Abstract:
A miniaturized transducer for in vivo measurements of physiological pressure has a transducer unit (2, 3) and an inner tube (1) with a wall opening (6). A diaphragm (5) covers the wall opening. Distinguishing for the invention is that the diaphragm is protected by an outer tube (8) arranged outside the inner tube, and having a wall opening (9) situated radially opposite the wall opening of the inner tube. An end closure closes off the distal end of the tube and a seal (16) seals the outer tube against the inner tube. The lumen (4) of the inner tube is in communication with the atmospheric pressure.
Abstract:
An apparatus for sensing in vivo the fluid pressure differential between spaced locations uses a single pressure transducer (34). The transducer has a deformable member (40) mounted to a housing; a conduit (26) extends within the housing (20) with one end (28) opening at a location spaced from the transducer and the other end opening adjoining the inner surface of the member. With the housing inserted in the biological fluid vessel, the outer surface of the deformable member is exposed to the fluid pressure adjacent the member, while the inner surface is exposed to the fluid pressure within the conduit. The deformable member flexes in response to the fluid pressure differential across the member, which is a direct measure of the fluid pressure differential between spaced-apart locations in the fluid-filled vessel. Strain gauges are mounted to the member to generate a signal indicative of the pressure differential, with electrical leads (50) coupled to the strain gauges and received in a catheter threaded in the vessel.
Abstract:
An optical reflection hydrophonic probe is useful for determining the pressure-time behaviour of pressure waves in fluids. One end of an optical waveguide (glass fibre) dips into the fluid. The reflection of light at the tip of the glass fibre is combined with the pressure amplitude in the fluid by means of the relationship between refractive index and density. This hydrophonic probe can capture pressure signals of high rate of rise and amplitude, and offers long service life and trouble-free performance.
Abstract:
The guide wire includes a miniaturised pressure sensor (1), which is disposed at the distal end of the guide wire. The latter also includes a ventilation passage (4, 15) intended to connect the pressure sensor to ambient atmospheric pressure.
Abstract:
An apparatus and method for non-invasive, noise insensitive blood pressure determination which is useful in a battlefield or emergency vehicle environment. The system features an occlusion bladder (10) and a sensing bladder (12) both adapted to fit over the limb (8) of a patient. The pressure in the occlusion bladder (10) is raised to a value which prevents flow and is then gradually decreased. The pressure in both bladders is monitored. When the pressure in the sensing bladder (12) reaches a minimum value, the pressure in the occlusion bladder (10) is equal to the systolic pressure. The first, second and third time derivatives of the pressure in the sensing bladder are monitored. The first derivative is useful in identifying the minimum in the pressure in the sensing bladder (12). When the third time derivative of the pressure in the sensing bladder (12) passes through zero, the pressure in the occlusion bladder (10) is equivalent to the mean arterial pressure. The diastolic pressure can be calculated from the values of the systolic and mean arterial pressures.
Abstract:
Infusion unit with a device for determining the central venous blood pressure, comprising an infusion bottle (2) and an infusion line (4) wherein is inserted a pressure determination chamber (7), as well as a disconnecting device (8) provided between the infusion bottle (2) and the pressure determination chamber. The pressure determination chamber (7) includes a first readily deformable chamber (27) and a second readily deformable chamber (16), the first chamber (27) being connected to the infusion line (4) and to a vein catheter (5) and the second chamber (16) being connected by a flexible line (14) to the rising pipe (13).
Abstract:
The method for the examination of the state of a cardiovascular system provides for the determination of quantitative values, which characterize a blood supply occurring in each of examined parts of a body, and which correspond to the sum of absolute values of areas, enclosed by all positive and negative half-cycles formed by the first-order time derivative of a pulsation pressure, which oscillates inside a blood vessel of the examined part of the body. Sums and ratios of said values are computed for sampling populations of the body parts and are compared with the average statistical ranges of the appropriate values, sums and ratios, which were found as typical for both healthy organisms and for organisms having known pathological deviations. Results obtained thereby are interpreted for diagnosing the state of the cardiovascular system. The device comprises channels (5) provided for the measurement of the values characterizing the blood supply, the number of which channels corresponds to the number of the examined parts of the body. Each of the channels comprises an occlusion cuff (2) by which a pressure on the examined body part is exerted through a pneumatic splitter (7) from a source (1) of the variating pressure, a tachooscillation transducer (3) separating the first-order time derivative of the pulsation pressure applied upon the cuff (2), a unit (6) effecting the measurements of the quantitative values of the blood supply and a recording unit (4). The computation of the sums and of the ratios of the quantitative values characterizing the blood supply occuring in the sampling populations of the body parts, as well as their comparison with said average statical ranges is performed by a computing unit (29).
