WO2005079665A1 - Blood pressure manometer - Google Patents

Blood pressure manometer Download PDF

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Publication number
WO2005079665A1
WO2005079665A1 PCT/JP2005/002761 JP2005002761W WO2005079665A1 WO 2005079665 A1 WO2005079665 A1 WO 2005079665A1 JP 2005002761 W JP2005002761 W JP 2005002761W WO 2005079665 A1 WO2005079665 A1 WO 2005079665A1
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WO
WIPO (PCT)
Prior art keywords
wrist
blood
sphygmomanometer
flat
portions
Prior art date
Application number
PCT/JP2005/002761
Other languages
French (fr)
Japanese (ja)
Inventor
Kazuhiro Ide
Takahiro Iizawa
Original Assignee
Matsushita Electric Works, Ltd.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Matsushita Electric Works, Ltd. filed Critical Matsushita Electric Works, Ltd.
Publication of WO2005079665A1 publication Critical patent/WO2005079665A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/022Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
    • A61B5/02233Occluders specially adapted therefor

Definitions

  • the present invention relates to a sphygmomanometer capable of applying a blood cuff in a cuff band to an artery at a measurement site with a uniform pressing force.
  • the cross-sectional shape of the wrist 1 indicates that the radial side branched from the brachial artery on the palm side of the wrist 1
  • the artery 2 and ulnar artery 3 are the elastic structures of the tendon tissues 4 such as the palmaris longus tendon, radial carpal flexor tendon, ulnar carpi flexor tendon, finger flexor tendon, and the projections of the radius 5 and ulna 6.
  • the tendon tissues 4 such as the palmaris longus tendon, radial carpal flexor tendon, ulnar carpi flexor tendon, finger flexor tendon, and the projections of the radius 5 and ulna 6.
  • these hard tissues are more likely to be slightly elevated than the arteries, especially for those with low body fat, the surrounding tissues of the arteries are gradually depressed. You may have.
  • the blood sac 8 is applied to the wrist 1 via the C-shaped clip plate 9 of the cuff band 7, and the artery is expanded by the expansion of the blood sac 8.
  • the compression force is not sufficiently transmitted to the arteries 2 and 3 due to the obstruction of the hard tissue 4 etc.
  • the two arteries 2 and 3 cannot be simultaneously compressed and blocked.
  • Patent Document 1 a method of applying a blood blocking bag to each of two arteries
  • Patent Document 2 a method of forming a deformed portion on a clip plate (elastic plate)
  • Patent Document 3 a method of forming a deformed portion on a clip plate (elastic plate)
  • Patent Document 1 JP 2003-290156 A
  • Patent Document 2 Japanese Patent No. 3235602
  • Patent Document 3 JP-A-61-238229
  • the present invention has been made to solve the above problem, and provides a sphygmomanometer capable of accurately measuring a blood pressure by applying a blood cuff of a cuff band to an artery at a measurement site with an equal pressing force. It is intended to be.
  • a sphygmomanometer applies a blood cuff in a cuff band to a measurement site such as a wrist and performs blood pressure measurement by compressing and blocking an artery by expanding the blood cuff.
  • a flexible elastic body plate is interposed between the cuff band and the blood bag, and the elastic body plate has a flat portion on the artery side and a flat portion in the circumferential direction of the measurement site. It is characterized in that it is constituted by an inclined portion extending downward and continuous at both ends of the portion, and a curved portion continuous downwardly and narrowly connected to each end of the inclined portion.
  • the elastic body plate flattens the flattened tendon tissue on the palm side with the flat portion, and then presses the peripheral tissue of the artery with the inclined portion.
  • the difference in height between the tendon tissue and the surrounding tissue of the artery is reduced, so that the blood-blocking bag is evenly applied to the measurement site, and the compression force of the blood-blocking bag is efficiently transmitted to the artery.
  • the flat portion and the inclined portion stabilize the mounting position with respect to the wrist, and the curved portion wraps around the back of the wrist, so that it is less likely to be displaced from the wrist.
  • FIG. 1 (a) is a cross-sectional view when a sphygmomanometer provided with an elastic plate according to the first embodiment of the present invention is mounted on a wrist, and (b) is an elastic plate according to the first embodiment.
  • (C) is a front view of (a).
  • FIG. 2 (a) is a side sectional view of a flat portion of an elastic body plate according to a second embodiment of the present invention, (b) is a front view of the elastic body plate, and (c) is an elastic body attached to a wrist. It is a side sectional view of a board.
  • FIG. 3 is a modification of the second embodiment of the present invention, wherein (a) is a side cross-sectional view of a flat portion of the elastic plate of Modification 1, and (b) is a side cross-section of the elastic plate mounted on the wrist.
  • FIG. 7C is a side cross-sectional view of a flat portion of the elastic body plate of Modification Example 2
  • FIG. 9D is a side cross-sectional view of an elastic body plate attached to a wrist.
  • FIG. 4 is an elastic plate according to a third embodiment of the present invention, wherein (a) is a plan view and (b) is a front view.
  • FIG. 5 is an elastic plate according to a fourth embodiment of the present invention, wherein (a) is a plan view and (b) is a front view.
  • FIG. 6 is a modification of the elastic plate according to the fourth embodiment of the present invention, wherein (a) is a front view of modification 1, (b) is a front view of modification 2, and (c) is a torsion spring.
  • FIG. 3D is a front view of the hinge portion provided, and FIG. 4D is a front view of the hinge portion provided with a hinge shaft having a static torque.
  • FIG. 7] (a)-(c) are front views of an elastic plate according to a fifth embodiment of the present invention.
  • FIG. 8 (a) is a side cross-sectional view of an elastic body plate on which a conventional blood pressure monitor provided with an elastic body plate is mounted on a wrist, and (b) is a view when the blood pressure monitor of (a) is mounted on a wrist.
  • FIG. 1C is a cross-sectional view of a wrist.
  • FIG. 1 shows a sphygmomanometer 10, wherein (a) is a cross-sectional view when worn on the wrist 1, (b) is a plan view of an elastic body plate 11 A of the first embodiment, and (c) (A) is a front view of (a).
  • the blood pressure monitor 10 is wound around the cuff band 12 around the wrist 1 with the blood-blocking bag 13 applied to the palm side of the wrist 1, and shifted with the hook-and-loop fastener 14 or the like. Fix so that there is no.
  • a pump 16, an exhaust valve 17, a pressure sensor 18, and the like are provided in the sphygmomanometer main body 15, and these are connected by a pipe 19 for supplying and discharging air to and from the blood blocking bag 13. At the same time, the operation timing is controlled by the control unit 20.
  • the elastic body of the first embodiment is interposed between the cuff band 12 and the blood blocking bag 13.
  • the plate 11A is interposed and fixed.
  • the elastic body plate 11A has flat portions 11a on the side of the arteries 2 and 3 in the circumferential direction of the wrist 1, and both ends of the flat portions lib. It is composed of an inclined portion l ib that extends downward and continues, and a curved portion 11c that extends downward and continues at each end of the inclined portion l ib.
  • the elastic body plate 11A is an integral body in which a flat portion 11a, an inclined portion lib, and a curved portion 11c are integrally connected at bent portions lid and lie, respectively.
  • the elastic body plate 11A is formed by, for example, bending and molding a flexible material such as plastic having a thickness t of 1 to 2 mm and a width W of about 50 mm in a heated state, or by injection molding with a mold. It can be easily molded.
  • the elastic body plate 11A allows the large raised tendon tissue 4 on the palm side of the wrist 1 to move in a substantially vertical direction with the flat portion 11a.
  • the height difference between the tendon tissue 4 and the tissue around the arteries 2 and 3 is reduced.
  • blood pressure measurement is applied to the palm side of the wrist 1 with an even compression force, and the compression force of the blood insulation bag 13 is efficiently transmitted to the arteries 2 and 3. You will be able to do it accurately.
  • the flat portion 11a and the inclined portion lib stabilize the mounting position on the wrist 1, and the curved portion 11c wraps around the back of the wrist 1, so that it is less likely to be displaced from the wrist 1.
  • the flat part 11a, the inclined part lib, and the curved part 11c are integrally connected by a bending force S-shaped part lid, lie, based on data of many people, By setting the angles of the bends l ld and l ie to match the shape of the standard wrist 1 with the most distribution, it is easier to apply the wrist 1 to a thin wrist, a person to a thick wreath, or a person.
  • FIG. 2 shows an elastic plate 11B of the second embodiment
  • (a) is a side sectional view of a flat portion 1 la of the elastic plate 11B
  • (b) is a front view of the elastic plate 11B
  • (C) is a side sectional view of the elastic plate 11B attached to the wrist 1.
  • the difference from the elastic plate 11A of the first embodiment is that the flat portion 11a, the inclined portion l ib and the curved portion 11c of the elastic plate 11B have both ends in the longitudinal direction of the wrist 1.
