Peripheral blood-flow condition monitor

• US 5,671,750 A
• Filed: 08/12/1996
• Issued: 09/30/1997
• Est. Priority Date: 02/17/1995
• Status: Expired due to Fees

• Current Assignee: Colin Medical Technology Corporation (Omron Corporation)
• Original Assignee: Colin Corporation (Fukuda Denshi Company Limited)
• Inventors: Shinoda, Masayuki
• Primary Examiner(s): NASSER, ROBERT L
• Application Number:
  US08/695,635
• Time in Patent Office: 414 Days
• Field of Search: 128/672, 128/687, 128/690, 128/691, 128/677, 128/680-3, 128/713
• US Class Current: 600/495
• CPC Class Codes: A61B 5/02116 of pulse wave amplitude A61B5/02225 takes precedence
• 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
• CPC Class Codes: A61B 5/0285 Measuring or recording phase velocity of blood waves

Abstract

An apparatus for monitoring a peripheral blood-flow condition of a living subject by detecting a peripheral blood-flow resistance of the subject, including a first and a second pulse-wave sensor which are adapted to be worn on a first and a second portion of the subject, respectively, to detect a first and a second pulse wave, respectively, each of which is produced in synchronism with a heartbeat of the subject, a phase-difference determining device for determining a difference of respective phases of the first and second pulse waves detected by the first and second pulse-wave sensors, and a peripheral blood-flow resistance determining device for determining the peripheral blood-flow resistance of the subject, based on the phase difference determined by the phase-difference determining device, according to a predetermined relationship between peripheral blood-flow resistance and phase difference.

Claims

1. An apparatus for monitoring a peripheral blood-flow condition of a living subject by detecting a peripheral blood-flow resistance of the subject, comprising:

a first and a second pulse-wave sensor which are adapted to be worn on a first and a second portion of the subject, respectively, to detect a first and a second pulse wave, respectively, each of which is produced in synchronism with a heartbeat of the subject;

phase-difference determining means for determining a difference of respective phases of said first and second pulse waves detected by said first and second pulse-wave sensors;

peripheral blood-flow resistance determining means for determining said peripheral blood-flow resistance of the subject, based on the phase difference determined by said phase-difference determining means, according to a predetermined relationship between peripheral blood-flow resistance and phase difference; and

a blood pressure measuring device which measures a blood pressure of the subject, and wherein said peripheral blood-flow resistance determining means determines said peripheral blood-flow resistance of the subject, based on the phase difference determined by said phase-difference determining means and the blood pressure measured by said blood pressure measuring device, according to said predetermined relationship defined by a function of phase difference and blood pressure as variables.

2. An apparatus according to claim 1, wherein said blood pressure measuring device comprises an inflatable cuff adapted to be wound around a body portion of the subject, and measuring means for measuring said blood pressure of the subject by changing a pressure of said cuff applied to the body portion of the subject, and wherein said first pulse-wave sensor comprises said cuff, a pressure sensor which detects said pressure of the cuff, and a pulse-wave filter circuit which extracts, as said first pulse wave, an oscillatory pressure wave including a plurality of pulses produced in said cuff in synchronism with the heartbeat of the subject, from the cuff pressure detected by said pressure sensor.

3. An apparatus according to claim 2, further comprising a cuff-pressure regulating device which changes said pressure of said cuff to a predetermined value lower than a diastolic blood pressure of the subject and holds the cuff pressure at the predetermined value, and wherein said pulse-wave filter circuit extracts, as said first pulse wave, a plurality of heartbeat-synchronous pulses produced in said cuff held at said predetermined value, from the cuff pressure detected by said pressure sensor.

4. An apparatus according to claim 2, wherein said second pulse-wave sensor comprises a pressure pulse wave sensor which is adapted to be pressed against an artery of the subject via a skin of the subject, said pressure pulse wave sensor detecting, as said second pulse wave, a pressure pulse wave including a plurality of pulses produced from the artery of the subject in synchronism with the heartbeat of the subject.

5. An apparatus according to claim 1, further comprising index-value determining means for determining an index value indicative of a characteristic of a waveform of a decreasing portion of a heartbeat-synchronous pulse of said second pulse wave detected by said second pulse-wave sensor, wherein said peripheral blood-flow resistance determining means comprises correcting means for correcting, based on said index value determined by said index-value determining means, said peripheral blood-flow resistance determined based on said phase difference determined by said phase-difference determining means.

6. An apparatus according to claim 5, wherein said second pulse-wave sensor comprises a pressure pulse wave sensor which is adapted to be pressed against an artery of the subject via a skin of the subject, said pressure pulse wave sensor detecting, as said second pulse wave, a pressure pulse wave including a plurality of pulses produced from the artery of the subject in synchronism with the heartbeat of the subject.

7. An apparatus according to claim 1, further comprising a display device which displays, along a time axis, a time-wise trend of respective values of said peripheral blood-flow resistance determined by said peripheral blood-flow resistance determining means.

8. An apparatus according to claim 1, wherein said phase-difference determining means comprises means for determining a phase difference of each of heartbeat-synchronous pulses of said first pulse wave and a corresponding one of heartbeat-synchronous pulses of said second pulse wave, and wherein said peripheral blood-flow resistance determining means successively determines, according to said predetermined relationship, a peripheral blood-flow resistance of the subject, based on the phase difference of said each heartbeat-synchronous pulse of said first pulse wave and said corresponding heartbeat-synchronous pulse of said second pulse wave.

9. An apparatus for monitoring a peripheral blood-flow condition of a living subject by detecting a peripheral blood-flow resistance of the subject, comprising:

a first and a second pulse-wave sensor which are adapted to be worn on a first and a second portion of the subject, respectively, to detect a first and a second pulse wave, respectively, each of which is produced in synchronism with a heartbeat of the subject;

phase-difference determining means for determining a difference of respective phases of said first and second pulse waves detected by said first and second pulse-wave sensors;

peripheral blood-flow resistance determining means for determining said peripheral blood-flow resistance of the subject, based on the phase difference determined by said phase-difference determining means, according to a predetermined relationship between peripheral blood-flow resistance and phase difference; and

index-value determining means for determining an index value indicative of a characteristic of a waveform of a decreasing portion of a heartbeat-synchronous pulse of said second pulse wave detected by said second pulse-wave sensor, wherein said peripheral blood-flow resistance determining means comprises correcting means for correcting, based on said index value determined by said index-value determining means, said peripheral blood-flow resistance determined based on said phase difference determined by said phase-difference determining means.

10. An apparatus according to claim 9, wherein said second pulse-wave sensor comprises a pressure pulse wave sensor adapted to be pressed against an artery of the subject via a skin of the subject, said pressure pulse wave sensor detecting, as said second pulse wave, a pressure pulse wave including a plurality of pulses produced from the artery of the subject in synchronism with the heartbeat of the subject.

11. An apparatus according to claim 9, further comprising a display device which displays, along a time axis, a time-wise trend of respective corrected values of said peripheral blood-flow resistance which are provided by said correcting means of said peripheral blood-flow resistance determining means.

12. An apparatus according to claim 9, wherein said phase-difference determining means comprises means for determining a phase difference of each of heartbeat-synchronous pulses of said first pulse wave and a corresponding one of heartbeat-synchronous pulses of said second pulse wave, and wherein said peripheral blood-flow resistance determining means comprises means for determining, according to said predetermined relationship, a peripheral blood-flow resistance of the subject, based on the phase difference of said each heartbeat-synchronous pulse of said first pulse wave and said corresponding heartbeat-synchronous pulse of said second pulse wave.