Peripheral arterial monitoring instruments

• US 5,311,872 A
• Filed: 03/25/1993
• Issued: 05/17/1994
• 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:
  US08/036,797
• Time in Patent Office: 418 Days
• Field of Search: 128/680-683, 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 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 within said cuff; and

means, coupled to said cuff inflating and deflating means, for expelling air from said cuff in a quantified manner and means for computing said quantified amount of expelled air, including means of known volume for transferring pressurized air form said cuff; and

means responsive to said computed amounts of air for computing arterial volume.

2. Instrumentation according to claim 1, wherein said expelling means further includes a first value for selectively allowing the flow of air from said cuff into said means of known volume, and a second valve for selectively allowing the escape of air from said means of known volume.

3. Instrumentation according to claim 2, wherein said valves include actuating means for actuating said valves during a first time period during which the pressure in said cuff is reduced from a starting pressure level to an intermediate pressure level, and wherein said actuating means further actuate said valves during a second time period during which the pressure in said cuff is reduced from said intermediate pressure level to a final pressure level.

4. Instrumentation according to claim 3, wherein said first time period is a function of the volume of said means of known volume, and wherein said second time period is a function of said cuff pressure.

5. Instrumentation for performing measurements of arterial capacity 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 from said cuff in a quantified manner and for computing said quantified amounts of expelled air; and

means, responsive to said air expelling means and said pressure level detecting means, for computing arterial capacity.

6. Instrumentation according to claim 5, further comprising means for displaying computed arterial capacity.

7. 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 cuff pressure; and

means, coupled to said cuff inflating and deflating means, for determining incremental quantities of air removed from said cuff.

8. Instrumentation according to claim 7, wherein said means for detecting cuff pressure comprises a pulse pressure sensor.

9. Instrumentation according to claim 8, wherein said pulse pressure sensor detects oscillation pulses and cuff pressure.

10. Instrumentation according to claim 7, wherein said means for determining in incremental quantities of air removed from said cuff includes an orifice of predetermined characteristics.

11. Instrumentation according to claim 10, wherein said orifice includes means for periodically coupling said cuff to said inflating and deflating means.

12. Instrumentation according to claim 7, wherein said means for determining incremental quantities of air removed from said cuff includes a volume of predetermined characteristics.

13. Instrumentation according to claim 12, further including means for coupling said volume of predetermined characteristics to said cuff by said inflating and deflating means.