CN208511012U - Sphygmomanometer - Google Patents
Sphygmomanometer Download PDFInfo
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- CN208511012U CN208511012U CN201721624602.XU CN201721624602U CN208511012U CN 208511012 U CN208511012 U CN 208511012U CN 201721624602 U CN201721624602 U CN 201721624602U CN 208511012 U CN208511012 U CN 208511012U
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- arm
- sphygmomanometer
- upper arm
- blood pressure
- posture
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- 230000036772 blood pressure Effects 0.000 claims abstract description 37
- 230000001133 acceleration Effects 0.000 claims abstract description 20
- 238000004458 analytical method Methods 0.000 claims abstract description 7
- 230000000694 effects Effects 0.000 claims description 21
- 238000004321 preservation Methods 0.000 claims description 3
- 230000005540 biological transmission Effects 0.000 claims 1
- 238000001514 detection method Methods 0.000 abstract description 33
- 238000005259 measurement Methods 0.000 abstract description 28
- 238000009434 installation Methods 0.000 abstract description 2
- 230000036544 posture Effects 0.000 description 33
- 238000009530 blood pressure measurement Methods 0.000 description 21
- 210000000707 wrist Anatomy 0.000 description 13
- 238000010586 diagram Methods 0.000 description 12
- 238000000034 method Methods 0.000 description 11
- 239000000203 mixture Substances 0.000 description 8
- 238000013500 data storage Methods 0.000 description 5
- 210000000352 storage cell Anatomy 0.000 description 5
- 239000003814 drug Substances 0.000 description 3
- 230000003068 static effect Effects 0.000 description 3
- 206010020772 Hypertension Diseases 0.000 description 2
- 230000000747 cardiac effect Effects 0.000 description 2
- 230000002060 circadian Effects 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
- 210000000245 forearm Anatomy 0.000 description 2
- 206010067484 Adverse reaction Diseases 0.000 description 1
- 208000005434 White Coat Hypertension Diseases 0.000 description 1
- 230000006838 adverse reaction Effects 0.000 description 1
- 239000002220 antihypertensive agent Substances 0.000 description 1
- 229940127088 antihypertensive drug Drugs 0.000 description 1
- 230000006399 behavior Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000036996 cardiovascular health Effects 0.000 description 1
- 230000001364 causal effect Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000027288 circadian rhythm Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 230000004069 differentiation Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 210000004247 hand Anatomy 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 238000007726 management method Methods 0.000 description 1
- 239000000902 placebo Substances 0.000 description 1
- 229940068196 placebo Drugs 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
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- Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
Abstract
The utility model relates to upper arm sphygmomanometer, especially a kind of sphygmomanometer with arm status detection function.The utility model is made of the arm state detection unit of upper arm attitude detection and position posture detection, the upper arm cuff containing air bag, sphygmomanometer processing and control element (PCE), measurement start unit, recording unit, display unit, external data interface unit.It is characterized by: arm state detection unit has upper arm and position posture detection function, in conjunction with the data of the two, upper arm position information relevant to position is obtained；Position posture also utilizes the three-axis acceleration sensor data that upper arm posture is detected on cuff in addition to obtaining using the three-axis acceleration sensor of installation physically, is obtained by arm posture specificity analysis relevant to position.Arm status information provided by the utility model can help doctor correctly to interpret each measured value of ambulatory blood pressure, exclusive PCR, obtain 24 hours blood pressure trend of measured.
Description
Technical field
The utility model relates to electronic sphygmomanometer, especially a kind of upper arm-type electronic blood pressure that can detect record arm state
Meter.
Background technique
Attention with people to management of cardiovascular health, ambulatory blood pressure measurement (24 hours running type blood pressure measurements) obtain
It must be more and more widely used.Ambulatory blood pressure is obtained more by the 15-30 minutes primary blood pressure measurements in 24 hours round the clock intervals
Blood pressure data, the contingency of Causal blood pressure can be eliminated.The purposes of ambulatory blood pressure has: observation is during the break or daily life
In blood pressure situation, especially nighttime blood pressures situation facilitates doctor to the Accurate Diagnosis of hypertension；Doctor is correct
Circadian rhythm and pharmaceutically-active duration of the rest with blood pressure under active state in therapeutic process are evaluated in ground, instruct drug
Treatment.It can be according to blood pressure peak and low ebb time, when selection index system antihypertensive drugs different in size, adjustment dosage kimonos medicine
Between, adjustment administration number of times and interval time, reduce the adverse reaction of drug, the blood pressure of whole day effectively controlled；Measurement
Whether there is or not " white coat hypertensions " and placebo to react.
