Blood pressure monitor system

• US 5,279,303 A
• Filed: 06/04/1992
• Issued: 01/18/1994
• Est. Priority Date: 06/14/1991
• Status: Expired due to Term

• Current Assignee: Omron Healthcare Company Limited (Omron Corporation)
• Original Assignee: Colin Electronics Co., Ltd.
• Inventors: Nakagawa, Tsuneo, Kawamura, Norio, Aung, Ye
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): Parker, Marianne
• Application Number:
  US07/894,515
• Time in Patent Office: 593 Days
• Field of Search: 128/677-683, 128/687-690, 128/672
• US Class Current: 600/496
• CPC Class Codes: A61B 5/0225 the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds

Abstract

A blood pressure monitor system, including a pulse wave detecting device detecting a pulse wave produced from an artery of a living subject, a blood pressure measuring device including a pressing device, for measuring a blood pressure of the subject by pressing a body portion of the subject with the pressing device, a relationship determining device determining a relationship between blood pressure and pulse wave magnitude, based on a pulse wave magnitude detected by the pulse wave detecting device and a blood pressure value measured by the blood pressure measuring device, a blood pressure monitor device continuously determining, according to the relationship, blood pressure values of the subject based on magnitudes of the pulse wave detected by the pulse wave detecting device, the relationship determining device updating the relationship at intervals of time, based on blood pressure values measured by the blood pressure measuring device, a blood pressure variation determining device determining a variation of the blood pressure of the subject, based on at least two of the magnitudes of the pulse wave detected by the pulse wave detecting device, and an update-interval changing device changing the interval of updating based on the blood pressure variation determined by the blood pressure variation determining device.

Claims

1. A blood pressure monitor system, comprising:

pulse wave detecting means for detecting a series of pulses of a pressure pulse wave produced from a single artery of a living subject in synchronism with heartbeat of said subject, said detecting means including a plurality of pressure sensing elements which are adapted to contact a body surface of said subject directly above said artery, said artery extending in a blood flow direction and said sensing elements extending in a direction crossing said blood flow direction;

pressing means for pressing said pulse wave detecting means against said artery through said body surface to partially flatten a wall of said artery, so that at least one of said pressure sensing elements detects said pulse wave through the flattened wall of said artery;

blood pressure measuring means including an inflatable cuff, for measuring a blood pressure of said subject by pressing a body portion of said subject with said cuff;

relationship determining means for determining a relationship between blood pressure and pulse wave magnitude, based on a pulse wave magnitude detected by said at least one pressure sensing element of said pulse wave detecting means through said flattened wall of said artery and a blood pressure value measured by said blood pressure measuring means, said relationship determining means determining a linear function equation defining said relationship, said linear function equation being expressed as P=a·

M+b wherein P is blood pressure, M is pulse wave magnitude, and a, b are constants;

blood pressure monitor means for continuously determining, according to said relationship, blood pressure values of said subject based on magnitudes of the pulse wave detected by said at least one pressure sensing element of said pulse wave detecting means through said flattened wall of said artery;

said relationship determining means updating said relationship at intervals of time, based on blood pressure values measured by said blood pressure measuring means;

blood pressure variation determining means for determining a variation of the blood pressure of said subject, based on at least two of said magnitudes of the pulse wave detected by said at least one pressure sensing element of said pulse wave detecting means; and

update-interval changing means for changing said interval of updating based on the blood pressure variation determined by said blood pressure variation determining means.

2. The blood pressure monitor system as set forth in claim 1, wherein said blood pressure variation determining means determines, as said variation of the blood pressure of said subject, an absolute value of a difference between a maximum magnitude of each of said pulses of the pulse wave detected by said pulse wave detecting means and a maximum magnitude of a prior one of said pulses detected a predetermined time before said each pulse.

3. The blood pressure monitor system as set forth in claim 2, wherein said update-interval changing means changes said interval of updating, by commanding said blood pressure measuring means and said relationship determining means to update said relationship, when said variation of the blood pressure is greater than a predetermined reference value.

