WO2007119482A1 - Sphygmomanometers cuff - Google Patents

Sphygmomanometers cuff Download PDF

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Publication number
WO2007119482A1
WO2007119482A1 PCT/JP2007/055870 JP2007055870W WO2007119482A1 WO 2007119482 A1 WO2007119482 A1 WO 2007119482A1 JP 2007055870 W JP2007055870 W JP 2007055870W WO 2007119482 A1 WO2007119482 A1 WO 2007119482A1
Authority
WO
WIPO (PCT)
Prior art keywords
cuff
upper arm
sphygmomanometer
sphygmomanometer cuff
arm
Prior art date
Application number
PCT/JP2007/055870
Other languages
French (fr)
Japanese (ja)
Inventor
Minoru Taniguchi
Yoshihiko Sano
Mika Ezoe
Kiichiro Miyata
Takashi Inagaki
Koichi Tanaka
Akihisa Takahashi
Taiga Sato
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 WO2007119482A1 publication Critical patent/WO2007119482A1/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 force wound around an upper arm when measuring a blood pressure value using a sphygmomanometer.
  • blood pressure monitors have been widely used for early detection of lifestyle-related diseases caused by high blood pressure and blood pressure management.
  • a cuff containing a fluid bag that compresses an artery is wrapped around the body surface, and the wrapped fluid bag is inflated and contracted to detect arterial pressure pulse waves generated in the artery. In this way, blood pressure is measured.
  • the cuff means a band-like structure having a lumen, which can be wound around a living body to be measured (for example, an upper arm or a wrist), and is a fluid such as a gas or a liquid. It is used to measure arterial pressure in the upper and lower limbs by injecting into the lumen. Therefore, the cuff is a word indicating a concept including a fluid bag and a brazing member for winding the fluid bag around a living body, and is sometimes called an armband or a manchette.
  • the cuff attached to the upper arm is provided with an exterior member, and an air bag as a fluid bag is accommodated in the exterior member, and the exterior member is used for wrapping and fixing to the upper arm.
  • a locking member is provided.
  • References disclosing such a cuff configuration include, for example, Japanese Utility Model Laid-Open No. 7-24304 (Patent Document 1), Japanese Patent Application Laid-Open No. 62-213730 (Patent Document 2), and Japanese Patent Application Laid-Open No. 2004-159968. Patent Document 3).
  • a hook-and-loop fastener is generally used as the locking member.
  • the use of a hook-and-loop fastener makes it possible to lock the circumferential ends of the exterior member wound around the upper arm at an arbitrary position, so that it can be fixed around the upper arm. Later, the cuff can be attached to the upper arm without any gaps.
  • the central portion of the air bag in the winding direction around the upper arm that is, the longitudinal direction of the cuff when the cuff is unfolded
  • the cuff is positioned and fixed with respect to the upper arm so that it is located directly above the upper arm aorta located under the upper arm U, U.
  • the central portion in the longitudinal direction of the air bag, which is the most inflated portion in the thickness direction, and the brachial aorta should be placed close to each other.
  • the brachial aorta can be efficiently and reliably compressed and blocked with an air bag. Therefore, the blood pressure value can be measured with high accuracy.
  • the air bag is housed inside the exterior member while being pressed, it is very difficult to position and wind the air bag in the longitudinal direction at a predetermined position on the upper arm as described above. It is.
  • the surface of the cuff exterior member is provided with a positioning mark. In the cuff, it is intended that the cuff is positioned and attached to the upper arm by the subject so that the mark is positioned on the extension line of the middle finger of the arm around which the cuff is wound. .
  • the brachial aorta is usually located on the trunk side (that is, the chest side) of the upper arm, the central portion in the longitudinal direction of the air bag has a predetermined mark force provided on the exterior member in advance. They are spaced apart.
  • Patent Document 1 Japanese Utility Model Publication No. 7-24304
  • Patent Document 2 Japanese Patent Laid-Open No. 62-213730
  • Patent Document 3 Japanese Patent Application Laid-Open No. 2004-159968
  • the present invention has been made to solve the above-described problems, and an object thereof is to provide a sphygmomanometer cuff that facilitates mounting work on the upper arm. Another object is to provide a sphygmomanometer cuff in which an air bag enclosed in an exterior member can be reliably positioned with respect to the upper arm.
  • a cuff for a blood pressure monitor is a belt-shaped member that includes a fluid bag for compressing the upper arm and a bag-shaped exterior member that encloses the fluid bag, and is wound around the upper arm.
  • the wrapping part is wound around the upper arm when the sphygmomanometer cuff is attached to the upper arm, and the wrapping part force is also provided so as to protrude in the axial direction of the upper arm when the sphygmomanometer cuff is attached to the upper arm. And a temporary holding protrusion.
  • the sphygmomanometer cuff rotates because the temporary holding projection can be temporarily held at a predetermined part on the arm side where the cuff is to be worn when the cuff is worn. This is prevented and the mounting operation is facilitated.
  • the protruding tongue piece cuff is configured such that the protruding portion is elastically deformable.
  • the protruding portion By forming the protruding portion with a protruding tongue piece that can be elastically deformed in this way, the holding portion for temporary holding can be easily held, and the rotation of the sphygmomanometer cuff during mounting can be more reliably prevented. become able to.
  • the exterior member is divided into two parts separated at a boundary portion between a portion corresponding to the winding portion and a portion corresponding to the protruding tongue piece. It is preferable to have this space inside. In that case, it is preferable that the fluid bag is accommodated in a space provided in a portion corresponding to the winding portion, and provided in a portion corresponding to the protruding tongue piece. It is preferable that a flexible elastic plate is accommodated in the formed space.
  • the protruding tongue piece can be easily elastically deformed with a flexible elastic plate.
  • the sphygmomanometer cuff according to the present invention is enclosed in the exterior member and disposed outside the fluid bag, and the sphygmomanometer cuff is mounted on the upper arm with the sphygmomanometer cuff attached to the upper arm. It is preferable that a curved elastic plate for urging the fluid bag is further provided. In this case, it is preferable that the protruding tongue piece includes at least a portion where the curved elastic plate force extends continuously! /.
  • the protruding tongue piece can be easily elastically deformed by a part of the curved elastic plate. Further, by forming a part of the protruding tongue piece with the curved elastic plate for urging the fluid bag to the upper arm, it is possible to reduce the number of parts without requiring an additional elastic plate.
  • the protruding portion protrudes toward the elbow side of the arm on which the cuff is attached.
  • the protrusion is configured to be held by the forearm and the upper arm inside the elbow of the arm to which the cuff is attached when the cuff is attached.
  • the protrusion can be held by the forearm and the upper arm inside the elbow of the arm to which the cuff is attached, so that the rotation of the sphygmomanometer cuff can be reliably prevented during the attachment. It becomes like this.
  • the protruding portion protrudes toward the shoulder side of the arm side to which the cuff is attached.
  • the protruding portion is configured to be held by the upper arm and the trunk under the arm-side arm to which the cuff is attached when the cuff is attached.
  • the protruding portion protrudes toward the elbow side of the arm on which the cuff is attached.
  • the protrusion is configured to cover the outer side of the elbow of the arm to which the cuff is attached when the cuff is attached.
  • the sphygmomanometer cuff according to the present invention further includes a mark for positioning when worn on the upper arm.
  • a cuff for a sphygmomanometer can be provided in which the wearing operation on the upper arm is facilitated.
  • the sphygmomanometer cuff can be configured such that the air bag contained in the exterior member can be reliably positioned with respect to the upper arm.
  • FIG. 1 is a perspective view showing an external appearance of a sphygmomanometer according to Embodiment 1 of the present invention.
  • FIG. 2 is a functional block diagram showing a configuration of a sphygmomanometer according to the first embodiment of the present invention.
  • FIG. 3 is a flowchart showing the flow of blood pressure measurement processing of the sphygmomanometer in Embodiment 1 of the present invention.
  • FIG. 4 is a diagram showing a state in which the sphygmomanometer cuff according to Embodiment 1 of the present invention is deployed.
  • FIG. 5 is a cross-sectional view taken along line VV shown in FIG. 4 of the sphygmomanometer cuff according to the first embodiment of the present invention.
  • FIG. 6 is a conceptual diagram when positioning the sphygmomanometer cuff in the first embodiment of the present invention with respect to the upper arm of the left arm.
  • FIG. 7 is a perspective view for explaining a winding operation when the sphygmomanometer cuff is wound around and fixed to the upper arm of the left arm after positioning in the sphygmomanometer cuff according to the first embodiment of the present invention.
  • FIG. 8 is a cross-sectional view for explaining a winding operation when the sphygmomanometer cuff is wrapped around the upper arm of the left arm after positioning in the sphygmomanometer cuff according to the first embodiment of the present invention.
  • ⁇ 9 A perspective view showing an appearance of a sphygmomanometer cuff according to the second embodiment of the present invention.
  • FIG. 10 is a cross-sectional view in the width direction of a sphygmomanometer cuff according to Embodiment 2 of the present invention.
  • FIG. 11 is a perspective view for explaining a winding operation when the sphygmomanometer cuff is wound around and fixed to the upper arm of the left arm after positioning in the sphygmomanometer cuff according to the second embodiment of the present invention.
  • FIG. 12 is a cross-sectional view for explaining a winding operation when the sphygmomanometer cuff is wound around and fixed to the upper arm of the left arm after positioning in the sphygmomanometer cuff according to the second embodiment of the present invention.
  • FIG. 13 A diagram showing a state in which the sphygmomanometer cuff according to the third embodiment of the present invention is deployed.
  • FIG. 14 is a perspective view for explaining a winding operation when the sphygmomanometer cuff is wound around and fixed to the upper arm of the left arm after positioning in the sphygmomanometer cuff according to Embodiment 3 of the present invention.
