JP2013167465A - Device used for both getting-out-of-bed detection and standing-up-from-wheelchair detection - Google Patents

Device used for both getting-out-of-bed detection and standing-up-from-wheelchair detection Download PDF

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JP2013167465A
JP2013167465A JP2012029326A JP2012029326A JP2013167465A JP 2013167465 A JP2013167465 A JP 2013167465A JP 2012029326 A JP2012029326 A JP 2012029326A JP 2012029326 A JP2012029326 A JP 2012029326A JP 2013167465 A JP2013167465 A JP 2013167465A
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Kyoichi Deki
恭一 出来
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Abstract

PROBLEM TO BE SOLVED: To provide a detection device which can be used for both of a separation detection from a bed and a separation detection from a wheelchair so that a malfunction based on an individual difference of a cared person can be reduced.SOLUTION: A device performs a separation detection by means of a detector having a structure in which a soft material having an electric resistance falling within a range of from several Ω to several mega Ω is clamped by two electrodes, and having shape in which at least one of the electrodes has a projecting part directing toward the soft material having the electric resistance. Further, detection of both positive and negative voltage variations in a voltage drop between both of the electrodes of the pressure sensor is enabled by detection by means of an electronic circuit in the same device or by means of a program in a device using a microcomputer, whereby by generating an alarm, the device can have both of getting-out-of-bed detecting and standing-up-from-wheelchair detecting functions.

Description

本発明は,圧力センサおよびそのセンサからの信号処理の方法に関するもので,介護支援補助装置に関する技術である. The present invention relates to a pressure sensor and a method of signal processing from the sensor, and relates to a care support auxiliary device.

病院などにおける,自立歩行が困難な要介護者の,ナースコールをしないベッドからの離床の試みにより,転倒,骨折などの事故が多発している.このような状況を軽減する一助として,種々の方法による離床検知装置が開発されている.同様に,自立歩行が困難な要介護者が,看護師,介護師等周囲にいない状況で,車椅子から介助なしで立ち上がろうとして,転倒,骨折などの事故に遭遇する事例も多発している.このような状況を軽減する一助として,種々の方法による車椅子からの立ち上がり検知装置も開発されている.   Accidents such as falls and fractures occur frequently due to attempts to get out of bed without nursing calls by care recipients who have difficulty walking independently in hospitals. To help alleviate this situation, bed detection devices using various methods have been developed. Similarly, there are many cases where care recipients who are difficult to walk independently encounter accidents such as falls and fractures when they are not in the vicinity, such as nurses and caregivers, trying to get up without assistance from a wheelchair. To help alleviate this situation, various methods have been developed to detect the rise from a wheelchair.

これまでの圧力センサまたは圧力スイッチを用いた装置の原理は以下のようになっている.ベッドからの離床検知の場合には,圧力センサまたは圧力スイッチは,通常,マットの下になっているベッドの左右の両方か片方の枠の上におかれる.まず被介護者が正常に臥している状態で圧力センサまたは圧力スイッチは加重オフの状態となっている.被介護者がベッドを離れようとするとき,ベッドの左端または右端に腰をおろす動作が必然的に生ずる.この時加重がマットを介して圧力センサまたは圧力スイッチにかかり,加重オンの状態を示す.これにより,被介護者がベッドを離れようとしていることが認識検知され,警報を発し,さらにナースコール信号が発せられる.一方,車椅子からの立ち上がり検知の場合には,車椅子の着床面と着床した被介護者の殿部との間に圧力センサまたは圧力スイッチが設置され,被介護者が正常に座した状態で圧力センサまたは圧力スイッチは加重オンの状態となっている.被介護者が車椅子から立ち上がろうとして腰を浮かせた場合には,圧力センサまたは圧力スイッチにかかっていた加重がなくなり,加重オフの状態が出力され,被介護者の車椅子からの立ち上がりが検知されたことになり,警報を発し,さらにナースコール信号が発せられる. The principle of devices using pressure sensors or pressure switches so far is as follows. In the case of detection of getting out of bed, the pressure sensor or pressure switch is usually placed on either the left or right side of the bed under the mat. First, the pressure sensor or pressure switch is in a weighted-off state while the cared person is in the normal mood. When the cared person tries to leave the bed, a movement to sit down at the left or right edge of the bed necessarily occurs. At this time, the load is applied to the pressure sensor or pressure switch via the mat, indicating that the load is on. As a result, it is recognized and detected that the cared person is leaving the bed, an alarm is issued, and a nurse call signal is issued. On the other hand, in the case of detection of rising from a wheelchair, a pressure sensor or pressure switch is installed between the floor of the wheelchair and the floor of the cared person so that the cared person sits normally. The pressure sensor or pressure switch is in the load-on state. When the cared person lifted his / her waist while trying to stand up from the wheelchair, the weight applied to the pressure sensor or pressure switch disappeared, the weighted off state was output, and the cared person's standing from the wheelchair was detected As a result, an alarm is issued and a nurse call signal is issued.

