WO2007091380A1 - Portable electrocardiograph - Google Patents

Portable electrocardiograph Download PDF

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Publication number
WO2007091380A1
WO2007091380A1 PCT/JP2006/326219 JP2006326219W WO2007091380A1 WO 2007091380 A1 WO2007091380 A1 WO 2007091380A1 JP 2006326219 W JP2006326219 W JP 2006326219W WO 2007091380 A1 WO2007091380 A1 WO 2007091380A1
Authority
WO
WIPO (PCT)
Prior art keywords
electrode
contact
portable electrocardiograph
measurement
positive electrode
Prior art date
Application number
PCT/JP2006/326219
Other languages
French (fr)
Japanese (ja)
Inventor
Masahiro Umeda
Norihito Yamamoto
Yusaku Sakoda
Original Assignee
Omron Healthcare Co., 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 Omron Healthcare Co., Ltd. filed Critical Omron Healthcare Co., Ltd.
Publication of WO2007091380A1 publication Critical patent/WO2007091380A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/332Portable devices specially adapted therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25Bioelectric electrodes therefor

Definitions

  • the present invention relates to an electrocardiograph, and more particularly, to a portable electrocardiograph that can be carried and can easily measure an electrocardiogram waveform.
  • an electrocardiogram of a patient is used for diagnosis of arrhythmia, ischemic heart disease such as angina pectoris and myocardial infarction.
  • ischemic heart disease such as angina pectoris and myocardial infarction.
  • electrocardiographs used for obtaining an electrocardiogram are known.
  • One of them is a portable electrocardiograph that enables measurement and storage of an electrocardiogram waveform when the subject himself / herself touches the body when a subjective symptom to be measured occurs. ing.
  • This portable electrocardiograph is classified as an event-type electrocardiograph.
  • a Holter-type electrocardiograph that continuously measures and records the electrocardiographic waveform while wearing daily life by attaching electrodes to the patient's body in advance. Are distinguished from each other.
  • Patent Document 1 describes a positive electrode (on the side in contact with the chest of the subject) in order to improve the contact stability between the contact surface of the positive electrode and the measurement site (chest). It is disclosed that a non-electrode region formed flat is provided so as to surround an electrode region where an electrode) is located. Furthermore, Patent Document 1 discloses that a plurality of protrusions are provided around the electrode in order to prevent the electrode from being displaced on the body surface during measurement. As a result, even if the electrocardiograph is grasped to some extent and the hand or measurement site moves, the variation of the contact site occurs in the non-electrode region and hardly occurs in the electrode region. .
  • Patent Document 1 JP 2005-46215 A
  • the present invention has been made to solve the above-described problems, and an object of the present invention is to provide a portable electrocardiograph that can further improve the contact stability between the electrode and the measurement site. It is to provide.
  • a portable electrocardiograph includes a first electrode for contacting a subject's hand, a second electrode for contacting a predetermined measurement site of the subject, the first electrode, A measurement unit for measuring an electrical signal detected by the second electrode as an electrocardiographic waveform, and a housing including the first electrode, the second electrode, and the measurement unit.
  • the housing has an electrode formation surface provided with a second electrode, and the measurement site is located in a position surrounding the second electrode on the electrode formation surface in a state where the second electrode is in contact with the measurement site. It further has a close contact portion for contacting with the surrounding body surface.
  • the contact portion has a contact surface in contact with the body surface.
  • the member constituting the contact surface is a rubber. Or preferably it is a thermoplastic elastomer.
  • the contact portion has the first contact surface in contact with the body surface. It is preferable that the members constituting the surface have adhesiveness.
  • the portable electrocardiograph according to the present invention further includes a first protective member for protecting the first contact surface when the portable electrocardiograph is not in use.
  • the first protective member is configured to be removable by the subject.
  • the contact portion further has a second contact surface in contact with the electrode formation surface. It is preferable that the members constituting the contact surface have adhesiveness.
  • the portable electrocardiograph according to the present invention further includes a second protective member for protecting the second contact surface when the portable electrocardiograph is not in use. Prefer Good.
  • a portable electrocardiograph with improved contact stability between an electrode and a measurement site can be provided. Therefore, the measurement accuracy of the electrocardiogram waveform can be improved.
  • FIG. 1 is a schematic perspective view of a portable electrocardiograph according to an embodiment of the present invention.
  • FIG. 2 is a schematic perspective view of a portable electrocardiograph according to an embodiment of the present invention.
  • FIG. 3 is a front view of a portable electrocardiograph according to the embodiment of the present invention.
  • FIG. 4 is a top view of the portable electrocardiograph according to the embodiment of the present invention.
  • FIG. 5 is a bottom view of the portable electrocardiograph according to the embodiment of the present invention.
  • FIG. 6 is a right side view of the portable electrocardiograph according to the embodiment of the present invention.
  • FIG. 7 is a left side view of the portable electrocardiograph according to the embodiment of the present invention.
  • FIG. 8 is a perspective view showing a measurement posture to be taken by a subject when measuring an electrocardiographic waveform using the portable electrocardiograph according to the embodiment of the present invention.
  • Fig. 9 is a view of the measurement posture to be taken by the subject when the electrocardiogram waveform is measured using the portable electrocardiograph according to the embodiment of the present invention.
  • FIG. 10 is a block diagram showing a hardware configuration of the portable electrocardiograph according to the embodiment of the present invention.
  • FIG. 11 is a flowchart showing the flow of measurement processing in the portable electrocardiograph according to the embodiment of the present invention.
  • FIG. 12 is a diagram showing an example of a screen display of measurement results in the embodiment of the present invention.
  • FIG. 13 is a diagram showing an example of a display screen of the measurement result of the electrocardiogram waveform stored in the memory in the embodiment of the present invention.
  • FIG. 14 is a view showing another arrangement example of rubber in the embodiment of the present invention.
  • FIG. 15 is a view showing still another arrangement example of rubber in the embodiment of the present invention.
  • FIG. 16 is a diagram showing another example of the form of the positive electrode in the embodiment of the present invention.
  • FIG. 17 is a diagram showing a state where an adhesive member is arranged at a position surrounding a positive electrode in the embodiment of the present invention.
  • FIG. 18 is a diagram showing a state where an adhesive member is disposed at a position surrounding a positive electrode in the embodiment of the present invention.
  • 1 and 2 are schematic perspective views of portable electrocardiograph 100 according to the embodiment of the present invention.
  • 3 to 7 are a front view, a top view, a bottom view, a right side view, and a left side view, respectively, of the portable electrocardiograph 100 according to the present embodiment.
  • portable electrocardiograph 100 As shown in Figs. 1 to 7, portable electrocardiograph 100 according to the present embodiment has a size and weight that can be held with one hand so as to be excellent in handleability. It has been reduced in size and weight.
  • the portable electrocardiograph 100 includes a device main body 110 having a flat and elongated substantially rectangular parallelepiped shape.
  • a measurement button 142 for instructing the start of measurement is provided near one end of the longitudinal direction (direction of arrow A in the figure) of the front surface 111 of the apparatus main body 110.
  • a display unit 148 is provided near the other end of the front surface 111 of the apparatus main body 110.
  • the display unit 148 is configured by a liquid crystal display, for example, and displays measurement results and the like.
  • a power button 141 for instructing ONZOFF of the power supply 160 is arranged at a predetermined position on the upper surface 113 of the apparatus main body 110.
  • an opening / closing cover 130 as a lid is provided at a predetermined position on the upper surface 113 of the apparatus main body 110.
  • the opening / closing cover 130 is provided so as to cover an external storage medium slot (not shown) in a closed state, and is attached to the apparatus main body 110 so as to be freely opened and closed.
  • a menu button 143, an enter button 144, a left scroll button 145, and a right scroll button 146 are arranged at predetermined positions on the lower surface 114 of the apparatus main body 110.
  • the menu button 143 is an operation button for instructing the display of the menu of the portable electrocardiograph 100
  • the decision button 144 is an operation for executing a setting operation related to information displayed on the display unit 148.
  • the left scroll button 145 and the right scroll button 146 are operation buttons for scrolling and displaying the measurement result graph and guide information displayed on the display unit 148.
  • the right side surface 115 located at one end in the longitudinal direction of the apparatus main body 110 is one electrode of a pair of measurement electrodes and is brought into contact with the subject's hand.
  • a negative electrode 121 for the purpose and an indifferent electrode 123 for deriving a potential that becomes a reference for a potential change of the body are arranged.
  • the right side surface 115 has a shape that is smoothly curved so that the index finger of the right hand of the subject fits when the subject takes a measurement posture described later. Further, the right side surface 115 is formed with a concave portion 115a that extends in the vertical direction.
  • the recess 115a is shaped to receive the index finger of the subject's right hand.
  • the negative electrode 121 and the indifferent electrode 123 described above are formed of a conductive member. Further, the negative electrode 121 and the indifferent electrode 123 are arranged in a recess 115 a provided on the right side surface 115 so that the surfaces thereof are exposed on the outer surface of the apparatus main body 110. The negative electrode 121 is located near the upper surface 113 of the right side surface 115, and the indifferent electrode 123 is located near the lower surface 114 of the right side surface 115.
  • a protrusion 117 is provided on the left side surface 116 located at the other end in the longitudinal direction of the apparatus main body 110.
  • the protruding portion 117 protrudes not only in the normal direction of the left side surface 116 but also in the normal direction on the front surface 111 and the rear surface 112 near the left side surface 116.
  • the left side surface of the protrusion 117 (surface in the same direction as the left side surface 116) is the other electrode of the pair of measurement electrodes, A positive electrode 122 is provided to contact the measurement site.
  • the electrode forming surface of the protruding portion 117 surrounds the measurement site with the positive electrode 122 in contact with the measurement site at a position surrounding the positive electrode 122!
