JP5694830B2 - Component measuring device, medical device, and voice guidance method - Google Patents

Description

  The present invention relates to a component measuring device, a medical device, and a voice guidance method in the component measuring device having a measuring unit for measuring a predetermined component or vital sign in a body fluid and a voice output unit for outputting in a voice format.

  In the treatment of diabetes, daily management by measuring daily blood glucose levels is recommended, and patients themselves measure blood glucose levels using a blood glucose meter.

  However, diabetics may have low vision or blindness due to complications, and even if there are no complications, vision may be reduced due to old age, making it difficult to read the readings displayed on the blood glucose meter display. is there. Furthermore, due to complications, fingers may become inconvenient and the blood glucose meter may not be stably grasped, making it difficult to read the measured values.

  For such a diabetic patient, not only the measurement value is displayed on the display but also the reading result is read out by voice as shown in Patent Document 1, Patent Document 2 and Patent Document 3, and the measurement result is known without depending on visual acuity. Can be preferred.

JP 2003-58359 A JP 2007-41920 A Japanese Patent No. 4395146

  By the way, even if the readings can be understood audibly by reading out aloud, patients who have just started using a blood glucose meter or patients who are elderly and have poor judgment will have their readings normal or abnormal. However, if it is abnormal, it may be impossible to immediately understand its extent and how to deal with it, and appropriate medical guidance is required. Although it is possible to output a predetermined guidance voice according to the abnormal blood glucose level, the treatment and guidance methods have been diversified according to the patient's individual pathology. Since the treatment policy may change accordingly, there is a limit to the response only by notifying predetermined guidance.

  The present invention has been made in consideration of such problems, and according to the measured value of the measured body fluid component or the measured value of the vital sign, it is possible to convey appropriate medical guidance for each patient and disease state, An object of the present invention is to provide a component measuring device, a medical device, and a voice guidance method that are easy for a patient to handle.

A component measuring device according to the present invention includes a measuring unit that measures a predetermined component in a body fluid, a storage unit that stores medical guidance divided into a plurality of stages according to the degree of component measurement values by the measuring unit, and a current A clock for notifying time, a voice output unit for outputting the medical guidance in a voice format, a recording unit for recording the medical guidance as voice, the measurement unit, the storage unit, the clock, a voice output unit, and the recording A control unit connected to the unit, the storage unit stores the voice recorded by the recording unit as the medical guidance, the medical guidance of the storage unit according to the component measurement value and time selectively record capable configured for partitioning the set plurality of stages, the control part, based on the component measured value and the current time obtained from the clock, the corresponding medical from the storage unit It reads the guidance as the read medical guidance and outputs through the sound output unit.

The medical device according to the present invention includes a measurement unit that measures a vital sign of a human body, a storage unit that stores medical guidance divided into a plurality of stages according to the degree of component measurement values by the measurement unit , A clock for notifying time, a voice output unit for outputting the medical guidance in a voice format, a recording unit for recording the medical guidance as voice, the measuring unit, the storage unit, the clock, a voice output unit, and the recording unit And the storage unit stores the voice recorded by the recording unit as the medical guidance, and the medical guidance of the storage unit is set according to the component measurement value and time selectively recordable configured for partitioning a plurality of stages that are, the control unit, on the basis of the component measured value and the current time obtained from the clock, corresponding from the storage unit It reads care guidance, the read medical guidance and outputs through the sound output unit.

  Thus, by providing a recording unit that records medical guidance as sound, it is possible to record and set individual medical guidance according to the patient and the medical condition. Also, by outputting the corresponding medical guidance as a voice based on the measured values, the user (patient (especially elderly people with weak hearing), caregivers, nurses, etc.) can judge whether it is normal or abnormal. If it is, it is possible to easily understand the degree and the coping method.

In addition, according to the above, it is possible to provide a more accurate coping method corresponding to a body fluid component that varies depending on the time of day.

  Further, the predetermined component in the bodily fluid is blood glucose, and includes a post-meal input unit operated by the user to link post-meal information to the blood glucose level when measuring within a predetermined time after the meal, The medical guidance is classified according to the blood glucose level and the presence or absence of the postprandial information, and the control unit further reads the corresponding medical guidance based on the presence or absence of the postprandial information, and reads the read medical guidance as the voice It outputs through an output part.

  Thereby, while being able to provide a more accurate coping method corresponding to the blood glucose level that rises after meals, it is possible to indicate at any time that the measurement is after meals by operating the post-meal input unit, Meal time is not limited.

  In this case, the medical guidance is configured to be selectively recordable for a plurality of stages set according to the degree of the component measurement value, and the control unit is configured to measure the component measured by the measurement unit. The corresponding medical guidance may be read based on the degree of the measured value, and the read medical guidance may be output through the voice output unit. As a result, the recording operation can be omitted for portions that need not be changed.

