JP5739507B2 - Sensor wearing time notification device - Google Patents

Description

  The present invention relates to a sensor wearing time notification method and apparatus.

In the medical field, it is required to continuously and non-invasively monitor biological information such as a patient's pulse and blood pressure. Currently, in medical institutions such as hospitals, the patient's physical condition is monitored by continuously measuring the patient's biological information using a medical device called a biological information monitor. The biological information monitor captures biological information with a sensor attached to the patient, processes the biological information as information related to the patient's physical condition, and then processes the information into numerical values and transmits it to medical personnel such as doctors or nurses. To do.

In general, a sensor of a biological information monitor is attached in a state of being in close contact with a patient from the viewpoint of maintaining measurement accuracy. On the other hand, if the sensor is worn in close contact with the patient for a long time, it may be accompanied by pain due to pressure or the contact location may be rashed. For example, Patent Document 1 and Patent Document 2 listed below disclose techniques for improving the structure of a sensor in order to reduce such a burden associated with sensor mounting. Patent Document 1 discloses a technique for reducing the burden on a patient by reducing the size and weight of the sensor, and Patent Document 2 discloses that the pressure applied to the living body by the sensor is constant. A technique for reducing the burden caused by local compression is disclosed.

JP 2007-54594 A JP 2008-245701 A

However, in the techniques of Patent Document 1 and Patent Document 2, it is assumed that the sensor mounting position is always changed by a specified time, and whether the sensor mounting position is actually changed by the specified time is: It depends on the consciousness of the medical staff operating the biological information monitor about the change of the wearing position. Therefore, if the sensor mounting position is not changed by the specified time,
There still exists a possibility that the burden on the patient accompanying sensor mounting may increase.

The present invention has been made to solve the above-described problems. An object of the present invention, as the mounting position of the sensor is changed by the specified time, provide a sensor mounting time report TomoSo location for informing the medical personnel the duration which the sensor is mounted in succession in vivo It is to be.

  The above object of the present invention is achieved by the following.

The sensor mounting time notifying device of the present invention includes a detecting means, a timing means, a determining means, a notifying means, and a temperature measuring means . The detecting means detects whether or not a sensor for measuring biological information is attached to the living body. The time measuring means measures the duration of time that the sensor is continuously attached to the living body based on the detection result of the detecting means. The determining means determines whether or not the duration has reached a predetermined reference time. Informing means based on the determination result of the determination means, that the continuation time reaches a reference time, a communication means that can be broadcast knowledge with respect to medical personnel location spaced a place where the said biological I have. The temperature measuring means directly or indirectly measures the temperature of the contact portion between the living body and the sensor. The reference time is set using the measurement result of the temperature measuring means.
In addition, the sensor mounting time notification device of the present invention includes a detection unit, a timing unit, a determination unit, a notification unit, and a pressure measurement unit. The detecting means detects whether or not a sensor for measuring biological information is attached to the living body. The time measuring means measures the duration of time that the sensor is continuously attached to the living body based on the detection result of the detecting means. The determining means determines whether or not the duration has reached a predetermined reference time. The notification means includes a communication means capable of notifying a medical worker at a place separated from the place where the living body is located, based on the determination result of the determination means, that the duration has reached the reference time. ing. The pressure measuring means measures the contact pressure of the sensor with respect to the living body directly or indirectly. The reference time is set using the measurement result of the pressure measuring means.

According to the sensor mounting time report TomoSo location of the present invention, sensor duration that is mounted in succession in the living body that has reached the predetermined reference time is informed to the medical personnel. Therefore, it is possible to prompt the medical staff to change the sensor mounting position by the specified time. As a result, it is possible to reduce the burden on the patient accompanying the mounting of the sensor.

It is a schematic block diagram for demonstrating the sensor mounting time alerting device in the 1st Embodiment of this invention. It is a block diagram for demonstrating the detection part shown in FIG. It is a wave form diagram which shows the time change of the transmitted light signal output from the demodulation part shown in FIG. It is a flowchart for demonstrating the sensor mounting time alerting | reporting method in the 1st Embodiment of this invention. It is a schematic block diagram for demonstrating the sensor mounting time alerting | reporting apparatus in the 2nd Embodiment of this invention.

Hereinafter, embodiments of a sensor wearing time notification device of the present invention will be described with reference to the accompanying drawings. In the drawings, the same reference numerals are used for the same members. In addition, the dimensional ratios in the drawings are exaggerated for convenience of explanation, and may be different from the actual ratios.

(First embodiment)
FIG. 1 is a schematic block diagram for explaining a sensor wearing time notification device according to a first embodiment of the present invention. In FIG. 1, the sensor mounting time notification device is shown in a range surrounded by a one-dot chain line. The sensor wearing time notification device uses the biological information measured by the sensor of the biological information monitor to notify that the duration that the sensor is continuously attached to the living body has reached a predetermined reference time. .