When upper arm-type blood pressure measurement, the position of the cuff and heart that are worn on arm should be in same level height, and protects
It is static and loosen to hold arm.When arm position make cuff center be higher or lower than heart level when, terrestrial gravitation it is dedicated under,
The static pressure difference that vessel inner blood generates will affect result (error of generation is Δ mmHg=h × 1.055/13.6).When h=
At 100 millimeters, the error that static pressure generates is about 7mmHg.Cuff is fixed on upper arm, and (heart is arrived in terrestrial gravitation direction for position
Distance) it is related to both arm posture and position.Because ambulatory blood pressure is carried out during daily routines, arm position (by
The influence of arm posture and position) and arm activity can cause measurement error.In 24 hours blood pressure measurements, in difference
The measurement moment, measured is likely to be at seat, the vertical and position lain, and arm is also at different gestures.It is controlled in arm bad
Or the result of blood pressure measurement in the case of its position (sleep) of autonomous control, can not can be made to generate deviation.Such as in sleep, measured
May be horizontal position, left lateral position, right lateral position when measurement, arm also can from in different postures.Clinical measures show
Using horizontal position or with cuff arm is worn, the measurement result of identical lateral position is essentially identical when prone position measures, and wears with using
Wearing the opposite lateral position measurement result of cuff arm has larger difference.The state (including arm position and arm activity) of arm is right
The influence of measurement result can interfere doctor to grasp the truth of measured's different periods blood pressure round the clock, be unfavorable for doctor
Measured's state of an illness is made and accurately diagnoses and formulate optimal therapeutic scheme.
Patent document 1 and patent document 2 are all under certain condition, to judge wrist (arm) blood pressure by some way
In correct position whether measuring point relative heart.
Patent document 1 describes Wrist blood pressure meter to two kinds of detection methods of wrist location, and method 1 is to utilize inclination sensing
Device controls forearm angle, θ, could start to measure in θ desired value, Fig. 9 (a).Method 2 is to control wrist using heart sound transducer
Close to heart, wrist manometer 112 is pressed into the body of person to be measured and keeps its up and down and pass from heart sound by Fig. 9 (b)
The intensity for the sound that sensor 116 obtains.It is cardiac position when detecting peak L p, i.e. measurement position, Fig. 9 (c).Sphygmomanometer
Start to measure in the position.
The method that patent document 2 is mentioned is the distance controlling that the microwave transceiver on arm or wrist detects it with heart
Blood pressure measurement, such as Figure 10.After pressing measurement key, by arm or wrist to chest movement, the heart that microwave receiving passes through person to be measured
The Doppler shift of dirty bounce starts to measure in place.
1 method 1 of patent document there are the problem of have: since upper arm angle can change, angle, θ can only be in certain item
The position of wrist is indicated under part.1 method 2 of patent document there are the problem of have: cardiechema signals are weaker, and microphone needs to be close to chest
Portion, person to be measured can only wear unlined garment or exposed chest, and it is very inconvenient to make to measure blood pressure sometimes.Heart sound transducer is also susceptible to outer
The influence of portion's sound makes the corresponding heart sound peak detection in the position of heart become unstable.From Figure 11 (a) of patent document 2
Illustrate the moving condition figure of arm (wrist) to Figure 11 (f), it can be seen that microwave transceiver is in wrist or lower arm.It should
The microwave transceiver position mentioned in method is to be difficult control to be moved to front, especially working as is measured in right arm if it is upper arm
Blood pressure.
The problem of patent document 1 and patent document 2 exist jointly has: 1) person to be measured has to active control wrist or hand
The position of arm could start to measure, and in dynamic measurement in 24 hours, when person to be measured person falls asleep, can not be controlled；2) sleeping
When appearance, forearm tiltangleθ method cannot indicate the position of wrist completely.3) in prone position, the method for heart sound and microwave, inspection are utilized
Measuring the measuring point of wrist or arm cuff close to heart when is in the top of heart.The technology that the above patent document proposes is not
It is suitble to the use when various positions measure blood pressure.