Abstract:
An arrangement (7) for the non-invasive determination of the minute volume Q of the heart is arranged to determine the amount of a sufficiently soluble gas, e.g. carbon dioxide or nitrous oxide, present in the blood, prior to and subsequent to the passage of the blood through the heart. The expired and inspired gases are separated from one another with each breath taken. Transducers (15, 16, 17) feed respective devices for determining the gas content of the respiration gas (10), and the magnitude of the expiration gas flow (8) and the inspiration gas flow (18). These devices (10, 8, 18) are controlled by a microprocessor (6), which is programmed to supply gas from a gas source (12), to meter the gas during a subsequent inspiration cycle, and to control an indicator (9) for the Q-value. The gas is controlled in a manner such that the gas-content of the lungs is changed in accordance with a given programme. The Q-value is calculated for pairs of respiration cycles in accordance with the formula (I), in which V1 is the effective gas flow/unit time for a respiration cycle; V2 is the effective gas flow/unit time for the next respiration cycle; Ca1 is the gas content of arterial blood for the first respiration cycle; Ca2 is the gas content of arterial blood for the next respiration cycle. The microprocessor (6) is arranged to calculate Q for a plurality of pairs of respiration cycles (e.g. 5 - 6 pairs) with a given number of respiration cycles therebetween (e.g. 4), and to send to the indicator (9) a signal corresponding to the mean value of the Q-values obtained.
Abstract:
An electronic method and apparatus for automatically determining systolic and diastolic blood pressures and heart rate by accurately detecting, verifying and evaluating the full stream of korotkoff sounds produced as electrical signals from a microphone (214) in a cuff (200) occluding the brachial artery of a patient and the corresponding blood pressure pulse signals which accompany and are precursors to genuine korotkoff sound signals. Blood pressure is measured with the aid of a programmed data processor (216) such as a microprocessor. Waveform analysis is first performed upon the incoming signal waveforms to initially separate true pressure pulses and korotkoff sound signals from a variety of artifact and noise signals and to provide digital pulse streams in memory correctly indicating proper pressure pulse and korotkoff sound occurrences in the time and blood pressure domains, with each pressure pulse proportional in amplitude to the amplitude of the corresponding detected precursor input pressure signal represented and each korotkoff pulse proportional to the negative slope amplitude of the corresponding detected korotkoff sound. The ouput pulse signal streams are then further analyzed by the digital processing subsystem and compared with each other to additionally remove any noise and artifact signals passed as otherwise misleading genuine signals, to modify and certify the resultant data as either reliable or suspect, to determine heart rate and the most probable values of systolic and diastolic blood pressure levels indicated by the pulse signal streams detected during the measurement cycle.
Abstract:
A physiological pressure sensing and monitoring system (10) including a sterile throwaway pressure transducing device (11). The device (11) includes a pressure transducer (16) mounted together with a flow control valve (14) in a housing (12). The device includes a first connector (21) for connecting the device to a source of sterile solution (18), a second connector (28) for electrically connecting the pressure transducer to a monitoring device (26), and a third connector (22) for selectively connecting the device to a catheter (33) inserted into a patient's circulatory system. The device, including the connectors, is made to be low cost so as to permit the entire device to be installed and discarded as a unit so as to constitute a throwaway pressure sensing and flow regulating means. A number of different embodiments of the pressure transducer are disclosed, each of which constitutes a low cost, accurate pressure transducing means arranged to have high electrical isolation relative to the fluid in a pressure chamber (13) of the housing, the pressure of which is continuously sensed by the transducer. In one embodiment, the force collector for transmitting the pressure force to the strain gage (55) is formed as a one-piece unit. In a number of the embodiments, the elements are formed separately and bonded together.