In the present embodiment, a case where the sensor wearing time of a pulse oximeter as a biological information monitor is mainly notified will be described as an example. A pulse oximeter is a device that continuously and non-invasively measures arterial blood oxygen saturation (S _P O ₂ ). However, the biological information monitor is not limited to the pulse oximeter, and the biological information monitor other than the pulse oximeter is attached to the sensor within the scope of the technical idea of the present invention as long as the sensor is fixed to the biological surface. It is possible to realize a configuration for notifying time. An application example of the present invention to a biological information monitor other than a pulse oximeter will be described later.

As shown in FIG. 1, the sensor wearing time notification device 200 of the present embodiment includes a detection unit 100,
It has a timekeeping unit 120, a determination unit 130, a notification unit 140, and a reference time setting unit 150. Detection unit 1
00 has a biological information measurement unit 110 and a mounting detection unit 115, and is connected to the sensor 20 by a cable or wirelessly. FIG. 1 shows a living body 10 and a sensor 2 for measuring the living body 10.
The relationship with 0 is indicated by a dotted line.

The sensor 20 is attached to the living body 10 and measures biological information. Specifically, a sensor of a pulse oximeter is usually referred to as a probe, and is attached to a part of the surface of a living body (for example, a fingertip of a patient, a forehead, etc.), and transmits transmitted light ( A transmission probe) or reflected light (reflection probe) is measured. The sensor 20 includes a sensor fixing unit 21, a sensing unit 22, and a sensor information storage unit 23.

The sensor fixing unit 21 fixes the sensing unit 22 to the living body surface when the sensor 20 is attached to the living body 10. Specifically, when the sensor fixing unit 21 is a transmissive probe, the sensing unit 22 is arranged such that the light emitting unit and the light receiving unit of the sensing unit 22 are linearly arranged via the living body 10.
To fix. In the case of a reflective probe, the sensing unit 22 is fixed so that the light emitting unit and the light receiving unit of the sensing unit 22 are arranged side by side with respect to the living body 10.

For example, in the case of a transmission type probe, the sensor fixing unit 21 includes a clip-shaped fixing device that clamps and fixes a patient's finger, an adhesive tape-shaped fixing device that fixes an adhesive tape on a patient's finger, and a patient. There is a finger sack-like fixing device that is fixed on the finger, and in the case of a reflective probe, there is an adhesive tape-like fixing device that is attached to the patient's forehead with an adhesive tape and fixed. As described above, since there are various types of sensor fixing portions 21, how long the sensor 20 can be continuously attached to the living body 10 depends on the type of the sensor fixing portion 21. In the following description, a case where a transmission probe is used as the sensor 20 will be described.

The sensing unit 22 irradiates the living body 10 with red light and infrared light, and receives transmitted light. The sensing unit 22 includes a light emitting unit and a light receiving unit, and is connected to the biological information measuring unit 110 of the detecting unit 100. For example, the light emitting part has a wavelength of around 660 nm (red) and 940 nm.
A light emitting diode that emits light in the vicinity (infrared) is provided, and emits light toward the surface of a living body such as a fingertip.
The light receiving unit includes, for example, a photodiode, receives light transmitted through blood vessels and living tissue, converts the light into a current signal, and outputs the current signal to the detection unit 100.

The sensor information storage unit 23 functions as a sensor information storage unit and stores the type of the sensor 20. Specifically, the sensor information storage unit 23 includes the type of the sensor fixing unit 21 and includes the sensor 2.
Information on 0 is stored in a storage element such as a resistor or a memory (ROM). The storage element is embedded in, for example, a connector on the sensor side of a cable that connects the sensor 20 and the detection unit 100.

The sensor wearing time notification device 200 includes the sensor 20 stored in the sensor information storage unit 23.
The information regarding the type of information is appropriately read and transmitted to the reference time setting unit 150.

The detection unit 100 detects whether the sensor 20 is attached to the living body 10 as detection means. The detection unit 100 includes a biological information measurement unit 110 and a mounting detection unit 115, and is connected to the sensor 20 and the time measuring unit 120.

The biological information measuring unit 110 measures biological information and transmits it to the mounting detection unit 115,
The biological information is processed to calculate arterial oxygen saturation. Then, the attachment detection unit 115 detects whether or not the sensor 20 is attached to the living body 10 based on the measured biological information.

Since the biological information is information physiologically obtained from the living body, the measurement of the biological information by the biological information measuring unit 110 means that the sensor 20 is attached to the living body 10.

The wearing detection unit 115 generates a timing enable signal for the timing unit 120 to perform a timing operation, and transmits the signal to the timing unit 120. When it is detected that the sensor 20 is attached to the living body 10, the attachment detection unit 115 activates the time measurement enable signal. On the other hand, when it is detected that the sensor 20 is not attached to the living body 10, the attachment detection unit 115 does not activate the timing enable signal. Specific configurations of the biological information measurement unit 110 and the attachment detection unit 115 will be described later.

The time measuring unit 120 measures the duration of time that the sensor 20 is continuously attached to the living body 10 based on the detection result of the detecting unit 100 as time measuring means. The timing unit 120 includes the detection unit 100.
And the determination unit 130.

