Pulse wave detecting apparatus

• US 5,497,779 A
• Filed: 03/08/1994
• Issued: 03/12/1996
• Est. Priority Date: 03/08/1994
• Status: Expired due to Term

• Current Assignee: Omron Healthcare Company Limited (Omron Corporation)
• Original Assignee: Colin Corporation (Fukuda Denshi Company Limited)
• Inventors: Takaya, Masami, Nishibayashi, Hideo
• Primary Examiner(s): Sykes, Angela D.
• Assistant Examiner(s): NASSER, ROBERT L
• Application Number:
  US08/207,179
• Time in Patent Office: 735 Days
• Field of Search: 128/672, 128/677, 128/687-690
• US Class Current: 600/485
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 2562/043 in a linear array
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/02116 of pulse wave amplitude A61B5/02225 takes precedence

Abstract

A pulse wave detecting apparatus including a pulse wave sensor having a press surface and including at least one array of pressure sensing elements provided in the press surface; a pressing device which produces a pressing force to press the press surface of the pulse wave sensor against an arterial vessel via body surface; a regulating device for changing the pressing force of the pressing device applied to the pulse wave sensor, determining an optimum value of the pressing force based on at least one of the pulse wave signals generated from the pressure sensing elements, and holding the pressing force of the pressing device at the thus determined optimum value; a lower-peak variation determining device for determining a lower peak of at least one pulse of each of the pulse waves represented by the respective pulse wave signals from the pressure sensing elements, the lower-peak variation determining device iteratively determining a variation of the respective lower peaks of the pulse waves with respect to the array of pressure sensing elements after the pressing force of the pressing device is held at the optimum value; and a judging device for judging whether a pressing condition of the pulse wave sensor on the body surface is stable, based on change of the lower-peak variations determined by the lower-peak variation determining device.

Claims

1. A pulse wave detecting apparatus for detecting a pulse wave from a living subject, the pulse wave comprising a plurality of pulses, each pulse produced from an arterial vessel of the subject in synchronism with a heartbeat of the subject, comprising:

a pulse wave sensor having a press surface and including at least one array of pressure sensing elements provided in said press surface, said press surface of said pulse wave sensor being adapted to be pressed against said arterial vessel of said living subject via a body surface of said subject such that a direction of said array of pressure sensing elements intersects a direction of extension of said arterial vessel, so that each of said pressure sensing elements detects said pulse wave produced from said arterial vessel and generates a pulse wave signal representing the detected pulse wave;

a pressing device which produces a pressing force to press said press surface of said pulse wave sensor against said arterial vessel via said body surface;

regulating means for changing said pressing force of said pressing device applied to said pulse wave sensor, determining an optimum value of said pressing force based on at least one of the pulse wave signals generated from said pressure sensing elements, and holding said pressing force of said pressing device at the thus determined optimum value;

lower-peak variation determining means for determining a lower peak of at least one pulse of each of the respective pulse wave signals from said pressure sensing elements, said lower-peak variation determining means iteratively determining a variation of the respective lower peaks of said pulse wave signals with respect to said array of pressure sensing elements after said pressing force of said pressing device is held at said optimum value; and

judging means for judging whether a pressing condition of said pulse wave sensor on said body surface is stable, based on change of the lower-peak variations determined by said lower-peak variation determining means.

2. An apparatus according to claim 1, further comprising control means for controlling, when said judging means provides a negative judgment that said pressing condition of said pulse wave sensor is not stable, said regulating means to update said optimum value of said pressing force and hold said pressing force at the thus updated optimum value.

3. An apparatus according to claim 1, wherein said regulating means determines, while changing said pressing force of said pressing device, an amplitude of said at least one pulse of the respective pulse wave signals from said pressure sensing elements, selects a maximum pulse having a maximum amplitude from said pulses of said at least one pulse wave signal, and determines as said optimum value of said pressing force a pressing force of said pressing device at a time of detection of said maximum pulse.

