JP3600829B2 - Left and right blood flow balance inspection device - Google Patents

Left and right blood flow balance inspection device Download PDF

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Publication number
JP3600829B2
JP3600829B2 JP2002296851A JP2002296851A JP3600829B2 JP 3600829 B2 JP3600829 B2 JP 3600829B2 JP 2002296851 A JP2002296851 A JP 2002296851A JP 2002296851 A JP2002296851 A JP 2002296851A JP 3600829 B2 JP3600829 B2 JP 3600829B2
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Prior art keywords
ear
head
blood flow
temperature
flow balance
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Expired - Fee Related
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JP2002296851A
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JP2004129809A (en
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吉伸 中村
清晴 中村
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Description

【0001】
【産業上の利用分野】
本発明は、耳に装着して耳内の体温を計測する体温計、及び耳内の体温を計測して頭部血流状態(左右のバランス)を把握し、脳卒中や脳梗塞の予防や種々の検査を行う検査装置に関するものである。
【0002】
【従来技術及び発明が解決しようとする課題】
耳孔に装着して体温を計測する器具は、従前より広く知られている。またその計測も鼓膜温度の計測を主眼とし、特に計測位置によって誤差が生じない工夫が提案されている。
【0003】
例えば耳孔内の体温を赤外線量で計測するための具体的機構は、特開2001−54505号公報に開示されており、検出箇所を正確にするために指向性を備える手段は、特開2000−139849号公報、特開2001−54505号公報に開示されている。
【0004】
また複数の指向方向を備えて体温を計測する技術は、特開平8−275924号公報、特開平7−184866号公報に開示されている。
【0005】
更に前記センサで検知した温度の電気的処理や正否検知処理は、特開2001−346776号公報、特開2001−340302号公報に開示されている。
【0006】
また耳孔装着体温計を正確な位置に装着する手段としては、所謂ヘッドホンスタイルとすることが、特開平6−90909号公報に開示されている。
【0007】
前記の体温計は、正確な体温を計測することを目的としており、複数の指向性を有する複数センサを備えるのも、器具の耳孔装着状態間の不正確さを改善することを目的としている。
【0008】
ところで、耳孔の体温測定に際して、装着状態の正確さを求めたり、複数の指向先体温を計測するのは、耳孔内の体温が一定でないためである。即ち鼓膜周辺に脳に血液を供給する動脈と、排出する静脈が近接しており、血流の変動や血管への遠近によって体温が変化するためである。
【0009】
そこで本発明は、この体温変位(時間的変位及び位置的変位)を検知して、検査対象の脳血流状態(特に左右血流バランス)を把握して、種々に応用できる検査装置を提案したものである。
【0010】
【課題を解決する手段】
本発明に係る頭部の左右血流バランス検査装置は、耳孔装着時に少なくとも鼓膜における頭部前方側と、頭部後方側に対して指向性を有する温度センサを備える耳内体温計測部を組み込んだ2個の耳装着体と、前記耳装着体を相対向状態で先端部分に保持すると共に、対向方向に付勢するアーチ状の装着付勢部と、前記計測部の計測結果を所定の演算処理して、表示する処理部とで構成したことを特徴とするものである。
【0011】
従って装着付勢部の採用によって耳装着体が正常位置に装着され、耳内体温計測部によって所定部位(指向方向部位)の体温を測定し、各部位の温度差から、動脈流と静脈流の左右の脳血流バランス(脳の活動状態)を知ることができる。
【0012】
また指向性温度センサを鼓膜周囲部分の多数箇所の温度を計測するようにすると(請求項2の発明)、より正確に脳活動を把握できる。
【0013】
また計測結果の時間的変位に基づいて脳の活動変化を把握すると(請求項3の発明)、外的要因の付加とあわせて時間的変化をみることで、計測者の心理的な動きも知ることができる(嘘発見器としての応用が可能である)。
【0014】
更に耳装着体に、振動検知部を備えてなることで(請求項4の発明)、血液流量に基づく計測だけではなく、動脈瘤を原因とする雑音を拾うこともできる。