  • a member hereinafter referred to as an “adhesion member”
  • a rubber 190 is provided for contacting the body surface at the position (hereinafter referred to as “surrounding body surface”).
  • the rubber 190 has a contact surface 190a in contact with the surface of the surrounding body that has not only a larger friction coefficient than the contact surface 122a of the positive electrode 122 with the measurement site, but can also improve adhesion to the surface of the surrounding body. It is.
  • silicon rubber or urethane rubber is used as the material of rubber 190
  • frame-like rubber 190 is bonded in advance so as to come into contact with the electrode forming surface of protruding portion 117 and the side surface of protruding positive electrode 122. Has been.
  • the contact surface 190a of the rubber 190 with the surrounding body surface is formed at a force lower than the contact surface 122a of the positive electrode 122 with the measurement site or at substantially the same height. It is preferable. In portable electrocardiograph 100 in the present embodiment, the contact surface 190a of rubber 190 is formed at a lower height than the contact surface 122a of positive electrode 122.
  • device body 110 is provided with protruding portion 117, but a configuration in which protruding portion 117 is not provided is also possible.
  • the left side surface 116 of the apparatus main body 110 serves as an electrode formation surface, and the positive electrode 122 and the rubber 190 are arranged in the same manner on the surface.
  • FIG. 8 is a perspective view showing the measurement posture of the subject
  • FIG. 9 is a view of the measurement posture as viewed from above.
  • the subject 200 holds the device main body 110 of the portable electrocardiograph 100 near the one end of the device main body 110 with the right hand 210 while the protrusion 200 on the other end of the device main body 110 is
  • the provided positive electrode 122 contact surface 122a
  • the rubber 190 (the contact surface 190a thereof) is brought into close contact with the surrounding body surface (the body surface at a position surrounding the region where the positive electrode 122 is in contact). Then, the subject 200 presses the measurement button 142 provided on the front surface 111 of the apparatus main body 110 with the thumb 211 of the right hand 210. Then, while maintaining this state for about several tens of seconds, the cardiac radio wave shape is measured.
  • the negative electrode 121 and the indifferent electrode 123 located on the right side surface 1 15 of the device body 110 of the portable electrocardiograph 100 contact the index finger 212 of the right hand 210 of the subject 200.
  • the positive electrode 122 (the contact surface 122a) located on the left side surface 116 of the apparatus main body 110 is in contact with the chest 250 of the subject 200.
  • a measurement circuit is constructed on the subject's body.
  • FIG. 10 is a block diagram of portable electrocardiograph 100 in the present embodiment.
  • portable electrocardiograph 100 in the present embodiment mainly includes electrode unit 120, operation unit 140, and processing circuit 150.
  • the electrode unit 120 is configured by the negative electrode 121, the positive electrode 122, and the indifferent electrode 123 described above.
  • the operation unit 140 includes the power button 141, the measurement button 142, the menu button 143, the enter button 144, the left scroll button 145, and the right scroll button 146 described above.
  • the processing circuit 150 includes a circuit for processing so as to measure the bioelectric signal detected by the electrode unit 120 as an electrocardiographic waveform, and amplifies the bioelectric signal detected by the electrode unit 120.
  • Amplifier circuit 151 bioelectric signal force detected by electrode 120, filter circuit 152 that removes noise components, AZD (Analog / Digital) converter 153 that converts analog signals to digital signals, and various calculations CPU (centra 1 processing unit) 154, a memory 155 having ROM (Read Only Memory) and RAM (Random Access Memory) for storing electrocardiogram information, and a timer 170 for outputting time data measured by the clocking operation to the CPU 154 With.
  • the amplifier circuit 151 differentially amplifies and outputs the output voltage signal (bioelectric signal) of the negative electrode 121 and the positive electrode 122 based on the output voltage signal of the indifferent electrode 123.
  • the filter circuit 152 for example, a band pass filter having a pass band of 0.5 Hz to 35 Hz is used.
  • the processing unit 150 is connected to the electrode unit 120 and the operation unit 140 described above, and in addition to this, a display unit 148 and a power source 160 are connected.
  • a display unit 148 and a power source 160 are connected.
  • the external storage medium 132 is also connected to the processing circuit 150.
  • the CPU 154 performs an analysis process on the digital signal input from the AZD converter 153. In addition, the CPU 154 receives a command signal having various operation button forces included in the operation unit 140, and executes processing according to the received command signal. In addition, the CPU 154 executes writing and reading of information to and from the memory 155. In addition, the CPU 154 performs display control on the display unit 148.
  • FIG. 11 is a flowchart showing the flow of measurement processing in the portable electrocardiograph 100 of the present embodiment.
  • the process shown in the flowchart of FIG. 11 is stored in advance in the ROM of the memory 155 as a program, and the function of the measurement process is realized by the CPU 154 reading and executing this program.
  • step S2 when the power source 141 is pressed by the subject and the power is turned on, an operation check of the device is performed (step S2).
  • the CPU 154 displays a measurement guide on the display unit 148 (step S4).
  • the measurement guide information such as the posture that the subject test subject should take in the measurement is displayed.
  • CPU 154 measures an electrocardiogram waveform and analyzes the measured electrocardiogram waveform (steps S6 and S8).
  • the electrocardiogram waveform that has been digitally signaled by the AZD converter 153 is temporarily recorded in the RAM of the memory 155.
  • the analysis of the electrocardiogram is based on the digital signal ECG waveform, arrhythmia and myocardial ischemia.
  • the measurement and analysis of the electrocardiographic waveform may be performed by a known procedure.
  • the CPU 154 determines whether the measured electrocardiogram waveform is stable, that is, whether there is an unanalyzable waveform (step S10). If it is determined that the electrocardiogram waveform is stable (YES in step S10), the process proceeds to step S12. On the other hand, if it is determined that the electrocardiogram is not stable (NO in step S10), the process proceeds to step S14.
  • step S 12 the CPU 154 edits the analysis result of the electrocardiogram waveform into a message and displays the message on the display unit 148. At this time, the heart rate per unit time is also displayed along with the message. The heart rate can be obtained by a known procedure based on the electrocardiogram waveform.
  • FIG. 12 shows a screen display example in step S12.
  • the display 148 displays a message 167 indicating “There is no disturbance in the waveform” and heart rate data 163 indicating “60 beats Z minutes”. ing.
  • step S14 CPU 154 displays on display unit 148 that the waveform analysis has been impossible and displays a message as to whether or not the measurement data can be stored.
  • step S16 it is determined whether or not the subject has chosen to save the measurement data. If saving of measurement data is selected (YES in step S16), the process proceeds to step S18. On the other hand, if discarding of measurement data is selected (NO in step S16), proceed to step S20.
  • step S18 the CPU 154 performs processing for storing the measurement data.
  • the CPU 154 associates the current date / time data input from the timer 170 with the electrocardiogram waveform data temporarily stored in the RAM and the analysis result, and stores them in a predetermined storage area of the memory 155.
  • step S20 the CPU 154 discards the measurement data.
  • step S18 or step S20 When the process of step S18 or step S20 is completed, a series of measurement processes is terminated.
  • FIG. 13 shows an example of a display screen of the measurement result of the electrocardiogram waveform stored in the memory 155.
  • a reduced waveform 162 of the entire waveform over the entire measurement period is displayed in the lower part of the screen, and an enlarged waveform 164 of, for example, 2 seconds is also displayed in the upper part of the display. Is displayed.
  • a scale bar 165 indicating the length of the measurement period is displayed.
  • a pointer 166 for indicating which waveform the enlarged waveform 164 is in the measurement period is displayed.
  • the right scroll button 146 and the left scroll button 145 to move the pointer 166 on the scale bar 165. It can be changed in seconds.
  • the CPU 154 reads the analysis result data corresponding to the displayed electrocardiogram waveform from the memory 155 and edits it into a message.
  • the edited message may be displayed on the display unit 148 as shown in FIG.
  • rubber 190 is disposed at a position surrounding positive electrode 122 (contact surface 122a thereof). Even if the hand or arm is lowered while holding the electrocardiograph 100 and a force exceeding a predetermined level is applied in a direction different from the pressing direction to the measurement site, the rubber 190 The displacement between the contact surface 190a and the surrounding body surface can be prevented. As a result, the adhesion between the contact surface 122a of the positive electrode 122 and the measurement site can be improved.
  • the measurement site and body surface with which the positive electrode 122 is brought into contact are not limited to the force chest 250 described as being the chest 250, and the portable electrocardiograph 100 is provided. Any limbs or torso other than the gripping hand may be used.
  • the frame-like rubber 190 is disposed on the electrode forming surface of the protruding portion 117 so as to contact the side surface of the positive electrode 122.
  • the rubber 190 is disposed so as to surround the positive electrode 122.
  • Another arrangement example of the rubber 190 is shown in FIG.
  • the electrode-forming surface 117 a of the frame-like rubber 190 force protrusion 117 may be provided at a position away from the positive electrode 122.
  • the electrode forming surface 117a of the protrusion 117 and the electrode forming surface 117a between the positive electrode 122 and the rubber 190 can be seen from the outside.
  • a rubber 190 divided into two parts may be provided at a position surrounding the positive electrode 122. More specifically, on the electrode forming surface 117a, the rubber 190 may be disposed in the periphery of the positive electrode 122 at a position excluding a part on the upper surface 113 side and a part on the lower surface 114 side.
  • a plurality of dot-like rubbers 190 may be provided so as to surround the positive electrode 122! /.
  • the shape of the force contact surface 122a exemplifying the case where the positive electrode 122 has one substantially rectangular contact surface 122a is not particularly limited.
  • the positive electrode 122 may have, for example, two contact surfaces 122a.
  • the rubber 190 is preferably provided so as to surround both of the two contact surfaces 122a.
