Blood pressure measurement apparatus and associated method

• US 5,425,372 A
• Filed: 06/22/1993
• Issued: 06/20/1995
• Est. Priority Date: 04/13/1990
• Status: Expired due to Term

• Current Assignee: Takeda Engineering Consultant Incorporated
• Original Assignee: Takeda Engineering Consultant Incorporated
• Inventors: Takeda, Fumihide
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): NASSER, ROBERT L
• Application Number:
  US08/081,584
• Time in Patent Office: 728 Days
• Field of Search: 128/668, 128/672, 128/677, 128/680-683, 128/687, 364/413.03
• US Class Current: 600/485
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• 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
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives
• CPC Class Codes: A61B 5/7285 for synchronising or triggering a physiological measurement or image acquisition with a physiological event or waveform, e.g. an ECG signal A61B6/5205, A61B6/541, A61B8/5207, A61B8/543 take precedence

Abstract

Using an improved noninvasive blood pressure measuring apparatus, dynamic parameters (like stretching and contracting velocity, acceleration, force, power and energy) of human arterial wall motion against both the lowering and increasing pressure of an occlusive cuff are detected. They can be displayed along with other physiological signals like aortic pressure AP and ECG taken from other instruments through a data receiving unit. Then this apparatus with ECG makes it possible to noninvasively detect some abnormalities between the mechanical and electrical cardiac cycle on heart function. The apparatus also detects systolic (SYS) and diastolic (DIA) pressure while increasing the cuff pressure. The apparatus can also examine a non-local information on blood circulation by simultaneously using a second occlusive cuff. Since this apparatus is capable of acquiring any physiological signal coupled with a commonly practiced noninvasive brachial artery blood pressure measurement, it will be also useful for quick and mass clinical testing.

Claims

1. A method of measuring blood pressure, comprising:

inflating a cuff to gradually increase cuff pressure around an artery having a movable arterial wall;

determining changes in power of the arterial wall motion as the wall stretches and contracts in response to the increasing cuff pressure and a pulsating blood flow through the artery, the power being defined as the product of a velocity of the arterial wall motion and an acceleration of the arterial wall motion; and

comparing the changes in power to a threshold power level to determine diastolic and systolic pressure readings as indicated by the cuff pressure during decreasing cuff pressure.

2. The method of claim 1 including;

ceasing inflation of the cuff upon determination of the systolic pressure; and

starting deflation of the cuff to again measure blood pressure.

3. The method of claim 1 wherein determining changes in power of the arterial wall motion comprises acquiring an instantaneous velocity and acceleration of the arterial wall motion with velocity and acceleration detection functions.

4. The method of claim 1 wherein comparing changes in power to a threshold power level to determine diastolic and systolic pressure readings as indicated by the cuff pressure during decreasing cuff pressure comprises:

establishing a threshold of power amplitude;

detecting a first sudden increase in power amplitude to determine systolic pressure; and

detecting consecutive decreased power amplitudes that are less than the threshold level to determine diastolic pressure.

5. The method of claim 1 wherein comparing changes in power to a threshold power level to determine diastolic and systolic pressure readings as indicated by the cuff pressure during decreasing cuff pressure comprises:

detecting a first sudden increase in power amplitude to determine systolic pressure; and

detecting a first sudden decrease in power amplitude to determine diastolic pressure.

6. The method of claim 1 including:

determining changes in energy of the arterial wall motion as the wall stretches and contracts in response to the increasing cuff pressure and a pulsating blood flow through the artery, the energy being defined as the power measured over a predetermined time; and

comparing the changes in energy to a threshold energy level to determine diastolic and systolic pressure readings as indicated by the cuff pressure.

7. The method of claim 6 including:

ceasing inflation of the cuff upon determination of the systolic pressure; and

starting deflation of the cuff to again measure blood pressure.

8. The method of claim 6 wherein comparing changes in energy to a threshold level to determine diastolic and systolic pressure readings during increasing cuff pressure comprises:

calculating a compressing energy of the wall motion;

detecting a first sudden increase in amplitude in the compressing energy;

detecting an amplitude of power occurring right before the detected first sudden increase in compressing energy amplitude to determine diastolic pressure;

detecting a last sudden decrease in amplitude in the compressing energy; and

detecting an amplitude of power occurring right before the detected last sudden decrease in compressing energy amplitude to determine systolic pressure.

9. The method of claim 8 including:

ceasing inflation of the cuff upon determination of the systolic pressure; and

starting deflation of the cuff to again measure blood pressure.

