SMART PERSONAL PORTABLE BLOOD PRESSURE MEASURING SYSTEM AND METHOD FOR CALIBRATING BLOOD PRESSURE MEASUREMENT USING THE SAME
20200029839 ยท 2020-01-30
Inventors
Cpc classification
A61B5/02141
HUMAN NECESSITIES
A61B5/02438
HUMAN NECESSITIES
A61B2560/0223
HUMAN NECESSITIES
A61B2560/0431
HUMAN NECESSITIES
International classification
A61B5/022
HUMAN NECESSITIES
Abstract
A smart personal portable blood pressure measuring system comprises a smart blood pressure measuring base, and a portable blood pressure measuring apparatus comprising a metal electrode detecting unit for detecting an electrocardiography (EKG) signal, a photoplethysmography detector for detecting a photoplethysmography (PPG) signal, a storage unit, a first central processor, a first power supply, and a first coupling interface unit. The storage unit stores a plurality of blood pressure values and a blood pressure algorithm. The first central processor performs a calculation according to the EKG signal, the PPG signal and the blood pressure algorithm. The first power supply provides the necessary power for operating the portable blood pressure measuring apparatus. The first coupling interface unit is coupled to the smart blood pressure measuring base so that the smart blood pressure measuring base is capable of transmitting data to the portable blood pressure measuring apparatus.
Claims
1. A smart personal portable blood pressure measuring system, comprising: a smart blood pressure measuring base; a portable blood pressure measuring apparatus releasably coupled to the smart blood pressure measuring base, comprising: a metal electrode detecting unit for detecting an electrocardiography (EKG) signal; a photoplethysmography detector for detecting a photoplethysmography (PPG) signal; a storage unit for storing a plurality of blood pressure values with respect to an examinee and storing a blood pressure algorithm; a first central processor configured to perform a calculation according to the EKG signal, the PPG signal and the blood pressure algorithm for obtaining the plurality of blood pressure values; a first power supply configured to provide necessary power for operating the portable blood pressure measuring apparatus; and a first coupling interface unit configured to couple to the smart blood pressure measuring base for transmitting data between the smart blood pressure measuring base and the portable blood pressure measuring apparatus.
2. The system of claim 1, wherein the portable blood pressure measuring apparatus is a card structure, comprising an operation interface, a finger-engaged area having the photoplethysmography detector, and a display unit for displaying the plurality of blood pressure values, which comprises a systolic blood pressure value and a diastolic blood pressure value.
3. The system of claim 1, wherein the blood pressure algorithm includes a first calculation formula expressed as D1=RIfd(x), and a second calculation formula expressed as S1=RIfs(x), wherein D1 represents a diastolic blood pressure value, S1 represents a systolic blood pressure value, R represents a blood flow resistance value, I represents a blood flow value, fd(x) represents a calibration function of diastolic blood pressure, and fs(x) represents a calibration function of systolic blood pressure.
4. The system of claim 3, wherein a time interval (t) is defined between a first characteristics point of the PPG signal and a second characteristics point of the EKG signal relevant to the PPG signal, in which the first characteristics point of the PPG signal is peak of the PPG signal at a first time point and the second characteristics point of the EKG signal is peak of the EKG signal at a second time point.
5. The system of claim 3, wherein the blood flow resistance value (R) is equal to the time interval (t) multiplied by a function value (k1), and the function value (k1) is a function varied with the time interval (t) or the function value (k1) is a constant value.
6. The system of claim 3, wherein the blood flow value (I) is equal to an integral value (A) with respect to a curve of the PPG signal multiplied by a function value (k2), and the function value (k2) is a function varied with the integral value (A) or the function value (k2) is a constant value.