  In addition, the component measurement value by the measurement unit is displayed, and a display unit corresponding to a pointing device is provided. The display unit displays the plurality of stages when recording by the recording unit, and the recording unit The medical guidance may be recorded as audio for the segment selected by the pointing device. As a result, the recording operation is easy to understand and easy, and the cell to be recorded can be quickly selected.

  If the recording function by the recording unit is enabled when authentication is performed by the authentication function, inadvertent rewriting by a person other than a specific person can be prevented.

In the voice guidance method according to the present invention, the first medical guidance corresponding to the case where postprandial information exists and the second medical guidance corresponding to the case where the postprandial information does not exist are respectively measured at the time of measurement and the degree of component measurement value. a step of recording in correspondence with the steps of outputting by voice the measured component measurements, if the postprandial information exists, the based on the component measured value and the current time, recorded the first Outputting medical guidance by voice and outputting the recorded second medical guidance by voice based on the measured component value and the post-meal information when the post-meal information does not exist. It is characterized by.

  In this way, by outputting the corresponding medical guidance based on the measurement time and the component measurement value as a voice, the user can easily determine whether it is normal or abnormal, and if it is abnormal, the extent and how to deal with it. be able to. Further, by outputting either the first medical guidance or the second medical guidance based on the post-meal information, a more appropriate coping method can be conveyed.

  According to the component measuring apparatus, the medical device, and the voice guidance method according to the present invention, by providing the recording unit that records the medical guidance as voice, it is possible to record and set individual medical guidance according to the patient and the medical condition. it can. Also, by outputting the corresponding medical guidance as a voice based on the measured values, the user (patient (especially elderly people with weak hearing), caregivers, nurses, etc.) can judge whether it is normal or abnormal. If it is, it is possible to easily understand the degree and the coping method.

It is a perspective view of the blood glucose meter concerning this embodiment. It is a top view of the blood glucose meter which concerns on this Embodiment. It is the side view seen from the base end side of the blood glucose meter concerning this embodiment. It is a cross-sectional side view of a test device. It is a block block diagram of a blood glucose meter. It is a figure which shows the internal structure of a memory | storage part. It is a figure which shows the internal structure of a recording guidance memory. It is a figure which shows the example of a display of the display in the 1st example of recording mode. It is a flowchart of the 1st example of recording mode. It is a cell table displayed in the 2nd example of recording mode. It is a 1st modification of the cell table displayed by the 2nd example of recording mode. It is a 2nd modification of the cell table displayed by the 2nd example of recording mode. It is a flowchart of the 2nd example of recording mode. It is a flowchart of the audio | voice guidance method which concerns on this Embodiment.

  DESCRIPTION OF EMBODIMENTS Hereinafter, a component measuring apparatus, a medical device, and a voice guidance method according to the present invention will be described with reference to FIGS.

  As shown in FIGS. 1, 2, and 3, a blood glucose meter (component measurement device, medical device) 10 according to the present embodiment is equipped with a chip 12 as a test tool at the tip. The blood glucose meter 10 is mainly used as a personal use application in which a patient himself operates to measure blood glucose. Of course, the blood glucose meter 10 can also be used as a medical facility application used by a medical worker without special modification. . First, the chip 12 will be described.

  As shown in FIG. 4, the tip 12 includes a bottomed cylindrical base tube 14, a flange 16 projecting radially from the base tube 14, a conical nozzle 18 projecting from the bottom of the base tube 14, and a base And a test paper 20 installed on the bottom inner surface of the tube 14. The base tube 14 is provided with a plurality of slits 14a. In the center of the nozzle 18, a straight blood introduction path 24 that communicates from the spotted portion 22 at the tip to the test paper 20 is provided. Examples of the material of the test paper 20 include polyethersulfone. Examples of the reagent impregnated in the test paper 20 include color formers such as glucose oxidase (GOD), peroxidase (POD), 4-aminoantipyrine, and N-ethyl N- (2-hydroxy-3-sulfopropyl). It is done. The reagent may contain a predetermined buffer.

  The blood introduction path 24 is set to have a sufficiently small diameter so that blood is sucked up by capillary action, and introduces the blood in contact with the spotting portion 22 to the test paper 20.

  The chip 12 is a so-called disposable product and is housed in a case 26 (see FIG. 1) as an individual package, and the base end portion of the case 26 is sealed with a film.

  Returning to FIG. 1 to FIG. 3, the blood glucose meter 10 according to the present embodiment includes a tip mounting portion 28 to which the chip 12 is mounted, an eject lever 30 provided on the upper surface in the vicinity of the tip mounting portion 28, and a central portion on the upper surface. A touch panel (pointing device) type liquid crystal display (display unit) 36, an operation unit 38 provided on the base end side of the upper surface, and a multi-stage volume switch 40 provided on the side base end side. A post-meal button (post-meal input unit) 42, a time setting button 44, and a recording mode button 45 provided on the side surface of the base end part (see FIG. 3), and a cap 46 that is connected with a string and protects the distal end mounting part 28. Have The blood glucose meter 10 has a slightly elongated shape that can be easily grasped with one hand, and the distal end portion becomes narrower toward the distal end and is bent slightly downward so that a spotting operation is easy.

