JP3731183B2 - Contact pressure blood flow sensor - Google Patents

Contact pressure blood flow sensor Download PDF

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Publication number
JP3731183B2
JP3731183B2 JP2000355024A JP2000355024A JP3731183B2 JP 3731183 B2 JP3731183 B2 JP 3731183B2 JP 2000355024 A JP2000355024 A JP 2000355024A JP 2000355024 A JP2000355024 A JP 2000355024A JP 3731183 B2 JP3731183 B2 JP 3731183B2
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Japan
Prior art keywords
blood flow
bag
contact pressure
flow sensor
transparent
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JP2000355024A
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JP2002119487A (en
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幸哉 小南
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株式会社エイエムアイ・テクノ
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Description

【0001】
【産業上の利用分野】
この発明は、布団や衣服などによる生体へ加わる外圧。つまり、体圧や、拘束圧の強度が、その皮膚へ与える影響を血流で観る為のものである。例えば高齢化時代に於いて、寝たきり高齢者に対する床ずれ予防対策が、ますます重要な社会的問題であり、科学的に知る必要がある。その床ずれの第一要因が皮膚への圧迫が、皮膚血流を阻害することである。寝てる時間、体重、姿勢、生体の症状と、寝具の弾力性、構造との関係が予防に係ってくる。それには、血流の阻害する圧力を知る必要があり、その値は皮下組織の違いで各部位で異なる。従って、予防として、圧力分散と云われるが、各部位で皮膚の血流阻害の圧迫値を知ってやることである。それには、皮膚上の圧迫と、その皮下の血流を計測して解明することで、ベット、車椅子、マットレスなど予防用具の開発に繋がる。この発明はそれらの計測に関するものである。
【0002】
【従来の技術】
従来は、接触圧計測と、血流計測は各々のセンサを並べて計測していた。つまり、同一部位の計測ではなく、お互いに近辺の部位を計測していた。皮膚血流の場合は、主に毛細血管の計測となるが、均等に皮膚に組織してない血管の為、僅かずれた部位では大きく血管組織量が異なる事がある。また、厚み、硬さ、取付け方で互いのセンサが皮膚刺激など与え影響したり、また、近い部位に取り付けるにも限度があり、正確性に欠ける事があった。
【0003】
【発明が解決しようとする課題】
したがって、特に床ずれ予防対策では、計測部位の皮下血流の計測と、その皮膚の真上の接触圧と同一部位で計測することが必要で、取付けたセンサの影響を極力少なく、各々相関データを計測する事で解析が可能となる。例えば、ベット、マットレスの弾力性の考慮や、姿勢変動による体圧値の把握、そのデータを元に、予防研究、教育指導や、用具の構造、機能の設計などを行う事である。また、それら用具の使用感の評価でも、接触圧値、皮膚血流変化は重要視される。したがって、接触圧と血流が同一部位で行う事で、相互のセンサが影響しないで、装着違和感が少ない薄く扁平状の一体型が理想である。
【0004】
【課題を解決するための手段】
この発明は、接触圧計は柔かい面の接触圧計測用で、測定値の再現性、精度が校正で確認できる方式で、近年に測定と校正を含め特許取得した。また、血流計は、従来から医療機器として多く使われいる半導体レーザー血流計を使用する。それら新旧別々のかたちで、信頼性が高い測定方式を使い、各々計測機能を生かし、それぞれのセンサをひとつに組み込むことで達成できた。
【0005】
【作用】
本発明は、図1に於いて、圧力計に導くチューブ3を備え、接触環境を極力変えない為に袋全体が扁平状で、圧迫で計測面が拡がらなく同一面の部位を保つ為、伸縮が少なく柔軟材からなる透明な袋1の内部に、レーザー血流計へ導く受光発光の2本の光ファイバー2を、袋内部の底面中心部に固定材4で固定する。この時、袋全体が薄くする事を考慮する。その接触圧血流センサを使用の際は、図10に於いて、透明な袋1に加圧時に光ファイバー2を圧迫しない程度の空気などの流体を入れ、チューブを圧力計に接続し、光ファイバー2をレーザー血流計に接続する。接触圧血流センサの取付けは、光ファイバー2が固定してある面を生体側に向け、穴開き両面テープ18で皮膚に貼付ける。ズレやすべりなどでセンサがはが外れない対策として、袋を覆うように貼付フイルム14にて、しっかり生体15に貼付テープ17にて付ける。その状態にて、例えば図9、図10に於いて生体を寝具16に寝かせた時。接触圧は、扁平状の透明な袋1に閉じ込められた空気など流体が圧縮され受圧する。その圧縮力が接続されたチューブ3を介し接続された圧力計によって圧力を計測する。と、同時に皮膚血流は、袋の中央部の透明な材質の面に固定された光ファイバー2によって、レーザー血流計から発光されたレーザー光が、透明材をそのまま平衡透過し、生体15の皮膚組織にて光が散乱する。その一部を光ファイバーにて受光し計測する。したがって、同一部位の接触圧と皮膚血流の同時計測が可能になる。
【0006】
【実施例】
この発明の実施例として図に追って説明すると、図1に於いて圧力計に接続するチューブ3を接続した扁平状で伸縮が少なく柔軟で透明な袋1の内部に、レーザー血流計に接続する光ファイバー2を配線。その端を袋内面に垂直に成るように曲げ固定材4で固定して成る接触圧血流センサ。図2に於いて光ファイバー2をプリズム5の屈折を利用して、袋内面に垂直にレザー光8が照射し、受光する様にした。図3に於いて不透明な袋6の場合、開口部7を設け、その開口部7を、薄いフイルムや薄い板材から成る透明材9で塞ぎ、その透明材9に光ファイバー2を垂直に固定して構成した。この場合、センサを生体への取り付ける時に両面テープの貼付やはがす際に、袋を破かないように保護も兼ねる効果にもなる。図4に於いて透明な袋1の生体へ貼付時、両面テープの貼付やはがす際に、袋を保護の役目として、フイルムや薄い板材から成る透明な保護材10を設け耐久性を考慮した。図5に於いて不透明な材質で保護した場合に、穴開き保護材11とした。図6に於いて圧力計の計測方式が、受圧センサ部を計測機器外部まで導くことができるタイプは、チューブ3を備えず、その圧力センサ12を袋内部に組込んだ構造。図7に於いてセンサ取付け時、生体15に接し、血流計測部位の近辺に薄い表面温度センサ20を備えた。特に、ドーナツ状に中央に穴を設け、その中央でレーザー光を通す構造は、血流変化とお供に変化する温度情報がより正確である。図8、図9、図10に於いて本発明の接触圧血流センサを生体に取り付ける際に、まず穴開き両面テープ18にて生体15に貼り付ける。そして全体を覆うように貼付フィルム14を貼付テープ17で貼り付けるようにしたもので、生体15の動きや、生体15と寝具16の沈みなどの変形時に、互いの表面積の変化によるス゛レが生じる。そのズレによる袋の破壊防止。つまり、袋内部が流体の為、横ス゛レに対する抵抗が無く、センサの破壊や破けに繋がる。それを防ぐことと、皮膚に対し垂直圧として受圧することにもなり、これは実用面で重要な役割である。
