JP2007105495A - Measuring instrument of oral cavity-related pressure - Google Patents

Measuring instrument of oral cavity-related pressure Download PDF

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JP2007105495A
JP2007105495A JP2006339713A JP2006339713A JP2007105495A JP 2007105495 A JP2007105495 A JP 2007105495A JP 2006339713 A JP2006339713 A JP 2006339713A JP 2006339713 A JP2006339713 A JP 2006339713A JP 2007105495 A JP2007105495 A JP 2007105495A
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pressure
air path
probe
oral cavity
hollow body
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JP4516058B2 (en
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Tatsuhiko Matsuura
辰彦 松浦
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ALNIC Inc
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Abstract

<P>PROBLEM TO BE SOLVED: To achieve a measuring instrument of oral cavity-related pressure which is handled safely and easily with high accuracy, and to achieve a measuring instrument of oral cavity-related pressure which is easy to carry, consuming less power, and operable on a battery. <P>SOLUTION: In the measuring instrument of oral cavity-related pressure, at a place for sorting to a side where a probe, a pressure sensor and a pressurizing pump whose pressurizing speed can be controlled and which is driven by a pulse width modulation system are communicated and a side where a pressurizing pump, a safety valve and an exhausting apparatus are communicated, an air path shut off apparatus is arranged for stopping the pressurizing pump and exhausting air in abnormality during pressurization. IN rehabilitation performed with the tongue, reference of counting the number of times of repeating can be displayed on a display means. At the hollow body of the probe, a net for preventing swelling over a fixed value is provided or a water feeding means integrally fitted to the probe is provided. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

本発明は人体に関する、舌、舌下筋肉、唇、頬、肛門などの可動部の機能を診断およびリハビリする目的などで、舌圧、舌下筋圧、口唇圧、頬圧力、肛門圧力などの人体関連、主に口腔関連の圧力を測定するための装置に関する。   The present invention relates to the human body, such as tongue pressure, sublingual muscle pressure, lip pressure, cheek pressure, anal pressure, etc. for the purpose of diagnosing and rehabilitating the function of moving parts such as tongue, sublingual muscle, lips, cheeks and anus. The present invention relates to a device for measuring pressure related to human body, mainly oral cavity.

口腔関連圧力測定の方法として舌圧の測定装置の例があり、これは測定前に予め絞り球により手動にて空気を送り込んで加圧されたバルーンをプローブとして用い、口腔にバルーン挿入して舌で押圧し、バルーンと連通した圧力センサーにおいて、空気圧を検出して電気信号に変換することにより舌圧を検出し、検出された舌圧を多目的コンピュータへ伝送し、舌圧の最大値を前記多目的コンピュータ上で動くプログラムにて判定するように構成されている(特許文献1参照)。   There is an example of a tongue pressure measuring device as a method for measuring the pressure related to the oral cavity, which uses a balloon that has been manually air-fed in advance by a squeezing ball before measurement and used as a probe, and is inserted into the oral cavity to insert the tongue. In the pressure sensor that is pressed and communicated with the balloon, the tongue pressure is detected by detecting the air pressure and converting it into an electrical signal, and the detected tongue pressure is transmitted to the multi-purpose computer, and the maximum value of the tongue pressure is the multi-purpose The determination is made by a program running on a computer (see Patent Document 1).

また、バルーンと結合された保持具を含むプローブを用い、バルーンの内部と連通した圧力検知部により、バルーン内部の空気圧を検出するように構成されたものもある(特許文献2参照)。   Also, there is a configuration in which a probe including a holder coupled to a balloon is used to detect the air pressure inside the balloon by a pressure detection unit communicating with the inside of the balloon (see Patent Document 2).

また、人体関連の圧力を測定する装置として、従来より電子血圧計がある。図13(A)、(B)によりその概略構成を説明する。この電子血圧計は、血圧の測定箇所として被験者の腕に巻かれて動脈を圧迫するための空気の袋であるカフ100、カフ100内を加圧するために操作される加圧ポンプ102、カフ100内を減圧するための電磁式排気弁103、カフ100内の圧力を検出するための圧力センサ104、カフ100内への加圧が一定以上になった際に機械的に排気をするための安全弁105、種々の制御を実行するための演算制御処理装置(CPU)106、各種情報を表示する表示部(LCD)107及び外部操作される各スイッチ108を備える。加圧ポンプ102、排気弁103、圧力センサ104及び安全弁105とカフ100とはゴム管101で連結され、空気経路を構成している。   Conventionally, there is an electronic sphygmomanometer as a device for measuring a human body related pressure. The schematic configuration will be described with reference to FIGS. This electronic sphygmomanometer is wound around a subject's arm as a blood pressure measurement location, a cuff 100 that is an air bag for compressing an artery, a pressurizing pump 102 that is operated to pressurize the cuff 100, and a cuff 100 An electromagnetic exhaust valve 103 for depressurizing the inside, a pressure sensor 104 for detecting the pressure in the cuff 100, and a safety valve for mechanically exhausting when the pressure in the cuff 100 exceeds a certain level. 105, an arithmetic control processing device (CPU) 106 for executing various controls, a display unit (LCD) 107 for displaying various information, and switches 108 operated externally. The pressurization pump 102, the exhaust valve 103, the pressure sensor 104, the safety valve 105, and the cuff 100 are connected by a rubber tube 101 to form an air path.

このような血圧計を用いた口腔関連の圧力測定の際は、口腔内にプローブが挿入された状態にて誤ってバルーンを加圧ポンプにより加圧したり、バルーンが異常膨張すると非常に危険であるため、電子血圧計が有しない安全対策上の機構や制御が必須となるが、上記先行技術の口腔関連圧力測定装置にはそのような構成はなかった。   When measuring pressure related to the oral cavity using such a sphygmomanometer, it is very dangerous if the balloon is accidentally pressurized with a pressure pump or the balloon is abnormally inflated with the probe inserted in the oral cavity. Therefore, a mechanism and control for safety measures that the electronic sphygmomanometer does not have are essential, but the prior art oral pressure measuring device has no such configuration.

また、血圧計の加圧ポンプ102や安全弁105は一般に構造上、機密性が高くないため、カフ100を前記プローブに置き換えて口腔関連圧力測定装置を構成しても舌圧等の測定やリハビリで前記中空体となるバルーンの押圧や吸引を繰り返すことにより、空気漏れを起こしてしまい、正確な測定が困難となる。   Moreover, since the pressurization pump 102 and the safety valve 105 of the sphygmomanometer are generally not highly confidential due to the structure, even if the cuff 100 is replaced with the probe to constitute an oral pressure measuring device, it is possible to measure tongue pressure and rehabilitation. Repeated pressing and suction of the balloon that becomes the hollow body causes air leakage, making accurate measurement difficult.

上記電子血圧計に構成されるような安全弁105を設置しようとしても、圧力測定の際にはある一定圧に膨らませたバルーンに、測定による押圧が更に加わることとなり、安全弁が作動する限界圧の設定が非常に困難であった。このことを具体的に説明すると、舌圧測定において、今回用いた天然ゴム製のバルーン内の空気圧とバルーン直径の関係を図5に示すが、口腔内でバルーンを30kPa以上の圧力で膨らまし続けると被験者の口腔内を塞ぐ大きさ(直径25mm以上)にまで膨らみ続け、被験者にとって非常に危険となる。一方、押圧による舌圧値を測定する際には、バルーンを20kPaに初期加圧して口腔内に挿入し、バルーンを押圧圧縮することにより、バルーン内の空気圧の最大値は70kPaに達することがある。したがって、安全弁の作動値を30kPaに設定すると、上述した舌圧測定が不可能となる。
米国特許第5609161号明細書 特開2001−275994号公報
Even if an attempt is made to install the safety valve 105 as configured in the electronic blood pressure monitor, a pressure measured by the balloon inflated to a certain pressure is further applied during pressure measurement, and the limit pressure at which the safety valve is activated is set. It was very difficult. Specifically, in the tongue pressure measurement, the relationship between the air pressure and the balloon diameter in the natural rubber balloon used this time is shown in FIG. 5, but when the balloon is continuously inflated in the oral cavity at a pressure of 30 kPa or more. It continues to expand to a size (diameter 25 mm or more) that closes the oral cavity of the subject, which is very dangerous for the subject. On the other hand, when measuring the tongue pressure value by pressing, the balloon is initially pressurized to 20 kPa, inserted into the oral cavity, and the balloon is pressed and compressed, so that the maximum air pressure in the balloon may reach 70 kPa. . Therefore, if the operating value of the safety valve is set to 30 kPa, the above-described tongue pressure measurement becomes impossible.
US Pat. No. 5,609,161 JP 2001-275994 A

本発明はこのような問題を解決して、正確性の高く、安全かつ容易に取り扱える口腔関連圧力測定装置を実現することを目的とするものである。また消費電力が少なく、電池駆動可能で持ち運び容易な口腔関連測定装置の実現も目的としている。   An object of the present invention is to solve such a problem and realize an oral-related pressure measuring device that is highly accurate, can be handled safely and easily. Another object is to realize an oral-related measuring device that consumes less power, can be battery-operated, and is easy to carry.

