Hemodynamic monitoring

• US 9,974,448 B2
• Filed: 08/25/2015
• Issued: 05/22/2018
• Est. Priority Date: 10/31/2012
• Status: Active Grant

• Current Assignee: CNSystems Medizintechnik AG, Masimo Corporation
• Original Assignee: CNSystems Medizintechnik AG, Lidco Group, PLC
• Inventors: Mills, Eric, O'Brien, Terence Kevin, Fortin, Jrgen, Maier, Katja
• Primary Examiner(s): BERHANU, ETSUB D
• Application Number:
  US14/834,676
• Publication Number:
  US 20150359435A1
• Time in Patent Office: 1,001 Days
• Field of Search: None
• CPC Class Codes: A61B 2560/0223 of calibration, e.g. protocols for calibrating sensors
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• CPC Class Codes: A61B 5/0225 the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds
• CPC Class Codes: A61B 5/6824 Arm or wrist
• CPC Class Codes: A61B 5/6826 Finger

Abstract

A device and method for use in monitoring blood pressure. The device comprises a controller configured to monitor a first blood pressure measurement based on a first blood pressure signal. The controller is configured to initiate acquiring a second blood pressure measurement based on a second blood pressure signal if the first blood pressure measurement exceeds a predetermined threshold. The decision to initiate acquiring the second blood pressure measurement is based on only one blood pressure measurement.

Claims

1. A device for use in monitoring blood pressure, the device being configured to be communicatively connected to a first blood pressure measurement device and to a second blood pressure measurement device, the device comprising a controller configured to:

continuously monitor a first blood pressure measurement based on a first blood pressure signal received from the first blood pressure measurement device;

calculate a pulse pressure value using the first blood pressure signal only;

initiate acquiring a calibration blood pressure signal from the second blood pressure measurement device and a calibration blood pressure measurement based on the calibration blood pressure signal in response to at least one of the following conditions being satisfied;

(1) the pulse pressure value exceeds a predetermined threshold, or (2) a change in pulse pressure over a period of time exceeds a predetermined threshold; and

re-calibrate the first blood pressure measurement based on the calibration blood pressure measurement in response to the first blood pressure measurement differing from the calibration blood pressure measurement by more than a predetermined amount, wherein the re-calibration comprises amplifying the first blood pressure signal and/or applying an offset to the first blood pressure signal so that a systolic pressure and a diastolic pressure of the first blood pressure signal matches, respectively, a systolic pressure and a diastolic pressure of the calibration blood pressure signal.

2. The device according to claim 1, wherein the controller is configured to inhibit initiating acquiring a calibration blood pressure measurement if a calibration blood pressure measurement has been taken during a predetermined preceding period of time and if the first blood pressure measurement was not recalibrated in view of the calibration blood pressure measurement.

3. The device according to claim 1, wherein the controller is further configured to inhibit initiating acquiring a calibration blood pressure measurement based on a specific predetermined pulse pressure threshold being exceeded, if, during a predetermined preceding period of time, a calibration blood pressure measurement has been taken based on said predetermined pulse pressure threshold being exceeded and the first blood pressure measurement was not recalibrated.

4. The device according to claim 1, further comprising an arm cuff or a finger cuff.

5. A device for use in monitoring blood pressure, the device being configured to be communicatively connected to a first blood pressure measurement device and to a second blood pressure measurement device, the device comprising a controller configured to:

continuously monitor a first blood pressure measurement based on a first blood pressure signal received from the first blood pressure measurement device;

calculate a pulse pressure value using the first blood pressure signal only;

initiate acquiring a calibration blood pressure signal from the second blood pressure measurement device and a calibration blood pressure measurement based on the calibration blood pressure signal in response to at least one of the following conditions being satisfied;

(1) the pulse pressure value is less than 15 mmHg, or (2) the pulse pressure value exceeds 150 mmHg; and

re-calibrate the first blood pressure measurement based on the calibration blood pressure measurement in response to the first blood pressure measurement differing from the calibration blood pressure measurement by more than a predetermined amount, wherein the re-calibration comprises amplifying the first blood pressure signal and/or applying an offset to the first blood pressure signal so that a systolic pressure and a diastolic pressure of the first blood pressure signal matches, respectively, a systolic pressure and a diastolic pressure of the calibration blood pressure signal.

6. A device for use in monitoring blood pressure, the device being configured to be communicatively connected to a first blood pressure measurement device and to a second blood pressure measurement device, the device comprising a controller configured to:

continuously monitor a first blood pressure measurement based on a first blood pressure signal received from the first blood pressure measurement device;

calculate a pulse pressure value using the first blood pressure signal only;

initiate acquiring a calibration blood pressure signal from the second blood pressure measurement device and a calibration blood pressure measurement based on the calibration blood pressure signal in response to a change in pulse pressure over a period of time exceeding a predetermined threshold; and

re-calibrate the first blood pressure measurement based on the calibration blood pressure measurement in response to the first blood pressure measurement differing from the calibration blood pressure measurement by more than a predetermined amount, wherein the re-calibration comprises amplifying the first blood pressure signal and/or applying an offset to the first blood pressure signal so that a systolic pressure and a diastolic pressure of the first blood pressure signal matches, respectively, a systolic pressure and a diastolic pressure of the calibration blood pressure signal.

7. The device according to claim 6, wherein the period of time is a fixed time period.

8. The device according to claim 7, wherein the acquisition of the calibration blood pressure measurement is initiated in response to the pulse pressure decreasing by more than 50 percent over the period of time or in response to the pulse pressure increasing by more than 100 percent over the period of time.

9. The device according to claim 8, wherein the period of time is 90 seconds.