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US4677983A Expired / Lapsed US ⏱️ 0.0 years remaining

Method and apparatus for measuring circulatory function

Assignee: Terumo Corp
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Filing: 1986-03-11
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Granted: 1987-07-07
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Expires: 2006-03-11
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Abstract

Abstract A method and apparatus for measuring the circulatory function of a living body in which a systolic blood pressure value is measured based on recognition of an initial Korotkoff sound made at the start of a reduction in pressure of a pressurized cuff affixed to a patient's arm. After the recognition of the initial Korotkoff sound, conditions are relaxed to enable measurement of pulse rate, judgment of the correctness of the systolic blood pressure value and a dicision as to whether applied pressure is adequate, all on the basis of sounds from the patient's blood vessel. Finally, diastolic blood pressure is measured based again on recognition of the Korotkoff sound.

Inventors

  • 👤 Keiji Yamaguchi
  • 👤 Hideo Ishizaka

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-24 14:08
CPC Classifications
A; A61; A61B; A61B5/00; A61B5/02; A61B5/021; A61B5/022; A61B5/02208

Claims Analysis

Total Claims: 32
Claim 1
Independent Claim 285 words
A circulatory function measurement apparatus comprising: pressure control means for controlling pressure applied to a blood vessel of a living body; sound detecting means for detecting a sound from the blood vessel produced due to a change in a value of the pressure applied to the blood vessel by said pressure control means; first recognition means for recognizing whether the sound from the blood vessel detected by said sound detecting means agrees with a first specific condition and for generating first recognition information indicating agreement with the first specific condition; second recognition means for recognizing whether a sound from the blood vessel detected by said sound detecting means agrees witha second specific condition less stringent than the first specific condition and for generating second recognition information indicating agreement with the second specific condition; and measuring means for measuring first and second parameters of circulatory function based on the first and second recognition information from said first and second recognition means, said measuring means selectively measuring the first parameter of circulatory function based upon the first recognition information from said first recognition means when there is a reduction in the pressure applied to the blood vessel by said pressure control means, said measuring, means selectively measuring the second parameter of circulator function based upon the second recognition information from said second recognition means when said first recognition means recognizes that the sound from the blood vessel agrees with the first specific condition, this latter measurement being made for a predetermined period of time after such recognition, and said measuring means again selectively measuring the first parameter of circulatory function based upon the first recognition information from said first recognition means after the predetermined period of time.
Claim 2
Dependent Claim 285 words
A circulatory function measurement apparatus comprising: pressure control means for controlling pressure applied to a blood vessel of a living body; sound detecting means for detecting a sound from the blood vessel produced due to a change in a value of the pressure applied to the blood vessel by said pressure control means; first recognition means for recognizing whether the sound from the blood vessel detected by said sound detecting means agrees with a first specific condition and for generating first recognition information indicating agreement with the first specific condition; second recognition means for recognizing whether a sound from the blood vessel detected by said sound detecting means agrees witha second specific condition less stringent than the first specific condition and for generating second recognition information indicating agreement with the second specific condition; and measuring means for measuring first and second parameters of circulatory function based on the first and second recognition information from said first and second recognition means, said measuring means selectively measuring the first parameter of circulatory function based upon the first recognition information from said first recognition means when there is a reduction in the pressure applied to the blood vessel by said pressure control means, said measuring, means selectively measuring the second parameter of circulator function based upon the second recognition information from said second recognition means when said first recognition means recognizes that the sound from the blood vessel agrees with the first specific condition, this latter measurement being made for a predetermined period of time after such recognition, and said measuring means again selectively measuring the first parameter of circulatory function based upon the first recognition information from said first recognition means after the predetermined period of time.
Claim 3
Dependent Claim 15 words
The apparatus according to claim 1, wherein said first recognition means recognizes a Korotkoff sound.
Claim 4
Dependent Claim 22 words
The apparatus according to claim 1, wherein said second recognition means recognizes a sound produced by blood flowing through the blood vessel.
Claim 5
Dependent Claim 252 words