  • This thick part llg is preferably, for example, about 2 mm thick and about 5 mm wide. Re, but is not limited to this.
  • the thick portion Ilg may be the same material as the elastic plate 11B, but is preferably a material that is softer than the elastic plate 11B and harder than the wrist 1.
  • the thick part l lg may be formed at least in the flat part 11a and the inclined part l ib.
  • the blood-blocking bag 13 has a small expansion at the end 1If and a small compression force at the end 1If as compared with the center, and therefore has a thick wall at the end llf.
  • the adhesion between the blood bag 13 and the wrist 1 is improved, and the measurement accuracy is improved.
  • FIGS. 3 (a) and 3 (b) show a first modification of the elastic plate 1 IB of the second embodiment, wherein (a) is a side sectional view of the flat portion 11a of the elastic plate 11B, and FIG. () Is a side sectional view of the elastic plate 1 IB attached to the wrist 1.
  • the thick portion l lh is formed in a gradient shape such that the thickness decreases from the end l lg toward the center.
  • the thick portion l lh is provided with a gradient, the thickness does not change rapidly, so that the adhesion between the blood bag 13 and the wrist 1 becomes better, and the measurement accuracy is improved. I will do it.
  • the thick portion l lh (similarly to the thick portion l lg) includes at least one end in the longitudinal direction of the wrist 1. The same effect can be obtained even if it is formed only on the central side, considering the direction a of the arterial blood flow.
  • FIG. 4 shows an elastic plate 11C according to the third embodiment.
  • (A) is a plan view of the elastic plate 11C
  • (b) is a front view of the elastic plate 11C.
  • the flat portion 11a is divided substantially near the center, and this divided portion is connected to be openable and closable by the hinge portion 22. That is. Note that the division of the flat portion 11a is not limited to substantially the vicinity of the central portion, but may be at least one or more.
  • the elastic plate 11C of the third embodiment since the elastic plate 11C can be opened and closed by the hinge portion 22 of the flat portion 11a, it is easy to fit a person with a thin wrist 1 to a person with a large wrist. .
  • the hinge 22 adjusts the opening and closing angle of the elastic body plate 11C. Since it can be knotted, the adhesion to the wrist 1 is further improved.
  • the cross section of the wrist 1 does not have a regular elliptical shape as shown in FIG. 1 (a) or FIG. 8 (b).
  • the opening / closing angle of the elastic body plate 11C can be adjusted to match the difference in shape, so that the adhesion to the wrist 1 is improved.
  • FIG. 5 shows an elastic plate 11D of the fourth embodiment, (a) is a plan view of the elastic plate 11D, and (b) is a front view of the elastic plate 1ID.
  • the elastic plate 11D is divided by a bent portion lid between the flat portion 11a and the inclined portion lib on one side (left side in the figure). Then, the divided portion is connected to be openable and closable by a hinge portion 22, and the flat portion 11a and the inclined portion l ib on the other side (the right side in the figure) are combined with the integrated member integrally connected by the bent portion lid. That is.
  • the hinge portion 22 allows the inclined portion l ib on one side to be openable and closable with respect to the flat portion 11a.
  • the opening and closing angles of the inclined portion lib and the curved portion 11c can be adjusted by the hinge portion 22, so that the adhesion to the wrist 1 is further improved.
  • the inclined portion l ib and the curved portion 11c can be folded inward by the hinge portion 22 (see the two-dot chain line b), the sphygmomanometer 10 when not in use can be downsized to improve the storage capacity. become.
  • the flat part 11a integrally connected by the bent parts 11d and 11e, the inclined part 11b on the other side, and the curved part 11c are attached to the wrist 1.
  • the attachment operation is facilitated and the attachment displacement is reduced.
  • Modification Example 1 shown in FIG. 6 (a) it is divided at a bent portion lie between one inclined portion 1lb and a curved portion 1lc, and this divided portion is hinged. 22 can also be connected to open and close freely.
  • the flat part 11a is divided by a bent part lid between the flat part 11a and the inclined part lib on one side.
  • the bent portion 1 le between the inclined portion 1 lb and the curved portion 1 lc can be divided and the divided portion can be opened and closed by the hinge portion 22.
  • the elastic plates 11C and 11D have high flexibility with respect to the shape of the wrist 1 due to the hinge portion 22, but fix the blood blocking bag 13. Since the force is weak, the blood-blocking bag 13 may expand unevenly in the left and right directions.
  • the blood blocking bag 13 expands and shrinks uniformly in the left and right directions, so that the pressure on the arteries 2 and 3 is improved.
  • the torsion in the folding direction c is applied to the hinge portions 22. If the torsion spring 23 is provided, after attaching the sphygmomanometer 10 to the wrist 1, the elastic plates 11C and 11D are fixed to the wrist 1 while being urged inward by the torsion. The displacement is reduced.
  • the hinge shaft 24 of the hinge portion 22 has a stationary tongue like a spring pin
  • the elastic plates 11C and 1ID are attached to the wrist 1. Then, the elastic plates 11C and 11D are fixed to the wrist 1 in a stationary state by the stationary torque, so that the positional shift at the time of mounting is reduced.
  • FIGS. 7A and 7C are front views of an elastic plate 11E of the fifth embodiment, respectively.
  • the difference from the elastic body plate 11A of the first embodiment is that the curved portion 11c has a length L1 on one side (right side) and a length L1 on the other side (left side). That is, L2 is set to be long (in other words, one length L2 is shorter than the other length L1).
  • the wrist 1 is not symmetrical in the left and right radii of curvature, so if the radius of curvature is small, the side is long, and the curved portion 1lc is attached, the wrist 1 is The balance becomes better. Also, when attaching the sphygmomanometer 10 to the wrist 1, if the long curved portion 11c is hooked on the long diameter portion of the wrist 1 and then covered so as to cover the palm side, the mounting operation becomes easy and the mounting displacement is reduced. .
  • the difference from the elastic body plate 11A of the first embodiment is that the bending portion 11c Is to set the elasticity of one side (left side) higher than that of the other side (right side: see cross-hatching).
  • the wrist 1 is not symmetrical in the left and right radii of curvature. Therefore, if the highly elastic curved portion 11c is attached to the side having the smaller radius of curvature, the left and right bal- ances of the wrist bag 13 when the blood blocking bag 13 inflates are expanded. Will be better. Also, when attaching the sphygmomanometer 10 to the wrist 1, hooking the curved portion 11c with high elasticity to the long diameter of the wrist 1 so that the force covers the palm side also facilitates the attaching operation and minimizes misalignment. Become.
  • the difference from the elastic body plate 11A of the first embodiment is that the curved portion 11c has an angle ⁇ 2 with the inclined portion l ib (one side (right side)).
  • the other (left) angle ⁇ 1 must be set small.
  • the wrist 1 does not have symmetrical left and right radii of curvature. Therefore, if the smaller angle is attached to the side with the smaller radius of curvature, the right and left balance is improved when the blood bag 13 is inflated. .
  • the sphygmomanometer 10 is worn on the wrist 1, if the curved portion 11c with a small angle is hooked on the long diameter portion of the wrist 1 and the force is covered so that the palm side is covered, the wearing operation becomes easy and the misalignment occurs. Less.
  • the measurement site is the wrist 1, but it goes without saying that the measurement may be an upper arm, an ankle, or the like.
  • the sphygmomanometer of the present invention is a sphygmomanometer that measures the blood pressure by placing the blood cuff of the cuff band on a measurement site such as the wrist and compressing and blocking the artery by expanding the blood cuff.
  • a flexible elastic plate is interposed between the cuff band and the blood bag, and the elastic plate has a flat portion on the artery side and a flat portion in the circumferential direction of the measurement portion. At both ends of the sloping portion, and a curved portion extending downward and continuing at each end of the inclined portion.
  • the elastic body plate may have a configuration in which the flat part, the inclined part, and the curved part are integrally connected to each other by a bent part. .
  • the elastic body plate is an integrated body in which the flat portion, the inclined portion, and the curved portion are integrally connected at the bent portion, and therefore has the largest distribution based on data of a large number of people.
  • the angle of the bend so that it fits the shape of a standard wrist, etc. It is easy for people to apply to people.
  • At least the flat portion and the inclined portion of the elastic body plate have a thick portion formed at at least one end in the longitudinal direction of the measurement site. Can be.
  • the blood-blocking bag has a small expansion at the end compared to the central portion and has a weak compression force. Therefore, by forming a thick portion at the end, the blood-blocking bag and the wrist can be formed. And the measurement accuracy is improved.
  • the elastic body plate may have a configuration in which a flat portion is divided into at least one or more portions, and the divided portions are openably and closably connected by hinge portions.
