Motion management in a fast blood pressure measurement device

• US 7,429,245 B2
• Filed: 07/14/2003
• Issued: 09/30/2008
• Est. Priority Date: 07/14/2003
• Status: Active Grant

• Current Assignee: Welch Allyn Incorporated
• Original Assignee: Welch Allyn Incorporated
• Inventors: Wawro, Thaddeus J., Lane, John A., Spang, Knut, Whitaker, Ty, Wilson, Stephen C.
• Primary Examiner(s): Nasser; Robert L
• Application Number:
  US10/619,380
• Publication Number:
  US 20050033188A1
• Time in Patent Office: 1,905 Days
• Field of Search: None
• US Class Current: 600/494
• CPC Class Codes: A61B 5/02233 Occluders specially adapted therefor tourniquets A61B17/132
• CPC Class Codes: A61B 5/0225 the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds
• CPC Class Codes: A61B 5/7207 of noise induced by motion artifacts

Abstract

The invention is in one embodiment an apparatus and a method for measuring the blood pressure of a vertebrate subject. The apparatus uses an inflatable chamber with a sensor to detect signals indicative of a blood pressure of the subject during an inflation interval of the inflatable chamber. If secondary motion or artifact signals are detected, the apparatus and method determine whether the secondary signals are below a predetermined value, and if so, complete the measurement. If the signals indicate that the measurement is not accurate, the system and method immediately institute a measurement of the blood pressure during a deflation interval, which can include a step deflation interval. In the event that the subject is identified as a neonate, the system and method immediately measure using the deflation interval procedure.

Claims

1. A blood pressure measurement apparatus configured to operate according to an oscillometric method of measuring blood pressure, comprising:

an inflatable chamber, said inflatable chamber operable to be inflated during an inflation interval and deflated during a deflation interval;

a sensor coupled to said inflatable chamber, said sensor configured to measure a signal according to the oscillometric method of measuring blood pressure, said signal comprising information indicative of a blood pressure of vertebrate;

a control module configured to receive as input at least a portion of said signal from said sensor, and to generate as output a control signal having a selected one of a plurality of values responsive to said input;

a first analysis module, said first analysis module configured to analyze said signal during said inflation interval of said inflatable chamber at a rate greater than 3 mmHg per second before said inflatable chamber is fully inflated to extract from said signal a systolic blood pressure and a diastolic blood pressure of said vertebrate according to the oscillometric method of measuring blood pressure;

a second analysis module, said second analysis module selectively operative in response to one of said plurality of values of said control signal, said second analysis module configured to analyze said signal during said deflation interval of said inflatable chamber to extract from said signal said blood pressure of said vertebrate according to the oscillometric method of measuring blood pressure; and

a neonate sensor module configured to represent whether said vertebrate is a neonate vertebrate;

wherein in response to a positive determination that said vertebrate is a neonate vertebrate, said apparatus completes a blood pressure measurement of said neonate vertebrate using said second analysis module.

2. The apparatus of claim 1, wherein said signal analyzed by said second analysis module during said deflation interval comprises a signal occurring during at least one step deflation interval.

3. The apparatus of claim 1, wherein said blood pressure of said neonate vertebrate comprises at least one of a systolic blood pressure and a diastolic blood pressure.

4. The apparatus of claim 3, further comprising a reporting module configured to report at least one of said systolic blood pressure and said diastolic blood pressure.

5. The apparatus of claim 1, wherein said neonate sensor module configured to represent whether said vertebrate is a neonate vertebrate comprises a neonate sensor module configured to deduce from a command issued by an operator whether said vertebrate is a neonate vertebrate.

6. The apparatus of claim 1, wherein said neonate sensor module configured to represent whether said vertebrate is a neonate vertebrate comprises a neonate sensor module configured to deduce from data in a database whether said vertebrate is a neonate vertebrate.

7. A blood pressure measurement apparatus configured to operate according to an oscillometric method of measuring blood pressure, comprising:

an inflatable chamber, said inflatable chamber operable to be inflated during an inflation interval and deflated during a deflation interval;

a sensor coupled to said inflatable chamber, said sensor configured to measure a signal according to the oscillometric method of measuring blood pressure, said signal comprising information indicative of a blood pressure of a vertebrate;

a control module configured to receive as input at least a portion of said signal from said sensor, and to generate as output a control signal having a selected one of a plurality of values responsive to said input;

a first analysis module, said first analysis module configured to analyze said signal during said inflation interval of said inflatable chamber at a rate greater than 3 mmHg per second before said inflatable chamber is fully inflated to extract from said signal a systolic blood pressure and a diastolic blood pressure of said vertebrate according to the oscillometric method of measuring blood pressure;

a second analysis module, said second analysis module selectively operative in response to one of said plurality of values of said control signal, said second analysis module configured to analyze said signal during said deflation interval of said inflatable chamber to extract from said signal said blood pressure of said vertebrate according to the oscillometric method of measuring blood pressure;

a motion detection module configured to receive as input at least a portion of said signal from said sensor, said motion detection module configured to detect a secondary motion of said vertebrate distinct from motion associated with said signal comprising information indicative of a blood pressure of a vertebrate and configured to communicate a value to said first analysis module; and

a neonate sensor module configured to represent whether said vertebrate is a neonate vertebrate;

whereby, in the event that said value of said secondary motion detected by said detection module is below a predetermined value, said apparatus completes a blood pressure measurement of said vertebrate using said first analysis module; and

wherein in response to a positive determination that said vertebrate is a neonate vertebrate, said apparatus completes said blood pressure measurement of said neonate vertebrate using said second analysis module.

