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Publication numberUS3752148 A
Publication typeGrant
Publication dateAug 14, 1973
Filing dateJun 13, 1972
Priority dateJun 13, 1972
Publication numberUS 3752148 A, US 3752148A, US-A-3752148, US3752148 A, US3752148A
InventorsE Schmalzbach
Original AssigneeHoffmann La Roche
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Dual bag blood pressure cuff
US 3752148 A
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Description  (OCR text may contain errors)

United States Patent 1 Schmalzbach 1 Aug. 14, 1973 1 DUAL BAG BLOOD PRESSURE CUFF 3,258.009 6/1966 London 128/205. c

[75] Inventor: Edwin Lewis Schmalzbach,

Roosevelt Ni Primary Examiner-Aldrich F. Medbery Attorney-Samuel L. Welt et al. [73] Assigneez Hoffman-La Roche Inc., Nutley, NJ. 1

22 Filed: June 13, 1972 57 ABSTRACT [21] Appl. No.: 262,425 An inflatable cuff for deriving blood pressure data by uniform vessel occlusion in all shape limbs to provide accurate compression comprising first and second inlzslz'os l28/DIG' 15 51 3 flatable bags positioned lengthwise in the cuff and in an overlying relationship within the cuff the second bag [58] Fleld of Search 128/205 C, 2.05 G,

128/87 R 327 being smaller than the first in its width dimension and distally positioned on the cuff, and the first and second bags connected so as to initially supply the second bag [56] References Cited with a greater air pressure than that supplied to the first UNITED STATES PATENTS bag to anchor the cuff to the subjects extremity and ,5 1950 McGu age l28/DIG- 0 generate a uniform pressure compression pattern along 2,6l8,269 l l/l952 Baum et the extremity length under the cufi 3,l20,846 2/l964 Fletcher 128/327 3,171,410 3/1965 Towle, Jr. 128/155 5 Claims, 2 Drawing Figures DUAL BAG BLOOD PRESSURE CUFF BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an improved inflatable blood pressure cuff for use with sphygmomanometers or similar equipment for deriving a patients blood pressure data.

2. Description of the Prior Art As is well known, measurements of arterial blood pressure are commonly obtained by use of sphygmomanometers including a pneumatic cuff encircling a patients extremity, normally the arm, which have become standard instruments. For the most part, commercially available pneumatic cuffs have been found to work well on the upper extremities.

Major problems, however, have been incurred in those instances where the cross-section of the extremity varies significantly along short distances of the extremity length, such as commonly occurs at a patients thigh. Normally, with the standard cylindrical bag used on an irregular shaped or tapered leg where a crosssection along the extremity length varies significantly, there is experienced a slipping of the cuff when the bag is being inflated. In addition, in utilizing a transducer under the cuff, when applied to the thigh for detecting Korotkoff sounds, arterial wall motion, or blood fiow, problems are incurred due to the cuff inability to generate the uniform pressure compression pattern on the arteries, which results in poor contact between the transducer and the leg. We have found that inaccurate data is derived as a consequence of these problems, to the extent that as a whole, such an approach is frequently unreliable.

SUMMARY The purpose of the present invention is to obviate the problems of the type enumerated above. This is accomplished by provision of a cuff comprising a dual inflatable bag overlapping configuration where the second smaller bag is distally placed under the first bag as applied to a patient, whereby in operation of the cuff, the first bag is filled first to, in effect, anchor the cuff to the leg. After the first bag is partially filled the second begins to fill through a tube connection between the two bags, until both are brought to the desired pressure at which time the filling is terminated. Such an arrangement not only prevents slippage, but additionally allows for generation of uniform pressure compresssion pattern and better couples a transducer to the leg which transducer is positioned under the cuff. The latter improvement provides for a better transfer of energy to and/or from the artery area being constricted by the cuff.

BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a plan view of a preferred form of the present invention.

FIG. 2 is a perspective view of a section of the cuff containing the dual bag configuration.

