Embodiments of the invention relate to a finger cuff connector for a blood pressure measurement system that includes a finger cuff that utilizes volume clamping.
Volume clamping is a technique for non-invasively measuring blood pressure in which pressure is applied to a subject's finger in such a manner that venous flow is fully obstructed and arterial pressure may be balanced by a time varying pressure to maintain a constant arterial volume. In a properly fitted and calibrated system, the applied time varying pressure is equal to the arterial blood pressure in the finger. The applied time varying pressure may be measured to provide a reading of the patient's arterial blood pressure.
This may be accomplished by a finger cuff that is arranged around a finger of a patient. The finger cuff may include an infrared light source, an infrared sensor, and an inflatable bladder. The infrared light may be sent through the finger in which a finger artery is present. The infrared sensor picks up the infrared light and the amount of infrared light registered by the sensor may be inversely proportional to the artery diameter and indicative of the pressure in the artery.
In the finger cuff implementation, by inflating the bladder in the finger cuff, a pressure is exerted on the finger artery. If the pressure is high enough, it will compress the artery and the amount of light registered by the sensor will increase. The amount of pressure necessary in the inflatable bladder to compress the artery is dependent on the blood pressure. By controlling the pressure of the inflatable bladder such that the diameter of the finger artery is kept constant, the blood pressure may be monitored in very precise detail as the pressure in the inflatable bladder is directly linked to the blood pressure.
In a typical present day finger cuff implementation, a volume clamp system is used with the finger cuff. The volume clamp system typically includes a pressure generating system and a regulating system that includes: a pump, a valve, and a pressure sensor in a closed loop feedback system that are used in the measurement of the arterial volume. To accurately measure blood pressure, the feedback loop provides sufficient pressure generating and releasing capabilities to match the pressure oscillations of the subject's blood pressure.
In present day implementations, the pressure generating and regulating system is located remotely from the clamped finger. A cable containing an air pressure line and electrical connections for the arterial volume measurement connects the pressure generating and regulating system to the finger cuff that applies pressure to the finger. The physical interaction between the finger cuff and the patient's finger is critical for achieving a properly fitted and calibrated system such that the pressure in the finger cuff is equal to the pressure in the patient's artery (e.g., such that the transmural pressure drop is negligible). Mechanical forces exerted on the finger cuff by the cable can affect the fit and interaction between the finger cuff and the patient's finger and thereby interfere with accurate, continuous blood pressure measurement.
Embodiments of the invention may relate to a connector for a blood pressure measurement system that includes a pressure generating and regulating system and a finger cuff, in which the connector comprises: a first half portion pneumatically and electrically connected to the pressure generating and regulating system; and a second half portion fixedly attached to the finger cuff, wherein the first half portion and the second half portion are connectable in two or more orientations, and wherein the pressure generating and regulating system and the finger cuff are pneumatically and electrically connected when the first half portion and the second half portion are connected.
Embodiments of the invention may relate to a connector for a blood pressure measurement system that includes a pressure generating and regulating system and a finger cuff, in which the connector comprises: a first half portion pneumatically and electrically connected to the pressure generating and regulating system; and a second half portion fixedly attached to the finger cuff, wherein the first half portion and the second half portion are connectable in two or more orientations, and wherein the pressure generating and regulating system and the finger cuff are pneumatically and electrically connected when the first half portion and the second half portion are connected.
With reference to
In one embodiment, blood pressure measurement device 102 may include a pressure measurement controller 120 that includes: a small internal pump, a small internal valve, a pressure sensor, and control circuitry. In this embodiment, the control circuitry may be configured to: control the pneumatic pressure applied by the internal pump to the bladder of the finger cuff 104 to replicate the patient's blood pressure based upon measuring the pleth signal received from the LED-PD pair of the finger cuff 104. Further, the control circuitry may be configured to: control the opening of the internal valve to release pneumatic pressure from the bladder; or the internal valve may simply be an orifice that is not controlled. The finger cuff connector 122 passes on the pneumatic pressure received through tube 123 from blood pressure measurement controller 120 to the bladder of finger cuff 104. Additionally, the control circuitry may be configured to: measure the patient's blood pressure by monitoring the pressure of the bladder based upon the input from a pressure sensor, which should be the same as patient's blood pressure, and may display the patient's blood pressure on the patient monitoring device 130.