  • the elastic body plate can be opened and closed by the hinge portion, so that it is easy to fit a person with a thin wrist or the like to a person with a large wrist.
  • the opening / closing angle of the elastic body plate can be adjusted at the hinge portion even for wrists having various curvatures, so that the adhesion to the wrists and the like becomes better, and the measurement accuracy is improved.
  • the elastic body plate is divided at least at one or more of the flat portion and the one-side inclined portion and / or the one-side inclined portion and the bent portion of the curved portion.
  • the split part is connected to the hinge part so as to be openable and closable, and the flat part, the inclined part and the curved part on the other side are integrally formed by the bent part. be able to.
  • the hinge allows the inclined portion on one side with respect to the flat portion and the curved portion with respect to the inclined portion on one side to be openable and closable.
  • the opening and closing angles of the inclined portion and the curved portion can be adjusted by the hinge portion, the adhesion to the wrist and the like is further improved.
  • the inclined portion and the curved portion can be folded by the hinge portion, the sphygmomanometer when not in use is downsized, and the storage property is improved.
  • the flat part which is integrally connected with the bent part, and the inclined part and the curved part on the other side are hooked on the long diameter part of the wrist or the like, and then are worn so as to cover the palm side.
  • the mounting operation is facilitated and the mounting displacement is reduced.
  • the elastic plate has high flexibility with respect to the shape of the wrist or the like due to the hinge portion, but has a weak force for fixing the blood-bag, so that the blood-blocking bag expands left and right unevenly. Therefore, by providing the hinge portion at the symmetrical position, the blood bag is easily inflated to the left and right, so that the pressure on the artery is improved.

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Abstract

Blood pressure manometer (10) with which blood pressure is measured through application of blood flow obstruction bag (13) of cuff belt (12) to a measuring site, such as wrist (1), and expansion of the blood flow obstruction bag (13) to thereby achieve compression and blood flow obstruction of the arteries (2,3). Between the cuff belt (12) and the blood flow obstruction bag (13), there is interposed flexible elastomer plate (11A). The elastomer plate (11A) is comprised of, arranged around the measuring site, artery-side flat portion (11a), slanting portions (11b) continuing from both the distal ends of the flat portion (11a) while broadening downward, and curved portions (11c) continuing from the distal ends of the slanting portions (11b) while narrowing downward. When the measuring site is wrist (1), the elastomer plate by means of the flat portion (11a) presses palm-side highly protrudent tendon tissues to flatness, and by means of the slanting portions (11b) presses the peripheral tissue of the arteries. As a result, the height difference between the tendon tissue and the peripheral tissue of the arteries is reduced, so that the blood flow obstruction bag (13) is applied to the wrist (1) with uniform pressure. Consequently, the pressure by the blood flow obstruction bag (13) is effectively conveyed to the arteries, resulting in accurate measuring of blood pressure.

Description

明 細 書  Specification
血圧十  Blood pressure
技術分野  Technical field
[0001] 本発明は、測定部位の動脈にカフ帯の阻血袋を均等な圧迫力で当て力 ことがで きる血圧計に関するものである。  The present invention relates to a sphygmomanometer capable of applying a blood cuff in a cuff band to an artery at a measurement site with a uniform pressing force.
背景技術  Background art
[0002] 従来、カフ帯の阻血袋を測定部位 (手首、上腕、足首等)に当てがつて、阻血袋の 膨張で動脈を圧迫阻血して血圧測定を行う血圧計がある (オシロメトリック法)。  [0002] Conventionally, there is a sphygmomanometer that measures blood pressure by applying a blood cuff in a cuff band to a measurement site (a wrist, an upper arm, an ankle, etc.) and compressing and blocking an artery by inflation of the blood cuff (oscillometric method). .
[0003] 上記のような血圧計で、例えば手首で血圧を測定する場合、図 8 (b)に手首 1の断 面形状を示すように、手首 1の手掌側において、上腕動脈から分岐した橈骨動脈 2と 尺骨動脈 3とは、長掌筋腱、橈側手根屈筋腱、尺側手根屈筋腱、指屈筋腱等の腱組 織 4と、橈骨 5と尺骨 6の両突起部による弾性の高い(硬い)組織に挟まれ、しかも、こ れらの硬い組織の方が動脈に比べてやや隆起していることが多ぐ特に体脂肪の低 い人は、動脈の周辺組織が緩やかに陥没していることがある。  [0003] When blood pressure is measured with a sphygmomanometer as described above, for example, at the wrist, as shown in FIG. 8 (b), the cross-sectional shape of the wrist 1 indicates that the radial side branched from the brachial artery on the palm side of the wrist 1 The artery 2 and ulnar artery 3 are the elastic structures of the tendon tissues 4 such as the palmaris longus tendon, radial carpal flexor tendon, ulnar carpi flexor tendon, finger flexor tendon, and the projections of the radius 5 and ulna 6. Between high (hard) tissues, and these hard tissues are more likely to be slightly elevated than the arteries, especially for those with low body fat, the surrounding tissues of the arteries are gradually depressed. You may have.
[0004] したがって、図 8 (a) (b)のように、カフ帯 7の C字状のクリップ板 9を介して阻血袋 8 を手首 1に当てがつて、阻血袋 8の膨張で動脈を圧迫阻血して血圧測定を行う際に、 動脈 2, 3を同時に圧迫阻血しょうとしても、硬い組織 4等に阻害されるために圧迫力 が動脈 2, 3に充分に伝わらず、阻血袋 8の内圧を相当に高くしないと、 2本の動脈 2 , 3を同時に圧迫阻血することができない。  [0004] Therefore, as shown in Figs. 8 (a) and 8 (b), the blood sac 8 is applied to the wrist 1 via the C-shaped clip plate 9 of the cuff band 7, and the artery is expanded by the expansion of the blood sac 8. When performing blood pressure measurement with compression ischemia, even if the arteries 2 and 3 are simultaneously compressed, the compression force is not sufficiently transmitted to the arteries 2 and 3 due to the obstruction of the hard tissue 4 etc. Unless the internal pressure is considerably high, the two arteries 2 and 3 cannot be simultaneously compressed and blocked.
[0005] このため、 2本の動脈にそれぞれ阻血袋を当て力 Sう方法(特許文献 1)、クリップ板( 弾性体板)に変形部分を形成する方法 (特許文献 2)、クリップ板 (湾曲板)の剛性を 変える方法 (特許文献 3)がある。  [0005] For this reason, a method of applying a blood blocking bag to each of two arteries (Patent Document 1), a method of forming a deformed portion on a clip plate (elastic plate) (Patent Document 2), (Patent Document 3).
特許文献 1 :特開 2003 - 290156号公報  Patent Document 1: JP 2003-290156 A
特許文献 2:特許第 3235602号公報  Patent Document 2: Japanese Patent No. 3235602
特許文献 3:特開昭 61— 238229号公報  Patent Document 3: JP-A-61-238229
発明の開示  Disclosure of the invention
[0006] し力、しながら、手首等の断面形状は、人によって千差万別であって、上記従来技術 であっても、測定部位の 2本の動脈に阻血袋を均等な圧迫力で当て力 ことができな いという問題があった。 [0006] However, the cross-sectional shape of a wrist or the like varies widely from person to person. Even so, there was a problem that it was not possible to apply the blood-bag to the two arteries at the measurement site with even pressure.
[0007] 本発明は、上記問題を解消するためになされたもので、測定部位の動脈にカフ帯 の阻血袋を均等な圧迫力で当てがつて血圧の測定が正確に行える血圧計を提供す ることを目的とするものである。  [0007] The present invention has been made to solve the above problem, and provides a sphygmomanometer capable of accurately measuring a blood pressure by applying a blood cuff of a cuff band to an artery at a measurement site with an equal pressing force. It is intended to be.
[0008] 前記課題を解決するために、本発明の血圧計は、カフ帯の阻血袋を手首等の測定 部位に当てがつて、阻血袋の膨張で動脈を圧迫阻血して血圧測定を行う血圧計であ つて、上記カフ帯と阻血袋との間に可撓性の弾性体板が介設されて、この弾性体板 は、測定部位の周方向において、動脈側のフラット部と、このフラット部の両端に、下 方向に広がりながら連なる傾斜部と、この傾斜部の各端に、下方向に狭まりながら連 なる湾曲部とで構成されていることを特徴とするものである。  [0008] In order to solve the above problems, a sphygmomanometer according to the present invention applies a blood cuff in a cuff band to a measurement site such as a wrist and performs blood pressure measurement by compressing and blocking an artery by expanding the blood cuff. A flexible elastic body plate is interposed between the cuff band and the blood bag, and the elastic body plate has a flat portion on the artery side and a flat portion in the circumferential direction of the measurement site. It is characterized in that it is constituted by an inclined portion extending downward and continuous at both ends of the portion, and a curved portion continuous downwardly and narrowly connected to each end of the inclined portion.