The time measuring unit 120 receives the time measuring enable signal from the detecting unit 100 and starts measuring time, and measures the duration of time that the sensor 20 is continuously attached to the living body 10. The timer unit 120 includes, for example, a digital counter that operates at a predetermined clock cycle, and receives a timer enable signal and starts counting of the digital counter. The timer 120 transmits the duration corresponding to the count value to the determiner 130.

Note that the time measuring unit 120 continues the counting operation even if the attached sensor 20 is temporarily detached (for example, less than 1 second) from the living body 10 and the biological information is not measured. That is,
When the sensor 20 is temporarily detached from the living body 10, the sensor 20 is treated as being continuously attached to the living body 10. On the other hand, if it is determined that the detachment of the sensor 20 is not temporary, the digital counter is reset to wait for the sensor 20 to be attached to the living body 10 again.

The medical staff can also start timing by operating a timing start key (not shown). As a result, the mounting start time of the sensor 20 can be determined more reliably.

The discriminating unit 130 discriminates as a discriminating means whether or not the duration time during which the sensor 20 is continuously attached to the living body 10 has reached a predetermined reference time. The determination unit 130 is connected to the timing unit 120 and the notification unit 140.

The determination unit 130 generates a reference time arrival signal that notifies whether or not the duration has reached the reference time, and transmits the reference time arrival signal to the notification unit 140. The determination unit 130 activates the reference time arrival signal when the duration time transmitted from the time measuring unit 120 reaches a predetermined reference time. On the other hand, the discrimination unit 1
30 does not activate the reference time arrival signal when the duration has not reached the predetermined reference time.

As a notification unit, the notification unit 140 notifies that the duration has reached the reference time based on the determination result of the determination unit 130. Specifically, the notification unit 140 is connected to the determination unit 130, receives a reference time arrival signal from the determination unit 130, and performs a notification operation.

The notification unit 140 includes, for example, a speaker, a lamp, a monitor display,
A reference time arrival signal from the determination unit 130 is received, an alarm sound, a voice message,
It is possible to notify by light, a visual message or the like. In addition, the notification unit 140 includes a communication unit, and for example, can perform a notification operation for a medical worker in a centralized management center in a place separated from a place where a patient is present.

The reference time setting unit 150 is connected to the sensor information storage unit 23 and the determination unit 130,
As a reference time setting means, a reference time is set and transmitted to the determination unit 130. The reference time is a time determined based on a time during which the sensor 20 can be continuously mounted at the same place on the surface of the living body, and is set according to the type of the sensor 20.

The type of the sensor 20 is transmitted from the sensor information storage unit 23 of the sensor 20 to the reference time setting unit 150. The type of sensor 20 includes, for example, the type of sensor fixing unit 21.
The reference time setting unit 150 can set the reference time according to the type of the sensor fixing unit 21. For example, the reference time setting unit 150 sets the reference time to 4 hours when the sensor fixing unit 21 is a clip-type fixing device, and sets the reference time to 8 hours when the sensor fixing unit 21 is an adhesive tape-type fixing device. Set to. The setting of the reference time corresponding to the type of the sensor fixing unit 21 can be changed as appropriate.

Next, the detection unit shown in FIG. 1 will be described in more detail with reference to FIG. As illustrated in FIG. 2, the detection unit 100 includes a biological information measurement unit 110 and a mounting detection unit 115. The biological information measurement unit 110 includes a light emission control unit 111, a demodulation unit 112, an absorbance ratio calculation unit 113, and an oxygen saturation calculation unit 114. The biological information measurement unit 110 transmits the biological information to the attachment detection unit 115 and processes the biological information. To calculate the arterial oxygen saturation.

The light emission control unit 111 controls the light emission timing of the light emitting unit 22 a of the sensing unit 22.
Specifically, the light emission control unit 111 generates a light emission timing signal and controls the red and infrared light emitting diodes to emit light alternately at a predetermined timing.

The demodulator 112 generates a red transmitted light signal and an infrared transmitted light signal. Specifically, the demodulation unit 112 converts the current signal generated by the light receiving unit 22b of the sensing unit 22 into a voltage signal, and then uses the light emission timing signal generated by the light emission control unit 111 to convert the voltage signal. Demodulate and generate a red transmitted light signal and an infrared transmitted light signal.

The red light or infrared light that has entered the living body 10 from the light emitting unit 22a passes through the biological tissue, venous blood, and arterial blood, and then is received by the light receiving unit 22b. The transmitted light signal weakens when the patient's heart contracts and the blood volume in the artery increases, while the transmitted light signal increases when the heart expands and the blood volume in the artery decreases. Therefore, the transmitted light signal changes according to the change in blood volume in the artery due to the pulsation of the heart.

The absorbance ratio calculation unit 113 calculates the ratio of absorbance between red light and infrared light. The transmitted light signal generated by the demodulator 112 has a waveform in which an AC component (pulse wave component) is superimposed on a DC component. The absorbance ratio calculation unit 113 separates the direct current component and the alternating current component for each of the red light transmitted light signal and the infrared light transmitted light signal, and calculates the pulsation rate (AC component / DC component). Then, the absorbance ratio calculating unit 113 calculates the ratio of the absorbance of red light and infrared light approximately by calculating the ratio of the pulsation rate of red light and the pulsation rate of infrared light.