【0015】
更に耳装着体に、外部音の増幅、所定音量の発生等の音発生機構を組み込んでなると(請求項5の発明)、耳装着体の装着状態で、外部音を容易に聞き取ることができるし、聴力検査にも応用できる。
【0016】
【実施の形態】
次に本発明の実施形態について説明する。実施形態に示した装置は、2個の耳装着体1と、装着付勢部2と、処理部(パソコン等)3とで構成される。
【0017】
耳装着体1は、所定の指向性を備えた複数の耳内体温計測部11と、振動検知部12と、音発生機構13を組み込んでなり、検知したデータを処理部3に出力したり音声入力を行うデータ線14を有してなる。
【0018】
耳内温度計測部11は、耳装着体1を耳内に装着した際に、図3に例示したように鼓膜Aの中央部分イ、外周部分ロ、ハ、ニ、ホ、ヘ、トに対して指向性を有するように導波管を内装し、且つ各導波管で導かれた赤外線を検知する温度センサで構成される。特に指向方向としては、動脈Bの影響が直ぐに表れ易い部位(鼓膜における頭部前方側)ロ、動脈Bの影響が直ぐに表れ難い部位(鼓膜における頭部後方側)ホ、静脈Cの影響が直ぐに表れ易い部位ヘや、前記部位の中間部分となる部位ハ、ニ、トが最適である。勿論前記中間部位ハ、ニ、トは省略しても良い。これらの検温データは各センサ毎に独立したデータとして処理部3に送られる。
【0019】
振動検知部12は、微細に空気振動を検知するもので、動脈Bの血流音を把握できるようにしたものである。
【0020】
音声発生部13は、耳装着体1を耳に装着しても、外部音(各種診察時の聴聞のための質問や、嘘発見器として使用した場合の質問の為)を確実に聞き取りができるようにしたり、所定音を発生させて聞き取り可能であるか等の聴力測定用として使用するものである。
【0021】
装着付勢部2は弾性体で形成され、両先端部分に耳装着体1を相対向して付設したもので、耳装着体の差し込み部分を耳内に装着した際に、位置ずれが生じないように対向方法に付勢するものである。
【0022】
処理部3は、使用目的に応じて、前記耳内体温計測部11で検知した各所(イ、ロ、ハ、ニ、ホ、ヘ、ト)の耳内体温(赤外線量)を対比したり、時間的変位を算出して、その結果を表示する等のプログラムを組み込んだものである。
【0023】
具体的には、全センサによる左右耳内温度を、各対応する部位を比較することで、左右の脳血流のバランスを知ることができる。また動脈Bに近い部位ロの温度と、動脈Bの影響が直ぐに表れ難い部位ホの温度と、静脈Cの影響が直ぐに表れ易い部位ヘの温度の各時間的変位を見ると、例えば部位ロの温度が急に変化すると、脳への血流が増大したことが示され、脳が興奮状態に移行したことを知ることができる(嘘発見器として応用できる)。
【0024】
更に前記の部位ロの温度変化が動脈血流にのみ依存しているか否かの確認は、部位ホの温度検知値の時間的変位と対応することで可能である(検知結果による補正が可能)。
【0025】
従って各部位の温度を計測し、その位置的変位や時間的変位を比較検証することで、脳血流状態を把握することができ、頭部の左右血流のバランスを知ることにより脳卒中や脳梗塞など頭部血流に関する疾病予防の対策の資料とすることができる等の各医療分野における診断用機器とすることができる。
【0026】
更に振動検知部12や音声発生装置13を組み込むことにより、血流音を探知して動脈瘤などの発見機器として使用できるし、外部音声の伝達が容易になされることで、嘘発見器としての機能も果たすことになるし、聴力検査機器として使用できる。
【0027】
【発明の効果】
以上のように本発明は、耳装着時に少なくとも鼓膜における頭部前方側と、頭部後方側に対して指向性を有する温度センサを備える耳内体温計測部を組み込んだ2個の耳装着体と、前記耳装着体を相対向状態で先端部分に保持すると共に、対向方向に付勢するアーチ状の装着付勢部と、前記計測部の計測結果を所定の演算処理して、表示する処理部とで構成した頭部の左右血流バランス検査装置で、各部位の位置的温度差や時間的温度差から、動脈流と静脈流の左右の脳血流バランスや脳の活動状態を知ることができ、各種診断用機器として応用できたものである。
【図面の簡単な説明】
【図1】本発明の実施形態の全体斜視図。
【図2】同耳装着体の構造説明図。
【図3】同検査対象部位の説明図。
【符号の説明】
1 耳装着体
11 耳内体温計測部
12 振動検知部
13 音発生機構
14 データ線
2 装着付勢部
3 処理部
[0001]
[Industrial applications]
The present invention relates to a thermometer that is worn on the ear to measure the body temperature in the ear, and measures the body temperature in the ear to grasp the state of head blood flow (balance between left and right) to prevent stroke and cerebral infarction, The present invention relates to an inspection device for performing an inspection.