[0009] 本発明によれば、弾性体板は、測定部位が手首では、手掌側の大きな隆起の腱組 織をフラット部で押さえて平坦にしたうえで、動脈の周辺組織を傾斜部で押さえること によって、腱組織と動脈の周辺組織との高さの差が小さくなるために、測定部位に阻 血袋が均等な圧迫力で当てがわれて、阻血袋の圧迫力が動脈に効率良く伝わるよう になるので、血圧の測定が正確に行えるようになる。また、フラット部と傾斜部とで手 首に対する装着位置が安定するとともに、湾曲部が手首の手背側に回り込むので、 手首からずれにくくなる。  [0009] According to the present invention, when the measurement site is the wrist, the elastic body plate flattens the flattened tendon tissue on the palm side with the flat portion, and then presses the peripheral tissue of the artery with the inclined portion. As a result, the difference in height between the tendon tissue and the surrounding tissue of the artery is reduced, so that the blood-blocking bag is evenly applied to the measurement site, and the compression force of the blood-blocking bag is efficiently transmitted to the artery. As a result, blood pressure can be measured accurately. In addition, the flat portion and the inclined portion stabilize the mounting position with respect to the wrist, and the curved portion wraps around the back of the wrist, so that it is less likely to be displaced from the wrist.
図面の簡単な説明  Brief Description of Drawings
[0010] [図 1] (a)は、本発明の第 1実施形態の弾性体板を設けた血圧計を手首に装着した 時の断面図、(b)は第 1実施形態の弾性体板の平面図、(c)は(a)の正面図である。  FIG. 1 (a) is a cross-sectional view when a sphygmomanometer provided with an elastic plate according to the first embodiment of the present invention is mounted on a wrist, and (b) is an elastic plate according to the first embodiment. (C) is a front view of (a).
[図 2] (a)は、本発明の第 2実施形態の弾性体板のフラット部の側面断面図、 (b)は弾 性体板の正面図、(c)は手首に装着した弾性体板の側面断面図である。  FIG. 2 (a) is a side sectional view of a flat portion of an elastic body plate according to a second embodiment of the present invention, (b) is a front view of the elastic body plate, and (c) is an elastic body attached to a wrist. It is a side sectional view of a board.
[図 3]本発明の第 2実施形態の変形例であり、 (a)は変形例 1の弾性体板のフラット部 の側面断面図、(b)は手首に装着した弾性体板の側面断面図、 (c)は変形例 2の弾 性体板のフラット部の側面断面図、(d)は手首に装着した弾性体板の側面断面図で ある。  FIG. 3 is a modification of the second embodiment of the present invention, wherein (a) is a side cross-sectional view of a flat portion of the elastic plate of Modification 1, and (b) is a side cross-section of the elastic plate mounted on the wrist. FIG. 7C is a side cross-sectional view of a flat portion of the elastic body plate of Modification Example 2, and FIG. 9D is a side cross-sectional view of an elastic body plate attached to a wrist.
[図 4]本発明の第 3実施形態の弾性体板であり、(a)は平面図、(b)は正面図である。 [図 5]本発明の第 4実施形態の弾性体板であり、(a)は平面図、(b)は正面図である。 FIG. 4 is an elastic plate according to a third embodiment of the present invention, wherein (a) is a plan view and (b) is a front view. FIG. 5 is an elastic plate according to a fourth embodiment of the present invention, wherein (a) is a plan view and (b) is a front view.
[図 6]本発明の第 4実施形態の弾性体板の変形例であり、 (a)は変形例 1の正面図、 (b)は変形例 2の正面図、(c)はトーシヨンばねを設けたヒンジ部の正面図、(d)は静 止トルクを有するヒンジ軸を設けたヒンジ部の正面図である。  FIG. 6 is a modification of the elastic plate according to the fourth embodiment of the present invention, wherein (a) is a front view of modification 1, (b) is a front view of modification 2, and (c) is a torsion spring. FIG. 3D is a front view of the hinge portion provided, and FIG. 4D is a front view of the hinge portion provided with a hinge shaft having a static torque.
[図 7] (a)一 (c)は、それぞれ本発明の第 5実施形態の弾性体板の正面図である。  [FIG. 7] (a)-(c) are front views of an elastic plate according to a fifth embodiment of the present invention.
[図 8] (a)は、従来の弾性体板を設けた血圧計を手首に装着した弾性体板の側面断 面図、(b)は(a)の血圧計を手首に装着した時の断面図、(c)は手首の断面図である 発明を実施するための最良の形態  [Fig. 8] (a) is a side cross-sectional view of an elastic body plate on which a conventional blood pressure monitor provided with an elastic body plate is mounted on a wrist, and (b) is a view when the blood pressure monitor of (a) is mounted on a wrist. FIG. 1C is a cross-sectional view of a wrist.
[0011] 以下、本発明を実施するための最良の形態について、図面を参照しながら詳細に 説明する。 Hereinafter, the best mode for carrying out the present invention will be described in detail with reference to the drawings.
[0012] 図 1は、血圧計 10であり、(a)は手首 1に装着した時の断面図、(b)は、第 1実施形 態の弾性体板 11 Aの平面図、(c)は(a)の正面図である。  FIG. 1 shows a sphygmomanometer 10, wherein (a) is a cross-sectional view when worn on the wrist 1, (b) is a plan view of an elastic body plate 11 A of the first embodiment, and (c) (A) is a front view of (a).
[0013] 上記血圧計 10は、図 1 (a)のように、阻血袋 13を手首 1の手掌側に当てがつた状態 で、カフ帯 12を手首 1に巻き付けて、面ファスナー 14等でずれないように固定する。  [0013] As shown in FIG. 1 (a), the blood pressure monitor 10 is wound around the cuff band 12 around the wrist 1 with the blood-blocking bag 13 applied to the palm side of the wrist 1, and shifted with the hook-and-loop fastener 14 or the like. Fix so that there is no.
[0014] 血圧計本体 15内には、ポンプ 16、排気弁 17、圧力センサー 18等が設けられ、こ れらは、阻血袋 13に対して空気を給排するための配管 19で接続されるとともに、制 御部 20によって作動タイミングが制御されるようになる。  A pump 16, an exhaust valve 17, a pressure sensor 18, and the like are provided in the sphygmomanometer main body 15, and these are connected by a pipe 19 for supplying and discharging air to and from the blood blocking bag 13. At the same time, the operation timing is controlled by the control unit 20.
[0015] すなわち、スィッチをオンして血圧の測定を開始すると、ポンプ 16から配管 19を介 して阻血袋 13に空気が供給されて、阻血袋 13が所定の圧力に達するまで手首 1を 圧迫して、橈骨動脈 2と尺骨動脈 3とを阻血する。そして、圧力センサー 18で所定の 圧力に達したことが確認されると、ポンプ 16を停止し、排気弁 17により一定速度で減 圧するように阻血袋 13の空気が排出される。同時に橈骨動脈 2と尺骨動脈 3の脈波 成分をフィルタ一等により抽出して、所定のアルゴリズムを用いて血圧値を算出する。  [0015] That is, when the switch is turned on to start measuring the blood pressure, air is supplied from the pump 16 to the blood blocking bag 13 via the pipe 19, and the wrist 1 is compressed until the blood blocking bag 13 reaches a predetermined pressure. Then, blood is blocked from the radial artery 2 and the ulnar artery 3. Then, when it is confirmed by the pressure sensor 18 that the pressure has reached the predetermined pressure, the pump 16 is stopped, and the air in the blood blocking bag 13 is discharged by the exhaust valve 17 so as to reduce the pressure at a constant speed. At the same time, the pulse wave components of the radial artery 2 and the ulnar artery 3 are extracted by a filter or the like, and the blood pressure value is calculated using a predetermined algorithm.
[0016] この阻血袋 13で手首 1を圧迫して、橈骨動脈 2と尺骨動脈 3とを阻血する際に、腱 組織 4、橈骨 5、尺骨 6等が各動脈 2, 3を圧迫する障害となって、手首 1の 2本の動脈 2, 3に阻血袋 13を均等な圧迫力で当てがうことができない。  [0016] When the wrist 1 is pressed by the blood-blocking bag 13 to block blood between the radial artery 2 and the ulnar artery 3, when the tendon tissue 4, the radius 5, the ulna 6 and the like press the respective arteries 2 and 3, As a result, it is not possible to apply the blood bag 13 to the two arteries 2 and 3 of the wrist 1 with even pressure.
[0017] そこで、上記血圧計 10では、カフ帯 12と阻血袋 13との間に第 1実施形態の弾性体 板 11Aを介設固定している。 [0017] Therefore, in the sphygmomanometer 10, the elastic body of the first embodiment is interposed between the cuff band 12 and the blood blocking bag 13. The plate 11A is interposed and fixed.