1 Japan Patent JP3297971 of patent document.
2 CN103079463A of patent document.
Summary of the invention
The utility model provides a kind of upper arm sphygmomanometer, especially a kind of to have arm suitable for ambulatory blood pressure measurement
The sphygmomanometer of status detection function.Arm state include upper arm position (referring to measuring point relative heart position, the same below) and
Upper arm activity.
In order to achieve the above object, the utility model provides a kind of blood pressure measuring device, comprising: (refers to containing upper arm posture
Upper arm posture and activity, the same below) upper arm sleeve of the detection with the arm state detection unit of position posture detection, containing air bag
Band, sphygmomanometer processing and control element (PCE), measurement start unit, recording unit, display unit, external data interface unit.
The utility model is characterized in that arm state detection unit has upper arm posture and position detection function, in conjunction with
The data of the two obtain upper arm position.Upper arm position is related to both the posture of upper arm and position, passes through the appearance of upper arm and body
State sensor and body position sensor obtain upper arm position information relevant to position；It is living that upper arm attitude transducer also obtains upper arm
Momentum.
Upper arm attitude detection is realized using the three-axis acceleration sensor being mounted on cuff, the three-dimensional of measurement arm
Posture and activity.There are two types of implementations for position posture detection: first is that being passed using the three axial acceleration of installation physically
Sensor realizes (see embodiment 1)；Second is that the data of the three-axis acceleration sensor by upper arm attitude detection, utilize upper arm appearance
State characteristic analysis relevant to position obtains (see embodiment 2).
When measuring blood pressure, sphygmomanometer processing and control element (PCE) connects arm state detection unit and data storage cell, obtains
Arm position and activity simultaneously record preservation.Sphygmomanometer processing and control element (PCE) contains microprocessor, inflation/deflation driving circuit, inflation
The components such as pump, vent valve, pressure sensor, microprocessor operates inflator pump and vent valve by inflation/deflation driving circuit, to sleeve
Band air bag inflating pressure and deflation, realize blood pressure measurement, display and data record.Start unit is measured containing operation key and automatic survey
Measure timer, operation key can star blood pressure measurement, automatic measurement timer can in Circadian blood pressure profile by setting when
Between start blood pressure measurement automatically.External interface unit can be wired or wireless data-interface mode, by blood pressure data and arm
Status data is transmitted to other terminal devices and uses for doctor etc..
Fig. 2 is the angle of 3-axis acceleration sensor gravity acceleration value Ay1, Ax1, Az1 and object and terrestrial gravitation direction
Spend the relationship of α, β, θ.
Fig. 3 (a)-Fig. 3 (e) is several typical arms and body gesture figure, and indicates the detection of arm three axial acceleration
Value AZa、AXa、AYaWith body three axial acceleration detected value AZb、AXb、AYbAnd corresponding angle value α, β, θ.It can be seen that not
When with arm posture and different positions, upper arm measuring point and cardiac position schematic diagram.Wherein Fig. 3 (b), Fig. 3 (d) and Fig. 3 (e)
When, h value very little or be approximately 0, arm is not influenced in suitable measurement position, on pressure value.When Fig. 3 (c) and Fig. 3 (f), h
It is worth larger, blood pressure measurement can produce bigger effect.The arm measurement position of Fig. 3 (c) and Fig. 3 (f) is more higher than heart, makes to measure
Value is lower than actual blood pressure.Fig. 3 (a) arm measurement position is slightly below heart, and measured value is made to be slightly above actual blood pressure value.Fig. 3 (c) and
The arm posture of Fig. 3 (d) is identical, but there is very big difference in the position of arm relative heart, can be easy in conjunction with posture gesture
Both differentiations.Gone up the result shows that, while when detecting arm posture and position (body gesture), upper arm position can be obtained,
Understand the influence situation to blood pressure measurement.
The benefit of the utility model is: using the combination of upper arm posture and position, the position of arm when realizing different positions
And the detection of arm activity, the arm state of measured and the shadow to blood pressure measurement when enabling a physician to see blood pressure measurement
It rings.Especially ambulatory blood pressure is measured, by opponent's arm status information, doctor can be helped to carry out each blood pressure measurement correct
Interpretation, exclusive PCR obtains 24 hours blood pressure trend of measured.
