JP5569904B2 - Underwater blood pressure monitor - Google Patents

Underwater blood pressure monitor Download PDF

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JP5569904B2
JP5569904B2 JP2010178704A JP2010178704A JP5569904B2 JP 5569904 B2 JP5569904 B2 JP 5569904B2 JP 2010178704 A JP2010178704 A JP 2010178704A JP 2010178704 A JP2010178704 A JP 2010178704A JP 5569904 B2 JP5569904 B2 JP 5569904B2
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waterproof case
sphygmomanometer
pressure
exhaust pipe
underwater
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JP2012034898A (en
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祥雄 河合
仁 井上
拓 井上
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Juntendo University
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Description

本発明は、水中において人体の血圧を測定するための水中血圧計に関する。   The present invention relates to an underwater sphygmomanometer for measuring the blood pressure of a human body in water.

一般に、水泳を始めとする水中運動は健康法の一つと認識されているが、一方でAED(自動体外式除細動器)使用例の30%が水中運動時発作に関係するなど、特に心血管系有病者にとって水中運動が健康リスクと成り得ることを示唆する成績も報告されている。つまり、ヒトの水中での血圧変動を知ることはスポーツ健康医学における重要な課題の一つである。   In general, underwater exercise such as swimming is recognized as one of the health methods, but 30% of AED (automated external defibrillator) use cases are related to seizures during underwater exercise. Results have also been reported suggesting that underwater exercise can be a health risk for patients with vascular disease. That is, it is one of the important issues in sports health medicine to know the blood pressure fluctuation in human water.

しかしながら、従来の非侵襲式血圧計は一般に血圧計本体と、加圧袋及びマイクを備えたカフとによって構成され、大気圧下での測定を前提としているものであったため、そもそも水との接触状態下、しかも水圧による加圧状態下にある水中での血圧測定には供し得ないのが実状であった。   However, the conventional non-invasive blood pressure monitor is generally composed of a blood pressure monitor main body and a cuff provided with a pressure bag and a microphone and is premised on measurement under atmospheric pressure. The actual situation is that it cannot be used for measuring blood pressure in water under conditions and under pressure by water pressure.

本発明は、上記の如き従来の実状に鑑みてなされたものであり、水や水圧の影響を受けることなく水中で血圧を正常に測定することができる水中血圧計を提供することを課題としている。   The present invention has been made in view of the above-described conventional situation, and an object thereof is to provide an underwater sphygmomanometer that can normally measure blood pressure in water without being affected by water or water pressure. .

本発明者は、上記の課題を解決すべく、種々検討を重ねた結果、水中において、血圧計本体と水との接触を防止し、かつ血圧計本体を水圧と平衡圧に保持する防水ケースを用いれば、極めて良い結果が得られることを見い出し、本発明を完成した。   The present inventor has conducted various studies to solve the above-mentioned problems, and as a result, a waterproof case that prevents contact between the sphygmomanometer main body and water and maintains the sphygmomanometer main body at water pressure and equilibrium pressure in water. It has been found that extremely good results can be obtained if it is used, and the present invention has been completed.

すなわち、本発明は、防水ケース内に血圧計本体が収納設置され、かつ当該防水ケース外に加圧袋を備えた血圧計用カフとマイクが配置されていると共に、当該防水ケースが、
潜行時防水ケースの外部圧の増加に伴ない、防水ケース内に空気を導入して防水ケースの内部圧と外部圧とを平衡にする、エアタンクと連結可能なレギュレータと、浮上時防水ケースの外部圧の減少に伴ない、防水ケース内の空気を防水ケース外に排出する排気バルブを有する排気管と、血圧計本体の測定開始ボタンを作動せしめる測定開始レバーとを備えていることを特徴とする水中血圧計により上記課題を解決したものである。
That is, in the present invention, the sphygmomanometer body is housed and installed in a waterproof case, and a sphygmomanometer cuff and a microphone provided with a pressure bag outside the waterproof case are disposed.
With increasing external pressure of the waterproof case at insidious to the internal pressure and the external pressure of the waterproof case by introducing air into equilibrium in a waterproof case, a regulator connectable with the air tank, waterproof case when flying The exhaust pipe having an exhaust valve for discharging the air in the waterproof case to the outside of the waterproof case as the external pressure decreases, and the measurement start lever for operating the measurement start button of the sphygmomanometer body are provided. The above-mentioned problem is solved by an underwater blood pressure monitor.

