JP2016120256A - Ultrasonic precision pulmonary function test device - Google Patents
Ultrasonic precision pulmonary function test device Download PDFInfo
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Abstract
Description
本発明は、超音波式流量計を利用した、一酸化炭素肺拡散能力の検査に用いる精密肺機能検査装置の流量測定に関するものである。 The present invention relates to flow measurement of a precision lung function testing apparatus used for testing carbon monoxide lung diffusion ability using an ultrasonic flow meter.
従来の一酸化炭素肺拡散能力の検査に用いる精密肺機能検査は、通常の肺活量計と異なる装置が必要である。 The precision lung function test used for the conventional carbon monoxide lung diffusion capacity test requires a device different from a normal spirometer.
精密肺機能検査は、被検者に低濃度の炭酸ガスを含む医療用4種ガスを吸入させ10秒間呼吸を停止させ、その間に血中に移行した炭酸ガス量を求め肺拡散能を測定する検査であり、被検者の呼気ガスを一旦装置内部にため、そのガス成分中の炭酸ガス濃度を検出・解析する事で、測定者が取り込んだ酸素量を推測する。 Precise pulmonary function test allows the subject to inhale four types of medical gas containing low-concentration carbon dioxide gas, stop breathing for 10 seconds, and determine the amount of carbon dioxide gas transferred into the blood during that time to measure lung diffusibility This is a test, in which the exhaled gas of the subject is once inside the apparatus, and the amount of oxygen taken in by the measurer is estimated by detecting and analyzing the carbon dioxide concentration in the gas component.
医療用4種ガスの成分と濃度は、およそ酸素21%、ヘリウム10%、炭素0.3%、残りは窒素である。精密肺機能検査では、検査を受ける被検者が、4種ガスを吸い込んだ量や吐き出す量を正確に測定する必要があるが、現在は実現できていない。 The components and concentrations of the four kinds of medical gases are approximately 21% oxygen, 10% helium, 0.3% carbon, and the rest is nitrogen. In the precise lung function test, it is necessary for the subject to be tested to accurately measure the amount of the four types of gas inhaled and exhaled, but this has not been realized at present.
これまでの一般的な測定方法では、正確な流量を測らずに、被検者の吐出し量を一定時間で区切り分離することで流量を推測しているが、被検者の体格や年齢、病状によっては、時間で区切る方式は不正確となる場合がある。 In the conventional measurement method so far, the flow rate is estimated by separating and separating the discharge amount of the subject at a fixed time without measuring the accurate flow rate, but the physique and age of the subject, Depending on the medical condition, the time separation method may be inaccurate.
肺活量測定について、被検者の呼吸を妨げない抵抗の少ない構造で、流量測定範囲0から960リットル毎分で高精度の測定性能が必要である。 For spirometry, a highly accurate measurement performance is required at a flow rate measurement range of 0 to 960 liters per minute with a structure with low resistance that does not impede breathing of the subject.
超音波式流量計を用いた肺活量計では測定管流路の上流と下流とに一対の超音波振動子からなる超音波伝搬路を流れの方向に斜交して設け、上流側の振動子から流れの方向に超音波を発信し、この超音波を下流側の振動子で受信し、振動子への超音波の伝搬時間を計測する事で実現している。 In a spirometer using an ultrasonic flow meter, an ultrasonic propagation path consisting of a pair of ultrasonic transducers is provided obliquely in the direction of flow upstream and downstream of the measurement tube flow path, and from the upstream transducer This is realized by transmitting ultrasonic waves in the flow direction, receiving the ultrasonic waves with a transducer on the downstream side, and measuring the propagation time of the ultrasonic waves to the transducers.
また、超音波式の肺活量計の特徴として、測定管流路に使い捨て可能な交換式の管を差し込んで使用することで、患者呼気から飛散する菌や唾液から流路を防御する事が可能で、その管を保険者毎に交換することで被検者間の感染防止を可能としている。 In addition, as a feature of the ultrasonic spirometer, it is possible to protect the flow path from bacteria and saliva scattered from the patient's breath by using a disposable exchangeable tube inserted into the measurement pipe flow path. By replacing the tube for each insurer, it is possible to prevent infection between subjects.
被検者が医療用4種ガスを吸い込んだ量や吐き出す量を正確に測定する事が必要である。 It is necessary to accurately measure the amount that the subject inhales and exhales the four types of medical gases.
一酸化炭素肺拡散能力の検査に用いる精密肺機能検査装置について、4種ガスのみならず、空気についても肺活量測定を行う事を課題としている。 The precise lung function test apparatus used for the examination of carbon monoxide lung diffusing capacity is to perform vital capacity measurement not only for the four gases but also for air.
測定する患者間の感染防止機能を維持する構造である事。 A structure that maintains the infection prevention function between patients to be measured.
医療用4種ガスを吸い込んだ量と吐き出す量を正確に測定するために、超音波式の流量計の算出式について、通常の空気の音速値(秒速350m)と4種ガスの音速値(秒速367m)の差を補正するための微調整を行う事で解決する装置である。 In order to accurately measure the amount of inhalation and exhalation of the four types of medical gases, the calculation formula of the ultrasonic flowmeter is calculated using the normal sound velocity value (350 m / s) and the sound velocity value (second rate) of the four gases. This is a device that can be solved by performing fine adjustment to correct the difference of 367 m).
医療用4種ガスを吸入した時の呼気は、体内で酸素が取り込まれて成分が変化し音速値についても同様に変化してしまう。そこで超音波流量計の構造を流路の上流と下流とに一対の超音波振動子からなる超音波伝搬路を流れの方向に斜交して設け、上流側と下流側の超音波振動子の発信受信の伝搬時間の差から測定管内の流体の流速を算出する。流体すなわち被検者の吸気呼気の流量を検知する方式として算出した結果、誤差が極小さくなる測定原理の超音波式精密肺機能検査装置を提供する。 The exhaled breath when the medical four-type gas is inhaled, oxygen is taken in the body, the component changes, and the sound velocity value changes in the same manner. Therefore, the ultrasonic flowmeter structure is provided with an ultrasonic propagation path composed of a pair of ultrasonic transducers in the upstream and downstream of the flow path, obliquely in the flow direction, and the upstream and downstream ultrasonic transducers The flow velocity of the fluid in the measuring tube is calculated from the difference in propagation time between transmission and reception. Provided is an ultrasonic precision lung function testing apparatus based on a measurement principle in which an error is extremely small as a result of calculation as a method for detecting a flow rate of a fluid, that is, an inspiratory expiration of a subject.
測定管の流路内に、整流構造が付属した取り外しが可能な管を差し込んだ状態で使用する事により解決する。
本発明は、以上の構成からなる超音波式精密肺機能検査装置である。This can be solved by using a removable tube with a rectifying structure attached to the flow channel of the measuring tube.
The present invention is an ultrasonic precision lung function testing apparatus having the above-described configuration.
一酸化炭素肺拡散能力の検査に用いる精密肺機能検査装置の流量測定に超音波式流量計を使用する事により、被検者の呼気と吸気の双方について、高精度な流量測定値が得られる。 By using an ultrasonic flow meter to measure the flow rate of a precision lung function testing device used for testing carbon monoxide lung diffusion capacity, highly accurate flow rate measurements can be obtained for both exhalation and inspiration of the subject. .
測定管の流体の流れる流路部に、容易に取り外しが可能な管を差し込み使用する事により、被検者毎にその管を交換使用する方法で、被検者の吸気呼気から発せられる唾液飛沫や菌類が測定管を介して他の被検者に伝搬する事を防ぎ被検者間の感染の防止を可能とする。 By inserting a tube that can be easily removed into the flow channel of the measurement tube and replacing the tube for each subject, the saliva droplets emitted from the inspiratory breath of the subject And fungi are prevented from propagating to other subjects via the measuring tube, and infection between subjects can be prevented.
一酸化炭素肺拡散能力の検査に用いる精密肺機能検査装置の流量測定に超音波式流量計を使用する事により、同一の装置で肺活量の測定も可能となる。 By using an ultrasonic flowmeter to measure the flow rate of a precision lung function tester used for testing carbon monoxide lung diffusion capacity, it is possible to measure vital capacity with the same device.
