The relative accuracy of simultaneous same arm, simultaneous opposite arm and sequential same arm measurements in the validation of automated blood pressure measuring devices.

With the increasing demand for accurate BP measuring devices there comes also the need for validation. Most validation procedures assess the accuracy of a test device against a known standard, most commonly a mercury sphygmomanometer. The best method for assessing device accuracy is to measure BP simultaneously in the same arm with the test device and a mercury sphygmomanometer. This is not always possible because the deflation mechanism of the test device interferes with the ability of an observer to auscultate the Korotkov sounds accurately. In this study a mathematical method of sequential comparison between the test device and a mercury standard in the same arm is described which is almost as accurate as simultaneous measurement in the same arm.