[0002]
2. Prior Art and Problems to be Solved by the Invention
Devices that are worn in the ear canal to measure body temperature are more widely known than before. In addition, the measurement mainly focuses on the measurement of the eardrum temperature, and in particular, a device that does not cause an error depending on the measurement position has been proposed.
[0003]
For example, a specific mechanism for measuring a body temperature in an ear canal by an infrared ray amount is disclosed in Japanese Patent Application Laid-Open No. 2001-54505. No. 139849 and JP-A-2001-54505.
[0004]
Techniques for measuring body temperature with a plurality of directional directions are disclosed in JP-A-8-275924 and JP-A-7-184866.
[0005]
Further, electrical processing and correctness detection processing of the temperature detected by the sensor are disclosed in JP-A-2001-346776 and JP-A-2001-340302.
[0006]
Japanese Patent Laid-Open No. 6-90909 discloses that a so-called headphone style is used as a means for mounting the ear canal thermometer at an accurate position.
[0007]
The aforementioned thermometer is intended to measure an accurate body temperature, and is provided with a plurality of sensors having a plurality of directivities, and is also intended to improve inaccuracies between wearing states of the ear canal of the instrument.
[0008]
By the way, when the body temperature of the ear canal is measured, the accuracy of the wearing state is determined, and the body temperature in the ear canal is measured because the body temperature in the ear canal is not constant. That is, the artery that supplies blood to the brain and the draining vein are close to each other around the eardrum, and the body temperature changes due to fluctuations in blood flow or distance to blood vessels.
[0009]
Therefore, the present invention has proposed a testing apparatus which detects this body temperature displacement (temporal displacement and positional displacement), grasps the cerebral blood flow state (particularly, right and left blood flow balance) of the test object, and can apply it to various applications. Things.
[0010]
[Means to solve the problem]
The left and right blood flow balance testing device of the present invention incorporates an in-ear body temperature measurement unit including a temperature sensor having directivity to at least the front of the eardrum and the back of the head when the ear canal is worn. Two ear wearing bodies, an arch-shaped wearing urging unit that holds the ear wearing bodies at the distal end portions in opposite states and urges them in the facing direction, and performs a predetermined arithmetic processing on the measurement results of the measuring unit. And a processing unit for displaying.
[0011]
Therefore, the ear wearing body is worn at a normal position by the use of the wearing urging part, and the body temperature of the predetermined part (directional direction part) is measured by the in-ear body temperature measuring part, and the arterial flow and the venous flow are determined from the temperature difference of each part. You can know left and right cerebral blood flow balance (brain activity).
[0012]
Further, if the directional temperature sensor measures the temperature at many points around the eardrum (the invention of claim 2), the brain activity can be grasped more accurately.
[0013]
In addition, when the change in brain activity is grasped based on the temporal displacement of the measurement result (the invention of claim 3), the psychological movement of the measurer is also known by observing the temporal change together with the addition of an external factor. Can be applied (it can be applied as a lie detector).
[0014]
Further, by providing the ear-wearing body with the vibration detecting unit (the invention of claim 4), not only measurement based on blood flow but also noise caused by an aneurysm can be picked up.