  • the force positive electrode 122 shown as an example in which the positive electrode 122 has two contact surfaces 122a may have a plurality of contact surfaces 122a.
  • the rubber 190 is preferably provided so as to surround all of the plurality of contact surfaces 122a.
  • the contact member itself arranged on the electrode forming surface of the protrusion 117 is the force described as the rubber 190. At least the contact surface force of the contact member with the surrounding body surface is formed by the rubber. It only has to be done.
  • the adhesion member may be a member that can maintain adhesion to the surface of the surrounding body with the force of rubber 190 formed of silicon rubber or urethane rubber as an example.
  • it may be a thermoplastic elastomer containing nitrile rubber or ethylene-propylene-gen rubber (EPDM) as a main component.
  • an adhesive member (hereinafter referred to as “adhesive member”) may be employed as the adhesion member.
  • FIG. 17 and FIG. 18 show how the adhesive member is arranged around the positive electrode 122.
  • the adhesive member 191 is preferably replaceable (detachable).
  • the adhesive member 191 is made of, for example, a gel containing a crosslinked acrylic resin, a polyhydric alcohol water, and an electrolyte.
  • both the contact surface 191a with the surrounding body surface of the adhesive member 191 and the contact surface 191b with the electrode forming surface 117a are both present.
  • the protective film 192 is preferably provided respectively.
  • the protective film 192 is a member for protecting the contact surfaces 191a and 191b of the adhesive member 191 and can be easily removed by the subject.
  • the protective film 192 is made of, for example, a polyethylene laminate material or a polypropylene film.
  • the adhesive member 191 may be a single layer or multiple layers as long as both the contact surfaces 191a and 191b are adhesive.
  • the adhesive member 191 is not replaceable, that is, when the contact surface 191b is bonded in advance to the electrode forming surface, at least the contact surface 191a only needs to have adhesiveness.
  • the protective film 192 is provided on the contact surface 191a.
  • the subject can prevent the deterioration of the adhesiveness on the contact surface 191a by attaching the protective film 192 to the contact surface 191a every time the measurement is completed.

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  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
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Abstract

A portable electrocardiograph has a negative electrode adapted to be in contact with a hand of a subject and also has a positive electrode (122) adapted to be in contact with a predetermined measurement part of the subject and capable of measuring, as an electrocardiographic waveform, an electric signal detected by both the negative electrode and the positive electrode (122). Rubber (190) is provided at a position surrounding the positive electrode (122) of an electrode-forming surface, and the rubber (190) is made to be in intimate contact with that portion of the body surface which surrounds the measurement part when the positive electrode (122) is in contact with the measurement part. With such an arrangement, contact stability between the electrode and the measurement part can be enhanced.

Description

明 細 書  Specification
携帯型心電計  Portable electrocardiograph
技術分野  Technical field
[0001] 本発明は、心電計に関し、特に、持ち運びが可能で心電波形を容易に測定するこ とが可能な携帯型心電計に関する。  TECHNICAL FIELD [0001] The present invention relates to an electrocardiograph, and more particularly, to a portable electrocardiograph that can be carried and can easily measure an electrocardiogram waveform.
背景技術  Background art
[0002] 一般に、不整脈や、狭心症や心筋梗塞等の虚血性心疾患の診断には、患者の心 電図が利用される。心電図を得るために利用される心電計としては、種々の構成のも のが知られている。その一つに、持ち運びが可能で測定すべき自覚症状が発生した 場合に被験者自らが電極を身体に接触させることによって心電波形の測定および記 憶を可能にする携帯型心電計が知られている。この携帯型心電計は、イベント式心 電計に分類され、患者の身体に予め電極を装着させておき、日常生活を送りながら 連続的に心電波形を測定 ·記録するホルター式心電計と区別されるものである。  In general, an electrocardiogram of a patient is used for diagnosis of arrhythmia, ischemic heart disease such as angina pectoris and myocardial infarction. Various types of electrocardiographs used for obtaining an electrocardiogram are known. One of them is a portable electrocardiograph that enables measurement and storage of an electrocardiogram waveform when the subject himself / herself touches the body when a subjective symptom to be measured occurs. ing. This portable electrocardiograph is classified as an event-type electrocardiograph. A Holter-type electrocardiograph that continuously measures and records the electrocardiographic waveform while wearing daily life by attaching electrodes to the patient's body in advance. Are distinguished from each other.
[0003] このような携帯型心電計においては、従来、精度良く心電波形を測定するための提 案がなされている。たとえば、特開 2005— 46215号公報 (特許文献 1)には、正電極 の接触面と測定部位 (胸部)との接触安定性を向上させるために、正電極 (被験者の 胸部に接触させる側の電極)が位置する電極領域を取り囲むように、平坦に形成され た非電極領域を設けることが開示されている。さらに、上記特許文献 1には、測定時 に電極が身体の表面において位置ずれしてしまうことを防止するために、電極の周 囲に複数の突起部を設けることが開示されている。これにより、多少、心電計を把持 して 、る手や測定部位が動 、てしまったとしても、接触部位の変動は非電極領域で 発生し、電極領域ではほとんど発生しな 、ようになる。  [0003] In such portable electrocardiographs, proposals for measuring an electrocardiographic waveform with high accuracy have been conventionally made. For example, Japanese Patent Laid-Open No. 2005-46215 (Patent Document 1) describes a positive electrode (on the side in contact with the chest of the subject) in order to improve the contact stability between the contact surface of the positive electrode and the measurement site (chest). It is disclosed that a non-electrode region formed flat is provided so as to surround an electrode region where an electrode) is located. Furthermore, Patent Document 1 discloses that a plurality of protrusions are provided around the electrode in order to prevent the electrode from being displaced on the body surface during measurement. As a result, even if the electrocardiograph is grasped to some extent and the hand or measurement site moves, the variation of the contact site occurs in the non-electrode region and hardly occurs in the electrode region. .
特許文献 1 :特開 2005— 46215号公報  Patent Document 1: JP 2005-46215 A
発明の開示  Disclosure of the invention
発明が解決しょうとする課題  Problems to be solved by the invention
[0004] し力しながら、上記特許文献 1に開示の構成では、測定中、心電計を把持して 、る 手または腕が下がってきてしまい、測定部位への押圧方向とは異なる方向に所定以 上の力が加わってしまった場合に、突起部の摩擦のみでは、正電極の接触面と測定 部位との接触安定性を良好に保っためには不十分な場合がある。 [0004] However, in the configuration disclosed in Patent Document 1 described above, the electrocardiograph is grasped during measurement, and the hand or arm is lowered, so that the direction in which the measurement site is pressed is different from the pressing direction. More than predetermined If the above force is applied, the friction of the protrusions alone may not be sufficient to maintain good contact stability between the contact surface of the positive electrode and the measurement site.
[0005] 本発明は、上記のような問題を解決するためになされたものであって、その目的は 、電極と測定部位との接触安定性をさらに向上させることのできる携帯型心電計を提 供することにある。  [0005] The present invention has been made to solve the above-described problems, and an object of the present invention is to provide a portable electrocardiograph that can further improve the contact stability between the electrode and the measurement site. It is to provide.
課題を解決するための手段  Means for solving the problem
[0006] 本発明に基づく携帯型心電計は、被験者の手に接触させるための第 1の電極と、 被験者の所定の測定部位に接触させるための第 2の電極と、第 1の電極および第 2 の電極により検出された電気信号を心電波形として測定するための測定部と、第 1の 電極、第 2の電極および測定部を含む筐体とを備える。筐体は、第 2の電極が設けら れた電極形成面を有し、この電極形成面における第 2の電極を取り囲む位置に、第 2 の電極が測定部位に接触された状態において測定部位を取り囲む位置の体表面と 密着させるための密着部をさらに有して 、る。 [0006] A portable electrocardiograph according to the present invention includes a first electrode for contacting a subject's hand, a second electrode for contacting a predetermined measurement site of the subject, the first electrode, A measurement unit for measuring an electrical signal detected by the second electrode as an electrocardiographic waveform, and a housing including the first electrode, the second electrode, and the measurement unit. The housing has an electrode formation surface provided with a second electrode, and the measurement site is located in a position surrounding the second electrode on the electrode formation surface in a state where the second electrode is in contact with the measurement site. It further has a close contact portion for contacting with the surrounding body surface.
[0007] 上記本発明に基づく携帯型心電計にあっては、密着部が体表面に接する接触面 を有していることが好ましぐその場合に、この接触面を構成する部材がゴムまたは熱 可塑性エラストマ一であることが好まし 、。 [0007] In the portable electrocardiograph according to the present invention, it is preferable that the contact portion has a contact surface in contact with the body surface. In this case, the member constituting the contact surface is a rubber. Or preferably it is a thermoplastic elastomer.
[0008] 上記本発明に基づく携帯型心電計にあっては、密着部が体表面に接する第 1の接 触面を有していることが好ましぐその場合に、この第 1の接触面を構成する部材が粘 着性を有して 、ることが好ま 、。 [0008] In the portable electrocardiograph according to the present invention, it is preferable that the contact portion has the first contact surface in contact with the body surface. It is preferable that the members constituting the surface have adhesiveness.
[0009] 上記本発明に基づく携帯型心電計にあっては、当該携帯型心電計が非使用状態 において第 1の接触面を保護するための第 1の保護部材をさらに備えていることが好 ましぐその場合に、この第 1の保護部材が被験者によって取り外し可能であるように 構成されて ヽることが好ま ヽ。 [0009] The portable electrocardiograph according to the present invention further includes a first protective member for protecting the first contact surface when the portable electrocardiograph is not in use. In this case, it is preferable that the first protective member is configured to be removable by the subject.
