Vessel pulse wave measurement system conducting vessel pulse wave measurement by obtaining pulsation waveform of blood vessel

• US 8,718,749 B2
• Filed: 03/29/2013
• Issued: 05/06/2014
• Est. Priority Date: 01/24/2011
• Status: Active Grant

• Current Assignee: Act Medical Service Co., Ltd.
• Original Assignee: Act Medical Service Co., Ltd.
• Inventors: Takenoshita, Seiichi, Chiba, Shintaro, Wiedemann, Tokuko Saito, Takahashi, Shinichi, Handa, Fukuto, Yajima, Toshikuni, Hata, Yutaka, Annoh, Hiromichi, Yagi, Asako
• Primary Examiner(s): KISH, JAMES M
• Application Number:
  US13/853,487
• Publication Number:
  US 20130296717A1
• Time in Patent Office: 403 Days
• Field of Search: 600/407, 600473-480
• US Class Current: 600/473
• CPC Class Codes: A61B 5/0082 adapted for particular medical purposes
• CPC Class Codes: A61B 5/02108 from analysis of pulse wave characteristics
• CPC Class Codes: A61B 5/02125 of pulse wave propagation time
• CPC Class Codes: A61B 5/02225 using the oscillometric method
• CPC Class Codes: A61B 5/02438 with portable devices, e.g. worn by the patient
• CPC Class Codes: A61B 5/4809 Sleep detection, i.e. determining whether a subject is asleep or not
• CPC Class Codes: A61B 5/4812 Detecting sleep stages or cycles
• CPC Class Codes: A61B 5/4818 Sleep apnoea
• CPC Class Codes: A61B 5/6824 Arm or wrist
• CPC Class Codes: A61B 5/6826 Finger
• CPC Class Codes: A61B 5/7203 for noise prevention, reduction or removal
• CPC Class Codes: A61B 5/7221 Determining signal validity, reliability or quality A61B5/7207 and A61B5/7217 take precedence
• CPC Class Codes: A61B 5/7278 Artificial waveform generation or derivation, e.g. synthesising signals from measured signals A61B5/327 takes precedence
• CPC Class Codes: G01L 9/0007 using photoelectric means G01L9/0076 takes precedence

Abstract

A vessel pulse wave measurement system performs vessel pulse wave measurement using an optical probe circuit provided with an optical probe including a light emitting element and a light receiving element, a drive circuit, and a detection circuit. A measurement device directly and synchronously feeds back an electrical signal from the optical probe to the drive circuit as a drive signal to generate a self-oscillation signal from the detection circuit, and measures the self-oscillation signal as a vessel pulse wave signal. A controller controls an operating point of at least one of the detection circuit and the drive circuit such that the self-oscillation signal substantially reaches a maximum level thereof.

Claims

1. A vessel pulse wave measurement system that performs vessel pulse wave measurement using an optical probe circuit including (i) a light emitting element that radiates light to a blood vessel through a skin, (ii) a light receiving element that receives, through the skin, reflected light from the blood vessel or transmitted light through the blood vessel, (iii) a drive circuit that drives the light emitting element based on an inputted drive signal, and (iv) a detection circuit that converts the light received by the light receiving element into an electrical signal and outputs the electrical signal, the vessel pulse wave measurement system comprising:

a measurement device configured to directly and synchronously feedback the electrical signal to the drive circuit as the drive signal, generate a self-oscillation signal from the detection circuit, and measure the self-oscillation signal as a vessel pulse wave signal; and

a controller configured to control an operating point of at least one of the detection circuit and the drive circuit such that the self-oscillation signal substantially reaches a maximum level thereof,

wherein the drive circuit in the optical probe circuit includes first elements having first element values, respectively, and has a first operating point determined by the first element values,

wherein the detection circuit in the optical probe circuit includes second elements having second element values, respectively, and has a second operating point determined by the second element values,

wherein the optical probe circuit has a third operating point in an electric characteristic representing a level of the electrical signal with respect to a propagation distance of light indicating a distance of light radiated from the light emitting element to reach the light receiving element, the third operating point in the electric characteristic being determined by the first and second operating points,