The oxygen saturation calculator 114 calculates the arterial oxygen saturation of hemoglobin from the ratio of the absorbance of red light and infrared light. Since this calculation process is the same as the calculation process in the conventional pulse oximeter, the detailed description is omitted. The calculated arterial blood oxygen saturation is displayed by display means not shown.

The attachment detection unit 115 detects the sensor 20 based on the biological information signal from the biological information measurement unit 110.
It is detected whether or not is attached to the living body. Specifically, the attachment detection unit 115 is connected to the demodulation unit 112 of the biological information measurement unit 110, and the sensor 20 is attached to the living body 10 using the transmitted light signal generated by the demodulation unit 112. Detect whether or not. Hereinafter, a method for detecting whether or not the sensor 20 is attached to the living body 10 using the transmitted light signal will be described with reference to FIG.

FIG. 3 is a waveform diagram showing temporal changes in the transmitted optical signal output from the demodulator 112 shown in FIG. The vertical axis in FIG. 3 is the intensity of the transmitted light signal, and the horizontal axis is time.

FIG. 3 schematically shows transmitted light signals output from the demodulator 112 when the living body 10 is irradiated with red light and infrared light. These transmitted light signals are represented by red light and infrared light. Reflects about the pulse wave. Hereinafter, the pulse waves measured with red light and infrared light are referred to as pulse wave 1 and pulse wave 2. In FIG. 3, for convenience of drawing the pulse wave 1 and the pulse wave 2 on the same time axis, the DC component DC ₂ of the transmitted light signal of the pulse wave ₂ is greater than the maximum value of the transmitted light signal of the pulse wave 1. Largely drawn.

The magnitudes of the direct current components DC ₁ and DC ₂ of the transmitted light signals of the pulse wave 1 and the pulse wave 2 depend on the thickness of the living tissue and the amount of venous blood, and the magnitudes of the amplitudes A ₁ and A ₂ are arterial blood. Depends on the degree of binding between hemoglobin and oxygen.

When the sensor 20 of the pulse oximeter is appropriately mounted at a predetermined position of the living body 10, the DC components DC ₁ and DC _{2 of} the pulse wave 1 and the pulse wave ₂ , the amplitude values A ₁ and A ₂ , and the period T ₁ ,
T ₂ are, respectively take values within a predetermined range. Here, the predetermined position of the living body 10 is a relatively thin part of the living body 10 such as a fingertip.

As shown in FIG. 3, when the DC components _DC 1, DC ₂ takes a value between the upper threshold _{I Uth} and a lower threshold _{I LTh} of the transmitted optical signal intensity, the direct current component _DC 1, DC ₂ is within a predetermined range Is the value of On the other hand, when the DC component DC ₁ or DC ₂ does not take a value between the upper threshold I _UTh and the lower threshold I _LTh , the DC component DC ₁ or DC ₂ is not a value within a predetermined range. In this case, there is a possibility that the sensor 20 is not properly mounted at a predetermined position of the living body 10.

For example, when the DC component DC ₁ or DC ₂ is greater than the upper threshold value _{I Uth,} has not been properly inserted fingertip between the light emitting portion 22a of the sensor 20 and the light receiving portion 22b, the light emitting portion 22
The light from a may be directly transmitted to the light receiving unit 22b.

On the other hand, when the DC component DC ₁ or DC ₂ is smaller than the lower threshold value I _LTh , the sensor 20
May be detached from the fingertip, or the sensor 20 may be attached to a living body part thicker than the fingertip, and light may not be transmitted between the light emitting unit 22a and the light receiving unit 22b of the sensor 20.

Further, the amplitude values A ₁ and A ₂ of the pulse wave 1 and the pulse wave 2 take values within a predetermined range depending on the degree of binding between hemoglobin and oxygen in arterial blood. Here, the predetermined range can be appropriately determined based on the relationship between the degree of binding between hemoglobin and oxygen and the transmitted light characteristics of red light and infrared light of the living body. When the amplitude values A ₁ and A ₂ are not values within a predetermined range, the sensor 20 may not be properly attached to a predetermined position of the living body 10.

Further, the periods T ₁ and T ₂ of the pulse wave 1 and the pulse wave 2 take values within a predetermined range according to changes in the amount of arterial blood. When the periods T ₁ and T ₂ are not values within the predetermined range, the sensor 20 may not be properly attached to the predetermined position of the living body 10.

Therefore, based on whether or not the DC components DC ₁ and DC ₂ , the amplitude values A ₁ and A ₂ , and the periods T ₁ and T ₂ are values within a predetermined range, the sensor 20 has a predetermined position on the living body 10. It can be determined that the device is properly attached to the camera.

In addition to the DC component, the amplitude value, and the period, for example, the rise time or shape of the pulse wave can be added as a determination condition. Further, instead of using the absolute value of the transmitted light as the transmitted light signal, a ratio between the transmitted light and the incident light may be used.