  The upper surface of the blood glucose meter 10 is formed in a flat shape. The display 36 is a so-called full-dot liquid crystal type, and can display a measured blood glucose level, as well as confirming a predetermined input operation, displaying a maintenance code, displaying pictograms, tables, and the like. The display 36 has a touch panel function, and the control unit 60 can recognize the coordinates of the touched location by touching an arbitrary location on the screen with a finger. As the input format by the display 36, a pointing device such as a mouse-cursor type, a touch pen type, or a touch pad type can be used in addition to the touch panel type.

  The post-meal button 42 is an input unit for instructing that a user (a patient (especially an elderly person whose hearing has declined), a caregiver, a nurse, etc.) is after a meal when taking measurements within a predetermined time after the meal. Used to link a postprandial flag (postprandial information), which will be described later, to the blood glucose level. Since the post-meal button 42 is a special-purpose button used only when measuring within a predetermined time after the meal, avoiding the upper side for general button operation and display display and the side surface gripped during the operation, the component measuring unit ( (Measurement unit) 68 is provided on the opposite side (base end side surface or base end) with respect to a certain tip side, and does not touch carelessly, and has good operability when it should be operated.

  The recording mode button 45 is a button used by a doctor or the like when using a recording function to be described later, and is operated by being pushed a little deeply with a thin pen tip. The recording mode button 45 does not need to be operated by the user, is not operated with a finger or a nail, and is not inadvertently touched during normal use.

  The operation unit 38 includes a power button 50 for turning on / off the power, a memory call button 52 for calling a measurement value stored in the past, a speaker (audio output unit) 54, a playback button 56, a microphone (recording unit). 58). The speaker 54 outputs a measurement value, which is a blood glucose level measurement result, and medical guidance based on the measurement value by voice, and outputs a sound such as a beep sound according to an operation. The output of the speaker 54 will be described later. The play button 56 is a button for re-notifying the content once sounded.

  By using a pointing device such as a touch panel, part or all of the post-meal button 42, the time setting button 44, the memory call button 52, and the playback button 56 may be replaced with image format buttons on the display 36.

  The microphone 58 is used by a medical staff such as a doctor to record medical guidance for each patient as voice.

  A small protrusion having a different pattern is provided on the surface of the post-meal button 42, the time setting button 44, the power button 50, the memory call button 52, and the play button 56, and can be identified by the tactile sense of the fingertip.

  As shown in FIG. 5, the control unit 60 controls the blood glucose meter 10 as a whole. The blood glucose meter 10 includes a power supply 62, a clock 64, a storage unit 66, and a component measurement unit 68 therein. For example, a button battery is used as the power source 62, and power is supplied to the control unit 60 under the action of the power button 50. The clock 64 is adjusted by operating the time setting button 44 and notifies the control unit 60 of the current time. The clock 64 may be provided with a calendar function. Detailed description regarding the time setting operation of the clock 64 is omitted.

  The measuring unit 68 is optical, and includes a light emitting unit 68a that irradiates the test paper 20 (see FIG. 3) with light in pulses, a light receiving unit 68b that receives the light reflected by the colored test paper 20, and the light receiving unit 68b. An A / D converter 68c that converts a light reception signal of the light receiving unit 68b into a digital value and supplies the digital value to the control unit 60; Note that the test paper 20 and the measurement unit 68 are not limited to the optical type, and may be an electrode type using amperometry, for example.

  Display 36, volume switch 40, post-meal button 42, time setting button 44, memory call button 52, speaker 54, play button 56, microphone 58, power supply 62, clock 64, storage unit 66, and component measurement unit 68 are sent to control unit 60. It is connected. As the control unit 60, for example, a microcomputer is used, and a predetermined program is read and software processing is executed in cooperation with each functional unit.

  As shown in FIG. 6, the storage unit 66 includes a program 70, a work memory 72, a fixed guidance memory 74, and a recording guidance memory (recording unit) 76. The program 70 is software that is read and executed by the control unit 60. The work memory 72 is used for storing predetermined data each time the program 70 is executed. The fixed guidance memory 74 is an area for storing some fixed announcements in the operation of the blood glucose meter 10 as voice data. For example, “the power is turned on”, “the battery is low”, “measurement”. ”,“ Set time ”,“ Medical guidance can be recorded ”, etc. In FIG. 6, in order to avoid complication, the storage unit 66 is shown as one, but the program 70 and the fixed guidance memory 74 are ROM (Read Only Memory), and the work memory 72 is RAM (Random Access Memory). The recording guidance memory 76 may be writable non-volatile (for example, a flash memory). The recording guidance memory 76 may be shared for storing parameters other than those shown in FIG. 7. For example, an area for storing / saving blood glucose measurement values in the past may be provided.