本願発明は、弾性材料または可撓性材料からなる中空体を含むプローブと、前記中空体の圧力変化を検出する圧力センサと、前記中空体内を加圧する加圧ポンプからなり、前記中空体及び前記プローブと前記圧力センサと前記加圧ポンプが連通した空気経路を形成している口腔関連圧力測定装置において、前記空気経路であって、プローブと圧力センサとを連通する側と、加圧ポンプ側に振り分ける箇所に電気駆動の空気経路遮断装置を配置したものであり、このような構成によって、空気漏れが最小限に抑えられ、正確な測定が可能となる。   The present invention comprises a probe including a hollow body made of an elastic material or a flexible material, a pressure sensor for detecting a pressure change in the hollow body, and a pressurizing pump for pressurizing the hollow body. In the oral cavity-related pressure measurement device that forms an air path in which the probe, the pressure sensor, and the pressure pump communicate with each other, the air path includes a side that communicates the probe and the pressure sensor, and a pressure pump side. An electrically driven air path interrupting device is arranged at a location to be distributed. With such a configuration, air leakage is minimized and accurate measurement is possible.

また、前記空気経路遮断装置によって振り分けられた空気経路の、加圧ポンプ側に安全弁を設けたことにより、中空体に押圧等の測定によりかかる圧力に関係なく安全弁が作動する限界値の設定が可能となり、安全性が高い口腔関連圧力測定装置が提供できるだけでなく、安全弁からの空気漏れも測定に影響を及ぼさないこととなる。   In addition, by providing a safety valve on the pressure pump side of the air path distributed by the air path shut-off device, it is possible to set a limit value at which the safety valve operates regardless of the pressure applied by measuring the pressure on the hollow body. Thus, not only can a highly safe oral pressure measuring device be provided, but air leakage from the safety valve will not affect the measurement.

また、前記空気経路遮断装置によって振り分けられた空気経路の加圧ポンプ側に電気駆動の排気装置を配置することが好ましく、このことにより、バルーンの加圧値を変更する場合やゲージ圧を補正するために、いちいちプローブを取り外すことがなくなり、バルーン内の空気圧の自動減圧が可能となり操作が容易になる。またバルーンの異常膨張などの緊急時には、排気装置によりバルーン内の空気を排気し減圧することができる。また、空気漏れ要因となる加圧ポンプ、安全弁、排気弁を連通した空気経路に配置し、空気経路遮断装置によって、プローブ及び圧力センサを連通する空気経路から遮断したことにより空気漏れを最小限に抑え正確な測定が可能となる。   In addition, it is preferable to dispose an electrically driven exhaust device on the pressure pump side of the air path distributed by the air path shut-off device. This allows the pressure value of the balloon to be changed and the gauge pressure to be corrected. Therefore, the probe is not removed every time, and the air pressure in the balloon can be automatically reduced, thereby facilitating the operation. In an emergency such as abnormal balloon inflation, the air inside the balloon can be exhausted and reduced in pressure by the exhaust device. In addition, a pressure pump, a safety valve, and an exhaust valve, which cause air leakage, are arranged in an air path that communicates with each other, and the air path is cut off by the air path blocker to shut off the probe and pressure sensor from the air path that communicates. Suppressing and accurate measurement becomes possible.

また、前記空気遮断装置および排気装置を短時間の通電により遮断および連通を保持する電磁弁(ラッチングバルブ等)にすることにより、電力消費を抑えることができ電池駆動に適し、持ち運びが容易になる。   In addition, by using an electromagnetic valve (such as a latching valve) that keeps the air shut-off device and the exhaust device shut off and communicated by energizing for a short time, power consumption can be suppressed, making it suitable for battery driving and easy to carry. .

また、圧力を測定する際には一般に、吸引よりも押圧力のほうが大きいため、前記空気経路遮断装置が、プローブ側からの圧力によって押さえつけられる方向で保持される可動式の弁により構成されることが望ましい。このことによって、測定時に密閉度が高まり、更に空気漏れが改善される。   In addition, since the pressing force is generally larger than the suction when measuring the pressure, the air path blocking device is constituted by a movable valve that is held in a direction pressed by the pressure from the probe side. Is desirable. This increases the degree of sealing at the time of measurement and further improves air leakage.

また、前記空気経路遮断装置にて振り分けられた前記プローブと前記圧力センサ側の空気経路において、プローブ以外の空気経路の容積をプローブの全容積よりも小さくすることが好ましい。これによって舌の押圧または吸引に伴う中空体の体積変化による中空体内部の圧力変化率を大きくすることができ、測定値の再現性が高まる。   Moreover, in the probe and the air path on the pressure sensor side distributed by the air path blocking device, it is preferable that the volume of the air path other than the probe is smaller than the total volume of the probe. As a result, the pressure change rate inside the hollow body due to the volume change of the hollow body accompanying the pressing or suction of the tongue can be increased, and the reproducibility of the measured value is enhanced.

また、加圧ポンプを電池駆動した場合、電池消耗からなる電池電圧低下による加圧速度の低下や、加圧ポンプの劣化やばらつきによる加圧速度の変動を前記演算制御処理装置によりモニターし加圧速度を自動補正したり、また、前記バルーンへの加圧速度を調整するため、加圧ポンプへ加える駆動電圧波形をパルス幅変調により制御することで、省電力にて加圧速度が可変可能となり、常に安定した加圧を行うことができる。また、加圧速度を徐々に上げていくことができ、最適な加圧速度に微調整することができる。   When the pressurization pump is driven by a battery, the calculation control processor monitors the pressurization speed drop due to battery voltage drop due to battery consumption and the pressurization speed fluctuation due to pressurization pump deterioration and dispersion. By automatically correcting the speed and adjusting the pressurization speed to the balloon, the pressurization speed can be varied with power saving by controlling the drive voltage waveform applied to the pressurization pump by pulse width modulation. , Stable pressurization can always be performed. Further, the pressurization speed can be gradually increased, and fine adjustment to the optimal pressurization speed can be performed.

また、予め設定された加圧値に対して正確な加圧を施すために、バルーンを所定の圧力に加圧後、加圧ポンプ停止による空気経路内部の圧力の減少を考慮して、加圧ポンプの加圧を停止する際には、前記空気経路遮断装置にて空気経路を遮断した後、加圧ポンプの加圧を停止することが望ましい。   In addition, in order to accurately pressurize the preset pressurization value, pressurize the balloon after pressurizing to a predetermined pressure, taking into account the decrease in the pressure inside the air path due to stoppage of the pressurization pump When stopping the pressurization of the pump, it is desirable to stop the pressurization of the pressurization pump after blocking the air path with the air path blocking device.

また、加圧ポンプの特性として加圧時に加圧速度が速いほど大きな脈動が生じ、また加圧ポンプにより圧縮注入された空気が前記空気経路にて安定化するまで遅延が生じるため、予め設定された加圧値に対して短時間で正確な加圧を施すために、前記空気経路内の圧力が前記予め設定された圧力に達する前に一旦加圧ポンプを停止または減速させ空気経路内の圧力が安定化した後、再び加圧ポンプの加圧速度を除々に可変することで常に安定した加圧を行うことができる。   Further, as a characteristic of the pressurizing pump, a larger pulsation is generated as the pressurizing speed is higher during pressurization, and a delay occurs until the air compressed and injected by the pressurizing pump is stabilized in the air path. In order to accurately pressurize the pressurized value in a short time, the pressure in the air path is temporarily stopped or decelerated before the pressure in the air path reaches the preset pressure. After the pressure is stabilized, stable pressurization can always be performed by gradually changing the pressurization speed of the pressurization pump again.

本願発明は、弾性材料または可撓性材料からなる中空体を含むプローブからなっており、この中空体が異常膨張した際は破裂の可能性や誤って口腔内にプローブを挿入した状態で加圧した場合、大変危険である。そのため加圧ポンプにて継続的に加圧中に、前記中空体の特性から異常膨張する前に一時的に圧力が減少する動作を検知して加圧ポンプの加圧を停止する機能を設けた。このことにより、中空体の異常膨張を防止することができ、安全性に優れたものとなった。   The present invention comprises a probe including a hollow body made of an elastic material or a flexible material. When this hollow body abnormally expands, there is a possibility of rupture or in a state where the probe is accidentally inserted into the oral cavity. If you do, it is very dangerous. Therefore, a function to stop the pressurization of the pressurization pump by detecting an operation of temporarily reducing the pressure before the abnormal expansion due to the characteristics of the hollow body during the pressurization with the pressurization pump is provided. . As a result, the abnormal expansion of the hollow body could be prevented, and the safety was excellent.