【0007】
【発明の効果】
本発明の接触圧血流センサを生体に取り付け、チューブ3を圧力計に、光ファイバー2をレーザー血流計に接続しそれぞれ計測を、図10に表すように、皮下では血流計から発光されたレザー光が、光ファイバー2で導かれ透明な袋1を透過し、皮膚内に散乱光19が拡がり、その一部を受光する。その皮膚上では、柔軟で透明な袋1に密封された空気など流体が、透明な袋1の外圧を受け、内部流体が受圧、チューブ3に導かれ圧力計本体へ伝達し圧力計測する。それにより、同一部位の皮膚表面の接触圧と、その皮下の血流の計測が行える。従って、拘束圧の変化や、姿勢変動による接触圧の経時的変化とともに、皮膚への影響を血流で観ることができる。この接触圧計測方式に関しては値の校正が行える為、血流阻害の圧力の数値化などが可能となる。その上、表面温度センサ20を備えることで、一つのセンサで同一部位より3つの情報が得られ、多く種類のセンサを取り付けることなく計測が可能となる。したがって、床ずれの予防、研究、評価、指導、用具設計製造だけではなく、生理的な影響など幅広い分野で利用が考えられる。
【図面の簡単な説明】
【図1】 本発明の構成の断面図
【図2】 本発明のプリズムを使用した断面図
【図3】 本発明の不透明な袋と透明材を使用した断面図
【図4】 本発明の透明な保護材を備えた断面図
【図5】 本発明の穴開き保護材を備えた断面図
【図6】 本発明の圧力センサを袋内に備えた断面図
【図7】 本発明の表面温度センサを備えた断面図
【図8】 本発明の貼付フィルムを備えた断面図
【図9】 本発明を使用実施状況の断面図
【図10】 本発明を使用実施状況の拡大断面図
【図11】 本発明の外観図
【符号の説明】
1は透明な袋
2は光ファイバー
3はチューブ
4は固定材
5はプリズム
6は不透明な袋
7は開口部
8はレザー光
9は透明材
10は透明な保護材
11は穴開き保護材
12は圧力センサ
13は配線
14は貼付フイルム
15は生体
16は寝具
17は貼付テープ
18は穴開き両面テープ
19は散乱光
20は表面温度センサ
[0001]
[Industrial application fields]
This invention is an external pressure applied to a living body by a futon or clothes. In other words, the effect of body pressure and restraint pressure on the skin is to be observed in the bloodstream. For example, in the age of aging, bedsore prevention measures for bedridden elderly people are an increasingly important social problem, and it is necessary to know scientifically. The primary cause of the bedsore is that the pressure on the skin inhibits skin blood flow. The relationship between sleeping time, weight, posture, biological symptoms, bedding elasticity, and structure is related to prevention. For that purpose, it is necessary to know the pressure that the blood flow inhibits, and the value varies depending on the subcutaneous tissue. Therefore, as prevention, it is called pressure dispersion, but it is to know the pressure value of skin blood flow inhibition at each site. To that end, measuring pressure on the skin and measuring blood flow under the skin will help to develop preventive devices such as beds, wheelchairs and mattresses. The present invention relates to these measurements.
[0002]
[Prior art]
Conventionally, contact pressure measurement and blood flow measurement have been performed by arranging the sensors side by side. That is, not the same part, but the parts near each other were measured. In the case of skin blood flow, capillary blood vessels are mainly measured. However, because the blood vessels are not evenly organized in the skin, the amount of vascular tissue may be greatly different at slightly shifted sites. In addition, each sensor has effects such as skin irritation on the thickness, hardness, and attachment method, and there is a limit to the attachment to a close part, and the accuracy may be lacking.
[0003]
[Problems to be solved by the invention]
