JP2016501055A - 改良された血圧モニタ及び方法 - Google Patents
改良された血圧モニタ及び方法 Download PDFInfo
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- JP2016501055A JP2016501055A JP2015541950A JP2015541950A JP2016501055A JP 2016501055 A JP2016501055 A JP 2016501055A JP 2015541950 A JP2015541950 A JP 2015541950A JP 2015541950 A JP2015541950 A JP 2015541950A JP 2016501055 A JP2016501055 A JP 2016501055A
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- Prior art keywords
- pressure
- doppler
- cuff
- flow velocity
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/48—Diagnostic techniques
- A61B8/488—Diagnostic techniques involving Doppler signals
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/04—Measuring blood pressure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/021—Measuring pressure in heart or blood vessels
- A61B5/022—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/021—Measuring pressure in heart or blood vessels
- A61B5/022—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
- A61B5/02208—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers using the Korotkoff method
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/021—Measuring pressure in heart or blood vessels
- A61B5/022—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
- A61B5/02225—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers using the oscillometric method
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/021—Measuring pressure in heart or blood vessels
- A61B5/022—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
- A61B5/0225—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/40—Detecting, measuring or recording for evaluating the nervous system
- A61B5/4058—Detecting, measuring or recording for evaluating the nervous system for evaluating the central nervous system
- A61B5/4064—Evaluating the brain
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
- A61B5/7271—Specific aspects of physiological measurement analysis
- A61B5/7285—Specific aspects of physiological measurement analysis for synchronising or triggering a physiological measurement or image acquisition with a physiological event or waveform, e.g. an ECG signal
- A61B5/7289—Retrospective gating, i.e. associating measured signals or images with a physiological event after the actual measurement or image acquisition, e.g. by simultaneously recording an additional physiological signal during the measurement or image acquisition
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/06—Measuring blood flow
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2505/00—Evaluating, monitoring or diagnosing in the context of a particular type of medical care
- A61B2505/01—Emergency care
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2505/00—Evaluating, monitoring or diagnosing in the context of a particular type of medical care
- A61B2505/03—Intensive care
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2505/00—Evaluating, monitoring or diagnosing in the context of a particular type of medical care
- A61B2505/05—Surgical care
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/026—Measuring blood flow
- A61B5/0285—Measuring or recording phase velocity of blood waves
Abstract
Description
Claims (12)
- 患者の動脈圧を非侵襲的に連続してリアルタイムでモニタリングする方法であって、
a)血圧カフを提供し、前記カフを前記患者の四肢の周囲に取り付けることと、
b)ドップラー超音波プローブを提供し、前記プローブを前記カフの下の遠位動脈上に位置決めし、前記プローブを用いてドップラー血流速度を連続して測定することと、
c)前記ドップラー血流速度をプロセッサに入力することであって、前記プロセッサは、前記ドップラー血流速度の波形信号を生成する、入力することと、
d)前記カフを膨張させ、ドップラー血流速度の持続的変化が生じるカフ圧で、拡張期血圧を測定することと、
e)前記カフを更に膨張させ、ドップラー血流速度がゼロであるカフ圧で収縮期血圧を測定することと、
f)前記カフを減圧させることと、
g)最大血流速度の前記ドップラー波形信号ピークを前記収縮期血圧に相関付け、拡張終期最小速度の前記ドップラー波形信号トラフを前記拡張期血圧に相関付けることと、
h)前記連続して測定されるドップラー血流速度の関数として、アルゴリズムを用いて計算収縮期圧及び計算拡張期圧を生成することと、