更に、前記中空体が異常膨張した際の緊急停止手段として、加圧停止スイッチを設けても良いが、緊急時におけるケアレスミス等の誤操作を避けるため、口腔関連圧力測定装置に取り付けられたいずれのスイッチを押しても加圧を停止可能としたことにより、異常事態に緊急に対応することができ、安全性に優れたものとなった。   Furthermore, a pressurization stop switch may be provided as an emergency stop means when the hollow body abnormally expands, but in order to avoid an erroneous operation such as a careless mistake in an emergency, any one attached to the oral cavity related pressure measurement device By enabling the pressurization to be stopped even when the switch is pressed, it is possible to respond urgently to an abnormal situation, and the safety is improved.

更に、加圧前に前記空気経路を大気中と連通させ、前記空気経路が所定の圧力まで減圧したかどうかをモニターすることで、前記空気経路遮断装置や排気装置が正常動作しているかどうかを検知することが可能であり、安全性に優れたものとなった。   Further, by connecting the air path to the atmosphere before pressurization and monitoring whether the air path has been reduced to a predetermined pressure, it is possible to determine whether the air path shut-off device and the exhaust device are operating normally. It was possible to detect, and it was excellent in safety.

また、前記異常を検知したとき、前記空気経路を大気中と連通させ、前記空気経路を大気圧まで減圧することで、すぐさま危険回避を行え安全性に優れたものとなった。また、電源のOFF時においては、前記空気経路を大気中と連通することにより、プローブの安全な取り外しや、前記空気経路と大気との圧力差により、前記空気経路に外部からゴミ等の異物が侵入し、前記空気経路遮断装置や排気装置にゴミが詰まることによる空気漏れを防止することができた。   Further, when the abnormality is detected, the air path is communicated with the atmosphere, and the air path is reduced to atmospheric pressure, so that danger can be avoided immediately and safety is improved. In addition, when the power is turned off, by connecting the air path to the atmosphere, foreign matter such as dust is externally attached to the air path due to the safe removal of the probe and the pressure difference between the air path and the atmosphere. It was possible to prevent air leakage due to intrusion and clogging of the air path blocking device and the exhaust device.

また、前記口腔関連圧力測定装置を電池駆動した場合、電池消耗により電池電圧が低下すると、電池内のインピーダンスが上昇し電流供給能力が落ち、前記空気経路遮断装置、排気装置等の消費電流の大きい負荷を同時に駆動することは困難となる。そこで、電池を昇圧回路(DCDCコンバーター等)に接続し供給電圧を昇圧安定化し、前記空気経路遮断装置および排気装置を駆動する電源としても良いが、前記電池内のインピーダンスが上昇すると、大きな電流を供給する場合、昇圧回路を用いたとしても前記空気経路装置や排気装置等の大きな電流を要する負荷を駆動した場合、大きな電圧降下が起こり、同一電源にて駆動される前記演算制御処理装置等に異常をきたす恐れがあるため、駆動に大きな電力を必要とする前記空気経路遮断装置および排気装置を別々の時間に駆動することにより、電圧降下を最小限に抑え、安定動作が可能となった。   In addition, when the oral pressure measuring device is driven by a battery, when the battery voltage decreases due to battery consumption, the impedance in the battery increases and the current supply capability decreases, and the current consumption of the air path disconnecting device, exhaust device, etc. is large. It becomes difficult to drive loads simultaneously. Therefore, the battery may be connected to a booster circuit (such as a DCDC converter) to stabilize the boosted voltage and drive the air path disconnecting device and the exhaust device. However, when the impedance in the battery rises, a large current is generated. When supplying a load that requires a large current, such as an air path device or an exhaust device, even if a booster circuit is used, a large voltage drop occurs in the arithmetic control processing device driven by the same power source. Since there is a possibility of causing an abnormality, the air path blocking device and the exhaust device, which require a large amount of power for driving, are driven at different times to minimize voltage drop and enable stable operation.

また、舌圧を測定する場合、前記バルーン内の空気圧は所定の設定圧力(ゲージ圧)に正確に加圧する必要がある。このとき大気圧の変動は誤差となるため、これを補正する機能が必要であるが、前記空気経路遮断装置および排気装置を大気圧に連通し、このときの圧力をゲージ圧0kPaとして加圧のための基準として自動記憶することにより、いちいちプローブを取り外す等の手間を省き、またプローブを取り外さないでゲージ圧補正を行う等のケアレスミスを防止できるという特徴を持つ。   Further, when measuring the tongue pressure, it is necessary to accurately pressurize the air pressure in the balloon to a predetermined set pressure (gauge pressure). At this time, since the fluctuation of atmospheric pressure becomes an error, a function for correcting this is necessary. However, the air path blocking device and the exhaust device are connected to the atmospheric pressure, and the pressure at this time is set to 0 kPa as a pressure. By automatically storing it as a reference for this purpose, it is possible to save the trouble of removing the probe one by one and to prevent careless mistakes such as correcting the gauge pressure without removing the probe.

前記加圧された中空体を被験者が舌により押圧と非押圧または吸引、非吸引を繰り返して行い、非押圧から押圧までを1回または、非吸引から吸引までを1回として計数を行うリハビリテーションにおいて、押圧または吸引の境界値となる上限値および非押圧または非吸引の境界値となる下限値を圧力の変化を表すバーグラフとともに表示することにより、被験者は舌の押圧、非押圧または吸引、非吸引の境界圧力値を表示器により確認しながら確実にリハビリテーションを行うことが出来るという特徴を持つ。   In rehabilitation where the subject presses and presses non-pressing or sucking and non-sucking the pressurized hollow body repeatedly, and counts from non-pressing to pressing once or from non-suction to suction once By displaying the upper limit value serving as the boundary value for pressing or suction and the lower limit value serving as the boundary value for non-pressing or non-suction together with a bar graph representing the change in pressure, the subject can press, non-press or suck, non-pressing the tongue. It has the feature that rehabilitation can be performed reliably while confirming the boundary pressure value of suction with a display.

また、安全性を考慮して、前記バルーンに一定以上膨張防止のネットを設ける等の一定以上膨張防止機構を設けるとよい。   Further, in consideration of safety, it is preferable to provide a certain amount of expansion preventing mechanism such as a certain amount of expansion preventing net provided on the balloon.

また、嚥下機能を評価するに当たり、測定前に被験者の口腔内に一定量の水を含ませ、その後、前記プローブを口腔内に挿入し、被験者が水を飲み込むときの前記バルーンの圧力変化や舌圧をモニターすることは、被験者の嚥下能力を評価する上で重要な指標となるが、このとき、被験者の口腔内に一定量の水を含ませた後、プローブを口腔内に挿入する時点で口腔内から含ませた水が漏れたり、被験者が吐き出したり、誤嚥を起こしたりという場合があり測定の再現性が失われるだけでなく、誤嚥を起こすという非常に危険状態になる。これを高齢者に行わせるにはさらに危険と困難を伴うという問題があったが、プローブと並行して給水チューブを設けることにより、プローブを挿入後口を閉じた状態にて、前記給水チューブより口腔内に一定量の水の供給が可能であり、安全性と再現性という観点から非常に扱いやすいものとなった。   Further, when evaluating the swallowing function, a predetermined amount of water is contained in the oral cavity of the subject before the measurement, and then the probe is inserted into the oral cavity, and the pressure change of the balloon and the tongue when the subject swallows the water are measured. Monitoring the pressure is an important index for evaluating the subject's ability to swallow. At this time, after a certain amount of water is contained in the subject's mouth, the probe is inserted into the mouth. In some cases, water contained in the oral cavity leaks, the subject exhales, or aspiration occurs, which not only results in loss of reproducibility of the measurement but also a very dangerous state of aspiration. Although there was a problem that it was more dangerous and difficult to do this for elderly people, by providing a water supply tube in parallel with the probe, with the probe closed, the mouth was closed from the water supply tube. A certain amount of water can be supplied into the oral cavity, making it very easy to handle from the viewpoint of safety and reproducibility.

