Arterial sensor

• US 5,494,043 A
• Filed: 05/04/1993
• Issued: 02/27/1996
• Est. Priority Date: 05/04/1993
• Status: Expired due to Term

• Current Assignee: Masimo Corporation
• Original Assignee: Vital Insite, Inc. (Masimo Corporation)
• Inventors: O'Sullivan, Martin, Dong, Donald Q., Kitlas, Kenneth C., Brendlen, Lawrence W. Jr., Kaspari, William J., Mollenauer, Kenneth H., Moser, Jeffrey M.
• Primary Examiner(s): Sykes, Angela D.
• Application Number:
  US08/059,425
• Time in Patent Office: 1,029 Days
• Field of Search: 128/672, 128/687-690, 128/774, 128/782
• US Class Current: 600/500
• CPC Class Codes: A61B 2560/0223 of calibration, e.g. protocols for calibrating sensors
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 5/02208 using the Korotkoff method
• CPC Class Codes: A61B 5/02233 Occluders specially adapted therefor tourniquets A61B17/132
• CPC Class Codes: A61B 5/7214 using signal cancellation, e.g. based on input of two identical physiological sensors spaced apart, or based on two signals derived from the same sensor, for different optical wavelengths

Abstract

A sensor that utilizes strips of piezoelectric material to noninvasively measure the surface force/displacement resulting from a blood pressure wave traveling through an artery and transmitted through the arterial wall and overlying tissue, while canceling noise artifact signals is disclosed. Piezoelectric elements create an electrical signal when pressure is applied to their surface. In the preferred embodiment, the sensor is constructed so that there are three sensing elements--a signal sensing element in the center and one noise sensing element on each side of the center element. The center element is placed over an individuals artery, e.g., the radial artery in a persons wrist. When positioned this way, the two noise sensing elements are positioned on each side of the artery.

The center element generates a signal that is a function of the pressure wave in the artery, whereas this signal is highly attenuated in the noise sensing elements. However, all three elements detect the noise artifact signals in the general area of the sensor. The area of the noise elements, when combined, is equal to that of the center element. This provides an average of the noise detected by the center element.

The signals from the two noise sensing elements are subtracted from the center element signal, thereby canceling the noise in the center element.

Also disclosed is a unique method that allows repositioning of the sensor after it has been attached to the patient, a mechanism for maintaining the appropriate hold down pressure, a wrist stabilization device for stabilizing the wrist during monitoring of the blood pressure. The present invention also allows blood pressure calibrations to be obtained using the wrist and arm stabilizer assembly.

Claims

1. An arterial sensor for measuring the surface force/displacement resulting from a blood pressure wave traveling through an artery and transmitted through the arterial wall and overlying tissue, comprising:

a first piezoelectric sensor for generating a first signal;

a second piezoelectric sensor for generating a second signal;

a support for independently supporting said first piezoelectric sensor and said second piezoelectric sensor; and

means for differentially combining said first signal and said second signal;

wherein said first piezoelectric sensor comprises a common piezoelectric strip having a common electrical contact and a first piezoelectric strip having a first electrical contact, and said second piezoelectric sensor comprises a second piezoelectric strip having a second electrical contact;

wherein said first piezoelectric strip has an area less than that of said common piezoelectric strip and said second piezoelectric strip has an area less than that of said common piezoelectric strip.

2. The arterial sensor of claim 1 wherein said second piezoelectric sensor further comprises said common piezoelectric strip having said common electrical contact.

3. The arterial sensor of claim 2 further comprising:

a third piezoelectric sensor for generating a third signal;

wherein said support is further for independently supporting said third piezoelectric sensor;

wherein said means for differentially combining is further for combining said third signal;

wherein said third piezoelectric sensor comprises a third piezoelectric strip having a third electrical contact;

wherein said third piezoelectric strip has an area less than that of said common piezoelectric strip; and

wherein said third piezoelectric sensor further comprises said common piezoelectric strip having said common electrical contact.

4. The arterial sensor of claim 3 wherein said support has three contiguous, adjacent cavities with said first piezoelectric strip in one cavity, said second piezoelectric strip in the middle cavity, and said third piezoelectric strip in the third cavity.

