Automatically activated blood pressure measurement device

• US 5,785,659 A
• Filed: 05/17/1996
• Issued: 07/28/1998
• Est. Priority Date: 04/15/1994
• Status: Expired due to Term

• Current Assignee: Masimo Corporation
• Original Assignee: Vital Insite, Inc.
• Inventors: Caro, Richard G., Sher, Mark H., Flaherty, Bryan P.
• Primary Examiner(s): Nasser, Robert L.
• Application Number:
  US08/651,201
• Time in Patent Office: 802 Days
• Field of Search: 128/672, 128/677-683, 128/687-690, 600/485, 600/490-496, 600/500-503
• US Class Current: 600/485
• CPC Class Codes: A61B 5/02125 of pulse wave propagation time
• CPC Class Codes: A61B 5/02133 by using induced vibration of the blood vessel
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• CPC Class Codes: A61B 5/02255 the pressure being controlled by plethysmographic signals, e.g. derived from optical sensors

Abstract

A monitor for activating a sphygmomanometer attached to a patient includes a sensor attached to the patient to generate a sensor signal representative of a physiological parameter. This sensor can be, for example, a noninvasive sensor that generates a signal responsive to blood pressure. The monitor also has a processor coupled to the sensor and to the sphygmomanometer. The processor is configured to process the sensor signal and to send a signal to activate the sphygmomanometer when the sensor signal meets predetermined criteria.

Claims

1. A monitor for indicating a change in a patient'"'"'s blood pressure, comprising:

a first sensor adapted to be positioned on the patient and configured to generate a first signal representative of a physiological parameter of the patient;

a reference configured to provide a temporal reference signal;

a sphygmomanometer adapted to be attached to the patient; and

a processor coupled to said first sensor, said reference and said sphygmomanometer and configured to process said first signal and said reference signal and to generate a trigger signal indicating a change in the patient'"'"'s blood pressure when said first signal and said reference signal meet predetermined temporal criteria, and to activate said sphygmomanometer in response to said trigger signal.

2. The monitor of claim 1, wherein:

said reference is a second sensor adapted be positioned on the patient and configured to generate said reference signal representative of a physiological parameter of the patient.

3. The monitor of claim 2, wherein:

said predetermined criteria includes time difference of arrival criteria.

4. The monitor of claim 2, wherein:

said first sensor is a noninvasive arterial sensor configured to generate said first signal responsive to a change in arterial pressure in an artery of the patient; and

said second sensor is an ECG sensor configured to generate said reference signal responsive to electrical impulses in the chest of the patient.

5. The monitor of claim 2, wherein:

said first sensor is a photoplethysmograph sensor configured to generate said first signal responsive to a change in the volume of blood in an artery of the patient; and

said second sensor is an ECG sensor configured to generate said reference signal responsive to electrical impulses in the chest of the patient.

6. The monitor of claim 2, wherein:

said first sensor is a noninvasive arterial sensor configured to generate said first signal responsive to a change in arterial pressure in an artery of the patient; and

said second sensor is a photoplethysmograph sensor configured to generate said reference signal responsive to a change in the volume of blood in an artery of the patient.

7. The monitor of claim 1, wherein:

said predetermined criteria includes time difference of arrival criteria.

8. The monitor of claim 1, further comprising:

an exciter adapted to be attached to the patient and configured to induce a transmitted exciter waveform into the patient;

wherein said reference signal is related to said transmitted exciter waveform.

9. The monitor of claim 8, wherein:

said predetermined criteria includes time difference of arrival criteria.

10. The monitor of claim 8, wherein:

said predetermined criteria includes phase difference criteria.

11. The monitor of claim 8, wherein:

said sensor is a noninvasive arterial sensor configured to generate said first signal responsive to a change in arterial pressure in an artery of the patient.

12. The monitor of claim 8, wherein:

said sensor is a photoplethysmograph sensor configured to generate said first signal responsive to a change in the volume of blood in an artery of the patient.

13. A processor for indicating a change in a patient'"'"'s blood pressure with an apparatus having a first sensor adapted to be positioned on the patient and configured to generate a first signal representative of a physiological parameter, a reference configured to provide a temporal reference signal and a sphygmomanometer adapted to be attached to the patient, said processor comprising:

a first input configured to receive said first sensor signal;

a second input configured to receive said reference signal; and

a determination routine configured to process said first signal and said reference signal and to generate a trigger signal indicating a change in the patient'"'"'s blood pressure when said first signal and said reference signal meet predetermined temporal criteria; and

an activation routine configured to activate said sphygmomanometer in response to said trigger signal.