  • ⁇ 15 A perspective view showing an appearance of a sphygmomanometer cuff according to the fourth embodiment of the present invention.
  • FIG. 16 is a perspective view for explaining a winding operation when the sphygmomanometer cuff is wound around and fixed to the upper arm of the left arm after positioning in the sphygmomanometer cuff according to the fourth embodiment of the present invention.
  • FIG. 18 is a perspective view for explaining a winding operation when the sphygmomanometer cuff is wound around and fixed to the upper arm of the left arm after positioning in the sphygmomanometer cuff according to the fifth embodiment of the present invention.
  • FIG. 19 is a cross-sectional view for explaining a winding operation when the sphygmomanometer cuff is wrapped around the upper arm of the left arm after positioning in the sphygmomanometer cuff according to the fifth embodiment of the present invention.
  • FIG. 1 is a perspective view showing an external appearance of a sphygmomanometer according to Embodiment 1 of the present invention. First, the external structure of the sphygmomanometer in the present embodiment will be described with reference to this figure.
  • a sphygmomanometer 100 includes an apparatus main body 110 and a cuff 150.
  • the apparatus main body 110 includes a display unit 114 and an operation unit 115.
  • the display unit 114 displays the measurement results of blood pressure and pulse rate as numerical values and graphs. Use it for visual recognition.
  • a liquid crystal panel or the like is used as the display unit 114.
  • the operation unit 115 is provided with, for example, a power button and a measurement start button.
  • the cuff 150A is intended to be wound around the upper arm of the subject's left arm, and has a belt-like outer shape.
  • the cuff 150A includes an air bag 151 (see FIG. 2, FIG. 4, FIG. 5, FIG. 8, etc.) as a fluid bag for compressing the upper arm, and an exterior member for winding the air bag 151 around the upper arm and fixing it.
  • the air bag 151 is accommodated in a space provided inside the bag-like cover body 160. The detailed structure of the cuff 150A will be described later.
  • the cuff 150A and the apparatus main body 110 are connected by an air pipe 140 as a connection pipe.
  • the air tube 140 also has a flexible tube force, and one end is connected to a blood pressure measurement air system component 131 (see FIG. 2) provided in the apparatus main body 110 described later, and the other end is the air bag of the cuff 150A described above. Connected to 151!
  • FIG. 2 is a functional block diagram showing the configuration of the sphygmomanometer according to the present embodiment. Next, the configuration of the main functional blocks of the sphygmomanometer in the present embodiment will be described with reference to this figure.
  • blood pressure measurement air for supplying or discharging air to / from an air bag 151 contained in a cuff 150A via an air tube 140 is provided inside the apparatus main body 110 of the sphygmomanometer 100.
  • a system component 131 is provided.
  • the air system component 131 for blood pressure measurement includes a pressure sensor 132 that is a pressure detection unit that detects the pressure in the air bag 151, and a pump 134 and a valve 135 that are an expansion / contraction mechanism 133 for expanding and contracting the air bag 151. included.
  • an oscillation circuit 125, a pump drive circuit 126, and a valve drive circuit 127 are provided in the apparatus main body 110 in association with the blood system component 131 for blood pressure measurement.
  • the apparatus main body 110 includes a CPU (Central Processing Unit) 122 for controlling and monitoring each part, various programs such as a program for causing the CPU 122 to perform a predetermined operation, and a measured blood pressure value.
  • a memory unit 123 for storing information
  • a display unit 114 for displaying various types of information including blood pressure measurement results
  • an operation unit 115 operated to input various instructions for measurement
  • a source 124 is installed.
  • the CPU 122 also functions as a blood pressure value calculation unit for calculating the blood pressure value.
  • the pressure sensor 132 detects the pressure in the air bladder 151 (hereinafter referred to as “cuff pressure”), and outputs a signal corresponding to the detected pressure to the oscillation circuit 125.
  • the pump 134 supplies air to the air bag 151.
  • the valve 135 opens and closes when maintaining the pressure in the air bag 151 or discharging the air in the air bag 151.
  • the oscillation circuit 125 outputs a signal having an oscillation frequency corresponding to the output value of the pressure sensor 132 to the CPU 122.
  • the pump drive circuit 126 controls the drive of the pump 134 based on a control signal given from the CPU 122.
  • the valve drive circuit 127 performs opening / closing control of the valve 135 based on a control signal given from the CPU 122.
  • FIG. 3 is a flowchart showing the flow of blood pressure measurement processing of the sphygmomanometer according to the present embodiment. Next, the flow of blood pressure measurement processing in the sphygmomanometer in the present embodiment will be described with reference to this figure.
  • the program according to this flowchart is stored in advance in the memory unit 123 shown in FIG. 2, and the blood pressure measurement process is performed by the CPU 122 reading out this program from the memory unit 123 and executing it.
  • step Sl when the subject turns on the power by operating the operation button of the operation unit 115 of the sphygmomanometer 100, the sphygmomanometer 100 is initialized (step Sl).
  • the CPU 122 starts driving the pump 134 and gradually increases the cuff pressure of the air bladder 151 (step S2).
  • step S3 the CPU 122 stops the pump 134 and then gradually opens the valve 135 that has been closed to open the air bag.
  • the air of 151 is gradually exhausted, and the cuff pressure is gradually reduced (step S3), and the cuff pressure is detected during the slow depressurization process of the cuff pressure.
  • the CPU 122 calculates blood pressure values (maximum blood pressure value, minimum blood pressure value) by a known procedure (step S4). Specifically, in the process of gradually reducing the cuff pressure, the CPU 122 extracts pulse wave information based on the oscillation frequency obtained from the oscillation circuit 125. Then, a blood pressure value is calculated from the extracted pulse wave information. When the blood pressure value is calculated in step S4, the calculated blood pressure value is displayed on the display unit 114 (step S5).
  • the measurement method described above is a so-called decompression method that detects a pulse wave and calculates a blood pressure value when the air bag is decompressed. Although based on the measurement method, it is naturally possible to adopt a so-called pressurization measurement method in which a pulse wave is detected and the blood pressure value is calculated when the air bag is pressurized.
  • FIG. 4 is a view showing a state in which the sphygmomanometer cuff according to the present embodiment is unfolded
  • FIG. 5 is a cross-sectional view of the sphygmomanometer cuff along the line V—V shown in FIG. It is.
  • the structure of the sphygmomanometer cuff according to the present embodiment will be described in detail with reference to these drawings.
  • the sphygmomanometer cuff 150A in the present embodiment includes an air bag 151 connected to an air tube 140, and a bag shape as an exterior member that encloses the air bag 151. And a cover body 160.
  • the air bag 151 has a substantially rectangular outer shape
  • the bag-like cover body 160 has a substantially rectangular belt-like shape that encloses the air bag 151. It has an outer shape.
  • the cuff 150A includes a winding portion 161 that surrounds and covers the upper arm in a state of being wound around the upper arm, and a protruding tongue piece 165 as a protruding portion provided to protrude from the winding portion 161.
  • the winding portion 161 is a band-like portion in the cuff 150A in which the air bag 151 is accommodated, and is a portion that contributes to winding around the upper arm when the cuff 150A is attached.
  • the protruding tongue piece 165 When the cuff 150A is wound around the upper arm, the protruding tongue piece 165 is in a state where the cuff 150A is attached to the left arm in the axial direction of the upper arm (that is, the direction in which the upper arm extends and the width direction of the cuff).
  • the left arm is provided so as to protrude from the wrapping portion 161 with a force toward the elbow side of the left arm.
  • the protruding tongue piece 165 is a part that is temporarily held by the forearm and upper arm inside the elbow of the left arm to which the cuff 150A is attached.
  • the air bag 151 preferably has a bag-like member force formed using a resin sheet.
  • the air bag 151 is positioned on the living body side that is the upper arm when the cuff 150A is wound around the upper arm, and is positioned outside the sheet member 152 when the cuff 150A is wound around the upper arm.
  • the sheet member 153 is overlapped and welded at the periphery thereof to form a bag, and has an expansion / contraction space 154 inside.
  • the expansion / contraction space 154 is connected to the air pipe 140 described above.
  • the material of the resin sheet constituting the air bag 151 it is rich in stretchability and after welding. Any device that does not leak from the expansion / contraction space 154 can be used. From this point of view, suitable materials for the resin sheet include ethylene-vinyl acetate copolymer (EVA), soft salt cellulose (PVC), polyurethane (PU), polyamide (PA), and raw rubber. Can be mentioned.
  • EVA ethylene-vinyl acetate copolymer
  • PVC soft salt cellulose
  • PU polyurethane
  • PA polyamide
  • the bag-shaped cover body 160 includes an inner cover member 162 that is positioned on the living body side, which is the upper arm when attached to the upper arm, and an air bag 151 when attached to the upper arm.
  • the outer cover member 163 is positioned on the opposite side of the upper arm with the outer periphery interposed therebetween, and the inner cover member 162 and the outer cover member 163 are overlapped to join the peripheral edge thereof. It is formed in a bag shape.
  • the bag-like cover body 160 is preferably formed of a fabric having a synthetic fiber force such as polyamide (PA), polyester, and the like.
  • PA polyamide
  • the inner cover member 162 of the bag-like cover body 160 is preferably made of a member having excellent stretchability, and the outer cover member 163 of the bag-like cover body 160 is preferably more flexible than the inner cover member 162. Consists of poor-quality members.
  • a ring 168 is attached to one end of the bag-like cover body 160 in the longitudinal direction.
  • the ring 168 functions as an auxiliary tool when the sphygmomanometer cuff 150A is wrapped around the upper arm, and the other end of the bag-like cover body 160 is inserted into the ring 168 and folded back. Wrapping around the upper arm of the sphygmomanometer cuff 150A.
  • a hook-and-loop fastener 164 is provided on the outer peripheral surface in the vicinity of the end located on the opposite side to the end to which the ring 168 of the bag-like cover body 160 is attached.
