Peripheral arterial monitoring instruments

• US 5,417,220 A
• Filed: 05/03/1993
• Issued: 05/23/1995
• Est. Priority Date: 12/20/1989
• Status: Expired due to Fees

• Current Assignee: GE Medical Systems Information Technologies Incorporated (General Electric Company)
• Original Assignee: Critikon, Inc.
• Inventors: Apple, Howard P.
• Primary Examiner(s): ZELE, KRISTA MICHELLE
• Application Number:
  US08/056,103
• Time in Patent Office: 750 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. Also, systolic and pulse pressures are determined using only these determined values.

Claims

1. A method of determining vital sign characteristics in an artery comprising the steps of:

inflating a cuff around a peripheral part of a body containing the artery;

incrementally deflating said cuff;

detecting the pressure within said cuff during said deflating of said cuff;

determining incremental quantities of air removed from said cuff during the deflating of said cuff; and

using said incremental quantities of air to compute arterial volume, systolic pressure and pulse pressure.

2. The method of claim 1, wherein said determining step comprises measuring the flow of air through an orifice of known characteristics.

3. The method of claim 1, wherein said determining step comprises measuring the volume of air transferred from said cuff to a volume of known characteristics.

4. The method of claim 1, further comprising the step of calculating the arterial volume of said peripheral body part as a function of cuff pressure.

5. The method of claim 1, further comprising the step of calculating the arterial volume of said peripheral body part as a function of transmural pressure.

6. The method of claim 1, wherein said calculating step comprises the step of calculating the arterial volume of said peripheral body part as a function of systolic pressure.

7. The method of claim 6 further comprising the step of calculating systolic pressure as a function of the arterial volume.

8. The method of claim 1, further comprising the step of calculating oscillation volume as a function of the incremental quantities of air removed from said cuff and detected pressures within said cuff.