[0018] 上記弾性体板 11 Aは、図 1 (b) (c)のように、手首 1の周方向において、動脈 2, 3 側のフラット部 11aと、このフラット部 l ibの両端に、下方向に広がりながら連なる傾斜 部 l ibと、この傾斜部 l ibの各端に、下方向に狭まりながら連なる湾曲部 11cとで構 成されている。 As shown in FIGS. 1 (b) and 1 (c), the elastic body plate 11A has flat portions 11a on the side of the arteries 2 and 3 in the circumferential direction of the wrist 1, and both ends of the flat portions lib. It is composed of an inclined portion l ib that extends downward and continues, and a curved portion 11c that extends downward and continues at each end of the inclined portion l ib.
[0019] この弾性体板 11Aは、フラット部 11aと傾斜部 l ibと湾曲部 11cとが、それぞれ折れ 曲がり部 l id, l ieで一体的に連結された一体物としている。  The elastic body plate 11A is an integral body in which a flat portion 11a, an inclined portion lib, and a curved portion 11c are integrally connected at bent portions lid and lie, respectively.
[0020] 上記弾性体板 11Aは、例えば、厚さ tが 1一 2mm、幅 Wが 50mm程度のプラスチッ ク等の可撓性材料を加熱状態で折り曲げ成形したり、型で射出成形することで、簡単 に成形することができる。  [0020] The elastic body plate 11A is formed by, for example, bending and molding a flexible material such as plastic having a thickness t of 1 to 2 mm and a width W of about 50 mm in a heated state, or by injection molding with a mold. It can be easily molded.
[0021] 第 1実施形態の血圧計 10であれば、図 1 (a)のように、弾性体板 11Aは、手首 1の 手掌側の大きな隆起の腱組織 4をフラット部 11aでほほ垂直方向から押さえて平坦に したうえで、動脈 2, 3の周辺組織を傾斜部 l ibでほほ垂直方向から押さえることによ つて、腱組織 4と動脈 2, 3の周辺組織との高さの差が小さくなるために、手首 1の手 掌側に阻血袋 13が均等な圧迫力で当てがわれて、阻血袋 13の圧迫力が動脈 2, 3 に効率良く伝わるようになるので、血圧の測定が正確に行えるようになる。  In the sphygmomanometer 10 according to the first embodiment, as shown in FIG. 1 (a), the elastic body plate 11A allows the large raised tendon tissue 4 on the palm side of the wrist 1 to move in a substantially vertical direction with the flat portion 11a. By holding the tissue around the arteries 2 and 3 flat from the vertical direction with the inclined part lib, the height difference between the tendon tissue 4 and the tissue around the arteries 2 and 3 is reduced. In order to reduce the size, blood pressure measurement is applied to the palm side of the wrist 1 with an even compression force, and the compression force of the blood insulation bag 13 is efficiently transmitted to the arteries 2 and 3. You will be able to do it accurately.
[0022] また、フラット部 11aと傾斜部 l ibとで手首 1に対する装着位置が安定するとともに、 湾曲部 11cが手首 1の手背側に回り込むので、手首 1からずれにくくなる。  [0022] Furthermore, the flat portion 11a and the inclined portion lib stabilize the mounting position on the wrist 1, and the curved portion 11c wraps around the back of the wrist 1, so that it is less likely to be displaced from the wrist 1.
[0023] さらに、フラット部 11 aと傾斜部 l ibと湾曲部 11cとを折れ曲力 Sり部 l id, l ieで一体 的に連結した一体物であるから、多数人のデータに基づいて最も分布の多い標準の 手首 1の形状に合うように折れ曲がり部 l ld, l ieの角度を設定することで、手首 1の 細レ、人から太レ、人まで当てカ^、やすくなる。  [0023] Further, since the flat part 11a, the inclined part lib, and the curved part 11c are integrally connected by a bending force S-shaped part lid, lie, based on data of many people, By setting the angles of the bends l ld and l ie to match the shape of the standard wrist 1 with the most distribution, it is easier to apply the wrist 1 to a thin wrist, a person to a thick wreath, or a person.
[0024] 図 2は、第 2実施形態の弾性体板 1 1Bであり、(a)は弾性体板 11Bのフラット部 1 la の側面断面図、(b)は弾性体板 11Bの正面図、(c)は手首 1に装着した弾性体板 11 Bの側面断面図である。  FIG. 2 shows an elastic plate 11B of the second embodiment, (a) is a side sectional view of a flat portion 1 la of the elastic plate 11B, (b) is a front view of the elastic plate 11B, (C) is a side sectional view of the elastic plate 11B attached to the wrist 1.
[0025] 第 1実施形態の弾性体板 11 Aと相違する点は、弾性体板 11 Bのフラット部 11 aと傾 斜部 l ibと湾曲部 11cには、手首 1の長手方向の両端部 1 Ifに肉厚部 l lgをそれぞ れ形成したことである。この肉厚部 l lgは、例えば厚さ 2mm、幅 5mm程度が好まし レ、が、これに限られるものではない。また、肉厚部 l lgは、弾性体板 11Bと同一の材 質であっても良いが、弾性体板 11Bよりも柔らかぐ手首 1よりも硬い材質であることが 好ましい。 The difference from the elastic plate 11A of the first embodiment is that the flat portion 11a, the inclined portion l ib and the curved portion 11c of the elastic plate 11B have both ends in the longitudinal direction of the wrist 1. This means that thick portions l lg were formed in 1 If, respectively. This thick part llg is preferably, for example, about 2 mm thick and about 5 mm wide. Re, but is not limited to this. The thick portion Ilg may be the same material as the elastic plate 11B, but is preferably a material that is softer than the elastic plate 11B and harder than the wrist 1.
[0026] 上記肉厚部 l lgは、少なくともフラット部 11aと傾斜部 l ibとに形成してあれば良い  [0026] The thick part l lg may be formed at least in the flat part 11a and the inclined part l ib.
[0027] 第 2実施形態の弾性体板 11Bであれば、阻血袋 13は、中央部に比べて端部 1 Ifで の膨張が小さくて圧迫力が弱いために、端部 l lfに肉厚部 l lgを形成することで、阻 血袋 13と手首 1との密着性が良好になって、測定精度が向上するようになる。 [0027] In the case of the elastic plate 11B of the second embodiment, the blood-blocking bag 13 has a small expansion at the end 1If and a small compression force at the end 1If as compared with the center, and therefore has a thick wall at the end llf. By forming the part llg, the adhesion between the blood bag 13 and the wrist 1 is improved, and the measurement accuracy is improved.
[0028] 図 3 (a) (b)は、第 2実施形態の弾性体板 1 IBの変形例 1であって、 (a)は弾性体板 11Bのフラット部 11aの側面断面図、(b)は手首 1に装着した弾性体板 1 IBの側面断 面図である。  FIGS. 3 (a) and 3 (b) show a first modification of the elastic plate 1 IB of the second embodiment, wherein (a) is a side sectional view of the flat portion 11a of the elastic plate 11B, and FIG. () Is a side sectional view of the elastic plate 1 IB attached to the wrist 1.
[0029] そして、肉厚部 l lhは、端部 l lgから中央方向に向かって厚みが薄くなる勾配状に 形成している。  [0029] The thick portion l lh is formed in a gradient shape such that the thickness decreases from the end l lg toward the center.
[0030] このように、肉厚部 l lhに勾配を付けたので、厚みが急激に変わらないために、阻 血袋 13と手首 1との密着性がより良好になって、測定精度が向上するようになる。  As described above, since the thick portion l lh is provided with a gradient, the thickness does not change rapidly, so that the adhesion between the blood bag 13 and the wrist 1 becomes better, and the measurement accuracy is improved. I will do it.
[0031] また、図 3 (c) (d)に示す変形例 2のように、肉厚部 l lh (上記肉厚部 l lgも同様)は 、手首 1の長手方向の少なくとも一方の端部 l lf、好ましくは、動脈血流の方向 aから 考えて中枢側にのみ形成してあっても同様の効果を得ることができる。  [0031] Further, as in a modified example 2 shown in FIGS. 3 (c) and 3 (d), the thick portion l lh (similarly to the thick portion l lg) includes at least one end in the longitudinal direction of the wrist 1. The same effect can be obtained even if it is formed only on the central side, considering the direction a of the arterial blood flow.
[0032] 図 4は、第 3実施形態の弾性体板 11Cであり、(a)は弾性体板 11Cの平面図、(b) は弾性体板 11Cの正面図である。  FIG. 4 shows an elastic plate 11C according to the third embodiment. (A) is a plan view of the elastic plate 11C, and (b) is a front view of the elastic plate 11C.