本発明の水中血圧計を用いれば、血圧計本体が水と接触することがなく、しかも防水ケースの内部圧と外部圧とが平衡に保持されるので、水や水圧の影響を受けることなく水中で血圧を正常に測定することができる。   If the underwater sphygmomanometer of the present invention is used, the sphygmomanometer body does not come into contact with water, and the internal pressure and the external pressure of the waterproof case are maintained in equilibrium, so that it is not affected by water or water pressure. Blood pressure can be measured normally.

その結果、水中活動時における血圧に関する基礎データの収集時の研究はもとより、各種水中競技、スイミングスクール等への参加者の健康管理も可能となり、スポーツ健康医学分野に大きく貢献することが可能となる。   As a result, it is possible not only to collect basic data on blood pressure during underwater activities, but also to manage the health of participants in various underwater competitions and swimming schools, which can greatly contribute to the field of sports health medicine. .

本発明水中血圧計の概略構成説明図。BRIEF DESCRIPTION OF THE DRAWINGS Schematic structure explanatory drawing of this invention underwater blood pressure meter. 本発明水中血圧計の使用例を示す概略説明図。The schematic explanatory drawing which shows the usage example of this invention underwater blood pressure meter. レギュレータの空気導入作動例を示す概略説明図。The schematic explanatory drawing which shows the air introduction operation example of a regulator.

以下本発明の実施の形態を図面と共に説明する。   Embodiments of the present invention will be described below with reference to the drawings.

図1は、本発明水中血圧計の概略構成説明図である。
該図1において、10は防水ケースで、レギュレータ20と、排気管30と、測定開始レバー40とを備えており、その材質は防水可能なものであれば、金属、プラスチック等特に限定されない。
また、11は水受けスペース部で、防水ケース10の下部、換言すれば内部に収納設置された血圧計本体50の下位に形成されている。
FIG. 1 is a schematic configuration explanatory diagram of an underwater blood pressure monitor according to the present invention.
In FIG. 1, reference numeral 10 denotes a waterproof case, which includes a regulator 20, an exhaust pipe 30, and a measurement start lever 40. The material is not particularly limited as long as the material is waterproof.
A water receiving space 11 is formed below the waterproof case 10, in other words, below the sphygmomanometer body 50 housed and installed inside.

レギュレータ20は、潜行時防水ケース10の外部圧の増加に伴ない、防水ケース10内に自動的空気を導入して防水ケース10の内部圧と外部圧とを平衡にするもので、ダイアフラム21と、該ダイアフラム21の変形に連動して開閉するバルブ22が設置された空気導入管23とを備え、当該空気導入管23は呼吸用エアタンク100と連結可能となっている。 Regulator 20 With increasing external pressure of the waterproof case 10 at the time insidiously, in which the internal pressure and the external pressure of the waterproof case 10 by introducing automatic air into the waterproof case 10 in which the equilibrium, the diaphragm 21 And an air introduction pipe 23 provided with a valve 22 that opens and closes in conjunction with the deformation of the diaphragm 21, and the air introduction pipe 23 can be connected to the breathing air tank 100.

排気管30は、浮上時防水ケース10の外部圧の減少に伴ない、防水ケース10内の空気を防水ケース10外に排出するもので、防水ケース10内に配設された内部排気管部31と防水ケース10外に配設された外部排気管部32とから成り、当該内部排気管部31と外部排気管部32の連結部内に、防水ケース10の内部圧が外部圧より高いときに開き、当該内部圧が外部圧以下のときに閉じる排気バルブ33が設置されている。
尚、当該内部排気管部31は、その下端31aが防水ケース10の水受けスペース部11に開口するように配設されている。
The exhaust pipe 30 discharges the air in the waterproof case 10 to the outside of the waterproof case 10 as the external pressure of the waterproof case 10 decreases at the time of rising, and the internal exhaust pipe part disposed in the waterproof case 10 31 and an external exhaust pipe portion 32 disposed outside the waterproof case 10, and when the internal pressure of the waterproof case 10 is higher than the external pressure in the connecting portion between the internal exhaust pipe portion 31 and the external exhaust pipe portion 32. An exhaust valve 33 that opens and closes when the internal pressure is equal to or lower than the external pressure is provided.
The internal exhaust pipe portion 31 is disposed so that the lower end 31 a thereof opens to the water receiving space portion 11 of the waterproof case 10.

