Cuff mechanism

• US 4,206,765 A
• Filed: 08/18/1977
• Issued: 06/10/1980
• Est. Priority Date: 08/18/1977
• Status: Expired due to Term

• Current Assignee: Vita-Stat Medical Services Incorporated
• Original Assignee: Vita-Stat Medical Services Incorporated
• Inventors: Huber, Thomas G.
• Primary Examiner(s): Michell, Robert W.
• Assistant Examiner(s): Jaworski, Francis J.
• Application Number:
  US05/825,675
• Time in Patent Office: 1,027 Days
• Field of Search: 128/2.05 A, 128/2.05 C, 128/2.05 G, 128/2.05 M, 128/2.05 Q, 128/2.05 P, 128/2.05 V, 128/325-327, 128/75, 128/84 R, 128/84 C, 128/677 , 128/686, 192/55-56
• US Class Current: 600/490
• CPC Class Codes: A61B 5/02141 Details of apparatus construction, e.g. pump units or housings therefor, cuff pressurising systems, arrangements of fluid conduits or circuits A61B5/02233, A61B5/0235 take precedence
• CPC Class Codes: A61B 5/02233 Occluders specially adapted therefor tourniquets A61B17/132

Abstract

A cuff mechanism, for use in an automatic blood pressure measuring system requiring no user adjustments to such mechanism, includes an elongated flexible cuff band with a resilient spring associated therewith of a predetermined width defining an enlarged opening for receiving a user'"'"'s arm. A reversible motor intermittently drives a drum through a slip clutch adjusted to provide a snug, but not occluding, fit of the band about the various sized arms when the drum winds up the band into its contracted state. The spring is generally mounted throughout the width of the band and extends substantially throughout the length thereof which defines the opening in its contracted state. The band is attached to the drum substantially throughout the width thereof so that the drum will exert a uniform force to circumferentially contract the band snugly about the arm and to maintain same in a steady condition. Locking means having a manual override automatically locks the drum in its wound-up condition to prevent the band from inadvertent loosening. A flexible and expandable fluid chamber, having a sensor associated therewith, is located adjacent the band and extending generally the width thereof, such chamber being sufficiently elongated to contact and generally surround the arm with the sensor being adjacent the artery. Selective pressure means automatically supply fluid to the chamber to expand same and occlude the flow of blood through the arm after which the blood pressure is taken by the system.

Claims

1. A cuff mechanism for use in a blood pressure measuring system comprising:

a. an elongated flexible cuff band of a predetermined width defining an opening for receiving a portion of a user'"'"'s body in which blood circulation is to be temporarily occluded;

b. mechanical contracting means having a relaxed state and a contracted state and being attached to said band substantially throughout the width thereof for exerting a force thereon to circumferentially contract said band snugly about the portion of the user'"'"'s body;

c. power drive means for intermittingly driving said mechanical contracting means;

d. automatic and adjustable slip clutch means connected between said mechanical contracting means and said power drive means to provide relative motion therebetween after obtaining snug wrapping of said band about various sized body portions of different users and slipping thereafter to prevent occlusion of the blood circulating therethrough, said slip clutch means including a slip clutch between said power drive means and said mechanical contracting means, and an adjustable means engaged with said slip clutch for selectively adjusting said slip clutch to slip upon said band reaching a predetermined snug fit;

e. a flexible fluid chamber located adjacent said band and in position to contact the portion of a user'"'"'s body for causing the flow of blood therethrough to be occluded; and

f. selective pressure means for supplying fluid to said chamber to expand same and occlude the flow of blood through the portions of the user'"'"'s body in contact with said chamber.

2. The cuff mechanism as defined in accord with claim 1 further comprising:

g. means for returning said band to its uncontracted open state after said mechanical contracting means returns to its relaxed state.

3. The cuff mechanism as defined in claim 2 wherein said means for returning said band includes a spring.

4. The cuff mechanism as defined in claim 3 wherein said spring is mounted to said band substantially throughout the length thereof defining said opening in its contracted state.

5. The cuff mechanism as defined in claim 4 wherein said spring is mounted to said band generally throughout the width thereof.

6. The cuff mechanism as defined in claim 3 wherein said spring is mounted to said band generally throughout the width thereof.

7. The cuff mechanism as defined in claim 2 wherein said mechanical contracting means includes a drum attached to one end of said band, said means for returning said band including a lost motion device between said drum and a fixed housing support adjacent thereto for returning said band to its fully uncontracted state regardless of the girth of the portion of the user'"'"'s body which was previously contracted by said band.