As described above, in the sensor wearing time notification device 200 of the present embodiment, first, the sensor 20
It is detected whether or not is attached to the living body 10. Specifically, the detection unit 100 includes the sensor 2
When it is detected that 0 is attached to the living body 10, the timing enable signal is activated. On the other hand, when it is detected that the sensor 20 is not attached to the living body 10, the detection unit 100 does not activate the time measurement enable signal.

Next, based on the detection result of whether or not the sensor 20 is attached to the living body 10, the sensor 2
A duration time in which 0 is continuously attached to the living body 10 is measured. Specifically, the timer 120
Receives the time measurement enable signal from the detection unit 100 and starts time measurement, and measures the duration of time that the sensor 20 is continuously attached to the living body 10.

Next, it is determined whether or not the duration has reached a predetermined reference time. Specifically, the determination unit 13
0 activates the reference time arrival signal when the duration time transmitted from the timer 120 reaches a predetermined reference time. On the other hand, when the duration has not reached the predetermined reference time, the determination unit 130 does not activate the reference time arrival signal.

Next, based on the determination result of the determination unit 130, it is notified that the duration has reached the reference time. Specifically, the notification unit 140 receives the reference time arrival signal from the determination unit 130 and notifies it by an alarm sound, a voice message, light, a visual message, or the like.

As described above, the configuration of the sensor wearing time notification device 200 of the present embodiment has been described. Hereinafter, with reference to FIG. 4, the sensor mounting time notification method in the present embodiment will be described. FIG.
It is a flowchart for demonstrating the sensor mounting time alerting | reporting method in this Embodiment.
The sensor wearing time notification method in this embodiment measures the time that a sensor for measuring biological information is continuously worn on a living body, and notifies when the time reaches a predetermined reference time. It is.

As shown in FIG. 4, first, it is determined whether or not the sensor is attached to the living body (step S101). When the sensor is attached to the living body (step S101: YES), the process proceeds to the next step S102. On the other hand, when the sensor is not attached to the living body (step S101).
: NO), wait until the sensor is mounted on the living body.

Next, the duration for which the sensor is continuously attached to the living body is measured (step S102).
).

Next, it is determined whether or not the duration has reached a predetermined reference time (step S103). When the duration time reaches a predetermined reference time (step S103: YES), the next step S1
Proceed to 04. On the other hand, when the duration has not reached the predetermined reference time (step S103:
NO), wait until the duration reaches a predetermined reference time.

In the above, the structure which alert | reports sensor mounting time was demonstrated about the pulse oximeter as a biological information monitor. Hereinafter, the structure which alert | reports sensor mounting time is demonstrated about biological information monitors other than a pulse oximeter. In the sensor wearing time notification device described below, only the configuration of the sensor and the detection unit is different from the sensor wearing time notification device of the pulse oximeter described above. Therefore, below, the structure of a sensor and a detection part is demonstrated, and description is abbreviate | omitted about the other structure.

[Electrocardiograph]
In the electrocardiograph sensor wearing time notification device, a plurality of electrodes are used as the sensor sensing unit. The electrode is fixed to the living body by a sensor fixing unit such as an adhesive tape, and an electrocardiogram signal from the electrode is transmitted to the biological information measuring unit of the detecting unit.

The biological information measuring unit extracts the electrocardiographic waveform after amplifying the electrocardiographic signal and transmits it to the wearing detection unit. In addition, since it is the same as that of the conventional electrocardiograph about the part which carries out the measurement process of the electrocardiogram waveform in a biological information measurement part, description is abbreviate | omitted. The electrocardiogram waveform extracted by the biological information measurement unit measures the amplitude value and period in the attachment detection unit, and the sensor is attached to the living body based on whether or not the measured value is a value within a predetermined range. Detect whether or not. The shape of the electrocardiogram waveform can be added as a determination condition.

[Electroencephalograph]
In the sensor wearing time notification device of an electroencephalograph, a plurality of electrodes are used as a sensing unit of the sensor. The electrode is, for example, a needle electrode or a dish electrode, and is fixed by a sensor fixing unit such as an adhesive tape or a hat-shaped fixing device. The electroencephalogram signal from the electrode is transmitted to the biological information measurement unit of the detection unit.

The biological information measurement unit amplifies the electroencephalogram signal, extracts the electroencephalogram waveform, and transmits it to the wearing detection unit. In addition, since it is the same as that of the conventional electroencephalograph about the part which carries out the measurement process of the electroencephalogram in a biometric information measurement part, description is abbreviate | omitted. The electroencephalogram waveform extracted by the biological information measuring unit is measured by the mounting detection unit for the amplitude value and the period, and the sensor is mounted on the living body based on whether or not the measured value is within a predetermined range. Detect whether or not. The rise time or shape of the electroencephalogram waveform can also be added as a determination condition.

[Thermometer]
In a sensor wearing time notification device for a thermometer, a thermistor is used as a sensor sensing unit. The thermistor is fixed to the living body by a sensor fixing unit such as an adhesive tape, converts the living body temperature into an electrical signal, and transmits the electrical signal to the biological information measuring unit of the detection unit.