10. The method of claim 8, wherein detecting a last sudden decrease in amplitude in the compressing energy comprises detecting the last sudden decrease at a level less than the threshold level.

11. The method of claim 6 wherein comparing changes in energy to a threshold level to determine diastolic and systolic pressure readings during decreasing cuff pressure comprises:

establishing a threshold of energy amplitude;

detecting a first sudden increase in energy amplitude;

detecting a maximum amplitude of power occurring before the first sudden increase in energy amplitude to determine systolic pressure; and

detecting consecutive decreased energy amplitudes that are less than the threshold level to determine diastolic pressure.

12. The method of claim 6 wherein comparing changes in energy to a threshold level to determine diastolic and systolic pressure readings during decreasing cuff pressure comprises:

calculating a stretching energy of the wall motion by determining what portion of power is positive with respect to a threshold level;

detecting a first sudden increase in stretching energy amplitude to determine systolic pressure; and

detecting a first sudden decrease in stretching energy amplitude to determine diastolic pressure.

13. An apparatus for measuring blood pressure, comprising:

means for inflating a cuff to gradually increase cuff pressure around an artery having a movable arterial wall;

means for determining changes in power of the arterial wall motion as the wall stretches and contracts in response to the increasing cuff pressure and a pulsating blood flow through the artery, the power being defined as the product of a velocity of the arterial wall motion and an acceleration of the arterial wall motion; and

means for comparing the changes in power to a threshold power level to determine diastolic and systolic pressure readings as indicated by the cuff pressure during decreasing cuff pressure.

14. The apparatus of claim 13 wherein said means for comparing changes in power to a threshold power level to determine diastolic and systolic pressure readings as indicated by the cuff pressure during decreasing cuff pressure comprises:

means for establishing a threshold of power amplitude;

means for detecting a first sudden increase in power amplitude to determine systolic pressure; and

means for detecting consecutive decreased power amplitudes that are less than the threshold level to determine diastolic pressure.

15. The apparatus of claim 13 wherein said means for comparing changes in power to a threshold power level to determine diastolic and systolic pressure readings as indicated by the cuff pressure during decreasing cuff pressure comprises:

means for detecting a first sudden increase in power amplitude to determine systolic pressure; and

means for detecting a first decrease in power amplitude to determine diastolic pressure,

16. The apparatus of claim 13 including:

means for determining changes in energy of the arterial wall motion as the wall stretches and contracts in response to the increasing cuff pressure and a pulsating blood flow through the artery, the energy being defined as the power measured over a predetermined time; and

means for comparing the changes in energy to a threshold energy level to determine diastolic and systolic pressure readings as indicated by the cuff pressure.

17. The apparatus of claim 16 including:

means for ceasing inflation of the cuff upon determination of the systolic pressure; and

means for starting deflation of the cuff to again measure blood pressure.

18. The apparatus of claim 16 wherein the means for comparing changes in energy to a threshold level to determine diastolic and systolic pressure readings during increasing cuff pressure comprises:

means for calculating a compressing energy of the wall motion;

means for detecting a first sudden increase in amplitude in the compressing energy;

means for detecting an amplitude of power occurring right before the detected first sudden increase in compressing energy amplitude to determine diastolic pressure;

means for detecting a last sudden decrease in amplitude in the compressing energy; and

means for detecting an amplitude of power occurring right before the detected last sudden decrease in compressing energy amplitude to determine systolic pressure.

19. The apparatus of claim 16 wherein said means for comparing changes in energy to a threshold level to determine diastolic and systolic pressure readings during decreasing cuff pressure comprises:

means for establishing a threshold of energy amplitude;

means for detecting a first sudden increase in energy amplitude;

means for detecting a maximum amplitude of power occurring before the first sudden increase in energy amplitude to determine systolic pressure; and

means for detecting consecutive decreased energy amplitudes that are less than the threshold level to determine diastolic pressure.

20. A method of measuring blood pressure comprising:

applying pressure to an artery having a movable arterial wall;

detecting power of the arterial wall motion, the power being defined as the product of a velocity of the arterial wall motion and an acceleration of the arterial wall motion; and

determining changes in power of the arterial wall motion to determine diastolic and systolic blood pressure.

21. An apparatus for measuring blood pressure comprising:

means for detecting power of an arterial wall motion, the power being defined as the product of a velocity of the arterial wall motion and an acceleration of the arterial wall motion; and

means for determining changes in power of the arterial wall motion to determine diastolic and systolic blood pressure.