Skip to main content

Advertisement

Log in

Draft Proposal of an Optical Cuffless Blood Pressure Device

  • Original Paper
  • Published:
Health and Technology Aims and scope Submit manuscript

Abstract

Optical cuffless non-invasive blood pressure (NIBP) monitoring, including photoplethysmographic sensing calculated based on the pulse transit time (PTT), pulse contour method, and second derivative signal, is a hot topic in home healthcare. However, previous evaluations of cuffless blood pressure revealed issues with accuracy and validation; cuffless measurements are less accurate than intermittent cuff-based sphygmomanometer measurements. Use of an inaccurate device for blood pressure monitoring represents a health risk. To protect device users, standards need to be formulated. We present a draft optical cuffless blood pressure monitor; opinions and comments are cordially invited.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Chen W, Kobayashi T, Ichikawa S, Takeuchi Y, Togawa T. Continuous estimation of systolic blood pressure using the pulse arrival time and intermittent calibration. Medical & Biological Engineering & Computing. 2000;38(5):569–74.

    Article  Google Scholar 

  2. Poon CCY, Zhang YT. Cuff-less and noninvasive measurements of arterial blood pressure by pulse transit time. Conference Proceedings of the IEEE Engineering and Medical Biology Society. 2005;6:5877–80.

    Google Scholar 

  3. Tang Z, Tamura T, Sekine M, Huang M, Chen W, Yoshida M, et al. A chair-based unobtrusive cuffless blood pressure monitoring system based on pulse arrival time. IEEE Journal of Biomedical and Health Informatics. 2017;21(5):1194–205. https://doi.org/10.1109/JBHI.2016.2614962.

    Article  Google Scholar 

  4. Ding X, Zhang Y. Pulse transit time technique for cuffless unobtrusive blood pressure measurement: from theory to algorithm. Biomed Eng Lett. 2019;9:37–52. https://doi.org/10.1007/s13534-019-00096-x.

    Article  Google Scholar 

  5. Baruch MC, Warburton DE, Bredin SS, Cote A, Gerdt DW, Adkins CM. Pulse decomposition analysis of the digital arterial pulse during hemorrhage simulation. Nonlinear Biomedical Physics. 2011;5(1):1.

    Article  Google Scholar 

  6. Elgendi M. On the analysis of fingertip photoplethysmogram signals. Curr Cardiol Rev. 2012;8(1):14–25.

    Article  Google Scholar 

  7. Shin H, Min SD. Feasibility study for the non-invasive blood pressure estimation based on PPG morphology: normotensive subject study. Biomed Eng Online. 2017;16:10.

    Article  Google Scholar 

  8. Gratz I, Deal E, Spitz F, Baruch M, Allen IE, Seaman JE, et al. Continuous non-invasive finger cuff CareTaker® comparable to invasive intra-arterial pressure in patients undergoing major intra-abdominal surgery. BMC Anesthesiol. 2017;17(1):48.

    Article  Google Scholar 

  9. Liu M, Po L-M, Fu H. Cuffless blood pressure estimation based on photoplethysmography signal and its second derivative. International Journal of Computer Theory and Engineering. 2017;9(3):202–6.

    Article  Google Scholar 

  10. Kario K. Essential manual of 24-hour blood pressure management: from morning to nocturnal hypertension. John Wiley & Sons. 2015.

  11. 5.1 Subject requirements in ISO81060-2-2019, ISO, 2018.

  12. O’Brien E, Atkins N, Stergiou G, et al. European society of hypertension international protocol revision 2010 for validation of blood pressure measurement devices in adults. Blood Press Monit. 2010;15:23–38.

    Article  Google Scholar 

  13. Bilo G, Zorzi C, Ochoa Munera JE, Torlasco C, Giuli V, Parati G. Validation of the SOMNOtouch-NIBP noninvasive continuous blood pressure monitor according to the European Society of Hypertension International Protocol revision 2010. Blood Press Monit. 2015;20:291–4. https://doi.org/10.1097/MBP.0000000000000124.

    Article  Google Scholar 

  14. Boubouchairopoulou N, Kollias A, Chiu B, Chen B, Lagou S, Anestis P, et al. A novel cuffless device for self-measurement of blood pressure: concept, performance and clinical validation. J Hum Hypertens. 2017;31:p479–82. https://doi.org/10.1038/jhh.2016.101.

    Article  Google Scholar 

  15. Watanabe N, Bando YK, Taiji Kawachi T, et al. Development and validation of a novel cuff-less blood pressure monitoring device. JACC: Basic to Translational Science. 2017;2(6):631–42.

    Google Scholar 

Download references

Acknowledgments

This work was supported in part by grants-in-aid from the Strategic Information and Communications R&D Promotion Program (2014–2016), the Japanese Ministry of Education, Culture, Sports, Science and Technology, Scientific Research (C) (Kakenhi) (#17 K01440), and a Ministry of Economy, Trade and Industry project on a new ISO/IEC proposal.

Author information

Authors and Affiliations

Authors

Consortia

Corresponding author

Correspondence to Toshiyo Tamura.

Ethics declarations

Research did not involve human participants and/or animals and thus, we did not apply our study to IRB and also we did not apply the informed consent.

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Tamura, T., on behalf of strategic committee of new standard development. Draft Proposal of an Optical Cuffless Blood Pressure Device. Health Technol. 10, 1129–1136 (2020). https://doi.org/10.1007/s12553-020-00435-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12553-020-00435-4

Keywords

Navigation