JP2006000180A - Optical biological information measuring apparatus - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an optical biological information measuring apparatus capable of performing measurement in a rest state without completely restraining the forearm of a person to be measured and executing the measurement for two or more times with high reproducibility. <P>SOLUTION: The optical biological information measuring apparatus 1 comprises an armrest part 3 for mounting the forearm B of the person to be measured in a positioned state, an optical measurement head 5 made to tightly adhere to the forearm B mounted on the armrest part 3, and a moving mechanism 4 for relatively moving the optical measurement head 5 or the armrest part 3 and making the optical measurement head 5 tightly adhere to the forearm B. The armrest part 3 is provided with a first butting part 15 for butting the palm B1 of the person to be measured, a second butting part 16 for butting the elbow B2 of the person to be measured and a third butting part 18 arranged at a position facing the optical measurement head 5 across the mounted forearm B. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to an optical biological information measuring device.

Conventionally, blood glucose concentration measurement has been performed for the determination of diabetes, and in particular, glucose concentration measurement has been performed in order to examine blood glucose levels that determine the insulin dose of diabetic patients. The measurement of glucose concentration is generally performed by directly analyzing blood collected from a finger or an arm. Since the glucose concentration in the blood in the patient's body changes depending on the measurement conditions such as before and after meals and after exercise, frequent glucose concentration measurement is necessary to obtain an accurate blood glucose level.
However, the above-described method for directly analyzing collected blood has a problem in that blood must be collected by inserting an injection needle or the like every time the glucose concentration is measured, and the burden on the patient is large.

  In order to solve this problem, non-invasive detection of light emitted outside the living body by irradiating a living tissue such as a finger, arm, earlobe, etc. A glucose concentration measurement method has been proposed (see, for example, Patent Document 1). The method of Patent Document 1 prepares an optical fiber bundle configured by bundling a plurality of light-emitting fibers and a plurality of light-receiving fibers, and contacts the tip surface of each optical fiber constituting the optical fiber bundle with the living body surface. Place in state. Then, by irradiating near-infrared light collected from a halogen lamp onto a plurality of light-emitting fibers from the tip surfaces of the light-emitting fibers, the light enters the living body, diffuses in the living body, and returns from the living body surface to the outside of the living body Is received by a plurality of light receiving fibers, and the glucose concentration is calculated by analyzing the spectrum of the received light.

On the other hand, when measuring the glucose concentration non-invasively using light, it is essential to reproduce the same measurement conditions at each detection.
As a means for making the positional relationship between the optical biological information measuring device and the living body constant, when the detection terminal is arranged on the palm, the wrist and the six fingers are restrained by the ring at the six locations, and the finger base at the three locations. Has been proposed (see, for example, Patent Document 2). The shape feature is clear like a palm, and the detection terminal can be positioned with high reproducibility relatively easily by completely restraining it.

By the way, there are the following problems with the palm as the measurement site.
That is, since there are many sweat glands in the palm, the measurement result may fluctuate greatly due to sweat. In addition, since the keratin (skin) of the palm is relatively thick, it is difficult to allow light to reach the dermis layer containing a large amount of biological information such as glucose. In addition, since the palm has a large blood flow volume, the measurement result is likely to fluctuate due to blood flow fluctuations. Furthermore, palms vary greatly depending on the occupation, and there are inconveniences that individual differences in the condition of the epidermis, i.e., roughness, dirt, and wrinkles, require individual adjustment for measurement.

On the other hand, the above-described problems are few in the inner skin of the forearm. A technique for optically measuring biological information with respect to the forearm has been proposed (see, for example, Patent Document 3). In this technique, the elbow of the person to be measured is fixed, and the measurement is performed with the hand held up and the forearm inclined at 0 to 90 °.
JP 2000-131322 A (FIG. 3 etc.) Japanese Patent Laid-Open No. 11-47119 (FIG. 1 etc.) JP-A-11-244266 (FIG. 1 etc.)

  However, in the method of Patent Document 3, the forearm is positioned in the longitudinal direction by fixing the elbow, but is not constrained at all in other directions, and the same contact state at the same location during multiple measurements. There is a problem that it is difficult to arrange the measurement terminals. In addition, unlike the palm, the forearm has few shape features, so it is difficult to place the measurement terminals in the same contact state at the same location on the forearm.

  For example, a positioning device that completely restrains the forearm like a plaster mold is also conceivable, but it takes time to manufacture and the state of the forearm, for example, the sweating state, etc. differs at each measurement time, so the same measurement state Is difficult to achieve. Furthermore, in the case of a forearm with few shape features, it can be easily twisted around the longitudinal axis, and thus it is difficult to completely restrain itself. Conversely, if the forearm is completely constrained, it gives the patient a tight feeling during measurement, resulting in an unstable psychological state or an unnatural restraint state, and it is impossible to realize a restful measurement environment. The inconvenience that the result fluctuates can be considered.

  The present invention has been made in view of the above-described circumstances, and enables measurement to be performed in a more quiet state without completely restraining the forearm of the measurement subject, and can be performed multiple times with high reproducibility. An object of the present invention is to provide an optical biological information measuring device capable of performing measurement.

In order to achieve the above object, the present invention provides the following means.
The present invention relates to an arm rest for placing the forearm of the person to be measured in a positioning state, an optical measurement head to be in close contact with the forearm placed on the arm rest, and the optical measurement head or the arm rest And a moving mechanism for bringing the optical measuring head into close contact with the forearm, wherein the arm rest portion has a first abutting portion that abuts the palm of the subject and an elbow of the subject. There is provided an optical biological information measuring device comprising: a second abutting portion that abuts against the optical measuring head; and a third abutting portion that is disposed at a position facing the optical measuring head across the placed forearm. .

  According to this invention, by operating the moving mechanism, the subject's forearm placed on the arm rest and the optical measurement head are relatively moved, and the measurement head is brought into close contact with the forearm. Biological information is measured optically. In this case, in the arm placing part, the palm of the subject is abutted against the first abutting part, and the elbow of the subject is abutted against the second abutting part to The forearm is positioned in its longitudinal direction. Further, the forearm is positioned in a direction perpendicular to the longitudinal direction with respect to the optical measuring head by sandwiching the forearm between the third abutting portion provided in the arm placing portion and the optical measuring head. It will be.

  According to the present invention, the forearm is not completely constrained by a mold such as a plaster mold, but is constrained at the minimum necessary points, thereby giving a feeling of cramping to the person being measured during measurement and the measurement by The generation of stress on the person can be prevented, and a resting measurement state can be achieved. Therefore, it is possible to effectively prevent the measurement condition from changing for each measurement and perform measurement with high reproducibility.

In the said invention, it is preferable that the said arm rest part is comprised by hardening the hydraulic or thermosetting cast material in the curved state so that it may follow a to-be-measured person's forearm.
By doing in this way, an arm rest part can be manufactured simply and without making a to-be-measured person feel cramped. As a result, the manufactured arm rest can make it possible to perform measurement in a calm psychological state without making the measurement subject feel cramped or restrained at the time of measurement. Measurement accuracy can be improved.

Moreover, in the said invention, it is good also as a 1st abutting part of the said arm rest part being provided with the protrusion which lightly grasps while touching a subject's palm.
When the person to be measured puts his forearm, the most natural state is that the palm is grasped lightly. Therefore, when the forearm is placed on the arm rest portion, the palm is gently grasped by the raised portion to achieve a natural measurement state, and the palm is abutted against the raised portion to position the forearm in the longitudinal direction. It can be achieved easily.

  Furthermore, in the above invention, at each measurement for the same subject, a camera that images the forearm of the subject placed on the arm rest, an image storage unit that stores an image acquired by the camera, A displacement detection unit that compares the forearm image at the time of previous measurement stored in the image storage unit with the current forearm image captured by the camera and detects the displacement of the forearm in the arm rest unit It is good also as providing.

