Heart pulse wave detecting device using iterative base point detection

• US 5,584,299 A
• Filed: 07/26/1995
• Issued: 12/17/1996
• Est. Priority Date: 07/26/1994
• Status: Expired due to Term

• Current Assignee: Nihon Kohden Corporation
• Original Assignee: Nihon Kohden Corporation
• Inventors: Sakai, Yoshio, Motogi, Jun, Takeda, Sunao
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): LAYNO, CARL HERNANDZ
• Application Number:
  US08/507,142
• Time in Patent Office: 510 Days
• Field of Search: 128/680, 128/681, 128/677, 128/672
• US Class Current: 600/494
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• CPC Class Codes: A61B 5/6824 Arm or wrist
• CPC Class Codes: A61B 5/6826 Finger
• CPC Class Codes: A61B 5/6838 Clamps or clips
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives

Abstract

A CPU of a control unit receives a blood pressure pulse wave signal, through an AC amplifier and an A/D convertor. The CPU differentiates, for the smoothing of the waveform, the heart pulse wave signal every step of decreasing the pressure in the cuff, thereby detecting a descending zero-cross point m of the differential wave. Further, the CPU detects a slope peak point P'"'"' while tracing back from the descending zero-cross point m. The CPU determines the peak points of the pulse wave by using the heart pulse wave signal that is not differentiated. Thereafter, the CPU determines the base points of the pulse wave tracing back from the maximum-slope point, determines the peak value of the heart pulse wave signal in all the steps of decreasing the pressure in the cuff, and finally computes a systolic blood pressure and a diastolic blood pressure.

Claims

1. A heart pulse wave detecting device comprising:

pulse wave detecting means for detecting a pulse wave of a living body;

means for differentiating a pulse wave output from said pulse wave detecting means and providing a differentiated wave;

first detecting means for detecting a descending zero-cross point of said differentiated wave;

second detecting means for detecting a maximum-slope point of the differentiated wave while tracing back from the descending zero-cross point;

third detecting means for detecting a peak of the pulse wave output from said pulse wave detecting means; and

fourth detecting means for detecting the base point of the pulse wave by tracing back from a maximum-slope point on said pulse wave corresponding to the maximum-slope point detected by said second detecting means.

2. A heart pulse wave detecting device according to claim 1, wherein said fourth detecting means comprises:

means for setting a reference point on said pulse wave at a point located preceding to a start point corresponding to the maximum-slope point on the pulse wave;

means for setting up a reference distance line along a perpendicular to a tangential line at the reference point, said reference distance line extending from said reference point to an end point;

means for representing a line connecting the start point and the end point of the reference distance line as a scope;

means for judging whether or not a judging point located on said pulse wave preceding the reference point is inside the scope; and

means for shifting the reference point to the judging point if the judging point is located inside the scope while also shifting the judging point to another point on said pulse wave preceding said judging point;

said reference distance line setting means, said representing means, said judging means, and said shifting means repeat their respective operations until said judging means determines that said shifting means has shifted said reference point to a point outside of a scope represented by said representing means, and said fourth detecting means identifies the reference point outside of the scope as a base point of the pulse wave.

3. A heart pulse wave detecting device according to claim 1, wherein said fourth detecting means comprises:

means for setting a reference point on said pulse wave at a point located preceding to a start point corresponding to the maximum-slope point on the pulse wave;

means for setting a given point at a point spaced from the reference point in a direction that is opposite to the time axis along which said pulse wave resides;

means for establishing a line connecting the start point and the given point as a scope;

means for judging whether or not a judging point located said pulse wave preceding the reference point is inside the scope; and

means for shifting the reference point to the judging point if the judging point is located inside the scope while also shifting the judging point to another point on said pulse wave preceding said judging point

said given point setting means, said representing means, said judging means, and said shifting means repeat their respective operations until said judging means determines that said shifting means has shifted said reference point to a point outside of a scope represented by said representing means, and said fourth detecting means identifies the reference point outside of the scope as a base point of the pulse wave.

4. A heart pulse wave detecting method comprising the steps of:

detecting a pulse wave of a living body;

differentiating said pulse wave to produce a differentiated wave;

detecting a descending zero-cross point of said differentiated wave;

detecting a maximum-slope point of the differentiated wave while tracing back from the descending zero-cross point;

detecting a peak point of the pulse wave; and

detecting the base point of the pulse wave by tracing back from a maximum-slope point on said pulse wave corresponding to the maximum-slope point.

5. A heart pulse wave detecting method according to claim 4, further comprising the steps of:

setting a reference point at a point located preceding to a start point corresponding to the maximum-slope point of the pulse wave;

setting up a distance along a perpendicular to a tangential line at the reference point with a line connecting the start point and the tip of the distance as a scope;

judging whether or not a judging point located preceding to the reference point is inside the scope;

if the judging point is located inside the scope, then shifting the reference point to another point, and repeating said step of setting up a distance along a perpendicular to a tangential line at the reference point with a line connecting the start point and the tip of the distance as a scope;

if the judging point is located outside the scope after repeating the setting up step, then determining the reference point as a base point of the pulse wave.

6. A heart pulse wave detecting method according to claim 4, further comprising the steps of:

setting a reference point at a point located preceding to a start point corresponding to the maximum-slope point of the pulse wave;

setting a given point at a point spaced from the reference point in the direction that is opposite to a time axis on which said pulse wave resides, and setting a line connecting the start point and the given point as a scope;

judging whether or not a judging point located preceding to the reference point is inside the scope;

if the judging point is located inside the scope, then shifting the given point of the reference point to another point, and repeating said step of setting a given point at a point spaced from the reference point in the direction that is opposite to the time axis with a line connecting the start point and the given point as a scope,

if the judging point is located outside the scope after repeating said given point setting step, then determining the reference point as a base point of the pulse wave.