  As shown in FIG. 7, the recording guidance memory 76 is two-dimensionally divided by a blood glucose axis and a time / event axis, and corresponding medical guidance is stored as audio data in each cell.

  The blood glucose axis is divided into a plurality of stages according to the magnitude of the component measurement value by the component measurement unit 68. That is, according to the blood glucose level (mg / dL), the first level is 0 or more and less than 20, the second level is 20 or more and less than 50, the third level is 50 or more and less than 150, the fourth level is 150 or more and less than 300, and the fifth level. This is an error classification as a case of 300 to less than 600, a sixth level of 600 or more, and a case where measurement is impossible. The error classification is set to the seventh level for convenience. The division of the blood glucose axis is not limited to 7 levels.

  The time / event axis is divided according to the current time obtained from the clock 64 and whether or not the post-meal button 42 is operated, and when the first medical guidance 77 is operated when the post-meal button 42 is not operated. The second medical guidance 78 is roughly divided. The first medical guidance 77 is divided every 6 hours, and the time a is a first time from 0 o'clock to less than 6 o'clock, the division a is a second time from 6 o'clock to less than 12 o'clock, 12 b It consists of a section c, which is a third time between 18:00 and 18:00, and a section d, which is a fourth time between 18:00 and 24:00. For convenience, the orchid of the second medical guidance 78 is set as the fifth time segment e. The first medical guidance 77 is not limited to four categories.

  The second medical guidance 78 is referred to when the post-meal flag indicating that the post-meal button 42 has been operated is “1”. When the post-meal flag is “0”, the second medical guidance 78 corresponds to the current time of the first medical guidance 77. The orchids of the category to be selected are first selected, and then, for the blood glucose axis, a row of a level corresponding to the blood glucose level is selected / referenced.

  Each medical guidance is input and recorded as sound from a microphone 58 by a medical worker such as a doctor according to a patient's condition by a predetermined operation. This recording operation is performed by operating the recording mode button 45.

  The recording guidance memory 76 is shown in tabular form in FIG. 7 for easy understanding. However, in the actual configuration, for example, the recording guidance memory 76 is expanded on the address so that it can be referred to based on a 1 × 2 matrix format parameter. You just have to. For example, when the blood glucose axis is the third level and the time / event axis is the second time, the cell indicated by the matrix (3, b) is the corresponding medical guidance.

  Next, a recording mode for recording medical guidance will be described. The recording mode for recording medical guidance and the other normal mode are switched every time the recording mode button 45 (see FIG. 3) is pressed for 5 seconds. When switching from the normal mode to the recording mode, the speaker 54 says “The recording mode has been entered. Specify the corresponding recording location and start recording with the time setting button. When finished, press the recording mode button again for 5 seconds. Please announce me. " At this time, as shown in FIG. 8, the display 36 displays numerical values and alphabets indicating a matrix (1, a) in which the blood glucose axis is the first level and the time / event axis is the first time as a default.

  Since the recording mode is entered when the recording mode button 45 is continuously pressed for 5 seconds or more, the normal mode is maintained even if the recording mode button 45 is inadvertently pressed for about 1 second.

  When the recording mode button 45 is pressed for 5 seconds or more in the recording mode, the mode is switched to the normal mode, and the speaker 54 announces “returned to the normal mode”.

  A first example of the recording mode will be described with reference to FIG. In the description based on the flowcharts of FIGS. 9 and 14, it is assumed that the processing is executed in the order of the indicated step numbers unless otherwise specified.

  In step S1 of FIG. 9, the input state of various buttons is monitored, and if the recording mode button 45 is turned on for 1 second or less, the process proceeds to step S2, and the time setting button 44 is turned on. The process proceeds to step S3, and if the reproduction button 56 is turned on, the process proceeds to step S5. Although not shown in FIG. 9, when the recording mode button 45 is turned on for 5 seconds or longer, the normal mode is restored. Wait when there is no input.

  In step S2 (recording mode button on), (1, b), (1, c), (1, d), (1, e), depending on the number of times the recording mode button 45 is turned on for 1 second or less. .. (2, a), (2, b)... And the medical guidance cell to be recorded are moved up, and the corresponding numerical values and alphabets are displayed on the display 36. After (7, e), return to (1, a) and circulate. The recording mode button 45 is pressed several times to select and display a medical guidance cell to be recorded.

  In step S3 (time setting button is ON), an announcement that prompts recording is played, “Please record within 10 seconds after dial tone .... Pawn”. This is the same as the general answering machine guidance for easy understanding. The time setting button 44 is originally a button used for setting the time of the clock 64, but is used for recording start input in the recording mode.

  In step S4, the medical staff speaks and records necessary medical guidance toward the microphone 58. If it is determined that the recording is not properly performed, the recording can be performed any number of times by pressing the time setting button 44 (step S1).