  By doing so, the forearm of the measurement subject placed on the arm placement unit is imaged by the camera, and the captured image is stored in the image storage unit. At the time of measurement for the same person to be measured, the image stored in the image storage unit is compared with the image of the forearm captured by the camera, and the positional deviation of the forearm in the arm placement unit is detected by the positional deviation detection unit. By placing the forearm on the arm rest, the forearm is roughly positioned with respect to the optical measurement head, so the forearm or optical measurement is corrected so as to correct the misalignment detected by the misalignment detector By finely adjusting the head, it is possible to more accurately reproduce the same measurement state as in the previous measurement and improve the measurement accuracy.

In the above invention, when the positional deviation amount detected by the positional deviation detection unit exceeds a predetermined threshold value, a notification unit that notifies the fact may be provided.
By the operation of the notification unit, notification that the positional deviation amount exceeds a predetermined threshold value is performed. Based on this notification, the person or operator can correct the positional relationship between the forearm placed on the arm rest and the optical measurement head, and the measurement accuracy can be improved.

Furthermore, in the above invention, the forearm may be imaged by the camera before and after contact between the forearm and the optical measurement head.
By doing in this way, it is possible to check the positional deviation both in the free state where the forearm is not in contact with the optical measuring head and in the state where the forearm and the optical measuring head are in close contact with each other. It is possible to achieve the same measurement state with high reproducibility in a plurality of measurements performed with a gap.

  According to the present invention, it is possible to perform measurement in a more quiet state without completely restraining the forearm of the measurement subject, and thus without giving a sense of cramp or stress to the measurement subject, and high reproducibility. Thus, it is possible to carry out measurement several times.

An optical biological information measuring apparatus according to an embodiment of the present invention will be described below with reference to FIGS.
The optical biological information measuring device according to the present embodiment is a glucose concentration measuring device 1 that measures the glucose concentration in the body of the person A to be measured, and as shown in FIG. 1, the chair 2 on which the person A to be measured sits. The arm rest 3 for placing the forearm B of the left arm, for example, a sitting mechanism 2 on the chair 2, a moving mechanism 4 for moving the arm rest 3 horizontally, and an arm rest 3 The measurement head 5 fixed in the vicinity of the optical fiber 6, the optical fiber 6 connected to the measurement head 5 and the connection portion 8 for guiding the cable 7, and the optical fiber 6 and the cable 7 are connected. Based on the information, biological information, for example, a measuring device main body 9 that measures the glucose concentration in the body of the person A to be measured, and a camera 10 that is disposed downward above the arm rest portion 3 and the measuring head 5 with a space therebetween. And the camera 10 Processing the image of the forearm B on the arm rest portions 3, which are more imaging, and an image processing unit 11 for detecting the positional deviation.

  The chair 2 includes, for example, a reclining mechanism, a seat height adjustment mechanism, and the like (not shown) so as to achieve a resting state of the person A to be measured at the time of measurement. In addition, a footrest 12 is installed so that the foot is not burdened during measurement.

  As shown in FIGS. 2 and 3, the arm rest portion 3 includes a cradle portion 13 that supports the forearm B of the person A to be measured substantially horizontally and a pedestal portion 14 that fixes the cradle portion 13. It is configured. The cradle unit 13 shapes a hydraulic cast material prepared for each person A to be measured, and a first abutment unit 15 that abuts the palm B1 disposed substantially downward, and a second abutment of the elbow B2. And the abutting portion 16. Further, as shown in FIGS. 3 and 4, the arm rest portion 3 includes side wall portions 17 that come into contact with both side surfaces of the forearm B of the person A to be measured, which is disposed substantially horizontally with the palm B <b> 1 facing downward. 18 is provided. In particular, the side wall portion 18 that contacts the outside of the forearm B, that is, the side surface far from the body of the person A to be measured constitutes a third abutting portion (hereinafter also referred to as a third abutting portion 18). is doing.

  The hydraulic cast material includes, for example, a cloth material around a core material containing a hydraulic resin formed in a plate shape, and is freely curved in accordance with the outer shape of the forearm B of the person A to be measured. It can be shaped and can be cured in the shaped shape.

  As shown in FIG. 5, the first abutting portion 15, for example, forms a deformable air bag 19 (for example, a manchette) through the cast material when shaping the cast material. The raised portion 20 is formed by gripping the palm B1. That is, the formed raised portion 20 forms a first abutting portion 15 that abuts the palm B <b> 1 of the subject A when the forearm B of the subject A is placed on the arm rest 3. At the same time, the palm B1 covering the raised portion 20 is formed to be lightly gripped.

  Further, as shown in FIG. 6, when the palm B <b> 1 of the person to be measured A is placed on the raised portion 20, the palm B <b> 1 arranged substantially downward gradually descends from the thumb side toward the little finger side. An inclined surface 20a that is inclined as described above is provided. When the person to be measured A places the forearm B substantially horizontally and removes the force, the palm B1 is arranged so as to naturally fall slightly toward the little finger rather than directly below. Therefore, by doing so, an excessive force is not applied to the forearm B of the person A to be measured during measurement. Furthermore, a palm side surface support portion 20b that supports the side surface of the palm B1 on the little finger side is provided on the little finger side of the raised portion 20 by bending the cast material. The palm B1 can be stabilized by supporting the palm B1 about to descend along the inclined surface 20a of the raised portion 20 with the palm side surface support portion 20b. Can be prevented from moving.

  In the state where the second abutting portion 16 is positioned by abutting the palm B1 against the first abutting portion 15 formed as described above, and the subject A is relaxed by removing the force of the shoulder, The cast material on the elbow B2 side is bent, shaped, and cured. Accordingly, the palm B1 is abutted against the first abutting portion 15 and the elbow B2 is abutted against the second abutting portion 16, so that the forearm B of the person A to be measured is located between the both abutting portions 15 and 16. It is positioned so as not to be sandwiched and moved in the longitudinal direction.

  The third abutting portion 18 positions the forearm B in the longitudinal direction between the first abutting portion 15 and the second abutting portion 16 formed as described above. In a relaxed state by removing the shoulder force, the cast material on both side surfaces of the forearm B is bent and cured. In order to shape the cast material along the curved surface of the forearm B, a plurality of cuts 21 are formed in the cast material. At the time of shaping, the bending direction is finely adjusted by these notches 21 formed in the cast material, and the gap between the notches 21 is adjusted to prevent the occurrence of wrinkles in the cast material and to be in close contact with the outer surface of the forearm B A third abutting portion 18 can be formed.

The third abutting portion 18 supports the outer side surface B3 of the forearm B when the measuring head 5 and the forearm B are brought into close contact with each other as will be described later.
A notch 22 is formed in the side wall portion 17 on the inner side of the forearm B at a substantially central portion thereof. The notch 22 is formed slightly larger than the size of the measuring head 5.
Thus, by manufacturing the cradle part 13 of the arm rest part 3 with a hydraulic cast material, the cradle part 13 having a configuration suitable for the shape of the forearm B of each person A to be measured can be easily and quickly manufactured. Therefore, the person A to be measured is not burdened.

  The cradle part 13 configured in this way is fixed to the pedestal part 14 by an arbitrary fixing means such as a bolt 23. As shown in FIG. 2, the pedestal portion 14 includes an upper plate 24, a lower plate 25, and four spacing members 26 disposed between the plates 24 and 25. The spacing member 26 is fixed to the lower plate 25. A screw 27 for fixing the upper plate 24 is provided at the upper end of the spacing member 26, and a clearance between the screw 27 and a hole (not shown) provided in the upper plate 24 so that the screw 27 is inserted. Within the range, the horizontal position of the upper plate 24 relative to the lower plate 25, that is, the horizontal position of the cradle part 13 fixed to the upper plate 24 can be adjusted.