In another embodiment, a conventional pressure generating and regulating system may be utilized, in which, a pump 134 is located remotely from the body of the patient. In this embodiment, the blood pressure measurement controller 120 receives pneumatic pressure from remote pump 134 through tube 136 and passes on the pneumatic pressure through tube 123 and through finger cuff connector 122 to the bladder of finger cuff 104. Blood pressure measurement device controller 120 may also control the pneumatic pressure (e.g., utilizing a controllable valve) applied to the finger cuff 104, as well as other functions. In this example, the pneumatic pressure applied by the pump 134 to the bladder of finger cuff 104 to replicate the patient's blood pressure based upon measuring the pleth signal received from the LED-PD pair of the finger cuff 104 and measuring the patient's blood pressure by monitoring the pressure of the bladder may be controlled by a remote computing device and/or the blood pressure measurement controller 120 and/or the patient monitoring device 130 itself, where the patient monitoring device 130 may also display the patient's blood pressure.
It should be appreciated that embodiments of the invention related to finger cuff connector 122 may be utilized with blood pressure measurement controller 120 having a small internal pump and control circuitry, as previously described, or with conventional pressure generating and regulating systems that include a remote pump 134 and remote processing, or any combinations thereof. Further, it should be appreciated that, in some embodiments, a blood pressure measurement controller 120 is not used at all and there is simply a connection from the tube 123 to finger cuff connector 122 from a remote pump 134 including a remote pressure regulatory system, and all processing for the pressure generating and regulatory system, data processing, and display is performed by a remote computing device. The operations of the blood pressure measurement device 102 including the finger cuff 104 and the blood pressure measurement controller 120 will be hereafter described in more detail with respect to the blood pressure measurement controller 120 having an internal small pump and control circuitry, although, it should be appreciated that finger cuff connector 122 may be utilized in a similar manner with a conventional pressure generating and regulating systems that include a remote pump 134 and remote processing.
Continuing with this example, as shown in
In one embodiment, a heart reference sensor (HRS) may be placed near the patient's heart level and connected by an HRS connector to the blood pressure measurement controller 120 of the blood pressure measurement device 102 to allow for the compensation of potential errors due to differences in height between the finger cuff 104 and the heart level in the calculation of blood pressure measurements.
As can be seen in
Alternatively, the blood pressure measurement controller 120 may be placed not on the patient's body but may be placed or mounted in close proximity to the finger cuff 104. For example, the blood pressure measurement controller 120 may be clamped or attached to the arm rest 112 (e.g., placed on a clip or secured with Velcro) near the finger cuff 104 or may simply dangle off of the finger cuff 104 and may not be attached to anything. By having the blood pressure measurement controller 120 removed from the patient's body, access to a patient's arteries and veins is freed-up. Additionally, it should be appreciated that the approximately rectangular formation of the blood pressure measurement controller 120 shown in
It should be appreciated that a finger cuff connector 122 in accordance with embodiments of the invention may be utilized to connect a finger cuff 104 to either a blood pressure measurement controller 120 described herein, or a pressure generating and regulating system of any other kind, such as a conventional pressure generating and regulating system that is located remotely from the body of the patient (e.g., a pump 134 located remotely from a patient). Any kind of pressure generating and regulating system that can be used, including but not limited to the blood pressure measurement controller 120, may be described simply as a pressure generating and regulating system. As a further example, in some embodiments, there may be no blood pressure measurement controller 120, at all, and a remote pump 134 that is controlled remotely may be directly connected via a tube 136 and 123 to finger cuff connector 122 and finger cuff 104 to provide pneumatic pressure to the finger cuff 104.
Referring to
The finger cuff connector 122 may include a cable portion 123, a connection portion 125, and a finger cuff connector pair (122A and 122B). The top finger cuff connector 122A housing may be approximately circular shape with two opposed protrusions 129 for ease of handling, placement, attachment, and rotation by a user to the bottom finger cuff connector 122B and the bottom finger cuff connector 122B may be approximately square shaped and the top and bottom finger cuff connectors 122A and 122B mate together, as will be described. The connection portion 125 connects the finger cuff connector pair 122A and 122B to the cable portion 123. The cable portion 123 may include a tube section for pneumatic pressure, as previously described, and, in particular, may include an appropriate pneumatic tube section 127 to provide pneumatic pressure to the bladder 105 of the finger cuff 104 and a suitable electrical connection (e.g., electrical wiring—not shown) to transmit the pleth signal received from the LED-PD pair of the finger cuff 104 to an appropriate computing device.
