Blood pressure measurement device and control method of the same

• US 8,348,851 B2
• Filed: 04/23/2010
• Issued: 01/08/2013
• Est. Priority Date: 10/25/2007
• Status: Active Grant

• Current Assignee: Terumo Kabushiki Kaisha
• Original Assignee: Public University Corporation Yokohama City University, Terumo Kabushiki Kaisha
• Inventors: Inoue, Kouichi, Tochikubo, Osamu
• Primary Examiner(s): Natnithithadha, Navin
• Assistant Examiner(s): BERHANU, ETSUB D
• Application Number:
  US12/766,558
• Publication Number:
  US 20100210957A1
• Time in Patent Office: 991 Days
• Field of Search: 600/485, 600/493
• US Class Current: 600/485
• CPC Class Codes: A61B 5/02141 Details of apparatus construction, e.g. pump units or housings therefor, cuff pressurising systems, arrangements of fluid conduits or circuits A61B5/02233, A61B5/0235 take precedence
• 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

This invention provides a user with information by which the reliability of a measured blood pressure value can be determined. A blood pressure measurement device includes a cuff which presses a blood pressure measurement portion, a pressure control means for pressurizing or depressurizing the interior of the cuff, a pressure sensor which senses the internal pressure of the cuff, a pulse wave signal extracting means for extracting time-series data of a pulse wave signal superposed on the cuff internal pressure sensed by the pressure sensor, in the process in which the pressure control means pressurizes or depressurizes the cuff, and a display means for displaying a pulse waveform corresponding to a pulse wave signal of at least one period, together with the value of a cuff internal pressure corresponding to the pulse wave signal, based on the extracted pulse wave signal time-series data.

Claims

1. A blood pressure measurement device comprising:

a cuff adapted to press a blood pressure measurement portion, wherein said cuff includes a large cuff for blocking a blood vessel, and a small cuff for detecting a pulse wave, wherein said large cuff and said small cuff are connected via a fluid resistance;

a pressure control unit adapted to pressurize or depressurize an interior of said large cuff;

a pressure sensor adapted to sense an internal pressure of said small cuff;

a pulse wave signal extracting unit adapted to extract time-series data of a pulse wave signal superposed on the cuff internal pressure sensed by said pressure sensor, in a process in which said pressure control unit pressurizes or depressurizes said large cuff; and

a blood pressure determination unit adapted to determine a diastolic blood pressure value and a systolic blood pressure value based on the extracted pulse wave signal time-series data;

a display unit adapted to display a pulse waveform corresponding to a pulse wave signal of at least one period, together with a value of a cuff internal pressure corresponding to the pulse wave signal;

wherein the diastolic blood pressure value is determined based on (i) the cuff pressure when the phase difference between the bottom point produced ahead of the peak point of the pulse wave signal and the appearance of the maximum gradient point is smaller than a first predetermined threshold value, or (ii) the cuff pressure when the displacement of the bottom point produced ahead of or behind the peak point of the pulse wave signal from the maximum gradient point is smaller than a second predetermined value; and

wherein the systolic blood pressure value is determined based on (iii) the cuff pressure value at a point where the phase difference between the bottom point produced ahead of the peak point of the pulse wave signal and the appearance of the maximum gradient point shows a large change having no value continuity when the phase difference for each pulse wave signal is checked in order from a pulse wave signal corresponding to the lowest cuff pressure, or (iv) the cuff pressure value at a point where the displacement of the bottom point produced ahead of or behind the peak point of the pulse wave signal from the maximum gradient point shows a large change having no value continuity when the displacement for each pulse wave signal is checked in order from a pulse wave signal corresponding to the lowest cuff pressure.

2. The blood pressure measurement device according to claim 1, further comprising:

a list display unit adapted to display, in a form of a list for each period, each of a plurality of one-period pulse wave signals contained in the extracted pulse wave signal time-series data; and

a selecting unit adapted to select one of the plurality of one-period pulse wave signals displayed in the form of a list,

wherein said display unit displays the one-period pulse wave signal selected by said selecting unit, together with a value of a cuff internal pressure corresponding to the one-period pulse wave signal.

3. The blood pressure measurement device according to claim 1, further comprising:

a time-series display unit adapted to display the extracted pulse wave signal time-series data as a two-dimensional graph in which the cuff internal pressure is plotted on a first axis and time is plotted on a second axis; and

a selecting unit adapted to select one time included in a period of the pulse wave signal time-series data displayed as the two-dimensional graph,

wherein said display unit displays a one-period pulse wave signal corresponding to the time selected by said selecting unit, together with a value of a cuff internal pressure corresponding to the one-period pulse wave signal.

4. The blood pressure measurement device according to claim 1, wherein said display unit updates and displays, every pre-designated time interval, a pulse waveform corresponding to a pulse wave signal of latest N periods (N is a natural number) contained in the pulse wave signal time-series data extracted by said pulse wave signal extracting unit, together with a value of a cuff internal pressure corresponding to the pulse wave signal.

5. The blood pressure measurement device according to claim 1, wherein said pulse wave signal extracting unit is configured to provide a temporal resolution of the pulse wave signal time-series data of not less than 250 Hz.

6. A control method of a blood pressure measurement device comprising a cuff configured to press a blood pressure measurement portion, wherein the cuff includes a large cuff for blocking a blood vessel and a small cuff for detecting a pulse wave, wherein the large cuff and the small cuff are connected via fluid resistance, a pressure control unit which pressurizes or depressurizes an interior of the large cuff, and a pressure sensor which senses an internal pressure of the small cuff, comprising:

extracting time-series data of a pulse wave signal superposed on a cuff internal pressure sensed by the pressure sensor, while the pressure control unit is pressurizing or depressurizing the large cuff;

determining a diastolic blood pressure value and a systolic blood pressure value based on the extracted pulse wave signal time-series data; and

displaying a pulse waveform corresponding to a pulse wave signal of at least one period, together with a value of a cuff internal pressure corresponding to the pulse wave signal;

wherein the diastolic blood pressure value is determined based on (i) the cuff pressure when the phase difference between the bottom point produced ahead of the peak point of the pulse wave signal and the appearance of the maximum gradient point is smaller than a first predetermined threshold value, or (ii) the cuff pressure when the displacement of the bottom point produced ahead of or behind the peak point of the pulse wave signal from the maximum gradient point is smaller than a second predetermined value; and

wherein the systolic blood pressure value is determined based on (iii) the cuff pressure value at a point where the phase difference between the bottom point produced ahead of the peak point of the pulse wave signal and the appearance of the maximum gradient point shows a large change having no value continuity when the phase difference for each pulse wave signal is checked in order from a pulse wave signal corresponding to the lowest cuff pressure, or (iv) the cuff pressure value at a point where the displacement of the bottom point produced ahead of or behind the peak point of the pulse wave signal from the maximum gradient point shows a large change having no value continuity when the displacement for each pulse wave signal is checked in order from a pulse wave signal corresponding to the lowest cuff pressure.