[0010] 上記本発明に基づく携帯型心電計にあっては、密着部が電極形成面と接する第 2 の接触面をさらに有していることが好ましぐその場合に、この第 2の接触面を構成す る部材が粘着性を有して ヽることが好ま 、。 [0010] In the portable electrocardiograph according to the present invention, it is preferable that the contact portion further has a second contact surface in contact with the electrode formation surface. It is preferable that the members constituting the contact surface have adhesiveness.
[0011] 上記本発明に基づく携帯型心電計にあっては、当該携帯型心電計が非使用状態 において第 2の接触面を保護するための第 2の保護部材をさらに備えていることが好 ましい。 [0011] The portable electrocardiograph according to the present invention further includes a second protective member for protecting the second contact surface when the portable electrocardiograph is not in use. Prefer Good.
発明の効果  The invention's effect
[0012] 本発明によれば、電極と測定部位との接触安定性の向上が図られた携帯型心電計 とすることができる。したがって、心電波形の測定精度を向上させることが可能となる。 図面の簡単な説明  [0012] According to the present invention, a portable electrocardiograph with improved contact stability between an electrode and a measurement site can be provided. Therefore, the measurement accuracy of the electrocardiogram waveform can be improved. Brief Description of Drawings
[0013] [図 1]本発明の実施の形態における携帯型心電計の概略斜視図である。 FIG. 1 is a schematic perspective view of a portable electrocardiograph according to an embodiment of the present invention.
[図 2]本発明の実施の形態における携帯型心電計の概略斜視図である。  FIG. 2 is a schematic perspective view of a portable electrocardiograph according to an embodiment of the present invention.
[図 3]本発明の実施の形態における携帯型心電計の正面図である。  FIG. 3 is a front view of a portable electrocardiograph according to the embodiment of the present invention.
[図 4]本発明の実施の形態における携帯型心電計の上面図である。  FIG. 4 is a top view of the portable electrocardiograph according to the embodiment of the present invention.
[図 5]本発明の実施の形態における携帯型心電計の下面図である。  FIG. 5 is a bottom view of the portable electrocardiograph according to the embodiment of the present invention.
[図 6]本発明の実施の形態における携帯型心電計の右側面図である。  FIG. 6 is a right side view of the portable electrocardiograph according to the embodiment of the present invention.
[図 7]本発明の実施の形態における携帯型心電計の左側面図である。  FIG. 7 is a left side view of the portable electrocardiograph according to the embodiment of the present invention.
[図 8]本発明の実施の形態における携帯型心電計を用いて心電波形を測定する際 に被験者がとるべき測定姿勢を示した斜視図である。  FIG. 8 is a perspective view showing a measurement posture to be taken by a subject when measuring an electrocardiographic waveform using the portable electrocardiograph according to the embodiment of the present invention.
[図 9]本発明の実施の形態における携帯型心電計を用いて心電波形を測定する際 に被験者がとるべき測定姿勢を上方力 見た図である。  [Fig. 9] Fig. 9 is a view of the measurement posture to be taken by the subject when the electrocardiogram waveform is measured using the portable electrocardiograph according to the embodiment of the present invention.
[図 10]本発明の実施の形態における携帯型心電計のハードウェア構成を示すブロッ ク図である。  FIG. 10 is a block diagram showing a hardware configuration of the portable electrocardiograph according to the embodiment of the present invention.
[図 11]本発明の実施の形態の携帯型心電計における測定処理の流れを示すフロー チャートである。  FIG. 11 is a flowchart showing the flow of measurement processing in the portable electrocardiograph according to the embodiment of the present invention.
[図 12]本発明の実施の形態における、測定結果の画面表示の一例を示す図である。  FIG. 12 is a diagram showing an example of a screen display of measurement results in the embodiment of the present invention.
[図 13]本発明の実施の形態においてメモリに記憶されている心電波形の測定結果の 表示画面の一例を示す図である。  FIG. 13 is a diagram showing an example of a display screen of the measurement result of the electrocardiogram waveform stored in the memory in the embodiment of the present invention.
[図 14]本発明の実施の形態におけるゴムの他の配置例を示す図である。  FIG. 14 is a view showing another arrangement example of rubber in the embodiment of the present invention.
[図 15]本発明の実施の形態におけるゴムのさらに他の配置例を示す図である。  FIG. 15 is a view showing still another arrangement example of rubber in the embodiment of the present invention.
[図 16]本発明の実施の形態における正電極の形態の他の例を示す図である。  FIG. 16 is a diagram showing another example of the form of the positive electrode in the embodiment of the present invention.
[図 17]本発明の実施の形態において、正電極を取り囲む位置に粘着性を有する部 材が配置される様子を示す図である。 [図 18]本発明の実施の形態において、正電極を取り囲む位置に粘着性を有する部 材が配置される様子を示す図である。 FIG. 17 is a diagram showing a state where an adhesive member is arranged at a position surrounding a positive electrode in the embodiment of the present invention. FIG. 18 is a diagram showing a state where an adhesive member is disposed at a position surrounding a positive electrode in the embodiment of the present invention.
符号の説明  Explanation of symbols
[0014] 100 携帯型心電計、 110 装置本体、 111 正面、 112 背面、 113 上面、 114 下面、 115 右側面、 116 左側面、 117 突出部、 120 電極部、 121 負電極、 1 22 正電極、 123 不関電極、 130 開閉カバー、 131 外部記憶媒体用スロット、 1 32 外部記憶媒体、 140 操作部、 141 電源ボタン、 142 測定ボタン、 143 メ- ユーボタン、 144 決定ボタン、 145 左スクールボタン、 146 右スクロールボタン、 1 48 表示部、 150 処理回路、 151 アンプ回路、 152 フィルタ回路、 153 Α/Ό コンバータ、 155 メモリ、 160 電源、 170 タイマ、 190 ゴム、 191 粘着部材、 19 2 保護フィルム o  [0014] 100 portable electrocardiograph, 110 device body, 111 front, 112 back, 113 top, 114 bottom, 115 right side, 116 left side, 117 protrusion, 120 electrode, 121 negative electrode, 1 22 positive electrode , 123 Indifferent electrode, 130 Open / close cover, 131 Slot for external storage medium, 1 32 External storage medium, 140 Operation section, 141 Power button, 142 Measurement button, 143 Menu button, 144 Enter button, 145 Left school button, 146 Right scroll button, 1 48 Display, 150 Processing circuit, 151 Amplifier circuit, 152 Filter circuit, 153 Α / Ό converter, 155 Memory, 160 Power supply, 170 Timer, 190 Rubber, 191 Adhesive member, 19 2 Protective film o
発明を実施するための最良の形態  BEST MODE FOR CARRYING OUT THE INVENTION
[0015] 以下、本発明の一実施の形態について、図を参照して詳細に説明する。なお、図 中同一または相当部分には同一符号を付してその説明は繰返さない。  Hereinafter, an embodiment of the present invention will be described in detail with reference to the drawings. In the drawings, the same or corresponding parts are denoted by the same reference numerals, and the description thereof will not be repeated.
[0016] (外観について)  [0016] (Appearance)
まず、本実施の形態における携帯型心電計の外観構造について説明する。図 1お よび図 2は、本発明の実施の形態における携帯型心電計 100の概略斜視図である。 また、図 3〜図 7は、それぞれ、本実施の形態における携帯型心電計 100の正面図、 上面図、下面図、右側面図、および左側面図である。  First, the external structure of the portable electrocardiograph in the present embodiment will be described. 1 and 2 are schematic perspective views of portable electrocardiograph 100 according to the embodiment of the present invention. 3 to 7 are a front view, a top view, a bottom view, a right side view, and a left side view, respectively, of the portable electrocardiograph 100 according to the present embodiment.
[0017] 図 1〜図 7に示すように、本実施の形態における携帯型心電計 100は、取り扱い性 に優れたものとなるように、片手で保持することが可能な大きさおよび重さにまで小型 軽量化されている。携帯型心電計 100は、扁平かつ細長の略直方体形状の外形を 有する装置本体 110を備えて ヽる。  [0017] As shown in Figs. 1 to 7, portable electrocardiograph 100 according to the present embodiment has a size and weight that can be held with one hand so as to be excellent in handleability. It has been reduced in size and weight. The portable electrocardiograph 100 includes a device main body 110 having a flat and elongated substantially rectangular parallelepiped shape.
[0018] 図 1〜図 3に示すように、装置本体 110の正面 111の長手方向(図中矢印 A方向) の一方端寄りには、測定の開始を指示するための測定ボタン 142が設けられている。 また、装置本体 110の正面 111の他方端寄りには、表示部 148が設けられている。こ の表示部 148は、たとえば液晶ディスプレイ等によって構成され、測定結果等を表示 する。 [0019] 図 1および図 4に示すように、装置本体 110の上面 113の所定位置には、電源 160 の ONZOFFを指示するための電源ボタン 141が配置されている。また、装置本体 1 10の上面 113の所定位置には、蓋体である開閉カバー 130が設けられている。この 開閉カバー 130は、外部記憶媒体用スロット(図示せず)を閉状態において覆い隠す ように設けられたものであり、装置本体 110に対して開閉自在に取付けられている。 As shown in FIGS. 1 to 3, a measurement button 142 for instructing the start of measurement is provided near one end of the longitudinal direction (direction of arrow A in the figure) of the front surface 111 of the apparatus main body 110. ing. Further, a display unit 148 is provided near the other end of the front surface 111 of the apparatus main body 110. The display unit 148 is configured by a liquid crystal display, for example, and displays measurement results and the like. As shown in FIGS. 1 and 4, a power button 141 for instructing ONZOFF of the power supply 160 is arranged at a predetermined position on the upper surface 113 of the apparatus main body 110. Further, an opening / closing cover 130 as a lid is provided at a predetermined position on the upper surface 113 of the apparatus main body 110. The opening / closing cover 130 is provided so as to cover an external storage medium slot (not shown) in a closed state, and is attached to the apparatus main body 110 so as to be freely opened and closed.