  • the surface fastener 164 is locked at a predetermined position on the outer peripheral surface of the bag-like cover body 160 in a state where the cuff 150 A is attached to the upper arm. That is, the hook and loop fastener 164 corresponds to a locking member for winding and fixing the cuff 150A around the upper arm.
  • a mark 167 extending in a direction corresponding to the width direction of the bag-like cover body 160 is provided at a predetermined position in the longitudinal direction of the bag-like cover body 160.
  • This mark 167 is used for positioning when the cuff 150A is attached to the upper arm, and is arranged on a center line 158 that crosses the central portion in the longitudinal direction of the air bag 151 included in the bag-like cover body 160 in the width direction.
  • They are spaced apart by a predetermined offset amount Y in a fixed direction.
  • a coupling portion 166a formed by coupling the inner cover member 162 and the outer cover one member 163 is located over the entire circumference. Yes.
  • a part of the coupling portion 166 a is provided along the outer edge of the protruding tongue piece 165.
  • a coupling portion 166 c formed by coupling the inner cover member 162 and the outer cover member 163 is located at a boundary portion between the winding portion 161 and the protruding tongue piece 165 of the bag-like cover body 160.
  • a coupling portion 166b extending in the width direction of the bag-shaped cover body 160 (that is, the direction orthogonal to the longitudinal direction) is provided.
  • the material of the elastic plate 171 accommodated in the space formed in the portion corresponding to the protruding tongue piece 165 polypropylene (PP) or the like is preferably used so as to have appropriate flexibility.
  • the shape of the elastic plate 171 is preferably such that its main surface is curved in a predetermined direction so as to fit the base of the upper arm located on the elbow side when the cuff 150A is attached to the upper arm.
  • FIG. 6 is a conceptual diagram when positioning the sphygmomanometer cuff in the present embodiment with respect to the upper arm of the left arm.
  • FIGS. 7 and 8 show the sphygmomanometer cuff on the upper arm of the left arm after positioning. It is a figure for demonstrating the winding operation
  • FIG. 8 is a view when the fracture surface is viewed from the distal side toward the central side in the extending direction of the upper arm.
  • the left arm 200 when attaching the sphygmomanometer cuff 150A having the above configuration to the upper arm 210 of the left arm 200, the left arm 200 is stretched without bending the elbow, and the middle finger 231 extension line X of the left hand 230 Look at the mark 167 provided on the bag-shaped cover body 160 so that the mark 167 is located on the Adjust the mounting position on the upper arm 210 of the cuff 150A while approving.
  • the elbow 215 of the left arm 200 is bent and the forearm 220 and the upper arm 210 are bent to keep the mark 167 positioned on the extension line X of the middle finger 231. And temporarily hold it.
  • the protruding tongue piece 165 provided so as to protrude from the wrapping portion 161 when worn is provided inside the elbow 215. Temporary holding is possible by bending 215. Therefore, even if one end of the cuff 150A is pulled for winding the cuff 150A, the cuff 150A is prevented from rotating on the upper arm 210 in the circumferential direction of the upper arm 210. That is, as shown in FIG. 8, the rotation of the winding portion 161 of the cuff 150A in the direction of the arrow B in the drawing generated by pulling one end of the cuff 150A is limited by the temporary holding described above.
  • the alignment of the cuff 150A that has been previously positioned with respect to the upper arm 210 using the mark 167 is maintained even during the winding operation. become. Therefore, after winding, the cuff 150A is fixed while being initially positioned with respect to the upper arm 210.
  • the offset amount Y of the mark 167 with respect to the center line 158 of the air bag 151 is set to a predetermined value based on the distance from the central axis of the upper arm 210 to the upper arm aorta 212 obtained empirically. As shown in FIG. 8, in the above-mentioned wearing state, the longitudinal center portion of the air bag 151 is the upper arm.
  • the brachial aorta 212 is efficiently and reliably compressed / ischemic by the air bag 151, and the blood pressure value can be measured with high accuracy.
  • the protruding tongue piece 165 is formed in a shape that can be easily temporarily held by the inner side of the elbow 215. Therefore, the external dimension of the protruding tongue piece 165 is preferably such that the longitudinal dimension L1 shown in FIG. 4 is in the range of 10 cm ⁇ 5 cm and the dimension D1 in the width direction shown in FIG. 4 is 3 cm. ⁇ l. Adjusted to be within 5cm.
  • the outer dimensions of the winding part 161 of the sphygmomanometer cuff 150A are preferably formed so that the total length in the longitudinal direction is in the range of 46 cm ⁇ 20 cm, and the entire width in the width direction (the protruding tongue piece 165 is formed). Is formed within the range of 14cm ⁇ 5cm. Within the range of the above dimensions, it is possible to temporarily hold the protruding tongue piece 165 inside the elbow 215 when the cuff 150A is worn, regardless of whether it is male, female, adult, elderly or the like.
  • FIG. 9 is a perspective view showing an appearance of a sphygmomanometer cuff according to Embodiment 2 of the present invention
  • FIG. 10 is a cross-sectional view in the width direction.
  • 11 and 12 are diagrams showing a winding operation when the sphygmomanometer cuff according to the present embodiment is wound around and fixed to the upper arm of the left arm.
  • FIG. 12 is a view when the fracture surface is viewed from the distal side toward the central side in the extending direction of the upper arm. 9 to 12, the same reference numerals are given to the same parts as those of the sphygmomanometer cuff in the first embodiment, and the description thereof will not be repeated here.
  • sphygmomanometer cuff 150B surrounds the upper arm in a state of being wound around the upper arm, similar to sphygmomanometer cuff 150A according to the first embodiment described above.
  • a protruding tongue piece 165 provided so as to protrude from the winding portion 161.
  • Projecting tongue 165 has cuff 150B wrapped around upper arm From the wrapping portion 161, the arm is directed toward the elbow of the left arm when the cuff 150B is attached to the left arm in the axial direction of the upper arm (ie, the direction in which the upper arm extends and the cuff width direction). It is provided to protrude.
  • the protruding tongue piece 165 is a part for temporarily holding the cuff 150B by the forearm and the upper arm inside the elbow of the left arm to which the cuff 150B is attached when the cuff 150B is attached to the upper arm.
  • the sphygmomanometer cuff 150B in the present embodiment is held on the air bag 151 and the bag-like cover body 160, and includes a curler 172 as a curved elastic plate. .
  • the curler 172 is enclosed in the bag-like cover body 160 and is disposed outside the air bag 151.
  • the curler 172 is formed in a cylindrical shape so as to fit the upper arm, and is also a flexible member that is configured to be elastically deformable in the radial direction by being wound in an annular shape.
  • the curler 172 is bonded and fixed to the outer peripheral surface of the air bladder 151 by an adhesive member such as a double-sided tape (not shown), and is configured to follow the upper arm by maintaining its own annular shape.
  • the curler 172 is intended to make it easier for the subject himself to wear the cuff 150B on the upper arm, and urges the air bag 151 toward the upper arm when the cuff 150B is attached to the upper arm.
  • the curler 172 is formed of a grease member such as polypropylene (PP) so as to exhibit a sufficient elastic force.
  • the curler 172 has a standing portion 173 in which a partial force corresponding to the winding portion 161 of the cuff 150B also protrudes in the width direction.
  • the standing portion 173 is integrally provided with the curler 172 and is housed in the space inside the protruding tongue piece 165 described above and constitutes a part of the protruding tongue piece 165.
  • the shape of the standing portion 173 is preferably a shape in which the main surface is curved in a predetermined direction so as to fit the base of the upper arm located on the elbow side when the cuff 150B is attached to the upper arm.
  • a ring 168 serving as an auxiliary tool in the winding operation is provided. Absent. Therefore, one end in the longitudinal direction of the cuff 150B is wound around the upper arm without being folded back. Therefore, the surface fastener 164 is provided on the outer peripheral surface in the vicinity of one end of the cuff 150B that will be positioned inside after winding.
  • the left arm is extended without bending the elbow,
  • the mounting position of the cuff 150B on the upper arm is adjusted so that the mark 167 provided on the outer peripheral surface of the bag-like cover body 160 of the cuff 150B is positioned on the extension line of the middle finger of the left hand.
  • the cuff 150B is attached to the upper arm by the annular form of the curler 172. Is easy. Then, as shown in FIG. 11, the elbow 215 of the left arm 200 is bent and the forearm 220 and the upper arm 210 are bent so that the protruding tongue piece 165 of the cuff 150B is maintained while the mark 167 is positioned on the extension line of the middle finger of the left hand 230. And temporarily hold it.
  • the sphygmomanometer cuff 150B is used as in the present embodiment, the same effect as in the sphygmomanometer cuff 150A in the first embodiment described above can be obtained. That is, by temporarily holding the protruding tongue piece 165 provided so as to protrude from the winding part 161 at the time of wearing by bending the elbow inside the elbow, the cuff 150B is placed on the upper arm 210 in the direction of arrow D in FIG. Rotation of the cuff 150B is prevented, making it easier to wrap and fix the cuff 150B. As a result, it is possible to provide a sphygmomanometer cuff that can be easily attached to the upper arm 210.
  • the brachial aorta 212 is efficiently and surely compressed and is blocked by the air bladder 151 during measurement. As a result, the blood pressure value can be measured with high accuracy.
  • a part of the protruding tongue piece 165 is constituted by the standing portion 173 of the curler 172, so that the protruding tongue piece 165 can be easily formed. It can be configured to be elastically deformable. Therefore, a separate elastic plate is not required, and the number of parts can be reduced.
  • FIG. 13 is a diagram showing a state in which the sphygmomanometer cuff according to Embodiment 3 of the present invention is deployed.
