Tonometer mounting device

• US 5,617,867 A
• Filed: 11/23/1994
• Issued: 04/08/1997
• Est. Priority Date: 11/23/1994
• Status: Expired due to Term

• Current Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Original Assignee: IVAC Medical Systems, Inc. (Becton, Dickinson & Co)
• Inventors: Martin, Stephen A., Giurdanella-Renzi, Christine A., Boyer, Stanley J., Butterfield, Robert D., Holdaway, Charles R.
• Primary Examiner(s): Sykes, Angela D.
• Assistant Examiner(s): NASSER, ROBERT L
• Application Number:
  US08/344,252
• Time in Patent Office: 867 Days
• Field of Search: 73/862.581, 73/862.621, 73/862.626, 73/862.627, 73/862.632, 73/862.68, 73/DIG. 4, 128/748, 128/666, 128/667, 128/668, 128/672, 128/677, 128/680-3, 128/686, 128/687-690, 128/661.08, 128/660.02, 128/645, 128/646, 128/691-694, 128/739 , 128/740, 128/774-782
• US Class Current: 600/503
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence

Abstract

A device for mounting a tonometry sensor upon a patient'"'"'s wrist includes a base portion that is specifically adapted to generally conform to the patient'"'"'s wrist while providing a stable placement of the tonometry sensor relative to a preselected artery. A sensor housing is movably mounted upon the base portion and configured such that the mounting device has an essentially equal thickness at each end of the device. A strap member is provided for releasably securing the mounting device to a patient'"'"'s wrist. The mounting device facilitates more accurate, non-invasive blood pressure measurement by providing a stable placement of the tonometry sensor relative to the tissue overlying a preselected artery at a measurement location and, further, limits undesirable movement by the patient to thereby reduce undesirable error in the blood pressure measurement.

Claims

1. A mounting device for mounting a non-invasive tonometry sensor adjacent a preselected artery in a patient'"'"'s wrist, comprising:

a base portion having an essentially planar outward face and a generally arcuate inward face, said outward face having a length and a width, said inward face being adapted to generally conform to an anterior side of the patient'"'"'s wrist and having an arcuate length that is greater than said outward face length, said base portion having a thickness defined by a distance between said outward and inward faces, said base portion having two windows near a first end of said base portion, said thickness being substantially greater at a second end of said base portion distal from said windows;

a sensor housing having the tonometry sensor near one end of said housing, said housing being movably attached to said base portion such that said sensor is selectively positionable in one of said windows and thereby adapted to be put into operative communication with tissue overlying the preselected artery;

said mounting device having a combined thickness defined by said base portion thickness and a height of said sensor housing, said combined thickness being essentially equal near said first and second ends of said base portion to thereby facilitate a stable placement of the sensor relative to the preselected artery, and said sensor housing and said base portion having a combined distribution of weight that is essentially equal at said first and second ends of said base portion, respectively, to thereby further facilitate said stable placement of the sensor relative to the preselected artery; and

a strap member for releasably securing said base portion about the patient'"'"'s wrist in a preselected position.

2. The mounting device of claim 1, wherein said base portion width is large enough such that when said device is secured about the patient'"'"'s wrist relative movement between bones within the patient'"'"'s arm and wrist is restricted to thereby facilitate maintaining the sensor in a preselected position relative to the preselected artery to thereby reduce undesirable error and artifacts when monitoring blood pressure within the preselected artery.

3. The mounting device of claim 1, wherein said strap member has a width substantially equal to said width of said outward face.

4. The mounting device of claim 3, wherein said strap member is selectively releasably attached to said second end of said base portion.

5. The mounting device of claim 1, wherein said sensor housing is pivotally mounted onto said base portion.

6. The mounting device of claim 5, wherein said sensor housing pivots about an axis that is essentially centered on said base portion proximate said second end of said base portion to thereby further facilitate said stable placement of the sensor relative to the preselected artery.

7. A mounting device for mounting a non-invasive tonometry sensor adjacent a preselected artery in a patient'"'"'s wrist, comprising:

a base portion having an essentially planar outward face and a generally arcuate inward face, said outward face having a length and a width, said inward face being adapted to generally conform to an anterior side of the patient'"'"'s wrist and having an arcuate length that is greater than said outward face length, said base portion having a thickness defined by a distance between said outward and inward faces, said base portion having two windows near a first end of said base portion, said thickness being substantially greater at a second end of said base portion distal from said windows;

a sensor housing having the tonometry sensor near one end of said housing, said housing being movably attached to said base portion such that said sensor is selectively positionable in one of said windows and thereby adapted to be put into operative communication with tissue overlying the preselected artery;

said mounting device having a combined thickness defined by said base portion thickness and a height of said sensor housing, said combined thickness being essentially equal near said first and second ends of said base portion to thereby facilitate a stable placement of the sensor relative to the preselected artery, wherein said base portion second end has a weight receiving portion for receiving a weight to selectively vary a mass of said base portion second end to thereby further facilitate said stable placement of the sensor relative to the preselected artery; and

a strap member for releasably securing said base portion about the patient'"'"'s wrist in a preselected position.