以上のように,ベッドからの離床検知と車椅子からの立ち上がり検知とでは,圧力センサまたは圧力スイッチからの信号が全く逆転しているので,これまで,各々別個の装置として開発商品化され,両方の機能が必要になった場合には2台の装置が必要で,施設経営者,利用者や家庭での利用者は負担を強いられてきた. As described above, the detection of getting out of bed and the detection of rising from a wheelchair have completely reversed the signals from the pressure sensor or pressure switch. So far, both have been developed and commercialized as separate devices. When functions are needed, two devices are required, and facility managers, users and users at home have been burdened.

さらにもうひとつの大きな問題点は,ここで述べた方法によるベッドからの離床検知では,被介護者の離床時挙動の個人差により,圧力変化幅の個人差が大きく,誤動作しやすい欠点があることである.例えば,圧力センサから少しずれた位置から離床しようとする場合,圧力センサが反応せず,警報を発せられない場合がある.この対策のため例えば圧力センサの感度を高めると,被被介護者が離床を意図せず,単に寝返りを打っただけで,離床と誤認し,警報が発せられてしまう問題点も有している. Another major problem is that detection of getting out of bed by the method described here has the disadvantage that individual differences in the pressure change range are large due to individual differences in the behavior of the cared person leaving the bed and that malfunctions are likely to occur. It is. For example, when trying to get out of the floor from a position slightly deviated from the pressure sensor, the pressure sensor may not respond and an alarm may not be issued. For example, if the sensitivity of the pressure sensor is increased for this measure, the cared person does not intend to get out of bed, but simply turns over and misunderstands that he / she gets out of bed, and an alarm is issued. .

解決しようとする課題は,同一被介護者で,ベッドからの離床検知と車椅子からの立ち上がり検知との両者の機能が必要になった場合に,2台の装置が必要で施設経営者,利用者,家庭での利用者や支援者が経済的負担を強いられてきたことである.   The problem to be solved is that the same cared person needs both the detection of getting out of bed and the detection of getting up from a wheelchair. , Users and supporters at home have been forced to bear the financial burden.

さらに解決しなけらばならないもう一つの課題は,ベッドからの離床検知における,被介護者の離床時挙動の個人差に基づく圧力変化幅の個人差による誤動作を極力低減することである. Another problem that must be solved is to reduce the malfunction due to individual differences in the pressure change width based on individual differences in the behavior of the care recipient when leaving the bed.

本発明は,これら装置の機能を一種類の圧力センサと電子回路で,安価,簡便,完全に誤動作のない装置を提供するものであって,加重によって導電率が変化する物質によって構成された圧力センサとそこからの信号の処理方法によって本課題を解決する. The present invention provides a low-cost, simple, and completely malfunction-free device with a single type of pressure sensor and electronic circuit for the functions of these devices, and is a pressure composed of a substance whose conductivity changes due to weighting. This problem is solved by the sensor and the signal processing method.