Further, the horizontal position of the upper plate 24 with respect to the lower plate 25 is adjusted so that the inner side surface of the forearm B of the person A to be measured placed on the cradle unit 13 moves in the moving direction of the moving mechanism 4 described later. Are arranged in a substantially orthogonal direction.
The lower plate 25 is provided with a through hole 29 through which the bolt 28 passes and a pin hole 31 into which a pin 30 for positioning between the moving mechanism 4 described later is fitted.

  When the lower plate 25 is fixed to the moving mechanism 4, the cradle part 13 disposed on the upper plate 24 is arranged to be slightly inclined in the horizontal direction with respect to the chair 2. That is, the cradle part 13 is arranged so as to gradually move away from the plane along the front-rear direction with the chair 2 as a reference. Thereby, when the person A to be measured sits on the chair 2 and places the forearm B on the cradle part 13, the forearm B moves away from the body of the person A to be measured from the elbow B2 side toward the palm B1 side. It is arranged to be inclined slightly. That is, when the person A to be measured places the forearm B on the arm rest portion 3, the forearm B is not parallel to the front-rear direction of the trunk from the elbow B2 to the palm B1, but is arranged in a slightly opening direction. The forearm B can be supported by the arm rest 3 in a state in which the person A is further closer to the posture that is naturally taken when the person A relaxes by removing the shoulder force.

  2 and 4, the moving mechanism 4 includes an intermediate base 32, a linear guide 33 fixed on the intermediate base 32, and a slider 34 supported by the linear guide 33 so as to be horizontally movable. And an air cylinder 35 that can be expanded and contracted in parallel to the guide direction of the slider 34 by the linear guide 33. As shown in FIG. 4, the air cylinder 35 is fixed to the cylinder 35a side, for example, to the intermediate base 32, and to the rod 35b side, for example, to the slider 34 by brackets 36 and 37, respectively. The air cylinder 35 is supplied with pressurized air having a predetermined pressure set by a regulator (not shown). As a result, with the rod 35b protruding from the cylinder 35a, the slider 34 is moved horizontally in the direction approaching the person A to be measured, and the rod 35b is retracted into the cylinder 35a to move horizontally in the direction away from the person A to be measured. It can be made to.

  Further, as shown in FIG. 4, the moving mechanism 4 is provided with a fixed stopper 38 on the intermediate base 32 side and a moving stopper 39 on the slider 34 side. When the rod 35b of the air cylinder 35 protrudes too much from the cylinder 35a, the movement stopper 39 that moves together with the slider 34 collides with the fixed stopper 38, thereby restricting the movement of the slider 34 more than a predetermined amount. ing.

  As shown in FIG. 1, the measuring head 5 is fixed to a bracket 40 fixed to the intermediate base 32. As shown in FIG. 7, a glucose concentration measurement terminal 41, a blood flow meter terminal 42, a moisture meter terminal 43, a fat meter terminal 44, a pressure sensor 45, and a temperature are provided on the distal end surface 5 a of the measurement head 5. A sensor 46 is arranged. The glucose concentration measurement terminal 41 is arranged at the center of the measurement head 5, and the other terminals and sensors 42 to 46 are arranged in a line in the horizontal direction. Thereby, each sensor and the terminals 41 to 46 are arranged along the length direction of the forearm B of the person A to be measured, and are simultaneously brought into contact with substantially the same height position on the inner side surface of the forearm B. . The pressure sensor 45 and the temperature sensor 46 are disposed in proximity to the glucose concentration measurement terminal 41, and the blood flow meter terminal 42, the moisture meter terminal 43, and the fat meter terminal 44 are disposed at positions further away from them.

  The front end surface 5 a of the measuring head 5 is disposed along a direction orthogonal to the moving direction of the slider 34 of the moving mechanism 4. The measurement head 5 is disposed at a position corresponding to the notch 22 formed in the cradle part 13 of the arm rest part 3, and when the slider 34 is moved and the forearm B is brought close to the measurement head 5. The front end surface 5a of the measuring head 5 is brought into contact with and closely contacted with the inner side surface of the forearm B of the person A to be measured exposed in the cutout 22.

  The various sensors 42 to 46 including the glucose concentration measurement terminal 41 that are exposed on the distal end surface 5 a of the measurement head 5 have the inner side surface of the forearm B of the person A to be measured placed on the arm rest 3. The position in the height direction is adjusted so as to be brought into contact with the position that protrudes most in the horizontal direction. That is, as shown in FIG. 4, in the cross section of the forearm B, the inner side surface protrudes most in the horizontal direction and is brought into contact with a position that is first brought into contact with the measurement head 5. Its height direction position is adjusted. The height position may be adjusted by adjusting the length of the spacing member 26.

  As shown in FIG. 4, the connecting portion 8 is a portion that guides the optical fiber 6 and the cable 7 drawn out from the terminals of the measuring head 5 and the sensors 41 to 46 to a measuring device body 9 described later, An optical fiber 6 or a cable 7 drawn out from the back surface of the measuring head 5 toward the person A to be measured is U-turned in a vertical plane, and is disposed on the opposite side of the chair 2 with the arm rest 3 interposed therebetween. It is configured to connect to the main body 9. A substantially U-shaped bracket 47 shown in FIG.

  The bracket 47 is fixed to the measurement head 5 and is fixed to the housing of the measurement apparatus main body 9, and the optical fiber 6 and the cable 7 that connect the measurement head 5 and the measurement apparatus main body 9, in particular, a groove that accommodates the optical fiber 6. 47a is provided to support the optical fiber 6 so that it does not move during measurement. A heat insulating member 48 is disposed around the bracket 47 and covers the optical fiber 6 so that no temperature change occurs during the measurement.

  In order to maintain the temperature at the tip of the glucose concentration measurement terminal 41 fixed at the center of the measurement head 5 at a constant temperature with high accuracy, the measurement head 5 at the tip of the connecting portion 8 is shown in FIG. As shown, a Peltier element 49 is disposed. Reference numeral 50 denotes a radiation fin. The Peltier element 49 holds the surface temperature of the measurement site of the forearm B at, for example, 20 ± 0.1 ° C.

  As shown in FIG. 9, the measuring device main body 9 includes a light source 52 that generates light to irradiate the surface of the forearm B of the person A to be measured, and a spectroscope 53 that splits the light emitted from the light source 52. The glucose concentration measurement terminal 41 that irradiates the light separated from the spectroscope 53 toward the surface of the forearm B and receives the light diffused or transmitted through the forearm B, and receives the light at the glucose concentration measurement terminal 41. A signal light detector 54 for detecting the light S4, and a calculation unit 55 for calculating the glucose concentration of the person A to be measured based on the spectrum of the light detected by the signal light detector 54.

  Further, in the measurement apparatus main body 9, a reference light branching unit 56 for branching the light separated by the spectroscope 53 into the measurement light S1 and the reference light S2, and a branching light detector for detecting the branched reference light S2. 57. Further, a reflected light branching unit 58 that branches the reflected light S3 reflected and returned from the glucose concentration measuring terminal 41 is provided between the reference light branching unit 56 and the glucose concentration measuring terminal 41. The branched light detector 57 also detects the reflected light S3 branched at the reflected light branching portion 58.

The light source 52 is, for example, a halogen lamp, a plurality of broadband light sources having different wavelength bands, for example, ASE (Amplified Spontaneous
Emission) light source, SLD (Super Luminescence Diode) light source combined with a multiplexer, or a combination of these light sources may be used. According to the halogen lamp, there is an advantage that it can be configured easily and inexpensively, and according to the light source obtained by combining the light from the broadband light source, there is an advantage that light with high luminance can be efficiently propagated.

