Blood-pressure monitoring apparatus

• US 6,186,954 B1
• Filed: 09/16/1999
• Issued: 02/13/2001
• Est. Priority Date: 10/14/1998
• 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): CARTER, RYAN CHRISTOPHER
• Application Number:
  US09/397,637
• Time in Patent Office: 516 Days
• Field of Search: 600/483-485, 600/490, 600/492-495, 600/500-502, 600/520
• US Class Current: 600/490
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• CPC Class Codes: A61B 5/0285 Measuring or recording phase velocity of blood waves
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]

Abstract

A blood-pressure monitoring apparatus including a measuring device which includes an inflatable cuff adapted to apply a pressing pressure to a body portion of a living subject and measures a blood-pressure value of the living subject by changing the pressing pressure of the inflatable cuff, an information obtaining device which iteratively obtains a piece of information relating to propagation of a pulse wave through an arterial vessel of the subject, an estimating device for iteratively estimating a blood-pressure value, EBP, of the subject, based on each piece of pulse-wave-propagation-relating information, PWPI, obtained by the information obtaining device, according to a linear relationship between pulse-wave-propagation-relating information and blood pressure, the linear relationship being defined by a linear expression, EBP=α(PWPI)+α, where α is a slope and β is an intercept, an index-value calculating device for calculating an index value indicative of a hardness of a blood vessel of the subject, and a slope determining device for determining, based on the calculated index value, the slope α of the linear expression.

Claims

1. A blood-pressure monitoring apparatus comprising:

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

a pulse-wave-propagation-relating-information obtaining device which 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;

estimating means for iteratively estimating a blood-pressure value, EBP, of the living subject, based on each piece of pulse-wave-propagation-relating information, PWPI, obtained by the pulse-wave-propagation-relating-information obtaining device, according to a linear relationship between pulse-wave-propagation-relating information and blood pressure, the linear relationship being defined by a following linear expression, EBP=α

(PWPI)+β

, where α

is a slope and β

is an intercept;

index-value calculating means for calculating, based on the blood-pressure value of the living subject measured by the measuring device, an index value indicative of a hardness of a blood vessel of the living subject;

slope determining means for determining, based on the calculated index value, the slope α

of the linear expression; and

intercept determining means for determining the intercept β

of the linear expression, based on the blood-pressure value measured by the measuring device, the piece of pulse-wave-propagation-relating information obtained by the pulse-wave-propagation-relating-information obtaining device when the blood-pressure value is measured by the measuring device, and the slope α

determined by the slope determining means.

2. A blood-pressure monitoring apparatus comprising:

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

a pulse-wave-propagation-relating-information obtaining device which 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;

estimating means for iteratively estimating a blood-pressure value, EBP, of the living subject, based on each piece of pulse-wave-propagation-relating information, PWPI, obtained by the pulse-wave-propagation-relating-information obtaining device, according to a linear relationship between pulse-wave-propagation-relating information and blood pressure, the linear relationship being defined by a following linear expression, EBP=α

(PWPI)+β

, where α

is a slope and β

is an intercept;

a pulse-wave detecting device which detects a peripheral pulse wave including a plurality of heartbeat-synchronous pulses, from a second body portion of the living subject;

peripheral-pulse-wave-relating-value calculating means for iteratively calculating a peripheral-pulse-wave-relating value relating to each of the heartbeat-synchronous pulses of the peripheral pulse wave detected by the pulse-wave detecting device;

index-value calculating means for iteratively calculating, based on each of the iteratively calculated peripheral-pulse-wave-relating values, an index value indicative of a hardness of a blood vessel of the living subject; and

slope updating means for iteratively determining, based on each of the iteratively calculated index values, a new slope α

for the linear expression, and updating a current slope α

of the linear expression by replacing the current slope α

with the determined new slope α

.

3. A blood-pressure monitoring apparatus comprising:

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

a pulse-wave-propagation-relating-information obtaining device which 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;

estimating means for iteratively estimating a blood-pressure value, EBP, of the living subject, based on each piece of pulse-wave-propagation-relating information, PWPI, obtained by the pulse-wave-propagation-relating-information obtaining device, according to a linear relationship between pulse-wave-propagation-relating information and blood pressure, the linear relationship being defined by a following linear expression, EBP=α

(PWPI)+β

, where α

is a slope and β

is an intercept;

index-value calculating means for calculating an index value indicative of a hardness of a blood vessel of the living subject; and

slope determining means for determining, based on the calculated index value, the slope α

of the linear expression.