As previously described, the finger cuff connector pair 122 may comprise two halves: a first half 122A that is connected to the pressure generating and regulating system via the pneumatic tube section 127 (for the transmission of pneumatic pressure) and electrical wires (for transmitting and receiving electrical signals) of the cable portion 123; and a second half 122B that is fixedly attached to the finger cuff 104 on a square-shaped mounting plate 160. As can be seen in
When the first top half 122A and second bottom half 122B are properly connected, electrical and pneumatic connections are arranged within each half of the finger cuff connector pair 122 such that when the first half 122A and the second half 122B of the finger cuff connector pair 122 are properly connected, suitable electrical and pneumatic connections are established between the pressure generating and regulating system and the finger cuff 104.
As an example, properly established electrical connections between the pressure generating and regulating system and the finger cuff 104 may include suitable power, data, and control signal connections between the circuitry of the pressure generating and regulating system and the circuitry of the finger cuff 104 (e.g., the LED-PD pair).
In one embodiment, to achieve suitable electrical connections, the second half 122B of the finger cuff connector pair 122 may comprise a plurality of electrical connector pads 180 that are located within the mounting section 170, in which the mounting section 170 includes an appropriate printed circuit board portion for the electrical connector pads 180. The number of sets of electrical connector pads 180 may be commensurate with the number of possible connector orientations such that there is a set of electrical connector pads 180 in the second half 122B that makes suitable contact with electrical connector pins 182 in the first half 122A when the two halves are connected in any of the possible orientations, as will be described. Of course, other types of electrical connections than pad-pin connections may also be utilized without deviating from the scope of the disclosure. When properly connected, in a particular orientation, data from the LED-PD pair of the finger cuff 104 may be transmitted through connector pads 180 and connector pins 182 through wires of cable portion 123 to the pressure generating and regulatory system for processing.
Further, properly established pneumatic connections between the pressure generating and regulating system and the finger cuff 104 enable a pump of the pressure generating and regulating system to provide pneumatic pressure to the bladder 105 of the finger cuff 104.
In one embodiment, pneumatic pressure from the pneumatic tube section 127 of cable portion 123 from the first half 122A may be connected to a tube 162 of the second half 122B, which is connected to the bladder 105 of the finger cuff 104. This connection may be made by an L-shaped connector tube 161 that is rotatably coupled to tube 162 by a suitable rotatable mounting device 184 (e.g., a rotatable seal). In this way, pneumatic pressure may be provided to the bladder 105 of the finger cuff 104 by the pressure generating system through the finger connector pair 122 when the two halves 122A and 122B are connected in any of the possible orientations, to be hereafter described.
As will be described, in different embodiments, the first half 122A and the second half 122B of the finger cuff connector pair 122 may be connected in a variety of different orientations (e.g., two or more possible orientations). For example, the first half 122A and the second half 122B may be connected in two orientations (e.g., 90 degrees), four orientations (e.g., 45 degrees), six orientations (60 degrees), or any number of different orientations. Also, in one embodiment, once the first half 122A and the second half 122B are connected or mated together, the first half 122A may rotate relative to the fixed second half 122B continuously within a plane.
With additional reference to
With additional reference to
With additional reference again to
In one embodiment, the first top half 122A and the second bottom half 122B of the finger cuff connector pair 122 may be connected in two or more discrete possible orientations, such as those shown in
In one embodiment, a keying feature in combination with a magnetic feature may be implemented to achieve four possible orientations. In this embodiment, the first top half 122A and the second bottom half 122B of the finger cuff connector pair 122 are connected or mated together. The top first half of finger cuff connector 122A has an open interior and an approximately square-shaped bottom section that contacts the outside sections of mounting plate 160, in which the mounting plate 160 may be formed of a magnetic material. Further, the top first half of finger cuff connector 122A includes four pairs of approximately cylindrically shaped magnets 183 that are located approximately at corners of the top first half of finger cuff connector 122A. The second bottom half of finger cuff connector 122B has an approximately square-shaped mounting section 170 that includes angled corners 172.