  • FIG. 14 is a diagram for explaining a winding operation when the sphygmomanometer cuff in the present embodiment is wound around and fixed to the upper arm of the left arm.
  • the sphygmomanometer cuff in the present embodiment has a configuration similar to that of the sphygmomanometer cuff in the first embodiment described above, and therefore, the sphygmomanometer cuff in the first embodiment described above. Similar parts are denoted by the same reference numerals in the figure, and the description thereof will not be repeated here.
  • the sphygmomanometer cuff 150C includes a winding part 161 that covers and covers the upper arm in a state of being wound around the upper arm. And a protruding tongue piece 165 provided so as to protrude from the winding portion 161.
  • the protruding tongue piece 165 is in a state where the cuff 150C is attached to the left arm in the axial direction of the upper arm (that is, the extending direction of the upper arm and the width direction of the cuff) in a state where the force fuff 150C is wound around the upper arm.
  • the left arm side is provided so as to protrude from the wrapping portion 161 toward the shoulder side on the left arm side.
  • the protruding tongue piece 165 is a part for temporarily holding the cuff 150C by the upper arm 210 and the trunk 240 under the arm on the left arm side where the cuff 150C is attached when the cuff 150C is attached to the upper arm.
  • joint portions 166a to 166c are connected to bag-like cover body 160 in the same manner as sphygmomanometer cuff 150A according to the first embodiment described above. Is provided. Of the three spaces inside the bag-shaped cover body 160 formed by providing the coupling portions 166a to 166c, the elastic plate 171 is accommodated in the space formed in the portion corresponding to the protruding tongue piece 165. Has been. Of the remaining two spaces formed in the part corresponding to the winding part 161, the air bag 151 is accommodated in the space where the ring 168 is located.
  • a material made of a material such as polypropylene (PP) is preferably selected so as to have appropriate flexibility
  • the main surface of the cuff 150C is in a specified direction so that it fits the base of the upper arm located on the shoulder side when the cuff 150C is attached to the upper arm. It is preferable to have a curved shape.
  • the left arm is extended without bending the elbow
  • the mounting position of the cuff 150C with respect to the upper arm is adjusted so that the mark 167 provided on the outer peripheral surface of the bag-shaped cover body 160 of the cuff 150C is positioned on the extension line of the middle finger of the left hand.
  • the protruding tongue piece 165 of the cuff 150C is moved by the upper arm 210 and the trunk 240 under the arm on the left arm 200 side while the mark 167 is positioned on the extension line of the middle finger 231. Hold it temporarily.
  • the surface fastener 164 provided near one end of the bag-like force bar body 160 is wound around the upper arm 210 while maintaining the state where the protruding tongue piece 165 is temporarily held by the underarm.
  • the bag-like cover body 160 is engaged with the outer peripheral surface.
  • the winding and fixing of the cuff 150C around the upper arm 210 is completed. After winding and fixing, release the temporary holding of the protruding tongue piece 165 by the armpit.
  • the sphygmomanometer cuff 150C as in the present embodiment is used, the same effect as in the sphygmomanometer cuff 150A in the first embodiment described above can be obtained. That is, by closing the bottom of the heel at the time of wearing, the protruding tongue piece 165 provided so as to protrude from the winding portion 161 can be temporarily held by the upper arm 210 and the trunk 240 under the heel. As a result, the upper arm 210 The cuff 150C is prevented from rotating in the circumferential direction of the upper arm 210 at the top, and the winding and fixing work of the cuff 150C is facilitated.
  • a sphygmomanometer cuff can be provided in which the work of attaching the upper arm 210 is facilitated.
  • the brachial aorta 212 is efficiently and reliably attached to the air bag 151 during measurement. Pressing 'Being blocked, blood pressure can be measured with high accuracy.
  • the protruding tongue piece 165 is formed in a shape that can be temporarily held by the armpit. Therefore, the external dimension of the protruding tongue piece 165 is preferably such that the length L2 in the longitudinal direction shown in FIG. 13 is in the range of 20 cm ⁇ 10 cm, and the size D2 in the width direction shown in FIG. 13 is 3 cm ⁇ l. Adjusted to be in the 5cm range. [0077] (Embodiment 4)
  • FIG. 15 is a perspective view showing an appearance of a sphygmomanometer cuff according to Embodiment 4 of the present invention.
  • FIG. 16 is a diagram when the sphygmomanometer cuff according to the present embodiment is wrapped around and fixed to the upper arm of the left arm.
  • the sphygmomanometer cuff in the present embodiment has a configuration similar to that of the sphygmomanometer cuff in the first embodiment described above, and therefore the sphygmomanometer cuff in the first embodiment described above.
  • the same reference numerals are given to the same parts in the figure, and the description thereof will not be repeated here.
  • the sphygmomanometer cuff 150D includes a winding part 161 that covers and covers the upper arm in a state of being wound around the upper arm. And a protruding tongue piece 165 provided so as to protrude from the winding portion 161.
  • the protruding tongue 165 is in a state where the cuff 150D is attached to the left arm in the axial direction of the upper arm (that is, the extending direction of the upper arm and the cuff width direction) in a state where the force fuff 150D is wound around the upper arm.
  • the left arm is provided so as to protrude from the wrapping portion 161 with a direct force toward the elbow side of the left arm.
  • the protruding tongue piece 165 is configured to cover the outside of the elbow of the left arm to which the cuff 150D is attached when the cuff 150D is attached. Yes.
  • the protruding tongue piece 165 is a portion that is pressed against a table such as a desk by the left arm elbow to which the cuff 150D is attached.
  • An elastic plate is preferably accommodated in the space inside the bag-like cover body 160 corresponding to the above.
  • the elastic plate accommodated in the space inside the bag-like cover body 160 corresponding to the protruding tongue piece 165 preferably has a material strength such as polypropylene (PP) so as to have appropriate flexibility. Is selected.
  • the left arm is extended without bending the elbow,
  • the mounting position of the cuff 150D on the upper arm is adjusted so that the mark 167 provided on the outer peripheral surface of the bag-like cover body 160 of the cuff 150D is positioned on the extension line of the middle finger of the left hand. Then, as shown in FIG.
  • the elbow 215 of the left arm 200 is moved with respect to the table 300 such as a desk via the protruding tongue piece 165 of the cuff 150D while the above-mentioned mark 167 is located on the extension line of the middle finger.
  • Push The protruding tongue piece 165 of the cuff 150D is sandwiched between the elbow 215 and the table 300 such as a desk, and temporarily held.
  • the surface fastener 164 provided in the vicinity of one end of the bag-like cover body 160 is maintained in the upper arm 21 0 while maintaining the state where the protruding tongue 165 is pressed against the table 300 such as a desk by the elbow 215.
  • the bag-like cover body 160 is wound around the outer peripheral surface of the bag-like cover body 160.
  • the wrapping and fixing of the cuff 150D around the upper arm 210 is completed.
  • the pressing of the protruding tongue piece 165 by the elbow 215 against the table 300 such as a desk may be released.
  • the sphygmomanometer cuff 150D rotates on the upper arm 210 in the circumferential direction by pressing the protruding tongue piece 165 provided so as to protrude from the winding part 161 at the time of wearing with the elbow 215 against the table 300 such as a desk. This prevents the cuff 150D from being wrapped and fixed. As a result, it is possible to provide a sphygmomanometer cuff that can be easily attached to the upper arm 210.
  • the brachial aorta 212 is efficiently and reliably compressed by the air bag 151 during the measurement. As a result, the blood pressure value can be measured with high accuracy.
  • the protruding tongue piece 165 is easily pressed against the table 300 such as a desk by the elbow 215 and formed into a shape! . Therefore, the external dimension of the protruding tongue piece 165 is preferably such that the length L3 in the longitudinal direction shown in FIG. 15 is in the range of 10 cm ⁇ 5 cm, and the size D3 in the width direction shown in FIG. It is adjusted to be in the range of m ⁇ 5cm.
  • the protruding tongue piece 165 is formed on the bag-like cover body 160 so that the center position of the protruding tongue piece 165 is within a range of 30 cm ⁇ 10 cm from the end of the bag-like cover body 160 on the side where the surface fastener 164 is provided. It is preferable to adjust so that it may be included.
  • protruding tongue piece 165 is configured to be rotatable or bendable with respect to winding portion 161.
  • the hinge is applied.
  • the boundary between the protruding tongue piece 165 and the winding portion 161 is configured to be more flexible or thinner than other parts. Can be considered.
  • FIG. 17 is a perspective view showing an appearance of a sphygmomanometer cuff according to Embodiment 5 of the present invention.
  • FIG. 18 and FIG. 19 are diagrams for explaining a winding operation when the sphygmomanometer cuff in the present embodiment is wound around and fixed to the upper arm of the left arm.
  • FIG. 19 is a view when the fracture surface is viewed from the distal side toward the central side in the extending direction of the upper arm.
  • the sphygmomanometer cuff in the present embodiment has a configuration similar to that of the sphygmomanometer cuff in the above-described second embodiment, and therefore has the same portion as the sphygmomanometer cuff in the above-described second embodiment. In the figure, the same reference numerals are attached, and the description is not repeated here! /.
  • sphygmomanometer cuff 150E in the present embodiment has a configuration similar to that of sphygmomanometer cuff 150B in the second embodiment described above, and is replaced with protruding tongue piece 165.
  • a holding tool comprising a pair of arm portions 174 and grip portions 175.
  • Each of the pair of arm portions 174 is fixed to a curler 172 housed inside the bag-shaped cover body 160, and protrudes from the winding portion 161 of the bag-shaped cover body 160 toward the axial direction of the upper arm. It has been.
  • the grip portion 175 is fixed to the tips of the pair of arm portions 174.
  • the arm portion 174 is preferably made of a rigid body that does not substantially have flexibility, and is preferably made of metal, hard plastic, or the like.