まず本発明で用いる圧力センサは,加重にほぼ比例して物質の導電率が変化する材料を利用するもので,その物質に加えられた圧力に,その物質の電気抵抗値がほぼ逆比例する.まずベッドからの離床検知の場合には,圧力センサは,通常,マットの下になっているベッドの左右の両方か片方の枠の上におかれる.ここまでは,従来品となんら変わりがないが,以下の点で原理が異なる.まず 被介護者が正常に臥している状態で,装置電源が投入され,数十秒間の間の圧力変化がモニターされる.被介護者はこの間に寝返りを打ったり,寝やすい姿勢をとり,体の一部が圧力センサ近辺にあってもよい.この間の圧力の最大値が正常時の圧力値として計測され,装置に記憶される.被介護者がベッドを離れようとするとき,ベッドの左端または右端に腰をおろす動作が必然的に生ずる.この時加重がマットを介して圧力センサに,正常時以上に加わり,被介護者が正常に臥している状態での,記憶されていた圧力値と比較され,圧力増加が認識され,被介護者がベッドを離れようとしていることが検知され,警報を発し,さらにナースコール信号が発せられる.このように,モニター開始の初期に,被介護者が正常に臥している状態での最大圧力を装置が記憶し,離床時圧力と比較するため,圧力センサの感度を高めたとしても誤動作することが回避される. First, the pressure sensor used in the present invention uses a material whose conductivity changes substantially in proportion to the weight, and the electrical resistance value of the material is almost inversely proportional to the pressure applied to the material. First, when detecting bed removal, the pressure sensor is usually placed on either the left or right side of the bed under the mat or on one frame. Up to this point, there is no difference from conventional products, but the principle is different in the following points. First, the device power is turned on while the cared person is in a normal state, and the pressure change for several tens of seconds is monitored. The cared person may turn over during this time or take a posture that makes it easier to sleep, and part of the body may be near the pressure sensor. The maximum pressure during this period is measured as the normal pressure value and stored in the device. When the cared person tries to leave the bed, a movement to sit down at the left or right edge of the bed necessarily occurs. At this time, the weight is applied to the pressure sensor through the mat more than normal, and compared with the stored pressure value when the cared person is in the normal state, the increase in pressure is recognized, and the cared person Is detected to be leaving the bed, an alarm is issued, and a nurse call signal is issued. In this way, at the beginning of monitoring, since the device stores the maximum pressure when the cared person is in a normal state and compares it with the pressure at getting out of bed, malfunction may occur even if the sensitivity of the pressure sensor is increased. Is avoided.