[0020] 図 1、図 2および図 5に示すように、装置本体 110の下面 114の所定位置には、メ- ユーボタン 143、決定ボタン 144、左スクロールボタン 145および右スクロールボタン 146が配置されている。ここで、メニューボタン 143は、携帯型心電計 100のメニュー の表示を指示するための操作ボタンであり、決定ボタン 144は、表示部 148に表示さ れた情報に関する設定動作を実行させるため操作ボタンである。そして左スクロール ボタン 145および右スクロールボタン 146は、表示部 148に表示される測定結果のグ ラフやガイド情報等をスクロールして表示させるための操作ボタンである。  [0020] As shown in FIGS. 1, 2, and 5, a menu button 143, an enter button 144, a left scroll button 145, and a right scroll button 146 are arranged at predetermined positions on the lower surface 114 of the apparatus main body 110. ing. Here, the menu button 143 is an operation button for instructing the display of the menu of the portable electrocardiograph 100, and the decision button 144 is an operation for executing a setting operation related to information displayed on the display unit 148. Button. The left scroll button 145 and the right scroll button 146 are operation buttons for scrolling and displaying the measurement result graph and guide information displayed on the display unit 148.
[0021] 図 1および図 6に示すように、装置本体 110の長手方向の一方端に位置する右側 面 115には、一対の測定電極のうちの一方の電極であり、被験者の手に接触させる ための負電極 121と、身体の電位変化の基準となる電位を導出するための不関電極 123とが配置されている。この右側面 115は、後述する測定姿勢を被験者がとった際 に被験者の右手の人差し指がフィットするように滑らかに湾曲した形状となっている。 さらに、この右側面 115には、上下方向に向力つて延びる凹部 115aが形成されてい る。この凹部 115aは、被験者の右手の人差し指を受入れる形状となっている。  As shown in FIG. 1 and FIG. 6, the right side surface 115 located at one end in the longitudinal direction of the apparatus main body 110 is one electrode of a pair of measurement electrodes and is brought into contact with the subject's hand. A negative electrode 121 for the purpose and an indifferent electrode 123 for deriving a potential that becomes a reference for a potential change of the body are arranged. The right side surface 115 has a shape that is smoothly curved so that the index finger of the right hand of the subject fits when the subject takes a measurement posture described later. Further, the right side surface 115 is formed with a concave portion 115a that extends in the vertical direction. The recess 115a is shaped to receive the index finger of the subject's right hand.
[0022] 上述の負電極 121および不関電極 123は、導電性部材にて形成されている。また 、負電極 121および不関電極 123は、右側面 115に設けられた凹部 115a内におい て、その表面が装置本体 110の外表面に露出した状態となるように配置されて 、る。 なお、負電極 121は、右側面 115の上面 113寄りに位置しており、不関電極 123は、 右側面 115の下面 114寄りに位置して 、る。  [0022] The negative electrode 121 and the indifferent electrode 123 described above are formed of a conductive member. Further, the negative electrode 121 and the indifferent electrode 123 are arranged in a recess 115 a provided on the right side surface 115 so that the surfaces thereof are exposed on the outer surface of the apparatus main body 110. The negative electrode 121 is located near the upper surface 113 of the right side surface 115, and the indifferent electrode 123 is located near the lower surface 114 of the right side surface 115.
[0023] 図 1〜図 5に示すように、装置本体 110の長手方向の他方端に位置する左側面 11 6には、突出部 117が設けられている。突出部 117は、左側面 116の法線方向のみ ならず、左側面 116寄りの正面 111および背面 112においても、その法線方向に突 出している。 [0024] 図 2および図 7に示すように、突出部 117の左側面 (左側面 116と略同一方向の面 )には、一対の測定電極のうちの他方の電極であり、被験者の所定の測定部位に接 触させるための正電極 122が配置されている。さらに、突出部 117の電極形成面 (突 出部 117の左側面)には、正電極 122を取り囲む位置に、正電極 122が測定部位に 接触された状態にお!、て、測定部位を取り囲む位置の体表面 (以下「周囲体表面」と いう)と密着させるための部材 (以下、「密着部材」という)、たとえば、ゴム 190が設け られている。このように、正電極 122を取り囲む位置に、ゴム 190を設けることで、測定 の際、周囲体表面の皮膚の追従性を高めることができる。ゴム 190は、周囲体表面と 接する接触面 190aが、正電極 122における測定部位との接触面 122aよりも摩擦係 数が大きいのみならず、周囲体表面との密着性を高めることが可能な部材である。ゴ ム 190の材質としては、たとえば、シリコンゴムあるいはウレタンゴムなどが採用される As shown in FIGS. 1 to 5, a protrusion 117 is provided on the left side surface 116 located at the other end in the longitudinal direction of the apparatus main body 110. The protruding portion 117 protrudes not only in the normal direction of the left side surface 116 but also in the normal direction on the front surface 111 and the rear surface 112 near the left side surface 116. [0024] As shown in FIG. 2 and FIG. 7, the left side surface of the protrusion 117 (surface in the same direction as the left side surface 116) is the other electrode of the pair of measurement electrodes, A positive electrode 122 is provided to contact the measurement site. Further, the electrode forming surface of the protruding portion 117 (the left side surface of the protruding portion 117) surrounds the measurement site with the positive electrode 122 in contact with the measurement site at a position surrounding the positive electrode 122! A member (hereinafter referred to as an “adhesion member”), for example, a rubber 190 is provided for contacting the body surface at the position (hereinafter referred to as “surrounding body surface”). Thus, by providing the rubber 190 at a position surrounding the positive electrode 122, the followability of the skin on the surface of the surrounding body can be improved during measurement. The rubber 190 has a contact surface 190a in contact with the surface of the surrounding body that has not only a larger friction coefficient than the contact surface 122a of the positive electrode 122 with the measurement site, but can also improve adhesion to the surface of the surrounding body. It is. For example, silicon rubber or urethane rubber is used as the material of rubber 190
[0025] 本実施の形態における携帯型心電計 100においては、フレーム状のゴム 190が、 突出部 117の電極形成面に、突出している正電極 122の側面に接触するように、予 め接着されている。 [0025] In portable electrocardiograph 100 according to the present embodiment, frame-like rubber 190 is bonded in advance so as to come into contact with the electrode forming surface of protruding portion 117 and the side surface of protruding positive electrode 122. Has been.
[0026] ゴム 190における周囲体表面との接触面 190aは、正電極 122における測定部位と の接触面 122aよりも低い高さに形成されている力、あるいは、略同一の高さに形成さ れていることが好ましい。本実施の形態における携帯型心電計 100においては、ゴム 190の接触面 190aの方力 正電極 122の接触面 122aよりも低い高さに形成されて いる。  [0026] The contact surface 190a of the rubber 190 with the surrounding body surface is formed at a force lower than the contact surface 122a of the positive electrode 122 with the measurement site or at substantially the same height. It is preferable. In portable electrocardiograph 100 in the present embodiment, the contact surface 190a of rubber 190 is formed at a lower height than the contact surface 122a of positive electrode 122.
[0027] なお、本実施の形態における携帯型心電計 100においては、装置本体 110に突出 部 117を設けることとしたが、突出部 117を設けない構成とすることも可能である。こ の場合には、装置本体 110の左側面 116が電極形成面となり、当該面に、正電極 12 2およびゴム 190が同様の態様で配置されることになる。  In portable electrocardiograph 100 according to the present embodiment, device body 110 is provided with protruding portion 117, but a configuration in which protruding portion 117 is not provided is also possible. In this case, the left side surface 116 of the apparatus main body 110 serves as an electrode formation surface, and the positive electrode 122 and the rubber 190 are arranged in the same manner on the surface.
[0028] (測定姿勢について)  [0028] (Measurement posture)
次に、被験者が、本発明の実施の形態における携帯型心電計 100を用いて心電 波形を測定している状態について説明する。図 8は、被験者の測定姿勢を示す斜視 図であり、図 9は、この測定姿勢を上方力 見た図である。 [0029] 図 8および図 9に示すように、被験者 200は、携帯型心電計 100の装置本体 110の 一方端寄りを右手 210で把持しつつ、装置本体 110の他方端の突出部 117に設け られた正電極 122 (の接触面 122a)を胸部 250の左側下部に位置する第 5肋間前腋 窩線上の皮膚 (測定部位)に直接接触させる。これにより、ゴム 190 (の接触面 190a) が周囲体表面 (正電極 122が接触して 、る部位を取り囲む位置の体表面)に密着さ れる。そして、被験者 200は、右手 210の親指 211にて装置本体 110の正面 111に 設けられた測定ボタン 142を押下する。そして、この状態を数十秒程度維持しつつ心 電波形を測定する。 Next, a state where the subject is measuring an electrocardiogram using the portable electrocardiograph 100 according to the embodiment of the present invention will be described. FIG. 8 is a perspective view showing the measurement posture of the subject, and FIG. 9 is a view of the measurement posture as viewed from above. [0029] As shown in Figs. 8 and 9, the subject 200 holds the device main body 110 of the portable electrocardiograph 100 near the one end of the device main body 110 with the right hand 210 while the protrusion 200 on the other end of the device main body 110 is The provided positive electrode 122 (contact surface 122a) is brought into direct contact with the skin (measurement site) on the fifth intercostal anterior fossa line located in the lower left part of the chest 250. As a result, the rubber 190 (the contact surface 190a thereof) is brought into close contact with the surrounding body surface (the body surface at a position surrounding the region where the positive electrode 122 is in contact). Then, the subject 200 presses the measurement button 142 provided on the front surface 111 of the apparatus main body 110 with the thumb 211 of the right hand 210. Then, while maintaining this state for about several tens of seconds, the cardiac radio wave shape is measured.