A circulatory function measurement apparatus comprising: pressure control means for controlling pressure applied to a blood vessel of a living body; sound detecting means for detecting a sound from the blood vessel produced due to a change in a value of the pressure applied to the blood vessel by said pressure control means; first recognition means for recognizing whether a sound from the blood vessel detected by said sound detecting means agrees with a first specific condition; second recognition means for recognizing whether a sound from the blood vessel detected by said sound detecting means agrees with a second specific condition less stringent than the first specific condition; and measuring means for measuring circulatory function based on recognition information from said first and second recognition means; wherein when there is on the decrease in the pressure applied to the blood vessel by said pressure control means, said measuring means selects the recognition information from said first recognition means and treats as a systolic blood pressure value a blood pressure value which prevails when said first recognition means recognizes an initial sound from the blood vessel that agrees with the first specific condition, and thereafter selects the recognition information from said second recognition means to measure pulse rate and again selects the recognition information from said first recognition means and treats as a diastolic blood pressure value a blood pressure value which prevails when said first recognition means recognizes a final sound from the blood vessel that agrees with the first specific condition.
Claim 6
Dependent Claim 252 words
A circulatory function measurement apparatus comprising: pressure control means for controlling pressure applied to a blood vessel of a living body; sound detecting means for detecting a sound from the blood vessel produced due to a change in a value of the pressure applied to the blood vessel by said pressure control means; first recognition means for recognizing whether a sound from the blood vessel detected by said sound detecting means agrees with a first specific condition; second recognition means for recognizing whether a sound from the blood vessel detected by said sound detecting means agrees with a second specific condition less stringent than the first specific condition; and measuring means for measuring circulatory function based on recognition information from said first and second recognition means; wherein when there is on the decrease in the pressure applied to the blood vessel by said pressure control means, said measuring means selects the recognition information from said first recognition means and treats as a systolic blood pressure value a blood pressure value which prevails when said first recognition means recognizes an initial sound from the blood vessel that agrees with the first specific condition, and thereafter selects the recognition information from said second recognition means to measure pulse rate and again selects the recognition information from said first recognition means and treats as a diastolic blood pressure value a blood pressure value which prevails when said first recognition means recognizes a final sound from the blood vessel that agrees with the first specific condition.
Claim 7
Dependent Claim 15 words
The apparatus according to claim 4, wherein said first recognition means recognizes a Korotkoff sound.
Claim 8
Dependent Claim 22 words
The apparatus according to claim 4, wherein said second recognition means recognizes a sound produced by blood flowing through the blood vessel.
Claim 9
Dependent Claim 257 words
A circulatory function measurement apparatus comprising: pressure control means for controlling pressure applied to a blood vessel of a living body; sound detecting means for detecting a sound from the blood vessel produced due to a change in a value of the pressure applied to the blood vessel by said pressure control means; first recognition means for recognizing whether a sound from the blood vessel detected by said sound detecting means agrees with a first specific condition; second recognition means for recognizing whether a sound from the blood vessel detected by said sound detecting means agrees with a second specific condition less stringent than the first specific condition; and measuring means for measuring circulatory function based on recognition information from said first and second recognition means; wherein when there is a reduction in the pressure applied to the blood vessel by said pressure control means, said measuring means selects the recognition information from said first recognition means and treats as a systolic blood pressure value a blood pressure value which prevails when said first recognition means recognizes an initial sound from the blood vessel that agrees with the first specific condition, and thereafter selects the recognition information from said second recognition means to judge the correctness of the systolic blood pressure value and again selects the recognition information from said first recognition means and treats as a diastolic blood pressure value a blood pressure value which prevails when said first recognition means recognizes a final sound from the blood vessel that agrees with the first specific condition.
Claim 10
Dependent Claim 257 words
A circulatory function measurement apparatus comprising: pressure control means for controlling pressure applied to a blood vessel of a living body; sound detecting means for detecting a sound from the blood vessel produced due to a change in a value of the pressure applied to the blood vessel by said pressure control means; first recognition means for recognizing whether a sound from the blood vessel detected by said sound detecting means agrees with a first specific condition; second recognition means for recognizing whether a sound from the blood vessel detected by said sound detecting means agrees with a second specific condition less stringent than the first specific condition; and measuring means for measuring circulatory function based on recognition information from said first and second recognition means; wherein when there is a reduction in the pressure applied to the blood vessel by said pressure control means, said measuring means selects the recognition information from said first recognition means and treats as a systolic blood pressure value a blood pressure value which prevails when said first recognition means recognizes an initial sound from the blood vessel that agrees with the first specific condition, and thereafter selects the recognition information from said second recognition means to judge the correctness of the systolic blood pressure value and again selects the recognition information from said first recognition means and treats as a diastolic blood pressure value a blood pressure value which prevails when said first recognition means recognizes a final sound from the blood vessel that agrees with the first specific condition.