Detailed description of the invention
Fig. 1 is the composition schematic diagram for illustrating embodiment 1, and the present embodiment sphygmomanometer main body is separated with sphygmomanometer girding,
It is that split type upper arm blood pressure meter realizes structure.
Fig. 2 is to illustrate that acceleration transducer measures gestures of object schematic diagram.
Fig. 3 is that explanation utilizes two acceleration transducers detection arm position schematic diagram on body and hands arm.
Fig. 4 is to illustrate 1 arm state-detection composition schematic diagram of embodiment.
Fig. 5 is to illustrate sphygmomanometer processing and control element (PCE) composition schematic diagram.
Fig. 6 is the composition schematic diagram for illustrating embodiment 2, and the present embodiment sphygmomanometer main body is mounted on sphygmomanometer girding.
Fig. 7 is to analyze and determine position flow chart using acceleration transducer on arm.
Fig. 8 illustrates 2 arm state-detection composition schematic diagram of embodiment.
Fig. 9 is the method schematic diagram of patent document 1.
Figure 10, Figure 11 are the method schematic diagrams of patent document 2.
Specific embodiment
Embodiment 1
Referring to Fig.1, Fig. 4, Fig. 5 are illustrated an embodiment of the utility model.
Such as the composition schematic diagram of Fig. 1 the present embodiment.Sphygmomanometer is the upper arm blood pressure meter that main body is separated with cuff, comprising:
Cuff 1 and wearable sphygmomanometer main body 2 physically, cuff are wrapped in arm measure blood pressure.Cuff 1 contains air bag 11 and arm
The upper arm attitude transducer 121 of state detection unit 12.Sphygmomanometer main body 2 controls processing unit 20, arm shape containing sphygmomanometer
Body position sensor 122, data storage cell 24, measurement start unit 22 and the external interface unit 23 of state detection unit 12.Outside
Interface Unit 23 in portion's can be wired or wireless data-interface mode, and blood pressure data and arm status data are transmitted to other ends
End equipment is used for doctor etc..
Such as Fig. 1, when measuring blood pressure, sphygmomanometer processing and control element (PCE) 20 connects arm state detection unit 12 and data are deposited
Storage unit 24.Such as Fig. 4, the microprocessor 201 that sphygmomanometer controls processing unit 20 connects the upper arm of arm state detection unit 12
Attitude transducer 121 and body position sensor 122.Upper arm attitude transducer 121 is three-axis acceleration sensor, can measure arm
Dimensional posture and activity.Body position sensor 122 is three-axis acceleration sensor, detects the dimensional posture of body.Micro- place
Reason device 201 reads the data of upper arm attitude transducer 121 and body position sensor 122 in blood pressure measurement, calculates arm posture, hand
Arm activity and body gesture are simultaneously saved in data storage cell 24.
Such as Fig. 5, sphygmomanometer controls processing unit 20 and contains microprocessor 201, deflation control circuit 202, pressure sensing
Device 203, inflator pump 204, vent valve 205.Microprocessor 201 acquires the air bag 11 that pressure sensor 203 detects when blood pressure measurement
Atmospheric pressure value, pass through deflation control circuit 202 control 11 pressure of air bag, realize blood pressure measurement.Start unit 22 is measured containing behaviour
Make key and automatic measurement timer, operation key can star blood pressure measurement, and automatic measurement timer can be in Circadian blood pressure profile
When start blood pressure measurement automatically according to set time.
Embodiment 2
It is illustrated referring to the embodiment of Fig. 6, Fig. 7, Fig. 8 to the utility model.
Such as the composition schematic diagram of Fig. 6 the present embodiment.Sphygmomanometer is the upper arm blood pressure meter of main body Yu cuff one, comprising:
Cuff 1 and sphygmomanometer main body 2 mounted thereto, cuff are wrapped in arm measure blood pressure.Cuff 1 contains air bag 11.Sphygmomanometer master
Body 2 contains sphygmomanometer arm state detection unit 12, control processing unit 20, data storage cell 24, measurement start unit 22
With external interface unit 23.External interface Unit 23 can be wired or wireless data-interface mode, by blood pressure data and arm
Status data is transmitted to other terminal devices and uses for doctor etc..