The spectroscope 53 is an acousto-optic variable wavelength filter (AOTF: Acousto-Optic) that emits only light of a specific wavelength of incident light in accordance with the input high frequency frequency.
Tunable Filter, hereinafter referred to as AOTF. ) And a filter control unit 59 for supplying and controlling a high frequency to the AOTF 53.
The filter control unit 59 supplies a high frequency with a specific frequency to the AOTF 53. The high frequency supplied from the filter control unit 59 to the AOTF 53 is sequentially changed at a predetermined speed.

  The frequency of the high frequency that the filter control unit 59 supplies to the AOTF 53 is controlled by the computer 60. In the figure, reference numeral 61 denotes an oscillator that generates a fundamental frequency for synchronous detection, and reference numeral 62 denotes a multiplier. Thus, a high frequency having a frequency obtained by multiplying the basic frequency supplied from the oscillator 61 and the frequency supplied from the filter control unit 59 by the multiplier 62 is input to the AOTF 53.

  For example, as shown in FIG. 10, the reference light branching unit 56 includes a beam splitter 63 that branches light emitted from the AOTF 53 in two directions, and a reference light S2 branched by the beam splitter 63. And a collimator 65 for condensing light on the end surface of the light source. The branched reference light S2 is condensed on the end face of the optical fiber 64 by the collimator 65 and guided to a branched light detector 57 described later. The branching ratio of the beam splitter 63 in the reference light branching unit 56 is set so that, for example, the measurement light S1 going to the glucose concentration measurement terminal 41 is about 95% and the reference light S2 going to the branching light detector 57 is about 5%. ing.

  As shown in FIG. 11, the glucose concentration measuring terminal 41 is provided with a single irradiation optical fiber 66 at its center, as shown in FIG. 11, and a plurality of light receiving lights spaced around the periphery. A fiber 67 is arranged. That is, the measurement emitted from the irradiation optical fiber 66 at the center of the glucose concentration measurement terminal 41 by operating the measurement apparatus body 9 with the tip surface 41a of the glucose concentration measurement terminal 41 being in close contact with the surface of the forearm B. The light S1 enters the forearm B and is diffused or transmitted, then returns to the surface of the forearm B, and is received as signal light S4 by the light receiving optical fiber 67 disposed around the irradiation optical fiber 66. It has become so.

  The distance between each light receiving optical fiber 67 and the irradiation optical fiber 66 is such that the measurement light S1 emitted from the irradiation optical fiber 66 is received by the light receiving optical fiber 67 through a predetermined optical path length. Set to distance. In the present embodiment, the measurement light S1 is arranged at a distance of about 0.4 to 0.8 mm so as to reach the dermis region rich in glucose. As a result, the signal light S4 received by the light receiving optical fiber 67 contains a lot of light that has reached the depth of the dermis in the forearm B. The light receiving optical fiber 67 is bundled to form a fiber bundle, and is connected to the housing 68 by another connector.

  In the reflected light branching portion 58, the measurement light S1 branched in the reference light branching portion 56 is supplied to the glucose concentration measuring terminal 41 via the irradiation optical fiber 66, and the forearm from the distal end surface 41a of the glucose concentration measuring terminal 41 is supplied. The reflected light S3 that is reflected by the surface of the forearm B and returns through the irradiation optical fiber 66 when it enters the beam B is branched. In the reflected light branching portion 58, for example, 10% of the reflected light S3 returning from the irradiation optical fiber 66 is branched. The branched reflected light S <b> 3 propagates through the optical fiber 69 and is guided to the branched light detector 57.

  The signal light detector 54 is disposed to face the end face of the light receiving optical fiber 67, detects the signal light S4 received by the light receiving optical fiber, and an electric signal corresponding to the light intensity of the signal light S4. Is configured to output. The branched light detector 57 is disposed to face the end faces of the optical fibers 64 and 69 that propagate the reference light S2 and the reflected light S3 branched at the reference light branching portion 56 and the reflected light branching portion 58. Further, a shutter 70 is disposed between the emission end of the reference light S2 and the reflected light S3 and the branch light detector 57, and the reference light S2 or the reflected light S3 is selectively detected by the branch light detector 57. It can be made to. The signal light detector 54 and the branch light detector 57 are, for example, PbS sensors or InGaAs sensors.

  The arithmetic unit 55 amplifies the detection signal of the signal light detector 54 and the detection signal of the branch light detector 57, and synchronizes with a specific frequency from the electric signal output from the amplifier 71. From the lock-in detector 72 that extracts only a signal with little noise, the A / D converter 73 that converts the electrical signal output from the lock-in detector 72 into a digital signal, and the A / D converter 73 And a computer 60 for calculating the glucose concentration based on the output digital signal.

The lock-in detector 72 receives the fundamental frequency supplied from the oscillator 61 and extracts from the electrical signal from the amplifier 71 only the electrical signal having a frequency component synchronized with the fundamental frequency.
Further, the computer 60 controls the filter control unit 59, that is, outputs an output signal obtained by A / D converting the electric signal extracted by the lock-in detector 72 in synchronization with the wavelength signal of the light emitted from the AOTF 53. It comes to detect.

  Thereby, in the computer 60, based on the spectral distribution of the output signal obtained from the plurality of output signals obtained from the A / D converter 73 and the wavelength signal corresponding to each output signal, a specific wavelength region, For example, the glucose concentration is calculated from the output signal value in the region near the wavelength of 1600 nm.

Further, the computer 60 is input with various terminals provided in the measuring head 5 and outputs from the sensors 41 to 46. That is, signals from the blood flow meter terminal 42, the moisture meter terminal 43, the fat meter terminal 44, the pressure sensor 45, the temperature sensor 46, and the like provided in the measurement head 5 are input to the computer 60, and the glucose concentration value is Corrections are made based on signals from the terminals and sensors 42 to 46.
In addition, a monitor 74 is connected to the computer 60 so that the glucose concentration value calculated by the computer 60 and subjected to various corrections is displayed.

  In the present embodiment, the light source 52, the AOTF 53, the reference light branching unit 56, the reflected light branching unit 58, the branching light detector 57, and the signal light detector 54 are all housed in one housing 68. . Preferably, it is cooled to a constant temperature condition by a cooling device (not shown).

  As shown in FIG. 1, the camera 10 is disposed downward and substantially vertically above the measurement head 5 so as to capture the vicinity of the close contact position between the forearm B placed on the arm rest 3 and the measurement head 5. Has been. The camera 10 is provided at two places at intervals along the moving direction of the arm rest portion 3 by the moving mechanism 4. As shown in FIG. 3, the first camera 10 a has contour lines on both side surfaces of the forearm B in the vicinity of the contact position in a state where the forearm B placed on the arm holder 3 is in close contact with the measurement head 5. An elliptical region C including the image is picked up. The second camera 10 b captures the same elliptical region D in a state where the forearm B placed on the arm rest unit 3 is not in close contact with the measurement head 5.

  An image captured by the camera 10 is sent to the image processing unit 11 as shown in FIG. Connected to the image processing unit 11 is an image storage unit 75 that stores an image captured first for the same person A to be measured. The image storage unit 75 stores images before and after contact with the measurement head 5 taken by the cameras 10a and 10b. The image processing unit 11 and the image storage unit 75 are connected to a comparison unit 76 that compares the currently captured image with the image stored in the image storage unit 75.

