Blood pressure monitoring apparatus

• US 6,547,740 B2
• Filed: 05/16/2001
• Issued: 04/15/2003
• Est. Priority Date: 05/16/2000
• Status: Active Grant

• Current Assignee: Nihon Kohden Corporation
• Original Assignee: Nihon Kohden Corporation
• Inventors: Tanaka, Rie, Sugo, Yoshihiro, Hyogo, Mitsushi
• Primary Examiner(s): Argenbright, Tony M.
• Assistant Examiner(s): Hoang, Johnny H.
• Application Number:
  US09/855,565
• Publication Number:
  US 20020002339A1
• Time in Patent Office: 699 Days
• Field of Search: 600/485, 600/490, 600/492-496
• US Class Current: 600/485
• 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

Abstract

A blood pressure monitoring apparatus includes a blood pressure measuring device for measuring blood pressure employing a cuff, a pulse wave propagation time measuring device for measuring the pulse wave propagation time, a hemodynamics measuring device for measuring the hemodynamics, and a control device for controlling the blood pressure measuring device on the basis of a change in pulse wave propagation time measured by the pulse wave propagation time measuring device and a change in hemodynamics measured by the hemodynamics measuring device. The control device controls the blood pressure measuring device to measure the blood pressure on the basis of the amount of change and change trend in the pulse wave propagation time measured by the pulse wave propagation time measuring device, and the amount of change and change trend in the hemodynamics measured by the hemodynamics measuring device.

Claims

1. A blood pressure monitoring apparatus comprising:

blood pressure measuring means for measuring a blood pressure employing a cuff;

pulse wave propagation parameter measuring means for measuring a pulse wave propagation parameter;

hemodynamics measuring means for measuring hemodynamics, and

control means for controlling said blood pressure measuring means based on a change in the pulse wave propagation parameter measured by said pulse wave propagation parameter measuring means and a change in the hemodynamics measured by said hemodynamics measuring means,

wherein said control means controls said blood pressure measuring means to measure the blood pressure based on the amount of change and a change in trend in the pulse wave propagation parameter measured by said pulse wave propagation parameter measuring means, and the amount of change and a change in trend in the hemodynamics measured by said hemodynamics measuring means.

2. The blood pressure monitoring apparatus according to claim 1, wherein a pulse wave propagation parameter change threshold, for monitoring the amount of change in said pulse wave propagation parameter, and a hemodynamics change threshold, for monitoring the amount of change in said hemodynamics, are stored in said control means, and said control means controls said blood pressure measuring means based on a comparison between said pulse wave propagation parameter change threshold and the amount of change in the pulse wave propagation parameter measured by said pulse wave propagation parameter measuring means and a comparison between said hemodynamics change threshold and the amount of change in the hemodynamics measured by said hemodynamics measuring means.

3. The blood pressure monitoring apparatus according to claim 2, wherein said control means updates said pulse wave propagation parameter change threshold.

6. The blood pressure monitoring apparatus according to claim 1, wherein said hemodynamics measuring means measures at least one of a heart rate, a pulse wave amplitude, and a DC component of pulse wave, and said control means controls the blood pressure measuring means based on at least one of said heart rate measured, said pulse wave amplitude, and said DC component of pulse wave.

7. The blood pressure monitoring apparatus according to claim 6, wherein said control means controls the blood pressure measuring means based on a pulsation rate fluctuation rate calculated from changes in amplitude of a pulse wave and the DC component of a pulse wave measured by the hemodynamics measuring means.

8. The blood pressure monitoring apparatus according to claim 3, wherein said control means updates said pulse wave propagation parameter change threshold based on at least one of the change in the pulse wave propagation parameter, a change in a heart rate, and a pulsation rate fluctuation rate.

4. A blood pressure monitoring apparatus comprising:

blood pressure measuring means for measuring a blood pressure employing a cuff;

pulse wave propagation parameter measuring means for measuring a pulse wave propagation parameter;

hemodynamics measuring means for measuring hemodynamics; and

control means for controlling said blood pressure measuring means based on a change in the pulse wave propagation parameter measured by said pulse wave propagation parameter measuring means and a change in the hemodynamics measured by said hemodynamics measuring means,

wherein said control means compares between a pulse wave propagation parameter change threshold that is stored in said control means to monitor an amount of said change in said pulse wave propagation parameter and detect a change in trend in said pulse wave propagation parameter, compares between a hemodynamics change threshold stored in said control means to monitor an amount of change in the hemodynamics, detects a change in trend in said hemodynamics measured, and updates said pulse wave propagation parameter change threshold based on results of the two comparisons with said thresholds and the detected change in trends.

5. The blood pressure monitoring apparatus according to claim 4, wherein said control means controls said blood pressure measuring means to measure the blood pressure based on a comparison between an updated pulse wave propagation parameter change threshold and the pulse wave propagation parameter measured by said pulse wave propagation parameter measuring means.