Hybrid sphygmomanometer

• US 6,168,567 B1
• Filed: 03/24/1999
• Issued: 01/02/2001
• Est. Priority Date: 07/09/1998
• Status: Expired due to Fees

• Current Assignee: Accusphyg LLC
• Original Assignee: Accusphyg LLC
• Inventors: Holland, John, Weiss, Stephen Nicholas, Pickering, William, Pickering, Thomas G.
• Primary Examiner(s): Nasser, Robert L.
• Application Number:
  US09/275,595
• Time in Patent Office: 650 Days
• Field of Search: 600/490, 600/493.6, 600/500, 600/503
• US Class Current: 600/490
• CPC Class Codes: A61B 5/02208 using the Korotkoff method
• CPC Class Codes: A61B 5/0225 the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds
• CPC Class Codes: A61B 5/023 the pressure transducers comprising a liquid column
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence

Abstract

A hybrid sphygmomanometer comprises:

(a) an arm cuff with an inflatable air bladder;

(b) a pumping device for inflating the air bladder;

(c) a manually controlled air outlet valve for deflating the air bladder;

(d) an air pressure transducer operative to receive the pressure in the air bladder of the arm cuff and to produce an electrical signal representing this pressure;

(e) a manually operated switch for generating systolic and diastolic interrupt signals;

(f) a first electronic display for displaying the instantaneous pressure in the air bladder in the form of a bar graph;

(g) a second electronic display for displaying systolic and diastolic pressures; and

(h) an electrical circuit connected to the pressure transducer and to the button for controlling said first and second display.

The first display, for displaying the instantaneous pressure in the air bladder, is a simulated mercury column. The electrical circuit provides an output of digital signals, representing the systolic and diastolic pressures, for use by a programmed digital computer for storage and processing. It also provides an output of manually or digitally entered patient identification data.

Claims

1. A sphygmomanometer comprising, in combination:

(a) an arm cuff with an inflatable air bladder;

(b) a pumping device for inflating the air bladder;

(c) an air outlet valve for deflating the air bladder;

(d) an air pressure transducer operative to receive the pressure in the air bladder and to produce an electrical signal representing said pressure;

(e) a manually operated switch for generating systolic and diastolic interrupt signals;

(f) a first electronic display for displaying said pressure in the air bladder in the form of a bar graph, said first display having a plurality of hatch marks and numbers showing the level of pressure to be indicated by the bar graph and simulating a mercury column pressure gauge as used in a mercury sphygmomanometer;

(g) a second electronic display for displaying systolic and diastolic pressures; and

(h) an electrical circuit, connected to said pressure transducer and to said switch, for controlling said first and second display.

2. The sphygmomanometer defined in claim 1, further comprising a digital signal output port, coupled to said electrical circuit, providing digital signals representing said systolic and diastolic pressures, for transmission to a digital computer for storage and processing.

3. The sphygmomanometer defined in claim 2, wherein said digital signal output includes a modem for transmitting said digital signals over a telephone line.

4. The sphygmomanometer defined in claim 2, wherein said digital signal output includes an RF transmitter for wireless transmission of said digital signals.

5. The sphygmomanometer defined in claim 2, further comprising an input device coupled to said electrical circuit, for producing an electrical signal representing the identification of each separate patient, whereby a patient identification signal may be provided at said digital output along with the systolic and diastolic pressures of the respective patient.

6. The sphygmomanometer defined in claim 5, wherein said input device is a keypad.

7. The sphygmomanometer defined in claim 5, wherein said input device is a fingerprint reader.

8. The sphygmomanometer defined in claim 5, wherein said input device is a barcode reader.

9. The sphygmomanometer defined in claim 5, wherein said input device is a magnetic stripe reader.

10. The sphygmomanometer defined in claim 1, wherein said first display is an LCD display.

11. The sphygmomanometer defined in claim 1, wherein said first display is an LED display.

12. The sphygmomanometer defined in claim 1, wherein said second display is a dual decimal number display.

13. The sphygmomanometer defined in claim 12, wherein said second display is an LCD display.

14. The sphygmomanometer defined in claim 12, wherein said second display is an LED display.

15. The sphygmomanometer defined in claim 1, wherein pumping device is a squeeze bulb.

16. The sphygmomanometer defined in claim 1, wherein said pumping device is an electrically operated pump.

17. The sphygmomanometer defined in claim 16, further comprising a third display connected to said processor means for displaying said pulse rate.

18. The sphygmomanometer defined in claim 1, wherein said electrical circuit includes processor means for determining pulse rate from said signal representing pressure.

19. The sphygmomanometer defined in claim 1, further comprising a further display connected to said electrical circuit for indicating when the pressure in said air bladder is reduced at a rate faster than a predetermined rate.

20. The sphygmomanometer defined in claim 1, wherein said air outlet valve is a mechanically actuated valve.

21. The sphygmomanometer defined in claim 1, wherein said air outlet valve is an electrically actuated valve.

22. The sphygmomanometer defined in claim 1, wherein said electrical circuit includes processor means for adjusting for the reaction time of a human operator in determining said systolic and diastolic pressures.

