the following discussion relates to certain embodiments of a combination blood pressure measuring apparatus . during this discussion , terms such as “ top ”, “ upper ”, “ lower ”, “ bottom ,” among others , are used in order to provide a frame of reference with regard to the accompanying drawings . these terms , however , are not intended to be limiting with regard to the inventive concepts as claimed herein . referring to fig4 there is shown a first version of an integrated blood pressure apparatus 60 that includes an elastomeric sleeve 64 which is sized and shaped to permit a lower portion 68 thereof to be hand - held . preferably , the sleeve 64 is manufactured from a rotational moldable material , such as medical grade pvc , the sleeve being fluid impermeable . a flexible depressable bulb 72 is disposed within the lower portion 68 of the sleeve 64 which can be squeezed by the user . a lower portion 76 of the depressible bulb 72 includes a one - way valve 80 disposed in relation to an inlet port 84 disposed at the bottom of the sleeve 64 . a second one - way valve 86 attached to an upper portion 74 of the depressable bulb 72 prevents air from reentering the bulb . a hose 88 extends from the upper portion 74 of the bulb 72 to a trigger assembly 96 . the trigger assembly 96 includes a bleed valve 92 which is connected to one end of the hose 88 extending from the depressible bulb as well as hose 90 . the bleed valve 92 is engaged by an actuable trigger 99 which is biasedly attached thereto , the trigger projecting from the exterior of the elastomeric sleeve 64 . a gage 100 is sealingly retained within an upper portion 102 of the elastomeric sleeve 64 , preferably within an opening or pocket 108 which is smaller in diameter than the diameter of the gage 100 so as to provide secure engagement therewith . the gage 100 is defined by a substantially cylindrical shaped body including an upper portion 104 and a lower engagement end 106 . a movement mechanism contained within the gage 100 is responsive to pressure changes occurring within a fluidly interconnected inflatable sleeve ( not shown ) as described below . still referring to fig4 the movement mechanism includes a diaphragm 116 which is horizontally arranged within the interior of the gage 100 having a movable surface . one end of a vertically arranged shaft member 130 is arranged in proximity to the movable surface of the diaphragm 116 , the shaft member being supported for axial movement . a helical ribbon spring 134 is wrapped about a portion of the shaft member 130 . one end of the spring 134 is attached to a fixed portion of the gage 100 and an opposite end of the spring is attached to an intermediate portion of the shaft member 130 . an indicating member 138 is supported at the upper end of the shaft member 130 relative to a dial face 142 with indicia ( not shown ). a transparent window 146 covers the upper portion 102 of the gage 100 . the lower engagement portion 106 of the gage 100 includes a port 148 which permits air / fluid to enter the interior of the gage . a lower portion of the retaining pocket 108 includes an opening 118 which is connected to one end of a hose section 123 extending therefrom . the diaphragm 116 is sealingly mounted within the interior by means of an o - ring 145 to create a fluid - tight seal within the gage 100 . the hose 90 extending from the trigger assembly 96 splits into two sections 123 , 125 at a t - section . hose section 123 extends to the port 148 formed in the gage 100 through an aligned opening 109 in the retaining pocket 108 while hose section 125 extends from the device 60 to an inflatable sleeve ( not shown ). in operation , the lower portion 68 of the elastomeric sleeve 64 is squeezed , thereby causing air to be drawn into the pneumatic bulb 72 through the one - way valve 80 and out of the top of the bulb through hose 88 . the bleed valve 92 of the trigger assembly 96 is initially closed and therefore air is directed both to the interior of the inflatable sleeve ( not shown ) and the gage 100 through hose sections 123 , 125 respectively . air entering the gage 100 through opening 109 and port 148 causes movement of the diaphragm 116 as well as corresponding axial movement of the shaft member 130 . as the shaft member 130 translates upwardly , the flexion of the helical wound spring 134 against the fixed support of the gage 100 causes the shaft member to rotate and cause corresponding movement of the indicating member 138 as well as relative to the indicia on the dial face 142 . additional details concerning the movement mechanism and the gage 100 are provided in u . s . pat . no . 