4. The blood pressure monitor system as set forth in claim 1, wherein said blood pressure variation determining means determines, as a first variation of the blood pressure of said subject, an absolute value of a difference between a maximum magnitude of each of said pulses of the pulse wave detected by said pulse wave detecting means and a maximum magnitude of a first prior one of said pulses detected a first predetermined time before said each pulse, and determines, as a second variation of the blood pressure, an absolute value of a difference between said maximum magnitude of said each pulse and a maximum magnitude of a second prior one of said pulses detected a second predetermined time before said each pulse, said second predetermined time being shorter than said first predetermined time,

said update-interval changing means changing said interval of updating, by commanding said blood pressure measuring means and said relationship determining means to update said relationship, when said first and second variations of the blood pressure are greater than a first and a second predetermined reference value, respectively.

5. The blood pressure monitor system as set forth in claim 1, wherein said blood pressure variation determining means calculates an amplitude of each of said pulses of the pulse wave detected by said pulse wave detecting means, by subtracting a minimum magnitude of said each pulse from a maximum magnitude of said each pulse, and determines as said variation of the blood pressure of said subject an absolute value of a difference between said amplitude of said each pulse and an amplitude of a prior one of said pulses detected a predetermined time before said each pulse.

6. The blood pressure monitor system as set forth in claim 5, wherein said update-interval changing means changes said interval of updating, by commanding said blood pressure measuring means and said relationship determining means to update said relationship, when said variation of the blood pressure is greater than a reference value.

7. The blood pressure monitor system as set forth in claim 6, wherein said update-interval changing means determines said reference value based on said amplitude of said prior one pulse.

8. The blood pressure monitor system as set forth in claim 1, wherein said blood pressure variation determining means determines, as a first variation of the blood pressure of said subject, an absolute value of a difference between an amplitude of each of said pulses of the pulse wave detected by said pulse wave detecting means and an amplitude of a first prior one of said pulses detected a first predetermined time before said each pulse, and determines, as a second variation of the blood pressure, an absolute value of a difference between said amplitude of said each pulse and an amplitude of a second prior one of said pulses detected a second predetermined time before said each pulse, said second predetermined time being shorter than said first predetermined time,

said update-interval changing means determining a first reference value based on said amplitude of said first prior one pulse, and a second reference value based on said amplitude of said second prior one pulse,

said update-interval changing means changing said interval of updating, by commanding said blood pressure measuring means and said relationship determining means to update said relationship, when said first and second variations of the blood pressure are greater than said first and second reference values, respectively.

9. The blood pressure monitor system as set forth in claim 1, wherein said blood pressure variation determining means determines (a) as a first variation of the blood pressure of said subject an absolute value of a difference between a maximum magnitude of each of said pulses of the pulse wave detected by said pulse wave detecting means and a maximum magnitude of a first prior one of said pulses detected a first predetermined time before said each pulse, determines (b) as a second variation of the blood pressure an absolute value of a difference between said maximum magnitude of said each pulse and a maximum magnitude of a second prior one of said pulses detected a second predetermined time before said each pulse, said second predetermined time being shorter than said first predetermined time, determines (c) as a third variation of the blood pressure an absolute value of a difference between an amplitude of said each pulse and an amplitude of said first prior one pulse, and determines (d) as a fourth variation of the blood pressure an absolute value of a difference between said amplitude of said each pulse and an amplitude of said second prior one pulse,

said update-interval changing means changing said interval of updating, by commanding said blood pressure measuring means and said relationship determining means to update said relationship, when said first, second, third, and fourth variations of the blood pressure are greater than a first and a second predetermined reference value and a third and a fourth reference value, respectively,

said update-interval changing means determining said third reference value based on said amplitude of said first prior one pulse, and said fourth reference value based n said amplitude of said second prior one pulse.

10. The blood pressure monitor system as set forth in claim 1, wherein said blood pressure variation determining means selects, rom the pulses of the pulse wave detected by said pulse wave detecting means during a first predetermined time duration after said relationship is updated by said relationship determining means, a pulse having a greatest maximum magnitude, MAX, of maximum magnitudes of said pulses and a pulse having a smallest minimum magnitude, MIN, of minimum magnitudes of said pulses, calculates an average, MID, of said magnitudes MAX, MIN, calculates an average, AV, of the maximum and minimum magnitudes of said pulses except said magnitudes MAX, MIN, determines as a deviation, D, an absolute value of a difference between said averages MID, AV, and successively calculates an average, AV'"'"', of maximum and minimum magnitudes of the pulses of the pulses wave detected during every second predetermined time duration after said deviation D is determined,

said blood pressure variation determining means determining, as said variation of the blood pressure of said subject, an absolute value of a difference between time-wise adjacent two of said average AV and the averages AV'"'"'.

