Continuous positioning apparatus and methods

• US 10,285,598 B2
• Filed: 08/17/2015
• Issued: 05/14/2019
• Est. Priority Date: 05/13/2006
• Status: Active Grant

• Current Assignee: Zhejiang Shanshi Biological Medical DevicesCompany Limited
• Original Assignee: United States GTM Medical Devices
• Inventors: Katayama, Andrew S., Keitel, Todd A., Goharlaee, Manouchehr, Gallant, Stuart L., Craycroft, Warren B.
• Primary Examiner(s): Messersmith, Eric J
• Application Number:
  US14/828,292
• Publication Number:
  US 20160038040A1
• Time in Patent Office: 1,366 Days
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• 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 5/6843 Monitoring or controlling sensor contact pressure
• CPC Class Codes: A61B 5/72 Signal processing specially adapted for physiological signals or for diagnostic purposes character recognition, recognising digital ink, document-oriented image-based pattern recognition G06V30/00; recognition or understanding of postal images G06V30/424

Abstract

Improved apparatus and methods for non-invasively assessing one or more parameters associated with systems such as fluidic circulating systems (e.g., the circulatory system of a living organism). In a first aspect, an improved method of continuously measuring pressure from a compressible vessel is disclosed, wherein a substantially optimal level of compression for the vessel is achieved and maintained using dynamically applied dither perturbations (e.g., modulation) on the various axes associated with the vessel. In a second aspect, an improved apparatus and method are provided for monitoring hemodynamic parameters, such as blood pressure, in a continuous and non-invasive manner while operating under a single unifying scheme. One variant of this scheme using a simulated annealing (SA) type approach to determining and maintaining an optimal operating state.

Claims

1. Transient event-resistant apparatus configured to maintain an optimal level of compression between one or more sensors and a blood vessel, said transient event-resistant apparatus comprising:

said one or more sensors configured to be disposed proximate said blood vessel;

a data storage apparatus; and

a digital processor apparatus configured to run a computer program thereon, said computer program comprising a plurality of instructions which are configured to, when executed by said digital processor apparatus, cause said transient event-resistant apparatus to;

analyze a first plurality of signals generated by said one or more sensors at a first location proximate to said blood vessel;

obtain first data related to one or more first parameters measured by said one or more sensors at said first location;

generate a first plurality of control signals for a motor configured to adjust a position of each of said one or more sensors;

store said first data at said data storage apparatus;

cause placement of said one or more sensors at one or more second locations proximate to said blood vessel;

obtain second data related to one or more second parameters measured by said one or more sensors at said one or more second locations; and

process said second data with regards to said first data to determine data indicative of an optimized location, wherein said process of said second data with respect to said first data at least in part comprises;

application of a correction factor to said second data to generate corrected data;

assignment of a value of closeness of said one or more second locations to said optimized location based at least in part on said corrected data;

calculation of a difference between said value of closeness at said one or more second locations and an assigned value assigned of closeness of said first location to said optimized location; and

based at least in part on said difference, determination of a size of a dither value.

2. The transient event-resistant apparatus of claim 1, wherein said one or more sensors comprises one or more pressure transducers, said one or more pressure transducers housed in an applanation assembly, said applanation assembly in signal communication with said digital processor apparatus and configured to cause an applanator to applanate said blood vessel.

3. The transient event-resistant apparatus of claim 2, wherein said applanator is configured to vary a level of applanation of said blood vessel in order to maintain said blood vessel in an optimal state of compression for signal obtainment.

4. The transient event-resistant apparatus of claim 1, wherein said first plurality of control signals comprises at least an instruction to move said one or more sensors a distance between a target position and said first location, said distance derived as a function of a value associated with a closeness of said first location to an optimal position based at least in part on said analysis of said first plurality of signals.

5. The transient event-resistant apparatus of claim 1, wherein said second data at said one or more second locations is obtained via:

placement of said one or more sensors at a first one of said one or more second locations;

applanation of said blood vessel at said first one of said one or more second locations; and

measurement of a plurality of pulse beats.

6. A method of operating a transient event-resistant apparatus, said transient event-resistant apparatus (i) configured to maintain an optimal level of compression between one or more sensors and a blood vessel, and (ii) comprising at least one or more sensors, data storage apparatus, and digital processor apparatus, said digital processor apparatus in signal communication with each of said one or more sensors, said data storage apparatus, and a motorized apparatus configured to control positioning of said one or more sensors, said method comprising:

receiving a first plurality of signals from said one or more sensors disposed at a first location proximate to said blood vessel;

based at least in part on said receipt of said first plurality of signals, obtaining first data related to one or more first parameters measured by said one or more sensors at said first location;

algorithmically analyzing said first plurality of signals using at least a computer program configured to execute on said digital processor apparatus;

based at least in part on said algorithmically analyzing, generating a first plurality of control signals for said motorized apparatus, said first plurality of control signals configured to cause adjusting of a position of each of said one or more sensors;

storing said first data at said data storage apparatus;

causing placement, via said motorized apparatus, of said one or more sensors at one or more second locations proximate to said blood vessel;

obtaining second data related to one or more second parameters measured by said one or more sensors at said one or more second locations; and

processing said second data with regards to said first data to determine data indicative of an optimized location, wherein said processing of said second data with respect to said first data at least in part comprises;

applying a correction factor to said second data to generate corrected data;

assigning a value of proximity of said one or more second locations to said optimized location based at least in part on said corrected data;

determining a difference between said value of proximity at said one or more second locations and an assigned value assigned of proximity of said first location to said optimized

location; and

based at least in part on said difference, determining a size of a dither value.

7. The method claim 6, wherein said first plurality of control signals comprises data relating to at least an instruction to move said one or more sensors a first distance between a target position and said first location, said distance derived as a function of a value associated with a confidence level related to a proximity of said first location to an optimal position, the confidence level based at least in part on said analysis of said first plurality of signals;

and

said method further comprises causing movement, via said motorized apparatus, of said one or more sensors said first distance from said first location to said target position.

8. The method of claim 6, wherein said second data at said one or more second locations is obtained via:

causing placement of said one or more sensors at a first one of said one or more second locations;

causing applanation of said blood vessel at said first one of said one or more second locations; and

receiving signals indicative of a measurement of a plurality of pulse beats from said one or more sensors disposed at said first one of said one or more second locations.