  When the medical guidance is properly recorded at the predetermined location, the recording mode button 45 is repeatedly turned on for 1 second or less in order to shift to recording at another location (S2). Repeat recording until all desired recordings are completed.

  In step S5 (playback button on), the sound recorded from the speaker 54 is played back and the recording can be confirmed. The play button 56 is effective even before recording, and the sound corresponding to the cell selected at that time is played.

  Next, a second example of the recording mode will be described with reference to FIGS.

  In the second example of the recording mode, when the normal mode is switched to the recording mode, the cell table 80 shown in FIG. The cell table 80 is expressed in a two-dimensional table format so that the recording guidance memory 76 (see FIG. 7) can be easily recognized. The level identification display (1-7, a˜) of the table 76 shown in FIG. Only e) is omitted. In the cell correspondence column of 35 cells (1, a) to (7, e) in the cell table 80, cell numbers are displayed in a matrix format of 1 × 2. The cell correspondence column is a button, and any one can be selected by touching with a finger. Selection of these buttons is made possible by a pointing device. The operation unit 38 may be provided with a cursor key for moving the selection unit up, down, left and right. The cursor key is also a pointing device in a broad sense.

  When the display area of the display 36 is small or when the number of cells to be displayed is large, the cell tables 80, 80a, and 80b may be displayed in order by a page switching type instead of the list format.

  The table displayed on the display 36 in the second example of the recording mode may be simplified depending on the screen size of the display 36. For example, the coordinate axis name is omitted as in the cell table 80a shown in FIG. Alternatively, the coordinate axis name and the division range display of each axis may be omitted as in the cell table 80b shown in FIG.

  In the second example of the recording mode, the input state of various buttons and the touch panel input state of the display 36 are monitored in step S101 of FIG. 13, and if there is an on operation of the touch panel of the display 36, the process proceeds to step S102. If the time setting button 44 is turned on, the process proceeds to step S103. If the playback button 56 is turned on, the process proceeds to step S105. Although not shown in FIG. 13, when the recording mode button 45 is turned on for 5 seconds or longer, the normal mode is restored. Wait when there is no input.

  In step S102, the coordinates of the finger touched on the display 36 are recognized, and the recording target cell is switched on the assumption that the cell corresponding to the coordinate is selected. That is, the corresponding button part is displayed in white / black reverse display. The cell tables 80, 80a, and 80b in FIGS. 10 to 12 show examples in which the cell (2, b) is selected. The display of the selected cell only needs to be clearly distinguishable from other cells. For example, a double frame display may be used. When the display 36 is in a color format, the color may be switched.

  By adopting touch panel type input in this way, it is possible to easily and quickly select a cell to be recorded, and the selected cell is easy to confirm because the display changes. In addition, according to the cell table 80a, the recording format is easy to understand the meaning of each cell because it is in a table format and there are explanation display and level identification display of each axis.

  In steps S103 and S104, as in steps S3 and S4, an announcement for encouraging recording is played, and then medical guidance is recorded.

  In step S105, as in step S5, the sound corresponding to the cell selected at that time is reproduced.

  In the first example and the second example of such a recording mode, the first medical guidance 77 corresponding to the case where postprandial information exists and the second medical guidance 78 corresponding to the case where no postprandial information exists are respectively measured at measurement times. It is possible to record easily according to the degree of component measurement.

  Medical guidance does not need to be recorded at all 35 locations (1, a) to (7, e), and re-recording is unnecessary at locations that may have the same content as the previous recording. That is, it is preferable that the recording operation can be omitted at portions that do not need to be changed because the recording can be selectively performed with respect to a plurality of stages according to the blood glucose level.

  The seventh level of the blood glucose axis indicating an error may be combined with one medical guidance (for example, “Announcement of measurement error”) regardless of the time / event axis.

  When the blood glucose meter 10 is shipped from the manufacturer, standard medical guidance may be recorded in advance at 35 locations (1, a) to (7, e). Even after the medical staff has made several recordings, it is possible to return to the default medical guidance at the time of shipment by a predetermined operation.

  A predetermined authentication function (including a security function) may be provided so that a person other than a specific health care worker (usually a doctor) uses the recording function to prevent the medical guidance from being rewritten meaninglessly. Examples of the authentication function include registered person RFID (Radio Frequency IDentification) tag communication, barcode reading, and password input. When the pointing device function corresponds to the display 36, a numeric keypad may be displayed on the display 36 to input a password.

  Illustrate medical guidance. First, as a first example, when the blood glucose level is 120 and the time is 8 o'clock, the cell (3, b) corresponds and the sound “control is good” is recorded. As a result, the user can easily understand that the blood glucose level at that time is normal and no special action is required.