4. An apparatus according to claim 3, further comprising intercept determining means for determining the intercept β

of the linear expression, based on the blood-pressure value measured by the measuring device, the piece of pulse-wave-propagation-relating information obtained by the pulse-wave-propagation-relating-information obtaining device when the blood-pressure value is measured by the measuring device, and the slope α

determined by the slope determining means.

5. An apparatus according to claim 3, wherein the slope determining means comprises slope updating means for iteratively determining a new slope α

for the linear expression, based on each of the iteratively calculated index values, and updating a current slope α

of the linear expression by replacing the current slope α

with the determined new slope α

.

6. An apparatus according to claim 3, 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.

7. An apparatus according to claim 3, 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 second body portion of the living subject, and which emits a light toward the second body portion and obtains a photoelectric pulse wave including a plurality of heartbeat-synchronous pulses, from the light received from the second body portion.

8. An apparatus according to claim 3, wherein the measuring device comprises means for measuring a systolic, a mean, and a diastolic blood-pressure value of the living subject by changing the pressing pressure of the inflatable cuff, and wherein the index-value calculating means comprises means for calculating a pulse pressure by subtracting the measured diastolic blood-pressure value from the measured systolic blood-pressure value, and calculating the index value by dividing the thus calculated pulse pressure by the measured mean blood-pressure value.

9. An apparatus according to claim 3, wherein the index-value calculating means comprises means for calculating, based on the blood-pressure value of the living subject measured by the measuring device, the index value indicative of the hardness of the blood vessel of the living subject.

10. An apparatus according to claim 9, further comprising:

intercept determining means for determining the intercept β

of the linear expression, based on the blood-pressure value measured by the measuring device, the piece of pulse-wave-propagation-relating information obtained by the pulse-wave-propagation-relating-information obtaining device when the blood-pressure value is measured by the measuring device, and the slope α

determined by the slope determining means;

a pulse-wave detecting device which detects a peripheral pulse wave including a plurality of heartbeat-synchronous pulses, from a second body portion of the living subject;

peripheral-pulse-wave-relating-value calculating means for iteratively calculating a peripheral-pulse-wave-relating value relating to each of the heartbeat-synchronous pulses of the peripheral pulse wave detected by the pulse-wave detecting device;

the index-value calculating means comprising means for iteratively calculating, based on each of the iteratively calculated peripheral-pulse-wave-relating values, the index value indicative of the hardness of the blood vessel of the living subject; and

the slope determining means comprising slope updating means for iteratively determining a new slope α

for the linear expression, based on each of the iteratively calculated index values, and updating a current slope α

of the linear expression by replacing the current slope α

with the determined new slope α

.

11. An apparatus according to claim 3, further comprising:

a pulse-wave detecting device which detects a peripheral pulse wave including a plurality of heartbeat-synchronous pulses, from a second body portion of the living subject; and

peripheral-pulse-wave-relating-value calculating means for iteratively calculating a peripheral-pulse-wave-relating value relating to each of the heartbeat-synchronous pulses of the peripheral pulse wave detected by the pulse-wave detecting device,

wherein the index-value calculating means comprises means for iteratively calculating, based on each of the iteratively calculated peripheral-pulse-wave-relating values, the index value indicative of the hardness of the blood vessel of the living subject.

12. An apparatus according to claim 11, wherein the index-value calculating means comprises means for iteratively calculating the index value based on each piece of pulse-wave-propagation-relating information iteratively obtained by the pulse-wave-propagation-relating-information obtaining device and said each peripheral-pulse-wave-relating value iteratively calculated by the peripheral-pulse-wave-relating-value calculating means.

13. An apparatus according to claim 6, wherein the peripheral-pulse-wave-relating-value calculating means comprises means for iteratively calculating a value relating to an area defined by a waveform of said each heartbeat-synchronous pulse of the peripheral pulse wave detected by the pulse-wave detecting device.

14. An apparatus according to claim 3, wherein the index-value calculating means comprises means for calculating the index value based on the blood-pressure value measured by the measuring device and the piece of pulse-wave-propagation-relating information obtained by the pulse-wave-propagation-relating-information obtaining device when the blood-pressure value is measured by the measuring device.

15. An apparatus according to claim 3, wherein the slope determining means comprises means for determining the slope α

of the linear expression based on the calculated index value, I_a, according to a following expression;

α

=k×

I_a+c, where k and c are predetermined constants.

16. An apparatus according to claim 3, further comprising starting means for judging whether the blood-pressure value estimated by the estimating means is abnormal, and starting a blood-pressure measurement of the measuring device when the estimated blood-pressure value is judged as being abnormal.