一方,車椅子からの立ち上がり検知の場合には,車椅子の着床面と着床した被介護者の殿部との間に圧力センサを設置しておき,被介護者が正常に座した状態での圧力値をまず取得し,記憶しておく.被介護者が車椅子から立ち上がろうとして腰を浮かせた場合には,圧力センサにかかっていた加重が軽減される.このときの圧力センサの計測値と被介護者が正常に座した状態での,記憶されていた圧力値とが比較され,圧力減少が認識され,被介護者の車椅子からの立ち上がりが検知され,警報を発し,さらにナースコール信号が発せられる.この場合被介護者が正常に車椅子に座した状態では,十分安定的に圧力センサに加重がかかり,立ち上がり時には加重はほぼゼロとなるので,立ち上がり前後における圧力変化幅が大きく,特に問題は生じない.
本発明においては,装置の電子回路にサンプルアンドホールド回路,絶対値検出回路を導入し,被介護者が正常にベッドに臥した状態の圧力値を記憶するとともに,圧力変化が正負いずれの場合にも,警報を発することができる.絶対値検出回路によって,圧力変化を検出するので,圧力変化が負となる車椅子からの立ち上がり検知に対しても有効に機能する.さらに別の方法として,マイクロコンピュータを導入し,絶対値検出回路の変わりに,圧力変化の正負の両方を検知可能とするようにプログラムを作成してもよい.以上の方策によって,一つの装置で,ベッドからの離床検知と車椅子からの立ち上がり検知を誤動作なく遂行することができる.
また,被介護者が圧力センサから少しずれた位置から離床しようとし,離床時の圧力変化が小さい場合の対策として電子回路で圧力変化を増幅し感度を高めても本発明の方法では誤動作が回避できることは前述のとおりであるが,圧力センサそのものを高感度な構造としておくことは一層有利である.図4は,圧力変化による物質の導電率変化を利用する圧力センサの従来品の典型例を示している.図中,aおよびbは金属導体からなる電極で,変形可能なゴム状の数Ωから数百Ωの電気抵抗を持ち,圧力により変形可能な導電性物質cが,金属導体aとbで挟まれている. 金属導体a,bに垂直方向から力が加わると,導電性物質cが変形を受け,圧力が加わっていないときの厚さdがd-δに厚さが減少する.材料の導電率が一定であるとしても,電極間距離が短くなるためセンサ全体としての電気抵抗が小さくなる.圧力センサに通電しているなら,圧力センサでの電圧降下が小さくなる.この電圧降下を圧力変化信号としてとらえるのが圧力センサの一般的原理である.圧力とは単位面積あたりの力のことであり,例えば同じ力がセンサに加わるなら,圧力は電極の面積に反比例する.本発明による圧力センサの構造例を図1に示す.図4の従来品で上部電極を構成するaを図1では,剛性を持つ金属導体Xで置き換えた.金属導体Xの上面から力が加わった場合,力はその突起部yに集中する.従来品の電極aの面積をA,金属導体Xの突起部yの面積をYとすると,圧力は従来品に比べ,A/Y倍となる.ここでYはAより十分小さくしておけば,同じ力がセンサに加わった場合,図1の本発明による圧力センサには大きな圧力が加わることとなり導電性物質cがより大きな変形を受け,より大きな電圧変化として電子回路に取り込めることとなり感度が向上する.なお図1に記号zで示したサポータは,導電性物質cがバランスよく変形するために設けたもので,容易に変形可能な素材,例えば台所用スポンジ様素材で構成される.
On the other hand, in the case of detection of rising from a wheelchair, a pressure sensor is installed between the floor of the wheelchair and the buttocks of the cared person so that the cared person sits normally. First obtain the pressure value and store it. When the cared person lifts his / her waist to get up from the wheelchair, the weight applied to the pressure sensor is reduced. The measured value of the pressure sensor at this time is compared with the stored pressure value when the cared person is sitting normally, pressure decrease is recognized, and the rising of the cared person from the wheelchair is detected, An alarm is issued and a nurse call signal is issued. In this case, when the cared person is normally seated in the wheelchair, the pressure sensor is sufficiently stable and the weight is almost zero at the time of start-up. .
In the present invention, a sample-and-hold circuit and an absolute value detection circuit are introduced into the electronic circuit of the apparatus, and the pressure value in a state where the cared person is normally lying on the bed is stored, and the pressure change is positive or negative. Can also issue an alarm. Since the pressure change is detected by the absolute value detection circuit, it works effectively for the detection of rising from a wheelchair where the pressure change is negative. As another method, a microcomputer may be introduced to create a program so that both the positive and negative pressure changes can be detected instead of the absolute value detection circuit. With the above measures, the detection of getting out of bed and the detection of getting up from a wheelchair can be performed without malfunction with one device.
In addition, even if the care recipient tries to get out of the position slightly off the pressure sensor and the pressure change at the time of getting out is small, the method of the present invention avoids malfunction even if the pressure change is amplified and the sensitivity is increased by an electronic circuit. As described above, what can be done is more advantageous if the pressure sensor itself has a highly sensitive structure. Fig. 4 shows a typical example of a conventional pressure sensor that utilizes the change in conductivity of a substance due to a change in pressure. In the figure, a and b are electrodes made of metal conductors, which are deformable rubber-like electric resistances of several Ω to several hundred Ω, and a conductive material c that can be deformed by pressure is sandwiched between metal conductors a and b. It is. When a force is applied to the metal conductors a and b from the vertical direction, the conductive material c is deformed, and the thickness d when no pressure is applied is reduced to d-δ. Even if the electrical conductivity of the material is constant, the electrical resistance of the entire sensor is reduced because the distance between the electrodes is reduced. If the pressure sensor is energized, the voltage drop at the pressure sensor will be small. The general principle of pressure sensors is to capture this voltage drop as a pressure change signal. Pressure is the force per unit area. For example, if the same force is applied to the sensor, the pressure is inversely proportional to the electrode area. A structural example of a pressure sensor according to the present invention is shown in FIG. In Fig. 1, a, which constitutes the upper electrode in the conventional product in Fig. 4, was replaced with a rigid metal conductor X. When a force is applied from the upper surface of the metal conductor X, the force concentrates on the protrusion y. If the area of the electrode a of the conventional product is A and the area of the protrusion y of the metal conductor X is Y, the pressure is A / Y times that of the conventional product. Here, if Y is sufficiently smaller than A, when the same force is applied to the sensor, a large pressure is applied to the pressure sensor according to the present invention in FIG. Sensitivity is improved because it can be incorporated into an electronic circuit as a large voltage change. In addition, the supporter indicated by the symbol z in FIG. 1 is provided in order for the conductive material c to be deformed in a well-balanced manner, and is composed of an easily deformable material, for example, a kitchen sponge-like material.

