Blood pressure monitor apparatus

• US 5,752,920 A
• Filed: 04/28/1997
• Issued: 05/19/1998
• Est. Priority Date: 08/01/1996
• Status: Expired due to Term

• Current Assignee: Omron Healthcare Company Limited (Omron Corporation)
• Original Assignee: Colin Corporation (Fukuda Denshi Company Limited)
• Inventors: Ogura, Toshihiko, Inukai, Hidekatsu
• Primary Examiner(s): Nasser, Robert L.
• Application Number:
  US08/848,567
• Time in Patent Office: 386 Days
• Field of Search: 600/485, 600/490, 600/493-496, 600/500, 600/561
• US Class Current: 600/494
• CPC Class Codes: A61B 5/02125 of pulse wave propagation time
• 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
• CPC Class Codes: A61B 5/0285 Measuring or recording phase velocity of blood waves
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval

Abstract

A blood pressure monitor apparatus including a blood pressure measuring device which includes a cuff and measures a blood pressure value of a living subject by changing a pressing pressure of the cuff applied to a body portion of the subject, an estimated blood pressure determining device for successively determining an estimated blood pressure value of the subject, based on each of successive sets of actual pulse-wave propagation information, according to a predetermined relationship between blood pressure and pulse-wave propagation information, a pulse period measuring device which successively measures a period of a pulse of the subject, a peripheral pulse wave detecting device which detects a peripheral pulse wave from a peripheral body portion of the subject, a pulse-wave area calculating device for successively calculating an area defined by a waveform of a pulse of the peripheral pulse wave detected by the peripheral pulse wave detecting device, and a blood pressure measurement starting device for starting a blood pressure measurement of the blood pressure measuring device, when an amount of change of the estimated blood pressure values is greater than a first reference value and at least one of an amount of change of the measured pulse periods and an amount of change of the calculated pulse-wave areas is greater than a corresponding one of a second and a third reference value.

Claims

1. A blood pressure monitor apparatus comprising:

a blood pressure measuring device which includes a cuff and measures a blood pressure value of a living subject by changing a pressing pressure of said cuff applied to a body portion of the subject;

pulse-wave propagation information obtaining means for obtaining successive sets of actual pulse-wave propagation information;

blood pressure-pulse information relationship determining means for determining a relationship between blood pressure and pulse-wave propagation information, based on a blood pressure value measured by said blood pressure measuring device and a set of pulse-wave propagation information obtained by said pulse-wave propagation information obtaining means;

estimated blood pressure determining means for successively determining an estimated blood pressure value of the subject, based on each of the successive sets of actual pulse-wave propagation information obtained by said pulse wave propagation information obtaining means, according to the relationship between blood pressure and pulse-wave propagation information determined by said blood pressure-pulse wave propagation information relationship determining means;

a pulse period measuring device which successively measures a period of a pulse of the subject;

a peripheral pulse wave detecting device which detects a peripheral pulse wave from a peripheral body portion of the subject;

pulse-wave area calculating means for successively calculating an area defined by a waveform of a pulse of the peripheral pulse wave detected by said peripheral pulse wave detecting device; and

blood pressure measurement starting means for starting a blood pressure measurement of said blood pressure measuring device, when an amount of change of the successively estimated blood pressure values is greater than a first reference value and at least one of an amount of change of the successively measured pulse periods and an amount of change of the successively calculated pulse-wave areas is greater than a corresponding one of a second and third reference value.

2. A blood pressure monitor apparatus according to claim 1, wherein said pulse-wave propagation information obtaining means comprises means for calculating, as said each set of pulse-wave propagation information, at least one of a propagation time and a propagation velocity, based on a time difference between a predetermined point of an electrocardiographic waveform and a predetermined point of a waveform of a pressure pulse wave or a volume pulse wave detected from the peripheral body portion of the subject.

3. A blood pressure monitor apparatus according to claim 1, further comprising an electrocardiographic waveform detecting device which includes a plurality of electrodes adapted to be put on a body surface of the subject and detects an electrocardiographic waveform through the electrodes, wherein said pulse period measuring device comprises means for measuring, as said period of pulse, an interval between two successive R-waves of the electrocardiographic waveform.

4. A blood pressure monitor apparatus according to claim 1, wherein said peripheral pulse wave detecting device comprises a photoelectric pulse wave sensor including a light-emitting and a light-receiving element, the light-emitting element emitting, toward a body surface of the subject, a light including a wavelength which can be reflected by hemoglobin present in blood of the subject, the light-receiving element receiving the light scattered by the hemoglobin from the body surface of the subject.