弾性材料または可撓性材料からなる中空体を含むプローブと圧力センサと加圧速度を制御可能なパルス幅変調方式により駆動される加圧ポンプが連通した空気経路を形成している口腔関連圧力測定装置において、プローブと圧力センサとを連通する側と、加圧ポンプ側とに振り分ける箇所に空気経路遮断装置を配置し、加圧ポンプ側に安全弁および前記空気経路遮断装置とは別の時間に駆動される排気装置を設け、前記中空体を加圧中の異常時に加圧ポンプの加圧を停止および排気し、また前記プローブを口に含み、前記中空体を舌により押圧、非押圧または吸引、非吸引を繰り返し行うリハビリテーションにおいて、繰り返し回数を計数する基準となる圧力値を前記表示手段に表示することができ、また前記中空体に一定以上膨張防止のネットを設けたり、前記プローブに一体に取り付けられた給水手段を設ける。   Oral pressure measurement in which an air path is formed by a probe including a hollow body made of an elastic material or a flexible material, a pressure sensor, and a pressure pump driven by a pulse width modulation method capable of controlling a pressure rate. In the device, an air path shut-off device is arranged at a place where the probe and the pressure sensor communicate with each other and a pressure pump side, and the safety pump and the air path shut-off device are driven at a time different from the pressure pump side. An exhaust device to be provided, stops and exhausts the pressurization of the pressurization pump when the hollow body is abnormally pressurized, and includes the probe in the mouth, pressing the hollow body with a tongue, non-pressing or sucking, In rehabilitation in which non-suction is repeatedly performed, a pressure value serving as a reference for counting the number of repetitions can be displayed on the display means, and the hollow body can be prevented from expanding more than a certain amount. Or provided the door, providing a water supply means mounted integrally with the probe.

図1〜4は本発明の1実施例を説明するものであって、図1は口腔関連圧力測定装置を説明する概略図、図2は本装置の内部構造を説明する構成図、図3は空気経路遮断装置となる電磁式遮断弁(以下遮断弁と呼ぶ)7および排気装置となる電磁式排気弁(以下排気弁と呼ぶ)9を説明する断面図である。   1 to 4 illustrate an embodiment of the present invention. FIG. 1 is a schematic diagram illustrating an oral pressure measuring device, FIG. 2 is a configuration diagram illustrating the internal structure of the device, and FIG. 2 is a cross-sectional view illustrating an electromagnetic shut-off valve (hereinafter referred to as a shut-off valve) 7 serving as an air path shut-off device and an electromagnetic exhaust valve (hereinafter referred to as an exhaust valve) 9 serving as an exhaust device. FIG.

図において、1は弾性材料または可撓性材料からなる中空体のバルーン2を含むプローブで、舌圧等を測定する測定装置3にチューブ4を介して着脱可能に取り付けられている。測定装置3は、内部にバルーン2の変形による空気圧の変動を検出するための圧力センサ6、バルーン2内を加圧するために操作される加圧ポンプ8、空気経路5、11を遮断または連通するための遮断弁7、大気圧開放された空気経路12と11を連通しバルーン2内を大気圧開放し減圧するための排気弁9、バルーン2への加圧が一定値以上になった際に機械的に排気を行うための安全弁10及び各種の演算制御を実行するための演算制御処理装置(CPU)13を備えており、また外部に圧力値や波形等のデータを表示するLCD表示部14、外部操作される複数のスイッチ15、加圧中に点灯するランプ16、異常時に点灯するランプ17、操作音や警告音およびリハビリテーション時のカウントに合わせて音を発するためのブザー18、プローブ1を捕持するプローブ置場19を備えている。   In the figure, reference numeral 1 denotes a probe including a hollow balloon 2 made of an elastic material or a flexible material, which is detachably attached to a measuring device 3 for measuring tongue pressure or the like via a tube 4. The measuring device 3 shuts off or communicates a pressure sensor 6 for detecting fluctuations in air pressure due to deformation of the balloon 2, a pressurizing pump 8 operated to pressurize the inside of the balloon 2, and air paths 5 and 11. When the pressure on the balloon 2 exceeds a certain value, the shut-off valve 7 for connecting the air passages 12 and 11 opened to the atmospheric pressure is connected to the exhaust valve 9 for releasing the atmospheric pressure and reducing the pressure inside the balloon 2. A safety valve 10 for exhausting mechanically and an arithmetic control processing unit (CPU) 13 for executing various arithmetic controls are provided, and an LCD display unit 14 for displaying data such as pressure values and waveforms externally. A plurality of externally operated switches 15, a lamp 16 that is lit during pressurization, a lamp 17 that is lit when there is an abnormality, a buzzer that emits a sound in accordance with the operation sound, warning sound, and count during rehabilitation 8, and a probe yard 19 Jisuru capturing probe 1.

プローブ1、圧力センサ6は遮断弁7を介して加圧ポンプ8、排気弁9、安全弁10と、空気経路4、5、11にて気密に連結された空気経路を構成している。遮断弁7、および排気弁9は空気経路の遮断および連通を行う弁であり、短時間の電圧の印加により弁が可動、保持される構造になっている。   The probe 1 and the pressure sensor 6 constitute an air path that is airtightly connected to the pressurizing pump 8, the exhaust valve 9, and the safety valve 10 via the shut-off valve 7 by the air paths 4, 5, and 11. The shutoff valve 7 and the exhaust valve 9 are valves that shut off and communicate with the air path, and have a structure in which the valves are movable and held by applying a voltage for a short time.

使用に際しての空気経路の状態、バルーン内の空気圧の変化、および加圧ポンプの動きを図4により説明する。まず操作スイッチ15の一つである加圧開始スイッチを押すと加圧ランプ16が点灯し、加圧ポンプを駆動する前に、遮断弁7および排気弁9を連通し、バルーン2内部の空気圧を大気圧まで減圧する(図4のt1〜t2)。次に、CPU13は圧力センサー6からの信号をモニターし、バルーン内部の空気圧が大気圧付近まで減圧すれば遮断弁7および排気弁9が正常動作していると判定して加圧処理に移行する。   The state of the air path during use, the change in air pressure in the balloon, and the movement of the pressurizing pump will be described with reference to FIG. First, when the pressurization start switch which is one of the operation switches 15 is pressed, the pressurization lamp 16 is turned on, and before the pressurization pump is driven, the shutoff valve 7 and the exhaust valve 9 are communicated to control the air pressure inside the balloon 2. The pressure is reduced to atmospheric pressure (t1 to t2 in FIG. 4). Next, the CPU 13 monitors the signal from the pressure sensor 6, and if the air pressure inside the balloon is reduced to near atmospheric pressure, it is determined that the shutoff valve 7 and the exhaust valve 9 are operating normally, and the process proceeds to pressurization processing. .

ここで、バルーン内部の空気圧が大気圧付近まで減圧できなかった場合CPU13は異常と判定し、遮断弁7および排気弁9をともに連通し、バルーン内の空気圧を減圧し、加圧ポンプ8停止状態にて異常であることをLCD表示部14に表示し、異常ランプ17を点灯して加圧動作を終了する。   Here, if the air pressure inside the balloon cannot be reduced to near atmospheric pressure, the CPU 13 determines that it is abnormal, communicates both the shut-off valve 7 and the exhaust valve 9, reduces the air pressure inside the balloon, and stops the pressurizing pump 8. Is displayed on the LCD display unit 14, the abnormal lamp 17 is turned on, and the pressurizing operation is terminated.

前記正常動作においては排気弁9を遮断し、パルス幅変調駆動にて加圧ポンプ8を高速駆動し、バルーン内空気圧を設定圧力値の90%まで素早く加圧する(図4のt3〜t4)。ここで、加圧ポンプの停止または減速を行い空気経路の内部圧力が安定化するまで待つ(図4のt4〜t5)。ここで、この待ち時間(図4のt4〜t5)は必ずしも必要なものではなく、空気経路の特性やバルーンの特性に応じて使い分ける。   In the normal operation, the exhaust valve 9 is shut off, the pressurizing pump 8 is driven at high speed by pulse width modulation driving, and the balloon air pressure is quickly pressurized to 90% of the set pressure value (t3 to t4 in FIG. 4). Here, the pressurization pump is stopped or decelerated, and the process waits until the internal pressure of the air path is stabilized (t4 to t5 in FIG. 4). Here, this waiting time (t4 to t5 in FIG. 4) is not necessarily required, and is properly used according to the characteristics of the air path and the characteristics of the balloon.

次に、加圧ポンプの加圧速度を緩やかな速度(図4のt3〜t4の加圧速度よりも遅い速度)で設定圧力値まで加圧する(図4のt5〜t6)。次に、設定圧力値まで到達したら、遮断弁7を遮断し(図4のt6)、加圧ポンプ8を停止する(図4のt7)。   Next, the pressurizing speed of the pressurizing pump is increased to a set pressure value at a moderate speed (slower than the pressurizing speed at t3 to t4 in FIG. 4) (t5 to t6 in FIG. 4). Next, when the set pressure value is reached, the shutoff valve 7 is shut off (t6 in FIG. 4), and the pressurizing pump 8 is stopped (t7 in FIG. 4).

