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EP0487726A1 Expired / Lapsed EP ⏱️ 0.0 years remaining

Device for measuring blood flow velocity and quantity in aorta

Assignee: Tomita Mitsuei
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Filing: 1990-06-19
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Granted: —
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Expires: 2010-06-19
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Abstract

Abstract The blood flow in the upper arm is obstructed by a blood flow obstruction bag (220) in a cuff (200) applied to the upper arm. The flow obstruction bag is provided with a front detecting bag (210) and rear one (230) on the up- and down-stream sides thereof respectively, and a front sensor (110) and rear one (120) are provided for detecting pressure in respective detecting bags. Each sensor detects front pulse waves (Wf) and rear ones (Wb) respectively. Standard internal pressure in the cuff is controlled by a pneumatic pump (140) and a leak valve (150) controlled by the CPU (130). With every pulse wave monitored, the internal standard pressure in the cuff can be maintained at systolic phase pressure SP or diastolic phase pressure DP. A propagation speed of the pulse wave passing beneath the cuff whose internal pressure is maintained at the systolic phase pressure SP can be found from the time of delay SPdt of the rear pulse wave from the front pulse wave and is approximate to a blood flow velocity VH when the aorta is at high pressure. A blood flow velocity VL when the aorta is at low pressure is found when dividing the blood flow velocity VH by a given coefficient R. The rear pulse wave obtained when the standard internal pressure is maintained at the diastolic phase pressure DP becomes an approximate aortic wave. On the basis of the waveform of this approximate aortic wave, effective cross-sectional areas SH and SL of the blood flow are found and a blood flow quantity per unit pulse is calculated by multiplying the cross-sectional area by the blood flow velocity.

Inventors

  • 👤 Mitsuei Tomita

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-11-09 20:20
CPC Classifications
A; A61; A61B; A61B5/00; A61B5/02; A61B5/021; A61B5/022; A61B5/02208; A61B5/0225; A61B5/026; A61B5/029; A61B5/0285