  As a second example, when the blood glucose level is 500 and the time is 21 o'clock, the cell (5, d) corresponds to the voice “Please hit insulin ABC for xx units”. As a result, the user can easily understand that the patient's blood glucose level is high and insulin is required, and the type and amount required. Even with the same blood glucose level (for example, 500), the type of insulin (for example, continuous type, fast-acting type or intermediate type) and the required amount may vary depending on the patient's condition and time. Easy.

  As a third example, when the blood glucose level is 30 and the time is 5 o'clock, cell (2, a) corresponds, “Please contact the CDE clinic after taking glucose. The phone number is 01-234-5678.” Is recorded. In this way, prompt response and doctor's diagnosis are required when hypoglycemia, so it is instructed to take glucose as an emergency treatment, and it is possible to promptly contact the doctor in charge by guiding the telephone number Become. At this time, even if the telephone number is missed, the same medical guidance can be heard again and again by pressing the play button 56.

  As a fourth example, when the postprandial button 42 is pressed when the blood glucose level is 200, the second medical guidance 78 is given priority regardless of the time at that time, and the cell (4, e) corresponds to the “postprandial” “Please take the drug FGH” is output.

  By pressing the post-meal button 42 after a meal when the blood sugar level is rising, the second medical guidance 78 is preferentially selected and guided over the first medical guidance 77 at the normal time. Understand the appropriate medication). Further, the post-meal button 42 can be operated by the user when it is after a meal, and is convenient for many diabetic patients who have a normal life outside the hospital without restriction on meal time.

  Next, the operation / action of the blood glucose meter 10 configured as described above will be described. Prior to the use of the blood glucose meter 10, the recording of the recording guidance memory 76 shown in FIG. 7 and the adjustment of the clock 64 are performed by medical personnel (see FIGS. 9 and 13). The following operation of the blood glucose meter 10 can be basically performed by the user himself / herself.

  First, the user attaches the chip 12 in the case 26 to the tip attaching portion 28 of the blood glucose meter 10. Next, minute blood is allowed to flow out from the hand, finger, ear, etc. by the puncture device. By pressing the power button 50, the blood glucose meter 10 is turned on. Hereinafter, the voice guidance method according to the present embodiment in the blood glucose meter 10 will be described with reference to FIG. This voice guidance method is performed under the action of the control unit 60.

  In step S201 in FIG. 14, a voice announcement “Power is turned on” is output from the speaker 54. At the same time, the light emitting unit 68c (see FIG. 5) starts to emit light in pulses.

  In step S202, the reflected light of the test paper 20 is measured by the light receiving unit 68b, and it is confirmed that the chip 12 is correctly mounted. From the speaker 54, “It can be measured. Please drop blood on the chip.” And make a voice announcement. The user places the spotting portion 22 (see FIG. 4) of the chip 12 on the blood accordingly. When it is determined that the chip 12 is not correctly mounted, a notification to that effect is given. If the recording mode button 45 is pressed for 5 seconds or longer, the recording mode is entered. The blood spotted on the spotting section 22 is guided to the test paper 20 through the blood introduction path 24.

  Coloring is started by the reaction between glucose in the blood spotted on the chip 12 and the reagent impregnated in the test paper 20.

  If the post-meal button 42 is checked and operated in step S203, the post-meal flag of “0” is set to “1” by default in step S204. When the post-meal button 42 is pressed (step S204), the speaker 54 may output a sound or sound from the speaker 54 or may display it on the display 36.

  In step S205, it is determined whether or not a predetermined time has elapsed since the start of coloring. If not, the process returns to step S203, and if it has elapsed, the process proceeds to step S206. During the measurement of the blood glucose level, a voice announcement “measuring” or an intermittent beep sound indicating that measurement is in progress may be output from the speaker 54.

  In step S206, it is confirmed that the signal received by the light receiving unit 68b is stable, and the blood sugar level is obtained based on the received light signal. The blood glucose level may be corrected by a hematocrit value or the like.

  In step S207, the obtained blood glucose level is output as audio from the speaker 54. For example, if the blood glucose level is 150, “blood glucose level is 150” is output. The obtained blood glucose level is stored in a predetermined past data storage unit. The past data storage unit has a function of storing, for example, blood glucose levels for the past 150 times in the order of measurement, and the stored value can be displayed on the display 36 according to the number of operations of the memory call button 52.

  When the blood sugar level cannot be obtained due to some trouble, for example, “Error” is output based on the recording data of the seventh blood sugar level in the recording guidance memory 76 (see FIG. 7).

  In step S208, referring to the post-meal flag, if “0” (when no post-meal information is present), the process proceeds to step S209, and if “1” (when post-meal information is present), the process proceeds to step S211.

  In step S209 (when the post-meal flag is “0”), the level of the blood glucose axis in the recording guidance memory 76 (see FIG. 7) is obtained from the blood glucose level, and the time / event axis is set based on the current time obtained from the clock 64. A time range is obtained from the range of the first medical guidance 77.