を含む、方法。 - ステップd)〜g)は、ある時間間隔で繰り返されて、前記ドップラー血流速度を前記収縮期血圧及び前記拡張期血圧に再較正する、請求項1に記載の方法。
- 前記時間間隔は約3分、約4分、約5分、約6分、約7分、約8分、約9分、又は約10分である、請求項2に記載の方法。
- 前記カフ圧は血圧計によって測定される、請求項1に記載の方法。
- 前記カフ圧はオシロメータによって測定される、請求項1に記載の方法。
- 平均動脈圧の測定を更に含む、請求項5に記載の方法。
- ステップf)は、前記ドップラープローブが初期血流速度を示すカフ圧で収縮期血圧を測定することと、前記ドップラープローブ信号が弱められるカフ圧で拡張期血圧を測定することとを更に含む、請求項1に記載の方法。
- ステップd)〜f)を連続して繰り返すことにより、収縮期圧及び拡張期圧の連続測定値を生成することを更に含み、ステップf)での前記カフの減圧は、拡張期血圧の測定時に停止され、その後、繰り返されるステップd)において前記カフは膨張される、請求項7に記載の方法。
- 前記ドップラープローブは主幹動脈上に位置決めされる、請求項1に記載の方法。
- 患者の頸動脈での動脈圧の特定を介して、頭蓋灌流を非侵襲的に連続してリアルタイムでモニタリングする方法であって、
a)ドップラー超音波プローブ及び血圧カフを提供し、前記カフを前記患者の四肢の周囲に取り付け、前記プローブを遠位動脈上に配置することと、
b)第2のドップラー超音波プローブを提供し、前記プローブを首の頸動脈上に位置決めし、前記プローブを用いてドップラー血流速度を連続して測定することと、
c)前記ドップラー血流速度をプロセッサに入力することであって、前記プロセッサは、前記ドップラー血流速度の波形信号を生成する、入力することと、
d)前記カフと前記頸動脈との垂直高さ差を測定することと、
e)前記カフを膨張させ、ドップラー血流速度の持続的な変化が生じるカフ圧で拡張期血圧を測定することと、
f)前記カフを更に膨張させ、ドップラー血流速度がゼロであるカフ圧で収縮期血圧を測定することと、
g)前記カフを減圧することと、
h)前記高さ差の関数として、前記頸動脈での補正拡張期血圧及び補正収縮期血圧を特定することであって、1cmの高さは0.77mmHgの圧力降下に等しい、特定することと、
i)最大血流速度の前記ドップラー波形信号ピークを前記補正収縮期血圧に相関付け、拡張終期最小速度の前記ドップラー波形信号トラフを前記補正拡張期血圧に相関付けることと、
j)前記連続して測定されるドップラー血流速度の関数として、アルゴリズムを用いて計算収縮期圧及び計算拡張期圧を生成することと、
を含む、方法。 - 前記第2のドップラープローブは、中大脳動脈上に配置される、請求項10に記載の方法。
- 患者の動脈圧を非侵襲的に連続してリアルタイムでモニタリングするシステムであって、
血圧カフと、
少なくとも1つのドップラー超音波プローブと、
ドップラー血流速度の波形信号を生成するプロセッサと、
前記血圧カフを用いて特定された血圧に前記波形信号を相関付けるプロセッサと、
前記ドップラー血流速度の関数として、アルゴリズムを用いて収縮期血圧及び拡張期血圧を生成するプロセッサと、
を備える、システム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201261723910P | 2012-11-08 | 2012-11-08 | |
US61/723,910 | 2012-11-08 | ||
PCT/US2013/069275 WO2014074901A1 (en) | 2012-11-08 | 2013-11-08 | Improved blood pressure monitor and method |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2016501055A true JP2016501055A (ja) | 2016-01-18 |
JP2016501055A5 JP2016501055A5 (ja) | 2016-12-28 |
Family
ID=50685204
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2015541950A Pending JP2016501055A (ja) | 2012-11-08 | 2013-11-08 | 改良された血圧モニタ及び方法 |
Country Status (6)
Country | Link |
---|---|
US (1) | US20150230774A1 (ja) |
EP (1) | EP2916725A4 (ja) |
JP (1) | JP2016501055A (ja) |
KR (1) | KR20150082401A (ja) |
CN (1) | CN104883967A (ja) |
WO (1) | WO2014074901A1 (ja) |
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EP3278735A1 (en) | 2016-08-03 | 2018-02-07 | PI-Harvest Holding AG | A system and method for non-invasive measurement of pressure inside a body including intravascular blood pressure |
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US11006842B2 (en) * | 2017-03-02 | 2021-05-18 | Atcor Medical Pty Ltd | Non-invasive brachial blood pressure measurement |
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CN107822615B (zh) * | 2017-11-16 | 2020-09-18 | 北京悦琦创通科技有限公司 | 血压测量设备和信号处理方法 |
EP3513717A1 (en) | 2018-01-23 | 2019-07-24 | Koninklijke Philips N.V. | Blood pressure monitoring |
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KR102470320B1 (ko) | 2022-01-26 | 2022-11-25 | 이미아 | 생체 정보를 측정하여 분석 이미지를 제공하는 방법 및 그 검사 장치 |
CN114652351B (zh) * | 2022-05-24 | 2022-10-14 | 苏州圣泽医疗科技有限公司 | 基于超声多普勒的连续血压测量方法、装置和电子设备 |
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2013
- 2013-11-08 EP EP13853268.4A patent/EP2916725A4/en not_active Withdrawn
- 2013-11-08 KR KR1020157014377A patent/KR20150082401A/ko not_active Application Discontinuation
- 2013-11-08 CN CN201380066062.6A patent/CN104883967A/zh active Pending
- 2013-11-08 JP JP2015541950A patent/JP2016501055A/ja active Pending
- 2013-11-08 WO PCT/US2013/069275 patent/WO2014074901A1/en active Application Filing
-
2015
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CN104883967A (zh) | 2015-09-02 |
KR20150082401A (ko) | 2015-07-15 |
EP2916725A4 (en) | 2016-07-06 |
US20150230774A1 (en) | 2015-08-20 |
EP2916725A1 (en) | 2015-09-16 |
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