7. A method for calibrating blood pressure measurement, comprising steps of: providing a smart blood pressure measuring base and a portable blood pressure measuring apparatus releasably coupled to the smart blood pressure measuring base, wherein the smart blood pressure measuring base comprises a cuff, the portable blood pressure measuring apparatus comprises a metal electrode detecting unit for detecting an electrocardiography (EKG) signal, and a photoplethysmography detector for detecting a photoplethysmography (PPG) signal; electrically connecting the portable blood pressure measuring apparatus to the smart blood pressure measuring base; measuring a diastolic blood pressure value and a systolic blood pressure value with respect to an examinee through the smart blood pressure measuring base; measuring an electrocardiography (EKG) signal and a photoplethysmography (PPG) signal of the examinee through the portable blood pressure measuring apparatus; obtaining a blood flow value (I) and a blood flow resistance value (R) respectively according to the PPG signal and EKG signal; and using a blood pressure algorithm including a first calculation formula expressed as D1=RIfd(x), and a second calculation formula expressed as S1=RIfs(x) for calculating the fd(x) and the fs(x), wherein D1 represents a diastolic blood pressure value, S1 represents a systolic blood pressure value, R represents the blood flow resistance value, I represents the blood flow value, fd(x) represents a calibration function of diastolic blood pressure, and fs(x) represents a calibration function of systolic blood pressure.
8. The method of claim 7, wherein a time interval (t) is defined between a first characteristics point of the PPG signal and a second characteristics point of the EKG signal relevant to the PPG signal, in which the first characteristics point of the PPG signal is peak of the PPG signal at a first time point and the second characteristics point of the EKG signal is peak of the EKG signal at a second time point.
9. The method of claim 8, wherein the blood flow resistance value (R) is equal to the time interval (t) multiplied by a function value (k1), and the function value (k1) is with a function varied with the time interval (t) or the function value (k1) is a constant value.
10. The method of claim 8, wherein the blood flow value (I) is equal to an integral value (A) with respect to a curve of the PPG signal multiplied by a function value (k2), and the function value (k2) is varied with the integral value (A) or the function value (k2) is a constant value.
11. The method of claim 7, further comprising steps of measuring a first non-invasive pulse data through the smart blood pressure measuring base, and calculating to obtain an oxygen saturation value and a second non-invasive pulse data according to the PPG signal.
12. The method of claim 7, further comprising a step of obtaining a plurality of the diastolic blood pressure values and the systolic blood pressure values for calibrating fd(x) and fs(x) and optimizing the blood pressure algorithm.
13. A portable blood pressure measuring apparatus, comprising: a metal electrode detecting unit for detecting an electrocardiography (EKG) signal; a photoplethysmography detector for detecting a photoplethysmography (PPG) signal; a storage unit for storing a plurality of first blood pressure values with respect to an examinee and a blood pressure algorithm; a first central processor configured to perform a calculation according to the EKG signal, the PPG signal and the blood pressure algorithm for obtaining the plurality of first blood pressure values; a first power supply configured to provide necessary power for operating the portable blood pressure measuring apparatus; and a first coupling interface unit configured to couple to a smart blood pressure measuring base for transmitting data between the smart blood pressure measuring base and the portable blood pressure measuring apparatus; wherein the data including a plurality of second blood pressure values from the smart blood pressure measuring base for calibrating and modifying the blood pressure algorithm.
14. The apparatus of claim 13, wherein the portable blood pressure measuring apparatus is a card structure, comprising an operation interface, a finger-engaged area having the photoplethysmography detector, and a display unit configured to display a plurality of the first blood pressure values comprising a systolic blood pressure value and a diastolic blood pressure value.
15. The apparatus of claim 13, wherein the blood pressure algorithm includes a first calculation formula expressed as D1=RIfd(x), and a second calculation formula expressed as S1=RIfs(x), wherein D1 represents a diastolic blood pressure value, S1 represents a systolic blood pressure value, R represents a blood flow resistance value, I represents a blood flow value, fd(x) represents a calibration function of diastolic blood pressure, and fs(x) represents a calibration function of systolic blood pressure.
16. The apparatus of claim 15, wherein a time interval (t) is defined between a first characteristics point of the PPG signal and a second characteristics point of the EKG signal relevant to the PPG signal, in which the first characteristics point of the PPG signal is peak of the PPG signal at a first time point and the second characteristics point of the EKG signal is peak of the EKG signal at a second time point.
17. The apparatus of claim 15, wherein the blood flow resistance value (R) is equal to the time interval (t) multiplied by a function value (k1), and the function value (k1) is a function varied with the time interval (t) or the function value (k1) is a constant value.
