A model-based fuzzy logic controller with Kalman filtering for tracking mean arterial pressure

This paper proposes a new noninvasive measurement method for tracking the tendency of mean arterial pressure (MAP) in the radial artery. The designed system consists of a tonometer, a microsyringe device, and a model-based fuzzy logic controller. The modified flexible diaphragm tonometer is to detect the continuous blood pressure waveform and vessel volume pulse. A precise mathematical model describing the interaction between the tonometer and artery is derived. To reach accurate measurement without distortion, a model-based fuzzy logic control system is designed to compensate the change of MAP by applying a counter pressure on the tonometer chamber through the microsyringe device. The proposed control system consists of a linear predictor, a Kalman filter, and a synthetic fuzzy logic controller (SFLC). Simulation results show that, for the real physiologic MAP with changing rates up to 20 or -20 mm-Hg/minute, the model-based SFLC can beat-to-beat adjust the tonometer's chamber pressure to follow the tendency of MAP accurately.

[1]  C. S. George Lee,et al.  Neural fuzzy systems: a neuro-fuzzy synergism to intelligent systems , 1996 .

[2]  N. T. Smith,et al.  Improved safety and efficacy in adaptive control of arterial blood pressure through the use of a supervisor , 1992, IEEE Transactions on Biomedical Engineering.

[3]  R.J. Roy,et al.  Depth of anesthesia estimation and control [using auditory evoked potentials] , 1999, IEEE Transactions on Biomedical Engineering.

[4]  J. W. Huang,et al.  Depth of anesthesia estimation and control. , 1999, IEEE transactions on bio-medical engineering.

[5]  Aaas News,et al.  Book Reviews , 1893, Buffalo Medical and Surgical Journal.

[6]  J.W. Huang,et al.  Multiple-drug hemodynamic control using fuzzy decision theory , 1998, IEEE Transactions on Biomedical Engineering.

[7]  R.J. Roy,et al.  Multiple drug hemodynamic control by means of a supervisory-fuzzy rule-based adaptive control system: validation on a model , 1995, IEEE Transactions on Biomedical Engineering.

[8]  B. Anderson,et al.  Optimal control: linear quadratic methods , 1990 .

[9]  Derek A. Linkens,et al.  Hierarchical fuzzy modelling for monitoring depth of anaesthesia , 1996, Fuzzy Sets Syst..

[10]  L A Geddes,et al.  The meaning of the point of maximum oscillations in cuff pressure in the indirect measurement of blood pressure--part ii. , 1980, Journal of biomechanical engineering.

[11]  M. Ursino,et al.  Mathematical modeling of noninvasive blood pressure estimation techniques--Part II: Brachial hemodynamics. , 1995, Journal of biomechanical engineering.

[12]  P.A. Karjalainen,et al.  A Kalman filter approach to track fast impedance changes in electrical impedance tomography , 1998, IEEE Transactions on Biomedical Engineering.

[13]  D. Lainiotis,et al.  Partitioning: A unifying framework for adaptive systems, I: Estimation , 1976, Proceedings of the IEEE.

[14]  Richard Grieve,et al.  Nonlinear adaptive filtering of stimulus artifact , 2000, IEEE Transactions on Biomedical Engineering.

[15]  R.S. Parker,et al.  A model-based algorithm for blood glucose control in Type I diabetic patients , 1999, IEEE Transactions on Biomedical Engineering.

[16]  J. Brock‐Utne,et al.  Comparison of Arterial Tonometry with Radial Artery Catheter Measurements of Blood Pressure in Anesthetized Patients , 1994, Anesthesiology.

[17]  P D Stein,et al.  Arterial tonometry for the atraumatic measurement of arterial blood pressure. , 1971, Journal of applied physiology.

[18]  Rolf Johansson,et al.  System modeling and identification , 1993 .

[19]  D. Kass,et al.  Parametric model derivation of transfer function for noninvasive estimation of aortic pressure by radial tonometry , 1999, IEEE Transactions on Biomedical Engineering.

[20]  C. Braun,et al.  Adaptive AR modeling of nonstationary time series by means of Kalman filtering , 1998, IEEE Transactions on Biomedical Engineering.

[21]  N Gavriely,et al.  A rapid noninvasive blood pressure measurement method for discrete value and full waveform determination. , 1996, Journal of applied physiology.

[22]  Gary Drzewiecki,et al.  Noninvasive determination of arterial pressure and volume using tonometry [electric impedance plethysmography] , 1996, Professional Program Proceedings. ELECTRO '96.

[23]  Tatsuo Togawa,et al.  Indirect Measurement of Instantaneous Arterial Blood Pressure in the Human Finger by the Vascular Unloading Technique , 1980, IEEE Transactions on Biomedical Engineering.

[24]  M. Ursino,et al.  A mathematical study of some biomechanical factors affecting the oscillometric blood pressure measurement , 1996, IEEE Transactions on Biomedical Engineering.

[25]  P. Strevens Iii , 1985 .

[26]  T. Ozawa,et al.  Accuracy of a continuous blood pressure monitor based on arterial tonometry. , 1993, Hypertension.

[27]  H. Kaufman,et al.  Multiple-model adaptive predictive control of mean arterial pressure and cardiac output , 1992, IEEE Transactions on Biomedical Engineering.

[28]  F. Forster,et al.  Oscillometric determination of diastolic, mean and systolic blood pressure--a numerical model. , 1986, Journal of biomechanical engineering.

[29]  M. McEachern,et al.  Fuzzy control of mean arterial pressure in postsurgical patients with sodium nitroprusside infusion , 1992, IEEE Transactions on Biomedical Engineering.

[30]  Chin-Teng Lin,et al.  Application of neural fuzzy network to pyrometer correction and temperature control in rapid thermal processing , 1999, IEEE Trans. Fuzzy Syst..

[31]  Gary Drzewiecki,et al.  Noninvasive arterial blood pressure and mechanics , 2003 .

[32]  R.J. Roy,et al.  Adaptive control of multiplexed closed-circuit anesthesia , 1992, IEEE Transactions on Biomedical Engineering.

[33]  M Ursino,et al.  Mathematical modeling of noninvasive blood pressure estimation techniques--Part I: Pressure transmission across the arm tissue. , 1995, Journal of biomechanical engineering.

[34]  J Melbin,et al.  Arterial tonometry: review and analysis. , 1983, Journal of biomechanics.