[0015]
Further, if a sound generating mechanism for amplifying an external sound and generating a predetermined volume is incorporated in the ear wearing body (the invention of claim 5), the external sound can be easily heard in a state where the ear wearing body is worn. It can also be applied to hearing tests.
[0016]
Embodiment
Next, an embodiment of the present invention will be described. The device shown in the embodiment includes two ear wearing bodies 1, a wearing urging unit 2, and a processing unit (such as a personal computer) 3.
[0017]
The in-ear body 1 incorporates a plurality of in-ear body temperature measuring units 11 having a predetermined directivity, a vibration detecting unit 12, and a sound generating mechanism 13, and outputs detected data to the processing unit 3 or outputs audio data. It has a data line 14 for inputting.
[0018]
When the in-ear temperature measurement unit 11 wears the ear wearing body 1 in the ear, as illustrated in FIG. 3, the center part A of the eardrum A, the outer part B, C, D, E, H, and G A waveguide is provided so as to have directivity and has a temperature sensor for detecting infrared rays guided by each waveguide. In particular, as the directional direction, a portion where the influence of the artery B easily appears immediately (front of the head in the eardrum) b, a portion where the influence of the artery B hardly appears immediately (back of the head in the eardrum) e, and the effect of the vein C immediately Optimally, a portion that is likely to appear or a portion C, D, or G that is an intermediate portion of the above portion is optimal. Of course, the intermediate portions C, D, and G may be omitted. These temperature measurement data are sent to the processing unit 3 as independent data for each sensor.
[0019]
The vibration detection unit 12 detects air vibrations minutely, and can grasp the blood flow sound of the artery B.
[0020]
The sound generation unit 13 can surely hear external sounds (for questions for hearing at various medical examinations and questions when used as a lie detector) even when the ear-wearing body 1 is worn on the ears. Or to generate a predetermined sound to determine whether or not it is possible to hear.
[0021]
The mounting biasing portion 2 is formed of an elastic body, and the ear mounting body 1 is attached to both end portions so as to face each other. When the insertion portion of the ear mounting body is mounted in the ear, no positional displacement occurs. As described above.
[0022]
The processing unit 3 compares the in-ear body temperature (infrared ray amount) of each part (a, b, c, d, e, f, g) detected by the in-ear body temperature measuring unit 11 according to the purpose of use, It incorporates a program for calculating the temporal displacement and displaying the result.
[0023]
Specifically, by comparing the temperature in the left and right ears by all the sensors with the corresponding portions, it is possible to know the balance between the left and right cerebral blood flows. Further, when looking at the temperature of the part B close to the artery B, the temperature of the part E where the influence of the artery B hardly appears immediately, and the temperature change to the part where the influence of the vein C readily appears easily, for example, A sudden change in temperature indicates an increase in blood flow to the brain, indicating that the brain has transitioned to an excited state (can be applied as a lie detector).
[0024]
Further, it is possible to confirm whether or not the above-mentioned temperature change of the part B depends only on the arterial blood flow by corresponding to the temporal displacement of the detected temperature value of the part E (correction based on the detection result is possible). .
[0025]
Therefore, by measuring the temperature of each part and comparing and verifying the positional displacement and temporal displacement, the state of cerebral blood flow can be grasped, and the stroke and brain It can be used as a diagnostic device in various medical fields, for example, it can be used as a material for measures to prevent diseases related to head blood flow such as infarction.
[0026]
Further, by incorporating the vibration detection unit 12 and the sound generation device 13, the blood flow sound can be detected and used as a device for detecting an aneurysm, etc., and the transmission of external sound is facilitated, so that the device as a lie detector can be used. It also performs its function and can be used as a hearing test device.