Therefore, especially for bedsore prevention measures, it is necessary to measure the subcutaneous blood flow at the measurement site and to measure at the same site as the contact pressure directly above the skin. Analysis is possible by measuring. For example, consideration of the elasticity of bets and mattresses, ascertaining body pressure values due to posture changes, and performing preventive research, educational guidance, and design of equipment structure and functions based on the data. Also, contact pressure values and skin blood flow changes are regarded as important in the evaluation of the feeling of use of these tools. Therefore, it is ideal that the contact pressure and blood flow are performed at the same site so that the mutual sensors are not affected, and a thin and flat integrated type with little discomfort is attached.
[0004]
[Means for Solving the Problems]
In the present invention, the contact pressure gauge is used for measuring the contact pressure of a soft surface, and the reproducibility and accuracy of the measured value can be confirmed by calibration. In recent years, patents including measurement and calibration have been obtained. As the blood flow meter, a semiconductor laser blood flow meter that has been conventionally used as a medical device is used. This was achieved by using a highly reliable measurement method in each of these new and old forms, making use of each measurement function, and incorporating each sensor into one.
[0005]
[Action]
The present invention includes a tube 3 that leads to a pressure gauge in FIG. 1, the entire bag is flat so as not to change the contact environment as much as possible, and the measurement surface does not expand due to compression, so that the same surface portion is maintained. Two optical fibers 2 for receiving and emitting light that are guided to the laser blood flow meter are fixed to the center of the bottom surface inside the bag with a fixing material 4 inside a transparent bag 1 made of a flexible material with little expansion and contraction. At this time, consider making the entire bag thinner. When using the contact pressure blood flow sensor, as shown in FIG. 10, a fluid such as air that does not compress the optical fiber 2 during pressurization is placed in the transparent bag 1, and the tube is connected to the pressure gauge. Connect to the laser blood flow meter. The contact pressure blood flow sensor is attached to the skin with the holed double-sided tape 18 with the surface on which the optical fiber 2 is fixed facing the living body. In order to prevent the sensor from coming off due to slippage or slipping, the adhesive film 14 is firmly attached to the living body 15 with the adhesive tape 17 so as to cover the bag. In this state, for example, when the living body is laid on the bedding 16 in FIGS. The contact pressure is received by compressing a fluid such as air confined in the flat transparent bag 1. The pressure is measured by a pressure gauge connected through the tube 3 to which the compressive force is connected. At the same time, the skin blood flow is equilibrated and transmitted through the transparent material by the laser light emitted from the laser blood flow meter by the optical fiber 2 fixed to the transparent material surface in the center of the bag, and the skin of the living body 15 Light is scattered in the tissue. A part of it is received by an optical fiber and measured. Therefore, simultaneous measurement of contact pressure and skin blood flow at the same site is possible.
