Journal of the Korean Society for Precision Engineering (한국정밀공학회지)

Korean Society for Precision Engineering (한국정밀공학회)
권호 표지

The Development of a Cuff for the Accuracy Enhancement of Sphygmomanometer

전자 혈압계의 정확도 향상을 위한 가압대 개발

  • 김원기 (세인전자) ;
  • 신기영 (성균관대학교 생명공학부 바이오메카트로닉스학과) ;
  • 문정환 (성균관대학교 생명공학부 바이오메카트로닉스학과)
  • Published : 2005.05.01
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study is to develop the new cuff improving the accuracy of blood pressure measurement, and to evaluate the performance of the developed system. We added a small bladder to the normal cuff which is called the double bladder system. The developed system for blood pressure measurement was based on the oscillometric method using a double bladder. This system was developed in order to reduce the oscillation noise and to amplify the signal of pure blood pressure An oscillometric signal database based on the developed system were evaluated following the standard ANSI/AAMI/SP10-1992. The correlation coefficients between cuff of double bladder and normal cuff were 0.98 for systolic and 0.94 for diastolic. Mean differences and the standard deviations between average blood pressure of mercury sphygmomanometer and automated sphygmomanometer were -0.7mmHg and 4.9mmHg for systolic, and -1.4mmHg and 5.4mmHg for diatolic, respectively. We conclude that the proposed double bladder based cuff system improves the accuracy of the oscillometric blood pressure measurement. The developed system reduces the error range about $44\~62\%$ for systolic and about $6\~21\%$ for diastolic compared to the recently developed commercially available sphygmomanometers.

Keywords

References

  1. Gedded, L.A., 'Handbook of blood pressure measurement,' The Humana Press Inc., pp. 51-111, 1991
  2. Bedford, R. F. and Wollman, H., 'Complication of percutaneous radial artery cannulation: An objective prospective study in man,' Anestheology, Vol. 38, pp. 228-236, 1973 https://doi.org/10.1097/00000542-197303000-00006
  3. Kwon, M. I., Kim, D. S., Shim, J. M. and Kim, J. K., 'Comparison of Arterial Blood Pressure Measured with an Aid of Non- invasive and Invasive Methods,' Korean J Anestheisol, Vol. 25, No. 1, pp. 46-52, 1992 https://doi.org/10.4097/kjae.1992.25.1.46
  4. Pickering, T., 'Recommendations for the use of home(self) and ambulatory blood pressure monitoring,' Am J hypertens, Vol. 9, pp. 1-11, 1995 https://doi.org/10.1016/0895-7061(95)00341-X
  5. Fagarf, R., Staessen, J. and Thijs, L., 'Ambulatory blood pressure during antihypertensive therapy guided by conventional pressure,' Blood Press Monit, Vol. 1, pp. 279-281, 1996
  6. Stergiou, G. S., Voutsa, A. V., Achimastos, A. D and Mountokalakis, T. D., 'Home self-monitoring of blood pressure: is fully automated oscillometric technique as good as conventional stethoscopic technique?,' Am J hypertens, Vol. 10, pp. 428-433, 1997 https://doi.org/10.1016/S0895-7061(96)00402-5
  7. Imai, Y., Sasaki, S., Minami, N., Munakata, M., Hashimoto, J. and Sakuma, H., 'The accuracy and performance of the A&D TM 2421 a new ambulatory blood. pressure monitoring device based on the cuff-oscillometric method and the korotkoff sound technique,' Am J Hypertens, Vol. 5, pp. 719-726, 1992
  8. Gedded, L.A., 'Cardiovascular devices and their applications,' John wiley & sons., pp. 72, 1983
  9. Przemyslaw, S., Patrick, P. and Andrzej, N., 'Finite elements simulations of piezoresistive sensor of blood pressure,' CADSM'2003, pp. 509-512, 2003
  10. Hope, S. L., Alvin-Jones, E. and Sleight, P., 'Validation of accuracy of the Medilog ambulatory blood pressure non-invasive blood pressure monitor,' J. Ambulatory Monitoring, Vol. 1, No. 1, pp. 39-51, 1988
  11. Chang, J. K., Chung, S. and Han, D. C., 'Application of Bio-MEMS Technology on Medicine and Biology,' J. of the KSPE, Vol. 17, No. 7, pp.45-51, 2000
  12. Moraes, JCTB., Cerulli, M. and Ng, PS., 'Development of a new oscillometric blood pressure measurement system,' Computers in Cardiology, Vol. 26, pp. 467-470, 1999 https://doi.org/10.1109/CIC.1999.826009
  13. Lin, C. T., Liu, S. H., Wang, J. J. and Wen, Z. C., 'Reduction of interference in oscillometric arterial blood pressure measurement using fuzzy logic,' IEEE Transactions on Biomedical Engineering, Vol. 50, pp. 432-441, 2003 https://doi.org/10.1109/TBME.2003.809502
  14. Association for the Advancement of Medical Instrumentation. American National Standard for Electronic or Automated Sphygmomanometers. Arlington Virginia, ANSI/AAMI SP10-1992
  15. Bland, J. M. and Altman, D. G., 'Comparing methods of measurement : why plotting difference against standard method is misleading,' Lancet, Vol. 346, pp. 1085-1087, 1995 https://doi.org/10.1016/S0140-6736(95)91748-9
  16. White, William B. and Herbst, Timothy, Thavarajah, Sumeska, Giacco, Sharon., 'Clinical evaluation of the Trimline blood pressure cuffs with the Accutorr PlusTM Monitor,' Blood Pressure Monitoring, Vol. 8, No. 3, pp. 137-140, 2003 https://doi.org/10.1097/00126097-200306000-00008
  17. Cuckson, Alexandra C., Reinders, Annemarie, Shabeeh, Husain, Shennan and Andrew H., 'Validation of the Microlife BP 3BTO-A oscillometric blood pressure monitoring device according to a modified British Hypertension Society protocol,' Blood Pressure Monitoring, Vol. 7, No. 6, pp. 319-324, 2002 https://doi.org/10.1097/00126097-200212000-00005