Claims Analysis

Total Claims: 7
Claim 1
Independent Claim 199 words
An apparatus for measuring a blood flow velocity in an aorta, comprising: a cuff (200) including three bags of a blood flow shutting bag (220) for shutting a blood flow of an upper arm, a forward detection bag (210) for detecting a pulse wave heading to the blood flow shutting bag, and a rear detection bag (230) for detecting a pulse wave which has cleared the blood flow shutting bag; pressure control means (130, 140, 150) for retaining a reference internal pressure of the blood flow shutting bag and the respective detection bags at a systolic pressure SP; a forward sensor (110) for detecting as a forward pulse wave (Wf) a pressure change generated in the forward detection bag; a rear sensor (120) for detecting as a rear pulse wave (Wb) a pressure change generated in the rear detection bag with a delay time SPdt from a detection time of the forward pulse wave; calculating means (130) for dividing a distance L between the forward detection bag and the rear detection bag by the delay time SPdt to obtain a quotient, and outputting the quotient as a blood flow velocity VH of an aorta in a high pressure period.
Claim 2
Dependent Claim 69 words
An apparatus according to claim 1, further comprising means for obtaining a systolic pressure SP, a diastolic pressure DP, a dicroticnotch pressure DNP, calculating a coefficient R based on Equation R=(SP-DP)/(DNP-DP) , calculating a quotient by dividing the blood flow velocity VH in the high pressure period by the coefficient R, and outputting the quotient as a blood flow velocity VL in the aorta in a low pressure period.
Claim 3
Independent Claim 260 words
An apparatus for measuring a blood flow velocity in an aorta, comprising: a cuff (200) including three bags of a blood flow shutting bag (220) for shutting a blood flow of an upper arm, a forward detection bag (210) for detecting a pulse wave heading to the blood flow shutting bag, and a rear detection bag (230) for detecting a pulse wave which has cleared the blood flow shutting bag; a forward sensor (110) for detecting as a forward pulse wave (Wf) a pressure change generated in the forward detection bag; a rear sensor (120) for detecting as a rear pulse wave (Wb) a pressure change generated in the rear detection bag with a delay time dt from a detection time of the forward pulse wave; pressure control means (130, 140, 150) for gradually decreasing a reference internal pressure of the blood flow shutting bag and the respective detection bags from a sufficiently high pressure for shutting a blood flow, and retaining the reference internal pressure as a pressure SP when the rear sensor detects a rear pulse wave for a first time; and means (130) for, while the pressure control means is retaining the reference internal pressure at the pressure SP, obtaining a delay time SPdt of the rear pulse wave with respect to the forward pulse wave, calculating a quotient by dividing a distance L between the forward detection bag and the rear detection bag by the delay time SPdt, and outputting the quotient as a blood flow velocity VH of the aorta in a high pressure period.
Claim 4
Independent Claim 421 words
An apparatus for measuring a blood flow velocity in an aorta, comprising: a cuff (200) including three bags of a blood flow shutting bag (220) for shutting a blood flow of an upper arm, a forward detection bag (210) for detecting a pulse wave heading to the blood flow shutting bag, and a rear detection bag (230) for detecting a pulse wave which has cleared the blood flow shutting bag; a forward sensor (110) for detecting as a forward pulse wave (Wf) a pressure change generated in the forward detection bag; a rear sensor (120) for detecting as a rear pulse wave (Wb) a pressure change generated in the rear detection bag with a delay time dt from a detection time of the forward pulse wave; agreement judging means (130) for delaying the forward pulse wave by the delay time dt to superpose the forward pulse wave on the rear pulse wave, and judging whether or not lower parts of both the pulse waves agree with each other with a set precision; pressure control means (130, 140, 150) for gradually decreasing a reference internal pressure of the blood flow shutting bag and the respective detection bags from a sufficiently high value for shutting a blood flow, retaining the reference internal pressure as a pressure SP during a first period when the rear sensor detects a rear pulse wave for a first time, gradually decreasing the reference internal pressure after the first period of time is over, and retaining the reference internal pressure as a pressure DP during a second period when the agreement judging means agrees; means (130) for obtaining a delay time SPdt of the rear pulse wave with the forward pulse wave in the first period, dividing a distance L between the forward detection bag and the rear detection bag by the delay time SPdt to calculate a quotient, and outputting the quotient as a blood flow velocity VH of the aorta in a high pressure period; and means (130) for recognizing a rear pulse wave detected by the rear sensor in the second period as an approximate aortic wave near a heart, obtaining a systolic pressure SP, a diastolic pressure DP and a dicroticnotch pressure DNP based on the approximate aortic wave, calculating a coefficient R based on Equation R=(SP-DP)/(DNP-DP) , calculating a quotient by dividing the blood flow velocity VH in the high pressure period by the coefficient R, and outputting the quotient as a blood flow velocity VL of the aorta in a low pressure period.
Claim 5
Independent Claim 321 words
