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Credence of device acceptability: a statistical method for comparing blood pressure measurement device accuracy
Andrew Lowe1, Yang Yu2, Tanvi Chandel1
1Institute of Biomedical Technologies, Auckland University of Technology, Auckland, New Zealand.
Abstract:
Accurate blood pressure measurement (BPM) is critical for managing hypertension, a leading global health concern. While international standards like ISO 81060-2 are applied to ensure commercial BPM device safety and effectiveness, gauging compliance earlier in research and development can be challenging. This study proposes an enhanced statistical evaluation framework that calculates a credence of device acceptability, aligned with international standards, which can be used to assess and compare results of device evaluation experiments having various sample sizes, blood pressure ranges, mean, standard deviation and correlations in error. Applied to ten studies featuring diverse BPM methods, the framework demonstrates its capability to provide insights beyond the face-value application of the performance criteria of international standards. This framework advances BPM technology by providing more appropriate tools to assess device accuracy.
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This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
Assessment of blood pressure in brachial artery(two-step method)
Measurement of Blood Pressure
Sites for measruring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:

