Abstract: A tissue contact stress sensing system incorporates a semiconductor assembly and a continuous diaphragm to noninvasively determine the intra-arterial blood pressure of a patient. The system comprises a continuous diaphragm placed against a patient's tissue which covers an underlying artery. The semiconductor assembly is placed in close proximity to and spaced apart from the diaphragm for directly irradiating the diaphragm with electromagnetic radiation and receiving a portion of the electromagnetic radiation which is reflected from the continuous diaphragm. The disclosed system also utilizes a technique for minimizing the system errors associated with temperature drift and aging of the sensor.

Abstract: A method, for use in a non-invasive blood pressure monitoring system, of determining optimum artery applanation. The system uses a stress sensor including a stress sensitive element for detecting stress of tissue overlying an artery of interest. The tissue stress sensor is placed in communication with tissue overlying the artery of interest and at least one electrical signal is obtained therefrom representing stress data across the length of the stress sensitive element. The data represents stress datum communicated to a preselected portion of the stress sensitive element. From the stress datum, various algorithms are used, singly or in combination, to provide the best measure of optimum applanation state. Intra-arterial blood pressure is then calculated using datum collected at the optimum applanation state. In addition, to the optimum applanation methods, a method is disclosed for determining which portion of the stress sensitive element is best suited for estimating intra-arterial blood pressure.

Abstract: A wrist mount apparatus for placing a tissue stress sensor in operative engagement with the tissue overlaying an artery of interest is disclosed for use in a system for noninvasively determining the intra-arterial blood pressure of a patient. The wrist mount apparatus comprises a base portion and a transducer platform which is pivotally and slidingly engaged to the base portion. This arrangement allows the apparatus to be used on either the right or the left wrist of the wearer. A force overload system is provided whereby the wearer is protected from excessive forces applied to the wrist tissue by the apparatus used to applanate the artery. A quick disconnect feature allows the tissue stress sensor to be removed from the wrist mount apparatus without necessitating the use of tools.

Abstract: A method, for use in a non-invasive blood pressure monitoring system, of determining which portion of a stress sensitive element of a tissue stress sensor is best located for detecting the stress of tissue overlying an artery of interest. The tissue stress sensor is placed in communication with tissue overlying the artery of interest and a plurality of electrical signals are obtained therefrom representing stress data across the length of the stress sensitive element. Each electrical signal represents stress datum communicated to a predetermined portion of the stress sensitive element. From the stress datum, a centroid of energy is computed and the centroid of energy is used to determine which portion of the stress sensitive element is best located for determining the blood pressure within the artery of interest. A second method is disclosed which uses the centroid of a tissue foundation flexibility function to determine the best location along the stress sensitive element for determining blood pressure.

Abstract: A method, for use in a non-invasive blood pressure monitoring system, of operating a tissue stress sensor at an off-optimum arterial applanation state. The system uses a stress sensor including a stress sensitive element for detecting stress of tissue overlying an artery of interest. The tissue stress sensor is placed in communication with tissue overlying the artery of interest and at least one electrical signal is obtained therefrom representing stress data across the length of the stress sensitive element. The data represents stress datum communicated to preselected portions of the stress sensitive element. From the stress datum, various techniques are used to determine the optimum applanation state and the actual applanation state. A waveform scaling factor function is created which compensates for the errors associated with operating the tissue stress sensor at an off-optimum applanation state.

Abstract: An artery applanation actuator for use in a system for noninvasively determining the intra-arterial blood pressure of a user incorporates a fluid actuator to effect movement of a sensor. The movement of the sensor is effective for applanating an artery of interest and measuring the stress of the tissue overlaying the artery of interest. Alternative embodiments of the artery applanation actuator are presented wherein an electric motor is used to activate a rotating arm which has a sensor located thereon. The rotation of the arm causes the sensor to contact and press against the tissue overlying the artery of interest. The artery applanation actuator is presented having a protective sheath surrounding the sensor to protect the sensor against inadvertent contact.

Abstract: A calibration apparatus for use in calibrating a tissue stress sensor used in a blood pressure monitoring system. The calibration apparatus includes a calibration head which is adapted to be retained in close proximity to a tissue stress sensor. The calibration head includes means for heating the tissue stress sensor. A calibration system is also disclosed for calibrating a blood pressure monitoring system, the blood pressure monitoring system employing a stress sensor for generating an electric output signal representative of tissue stress data. The calibration system comprises a tissue stress sensor having a displaceable diaphragm and a sealed chamber. The chamber has a continuous wall defining an inner volume and an outer volume. The displaceable diaphragm comprises a portion of the continuous wall, whereby the displaceable diaphragm is responsive to a pressure differential between the inner chamber volume and the outer chamber volume.

Abstract: A tissue contact stress sensing system incorporates a semiconductor assembly and a continuous diaphragm to noninvasively determine the intra-arterial blood pressure of a patient. The system comprises a continuous diaphragm placed against a patient's tissue which covers an underlying artery. The semiconductor assembly is placed in close proximity to and spaced apart from the diaphragm for directly irradiating the diaphragm with electromagnetic radiation and receiving a portion of the electromagnetic radiation which is reflected from the continuous diaphragm. The disclosed system also utilizes a technique for minimizing the system errors associated with temperature drift and aging of the sensor.

Abstract: A pressure waveform monitor noninvasively monitors the pressure waveform in an underlying vessel such as an artery. The apparatus comprises at least one/continuous, relatively thin and narrow diaphragm mounted in a housing to be placed on the tissue overlying the vessel of interest. The diaphragm is longer than the diameter of the vessel for purposely monitoring pressure in the tissue adjacent the vessel of interest. The tonometer also comprises deformation sensor means for measuring deformation of the diaphragm both over the vessel and adjacent the vessel, and signal processing means for combining the waveform of the vessel as monitored by the part of the diaphragm over the vessel with the waveforms of adjacent tissue to accurately determine the actual pressure waveform in the vessel.

Abstract: The invention is directed to a fluid flow monitoring method and system for parenteral fluid delivery systems for use in situations, such as with sedentary patients, when wide pressure variations are not expected. The resistance of the fluid delivery system is determined from the ratio of pressure differences at high and low fluid flow rates to differences in the high and low fluid flow rates. The resistance is used to develop a pressure limit from the sum of the pressure at low fluid flow rates and the product of the resistance and the high fluid flow rate. The pressure limit is compared with the pressure monitored and if the pressure monitored exceeds the calculated pressure limit, an alarm is actuated to warn medical personnel of an occlusion or other fluid flow fault. Additionally, if the noise level (pressure) excess predetermined limits during the periods of low and high fluid flow, the pressure monitoring is terminated.

Abstract: This invention is directed to a method and system for evaluating the fluid communication between a parenteral fluid delivery system and a patient's blood vessel. In accordance with the invention, one or more fluid flow pulses are applied to the fluid within the delivery system. Both positive and negative fluid flow pulses may be applied. The pressure response to the pulses under conditions of normal, unimpeded fluid flow is significantly different than the pressure response to such pulses when an infiltration or other fluid flow fault has occurred and this difference is used to detect fluid faults.