測定開始レバー40は、防水ケース10の外部から防水ケース10内に収納設置された血圧計本体50の測定開始ボタン51を作動せしめるもので、その一端が防水ケース10外壁に枢着されていると共に、上下回動する他端に磁石(図示省略)が取り付けられている。一方、防水ケース10内の血圧計本体50の測定開始ボタン51の上方には、略中央部に測定開始ボタン操作用凸部61を備えている上下回動バー60が配設されている。この上下回動バー60の一端は防水ケース10内壁に枢着されていると共に、測定開始レバー40側において上下回動する他端に磁石(図示省略)が取り付けられている。
斯かる構成により、測定開始レバー40を引き下げると、測定開始レバー40の磁石と上下可動バー60の磁石の磁力により上下回動バー60も下動し、測定開始ボタン操作用凸部61が測定開始ボタン51を押すことで、血圧計本体50のスイッチが入るようになっている。このように、磁石の磁力により測定開始ボタン51の作動を制御しているので、防水ケース10に穴を形設する必要がないので、水が侵入する恐れもない。
The measurement start lever 40 operates the measurement start button 51 of the sphygmomanometer main body 50 housed and installed in the waterproof case 10 from the outside of the waterproof case 10, and one end thereof is pivotally attached to the outer wall of the waterproof case 10. A magnet (not shown) is attached to the other end that rotates up and down. On the other hand, above the measurement start button 51 of the sphygmomanometer main body 50 in the waterproof case 10, a vertical rotation bar 60 having a measurement start button operation convex portion 61 is disposed at a substantially central portion. One end of the vertical rotation bar 60 is pivotally attached to the inner wall of the waterproof case 10, and a magnet (not shown) is attached to the other end that rotates vertically on the measurement start lever 40 side.
With this configuration, when the measurement start lever 40 is pulled down, the vertical rotation bar 60 is also moved downward by the magnetic force of the magnet of the measurement start lever 40 and the magnet of the vertical movable bar 60, and the measurement start button operation convex portion 61 starts measurement. By pressing the button 51, the sphygmomanometer body 50 is switched on. As described above, since the operation of the measurement start button 51 is controlled by the magnetic force of the magnet, it is not necessary to form a hole in the waterproof case 10, so that there is no possibility of water intrusion.

70は防水ケース10外に配設された血圧計用カフで、その内側には加圧袋80が装着されている。当該加圧袋80は、空気管81を介して防水ケース10内の血圧計本体50と空気導入可能に連結されている。
90は防水ケース外に配設された血圧計用マイクで、血圧測定時には加圧袋80の内部に入れて使用される。当該血圧計用マイク90は、チューブ等で防水加工したコード91を介して、コロトコフ音の伝達可能に防水ケース10内の血圧計本体50に連結されている。
70 is a sphygmomanometer cuff disposed outside the waterproof case 10, and a pressure bag 80 is mounted on the inside thereof. The pressure bag 80 is connected to the blood pressure monitor main body 50 in the waterproof case 10 through an air pipe 81 so that air can be introduced.
Reference numeral 90 denotes a sphygmomanometer microphone disposed outside the waterproof case, and is used by placing it inside the pressure bag 80 when measuring blood pressure. The sphygmomanometer microphone 90 is connected to the sphygmomanometer main body 50 in the waterproof case 10 through a cord 91 waterproofed with a tube or the like so that Korotkoff sounds can be transmitted.

次に、上記の実施の形態に係る水中血圧計の使用方法を説明する。   Next, a method of using the underwater blood pressure monitor according to the above embodiment will be described.

