Air flow control apparatus and method for an automatic blood pressure gauge

• US 5,337,751 A
• Filed: 09/30/1991
• Issued: 08/16/1994
• Est. Priority Date: 09/30/1991
• Status: Expired due to Term

• Current Assignee: Draeger Medical Systems Incorporated (FPS Vermögensverwaltung GmbH)
• Original Assignee: Siemens Medical Electronics, Inc. (Siemens AG)
• Inventors: Chickering, James, Newell, Scott W.
• Primary Examiner(s): Green, Randall L.
• Assistant Examiner(s): ZUTTARELLI, ANTHONY
• Application Number:
  US07/768,126
• Time in Patent Office: 1,051 Days
• Field of Search: 128/668, 128/672, 128/677, 128/680-683
• US Class Current: 600/495
• CPC Class Codes: A61B 5/02141 Details of apparatus construction, e.g. pump units or housings therefor, cuff pressurising systems, arrangements of fluid conduits or circuits A61B5/02233, A61B5/0235 take precedence
• CPC Class Codes: A61B 5/0225 the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds

Abstract

A deflation control system for the pressurized cuff of an automatic blood pressure gauge uses a pressure sensor to control solenoid valves. The solenoid valves are responsive to respective pulse signals having variable duty cycles to change their time-apertures and, thus, their flow rates. The duty cycles of the pulse signals are controlled to maintain a desired constant rate of pressure reduction in the cuff. A microprocessor generates a control value which determines the duty cycles of the pulse signals. This value is proportional to the initial volume of fluid in the cuff and to a predictive term which is provided from a table that is indexed by cuff pressure. This value is then augmented by a feedback term, generated by a feedback control loop to ensure an accurate deflation rate. The gain of the feedback loop is selected so that the feedback correction signals do not interfere with pulse signals modulating the pressure signal. The feedback term is normalized by the initial volume measurement. In addition, any new valve setting is applied in small steps over a time interval to further ensure smooth changes in the flow rate.

Claims

1. Apparatus suitable for use in an automatic blood pressure gauge having a cuff which contains a pressurizing fluid, comprising:

pressure measuring means, coupled to the cuff, for measuring an instantaneous pressure level of the pressurizing fluid in the cuff at a plurality of instants corresponding to starting points of a respective plurality of time periods to produce a pressure signal;

valve means, coupled to the cuff and having an aperture which may be changed in response to an applied control signal, for venting the pressurizing fluid from the cuff at a flow rate determined by said control signal; and

flow control means, communicating with said pressure measuring means so as to be responsive to the pressure signal, for generating successive predictive values for the control signal applied to the valve means at respective ones of the instants corresponding to the starting points of the plurality of time periods, to produce a reduction in the instantaneous pressure level of the pressurizing fluid in the cuff during a time interval which includes the plurality of time periods, and at a rate which approximates a predetermined desired rate of pressure reduction;

and wherein said flow control means includes a table of possible predictive values for the control signal, each value in said table being associated with a respective value of the pressure signal; and

means for indexing the table of possible predictive values using the pressure signal to obtain a next predictive value of the control signal to be used during a corresponding next one of the plurality of time periods.

2. The apparatus of claim 1, wherein the cuff holds an initial volume of the pressurizing fluid, the valve means is responsive to a valve setting signal derived from the control signal to control the aperture of the valve means, and the flow control means further includes means for generating the valve setting signal, comprising means for multiplying the control signal value obtained from the table by a value representing the initial volume of the pressurizing fluid and by the predetermined desired rate of pressure reduction to generate the predictive valve setting signal for the valve means.

