Abstract: A system and method for evaluating the functionality of a blood pressure cuff. The system includes a support mandrel that receives a stimulation cuff connected to a blood pressure simulation device. The reference cuff is positioned around both the mandrel and the stimulation cuff and the blood pressure simulator is operated to inflate and deflate the stimulation cuff in a test pattern. A reference signal from the reference blood pressure cuff is received and stored for later analysis. Once the reference signal is recorded, a test blood pressure cuff is positioned around the stimulation cuff and the mandrel and the blood pressure simulator is operated to create the test pattern. An output signal from the test blood pressure cuff is recorded. The system compares the reference output signal to the test output signal to determine whether the test blood pressure cuff and the reference blood pressure cuff are functional equivalents.

Abstract: A system and method for processing oscillometric data from a plurality of pressure steps to determine the blood pressure of a patient. A heart rate monitor connected to the patient acquires the patient's heart rate. A time-to-frequency domain converter receives oscillometric data and converts the oscillometric data into the frequency domain. Based upon the calculated heart rate, the system and method filters the frequency domain oscillometric signal with pass bands centered at the fundamental frequency and at least one fundamental frequency. The energy of the frequency domain signal within the pass bands is compared to at least a portion of the energy of the frequency domain oscillometric signal outside of the pass bands. Based upon the comparison, the signal determines whether the signal at the current pressure step should be utilized in calculating the blood pressure of the patient.

Abstract: A system for processing oscillometric data from a plurality of pressure steps to determine the blood pressure of a patient as disclosed herein. A heart rate monitor connected to the patient acquires the patient's heart rate. A time to frequency domain converter receives oscillometric data and converts the oscillometric data into the frequency domain. A harmonic frequency calculator is connected to the heart rate monitor and derives at least the heart rate fundamental frequency. A filter connected to the time to frequency domain converter and the harmonic frequency calculator that produces a filter frequency domain oscillometric signal. A reconstruction calculator receives the filtered frequency domain oscillometric signal and reconstructs a time domain oscillometric signal. A method of computing an oscillometric envelope for use in determining the blood pressure of a patient is also disclosed herein.

Abstract: A method and system for determining pulse rate of a patient are disclosed. The method and system include acquiring measured information for at least one pulse at a pressure step, determining and storing quality values for the at least one pulse at the pressure step, analyzing pulse matching criteria for the pressure step, and determining pulse rate based on the measured information, quality values, and pulse matching criteria.

Abstract: A method and system for operating a non-invasive blood pressure monitor that utilizes an SpO2 plethysmograph waveform to determine the initial inflation pressure for the NIBP monitor. A pulse sensor is placed on the patient's limb distal to the blood pressure cuff and provides a pulse waveform to the NIBP monitor. The NIBP monitor calculates a second derivative of the pulse waveform, which includes a series of acceleration peaks corresponding to pulse signals within the pulse waveform. When the blood pressure cuff reaches systolic pressure, the acceleration peaks contained within the acceleration waveform are eliminated, thus providing an indication that the cuff pressure has reached systolic pressure for the patient.

Abstract: A system and method for processing a cuff pressure waveform to determine the blood pressure of a patient. A heart rate monitor acquires the patient's heart rate. Based upon the acquired heart rate, the system selects filtering parameters for processing the cuff pressure waveform received from the patient. The filtering parameters include a high pass cutoff frequency and a low pass cutoff frequency that are determined based upon the heart rate of the patient. The low pass cutoff frequency is based upon a harmonic frequency of the heart rate while the high pass cutoff frequency is based upon the fundamental frequency of the heart rate. The high pass and low pass cutoff frequencies are used to select filtering coefficients. The high pass and low pass cutoff frequencies are selected based upon the heart rate of the patient such that the filtering adapts based on the heart rate of the patient.

Abstract: A system and method for processing a cuff pressure waveform to determine the blood pressure of a patient. The processing unit of the NIBP monitoring system receives status signals from one or more physiological parameter monitors. The physiological parameter monitors each include an operating algorithm that causes the physiological parameter monitor to generate a status signal indicating whether artifacts are present that prevent the determination of the physiological parameter. When the processing unit receives the monitoring signal from the physiological parameter monitor indicating the presence of artifacts, the processing unit adjusts the operation of the NIBP monitor. The adjustment of the NIBP monitor may be to delay the beginning of the NIBP determination cycle until artifacts are no longer present from the physiological parameter monitor or to control the cuff pressure in such a manner as to keep the patient safe and comfortable until the artifacts are no longer present.