[0033] 第 1実施形態の弾性体板 11Aと相違する点は、弾性体板 11Cは、フラット部 11aが 略中央部付近で分割されて、この分割部分をヒンジ部 22により開閉自在に結合した ことである。なお、フラット部 11aの分割は、略中央部付近だけに限られず、少なくとも 1箇所以上で分割すれば良い。  The difference from the elastic plate 11A of the first embodiment is that, in the elastic plate 11C, the flat portion 11a is divided substantially near the center, and this divided portion is connected to be openable and closable by the hinge portion 22. That is. Note that the division of the flat portion 11a is not limited to substantially the vicinity of the central portion, but may be at least one or more.
[0034] 第 3実施形態の弾性体板 11Cであれば、フラット部 11aのヒンジ部 22により弾性体 板 11Cの開閉が可能になるから、手首 1が細い人から太い人まで当てがいやすくな る。  In the case of the elastic plate 11C of the third embodiment, since the elastic plate 11C can be opened and closed by the hinge portion 22 of the flat portion 11a, it is easy to fit a person with a thin wrist 1 to a person with a large wrist. .
[0035] また、様々な曲率の手首 1であっても、ヒンジ部 22で弾性体板 11Cの開閉角度を調 節することができるので、手首 1との密着性がより向上するようになる。すなわち、手首 1の断面は、図 1 (a)や図 8 (b)に示したような正楕円形状ではなぐ図 8 (c)に示すよ うに、実際には長径方向と短径方向の何れでも形状が相違するものであるから、この 形状の相違に合うように、弾性体板 11Cの開閉角度を調節できるので、手首 1との密 着性が向上するのである。 [0035] Even with the wrist 1 having various curvatures, the hinge 22 adjusts the opening and closing angle of the elastic body plate 11C. Since it can be knotted, the adhesion to the wrist 1 is further improved. In other words, the cross section of the wrist 1 does not have a regular elliptical shape as shown in FIG. 1 (a) or FIG. 8 (b). However, since the shape is different, the opening / closing angle of the elastic body plate 11C can be adjusted to match the difference in shape, so that the adhesion to the wrist 1 is improved.
[0036] 図 5は、第 4実施形態の弾性体板 1 1Dであり、(a)は弾性体板 11Dの平面図、(b) は弾性体板 1 IDの正面図である。  FIG. 5 shows an elastic plate 11D of the fourth embodiment, (a) is a plan view of the elastic plate 11D, and (b) is a front view of the elastic plate 1ID.
[0037] 第 1実施形態の弾性体板 11Aと相違する点は、弾性体板 11Dは、フラット部 11aと 一方側(図中左側)の傾斜部 l ibとの間の折れ曲がり部 l idで分割されて、この分割 部分をヒンジ部 22により開閉自在に結合するとともに、フラット部 11aと他方側(図中 右側)の傾斜部 l ibは、上記折れ曲がり部 l idで一体的に連結した一体物としたこと である。  [0037] The difference from the elastic plate 11A of the first embodiment is that the elastic plate 11D is divided by a bent portion lid between the flat portion 11a and the inclined portion lib on one side (left side in the figure). Then, the divided portion is connected to be openable and closable by a hinge portion 22, and the flat portion 11a and the inclined portion l ib on the other side (the right side in the figure) are combined with the integrated member integrally connected by the bent portion lid. That is.
[0038] 第 4実施形態の弾性体板 11Dであれば、ヒンジ部 22により、フラット部 11aに対して 一方側の傾斜部 l ibが開閉可能になるから、様々な曲率の手首 1であっても、ヒンジ 部 22で傾斜部 l ibや湾曲部 11cの開閉角度を調節することができるので、手首 1と の密着性がより向上するようになる。また、ヒンジ部 22で傾斜部 l ibと湾曲部 11cを 内方に折り畳むことができるので(二点鎖線 b参照)、不使用時の血圧計 10が小型化 して、収納性が向上するようになる。さらに、血圧計 10を手首 1に装着する時に、折 れ曲がり部 11 d, 11 eで一体的に連結したフラット部 11 aと他方側の傾斜部 11 bおよ び湾曲部 11cとを手首 1の長径部分に引っ掛けてから手掌側を覆うように装着すると 、装着動作が容易になるとともに、装着ずれが少なくなる。  In the case of the elastic plate 11D of the fourth embodiment, the hinge portion 22 allows the inclined portion l ib on one side to be openable and closable with respect to the flat portion 11a. In addition, the opening and closing angles of the inclined portion lib and the curved portion 11c can be adjusted by the hinge portion 22, so that the adhesion to the wrist 1 is further improved. Further, since the inclined portion l ib and the curved portion 11c can be folded inward by the hinge portion 22 (see the two-dot chain line b), the sphygmomanometer 10 when not in use can be downsized to improve the storage capacity. become. Further, when the sphygmomanometer 10 is mounted on the wrist 1, the flat part 11a integrally connected by the bent parts 11d and 11e, the inclined part 11b on the other side, and the curved part 11c are attached to the wrist 1. When it is hooked on the long diameter portion and then attached so as to cover the palm side, the attachment operation is facilitated and the attachment displacement is reduced.
[0039] また、図 6 (a)に示す変形例 1のように、一方側の傾斜部 1 lbと湾曲部 1 lcとの間の 折れ曲がり部 l ieで分割して、この分割部分をヒンジ部 22により開閉自在に結合す ることもできる。なお、具体的に図示しないが、フラット部 11aと一方側の傾斜部 l ibと の間の折れ曲がり部 l idで分割して、この分割部分をヒンジ部 22により開閉自在に 結合するとともに、一方側の傾斜部 1 lbと湾曲部 1 lcと間の折れ曲がり部 1 leで分割 して、この分割部分をヒンジ部 22により開閉自在に結合することもできる。  Further, as in Modification Example 1 shown in FIG. 6 (a), it is divided at a bent portion lie between one inclined portion 1lb and a curved portion 1lc, and this divided portion is hinged. 22 can also be connected to open and close freely. Although not specifically shown in the drawings, the flat part 11a is divided by a bent part lid between the flat part 11a and the inclined part lib on one side. The bent portion 1 le between the inclined portion 1 lb and the curved portion 1 lc can be divided and the divided portion can be opened and closed by the hinge portion 22.
[0040] さらに、図 6 (b)に示す変形例 2のように、フラット部 11aと両側の傾斜部 l ibとの間 の折れ曲がり部 l idで分割して、この分割部分をそれぞれヒンジ部 22により開閉自 在に結合することもできる。なお、具体的に図示しないが、各傾斜部 l ibと湾曲部 11 cと間の折れ曲がり部 l ieで分割して、この分割部分をそれぞれヒンジ部 22により開 閉自在に結合することもできる。 [0040] Further, as in a modified example 2 shown in FIG. Can be divided by the bent portion lid, and these divided portions can be connected to each other by the hinge portion 22 to be opened and closed. Although not specifically shown, it is also possible to divide by a bent portion lie between each inclined portion lib and the curved portion 11c, and to connect these divided portions by hinge portions 22 so as to be freely opened and closed.
[0041] すなわち、図 4、図 5、図 6 (a)の構成では、弾性体板 11C, 11Dは、ヒンジ部 22に よって手首 1の形状に対するフレキシビリティは高いが、阻血袋 13を固定する力は弱 レ、ことから、阻血袋 13が左右不均一に膨張することがある。そこで、図 6 (b)の構成の ように、ヒンジ部 22を左右対称位置に設けることにより、阻血袋 13が左右均一に膨張 しゃすくなるので、動脈 2, 3に対する圧迫性が良くなる。  That is, in the configurations shown in FIGS. 4, 5, and 6 (a), the elastic plates 11C and 11D have high flexibility with respect to the shape of the wrist 1 due to the hinge portion 22, but fix the blood blocking bag 13. Since the force is weak, the blood-blocking bag 13 may expand unevenly in the left and right directions. Thus, by providing the hinge portions 22 at symmetrical positions as in the configuration of FIG. 6 (b), the blood blocking bag 13 expands and shrinks uniformly in the left and right directions, so that the pressure on the arteries 2 and 3 is improved.
[0042] 図 4、図 5、図 6 (a) (b)のヒンジ部 22を有する弾性体板 11C, 11Dにおいては、図 6 (c)のように、ヒンジ部 22に折り畳み方向 cのトーシヨンを付与するトーシヨンばね 23 を設ければ、血圧計 10を手首 1に装着した後に、弾性体板 11C, 11Dはトーシヨン によって内側に付勢された状態で手首 1に固定されるので、装着時の位置ずれが少 なくなる。  [0042] In the elastic plates 11C and 11D having the hinge portions 22 shown in Figs. 4, 5, and 6 (a) and (b), as shown in Fig. 6 (c), the torsion in the folding direction c is applied to the hinge portions 22. If the torsion spring 23 is provided, after attaching the sphygmomanometer 10 to the wrist 1, the elastic plates 11C and 11D are fixed to the wrist 1 while being urged inward by the torsion. The displacement is reduced.