8. The cuff mechanism as defined in claim 1 further comprising:

g. locking means for selectively locking said mechanical contracting means in its contracted state.

9. The cuff mechanism as defined in claim 8 wherein said locking means includes a manual override means for unlocking said mechanical contracting means by the user to permit release of the user body portion by said band.

10. The cuff mechanism as defined in claim 1 wherein said power drive means is includes a reversible motor for moving said mechanical contracting means between its said states.

11. The cuff mechanism as defined in claim 10 wherein said mechanical contracting means includes a drum attached to one end of said band, said motor being drivingly connected to said slip clutch means which in turn drives said drum.

12. The cuff mechanism as defined in claim 1 further comprising:

g. a base support, said cuff band having its inner end affixed to and disposed above said support and said contracting means being disposed therebelow, said support having a slot therethrough outwardly of said band inner end for the passage of the outer end of said band therethrough, said outer end a said band being attached to said contracting means for reducing the cross-sectional dimension of said opening; and

h. means for returning said band to its fully open state.

32. The cuff mechanism as defined in claim 11 wherein said slip clutch means comprises a slip clutch adjusted to provide the appropriate snug fit of said band to the user'"'"'s body portion.

33. The cuff mechanism as defined in claim 32 wherein said slippage means further comprises means for adjusting said slip clutch.

13. A cuff mechanism including a housing for use in a blood pressure measuring system comprising:

a. an elongated flexible cuff band of a predetermined width defining an opening for receiving an arm of a user'"'"'s body in which blood circulation is to be temporarily occluded;

said band having one end attached to said housing;

b. drum means mounted to said housing and being attached to the other end of said band substantially throughout the width thereof for exerting a force thereon to circumferentially contract said band snugly about the arm inserted into said opening;

c. power drive means within said housing for intermittingly driving said drum means;

d. automatic and adjustable slip clutch means connected between said drum means and said power drive means to provide relative motion therebetween after obtaining snug wrapping of said band about various sized arms of different users while slipping thereafter to prevent occlusion of the blood circulating therethrough, said slip clutch means including a slip clutch between said power drive means and said mechanical contracting means, and an adjustable means engaged with said slip clutch for selectively adjusting said slip clutch to slip upon said band reaching a predetermined snug fit;

e. a flexible fluid chamber located adjacent said band and in position to contact the arm for causing the flow of blood therethrough to be occluded upon proper pressurization thereof; and

f. selective pressure means for supplying fluid to said chamber to expand same and occlude the flow of blood through the arm in contact with said chamber.

14. The cuff mechanism as defined in accord with claim 13 further comprising:

g. means for returning said band to its fully open state after said drum means returns to its original state with said band unwrapped therefrom.

15. The cuff mechanism as defined in claim 13 wherein said cuff band defining said opening is above said housing, said drum means being located within said housing, said housing including an elongated slot of a predetermined width for accomodating same therethrough.

16. The cuff mechanism as defined in claim 15 wherein said opening is generally above said drum means, with the portion of said band extending through said slot being substantially vertical.

17. The cuff mechanism as defined in claim 16 further comprising guide means mounted to said housing and extending parallel to and spaced adjacent to said one band end for guiding said band through said slot.

18. The cuff mechanism as defined in claim 13 wherein said drum means includes a cylinder on which said band is wrapped, a disk having spaced depressions thereon being rotatable with said cylinder, and selective locking means engageable with selected said depressions for locking said cylinder in selected positions.

19. The cuff mechanism as defined in claim 18 wherein said selective locking means includes an electrically operated lever having one end engaged with selected said depressions.

20. The cuff mechanism as defined in claim 19 wherein said lever extends outwardly of said housing for engagement by the user to manually override the locking of said lever in selected said depressions.

21. The cuff mechanism as defined in claim 19 wherein said locking means further includes a spring for biasing said lever toward said depressions.

22. The cuff mechanism as defined in claim 18 wherein said selective locking means includes a lever having one end engageable with selected said depressions, and, a solenoid being connected to said lever spaced from said end for unlocking said lever end from selected said depressions.

23. The cuff mechanism as defined in claim 22 wherein said locking means further includes a spring biasing said lever toward said depressions.

24. The cuff mechanism as defined in claim 23 wherein said lever has another end graspable by the user to manually override the locking action thereof.

25. The cuff mechanism as defined in claim 13 further comprising:

g. locking means for selectively locking said drum means when said band has been wound therearound to cause a snug fit about the arm.