Abstract: A method of utilizing maternal-fetal monitoring system to monitor the physiological properties of both a maternal patient and a fetus. The method places a series of ECG electrodes across the maternal patient's abdomen and receives ECG input waveforms across a plurality of separate channels. The method processes the channels using an ICA algorithm to generate a series of ICA output waveforms. The ICA output waveforms are analyzed for each individual epoch to determine which of the channels include a maternal signal or a fetal signal source. Based upon the determination of which channel includes the fetal and maternal signals, further processing is carried out on the ICA output waveform on the identified channel to obtain physiological properties for the patient and the fetus. During the next epoch, the same signal processing occurs, such that the system can identify the fetal and maternal signals even as the fetal and maternal jump channels from one epoch to another.

Abstract: A method for estimating systolic and diastolic pressure is disclosed herein. The method includes obtaining a predetermined type of blood pressure data from a patient, and providing previously acquired blood pressure data obtained from a plurality of different subjects. The method also includes implementing the previously acquired blood pressure data to select systolic and diastolic amplitude ratios that most closely correlate with the predetermined type of blood pressure data obtained from the patient. The selected systolic and diastolic amplitude ratios are adapted to compensate for the effects of arterial compliance. The method also includes implementing the selected systolic and diastolic amplitude ratios to generate a systolic and diastolic blood pressure estimates.

Abstract: A system and method for processing oscillometric data from a plurality of pressure steps to determine the blood pressure of a patient. A heart rate monitor connected to the patient acquires the patient's heart rate. A time-to-frequency domain converter receives oscillometric data and converts the oscillometric data into the frequency domain. Based upon the calculated heart rate, the system and method filters the frequency domain oscillometric signal with pass bands centered at the fundamental frequency and at least one fundamental frequency. The energy of the frequency domain signal within the pass bands is compared to at least a portion of the energy of the frequency domain oscillometric signal outside of the pass bands. Based upon the comparison, the signal determines whether the signal at the current pressure step should be utilized in calculating the blood pressure of the patient.

Abstract: A method of utilizing a maternal-fetal monitoring system to monitor the physiological properties of both a maternal patient and a fetus. A series of ECG electrodes are placed across the maternal patient's abdomen and receives ECG input waveforms across sixteen separate channels. The sixteen channels of information are processed using an ICA algorithm to generate a series of ICA output waveforms and a transfer matrix. Following the current epoch, the transfer matrix is applied to the input waveforms on a continuous basis. The conditioned input waveforms are displayed immediately following the first epoch and prior to the expiration of a subsequent epoch. The transfer matrix for the second epoch is combined with the transfer matrix for the first epoch to generate an updated transfer matrix. Various filtering operations on the transfer matrix coefficients may be used to find the updated transfer matrix before the end of the current epoch.

Abstract: A method and system for operating a non-invasive blood pressure monitor that utilizes an SpO2 plethysmograph waveform to determine the initial inflation pressure for the NIBP monitor. A pulse sensor is placed on the patient's limb distal to the blood pressure cuff and provides a pulse waveform to the NIBP monitor. The NIBP monitor calculates a second derivative of the pulse waveform, which includes a series of acceleration peaks corresponding to pulse signals within the pulse waveform. When the blood pressure cuff reaches systolic pressure, the acceleration peaks contained within the acceleration waveform are eliminated, thus providing an indication that the cuff pressure has reached systolic pressure for the patient.

Abstract: A blood pressure measurement system that utilizes a non-invasive blood pressure (NIBP) monitor having a blood pressure cuff and pressure transducer. The measurement system provides a plurality of separate processing techniques that each receive a plurality of oscillometric data values from the pressure transducer. Each of the processing techniques separately constructs an oscillometric envelope based upon the oscillometric data values. Based upon the plurality of separate oscillometric envelopes, the system compares the envelopes and develops a calculated blood pressure from the plurality of envelopes. The calculated blood pressure is then displayed by the NIBP system. The plurality of oscillometric envelopes can be compared and combined in different manners to calculate the patient's blood pressure from the plurality of different processing techniques.

