Equipment and method for continually measuring the blood pressure for monitoring purposes

• US 9,848,781 B2
• Filed: 08/12/2009
• Issued: 12/26/2017
• Est. Priority Date: 08/15/2008
• Status: Active Grant

• Current Assignee: STBL Medical Research A
• Original Assignee: STBL Medical Research A
• Inventors: Suesstrunk, Heinz, Hirt, Etienne
• Primary Examiner(s): Jang, Christian
• Assistant Examiner(s): CATINA, MICHAEL ANTHONY
• Application Number:
  US13/058,501
• Publication Number:
  US 20110166461A1
• Time in Patent Office: 3,058 Days
• Field of Search: 600503
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/02225 using the oscillometric method
• CPC Class Codes: A61B 5/02416 using photoplethysmograph signals, e.g. generated by infrared radiation A61B5/14552 takes precedence
• CPC Class Codes: A61B 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/681 Wristwatch-type devices
• CPC Class Codes: A61B 5/721 using a separate sensor to detect motion or using motion information derived from signals other than the physiological signal to be measured

Abstract

The equipment has at least one pressure sensor (28) disposed for being placed onto the surface of the body of the user and being held attached thereto by means of a band. The attachment force is selected such that the pressure signal from the pressure sensor (28) contains variations caused by the pulse. An attachment pressure sensor (52) or a band tension sensor (18′) generates an electrical signal depending on the attachment pressure. The microprocessor (36) determines the diastolic and systolic blood pressure values from the pressure signal, taking into account the signal from the attachment pressure sensor (52) or the band tension sensor (18′).

Claims

1. An apparatus for continuously measuring the blood pressure of a user for monitoring purposes, the apparatus comprising:

a housing with a bearing plate that forms a housing base;

at least one pressure sensor having a first plunger with a first external free end suitable for resting against a site on the external surface of the body of the user, the pressure sensor continuously measuring during calibration and continuous measurement the pressure at the site influenced by the blood pressure and generating a corresponding electrical pressure signal;

a band suitable for encompassing the body and holding the pressure sensor against the surface at the site with safe, functional contact;

a contact-pressure sensor having a second plunger with a second external free end, wherein the second external free end is suitable for resting against the external surface of the body of the user, continuously measuring the contact pressure during calibration and continuous measurement, and generating a corresponding electrical contact-pressure signal; and

an electronic circuit comprising a current supply, a microprocessor for establishing a diastolic and a systolic blood-pressure value, taking into account the contact-pressure signal when processing the simultaneously measured pressure signal, and an output element for displaying or outputting the blood-pressure values,

wherein;

the first plunger and the second plunger both interact with an associated piezo-resistive sensor element fixedly arranged on a printed circuit board;

the first external free end of the first plunger of the pressure sensor protrudes relative to and by a first distance beyond the bearing plate; and

the second external free end of the second plunger of the contact-pressure sensor protrudes relative to and by a second distance beyond the bearing plate, wherein the first fixed distance is greater than the second fixed distance.

2. The apparatus as claimed in claim 1, wherein the microprocessor is suitable for establishing a correction function as a function of the corresponding contact-pressure signal and the pressure signal depending on the band tightened to a different extent during a number of calibration steps, in order to correct the pressure signal as a function of the contact-pressure signal during the continuous measurement.

3. The apparatus as claimed in claim 2, wherein the correction function is established by linear regression and the band is tightened in a step-like fashion during the number of calibration steps.

4. The apparatus as claimed in claim 1, wherein the band is provided with a catch in order to be able to tighten the band to a greater and lesser extent during the number of calibration steps.

5. The apparatus as claimed in claim 4, wherein the catch is a stepped catch.

6. The apparatus as claimed in claim 1, wherein the pressure sensor protrudes no more than 1 mm with respect to the bearing plate.

7. The apparatus as claimed in claim 1, wherein the smaller amount by which the contact-pressure sensor protrudes beyond the bearing plate is approximately half the amount by which the pressure sensor protrudes.

8. The apparatus as claimed in claim 1, further comprising an input element for entering at least one externally measured diastolic and systolic effective blood-pressure value, wherein the microprocessor is suitable for establishing a calibration function from these effective blood-pressure values and the pressure signal, which was corrected by the correction function if need be, in order to establish the effective blood-pressure values during the continuous measurement.

9. The apparatus as claimed in claim 1, further comprising an air-pressure sensor, the electrical air-pressure output signal of which is fed to the microprocessor.

10. The apparatus as claimed in claim 9, wherein the electrical air-pressure output signal is fed to the microprocessor for correcting the pressure signal and, if need be, for correcting the contact-pressure signal.

11. The apparatus as claimed in claim 9, wherein the pressure sensor is embodied as an absolute-pressure sensor and the contact-pressure sensor is likewise embodied as an absolute-pressure sensor.

12. The apparatus as claimed in claim 1, further comprising an accelerometer, the electrical acceleration output signal of which is fed to the microprocessor for evaluation.

13. The apparatus as claimed in claim 1, further comprising a temperature sensor, the electrical temperature output signal of which is fed to the microprocessor for evaluation.

14. The apparatus as claimed in claim 1, further comprising an infrared transmitter with an associated detector, the electrical detector output signal of which is fed to the microprocessor for evaluation.

15. The apparatus as claimed in claim 1, wherein the electronic circuit has an acoustic or optical alarm transmitter, which can be actuated by the microprocessor in order to trigger an alarm if prescribable alarm thresholds for the diastolic and systolic blood pressure are exceeded or undershot.

16. A method for continuously measuring the blood pressure of a user for monitoring purposes, in which:

at least one pressure sensor is brought to rest against a site on the external surface of the body of the user;

the pressure influenced by the blood pressure is continuously measured at the site by means of the pressure sensor during calibration and continuous measurement and a corresponding electrical pressure signal is generated, wherein the pressure sensor has a first plunger with a first external free end;

the body is encompassed by a band for holding the pressure sensor against the surface at the site with safe, functional contact;

a contact pressure is continuously measured by means of a contact-pressure sensor during calibration and continuous measurement, wherein the contact-pressure sensor has a second plunger with a second external free end, wherein the first plunger of the pressure sensor protrudes relative to and by a first distance beyond a bearing plate and the second plunger of contact-pressure sensor protrudes relative to and by a second distance beyond the bearing plate, wherein the first distance is greater than the second distance, and wherein the first and the second plungers both interact with an associated piezo-resistive sensor element fixedly arranged on a printed circuit board;

a corresponding electrical contact-pressure signal is generated; and

a diastolic and a systolic blood-pressure value is established from the pressure signal via a microprocessor of an electronic circuit with a current supply, taking into account the contact-pressure signal when processing the simultaneously measured pressure signal, and said blood-pressure value can be displayed or output by means of an output element.

17. The method as claimed in claim 16, wherein the band is tightened to a different extent during a number of calibration steps and a correction function is established as a function of the corresponding contact-pressure signal and the pressure signal via the microprocessor in order to correct the pressure signal by the correction function, as a function of the contact-pressure signal, during the continuous measurement.

18. The method as claimed in claim 17, wherein the correction function is established by linear regression and the band is tightened in a step-like fashion during the number of calibration steps.

19. The method as claimed in claim 17, wherein an externally measured diastolic and systolic effective blood-pressure value is entered and the microprocessor establishes a calibration function from these effective blood-pressure values and the pressure signal, which if need be was corrected by the correction function, in order to establish the effective diastolic and systolic blood-pressure value during the continuous measurement.