Non-invasive and continuous blood-pressure estimation apparatus

• US 6,186,953 B1
• Filed: 09/17/1999
• Issued: 02/13/2001
• Est. Priority Date: 10/29/1998
• Status: Expired due to Fees

• Current Assignee: Colin Medical Technology Corporation (Omron Corporation)
• Original Assignee: Colin Corporation (Fukuda Denshi Company Limited)
• Inventors: Narimatsu, Kiyoyuki
• Primary Examiner(s): O'Connor, Cary
• Assistant Examiner(s): Natnithithadha, Navin
• Application Number:
  US09/398,457
• Time in Patent Office: 515 Days
• Field of Search: 600/481, 600/485, 600/486, 600/490, 600/493, 600/494, 600/495, 600/496, 600/500, 600/501, 600/502, 128/924, 128/925, 706/15, 706/16
• US Class Current: 600/485
• CPC Class Codes: A61B 5/02125 of pulse wave propagation time
• CPC Class Codes: A61B 5/02225 using the oscillometric method
• CPC Class Codes: A61B 5/02255 the pressure being controlled by plethysmographic signals, e.g. derived from optical sensors
• CPC Class Codes: A61B 5/0285 Measuring or recording phase velocity of blood waves
• CPC Class Codes: A61B 5/7264 Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems neural networks per se G06N3/00; expert systems per se G06N5/00
• CPC Class Codes: A61B 5/7267 involving training the classification device
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: Y10S 128/925 Neural network

Abstract

An apparatus for iteratively estimating an intra-arterial blood-pressure value of a living subject, including a first information obtaining device which non-invasively and iteratively obtains information relating to propagation of a pulse wave through an arterial vessel of the subject, a second information obtaining device which non-invasively and iteratively obtains information relating to heartbeat of the subject and/or information relating to area of a heartbeat-synchronous pulse of a volumetric pulse wave obtained from a peripheral body portion of the subject, and an estimating device including a neural network which learns sets of information each set of which includes a blood-pressure value measured using a cuff, pulse-wave-propagation-relating information obtained when the blood-pressure value is measured using the cuff, and heartbeat-relating information and/or pulse-wave-area-relating information obtained when the blood-pressure value is measured using the cuff, the neural network iteratively estimating an intra-arterial blood-pressure value of the subject, based on each piece of pulse-wave-propagation-relating information iteratively obtained by the first information obtaining device, and each piece of heartbeat-relating information and/or each piece of pulse-wave-area-relating information which are or is iteratively obtained by the second information obtaining device.

Claims

1. An apparatus for iteratively estimating an intra-arterial blood-pressure value of a living subject, based on information non-invasively obtained from a circulatory system of the subject, the apparatus comprising:

a pulse-wave-propagation-relating-information obtaining device which non-invasively and iteratively obtains a piece of pulse-wave-propagation-relating information relating to propagation of a pulse wave through an arterial vessel of the living subject;

a circulation-relating-information obtaining device which non-invasively and iteratively obtains a piece of circulation-relating information comprising at least one of a piece of heartbeat-relating information relating to heartbeat of the living subject and a piece of pulse-wave-area-relating information relating to area of a heartbeat-synchronous pulse of a volumetric pulse wave obtained from a peripheral body portion of the living subject; and

blood-pressure estimating means comprising a neural network which learns a plurality of sets of information each set of which comprises a blood-pressure value measured using an inflatable cuff, a piece of pulse-wave-propagation-relating information obtained when the blood-pressure value is measured using the cuff, and at least one of a piece of heartbeat-relating information obtained when the blood-pressure value is measured using the cuff and a piece of pulse-wave-area-relating information obtained when the blood-pressure value is measured using the cuff,

the neural network iteratively estimating an intra-arterial blood-pressure value of the living subject, based on each piece of pulse-wave-propagation-relating information iteratively obtained by the pulse-wave-propagation-relating-information obtaining device and at least one of each piece of heartbeat-relating information and each piece of pulse-wave-area-relating information which is iteratively obtained by the circulation-relating-information obtaining device.

2. An apparatus according to claim 1, further comprising a blood-pressure measuring device which includes an inflatable cuff adapted to apply a pressing pressure to a body portion of the living subject and which measures a blood-pressure value of the living subject by changing the pressing pressure of the inflatable cuff, wherein the blood-pressure estimating means further comprises modifying means for modifying the neural network based on comparison of the blood-pressure value of the living subject measured by the measuring device, and the blood-pressure value of the subject estimated by the blood-pressure estimating means when the blood-pressure value is measured by the blood-pressure measuring device.

3. An apparatus according to claim 1, wherein the neural network learns said plurality of sets of information each set of which comprises the blood-pressure value measured using t he inflatable cuff, the piece of pulse-wave-propagation-relating information obtained when the blood-pressure value is measured using the cuff, the piece of heartbeat-relating information obtained when the blood-pressure value is measured using the cuff, and the piece of pulse-wave-area-relating information obtained when the blood-pressure value is measured using the cuff, and wherein the blood-pressure estimating means iteratively estimates an intra-arterial blood-pressure value of the living subject, based on each piece of pulse-wave-propagation-relating information iteratively obtained by the pulse-wave-propagation-relating-information obtaining device, and each piece of heartbeat-relating information and each piece of pulse-wave-area-relating information which are iteratively obtained by the circulation-relating-information obtaining device.

