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    • 1. 发明授权
    • Detection of oscillometric blood pressure complexes using correlation
    • 使用相关性检测示波血压复合体
    • US5590662A
    • 1997-01-07
    • US389711
    • 1995-02-15
    • Lawrence T. HershJohn W. Booth
    • Lawrence T. HershJohn W. Booth
    • A61B5/0225A61B5/02
    • A61B5/02225A61B5/0225A61B5/7203
    • An automated sphygmomanometer which stores the attributes for all oscillation complexes at each pressure step and compares the stored waveform data to a template containing the attributes of a "clean" oscillation complex from a present or previous NIBP determination or from a standard template determined from a broad population of patients. Preferably, an oscillation complex near MAP is selected as the template. After the oscillation complexes have been gathered, correlation values for each new oscillation complex in the stored waveform data and the template are calculated using correlation calculations from detection theory. All oscillation complexes which highly correlate with the template (their correlation values are above a given threshold) are maintained as "good" oscillation data, while the remainder of the oscillation complexes are ignored as corrupted by artifact data. Artifact-reduced data may then be used in the blood pressure calculation. Similar correlation techniques are also used at each pressure step in a real-time manner to detect the presence of an oscillation complex during a step inflate or deflate blood pressure measurement.
    • 一种自动血压计,其在每个压力步骤中存储所有振荡复合物的属性,并将存储的波形数据与包含来自当前或先前NIBP确定的标准模板(包括从宽广的 患者人数 优选地,选择MAP附近的振荡复合物作为模板。 在收集振荡复合物之后,使用检测理论的相关计算来计算存储的波形数据和模板中的每个新的振荡复合物的相关值。 与模板(它们的相关值高于给定阈值)高度相关的所有振荡复合体都被保持为“良好”振荡数据,而其余的振荡复合物被忽略为伪像数据。 然后可以在血压计算中使用减数数据。 在每个压力步骤中也采用相似的相关技术来实时地检测在步骤中充气或放气血压测量期间振荡复合体的存在。
    • 3. 发明授权
    • Method and system of determining NIBP target inflation pressure using an SpO2 plethysmograph signal
    • 使用SpO2体积描记仪信号确定NIBP目标充气压力的方法和系统
    • US07390302B2
    • 2008-06-24
    • US11464918
    • 2006-08-16
    • Bruce A. FriedmanJohn W. BoothLawrence T. Hersh
    • Bruce A. FriedmanJohn W. BoothLawrence T. Hersh
    • A61B5/02
    • A61B5/02255A61B5/02141A61B5/02225
    • A method and system for operating a non-invasive blood pressure monitor that utilizes an SpO2 plethysmograph signal to determine the initial inflation pressure for the blood pressure cuff of the NIBP monitor. A pulse sensor is placed on the patient's limb distal to the blood pressure cuff such that as the blood pressure cuff is inflated, the pulse signals from the pulse sensor will be reduced. When the blood pressure cuff reaches systolic pressure, the pulse signals from the pulse sensor will be initially attenuated and eventually eliminated, thus providing an indication that the cuff pressure has reached systolic pressure for the patient. The central processor of the NIBP monitor compares the pulse signals during cuff inflation to an average pulse signal and terminates the inflation of the blood pressure cuff upon sufficient attenuation. The use of the SpO2 plethysmograph signal to determine the initial inflation pressure reduces both the over-inflation of the blood pressure cuff and the under-inflation of the blood pressure cuff which increases the rate at which the blood pressure measurement can be made while increasing patient comfort.
    • 一种用于操作使用SpO 2体积描记信号的无创血压监测器来确定NIBP监测器的血压袖带的初始充气压力的方法和系统。 将脉搏传感器放置在远离血压套管的患者肢体上,使得当血压袖带膨胀时,来自脉冲传感器的脉冲信号将被减小。 当血压袖带达到收缩压时,来自脉冲传感器的脉冲信号将被初始衰减并最终消除,从而提供袖带压已达到患者的收缩压的指示。 NIBP监视器的中央处理器将袖带充气期间的脉冲信号与平均脉冲信号进行比较,并在充分衰减后终止血压袖带的充气。 使用SpO 2体积描记器信号来确定初始充气压力降低了血压袖带的过度充气和血压袖带的不足充气,这增加了血液 可以在增加患者舒适度的同时进行压力测量。
    • 4. 发明申请
    • METHOD AND SYSTEM OF DETERMINING NIBP TARGET INFLATION PRESSURE USING AN SP02 PLETHYSMOGRAPH SIGNAL
    • 使用SP02 PLETHYSMOGRAPH信号确定NIBP目标充气压力的方法和系统
    • US20080045846A1
    • 2008-02-21
    • US11464918
    • 2006-08-16
    • Bruce A. FriedmanJohn W. BoothLawrence T. Hersh
    • Bruce A. FriedmanJohn W. BoothLawrence T. Hersh
    • A61B5/02
    • A61B5/02255A61B5/02141A61B5/02225
    • A method and system for operating a non-invasive blood pressure monitor that utilizes an SpO2 plethysmograph signal to determine the initial inflation pressure for the blood pressure cuff of the NIBP monitor. A pulse sensor is placed on the patient's limb distal to the blood pressure cuff such that as the blood pressure cuff is inflated, the pulse signals from the pulse sensor will be reduced. When the blood pressure cuff reaches systolic pressure, the pulse signals from the pulse sensor will be initially attenuated and eventually eliminated, thus providing an indication that the cuff pressure has reached systolic pressure for the patient. The central processor of the NIBP monitor compares the pulse signals during cuff inflation to an average pulse signal and terminates the inflation of the blood pressure cuff upon sufficient attenuation. The use of the SpO2 plethysmograph signal to determine the initial inflation pressure reduces both the over-inflation of the blood pressure cuff and the under-inflation of the blood pressure cuff which increases the rate at which the blood pressure measurement can be made while increasing patient comfort.