[0006]
【Example】
The embodiment of the present invention will be described with reference to the drawings. In FIG. 1, a laser blood flow meter is connected to the inside of a flat, flexible and transparent bag 1 connected to a tube 3 connected to a pressure gauge. Wire the optical fiber 2. A contact pressure blood flow sensor having its end fixed with a bending fixing material 4 so as to be perpendicular to the inner surface of the bag. In FIG. 2, the optical fiber 2 is irradiated with laser light 8 perpendicularly to the inner surface of the bag by utilizing the refraction of the prism 5 so as to receive light. In the case of the opaque bag 6 in FIG. 3, an opening 7 is provided, the opening 7 is closed with a transparent material 9 made of a thin film or a thin plate material, and the optical fiber 2 is fixed vertically to the transparent material 9. Configured. In this case, when the sensor is attached to the living body, when the double-sided tape is affixed or peeled off, it also serves to protect the bag so as not to break the bag. In FIG. 4, when the transparent bag 1 is applied to a living body, a transparent protective material 10 made of a film or a thin plate material is provided to protect the bag when the double-sided tape is applied or peeled, and durability is taken into consideration. In FIG. 5, when protected by an opaque material, the perforated protective material 11 was used. In FIG. 6, the type in which the pressure gauge measurement system can guide the pressure-receiving sensor portion to the outside of the measuring device does not include the tube 3 and the pressure sensor 12 is incorporated inside the bag. In FIG. 7, a thin surface temperature sensor 20 is provided in contact with the living body 15 and in the vicinity of the blood flow measurement site when the sensor is attached. In particular, a structure in which a hole is formed at the center in the shape of a donut and a laser beam is transmitted at the center has more accurate temperature information that changes with changes in blood flow. 8, 9, and 10, when the contact pressure blood flow sensor of the present invention is attached to a living body, it is first attached to the living body 15 with a double-sided tape 18 with holes. Then, the adhesive film 14 is attached with the adhesive tape 17 so as to cover the whole, and when the living body 15 moves or the living body 15 and the bedding 16 sink, deformation due to changes in the surface area of each other occurs. Prevention of bag destruction due to the deviation. In other words, because the inside of the bag is fluid, there is no resistance to lateral displacement, which leads to sensor breakage or breakage. To prevent this and to receive pressure as normal pressure against the skin, this is an important role in practical use.
[0007]
【The invention's effect】
The contact pressure blood flow sensor of the present invention was attached to a living body, the tube 3 was connected to a pressure gauge, the optical fiber 2 was connected to a laser blood flow meter, and each measurement was performed, as shown in FIG. The leather light is guided by the optical fiber 2 and passes through the transparent bag 1, and the scattered light 19 spreads in the skin, and a part thereof is received. On the skin, a fluid such as air sealed in a flexible and transparent bag 1 receives the external pressure of the transparent bag 1, and the internal fluid is received and guided to the tube 3 and transmitted to the pressure gauge body to measure the pressure. Thereby, the contact pressure of the skin surface of the same site | part and the measurement of the subcutaneous blood flow can be performed. Therefore, the influence on the skin can be observed in the bloodstream together with the change in the restraint pressure and the change in the contact pressure due to the posture change over time. Since the value can be calibrated with respect to this contact pressure measurement method, the pressure for inhibiting blood flow can be digitized. In addition, by providing the surface temperature sensor 20, three information can be obtained from the same part with one sensor, and measurement can be performed without attaching many types of sensors. Therefore, it can be used in a wide range of fields such as prevention of bedsores, research, evaluation, guidance, tool design and manufacture, as well as physiological effects.