3. The apparatus of claim 2, further comprising:

means for generating a feedback correction signal including;

means, responsive to the pressure signal, for generating a deflation rate signal which represents the rate at which the pressure of the pressurizing fluid in the cuff is being reduced;

means for subtracting the deflation rate signal from the predetermined desired rate of pressure reduction to generate a deflation rate error signal;

means for multiplying the deflation rate error signal by the value representing the initial volume of the pressurizing fluid in the cuff and by a predetermined gain factor to produce a feedback signal;

means for accumulating the feedback signal over successive time periods; and

means for limiting the value of the accumulated feedback signal to minimum and maximum values in a predetermined proportion to the predictive valve setting signal to generate the feedback correction signal; and

means for adding the predictive valve setting signal to the feedback correction signal to generate the valve setting signal which controls the time-aperture of the valve means.

4. The apparatus of claim 1, wherein:

the pressure measuring means further includes means, responsive to the pressure signal, for generating a deflation rate signal which represents a rate at which the instantaneous pressure level of the pressurizing fluid in the cuff is being reduced; and

the flow control means further includes feedback control means, responsive to the differential rate between the deflation rate signal and the predetermined desired rate of pressure reduction, for adjusting the predictive values for the control signal to decrease the differential rate between the deflation rate signal and the predetermined desired rate of pressure reduction.

5. The apparatus of claim 4 wherein the feedback control means includes:

means for generating an adjustment signal for the control signal including;

means for generating a feedback control signal which is proportional to the differential rate between the deflation rate signal and the predetermined desired rate of pressure reduction;

means for accumulating values of the feedback control signal over several of the time periods to produce an accumulated feedback control signal; and

means for limiting the accumulated feedback control signal to be within predetermined minimum and maximum values to generate the adjustment signal; and

means for adding the adjustment signal to the control signal to produce an adjusted control signal which is applied to the valve means to control the time-aperture of the valve means.

6. The apparatus of claim 5 wherein the means for generating the feedback control signal includes means for multiplying the differential rate between the deflation rate signal and the predetermined desired rate of pressure reduction by a value representing an initial volume of the pressurizing fluid in the cuff and by a predetermined loop gain factor.

7. The apparatus of claim 1 wherein the valve means includes:

a solenoid valve; and

modulation means, coupled to the solenoid valve, for generating a pulse signal having a duty cycle which is proportional to the predictive value of the control signal, where the duty cycle of the pulse signal controls the time-aperture of the valve means.

8. The apparatus of claim 7 wherein:

the valve means includes a further solenoid valve having a different maximum flow than said solenoid valve; and

the modulating means includes means, responsive to the control signal, for selecting one of said solenoid valve and said further solenoid valve for venting the pressurizing fluid from the cuff.

9. The apparatus of claim 8 wherein:

each of the plurality of time periods includes a plurality of sub-intervals; and

the flow control means includes means for implementing any change in the control signal incrementally over the sub-intervals of a subsequent one of the plurality of time periods.

10. Apparatus suitable for use in an automatic blood pressure gauge having a cuff which contains a pressurizing fluid, comprising:

pressure measuring means, coupled to the cuff, for measuring an instantaneous pressure level of the pressurizing fluid in the cuff at a plurality of instants corresponding to starting points of a respective plurality of time periods to produce a pressure signal;

valve means, coupled to the cuff and having an aperture which may be changed in response to an applied control signal, for venting the pressurizing fluid from the cuff at a flow rate determined by said control signal;

volume determining means coupled to the pressure measuring means and responsive to the pressure signal produced thereby for determining an initial volume of the pressurizing fluid in the cuff and;

flow control means, communicating with said pressure measuring means so as to be responsive to the pressure signal, and communicating with said volume determining means so as to be responsive to the determined initial volume for generating successive predictive values for the control signal applied to the valve means at respective ones of the instants corresponding to the starting points of the plurality of time periods, to produce a reduction in the instantaneous pressure level of the pressurizing fluid in the cuff during a time interval which includes the plurality of time periods, and at a rate which approximates a predetermined desired rate of pressure reduction.