Therefore, as an example, a user may align the first top half 122A with the second bottom half 122B, in one of the four previously described orientations (e.g.,
As has been described, once the first top half 122A and the second bottom half 122B are connected together, suitable electrical connections may be achieved, by the electrical connector pins 182 of the first half 122A contacting the electrical connector pads 180 of the mounting section 170 of the second half 122B of the finger cuff. The number of sets of electrical connector pads 180 may be commensurate with the number of possible connector orientations such that there is a set of electrical connector pads 180 in the second half 122B that makes suitable contact with the electrical connector pins 182 in the first half 122A when the two halves are connected in any of the possible orientations. As can be seen in
Further, when the first top half 122A is mated to the second bottom half 122B, pneumatic pressure from the pneumatic tube section 127 of the cable portion 123 from the first half 122A may be connected to the tube 162 of the second half 122B that is connected to the bladder 105 by the L-shaped connector tube 161 that is rotatably coupled to tube 162 by a suitable rotatable mounting device 184 (e.g., a rotatable seal). In this way, pneumatic pressure may be provided to the bladder 105 of the finger cuff 104 by the pressure generating system through the finger cuff connector 122 when the two halves 122A and 122B are connected in any of the possible orientations. In particular, pneumatic pressure may be provide to the bladder 105 of the finger cuff 104 in any of previously described orientations (e.g., the two or four different orientations (e.g.,
Also, various other different types of electrical connection methods may be utilized. For example, in one embodiment, switching circuitry may be utilized to reconfigure the electrical connectors in the first half 122A and/or the second half 122B based on the orientation in which the two halves are connected to ensure proper electrical connections.
Further, in another embodiment, the first half 122A of finger cuff connector 122 may rotate relative to the second half 122B of finger cuff connector in a plane when connected. In this embodiment, the electrical connector pads of the second half 122B may be shaped in concentric rings to accommodate electrical connections with the electrical connector pins of the first half 122A.
With additional reference to
In this embodiment, the first half 122A of finger cuff connector 122 may rotate relative to the second half 122B of finger cuff connector in a plane when connected such that any orientation position may be selectable by a user. In particular, the first half 122A of the finger cuff connector pair 122 may be positioned relative to the fixed second half 122B of the finger cuff connector pair 122 so as to facilitate proper alignment of the connector halves in any orientation position and may be attached to the fixed second half 122B in order to establish suitable electrical and pneumatic connections with the pressure generation and regulatory system.
Similar to the previously described embodiment, the top first half of finger cuff connector 122A has an approximately circular open interior and an approximately square-shaped bottom section that contacts the outside sections of mounting plate 210, in which the mounting plate 210 may be formed of a magnetic material and is approximately circular shaped. Further, the top first half of finger cuff connector 122A includes four pairs of approximately cylindrically shaped magnets 212 that are located approximately at corners of the top first half of finger cuff connector 122A. The second bottom half of finger cuff connector 122B has an approximately circular-shaped mounting section 215. As an example, a user may align the first top half 122A with the second bottom half 122B to connect them together in any orientation position. In this connection operation, the interior portion of the top half 122A of the finger cuff connector surrounds the mounting section 215 of the fixed bottom half 122B and the cylindrically shaped magnets 212 at the corners of the top half 122A abut against both the circular mounting section 215 and the mounting plate 210 and magnetically connect to the magnetic material of the mounting plate 210 such that the first and second halves are magnetically attached to one another (e.g., providing a more secure connection). Further, this allows for the connection of the first and second halves 122A and 122B of the finger cuff connector in any orientation selected by the user.
Once the first top half 122A and the second bottom half 122B are connected together, suitable electrical connections may be achieved by the electrical connector pins 202 of the U-shaped printed circuit board portion 131 (that connect to electrical wiring in the cable portion 123) contacting the electrical concentric connector pad rings 200 of the mounting section 215 of the second half 122B of the finger cuff 104. In this way, electrical connections may be properly established between the pressure generating and regulating system and the finger cuff 104 and these electrical connections may include suitable power, data, and control signal connections between the circuitry of the pressure generating and regulating system and the circuitry of the finger cuff 104 (e.g., the LED-PD pair). Further, when the first top half 122A is mated to the second bottom half 122B, pneumatic pressure from the pneumatic tube section 127 of the cable portion 123 from the first half 122A may be connected to the tube 162 of the second half 122B that is connected to the bladder by the L-shaped connector tube 161, as has been previously described. The pneumatic connections occur in the same way as the previously described embodiments, such that pneumatic pressure may be provided to the bladder of the finger cuff 104 by the pressure generating system through the finger cuff connector 122 when the two halves 122A and 122B are connected in any of the possible rotatable orientations. Therefore, in this embodiment, the first half 122A of finger cuff connector 122 may rotate relative to the second half 122B of finger cuff connector in a plane when connected such that any orientation position may be selectable by a user.