  In step S210, the recorded data is read out by referring to the cell of the recording guidance memory 76 based on the level corresponding to the blood glucose axis and the time / event axis, and the sound is output from the speaker 54. For example, when the blood glucose level is 120 and the time is 8 o'clock, the cell (3, b) corresponds and outputs “good control”.

  On the other hand, in step S211 (when the post-meal flag is “1”), the level of the blood sugar axis in the recording guidance memory 76 (see FIG. 7) is obtained from the blood sugar level.

  In step S212, the recorded data is read with reference to the corresponding level of the blood glucose axis and the cell of the second medical guidance 78 ("e" column) in the recording guidance memory 76, and the sound is output from the speaker 54. At this time, first of all, the voice is explicitly output as “After meals”, and then the recording data of the corresponding cell is output as voice. In step S212, the second medical guidance 78 is preferentially selected over the first medical guidance 77 regardless of the current time.

  After step S210 and step S212, in step S213, the state of the playback button 56 is confirmed. When an operation is performed, the audio data output in step S210 or S212 is played and the process ends (step S214). Also ends when no time is taken.

  Thereafter, the user presses the power button 50 to turn off the blood glucose meter 10, and the chip 12 is removed by operating the eject lever 30 for disposal. The tip mounting portion 28 is covered with a cap 46.

  As described above, according to the blood glucose meter 10 and the voice guidance method according to the present embodiment, the microphone 58 that records medical guidance as voice, the recording guidance memory 76, and the speaker 54 that plays back recorded voice are provided. Thus, it is possible to record and set individual medical guidance according to the patient and the medical condition. The recording operation does not require any other input assisting device and can be easily performed with the blood glucose meter 10 alone, but inadvertent rewriting by an input person such as a doctor is prevented.

  Also, by outputting the corresponding medical guidance based on the measured blood glucose level as a voice, the user can determine whether it is normal or abnormal, and if it is abnormal, it can easily understand the extent and the countermeasures it can.

  Diabetic patients may have low vision or blindness due to complications, or even if there are no complications, visual acuity may be reduced due to old age, and it may be difficult to read the blood sugar level displayed on the display 36, Although the complication may cause inconvenience to the fingers and the blood glucose meter may not be stably grasped, and it may be difficult to read the blood glucose level. However, since the blood glucose meter 10 reads it out by voice, the blood glucose level can be reliably recognized.

  Furthermore, even if the user has just started using the blood glucose meter 10 or is a user who is old and has poor judgment, whether the blood glucose level is normal or abnormal, if it is abnormal, the extent or The method can be easily understood.

  Even if the manual of the blood glucose meter 10 is not referred to, the coping method is transmitted by voice output, so that a user who has difficulty in reading the manual can be provided with a sense of security. Furthermore, during normal operation, it is not necessary to keep the blood glucose meter 10 and instructions together, which is convenient for management.

  Further, since the recording guidance memory 76 of the storage unit 66 is divided corresponding to the blood glucose axis and the time / event axis, more accurate countermeasures can be taken in response to the blood glucose level that fluctuates depending on the time of day. A method can be provided.

  Furthermore, a post-meal button 42 that is operated by the user when measuring within a predetermined time after the meal is provided, and the recording guidance memory 76 of the storage unit 66 is a first in which the time / event axis is not operated by the post-meal button 42. The medical guidance 77 and the second medical guidance 78 with operation are divided correspondingly. Thereby, it is possible to provide a more accurate coping method corresponding to the blood glucose level that rises after a meal.

  Furthermore, it is possible to instruct the blood glucose meter 10 at any time to measure after meal by operating the post-meal button 42, and the meal time is not restricted.

  The timing of the operation confirmation (step S203) of the post-meal button 42 has been described as being performed during the blood glucose measurement period of steps S203 to S205 in the example illustrated in FIG. 14, but is not limited thereto. For example, after blood glucose measurement is finished and voice guidance based on the first medical guidance 77 is once performed in steps S209 and S210, the operation confirmation of the post-meal button 42 may be performed simultaneously with the operation confirmation of the playback button 55 in step S213. In this case, when the operation of the post-meal button 42 is confirmed in step S213, the process proceeds to step S211. Thereby, even if the user forgets to operate the post-meal button 42 at the time of blood glucose measurement, if the post-meal button 42 is pressed after the measurement is completed, the voice guidance based on the second medical guidance 78 corresponding to the post-meal can be heard.

  Since the blood glucose meter 10 includes the microphone 58 and the recording guidance memory 76 for recording medical guidance as voice, it is possible to set individual medical guidance according to the disease state and guidance policy for each patient.