また、加圧ポンプ8による加圧中において設定圧力値に達しても加圧ポンプ8が停止せずなおかつ遮断弁7も連通状態にて動作しない等の異常時には、安全弁10が開状態に作動して、安全弁10より機械的に排気、減圧がなされ、危険を回避できる。これは前記遮断弁7によって振り分けられた空気経路の、加圧ポンプ8側に安全弁10を設けたことにより、バルーン2に押圧等の測定によりかかる圧力に関係なく安全弁が作動する限界値の設定が可能となったことによるものであり、具体的には、安全弁10が作動する限界値を30kPaに設定しておくと、上述のような加圧ポンプ8による加圧中に、バルーン2が30kPaを超えると安全弁10が作動する。一方、測定時にバルーン2の設定圧力値を20kPa、舌圧によりバルーン2にかかる圧力の最大値が50kPaとすると、バルーン2には合計70kPaの圧力がかかり、安全弁10の作動限界値の30kPaを超えても、測定時には遮断弁7が遮断状態となっており安全弁10が空気経路から切り離されているため、安全弁10は作動せず空気漏れのない正確な測定が可能となる。   In addition, when the pressure is increased by the pressurizing pump 8, the safety valve 10 is opened when there is an abnormality such that the pressurizing pump 8 does not stop even if the set pressure value is reached and the shutoff valve 7 does not operate in the communication state. Thus, exhaust and decompression are performed mechanically from the safety valve 10, and danger can be avoided. This is because a safety valve 10 is provided on the pressure pump 8 side of the air path distributed by the shutoff valve 7, so that a limit value for operating the safety valve can be set regardless of the pressure applied to the balloon 2 by measurement such as pressing. Specifically, when the limit value at which the safety valve 10 is activated is set to 30 kPa, the balloon 2 is set to 30 kPa during pressurization by the pressurization pump 8 as described above. If exceeded, the safety valve 10 operates. On the other hand, if the set pressure value of the balloon 2 during measurement is 20 kPa and the maximum pressure applied to the balloon 2 due to tongue pressure is 50 kPa, a total pressure of 70 kPa is applied to the balloon 2 and the operating limit value of the safety valve 10 exceeds 30 kPa. However, since the shut-off valve 7 is in a shut-off state during measurement and the safety valve 10 is disconnected from the air path, the safety valve 10 does not operate and accurate measurement without air leakage is possible.

またバルーン2の押圧、吸引を行う等して測定する場合は、遮断弁7は遮断状態となるため、空気漏れの起き易い加圧ポンプ8、排気弁9も空気経路5から完全に切り離されており、正確な測定が可能となる。   When measurement is performed by pressing or suctioning the balloon 2, the shutoff valve 7 is in a shutoff state. Therefore, the pressurizing pump 8 and the exhaust valve 9 that are likely to cause air leakage are also completely separated from the air path 5. Therefore, accurate measurement is possible.

上記遮断弁および排気弁の通電駆動において、電源に対する負荷を軽減するため、前記遮断弁および排気弁は別々の時間に駆動されるものとする。   In the energization driving of the shutoff valve and the exhaust valve, the shutoff valve and the exhaust valve are driven at different times in order to reduce the load on the power source.

前記遮断弁7、排気弁9の断面構造を図3に示す。この図において、フレーム20の左下側に設けた貫通孔21が加圧ポンプ8側の空気経路11と連結され、その隣の貫通孔22がプローブ1側を接続する空気経路5と連結されている。フレーム20内部には、貫通孔21に対向してパッキン24を装着した軟鉄よりなる駆動軸26が構成され、この駆動軸26を移動させるための電磁コイル28および電磁コイルの通電端子である端子29、貫通孔21と22を遮断保持するためのコイルバネ25、また貫通孔21と22を連通保持するためのマグネット27が配置されている。ここで貫通孔23は本件には無用であり、機械的に密閉しているものとする。図3の電磁弁はラッチングバルブと呼ばれているものであり、端子29に極性を変えて短時間通電することにより、遮断もしくは連通状態を非通電にて保持可能な電池駆動に適した電磁弁である。   FIG. 3 shows a cross-sectional structure of the shutoff valve 7 and the exhaust valve 9. In this figure, a through hole 21 provided on the lower left side of the frame 20 is connected to the air path 11 on the pressure pump 8 side, and an adjacent through hole 22 is connected to the air path 5 connecting the probe 1 side. . Inside the frame 20, a drive shaft 26 made of soft iron having a packing 24 facing the through-hole 21 is configured. An electromagnetic coil 28 for moving the drive shaft 26 and a terminal 29 which is an energizing terminal for the electromagnetic coil. A coil spring 25 for blocking and holding the through holes 21 and 22 and a magnet 27 for holding the through holes 21 and 22 in communication are arranged. Here, the through-hole 23 is useless in this case and is mechanically sealed. The solenoid valve shown in FIG. 3 is called a latching valve. The solenoid valve is suitable for battery driving, which can maintain the shut-off or communication state without energization by changing the polarity of the terminal 29 and energizing it for a short time. It is.

また、舌圧の測定に際して、一般に吸引より押圧力の方が大きいため、通常時、加圧ポンプ8側と連結され貫通孔21に対して遮断状態で駆動軸26を保持する事は、押圧による空気圧によって駆動軸26が貫通孔21に対して押し付けられる状態となり、バネ25の付勢力と相まってより機密性が高まる。これはラッチングバルブ以外の他の電磁弁においても同様の効果を得る。   Further, since the pressing force is generally larger than the suction when measuring the tongue pressure, it is normally connected to the pressurizing pump 8 side to hold the drive shaft 26 in a state of being cut off from the through hole 21 by pressing. The drive shaft 26 is pressed against the through-hole 21 by the air pressure, and the confidentiality is further increased in combination with the urging force of the spring 25. This also has the same effect in other electromagnetic valves than the latching valve.

図2に示す空気経路4、5の全容積は、バルーン2を含むプローブ1の全容積よりも小さくなるように構成してある。これによって、バルーン2の押圧や吸引によりかかる圧力を測定するための、微細なバルーン2の変形を検知することが可能となり、測定値の正確性や再現性が高まった。これは理想気体にて圧力×容積=一定という理論式から容積変化を起こさない空気経路4、5を極力小さくすることで、プローブ1の容積変化による圧力変化を大きくできるということによる。   2 is configured to be smaller than the total volume of the probe 1 including the balloon 2. As a result, it is possible to detect a fine deformation of the balloon 2 for measuring the pressure applied by pressing or suctioning the balloon 2, and the accuracy and reproducibility of the measured value are increased. This is because the pressure change due to the volume change of the probe 1 can be increased by minimizing the air paths 4 and 5 that do not cause a volume change from the theoretical formula of pressure × volume = constant in the ideal gas.

図5はバルーンを天然ゴム製の中空体としたときのバルーン内圧力とバルーンの直径を計測した膨張関係を示すグラフである。バルーン2は圧力が増大していくとそれに伴いバルーンの径も増大し、膨張していくが、グラフ上のP点の圧力を最大値としてそれ以後はバルーンは膨張するが、圧力は減少するという現象が表れる。すなわち、P点を境界にP点よりも小さい圧力でバルーン2はますます膨張することとなり、バルーン2が破裂する可能性もあり、大変危険である。また、これが被験者の口腔内に挿入されたバルーンであれば、誤って加圧を実行し口腔内を塞いでしまったらさらに危険である。   FIG. 5 is a graph showing an expansion relationship obtained by measuring the pressure inside the balloon and the diameter of the balloon when the balloon is a hollow body made of natural rubber. As the pressure of the balloon 2 increases, the diameter of the balloon increases and the balloon 2 inflates, but the pressure at the point P on the graph reaches the maximum value, and then the balloon expands, but the pressure decreases. The phenomenon appears. That is, the balloon 2 is further inflated at a pressure smaller than the point P with the point P as a boundary, and the balloon 2 may burst, which is very dangerous. Further, if this is a balloon inserted into the oral cavity of the subject, it is even more dangerous if the pressurization is accidentally performed to close the oral cavity.

