Browse > Article

The Development of a Cuff for the Accuracy Enhancement of Sphygmomanometer  

Kim Won Ki (세인전자)
Shin Ki Young (성균관대학교 생명공학부 바이오메카트로닉스학과)
Mun Joung Hwan (성균관대학교 생명공학부 바이오메카트로닉스학과)
Publication Information
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
Blood pressure; Sphygmomanometer; Double bladder; Oscillometric method;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 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   DOI   ScienceOn
2 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
3 Gedded, L.A., 'Cardiovascular devices and their applications,' John wiley & sons., pp. 72, 1983
4 Przemyslaw, S., Patrick, P. and Andrzej, N., 'Finite elements simulations of piezoresistive sensor of blood pressure,' CADSM'2003, pp. 509-512, 2003
5 Pickering, T., 'Recommendations for the use of home(self) and ambulatory blood pressure monitoring,' Am J hypertens, Vol. 9, pp. 1-11, 1995   DOI   ScienceOn
6 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
7 Gedded, L.A., 'Handbook of blood pressure measurement,' The Humana Press Inc., pp. 51-111, 1991
8 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   DOI   ScienceOn
9 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   DOI   ScienceOn
10 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   DOI
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   과학기술학회마을
12 Association for the Advancement of Medical Instrumentation. American National Standard for Electronic or Automated Sphygmomanometers. Arlington Virginia, ANSI/AAMI SP10-1992
13 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   DOI   ScienceOn
14 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   DOI   ScienceOn
15 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   DOI
16 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
17 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   DOI