wherein the controller is configured to control the third operating point in the electric characteristic by setting predetermined operating point initial values for the respective first and second operating points, and then control at least one of the first and second operating points such that the self-oscillation signal substantially reaches a maximum level thereof,

wherein the electric characteristic has a predetermined extreme value for the level of the electrical signal at a predetermined boundary propagation distance,

wherein the controller is configured to control the detection circuit and the drive circuit to operate in at least one range of a first propagation distance range and a second propagation distance range, the first propagation distance range being shorter than the predetermined boundary propagation distance, and the second propagation distance range being longer than the predetermined boundary propagation distance,

wherein the controller includes;

a storage device configured to store operating point initial values for first and second operating points corresponding to predetermined operating point initial values in the first propagation distance range, and store operating point initial values for the first and second operating points corresponding to predetermined operating point initial values in the second propagation distance range; and

a first switch configured to select one of the operating point initial values in the first propagation distance range and the operating point initial values in the second propagation distance range, and

wherein the controller is configured to set the first and second operating points, using the operating point initial values for the first and second operating points corresponding to the operating point initial values selected by the first switch.

2. The vessel pulse wave measurement system as claimed in claim 1,

wherein the optical probe circuit includes a plurality of pairs of the light emitting element and the light receiving element, the pairs having different boundary propagation distances,

wherein the storage device stores, for each of the pairs, operating point initial values for the first and second operating points corresponding to predetermined operating point initial values in the electric characteristic,

wherein the controller includes a second switch configured to select one of the plurality of pairs, and

wherein the controller is configured to set the first and second operating points, using the operating point initial values for the first and second operating points of the pair selected by the second switch.

3. A vessel pulse wave measurement system that performs vessel pulse wave measurement using an optical probe circuit including (i) a light emitting element that radiates light to a blood vessel through a skin, (ii) a light receiving element that receives, through the skin, reflected light from the blood vessel or transmitted light through the blood vessel, (iii) a drive circuit that drives the light emitting element based on an inputted drive signal, and (iv) a detection circuit that converts the light received by the light receiving element into an electrical signal and outputs the electrical signal, the vessel pulse wave measurement system comprising:

a measurement device configured to directly and synchronously feedback the electrical signal to the drive circuit as the drive signal, generate a self-oscillation signal from the detection circuit, and measure the self-oscillation signal as a vessel pulse wave signal; and

a controller configured to control an operating point of at least one of the detection circuit and the drive circuit such that the self-oscillation signal substantially reaches a maximum level thereof,

wherein the drive circuit in the optical probe circuit includes first elements having first element values, respectively, and has a first operating point determined by the first element values,

wherein the detection circuit in the optical probe circuit includes second elements having second element values, respectively, and has a second operating point determined by the second element values,

wherein the optical probe circuit has a third operating point in an electric characteristic representing a level of the electrical signal with respect to a propagation distance of light indicating a distance of light radiated from the light emitting element to reach the light receiving element, the third operating point in the electric characteristic being determined by the first and second operating points,

wherein the controller is configured to control the third operating point in the electric characteristic by setting predetermined operating point initial values for the respective first and second operating points, and then control at least one of the first and second operating points such that the self-oscillation signal substantially reaches a maximum level thereof,

wherein the measurement device is configured to compute a plurality of determination parameters based on the measured vessel pulse wave signal for a predetermined number of cycles, and determine whether a person to be measured is in one of an awake state and an apnea state, based on the plurality of determination parameters, the plurality of determination parameters including a gradient of a maximum blood pressure value with respect to time, an average value of the maximum blood pressure values, and a pulse pressure, which is a difference between a maximum blood pressure value and a minimum blood pressure value,

wherein the measurement device is configured to determined that the person to be measured is in an awake state, (a) when a maximum blood pressure value at a predetermined time decreases by a predetermined first threshold proportion or more with respect to the average value of the maximum blood pressure value, (b) when the pulse pressure decreases by a predetermined second threshold proportion or more with respect to the average value of the maximum blood pressure value during a predetermined number of consecutive cycles, and (c) when the gradient of the maximum blood pressure value with respect to the time exceeds a predetermined threshold value, and

wherein the measurement device is configured to determined that the person to be measured is in an apnea state when the gradient is equal to or smaller than the threshold value.