18. The apparatus of claim 15, wherein the blood flow value (I) is equal to an integral value (A) with respect to a curve of the PPG signal multiplied by a function value (k2), and the function value (k2) is a function varied with the integral value (A) or the function value (k2) is a constant value.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0011] The present invention will now be specified with reference to its preferred embodiment illustrated in the drawings, in which:
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DESCRIPTION OF THE PREFERRED EMBODIMENT
[0026] The invention disclosed herein is directed to a portable blood pressure measuring system and a method for calibrating the blood pressure measurement. In the following description, numerous details corresponding to the aforesaid drawings are set forth in order to provide a thorough understanding of the present invention so that the present invention can be appreciated by one skilled in the art, wherein like numerals refer to the same or the like parts throughout.
[0027] Please refer to
[0028] In this embodiment, the metal electrode detecting unit 210 includes at least two electrodes whereby a user or examinee can press onto the two electrodes through fingers of both hands. When the skin of each finger contact the corresponding electrode, the electrodes can detect electrical activity of heart thereby generating electrocardiography with respect to the potential variation of the heart.
[0029] Please refer to
[0030] Additionally, in one embodiment, the portable blood pressure measuring apparatus 21 further comprises an operation interface 218, which is configured to operate the portable blood pressure measuring apparatus 21 and save the measuring data. It is noted that although the photoplethysmography detector 211 and the metal electrode detecting unit 210 are separately arranged at different surfaces, alternatively, the photoplethysmography detector 211 and the metal electrode detecting unit 210 can also be integrated as a multi-function detector arranged at the same surface.
[0031] Please refer to
[0032] It is noted that, as illustration in
[0033] Please refer back to
[0034] Back to the view of
[0035] The base storage unit 204 is configured to store the systolic blood pressure value 901, the diastolic blood pressure value 902 and the non-invasive pulse data 903 measured through the cuff 201. The second central processor 205 is configured to perform a calculation according to the detecting signal obtained from the cuff 201 thereby obtaining the systolic blood pressure value 901 and the diastolic blood pressure value 902 according to the well-known art, such as the method shown in
[0036] Moreover, in the embodiment shown in
[0037] Please refer to
[0038] In the above-mentioned multiple smart personal portable blood pressure measuring system 2, since the portable blood pressure measuring apparatus 21 and the smart blood pressure measuring base 20 are separately arranged, the user can carry the portable blood pressure measuring apparatus 21 and measure the blood pressure, heartbeat, or pulse status anytime and anywhere through the portable blood pressure measuring apparatus 21 for managing and monitoring the healthy status of the user immediately. However, since the blood pressure will be varied with the age, body shape, life environment, or living habit, in order to accurately measure the blood pressure without the influence of above-mentioned conditions, the blood pressure algorithm stored in the portable blood pressure measuring apparatus 21 can be calibrated and updated through the blood pressures, heartbeat and pulse measured by the cuff 201 coupled to the smart blood pressure measuring base 20 whereby the user can accurately measure the blood pressure, heartbeat or pulse through the portable blood pressure measuring apparatus 21 anytime and anywhere. Accordingly, not only can the smart personal portable blood pressure measuring system 2 solve the inaccurate problem of blood pressure measurement obtained from the EKG and PPG signals, but also the operation convenience for measuring blood pressure immediately can be provided.
[0039] Please refer to
[0040] Next, the step 32 is performed by measuring a first diastolic blood pressure value and a first systolic blood pressure value through cuff 201 of the smart blood pressure measuring base 20. In the present step, the cuff 201 is utilized to wrap around upper arm of the user for measuring the blood pressure. In order to accurately calibrate the blood pressure algorithm, it is necessary to use the accurate blood pressure information as calibrating parameter. Since the blood pressure measured by the cuff 201 will be more accurate, the cuff-measured blood pressure values can be utilized as the calibrating parameter for calibrating the blood pressure algorithm. In one embodiment, a plurality of the cuff-measured blood pressures can be obtained and are stored in the storage unit in the smart blood pressure measuring base 20.
