National standard for measurement of resting and ambulatory blood pressures with automated sphygmomanometers.

TLDR

The Association for the Advancement of Medical Instrumentation develops voluntary standards for medical devices, and American national standards are produced through expert consensus, with the first electronic sphygmomanometer standard issued in 1987. The 1992 revision of the American national standard for electronic and automated sphygmomanometers updates labeling, safety, and performance requirements to ensure consumers and health professionals receive safe, accurate devices for indirect blood pressure measurement, including ambulatory recorders. The standard allows device validation by comparing automatic readings to direct intra‑arterial measurements or to noninvasive cuff/stethoscope techniques using Korotkoff sounds by trained listeners, and the summary report recommends comparison methods, statistical analysis, result presentation, and acceptability criteria.

Abstract

The Association for the Advancement of Medical Instrumentation develops voluntary standards for medical devices so that manufacturers might provide information on their product and basic safety and performance criteria that should be considered in qualifying the instrument for clinical use. American national standards are generated through a consensus process by committees consisting of experts in research, development, and design from user, industry, and government communities. Draft standards are made available for public review and may become American national standards after review by the American National Standards Institute. The first American national standard for electronic and automated sphygmomanometers was published in monograph form in 1987. The objective of the revised 1992 standard for electronic and automated sphygmomanometers is to provide updated labeling, safety, and performance requirements that help ensure that consumers and health care professionals are supplied with safe, accurate devices for the indirect measurement of blood pressure, including ambulatory blood pressure recorders. This standard permits validation of the automatic or electronic device by comparison with either direct, intra-arterial blood pressure measurements or the noninvasive cuff/stethoscope technique, based on Korotkoff sounds identified by individuals trained in auscultation. This summary report of the 1992 American national standard for automatic sphygmomanometers provides recommendations for the methods of comparison, statistical analysis of the data, presentation of the results, and criteria for acceptability. Users, researchers, and instrument designers should refer to the American national standard monograph for detailed requirements.