11. The blood pressure monitor system as set forth in claim 10, wherein said update-interval changing means changes said interval of updating, by commanding said blood pressure measuring means and said relationship determining means to update said relationship, when said variation of the blood pressure is greater than said deviation D.

12. The blood pressure monitor system as set forth in claim 1, wherein said blood pressure variation determining means selects, from the pulses of the pulse wave detected by said pulse wave detecting means during a predetermined time duration after said relationship is updated by said relationship determining means, pulse having a greatest maximum magnitude of maximum magnitudes of said pulses and a pulse having a smallest maximum magnitude of said maximum magnitudes, and determines, as said variation of the blood pressure of said subject, an absolute value of a difference between said greatest and smallest maximum magnitudes.

13. The blood pressure monitor system as set forth in claim 12, wherein said update-interval changing means determines a first weighted value, a, corresponding to said variation of the blood pressure, and a second weighted value, b, corresponding to a value of a physiological indicator indicative of a physical condition of said subject different from the maximum magnitude of the pulses of the pulse wave, and changes said interval of updating based on said weighted values a, b.

14. The blood pressure monitor system as set forth in claim 13, wherein said update-interval changing means changes said interval of updating to a value obtained by dividing a reference value by a sum of said weighted values a, b.

15. The blood pressure monitor system as set forth in claim 1, wherein said blood pressure variation determining means determines said variation of the blood pressure of said subject, by utilizing at least one physiological indicator selected from maximum magnitude, minimum magnitude, average magnitude, and amplitude of the pulses of the pulse wave.

16. The blood pressure monitor system as set forth in claim 1, further comprising display means for displaying a waveform of said pulse wave detected by said pulse wave detecting means, said blood pressure value measured by said blood pressure measuring means, and said blood pressure values determined by said blood pressure monitor means.

17. A blood pressure monitor method, comprising the steps of:

pressing a pulse wave sensor including a plurality of pressure sensing elements, against a single artery of a living subject through a body surface of said subject, such that said pulse wave sensor partially flattens a wall of said artery and that said pressure sensing elements contact said body surface of said subject directly above said artery, said artery extending in a blood flow direction and said sensing elements extending in a direction crossing said blood flow direction,

detecting, using at least one of said pressure sensing elements of said pulse wave sensor, a series of pulses of a pressure pulse wave produced from the flattened wall of said artery of said living subject in synchronism with a heartbeat of said subject,

measuring, using an inflatable cuff, a blood pressure of said subject by pressing a body portion of said subject with said cuff,

determining a relationship between blood pressure and pulse wave magnitude, based on a pulse wave magnitude detected by said at least one pressure sensing element through said flattened wall of said artery and a blood pressure value measured using said cuff, such that said relationship is defined by a linear function equation which is expressed as P=a·

M+b wherein P is blood pressure, M is pulse wave magnitude, and a, b are constants,

continuously determining, according to said relationship, blood pressure values of said subject based on magnitudes of the pulse wave detected by said at least one pressure sensing element through said flattened wall of said artery,

updating said relationship at intervals of time, based on blood pressure values measured using said cuff,

determining a variation of the blood pressure of said subject, based on at least two of said magnitudes of the pulse wave detected by said at least one pressure sensing element, and

changing said interval of updating based on the determined blood pressure variation.

18. A blood pressure monitor system, comprising:

pulse wave detecting means for detecting a series of pulses of a pressure pulse wave produced from a single artery of a living subject in synchronism with heartbeat of said subject, said detecting means including a plurality of pressure sensing elements which are adapted to contact a body surface of said subject directly above said artery, said artery extending in a blood flow direction and said sensing elements extending in a direction crossing said blood flow direction;

pressing means for pressing said pulse wave detecting means against said artery through said body surface to partially flatten a wall of said artery, so that at least one of said pressure sensing elements detects said pulse wave through the flattened wall of said artery;

blood pressure measuring means including an inflatable cuff, for measuring a blood pressure of said subject by pressing a body portion of said subject with said cuff;

relationship determining means for determining a relationship between blood pressure and pulse wave magnitude, based on a pulse wave magnitude detected by said at least one pressure sensing element of said pulse wave detecting means through said flattened wall of said artery and a blood pressure value measured by said blood pressure measuring means;