  The output from the comparison unit 76 is sent to the monitor 77 together with the currently captured image from the image processing unit 11 and the past image from the image storage unit 75. Then, as a result of the comparison by the comparison unit 76, when the image stored in the image storage unit 75 and the currently captured image are shifted by a predetermined threshold value or more, readjustment is performed. When the indication of power is less than the threshold value, the indication that the measurement preparation is completed is displayed on the monitor 77.

The operation of the optical glucose concentration measuring apparatus 1 according to this embodiment configured as described above will be described below.
In order to measure the glucose concentration of the body fluid in the body of the subject A using the glucose concentration measuring apparatus 1 according to the present embodiment, the subject A is seated on the chair 2 and the forearm B of the left arm is placed on the arm rest portion. 3 is placed. When placing the forearm B on the arm rest portion 3, the palm B <b> 1 is abutted against the first abutment portion 15, and the elbow B <b> 2 is abutted against the second abutment portion 16. And the forearm B is inserted between the side wall parts 17 and 18 provided in the cradle part 13, and it is set as the state which relaxed by extracting the force of a shoulder. Thereby, the forearm B can be placed on the arm rest 3 in the same state as when the arm rest 3 is manufactured.

  At this time, the forearm B of the person A to be measured is not completely restrained, but is restrained in the longitudinal direction between the first abutting portion 15 and the second abutting portion 16, while on the side wall. The third abutting portion 18 provided is also restrained in the direction orthogonal to the longitudinal direction. Therefore, the person A to be measured can move the forearm B relatively freely even in the state where the forearm B is placed on the arm rest 3, and the forearm B is arranged in the most relaxed state without a tight feeling. be able to.

  By operating the second camera 10b in this state, an image of the forearm B that is placed on the arm rest 3 and is not in contact with the measurement head 5 is captured. The captured image is sent to the image processing unit 11 where predetermined processing is performed. That is, an image of the ellipse area D of the forearm B that is captured by the second camera 10b and is not in contact with the measuring head 5 is acquired, and the positions of the contour lines on both sides of the forearm B included in the ellipse area D And the shape is calculated. Further, it is determined whether or not the captured image of the forearm B is an image at the time of the first measurement of the person A to be measured. If it is the first image, the image and the shape of the calculated contour line are determined. Data is stored in the image storage unit 75.

  On the other hand, if it is not the image at the time of the first measurement, the image and its shape data are already stored in the image storage unit 75, so that the currently captured image and the stored image are displayed on the monitor 77. Is done. Further, when the shape data of the contour line of the currently captured image and the shape data of the contour line stored in the image storage unit 75 are input to the comparison unit 76, the amount of deviation is calculated, and the amount of deviation is calculated. If the predetermined threshold value is exceeded, a message to that effect is displayed on the monitor 77.

  The subject A can shift the forearm B so as to correct the shift based on the display on the monitor 77, or the operator can prompt the subject A to shift the forearm B. Further, when the deviation amount is below a predetermined threshold value, a measurement continuation command is displayed on the monitor 77. The operator operates to continue the measurement work based on the display on the monitor 77, or the measurement work is automatically continued.

  After the imaging by the second camera 10b is performed at the time of the first measurement, or after the measurement work continuation command is displayed on the monitor 77 at the time of the second or subsequent measurement, the moving mechanism 4 is operated. The slider 34 is moved in the direction approaching the measuring head 5. The slider 34 is moved by the air cylinder 35 supplied with pressurized air of a predetermined pressure to move the arm rest 3 on which the forearm B is placed toward the measuring head 5. When the forearm B comes into contact with the measurement head 5, the forearm B and the measurement head 5 are brought into close contact with each other by a predetermined pressing force generated by the air cylinder 35, and the slider 34 stops.

  In this case, according to the glucose concentration measuring apparatus 1 according to the present embodiment, when the slider 34 is moved in the horizontal direction, the forearm B is moved in the horizontal direction so that the forearm B and the measuring head 5 are in the horizontal direction. Accordingly, the weight of the forearm B is not applied to the measuring head 5 and is always brought into close contact with a predetermined contact pressure according to a preset air pressure supplied to the air cylinder 35. That is, it is possible to prevent the measurement result of the glucose concentration value from fluctuating due to fluctuations in the contact pressure.

  In this state, the first camera 10a is operated and an image of the forearm B in close contact with the measuring head 5 is taken. The captured image is sent to the image processing unit 11, and predetermined processing is performed in the image processing unit 11. That is, an image of the ellipse area C of the forearm in close contact with the measuring head 5 captured by the first camera 10a is acquired, and the positions of the contour lines on both sides of the forearm B included in the ellipse area C The shape is calculated. Further, it is determined whether or not the captured image of the forearm B is an image at the time of the first measurement of the person A to be measured. If it is the first image, the image and the shape of the calculated contour line are determined. Data is stored in the image storage unit 75.

  On the other hand, if it is not the image at the time of the first measurement, the image and its shape data are already stored in the image storage unit 75, so that the currently captured image and the stored image are displayed on the monitor 77. Is done. Further, when the shape data of the contour line of the currently captured image and the shape data of the contour line stored in the image storage unit 75 are input to the comparison unit 76, the amount of deviation is calculated, and the amount of deviation is calculated. When the predetermined threshold value is exceeded, a message to that effect is displayed on the monitor (notification unit) 77. The subject A can shift the forearm to correct the shift based on the display on the monitor 77, or the operator can prompt the subject A to shift the forearm B.

  In this case, since the positioning has already been performed once before the measurement head 5 and the forearm B are brought into close contact with each other, the measurement head 5 and the forearm B are brought into close contact with each other and the direction perpendicular to the longitudinal direction of the forearm B is obtained. Therefore, fine adjustment is sufficient for the alignment operation at this stage in which the forearm B is restrained, and the subject A can easily adjust the position without forcibly moving the forearm B. Further, when the deviation amount is below a predetermined threshold value, the measurement is started. The operator operates to start the measurement based on the display on the monitor 77, or the measurement is automatically started.

  The glucose concentration is measured by operating the light source 52 with the tip surface 41a of the glucose concentration measuring terminal 41 in close contact with the inner side surface of the forearm B, and propagating light emitted from the light source 52 through the optical fiber 78. The light is made incident on the AOTF 53 in the state of being collimated by 79. In order to operate the AOTF 53, a high frequency having a frequency corresponding to the wavelength of the measurement light to be dispersed by the AOTF 53 is supplied from the filter control unit 59 to the AOTF 53. As a result, measurement light having a predetermined wavelength is split from the incident light and emitted.

  The light emitted from the AOTF 53 enters the reference light branching unit 56, and a part thereof, for example, 5% is branched as the reference light S2. The branched reference light S2 is collected on one end surface of the reference optical fiber 64 by the collimator 65, and is detected as it is by the branched light detector 57 disposed opposite to the other end surface.

  The remaining measurement light S <b> 1 from which the reference light S <b> 2 is separated is allowed to pass through the reflected light branching unit 58 before entering the irradiation optical fiber 66. In the reflected light branching portion 58, 10% of the measurement light S 1 is separated and the remaining 90% is incident on the irradiation optical fiber 66. The separated 10% measurement light S1 is discarded.

The measurement light S1 incident on the irradiation optical fiber 66 is propagated to the glucose concentration measurement terminal 41 by the irradiation optical fiber 66, and the end surface of the irradiation optical fiber 66 disposed on the distal end surface 41a of the glucose concentration measurement terminal 41. To the inside of the forearm B arranged in close contact with the end face.
At this time, on the surface of the forearm B, a part of the irradiated measurement light S1 returns to the irradiation optical fiber 66 as reflected light S3, and the rest enters the forearm B.

