Superior-and-inferior-limb blood-pressure index measuring apparatus and inferior-limb blood-pressure measuring apparatus

• US 6,379,309 B1
• Filed: 04/28/2000
• Issued: 04/30/2002
• Est. Priority Date: 05/17/1999
• Status: Expired due to Term

• Current Assignee: Omron Healthcare Company Limited (Omron Corporation)
• Original Assignee: Colin Corporation (Fukuda Denshi Company Limited)
• Inventors: Suzuki, Hidenori, Ogura, Toshihiko, Nunome, Tomohiro
• Primary Examiner(s): Lacyk, John P.
• Assistant Examiner(s): Natnithithadha, Navin
• Application Number:
  US09/559,827
• Time in Patent Office: 732 Days
• Field of Search: 600/490, 600/485, 600/481, 600/492, 600/493, 600/494, 600/495, 600/496, 600/497, 600/498, 600/499, 600/500, 600/503
• 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 5/02225 using the oscillometric method
• CPC Class Codes: A61B 5/0225 the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds
• CPC Class Codes: A61B 5/0285 Measuring or recording phase velocity of blood waves
• CPC Class Codes: A61B 5/7221 Determining signal validity, reliability or quality A61B5/7207 and A61B5/7217 take precedence

Abstract

An apparatus for measuring a superior-and-inferior-limb blood-pressure index of a living subject, including a first blood-pressure measuring device which measures a first blood pressure of a right inferior limb of the subject, a second blood-pressure measuring device which measures a second blood pressure of a left inferior limb of the subject, a third blood-pressure measuring device which measures a third blood pressure of a superior limb of the subject, a first information obtaining device which obtains first information relating to a first velocity of propagation of a first pulse wave which propagates through a first route a portion of which runs in the right inferior limb, a second information obtaining device which obtains second information relating to a second velocity of propagation of a second pulse wave which propagates through a second route a portion of which runs in the left inferior limb, a selecting device for selecting one of the measured first and second blood pressures that corresponds to one of the first and second information that relates to a lower one of the first and second velocities, and an index determining device for determining the superior-and-inferior-limb blood-pressure index, based on the selected one of the first and second blood pressures, and the measured third blood pressure.

Claims

1. An apparatus for measuring a superior-and-inferior-limb blood-pressure index of a living subject, comprising:

a first blood-pressure measuring device which measures a first blood pressure of a right inferior limb of the subject;

a second blood-pressure measuring device which measures a second blood pressure of a left inferior limb of the subject;

a third blood-pressure measuring device which measures a third blood pressure of a superior limb of the subject;

a first information obtaining device which obtains first information relating to a first velocity of propagation of a first pulse wave which propagates through a first route a portion of which runs in the right inferior limb;

a second information obtaining device which obtains second information relating to a second velocity of propagation of a second pulse wave which propagates through a second route a portion of which runs in the left inferior limb;

selecting means for selecting one of the measured first and second blood pressures that corresponds to one of the first and second information that relates to a lower one of the first and second velocities; and

index determining means for determining the superior-and-inferior-limb blood-pressure index, based on the selected one of the first and second blood pressures, and the measured third blood pressure.

2. An apparatus according to claim 1, wherein the index determining means comprises means for determining, as the superior-and-inferior-limb blood-pressure index, a ratio of the selected one of the first and second blood pressures to the third blood pressure, or a ratio of the third blood pressure to the selected one of the first and second blood pressures.

3. An apparatus according to claim 1, wherein the first information obtaining device comprises two first pulse-wave sensors which are worn on two different first portions of the living subject, respectively, and each of which detects the first pulse wave at a corresponding one of the two first portions, at least one of the two first portions belonging to the right inferior limb, and wherein the second information obtaining device (comprises two second pulse-wave sensors which are worn on two different second portions of the subject, respectively, and each of which detects the second pulse wave at a corresponding one of the two second portions, at least one of the two second portions belonging to the left inferior limb.

4. An apparatus according to claim 3, wherein the first information obtaining device comprises first time determining means for determining, based on respective times when the two first pulse-wave sensors detect the first pulse wave, a first propagation time needed for the first pulse wave to propagate between said two different first portions of the living subject, and wherein the second information obtaining device comprises second time determining means for determining, based on respective times when the two second pulse-wave sensors detect the second pulse wave, a second propagation time needed for the second pulse wave to propagate between said two different second portions of the subject.

5. An apparatus according to claim 4, wherein the first information obtaining device comprises first velocity determining means for determining, based on the determined first propagation time and a distance between the two first portions of the living body, the first velocity of propagation of the first pulse wave, and wherein the second information obtaining device comprises second velocity determining means for determining, based on the determined second propagation time and a distance between the two second portions of the living body, the second velocity of propagation of the second pulse wave.

6. An apparatus for measuring a superior-and-inferior-limb blood-pressure index of a living subject, comprising:

a first blood-pressure measuring device which includes a first inflatable cuff adapted to be wound around an inferior limb of the subject and which measures a first blood pressure of the inferior limb;

a second blood-pressure measuring device which measures a second blood pressure of a superior limb of the subject;

a first pulse-wave sensor which detects a first pulse wave which propagates through a portion of the inferior limb that is located on an upstream side of the first inflatable cuff;

sharpness determining means for determining a degree of sharpness of a heartbeat-synchronous pulse of the first pulse wave detected by the first pulse-wave sensor; and

judging means for judging that when the determined degree of sharpness is not greater than a first reference value and the measured first blood pressure is higher than the measured second blood pressure by a value not smaller than a second reference value, the measurement of the first blood pressure by the first blood pressure measuring device is abnormal.

7. An apparatus according to claim 6, wherein the second blood-pressure measuring device comprises a second inflatable cuff adapted to be wound around the superior limb of the subject, and wherein the apparatus further comprises a second pulse-wave sensor which detects a second pulse wave which propagates through a portion of the superior limb that is located on an upstream side of the second inflatable cuff;

and reference-value determining means for determining the first reference value based on the second pulse wave detected by the second pulse-wave sensor.

8. An apparatus according to claim 6, wherein the sharpness determining means comprises means for determining, as the degree of sharpness, a percentage, % MAP, of a height of a center of gravity of an area enveloped by a waveform of the heartbeat-synchronous pulse of the first pulse wave, relative to an amplitude of the waveform of said pulse.

9. An apparatus for measuring a superior-and-inferior-limb blood-pressure index of a living subject, comprising:

a first blood-pressure measuring device which includes an inflatable cuff adapted to he wound around an inferior limb of the subject and which measures a first blood pressure of the inferior limb;

a second blood-pressure measuring device which measures a second blood pressure of a superior limb of the subject;

a first pulse-wave sensor which detects a first pulse wave which propagates through a portion of the inferior limb that is located on an upstream side of the inflatable cuff;

a second pulse-wave sensor which detects a second pulse wave which propagates through the superior limb; and

a display device which simultaneously displays the measured first and second blood pressures and the detected first and second pulse waves.

10. An apparatus according to claim 9, further comprising index determining means for determining a superior-and-inferior-limb blood-pressure index of the subject, based on the measured first and second blood pressures, wherein the display device displays the determined superior-and-inferior-limb blood-pressure index, in addition to the measured first and second blood pressures and the detected first and second pulse waves.