[0030] このような測定姿勢をとることにより、携帯型心電計 100の装置本体 110の右側面 1 15に位置する負電極 121および不関電極 123が被験者 200の右手 210の人差し指 212に接触し、装置本体 110の左側面 116に位置する正電極 122 (の接触面 122a) が被験者 200の胸部 250に接触した状態となる。これにより、負電極 121に接触した 右手 210、胸部 250に非接触の前腕 220、同じく胸部 250に非接触の上腕 230およ び右肩 240を介して正電極 122が接触した胸部 250の順で被験者の身体に測定回 路が構成されるようになる。  [0030] By taking such a measurement posture, the negative electrode 121 and the indifferent electrode 123 located on the right side surface 1 15 of the device body 110 of the portable electrocardiograph 100 contact the index finger 212 of the right hand 210 of the subject 200. Then, the positive electrode 122 (the contact surface 122a) located on the left side surface 116 of the apparatus main body 110 is in contact with the chest 250 of the subject 200. As a result, the right hand 210 in contact with the negative electrode 121, the non-contact forearm 220 on the chest 250, and the chest 250 in which the positive electrode 122 is in contact with the chest 250 through the non-contact upper arm 230 and the right shoulder 240 in this order. A measurement circuit is constructed on the subject's body.
[0031] (構成について)  [0031] (About configuration)
次に、本実施の形態における携帯型心電計 100のハードウェア構成について説明 する。図 10は、本実施の形態における携帯型心電計 100のブロック図である。  Next, a hardware configuration of portable electrocardiograph 100 in the present embodiment will be described. FIG. 10 is a block diagram of portable electrocardiograph 100 in the present embodiment.
[0032] 図 10を参照して、本実施の形態における携帯型心電計 100は、電極部 120、操作 部 140および処理回路 150を主に備えている。電極部 120は、上述の負電極 121、 正電極 122および不関電極 123によって構成される。操作部 140は、上述の電源ボ タン 141、測定ボタン 142、メニューボタン 143、決定ボタン 144、左スクロールボタン 145および右スクロールボタン 146を含む。  Referring to FIG. 10, portable electrocardiograph 100 in the present embodiment mainly includes electrode unit 120, operation unit 140, and processing circuit 150. The electrode unit 120 is configured by the negative electrode 121, the positive electrode 122, and the indifferent electrode 123 described above. The operation unit 140 includes the power button 141, the measurement button 142, the menu button 143, the enter button 144, the left scroll button 145, and the right scroll button 146 described above.
[0033] 処理回路 150は、電極部 120によって検知された生体電気信号を心電波形として 測定するように処理するための回路を内蔵しており、電極部 120によって検知された 生体電気信号を増幅するアンプ回路 151と、電極部 120によって検知された生体電 気信号力 ノイズ成分を除去するフィルタ回路 152と、アナログ信号をデジタル信号 に変換する AZD (Analog/Digital)コンバータ 153と、各種演算を行なう CPU (centra 1 processing unit) 154と、心電情報を記憶する ROM (Read Only Memory)や RA M (Random Access Memory)を有するメモリ 155と、計時動作して計時した時間デ ータを CPU154に出力するタイマ 170とを備える。ここで、アンプ回路 151は、不関 電極 123の出力電圧信号に基づき負電極 121と正電極 122の出力電圧信号(生体 電気信号)を差動増幅して出力する。また、フィルタ回路 152は、たとえば 0. 5Hz〜 35Hzの通過帯域を有するバンドパスフィルタ(Band Pass Filter)が利用される。 The processing circuit 150 includes a circuit for processing so as to measure the bioelectric signal detected by the electrode unit 120 as an electrocardiographic waveform, and amplifies the bioelectric signal detected by the electrode unit 120. Amplifier circuit 151, bioelectric signal force detected by electrode 120, filter circuit 152 that removes noise components, AZD (Analog / Digital) converter 153 that converts analog signals to digital signals, and various calculations CPU (centra 1 processing unit) 154, a memory 155 having ROM (Read Only Memory) and RAM (Random Access Memory) for storing electrocardiogram information, and a timer 170 for outputting time data measured by the clocking operation to the CPU 154 With. Here, the amplifier circuit 151 differentially amplifies and outputs the output voltage signal (bioelectric signal) of the negative electrode 121 and the positive electrode 122 based on the output voltage signal of the indifferent electrode 123. Further, for the filter circuit 152, for example, a band pass filter having a pass band of 0.5 Hz to 35 Hz is used.
[0034] 処理回路 150には、上述の電極部 120および操作部 140が接続され、これに加え てさらに表示部 148および電源 160が接続される。また、外部記憶媒体を挿入する ためのスロットに外部記憶媒体が挿入された場合には、この外部記憶媒体 132も処 理回路 150に接続されることになる。  The processing unit 150 is connected to the electrode unit 120 and the operation unit 140 described above, and in addition to this, a display unit 148 and a power source 160 are connected. When an external storage medium is inserted into a slot for inserting an external storage medium, the external storage medium 132 is also connected to the processing circuit 150.
[0035] CPU154は、 AZDコンバータ 153から入力されるデジタル信号の解析処理を実 行する。また、 CPU154は、操作部 140に含まれる各種操作ボタン力もの指令信号 を受信し、受信した指令信号に応じた処理を実行する。また、 CPU154は、メモリ 15 5への情報の書き込みおよび読み出しを実行する。また、 CPU154は、表示部 148 への表示制御を行なう。  The CPU 154 performs an analysis process on the digital signal input from the AZD converter 153. In addition, the CPU 154 receives a command signal having various operation button forces included in the operation unit 140, and executes processing according to the received command signal. In addition, the CPU 154 executes writing and reading of information to and from the memory 155. In addition, the CPU 154 performs display control on the display unit 148.
[0036] (動作について)  [0036] (Operation)
図 11は、本実施の形態の携帯型心電計 100における測定処理の流れを示すフロ 一チャートである。図 11のフローチャートに示す処理は、予めプログラムとしてメモリ 1 55の ROM内に格納されており、 CPU154がこのプログラムを読み出して実行するこ とにより、測定処理の機能が実現される。  FIG. 11 is a flowchart showing the flow of measurement processing in the portable electrocardiograph 100 of the present embodiment. The process shown in the flowchart of FIG. 11 is stored in advance in the ROM of the memory 155 as a program, and the function of the measurement process is realized by the CPU 154 reading and executing this program.
[0037] 図 11を参照して、被験者によって電源ボタン 141が押下されて電源が投入されると 、機器の動作チェックが行なわれる(ステップ S2)。次に、 CPU154は、表示部 148 に測定ガイドを表示する (ステップ S4)。たとえば、測定ガイドとして、ユーザである被 験者が測定の際にとるべき姿勢などの情報が表示される。  Referring to FIG. 11, when the power source 141 is pressed by the subject and the power is turned on, an operation check of the device is performed (step S2). Next, the CPU 154 displays a measurement guide on the display unit 148 (step S4). For example, as the measurement guide, information such as the posture that the subject test subject should take in the measurement is displayed.
[0038] つづいて、 CPU154は、測定ボタン 142の押下を検知すると、心電波形の測定お よび測定された心電波形の解析を行なう(ステップ S6, S8)。 AZDコンバータ 153に よりデジタル信号ィ匕された心電波形は、メモリ 155の RAM内に一時的に記録される 。心電波形の解析とは、デジタル信号化された心電波形より、不整脈や心筋の虚血 等を示す形状的特徴の有無、徐脈や頻脈等を示す周期的特徴の有無、ノイズや基 線変動等による解析不能な波形の有無等を検出し、検出結果を分析する処理である 。なお、心電波形の測定および解析は、公知の手順により行なわれてよい。 [0038] Subsequently, when CPU 154 detects pressing of measurement button 142, CPU 154 measures an electrocardiogram waveform and analyzes the measured electrocardiogram waveform (steps S6 and S8). The electrocardiogram waveform that has been digitally signaled by the AZD converter 153 is temporarily recorded in the RAM of the memory 155. The analysis of the electrocardiogram is based on the digital signal ECG waveform, arrhythmia and myocardial ischemia. This is a process for detecting the presence / absence of a shape feature indicating etc., the presence / absence of a periodic feature indicating bradycardia, tachycardia, etc., the presence / absence of a waveform that cannot be analyzed due to noise, baseline fluctuation, etc. The measurement and analysis of the electrocardiographic waveform may be performed by a known procedure.
[0039] 波形解析の結果、 CPU154は、測定された心電波形が安定していた力否力、すな わち、解析不能な波形の有無を判断する (ステップ S 10)。心電波形が安定していた と判断された場合 (ステップ S10において YES)には、ステップ S12に進む。一方、心 電波形が安定していないと判断された場合 (ステップ S10において NO)には、ステツ プ S 14に進む。  [0039] As a result of the waveform analysis, the CPU 154 determines whether the measured electrocardiogram waveform is stable, that is, whether there is an unanalyzable waveform (step S10). If it is determined that the electrocardiogram waveform is stable (YES in step S10), the process proceeds to step S12. On the other hand, if it is determined that the electrocardiogram is not stable (NO in step S10), the process proceeds to step S14.
[0040] ステップ S12において、 CPU154は、心電波形の解析結果をメッセージに編集して 該メッセージを表示部 148に表示する。この際、メッセージとともに単位時間当たりの 心拍数も表示される。心拍数は心電波形に基づき公知の手順で得ることができる。ス テツプ S 12の処理が終わると、ステップ S 18に進む。  In step S 12, the CPU 154 edits the analysis result of the electrocardiogram waveform into a message and displays the message on the display unit 148. At this time, the heart rate per unit time is also displayed along with the message. The heart rate can be obtained by a known procedure based on the electrocardiogram waveform. When step S12 is completed, the process proceeds to step S18.