  In the above embodiment, blood has been described as a body fluid. However, the present invention is not limited to this, and may be lymph fluid, spinal fluid, saliva, or the like. Furthermore, glucose (blood glucose level) has been described as a component to be measured in body fluid (blood), but is not limited thereto, and examples thereof include cholesterol, uric acid, creatinine, lactic acid, hemoglobin (occult blood). These may be various alcohols, various sugars, various proteins, various vitamins, various inorganic ions such as sodium, and environmental hormones such as PCB and dioxin. Furthermore, in the above-described embodiments, the amount of the predetermined component has been described. However, the property of the predetermined component may be measured, and both the amount and the property of the predetermined component may be measured. There may be.

  In the present embodiment, a component measuring device that measures a predetermined component in a body fluid has been exemplified. However, the present invention is not limited thereto, and can be applied to, for example, a medical device that measures vital signs other than a body fluid component. Vital signs include heart rate, respiration (number), blood pressure, body temperature, blood flow, oxygen saturation, electrocardiogram and the like. Further, the medical device here is not limited to a so-called personal use product, but of course includes a clinical medical device, for example.

  Of course, the component measuring apparatus, the medical device, and the voice guidance method according to the present invention are not limited to the above-described embodiments, and various configurations or processes can be adopted without departing from the gist of the present invention.

DESCRIPTION OF SYMBOLS 10 ... Blood glucose meter (component measuring device, medical equipment) 12 ... Chip 36 ... Display (display part) 38 ... Operation part 42 ... After-meal button (post-meal input part) 44 ... Time setting button 45 ... Recording mode button 54 ... Speaker 58 ... Microphone (recording unit) 60 ... control unit 64 ... clock 66 ... storage unit 68 ... component measuring unit (measurement unit) 74 ... fixed guidance memory 76 ... recording guidance memory (recording unit) 77 ... first medical guidance 78 ... second medical care guidance

Claims (7)

A measurement unit for measuring a predetermined component in the body fluid;
A storage unit that stores medical guidance divided into a plurality of stages according to the degree of component measurement values by the measurement unit;
A clock that notifies you of the current time,
An audio output unit for outputting the medical guidance in an audio format;
A recording unit for recording the medical guidance as voice;
A control unit connected to the measurement unit, the storage unit, the clock, an audio output unit, and the recording unit;
With
The storage unit stores the voice recorded by the recording unit as the medical guidance,
The medical guidance of the storage unit is configured to be selectively recordable with respect to a plurality of stages set according to the component measurement value and time,
The control unit reads the corresponding medical guidance from the storage unit based on the current time obtained from the clock and the component measurement value, and outputs the read medical guidance through the voice output unit. Component measuring device. In the component measuring device according to claim 1 Symbol placement,
The predetermined component in the body fluid is blood sugar,
A post-meal input unit operated by the user to link the post-meal information to the blood glucose level when measuring within a predetermined time after the meal;
The medical guidance of the storage unit is classified according to the blood glucose level and the presence or absence of the postprandial information,
The control unit further reads out the corresponding medical guidance based on the presence or absence of the postprandial information, and outputs the read out medical guidance through the voice output unit. In the component measuring device according to claim 1 or 2 ,
The medical guidance is configured to be selectively recordable for a plurality of stages set according to the degree of the component measurement value,
The said control part reads the medical guidance corresponding based on the grade of the said component measurement value measured by the said measurement part, and outputs the read medical guidance through the said audio | voice output part. In the component measuring device according to any one of claims 1 to 3 ,
In addition to displaying the component measurement values by the measurement unit, the display unit corresponding to the pointing device,
The display section displays the plurality of stages when performing recording by the recording section,
The component measuring apparatus, wherein the recording unit records the medical guidance as a voice for a category selected by the pointing device. In the component measuring device according to any one of claims 1 to 4 ,
The component measuring apparatus according to claim 1, wherein the recording function by the recording unit is effective when authentication is performed by an authentication function. A measuring unit for measuring vital signs of the human body;
A storage unit that stores medical guidance divided into a plurality of stages according to the degree of component measurement values by the measurement unit;
A clock that notifies you of the current time,
An audio output unit for outputting the medical guidance in an audio format;
A recording unit for recording the medical guidance as voice;
A control unit connected to the measurement unit, the storage unit, the clock, an audio output unit, and the recording unit;
With
The storage unit stores the voice recorded by the recording unit as the medical guidance,
The medical guidance of the storage unit is configured to be selectively recordable for a plurality of stages set according to the component measurement value and time,
The control unit reads the corresponding medical guidance from the storage unit based on the current time obtained from the clock and the component measurement value, and outputs the read medical guidance through the voice output unit. Medical equipment. Recording the first medical guidance corresponding to the case where postprandial information exists and the second medical guidance corresponding to the case where no postprandial information exists, corresponding to the measurement time and the degree of the component measurement value, respectively;
The process of outputting the measured component measurement values by voice,
When the postprandial information exists, the based on the component measured value and the current time, while the recorded first medical guidance output by voice, when the postprandial information does not exist, the component measurement Outputting the recorded second medical guidance by voice based on the value and the post-meal information;
A voice guidance method in a component measuring apparatus.

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