It should be appreciated that various different types of mechanisms may be utilized in addition to or instead of the previously described mechanisms to retain the physical connection between the first half 122A and the second half 122B of the finger cuff connector 122. For example, these mechanisms may include: other types of magnetic retention mechanisms, a snap mechanism, a twist-on mechanism, a press-fit mechanism, a cam latch, or any other suitable mechanism. Thus, various other mechanisms, such as suitable mechanical, magnetic, or electro-mechanical mechanisms may also be utilized to facilitate various different types of orientations and proper alignment.
It should be appreciated that the physical interaction between the finger cuff and the patient's finger is critical for achieving a properly fitted and calibrated system such that the pressure in the finger cuff is equal to the pressure in the patient's artery (e.g., such that the transmural pressure drop is negligible). Mechanical forces exerted on the finger cuff by the cable can affect the fit and interaction between the finger cuff and the patient's finger and thereby interfere with accurate, continuous blood pressure measurement.
By utilizing the multiple types of connector orientations, according to the embodiments of the invention previously described, a great degree of flexibility is provided to configure the cable in a manner that reduces the forces exerted on the patient's finger. This type of flexibility is greatly needed to accommodate variations in patient position and the positions of supporting equipment during surgery and in the intensive care unit (ICU), emergency room (ER), and other locations.
It should be appreciated that aspects of the invention previously described may be implemented in conjunction with the execution of instructions by processors, circuitry, controllers, control circuitry, etc. As an example, control circuitry may operate under the control of a program, algorithm, routine, or the execution of instructions to execute methods or processes in accordance with embodiments of the invention previously described. For example, such a program may be implemented in firmware or software (e.g. stored in memory and/or other locations) and may be implemented by processors, control circuitry, and/or other circuitry, these terms being utilized interchangeably. Further, it should be appreciated that the terms processor, microprocessor, circuitry, control circuitry, circuit board, controller, microcontroller, etc., refer to any type of logic or circuitry capable of executing logic, commands, instructions, software, firmware, functionality, etc., which may be utilized to execute embodiments of the invention.
The various illustrative logical blocks, processors, modules, and circuitry described in connection with the embodiments disclosed herein may be implemented or performed with a general purpose processor, a specialized processor, circuitry, a microcontroller, a digital signal processor (DSP), an application specific integrated circuit (ASIC), a field programmable gate array (FPGA) or other programmable logic device, discrete gate or transistor logic, discrete hardware components, or any combination thereof designed to perform the functions described herein. A processor may be a microprocessor or any conventional processor, controller, microcontroller, circuitry, or state machine. A processor may also be implemented as a combination of computing devices, e.g., a combination of a DSP and a microprocessor, a plurality of microprocessors, one or more microprocessors in conjunction with a DSP core, or any other such configuration.
The steps of a method or algorithm described in connection with the embodiments disclosed herein may be embodied directly in hardware, in a software module/firmware executed by a processor, or any combination thereof. A software module may reside in RAM memory, flash memory, ROM memory, EPROM memory, EEPROM memory, registers, hard disk, a removable disk, a CD-ROM, or any other form of storage medium known in the art. An exemplary storage medium is coupled to the processor such the processor can read information from, and write information to, the storage medium. In the alternative, the storage medium may be integral to the processor.
The previous description of the disclosed embodiments is provided to enable any person skilled in the art to make or use the present invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the generic principles defined herein may be applied to other embodiments without departing from the spirit or scope of the invention. Thus, the present invention is not intended to be limited to the embodiments shown herein but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.
This application claims the benefit of U.S. Application No. 62/503,610, filed May 9, 2017, incorporated herein by reference.
Number | Date | Country | |
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62503610 | May 2017 | US |