4. An apparatus according to claim 1, wherein said regulating means determines, while changing said pressing force of said pressing device, an amplitude of each of the respective pulse wave signals from said pressure sensing elements, selects a maximum pulse having a maximum amplitude from said pulses of said each pulse wave signal, and determines as an optimum pressure sensing element one of said pressure sensing elements which has detected said maximum pulse.

5. An apparatus according to claim 4, further comprising an output means comprising at least one of (a) display means for displaying a waveform of the pulse wave represented by the pulse wave signal supplied from said optimum pressure sensing element and (b) recorder means for recording a waveform of the pulse wave represented by the pulse wave signal supplied from said optimum pressure sensing element.

6. An apparatus according to claim 1, wherein said regulating means holds said pressing force of said pressing device, at said optimum value, so that said press surface of said pulse wave sensor partially flattens a wall of said arterial vessel and said pressure sensing elements detect said pulse wave through the flattened wall of said arterial vessel.

7. An apparatus according to claim 1, wherein said lower-peak variation determining means determines a lower peak of each of a predetermined number of pulses of each of said pulse wave signals from said pressure sensing elements in each of a plurality of determination cycles, said lower-peak variation determining means determining an average of said predetermined number of lower peaks of said each pulse wave signal and determining a variation of the respective averages of said pulse wave signals with respect to said array of pressure sensing elements, in said each cycle.

8. An apparatus according to claim 1, wherein said lower-peak variation determining means comprises:

means for determining, as a reference variation, a variation of respective lower peaks of said pulse wave signals with respect to said array of pressure sensing elements in one of a plurality of determination cycles; and

means for determining, as a current variation, a variation of respective lower peaks of said pulse wave signals with respect to said array of pressure sensing elements in a current one of said cycles subsequent to said one cycle.

9. An apparatus according to claim 8, wherein said judging means comprises:

first means for determining a difference between a lower peak of at least one pulse of the pulse wave signals from each of a first group of pressure sensing elements determined in said one cycle and a lower peak of at least one pulse of the pulse wave signals from said each pressure sensing element of said first group determined in said current cycle, and obtaining a first amount of change by summing the respective differences determined for said pressure sensing elements of said first group;

second means for determining a difference between a lower peak of at least one pulse of the pulse wave signals from each of a second group of pressure sensing elements determined in said one cycle and a lower peak of at least one pulse of the pulse wave signals from said each pressure sensing element of said second group determined in said current cycle, and obtaining a second amount of change by summing the respective differences determined for said pressure sensing elements of said second group;

third means for determining a difference between a lower peak of at least one pulse of the pulse wave signals from each of a third group of pressure sensing elements determined in said one cycle and a lower peak of at least one pulse of the pulse wave signals from said each pressure sensing element of said third group obtained in said current cycle, and obtaining a third amount of change by summing the respective differences determined for said pressure sensing elements of said third group;

said array of pressure sensing elements including said first, second, and third groups of pressure sensing elements such that said first, second, and third groups do not overlap each other in said array;

fourth means for comparing said first, second, and third amounts of change with each other; and

fifth means for judging whether said pressing condition of said pulse wave sensor is stable, based on the comparison results obtained by said fourth means.

10. An apparatus according to claim 8, wherein said judging means comprises:

first means for determining a difference between a lower peak of at least one pulse of the pulse wave signals determined in said one cycle and a lower peak of at least one pulse of the pulse wave signals determined in said current cycle, obtaining a new lower peak by subtracting said difference from each of the respective lower peaks of said pulse wave signals from said pressure sensing elements determined in said current cycle, and obtaining an overall amount of change of said current variation from said reference variation by summing respective values obtained by subtracting the respective new lower peaks from corresponding lower peaks of said pulse wave signals from said pressure sensing elements determined in said one cycle;

second means for comparing said overall amount of change with a first reference value; and

third means for judging that said pressing condition of said pulse wave sensor is stable, when said overall amount of change is smaller than said first reference value.

11. An apparatus according to claim 10, wherein said judging means further comprises:

fourth means for comparing said overall amount of change with a second reference value greater than said first reference value; and

fifth means for judging that said pressing condition of said pulse wave sensor is not stable, when said overall amount of change is greater than said second reference value.