blood pressure monitor means for continuously determining, according to said relationship, blood pressure values of said subject based on magnitudes of the pulse wave detected by said at least one pressure sensing element of said pulse wave detecting means through said flattened wall of said artery;

said relationship determining means updating said relationship at intervals of time, based on blood pressure values measured by said blood pressure measuring means;

blood pressure variation determining means for determining a variation of the blood pressure of said subject, based on at least two of said magnitudes of the pulse wave detected by said at least one pressure sensing element of said pulse wave detecting means,

said blood pressure variation determining means selecting, from the pulses of the pulse wave detected by said pulse wave detecting means during a first predetermined time duration after said relationship is updated by said relationship determining means, a pulse having a greatest maximum magnitude, MAX, of maximum magnitudes of said pulses and a pulse having a smallest minimum magnitude, MIN, of minimum magnitudes of said pulses, calculating an average, MID, of said greatest maximum and smallest minimum magnitudes MAX, MIN, calculating an average, AV, of the maximum and minimum magnitudes of said pulses except said magnitudes MAX, MIN, determining as a deviation, D, an absolute value of a difference between said averages MID, AV, and successively calculating an average, AV'"'"', of maximum and minimum magnitudes of the pulses of the pulse wave detected during every second predetermined time duration after said deviation D is determined, said blood pressure variation determining means determining, as said variation of the blood pressure of said subject, an absolute value of a difference between time-wise adjacent two of said average AV and the averages AV'"'"'; and

update-interval changing means for changing said interval of updating based on the blood pressure variation determined by said blood pressure variation determining means.

19. The blood pressure monitor system as set forth in claim 18, wherein said update-interval changing means changes said interval of updating, by commanding said blood pressure measuring means and said relationship determining means to update said relationship, when said variation of the blood pressure is greater than said deviation D.

20. A blood pressure monitor system, comprising;

pulse wave detecting means for detecting a series of pulses of a pressure pulse wave produced from a single artery of a living subject in synchronism with heartbeat of said subject, said detecting means including a plurality of pressure sensing elements which are adapted to contact a body surface of said subject directly above said artery, said artery extending in a blood flow direction and said sensing elements extending in a direction crossing said blood flow direction;

pressing means for pressing said pulse wave detecting means against said artery through said body surface to partially flatten a wall of said artery, so that at least one of said pressure sensing elements detects said pulse wave through the flattened wall of said artery;

blood pressure measuring means including an inflatable cuff, for measuring a blood pressure of said subject by pressing a body portion of said subject with said cuff;

relationship determining means for determining a relationship between blood pressure and pulse wave magnitude, based on a pulse wave magnitude detected by said at least one pressure sensing element of said pulse wave detecting means through said flattened wall of said artery and a blood pressure value measured by said blood pressure measuring means;

blood pressure monitor means for continuously determining, according to said relationship, blood pressure values of said subject based on magnitudes of the pulse wave detected by said at least one pressure sensing element of said pulse wave detecting means through said flattened wall of said artery;

said relationship determining means updating said relationship at intervals of time, based on blood pressure values measured by said blood pressure measuring means;

blood pressure variation determining means for determining a variation of the blood pressure of said subject, based on at least two of said magnitudes of the pulse wave detected by said at least one pressure sensing element of said pulse wave detecting means,

said blood pressure variation determining means selecting, from the pulses of the pulse wave detected by said pulse wave detecting means during a predetermined time duration after said relationship is updated by said relationship determining means, a pulse having a greatest maximum magnitude out of maximum magnitudes of said pulses and a pulse having a smallest maximum magnitude out of said maximum magnitudes of said pulses, and determining, as said variation of the blood pressure of said subject, an absolute value of a difference between said greatest and smallest maximum magnitudes; and

update-interval changing means for changing said interval of updating based on the blood pressure variation determined by said blood pressure variation determining means.

21. The blood pressure monitor system as set forth in claim 20, wherein said update-interval changing means determines a first weighted value, a, corresponding to said variation of the blood pressure, and a second weighted value, b, corresponding to a value of a physiological indicator indicative of a physical condition of said subject different from the maximum magnitude of the pulses of the pulse wave, and changes said interval of updating based on said weighted values a, b.

22. The blood pressure monitor system as set forth in claim 21, wherein said update-interval changing means changes said interval of updating to a value obtained by dividing a reference value by a sum of said weighted values a, b.