5. A blood pressure monitor apparatus according to claim 1, wherein said pulse-wave area calculating means comprises means for calculating the pulse-wave area which is normalized based on a period and an amplitude of said pulse of the peripheral pulse wave.

6. A blood pressure monitor apparatus according to claim 1, further comprising a display device which concurrently displays respective trend graphs of the estimated blood pressure values successively determined by said estimated blood pressure determining means, the pulse period values successively measured by said pulse period measuring device and the pulse-wave area values successively calculated by said pulse-wave area calculating means.

7. A blood pressure monitor apparatus comprising:

a blood pressure measuring device which includes a cuff and measures a blood pressure value of a living subject by changing a pressing pressure of said cuff applied to a body portion of the subject;

pulse-wave propagation information obtaining means for obtaining successive sets of actual pulse-wave propagation information;

blood pressure-pulse information relationship determining means for determining a relationship between blood pressure and pulse-wave propagation information, based on a blood pressure value measured by said blood pressure measuring device and a set of pulse-wave propagation information obtained by said pulse-wave propagation information obtaining means;

estimated blood pressure determining means for successively determining an estimated blood pressure value of the subject, based on each of the successive sets of actual pulse-wave propagation information obtained by said pulse wave propagation information obtaining means, according to the relationship between blood pressure and pulse-wave propagation information determined by said blood pressure-pulse wave propagation information relationship determining means;

a heart rate measuring device which measures a heart rate of the subject; and

relationship correcting means for correcting said relationship between blood pressure and pulse-wave propagation information, based on the heart rate measured by said heart rate measuring device.

8. A blood pressure monitor apparatus according to claim 7, wherein said relationship comprises a relationship between estimated blood pressure (EBP) and pulse-wave propagation time (DT) which is represented by an expression:

EBP=α

DT+β

, and wherein said relationship correcting means corrects said expression by decreasing an absolute value of the negative coefficient α

for the pulse-wave propagation time DT, with the increasing of the heart rate.

9. A blood pressure monitor apparatus according to claim 7, wherein said relationship comprises a relationship between estimated blood pressure (EBP) and pulse-wave propagation velocity (V_M) which is represented by an expression:

EBP=α

V_M +β

, and wherein said relationship correcting means corrects said expression by increasing an absolute value of the positive coefficient α

for the pulse-wave propagation velocity V_M, with the increasing of the heart rate.

10. A blood pressure monitor apparatus according to claim 9, wherein said pulse-wave propagation information obtaining means comprises means for calculating, as said each set of pulse-wave propagation information, at least one of a propagation time and a propagation velocity, based on a time difference between a predetermined point of an electrocardiographic waveform and a predetermined point of a waveform of a pressure pulse wave or a volume pulse wave detected from a peripheral body portion of the subject.

11. A blood pressure monitor apparatus according to claim 7, further comprising:

a pulse period measuring device which successively measures a period of a pulse of the subject;

a peripheral pulse wave detecting device which detects a peripheral pulse wave from the peripheral body portion of the subject;

pulse-wave area calculating means for successively calculating an area defined by a waveform of a pulse of the peripheral pulse wave detected by said peripheral pulse wave detecting device; and

blood pressure measurement starting means for starting a blood pressure measurement of said blood pressure measuring device, when an amount of change of the successively estimated blood pressure values is greater than a first reference value and at least one of an amount of change of the successively measured pulse periods and an amount of change of the successively calculated pulse-wave areas is greater than a corresponding one of a second and a third reference value.

12. A blood pressure monitor apparatus according to claim 11, wherein said peripheral pulse wave detecting device comprises a photoelectric pulse wave sensor including a light-emitting and a light-receiving element, the light-emitting element emitting, toward a body surface of the subject, a light including a wavelength which can be reflected by hemoglobin present in blood of the subject, the light-receiving element receiving the light scattered by the hemoglobin from the body surface of the subject.

13. A blood pressure monitor apparatus according to claim 11, wherein said pulse-wave area calculating means comprises means for calculating the pulse-wave area which is normalized based on a period and an amplitude of said pulse of the peripheral pulse wave.

14. A blood pressure monitor apparatus according to claim 11, further comprising a display device which concurrently displays respective trend graphs of the estimated blood pressure values successively determined by said estimated blood pressure determining means, the pulse period values successively measured by said pulse period measuring device and the pulse-wave area values successively calculated by said pulse-wave area calculating means.

15. A blood pressure monitor apparatus according to claim 11, further comprising an electrocardiographic waveform detecting device which includes a plurality of electrodes adapted to be put on a body surface of the subject and detects an electrocardiographic waveform through the electrodes, wherein said pulse period measuring device comprises means for measuring, as said period of pulse, an interval between two successive R-waves of the electrocardiographic waveform.