Department of Cardiology, Biwako Yoikuin Hospital, Shiga, Japan.
Department of Technology Development, Omron Healthcare Co., Ltd., Kyoto, Japan.
Technol Health Care. 2024;32(6):4537-4544. doi: 10.3233/THC-240676.
Blood pressure (BP) naturally undergoes fluctuations and variations, particularly during anesthesia administration during surgery, hemodialysis, upper and lower gastrointestinal endoscopy, exercise testing, arterial and venous catheterization, and rehabilitation. These changes in BP may lead to life-threatening events.
The performance of the Omron HBP-M4500 device in monitoring blood pressure (BP) in the upper arm was validated according to the International Organization for Standardization (ISO) 81060-2:2018+amendment (Amd) 1:2020 protocol.
The device was used to assess 113 participants in the inflation mode, and 107 participants in the deflation mode. All the patients fulfilled the inclusion criteria, including the arm circumference range and systolic and diastolic BP levels, outlined in the protocol. Data validation and analysis were performed according to the manufacturer's instructions.
In criterion 1, the mean ± standard deviation (SD) values of the differences between the test device and reference BP were -0.6 ± 5.80/2.8 ± 6.78 mmHg (systolic/diastolic) and -1.0 ± 5.35/3.2 ± 6.52 mmHg for the inflation and deflation modes, respectively. These data fulfilled the ISO81060-2:2018+Amd1:2020 requirements of ⩽ 5 ±⩽ 8 mmHg. In criterion 2, the differences were -0.6 ± 4.44/2.8 ± 6.26 and -1.0 ± 3.84/3.2 ± 6.09 mmHg for the inflation and deflation modes, respectively, fulfilling criterion 2 with SD values of ⩽ 6.91 and ⩽ 6.87 for systolic BP and ⩽ 6.34 and ⩽ 6.14 for diastolic BP in the inflation and deflation modes, respectively. These two criteria were fulfilled in both studies.
The Omron HBP-M4500 device, either in inflation or deflation mode, fulfilled the criteria outlined in the ISO protocol. Therefore, this device is valuable for BP measurement in clinical and hospital settings.
血压(BP)在自然状态下会发生波动和变化,尤其是在手术期间给予麻醉、血液透析、上下消化道内镜检查、运动试验、动静脉导管插入术和康复期间。这些血压变化可能导致危及生命的事件。
根据国际标准化组织(ISO)81060-2:2018+修正案(Amd)1:2020 协议,验证欧姆龙 HBP-M4500 设备在上臂监测血压(BP)的性能。
该设备用于评估 113 名参与者的充气模式和 107 名参与者的放气模式。所有患者均符合协议中规定的纳入标准,包括臂围范围和收缩压和舒张压水平。根据制造商的说明进行数据验证和分析。
在标准 1 中,测试设备与参考 BP 之间的差异的平均值±标准偏差(SD)值分别为-0.6±5.80/2.8±6.78mmHg(收缩压/舒张压)和-1.0±5.35/3.2±6.52mmHg,分别用于充气和放气模式。这些数据符合 ISO81060-2:2018+Amd1:2020 的要求,即 ⩽5±⩽8mmHg。在标准 2 中,差异分别为-0.6±4.44/2.8±6.26 和-1.0±3.84/3.2±6.09mmHg,用于充气和放气模式,分别满足标准 2 的要求,充气和放气模式的收缩压的 SD 值分别为 ⩽6.91 和 ⩽6.87,舒张压的 SD 值分别为 ⩽6.34 和 ⩽6.14。这两个标准在两项研究中均得到满足。
无论在充气模式还是放气模式下,欧姆龙 HBP-M4500 设备均符合 ISO 协议规定的标准。因此,该设备可用于临床和医院环境中的血压测量。