  • the upper arm 210 When attaching the sphygmomanometer cuff 150E having the above configuration to the upper arm of the left arm, as shown in FIG. 18, the upper arm 210 is inserted into the winding part 161 of the cuff 150E, and the grip part 175 is inserted by the left hand 230. Hold it. Next, as shown in FIG. 19, while holding the grip portion 175 with the left hand 230, one end of the bag-like cover body 160 is pulled in the direction of arrow C in the figure to A hook-and-loop fastener 164 provided in the vicinity of one end of the body 160 is locked to the inner peripheral surface of the bag-like cover body 160 wound around the upper arm 210. Thus, the wrapping and fixing of the cuff 150E around the upper arm 210 is completed. After winding and fixing, gripping of the grip portion 175 by the left hand 230 may be released.
  • the brachial aorta 212 is efficiently and reliably compressed and ischemic by the air bag 151 at the time of measurement, and the blood pressure value can be measured with high accuracy.
  • the distance from the upper arm 210 to the left hand 230 varies depending on the subject, if the length of the arm portion 174 is variably adjustable, it can be further used, hand-operated, or a sphygmomanometer cuff.
  • the sphygmomanometer cuff provided with positioning marks is described as an example.
  • the force sphygmomanometer cuff is not particularly provided with a force positioning mark.
  • the invention can also be applied, and even in this case, by providing a projection for temporary holding on the cuff, the winding work at the time of mounting can be performed more easily.
  • the shape of the force projecting portion described by exemplifying that the projecting portion for temporary holding is a tongue piece shape is not limited to this. However, it can be changed as appropriate.
  • the sphygmomanometer cuff intended to be attached to the upper arm of the left arm has been described as an example, but it is attached to the upper arm of the right hand.
  • the present invention it is also possible to apply the present invention to a cuff for a blood pressure monitor.
  • the present invention is applied to the cuff of the oscillometric sphygmomanometer as an example, but naturally the cuff of the Korotkoff sphygmomanometer is described.
  • the present invention can also be applied to.

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Abstract

A sphygmomanometers cuff (150A) has a wrap-around part wrapped around an upper arm (210) of the user while being installed on the upper arm (210) and also has a temporarily holding projecting tongue (165) projecting from the wrap-around part in the axial direction of the upper arm (210). The projecting tongue (165) projects toward the elbow (215) of the user with the cuff (150A) installed on the upper arm (210). The projecting tongue (165) is adapted so that, in installing the cuff (150A) on the upper arm, it can be held on the inside of the elbow (215) by the front arm (220) and upper arm (210). The construction facilitates installation of the cuff on the upper arm.

Description

明 細 書  Specification
血圧計用カフ  Sphygmomanometer cuff
技術分野  Technical field
[0001] 本発明は、血圧計を用いた血圧値の測定の際に上腕に巻き付けられる血圧計用力 フに関する。  The present invention relates to a sphygmomanometer force wound around an upper arm when measuring a blood pressure value using a sphygmomanometer.
背景技術  Background art
[0002] 近年、高血圧を要因とする生活習慣病の早期発見や血圧管理のために血圧計が 広く利用されている。通常、血圧値の測定に際しては、動脈を圧迫する流体袋を内 包するカフを生体の体表面に巻き付け、巻き付けた流体袋を膨張'収縮させることに よって動脈内に生じる動脈圧脈波の検出を行ない、これによつて血圧値の測定が行 なわれる。  In recent years, blood pressure monitors have been widely used for early detection of lifestyle-related diseases caused by high blood pressure and blood pressure management. Normally, when measuring blood pressure, a cuff containing a fluid bag that compresses an artery is wrapped around the body surface, and the wrapped fluid bag is inflated and contracted to detect arterial pressure pulse waves generated in the artery. In this way, blood pressure is measured.
[0003] ここで、カフとは、内腔を有する帯状の構造物であって生体の被測定部位 (たとえ ば上腕や手首等)に巻き付けが可能なものを意味し、気体や液体等の流体を内腔に 注入することによって上下肢の動脈圧測定に利用されるもののことを指す。したがつ て、カフは、流体袋とこの流体袋を生体に巻き付けるための卷付部材とを含めた概念 を示す言葉であり、腕帯あるいはマンシェットと呼ばれることもある。  [0003] Here, the cuff means a band-like structure having a lumen, which can be wound around a living body to be measured (for example, an upper arm or a wrist), and is a fluid such as a gas or a liquid. It is used to measure arterial pressure in the upper and lower limbs by injecting into the lumen. Therefore, the cuff is a word indicating a concept including a fluid bag and a brazing member for winding the fluid bag around a living body, and is sometimes called an armband or a manchette.
[0004] 通常、上腕に装着されるカフには外装部材が設けられ、この外装部材の内部に流 体袋としての空気袋が収容されるとともに、外装部材に上腕への巻き付け固定のた めの係止部材が設けられる。このようなカフの構成が開示された文献として、たとえば 、実開平 7— 24304号公報 (特許文献 1)や特開昭 62— 213730号公報 (特許文献 2)、特開 2004— 159968号公報 (特許文献 3)等がある。なお、係止部材としては一 般的に面ファスナが利用される。上腕の周長は被験者によって異なるため、面ファス ナを利用すれば任意の位置で上腕に巻き回した外装部材の周方向の端部同士を係 止することが可能になり、上腕への巻き付け固定後においてカフが上腕に隙間なく 装着できるようになる。  [0004] Normally, the cuff attached to the upper arm is provided with an exterior member, and an air bag as a fluid bag is accommodated in the exterior member, and the exterior member is used for wrapping and fixing to the upper arm. A locking member is provided. References disclosing such a cuff configuration include, for example, Japanese Utility Model Laid-Open No. 7-24304 (Patent Document 1), Japanese Patent Application Laid-Open No. 62-213730 (Patent Document 2), and Japanese Patent Application Laid-Open No. 2004-159968. Patent Document 3). A hook-and-loop fastener is generally used as the locking member. Since the circumference of the upper arm varies from subject to subject, the use of a hook-and-loop fastener makes it possible to lock the circumferential ends of the exterior member wound around the upper arm at an arbitrary position, so that it can be fixed around the upper arm. Later, the cuff can be attached to the upper arm without any gaps.
[0005] 上腕に巻き付けることが企図された血圧計用カフにおいては、上腕への巻き付け 方向、すなわちカフを展開した状態でのカフの長手方向における空気袋の中央部分 が上腕の皮下に位置する上腕大動脈の直上に位置するように、カフが上腕に対して 位置決めされて巻き付け固定されることが好ま U、。このように正しくカフが位置決め されて上腕に巻き付け固定された場合には、その厚み方向において最も膨張する部 分である空気袋の長手方向の中央部分と上腕大動脈とが近接して配置されることに なるため、上腕大動脈を効率よくかつ確実に空気袋で圧迫 ·阻血することが可能にな る。したがって、高精度に血圧値を測定することが可能になる。 [0005] In the cuff for a sphygmomanometer intended to be wound around the upper arm, the central portion of the air bag in the winding direction around the upper arm, that is, the longitudinal direction of the cuff when the cuff is unfolded It is preferred that the cuff is positioned and fixed with respect to the upper arm so that it is located directly above the upper arm aorta located under the upper arm U, U. When the cuff is correctly positioned and wound and fixed on the upper arm in this way, the central portion in the longitudinal direction of the air bag, which is the most inflated portion in the thickness direction, and the brachial aorta should be placed close to each other. As a result, the brachial aorta can be efficiently and reliably compressed and blocked with an air bag. Therefore, the blood pressure value can be measured with high accuracy.
[0006] し力しながら、空気袋は外装部材の内部に収容されているため、上述のように空気 袋の長手方向の中央部分を上腕の所定の位置に位置決めして巻き付ける作業は非 常に困難である。そこで、この問題を解決するものとして、カフの外装部材の表面に 位置決め用の目印が付されたものが知られている。当該カフにおいては、カフが巻き 付けられる腕の中指の延長線上に当該目印が位置することとなるように、被験者によ つてカフが上腕に対して位置決めされて装着されることが企図されている。ここで、通 常、上腕大動脈は上腕の体幹側 (すなわち胸部側)に位置しているため、空気袋の 長手方向の中央部分は、予め上記外装部材に設けられた目印力 所定の距離を隔 てて離間配置されている。  [0006] However, since the air bag is housed inside the exterior member while being pressed, it is very difficult to position and wind the air bag in the longitudinal direction at a predetermined position on the upper arm as described above. It is. In order to solve this problem, it is known that the surface of the cuff exterior member is provided with a positioning mark. In the cuff, it is intended that the cuff is positioned and attached to the upper arm by the subject so that the mark is positioned on the extension line of the middle finger of the arm around which the cuff is wound. . Here, since the brachial aorta is usually located on the trunk side (that is, the chest side) of the upper arm, the central portion in the longitudinal direction of the air bag has a predetermined mark force provided on the exterior member in advance. They are spaced apart.
