Peripheral arterial monitoring instruments

• US 5,447,163 A
• Filed: 12/13/1993
• Issued: 09/05/1995
• 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): Cohen, Lee S.
• Assistant Examiner(s): Casler, Brian L.
• Application Number:
  US08/166,438
• Time in Patent Office: 631 Days
• Field of Search: 128/680-683, 128/687, 128/691, 128/694, 128/672, 128/627
• 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 using a volume of known 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. A display of these characteristics as a function of pre and post anesthetic administration is particularly useful to the anesthesiologist and surgeon.

Claims

1. Instrumentation for performing measurements of arterial volume comprising:

an inflatable cuff;

means, connected to said cuff, for inflating and deflating said cuff;

means for detecting pressure levels of said cuff; and

means, coupled to said cuff inflating and deflating means, for determining volumetric measurements of arterial blood, including an orifice of known pressure flow characteristics.

2. Instrumentation according to claim 1, wherein said means for detecting pressure levels of said cuff comprises a pulse pressure sensor.

3. Instrumentation according to claim 2, wherein said pulse pressure sensor further comprises a mechanism for detecting oscillation pulses and cuff pressure.

4. Instrumentation according to claim 1, wherein said means for determining volumetric measurements of arterial blood includes means for determining air flow through said orifice.

5. A method of determining arterial capacity comprising the steps of:

inflating a cuff around a peripheral part of a body;

incrementally deflating said cuff;

detecting pressure levels 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

computing arterial capacity as a function of said pressure levels and said incremental quantities of air.

6. The method of claim 5, wherein said determining step comprises measuring the flow of air through an orifice of known characteristics.

7. The method of claim 5, wherein said determining step comprises measuring volumetric amounts of air transferred from said cuff to a volume of known characteristics.

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

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

10. The method of claim 9, wherein said calculating step comprises the step of calculating arterial volume within said peripheral body part as a function of systolic pressure.

11. The method of claim 5, 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;

the step of determining systolic and diastolic pressure as a function of detected pressures within said cuff; and

the step of computing arterial compliance as a function of oscillation volume, cuff pressure, diastolic pressure, and systolic pressure.