11. The apparatus of claim 10 further including means coupled to the cuff for inflating the cuff with the pressurizing fluid, wherein the means for determining the initial volume of the pressurizing fluid in the cuff includes:

means, responsive to the pressure signal for generating an inflation rate signal having an instantaneous value which represents a corresponding instantaneous inflation rate of the cuff;

means, responsive to the pressure signal for generating a flow rate signal having an instantaneous value which represents a corresponding instantaneous rate of flow of the pressurizing fluid provided by the means for inflating the cuff; and

means, responsive to the instantaneous value of the flow rate signal and to the instantaneous value of the inflation rate signal when the pressure signal indicates that a desired pressure level has been achieved, for determining the initial volume of pressurizing fluid in the cuff.

12. The apparatus of claim 10 further including pump means for providing the pressurizing fluid to inflate the cuff, wherein the means for determining the initial volume of the pressurizing fluid in the cuff includes:

means, responsive to the pressure signal, for generating an inflation rate signal having an instantaneous value which represents a corresponding instantaneous inflation rate of the cuff;

means, coupled to the pump means, for providing a flow rate signal, representing a flow rate for the pressurizing fluid provided by the pump means to the cuff; and

means, responsive to the pressure signal, for dividing the flow rate signal by the instantaneous value of the inflation rate signal when the pressure signal indicates that a desired pressure level has been achieved, for determining the initial volume of the pressurizing fluid in the cuff.

13. A method of deflating a cuff of an automatic blood pressure gauge in a controllable manner, the cuff containing a pressurizing fluid, the method comprising the steps of:

a) measuring an instantaneous pressure level of the pressurizing fluid in the cuff at a plurality of instants corresponding to starting points of a respective plurality of time periods to produce a pressure signal;

b) determining an initial volume of the pressurizing fluid in the cuff;

c) generating, at the instants corresponding to the starting points of the plurality of time periods, a respective plurality of successive predictive values for a control signal responsive to the measured pressure levels, wherein the successive predictive values of the control signal determine a rate at which the measured pressure levels are decreasing in the cuff during the respective time periods, so as to reduce the pressure of the pressurizing fluid in the cuff at a rate which approximates a predetermined desired rate of pressure reduction; and

d) controllably venting the pressurizing fluid from the cuff in response to the control signal.

14. The method of claim 13 wherein:

each of the plurality of time periods includes a plurality of sub-intervals; and

the step d) includes the step of implementing any change in the predictive value of the control signal incrementally over the sub-intervals of a subsequent one of the plurality of time periods.

15. The method of claim 13 wherein the step d) includes the step of indexing a table of possible predictive values for the control signal, using the measured instantaneous pressure level, to obtain the predictive control signal value to be used during a next one of the plurality of time periods, wherein each of the possible predictive values in the table is associated with a respective pressure level of the pressurizing fluid in the cuff which produces the desired flow rate.

16. The method of claim 15, wherein the cuff holds an initial volume of the pressurizing fluid and is responsive to a valve setting signal derived from the control signal to control the rate at which the measured pressure levels are decreased in the cuff, and the step d) further includes a method of generating the valve setting signal comprising the steps of:

multiplying the predictive control signal value obtained from the table by a value representing the initial volume of the pressurizing fluid in the cuff and by the predetermined desired rate of pressure reduction to generate a desired valve setting signal;

generating a feedback correction signal including the steps of;

calculating, from the pressure signal, a deflation rate signal which represents the rate at which the measured pressure levels are decreasing in the cuff;

subtracting the deflation rate signal from the predetermined desired rate of pressure reduction to generate a deflation rate error signal;

multiplying the deflation rate error signal by a value representing the initial volume of the pressurizing fluid in the cuff and by a predetermined loop gain factor to produce a feedback signal;

accumulating the feedback signal over successive ones of the plurality of time periods to produce an accumulated feedback signal; and

limiting the accumulated feedback signal to minimum and maximum value which are in a predetermined proportion to the desired valve setting signal to generate the feedback correction signal; and

adding the desired valve setting signal to the feedback correction signal to generate the valve setting signal.

