Method and a device for non-invasive measurement of the blood pressure and for detection of arrhythmia

• US 6,485,429 B2
• Filed: 05/24/1999
• Issued: 11/26/2002
• Est. Priority Date: 05/28/1998
• Status: Expired due to Fees

• Current Assignee: Microlife Intellectual Property GmbH
• Original Assignee: Microlife Intellectual Property GmbH
• Inventors: Forstner, Klaus
• Primary Examiner(s): Nasser, Robert L.
• Application Number:
  US09/317,122
• Publication Number:
  US 20010049476A1
• Time in Patent Office: 1,282 Days
• Field of Search: 600/490, 600/492-6, 600/515, 600/518
• US Class Current: 600/494
• CPC Class Codes: A61B 5/02225 using the oscillometric method
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/361 Detecting fibrillation

Abstract

In a device or in a method for oscillometric measurement of the blood pressure, the pulse time differences are determined associated with the measurement of the blood pressure. Subsequent pulse time differences are stored in a storing unit (15). A distribution of pulse time differences is calculated in a calculating unit (16) and compared in a comparing unit (17) with predetermined reference values. If the distribution or the values of pulse time differences exceed a predetermined amount, an indication means (19) is activated which indicates existence of arrhythmic activities.

Claims

1. A method for simultaneously measuring blood pressure and detecting pulse arrhythmia, said method comprising steps of

detecting a plurality of consecutive blood pressure pulses in an artery with an oscillometric blood pressure monitor,

measuring values of pulse time differences between said plurality of detected consecutive pulses,

storing said values in a storage unit,

calculating the distribution of said pulse time differences,

comparing said distribution of the pulse time differences with a predetermined reference acceptable pulse time difference distribution, and

generating a warning signal if the reference acceptable pulse time difference distribution differs substantially from the calculated distribution.

2. A method according to claim 1, comprising further steps of amplifying the pressure pulse signals in a pulse pressure amplifier, and excluding invalid pulses according to pulse acceptance criteria integrated in the pulse pressure amplifier.

3. A method according to claim 2, comprising further steps of filtering the amplified signal and converting it into a digital signal with an A/D converter.

4. A method according to claim 1, comprising a further step of generating a pulse time difference histogram in the calculating unit.

5. A device for simultaneously measuring blood pressure and detecting pulse arrhythmia, said device comprising

a blood pressure monitor,

a cuff connected to the blood pressure monitor,for noninvasively detecting blood pressure pulses,

a time difference measuring unit for measuring values of time differences between successive pulses,

a storage unit for storing a plurality of successive pulse time differences,

a calculating unit for calculating a statistical distribution of said pulse time differences,

a comparing unit for comparing said distribution of said pulse time differences with predetermined reference distribution, and

means for generating a signal when said measured pulse time difference distribution differs substantially from said reference distribution.

6. A device according to claim 5, further comprising a pulse pressure amplifier.

7. A device according to claim 5, further comprising a signal filter and an A/D converter.

8. A device according to claims 5, wherein the calculating unit is adapted to calculate a pulse time difference histogram.

9. A device according to claims 5, further comprising means for indicating the existence of arrhythmia.

10. A device according to claim 9, wherein the indicating means includes at least one optical display.

11. A method for simultaneously measuring blood pressure and detecting pulse arrhythmia, said method comprising steps of

detecting a pulrality of consecutive blood pressure pulses in an artery with an oscillometric blood pressure monitor

measuring values of pulse time differences between said plurality of detected consecutive pulses,

storing said values in a storage unit,

calculating the distribution of said pulse time differences,

comparing said distribution of the pulse time differences with a predetermined reference unacceptable pulse time difference distribution, and

generating a warning signal if the reference unacceptable pulse time difference distribution does not differ substantially from the calculated distribution.

12. A method according to claim 11, comprising a further steps of amplifying the pressure pulse signals in a pulse pressure amplifier, and excluding invalid pulses according to pulse acceptance criteria integrated in the pulse pressure amplifier.

13. A method according to claim 12, comprising further steps of filtering the amplified signal and converting it into a digital signal with an A/D converter.

14. A method according to claim 11, comprising a further step of generating a pulse time difference histogram in the calculating unit.

15. A device for simultaneously measuring blood pressure and detecting pulse arrhythmia, said device comprising

a blood pressure monitor,

a cuff connected to the blood pressure monitor, for noninvasively detecting blood pressure pulses,

a time difference measuring unit for measuring values of time differences between successive pulses,

a storage unit for storing a plurality of successive pulse time differences,

a calculating unit for calculating a statistical distribution of said pulse time differences,

a comparing unit for comparing said distribution of said pulse time differences with a predetermined unacceptable reference distribution, and

means for generating a signal when said meaasured pulse distribution does not differ substantially from said unacceptance reference dsitribution.

16. A device according to claim 15, further comprising a pulse pressure amplifier.

17. A device according to claim 15, further comprising a signal filter and A/D converter.

18. A device according to claim 15, wherein the calculating unit is adapted to calculate a pulse time difference histogram.

19. A device according to claim 15, further comprising means for indicating the existence of arrhythmia.

20. A device according to claim 19, wherein the indicating means includes at least one optical display.