[0043] また、図 6 (d)のように、上記ヒンジ部 22のヒンジ軸 24をバネピンのように、静止トノレ クを有するものとすれば、弾性体板 11C, 1 IDを手首 1に装着すると、弾性体板 11C , 11Dは静止トルクによって静止状態で手首 1に固定されるので、装着時の位置ず れが少なくなる。  As shown in FIG. 6D, if the hinge shaft 24 of the hinge portion 22 has a stationary tongue like a spring pin, the elastic plates 11C and 1ID are attached to the wrist 1. Then, the elastic plates 11C and 11D are fixed to the wrist 1 in a stationary state by the stationary torque, so that the positional shift at the time of mounting is reduced.
[0044] 図 7 (a)一 (c)は、それぞれ第 5実施形態の弾性体板 11Eの正面図である。  FIGS. 7A and 7C are front views of an elastic plate 11E of the fifth embodiment, respectively.
[0045] 図 7 (a)のように、第 1実施形態の弾性体板 11Aと相違する点は、上記湾曲部 11c は、一方 (右側)の長さ L1に対して他方 (左側)の長さ L2を長く(換言すれば、一方の 長さ L2に対して他方の長さ L1を短く)設定していることである。  As shown in FIG. 7A, the difference from the elastic body plate 11A of the first embodiment is that the curved portion 11c has a length L1 on one side (right side) and a length L1 on the other side (left side). That is, L2 is set to be long (in other words, one length L2 is shorter than the other length L1).
[0046] この構成であれば、手首 1は、左右の曲率半径が対称ではないから、曲率半径の 小さレ、側に長レ、湾曲部 1 lcを装着すれば、阻血袋 13の膨張時に左右のバランスが 良くなる。また、血圧計 10を手首 1に装着する時に、長い湾曲部 11cを手首 1の長径 部分に引っ掛けてから手掌側を覆うように装着すると、装着動作が容易になるととも に、装着ずれが少なくなる。  With this configuration, the wrist 1 is not symmetrical in the left and right radii of curvature, so if the radius of curvature is small, the side is long, and the curved portion 1lc is attached, the wrist 1 is The balance becomes better. Also, when attaching the sphygmomanometer 10 to the wrist 1, if the long curved portion 11c is hooked on the long diameter portion of the wrist 1 and then covered so as to cover the palm side, the mounting operation becomes easy and the mounting displacement is reduced. .
[0047] 図 7 (b)のように、第 1実施形態の弾性体板 11Aと相違する点は、上記湾曲部 11c は、一方 (左側)に対して他方 (右側…クロスハッチング参照)の弾性を高く設定して レ、ることである。 As shown in FIG. 7 (b), the difference from the elastic body plate 11A of the first embodiment is that the bending portion 11c Is to set the elasticity of one side (left side) higher than that of the other side (right side: see cross-hatching).
[0048] この構成であれば、手首 1は、左右の曲率半径が対称ではないから、曲率半径の 小さい側に弾性が高い湾曲部 11cを装着すれば、阻血袋 13の膨張時に左右のバラ ンスが良くなる。また、血圧計 10を手首 1に装着する時に、弾性が高い湾曲部 11cを 手首 1の長径部分に引っ掛けて力も手掌側を覆うように装着すると、装着動作が容易 になるとともに、装着ずれが少なくなる。  [0048] In this configuration, the wrist 1 is not symmetrical in the left and right radii of curvature. Therefore, if the highly elastic curved portion 11c is attached to the side having the smaller radius of curvature, the left and right bal- ances of the wrist bag 13 when the blood blocking bag 13 inflates are expanded. Will be better. Also, when attaching the sphygmomanometer 10 to the wrist 1, hooking the curved portion 11c with high elasticity to the long diameter of the wrist 1 so that the force covers the palm side also facilitates the attaching operation and minimizes misalignment. Become.
[0049] 図 7 (c)のように、第 1実施形態の弾性体板 11Aと相違する点は、上記湾曲部 11c は、傾斜部 l ibとの角度が一方 (右側)の角度 Θ 2に対して他方 (左側)の角度 θ 1を 小さく設定してレ、ることである。  As shown in FIG. 7 (c), the difference from the elastic body plate 11A of the first embodiment is that the curved portion 11c has an angle が 2 with the inclined portion l ib (one side (right side)). On the other hand, the other (left) angle θ 1 must be set small.
[0050] この構成であれば、手首 1は、左右の曲率半径が対称ではないから、曲率半径の 小さい側に角度が小さい方を装着すれば、阻血袋 13の膨張時に左右のバランスが 良くなる。また、血圧計 10を手首 1に装着する時に、この角度が小さい湾曲部 11cを 手首 1の長径部分に引っ掛けて力も手掌側を覆うように装着すると、装着動作が容易 になるとともに、装着ずれが少なくなる。  [0050] With this configuration, the wrist 1 does not have symmetrical left and right radii of curvature. Therefore, if the smaller angle is attached to the side with the smaller radius of curvature, the right and left balance is improved when the blood bag 13 is inflated. . When the sphygmomanometer 10 is worn on the wrist 1, if the curved portion 11c with a small angle is hooked on the long diameter portion of the wrist 1 and the force is covered so that the palm side is covered, the wearing operation becomes easy and the misalignment occurs. Less.
[0051] 上記各実施形態の説明では、測定部位を手首 1としたが、上腕、足首等であっても 良いことは言うまでもない。  In the description of each of the above embodiments, the measurement site is the wrist 1, but it goes without saying that the measurement may be an upper arm, an ankle, or the like.
[0052] 前記したように、本発明の血圧計は、カフ帯の阻血袋を手首等の測定部位に当て がって、阻血袋の膨張で動脈を圧迫阻血して血圧測定を行う血圧計であって、上記 カフ帯と阻血袋との間に可撓性の弾性体板が介設されて、この弾性体板は、測定部 位の周方向において、動脈側のフラット部と、このフラット部の両端に、下方向に広が りながら連なる傾斜部と、この傾斜部の各端に、下方向に狭まりながら連なる湾曲部 とで構成されていることを特徴とするものである。  [0052] As described above, the sphygmomanometer of the present invention is a sphygmomanometer that measures the blood pressure by placing the blood cuff of the cuff band on a measurement site such as the wrist and compressing and blocking the artery by expanding the blood cuff. In addition, a flexible elastic plate is interposed between the cuff band and the blood bag, and the elastic plate has a flat portion on the artery side and a flat portion in the circumferential direction of the measurement portion. At both ends of the sloping portion, and a curved portion extending downward and continuing at each end of the inclined portion.
[0053] 本発明の血圧計において、上記弾性体板は、フラット部と傾斜部と湾曲部とが、そ れぞれ折れ曲がり部で一体的に連結された一体物である構成とすることができる。  [0053] In the sphygmomanometer according to the present invention, the elastic body plate may have a configuration in which the flat part, the inclined part, and the curved part are integrally connected to each other by a bent part. .
[0054] この構成であれば、弾性体板は、フラット部と傾斜部と湾曲部とを折れ曲がり部で一 体的に連結した一体物であるから、多数人のデータに基づいて最も分布の多い標準 の手首等の形状に合うように折れ曲がり部の角度を設定することで、手首等の細い人 から太レ、人まで当てがレ、やすくなる。 [0054] With this configuration, the elastic body plate is an integrated body in which the flat portion, the inclined portion, and the curved portion are integrally connected at the bent portion, and therefore has the largest distribution based on data of a large number of people. By setting the angle of the bend so that it fits the shape of a standard wrist, etc. It is easy for people to apply to people.
[0055] 本発明の血圧計において、上記弾性体板の少なくともフラット部と傾斜部とには、測 定部位の長手方向の少なくとも一方の端部に肉厚部が形成されている構成とするこ とができる。 [0055] In the sphygmomanometer of the present invention, at least the flat portion and the inclined portion of the elastic body plate have a thick portion formed at at least one end in the longitudinal direction of the measurement site. Can be.
[0056] この構成であれば、阻血袋は、中央部に比べて端部での膨張が小さくて圧迫力が 弱いために、端部に肉厚部を形成することで、阻血袋と手首等との密着性が良好に なって、測定精度が向上するようになる。  [0056] With this configuration, the blood-blocking bag has a small expansion at the end compared to the central portion and has a weak compression force. Therefore, by forming a thick portion at the end, the blood-blocking bag and the wrist can be formed. And the measurement accuracy is improved.
[0057] 本発明の血圧計において、上記弾性体板は、フラット部が少なくとも 1箇所以上で 分割されて、この分割部分がヒンジ部により開閉自在に結合されている構成とするこ とができる。 [0057] In the sphygmomanometer of the present invention, the elastic body plate may have a configuration in which a flat portion is divided into at least one or more portions, and the divided portions are openably and closably connected by hinge portions.