23. The sphygmomanometer defined in claim 22, wherein said processor means is responsive to a calibration to determine the reaction time of a human operator.

24. The sphygmomanometer defined in claim 1, wherein said first display includes a display screen.

25. The sphygmomanometer defined in claim 1, wherein the air outlet valve is manually controlled.

26. The sphygmomanometer defined in claim 1, wherein the air outlet valve is electrically controlled.

27. The sphygmomanometer defined in claim 26, wherein said air outlet valve is a proportional valve responsive to an analog signal, for controlling the rate of air flow in dependence upon the magnitude of said signal.

28. The sphygmomanometer defined in claim 26, wherein said electrical circuit further comprises electronic means for electrically controlling said outlet valve, said electronic means having a closed loop feedback circuit for adjusting the outlet valve in dependence upon said signal provided by said pressure transducer.

29. The sphygmomanometer defined in claim 27, wherein said electronic means is operative to deflate the air bladder at a substantially constant rate in the range of 2 mm to 3 mm Hg per second.

30. The sphygmomanometer defined in claim 1, wherein the measured systolic pressure is also displayed on said first display by indicating and maintaining the position along the bar graph representing said systolic pressure.

31. The sphygmomanometer defined in claim 1, wherein the measured diastolic pressure is also displayed on said first display by indicating and maintaining the position along the bar graph representing said diastolic pressure.

32. The sphygmomanometer defined in claim 1, wherein said first display is comprised of a plurality of bar graph segments, arranged in a line, and means for switching said segments on and off.

33. The sphygmomanometer defined in claim 32, wherein the measured systolic pressure is also displayed on said first display by indicating and maintaining the position along the bar graph representing said systolic pressure by causing one of said segments to remain illuminated.

34. The sphygmomanometer defined in claim 32, wherein the measured diastolic pressure is also displayed on said first display by indicating and maintaining the position along the bar graph representing said diastolic pressure by causing one of said segments to remain illuminated.

35. A sphygmomanometer comprising, in combination:

(a) an arm cuff with an inflatable air bladder;

(b) a pumping device for inflating the air bladder;

(c) an air outlet valve for deflating the air bladder;

(d) an air pressure transducer operative to receive the pressure in the air bladder and to produce an electrical signal representing said pressure;

(e) a manually operated switch for generating systolic and diastolic interrupt signals;

(f) an electronic display for displaying systolic and diastolic pressures;

(g) an electrical circuit, connected to said pressure transducer and to said switch, for controlling said display; and

(h) a further display connected to said electrical circuit for indicating when the pressure in said air bladder is reduced at a rate faster than a predetermined rate.

37. The sphygmomanometer defined in claim 35, wherein said processor means is responsive to a calibration to determine the reaction time of a human operator.

36. A sphygmomanometer comprising, in combination:

(a) an arm cuff with an inflatable air bladder;

(b) a pumping device for inflating the air bladder;

(c) an air outlet valve for deflating the air bladder;

(d) an air pressure transducer operative to receive the pressure in the air bladder and to produce an electrical signal representing said pressure;

(e) a manually operated switch for generating systolic and diastolic interrupt signals;

(f) an electronic display for displaying systolic and diastolic pressures; and

(g) an electrical circuit, connected to said pressure transducer and to said switch, for controlling said display;

wherein said electrical circuit includes processor means for adjusting for the reaction time of a human operator in determining said systolic and diastolic pressures.

38. A sphygmomanometer comprising, in combination:

(a) an arm cuff with an inflatable air bladder;

(b) a pumping device for inflating the air bladder;

(c) an air outlet valve for deflating the air bladder;

(d) an air pressure transducer operative to receive the pressure in the air bladder and to produce an electrical signal representing said pressure;

(e) a manually operated switch for generating systolic and diastolic interrupt signals;

(f) a first electronic display for displaying said pressure in the air bladder in the form of a bar graph;

(g) a second electronic display for displaying systolic and diastolic pressures; and

(h) an electrical circuit, connected to said pressure transducer and to said switch, for controlling said first and second display;

wherein the measured systolic pressure is also displayed on said first display by indicating and maintaining the position along the bar graph representing said systolic pressure.

39. The sphygmomanometer defined in claim 38, wherein said first display is comprised of a plurality of bar graph segments, arranged in a line, and means for switching said segments on and off.

40. A sphygmomanometer comprising, in combination:

(a) an arm cuff with an inflatable air bladder;

(b) a pumping device for inflating the air bladder;

(c) an air outlet valve for deflating the air bladder;

(d) an air pressure transducer operative to receive the pressure in the air bladder and to produce an electrical signal representing said pressure;

(e) a manually operated switch for generating systolic and diastolic interrupt signals;

(f) a first electronic display for displaying said pressure in the air bladder in the form of a bar graph;

(g) a second electronic display for displaying systolic and diastolic pressures; and

(h) an electrical circuit, connected to said pressure transducer and to said switch, for controlling said first and second display;

wherein the measured diastolic pressure is also displayed on said first display by indicating and maintaining the position along the bar graph representing said diastolic pressure.

41. The sphygmomanometer defined in claim 40, wherein said first display is comprised of a plurality of bar graph segments, arranged in a line, and means for switching said segments on and off.