以上のように課題を解決する手段の項で述べた手段を用いることにより,一つの装置で,ベッドからの離床検知と車椅子からの立ち上がり検知を誤動作を皆無にし,信頼性高く可能にすることができるとともに,介護施設経営者,介護施設利用者や家庭での利用者の経費負担を軽減でき,さらに,ベッドからの離床検知のみにしか使用していなかった場合でも,被介護者が重症となり,車椅子を使わざるを得ない状況になったとしても同一装置で車椅子からの立ち上がり検知にも使用できることとなる By using the means described in the section on solving the problems as described above, it is possible to make the detection of getting out of bed and the detection of getting up from a wheelchair highly reliable with a single device with high reliability. It is possible to reduce the cost burden of care facility managers, care facility users and users at home, and even if they are only used to detect getting out of bed, the cared person becomes severe, Even if it becomes necessary to use a wheelchair, it can be used to detect rising from the wheelchair with the same device.

本発明による圧力センサの代表例Representative examples of pressure sensors according to the present invention 本発明による圧力センサの上部電極の構成例Configuration example of upper electrode of pressure sensor according to the present invention 本発明による圧力センサの上部電極の構成例Configuration example of upper electrode of pressure sensor according to the present invention 従来型の圧力センサの例Example of conventional pressure sensor 本発明によるベッドからの離床検知および車椅子からの立ち上げ検知兼用装置のための電子回路のブロック図Block diagram of an electronic circuit for a combined bed detection and wheelchair startup detection device according to the present invention. 本発明によるベッドからの離床検知および車椅子からの立ち上げ検知兼用装置をマイクロコンピュータを用いて構成した場合の基本的ブロック図Basic block diagram in the case where the apparatus for detecting bed leaving from the bed and the start-up detecting apparatus from the wheelchair according to the present invention is configured using a microcomputer 本発明によるベッドからの離床検知および車椅子からの立ち上げ検知兼用装置をマイクロコンピュータを用いて構成した場合のプログラムの基本的フローチャートBasic flowchart of a program in the case where the apparatus for detecting bed leaving from the bed and the start-up detecting apparatus from the wheelchair according to the present invention is configured using a microcomputer