設定圧力値の設定ミスや、バルーンそのものの製造ばらつきや不良によりバルーンの前記P点を個々に検査設定することはコストアップとなり、また万全なものとは言えない。
例えば、前記P点が製造不良により10kPaとなったとき、20kPaに設定圧力を設定後、加圧ポンプ8により加圧しても20kPaに達せずに異常膨張を続けるという大変危険な事態となる。そこで、異常膨張を起こす時点での減圧特性(P点以後の圧力変化)を検知してこれを異常と認識し、加圧ポンプを緊急停止および排気するようにすれば、確実に異常膨張という危険な状態を回避可能である。
Individually setting and inspecting the P point of the balloon due to a setting pressure value setting error or manufacturing variations or defects of the balloon itself increases the cost and is not perfect.
For example, when the P point becomes 10 kPa due to a manufacturing defect, even if the set pressure is set to 20 kPa and then pressurized by the pressurizing pump 8, it does not reach 20 kPa and continues abnormal expansion. Therefore, if the pressure reduction characteristic (pressure change after point P) at the time of abnormal expansion is detected and recognized as abnormal, and the pressurization pump is stopped and exhausted, the danger of abnormal expansion is ensured. It is possible to avoid this situation.

図6は異常膨張を検知し緊急停止を説明する概略のフローチャート図である。スイッチ15の一つである加圧開始スイッチを押すと加圧が開始され(ステップS100)、加圧処理するパラメータが初期化され、加圧開始からのバルーン内の最大圧力値を記憶保持するパラメーターは図4のt3時点での圧力に設定される(ステップS101)。次に前述した手順にてバルーンは加圧されるが、このとき所定時間間隔にてバルーン内の圧力を現在圧力値としてモニターし、現在圧力値が過去の最大圧力値よりも大きければ、最大圧力値パラメータに現在圧力値を更新記憶する(ステップS104)。これを加圧が終了する判定条件まで繰り返す(ステップS105)。このとき加圧途中において前記更新記憶された最大圧力値よりも現在圧力値が1kPa減圧したことを検知した場合(ステップS103)、加圧ポンプ8を緊急停止および内部空気を排気し、異常状態を前記LCD表示部14および異常ランプ17にて被験者31に知らせることで異常膨張による危険な状態を回避できる。   FIG. 6 is a schematic flowchart for explaining emergency stop by detecting abnormal expansion. When a pressurization start switch which is one of the switches 15 is pressed, pressurization is started (step S100), parameters for pressurization processing are initialized, and parameters for storing and holding the maximum pressure value in the balloon from the start of pressurization. Is set to the pressure at time t3 in FIG. 4 (step S101). Next, the balloon is pressurized according to the procedure described above. At this time, the pressure in the balloon is monitored as a current pressure value at a predetermined time interval, and if the current pressure value is larger than the past maximum pressure value, the maximum pressure is monitored. The current pressure value is updated and stored in the value parameter (step S104). This is repeated up to the determination condition for the end of pressurization (step S105). At this time, when it is detected that the current pressure value is reduced by 1 kPa from the updated and stored maximum pressure value during pressurization (step S103), the pressurization pump 8 is urgently stopped and the internal air is exhausted. By notifying the subject 31 with the LCD display unit 14 and the abnormal lamp 17, a dangerous state due to abnormal expansion can be avoided.

また、緊急停止に対応して、いかなるスイッチ15で操作しても、緊急に加圧を停止およびバルーン内の空気を排気減圧することが可能である。この際、正常に加圧がなされなかったことをLCD表示部14や異常ランプ17、ブザー18によるアラーム音等で被験者に知らせることが可能である。   Further, in response to an emergency stop, it is possible to urgently stop pressurization and exhaust and decompress the air in the balloon by operating any switch 15. At this time, it is possible to notify the subject that the pressure has not been normally applied by an alarm sound or the like by the LCD display unit 14, the abnormal lamp 17, or the buzzer 18.

図7は、前記バルーン2を舌で押圧・非押圧を繰り返し行うリハビリテーションにおいて、LCD表示部14に表示されたデータ表示の一例を示すものである。図8はバルーン内空気圧の変化と押圧・非押圧に伴う繰り返し回数の計数の関係を示している。LCD表示部14の上部には押圧・非押圧または吸引・非吸引の繰り返し回数と現在のバルーンの圧力値を表示し、その下に、圧力値に応じて左右に伸び縮みするバーグラフ30および計数を行う境界圧力値となる上限値32、下限値31を表す位置に目印となる境界値バーを表示する。前記上限値32および下限値31は計数を行う上でのヒステリシスの関係にあり、図8に示すように一旦下限値に下がってから上限値を超えると回数をカウントアップ表示する。ここで被験者にこの上限値32および下限値31が認識可能なようにLCD表示部14に表示することで、押圧・非押圧に伴う繰り返し回数をカウントアップさせるためにはどの圧力値まで押圧・非押圧にすれば良いか認識可能で、また上限値および下限値の差を大きくすることで、被験者に押圧・非押圧におけるしっかりとした舌の動きをさせることが可能となり、実効性のあるリハビリテーションを行わせることができる。   FIG. 7 shows an example of data display displayed on the LCD display unit 14 in rehabilitation in which the balloon 2 is repeatedly pressed and non-pressed with the tongue. FIG. 8 shows the relationship between the change in the air pressure inside the balloon and the number of repetitions associated with pressing / non-pressing. The number of repeated pressing / non-pressing or suction / non-suction and the current pressure value of the balloon are displayed on the upper part of the LCD display unit 14, and a bar graph 30 that expands and contracts to the left and right according to the pressure value and a count are displayed thereunder. A boundary value bar serving as a mark is displayed at a position representing an upper limit value 32 and a lower limit value 31 as boundary pressure values. The upper limit value 32 and the lower limit value 31 are in a relationship of hysteresis in counting, and as shown in FIG. 8, the number of times is counted up when the upper limit value is exceeded after once falling to the lower limit value. Here, by displaying the upper limit value 32 and the lower limit value 31 on the LCD display 14 so that the subject can recognize the upper limit value 32 and the lower limit value 31, in order to count up the number of repetitions associated with pressing / non-pressing, to what pressure value It is possible to recognize whether or not it should be pressed, and by increasing the difference between the upper and lower limits, it is possible to make the subject move the tongue firmly when pressing or not pressing, and effective rehabilitation can be performed. Can be done.

図9は本発明の第2実施例を示す空気経路遮断装置の断面図であり、この空気経路遮断装置41は、フレーム43の前面に設けた貫通孔42が図示しない加圧ポンプへチューブにより接続され、同じくフレーム43に設けた貫通孔44がプローブへチューブにより接続される。貫通孔42に面して、フレーム43内にパッキン45を装着した駆動軸46が構成され、この駆動軸46を移動させるための電磁コイル47、磁性体48からなる電磁式駆動手段と、駆動軸46を貫通孔42に閉じた状態に保持させるように付勢するバネ49が配置されている。   FIG. 9 is a cross-sectional view of an air path blocking device showing a second embodiment of the present invention. In this air path blocking device 41, a through hole 42 provided in the front surface of a frame 43 is connected to a pressure pump (not shown) by a tube. Similarly, a through hole 44 provided in the frame 43 is connected to the probe by a tube. A drive shaft 46 having a packing 45 mounted in the frame 43 is formed facing the through hole 42, an electromagnetic drive means including an electromagnetic coil 47 and a magnetic body 48 for moving the drive shaft 46, and a drive shaft A spring 49 that biases 46 to be held in the closed state in the through hole 42 is disposed.

以上の構成からなる電磁弁を利用して、測定中は電磁コイル47が非通電となり、バネ49の付勢力によって貫通孔42が遮断状態に保持されている。また加圧ポンプによる加圧、または排気弁による減圧中は、電磁コイル47に通電して電磁力を発生させ、この電磁力によって駆動軸46を図9の右方向に移動させ、貫通孔42を貫通孔44と連通状態とする。   Using the electromagnetic valve having the above-described configuration, the electromagnetic coil 47 is de-energized during measurement, and the through hole 42 is held in a blocked state by the biasing force of the spring 49. During pressurization by the pressurization pump or decompression by the exhaust valve, the electromagnetic coil 47 is energized to generate an electromagnetic force, and the electromagnetic force causes the drive shaft 46 to move to the right in FIG. The through hole 44 is in communication.

図10は本発明の第3実施例を示す空気経路遮断装置の断面図である。この空気経路遮断装置51は、図10の右面に設けた貫通孔53が図示しない加圧ポンプへチューブにより接続され、同じく図5の左上方に設けた貫通孔54がプローブへチューブにより接続される。装置51内には、貫通孔53に面してバタフライ弁59が設けられ、開閉保持装置56のアクチュエータ57がバタフライ弁59とジョイント60を介して接続されている。図に示すように、加圧ポンプによる加圧、または排気弁による減圧中は、アクチュエータ57が伸縮し、バタフライ弁59は円弧状に動かされ、貫通孔53を連通状態とする。   FIG. 10 is a cross-sectional view of an air path blocking device showing a third embodiment of the present invention. In the air path blocking device 51, a through-hole 53 provided on the right surface of FIG. 10 is connected to a pressure pump (not shown) by a tube, and a through-hole 54 provided in the upper left of FIG. 5 is connected to the probe by a tube. . A butterfly valve 59 is provided in the device 51 so as to face the through hole 53, and an actuator 57 of the opening / closing holding device 56 is connected to the butterfly valve 59 via a joint 60. As shown in the figure, during pressurization by the pressurization pump or decompression by the exhaust valve, the actuator 57 expands and contracts, the butterfly valve 59 is moved in an arc shape, and the through hole 53 is brought into a communication state.