26. The cuff mechanism as defined in claim 25 wherein said locking means includes a manual override means for unlocking said drum means by the user to permit release of the arm by said band.

27. The cuff mechanism as defined in claim 26 wherein said drum means includes a cylinder attached to said slip clutch means which in turn drives said cylinder.

28. The cuff mechanism as defined in claim 13 further comprising a lost motion means between said cylinder and said housing to return said band to its original open condition regardless of the girth of the arm previously inserted into said opening and contracted by said band.

29. The cuff mechanism as defined in accord with claim 28 further comprising:

g. means for returning said band to its fully open state after said cylinder returns to its original state with said band unwrapped therefrom.

30. The cuff mechanism as defined in claim 28 wherein said lost motion means comprises a cam mounted for rotation about the same axis as said drum, a pair of lugs one of which being stationary and the other being moveable and mounted to said drum for rotation therewith, said drum being rotatable in one direction less than 360°

for engagement with said cam, said cam contacting said stationary lug in a range of rotation of 360°

or less after cam engagement by said moveable cam whereby rotation of said drum ceases and said slip clutch begins slipping.

31. A cuff mechanism for use in a blood pressure measuring system comprising:

a. an elongated flexible cuff band of a predetermined width defining an opening for receiving a portion of a user'"'"'s body in which blood circulation is to be temporarily occluded;

b. mechanical contracing means having a relaxed state and a contracted state and being attached to said band substantially throughout the width thereof for exerting a force thereon to circumferentially contract said band snugly about the portion of the user'"'"'s body, said mechanical contracting means including a drum attached to one end of said band;

c. power drive means for intermittingly driving said mechanical contracting means;

d. automatic slip clutch means connected between said mechanical contracting means and said power drive means to provide relative motion therebetween after obtaining snug wrapping of said band about various sized body portions of different users and slipping thereafter to prevent occlusion of the blood circulating therethrough;

e. a flexible fluid chamber located adjacent said band and in position to contact the portion of a user'"'"'s body for causing the flow of blood therethrough to be occluded;

f. selective pressure means for supplying fluid to said chamber to expand same and occlude the flow of blood through the portion of the user'"'"'s body in contact with said chamber; and

g. means for returning said band to its uncontracted open state after said mechanical contracting means returns to its relaxed state, said means for returning said band including a lost motion device between said drum and a fixed housing support adjacent thereto for returning said band to its fully uncontracted state regardless of the girth of the portion of the user'"'"'s body which was previously contracted by said band.

34. A cuff mechanism including a housing for use in a blood pressure measuring system comprising:

a. an elongated flexible cuff band of a predetermined width defining an opening for receiving an arm of a user'"'"'s body in which blood circulation is to be temporarily occluded;

said band having one end attached to said housing;

b. drum means mounted to said housing and being attached to the other end of said band substantially throughout the width thereof for exerting a force thereon to circumferentially contract said band snugly about the arm inserted into said opening, said mechanical contracting means including a drum attached to one end of said band;

c. power drive means within said housing for intermittingly driving said drum means;

d. automatic slip clutch means connected between said drum means and said power drive means to provide relative motion therebetween after obtaining snug wrapping of said band about various sized arms of different users while slipping thereafter to prevent occlusion of the blood circulating therethrough;

e. a flexible fluid chamber located adjacent said band and in position to contact the arm for causing the flow of blood therethrough to be occluded upon proper pressurization thereof;

f. selective pressure means for supplying fluid to said chamber to expand same and occlude the flow of blood through the arm in contact with said chamber; and

g. means for returning said band to its uncontracted open state after said mechanical contracting means returns to its relaxed state, said means for returning said band including a lost motion device between said drum and a fixed housing support adjacent thereto for returning said band to its fully uncontracted state regardless of the girth of the portion of the user'"'"'s body which was previously contracted by said band.

35. The cuff mechanism as defined in claim 34 wherein said means for returning said band includes a spring.

36. The cuff mechanism as defined in claim 35 wherein said spring is mounted to said band substantially throughout the length thereof defining said opening.

37. The cuff mechanism as defined in claim 36 wherein said spring is mounted to said band generally throughout the width thereof.

38. The cuff mechanism as defined in claim 35 wherein said spring is mounted to said band generally throughout the width thereof.

39. The cuff mechanism as defined in claim 34 wherein said power drive means includes a reversible motor for moving said drum in directions to wind-up and unwind said band about the arm.

40. The cuff mechanism as defined in claim 39 wherein said slip clutch means comprises a slip clutch, and means for adjusting said slip clutch to provide the appropriate snug fit of said band about the arm.