[0041] ここで、ステップ S12における画面表示例を図 12に示す。図 12では、表示部 148 に、「波形に乱れはないようです。」と示されたメッセージ 167と、「60拍 Z分」と示され た単位時間当たりの心拍数のデータ 163とが表示されている。  Here, FIG. 12 shows a screen display example in step S12. In FIG. 12, the display 148 displays a message 167 indicating “There is no disturbance in the waveform” and heart rate data 163 indicating “60 beats Z minutes”. ing.
[0042] ステップ S14では、 CPU154は、表示部 148に、波形解析が不可であった旨の表 示を行なうとともに、測定データを保存する力否かのメッセージを表示する。次に、こ のメッセージに応じて、被験者が測定データの保存を選択した力否かが判断される( ステップ S 16)。測定データの保存が選択された場合 (ステップ S 16にお 、て YES) には、ステップ S 18に進む。一方、測定データの破棄が選択された場合 (ステップ S1 6にお!/、て NO)に ίま、ステップ S 20に進む。  [0042] In step S14, CPU 154 displays on display unit 148 that the waveform analysis has been impossible and displays a message as to whether or not the measurement data can be stored. Next, in response to this message, it is determined whether or not the subject has chosen to save the measurement data (step S16). If saving of measurement data is selected (YES in step S16), the process proceeds to step S18. On the other hand, if discarding of measurement data is selected (NO in step S16), proceed to step S20.
[0043] ステップ S18において、 CPU154は、測定データを保存する処理を行なう。すなわ ち、 CPU154は、タイマ 170から入力する現在の日時データ、 RAMに一時格納して いた心電波形データおよび解析結果を対応付けて、メモリ 155の所定の記憶領域に 格納する。一方、ステップ S20において、 CPU154は、測定データを破棄する。  [0043] In step S18, the CPU 154 performs processing for storing the measurement data. In other words, the CPU 154 associates the current date / time data input from the timer 170 with the electrocardiogram waveform data temporarily stored in the RAM and the analysis result, and stores them in a predetermined storage area of the memory 155. On the other hand, in step S20, the CPU 154 discards the measurement data.
[0044] ステップ S18あるいはステップ S20の処理が終わると、一連の測定処理は終了され る。  [0044] When the process of step S18 or step S20 is completed, a series of measurement processes is terminated.
[0045] なお、携帯型心電計 100は、上記ステップ S18にお 、て保存された心電波形の測 定 '解析結果を読出して、表示部 148に表示する機能を備えている。図 13に、メモリ 155に記憶されて 、る心電波形の測定結果の表示画面の一例を示す。図 13を参照 して、表示開始時点では、画面の下段部には全測定期間にわたる全体波形の縮小 波形 162が表示されて、その上段部には測定開始時力もたとえば 2秒間の拡大波形 164が表示される。また、縮小波形 162の下方には、測定期間の長さを示すスケー ルバ一 165が表示されている。スケールバー 165上には、拡大波形 164が測定期間 のどのあたりの波形であるかを指示するためのポインタ 166が表示される。全測定期 間のどのあたりの波形を拡大波形 164として表示するかの変更は、右スクロールボタ ン 146と左スクロールボタン 145を操作してポインタ 166をスケールバー 165上を移 動させることにより、 2秒単位で変更可能である。また、被験者が図 13の画面で心電 波形を確認した後、決定ボタン 144を押下すると、 CPU154は表示中の心電波形に 対応の解析結果のデータをメモリ 155から読出して、メッセージに編集し、編集したメ ッセージを表示部 148に例えば図 12のように表示してもよい。 Note that the portable electrocardiograph 100 measures the electrocardiogram waveform stored in step S18. It has a function to read the fixed analysis result and display it on the display unit 148. FIG. 13 shows an example of a display screen of the measurement result of the electrocardiogram waveform stored in the memory 155. Referring to FIG. 13, at the start of display, a reduced waveform 162 of the entire waveform over the entire measurement period is displayed in the lower part of the screen, and an enlarged waveform 164 of, for example, 2 seconds is also displayed in the upper part of the display. Is displayed. Also, below the reduced waveform 162, a scale bar 165 indicating the length of the measurement period is displayed. On the scale bar 165, a pointer 166 for indicating which waveform the enlarged waveform 164 is in the measurement period is displayed. To change which waveform during the entire measurement period is displayed as the enlarged waveform 164, operate the right scroll button 146 and the left scroll button 145 to move the pointer 166 on the scale bar 165. It can be changed in seconds. When the subject confirms the electrocardiogram waveform on the screen of FIG. 13 and presses the enter button 144, the CPU 154 reads the analysis result data corresponding to the displayed electrocardiogram waveform from the memory 155 and edits it into a message. The edited message may be displayed on the display unit 148 as shown in FIG.
[0046] 上述のように、本実施の形態における携帯型心電計 100においては、ゴム 190が 正電極 122 (の接触面 122a)を取り囲む位置に配置されているため、測定中に、携 帯型心電計 100を把持して 、る手または腕が下がってきてしま 、、測定部位への押 圧方向とは異なる方向に所定以上の力が加わってしまった場合であっても、ゴム 190 の接触面 190aと周囲体表面との位置ずれを防止することができる。また、これに伴な い、正電極 122の接触面 122aと測定部位との密着性も高めることができる。  [0046] As described above, in portable electrocardiograph 100 according to the present embodiment, rubber 190 is disposed at a position surrounding positive electrode 122 (contact surface 122a thereof). Even if the hand or arm is lowered while holding the electrocardiograph 100 and a force exceeding a predetermined level is applied in a direction different from the pressing direction to the measurement site, the rubber 190 The displacement between the contact surface 190a and the surrounding body surface can be prevented. As a result, the adhesion between the contact surface 122a of the positive electrode 122 and the measurement site can be improved.
[0047] これにより、正電極 122と測定部位と接触安定性を向上させることができ、測定電圧 値にばらつきが生じてしまうことを防止することができる。したがって、上述のような構 成とすることで、精度良く安定的に心電波形を測定することができる。  [0047] Thereby, contact stability between the positive electrode 122 and the measurement site can be improved, and variation in the measurement voltage value can be prevented. Therefore, with the configuration as described above, the electrocardiographic waveform can be measured accurately and stably.
[0048] なお、本実施の形態にぉ 、ては、正電極 122を接触させる測定部位および体表面 は胸部 250であることとして説明した力 胸部 250に限定されず、携帯型心電計 100 を把持する手以外の四肢または、胴であればよい。  [0048] In the present embodiment, the measurement site and body surface with which the positive electrode 122 is brought into contact are not limited to the force chest 250 described as being the chest 250, and the portable electrocardiograph 100 is provided. Any limbs or torso other than the gripping hand may be used.
[0049] (変形例)  [0049] (Modification)
上述のように、本実施の形態においては、フレーム状のゴム 190を、突出部 117の 電極形成面において、正電極 122の側面に接触するように配置した。しかしながら、 正電極 122を取り囲むようにゴム 190を配置すればよぐこのような形態に限定される ものではない。ゴム 190の他の配置例を、図 14に示す。 As described above, in the present embodiment, the frame-like rubber 190 is disposed on the electrode forming surface of the protruding portion 117 so as to contact the side surface of the positive electrode 122. However, It is not limited to such a form as long as the rubber 190 is disposed so as to surround the positive electrode 122. Another arrangement example of the rubber 190 is shown in FIG.
[0050] たとえば、図 14に示すように、フレーム状のゴム 190力 突出部 117の電極形成面 117aにおいて、正電極 122と離れた位置に設けられていてもよい。この場合、装置 本体 110を左側方から見た場合、正電極 122とゴム 190との間〖こ、突出部 117の電 極形成面 117aが外部より見えることになる。  For example, as shown in FIG. 14, the electrode-forming surface 117 a of the frame-like rubber 190 force protrusion 117 may be provided at a position away from the positive electrode 122. In this case, when the device main body 110 is viewed from the left side, the electrode forming surface 117a of the protrusion 117 and the electrode forming surface 117a between the positive electrode 122 and the rubber 190 can be seen from the outside.
[0051] また、本実施の形態においては、正電極 122の側面を完全に取り囲むようにフレー ム状のゴム 190を配置した力 正電極 122の側面の全方位が取り囲まれている必要 はない。つまり、装置本体 110を左側方から見た場合、突出部 117の電極形成面 11 7aにおいて、ゴム 190がー部配置されていない箇所があってもよい。ゴム 190のさら に他の配置例を図 15に示す。  [0051] Further, in the present embodiment, it is not necessary to surround all the directions of the side surface of the force positive electrode 122 in which the frame-shaped rubber 190 is disposed so as to completely surround the side surface of the positive electrode 122. That is, when the apparatus main body 110 is viewed from the left side, there may be a portion where the rubber 190 is not disposed on the electrode forming surface 117a of the protruding portion 117. Fig. 15 shows another arrangement example of rubber 190.
[0052] たとえば、図 15に示すように、装置本体 110を左側方力も見た場合、正電極 122を 取り囲む位置に、 2つに分割されたゴム 190が設けられていてもよい。より具体的には 、電極形成面 117aにおいて、正電極 122の周囲のうち、上面 113側の一部および 下面 114側の一部を除く位置にゴム 190が配置されていてもよい。  For example, as shown in FIG. 15, when the device main body 110 is also viewed from the left side, a rubber 190 divided into two parts may be provided at a position surrounding the positive electrode 122. More specifically, on the electrode forming surface 117a, the rubber 190 may be disposed in the periphery of the positive electrode 122 at a position excluding a part on the upper surface 113 side and a part on the lower surface 114 side.