空気経路遮断装置は上述の実施例に限られるものでなく、前記空気経路を遮断、連通(開閉)保持機能つきの、他の電磁弁やスライドバルブ等で構成することが可能である。   The air path blocking device is not limited to the above-described embodiment, and can be configured by other electromagnetic valves, slide valves, or the like having a function of blocking the air path and maintaining communication (opening / closing).

図11は本発明の第4実施例を示すプローブの正面図である。このプローブ61を構成するバルーン62は、網状のネット63を介在させた弾性材料または可撓性材料により形成される。このネット63は、バルーン62の異常膨張による破裂を防止する他、ネット63の強度を設定することにより、バルーン62の最大膨張径を設定することが可能となり、安全性の面において優れている。   FIG. 11 is a front view of a probe showing a fourth embodiment of the present invention. The balloon 62 constituting the probe 61 is formed of an elastic material or a flexible material with a net-like net 63 interposed. In addition to preventing the balloon 62 from rupturing due to abnormal expansion, the net 63 can set the maximum expansion diameter of the balloon 62 by setting the strength of the net 63, which is excellent in terms of safety.

この他にもプローブのバルーンを異常膨張防止を目的として変形率の小さいポリ塩化ビニール等で製作するなど、バルーンが異常膨張しない材質にすることも安全上有効である。   In addition to this, it is also effective for safety that the balloon of the probe is made of a material that does not expand abnormally, for example, made of polyvinyl chloride having a low deformation rate in order to prevent abnormal expansion.

図12は本発明の第5実施例を示すプローブの正面図である。このプローブ71の保持部73に沿わせるまたは一体整形された給水チューブ74を設けることにより、プローブ71を口腔内に挿入後、口を閉じた状態にて前記給水チューブ74より口腔内に一定量の水の供給が可能であり、水を飲み込むときの嚥下における舌の動きや舌圧を測定するうえで安全性と再現性という観点から非常に扱いやすいものとなった。   FIG. 12 is a front view of a probe showing a fifth embodiment of the present invention. By providing a water supply tube 74 that is aligned with or integrally shaped with the holding portion 73 of the probe 71, after the probe 71 is inserted into the oral cavity, a fixed amount of water is introduced into the oral cavity from the water supply tube 74 with the mouth closed. It was possible to supply water, and it became very easy to handle from the viewpoint of safety and reproducibility in measuring tongue movement and tongue pressure during swallowing.

本発明は以上の実施例に限られたものではなく、例えば空気経路遮断弁および排気弁が一体となったものとしても良い。また、前記表示部にバックライトを付加した場合、遮断弁や排気弁および加圧ポンプが駆動されるときは電源の負荷を軽減するため自動的にバックライトを消灯しても良い。また、遮断弁や排気弁にゴミの浸入により遮断性能が劣化することを防止するために、空気経路の出入り口にエアーフィルターを設けたり、強制的にゴミを排除するために一定時間加圧および減圧を繰り返しゴミを空気経路より排除する動作をさせても良い。また、口腔関連圧力測定装置にUSB等の通信手段を備え、データのプリントアウトやパソコンとのデータ通信を行っても良い。   The present invention is not limited to the above embodiments, and for example, an air path shut-off valve and an exhaust valve may be integrated. When a backlight is added to the display unit, the backlight may be automatically turned off to reduce the load on the power supply when the shutoff valve, exhaust valve, and pressurizing pump are driven. In order to prevent the shut-off performance from deteriorating due to the ingress of dust into the shut-off valve and exhaust valve, an air filter is provided at the entrance / exit of the air path, and pressurization and decompression for a certain period of time to forcibly remove the dust The operation of removing dust from the air path may be repeated. Further, the oral pressure measuring device may be provided with a communication means such as a USB to perform data printout or data communication with a personal computer.

以上説明したように、本発明に係る口腔関連圧力測定装置は、舌圧、舌下筋圧、口唇圧、頬圧力、肛門圧力などの人体関連、主に口腔関連の圧力を測定するのに適している。   As described above, the oral pressure measuring device according to the present invention is suitable for measuring human body related, mainly oral related pressure, such as tongue pressure, sublingual muscle pressure, lip pressure, cheek pressure, and anal pressure. ing.

本発明の1実施例を示す口腔関連圧力測定装置の概略図である。It is the schematic of the oral cavity related pressure measuring apparatus which shows one Example of this invention. 同測定装置の内部構造を説明する構成図である。It is a block diagram explaining the internal structure of the measuring device. 同空気経路遮断装置および排気装置の断面図である。It is sectional drawing of the air path | route interruption | blocking apparatus and exhaust apparatus. 同測定装置の加圧時における時間経過に伴うバルーン内圧力の変化を示す図である。It is a figure which shows the change of the balloon internal pressure with the time passage at the time of pressurization of the measuring device. 圧力とバルーンの膨張関係を示すグラフである。It is a graph which shows the expansion | swelling relationship of a pressure and a balloon. バルーンの異常膨張時における緊急停止を説明する概略のフローチャート図である。It is a general | schematic flowchart figure explaining the emergency stop at the time of abnormal expansion | swelling of a balloon. リハビリテーションでの表示されるデータ表示画面の一例である。It is an example of the data display screen displayed in rehabilitation. リハビリテーションでのバルーンの押圧、非押圧に伴うバルーン内圧力の変化と押圧、非押圧の繰り返し回数の計数を示す図である。It is a figure which shows the change of the pressure in a balloon accompanying the press of a balloon in rehabilitation, and a non-pressing, and the count of the repetition frequency of a press and a non-press. 本発明の第2実施例を示す空気経路遮断装置の断面図である。It is sectional drawing of the air path | route interruption | blocking apparatus which shows 2nd Example of this invention. 本発明の第3実施例を示す空気経路遮断装置の断面図である。It is sectional drawing of the air path | route interruption | blocking apparatus which shows 3rd Example of this invention. 本発明の第4実施例を示すプローブの正面図である。It is a front view of the probe which shows 4th Example of this invention. 本発明の第5実施例を示すプローブの正面図である。It is a front view of the probe which shows 5th Example of this invention. 電子血圧計の一例を説明するもので、(A)は内部構造を説明する構成図、(B)はその概略図である。An example of an electronic sphygmomanometer will be described, in which (A) is a configuration diagram for explaining the internal structure, and (B) is a schematic diagram thereof.

符号の説明Explanation of symbols

1、61、71 プローブ
2、62、72 バルーン
3 口腔関連圧力測定装置
4 チューブ
5、11、12 口腔関連圧力測定装置内部の空気経路
6 圧力センサ
7 電磁式遮断弁
8 加圧ポンプ
9 電磁式排気弁
10 安全弁
13 演算制御処理装置(CPU)
14 LCD表示部
15 スイッチ
16 加圧ランプ
17 異常ランプ
18 ブザー
19 プローブ置き場
21、22、23、42、44、53、54 貫通孔
20、43 フレーム
24、45 パッキン
25 コイルバネ
26、46 駆動軸
27 マグネット
28、47 電磁コイル
30 バーグラフ
31 下限値を示すバー
32 上限値を示すバー
41、51 空気経路遮断装置
48 磁性体
49 バネ
56 開閉保持装置
57 アクチュエーター
59 バタフライ弁
60 ジョイント
63 ネット
73 保持部
74 給水チューブ
80 被験者の舌
81 被験者
1, 61, 71 Probe 2, 62, 72 Balloon 3 Oral pressure measuring device 4 Tubes 5, 11, 12 Air path 6 inside oral pressure measuring device Pressure sensor 7 Electromagnetic shut-off valve 8 Pressurizing pump 9 Electromagnetic exhaust Valve 10 Safety valve 13 Arithmetic control processor (CPU)
14 LCD display section 15 Switch 16 Pressurizing lamp 17 Abnormal lamp 18 Buzzer 19 Probe place 21, 22, 23, 42, 44, 53, 54 Through hole 20, 43 Frame 24, 45 Packing 25 Coil spring 26, 46 Drive shaft 27 Magnet 28, 47 Electromagnetic coil 30 Bar graph 31 Bar 32 indicating lower limit bar 41, 51 indicating upper limit value Air path blocking device 48 Magnetic body 49 Spring 56 Opening / closing holding device 57 Actuator 59 Butterfly valve 60 Joint 63 Net 73 Holding portion 74 Water supply Tube 80 Subject's tongue 81 Subject

