Apparatus for detecting and displaying blood circulatory information

• US 5,423,324 A
• Filed: 01/28/1994
• Issued: 06/13/1995
• Est. Priority Date: 01/13/1992
• Status: Expired due to Fees

• Current Assignee: Mitsuei Tomita
• Original Assignee: Mitsuei Tomita
• Inventors: Tomita, Mitsuei
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): NASSER, ROBERT L
• Application Number:
  US08/188,563
• Time in Patent Office: 501 Days
• Field of Search: 128/668, 128/672, 128/677, 128/679, 128/680-687, 128/67, 364/412.03
• US Class Current: 600/493
• CPC Class Codes: A61B 5/02208 using the Korotkoff method
• CPC Class Codes: A61B 5/0225 the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds

Abstract

A cuff (200; 500) is put around an upper arm, and the blood flow of the upper arm is shut by a blood flow shutting bag (210; 520). A sound wave sensor (110) and a pressure sensor (120) are disposed in a rear detecting bags (230; 530) downstream of the blood flow shutting bag to detect pulse waves and Korotkoff sounds. The reference internal pressure in the cuff is controlled by an air pump and a leak valve controlled by a CPU (130; 430; 640). By monitoring the Korotkoff sounds or the pulse waves, the reference internal pressure of the cuff can be maintained at a diastolic pressure DP. A pulse wave obtained at this pressure on an upper arm is approximate to an aortic wave. This approximate aortic wave is displayed together with the Korotkoff sounds and its envelope, and an output indicative of blood circulation trouble information of the circulation system is obtained.

Claims

1. A pulse wave detecting apparatus comprising;

cuff means including a blood flow shutting bag for shutting blood flow of an upper arm, a forward detection bag for detecting a pulse wave going to the blood flow shutting bag, and a rear detection bag for detecting a pulse wave which has passed the blood flow shutting bag;

forward sensor means for detecting as a forward pulse wave a pressure change generated in the forward detection bag;

rear sensor means for detecting as a rear pulse wave (Wb3) a pressure change generated in the rear detection bag, later by a delay time dt from a time of a detection of the forward pulse wave;

agreement judging means for superimposing the forward pulse wave on the rear pulse wave with the delay time dt to judge whether or not lower portions of both the pulse waves agree with each other with a set precision;

a pressure control means for gradually decreasing a reference internal pressure of the blood flow shutting bag and of the respective detection bags from a high value sufficient for blood flow shutting and, when the agreement judging means indicates an agreement, maintaining the reference internal pressure at a set value; and

a pulse wave providing means for providing the rear pulse wave detected by the rear sensor means while the reference internal pressure is being maintained at the set value.

2. A pulse wave detecting apparatus according to claim 1:

wherein the agreement judging means superimposes the forward pulse wave on the rear pulse wave so that rising parts of the former and of the latter agree with each other, and judges whether or not lower portions of both pulse waves below a dicrotic notch pressure thereof agree with each other with a set precision.

3. A pulse wave detecting apparatus according to claim 1, wherein a capacity of the forward detection bag and that of the rear detection bag are designed to be smaller than that of the blood flow shutting bag, and the blood flow shutting bag and the rear detection bag are connected through a communication passage.