Blood pressure measuring apparatus

• US 5,649,536 A
• Filed: 02/21/1995
• Issued: 07/22/1997
• Est. Priority Date: 02/25/1994
• Status: Expired due to Term

• Current Assignee: Omron Healthcare Company Limited (Omron Corporation)
• Original Assignee: Colin Corporation (Fukuda Denshi Company Limited)
• Inventors: Oka, Toru, Ogura, Toshihiko
• Primary Examiner(s): Nasser, Robert L.
• Application Number:
  US08/391,701
• Time in Patent Office: 882 Days
• Field of Search: 128/672, 128/670, 128/680-683, 128/687
• US Class Current: 600/493
• CPC Class Codes: A61B 5/02116 of pulse wave amplitude A61B5/02225 takes precedence
• 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 5/02225 using the oscillometric method
• CPC Class Codes: A61B 5/0225 the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds

Abstract

A apparatus for measuring blood pressure of a living subject, including a blood pressure measuring device which receives a heartbeat synchronous-signal wave generated by arteries of the patient, determines respective amplitudes of successive pulses of said heartbeat-synchronous signal wave, each of which corresponds to one heartbeat of the subject, and provides as a first series of pulse amplitudes, the pulse amplitudes arranged in order of generation. The device further smoothens the first series of pulses and provides a second series of smoothened pulse amplitudes, and determines a blood pressure value based on a change in the second series. The device further provides a two-dimensional output of the first and second series, where one of the two series is superimposed on the other, and/or a representation of the degree of propriety of the measurement condition during which the measurement was performed.

Claims

1. An apparatus for measuring a blood pressure of a living subject, comprising:

an inflatable cuff adapted to be wound around a body portion of the subject, said cuff being inflated to provide a cuff pressure to press said body portion;

a pressure changing device which changes said cuff pressure;

a blood pressure measuring device which (a) obtains a heartbeat-synchronous signal wave generated from arteries of said body portion in synchronism with heartbeat of the subject while said cuff pressure is changed by said pressure changing device, (b) determines respective amplitudes of a plurality of successive pulses of said heartbeat-synchronous signal wave each of which corresponds to one cycle of heartbeat of the subject, and provides, as a first series of determined pulse amplitudes, the determined pulse amplitudes arranged in an order of generation of the corresponding pulses, (c) smoothens said first series of determined pulse amplitudes and thereby provides a second series of smoothened pulse amplitudes, and (d) determines a blood pressure value of the subject based on a change in said second series of smoothened pulse amplitudes;

an output device which outputs a two-dimensional representation comprising a number of picture elements; and

a control device which controls said output device to output said two-dimensional representation representative of said first series of determined pulse amplitudes and said second series of smoothened pulse amplitudes such that one of said first and second series of pulse amplitudes are superimposed on the other series of pulse amplitudes.

2. An apparatus according to claim 1, wherein said output device comprises means for outputting said two-dimensional representation representative of said first and second series of pulse amplitudes in a two-dimensional coordinate system defined by a first axis indicative of cuff pressure and a second axis indicative of pulse amplitude.

3. An apparatus according to claim 2, wherein said output device further comprises means for outputting, along said first axis, at least one symbol representative of said blood pressure value determined by said blood pressure measuring device.

4. An apparatus according to claim 1, wherein said output device comprises means for outputting said two-dimensional representation comprising a first and a second representation selected from a series of lines, a series of bars, and a polygonal line, said first and second representations being representative of said first and second series of pulse amplitudes, respectively.

5. An apparatus according to claim 1, wherein said output device comprises means for outputting said two-dimensional representation representative of said first series of determined pulse amplitudes and said second series of smoothened pulse amplitudes such that respective different portions of the determined pulse amplitudes and the corresponding smoothened pulse amplitudes are indicated in a color different from a color in which respective common portions of the determined pulse amplitudes and the smoothened pulse amplitudes are indicated.

6. An apparatus according to claim 1, wherein said output device comprises at least one of an image display device and a printer.

7. An apparatus for measuring a blood pressure of a living subject, comprising:

an inflatable cuff adapted to be wound around a body portion of the subject, said cuff being inflated to provide a cuff pressure to press said body portion;

a pressure changing device which changes said cuff pressure;

a blood pressure measuring device which (a) obtains a heartbeat-synchronous signal wave generated from arteries of said body portion in synchronism with heartbeat of the subject while said cuff pressure is changed by said pressure changing device, (b) determines respective amplitudes of a plurality of successive pulses of said heartbeat-synchronous signal wave each of which corresponds to one cycle of heartbeat of the subject, and provides, as a first series of determined pulse amplitudes, the determined pulse amplitudes arranged in an order of generation of the corresponding pulses, (c) smoothens said first series of determined pulse amplitudes and thereby provides a second series of smoothened pulse amplitudes, and (d) determines a blood pressure value of the subject based on a change in said second series of smoothened pulse amplitudes;

an output device which outputs a degree of propriety of a measurement condition under which said blood pressure value of the subject is determined by said blood pressure measuring device;

calculating means for calculating a degree of correction of said second series of smoothened pulse amplitudes from said first series of determined pulse amplitudes, by calculating a ratio of (a) respective differences between (a1) the determined pulse amplitudes corresponding to respective pressure values of said cuff within a prescribed pressure range and (a2) the corresponding smoothened pulse amplitudes, to (b) at least one of said determined pulse amplitudes and said corresponding smoothened pulse amplitudes; and

a control device which controls said output device to output said degree of propriety of said measurement condition which corresponds to the degree of correction of said second series of pulse amplitudes calculated by said calculating means.

8. An apparatus according to claim 7, wherein said output device comprises means for outputting a bar whose length is variable with said degree of propriety of said measurement condition.

9. An apparatus according to claim 7, wherein said output device comprises means for outputting one of a plurality of different numbers corresponding to a plurality of degrees of propriety of said measurement condition, respectively.

10. An apparatus according to claim 7, wherein said output device comprises means for outputting one of a plurality of different messages corresponding to a plurality of degrees of propriety of said measurement condition, respectively.

11. An apparatus according to claim 7, wherein said output device comprises outputting means for outputting a two-dimensional representation comprising a number of picture elements representative of said first series of determined pulse amplitudes and said second series of smoothened pulse amplitudes such that one of said first and second series of pulse amplitudes are superimposed on the other series of pulse amplitudes.

12. An apparatus according to claim 11, wherein said outputting means comprises a means for outputting said two-dimensional representation with said degree of propriety of said measurement condition.