特許文献 1:実開平 7— 24304号公報  Patent Document 1: Japanese Utility Model Publication No. 7-24304
特許文献 2:特開昭 62— 213730号公報  Patent Document 2: Japanese Patent Laid-Open No. 62-213730
特許文献 3 :特開 2004— 159968号公報  Patent Document 3: Japanese Patent Application Laid-Open No. 2004-159968
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
[0007] し力しながら、従来の血圧計用カフにあっては、装着の際にカフの巻き付け固定の ために被験者がカフの一端を引っ張ると、カフが上腕上を回転してしまい、面ファス ナによる係止の際にうまく力がカフに伝わらず係止が困難になり、その結果装着作業 が煩雑になるという問題を有していた。そのため、装着に不慣れな被験者が使用した 場合に、上腕への巻き付け固定後においてカフと上腕との間に隙間が生じ、正しい 装着状態が得られな 、ケースも生じてくる。このような状態で測定を行なった場合に は、空気袋による上腕の均等な圧迫が実現できず、測定精度に悪影響を与えること となってしまう。 [0008] また、上述のように位置決め用の目印を備えた血圧計用カフにおいても、カフを上 腕に巻き付ける作業はやはり煩雑である。すなわち、被験者自らがカフを上腕に装 着する場合において予め位置あわせをしてカフを上腕に取り付けようとしても、カフの 巻き付け固定のために被験者力 Sカフの一端を引っ張ると、カフはそれに伴って上腕 上を回転することになり、位置ずれが生じてしまうことになる。そのため、巻き付け固定 後において再度カフを上腕上において回転させて目印が所望の位置に配置される ように調整する作業が必要になり、装着作業自体が必ずしも容易化しているとは言え ない。 [0007] However, with a conventional sphygmomanometer cuff, if the subject pulls one end of the cuff to fix the cuff when worn, the cuff rotates on the upper arm, At the time of locking with the fastener, the force was not transmitted well to the cuff, making it difficult to lock, and as a result, the mounting work was complicated. For this reason, when a test subject who is unfamiliar with wearing is used, a gap is created between the cuff and the upper arm after being fixed around the upper arm, and a proper wearing state cannot be obtained, and a case may arise. When the measurement is performed in such a state, the uniform compression of the upper arm by the air bag cannot be realized, and the measurement accuracy is adversely affected. [0008] In addition, in the sphygmomanometer cuff having the positioning mark as described above, the work of winding the cuff around the upper arm is still complicated. In other words, when the subject himself / herself wears the cuff on the upper arm and tries to attach the cuff to the upper arm in advance, if the subject's force S one end of the cuff is pulled to fix the cuff, the cuff will accompany it. As a result, the upper arm rotates and a positional shift occurs. For this reason, after the winding is fixed, it is necessary to perform an operation for rotating the cuff again on the upper arm so that the mark is arranged at a desired position, and the mounting operation itself is not necessarily facilitated.
[0009] したがって、本発明は、上述の問題点を解決すべくなされたものであり、上腕に対 する装着作業が容易化する血圧計用カフを提供することを目的とする。また、他の目 的としては、外装部材に内包された空気袋が上腕に対して確実に位置決めされ得る 血圧計用カフを提供することにある。  [0009] Therefore, the present invention has been made to solve the above-described problems, and an object thereof is to provide a sphygmomanometer cuff that facilitates mounting work on the upper arm. Another object is to provide a sphygmomanometer cuff in which an air bag enclosed in an exterior member can be reliably positioned with respect to the upper arm.
課題を解決するための手段  Means for solving the problem
[0010] 本発明に基づく血圧計用カフは、上腕を圧迫するための流体袋と、上記流体袋を 内包する袋状の外装部材とを備え、上腕に巻き付けられて使用される帯状のもので あって、血圧計用カフを上腕に装着した状態において上腕を取り囲むように巻き付け られる巻き付け部と、血圧計用カフを上腕に装着した状態において上記巻き付け部 力も上腕の軸方向に向けて突出して設けられた仮保持用の突出部とを含んでいる。 [0010] A cuff for a blood pressure monitor according to the present invention is a belt-shaped member that includes a fluid bag for compressing the upper arm and a bag-shaped exterior member that encloses the fluid bag, and is wound around the upper arm. The wrapping part is wound around the upper arm when the sphygmomanometer cuff is attached to the upper arm, and the wrapping part force is also provided so as to protrude in the axial direction of the upper arm when the sphygmomanometer cuff is attached to the upper arm. And a temporary holding protrusion.
[0011] このように構成することにより、カフの装着に際してカフが装着される腕側の所定の 部位で仮保持用の突出部を仮保持することが可能になるため、血圧計用カフが回転 することが防止され、装着作業の容易化が図られるようになる。  With this configuration, the sphygmomanometer cuff rotates because the temporary holding projection can be temporarily held at a predetermined part on the arm side where the cuff is to be worn when the cuff is worn. This is prevented and the mounting operation is facilitated.
[0012] 上記本発明に基づく血圧計用カフにあっては、上記突出部が弾性変形可能に構 成された突出舌片カもなることが好ましい。  In the sphygmomanometer cuff according to the present invention, it is preferable that the protruding tongue piece cuff is configured such that the protruding portion is elastically deformable.
[0013] このように突出部を弾性変形可能な突出舌片にて構成することにより、仮保持用の 突出部の保持が容易化し、装着の際の血圧計用カフの回転がより確実に防止できる ようになる。  [0013] By forming the protruding portion with a protruding tongue piece that can be elastically deformed in this way, the holding portion for temporary holding can be easily held, and the rotation of the sphygmomanometer cuff during mounting can be more reliably prevented. become able to.
[0014] 上記本発明に基づく血圧計用カフにあっては、上記外装部材が、上記巻き付け部 に対応する部分と上記突出舌片に対応する部分との境界部において区切られた 2つ の空間を内部に有していることが好ましい。その場合に、上記 2つの空間のうち、上 記巻き付け部に対応する部分に設けられた空間に上記流体袋が収容されていること が好ましぐまた、上記突出舌片に対応する部分に設けられた空間に可撓性の弾性 板が収容されて 、ることが好ま 、。 [0014] In the cuff for a blood pressure monitor according to the present invention, the exterior member is divided into two parts separated at a boundary portion between a portion corresponding to the winding portion and a portion corresponding to the protruding tongue piece. It is preferable to have this space inside. In that case, it is preferable that the fluid bag is accommodated in a space provided in a portion corresponding to the winding portion, and provided in a portion corresponding to the protruding tongue piece. It is preferable that a flexible elastic plate is accommodated in the formed space.
[0015] このように構成することにより、突出舌片を容易に可撓性の弾性板にて弾性変形可 能に構成することができる。  With this configuration, the protruding tongue piece can be easily elastically deformed with a flexible elastic plate.
[0016] 上記本発明に基づく血圧計用カフにあっては、上記外装部材に内包されるとともに 上記流体袋の外側に配置され、血圧計用カフを上腕に装着した状態において上腕 に対して上記流体袋を付勢する湾曲弾性板をさらに備えていることが好ましい。その 場合には、上記突出舌片が上記湾曲弾性板力 連続して延びる部分を少なくとも一 部に含んで!/、ることが好まし!/、。  [0016] The sphygmomanometer cuff according to the present invention is enclosed in the exterior member and disposed outside the fluid bag, and the sphygmomanometer cuff is mounted on the upper arm with the sphygmomanometer cuff attached to the upper arm. It is preferable that a curved elastic plate for urging the fluid bag is further provided. In this case, it is preferable that the protruding tongue piece includes at least a portion where the curved elastic plate force extends continuously! /.
[0017] このように構成することにより、突出舌片を湾曲弾性板の一部にて容易に弾性変形 可能に構成することができる。また、流体袋を上腕に付勢するための湾曲弾性板に て突出舌片の一部を構成することにより、別途弾性板を必要とせず、部品点数を削 減することができる。  With this configuration, the protruding tongue piece can be easily elastically deformed by a part of the curved elastic plate. Further, by forming a part of the protruding tongue piece with the curved elastic plate for urging the fluid bag to the upper arm, it is possible to reduce the number of parts without requiring an additional elastic plate.
[0018] 上記本発明に基づく血圧計用カフにあっては、血圧計用カフを上腕に装着した状 態において、上記突出部がカフが装着された腕の肘側に向力つて突出していること が好ましぐその場合に、上記突出部が、カフを装着するに際してカフが装着される 腕の肘の内側において前腕および上腕によって保持可能に構成されていることが好 ましい。  [0018] In the sphygmomanometer cuff according to the present invention, in the state where the sphygmomanometer cuff is attached to the upper arm, the protruding portion protrudes toward the elbow side of the arm on which the cuff is attached. In this case, it is preferable that the protrusion is configured to be held by the forearm and the upper arm inside the elbow of the arm to which the cuff is attached when the cuff is attached.
[0019] このように構成することにより、カフが装着される腕の肘の内側において前腕および 上腕によって突出部が保持可能になるため、装着の際の血圧計用カフの回転が確 実に防止できるようになる。  [0019] With this configuration, the protrusion can be held by the forearm and the upper arm inside the elbow of the arm to which the cuff is attached, so that the rotation of the sphygmomanometer cuff can be reliably prevented during the attachment. It becomes like this.
[0020] 上記本発明に基づく血圧計用カフにあっては、血圧計用カフを上腕に装着した状 態において、上記突出部がカフが装着された腕側の肩側に向力つて突出しているこ とが好ましぐその場合に、上記突出部が、カフを装着するに際してカフが装着される 腕側の腋の下において上腕および体幹によって保持可能に構成されていることが好 ましい。 [0021] このように構成することにより、カフが装着される腕側の腋の下において上腕および 体幹によって突出部が保持可能になるため、装着の際の血圧計用カフの回転が確 実に防止できるようになる。 [0020] In the sphygmomanometer cuff according to the present invention, in a state in which the sphygmomanometer cuff is attached to the upper arm, the protruding portion protrudes toward the shoulder side of the arm side to which the cuff is attached. In this case, it is preferable that the protruding portion is configured to be held by the upper arm and the trunk under the arm-side arm to which the cuff is attached when the cuff is attached. [0021] With this configuration, the protrusion can be held by the upper arm and the trunk under the arm on the arm side to which the cuff is to be worn, so that the rotation of the sphygmomanometer cuff can be reliably prevented during wearing. It becomes like this.
[0022] 上記本発明に基づく血圧計用カフにあっては、血圧計用カフを上腕に装着した状 態において、上記突出部がカフが装着された腕の肘側に向力つて突出していること が好ましぐその場合に、上記突出部が、カフを装着するに際してカフが装着される 腕の肘の外側を覆うように構成されて 、ることが好ま 、。  [0022] In the sphygmomanometer cuff according to the present invention, in the state where the sphygmomanometer cuff is attached to the upper arm, the protruding portion protrudes toward the elbow side of the arm on which the cuff is attached. In this case, it is preferable that the protrusion is configured to cover the outer side of the elbow of the arm to which the cuff is attached when the cuff is attached.
