Apparatus for measuring pulse-wave propagation velocity

• US 5,743,856 A
• Filed: 09/24/1996
• Issued: 04/28/1998
• Est. Priority Date: 11/06/1995
• Status: Expired due to Term

• Current Assignee: Omron Healthcare Company Limited (Omron Corporation)
• Original Assignee: Colin Corporation (Fukuda Denshi Company Limited)
• Inventors: Nomura, Takashi, Sakai, Hiroshi, Ogura, Toshihiko, Inukai, Hidekatsu, Oka, Tohru, Ikawa, Tomoko
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): EVANISKO, GEORGE ROBERT
• Application Number:
  US08/718,715
• Time in Patent Office: 581 Days
• Field of Search: 128/672, 128/679, 128/680, 128/681, 600/485, 600/492, 600/493, 600/494
• US Class Current: 600/493
• CPC Class Codes: A61B 5/02116 of pulse wave amplitude A61B5/02225 takes precedence
• CPC Class Codes: A61B 5/02125 of pulse wave propagation time
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• CPC Class Codes: A61B 5/0285 Measuring or recording phase velocity of blood waves
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives

Abstract

An apparatus for measuring a propagation velocity of a pulse wave which is propagated through an artery of a living subject, includes an electrocardiographic-waveform detecting device which detects an electrocardiographic waveform from the subject, a pulse-wave sensor which is adapted to be worn on the subject and which detects the pulse wave from the subject, a time-difference determining device for determining a time difference between a first periodic point relating to the detected electrocardiographic waveform and a second periodic point relating to the detected pulse wave, and a propagation-velocity determining device for determining the propagation velocity of the pulse wave based on the determined time difference.

Claims

1. An apparatus for measuring a propagation velocity of a pulse wave which is propagated through an artery of a living subject, the apparatus comprising:

an electrocardiographic-waveform detecting device which detects an electrocardiographic waveform from the subject, the detected electrocardiographic waveform comprising a plurality of first heartbeat-synchronous pulses;

a pulse-wave sensor which is adapted to be worn on the subject and which detects the pulse wave from the subject, the detected pulse wave comprising a plurality of second heartbeat-synchronous pulses;

time-difference determining means for determining a time difference between a first periodic point relating to one of the first heartbeat-synchronous pulses of the detected electrocardiographic waveform and a second periodic point relating to a corresponding one of the second heartbeat-synchronous pulses of the detected pulse wave; and

propagation-velocity determining means for determining the propagation velocity, V_M, of the pulse wave based on the determined time difference, TD_RP, according to a following expression;

space="preserve" listing-type="equation">V.sub.M =L/(TD.sub.RP -T.sub.PEP)

where

L is a length of the artery of the subject from a left ventricle of the subject via an aorta of the subject to a position where the pulse-wave sensor is worn on the subject, and

T_PEP is a pre-ejection period between a Q wave of said one first heartbeat-synchronous pulse of the electrocardiographic waveform and a minimum point of said corresponding one of the second heartbeat-synchronous pulses of the pulse wave.

2. An apparatus according to claim 1, wherein said pulse-wave sensor comprises a pressure sensor which is adapted to be pressed against a portion of the artery of the subject via a skin of the subject and which detects, as the pulse wave, a heartbeat-synchronous pressure oscillation which is transmitted thereto from the portion of the artery via the skin.

3. An apparatus according to claim 1, wherein said pulse-wave sensor comprises:

an inflatable cuff which is adapted to be wound around a body portion of the subject; and

a pressure sensor which detects, as the pulse wave, a heartbeat-synchronous pressure oscillation which is produced in said cuff.

4. An apparatus according to claim 1, wherein said pulse-wave sensor comprises a photoelectric sensor including a light source which emits a light toward a body portion of the subject, and a light detecting element which detects the light transmitted through, or reflected from, the body portion.

5. An apparatus according to claim 1, further comprising:

a blood-pressure measuring device which measures a blood pressure value of the subject; and

propagation-velocity modifying means for modifying the determined propagation-velocity value to a modified propagation-velocity value corresponding to a predetermined blood pressure value, based on the measured blood pressure value, according to a predetermined relationship between modified propagation velocity, and determined propagation velocity and measured blood pressure.

6. An apparatus according to claim 1, further comprising a blood-pressure measuring device which includes an inflatable cuff adapted to be wound around a body portion of the subject, said pulse-wave sensor which detects the pulse wave transmitted from the artery of the subject to said cuff when a pressure in the cuff is changed, and means for determining a blood pressure value of the subject based on the detected pulse wave, wherein said time-difference determining means comprises means for successively determining the time difference between the first periodic point on the detected electrocardiographic waveform and the second periodic point on the detected pulse wave, and said propagation-velocity determining means comprises temporary-propagation-velocity determining means for successively determining the temporary propagation velocity of the pulse wave based on each of the successively determined time-difference values;

judging means for judging whether the change of each of the successively determined temporary propagation-velocity values, with respect to the change of the cuff pressure, is smaller than a reference value; and

proper-propagation-velocity determining means for determining a proper propagation-velocity value from at least one temporary propagation-velocity value for which a positive judgment is made by said judging means.