[0053] また、装置本体 110を左側方から見た場合、複数の点状のゴム 190が、正電極 12 2を取り囲むように設けられてもよ!/、。  [0053] Further, when the apparatus main body 110 is viewed from the left side, a plurality of dot-like rubbers 190 may be provided so as to surround the positive electrode 122! /.
[0054] また、本実施の形態においては、正電極 122が 1つの略矩形の接触面 122aを有 することとした場合を例示した力 接触面 122aの形状は特に限定されるものではな い。また、図 16に示すように、正電極 122は、たとえば 2つの接触面 122aを有してい ることとしてもよい。この場合、装置本体 110を左側方から見た場合、ゴム 190は、 2 つの接触面 122aの双方を取り囲むように設けられることが好ましい。あるいは、図 16 では、正電極 122が 2つの接触面 122aを有する例を示した力 正電極 122は、複数 の接触面 122aを有していてもよい。この場合も、ゴム 190は、複数の接触面 122aの すべてを取り囲むように設けられることが好ま 、。  In the present embodiment, the shape of the force contact surface 122a exemplifying the case where the positive electrode 122 has one substantially rectangular contact surface 122a is not particularly limited. Further, as shown in FIG. 16, the positive electrode 122 may have, for example, two contact surfaces 122a. In this case, when the apparatus main body 110 is viewed from the left side, the rubber 190 is preferably provided so as to surround both of the two contact surfaces 122a. Alternatively, in FIG. 16, the force positive electrode 122 shown as an example in which the positive electrode 122 has two contact surfaces 122a may have a plurality of contact surfaces 122a. In this case, the rubber 190 is preferably provided so as to surround all of the plurality of contact surfaces 122a.
[0055] また、本実施の形態では、突出部 117の電極形成面に配置される密着部材そのも のがゴム 190として説明した力 少なくとも、密着部材における周囲体表面との接触 面力 ゴムによって形成されていればよい。 [0056] また、本実施の形態では、密着部材として、シリコンゴムまたはウレタンゴムにより形 成されたゴム 190を例に挙げた力 周囲体表面との密着性を保てるような部材であれ ばよぐたとえば、二トリルゴムあるいはエチレン一プロピレン一ジェンゴム(EPDM) 等を主成分として含む熱可塑性エラストマ一であってもよ 、。 [0055] In the present embodiment, the contact member itself arranged on the electrode forming surface of the protrusion 117 is the force described as the rubber 190. At least the contact surface force of the contact member with the surrounding body surface is formed by the rubber. It only has to be done. [0056] Further, in the present embodiment, the adhesion member may be a member that can maintain adhesion to the surface of the surrounding body with the force of rubber 190 formed of silicon rubber or urethane rubber as an example. For example, it may be a thermoplastic elastomer containing nitrile rubber or ethylene-propylene-gen rubber (EPDM) as a main component.
[0057] あるいは、密着部材として、粘着性を有する部材 (以下「粘着部材」という)が採用さ れてもよい。ここで、正電極 122の周囲に粘着部材が配置される様子を、図 17および 図 18に示す。  Alternatively, an adhesive member (hereinafter referred to as “adhesive member”) may be employed as the adhesion member. Here, FIG. 17 and FIG. 18 show how the adhesive member is arranged around the positive electrode 122.
[0058] 図 17および図 18に示すように、粘着部材 191は、取り替え自在 (着脱自在)である ことが好ましい。粘着部材 191は、たとえば、アクリル系榭脂架橋体、多価アルコール 水、および電解質などを含むゲルにより形成されて!、る。  [0058] As shown in FIGS. 17 and 18, the adhesive member 191 is preferably replaceable (detachable). The adhesive member 191 is made of, for example, a gel containing a crosslinked acrylic resin, a polyhydric alcohol water, and an electrolyte.
[0059] また、図 18に示すように、携帯型心電計 100の非使用状態において、粘着部材 19 1における周囲体表面との接触面 191aおよび電極形成面 117aとの接触面 191bの 双方に、それぞれ保護フィルム 192が設けられていることが好ましい。保護フィルム 1 92は、粘着部材 191の接触面 191a, 191bを保護するための部材であり、被験者に よって容易に取り外し可能である。保護フィルム 192は、たとえば、ポリエチレンラミネ 一ト材、あるいは、ポリプロピレンフィルムなどにより形成されている。  Further, as shown in FIG. 18, when the portable electrocardiograph 100 is not in use, both the contact surface 191a with the surrounding body surface of the adhesive member 191 and the contact surface 191b with the electrode forming surface 117a are both present. The protective film 192 is preferably provided respectively. The protective film 192 is a member for protecting the contact surfaces 191a and 191b of the adhesive member 191 and can be easily removed by the subject. The protective film 192 is made of, for example, a polyethylene laminate material or a polypropylene film.
[0060] このように構成することにより、接触面 191aの粘着力の劣化が進んできた場合に、 被験者は、自由に粘着部材 191を取り替えることができる。  [0060] With this configuration, the subject can freely replace the adhesive member 191 when the adhesive force of the contact surface 191a has deteriorated.
[0061] なお、粘着部材 191は、接触面 191aおよび 191bの双方が粘着性があればよぐ 単層であっても複層であってもかまわない。また、粘着部材 191が取り替え自在では ない場合には、すなわち、接触面 191bが電極形成面に予め接着されている場合に は、少なくとも接触面 191aが粘着性を有していればよい。この場合も、接触面 191a に、保護フィルム 192が設けられることが好ましい。これにより、被験者は、測定が終 わる度に保護フィルム 192を接触面 191aに取り付けることで、接触面 191aにおける 粘着性の劣化を防ぐことができる。  [0061] The adhesive member 191 may be a single layer or multiple layers as long as both the contact surfaces 191a and 191b are adhesive. When the adhesive member 191 is not replaceable, that is, when the contact surface 191b is bonded in advance to the electrode forming surface, at least the contact surface 191a only needs to have adhesiveness. Also in this case, it is preferable that the protective film 192 is provided on the contact surface 191a. Thus, the subject can prevent the deterioration of the adhesiveness on the contact surface 191a by attaching the protective film 192 to the contact surface 191a every time the measurement is completed.
[0062] 今回開示した上記実施の形態はすべての点で例示であって、制限的なものではな い。本発明の技術的範囲は請求の範囲によって画定され、また請求の範囲の記載と 均等の意味および範囲内でのすべての変更を含むものである。  [0062] The embodiment disclosed herein is illustrative in all respects and is not restrictive. The technical scope of the present invention is defined by the scope of the claims, and is intended to include any modifications within the scope and meaning equivalent to the description of the scope of the claims.

Claims

請求の範囲 The scope of the claims
[1] 被験者の手に接触させるための第 1の電極と、  [1] a first electrode for contacting the subject's hand;
前記被験者の所定の測定部位に接触させるための第 2の電極と、  A second electrode for contacting a predetermined measurement site of the subject;
前記第 1の電極および前記第 2の電極により検出された電気信号を心電波形として 測定するための測定部と、  A measurement unit for measuring an electrical signal detected by the first electrode and the second electrode as an electrocardiographic waveform;
前記第 1の電極、前記第 2の電極および前記測定部を含む筐体とを備え、 前記筐体は、前記第 2の電極が設けられた電極形成面を有し、  A housing including the first electrode, the second electrode, and the measurement unit, and the housing includes an electrode forming surface on which the second electrode is provided,
前記電極形成面における前記第 2の電極を取り囲む位置に、前記第 2の電極が前 記測定部位に接触された状態において、前記測定部位を取り囲む位置の体表面と 密着させるための密着部をさらに備える、携帯型心電計。  In the state where the second electrode is in contact with the measurement site at a position surrounding the second electrode on the electrode formation surface, a contact portion for contacting the body surface at a position surrounding the measurement site is further provided. A portable electrocardiograph.
[2] 前記密着部は、前記体表面に接する接触面を有し、 [2] The contact portion has a contact surface in contact with the body surface,
前記接触面を構成する部材は、ゴム、または、熱可塑性エラストマ一力もなる、請求 の範囲第 1項に記載の携帯型心電計。  The portable electrocardiograph according to claim 1, wherein the member constituting the contact surface is made of rubber or a thermoplastic elastomer.
[3] 前記密着部は、前記体表面に接する第 1の接触面を有し、 [3] The contact portion has a first contact surface in contact with the body surface,
前記第 1の接触面を構成する部材は、粘着性を有している、請求の範囲第 1項に 記載の携帯型心電計。  The portable electrocardiograph according to claim 1, wherein the member constituting the first contact surface has adhesiveness.
[4] 非使用状態において、前記第 1の接触面を保護するための第 1の保護部材をさら に備え、  [4] A first protective member for protecting the first contact surface when not in use is further provided,
前記第 1の保護部材は、前記被験者によって取り外し可能である、請求の範囲第 3 項に記載の携帯型心電計。  The portable electrocardiograph according to claim 3, wherein the first protective member is removable by the subject.
[5] 前記密着部は、さら〖こ、前記電極形成面と接する第 2の接触面を有し、 [5] The contact portion has a second contact surface in contact with the electrode forming surface.
前記第 2の接触面を構成する部材は、粘着性を有している、請求の範囲第 4項に 記載の携帯型心電計。  5. The portable electrocardiograph according to claim 4, wherein the member constituting the second contact surface has adhesiveness.
[6] 非使用状態において、前記第 2の接触面を保護するための第 2の保護部材をさら に備える、請求の範囲第 5項に記載の携帯型心電計。  [6] The portable electrocardiograph according to claim 5, further comprising a second protective member for protecting the second contact surface in a non-use state.
PCT/JP2006/326219 2006-02-10 2006-12-28 Portable electrocardiograph WO2007091380A1 (en)

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