[0023] このように構成することにより、カフが装着される腕の肘を机等の台につくことにより 、突出部を台に対して押し付け保持することが可能になるため、装着の際の血圧計 用カフの回転が確実に防止できるようになる。  [0023] With this configuration, by attaching the elbow of the arm to which the cuff is to be attached to a table such as a desk, it becomes possible to press and hold the protruding portion against the table. Rotation of the sphygmomanometer cuff can be reliably prevented.
[0024] 上記本発明に基づく血圧計用カフにあっては、上腕に装着する際の位置決め用の 目印をさらに備えていることが好ましい。  [0024] It is preferable that the sphygmomanometer cuff according to the present invention further includes a mark for positioning when worn on the upper arm.
[0025] このように構成することにより、カフの仮保持の際に目印を用いてカフを上腕に対し て容易に位置決めすることが可能になる。また、位置決め後におけるカフの巻き付け 固定の際にカフが上腕上において回転することもないため、正しい装着位置が維持 されることになる。したがって、装着の際の位置決めの容易化が図られるとともに高精 度の血圧値測定が可能になる。  With this configuration, it is possible to easily position the cuff with respect to the upper arm using a mark when temporarily holding the cuff. In addition, the cuff does not rotate on the upper arm when the cuff is wound and fixed after positioning, so that the correct mounting position is maintained. Therefore, positioning at the time of wearing is facilitated and blood pressure values can be measured with high accuracy.
発明の効果  The invention's effect
[0026] 本発明によれば、上腕に対する装着作業が容易化した血圧計用カフとすることが できる。また、外装部材に内包された空気袋が上腕に対して確実に位置決めされ得 る血圧計用カフとすることもできる。  [0026] According to the present invention, a cuff for a sphygmomanometer can be provided in which the wearing operation on the upper arm is facilitated. In addition, the sphygmomanometer cuff can be configured such that the air bag contained in the exterior member can be reliably positioned with respect to the upper arm.
図面の簡単な説明  Brief Description of Drawings
[0027] [図 1]本発明の実施の形態 1における血圧計の外観を示す斜視図である。 FIG. 1 is a perspective view showing an external appearance of a sphygmomanometer according to Embodiment 1 of the present invention.
[図 2]本発明の実施の形態 1における血圧計の構成を示す機能ブロック図である。  FIG. 2 is a functional block diagram showing a configuration of a sphygmomanometer according to the first embodiment of the present invention.
[図 3]本発明の実施の形態 1における血圧計の血圧測定処理の流れを示すフローチ ヤートである。  FIG. 3 is a flowchart showing the flow of blood pressure measurement processing of the sphygmomanometer in Embodiment 1 of the present invention.
[図 4]本発明の実施の形態 1における血圧計用カフを展開させた状態を示す図であ る。 [図 5]本発明の実施の形態 1における血圧計用カフの図 4中に示す V—V線に沿った 断面図である。 FIG. 4 is a diagram showing a state in which the sphygmomanometer cuff according to Embodiment 1 of the present invention is deployed. FIG. 5 is a cross-sectional view taken along line VV shown in FIG. 4 of the sphygmomanometer cuff according to the first embodiment of the present invention.
圆 6]本発明の実施の形態 1における血圧計用カフを左腕の上腕に対して位置決め する際の概念図である。 6] FIG. 6 is a conceptual diagram when positioning the sphygmomanometer cuff in the first embodiment of the present invention with respect to the upper arm of the left arm.
[図 7]本発明の実施の形態 1における血圧計用カフにおいて、位置決め後に血圧計 用カフを左腕の上腕に巻き付け固定する際の巻き付け動作を説明するための斜視 図である。  FIG. 7 is a perspective view for explaining a winding operation when the sphygmomanometer cuff is wound around and fixed to the upper arm of the left arm after positioning in the sphygmomanometer cuff according to the first embodiment of the present invention.
[図 8]本発明の実施の形態 1における血圧計用カフにおいて、位置決め後に血圧計 用カフを左腕の上腕に巻き付け固定する際の巻き付け動作を説明するための断面 図である。  FIG. 8 is a cross-sectional view for explaining a winding operation when the sphygmomanometer cuff is wrapped around the upper arm of the left arm after positioning in the sphygmomanometer cuff according to the first embodiment of the present invention.
圆 9]本発明の実施の形態 2における血圧計用カフの外観を示す斜視図である。 圆 9] A perspective view showing an appearance of a sphygmomanometer cuff according to the second embodiment of the present invention.
[図 10]本発明の実施の形態 2における血圧計用カフの幅方向の断面図である。 FIG. 10 is a cross-sectional view in the width direction of a sphygmomanometer cuff according to Embodiment 2 of the present invention.
[図 11]本発明の実施の形態 2における血圧計用カフにおいて、位置決め後に血圧計 用カフを左腕の上腕に巻き付け固定する際の巻き付け動作を説明するための斜視 図である。 FIG. 11 is a perspective view for explaining a winding operation when the sphygmomanometer cuff is wound around and fixed to the upper arm of the left arm after positioning in the sphygmomanometer cuff according to the second embodiment of the present invention.
[図 12]本発明の実施の形態 2における血圧計用カフにおいて、位置決め後に血圧計 用カフを左腕の上腕に巻き付け固定する際の巻き付け動作を説明するための断面 図である。  FIG. 12 is a cross-sectional view for explaining a winding operation when the sphygmomanometer cuff is wound around and fixed to the upper arm of the left arm after positioning in the sphygmomanometer cuff according to the second embodiment of the present invention.
圆 13]本発明の実施の形態 3における血圧計用カフを展開させた状態を示す図であ る。 FIG. 13] A diagram showing a state in which the sphygmomanometer cuff according to the third embodiment of the present invention is deployed.
[図 14]本発明の実施の形態 3における血圧計用カフにおいて、位置決め後に血圧計 用カフを左腕の上腕に巻き付け固定する際の巻き付け動作を説明するための斜視 図である。  FIG. 14 is a perspective view for explaining a winding operation when the sphygmomanometer cuff is wound around and fixed to the upper arm of the left arm after positioning in the sphygmomanometer cuff according to Embodiment 3 of the present invention.
圆 15]本発明の実施の形態 4における血圧計用カフの外観を示す斜視図である。 圆 15] A perspective view showing an appearance of a sphygmomanometer cuff according to the fourth embodiment of the present invention.
[図 16]本発明の実施の形態 4における血圧計用カフにおいて、位置決め後に血圧計 用カフを左腕の上腕に巻き付け固定する際の巻き付け動作を説明するための斜視 図である。 FIG. 16 is a perspective view for explaining a winding operation when the sphygmomanometer cuff is wound around and fixed to the upper arm of the left arm after positioning in the sphygmomanometer cuff according to the fourth embodiment of the present invention.
圆 17]本発明の実施の形態 5における血圧計用カフの外観を示す斜視図である。 [図 18]本発明の実施の形態 5における血圧計用カフにおいて、位置決め後に血圧計 用カフを左腕の上腕に巻き付け固定する際の巻き付け動作を説明するための斜視 図である。 圆 17] A perspective view showing an appearance of a sphygmomanometer cuff according to the fifth embodiment of the present invention. FIG. 18 is a perspective view for explaining a winding operation when the sphygmomanometer cuff is wound around and fixed to the upper arm of the left arm after positioning in the sphygmomanometer cuff according to the fifth embodiment of the present invention.
[図 19]本発明の実施の形態 5における血圧計用カフにおいて、位置決め後に血圧計 用カフを左腕の上腕に巻き付け固定する際の巻き付け動作を説明するための断面 図である。  FIG. 19 is a cross-sectional view for explaining a winding operation when the sphygmomanometer cuff is wrapped around the upper arm of the left arm after positioning in the sphygmomanometer cuff according to the fifth embodiment of the present invention.
符号の説明  Explanation of symbols
[0028] 100 血圧計、 110 装置本体、 114 表示部、 115 操作部、 122 CPU, 123 メモリ部、 124 電源部、 125 発振回路、 126 ポンプ駆動回路、 127 弁駆動回路 、 131 血圧測定用エア系コンポーネント、 132 圧力センサ、 133 膨縮機構、 134 ポンプ、 135 弁、 140 エア管、 150A〜150E 血圧計用カフ、 151 空気袋、 1 52, 153 シート部材、 154 膨縮空間、 158 中心線、 160 袋状カバー体、 161 巻き付け部、 162 内側カバー部材、 163 外側カバー部材、 164 面ファスナ、 165 突出舌片、 166a〜166c 結合部、 167 目印、 168 リング、 171 弾性板、 172 カーラ、 173 立設部、 174 アーム部、 175 グリップ部、 200 左腕、 210 上腕、 2 11 上腕骨、 212 上腕大動脈、 215 肘、 220 前腕、 230 左手、 231 中指、 24 0 体幹、 300 台。  [0028] 100 sphygmomanometer, 110 device main body, 114 display unit, 115 operation unit, 122 CPU, 123 memory unit, 124 power supply unit, 125 oscillation circuit, 126 pump drive circuit, 127 valve drive circuit, 131 air system for blood pressure measurement Component, 132 Pressure sensor, 133 Expansion / contraction mechanism, 134 Pump, 135 Valve, 140 Air tube, 150A ~ 150E Sphygmomanometer cuff, 151 Air bag, 1 52, 153 Seat member, 154 Expansion / contraction space, 158 Center line, 160 Bag-shaped cover body, 161 winding part, 162 inner cover member, 163 outer cover member, 164 face fastener, 165 protruding tongue piece, 166a-166c coupling part, 167 mark, 168 ring, 171 elastic plate, 172 curler, 173 standing 174 arm, 175 grip, 200 left arm, 210 upper arm, 211 humerus, 212 brachial aorta, 215 elbow, 220 forearm, 230 left hand, 231 middle finger, 240 trunk, 300 units.
