Blood pressure monitor system

• US 5,261,414 A
• Filed: 06/19/1992
• Issued: 11/16/1993
• Est. Priority Date: 06/28/1991
• Status: Expired due to Fees

• Current Assignee: Colin Medical Technology Corporation (Omron Corporation)
• Original Assignee: Colin Electronics Co., Ltd.
• Inventors: Takaya, Masami, Nishibayashi, Hideo, Aung, Ye
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Parker, Marianne
• Application Number:
  US07/901,091
• Time in Patent Office: 515 Days
• Field of Search: 128/678-683, 128/687-690, 128/677, 128/672
• US Class Current: 600/496
• 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

A blood pressure monitor system for monitoring blood pressure of a living subject, including a pulse wave detecting device detecting a first pulse wave produced from an artery of the subject via a body surface of the subject over the artery, an inflatable cuff pressing a body portion of the subject, a blood pressure measuring device measuring a systolic and a mean blood pressure of the subject, based on variation in amplitude of pulses of a second pulse wave transmitted to the cuff by changing a pressure in the cuff, and a blood pressure determining device determining a relationship between blood pressure and pulse wave magnitude, based on the systolic and mean blood pressure values measured by the blood pressure measuring device and an upper-peak magnitude and a mean magnitude of the first pulse wave detected by the pulse wave detecting device, and continuously determining, according to the relationship, blood pressure values of the subject based on magnitudes of the first pulse wave detected by the pulse wave detecting device.

Claims

1. A blood pressure monitor system for monitoring blood pressure of a living subject, comprising:

pulse wave detecting means for detecting a series of pulses of a first pulse wave produced from an artery of said subject via a body surface of the subject over said artery;

an inflatable cuff for pressing a body portion of said subject;

blood pressure measuring means for measuring a systolic and a mean blood pressure of said subject based on variation in amplitude of a series of pulses of a second pulse wave which is produced from the pressed body portion of said subject and is propagated to said inflatable cuff by changing a pressure in said cuff; and

blood pressure determining means for determining a relationship between blood pressure and pulse wave magnitude, based on the systolic and mean blood pressure values measured by said blood pressure measuring means and an upper-peak magnitude and a mean magnitude of at least one of said pulses of said first pulse wave detected by said pulse wave detecting means, and continuously determining, according to said relationship, blood pressure values of said subject based on magnitudes of said first pulse wave detected by said pulse wave detecting means.

2. The blood pressure monitory system as set forth in claim 1, wherein, while said blood pressure measuring means decreases the pressure in said cuff, said blood pressure measuring means calculates a difference between the amplitudes of each pair of time-wise adjacent two pulses of said pulses of said second pulse wave and determines as said systolic blood pressure of said subject a pressure in said cuff when the differences between the amplitudes of the pairs of pulses become maximum, and subsequently determines as said mean blood pressure a pressure in said cuff when the amplitudes of said pulses of said second pulse wave become maximum.

3. The blood pressure monitor system as set forth in claim 1, wherein said pulse wave detecting means includes at least one pressure sensor which detects said series of pulses of said first pulse wave transmitted thereto from said artery of said subject via said body surface of the subject, and produces an electric signal which is indicative of the detected pulses of said first pulse wave along a time axis,

said pulse wave detecting means defining a variable line which extends parallel to said time axis and is indicative of a magnitude of said electric signal, and superimposing said variable line on one of said detected pulses of said first pulse wave,

said pulse wave detecting means specifying, by moving said variable line over said one pulse in a direction perpendicular to said time axis, a magnitude of said variable line at a time when a first area bounded by said variable line and an upper portion of an electric signal indicative of said one pulse which upper portion is of a magnitude greater than said variable line, becomes equal to a second area bounded by said variable line and a lower portion of the electric signal indicative of said one pulse which lower portion is of a magnitude less than said variable line, said pulse wave detecting means determining the specified magnitude of said variable line as a mean magnitude of said one pulse of said first pulse wave.

4. The blood pressure monitor system as set forth in claim 1, wherein said pulse wave detecting means includes at least one pressure sensor which detects said series of pulses of said first pulse wave transmitted thereto from said artery of said subject via said body surface of the subject, and produces an electric signal which is indicative of the detected pulses of said first pulse wave along a time axis,

said pulse wave detecting means establishing a coordinate system defined by said time axis and a signal magnitude axis representative of magnitude of said electric signal, and defining a first and a second line which extend parallel to said time axis and are indicative of a first and a second magnitude of said electric signal, respectively, and superimposing said first and second lines on one of said detected pulses of said first pulse wave such that said second line passes through a lower-peak point of said one pulse and said first line passes through bary-center coordinates of an area bounded by said second line and the electric signal indicative of said one pulse,

said pulse wave detecting means determining said first magnitude of said first variable line as a mean magnitude of said one pulse of said first pulse wave.

5. The blood pressure monitor system as set forth in claim 1, wherein said blood pressure determining means determines as said relationship the following linear function:

space="preserve" listing-type="equation">y=α

·

x+β

in which

x;

said pulse wave magnitude,

y;

said blood pressure, and

α

, β

;

constants,

said blood pressure determining means determining said constants α

, β

by solving the following simultaneous equations with the two unknowns α

, β

;

space="preserve" listing-type="equation">P.sub.sys =α

·

ST.sub.max +β

space="preserve" listing-type="equation">P.sub.mean =α

·

ST.sub.mean +β

in which

P_sys ;

said systolic blood pressure;

ST_max ;

said upper-peak magnitude of said first pulse wave,

P_mean ;

said mean blood pressure, and

ST_mean ;

said mean magnitude of said first pulse wave.

6. The blood pressure monitor system as set forth in claim 1, wherein said pulse wave detecting means detects an upper-peak and a lower-peak magnitude of each of said series of pulses of said first pulse wave, and said blood pressure determining means successively calculates a systolic and a diastolic blood pressure value of said subject, according to said relationship, based on said upper-peak and lower-peak magnitudes, respectively, of said each pulse of said first pulse wave detected by said pulse wave detecting means after said relationship is determined.

7. The blood pressure monitor system as set forth in claim 1, wherein said blood pressure determining means updates said relationship at predetermined intervals of time, based on pairs of systolic and mean blood pressure values measured by said blood pressure measuring means at said predetermined intervals.

8. The blood pressure monitor system as set forth in claim 1, further comprising display means for successively displaying, along a time axis, said blood pressure values determined by said blood pressure determining means.

9. The blood pressure monitor system as set forth in claim 1, wherein said pulse wave detecting means comprises:

a sensor chip including a semiconductor substrate and a plurality of pressure sensing elements formed in one of opposite surfaces of said substrate; and

pressing means for pressing said sensor chip against said artery via said body surface so as to partially flatten a wall of the artery, so that each of said pressure sensing elements detects said first pulse wave transmitted to said one surface of said substrate from inside said artery via the flattened wall of the artery and said body surface over the artery.

10. The blood pressure monitor system as set forth in claim 1, wherein said blood pressure measuring means comprises cuff pressure detecting means for detecting said pressure in said cuff when the cuff pressure is changed, said cuff pressure detecting means including a pressure sensor, and piping for communicating said cuff with said pressure sensor.