The biological information measuring unit measures the biological temperature and transmits it to the wearing detection unit. In addition, since it is the same as that of the conventional thermometer about the part which measures a biological temperature in a biological information measurement part, description is abbreviate | omitted. The attachment detection unit detects whether or not the sensor is attached to the living body based on whether or not the measured living body temperature is a value within a predetermined range.

[Cardiograph]
In the sensor wearing time notification device of a heart sound meter, a microphone is used as a sensor sensing unit. The microphone is fixed to the living body by a sensor fixing unit such as an adhesive tape, converts the heart sound into an electrical signal, and transmits it to the biological information measuring unit of the detecting unit.

The biological information measurement unit amplifies and filters the transmitted electrical signal, extracts only the sound from the heart, and transmits it as a heart sound signal to the wearing detection unit. In addition, since the part which carries out the measurement process of the heart sound in the biometric information measurement part is the same as that of the conventional heart sound meter, description is abbreviate | omitted. The heart sound signal extracted by the biological information measuring unit is measured for a direct current component, an amplitude value, and a period by the wearing detection unit, and the sensor detects whether the measured value is within a predetermined range. It is detected whether or not it is attached. The rise time or shape of the heart sound signal can also be added as a determination condition.

[Dermal gas monitor]
In the sensor wearing time notification device of a transdermal gas monitor, a transdermal gas sensor is used as a sensor sensing unit. The transdermal gas sensor is fixed to a living body by a sensor fixing unit such as an adhesive tape, samples the gas on the surface of the living body, and transmits the sampled gas to the biological information measuring unit of the detection unit.

The biological information measuring unit analyzes the transmitted gas component, converts the analysis result into an electrical signal, and transmits the result as a gas component signal to the mounting detection unit. The attachment detection unit detects whether the sensor is attached to the living body based on whether a predetermined amount of the gas component to be measured exists based on the gas component signal.

[Sphygmomanometer]
In the sensor wearing time notification device for a sphygmomanometer, a cuff serving as both a sensing unit and a sensor fixing unit of the sensor is used. The pressure in the cuff wound around the arm of the living body and the pressure pulse wave accompanying the heartbeat are detected by a pressure sensor. The pressure sensor converts the pressure and the pressure pulse wave into an electrical signal and transmits the electrical signal to the biological information measurement unit of the detection unit.

The biological information measuring unit extracts the cuff pressure and the pressure pulse wave from the transmitted electrical signal, and transmits the cuff pressure signal and the pulse wave signal to the mounting detection unit. In addition, about the part which carries out the measurement process of the blood pressure in a biometric information measurement part, since it is the same as that of the conventional blood pressure meter, description is abbreviate | omitted. The pulse wave signal extracted by the biological information measuring unit is measured for the direct current component, the amplitude value, and the period by the wearing detection unit, and whether the measured value of the pulse wave signal and the cuff pressure are values within a predetermined range. Whether or not the sensor is attached to the living body is detected based on the above. Note that the rise time or shape of the pulse wave signal can also be added as a determination condition.

As described above, in the sensor wearing time notification device according to the present embodiment, it is detected whether or not the sensor is attached to the living body, and the duration time that the sensor is continuously attached to the living body is determined based on the detection result. measure. Then, it is determined whether or not the duration has reached a predetermined reference time, and the fact that the duration has reached the reference time is notified based on the determination result.

  As described above, the described embodiment has the following effects.

(A) According to the sensor mounting time notification method and apparatus of the present embodiment, the medical staff is notified that the duration of the sensor being continuously mounted on the living body has reached a predetermined reference time. Therefore, it is possible to prompt the medical staff to change the sensor mounting position by the specified time. As a result, it is possible to reduce the burden on the patient accompanying the mounting of the sensor.

(B) The sensor includes a pulse oximeter probe for measuring arterial oxygen saturation.
Therefore, it is possible to prompt the medical staff to change the mounting position of the probe by the specified time. As a result, it is possible to reduce the burden on the patient accompanying the mounting of the probe.

(C) The sensor mounting time notification device of the present embodiment includes a sensor information storage unit in which sensor information including the type of sensor is stored. Since the reference time is set according to the type of sensor, the reference time can be appropriately set according to the form or characteristic of each sensor.

(Second Embodiment)
In the first embodiment, the reference time setting unit is connected to the sensor information storage unit and the determination unit, and the reference time is set according to the type of sensor.

FIG. 5 is a schematic block diagram for explaining a sensor wearing time notification device according to the second embodiment of the present invention. As shown in FIG. 5, in addition to the configuration of the sensor wearing time notification device 200 in the first embodiment, the sensor wearing time notification device 200 in the present embodiment includes:
It further has a temperature measurement unit 160, a pressure measurement unit 170, and a manual setting unit 180.

In the present embodiment, the reference time setting unit 150 includes the sensor information storage unit 23 and the determination unit 13.
In addition to 0, the biometric information measurement unit 110, the temperature measurement unit 160, the pressure measurement unit 170, and the manual setting unit 180 are connected.