When the reflected light S3 returning inside the irradiation optical fiber 66 is allowed to pass through the reflected light branching portion 58, 10% of the reflected light S3 is separated and propagated to the branching light detector 57 and detected by the branching light detector 57. .
While the measurement light S1 incident on the forearm B travels in the forearm B, a part of the measurement light S1 collides with the living tissue and is diffused, and the other part passes through the living tissue and advances straight. The measurement light S1 absorbs light in a specific wavelength region in accordance with the tissue in the forearm B and the components of the body fluid that pass therethrough. Therefore, the signal light S4 emitted out of the forearm B by being diffused or transmitted in the forearm B has a reduced amount of light in a specific wavelength region corresponding to the forearm B tissue or body fluid that has passed through.

Since the light receiving optical fiber 67 is fixed at a constant distance from the irradiation optical fiber 66 as described above, the light receiving optical fiber 67 receives the signal light S4 containing a large amount of light that has reached a depth corresponding to the distance. In the case of the present embodiment, the measurement light S1 reaches the dermis region, returns to the incident surface, and is received by the light receiving optical fiber 67 adjacent to the irradiation optical fiber 66. The light S4 contains a lot of glucose information.
The received signal light S4 is returned into the housing 68 through the light receiving optical fiber 67 and detected by the signal light detector 54 disposed opposite to the end face of the light receiving optical fiber 67.

  When the output signals from the signal light detector 54 and the branched light detector 57 are input to the arithmetic unit 55, they are amplified by the amplifier 71, respectively. The magnitude of the signal light S4 detected by the signal light detector 54 varies with the fluctuation in the intensity of the light incident on the forearm B, that is, the measurement light S1 emitted from the AOTF 53. Therefore, a part of the measurement light S1 before entering the forearm B is detected by the branch light detector 57 as the reference light S2 and subtracted from the signal light S4 received by the computer 60 to be described later to emit from the AOTF 53. It is possible to remove the fluctuation of the light intensity of the signal light S4 due to the fluctuation of the intensity of the measurement light S1 to be obtained.

  In the glucose concentration measuring apparatus 1 according to the present embodiment, the branching ratio in the reference light branching unit 56 is set to about 95% measuring light and about 5% reference light, so that the measuring light S1 is attenuated in the forearm B. Thus, the levels of the signal light S4 and the reference light S2 obtained in this manner can be made equal to effectively remove the fluctuation in the signal light S4 due to the fluctuation in the intensity of the measurement light S1. In this case, the computer 60 may adjust the signal level by applying a predetermined coefficient to the output signal from the branching light detector 57.

  The size of the signal light S4 detected by the signal light detector 54 varies depending on the surface state of the incident forearm B, for example, skin hardness, thickness, color, temperature, humidity, and the like. Therefore, the reflected light S3 on the surface of the forearm B is branched at the reflected light branching portion 58 and detected by the branched light detector 57, and the detected reflected light S3 is used to correct the signal light S4 intensity. It is possible to remove fluctuation noise in which the intensity of the signal light S4 varies due to the variation in the surface state. In this case, the branch light detector 57 is operated by operating the shutter 70 provided in the front stage of the branch light detector 57 to prevent the reference light S2 from being detected by the branch light detector 57. Only the reflected light S3 can be detected and individually corrected.

  Further, since the branching ratio in the reflected light branching portion 58 is set to about 90% measuring light and about 10% reflected light, it is possible to prevent the measuring light S1 incident on the forearm B from being attenuated more than necessary. .

  The output signals from the detectors 54 and 57 amplified by the amplifier 71 are passed through the lock-in detector 72, respectively. As a result, only the output signal relating to the light having the wavelength corresponding to the high frequency input to the AOTF 53 from the filter control unit 59 is extracted. Therefore, the extracted output signal includes only information on the scattered light from the forearm B having the same wavelength as that of the measurement light S1 incident on the forearm B, and information on light of other wavelengths, for example, external light. It is excluded. As a result, generation of noise due to external light or the like can be suppressed.

  The output signals extracted by the lock-in detector 72 are converted into digital signals by the A / D converter 73 and input to the computer 60. In the computer 60, the frequency information of the high frequency input to the AOTF 53 from the filter control unit 59, that is, the wavelength information of the measurement light S1 incident on the forearm B is sequentially changed. Therefore, in the computer 60, the wavelength characteristic indicating the relationship between the output signal and the wavelength information is required. In addition, the computer 60 calculates the glucose concentration in the forearm B by obtaining an output signal value in a predetermined wavelength region, for example, a region near the wavelength of 1600 nm, among the obtained wavelength characteristics.

  Further, according to the glucose concentration measuring apparatus 1 according to the present embodiment, the blood flow meter terminal 42, the moisture meter terminal 43, the fat meter terminal 44, the pressure sensor 45 and the temperature sensor 46 are adjacent to the glucose concentration measuring terminal 41. Since the signal light S4 is detected by the glucose concentration measuring terminal 41, the blood flow in the tissue near the glucose concentration measuring terminal 41, the water content of the epidermis, the fat amount, the surfaces of the measuring head 5 and the forearm B are provided. Contact pressure and skin temperature are measured. In particular, since these terminals and sensors 41 to 46 are arranged in a line at a height position where the contour line of the forearm B protrudes to the side along the longitudinal direction of the forearm B, the forearm B and the measuring head 5 are arranged. Are brought into close contact with the side surface of the forearm B at the same time. Therefore, the amount of information to be detected can be detected more accurately.

  In the computer 60, the output signals from these terminals or the sensors 42 to 46 are input, whereby the calculated glucose concentration value is corrected according to the data table stored in advance. The corrected glucose concentration value is displayed on the monitor 74.

  As described above, according to the glucose concentration measuring apparatus 1 according to the present embodiment, the arm rest part 3 made of a hydraulic cast material can effectively position the forearm B having a small shape characteristic with a few restraint points. Therefore, the cramped feeling given to the person A to be measured at the time of measurement can be eliminated, and the person A to be measured can be in a resting state. As a result, it is possible to accurately measure the glucose concentration by preventing fluctuation of the measurement result due to stress or the like during measurement.

  Further, since the pedestal part 14 to which the cradle part 13 is attached is positioned on the slider 34 by the pin 30, the separately prepared arm rest part 3 is attached to the slider 34 in a replaceable manner for different persons A to be measured. Can do. Further, the same measurement conditions can be reproduced even when measuring the same measurement subject A multiple times.

  Further, since the forearm B placed on the arm holder 3 is moved in the horizontal direction by the moving mechanism 4 and brought into close contact with the measurement head 5, the measurement can be performed in a state where the weight of the forearm B is not applied to the measurement head 5. . Further, the contact pressure between the measuring head 5 and the forearm B at that time can be set small and constant. As a result, the contact pressure between the measuring head 5 and the forearm B is prevented from changing for each person A to be measured, and all the persons A to be measured are brought into contact with the same appropriate contact pressure. Can be measured. Further, since the moving mechanism 4 is provided with stoppers 38 and 39 and movement of the slider 34 beyond a predetermined level is restricted, it is possible to prevent the measuring head 5 from being brought into close contact with the forearm B with excessive pressure.

  Furthermore, since the positional deviation of the forearm B placed on the arm rest part 3 is checked at both time points before and after contacting the measurement head 5, the measurement state can be accurately reproduced even in a plurality of measurements. Measurements under the same conditions can be performed. Further, since the forearm B is brought into close contact with the measurement head 5 on the premise that no positional deviation has occurred before contact with the measurement head 5, the positional deviation correction at the time of close contact is made fine and applied to the subject A. The burden can be reduced and the reproducibility of the measurement state can be improved.