[Brief description of the drawings]
FIG. 1 is a cross-sectional view of the structure of the present invention. FIG. 2 is a cross-sectional view using the prism of the present invention. FIG. 3 is a cross-sectional view using the opaque bag and transparent material of the present invention. FIG. 5 is a cross-sectional view provided with a perforated protective material of the present invention. FIG. 6 is a cross-sectional view provided with a pressure sensor of the present invention in a bag. FIG. 7 is a surface temperature of the present invention. Cross-sectional view with sensor [FIG. 8] Cross-sectional view with the adhesive film of the present invention [FIG. 9] Cross-sectional view of the state of use of the present invention [FIG. 10] Enlarged cross-sectional view of the state of use of the present invention [FIG. ] External view of the present invention [Explanation of symbols]
1 is transparent bag 2 optical fiber 3 tube 4 fixing material 5 prism 6 opaque bag 7 opening 8 leather light 9 transparent material 10 transparent protective material 11 perforated protective material 12 pressure Sensor 13 Wiring 14 Paste film 15 Living body 16 Bedding 17 Paste tape 18 Perforated double-sided tape 19 Scattered light 20 Surface temperature sensor

Claims (9)

チューブ3を備えた伸縮が少なく柔軟で透明な袋1であって、光ファイバー2を袋内面に配線固定された透明な袋1と、人体へ貼着する手段とを有する、接触圧血流センサ。 A bag 1 stretch less flexible and light permeable with a tube 3 having an optical fiber 2 and the transparent bag 1 wired fixed to the bag inner surface, and means for attaching to a human body, the contact圧血flow sensor . 透明な袋1の内面に、光ファイバー2をプリズム5配線固定して構成した請求項1の接触圧血流センサ。The contact pressure blood flow sensor according to claim 1, wherein the optical fiber 2 is fixed to the prism 5 on the inner surface of the transparent bag 1. 伸縮が少なく柔軟で、不透明な袋6の場合、開口部7を設け、その開口部7を透明材9で塞ぎ、その透明材9に光ファイバー2を固定して構成された請求項1の接触圧血流センサ。In the case of a flexible, opaque bag 6 with little expansion / contraction, the contact pressure according to claim 1, wherein the opening 7 is provided, the opening 7 is closed with a transparent material 9, and the optical fiber 2 is fixed to the transparent material 9. Blood flow sensor. 前記透明な袋1に替えて伸縮が少なく柔軟で不透明な袋6を使用する場合、開口部7を設け、その開口部7を透明材9で塞ぎ、光ファイバー2をプリズム5に着け、透明材9に固定し、構成した請求項1の接触圧血流センサ。 When a flexible and opaque bag 6 with little expansion and contraction is used instead of the transparent bag 1, an opening 7 is provided, the opening 7 is closed with a transparent material 9, the optical fiber 2 is attached to the prism 5 , and the transparent material 9 The contact pressure blood flow sensor according to claim 1, wherein the contact pressure blood flow sensor is fixed to the structure. 透明な保護材10を備えた請求項1〜4の接触圧血流センサ。The contact pressure blood flow sensor according to claim 1, comprising a transparent protective material 10. 穴開き保護材11を備えた請求項1〜4の接触圧血流センサ。The contact pressure blood flow sensor according to claim 1, comprising a perforated protective material 11. チューブ3を備えず、圧力センサ12を袋内部に備えた請求項1〜6の接触圧血流センサ。The contact pressure blood flow sensor according to claim 1, wherein the tube 3 is not provided and the pressure sensor 12 is provided inside the bag. 貼着手段として貼付フィルム14を備えた請求項1〜7の接触圧血流センサ。圧血flow sensor contacts of the preceding claims comprising a patch film 14 as stuck means. 表面温度センサ20を備えた請求項1〜8の接触圧血流センサ。The contact pressure blood flow sensor according to claim 1, comprising a surface temperature sensor 20.
JP2000355024A 2000-10-18 2000-10-18 Contact pressure blood flow sensor Expired - Lifetime JP3731183B2 (en)

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JP2002119487A JP2002119487A (en) 2002-04-23
JP3731183B2 true JP3731183B2 (en) 2006-01-05

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JP5327840B2 (en) * 2008-07-23 2013-10-30 国立大学法人大阪大学 Temperature conductivity measuring device, skin tissue blood circulation evaluation device, and pressure ulcer diagnostic device
JP5503851B2 (en) * 2008-07-25 2014-05-28 株式会社吉田製作所 Mat and its control method
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US10357188B2 (en) * 2014-10-15 2019-07-23 Koninklijke Philips N.V. Flexible optical source for pulse oximetry
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