17. The method of claim 13 further including the steps of:

generating, from the measured pressure levels, a signal representing the rate at which the measured pressure levels are decreasing in the cuff;

subtracting the signal representing the rate at which pressure is decreasing in the cuff from the predetermined desired rate of pressure reduction to produce a difference signal; and

adjusting the generated plurality of predictive values of the control signal to decrease the difference signal in magnitude.

18. The method of claim 17 wherein the step of adjusting the generated plurality of predictive control signal values includes the steps of:

generating an adjustment signal for the control signal including the steps of;

generating a feedback control signal which is proportional to a difference between the signal representing the rate at which pressure is decreasing in the cuff and the predetermined desired rate of pressure reduction;

accumulating the feedback control signal over several of the plurality of time periods to produce an accumulated feedback control signal; and

limiting the accumulated feedback control signal to be within predetermined minimum and maximum values to produce the adjustment signal; and

adding the adjustment signal to the control signal to produce an adjusted control signal which determines a rate at which the pressurizing fluid is vented from the cuff.

19. Apparatus for measuring the initial volume of pressurizing fluid in a cuff of a blood pressure gauge, comprising:

pump means coupled to the cuff for inflating the cuff with the pressurizing fluid;

pressure measuring means coupled to the cuff for measuring an instantaneous pressure of the pressurizing fluid in the cuff to generate a pressure signal;

inflation rate determining means coupled to the pressure measuring means and responsive to the pressure signal for calculating, from the pressure signal, an inflation rate signal representing a rate at which the instantaneous pressure of the pressurizing fluid in the cuff is increasing as the cuff is inflated by the pump means;

flow rate determining means coupled to the pressure measuring means and responsive to the pressure signal, for generating a flow rate signal, representing an instantaneous rate of flow of the pressurizing fluid into the cuff; and

means coupled to both the inflation rate and flow rate determining means and responsive to both the inflation rate and flow rate signals, for dividing the flow rate signal by the inflation rate signal to produce a value representing the instantaneous volume of the pressurizing fluid in the cuff.

20. Apparatus for measuring the initial volume of pressurizing fluid in a cuff of a blood pressure gauge, comprising:

pump means coupled to the cuff for inflating the cuff with the pressurizing fluid;

pressure measuring means coupled to the cuff for measuring an instantaneous pressure of the pressurizing fluid in the cuff to generate a pressure signal;

inflation rate determining means coupled to the pressure measuring means and responsive to the pressure signal for calculating, from the pressure signal, an inflation rate signal representing a rate at which the instantaneous pressure of the pressurizing fluid in the cuff is increasing as the cuff is inflated by the pump means;

flow rate determining means, coupled to the pump means, for providing a flow rate signal, representing a flow rate for the pressurizing fluid provided by the pump means to the cuff; and

means coupled to both the inflation rate determining and flow rate indicator means and responsive to both the inflation rate and flow rate signals, for dividing the flow rate signal by the inflation rate signal to produce a value representing the instantaneous volume of the pressurizing fluid in the cuff.

21. Apparatus suitable for use in an automatic blood pressure gauge having a cuff which contains a pressurizing fluid the apparatus, comprising:

pressure measuring means, coupled to the cuff, for measuring instantaneous pressure levels of the pressurizing fluid in the cuff to provide a pressure signal;

valve means, coupled to the cuff and having an aperture which may be changed in response to a control signal, for venting the pressurizing fluid from the cuff at a rate determined by the control signal; and

feedback control means coupled to the pressure measuring means and responsive to the pressure signal for generating said control signal to control the venting of the pressurizing fluid from the cuff to maintain a desired rate of pressure reduction, said feedback control means including;

deflation rate determining means, coupled to receive said pressure signal, for calculating a deflation rate signal representing an instantaneous rate of pressure reduction in the cuff;

differencing means coupled to the deflation rate determining means and responsive to the deflation rate signal for calculating a difference between the deflation rate signal and the desired rate of pressure reduction to produce a deflation rate difference signal; and

means coupled to the differencing means and responsive to the difference signal for multiplying the deflation rate difference signal by a value representing an initial volume of the pressurizing fluid in the cuff to generate said control signal.