5 , 966 , 829 , the entire contents of which are herein incorporated by reference . activation of the trigger 99 causes the bleed valve 92 to open , allowing deflation of the sleeve ( not shown ) and air to escape from the gage housing 100 . according to fig5 a second version of an integrated blood pressure measuring apparatus 160 includes an elastomeric or enclosure sleeve 164 similar in shape to the preceding and including an upper portion 168 and a contiguous lower portion 172 . in lieu of providing a pneumatic bulb within the lower portion 172 of the elastomeric sleeve 164 , the sleeve itself provides the means for pneumatically inflating a blood pressure cuff ( shown diagrammatically as 184 ). a one way valve 180 provided at the bottom of the lower portion 172 of the sleeve 164 permits air to enter the interior of the sleeve when squeezed . a trigger assembly 186 disposed along a wall of the sleeve 164 includes a bleed valve 190 which can be opened by means of an actuable trigger 194 provided on the exterior of the sleeve 164 . the trigger 194 is biasedly connected to the bleed valve 190 through conventional means . a hose 188 extends into the trigger assembly 186 , the hose including a valve 189 which permits air from the interior of the sleeve to pass into the hose 188 . another hose 198 extends from the trigger assembly 186 , splitting into sections 202 , 206 respectively . section 206 extends from the device 160 to the sleeve 184 and is connected to a port ( not shown ) which is in fluid communication with the interior of the sleeve . the sleeve 160 is similar to sleeve 60 described above and includes a retaining pocket 196 which is preferably smaller in diameter than that of the gage 100 to provide secure engagement with the exterior thereof . the gage 100 is identical to that previously described above including a movement mechanism , such as described by previously incorporated u . s . pat . no . 5 , 966 , 829 , which permits circumferential movement of an indicating member relative to a dial face . hose section 202 extends to a port 200 provided in the retaining pocket 196 which provides a fluid path through port 148 , fig4 and an aligned opening 197 into the interior of the gage 100 . in operation , lower portion 172 of the sleeve 164 is squeezed permitting air to enter the interior of the sleeve and into hose 188 through check valve 189 . initially , the bleed valve 190 is closed , therefore air is directed through the trigger assembly 186 and through hose 198 and hose sections 202 , 206 to the interior of the gage 100 and the sleeve 184 , permitting inflation of the latter . air entering the interior of the gage 100 causes circumferential movement of the indicating member 138 , fig4 as previously described due to the movement mechanism , fig4 . opening of the bleed valve 190 is accomplished through use of the trigger 194 which permits deflation of the sleeve 184 whereupon a blood pressure measurement can be made . alternate designs incorporating the inventive concepts described herein are possible . for example , and referring to fig6 a blood pressure measuring device 220 according to a third embodiment is shown . the device 220 is defined by a cylindrical sleeve 224 having an upper portion 226 which includes a retaining pocket 228 sized to sealingly engage a gage 100 , fig4 as previously described . the sleeve 224 includes lower squeeze portions 232 to enable a pneumatic function . alternately , a pneumatic bulb ( not shown ) can be provided within the sleeve 224 to permit inflation of a connected sleeve . while the present invention has been particularly shown and described with reference to the preferred mode as illustrated in the drawing , it will be understood by one skilled in the art that various changes in detail may be effected therein without departing from the spirit and scope of the invention as defined by the claims .
a blood pressure measuring apparatus includes an inflatable cuff which can be wrapped about the limb of a patient . the sleeve includes a sealed interior capable of inflation , and an integrated inflation / measuring device . the integrated device is an elastomeric enclosure which retains a gage and a pneumatic bulb therein and hosing for fluidly interconnecting the pneumatic bulb , the inflatable cuff , and the gage .