Abstract: A blood pressure measurement system that utilizes a non-invasive blood pressure (NIBP) monitor having a blood pressure cuff and pressure transducer. The measurement system provides a plurality of separate processing techniques that each receive a plurality of oscillometric waveform sample values generated using the pressure transducer. Each of the processing techniques separately generates a set of envelope points based upon the oscillometric data values. The sets of envelope points are appropriately scaled such that the sets of scaled envelope points are combined with each other to create a set of combined, scaled envelope points. Various different methods can be used to scale the sets of envelope points prior to the combination of the scaled envelope points. Based upon the combination of scaled envelope points, the blood pressure is calculated and displayed by the NIBP monitor.

Abstract: A blood pressure measurement system that utilizes both a non-invasive blood pressure (NIBP) monitor having a blood pressure cuff and a continuous non-invasive blood pressure (CNIBP) monitor. During operation of the NIBP monitor, the blood pressure cuff is inflated to an initial inflation pressure greater than the systolic blood pressure for the patient being monitored. The CNIBP monitor calculates an estimated blood pressure that is supplied to the NIBP monitor. The NIBP monitor utilizes the continuous, estimated blood pressure to select a target inflation pressure for the blood pressure cuff. During operation of the NIBP monitor, the size of the pressure steps from the initial inflation pressure to a final pressure can be varied based upon the continuous blood pressure estimate from the NIBP monitor.

Abstract: A method for non-invasively estimating blood pressure is disclosed herein. The method includes inflating a cuff and collecting first oscillation amplitude data at a first plurality of cuff pressure levels while inflating the cuff. The method includes identifying an artifact in the first oscillation amplitude data. The method includes identifying a specific cuff pressure level where the artifact occurs and deflating the cuff to the specific cuff pressure level. The method includes collecting second oscillation amplitude data at the specific cuff pressure level and estimating a blood pressure parameter based on both the first oscillation amplitude data and the second oscillation amplitude data. A non-invasive blood pressure system is also disclosed.

Abstract: A method and technique for the continuous, non-invasive measurement of blood pressure. The blood pressure measurement technique of the present invention utilizes ultrasound measurements to determine the diameter of the blood vessel in which the blood pressure is being measured as well as the flow rate of blood at both an input point and an output point along the blood vessel. The system utilizes a transmission line model to relate various blood vessel measurements with electrical components. The transmission line model, in combination with data management techniques including state variable representations and Kalman filtering, is used to develop a blood pressure measurement in real time.

Abstract: A method for non-invasively estimating blood pressure is disclosed herein. The method includes inflating a cuff and collecting first oscillation amplitude data at a first plurality of cuff pressure levels while inflating the cuff. The method also includes deflating the cuff and collecting second oscillation amplitude data at a second plurality of cuff pressure levels while deflating the cuff. The method also includes fitting a curve to the first oscillation amplitude data and to the second oscillation amplitude data and estimating a blood pressure parameter based on the curve. A non-invasive blood pressure system is also disclosed.

Abstract: A system for processing oscillometric data from a plurality of pressure steps to determine the blood pressure of a patient as disclosed herein. A heart rate monitor connected to the patient acquires the patient's heart rate. A time to frequency domain converter receives oscillometric data and converts the oscillometric data into the frequency domain. A harmonic frequency calculator is connected to the heart rate monitor and derives at least the heart rate fundamental frequency. A filter connected to the time to frequency domain converter and the harmonic frequency calculator that produces a filter frequency domain oscillometric signal. A reconstruction calculator receives the filtered frequency domain oscillometric signal and reconstructs a time domain oscillometric signal. A method of computing an oscillometric envelope for use in determining the blood pressure of a patient is also disclosed herein.

Abstract: A method of utilizing a maternal-fetal monitoring system to monitor the physiological properties of both a maternal patient and a fetus. A series of ECG electrodes are placed across the maternal patient's abdomen and receives ECG input waveforms across sixteen separate channels. The sixteen channels of information are processed using an ICA algorithm to generate a series of ICA output waveforms and a transfer matrix. Following the current epoch, the transfer matrix is applied to the input waveforms on a continuous basis. The conditioned input waveforms are displayed immediately following the first epoch and prior to the expiration of a subsequent epoch. The transfer matrix for the second epoch is combined with the transfer matrix for the first epoch to generate an updated transfer matrix. Various filtering operations on the transfer matrix coefficients may be used to find the updated transfer matrix before the end of the current epoch.