Abstract:
There is disclosed herein a method of obtaining certain information about the blood pressure of a given patient by means of a particular blood pressure technique, specifically by means of oscillometry, in which the pressurizable pressure transducing bladder (18) located adjacent and cooperating with a particular artery of the patient (12), is used in combination with means (24) for pressurizing the bladder (18) in a controlled way in order to provide the desired information. The particular artery used is the patient's supraorbital artery (14) which is readily accessible in a specific area just above the eyebrow of substantially all patients. There is also disclosed herein a blood pressure transducing bladder assembly (16) which is specifically designed to easily access the supraorbital artery (14) of substantially all patients using the eyebrow and nose of each patient as a frame of reference.
Abstract:
In conventional processes for measuring blood pressure, a pressure cuff is applied to an extremety such as the upper arm or a finger and all the blood vessels supplying this extremity are completely or partially compressed for the entire duration of the blood pressure measurement or at least periodically. Until now, it has not been possible to measure blood pressure continously without considerable damage to the patient. The process for measuring blood pressure according to the invention is monoarterial and therefore the supply to the corresponding extremity is never cut off. To determine the blood pressure curve, given characteristic values, such as maximum amplitude, for consecutive blood pressure pulses are compared and used to determine the true pulse pressure curve.
Abstract:
Continuous, non-invasive method and apparatus for measuring blood pressure parameters and the like are disclosed. The apparatus includes an earpiece (10) for sealing an individual's ear canal so that arterial blood pressure changes adjacent the sealed ear canal (12) produce air pressure changes in the sealed ear canal (12). The apparatus further includes pressure sensing means (24) for measuring the air pressure changes in the sealed ear canal (12) and producing a signal related to the measured air pressure changes. In addition, the apparatus preferably includes processing means (52) for processing the signal to measure blood pressure parameters, as well as means for displaying (58) and/or recording (50) the processed signal. The method may be used to determine heart rate, blood pressure, cardiac output, stroke volume, cardiac function, circulatory function, and other parameters. To obtain absolute pressure readings, two sensors (24a, 24b), one in each ear, may be used to monitor pulse time transit delay.
Abstract:
A method is disclosed for diagnosing, monitoring and treating cardiovascular pathologies. Among the hemodynamic parameters of interest are peripheral resistance, compliance, and cardiac (left ventricular) output. Peripheral resistance determined according to the present invention has been found to be a reliable indicator, not only of hypertension, but also of the cause of the hypertension. The determined peripheral resistance can be compared against a predetermined threshold value. This comparison helps to foster a diagnosis of a hypertensive condition.
Abstract:
A method and apparatus for continuously monitoring cardiac output and SVR of a patient by analyzing the blood pressure signal. The signal waveform is generated by a transducer (20) and can be measured directly by the use of catheters placed into various arteries, in particular a radial artery or a femoral artery, or non-invasive methods such as electrooptic methods, or methods using a piezoelectric transducer. Transducer (20) is connected to an A/D converter (30) which is in turn connected a low pass filter (40). The output of low pass filter (40) is connected to waveform analyzer (50). A calculator (60) receives inputs from waveform analyzer (50) and an input device (10). Various parameters are extracted from the blood pressure signal waveform in order to calculate the cardiac output of the patient and other hemodynamic data.
Abstract:
A noninvasive sensor assembly is provided for measuring the blood pressure in the patient's superficial temporal arteries. The device comprises generally a support base (10), a sensor bladder (12) disposed within the support base (10), a transducer (13), a holding bladder (16), and headband (62) for securing the device to the patient's head. Optionally, a compression plate (14) is provided, the compression plate (14) serving to form an improved contact surface between the support base (10) and the headband (62). The holding bladder (16) serves to attenuate noise and artifacts from exterior sources while isolating the support base (10) against the patient's scalp.
Abstract:
An exciter-detector unit is disclosed which includes an exciter (104) and a detector (105) mounted on a common support (101) for inducing perturbations into the body and detecting the perturbations after they travel a distance through the body.
Abstract:
A method is disclosed for determining the aortic flow velocity waveform non-invasively. A calibrated ascending aorta pressure waveform can be derived from peripheral measurements, for example at the radial artery, and calibrated from conventional syphgmomanometry, for example at the brachial artery. From the calibrated ascending aorta pressure waveform the flow velocity waveform in the ascending aorta can be determined, by using the Fourier transform of the pressure waveform and the age-related phase and modulus values. The method can also be used for invasively measured pressure waveforms to provide a flow waveform.
Abstract:
A blood pressure instrument (10) and method in which analog blood pressure waveform signals are digitized and stored and used to determine blood pressure parameters to make physiological measurements based upon pattern recognition using information empirically obtained from clinical measurements. In a preferred embodiment, the analog waveform signals are obtained non-invasively using an external wrist-mounted displacement transducer (12).
Abstract:
A vascular impedance measurement instrument includes a transducer to obtain a digitized arterial blood pressure waveform. The digitized data is used to determine cardiac output, and to subsequently obtain measurements of impedance parameters using the modified Windkessel model of the arterial system. The instrument is used as an aid in diagnosing, treating and monitoring patients with cardiovascular disease.