Claims (14)

口腔内に挿入可能で弾性材料又は可撓性材料からなる中空体を含むプローブと、加圧エアを発生し前記中空体内を加圧する加圧ポンプと、前記ブローブと前記加圧ポンプとを接続して加圧エアを伝達する空気経路と、前記空気経路の途中に接続され、該中空体内の圧力変化を検出する圧力センサと、前記圧力センサからの電気信号を読み取り前記加圧ポンプの制御を行いまた、前記圧力センサからの電気信号を圧力値に変換処理する演算制御処理手段と、前記圧力値等を表示する表示手段と、前記演算制御処理手段を操作する操作手段を備える口腔関連圧力測定装置において、
前記圧力センサが接続された前記空気経路の箇所より前記加圧ポンプ側の前記空気経路に前記制御手段により制御される電気駆動の空気経路遮断装置を配置し、前記空気経路であって、前記空気経路遮断装置より加圧ポンプ側に、前記空気経路を大気中と遮断または連通させる前記演算制御処理手段により制御される電気駆動の排気装置を設けたことを特徴とする口腔関連圧力測定装置。
A probe including a hollow body made of an elastic material or a flexible material that can be inserted into the oral cavity, a pressure pump that generates pressurized air and pressurizes the hollow body, and the probe and the pressure pump are connected to each other. An air path that transmits pressurized air, a pressure sensor that is connected in the middle of the air path, detects a pressure change in the hollow body, and reads an electrical signal from the pressure sensor to control the pressure pump. An oral-related pressure measuring device comprising: arithmetic control processing means for converting an electric signal from the pressure sensor into a pressure value; display means for displaying the pressure value; and operating means for operating the arithmetic control processing means. In
An electrically driven air path blocking device controlled by the control means is disposed in the air path on the pressurizing pump side from the position of the air path to which the pressure sensor is connected, and the air path includes the air An oral-related pressure measuring device characterized in that an electrically driven exhaust device controlled by the arithmetic control processing means for blocking or communicating the air path with the atmosphere is provided closer to the pressurizing pump than the path blocking device.
前記加圧ポンプにて前記中空体を加圧する前に、前記空気経路遮断装置を開放し、前記排気装置を大気中に連通して、前記プローブ、前記圧力センサ、前記加圧ポンプを大気中と連通させ、前記圧力センサにより得られる圧力値が、所定の値以下に下がらなかった場合、加圧を行わないことを特徴とする請求項1に記載の口腔関連圧力測定装置。   Before pressurizing the hollow body with the pressurizing pump, the air path shut-off device is opened, the exhaust device is communicated with the atmosphere, and the probe, the pressure sensor, and the pressurizing pump are in the atmosphere. 2. The oral cavity related pressure measuring device according to claim 1, wherein pressure is not applied when the pressure value obtained by the pressure sensor does not drop below a predetermined value. 前記空気経路遮断装置および前記排気装置は同時に通電駆動しないことを特徴とする請求項1または2に記載の口腔関連圧力測定装置。   The oral cavity related pressure measuring device according to claim 1 or 2, wherein the air path blocking device and the exhaust device are not energized and driven at the same time. 前記空気経路遮断装置を開放し、前記排気装置を大気中に連通して、前記中空体、前記圧力センサ、前記加圧ポンプを大気中と連通させ、このときの圧力値をゲージ圧として記憶することを特徴とする請求項1ないし3のいずれか1つに記載の口腔関連圧力測定装置。   The air path blocking device is opened, the exhaust device is communicated with the atmosphere, and the hollow body, the pressure sensor, and the pressure pump are communicated with the atmosphere, and the pressure value at this time is stored as a gauge pressure. The oral cavity related pressure measuring device according to any one of claims 1 to 3. 前記空気経路遮断装置は短時間の通電により空気経路の連通および遮断を保持する電磁弁であることを特徴とする請求項1ないし4のいずれか1つに記載の口腔関連圧力測定装置。   The oral-related pressure measuring device according to any one of claims 1 to 4, wherein the air path blocking device is an electromagnetic valve that maintains communication and blocking of the air path by energization for a short time. 前記空気経路遮断装置が、プローブ側からの圧力によって押さえつけられる方向で保持される可動式の弁により構成されることを特徴とする請求項1ないし5のいずれか1つに記載の口腔関連圧力測定装置。   The oral-related pressure measurement according to any one of claims 1 to 5, wherein the air path blocking device is configured by a movable valve that is held in a direction pressed by pressure from the probe side. apparatus. 前記空気経路遮断装置より前記プローブ側の空気経路において、プローブ以外の空気経路の容積をプローブの全容積よりも小さくしたことを特徴とする請求項1ないし6のいずれか1つに記載の口腔関連圧力測定装置。   The oral cavity-related device according to any one of claims 1 to 6, wherein a volume of an air path other than the probe is smaller than a total volume of the probe in the air path on the probe side of the air path blocking device. Pressure measuring device. 前記加圧ポンプはパルス幅変調方式により駆動され、加圧ポンプの加圧速度を可変可能としたことを特徴とする請求項1ないし7のいずれか1つに記載の口腔関連圧力測定装置。   The oral pressure measuring apparatus according to any one of claims 1 to 7, wherein the pressurizing pump is driven by a pulse width modulation method, and the pressurizing speed of the pressurizing pump can be varied. 前記加圧ポンプにより前記中空体を所定の圧力へ加圧した後に停止する際に、前記空気経路遮断装置にて前記空気経路を遮断した後、前記加圧ポンプの加圧を停止することを特徴とする請求項1ないし8のいずれか1つに記載の口腔関連圧力測定装置。   When stopping after pressurizing the hollow body to a predetermined pressure by the pressurizing pump, the pressurization of the pressurizing pump is stopped after the air path is shut off by the air path shut-off device. The oral cavity related pressure measuring device according to any one of claims 1 to 8. 所定の圧力に前記中空体を加圧する途中過程において、前記所定の圧力に達する前に所定時間加圧ポンプを停止または、加圧速度を減速することを特徴とする請求項1ないし9のいずれか1つに記載の口腔関連圧力測定装置。   10. The pressurizing pump is stopped for a predetermined time or the pressurization speed is reduced before reaching the predetermined pressure in the course of pressurizing the hollow body to a predetermined pressure. The oral cavity-related pressure measuring device according to one. 前記操作手段が複数の操作手段からなり、前記中空体を加圧中に前記操作手段のいずれを操作しても、前記加圧ポンプの加圧を停止することを特徴とする請求項1ないし10のいずれか1つに記載の口腔関連圧圧力測定装置。   11. The pressurizing pump according to claim 1, wherein the operating means includes a plurality of operating means, and pressurization of the pressurizing pump is stopped when any of the operating means is operated while the hollow body is being pressurized. The oral cavity related pressure-pressure measuring apparatus according to any one of the above. 前記弾性材料または可撓性材料からなる中空体を含むプローブを口に含み、前記中空体を舌により押圧、非押圧または吸引、非吸引を繰り返し行うリハビリテーションにおいて、前記押圧、非押圧または吸引、非吸引の繰り返し回数を計数する基準となる境界圧力値として上限値および下限値を設け、前記表示手段に圧力の変動を示すバーグラフとともに、前記上限値、下限値の位置を示す表示を前記表示手段に表示することを特徴とする請求項1ないし11のいずれか1つに記載の口腔関連圧力測定装置。   In rehabilitation that includes a probe including a hollow body made of the elastic material or flexible material in its mouth and repeatedly presses, presses, sucks, and non-sucks the hollow body with a tongue, the press, non-press or suck, non-suction An upper limit value and a lower limit value are provided as boundary pressure values serving as a reference for counting the number of repetitions of suction, and a display showing the positions of the upper limit value and the lower limit value together with a bar graph indicating pressure fluctuations on the display means. The oral cavity related pressure measuring device according to any one of claims 1 to 11, which is displayed on the screen. 前記中空体に一定以上膨張防止のネットを設けたことを特徴とする請求項1ないし12のいずれか1つに記載の口腔関連圧力測定装置。   The oral cavity-related pressure measuring device according to any one of claims 1 to 12, wherein the hollow body is provided with a net for preventing expansion more than a certain amount. 前記プローブに一体に取り付けられた給水手段を設けたことを特徴とする請求項1ないし13のいずれか1つに記載の口腔関連圧力測定装置。   The oral cavity related pressure measuring device according to any one of claims 1 to 13, further comprising a water supply means integrally attached to the probe.
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