Blood pressure measuring system

• US 5,564,426 A
• Filed: 04/25/1994
• Issued: 10/15/1996
• Est. Priority Date: 08/26/1992
• Status: Expired due to Term

• Current Assignee: Panasonic Electric Works Company Limited (Panasonic Holdings Corporation)
• Original Assignee: Matsushita Electric Works Ltd (Panasonic Holdings Corporation)
• Inventors: Iwai, Nobuo
• Primary Examiner(s): Sykes, Angela D.
• Application Number:
  US08/211,720
• Time in Patent Office: 904 Days
• Field of Search: 128/672, 128/677, 128/680-3
• US Class Current: 600/493
• 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
• CPC Class Codes: A61B 5/0225 the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds

Abstract

By a pressure data separating device 24, a net cuff pressure and an arterial pulse component are separately extracted from a cuff pressure of an occluding cuff which is an electrical signal provided from an A/D converter 23. A waveform value indicative of a waveform of each arterial pulse is computed by an arterial pulse deriving section 24a. An arithmetic operation device 26 is capable of detecting a characteristic value from a time series of the waveform values and determining systolic and diastolic blood pressures of a subject in accordance with a net cuff pressure corresponding to the characteristic value. In the present invention, since particular times associated with the systolic and diastolic blood pressures are derived by an analysis of the waveform of each arterial pulse, the blood pressures can be accurately determined while preventing an error in measurement caused by individual difference of the subject.

Claims

1. A blood pressure measuring system comprising:

an occluding cuff adapted in use to be attached to a selected portion of a subject;

pressurizing means for providing an occluding pressure of said cuff;

pressure bleeding means for gradually decreasing said occluding pressure;

a pressure sensor for sensing an instantaneous cuff pressure measurement and providing an electrical signal indicative thereof;

pressure data separating means for separating from said electrical signal an arterial pulse component superimposed on a net cuff pressure during a pressure bleeding period of gradually decreasing said occluding pressure so as to separately extract said arterial pulse component and said net cuff pressure;

blood pressure determining means for determining systolic and diastolic blood pressures in accordance with said net cuff pressure and said arterial pulse component provided from said pressure data separating means; and

display means for displaying the respective systolic and diastolic blood pressures;

said pressure data separating means including a waveform analyzing means for determining a waveform value of each arterial pulse by the use of pulse width and pulse height of said arterial pulse;

said blood pressure determining means including a characteristic value detecting section detecting a characteristic value from a time series of said waveform values and including a blood pressure deriving section for deriving said systolic and diastolic blood pressures in accordance with said net cuff pressure corresponding to said characteristic value.

2. A blood pressure measuring system as set forth in claim 1, wherein said waveform analyzing means provides said waveform value which is a ratio of a pulse height to a pulse width of each arterial pulse.

3. A blood pressure measuring system as set forth in claim 1, wherein said-waveform analyzing means provides said waveform value which is a ratio of a pulse height to the square of a pulse width of each arterial pulse.

4. A blood pressure measuring system as set forth in claim 1, wherein said waveform analyzing means provides, for each arterial pulse, said waveform value which is one of a pre-peak duration and a post-peak duration, said pre-peak and post-peak durations being defined within a pulse width of said arterial pulse immediately before and after a point of peak pulse height, respectively.

5. A blood pressure measuring system as set forth in claim 1, wherein said waveform analyzing means provides, for each arterial pulse, said waveform value which is a ratio of a pre-peak duration to a post-peak duration, said pre-peak and post-peak durations being defined within a pulse width of said arterial pulse immediately before and after a point of peak pulse height, respectively.

6. A blood pressure measuring system as set forth in claim 1, wherein said waveform analyzing means provides, for each arterial pulse, said waveform value which is a ratio of one of a pre-peak duration and a post-peak duration to an overall pulse width of said arterial pulse, said pre-peak and post-peak durations being defined within a pulse width of said arterial pulse immediately before and after a point of peak pulse height, respectively.

7. A blood pressure measuring system as set forth in claim 1, wherein said waveform analyzing means provides, for each arterial pulse, as said waveform value which is an integral of said arterial pulse for one of a pre-peak duration and a post-peak duration, said pre-peak and post-peak durations being defined within a pulse width of said arterial pulse immediately before and after a point of peak pulse height, respectively.