  Since the glucose concentration measurement terminal 41 and the other terminals and sensors 42 to 46 are arranged in a line along the longitudinal direction of the forearm B, all the terminals and sensors 41 to 46 are attached to the forearm B with substantially the same contact pressure. It can be adhered. Therefore, when the glucose concentration measurement terminal 41 is properly adhered to the surface of the forearm B and measurement is performed, the other terminals and the sensors 42 to 46 can also achieve an appropriate adhesion state.

  Further, since the optical fiber 6 that connects the measuring head 5 and the measuring apparatus main body 9 is guided by being bent in a U shape from the measuring head 5, the measuring head 5 that is brought into contact with the inner side surface of the forearm B and the measurement are measured. The apparatus main body 9 can be connected at a short distance without crossing the person A to be measured. As a result, the optical fiber 6 can be shortened, the disturbance mixed in the signal light can be reduced, and the measurement accuracy can be improved. Further, the optical fiber 6 or the like is prevented from interfering when the person A to be measured stands up from the chair. Further, since the optical fiber 6 is fixed by the substantially U-shaped bracket 47, the measurement accuracy can be improved by preventing the measurement result from changing due to the change of the position of the optical fiber 6 during the measurement. Can do.

  In addition, the Peltier element 49 is disposed in the vicinity of the glucose concentration measurement terminal 41 so that the surface temperature of the forearm B in contact with the glucose concentration measurement terminal 41 can be controlled to a predetermined temperature. It is possible to prevent measurement values from fluctuating due to fluctuations. Further, since the periphery of the optical fiber 6 fixed by the bracket 47 is covered by the heat insulating member 48, the temperature change of the optical fiber 6 due to the change of the outside air is prevented.

  Note that a heat insulating material (not shown) may be arranged at the connection portion between the measurement head 5 and the bracket 47 so that the heat of the measurement head 5 is not conducted to the substantially U-shaped bracket 47. Further, in order to more reliably maintain the temperature of the optical fiber 6 along the U-shaped bracket 47 at a predetermined temperature, a temperature adjusting member (not shown) such as a Peltier element is disposed along the bracket 47. Good.

  Further, according to the glucose concentration measuring apparatus 1 according to the present embodiment, the reflected light S3 on the surface of the forearm B is detected, and the signal light S4 is corrected using the detected reflected light S3. Thus, the fluctuation noise that is included in the signal light S4 can be removed. As a result, there is an effect that the measurement accuracy of the glucose concentration can be improved.

  In the glucose concentration measuring apparatus 1 according to the present embodiment, an example in which the measuring head 5 includes a blood flow meter terminal 42, a moisture meter terminal 43, a fat meter terminal 44, a pressure sensor 45, and a temperature sensor 46 is illustrated. However, the present invention is not limited to this, and any one or more of these may be provided, and another sensor or terminal, for example, an oximeter may be provided. The temperature sensor 46 may be a thermocouple that detects the surface temperature of the forearm B, a platinum resistance, or a radiation temperature sensor that measures the temperature of the deep part. As the moisture meter, either an inductance method or a conductance method may be adopted. Further, in order to prevent light from entering the glucose concentration measuring terminal 41 of the measuring head 5 from the outside, a cover 81 as shown in FIG. 13 is provided, and a gap between the surface of the forearm B and the measuring head 5 is provided. May be covered.

  In addition, the measurement head 5 is fixed, the forearm B is moved, and the measurement head 5 is brought into close contact with the surface of the forearm B. Instead, the forearm B is fixed in a state where it is placed on the arm rest 3. Then, the measuring head 5 may be moved in the horizontal direction to bring them into close contact. Moreover, you may decide to move both the arm rest part 3 and the measurement head 5. FIG.

  Further, by supplying pressurized air with a predetermined air pressure to the air cylinder 35, the measurement head 5 and the forearm B are brought into close contact with each other with a constant contact pressure. Instead, as shown in FIG. Further, the contact pressure signal P from the pressure sensor 45 provided in the measuring head 5 is fed back to the control device 100, and the air pressure of the pressurized air supplied to the air cylinder 35 by the regulator 101 is adjusted based on a command from the control device 100. It is good as well. Reference numeral 102 in the figure denotes a pneumatic pressure source.

  In addition, although the air cylinder 35 is employed as the actuator, instead of this, a known linear motion mechanism such as the motor 103 and the ball screw 104 may be employed as shown in FIG. Even in this case, the rotation angle of the motor 100 may be controlled by feeding back the detection signal P from the pressure sensor 45 to the control device 100.

  Moreover, although the case where the hydraulic cast material was used as the cradle part 13 was demonstrated, you may decide to use arbitrary curable cast materials, such as a gypsum and a thermoplastic resin. Further, although the forearm B of the left arm of the person A to be measured is the measurement target site, the forearm B of the right arm may be employed instead. In this case, by reversing the positional relationship between the moving mechanism 4 and the chair 2, the device may be used for both the left arm and the right arm.

  In addition, the images before and after the close contact between the measuring head 5 and the forearm B are acquired by the two cameras 10a and 10b, respectively. Instead of this, one camera having a field of view including all the forearms B before and after the close contact. An image for image processing may be acquired by the camera. Alternatively, a three-dimensional alignment may be performed by employing a camera with a wide viewing angle.

  In the glucose concentration measuring apparatus 1 according to the present embodiment, the AOTF 53 that separates the light emitted from the light source 52 before being incident on the forearm B is used, but this is shown in FIG. As described above, after the light enters the forearm B, the detected signal light S4 may be dispersed by the diffraction grating 82 or the like, and the dispersed light may be detected by the linear array sensor 83 at a time. In the figure, reference numeral 84 denotes a collimating lens.

  By doing so, the wavelength characteristics of the signal light S4 over the entire wavelength band can be acquired at a time, and there is an advantage that the measurement can be performed quickly. Further, according to this method of acquiring the wavelength characteristics at a time, there is an advantage that fluctuation noise can be removed by compensating for this even when the state of the forearm B surface changes with time.

  In this case, for example, an optical fiber bundle 86 composed of 14 optical fibers 85 that propagates light from the light source 52 is branched into two bundles of optical fiber bundles 88 and 89 at a branching portion 87, and The optical fiber bundle 88 is led to the glucose concentration measuring terminal 41 as the projecting optical fiber 85, and the other optical fiber bundle 89 is led to the reference measuring terminal 90 as the projecting optical fiber 85. The reference measurement terminal 90 is disposed in contact with a standard reflecting plate 91 having a known reflectance.

  The reference light received at the reference measurement terminal 90 is converted into parallel light by the collimating lens 84 via the light receiving optical fiber 92, is split by the diffraction grating 93, and is detected at once by the linear array sensor 94. ing. The electrical signals representing the signal light and the reference light detected by the linear array sensors 83 and 94 are A / D converted by the A / D converter 95 and then input to the computer 60. Yes.

Since the reference light received by the reference measurement terminal 90 changes reflecting the light intensity fluctuation in the light source 52, the fluctuation is detected and the fluctuation of the signal light due to the light intensity fluctuation of the light source 52 is corrected. Be able to.
On the front end surfaces 41a and 90a of the measurement terminals 41 and 90, the light projecting optical fibers 85 are arranged together with the six light receiving optical fibers 92 as shown in FIG.

  That is, six light receiving optical fibers 92 are arranged at equal intervals around a single light projecting optical fiber 85 at an equal distance of 0.4 to 0.8 mm. The three light projecting optical fibers 85 including the central one light projecting optical fiber 85 are arranged at equal intervals at equal intervals. By arranging in this way, when viewed from the respective light receiving optical fibers 92, the light projecting optical fibers 85 adjacent to the three neighboring light projecting optical fibers 85 are the three light projecting light fibers in the vicinity. The optical fiber 85 is arranged so as to be twice as far as the distance to the optical fiber 85.

