Blood pressure measurement device for measuring at appropriate timing

• US 9,060,694 B2
• Filed: 08/05/2008
• Issued: 06/23/2015
• Est. Priority Date: 08/09/2007
• Status: Active Grant

• Current Assignee: Jichi Medical University, Omron Healthcare Company Limited (Omron Corporation)
• Original Assignee: Jichi Medical University, Omron Healthcare Company Limited (Omron Corporation)
• Inventors: Shirasaki, Osamu, Watanabe, Takashi, Kario, Kazuomi
• Primary Examiner(s): Natnithithadha, Navin
• Assistant Examiner(s): WEARE, MEREDITH H
• Application Number:
  US12/671,720
• Publication Number:
  US 20110230729A1
• Time in Patent Office: 2,513 Days
• Field of Search: 600485-503
• US Class Current: 1/1
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/02116 of pulse wave amplitude A61B5/02225 takes precedence
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• CPC Class Codes: A61B 5/02422 within occluders
• CPC Class Codes: A61B 5/087 Measuring breath flow
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/6824 Arm or wrist
• CPC Class Codes: A61B 5/6826 Finger
• CPC Class Codes: A61B 5/6838 Clamps or clips

Abstract

A blood pressure measurement device includes a finger cuff for measuring a blood oxygen saturation level of a subject as physiological information excluding a blood pressure, a pulse wave detecting portion, and an oxygen saturation level calculating portion, where a start of blood pressure measurement in a sphygmomanometer is determined by a comparing and determining portion when a value becomes greater than or equal to a reference value. After the end of the measurement, a time limit for limiting the start of the blood pressure measurement is set. The comparing and determining portion determines not to start the blood pressure measurement within the time limit even if the blood oxygen saturation level becomes greater than or equal to the reference value.

Claims

1. A blood pressure measurement device comprising:

a sphygmomanometer that measures a blood pressure of a subject;

a sensor that detects physiological information on a type excluding the blood pressure of the subject; and

a processor that determines a start of blood pressure measurement in the sphygmomanometer that counts a predetermined time, based on an end of a blood pressure measurement, that limits the start of the blood pressure measurement based on the physiological information, and that outputs a control signal for activating the sphygmomanometer,

wherein the processor determines a first condition, determines to start the blood pressure measurement when a value obtained from the physiological information satisfies the first condition during a period outside the predetermined time, and determines to start counting the predetermined time from the end of the blood pressure measurement,

wherein the processor determines not to start the blood pressure measurement during the predetermined time, if the value obtained from the physiological information satisfies the first condition,

wherein the processor determines a second condition, determines to start the blood pressure measurement when the value obtained from the physiological information satisfies the second condition during the predetermined time,

wherein the second condition is more critically severe than the first condition, and the physiological information of the second condition is of a same type as that of the first condition, and

wherein the processor determines not to start the blood pressure measurement during the predetermined time unless the second condition that is more critically severe than the first condition is satisfied.

2. The blood pressure measurement device according to claim 1,

wherein the physiological information is a blood oxygen saturation level,

wherein the processor comprises:

a first memory that stores a reference value of the blood saturation level; and

a second memory that stores a lowest value of the blood saturation level from the start of a determination process in the processor,

wherein the first condition is when the blood saturation level becomes smaller than the reference value, and

wherein the second condition is when the blood saturation level becomes smaller than the lowest value.

3. The blood pressure measurement device according to claim 1,

wherein the physiological information is a heart rate,

wherein the processor comprises:

a first memory that stores a reference value of the heart rate; and

a second memory that stores a highest value of the heart rate from the start of the determination process in the processor,

wherein the first condition is when the heart rate becomes greater than the reference value, and

wherein the second condition is when the heart rate becomes greater than the highest value.

4. The blood pressure measurement device according to claim 1,

wherein the physiological information is a breathing waveform,

wherein the processor detects an apnea or an infrequent respiration state based on the breathing waveform,

wherein the processor further comprises:

a first memory that stores a reference value of a duration of the apnea or the infrequent respiration state; and

a second memory that stores a longest value of the duration from the start of the determination process in the processor,

wherein the first condition is when the duration becomes longer than the reference value, and

wherein the second condition is when the duration becomes longer than the longest value.

5. The blood pressure measurement device according to claim 1,

wherein the physiological information is a cardiograph waveform,

wherein the processor detects a heart rate based on the cardiograph waveform,

wherein the processor further comprises:

a first memory that stores a first reference value of the heart rate; and

a second memory that stores a second reference value having an amplitude of a T wave of a plurality of waveforms forming the cardiograph waveform of one beat,

wherein the first condition is when the heart rate becomes greater than the first reference value, and

wherein the second condition is when the amplitude of the T wave becomes smaller than the second reference value.

6. The blood pressure measurement device according to claim 1, wherein the physiological information is at least one of a blood oxygen saturation level, a heart rate, a breathing waveform, and a cardiograph waveform.

7. A blood pressure measurement device comprising:

a sphygmomanometer that measures a blood pressure of a subject;

a sensor that detects physiological information on a type excluding the blood pressure of the subject; and

a processor that determines a first condition when the physiological information enters a first severe level, that determines a start of blood pressure measurement in the sphygmomanometer, and that starts a counting of a predetermined time, during which the start of the blood pressure measurement is limited such that;

when the predetermined time counting has not started and when the first condition is detected, the blood pressure measurement starts and, after the blood pressure measurement is completed, the counting of the predetermined time starts; and

during the counting of the predetermined time, the blood pressure measurement is limited from being started when the first condition is detected,

wherein the processor further determines a second condition when the physiological information enters a second severe level, and determines to start the blood pressure measurement when the second condition is detected during the predetermined time,

wherein the second severe level is at a different level than the first severe level, and the physiological information of the second severe level is of a same type as that of the first severe level, and

wherein the processor determines to limit the start of the blood pressure measurement during the predetermined time unless the second condition, which is associated with the second severe level at the different level than the first severe level associated with the first condition, is satisfied.