7. An apparatus according to claim 1, further comprising:

a blood-pressure measuring device which includes an inflatable cuff adapted to be wound around a body portion of the subject, said pulse-wave sensor which detects a plurality of heartbeat-synchronous pulses of the pulse wave transmitted from the artery of the subject to said cuff when a pressure in the cuff is changed, and means for determining a blood pressure value of the subject based on variation of respective amplitudes of the detected heartbeat-synchronous pulses of the pulse wave, wherein said time-difference determining means successively determines the time difference between the first periodic point on each of heartbeat-synchronous pulses of the detected electrocardiographic waveform and the second periodic point on a corresponding one of the detected heartbeat-synchronous pulses of the pulse wave and said propagation-velocity determining means successively determines the propagation velocity of the pulse wave based on each of the successively determined time-difference values;

judging means for judging whether the change of each of the successively determined propagation-velocity values, with respect to the change of the cuff pressure, is smaller than a reference value; and

correcting means for correcting at least one first pulse of the heartbeat-synchronous pulses of the pulse wave which is deviated from at least one second pulse for which a positive judgment is made by said judging means, based on the deviation of the first pulse from the second pulse, so that said blood-pressure measuring device measures the blood pressure value of the subject based on the variation of the respective amplitudes of the heartbeat-synchronous pulses including the corrected first pulse.

8. An apparatus according to claim 1, further comprising:

a blood-pressure measuring device which includes an inflatable cuff adapted to be wound around a body portion of the subject, said pulse-wave sensor which detects the pulse wave transmitted from the artery of the subject to said cuff when a pressure in the cuff is changed, and means for determining a blood pressure value of the subject based on the detected pulse wave; and

terminating means for terminating a blood pressure measurement of said blood-pressure measuring device when the determined propagation-velocity value does not fall within a permission range.

9. An apparatus according to claim 1, further comprising second-periodic-point determining means for determining said second periodic point based on a curve obtained by differentiating said detected pulse wave.

10. An apparatus according to claim 9, wherein said second-periodic-point determining means comprises means for determining said second periodic point based on a maximum-slope point where said detected pulse wave takes a maximum slope.

11. An apparatus according to claim 9, wherein said second-periodic-point determining means comprises means for determining, as said second periodic point, a maximum-slope point where said detected pulse wave takes a maximum slope.

12. An apparatus according to claim 1, further comprising:

an inflatable cuff which is adapted to be wound around a body portion of the subject;

a pressure sensor which detects a heartbeat-synchronous pressure oscillation which is produced in the cuff while a pressure in the cuff is changed, the detected heartbeat-synchronous pressure oscillation comprising a plurality of third heartbeat-synchronous pulses;

first blood pressure determining means for determining an actual blood pressure of the subject based on a variation of respective amplitudes of the third heartbeat-synchronous pulses of the detected heartbeat-synchronous pressure oscillation;

relationship determining means for determining a relationship between blood pressure and pulse wave magnitude based on at least one actual blood pressure value determined by the first blood pressure determining means and at least one magnitude of one of the second heartbeat-synchronous pulses of the pulse wave detected by the pulse-wave sensor; and

second blood pressure determining means for successively determining, according to the relationship determined by the relationship determining means, a blood pressure value of the subject based on a magnitude of each of the second heartbeat-synchronous pulses of the pulse wave which are detected after the relationship is determined.

13. An apparatus according to claim 12, wherein the pulse-wave sensor comprises a pressure pulse-wave sensor which is adapted to be pressed against a portion of the artery of the subject via a skin of the subject and which detects, as the pulse wave, a heartbeat-synchronous pressure pulse wave which is transmitted thereto from the portion of the artery via the skin, the detected heartbeat-synchronous pressure pulse wave comprising a plurality of second heartbeat-synchronous pulses, and wherein the relationship determining means comprises means for determining, as the relationship between blood pressure, MBP, and pressure-pulse-wave magnitude, P_M, a linear function:

MBP=A·

P_M +B, where A and B are a first and a second constant, respectively, based on at least one actual blood pressure determined by the first blood pressure determining means and at least one magnitude of one of the second heartbeat-synchronous pulses of the pressure pulse wave detected by the pressure pulse-wave sensor.

14. An apparatus according to claim 13, wherein the second blood pressure determining means comprises means for successively determining, according to the linear function, a systolic and diastolic blood pressure value of the subject based on a maximum and a minimum magnitude of each of the second heartbeat-synchronous pulses of the pressure pulse wave which are detected by the pressure pulse-wave sensor after the linear function is determined.