Automatic arterial blood pressure recorder

• US 4,790,325 A
• Filed: 07/16/1987
• Issued: 12/13/1988
• Est. Priority Date: 11/25/1985
• Status: Expired due to Fees

• Current Assignee: Arnold S. Lee
• Original Assignee: Arnold S. Lee
• Inventors: Lee, Arnold S.
• Primary Examiner(s): Hindenburg, Max
• Application Number:
  US07/074,363
• Time in Patent Office: 516 Days
• Field of Search: 128/660, 128/662, 128/677-679, 128/682, 128/683, 128/686, 128/900, 128/714, 128/802, 128/803, 128/639, 128/644
• 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
• CPC Class Codes: A61B 8/04 Measuring blood pressure
• CPC Class Codes: A61B 8/4227 characterised by straps, belts, cuffs or braces
• CPC Class Codes: A61B 8/4281 characterised by sound-transmitting media or devices for coupling the transducer to the tissue

Abstract

One aspect of the present invention involves a blood pressure recorder system of the type having an inflatable cuff, a pressurized gas source and an inflation valve. The system includes a cuff pressure trigger unit which senses the gas pressure in the cuff. When the duration of significant gas pressure in the cuff exceeds a predetermined time, the cuff pressure sensor facilitates relieving pressure in the cuff. The system also includes a safety system for insuring that the cuff pressure trigger unit is operative. The safety system is independent of changes in the input power.

Also disclosed is an improved doppler ultrasonic blood pressure transducer and a novel method for automatically positioning a blood pressure transducer adjacent a skin surface.

Claims

1. A device for facilitating the measurement of blood pressure in the brachial artery of an arm of a test subject, said system including:

a transducer of the type for estimating blood pressure, the transducer having an active surface, a rim connected to the transducer and substantially surrounding the active surface, and means for supplying a coupling fluid to the partially enclosed space defined by the rim and active surface; and

means for supporting the transducer in a substantially horizontal position such that when the rim is in intimate contact with the arm, and the active surface is in close proximity to the skin adjacent to the brachial artery, a liquid located in the partially enclosed space remains in said partially enclosed space;

wherein the liquid couples the active surface of the transducer to the skin adjacent to the brachial artery and wherein said liquid is in operable contact with both the active surface of the transducer and the arm of the test subject.

2. The device of claim 1 wherein the liquid is non-thickened.

3. The device of claim 2 wherein the liquid is completely evaporatable.

4. The device of claim 1 wherein the coupling fluid is water.

5. The device of claim 1 wherein the means for supporting the transducer in a substantially horizontal position includes an arm rest.

6. The device of claim 1 wherein the transducer is an ultrasonic transducer.

7. The device of claim 5 wherein the arm rest is adapted to support the arm of the test subject in a generally horizontal plane so that the arm extends horizontally from the shoulder.

8. The device of claim 7 wherein the arm rest further includes a confining channel adapted to matingly receive the portion of the arm of the test subject which contains a portion of the brachial artery.

9. The device of claim 1 further including a cuff for restricting the flow of blood in the arm of the test subject.

10. The device of claim 9 wherein the cuff includes first and second halves movably connected to one another.

11. The device of claim 5 wherein the means for supporting the transducer in a substantially horizontal position includes a clam shell cuff.

12. The device of claim 11 wherein the clam shell cuff is attached to the arm rest.

13. A method for estimating the blood pressure in a test subject, the method comprising the following steps:

providing a transducer of the type for estimating blood pressure, the transducer having an active surface, a rim connected to the transducer and substantially surrounding the active surface, and means for supplying a non-thickened, completely evaportable coupling fluid to a partially enclosed space defined by the rim and active surface;

supporting the transducer in a substantially horizontal position such that when the rim is in intimate contact with the arm, and the active surface is in close proximity to the skin adjacent to the brachial artery, coupling fluid located in the partially enclosed space remains in said space;

bringing the rim of the transducer into intimate contact with the arm such that the non-thickened liquid functions as a coupling fluid between the active surface of the transducer and the arm, wherein said liquid is in operable contact with both the active surface of the transducer and the arm of the test subject;

providing a cuff for restricting the flow of blood in the arm of the test subject; and

estimating the blood pressure of the test subject by restricting the flow of blood in the arm and gradually releasing the restriction to blood flow.

14. The method of claim 13 wherein the transducer is supported in a substantially horizontal position by an arm rest adapted to support the arm of the test subject in a generally horizontal plane so that the arm extends horizontally from a shoulder.

15. The method of claim 13 wherein the cuff comprises a clam shell cuff having first and second halves movably connected to one another.