[0041] After the step 32, the step 33 is performed by applying the portable blood pressure measuring apparatus 21 to measure of the EKG signal and the PPG signal of the user. In the one embodiment of the present step, the electrode detecting unit 210 and the photoplethysmography detector unit 211 are respectively utilized to measure the EKG and PPG signals. Please refer to
[0042] After the step 33, the step 34 is operated to determine a blood flow value (I) and a blood flow resistance value (R) according to the EKG and PPG signals. The PPG signal refers to a variation of the blood volume in the blood vessel. The PPG signal is generated according to optical energy absorbs by the optical sensing element wherein the absorbed optical energy represents the variation of optical light caused by the blood flow and pulse of the blood vessel. Since the blood flow rate, i.e. flow volume with respect to the cross-sectional area, will be varied corresponding to the heartbeats, the sensing potential generated by the optical sensing element will also be varied with respect to the blood volume. It is noted that the timing that the most part of the optical light is absorbed represents a systole of the heat; therefore, the amplitude of the PPG signal will be proportional to blood volume flowing into or out from the heat. When an optical light having a specific optical wavelength is projected onto the finger, the intensity of the reflected or penetrated optical light absorbed by the optical sensing element will reflect the optical absorption of the blood in the blood vessel of the projected finger. Accordingly, the PPG signal can represents blood volume from the heat to the projected finger during a cycle of systole and diastole of the heat, wherein the blood volume can be associated with the blood flow value (I) and the blood flow resistance value (R).
[0043] On the other hand, since the EKG signal represents a tiny potential variation on the skin, which is induced by each heartbeat of the heart. After amplifying the tiny potential variation, the waveform of the electrocardiography is shown as
[0044] According to the time interval (t) described above, it is capable of determining the blood flow resistance value (R) and blood flow value (I). In one embodiment, the blood flow resistance value (R) can be defined as the time interval (t) multiplied by a function value (k1), i.e. R=tk1(t), wherein k1(t) is a constant value or a function varied with interval (t), which can be determined by the user and can be adjusted according to numerical analysis among the cuff-measured blood pressure values. The blood flow value (I) is equal to an integral value (A) with respect to a specific curve segment of the PPG signal multiplied by a function value (k2), i.e. I=Ak2(A), wherein and the function value (k2) is varied with the integral value (A) or a constant value, which can be determined by the user and the function value (k2) can be adjusted according to numerical analysis among the cuff-measured blood pressure values. It is noted that the specific curve segment of PPG signal is up to the user's choice. For example, the specific curve segment can be a segment between t2t4 shown in
[0045] After determining the blood flow value (I) and the blood flow resistance value (R), a step 35 is performed by applying the cuff-measured diastolic blood pressure value, a cuff-measured systolic blood pressure value, the blood flow value (I) and the blood flow resistance value (R) into the blood pressure algorithm for obtaining calibration functions. In one embodiment, the blood pressure algorithm includes a first calculation formula expressed as D1=RIfd(x), and a second calculation formula expressed as S1=RIfs(x), wherein D1 represents a diastolic blood pressure value, S1 represents a systolic blood pressure value, R represents a blood flow resistance value, I represents a blood flow value, fd(x) represents a calibration function of diastolic blood pressure, and fs(x) represents a calibration function of systolic blood pressure. In one embodiment, the calibration algorithm can be performed at the smart blood pressure measuring base 20 by transmitting the blood flow resistance value (R) and the blood flow value (I) to the smart blood pressure measuring base 20. Alternatively, the calibration algorithm can be performed at the portable blood pressure measuring apparatus 21 by transmitting the cuff-measured diastolic and systolic blood pressure values to the portable blood pressure measuring apparatus 21. Alternatively, the calibration algorithm can be performed at a cloud sever by transmitting the cuff-measured diastolic blood pressure value, a cuff-measured systolic blood pressure value, the blood flow value (I), the blood flow resistance value (R) and the blood pressure algorithm to the cloud server. In the following, exemplary embodiments are provided to explain the step 35 for determining fs(x) and fd(x) in detail.
[0046] Please refer to
S1=[tk1(t)][Ak2(A)]fs(x)(1)
D1=[tk1(t)][Ak2(A)]fd(x)(2),
wherein tk1 (t) represents the blood flow resistance value (R) and Ak2 (A) represents the blood flow value (I).
