Method and measuring system for continuously determining the intra-arterial blood pressure

Abstract

The invention describes a measuring system for the continuous non-invasive determination of blood pressure at one or more fingers. The fingers chosen for measurement and the adjacent parts of the palm rest on a supporting surface of a housing, which has the shape of a computer mouse. Inside the housing of the “CNAP Mouse”, i.e. underneath the supporting surface for the hand, the pressure generating system is located. The finger sensors are mounted on the supporting surface for the hand. The forearm and the back of the hand are left free and may be used to place intra-venous or intra-arterial access elements. Since the hand will rest on the supporting surface motion artefacts are largely avoided. Tilting or turning of the sensors is hardly possible since the fit of the sensors and thus the coupling of light and pressure are optimized.

1 . A measuring system for the continuous determination of intra-arterial blood pressure at two fingers of a hand having a palm, the measuring system comprising:
 a double-finger sensor having inflatable cuffs for the two fingers;   a plethysmographic system comprising:
 at least two light sources, with one or more wavelengths, and at least two light detectors; and 
 a pressure generating system comprising: 
 at least one valve, controlled in real time by the plethysmographic system, for generating pressure in the cuffs, which pressure is available over a frequency range with an upper limit frequency of at least 20 Hz and corresponds to the intra-arterial blood pressure in the finger; 
 wherein the measuring system has a housing comprising:
 an upper supporting surface configured to support the two fingers and adjacent areas of the palm of the hand, the upper supporting surface having a curved outer profile; and 
 a flat bottom surface configured to rest on a supporting plane; 
 
   wherein the double-finger sensor projects from the upper supporting surface;   wherein a part of the double-finger sensor which accommodates the inflatable cuffs is fastened in a removable and exchangeable manner; and   wherein the pressure generating system with the at least one controlled valve is located in the housing underneath the supporting surface for the hand.   
     
     
         2 . The measuring system according to  claim 1 , wherein on the upper supporting surface of the housing there is provided a receiving slot, which partitions the supporting surface mirror-symmetrically into two partial surfaces and contains elements for connecting the plethysmo-graphic system to the double-finger sensor. 
     
     
         3 . The measuring system according to  claim 2 , wherein two outer elements are disposed in the receiving slot of the housing so as to be slideable in the direction of a central element, on which elements a part of the double-finger sensor holding the inflatable cuffs is detachably mounted. 
     
     
         4 . The measuring system according to  claim 3 , wherein the two outer elements contain the two light sources while the central element contains the two light detectors. 
     
     
         5 . The measuring system according to  claim 1 , wherein a control system is disposed in the housing underneath the upper supporting surface for the hand. 
     
     
         6 . The measuring system according to  claim 1 , wherein a pump and an air reservoir are disposed in the housing underneath the upper supporting surface for the hand. 
     
     
         7 . The measuring system according to  claim 1 , wherein the housing of the measuring system is made air-tight underneath the upper supporting surface for the hand, and acts as an air reservoir. 
     
     
         8 . The measuring system according to  claim 1 , wherein a battery or a power pack, and elements for wireless transmission of signals are disposed in the housing underneath the upper supporting surface for the hand.