Claim 11
Dependent Claim 15 words
The apparatus according to claim 7, wherein said first recognition means recognizes a Korotkoff sound.
Claim 12
Dependent Claim 22 words
The apparatus according to claim 7, wherein said second recognition means recognizes a sound produced by blood flowing through the blood vessel.
Claim 13
Dependent Claim 267 words
A circulatory function measurement apparatus comprising: pressure control means for controlling pressure applied to a blood vessel of a living body; sound detecting means for detecting a sound from the blood vessel produced due to a change in a value of the pressure applied to the blood vessel by said pressure control means; first recognition means for recognizing whether a sound from the blood vessel detected by said sound detecting means agrees with a first specific condition; second recognition means for recognizing whether a sound from the blood vessel detected by said sound detecting means agrees with a second specific condition less stringent than the first specific condition; and measuring means for measuring blood pressure and pulse rate based on recognition information from said first and second recognition means; wherein when there is a reduction in the pressure applied to the blood vessel by said pressure control means, said measuring means selects the recognition information from said first recognition means and treats as a systolic blood pressure value a blood pressure value which prevails when said first recognition means recognizes an initial sound from the blood vessel that agrees with the first specific condition, and thereafter selects the recognition information from said second recognition means to decide whether the pressure applied to the blood vessel by the pressure control means is adequate and again selects the recognition information from said first recognition means and treats as a diastolic blood pressure value a blood pressure value which prevails when said first recognition means recognizes a final sound from the blood vessel that agrees with the first specific condition.
Claim 14
Dependent Claim 267 words
A circulatory function measurement apparatus comprising: pressure control means for controlling pressure applied to a blood vessel of a living body; sound detecting means for detecting a sound from the blood vessel produced due to a change in a value of the pressure applied to the blood vessel by said pressure control means; first recognition means for recognizing whether a sound from the blood vessel detected by said sound detecting means agrees with a first specific condition; second recognition means for recognizing whether a sound from the blood vessel detected by said sound detecting means agrees with a second specific condition less stringent than the first specific condition; and measuring means for measuring blood pressure and pulse rate based on recognition information from said first and second recognition means; wherein when there is a reduction in the pressure applied to the blood vessel by said pressure control means, said measuring means selects the recognition information from said first recognition means and treats as a systolic blood pressure value a blood pressure value which prevails when said first recognition means recognizes an initial sound from the blood vessel that agrees with the first specific condition, and thereafter selects the recognition information from said second recognition means to decide whether the pressure applied to the blood vessel by the pressure control means is adequate and again selects the recognition information from said first recognition means and treats as a diastolic blood pressure value a blood pressure value which prevails when said first recognition means recognizes a final sound from the blood vessel that agrees with the first specific condition.
Claim 15
Dependent Claim 15 words
The apparatus according to claim 10, wherein said first recognition means recognizes a Korotkoff sound.
Claim 16
Dependent Claim 22 words
The apparatus according to claim 10, wherein said second recognition means recognizes a sound produced by blood flowing through the blood vessel.
Claim 17
Dependent Claim 125 words
A circulatory function measurement method comprising steps of: applying pressure to a blood vessel of a living body; reducing the pressure applied to the blood vessel; measuring circulatory function at the beginning of the reduction in pressure based on a sound from the blood vessel that agrees with a first specific condition; measuring circulatory function based on a sound from the blood vessel that agrees with a second specific condition when an initial sound from the blood vessel that agrees with the first specific condition is recognized, the measurement being performed for a predetermined period of time following the recognition of the sound; and measuring circulatory function again based on the sound that agrees with the first specific condition after said predetermined period of time.
Claim 18
Dependent Claim 125 words
A circulatory function measurement method comprising steps of: applying pressure to a blood vessel of a living body; reducing the pressure applied to the blood vessel; measuring circulatory function at the beginning of the reduction in pressure based on a sound from the blood vessel that agrees with a first specific condition; measuring circulatory function based on a sound from the blood vessel that agrees with a second specific condition when an initial sound from the blood vessel that agrees with the first specific condition is recognized, the measurement being performed for a predetermined period of time following the recognition of the sound; and measuring circulatory function again based on the sound that agrees with the first specific condition after said predetermined period of time.
Claim 19
Dependent Claim 18 words
The method according to claim 13, wherein the first specific condition is a condition specifying a Korotkoff sound.
Claim 20
Dependent Claim 25 words
The method according to claim 13, wherein the sound specific condition is a condition specifying a sound produced by blood flowing through the blood vessel.
Claim 21
Dependent Claim 125 words