An apparatus for measuring a blood flow volume in an aorta, comprising: a cuff (200) including three bags of a blood flow shutting bag (220) for shutting a blood flow of an upper arm, a forward detection bag (210) for detecting a pulse wave heading to the blood flow shutting bag, and a rear detection bag (230) for detecting a pulse wave which has cleared the blood flow shutting bag; pressure control means (130, 140, 150) for retaining a reference internal pressure of the blood flow shutting bag and the respective detection bags at a systolic pressure SP and a diastolic pressure DP; a forward sensor (110) for detecting as a forward pulse wave (Wf) a pressure change generated in the forward detection bag; a rear sensor (120) for detecting as a rear pulse wave (Wb) a pressure change generated in the rear detection bag with a delay time dt from a detection time of the forward pulse wave; means (130) for obtaining a delay time SPdt of the rear pulse wave with the forward pulse wave when the reference internal pressure is retained at the systolic pressure SP, dividing a distance L between the forward detection bag and the rear detection bag by the delay time SPdt to calculate a quotient, and giving the quotient as a blood flow velocity VH of the arota in a high pressure period; and means (130) for recognizing a rear pulse wave detected when the reference internal pressure is retained at the diastolic pressure DP as an approximate aortic wave, obtaining a blood flow effective sectional area SH of the aorta in the high pressure period based on a waveform of the approximate aortic wave before a dicroticnotch, and multiplying the blood flow velocity VH in the high pressure period with the blood flow effective sectional area SH in the high pressure period to give a blood flow volume in the high pressure period.
Claim 6
Dependent Claim 134 words
An apparatus according to claim 5, further comprising means (130) for obtaining a systolic pressure SP, a diastolic pressure DP, a dicroticnotch pressure DNP based on the recognized approximate aortic wave, calculating a coefficient R based on Equation R=(SP- DP)/(DNP-DP) , dividing the blood flow velocity VH in the high pressure period by the coefficient R to calculate a blood flow velocity VL of the aorta in a low pressure period, obtaining a blood flow effective sectional area SL of the aorta in the low pressure period based on a waveform of the approximate aortic wave after the dicroticnotch, and multiplying the blood flow velocity VL in the low pressure period with the blood flow effective area SL in the low pressure period to give a blood flow volume in the low pressure period.
Claim 7
Independent Claim 556 words
An apparatus for measuring a blood flow volume in an aorta, comprising: a cuff (200) including three bags of a blood flow shutting bag (220) for shutting a blood flow of an upper arm, a forward detection bag (210) for detecting a pulse wave heading to the blood flow shutting bag, and a rear detection bag (230) for detecting a pulse wave which has cleared the blood flow shutting bag; a forward sensor (110) for detecting as a forward pulse wave (Wf) a pressure change generated in the forward detection bag; a rear sensor (120) for detecting as a rear pulse wave (Wb) a pressure change generated in the rear detection bag with a delay time dt from a detection time of the forward pulse wave; agreement judging means (130) for delaying the forward pulse wave by the delay time dt to superpose the forward pulse wave on the rear pulse wave, and judging whether or not lower parts of both the pulse waves agree with each other with a set precision; pressure control means (130, 140, 150) for gradually decreasing a reference internal pressure of the blood flow shutting bag and the respective detection bags from a sufficiently high value for shutting a blood flow, retaining the reference internal pressure as a pressure SP during a first period when the rear sensor detects a rear pulse wave for a first time, gradually decreasing the reference internal pressure after the first period of time is over, and retaining the reference internal pressure as a pressure DP during a second period when the agreement judging means agrees; means (130) for obtaining a delay time SPdt of the rear pulse wave with the forward pulse wave in the first period, dividing a distance L between the forward detection bag and the rear detection bag by the delay time SPdt to calculate a quotient, and outputting the quotient as a blood flow velocity VH of the aorta in a high pressure period; and means (130) for recognizing a rear pulse wave detected by the rear sensor in the second period as an approximate aortic wave near a heart, obtaining a systolic pressure SP, a diastolic pressure DP and a dicroticnotch pressure DNP based on the approximate aortic wave, calculating a coefficient R based on Equation R=(SP-DP)/(DNP-DP) , calculating a quotient by dividing the blood flow velocity VH in the high pressure period by the coefficient R, and outputting the quotient as a blood flow velocity VL of the aorta in a low pressure period; means (130) for obtaining a blood flow effective sectional area SH of the aorta in the high pressure period based on a waveform of the approximate aortic wave before a dicroticnotch, and multiplying the blood flow velocity VH in the high pressure period with the blood flow effective sectional area SH in the high pressure period to give a blood flow volume in the high pressure period; and means (130) for obtaining a blood flow effective sectional area SL of the aorta in the low pressure period based on the waveform of the approximate aortic wave after the dicroticnotch, and multiplying the blood flow velocity VL in the low pressure period with the blood flow effective sectional area SL in the low pressure period to give a blood flow volume in the low pressure period.

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