5. The arterial sensor of claim 4 wherein said second piezoelectric strip measures the force/displacement resulting from said blood pressure wave travelling though said artery, and said first piezoelectric strip and said third piezoelectric strip measure noise artifact.

6. The arterial sensor of claim 5 wherein the area of said second piezoelectric strip is substantially equal to the sum of the areas of said first and third piezoelectric strips.

7. The arterial sensor of claim 6 wherein said first differential combining means subtracts said first and third signals from said second signal.

8. The arterial sensor of claim 6 further comprising a second differential combining means for subtracting said first signal from said third signal.

9. The arterial sensor of claim 8 further comprising a visual indication of magnitude and polarity of the output of said second differential combining means.

10. The arterial sensor of claim 5 wherein said means for differentially combining adjusts said first signal by a first factor determined by the relative area of said piezoelectric strips and adjusts said second signal by a second factor determined by the relative areas of said piezoelectric strips.

11. The arterial sensor of claim 1 further comprising:

pneumatically activatable means for engaging said sensor with said artery wherein said blood pressure waveform is detected by said sensor means.

12. The arterial sensor of claim 1, further comprising:

a third piezoelectric sensor for generating a third signal; and

wherein said support is further for independently supporting said third piezoelectric sensor;

wherein said means for differentially combining is further for combining said third signal;

wherein said third piezoelectric sensor comprises a third piezoelectric strip having a third electrical contact; and

wherein said third piezoelectric strip has an area less than that of said common piezoelectric strip.

13. An arterial sensor for measuring the surface force/displacement resulting from a blood pressure wave traveling through an artery and transmitted through the arterial wall and overlying tissue, comprising:

a first piezoelectric sensor for generating a first signal;

a second piezoelectric sensor for generating a second signal;

a support for independently supporting said first piezoelectric sensor and said second piezoelectric sensor; and

means for differentially combining said first signal and said second signal;

wherein said first piezoelectric sensor comprises a first piezoelectric strip having a positive side and a negative side;

wherein said second piezoelectric sensor comprises a second piezoelectric strip having a positive side and a negative side; and

wherein said positive side of said first piezoelectric strip is electrically connected to said negative side of said second piezoelectric strip.

14. The arterial sensor of claim 13 wherein said negative side of said first piezoelectric strip is juxtaposed to, and in physical contact with, said positive side of said second piezoelectric strip to form an electrical connection.

15. The arterial sensor of claim 14 where in a portion of said first piezoelectric strip is conductively coated to form a first electrode and spaced-apart portions of said second piezoelectric strip are conductively coated to form a second electrode and said first and second piezoelectric strips are positioned such that said second electrode is in physical contact with said first electrode.

16. The arterial sensor of claim 13 further comprising:

pneumatically activatable means for engaging said sensor with said artery wherein said blood pressure waveform is detected by said sensor means.

17. The arterial sensor of claim 13, further comprising:

a third piezoelectric sensor for generating a third signal; and

wherein said support is further for independently supporting said third piezoelectric sensor;

wherein said means for differentially combining is further for combining said third signal; and

wherein said third piezoelectric sensor comprises a third piezoelectric strip having a positive side and a negative side.

18. An arterial sensor for measuring the surface force/displacement resulting from a blood pressure wave traveling through an artery and transmitted through the arterial wall and overlying tissue, comprising:

a strip of non-conductive material having a first side and a second side;

a first conductive film on said first side;

a plurality of spaced apart second conductive films on said second side, each of said second conductive films having an area less than that of said non-conductive material;

a plurality of electrical contacts one to each of said first conductive film and each of said plurality of second conductive films; and

a support for independently supporting said plurality of spaced apart second conductive films.

19. The arterial sensor of claim 18 wherein said conductive film is a piezoelectric film.

20. The arterial sensor of claim 18 wherein said plurality of spaced apart second conductive films includes three spaced apart conductive films.

21. The arterial sensor of claim 18 wherein said sensor generates a plurality of signals, one signal from each of said electrical contacts.

22. The arterial sensor of claim 21 further comprising means for differentially combining said plurality of signals.