    • 一种用于操作使用SpO 2体积描记信号的无创血压监测器来确定NIBP监测器的血压袖带的初始充气压力的方法和系统。 将脉搏传感器放置在远离血压套管的患者肢体上,使得当血压袖带膨胀时,来自脉冲传感器的脉冲信号将被减小。 当血压袖带达到收缩压时,来自脉冲传感器的脉冲信号将被初始衰减并最终消除,从而提供袖带压已达到患者的收缩压的指示。 NIBP监视器的中央处理器将袖带充气期间的脉冲信号与平均脉冲信号进行比较,并在充分衰减后终止血压袖带的充气。 使用SpO 2体积描记器信号来确定初始充气压力降低了血压袖带的过度充气和血压袖带的不足充气,这增加了血液 可以在增加患者舒适度的同时进行压力测量。
    • 5. 发明授权
    • Detection of oscillometeric blood pressure complexes using correlation
    • 使用相关性检测示波器血压复合体
    • US5651370A
    • 1997-07-29
    • US696053
    • 1996-08-13
    • Lawrence T. HershJohn W. Booth
    • Lawrence T. HershJohn W. Booth
    • A61B5/0225A61B5/02
    • A61B5/02225A61B5/0225A61B5/7203
    • An automated sphygmomanometer which stores the attributes for all oscillation complexes at each pressure step and compares the stored waveform data to a template containing the attributes of a "clean" oscillation complex from a present or previous NIBP determination or from a standard template determined from a broad population of patients. Preferably, an oscillation complex near MAP is selected as the template. After the oscillation complexes have been gathered, correlation values for each new oscillation complex in the stored waveform data and the template are calculated using correlation calculations from detection theory. All oscillation complexes which highly correlate with the template (their correlation values are above a given threshold) are maintained as "good" oscillation data, while the remainder of the oscillation complexes are ignored as corrupted by artifact data. Artifact-reduced data may then be used in the blood pressure calculation. Similar correlation techniques are also used at each pressure step in a real-time manner to detect the presence of an oscillation complex during a step inflate or deflate blood pressure measurement.
    • 一种自动血压计,其在每个压力步骤中存储所有振荡复合物的属性,并将存储的波形数据与包含来自当前或先前NIBP确定的标准模板(包括从宽广的 患者人数 优选地,选择MAP附近的振荡复合物作为模板。 在收集振荡复合物之后,使用检测理论的相关计算来计算存储的波形数据和模板中的每个新的振荡复合物的相关值。 与模板(它们的相关值高于给定阈值)高度相关的所有振荡复合体都被保持为“良好”振荡数据,而其余的振荡复合物被忽略为伪像数据。 然后可以在血压计算中使用减数数据。 在每个压力步骤中也采用相似的相关技术来实时地检测在步骤中充气或放气血压测量期间振荡复合体的存在。
    • 6. 发明授权
    • NIBP playback system
    • NIBP播放系统
    • US5800359A
    • 1998-09-01
    • US445273
    • 1995-05-19
    • Richard MederoJohn W. Booth
    • Richard MederoJohn W. Booth
    • A61B5/0215A61B5/022A61B5/0255A61B5/02
    • A61B5/02225A61B5/02156A61B5/022A61B5/0255
    • A data playback device which records, stores, and plays back actual patient oscillometric blood pressure data to create a more realistic NIBP simulation for testing of an NIBP monitor. The system is made up of two units, a computer and a converter. The converter has a Universal Asynchronous Receiver/Transmitter (UART) connected to the computer and 16-bit D/A and A/D converters connected to the input and output, respectively, of a blood pressure monitor. The A/D converter senses cuff pressure and sends the signal to the computer. The computer then calculates the pressure pulse data from the stored patient data and sends it to the monitor via the D/A converter, where the pressure pulse data is converted to a voltage and electronically summed with the pressure transducer signal output by the blood pressure monitor under test. Typically, the playback system reads the current cuff pressure in the blood pressure monitor and "plays back" the oscillation complex from the data file whose average pressure is closest to the current cuff pressure. The oscillation complex is scaled to the proper amplitude using linear interpolation before it is summed into the cuff pressure channel. This process is repeated for each pressure level during the oscillometric blood pressure determination. During testing, the blood pressure monitor sees an oscillation envelope and oscillation complex shapes similar to the original data from a real patient.
    • 数据回放装置,其记录,存储和重放实际的患者示波血压数据,以创建用于测试NIBP监测器的更现实的NIBP模拟。 该系统由两个单元组成,一个是计算机和一个转换器。 该转换器具有连接到计算机的通用异步收发器(UART)和分别连接到血压计输入和输出的16位D / A和A / D转换器。 A / D转换器感测袖带压力,并将信号发送到计算机。 然后,计算机从存储的患者数据计算压力脉冲数据,并通过D / A转换器将其发送到监视器,其中压力脉冲数据被转换成电压,并与由血压计输出的压力传感器信号电子相加 被测试。 通常,回放系统读取血压监视器中的当前袖带压力并从平均压力最接近当前袖带压力的数据文件“回放”振荡复合体。 使用线性内插法将振荡复合体缩放到适当的幅度,然后将其合并到袖带压力通道中。 在示波器血压测定期间,针对每个压力水平重复该过程。 在测试期间,血压监测仪看到与真实患者的原始数据相似的振荡包络和振荡复杂形状。