[0047] As above, it is assume that k1(t) and k2(A) are constant value determined by user, which may be the same or different. Although fs(x) and fd(x) is unknown, S1 and D1 is determined as the known cuff-measured systolic and diastolic blood pressure, and [tk1 (t)][Ak2 (A)] can be determined according the relationship between the PPG and EKG signals shown in
[0048] In addition, in the other embodiment shown in
[0049] Moreover, in another embodiment that the fs(x) and fd(x) are not the constant value, assuming that the fs(x) is the function of t and A1 shown in
fs(x)=[at+bA1](3)
fd(x)=[at+bA2](4)
[0050] As the formulas shown above, coefficient a and b of formula (3) and formula (4) can be determined through the blood pressure algorithm expressed as the formulas (5) and (6) shown below. The formula (5) is expressed by substituting formula (3) into formula (1) while the formula (6) is expressed by substituting formula (4) into formula (2).
S1=[tk1(t)][A1k2(A1)][at+bA1](5)
D1=[tk1(t)][A2k2(A2)][at+bA2](6)
[0051] In the present embodiment, since the parameters including t'A1 and A2 can be known according to the
[0052] In order to improve the accuracy of the blood pressure calculated through the blood pressure algorithm, a step 36 is further operated to optimize the calibration function fs(x) and fd(x) through a numerical analysis by using a plurality of cuff-measured systolic blood pressure values S1Sn and a plurality of cuff-measured diastolic blood pressure values D1Dn. In the step 36, the steps 32 to 35 are repeatedly operated a plurality of times for obtaining the plurality of systolic and diastolic blood pressure values S1Sn and D1Dn as well as the plurality of blood flow values (I) and a blood flow resistance values (R) obtained from the associated EKG and PPG signals respectively corresponding to the plurality of cuff-measured blood pressure values (S1, D1)(Sn, Dn). After obtaining the plurality of cuff-measured blood pressure values (S1, D1)(Sn, Dn), and the plurality of blood flow values (I) and a blood flow resistance values (R) by repeating steps 32-35 a plurality of times, it is capable of using the formulas (1) and (2) or formulas (5) and (6) for obtaining a plurality of sets of calibration function (fs(x), fd(x)).
[0053] Taking the formulas (1) and (2) as an example for explaining the step 36. When a plurality of (S1, D1)(Sn, Dn), and the corresponding blood flow values (I) and blood flow resistance values (R) are obtained, it is capable of obtaining the plurality of sets of calibration function (fs(x), fd(x)). After that, the numerical analysis, such as linear regression analysis or ensemble average, for example, is utilized to optimizing the fs(x) and fd(x). Likewise, when the formulas (5) and (6) are utilized, a plurality of coefficient values a and coefficient values b are obtained, the numerical analysis, such as linear regression analysis or ensemble average, for example, is utilized to optimizing the coefficient value a and coefficient value b, whereby the calibration function fs(x) and fd(x) can be optimized.
[0054] The obtained blood pressure algorithm in step 35 or optimized blood pressure algorithm through step 36 is stored in the storage unit of the portable blood pressure measuring apparatus 21. After the blood pressure algorithm is stored, the portable blood pressure measuring apparatus 21 can be released from the smart blood pressure measuring base 20 and the user can carry the portable blood pressure measuring apparatus 21 for measuring the blood pressure non-invasively anytime and anywhere. With the growth of age of the user, change of body shape, or intentionally calibrating the blood pressure algorithm, the user can perform the steps 30 to 36 for calibrating or optimizing the blood pressure algorithm. Alternatively, the portable blood pressure measuring apparatus 21 can record a plurality of blood pressure algorithms respectively corresponding to different user so that the portable blood pressure measuring apparatus 21 can be utilized by different user.
[0055] Please refer to
[0056] It will be apparent to those skilled in the art that various modification and variations can be made without departing from the spirit or scope of the invention. Thus, it is intended that the present invention cover modifications and variations that come within the scope of the appended claims and their equivalents.
[0057] While the present invention has been particularly shown and described with reference to a preferred embodiment, it will be understood by those skilled in the art that various changes in form and detail may be without departing from the spirit and scope of the present invention.