[0058] この構成であれば、ヒンジ部により弾性体板の開閉が可能になるから、手首等が細 い人から太い人まで当てがいやすくなる。また、様々な曲率の手首等であっても、ヒン ジ部で弾性体板の開閉角度を調節することができるので、手首等との密着性がより良 好になって、測定精度が向上するようになる。  [0058] According to this configuration, the elastic body plate can be opened and closed by the hinge portion, so that it is easy to fit a person with a thin wrist or the like to a person with a large wrist. In addition, the opening / closing angle of the elastic body plate can be adjusted at the hinge portion even for wrists having various curvatures, so that the adhesion to the wrists and the like becomes better, and the measurement accuracy is improved. Become like
[0059] 本発明の血圧計において、上記弾性体板は、フラット部と一方側の傾斜部、および /または一方側の傾斜部と湾曲部の折れ曲がり部のいずれかにおいて少なくとも 1 箇所以上で分割されて、この分割部分がヒンジ部により開閉自在に結合されていると ともに、上記フラット部と他方側の傾斜部および湾曲部は、上記折れ曲がり部で一体 的に連結された一体物である構成とすることができる。  [0059] In the sphygmomanometer of the present invention, the elastic body plate is divided at least at one or more of the flat portion and the one-side inclined portion and / or the one-side inclined portion and the bent portion of the curved portion. The split part is connected to the hinge part so as to be openable and closable, and the flat part, the inclined part and the curved part on the other side are integrally formed by the bent part. be able to.
[0060] この構成であれば、ヒンジ部により、フラット部に対して一方側の傾斜部、一方側の 傾斜部に対して湾曲部が開閉可能になるから、様々な曲率の手首等であっても、ヒ ンジ部で傾斜部や湾曲部の開閉角度を調節することができるので、手首等との密着 性がより向上するようになる。また、ヒンジ部で傾斜部や湾曲部を折り畳むことができ るので、不使用時の血圧計が小型化して、収納性が向上するようになる。さらに、血 圧計を手首等に装着する時に、折れ曲がり部で一体的に連結したフラット部と他方 側の傾斜部および湾曲部とを手首等の長径部分に引っ掛けてから手掌側を覆うよう に装着すると、装着動作が容易になるとともに、装着ずれが少なくなる。  [0060] With this configuration, the hinge allows the inclined portion on one side with respect to the flat portion and the curved portion with respect to the inclined portion on one side to be openable and closable. In addition, since the opening and closing angles of the inclined portion and the curved portion can be adjusted by the hinge portion, the adhesion to the wrist and the like is further improved. Further, since the inclined portion and the curved portion can be folded by the hinge portion, the sphygmomanometer when not in use is downsized, and the storage property is improved. Furthermore, when the blood pressure meter is worn on the wrist or the like, the flat part, which is integrally connected with the bent part, and the inclined part and the curved part on the other side are hooked on the long diameter part of the wrist or the like, and then are worn so as to cover the palm side. In addition, the mounting operation is facilitated and the mounting displacement is reduced.
[0061] 本発明の血圧計において、上記弾性体板のフラット部と両側の傾斜部、および/ま たは両側の傾斜部と湾曲部の折れ曲がり部が左右対称の位置で少なくとも 1箇所以 上で分割されて、この分割部分がヒンジに部により開閉自在に結合されている構成と すること力 Sできる。 [0061] In the sphygmomanometer according to the present invention, the flat portion and the inclined portions on both sides of the elastic body plate, and / or Alternatively, the inclined portion on both sides and the bent portion of the curved portion are divided at least at one or more locations in a symmetrical position, and this divided portion is connected to the hinge so that it can be opened and closed by the hinge. .
この構成であれば、弾性体板は、ヒンジ部によって手首等の形状に対するフレキシ ピリティは高いが、阻血袋を固定する力は弱いことから、阻血袋が左右不均一に膨張 すること力 Sある。そこで、ヒンジ部を左右対称位置に設けることにより、阻血袋が左右 均一に膨張しやすくなるので、動脈に対する圧迫性が良くなる。  With this configuration, the elastic plate has high flexibility with respect to the shape of the wrist or the like due to the hinge portion, but has a weak force for fixing the blood-bag, so that the blood-blocking bag expands left and right unevenly. Therefore, by providing the hinge portion at the symmetrical position, the blood bag is easily inflated to the left and right, so that the pressure on the artery is improved.

Claims

請求の範囲 The scope of the claims
[1] カフ帯の阻血袋を手首等の測定部位に当てがつて、阻血袋の膨張で動脈を圧迫 阻血して血圧測定を行う血圧計であって、  [1] A sphygmomanometer that applies a blood cuff in a cuff band to a measurement site such as a wrist, compresses an artery by inflating the blood cuff, and measures blood pressure by blocking blood.
上記カフ帯と阻血袋との間に可撓性の弾性体板が介設されて、この弾性体板は、 測定部位の周方向において、動脈側のフラット部と、このフラット部の両端に、下方向 に広がりながら連なる傾斜部と、この傾斜部の各端に、下方向に狭まりながら連なる 湾曲部とで構成されていることを特徴とする血圧計。  A flexible elastic plate is interposed between the cuff band and the blood bag, and the elastic plate has a flat portion on the artery side in the circumferential direction of the measurement site, and at both ends of the flat portion, A sphygmomanometer characterized by comprising an inclined portion that extends downward and continues, and a curved portion that extends downward at each end of the inclined portion.
[2] 上記弾性体板は、フラット部と傾斜部と湾曲部とが、それぞれ折れ曲がり部で一体 的に連結された一体物であることを特徴とする請求項 1記載の血圧計。  2. The sphygmomanometer according to claim 1, wherein the elastic body plate is an integrated body in which a flat portion, an inclined portion, and a curved portion are integrally connected by a bent portion.
[3] 上記弾性体板の少なくともフラット部と傾斜部とには、測定部位の長手方向の少な くとも一方の端部に肉厚部が形成されていることを特徴とする請求項 1記載の血圧計  3. The elastic plate according to claim 1, wherein at least the flat part and the inclined part of the elastic body plate have a thick part formed at least at one end in the longitudinal direction of the measurement site. Sphygmomanometer
[4] 上記弾性体板は、フラット部が少なくとも 1箇所以上で分割されて、この分割部分が ヒンジ部により開閉自在に結合されていることを特徴とする請求項 1記載の血圧計。 4. The sphygmomanometer according to claim 1, wherein the elastic body plate has a flat portion divided at least at one or more locations, and the divided portions are connected to be openable and closable by hinge portions.
[5] 上記弾性体板は、フラット部と一方側の傾斜部、および/または一方側の傾斜部と 湾曲部の折れ曲がり部のいずれかにおいて少なくとも 1箇所以上で分割されて、この 分割部分がヒンジ部により開閉自在に結合されているとともに、上記フラット部と他方 側の傾斜部および湾曲部は、上記折れ曲がり部で一体的に連結された一体物であ ることを特徴とする請求項 1記載の血圧計。  [5] The elastic body plate is divided at least at one or more of either the flat portion and the one-side inclined portion and / or the one-side inclined portion and the bent portion of the curved portion, and the divided portion is hinged. The flat part and the inclined part and the curved part on the other side are integrally connected by the bent part, and the flat part and the inclined part and the curved part on the other side are connected to each other. Sphygmomanometer.
[6] 上記弾性体板のフラット部と両側の傾斜部、および/または両側の傾斜部と湾曲 部の折れ曲がり部が左右対称の位置で少なくとも 1箇所以上で分割されて、この分割 部分がヒンジに部により開閉自在に結合されていることを特徴とする請求項 1記載の 血圧計。  [6] The flat portion and the inclined portions on both sides of the elastic body plate and / or the bent portions of the inclined portions and the curved portions on both sides are divided at least at one or more symmetrical positions, and this divided portion is used as a hinge. 2. The sphygmomanometer according to claim 1, wherein the sphygmomanometer is openably and closably connected by a part.
PCT/JP2005/002761 2004-02-24 2005-02-22 Blood pressure manometer WO2005079665A1 (en)

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JP2004047453A JP4363220B2 (en) 2004-02-24 2004-02-24 Sphygmomanometer

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CN112822975A (en) * 2018-11-09 2021-05-18 欧姆龙健康医疗事业株式会社 Blood pressure measuring device

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JP6225705B2 (en) * 2013-12-27 2017-11-08 オムロンヘルスケア株式会社 Blood pressure cuff and blood pressure monitor equipped with the same
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WO2016056144A1 (en) * 2014-10-10 2016-04-14 Nec Corporation Blood pressure meter and cuff
JP2017530809A (en) * 2014-10-10 2017-10-19 日本電気株式会社 Sphygmomanometer and cuff
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