Blood-pressure monitoring apparatus

• US 6,196,974 B1
• Filed: 09/15/1999
• Issued: 03/06/2001
• Est. Priority Date: 10/07/1998
• Status: Expired due to Term

• Current Assignee: Fukuda Denshi Company Limited
• Original Assignee: Colin Corporation (Fukuda Denshi Company Limited)
• Inventors: Miwa, Yoshihisa
• Primary Examiner(s): O'Connor, Cary
• Assistant Examiner(s): CARTER, RYAN CHRISTOPHER
• Application Number:
  US09/396,462
• Time in Patent Office: 538 Days
• Field of Search: 600/481, 600/483-485, 600/490, 600/492-495, 600/500-502, 600/526
• US Class Current: 600/490
• CPC Class Codes: A61B 5/02125 of pulse wave propagation time
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers

Abstract

A blood-pressure monitoring apparatus including 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 a blood-pressure value of the living subject by changing the pressing pressure of the inflatable cuff, a blood-pressure-relating-information obtaining device which iteratively obtains a piece of blood-pressure-relating information which changes in relation to a change of the blood pressure of the living subject, a starting device for starting, when the obtained blood-pressure-relating information satisfies a predetermined condition with respect to at least one reference value, a blood-pressure measurement of the measuring device, and a display device which displays a first graphical representation of the obtained blood-pressure-relating information, and a second graphical representation of the reference value, so that the first graphical representation can be compared with the second graphical representation by the living subject such as a patient or a different person such as a doctor or nurse.

Claims

1. 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 a blood-pressure value of the living subject by changing the pressing pressure of the inflatable cuff;

a blood-pressure-relating-information obtaining device which iteratively obtains a piece of blood-pressure-relating information which changes in relation to a change of the blood pressure of the living subject;

starting means for starting, when the obtained blood-pressure-relating information satisfies a predetermined condition with respect to at least one reference value, a blood-pressure measurement of the measuring device; and

a display device which displays a first graphical representation of the obtained blood-pressure-relating information, and a second graphical representation of the reference value, so that the first graphical representation is comparable with the second graphical representation.

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

3. An apparatus according to claim 1, wherein the blood-pressure-relating-information obtaining device comprises at least one of pulse-period calculating means for iteratively calculating, as the obtained blood-pressure-relating information, a pulse period equal to a time interval between each pair of successive heartbeat-synchronous pulses of a pulse wave obtained from the living subject, and pulse-wave-area-relating-value calculating means for iteratively calculating, as the obtained blood-pressure-relating information, a pulse-wave-area-relating value relating to an area of each of a plurality of heartbeat-synchronous pulses of a pulse wave obtained from the living subject.

4. An apparatus according to claim 1, wherein the blood-pressure-relating-information obtaining device comprises at least one of 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.

5. An apparatus according to claim 1, wherein the display device comprises means for displaying the first graphical representation of the obtained blood-pressure-relating information, and the second graphical representation of the reference value, in a two-dimensional coordinate system which is defined by a first axis indicative of time and a second axis indicative of blood-pressure-relating information.

6. An apparatus according to claim 1, wherein the blood-pressure-relating-information obtaining device comprises means for iteratively obtaining three sorts of blood-pressure-relating information each of which changes in relation to a change of the blood pressure of the living subject, and wherein the display device comprises means for displaying the first graphical representation of each of the obtained three sorts of blood-pressure-relating information, and the second graphical representation of each of three reference values respectively corresponding to the three sorts of blood-pressure-relating information, in a three-dimensional coordinate system which is defined by a first axis indicative of a first one of the three sorts of blood-pressure-relating information, and a second axis indicative of a second one of the three sorts of blood-pressure-relating information, and a third axis indicative of a third one of the three sorts of blood-pressure-relating information.

7. An apparatus according to claim 1, wherein the blood-pressure-relating-information obtaining device comprises means for iteratively calculating a blood-pressure-relating value which changes in relation to a change of the blood pressure of the living subject, and wherein the starting means comprises means for starting the blood-pressure measurement of the measuring device, when a value based on the calculated blood-pressure-relating value satisfies the predetermined condition with respect to two reference values that the value based on the calculated blood-pressure-relating value does not fall within an alarm range having an upper limit value defined by one of the two reference values and a lower limit value defined by the other of the two reference values.

