Forced Oscillation Technique for Non-Invasive Pulmonary Blood Pressure Monitoring

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Solution Overview

Problem

Conventional methods for measuring pulse transit time (PTT) and blood pressure (BP) are invasive, obtrusive, and not suitable for continuous or long-term monitoring, especially in clinical situations like sleep studies, due to the need for cuff-based methods and the limitations of sensors placed on the finger or ear.

Innovation Solution

The use of a forced oscillation technique (FOT) to determine the pulse arrival time at the alveoli of the lungs, allowing for non-invasive and unobtrusive acoustical measurements of PTT, which can be used to continuously monitor pulmonary BP, employing a phonocardiograph or ECG to determine the pulse start time and calculating PTT based on the time difference between the pulse start and arrival times.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If cuff-based methods are used to measure blood pressure, then adequate measurement data can be obtained, but continuous measurement is not possible and the patient is disturbed

Engineering Contradiction:
Improveblood pressure measurement accuracyVSAvoidcontinuous monitoring capability
Core Design Contradiction:
Measurement precisionVSEase of operation

Solution Approach 1:

The patent replaces the mechanical cuff-based measurement system with an acoustic measurement system using FOT. The forced oscillation technique uses acoustic signals to measure pulse transit time to the lungs, eliminating the need for mechanical cuffs and enabling continuous non-invasive monitoring without disturbing the patient.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

2Measurement precision

If PPG sensors or medical electrodes are used to measure PTT, then pulse transit time can be measured, but the sensors must be glued to the skin making them inconvenient for long-term monitoring

Engineering Contradiction:
Improvepulse transit time measurement accuracyVSAvoidcomfort and convenience for long-term use
Core Design Contradiction:
Measurement precisionVSEase of operation

Solution Approach 1:

The patent replaces contact-based mechanical sensors (PPG sensors and electrodes) with a non-contact acoustic measurement system. The FOT measures pulse transit time through acoustic oscillations of the respiratory system, eliminating the need for skin-adhered sensors and enabling comfortable long-term monitoring.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

3Measurement precision

If conventional PTT measurement methods are used, then blood pressure can be indirectly measured, but the methods are invasive and not suitable for sleep studies

Engineering Contradiction:
Improveindirect blood pressure measurement capabilityVSAvoidinvasiveness and patient disturbance
Core Design Contradiction:
Measurement precisionVSObject-affected harmful factors

Solution Approach 1:

The patent replaces invasive mechanical measurement methods with non-invasive acoustic measurement. The FOT technique uses respiratory system acoustic oscillations to detect pulse transit time, providing indirect blood pressure measurement without physical invasion or patient disturbance, making it suitable for sleep studies.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

Enables continuous and non-invasive monitoring of BP in the pulmonary arteries, providing a more suitable method for regular and unobtrusive diagnostic modalities, particularly for applications requiring long-term or home-based monitoring.

Implementation Method 1

using a forced oscillation technique (FOT) to determine a pulse arrival time at alveoli of the lungs of a patient

Methodology Applied
Scientific EffectForced oscillation technique: Driven Harmonic Oscillation

Data Source

PatentUS10085653B2Pulse transmit time measurement device and method
Publication Date: 2018.10.02 KONINKLIJKE PHILIPS NV
  • US10085653B2 patent drawing
  • US10085653B2 patent drawing
  • US10085653B2 patent drawing

AI summary

Proposed is a Pulse Transit Time, PTT, measurement concept wherein a forced oscillation technique, FOT, is used to determine a pulse arrival time at alveoli of the lungs of a patient.