まず、図2に示すように、血圧計本体50が収納設置された防水ケース10を呼吸用エアタンク100の外壁に取り付け固定すると共に、当該呼吸用エアタンク100内に空気導入管23を連結し、その状態で被測定者が呼吸用エアタンク100を装着する。
次いで、被測定者の腕Pに、加圧袋80の内側に血圧計用マイク90を入れた状態で血圧計用カフを巻回固定する。
因に、斯かる状態におけるレギュレータ20のバルブ22は、図3(1)に示されているように、防水ケース10の内部圧と外部圧が平衡状態となっているため、閉じられていると共に、排気管30の排気バルブ33も閉じられている。
First, as shown in FIG. 2, the waterproof case 10 in which the sphygmomanometer body 50 is housed is installed and fixed to the outer wall of the breathing air tank 100, and the air introduction pipe 23 is connected to the breathing air tank 100. In this state, the measurement subject wears the breathing air tank 100.
Next, the sphygmomanometer cuff is wound around and fixed to the arm P of the measurement subject with the sphygmomanometer microphone 90 inside the pressurizing bag 80.
Incidentally, the valve 22 of the regulator 20 in such a state is closed because the internal pressure and the external pressure of the waterproof case 10 are in an equilibrium state as shown in FIG. The exhaust valve 33 of the exhaust pipe 30 is also closed.

次いで、呼吸用レギュレータ110を口に装着して潜行すると、図3(2)に示されているように、防水ケース10の外部圧が増加するので、レギュレータ20のダイアフラム21が変形し、その変形に連動してバルブ22が開き、空気導入管23が開口するので、呼吸用エアタンク100から空気が防水ケース10内に導入される。   Next, when the breathing regulator 110 is attached to the mouth and submerged, as shown in FIG. 3B, the external pressure of the waterproof case 10 increases, so that the diaphragm 21 of the regulator 20 is deformed, and the deformation Since the valve 22 opens and the air introduction tube 23 opens, air is introduced from the breathing air tank 100 into the waterproof case 10.

次いで、防水ケース10の内部圧と外部圧とが平衡になるまで防水ケース10内に空気が導入されるとダイアフラム21の変形が元に戻るので、図3(1)に示す状態となり、レギュレータ20のバルブ22が閉じられ、空気の導入が停止される。因に、この状態においても排気管30の排気バルブ33は閉じられているため、水が防水ケース10内に侵入することは防止されている。   Next, when air is introduced into the waterproof case 10 until the internal pressure and the external pressure of the waterproof case 10 are balanced, the deformation of the diaphragm 21 returns to the original state, so that the state shown in FIG. The valve 22 is closed and the introduction of air is stopped. Even in this state, since the exhaust valve 33 of the exhaust pipe 30 is closed, water is prevented from entering the waterproof case 10.

次いで、斯かる状態で測定開始レバー40を操作し、血圧計本体50の測定開始ボタン51を作動せしめれば、大気中におけると同様に、潜行中の被測定者の血圧が正常に測定記録される。   Next, if the measurement start lever 40 is operated in this state and the measurement start button 51 of the sphygmomanometer main body 50 is operated, the blood pressure of the subject under measurement is normally measured and recorded as in the atmosphere. The

次いで、血圧測定後浮上すると、防水ケース10の外部圧が内部圧より減少するので、大きな内部圧により排気管30の排気バルブ33が開き、防水ケース10内の空気が内部排気管部31〜外部排気管部32を経て防水ケース10外に排出され、防水ケース10の内部圧と外部圧が平衡になると排気バルブ33が閉じる。   Next, when the air pressure rises after the blood pressure measurement, the external pressure of the waterproof case 10 decreases from the internal pressure, so that the exhaust valve 33 of the exhaust pipe 30 is opened by a large internal pressure, and the air in the waterproof case 10 flows from the internal exhaust pipe portion 31 to the external. When the exhaust pipe 32 is discharged to the outside of the waterproof case 10 and the internal pressure and the external pressure of the waterproof case 10 are balanced, the exhaust valve 33 is closed.