8. The apparatus of claim 7, wherein said neonate sensor module configured to represent whether said vertebrate is a neonate vertebrate comprises a neonate sensor module configured to deduce from a command issued by an operator whether said vertebrate is a neonate vertebrate.

9. The apparatus of claim 7, wherein said neonate sensor module configured to represent whether said vertebrate is a neonate vertebrate comprises a neonate sensor module configured to deduce from data in a database whether said vertebrate is a neonate vertebrate.

10. A blood pressure measurement apparatus configured to operate according to an oscillometric method of measuring blood pressure, comprising:

an inflatable chamber, said inflatable chamber operable to be inflated during an inflation interval and deflated during a deflation interval;

a sensor coupled to said inflatable chamber, said sensor configured to measure a signal according to the oscillometric method of measuring blood pressure, said signal comprising information indicative of a blood pressure of a vertebrate;

a control module configured to receive as input at least a portion of said signal from said sensor, and to generate as output a control signal having a selected one of a plurality of values responsive to said input;

a first analysis module, said first analysis module configured to analyze said signal during said inflation interval of said inflatable chamber at a rate greater than 3 mmHg per second before said inflatable chamber is fully inflated to extract from said signal a systolic blood pressure and a diastolic blood pressure of said vertebrate according to the oscillometric method of measuring blood pressure;

a second analysis module, said second analysis module selectively operative in response to one of said plurality of values of said control signal, said second analysis module configured to analyze said signal during said deflation interval of said inflatable chamber to extract from said signal said blood pressure of said vertebrate according to the oscillometric method of measuring blood pressure;

a motion detection module configured to receive as input at least a portion of said signal from said sensor, said motion detection module configured to detect a secondary motion of said vertebrate distinct from motion associated with said signal comprising information indicative of a blood pressure of a vertebrate and configured to communicate a value to said first analysis module;

a neonate sensor module configured to represent whether said vertebrate is a neonate vertebrate; and

a reporting module configured to report at least one of said systolic blood pressure and said diastolic blood pressure;

whereby said apparatus completes said measurement of said blood pressure of said vertebrate using at least one of said first analysis module and said second analysis module; and

whereby, in the event that said value of said secondary motion detected by said detection module is below a predetermined value, said apparatus completes a blood pressure measurement of said vertebrate using said first analysis module.

11. An oscillometric blood pressure measurement method, comprising the steps of:

providing an inflatable chamber, said inflatable chamber operable to be inflated during inflation interval and deflated during a deflation interval;

measuring a signal comprising information indicative of a blood pressure of a vertebrate, said signal generated according to an oscillometric blood pressure measurement method;

analyzing said signa1 during an inflation of said inflatable chamber at a rate greater than 3 mmHg per second before said inflatable chamber is fully inflated to extract from said signal systolic blood pressure and a diastolic blood pressure of said vertebrate;

if necessary, responsive to a control signal, analyzing said signal during said deflation interval of said inflatable chamber to extract from said signal said blood pressure of said vertebrate according to an oscillometric blood pressure measurement method;

representing whether said vertebrate is a neonate vertebrate;

wherein in response to a positive determination that said vertebrate is a neonate vertebrate, said method completes a blood pressure measurement of said neonate vertebrate by analyzing said signal during said deflation interval, whereby a measurement of said blood pressure of said vertebrate according to an oscillometric blood pressure measurement method is accomplished.

12. The method of claim 11, wherein said signal analyzed during said deflation interval comprises a signal occurring during at least one step deflation interval.

13. The method of claim 11, further comprising reporting at least one of said systolic blood pressure and said diastolic blood pressure.

17. The method of claim 11, wherein the step of representing whether said vertebrate is a neonate vertebrate comprises the step of an operator issuing a command.

18. The method of claim 11, wherein the step of representing whether said vertebrate is a neonate vertebrate comprises the step of deducing from data in a database whether said vertebrate is a neonate vertebrate.

14. An oscillometric blood pressure measurement method, comprising the steps of:

providing an inflatable chamber, said inflatable chamber operable to be inflated during an inflation interval and deflated during a deflation interval;

measuring a signal comprising information indicative of a blood pressure of a vertebrate, said signal generated according to an oscillometric blood pressure measurement method;

analyzing said signal during an inflation of said inflatable chamber at a rate greater than 3 mmHg per second before said inflatable chamber is fully inflated to extract from said signal a systolic blood pressure and a diastolic blood pressure of said vertebrate;

if necessary, responsive to a control signal, analyzing said signal during said deflation interval of said inflatable chamber to extract from said signal said blood pressure of said vertebrate according to an oscillometric blood pressure measurement method;

detecting a secondary motion of said vertebrate distinct from said motion comprising information indicative of said blood pressure;

whereby, in the event that said secondary motion is below a predetermined value, said method completes said blood pressure measurement; and

in the event that said value of said secondary motion detected by said motion detector module is at least equal to said predetermined value, analyzing said signal during said deflation interval of said inflatable chamber to extract from said signal said blood pressure of said vertebrate;

representing whether said vertebrate is a neonate vertebrate;

wherein in response to a positive determination that said vertebrate is a neonate vertebrate, said method determines said blood pressure of said neonate vertebrate according to an oscillometric blood pressure measurement method.

15. The method of claim 14, wherein said blood pressure of said neonate vertebrate comprises at least one of a systolic blood pressure and a diastolic blood pressure.

16. The method of claim 15, further comprising reporting at least one of said systolic blood pressure and said diastolic blood pressure.

19. The method of claim 14, wherein the step of representing whether said vertebrate is a neonate vertebrate comprises the step of an operator issuing a command.

20. The method of claim 14, wherein the step of representing whether said vertebrate is a neonate vertebrate comprises the step of deducing from data in a database whether said vertebrate is a neonate vertebrate.