8. An apparatus according to claim 7, wherein the display device comprises means for displaying, with the first and second graphical representations, a third graphical representation of an alert range which is contained in the alarm range and is narrower than the alarm range, so that the first graphical representation is comparable with the second and third graphical representations.

9. An apparatus according to claim 1, wherein the blood-pressure-relating-information obtaining device comprises means for iteratively calculating a blood-pressure-relating value which changes in relation to a change of the blood pressure of the living subject, and wherein the starting means comprises means for starting the blood-pressure measurement of the measuring device, when a value based on the calculated blood-pressure-relating value satisfies the predetermined condition with respect to the reference value that the value based on the calculated blood-pressure-relating value is greater than the reference value.

10. An apparatus according to claim 9, wherein the display device comprises means for displaying, with the first and second graphical representations, a third graphical representation of an alert value which is smaller than the reference value, so that the first graphical representation is comparable with the second and third graphical representations.

11. An apparatus according to claim 1, wherein the blood-pressure-relating-information obtaining device comprises means for iteratively calculating a blood-pressure-relating value which changes in relation to a change of the blood pressure of the living subject, and wherein the starting means comprises means for starting the blood-pressure measurement of the measuring device, when a value based on the calculated blood-pressure-relating value satisfies the predetermined condition with respect to the reference value that the value based on the calculated blood-pressure-relating value is smaller than the reference value.

12. An apparatus according to claim 11, wherein the display device comprises means for displaying, with the first and second graphical representations, a third graphical representation of an alert value which is greater than the reference value, so that the first graphical representation is comparable with the second and third graphical representations.

13. An apparatus according to claim 1, wherein the blood-pressure-relating-information obtaining device comprises means for successively calculating, in synchronism with each of successive heartbeats of the living subject, a blood-pressure-relating value which changes in relation to a change of the blood pressure of the living subject, and wherein the display device comprises change displaying means for displaying, with the first and second graphical representations, a third graphical representation of a value relating to a change of each of the successively calculated blood-pressure-relating values, from a value based on at least one prior value of the successively calculated blood-pressure-relating values.

14. An apparatus according to claim 13, wherein the change displaying means comprises means for displaying the third graphical representation comprising an arrow which is rotatable from a predetermined original angle by an angle indicative of the value relating to the change of said each of the successively calculated blood-pressure-relating values.

15. An apparatus according to claim 13, wherein the change displaying means comprises means for displaying the third graphical representation of a ratio of an amount of change of said each blood-pressure-relating value from a prior blood-pressure-relating value which immediately precedes said each blood-pressure-relating value, to said prior blood-pressure-relating value.

16. An apparatus according to claim 1, wherein the blood-pressure-relating-information obtaining device comprises:

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;

relationship determining means for determining a relationship between pulse-wave-propagation-relating information and blood pressure, based on at least one blood-pressure value of the living subject measured by the measuring device and at least one piece of pulse-wave-propagation-relating information obtained by the pulse-wave-propagation-relating-information obtaining device; and

estimating means for estimating a blood-pressure value of the living subject, based on each piece of pulse-wave-propagation-relating information of a plurality of pieces of pulse-wave-propagation-relating information obtained by the pulse-wave-propagation-relating-information obtaining device, according to the determined relationship between pulse-wave-propagation-relating information and blood pressure.

17. An apparatus according to claim 16, wherein the blood-pressure-relating-information obtaining device further comprises average calculating means for calculating, as the obtained blood-pressure-relating information, an average of a plurality of blood-pressure values estimated by the estimating means.

18. An apparatus according to claim 16, wherein the blood-pressure-relating-information obtaining device further comprises change-value calculating means for calculating, as the obtained blood-pressure-relating information, a value relating to a change of a first blood-pressure value estimated by the estimating means from a second blood-pressure value estimated prior to the first estimated blood-pressure value by the estimating means.