DESCRIPTION OF THE PREFERRED EMBODIMENT With reference to the drawings there is shown in FIG. 1 a cloth cuff generally referred to as 11, having a first compartment for containing a first bladder or bag 12, and a second compartment for containing a second bladder or bag 13. As is illustrated, the larger bag 12 virtually extends across the entire width of the cloth cuff 11. The small bag 13, on the other hand, is positioned, in its own compartment underneath the larger bag so as to be centered lengthwise with the larger bag. Widthwise, however, the small bag 13 is positioned with one edge substantially aligned with one edge of the large bag 13.

Suitable apertures are provided in the bags 12, 13 for an inlet-outlet air tube 14 which is coupled to the smaller bag 13 and for a connector tube 15 coupling small bag 13 with larger bag 12, the latter having a supplemental outlet air tube 16 coupled therefrom. The edge of the large bag 12, along which an edge of the small bag 13 is aligned, would be the distal edge of the cuff when applied about the patients thigh or other extremity. In the preferred embodiment, the length of the smaller bag may be anywhere from 60 to percent of the large bag length and roughly anywhere from 47 to 67 percent of the large bag width.

IF desired, an affixing unit 17 which might comprise of a pocket, Velcro member or other suitable receiving member, could be employed at the surface of the samll bag 13 to secure a transducer member utilized with the cuff such as, for example, a microphone, piezoelectric crystal for ultrasonic application, strain-gauge member, etc., through which transducer suitable signals could be derived for acquiring blood pressure or blood flow data.

In operation, cuff 11 is applied around an extremity such as a thigh so that the small bag 13 is distally positioned. Air pressure is then applied from a suitable manual or automatic source through the tube 14 to the first or small bag 13 which fills to anchor the cuff 11 to the extremity thereby holding the cuff firmly in place. After the small bag is filled, the large bag 12 which placed in series with small bag 13, is filled by air passing through the connecting tubing 15, the connecting tubing serving as a tubing resistor.

Air continues to flow until both bags 12 and I3 are brought to the desired pressure at which time the filling is terminated, the pressure in each bag being the same. This balancing of pressures in the cuff with the configuration of the two-bag arrangement, maintains a pressure profile in the thigh which is constant along the length of the cufi so as to maintain a uniform pressure compression pattern for compression of the arteries of the leg and simultaneously maintains the transducer employed in firm engagement with the leg surface.

The second stage of process, of course, is the emptying phase where air is exhausted to the atmosphere back through the tube 14. Because of its much larger size, the large bag empties into the small bag at a rate to maintain the pressure in the small bag almost equal to itself as the bag is being exhausted to the atmosphere allowing the small bag to maintain the cuff anchored to the extremity and insure optimun pressure distribution at this critical stage in which blood pressure data is being collected, such data being essential for diagnostic purposes. If it is desired to empty the large bag at a more rapid rate, this can be accomplished by a simple valve adjustment of the supplemental outlet tube 16 which is otherwise in a mormally closed condition.

I claim:

I. An inflatable medical cuff adapted to encircle and constrict an extremity of a subject for deriving blood pressure data comprising:

first and second separately identifiable inflatable bag means positioned lengthwise along and to said cuff in an overlying relationship within the cuff, said second bag means being smaller than the first in its transverse dimension perpendiuclar to the lengthwise direction;

said second bag means having a longitudinal centerline which is transversely offset relative to a longitudinal centerline of the first bag means enabling said second bag to be distally positioned transversely on the cuff;

air tube means for connecting said first and second bag means to each other and with a pressure source to initially supply the second bag means with a greater air pressure than that supplied to the first bag means. 2. An inflatable medical cuff according to claim 1 wherein said air tube connecting means is of a size to permit limited air flow between the bags.

3. An inflatable medical cuff according to claim 1 said second bag means having one longitudinal side substantially aligned with one longitudinal side of the first bag means.

