Methods and devices for calculating blood pressure based on measurements of arterial blood flow and arterial lumen

Patent metadata

Field	Value
Publication number	US-11020058-B2
Application number	US-201615186228-A
Country	US
Kind code	B2
Filing date	Jun 17, 2016
Priority date	Feb 12, 2016
Publication date	Jun 1, 2021
Grant date	Jun 1, 2021

Abstract

A system for calculating blood pressure may include a sensor system and a control system. The control system may be capable of controlling one or more sensors of the sensor system to take at least two measurements, the at least two measurements including at least one measurement taken at each of two or more different measurement elevations of a subject's limb. In some examples, the control system may be capable of determining a blood flow difference based on the at least two measurements, of determining a hydrostatic pressure difference based on the two or more different elevations of the at least two measurements and of estimating a blood pressure based on one or more values of blood flow, the hydrostatic pressure difference and the blood flow difference.

First claim

The invention claimed is:

1. A method of estimating a blood pressure comprising:
performing, by one or more sensors of a non-interfering device that is configured to be worn on a subject's limb, two or more measurements, wherein at least two measurements from the two or more measurements correspond to different measurement elevations of the subject's limb, wherein the performing the two or more measurements involves controlling the non-interfering device to perform the two or more measurements without impeding blood flow of an underlying blood vessel and wherein the non-interfering device does not perturb a blood vessel being measured;
determining, by a processor, a blood flow difference based on the two or more measurements;
determining, by the processor, a hydrostatic pressure difference based on the different measurement elevations of the two or more measurements; and
estimating, by the processor, the blood pressure based on a first blood flow, a second blood flow, the hydrostatic pressure difference and the blood flow difference, wherein the one or more sensors include one or more optical sensors of an optical sensor system and wherein the performing, by the one or more sensors, the two or more measurements comprises:
directing, by the optical sensor system, light waves towards an artery to form a measuring volume having an interference pattern that illuminates at least an interior portion of the artery, wherein the measuring volume comprises a volume of the artery towards which the light waves are directed, wherein a cross-sectional diameter of the measuring volume is greater than a diameter of the artery and wherein the interference pattern of the measuring volume has a fringe spacing greater than a diameter of blood cells;
receiving, by the one or more sensors, one or more reflected waves, wherein the one or more reflected waves are based at least in part on the directed light waves and wherein the one or more reflected waves include backscattered light waves;
obtaining, by the one or more sensors, the two or more measurements, including the at least two measurements taken at each of the different measurement elevations, based on the one or more reflected waves; and
transmitting, by the one or more sensors, the two or more measurements to the processor;

wherein determining the blood flow difference based on the two or more measurements comprises:
determining, by the processor, values of arterial lumen for each of the different measurement elevations wherein the values of arterial lumen include values of arterial cross-section or arterial volume;
determining, by the processor, a value of blood velocity associated with each of the different measurement elevations based, at least in part, on a Doppler shift or a Doppler shift related signal corresponding to the backscattered light waves; and
determining, by the processor, the first blood flow associated with a first measurement elevation and the second blood flow associated with a second measurement elevation based on the determined values of the blood velocity and the determined values of the arterial lumen; and

wherein estimating the blood pressure involves determining an arterial stress-strain relationship based on the hydrostatic pressure difference, the determined values of the blood velocity and the determined values of the arterial lumen.

2. The method of claim 1 , wherein the one or more reflected waves include scattered waves, specularly reflected waves, or both scattered waves and specularly reflected waves.

3. The method of claim 1 , wherein the light waves include one or more of infrared light and visible light.

4. The method of claim 1 , wherein the determined values of the arterial lumen comprise values of arterial cross-section or arterial volume.

5. The method of claim 1 , wherein the one or more sensors further include one or more ultrasonic sensors.

6. The method of claim 5 , wherein the two or more measurements comprises directing ultrasonic waves into the subject's limb towards an artery.

7. The method of claim 1 , further comprising at least one of storing or transmitting, by the processor, an indication or estimation of a blood pressure.

8. A system for estimating a blood pressure comprising:
a non-interfering device configured to be worn on a subject's limb, the non-interfering device comprising a sensor system; and
a control system comprising one or more processors, the control system being configured for communication with the sensor system, the control system configured to:
control one or more sensors of the sensor system to perform two or more measurements, wherein at least two measurements of the two or more measurements correspond to different measurement elevations of a subject's limb, wherein performing the two or more measurements involves controlling the non-interfering device to perform the two or more measurements without impeding blood flow of an underlying blood vessel and wherein the non-interfering device does not perturb a blood vessel being measured;
determine a blood flow difference based on the two or more measurements;
determine a hydrostatic pressure difference based on the different measurement elevations of the two or more measurements; and
estimate the blood pressure based on a first blood flow, a second blood flow, the hydrostatic pressure difference and the blood flow difference, wherein the one or more sensors include one or more optical sensors of an optical sensor system and wherein performing, by the one or more sensors, the two or more measurements comprises:
directing, by the optical sensor system, light waves towards an artery to form a measuring volume having an interference pattern that illuminates at least an interior portion of the artery, wherein the measuring volume comprises a volume of the artery towards which the light waves are directed, wherein a cross-sectional diameter of the measuring volume is greater than a diameter of the artery and wherein the interference pattern of the measuring volume has a fringe spacing greater than a diameter of blood cells;
receiving, by the one or more sensors, one or more reflected waves, wherein the one or more reflected waves are based at least in part on the directed light waves and wherein the one or more reflected waves include backscattered light waves;
obtaining, by the one or more sensors, the two or more measurements, including the at least two measurements taken at each of the different measurement elevations, based on the one or more reflected waves; and
transmitting, by the one or more sensors, the two or more measurements to the control system;

wherein determining the blood flow difference based on the two or more measurements comprises:
determining, by the control system, values of arterial lumen for each of the different measurement elevations, wherein the values of arterial lumen include values of arterial cross-section or arterial volume;
determining, by the control system, a value of blood velocity associated with each of the different measurement elevations based, at least in part, on a Doppler shift or a Doppler shift related signal corresponding to the backscattered light waves; and
determining, by the control system, the first blood flow associated with a first measurement elevation and the second blood flow associated with a second measurement elevation based on the determined values of the blood velocity and the determined values of the arterial lumen; and

wherein estimating the blood pressure involves determining an arterial stress-strain relationship based on the hydrostatic pressure difference, the determined values of the blood velocity and the determined values of the arterial lumen.

9. The system of claim 8 , wherein the one o

Assignees

• Qualcomm Inc

Inventors

• Lading Lars
• Baek David Boettcher

Classifications

• A61B2560/0261

  using hydrostatic pressure · CPC title

• A61B8/4411

  Device being modular · CPC title

• A61B8/56

  Details of data transmission or power supply · CPC title

• A61B8/4227

  characterised by straps, belts, cuffs or braces · CPC title

• A61B8/4427

  Device being portable or laptop-like · CPC title