Blood pressure monitor system

• US 5,439,002 A
• Filed: 10/28/1994
• Issued: 08/08/1995
• Est. Priority Date: 11/08/1993
• Status: Expired due to Term

• Current Assignee: Omron Healthcare Company Limited (Omron Corporation)
• Original Assignee: Colin Corporation (Fukuda Denshi Company Limited)
• Inventors: Narimatsu, Kiyoyuki, Nishibayashi, Hideo
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): NASSER, ROBERT L
• Application Number:
  US08/330,661
• Time in Patent Office: 284 Days
• Field of Search: 128/672, 128/680-690, 128/748
• US Class Current: 600/485
• CPC Class Codes: A61B 5/0225 the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds

Abstract

A blood pressure monitor system including a pressure sensor having a press surface and including pressure sensing elements provided in the press surface; a pressing device which presses the pressure sensor against an artery via a body surface so that each pressure sensing element measures a pressure value at the body surface; a first device for determining an optimum pressing force of the pressing device at which a portion of a wall of the artery is flattened under the pressure sensor; a second device for changing pressing forces of the pressing device, and determining a point of inflection of a curve representing a relationship between the changed pressing forces and pressure values measured by the pressure sensor at the body surface; a third device for determining a correction value based on the pressure value of the determined point of inflection; and a blood-pressure determining device for operating the pressing device to maintain the determined optimum pressing force and press the pressure sensor against the artery via the body surface, and continuously determining intra-arterial blood pressure values of the artery by subtracting the correction value from the pressure values measured by the pressure sensor at the body surface.

Claims

1. A blood pressure monitor system comprising:

a pressure sensor having a press surface and including at least one pressure sensing element provided in said press surface;

a pressing device which presses said pressure sensor against an arterial vessel of a living subject via a body surface of the subject so that said pressure sensing element of the pressure sensor measures a pressure value at said body surface of the subject;

pressing-force determining means for determining an optimum pressing force of said pressing device at which a portion of a wall of said arterial vessel of the subject is flattened under said pressure sensor pressed by the pressing device;

inflection-point determining means for changing pressing forces of said pressing device applied to said pressure sensor, and determining a point of inflection of a curve representing a relationship between the changed pressing forces of the pressing device and pressure values measured by the pressure sensor at said body surface of the subject;

correction-value determining means for determining a correction value based on the pressure value of the determined point of inflection; and

blood-pressure determining means for operating said pressing device to maintain the determined optimum pressing force and press said pressure sensor against said arterial vessel of the subject via said body surface of the subject, and continuously determining intra-arterial blood pressure values of the arterial vessel of the subject by subtracting said correction value from the pressure values measured by the pressure sensor at the body surface of the subject.

2. A monitor system according to claim 1, wherein said correction-value determining means comprises:

a memory which stores a plurality of pressure correcting curves each of which represents a relationship between correction values and pressing forces of said pressing device;

selecting means for selecting one of said pressure correcting curves which provides a same difference between a first correction value corresponding to the pressing force of said determined point of inflection and a second correction value corresponding to said determined optimum pressing force of said pressing device, as an actual difference between the pressure value of said point of inflection and the pressure value corresponding to said optimum pressing force of the pressing device; and

determining means for determining, as said correction value, said second correction value corresponding to said optimum pressing force of the pressing device, according to the selected one pressure correcting curve.

3. A monitor system according to claim 2, wherein said memory of said correction-value determining means stores said pressure correcting curves each of which is defined by a quadratic function.

4. A monitor system according to claim 2, wherein said memory of said correction-value determining means stores said pressure correcting curves each of which is defined by a linear function.

5. A monitor system according to claim 1, wherein said pressure sensor comprises a pulse wave sensor which has said press surface and which detects a pressure pulse wave including a plurality of successive pulses produced from said arterial vessel of said subject in synchronism with heartbeats of the subject and transmitted to said press surface of said pulse wave sensor via said body surface of the subject.

6. A monitor system according to claim 5, wherein said pulse wave sensor comprises a semiconductor chip having said press surface, and a plurality of pressure sensing elements as said at least one pressure sensing element, said pressure sensing elements being provided in an array in said press surface of said semiconductor chip, said array of pressure sensing elements being adapted to intersect said arterial vessel of the subject with said pulse wave sensor being pressed against the arterial vessel of the subject via said body surface of the subject.

7. A monitor system according to claim 5, wherein said pressing device comprises:

a housing having an open end;

a flexible diaphragm closing said open end of said housing and thereby defining a fluid-tight chamber in the housing, said pressure sensor being secured to an outer surface of said diaphragm;

a fluid supply which supplies a pressurized fluid to said fluid-tight chamber of said housing to press said pulse wave sensor against said arterial vessel of said subject via said body surface of the subject; and

a pressure regulator which regulates a fluid pressure in said fluid-tight chamber of said housing.

8. A monitor system according to claim 7, wherein said pressing-force determining means comprises:

a fluid-pressure sensor which measures said fluid pressure in said fluid-tight chamber of said housing; and

means for determining, as said optimum pressing force of said pressing device, the fluid pressure measured by said fluid-pressure sensor at a time when said pulse wave sensor has detected a maximum pulse having a greatest amplitude of the successive pulses of said pressure pulse wave detected by the pulse wave sensor while said fluid pressure of said fluid-tight chamber is continuously changed.

9. A monitor system according to claim 5, wherein said inflection-point determining means comprises means for determining, as said curve, a curve representing a relationship between said changed pressing forces of said pressing device and provisional diastolic blood pressure values measured by said pulse wave sensor at said body surface of said subject, said provisional diastolic blood pressure values corresponding to respective lower peaks of the successive pulses of said pressure pulse wave detected by the pulse wave sensor while the pressing force of the pressing device is continuously changed.

10. A monitor system according to claim 5, wherein said inflection-point determining means comprises means for determining, as said curve, a curve representing a relationship between said changed pressing forces of said pressing device and provisional systolic blood pressure values measured by said pulse wave sensor at said body surface of said subject, said provisional systolic blood pressure values corresponding to respective upper peaks of the successive pulses of said pressure pulse wave detected by the pulse wave sensor while the pressing force of the pressing device is continuously changed.

11. A monitor system according to claim 5, wherein said blood-pressure determining means comprises means for successively determining, as said intra-arterial blood pressure values of said arterial vessel of said subject, at least one of a systolic and a diastolic blood pressure value by subtracting said correction value from at least one of provisional systolic and diastolic blood pressure values corresponding to the upper and lower peaks of each of the successive pulses of said pressure pulse wave detected by the pulse wave sensor.

12. A monitor system according to claim 11, further comprising an output device including at least one of (a) a display which displays at least one of (i) digits representing each of the successively determined values of said at least one of said systolic and diastolic blood pressure, (ii) symbols representing a time-wise change of said successively determined values of said at least one of said systolic and diastolic blood pressure, (iii) a waveform of the continuously determined intra-arterial blood pressure, and (b) a recorder which records, on a recording medium, at least one of (i) digits representing each of the successively determined values of said at least one of said systolic and diastolic blood pressure, (ii) symbols representing a time-wise change of said successively determined values of said at least one of said systolic and diastolic blood pressure, (iii) a waveform of the continuously determined intra-arterial blood pressure.

13. A monitor system according to claim 1, wherein said inflection-point determining means comprises means for determining, as said point of inflection, a point of said curve between a plateau region of said curve and an increasing portion of said curve, where the slopes of the plateau region and the increasing portion significantly differ.