Blood pressure measurement apparatus and associated method

• US 5,626,141 A
• Filed: 06/02/1995
• Issued: 05/06/1997
• Est. Priority Date: 04/13/1990
• Status: Expired due to Term

• Current Assignee: Takeda Engineering Consultant Incorporated
• Original Assignee: Takeda Engineering Consultant Incorporated
• Inventors: Takeda, Fumihide
• Primary Examiner(s): NASSER, ROBERT L
• Application Number:
  US08/458,867
• Time in Patent Office: 704 Days
• Field of Search: 128/668, 128/672, 128/677-683, 128/687, 128/690, 128/691, 128/748, 364/413.03
• US Class Current: 600/490
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• CPC Class Codes: A61B 5/02208 using the Korotkoff method
• CPC Class Codes: A61B 5/0225 the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives
• CPC Class Codes: A61B 5/7285 for synchronising or triggering a physiological measurement or image acquisition with a physiological event or waveform, e.g. an ECG signal A61B6/5205, A61B6/541, A61B8/5207, A61B8/543 take precedence

Abstract

Using an improved noninvasive blood pressure measuring apparatus, dynamic parameters (like stretching and contracting velocity, acceleration, force, power and energy) of human arterial wall motion against both the lowering and increasing pressure of an occlusive cuff are detected. They can be displayed along with other physiological signals like aortic pressure AP and ECG taken from other instruments through a data receiving unit. Then this apparatus with ECG makes it possible to noninvasively detect some abnormalities between the mechanical and electrical cardiac cycle on heart function. The apparatus also detects systolic (SYS) and diastolic (DIA) pressure while increasing the cuff pressure. The apparatus can also examine a non-local information on blood circulation by simultaneously using a second occlusive cuff. Since this apparatus is capable of acquiring any physiological signal coupled with a commonly practiced noninvasive brachial artery blood pressure measurement, it will be also useful for quick and mass clinical testing.

Claims

1. A method for measuring dynamic parameters of arterial wall motion, comprising:

presurizing a cuff that surrounds an artery;

measuring the cuff pressure;

determining from the cuff pressure a velocity and acceleration of the arterial wall;

determining power of the arterial wall motion as the wall stretches and contracts in response to the cuff pressure, the power being defined as the product of the velocity of the arterial wall and the acceleration of the arterial wall; and

from the power, determining changes in energy of the arterial wall, the energy being defined as the power measured over a predetermined time.

2. The method of claim 1 wherein the velocity, acceleration and power are obtained with the following steps:

acquiring velocity and acceleration of the arterial wall motion with velocity and acceleration detection functions;

determining instantaneous power of the arterial wall motion from the velocity and acceleration;

determining what portion of power is positive to determine a stretching energy of the wall motion; and

determining what portion of power is negative to determine a compressing energy of the wall motion.

3. An apparatus for measuring dynamic parameters of arterial wall motion, comprising:

an inflatable cuff;

a pressurizing device for inflating the cuff to increase the cuff pressure;

a pressure transducer for monitoring the pressure in the cuff and producing an electric signal related to the pressure; and

a data processor communicable with the pressure transducer to receive the electrical signal, the data processor programmed for;

determining, from the cuff pressure, a velocity and acceleration of the arterial wall;

determining power of the arterial wall motion as the wall stretches and contracts in response to the cuff pressure, the power being defined as the product of the velocity of the arterial wall and the acceleration of the arterial wall; and

from the power, determining changes in energy of the arterial wall, the energy being defined as the power measured over a predetermined time.

4. A method for measuring blood pressure by measuring dynamic parameters of arterial wall motion, comprising:

pressurizing a cuff that surrounds an artery;

measuring the cuff-pressure;

determining from the cuff pressure a velocity and acceleration of the arterial wall;

determining power of the arterial wall motion from the product of the velocity of the arterial wall and the acceleration of the arterial wall; and

determining blood pressure from the power of arterial wall motion.

5. The method of claim 4 including the step of determining, from the power, changes in energy of the arterial wall.