14. The processor of claim 13, wherein:

said reference is a second sensor adapted be positioned on the patient and configured to generate said reference signal representative of a physiological parameter of the patient.

15. The processor of claim 14, wherein:

said predetermined criteria includes time difference of arrival criteria.

16. The processor of claim 14, wherein:

said first sensor is a noninvasive arterial sensor configured to generate said first signal responsive to a change in arterial pressure in an artery of the patient; and

said second sensor is an ECG sensor configured to generate said reference signal responsive to electrical impulses in the chest of the patient.

17. The processor of claim 14, wherein:

said first sensor is a photoplethysmograph sensor configured to generate said first signal responsive to a change in the volume of blood in an artery of the patient; and

said second sensor is an ECG sensor configured to generate said reference signal responsive to electrical impulses in the chest of the patient.

18. The processor of claim 14, wherein:

said first sensor is a noninvasive arterial sensor configured to generate said first signal responsive to a change in arterial pressure in an artery of the patient; and

said second sensor is a photoplethysmograph sensor configured to generate said reference signal responsive to a change in the volume of blood in an artery of the patient.

19. The processor of claim 13, wherein:

said predetermined criteria includes time difference of arrival criteria.

20. The processor of claim 13, wherein said apparatus further includes an exciter adapted to be attached to the patient and configured to induce a transmitted exciter waveform into the patient, and wherein:

said reference signal is related to said transmitted exciter waveform.

21. The processor of claim 20, wherein:

said predetermined criteria includes time difference of arrival criteria.

22. The processor of claim 20, wherein:

said predetermined criteria includes phase difference criteria.

23. The processor of claim 20, wherein:

said first sensor is a noninvasive arterial sensor configured to generate said first signal responsive to a change in arterial pressure in an artery of the patient.

24. The processor of claim 20, wherein:

said first sensor is a photoplethysmograph sensor configured to generate said first signal responsive to a change in the volume of blood in an artery of the patient.

25. A method of generating a signal to indicate a change in a patient'"'"'s blood pressure, said method comprising the steps of:

sensing a physiological parameter of the patient via a first sensor and receiving a first signal representative of said physiological parameter;

receiving a temporal reference signal;

processing said first signal and said reference signal and generating a trigger signal indicating a change in the patient'"'"'s blood pressure when said first signal and said reference signal meet predetermined temporal criteria; and

activating a sphygmomanometer in response to said trigger signal.

26. The method of claim 25, wherein:

said step of receiving a reference signal is performed by sensing a physiological parameter of the patient via a second sensor and receiving said reference signal representative of said physiological parameter.

27. The method of claim 26, wherein:

said predetermined criteria includes time difference of arrival criteria.

28. The method of claim 26, wherein:

said step of receiving a first signal is performed by a noninvasive arterial sensor configured to generate said first signal responsive to a change in arterial pressure in an artery of the patient; and

said step of receiving a reference signal is performed by an ECG sensor configured to generate said reference signal responsive to electrical impulses in the chest of the patient.

29. The method of claim 26, wherein:

said step of receiving a first signal is performed by a photoplethysmograph sensor configured to generate said first signal responsive to a change in the volume of blood in an artery of the patient; and

said step of receiving a reference signal is performed by an ECG sensor configured to generate said reference signal responsive to electrical impulses in the chest of the patient.

30. The method of claim 26, wherein:

said step of receiving a first signal is performed by a noninvasive arterial sensor configured to generate said first signal responsive to a change in arterial pressure in an artery of the patient; and

said step of receiving a reference signal is performed by a photoplethysmograph sensor configured to generate said reference signal responsive to a change in the volume of blood in an artery of the patient.

31. The method of claim 25, wherein:

said predetermined criteria includes time difference of arrival criteria.

32. The method of claim 25, further comprising the step of:

inducing a transmitted exciter waveform into the patient; and

wherein said step of receiving a reference signal is performed by receiving a reference signal related to said transmitted exciter waveform.

33. The method of claim 32, wherein:

said predetermined criteria includes time difference of arrival criteria.

34. The method of claim 32, wherein:

said predetermined criteria includes phase difference criteria.

35. The method of claim 32, wherein:

said step of receiving a first signal is performed by a noninvasive arterial sensor configured to generate said first signal responsive to a change in arterial pressure in an artery of the patient.

36. The method of claim 32, wherein:

said step of receiving a first signal is performed by a photoplethysmograph sensor configured to generate said first signal responsive to a change in the volume of blood in an artery of the patient.