A circulatory function measurement method comprising of: applying pressure to a blood vessel of a living body; reducing the pressure applied to the blood vessel; measuring a systolic blood pressure based on a a sound from the blood vessel that agrees with a first specific condition, as the pressure is being reduced; measuring pulse rate based on sounds from the blood vessel that agree with a second specific condition less stringent than the first specific condition for a predetermined period of time following recognition of an initial sound from the blood vessel that agrees with the first specific condition; and measuring diastolic blood pressure based on a sound from the blood vessel that agrees with the first specific condition after the predetermined period of time.
Claim 22
Dependent Claim 125 words
A circulatory function measurement method comprising of: applying pressure to a blood vessel of a living body; reducing the pressure applied to the blood vessel; measuring a systolic blood pressure based on a a sound from the blood vessel that agrees with a first specific condition, as the pressure is being reduced; measuring pulse rate based on sounds from the blood vessel that agree with a second specific condition less stringent than the first specific condition for a predetermined period of time following recognition of an initial sound from the blood vessel that agrees with the first specific condition; and measuring diastolic blood pressure based on a sound from the blood vessel that agrees with the first specific condition after the predetermined period of time.
Claim 23
Independent Claim 18 words
The method accroding to claim: 16, wherein the first specific condition is a condition specifying a Korotkoff sound.
Claim 24
Dependent Claim 25 words
The method according to claim 16, wherein the second specific condition is a condition specifying a sound produced by blood flowing through the blood vessel.
Claim 25
Dependent Claim 128 words
A circulatory function measurement method comprising steps of: applying pressure to a blood vessel of a living body; reducing the pressure applied to the blood vessel; measuring systolic blood pressure based on a sound from the blood vessel that agrees with a first specific condition, as the pressure is being reduced; judging correctness of the systolic blood pressure based on sounds from the blood vessel that agree with a second specific condition less stringent than the first specific condition for a predetermined period of time following recognition of an initial sound from the blood vessel that agrees with the first specific condition; and measuring diastolic blood pressure based on a sound from the blood vessel that agrees with the first specific condition after the predetermined period of time.
Claim 26
Dependent Claim 128 words
A circulatory function measurement method comprising steps of: applying pressure to a blood vessel of a living body; reducing the pressure applied to the blood vessel; measuring systolic blood pressure based on a sound from the blood vessel that agrees with a first specific condition, as the pressure is being reduced; judging correctness of the systolic blood pressure based on sounds from the blood vessel that agree with a second specific condition less stringent than the first specific condition for a predetermined period of time following recognition of an initial sound from the blood vessel that agrees with the first specific condition; and measuring diastolic blood pressure based on a sound from the blood vessel that agrees with the first specific condition after the predetermined period of time.
Claim 27
Dependent Claim 18 words
The method according to claim 19, wherein the first specific condition is a condition specifying a Korotkoff sound.
Claim 28
Dependent Claim 25 words
The method according to claim 19, wherein the second specific condition is a condition specifying a sound produced by blood flowing through the blood vessel.
Claim 29
Dependent Claim 132 words
A circulatory function measurement method comprising steps of: applying pressure to a blood vessel of a living body; reducing the pressure applied to the blood vessel; mesuring systolic blood pressure based on a sound from the blood vessel that agrees with a first specific condition, as the pressure is being reduced; deciding whether the pressure applied to the blood vessel is adequate based on sounds from the blood vessel that agree with a second specific condition less stringent than the first specific condition for a predetermined period of time following recognition of an initial sound from the blood vessel that agrees with the first specific condition; and measuring diastolic blood pressure based on a sound from the blood vessel that agrees with the first specific condition after the predetermined period of time.
Claim 30
Dependent Claim 132 words
A circulatory function measurement method comprising steps of: applying pressure to a blood vessel of a living body; reducing the pressure applied to the blood vessel; mesuring systolic blood pressure based on a sound from the blood vessel that agrees with a first specific condition, as the pressure is being reduced; deciding whether the pressure applied to the blood vessel is adequate based on sounds from the blood vessel that agree with a second specific condition less stringent than the first specific condition for a predetermined period of time following recognition of an initial sound from the blood vessel that agrees with the first specific condition; and measuring diastolic blood pressure based on a sound from the blood vessel that agrees with the first specific condition after the predetermined period of time.
Claim 31
Dependent Claim 18 words
The method according to claim 22, wherein the first specific condition is a condition specifying a Korotkoff sound.
Claim 32
Dependent Claim 25 words
The method according to claim 22, wherein the second specific condition is a condition specifying a sound produced by blood flowing through the blood vessel.

References Cited (Backward Citations)

DE2621574A1 Cited
US4214589A Cited
GB2006961A Cited
US4475557A Cited
US4501281A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1990-07-06 1991-01-05 1991-07-07 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 1994-07-06 1995-01-05 1995-07-07 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 1998-07-06 1999-01-05 1999-07-07 $7700.00 Window Closed / Lapsed

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