Nihon Kohden Corporation

Wenxi Chen

Yoshihiro Sugo

Takeshi Sohma

Rie Tanaka

Ryoichi Ochiai

Kohei Ono

Hiromitsu Kasuya

Shigeru Aso

A pacing-pulse detecting circuit,detects pacing pulses from an electrocardiogram signal led from an electrocardiogram electrode,A mode-status judging means,judges a mode status, a pacing mode or a nonpacing mode, on the basis of the pacing pulse detected. The detect result is transmitted to a CPU,The CPU,causes a display device,to display the result. An operator sees the display and operates a key,and gives an instruction to start a blood pressure measurement to the CPU,The CPU,drives a pump,and an exhaust valve,to supply and discharge air to and from a cuff,and measures a blood pressure by use of pressure data led from a pressure sensor

Patient monitoring apparatus

An apparatus for non-invasion heart monitoring includes electrocardiogram measuring means (1) for measuring electrocardiograms, pulse wave measuring means (2) for measuring pulse waves, and a CPU (30) for processing electrocardiogram signals derived from the electrocardiogram measuring means (1) and pulse wave signals derived from the pulse-wave measuring means (2). The CPU (30) detects the amplitudes of the pulse waves corresponding to the R waves of the cardiogram and the pulse wave propagation times, and computes a ratio (Nr/N) of the heart rate N and the heart rate Nr exclusive of the heart beats of wave deficits.

Non-invasive heart monitoring apparatus and method

A pacing-pulse detecting circuit 3 detects pacing pulses from an electrocardiogram signal led from an electrocardiogram electrode 1. A mode-status judging means 21 judges a mode status, a pacing mode or a nonpacing mode, on the basis of the pacing pulse detected. The detect result is transmitted to a CPU 5. The CPU 5 causes a display device 10 to display the result. An operator sees the display and operates a key 22, and gives an instruction to start a blood pressure measurement to the CPU 5. The CPU 5 drives a pump 13 and an exhaust valve 14 to supply and discharge air to and from a cuff 11, and measures a blood pressure by use of pressure data led from a pressure sensor 15.

A pacing-pulse detecting circuit 3 detects pacing pulses from an electrocardiogram signal led from an electrocardiogram electrode 1. A mode-status judging means 21 judges a mode status, a pacing mode or a nonpacing mode, on the basis of the pacing pulse detected. The detect result is transmitted to a CPU 5. The CPU causes a display device 10 to display the result. An operator sees the display and operates a key 22, and gives an instruction to start a blood pressure measurement to the CPU 5. The CPU 5 drives a pump 13 and an exhaust valve 14 to supply and discharge air to and from a cuff 11, and measures a blood pressure by use of pressure data led from a pressure sensor 15.

An electrocardiogram signal derived from electrocardiogram measuring means 1 and a pulse signal derived from pulse-wave measuring means 2 are applied to a CPU 30. The CPU 30 processes the cardiogram signal to detect a QRS wave signal, and processes the pulse signal to detect the amplitude of the pulse signal. The CPU 30 judges whether or not the QRS wave is caused by a ventricular premature contraction. If two QRS waves, not caused by ventricular premature contraction, occurs successively, and the CPU 30 judges if A0.times.k&gt;A1. The CPU 30 judges that a supraventricular extrasystole is occurred. Here, A0 is an amplitude of the first QSR wave; A1 is an amplitude of the second QSR wave; and k is a preset value, 0&lt;k&lt;1.

After an initial blood pressure measurement using a cuff 2 has been made, not only a pulse wave propagation time Tt is counted consecutively, but also a pulse wave propagation time change .DELTA.T is calculated every time the pulse wave propagation time Tt is counted and compared with a pulse wave propagation change threshold .DELTA.Ts. When the pulse wave propagation time change .DELTA.T exceeds the pulse wave propagation time change threshold .DELTA.Ts, not only a blood pressure value BPt is measured with the cuff 2, but also a pulse wave propagation time Tt.sub.1 is counted. If there are at least two sets of data, each set of data consisting of a blood pressure value BPt and a pulse wave propagation time Tt.sub.1, coefficients .alpha., .beta. specific to a subject are calculated from such two sets of data by a least-squares method. Then, the pulse wave propagation time change threshold .DELTA.Ts is calculated from the coefficient .alpha., and the current pulse wave propagation time change threshold .DELTA.Ts is updated.

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Tokyo, Japan

Wenxi Chen