4. An inflatable medical cuff according to claim 2 wherein said first and second bag means are contained in separate compartments.

5. An inflatable medical cuff according to claim 1 ineluding attachment means at said second bag means for positioning a transducer on the cuff.

Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US3982132 *Feb 13, 1975Sep 21, 1976The United States Of America As Represented By The Secretary Of The Air ForcePatient restraining strap for scintiphotography
US4044759 *Feb 11, 1976Aug 30, 1977Bahman GhayouranAuto-transfusion torniquet appliance and method of utilizing the same to control flow of blood through a blood vessel
US4300759 *Mar 31, 1980Nov 17, 1981Amf IncorporatedInflatable aquatic exerciser
US4716906 *Jun 30, 1986Jan 5, 1988Spacelabs, Inc.Blood pressure cuff
US4727885 *Dec 24, 1986Mar 1, 1988Spacelabs, Inc.Self applied blood pressure cuff
US4745924 *Mar 4, 1987May 24, 1988Spacelabs, Inc.Blood pressure cuff
US4989615 *Jun 6, 1989Feb 5, 1991International Biomedics, Inc.Apparatus for non-invasive monitoring of uterine contractions
US5094244 *Aug 25, 1989Mar 10, 1992Health Monitors, Inc.Apparatus and process for determining systolic blood pressure, diastolic blood pressure, mean arterial blood pressure, pulse rate, pulse wave shape, respiratory pattern, and respiratory rate
US5224490 *Oct 4, 1991Jul 6, 1993Graphic Controls CorporationDisposable tocodynamometer with self-adjusting bellows
US5836537 *Jul 3, 1997Nov 17, 1998Glass; Bruce A.Medical cord control and storage apparatus
US5992788 *Nov 12, 1998Nov 30, 1999Glass; Bruce A.Medical and power cord control and storage apparatus
US6206318Nov 20, 1999Mar 27, 2001Bruce A. GlassMedical and power cord control and storage apparatus
US6378552Nov 10, 2000Apr 30, 2002Dielectrics Industries, Inc.Dual speed flow control valve
US6536699Feb 28, 2001Mar 25, 2003Bruce A. GlassMedical and power cord control and storage apparatus
US6969356 *Mar 15, 2004Nov 29, 2005Colin Medical Technology CorporationInflatable cuff for blood pressure measurement
US7140572Mar 10, 2003Nov 28, 2006Glass Bruce AMedical and power cord control and storage apparatus
US8114026Jun 22, 2010Feb 14, 2012Infarct Reduction Technologies Inc.Methods and devices for remote ischemic preconditioning and near-continuous blood pressure monitoring
US20090036785 *Feb 1, 2007Feb 5, 2009Per DanielssonBlood pressure monitor
EP1075846A2 *Apr 26, 1999Feb 14, 2001Holmes, JamesCuff for blood pressure manometer
WO2011059429A1Nov 11, 2009May 19, 2011Kaz, IncorporatedCuff for arterial blood pressure monitor
Classifications
U.S. Classification600/499, 128/DIG.200
International ClassificationA61B5/022
Cooperative ClassificationY10S128/20, A61B5/02233
European ClassificationA61B5/022D
Legal Events
DateCodeEventDescription
Jun 28, 1982ASAssignment
Owner name: KONTRON INCORPORATED, EVERETT, MASS. A CORP. OF DE
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST.;ASSIGNOR:ROCHE MEDICAL ELECTRONICS INC. A CORP. OF NJ.;REEL/FRAME:004011/0651
Effective date: 19820526
Owner name: ROCHE MEDICAL ELECTRONICS INC., NUTLEY, NJ A CORP.
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST.;ASSIGNOR:HOFFMANN-LA ROCHE INC.;REEL/FRAME:004048/0917
Effective date: 19820525
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:HOFFMANN-LA ROCHE INC.;REEL/FRAME:004048/0917
Owner name: ROCHE MEDICAL ELECTRONICS INC., A CORP. OF NJ, NEW