Blood pressure monitor apparatus

• US 5,776,071 A
• Filed: 04/25/1997
• Issued: 07/07/1998
• Est. Priority Date: 05/02/1996
• Status: Expired due to Term

• Current Assignee: Omron Healthcare Company Limited (Omron Corporation)
• Original Assignee: Colin Corporation (Fukuda Denshi Company Limited)
• Inventors: Ogura, Toshihiko, Inukai, Hidekatsu
• Primary Examiner(s): Nasser, Robert L.
• Application Number:
  US08/845,478
• Time in Patent Office: 438 Days
• Field of Search: 600/483, 600/485, 600/493-496, 600/500-503
• US Class Current: 600/493
• CPC Class Codes: A61B 5/02255 the pressure being controlled by plethysmographic signals, e.g. derived from optical sensors

Abstract

A blood pressure monitor apparatus including a blood pressure measuring device which includes a cuff and measures a blood pressure value of the subject by changing a pressing pressure of the cuff, a volume pulse wave detecting device which detects a volume pulse wave of the subject, a normalized pulse-wave area calculating device for successively calculating an area which is defined by a waveform of each of heartbeat-synchronous pulses of the volume pulse wave and is normalized based on a period and an amplitude of the each pulse of the volume pulse wave, a pulse wave area-blood pressure relationship determining device for determining a relationship between pulse-wave area and blood pressure, based on a normalized pulse-wave area value and a blood pressure value, when the blood pressure value is measured; and a monitor blood pressure determining device for successively determining a monitor blood-pressure value of the subject, based on each of normalized pulse-wave area values, according to the pulse wave area-blood pressure relationship.

Claims

1. A blood pressure monitor apparatus comprising:

a blood pressure measuring device which includes a cuff adapted to be pressed on an artery of a living subject and measures a blood pressure value of the subject by changing a pressing pressure of the cuff;

a volume pulse wave detecting device which detects a volume pulse wave of the subject;

normalized pulse-wave area calculating means for successively calculating an area which is defined by a waveform of each of heartbeat-synchronous pulses of the volume pulse wave detected by said volume pulse wave detecting device and is normalized based on a period and an amplitude of said each pulse of the volume pulse wave;

pulse wave area-blood pressure relationship determining means for determining a relationship between pulse-wave area and blood pressure, based on a normalized pulse-wave area value calculated by said normalized pulse-wave area calculating means and a blood pressure value measured by said blood pressure measuring device, when said blood pressure value is measured; and

monitor blood pressure determining means for successively determining a monitor blood-pressure value of the subject, based on each of normalized pulse-wave area values successively calculated by said normalized pulse-wave area calculating means, according to the pulse wave area-blood pressure relationship determined by said pulse wave area-blood pressure relationship determining means.

2. A blood pressure monitor apparatus according to claim 1, further comprising monitor-blood-pressure abnormality judging means for judging whether each of the monitor blood-pressure values successively determined by said monitor blood pressure determining means does not fall in a reference range, and controlling, when a negative judgment is made, said blood pressure measuring device to start a blood pressure measuring operation.

3. A blood pressure monitor apparatus according to claim 2, further comprising an indicating device which indicates a trend graph of the monitor blood-pressure values successively determined by said monitor blood pressure determining means.

4. A blood pressure monitor apparatus according to claim 3, wherein said indicating device comprises means for indicating that said negative judgment is made by said monitor-blood-pressure abnormality judging means.

5. A blood pressure monitor apparatus according to claim 1, wherein said volume pulse wave detecting device comprises a photoelectric pulse-wave sensor including a light-emitting and a light-receiving element, the light-emitting element adapted to emit, toward a skin of the subject, a light having a wavelength which can be reflected by hemoglobin present in blood of the skin, the light-receiving element adapted to receive the light scattered by the hemoglobin from the skin, said photoelectric pulse-wave sensor outputting a photoelectric pulse wave signal representing an instantaneous blood volume in capillaries of the skin.

6. A blood pressure monitor apparatus according to claim 1, wherein said volume pulse wave detecting device comprises an impedance pulse-wave sensor including at least two electrodes adapted to be set on different locations of a skin of the subject at a predetermined interval, said impedance pulse-wave sensor outputting an impedance pulse-wave signal representing an instantaneous blood volume in a tissue of the skin located between said two electrodes.

7. A blood pressure monitor apparatus including a blood pressure measuring device which includes a cuff being set on a body portion of a living subject and periodically measures a blood pressure value of the subject, based on a variation of a pulse wave produced while a pressing pressure of the cuff is changed, the blood pressure monitor apparatus comprising:

a volume pulse wave detecting device which detects a volume pulse wave of the subject;

normalized pulse-wave area calculating means for successively calculating an area which is defined by a waveform of each of heartbeat-synchronous pulses of the volume pulse wave detected by said volume pulse wave detecting device and is normalized based on a period and an amplitude of said each pulse of the volume pulse wave;

pulse-wave area change calculating means for calculating a change of the normalized pulse-wave area values successively calculated by said normalized pulse-wave area calculating means; and

blood-pressure change identifying means for identifying an abnormal blood-pressure change of the subject when the change of the normalized pulse-wave area values is greater than a reference value.

8. A blood pressure monitor apparatus according to claim 7, wherein said blood-pressure change identifying means comprises means for controlling said blood pressure measuring device to start a blood pressure measuring operation upon identification of the abnormal blood-pressure change.

9. A blood pressure monitor apparatus according to claim 7, further comprising an indicating device which indicates the abnormal blood-pressure change of the subject upon identification of the abnormal blood-pressure change.

10. A blood pressure monitor apparatus according to claim 7, wherein said volume pulse wave detecting device comprises a photoelectric pulse-wave sensor including a light-emitting and a light-receiving element, the light-emitting element adapted to emit, toward a skin of the subject, a light having a wavelength which can be reflected by hemoglobin present in blood of the skin, the light-receiving element adapted to receive the light scattered by the hemoglobin from the skin, said photoelectric pulse-wave sensor outputting a photoelectric pulse wave signal representing an instantaneous blood volume in capillaries of the skin.

11. A blood pressure monitor apparatus according to claim 7, wherein said volume pulse wave detecting device comprises an impedance pulse-wave sensor including at least two electrodes adapted to be set on different locations of a skin of the subject at a predetermined interval, said impedance pulse-wave sensor outputting an impedance pulse-wave signal representing an instantaneous blood volume in a tissue of the skin located between said two electrodes.