[0027]
【The invention's effect】
As described above, the present invention relates to two ear wearing bodies incorporating an in-ear body temperature measurement unit including a temperature sensor having directivity toward at least the front of the eardrum and the back of the head when worn. An arcuate mounting urging unit that holds the ear-mounted body at the distal end in an opposed state and urges the ear-mounted body in the opposing direction, and a processing unit that performs predetermined arithmetic processing on the measurement result of the measuring unit and displays the result. The left and right blood flow balance testing device consists of a head and a head, and it is possible to know the left and right cerebral blood flow balance of the arterial flow and the venous flow and the brain activity state from the positional temperature difference and temporal temperature difference of each part. It could be applied to various diagnostic devices.
[Brief description of the drawings]
FIG. 1 is an overall perspective view of an embodiment of the present invention.
FIG. 2 is a structural explanatory view of the same ear wearing body.
FIG. 3 is an explanatory view of the inspection target site.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 1 Ear wearing body 11 In-ear body temperature measuring part 12 Vibration detecting part 13 Sound generating mechanism 14 Data line 2 Wearing urging part 3 Processing part

Claims (5)

耳孔装着時に少なくとも鼓膜における頭部前方側と、頭部後方側に対して指向性を有する複数の温度センサを備える耳内体温計測部を組み込んだ2個の耳装着体と、前記耳装着体を相対向状態で先端部分に保持すると共に、対向方向に付勢するアーチ状の装着付勢部と、前記計測部の各温度センサの各検温データを比較する演算処理をし、処理結果を表示する処理部とで構成したことを特徴とする頭部の左右血流バランス検査装置。At least two ear wearing bodies incorporating an in-ear body temperature measurement unit having a plurality of temperature sensors having directivity to the head of the eardrum and at least the direction of the back of the head at the time of ear canal wearing; Computing processing is performed to compare the temperature measurement data of each temperature sensor of the measurement unit with the arch-shaped mounting urging unit that is held at the distal end in the opposing state and urges in the opposing direction, and the processing result is displayed. A left and right blood flow balance inspection device for a head, comprising: a processing unit. 鼓膜における頭部前方側と、頭部後方側に対して指向性を有する温度センサの他に、前記指向方向の中間部位を指向する指向性温度センサを備えてなる請求項1記載の頭部の左右血流バランス検査装置。 2. The head according to claim 1 , further comprising a directional temperature sensor for directing an intermediate portion of the directing direction, in addition to the temperature sensor having directivity to the front of the head and the rear of the head in the eardrum. Left and right blood flow balance inspection device. 各温度センサの各検温データの時間的変位を比較する演算処理をして、脳の活動変化を把握する請求項1又は2記載の頭部の左右血流バランス検査装置。3. The left-right blood flow balance inspection apparatus for a head according to claim 1 or 2, wherein a calculation process for comparing temporal displacement of each temperature measurement data of each temperature sensor is performed to grasp a change in brain activity. 耳装着体に、空気振動検知部を備えてなる請求項1乃至3記載の何れかの頭部の左右血流バランス検査装置。4. The apparatus according to claim 1, wherein the ear-wearing body includes an air vibration detecting unit. 耳装着体に、外部音の増幅、所定音量の発生等の音発生機構を組み込んでなる請求項1乃至4記載の何れかの頭部の左右血流バランス検査装置。The left-right blood flow balance inspection apparatus for a head according to any one of claims 1 to 4, wherein a sound generation mechanism such as amplification of an external sound and generation of a predetermined volume is incorporated in the ear-worn body.
JP2002296851A 2002-10-10 2002-10-10 Left and right blood flow balance inspection device Expired - Fee Related JP3600829B2 (en)

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JP5185050B2 (en) * 2008-09-29 2013-04-17 テルモ株式会社 In-ear thermometer
CN102238906B (en) * 2008-10-07 2013-11-06 奥森医疗科技有限公司 Diagnosis of acute strokes
US20120203122A1 (en) 2011-02-09 2012-08-09 Opher Kinrot Devices and methods for monitoring cerebral hemodynamic conditions
US10405784B2 (en) * 2014-05-14 2019-09-10 Stryker Corporation Tissue monitoring apparatus and method
JP5981506B2 (en) * 2014-09-01 2016-08-31 ダイキン工業株式会社 Brain activity estimation device

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