4. An apparatus according to claim 1, wherein the neural network comprises an input layer including at least two input-layer elements, at least one intermediate layer including at least two intermediate-layer elements, and an output layer including an output-layer element, each of the input-layer elements being connected to each of the intermediate-layer elements, with a corresponding one of a plurality of first connection factors, each of the intermediate-layer elements being connected to the output-layer element, with a corresponding one of a plurality of second connection factors, and wherein when a value is transferred from said each input-layer element to said each intermediate-layer element, the value is multiplied with said one first connection factor and then is plus a corresponding one of first offset values, and when a value is transferred from said each intermediate-layer element to the output-layer element, the value is multiplied with said one second connection factor and then is plus a corresponding one of second offset values.

5. An apparatus according to claim 4, wherein each of the intermediate-layer elements outputs an output value based on a sum of respective input values received from the input-layer elements and a first transfer function, and the output-layer element outputs an output value based on a sum of respective input values received from the intermediate-layer elements and a second transfer function.

6. An apparatus according to claim 4, further comprising a blood-pressure measuring device which includes an inflatable cuff adapted to apply a pressing pressure to a body portion of the living subject and which measures a blood-pressure value of the living subject by changing the pressing pressure of the inflatable cuff, wherein the blood-pressure estimating means further comprises modifying means for modifying the first and second connection factors and the first and second offset values of the neural network based on a difference of the blood-pressure value of the living subject measured by the blood-pressure measuring device, and the blood-pressure value of the subject estimated by the blood-pressure estimating means when the blood-pressure value is measured by the blood-pressure measuring device.

7. An apparatus according to claim 6, wherein the blood-pressure estimating means further comprises initializing means for initializing the modified first and second connection factors and the modified first and second offset values of the neural network, to the first and second connection factors and the first and second offset values before being modified by the modifying means, when a state in which a difference of a current blood-pressure value measured by the measuring device and a blood-pressure value estimated by the blood-pressure estimating means when the current blood-pressure value measured by the measuring device is greater than a difference of a preceding blood-pressure value measured by the measuring device and a blood-pressure value estimated by the blood-pressure estimating means when the preceding blood-pressure value is measured by the measuring device, continues for a predetermined number of blood-pressure measurements of the blood-pressure measuring device.

8. An apparatus according to claim 1, further comprising:

a blood-pressure measuring device which includes an inflatable cuff adapted to apply a pressing pressure to a body portion of the living subject and which measures a blood-pressure value of the living subject by changing the pressing pressure of the inflatable cuff; and

starting means for starting a blood-pressure measurement of the blood-pressure measuring device when the blood-pressure value of the living subject estimated by the blood-pressure estimating means is abnormal.

9. An apparatus according to claim 1, further comprising an informing device which informs a user of an occurrence of an abnormality to the blood pressure of the living subject, when the blood-pressure value of the living subject estimated by the blood-pressure estimating means is abnormal.

10. An apparatus according to claim 1, wherein the pulse-wave-propagation-relating-information obtaining device comprises at least one of pulse-wave-propagation-time calculating means for iteratively calculating a pulse-wave propagation time which is needed for each of a plurality of heartbeat-synchronous pulses of the pulse wave to propagate between two portions of the arterial vessel of the living subject, and pulse-wave-propagation-velocity calculating means for iteratively calculating a pulse-wave propagation velocity at which each of a plurality of heartbeat-synchronous pulses of the pulse wave propagates between two portions of the arterial vessel of the living subject.

11. An apparatus according to claim 1, wherein the pulse-wave-propagation-relating-information obtaining device comprises an electrocardiographic-pulse-wave detecting device which includes a plurality of electrodes adapted to be put on a plurality of portions of the living body and detects an electrocardiographic pulse wave including a plurality of heartbeat-synchronous pulses, from the subject via the electrodes, and a photoelectric-pulse-wave detecting device which is adapted to be worn on a body portion of the living subject, and which emits a light toward the body portion and obtains a photoelectric pulse wave including a plurality of heartbeat-synchronous pulses, from the light received from the body portion.

12. An apparatus according to claim 11, wherein the circulation-relating-information obtaining device comprises a heartbeat-relating-information obtaining device which non-invasively and iteratively obtains a piece of heartbeat-relating information, and wherein the heartbeat-relating-information obtaining device comprises pulse-period calculating means for iteratively calculating, as the piece of heartbeat-relating information, a pulse period equal to an interval between each pair of successive heartbeat-synchronous pulses of the electrocardiographic pulse wave detected by the electrocardiographic-pulse-wave detecting device.

13. An apparatus according to claim 11, wherein the circulation-relating-information obtaining device comprises a pulse-wave-area-relating-information obtaining device which non-invasively and iteratively obtains a piece of pulse-wave-area-relating information, and wherein the pulse-wave-area-relating-information obtaining device comprises ratio calculating means for iteratively calculating, as the piece of pulse-wave-area-relating information, a ratio of an area defined by a waveform of each heartbeat-synchronous pulse of the photoelectric pulse wave as the volumetric pulse wave to a pulse period equal to an interval between each pair of successive heartbeat-synchronous pulses of the electrocardiographic pulse wave detected by the electrocardiographic-pulse-wave detecting device.