The temperature measurement unit 160 directly or indirectly measures the temperature of the contact portion between the living body 10 and the sensor 20 as a temperature measurement unit. When the living body temperature is directly measured, for example, the temperature sensor is brought into contact with the surface of the living body, and the temperature of the contact portion between the living body 10 and the sensor 20 is directly measured.

On the other hand, it is difficult to directly measure the living body temperature. When measuring the living body temperature indirectly, it is possible to estimate the temperature of the contact portion by measuring the temperature related to the temperature of the contact portion. It is. For example, assuming that the thermal gradient from the light emitting part of the sensor 20 to the surface of the living body does not change depending on conditions, the temperature of the living body surface can be estimated by measuring the temperature of the light emitting part. And the temperature of a light emission part can be estimated by measuring a forward voltage, when a light emission part is a light emitting diode.

The pressure measurement unit 170 directly or indirectly measures the contact pressure of the sensor 20 with respect to the living body 10 as a pressure measurement unit. When the contact pressure of the sensor 20 with respect to the living body 10 is directly measured, for example, the pressure sensor is brought into contact with the surface of the living body, and the pressure at the contact portion between the living body 10 and the sensor 20 is measured.

On the other hand, it is difficult to directly measure the pressure at the contact portion, and when measuring the pressure of the sensor 20 against the living body 10 indirectly, for example, the strain or extension of the sensor fixing portion 21 is measured, The pressure at the surface can be estimated.

  The reference time can be set as follows.

In the present embodiment, the reference time is the type of sensor 20, biological information, biological body 10 and sensor 20.
Can be set in accordance with at least one of the temperature of the contact portion with the living body 10 and the contact pressure of the sensor 20 on the living body 10. The reference time can also be preferentially set by direct manual input by a medical worker.

  The case where the reference time is set using the measured biological information is as follows.

The biological information is transmitted from the biological information measuring unit 110 to the reference time setting unit 150. The reference time setting unit 150 can set the reference time based on the biological information measurement result from the biological information measurement unit 110. For example, even when the same sensor is used, it is necessary to change the mounting position earlier than the normal reference time depending on the condition of the patient.

For example, in the case of a low birth weight infant with very weak skin or a patient with poor peripheral circulation, it is necessary to change the mounting position of the sensor 20 more frequently. For example, when the amplitude of the pulse wave measured by the biological information measuring unit 110 is very small and does not reach a predetermined value, the reference time setting unit 150 can set the reference time short. In addition, the reference time setting unit 150 can set the reference time short according to the heart rate when the heart rate is very high or the heart rate is very low.

  When the reference time is set using the measured temperature, it is as follows.

The temperature of the contact portion between the living body 10 and the sensor 20 is transmitted from the temperature measurement unit 160 to the reference time setting unit 150 as a temperature measurement result. The reference time setting unit 150 can set the reference time based on the temperature measurement result of the temperature measurement unit 160. In addition, the reference time setting unit 150 can include a correction unit. For example, the correction means corrects the reference time so that the higher the measured temperature, the shorter the reference time. Therefore, when the temperature of the contact portion between the living body 10 and the sensor 20 is high, the reference time is shortened. As a result, it is possible to reduce the burden on the patient's skin due to the heat generated by the light emitting unit.

Furthermore, the reference time setting unit 150 can set the reference time to about 0 to several seconds when the measured temperature exceeds a predetermined value. As a result, the determination unit 130 can immediately output the reference time arrival signal. Therefore, when the temperature of the contact portion between the living body 10 and the sensor 20 is higher than a specified value, it is possible to take an emergency measure such as immediately stopping the system or shifting to a safe state for the patient. .

  When the reference time is set using the measured contact pressure, it is as follows.

The contact pressure of the sensor 20 on the living body 10 is transmitted from the pressure measurement unit 170 to the reference time setting unit 150 as a pressure measurement result. The reference time setting unit 150 can set the reference time based on the pressure measurement result of the pressure measurement unit 170. In addition, the reference time setting unit 150
Correction means can be provided. For example, the correction means corrects the reference time in inverse proportion to the measurement pressure so that the higher the measurement pressure, the shorter the reference time. Therefore, when the contact pressure of the sensor 20 on the living body 10 is high, the reference time is shortened. As a result, excessive contact pressure on the patient's skin by the sensor 20 is prevented from persisting for a long time.

Furthermore, the reference time setting unit 150 can set the reference time to about 0 to several seconds when the measured pressure exceeds a predetermined value. As a result, the determination unit 130 can immediately output the reference time arrival signal. Therefore, when the contact pressure with respect to the living body 10 by the sensor 20 is higher than the regulation, it is possible to take an emergency measure such as immediately stopping the system or shifting to a safe state for the patient.

  When the reference time is set by manual input directly by the medical staff, it is as follows.

The reference time setting unit 150 can set the reference time based on the manual setting information from the manual setting unit 180. The manual setting unit 180 functions as manual setting means, and includes input means such as an input keyboard and a touch panel. The reference time setting unit 150 sets the reference time based on the manual setting information input by the medical staff via the manual setting unit 180. The manual setting information may be information related to the patient's physical condition in addition to a numerical value corresponding to the reference time.