  Accordingly, each of the light receiving optical fibers 92 substantially receives only the return light that has diffused and returned from the light incident on the forearm B from the three light projecting optical fibers 85. That is, return light having the same light intensity is received by all the light receiving optical fibers 92.

  Further, the six light receiving optical fibers 92 are arranged in a line as shown in FIG. 18 so as to be incident on the diffraction grating 82. The arrangement direction of the light receiving optical fibers 92 is a direction orthogonal to the spectral direction of light by the diffraction grating 82. As a result, the light emitted from the end face of each light receiving optical fiber 92 is split in one direction by the diffraction grating 82, but is detected as a light beam having a predetermined width in a direction orthogonal to the spectral direction. Is detected.

  That is, the photodetector 83 can obtain a lot of information by effectively using a wide detection area. In particular, if the photodetector 83 is constituted by a rectangular array sensor, light is received on the entire detection surface with one side as the spectroscopic direction and the other side as the arrangement direction of the end face of the optical fiber 92, thereby maximizing the amount of information. Is preferable.

  Further, the arrangement of the optical fibers 85 and 92 on the distal end surfaces 41a and 90a of the respective measurement terminals 41 and 90 is not limited to the above arrangement, and as shown in FIG. The optical fiber bundle 86 composed of the fibers 85 may be arranged around the single light receiving optical fiber 92 at equal intervals. In this case, all return light diffused in the tissue of the forearm B of the light emitted by all the light projecting optical fibers 85 is received by the central light receiving optical fiber 92.

  Further, as shown in FIG. 20, without using the standard reflecting plate 91, the reference light S4 ′ is simultaneously detected by the measurement head 5, and the signal light S4 and the reference light S4 ′ are separately detected by the diffraction gratings 82 and 93. The light may be split and detected by separate linear array sensors 83 and 94. In this case, as shown in FIG. 21, each of the six outermost projecting optical fibers 85 arranged in the same manner as in FIG. For example, the light receiving optical fibers 96 for detecting reference light may be arranged at intervals of 0.2 to 0.3 mm. In addition, as shown in FIG. 22, one light receiving optical fiber 96 for detecting the reference light may be arranged in proximity to one of the light projecting optical fibers 85 arranged in the same manner as in FIG. Good.

  In this way, the light receiving optical fiber 96 for detecting the reference light can receive the reference light S4 ′ that has reached the relatively shallow skin region near the surface of the forearm B. Therefore, it is possible to receive the reference light S4 ′ representing the state of the forearm B surface, and it is possible to remove fluctuation noise on the forearm B surface using this.

  In the glucose concentration measuring apparatus 1 according to the present embodiment, the output signals from the signal light detector 54 and the branched light detector 57 are amplified by separate amplifiers 71, respectively, and the separate lock-in detector 72 and A / Although it is input to the computer 60 via the D converter 73 and the difference processing is performed in the computer 60, the difference signal obtained by inputting to the differential amplifier (not shown) is used instead. It may be input to the computer 60 via a single lock-in detector 72 and an A / D converter 73.

In addition, the monitor 77 is used as a notifying unit for displaying that when the image comparison unit 75 detects the position shift based on the images of the forearms before and after the contact taken by the cameras 10a and 10b. Instead of this, a speaker that displays by voice may be employed.
In addition, as the biological information measured optically, the glucose concentration in the body of the person A to be measured has been described as an example, but instead, it may be applied to measurement of other biological information.

1 is a perspective view showing an overall configuration of an optical biological information measuring device according to an embodiment of the present invention. It is a side view which shows the arm stand part and moving mechanism of the optical biological information measuring device of FIG. It is a top view which shows the arm rest part of FIG. It is the front view which fractured | ruptured a part which shows the state which the forearm mounted in the arm mounting part of the optical biological information measuring apparatus of FIG. 1 contact | adhered to the measurement head. It is a side view explaining the 1st abutting part in the arm rest part of FIG. FIG. 6 is a front view illustrating a first section of FIG. 5. It is a front view which shows the various terminals and sensor which were arranged in the front end surface of the measurement head of the optical biological information measuring device of FIG. It is a rear view which shows the Peltier device arrange | positioned at the back surface of the measurement head of FIG. It is a block diagram which shows typically the internal structure of the measuring device main body of the optical biological information measuring device of FIG. It is a figure which shows the reference beam branching part in the measuring apparatus main body of FIG. It is a figure which shows the front end surface of the glucose concentration measurement terminal provided in the measurement head of the optical biological information measuring device of FIG. It is a block diagram which shows the position detection system of the forearm mounted in the arm rest part of the optical biological information measuring device of FIG. It is a figure which shows the modification which has a cover in the measurement head of the optical biological information measuring device of FIG. In the optical biological information measuring device of FIG. 1, it is a figure which shows the system in the case of controlling the moving amount | distance of a slider using the contact pressure signal of a pressure sensor. It is a figure similar to FIG. 14 at the time of using a motor as an actuator. It is a block diagram which shows the modification of the measuring apparatus main body of FIG. It is a figure which shows the arrangement | sequence of the optical fiber in the front end surface of a glucose concentration measurement terminal in case the measuring device main body of FIG. 9 is used. It is a figure which shows the arrangement | sequence of the end surface of the optical fiber for light reception which irradiates the light received toward the diffraction grating. It is a figure which shows the modification of the arrangement | sequence of the optical fiber in the front end surface of the glucose concentration measurement terminal of FIG. It is a block diagram which shows the other modification of the measuring apparatus main body of FIG. It is a figure which shows the arrangement | sequence of the optical fiber in the front end surface of a glucose concentration measurement terminal in case the measuring apparatus main body of FIG. 20 is used. It is a figure which shows the modification of the arrangement | sequence of the optical fiber in the front end surface of the glucose concentration measurement terminal of FIG.

Explanation of symbols

A person to be measured B forearm B1 palm B2 elbow 1 glucose concentration measuring device (optical biological information measuring device)
3 Arm rest 4 Movement mechanism 5 Measuring head (optical measuring head)
10, 10a, 10b Camera 15 First abutting portion 16 Second abutting portion 18 Third abutting portion 20 Raised portion (raised)
75 Image storage unit 76 Comparison unit (positional deviation detection unit)
77 Monitor (notification part)

Claims (6)

An arm rest for placing the forearm of the measurement subject in a positioning state;
An optical measurement head that is brought into close contact with the forearm placed on the arm rest;
A moving mechanism for relatively moving the optical measurement head or the arm rest and closely contacting the optical measurement head with the forearm,
The arm placing unit has a first abutting part that abuts the palm of the subject, a second abutting part that abuts the elbow of the subject, and the optical arm across the placed forearm An optical biological information measuring device comprising: a third abutting portion arranged at a position facing the measuring head.   The optical biological information according to claim 1, wherein the arm rest portion is configured by curing a hydraulic or thermosetting cast material in a curved state so as to be along the forearm of the measurement subject. measuring device.   The optical biological information measuring device according to claim 1, wherein the first abutting portion of the arm rest portion includes a bulge that is lightly grasped while abutting the palm of the subject. A camera that images the forearm of the measurement subject placed on the arm rest during each measurement for the same measurement subject,
An image storage unit for storing an image acquired by the camera;
A displacement detection unit that compares the forearm image at the time of previous measurement stored in the image storage unit with the current forearm image captured by the camera and detects the displacement of the forearm in the arm rest unit The optical biological information measuring device according to claim 1, further comprising:   The optical biological information measuring device according to claim 4, further comprising: a notification unit that notifies that when the amount of displacement detected by the displacement detection unit exceeds a predetermined threshold.   6. The optical biological information measuring device according to claim 4, wherein imaging of the forearm by the camera is performed before and after contact between the forearm and the optical measurement head.

Images