Pressure pulse wave detecting apparatus

• US 5,762,610 A
• Filed: 07/03/1996
• Issued: 06/09/1998
• Est. Priority Date: 07/03/1996
• Status: Expired due to Fees

• Current Assignee: Omron Healthcare Company Limited (Omron Corporation)
• Original Assignee: Colin Corporation (Fukuda Denshi Company Limited)
• Inventors: Narimatsu, Kiyoyuki, Nishibayashi, Hideo
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): LAYNO, CARL HERNANDZ
• Application Number:
  US08/675,675
• Time in Patent Office: 706 Days
• Field of Search: 128/687, 128/689, 128/690, 128/691, 128/714, 600/500, 600/502, 600/503, 600/504, 600/527
• US Class Current: 600/500
• 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

Abstract

An apparatus for detecting a pressure pulse wave from a living subject, including a pressure pulse wave sensor which detects a pressure pulse wave which is produced from an artery of the subject, a pressing device which presses the sensor against the artery via a body surface of the subject, a position changing device which moves the sensor and thereby changes a position of the sensor relative to the artery in a direction of width of the artery, and a control device which determines, based on the pulse wave detected by the sensor, an optimum pressing position of the sensor where the sensor is pressed against the artery by the pressing device, and controls the position changing device to position the sensor at the optimum pressing position, the control device functioning as a moving device for controlling the position changing device to move the sensor relative to the artery while the sensor is pressed on the body surface by the pressing device, a determining device for determining the optimum pressing position of the sensor based on the pressure pulse wave detected by the sensor while the sensor is pressed by the pressing device and is moved by the position changing device under control of the moving device, and a stopping device for controlling the position changing device to stop moving the sensor when the optimum pressing position of the sensor is determined by the determining device.

Claims

1. An apparatus for detecting a pressure pulse wave from a living subject, comprising:

a pressure pulse wave sensor which detects a pressure pulse wave which is produced from an artery of the subject;

a pressing device which presses said sensor against the artery via a body surface of the subject;

a position changing device which moves said sensor and thereby changes a position of the sensor relative to the artery in a direction of width of the artery; and

a control device which determines, based on the pressure pulse wave detected by said sensor, an optimum pressing position of the sensor relative to the artery where the sensor is pressed against the artery by said pressing device, and controls said position changing device to position the sensor at said optimum pressing position,

said control device comprising;

moving means for controlling said position changing device to move said sensor relative to the artery while the sensor is pressed, with a predetermined pressing force, on the body surface by said pressing device,

optimum-pressing-position determining means for determining said optimum pressing position of said sensor based upon the pressure pulse wave detected by the sensor while the sensor is pressed with said predetermined pressing force on the body surface by said pressing device and is moved relative to the artery by said position changing device under control of said moving means;

stopping means for controlling said position changing device to stop moving said sensor which is being pressed with said predetermined pressing force on the body surface, when said optimum pressing position of the sensor is determined by said optimum-pressing-position determining means, and

optimum-pressing-force determining means for increasing the pressing force of said pressing device from said predetermined pressing force to an increased pressing force and determining an optimum pressing force of said pressing device applied to the artery of the subject via the body surface, based on the pressure pulse wave detected by said sensor stopped at said optimum pressing position while the pressing force of said pressing device is increased from said predetermined pressing force to said increased pressing force.

2. An apparatus according to claim 1, wherein said pressure pulse wave sensor comprises a plurality of pressure-sensing elements and a press surface in which an array of said pressure sensing elements extends in a direction in which said sensor is moved by said position changing device, said press surface being adapted to be pressed against the artery via the body surface so that each of the pressure-sensing elements detects a pressure pulse wave produced from the artery.

3. An apparatus according to claim 1, wherein said optimum-pressing-position determining means comprises means for judging whether a pulse amplitude of a pressure pulse wave detected by at least one first sensing element belonging to one of opposite end ranges of said array of pressure-sensing elements is substantially equal to a pulse amplitude of a pressure pulse wave detected by at least one second sensing element belonging to the other end range of the array of pressure-sensing elements, and determining, as said optimum pressing position of said sensor, a current position of the sensor when a positive judgment is made.

4. An apparatus according to claim 3, further comprising optimum-sensing-element selecting means for selecting, as an optimum sensing element, at least one third sensing element belonging to a middle range of said array of pressure-sensing elements of said pressure pulse wave sensor stopped at said optimum pressing position, said middle range being located between said opposite end ranges.

5. An apparatus according to claim 4, further comprising a blood pressure measuring device which measures a standard blood pressure value of the subject.

6. An apparatus according to claim 5, wherein said blood pressure measuring device comprises:

an inflatable cuff which is adapted to be wound around a body portion of the subject;

a supplying device which supplies said cuff with a pressurized fluid to increase a fluid pressure in the cuff and thereby inflate the cuff;

a fluid-pressure sensor which detects the pressure of the cuff; and

standard-blood-pressure determining means for determining said standard blood pressure value of the subject based on variation of pulse amplitudes of a pulse wave which is produced in said cuff and detected by said fluid-pressure sensor.

7. An apparatus according to claim 5, further comprising relations hip determining means for determining a relationship between blood pressure and pressure pulse wave magnitude, based on said standard blood pressure value measured by said blood pressure measuring device and a magnitude of the pressure pulse wave detected by said optimum sensing element of said pressure pulse wave sensor stopped at said optimum pressing position.

8. An apparatus according to claim 7, further comprising monitor-blood-pressure determining means for determining, according to said relationship determined by said relationship determining means, a monitor blood pressure value of the subject based on a magnitude of each of heartbeat-synchronous pulses of the pressure pulse wave detected by said optimum sensing element of said pressure pulse wave sensor stopped at said optimum pressing position.

9. An apparatus according to claim 8, further comprising a display device which displays at least one of said standard blood pressure value measured by said blood pressure measuring device, said monitor blood pressure value determined by said monitor-blood-pressure determining means, and a waveform of the pressure pulse wave detected by said optimum sensing element of said pressure pulse wave sensor stopped at said optimum pressing position.

10. An apparatus according to claim 1, wherein said pressing device comprises:

an elastic diaphragm to which said pressure pulse wave sensor is fixed;

a housing to which said diaphragm is fixed to cooperate with said housing to define a pressure chamber; and

a supplying device which supplies said pressure chamber with a pressurized fluid to increase a fluid pressure in said pressure chamber, inflate said diaphragm, and thereby press said sensor on the body surface of the subject.

11. An apparatus according to claim 10, wherein said position changing device comprises:

an internally threaded nut which is fixed to said housing;

an externally threaded screw which is threadedly engaged with said nut; and

a drive device which rotates said screw and thereby moves said pressure pulse wave sensor relative to the artery of the subject.