The present embodiment and the difference of embodiment 1 are: the detection of position is by upper arm posture in arm state detection unit
The data of sensor, which are analyzed, to be obtained.If Fig. 7 arm state detection unit is by upper arm attitude transducer 121 and posture analysis program
123 compositions.
The flow chart of posture analysis program 123 such as Fig. 8 shows: continuous acquisition records arm 3-axis acceleration value；By arm three
Axle acceleration measured value calculates arm posture and activity；According to measurement when and it is non-measured when upper arm posture and position feature,
When by measuring and the upper arm posture of its front and back a period of time is inferred to measure the position posture at moment；In conjunction with upper arm posture and analysis
The position information of deduction obtains the upper arm position at measurement moment.
The analysis of position, mainly judges whether human body is in prone position.The main foundation of judgement is the arm of people when prone position
The characteristics of posture and activity.Arm when prone position can be in position (Fig. 3 (d), Fig. 3 (e), Fig. 3 parallel to the ground for a long time
It (f)) is that impossible can be in the position (Fig. 3 (c)) for a long time, and in standing position and sitting posture.Prone position state hand when non-measured
The activity meeting very little of arm, especially in substantially motionless when sleeping.
Such as Fig. 6, sphygmomanometer processing and control element (PCE) 20(Fig. 5) connect arm state detection unit 12 and data storage cell
24.Such as Fig. 8, the upper arm posture that the microprocessor 201 that sphygmomanometer controls processing unit 20 connects arm state detection unit 12 is passed
Sensor 121 and posture analysis program 123.Upper arm attitude transducer 121 is three-axis acceleration sensor, the three-dimensional of measurement arm
Posture and activity.Microprocessor 201 continuously reads data and the preservation of upper arm attitude transducer 121.Microprocessor when measurement
201 operation posture analysis programs infer measurement moment body according to measurement moment and measurement front and back arm posture and activity analysis
Pose state.Sphygmomanometer processing and control element (PCE) 20 will calculate arm body appearance, arm activity and body gesture and be saved in number when measuring
According to storage unit 24.
Other controls of embodiment 2 are not stated with embodiment 1 tired.
Claims (5)
1. a kind of sphygmomanometer, it is characterised in that:
By the three-axis acceleration sensor being placed on sphygmomanometer main body and cuff, upper arm position when different positions is detected
And activity.
2. sphygmomanometer as described in claim 1, it is characterised in that sphygmomanometer main body and cuff use separate structure, when use
Sphygmomanometer main body is placed physically, and sphygmomanometer girding is worn on upper arm, is axially added by be mounted on sphygmomanometer girding three
Velocity sensor obtains upper arm position and activity information, passes through the three-axis acceleration sensor being mounted in sphygmomanometer main body
Obtain position information.
3. sphygmomanometer as described in claim 1, it is characterised in that sphygmomanometer main body and cuff use integral structure, i.e. blood pressure
Meter main body is placed on cuff, and when use is worn on upper arm, is passed through the three axial acceleration being mounted in sphygmomanometer main body and is sensed
Device obtains upper arm position and activity information, obtains position information by analysis.
4. sphygmomanometer as described in claim 1, it is characterised in that upper arm position and activity when recordable preservation different positions
Information.
5. sphygmomanometer as described in claim 1, it is characterised in that can will be contained not androgynous by wired and wireless data-interface
The sphygmomanometer data transmission of upper arm position and activity information is to other terminal devices when position.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201721624602.XU CN208511012U (en) | 2017-11-29 | 2017-11-29 | Sphygmomanometer |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201721624602.XU CN208511012U (en) | 2017-11-29 | 2017-11-29 | Sphygmomanometer |
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| Publication Number | Publication Date |
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| CN208511012U true CN208511012U (en) | 2019-02-19 |
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| CN201721624602.XU Expired - Fee Related CN208511012U (en) | 2017-11-29 | 2017-11-29 | Sphygmomanometer |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110251107A (en) * | 2019-06-25 | 2019-09-20 | 浙江大学 | Device and detection method for continuous change of wrist blood pressure state |
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2017
- 2017-11-29 CN CN201721624602.XU patent/CN208511012U/en not_active Expired - Fee Related
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110251107A (en) * | 2019-06-25 | 2019-09-20 | 浙江大学 | Device and detection method for continuous change of wrist blood pressure state |
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| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20190219 Termination date: 20211129 |