8. The mounting device of claim 7, wherein said base portion width is large enough such that when said device is secured about the patient'"'"'s wrist, relative movement between bones within the patient'"'"'s arm and wrist is restricted to thereby facilitate maintaining the sensor in a preselected position relative to the preselected artery to thereby reduce undesirable errors and artifacts when monitoring blood pressure within the preselected artery.

9. The mounting device of claim 7, wherein said strap member has a width substantially equal to said width of said outward face.

10. The mounting device of claim 9, wherein said strap member is selectively releasably attached to said second end of said base portion.

11. The mounting device of claim 7, wherein said sensor housing is pivotally mounted onto said base portion.

12. The mounting device of claim 11, wherein said sensor housing pivots about an axis that is essentially centered on said base portion proximate said second end of said base portion to thereby further facilitate said stable placement of the sensor relative to the preselected artery.

13. A mounting and restraint device for mounting a tonometry sensor relative to a preselected artery within a patient'"'"'s wrist and for restraining the patient'"'"'s wrist from undesirable movement that may tend to introduce error into blood pressure measurement, comprising:

a base portion having an essentially constant width between first and second ends and adapted to generally conform to the patient'"'"'s wrist with the width lying along a direction generally perpendicular to the patient'"'"'s arm, said width being wide enough to restrict relative movement between bones within the patient'"'"'s arm and wrist when said base portion is securely placed on the patient'"'"'s wrist, said base portion having a nominal thickness near said first end and a greatest thickness near said second end, said base portion having two windows proximate said first end for enabling said base portion to be worn on a left or right wrist;

a sensor housing pivotally connected to said base portion and adapted for housing the tonometry sensor proximate a first housing end, said housing pivoting about a centrally located pivot axis proximate said base second end such that the sensor operatively engages tissue overlying the preselected artery through one of said windows, said pivot axis being proximate a second housing end distal from the tonometry sensor; and

a band coupled to said first end of said base portion and releasably engaging said second end of said base portion for releasably securing said device about the patient'"'"'s wrist;

wherein said sensor housing and said base portion have a combined distribution of weight that is essentially equal at said first and second ends of said base portion, respectively.

14. The device of claim 13, wherein said band has a width substantially equal to said width of said base portion.

15. The device of claim 13, wherein said base portion has a generally planar outward face and a generally arcuate inward face, said inward face being adapted to generally conform to an anterior side of the patient'"'"'s wrist.

16. The device of claim 15, wherein said second end of said base portion is adapted to be received on a lateral side of the patient'"'"'s wrist such that said inward face extends across a portion of said anterior and lateral sides, respectively.

17. The device of claim 13, wherein said base portion and said sensor housing have a combined thickness that is essentially equal near said first and second ends.

18. A mounting and restraint device for mounting a tonometry sensor relative to a preselected artery within a patient'"'"'s wrist and for restraining the patient'"'"'s wrist from undesirable movement that may tend to introduce error into blood pressure measurement, comprising:

a base portion having an essentially constant width between first and second ends and adapted to generally conform to the patient'"'"'s wrist with the width lying along a direction generally perpendicular to the patient'"'"'s arm, said width being wide enough to restrict relative movement between bones within the patient'"'"'s arm and wrist when said base portion is securely placed on the patient'"'"'s wrist, said base portion having a nominal thickness near said first end and a greatest thickness near said second end, said base portion having two windows proximate said first end for enabling said base portion to be worn on a left or right wrist;

a sensor housing pivotally connected to said base portion and housing a tonometry sensor proximate a first housing end, said housing pivoting about a centrally located pivot axis proximate said base second end such that the sensor operatively engages tissue overlying the preselected artery through one of said windows, said pivot axis being proximate a second housing end distal from the tonometry sensor; and

a band coupled to said first end of said base portion and releasable engaging said second end of said base portion for releasably securing said device about the patient'"'"'s wrist;

wherein said base portion second end has a weight receiving portion for receiving a weight to selectively vary a mass of said base portion second end.

19. The device of claim 18, wherein said band has a width substantially equal to said width of said base portion.

20. The device of claim 18, wherein said base portion has a generally planar outward face and a generally arcuate inward face, said inward face being adapted to generally conform to an anterior side of the patient'"'"'s wrist.

21. The device of claim 20, wherein said second end of said base portion is adapted to be received on a lateral side of the patient'"'"'s wrist such that said inward face extends across a portion of said anterior and lateral sides, respectively.

22. The device of claim 18, wherein said base portion and said sensor housing have a combined thickness that is essentially equal near said first and second ends.