8. A blood pressure measuring system as set forth in claim 1, wherein said waveform analyzing means provides, for each arterial pulse, said waveform value which is a ratio of a fore-area to a rear-area, said fore-area and rear-area being integrals of said arterial pulse respectively for a pre-peak duration and a post-peak duration, said pre-peak and post-peak durations being defined within a pulse width of said arterial pulse immediately before and after a point of peak pulse height, respectively.

9. A blood pressure measuring system as set forth in claim 1, wherein said waveform analyzing means provides, for each arterial pulse, said waveform value which is a ratio of one of a fore-area and a rear-area to an overall area which is an integral of each arterial pulse for a duration of its pulse width, said fore-area and rear-area being integrals of said arterial pulse respectively for a pre-peak duration and a post-peak duration, said pre-peak and post-peak durations being defined within a pulse width of said arterial pulse immediately before and after a point of peak pulse height, respectively.

10. A blood pressure measuring system as set forth in claim 1, wherein said characteristic value is defined to be a maximum of said waveform value.

11. A blood pressure measuring system as set forth in claim 1, wherein said characteristic value is defined to be a particular one of said waveform values, said particular waveform value being selected such that a difference between said particular waveform value and a waveform value of the previous arterial pulse is maximum.

12. A blood pressure measuring system as set forth in claim 1, wherein said characteristic value is defined to be a particular one of said waveform values, said particular waveform value being selected such that a ratio of said particular waveform value to a waveform value of the previous arterial pulse is maximum.

13. A blood pressure measuring system as set forth in claim 1, wherein said pressure data separating means includes an arterial pulse deriving means for providing, for each arterial pulse, an arterial pulse value which is a pulse height or integral of said arterial pulse with respect to time, and wherein said blood pressure determining means comprises a first blood pressure deriving section for deriving first systolic and diastolic blood pressures based upon said waveform values and a second blood pressure deriving section for deriving second systolic and diastolic blood pressures based upon said arterial pulse values, and a blood pressure compensation section for determining said systolic and diastolic blood pressure based upon said first and second systolic and diastolic blood pressures.

14. A blood pressure measuring system as set forth in claim 13, wherein said blood pressure compensation section provides a change ratio of a specific one of said waveform values to said characteristic value, said specific waveform value being selected to have a predetermined relation to said characteristic value, said blood pressure compensation section determining, based upon said change ratio, said systolic blood pressure which is one of said first and second systolic blood pressures or a combined pressure of said first and second systolic blood pressures.

15. A blood pressure measuring system as set forth in claim 14, wherein said specific waveform value is defined to correspond to a high net cuff pressure which is higher by a predetermined extent than said net cuff pressure associated with said characteristic value.

16. A blood pressure measuring system as set forth in claim 14, wherein said specific waveform value is defined to correspond to a low net cuff pressure which is lower by a predetermined extent than said net cuff pressure associated with said characteristic value.

17. A blood pressure measuring system as set forth in claim 14, wherein said specific waveform value is defined to correspond to an average net cuff pressure of high and low net cuff pressures which are respectively higher and lower by a predetermined extent than said net cuff pressure associated with said characteristic value.

18. A blood pressure measuring system as set forth in claim 14, wherein said set of combined pressures are defined to be a sum of the product of said first systolic blood pressure times a weight coefficient and the product of said second systolic blood pressure times a weight coefficient, said weight coefficients being selected for said first and second systolic blood pressures in correspondence to said change ratio.

19. A blood pressure measuring system as set forth in claim 18, wherein said weight coefficient is a weighted average of said first and second systolic blood pressures with the use of a membership function having said change ratio as a parameter.

20. A blood pressure measuring system as set forth in claim 18, wherein said weight coefficient is a weighted average of said first and second systolic blood pressures with the use of a membership function having said change ratio and said first and second systolic blood pressures as parameters.

21. A blood pressure measuring system as set forth in claim 18, wherein said weight coefficient is a weighted average of said first and second systolic blood pressures with the use of a membership function having said change ratio and said net cuff pressure as parameters.