Method and apparatus for determining blood pressure

• US 5,368,039 A
• Filed: 07/26/1993
• Issued: 11/29/1994
• Est. Priority Date: 07/26/1993
• Status: Expired due to Fees

• Current Assignee: John A. Moses
• Original Assignee: John A. Moses
• Inventors: Moses, John A.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): NASSER, ROBERT L
• Application Number:
  US08/097,283
• Time in Patent Office: 491 Days
• Field of Search: 128/672, 128/677, 128/680-683, 128/687, 364/413.03
• US Class Current: 600/494
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 2562/046 in a matrix array
• CPC Class Codes: A61B 5/02225 using the oscillometric method
• CPC Class Codes: A61B 5/0225 the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds

Abstract

A transducer assembly (12) is applied to the surface of the body beneath an inflatable cuff (10). Transducers (12c) are disposed upon a substrate (12a) and may include from one to some large number of transducers suitable for detecting an oscillation resulting from arterial blood flow within a partially occluded artery. Each transducer (12c) can be of large size, relative to an artery (16), to eliminate a requirement that the transducer be accurately placed over and maintained upon the artery. The substrate can be provided to have a surface with a radius of curvature selected to approximate a curvature of the extremity to which the transducer array is applied. The cuff pressure is increased to a level above the systolic pressure of the individual and then gradually reduced. Oscillations are sensed by one or more of the transducers as the cuff pressure is decreased. When the systolic pressure is reached, the sensed oscillations begin to increase in amplitude until they reach a maximum amplitude. The cuff pressure at the point of maximum amplitude is correlated with the Mean Arterial Pressure of the subject. Methods for accomplishing a sub-diastolic continuous measurement cycle and a Mean Arterial Pressure monitoring cycle are also provided.

Claims

1. A method of measuring blood pressure, comprising the steps of:

(a) providing at least one transducer in contact with a subject and a pressurizable cuff for urging the transducer means against the subject;

(b) pressurizing the cuff to a pressure that exceeds a typical systolic blood pressure, thereby substantially completely occluding an artery of the subject;

while depressurizing the cuff, performing the steps of,

(c) monitoring an output of the transducer to detect a first oscillation, the first oscillation indicating a presence of arterial blood flow in response to a heart beat;

(d) recording an amplitude of the first oscillation;

(e) monitoring the output of the transducer to detect a further oscillation;

(f) recording an amplitude of the further oscillation;

(g) determining if the amplitude of the further oscillation is greater than the amplitude of a preceding oscillation by a predetermined first increment of amplitude;

if the determined amplitude of the further oscillation is not greater than the amplitude of the preceding oscillation by the predetermined first increment of amplitude, then repeating steps (e), (f) and (g), else

(h) recording a current pressure within the cuff as a systolic blood pressure;

(i) continuing to monitor the output of the transducer means to detect an oscillation having a maximum amplitude;

(j) recording as a mean arterial blood pressure a pressure within the cuff at the time of the detection of the oscillation having the maximum amplitude;

(k) monitoring the output of the transducer to detect another oscillation;

(l) recording an amplitude of said another oscillation;

(m) determining if the amplitude of said another oscillation is less than the amplitude of a preceding oscillation by a predetermined second increment of amplitude;

if the determined amplitude of said another oscillation is not less than the amplitude of the preceding oscillation by the predetermined second increment of amplitude, then repeating steps (k), (l) and (m), else

(o) recording a pressure within the cuff at the time of the preceding oscillation as a diastolic blood pressure.

2. A method as set forth in claim 1 wherein there are a plurality of transducers, and wherein step (d) includes the further steps of:

monitoring each of said plurality of transducers to determine a transducer outputting a maximum amplitude; and

selecting the determined transducer as a transducer for use during the steps (e) through (o) .

3. A method as set forth in claim 1, and further including a step of maintaining a pressure within the cuff within a range of pressures about the pressure recorded in step (j);

and repeating steps (i) and (j) so as to monitor the mean arterial blood pressure for a plurality of successive heart beats.

4. A method as set forth in claim 1 and further comprising a step of displaying the determined systolic blood pressure, the determined mean arterial blood pressure, and the determined diastolic blood pressure.

5. A method as set forth in claim 1 wherein each of the steps of monitoring includes a step of recording a time at which an oscillation is detected, and wherein the method further includes a step of determining a pulse rate from the recorded times.

6. A method as set forth in claim 1 and further including a step of providing a graphical representation of the detected oscillations.

7. A method as set forth in claim 1, and further including the steps of:

maintaining a pressure within the cuff means at a pressure below the diastolic pressure;

measuring a maximum amplitude of successive oscillations; and

correlating a change in the maximum amplitude of a successive oscillation with a change in blood pressure.