1. Blood Pressure Monitor Re-Calibration Lei Qu 1, Ross Hamilton 1,David Lee 1, Haniff Mohd Nor 2 Advisor: Dr. Andre Churchwell 3, Dr. Paul King 1 Acknowledgments References Proposed Circuit Design Future Directions. 1 Biomedical Engineering, Vanderbilt University, 2 Mechanical Engineering, Vanderbilt University, 3 Vanderbilt Medical Center Cardiology Department. Results Test our re-calibration device Adjust aesthetic and technical qualities to make it more compact and desirable Reduce production costs with efficiency improvements Optimize the circuit diagram and continue testing for improvements We would like to thank Dr. Andre Churchwell for being our primary sponsor and advisor providing essential insight to our design process! Dr. Paul King also played a huge role as our secondary sponsor in all aspects of the project. Lastly, we would like to thank the VUMC Clinical Engineering Department and Jonathan Whitfield for their special assistance. Figure 4. Schematic diagram of the proposed circuit design Results and Proposed Design Introduction Monitoring the blood pressure of a hypertension patient is one of the most effective ways to treat hypertension Traditional method - Mercury Sphygmomanometer: Advantage: Accurate reading of an individual’s blood pressure Disadvantage: Training and certain skill set required; it is also hard to determine blood pressure since it is done through listening. Omron Digital Blood Pressure: Advantage: Convenience/easy to use Disadvantage: Lack of a method to re-calibrate the device Objectives Verify that the variation between the digital blood pressure monitor and mercury sphygmomanometer is significant in terms of determining the stage of hypertension Investigate the causes of the variation between digital blood pressure monitors and mercury sphygmomanometers Design a calibration method for the observed variation in this project Table above shows the measurements of blood pressure we took with the artificial arm (mmHg) Normal blood pressure on the arm is set for 120/80 mmHg Hypertension condition is set for 150/100 mmHg P-values are all below 0.05 Table above shows the measurements of blood pressure we took with the artificial arm with flatten arm band method applied (mmHg) Normal blood pressure on the arm is set for 120/80 mmHg P-value for systolic pressure is above 0.05 but for diastolic is below 0.05 Human error can be attributed in this difference Difference is smaller than 2 mmHg, normally ignored in clinical practice Figure 1. Experimental setup for OmronFigure 2. Experimental setup for sphygmomanometer Figure 3. Proposed schematic design Portable Digital Blood Pressure Monitor by Woradon Wattanapanitch and Warut Suampun http://instruct1.cit.cornell.edu/courses/ee476/FinalProjects/s2005/ww 56_ws62/Final%20Project%20Web/index.html http://instruct1.cit.cornell.edu/courses/ee476/FinalProjects/s2005/ww 56_ws62/Final%20Project%20Web/index.html McManus RJ, Mant J, Hull MR, Hobbs FD. Does changing from mercury to electronic blood pressure measurement influence recorded blood pressure? An observational study. Br J Gen Pract. 2003 Dec;53(497):953-6. Heinemann M, Sellick K, Rickard C, Reynolds P, McGrail M. Automated versus manual blood pressure measurement: a randomized crossover trial. Int J Nurs Pract. 2008 Aug;14(4):296- 302.