図1は,本発明による改良型圧力センサの代表例である.圧力センサを構成する上部電極を,断面が逆T字型となる突起部yを持つ剛性金属導体Xで置き換え,導電性物質cに効果的に圧力を伝える構造とした.また,図2に示すように,この上部電極Xは,その突起部yをくさび状に構成してもよい.こうすることにより,この下にくる導電性物質cとは線接触となり原理上極大の圧力が導電性物質に加わる.さらにまた,図3に示すように,この上部電極Xは,その突起部yを円柱状に構成してもよい.こうすることにより,この下にくる導電性物質cとは線接触となり原理上極大の圧力が導電性物質に加わる.
図5は,本発明によるベッドからの離床検知および車椅子からの立ち上げ検知兼用装置のための電子回路の具体的的ブロック図である.サンプル&ホールド回路,絶対値回路,電圧比較回路,およびリレー駆動回路がデジタル論理回路からなる順序制御回路によって動作タイミングが制御され課題を解決する手段に記述した機能が達成される.図6は,図5と同じ機能を有する回路をマイクロコンピュータを用いて構成した場合の例を示す.この場合には,図7に示すフローチャートの内容がプログラミングされねばならない.
FIG. 1 is a typical example of an improved pressure sensor according to the present invention. The upper electrode that constitutes the pressure sensor was replaced with a rigid metal conductor X having a projection y with an inverted T-shaped cross section, and the pressure was effectively transmitted to the conductive material c. Further, as shown in FIG. 2, the upper electrode X may have a protruding portion y formed in a wedge shape. By doing so, the conductive material c underneath is in line contact, and in principle a maximum pressure is applied to the conductive material. Furthermore, as shown in FIG. 3, the upper electrode X may have a protruding portion y formed in a cylindrical shape. By doing so, the conductive material c underneath is in line contact, and in principle a maximum pressure is applied to the conductive material.
FIG. 5 is a specific block diagram of an electronic circuit for a device for detecting getting out of bed and for detecting start-up from a wheelchair according to the present invention. The sample and hold circuit, the absolute value circuit, the voltage comparison circuit, and the relay drive circuit are controlled by the sequence control circuit composed of digital logic circuits, and the functions described in the means for solving the problems are achieved. Fig. 6 shows an example where a circuit having the same function as Fig. 5 is configured using a microcomputer. In this case, the contents of the flowchart shown in Fig. 7 must be programmed.

a金属導体からなる電極,b金属導体からなる電極,c圧力により変形可能な導電性物質,
X剛性素材で構成された突起部yを持つ金属導体,y金属導体xの突起部,z容易に変形可能な素材で構成された支持部材
a electrode made of a metal conductor, b electrode made of a metal conductor, c conductive material deformable by pressure,
X metal conductor with protrusion y made of rigid material, y metal conductor x protrusion, support member made of z easily deformable material

Claims (2)

数Ωから数MΩの範囲の電気抵抗を有する柔軟素材を2枚の電極で挟み込んだ構造を有し,すくなくも一方の電極が電気抵抗を有する柔軟素材に向かって突起をもった形状を有することを特徴とする圧力センサ。 It has a structure in which a flexible material having an electric resistance in the range of several Ω to several MΩ is sandwiched between two electrodes, and at least one of the electrodes has a shape with protrusions toward the flexible material having electric resistance. A pressure sensor characterized by 圧力センサの両極間の電圧降下の正負両方の電圧変化を同一装置で検出して警報を発することを特徴とする離床検知と車椅子からの立ち上がり検知兼用装置。 An apparatus for detecting getting out of a bed and detecting rising from a wheelchair, wherein both the positive and negative voltage changes of the voltage drop between both poles of the pressure sensor are detected by the same device and an alarm is issued.
JP2012029326A 2012-02-14 2012-02-14 Device used for both getting-out-of-bed detection and standing-up-from-wheelchair detection Pending JP2013167465A (en)

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