Method and apparatus for calculating blood pressure of an artery

• US 6,099,477 A
• Filed: 04/30/1998
• Issued: 08/08/2000
• Est. Priority Date: 11/09/1993
• Status: Expired due to Fees

• Current Assignee: Medwave, Inc.
• Original Assignee: Medwave, Inc.
• Inventors: Thede, Roger C., Curran, Timothy G., Poliac, Marius O., Archibald, G. Kent, Danielson, Orland H.
• Primary Examiner(s): Gilbert, Samuel G.
• Application Number:
  US09/070,311
• Time in Patent Office: 831 Days
• Field of Search: 600/485, 600/490-496, 600/500-503
• US Class Current: 600/494
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/02116 of pulse wave amplitude A61B5/02225 takes precedence
• CPC Class Codes: A61B 5/02141 Details of apparatus construction, e.g. pump units or housings therefor, cuff pressurising systems, arrangements of fluid conduits or circuits A61B5/02233, A61B5/0235 take precedence
• CPC Class Codes: A61B 5/02225 using the oscillometric method
• CPC Class Codes: A61B 5/02233 Occluders specially adapted therefor tourniquets A61B17/132
• CPC Class Codes: A61B 5/6843 Monitoring or controlling sensor contact pressure

Abstract

The present invention is a method for calculating blood pressure of an artery having a pulse. The method includes applying a varying pressure to the artery. Pressure waveforms are sensed to produce pressure waveform data. Waveform parameters are derived from the sensed pressure waveform data. Blood pressure is then determined using the derived parameters.

Claims

1. A method for determining blood pressure of an artery, the method comprising:

applying pressure to the artery so that the artery exhibits a plurality of pressure waveforms representing pulses in the artery;

producing sensed pressure waveform data representing each of the plurality of pressure waveforms;

deriving a plurality of parameters related to waveform shape from the sensed pressure waveform data for a selected one of the waveforms, including at least one parameter other than maximum pressure waveform amplitude and applied pressure corresponding to the maximum pressure waveform amplitude; and

determining a blood pressure value based upon the parameters.

2. The method of claim 1 wherein the selected one of the waveforms is a waveform which exhibits a highest maximum pressure amplitude.

3. The method of claim 1 and further comprising:

determining a maximum pressure amplitude for each of the plurality of arterial pressure waveforms form the sensed pressure data; and

applying an increasing pressure to the artery until at least one waveform has a maximum pressure amplitude less than a maximum pressure amplitude of a preceding waveform.

4. The method of claim 1 wherein applying pressure to the artery comprises:

positioning a sensor having a constant volume fluid filled sensing chamber over the artery; and

applying force to the sensor to press the sensor towards the artery.

5. The method of claim 4 wherein producing sensed pressure waveform data comprises:

sensing pressure data produced by the artery by sensing pressure within the constant volume fluid filled chamber to generate pressure waveform data.

6. The method of claim 4 wherein the step of applying force to the sensor includes:

applying an increasing force to the sensor.

7. The method of claim 4 wherein the step of applying force to the sensor includes:

sweeping the force being applied to the sensor.

8. The method of claim 4 wherein the step of applying force to the sensor includes:

intermittently varying the force applied to the sensor.

9. The method of claim 1 wherein:

the plurality of parameters related to waveform shape include at least one of the following;

(a) rise time of a selected portion of a waveform, (b) applied pressure corresponding to a starting point of a waveform, (c) applied pressure corresponding to an ending point of a waveform, (d) pressure of a waveform at a selected time, (e) a pressure corresponding to a selected point on a waveform, (f) a time value corresponding to a width of a selected portion of a waveform, (g) mean amplitude of a waveform, and (h) mean of a curve generated from data taken from a plurality of waveforms.

10. The method of claim 1 wherein determining a blood pressure value is based upon the plurality of waveform shape parameters and a stored set of coefficients.