volume of air removed from said cuff during the deflation of said cuff, as a function of cuff pressure.

5. Instrumentation according to claim 4, wherein said calibrating means includes means, responsive to said inflating and deflating means, for transferring a predetermined quantity of air from said cuff.

6. Instrumentation according to claim 5, wherein said transferring means is periodically activatable to incrementally remove said predetermined quantity of air from said cuff.