仮に、何らかの事情により、防水ケース10内に水Wが侵入した場合には、水受けスペース部11に貯水されるので、血圧計本体50と水との接触を防止することができる。またタイヤフラム21を押し、バルブ22を開いて呼吸用エアタンク100から空気を防水ケース10内に導入すれば、防水ケース10の内部圧が外部圧より高まり、排気バルブ33が開くので、水受けスペース部11の水が内部排気管部31〜外部排気管部32を経て防水ケース10外に排水することができる。   If the water W enters the waterproof case 10 for some reason, the water receiving space 11 stores the water, so that contact between the blood pressure monitor main body 50 and water can be prevented. If the tire frame 21 is pushed, the valve 22 is opened, and air is introduced into the waterproof case 10 from the breathing air tank 100, the internal pressure of the waterproof case 10 becomes higher than the external pressure, and the exhaust valve 33 is opened. The water in the part 11 can be drained out of the waterproof case 10 through the internal exhaust pipe part 31 to the external exhaust pipe part 32.

10:防水ケース
11:水受けスペース部
20:レギュレータ
21:ダイアフラム
22:バルブ
23:空気導入管
30:排気管
31:内部排気管部
32:外部排気管部
40:測定開始レバー
50:血圧計本体
51:測定開始ボタン
60:上下回動バー
61:測定開始ボタン操作用凸部
70:血圧計用カフ
80:加圧袋
81:空気管
90:血圧計用マイク
91:コード
100:呼吸用エアタンク
110:呼吸用レギュレータ
P:腕
W:水
10: Waterproof case 11: Water receiving space part 20: Regulator 21: Diaphragm 22: Valve 23: Air introduction pipe 30: Exhaust pipe 31: Internal exhaust pipe part 32: External exhaust pipe part 40: Measurement start lever 50: Blood pressure monitor main body 51: Measurement start button 60: Vertical rotation bar 61: Measurement start button operation convex part 70: Sphygmomanometer cuff 80: Pressurized bag 81: Air tube 90: Sphygmomanometer microphone 91: Code 100: Respiratory air tank 110 : Respirator P: Arm W: Water

Claims (2)

防水ケース内に血圧計本体が収納設置され、かつ当該防水ケース外に加圧袋を備えた血圧計用カフとマイクが配置されていると共に、当該防水ケースが、潜行時防水ケースの外部圧の増加に伴ない、防水ケース内に空気を導入して防水ケースの内部圧と外部圧とを平衡にする、エアタンクと連結可能なレギュレータと、浮上時防水ケースの外部圧の減少に伴ない、防水ケース内の空気を防水ケース外に排出する排気バルブを有する排気管と、血圧計本体の測定開始ボタンを作動せしめる測定開始レバーとを備えていることを特徴とする水中血圧計。 Sphygmomanometer main body is housed placed in the waterproof case, and together with the waterproof case cuff and a microphone for a blood pressure monitor having a pressure bag outside are arranged, the waterproof case, the external pressure of the waterproof case at insidiously As the air pressure increases, air is introduced into the waterproof case to balance the internal pressure and the external pressure of the waterproof case, and a regulator that can be connected to the air tank, along with a decrease in the external pressure of the waterproof case when ascending An underwater sphygmomanometer comprising: an exhaust pipe having an exhaust valve for exhausting air in the waterproof case to the outside of the waterproof case; and a measurement start lever for operating a measurement start button of the sphygmomanometer body. 排気管が、防水ケース内に配設された内部排気管部と防水ケース外に配設された外部排気管部とから成ると共に、当該内部排気管部の下端が、防水ケース内の血圧計本体下位に形設された水受けスペース部に開口していることを特徴とする請求項1記載の水中血圧計。   The exhaust pipe is composed of an internal exhaust pipe portion disposed inside the waterproof case and an external exhaust pipe portion disposed outside the waterproof case, and the lower end of the internal exhaust pipe portion is a sphygmomanometer body inside the waterproof case The underwater sphygmomanometer according to claim 1, wherein the underwater sphygmomanometer is opened in a water receiving space portion formed in a lower part.
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US4996992A (en) * 1989-09-20 1991-03-05 Cas Medical Systems, Inc. Automatic blood pressure measurement in hyperbaric chamber
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