As described above, in this embodiment, the reference time is the type of the sensor 20, the biological information, and the biological 1
It can be set according to at least one of the temperature of the contact portion between 0 and the sensor 20 and the contact pressure of the sensor 20 with respect to the living body 10. The reference time can also be preferentially set by direct manual input by a medical worker.

As described above, the described embodiment has the following effects in addition to the effects of the first embodiment.

(D) The sensor mounting time notification device of the present embodiment includes a manual setting unit that manually sets the reference time. Therefore, a more appropriate reference time can be set according to the physical condition of the patient.

(E) The sensor wearing time notification device of the present embodiment includes a temperature measurement unit that directly or indirectly measures the temperature of the contact portion between the living body and the sensor. The reference time is set or corrected using the measurement result of the temperature measurement unit. Therefore, when the temperature of the contact portion between the living body and the sensor is high, the reference time is shortened. As a result, it is possible to reduce the burden on the patient's skin due to the heat generated by the light emitting unit.

(F) The sensor mounting time notification device of the present embodiment includes a pressure measurement unit that directly or indirectly measures the contact pressure of the sensor with respect to the living body. The reference time is set or corrected using the measurement result of the pressure measurement unit. Therefore, when the contact pressure of the sensor with respect to the living body is high, the reference time is shortened. As a result, excessive contact pressure on the patient's skin by the sensor is prevented from persisting for a long time.

As described above, the sensor mounting time notification device of the present invention has been described in the embodiment. However, it goes without saying that the present invention can be appropriately added, modified, and omitted by those skilled in the art within the scope of the technical idea.

For example, in the above-described embodiment, the configuration in which the sensor mounting time is notified for the pulse oximeter, the electrocardiograph, the electroencephalograph, the thermometer, the heart sound meter, the transcutaneous gas monitor, and the sphygmomanometer has been described as the biological information monitor. However, the biological information monitor to which the present invention is applied is not limited to the above-described biological information monitor, and if the sensor is fixed to the surface of the biological body, such as a respiratory sound measuring device, an electromyograph, or a tissue oximeter, It is possible to realize a configuration for notifying the sensor mounting time.

In the above-described embodiment, the reference time is adjusted using at least one of the sensor type, temperature measurement result, pressure measurement result, biological information measurement result, and manual setting information.
However, maintaining the reference time constant and adjusting the count operation speed by changing the clock period of the digital counter of the timekeeping unit using the above information will have the same effect as adjusting the reference time. It is done.

Furthermore, the attachment of the sensor to the living body can be detected by the temperature of the contact portion between the living body and the sensor and / or the contact pressure of the sensor with respect to the living body. That is, if the temperature and / or the pressure are within a predetermined range, it can be determined that the sensor is attached to the living body.

100 detection unit (detection means),
110 Biological information measurement unit (detection means),
115 wearing detector (detection means),
120 Timekeeping section (timekeeping means),
130 discriminating part (discriminating means),
140 Notification section (notification means),
150 reference time setting unit (reference time setting means),
160 Temperature measurement unit (temperature setting means),
170 pressure measuring part (pressure setting means),
180 Manual setting section,
200 Sensor wearing time notification device.

Claims (5)

Detecting means for detecting whether or not a sensor for measuring biological information is attached to the living body;
Based on the detection result of the detection means, time measuring means for measuring a duration time during which the sensor is continuously attached to the living body,
Determining means for determining whether or not the duration has reached a predetermined reference time;
Based on the discrimination result of said discriminating means, said continuation time reaches the reference time, it is possible to broadcast knowledge with respect to medical personnel location spaced a place where the said living body, the communication means Provided informing means,
Temperature measuring means for directly or indirectly measuring the temperature of the contact portion between the living body and the sensor, and
The sensor mounting time notification device , wherein the reference time is set using a measurement result of the temperature measuring means . Detecting means for detecting whether or not a sensor for measuring biological information is attached to the living body;
Based on the detection result of the detection means, time measuring means for measuring a duration time during which the sensor is continuously attached to the living body,
Determining means for determining whether or not the duration has reached a predetermined reference time;
Communication means capable of notifying a medical worker at a place separated from the place where the living body is located, based on the determination result of the determination means, that the duration has reached the reference time. Notification means,
Pressure measuring means for directly or indirectly measuring a contact pressure of the sensor with respect to the living body,
The sensor attachment time notification device, wherein the reference time is set using a measurement result of the pressure measuring means. Sensor information storage means for storing sensor information including the type of the sensor,
The reference time, the sensor mounting time notification device according to claim 1 or 2, characterized in that it is set according to the type of the sensor. Sensor mounting time notification device according to any one of claims 1 to 3, further comprising a manual setting means for setting the reference time manually. The sensor includes a sensor mounting time notification device according to claim 1, characterized in that it comprises a probe for a pulse oximeter for measuring arterial oxygen saturation.

Images