図1は、超音波流量計の測定管について超音波の伝搬経路と交換式の管の位置を説明している断面図である。図2は、交換式の管の構造を説明している。 FIG. 1 is a cross-sectional view illustrating the ultrasonic propagation path and the position of an exchangeable tube in a measurement tube of an ultrasonic flowmeter. FIG. 2 illustrates the structure of a replaceable tube.
肺活量測定について、測定者の呼吸を妨げない抵抗の少ない構造で、流量測定範囲0から960リットル毎分で高精度の測定性能が可能である。 With regard to spirometry, a highly accurate measurement performance is possible in a flow rate measurement range of 0 to 960 liters per minute with a structure with little resistance that does not impede breathing of the measurer.
また、4種ガスと空気について、0から960リットル毎分の流量を精度よく測定し、肺活量測定の機能を合わせ持つことで、一酸化炭素肺拡散能力の検査に用いることが可能である。 In addition, by measuring the flow rate of 0 to 960 liters per minute with respect to the four kinds of gases and air and having the function of measuring the vital capacity, it can be used for the examination of the carbon monoxide lung diffusion ability.
超音波式流量計を用いた肺活量計では測定管流路の上流と下流とに一対の超音波振動子からなる超音波伝搬路を流れの方向に斜交して設け、上流側の振動子から流れの方向に超音波を発信し、この超音波を下流側の振動子で受信し、振動子への超音波の伝搬時間を計測する事で実現している。 In a spirometer using an ultrasonic flow meter, an ultrasonic propagation path consisting of a pair of ultrasonic transducers is provided obliquely in the direction of flow upstream and downstream of the measurement tube flow path, and from the upstream transducer This is realized by transmitting ultrasonic waves in the flow direction, receiving the ultrasonic waves with a transducer on the downstream side, and measuring the propagation time of the ultrasonic waves to the transducers.
また、超音波式の肺活量計の特徴として、測定管流路に使い捨て可能な交換式の管を差し込んで使用することで、患者呼気から飛散する菌や唾液から流路を防御する事が可能で、その管を被検者毎に交換することで被検者間の感染防止を可能としている。 In addition, as a feature of the ultrasonic spirometer, it is possible to protect the flow path from bacteria and saliva scattered from the patient's breath by using a disposable exchangeable tube inserted into the measurement pipe flow path. By replacing the tube for each subject, infection between the subjects can be prevented.
被検者が医療用4種ガスを吸い込んだ量や吐き出す量を正確に測定する事が可能な超音波式フローメータを搭載した一酸化炭素肺拡散能力の検査に用いることができる。 It can be used for the examination of the carbon monoxide lung diffusing capacity equipped with an ultrasonic flow meter capable of accurately measuring the amount of inhalation and exhalation of the medical four kinds of gases.
これは、4種ガスの微量成分情報を付与する事で、そのガスの流量を精度よく測定する機能を持たせている。 This gives the function of accurately measuring the flow rate of the gas by adding the trace component information of the four kinds of gases.
本発明の精密肺機能検査装置の測定管内に、取り外しが可能な交換式の管を差し込み使用する構造を採用している。 A structure is used in which a removable tube is inserted into the measuring tube of the precision lung function testing device of the present invention.
本発明は、超音波流量計を利用した一酸化炭素肺拡散能力の検査に用いる精密肺機能検査装置について、医療用4種ガスの微量成分情報を付与する事で被検者の吸気呼気の流量を精度よく測定する機能を持つ。 The present invention relates to a precision lung function testing apparatus used for testing carbon monoxide lung diffusion ability using an ultrasonic flowmeter, and provides a flow rate of inhaled exhaled breath of a subject by giving trace information of four kinds of medical gases. It has the function to measure accurately.
測定管の内側に被検者ごとに容易に取り換え可能な管を差し込んで使用する事で被検者間の感染を防止する。 By inserting a tube that can be easily replaced for each subject inside the measuring tube, infection between the subjects is prevented.
1 測定管
2 超音波素子
3 超音波伝搬経路、
4 メンブレンフィルタ
5 取り外しが可能な交換式の管
6 測定ガス流路1
4 Membrane filter 5
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