発明を実施するための最良の形態  BEST MODE FOR CARRYING OUT THE INVENTION
[0029] 以下、本発明の実施の形態について、図を参照して詳細に説明する。なお、以下 に示す実施の形態においては、左腕の上腕が被測定部位として採用されることが企 図されたオシロメトリック式の上腕式血圧計に具備された血圧計用カフに本発明を適 用した場合を例示して説明を行なう。 Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. In the embodiment shown below, the present invention is applied to a sphygmomanometer cuff provided in an oscillometric upper arm sphygmomanometer that is intended to employ the upper arm of the left arm as a measurement site. An example will be described.
[0030] (実施の形態 1) [0030] (Embodiment 1)
図 1は、本発明の実施の形態 1における血圧計の外観を示す斜視図である。まず、 この図を参照して、本実施の形態における血圧計の外観構造について説明する。  FIG. 1 is a perspective view showing an external appearance of a sphygmomanometer according to Embodiment 1 of the present invention. First, the external structure of the sphygmomanometer in the present embodiment will be described with reference to this figure.
[0031] 図 1に示すように、本実施の形態における血圧計 100は、装置本体 110とカフ 150As shown in FIG. 1, a sphygmomanometer 100 according to the present embodiment includes an apparatus main body 110 and a cuff 150.
Aとを主に備えている。装置本体 110は、表示部 114および操作部 115を有しているMainly with A. The apparatus main body 110 includes a display unit 114 and an operation unit 115.
。表示部 114は、血圧値の測定結果や脈拍数の測定結果等を数値やグラフなどを 用いて視認可能に表示する。この表示部 114としては、たとえば液晶パネル等が利 用される。操作部 115には、たとえば電源ボタンや測定開始ボタン等が配設されてい る。 . The display unit 114 displays the measurement results of blood pressure and pulse rate as numerical values and graphs. Use it for visual recognition. As the display unit 114, for example, a liquid crystal panel or the like is used. The operation unit 115 is provided with, for example, a power button and a measurement start button.
[0032] カフ 150Aは、被験者の左腕の上腕に巻き付けられることが企図されたものであり、 帯状の外形を有している。カフ 150Aは、上腕を圧迫するための流体袋としての空気 袋 151 (図 2、図 4、図 5および図 8等参照)と、この空気袋 151を上腕に巻き付けて固 定するための外装部材としての袋状カバー体 160とを有している。空気袋 151は、袋 状カバー体 160の内部に設けられた空間に収容されている。なお、カフ 150Aの詳 細な構造にっ 、ては後述する。  [0032] The cuff 150A is intended to be wound around the upper arm of the subject's left arm, and has a belt-like outer shape. The cuff 150A includes an air bag 151 (see FIG. 2, FIG. 4, FIG. 5, FIG. 8, etc.) as a fluid bag for compressing the upper arm, and an exterior member for winding the air bag 151 around the upper arm and fixing it. As a bag-like cover body 160. The air bag 151 is accommodated in a space provided inside the bag-like cover body 160. The detailed structure of the cuff 150A will be described later.
[0033] カフ 150Aと装置本体 110とは、接続管としてのエア管 140によって接続されている 。エア管 140は可撓性のチューブ力もなり、一端が後述する装置本体 110に設けら れた血圧測定用エア系コンポーネント 131 (図 2参照)に接続され、他端が前述した カフ 150Aの空気袋 151に接続されて!、る。  [0033] The cuff 150A and the apparatus main body 110 are connected by an air pipe 140 as a connection pipe. The air tube 140 also has a flexible tube force, and one end is connected to a blood pressure measurement air system component 131 (see FIG. 2) provided in the apparatus main body 110 described later, and the other end is the air bag of the cuff 150A described above. Connected to 151!
[0034] 図 2は、本実施の形態における血圧計の構成を示す機能ブロック図である。次に、 この図を参照して、本実施の形態における血圧計の主要な機能ブロックの構成につ いて説明する。  FIG. 2 is a functional block diagram showing the configuration of the sphygmomanometer according to the present embodiment. Next, the configuration of the main functional blocks of the sphygmomanometer in the present embodiment will be described with reference to this figure.
[0035] 図 2に示すように、血圧計 100の装置本体 110の内部には、カフ 150Aに内包され た空気袋 151にエア管 140を介して空気を供給または排出するための血圧測定用 エア系コンポーネント 131が設けられて 、る。血圧測定用エア系コンポーネント 131 には、空気袋 151内の圧力を検出する圧力検出部である圧力センサ 132と、空気袋 151を膨縮させるための膨縮機構 133であるポンプ 134および弁 135が含まれる。ま た、装置本体 110の内部には、血圧測定用エア系コンポーネント 131に関連して発 振回路 125、ポンプ駆動回路 126および弁駆動回路 127が設けられる。  [0035] As shown in FIG. 2, blood pressure measurement air for supplying or discharging air to / from an air bag 151 contained in a cuff 150A via an air tube 140 is provided inside the apparatus main body 110 of the sphygmomanometer 100. A system component 131 is provided. The air system component 131 for blood pressure measurement includes a pressure sensor 132 that is a pressure detection unit that detects the pressure in the air bag 151, and a pump 134 and a valve 135 that are an expansion / contraction mechanism 133 for expanding and contracting the air bag 151. included. In addition, an oscillation circuit 125, a pump drive circuit 126, and a valve drive circuit 127 are provided in the apparatus main body 110 in association with the blood system component 131 for blood pressure measurement.
[0036] さらに、装置本体 110には、各部^^中的に制御および監視するための CPU (Cen tral Processing Unit) 122と、 CPU122に所定の動作をさせるプログラムや測定され た血圧値などの各種情報を記憶するためのメモリ部 123と、血圧測定結果を含む各 種情報を表示するための表示部 114と、測定のための各種指示を入力するために操 作される操作部 115と、 CPU122および各機能ブロックに電力を供給するための電 源部 124とが設置される。 CPU122は、血圧値を算出するための血圧値算出部とし ても機能する。 [0036] Further, the apparatus main body 110 includes a CPU (Central Processing Unit) 122 for controlling and monitoring each part, various programs such as a program for causing the CPU 122 to perform a predetermined operation, and a measured blood pressure value. A memory unit 123 for storing information, a display unit 114 for displaying various types of information including blood pressure measurement results, an operation unit 115 operated to input various instructions for measurement, and a CPU 122 And power to supply power to each functional block A source 124 is installed. The CPU 122 also functions as a blood pressure value calculation unit for calculating the blood pressure value.
[0037] 圧力センサ 132は、空気袋 151内の圧力(以下、「カフ圧」という)を検出し、検出し た圧力に応じた信号を発振回路 125に出力する。ポンプ 134は、空気袋 151に空気 を供給する。弁 135は、空気袋 151内の圧力を維持したり、空気袋 151内の空気を 排出したりする際に開閉する。発振回路 125は、圧力センサ 132の出力値に応じた 発振周波数の信号を CPU122に出力する。ポンプ駆動回路 126は、ポンプ 134の 駆動を CPU122から与えられる制御信号に基づいて制御する。弁駆動回路 127は、 弁 135の開閉制御を CPU122から与えられる制御信号に基づいて行なう。  The pressure sensor 132 detects the pressure in the air bladder 151 (hereinafter referred to as “cuff pressure”), and outputs a signal corresponding to the detected pressure to the oscillation circuit 125. The pump 134 supplies air to the air bag 151. The valve 135 opens and closes when maintaining the pressure in the air bag 151 or discharging the air in the air bag 151. The oscillation circuit 125 outputs a signal having an oscillation frequency corresponding to the output value of the pressure sensor 132 to the CPU 122. The pump drive circuit 126 controls the drive of the pump 134 based on a control signal given from the CPU 122. The valve drive circuit 127 performs opening / closing control of the valve 135 based on a control signal given from the CPU 122.
[0038] 図 3は、本実施の形態における血圧計の血圧測定処理の流れを示すフローチヤ一 トである。次に、この図を参照して、本実施の形態における血圧計における血圧測定 処理の流れについて説明する。このフローチャートに従うプログラムは、図 2において 示したメモリ部 123に予め記憶されており、 CPU122がメモリ部 123からこのプロダラ ムを読出して実行することにより、血圧測定処理が実施される。  FIG. 3 is a flowchart showing the flow of blood pressure measurement processing of the sphygmomanometer according to the present embodiment. Next, the flow of blood pressure measurement processing in the sphygmomanometer in the present embodiment will be described with reference to this figure. The program according to this flowchart is stored in advance in the memory unit 123 shown in FIG. 2, and the blood pressure measurement process is performed by the CPU 122 reading out this program from the memory unit 123 and executing it.
[0039] 図 3に示すように、被験者が血圧計 100の操作部 115の操作ボタンを操作して電源 をオンにすると血圧計 100の初期化がなされる (ステップ Sl)。次に、測定可能状態 になると、 CPU122はポンプ 134の駆動を開始し、空気袋 151のカフ圧を徐々に上 昇させる (ステップ S2)。カフ圧を徐々に加圧する過程において、カフ圧が血圧測定 のために必要な所定のレベルにまで達すると、 CPU122はポンプ 134を停止し、次 いで閉じていた弁 135を徐々に開いて空気袋 151の空気を徐々に排気し、カフ圧を 徐々に減圧させ (ステップ S3)、このカフ圧の微速減圧過程においてカフ圧の検出が 行なわれる。  [0039] As shown in FIG. 3, when the subject turns on the power by operating the operation button of the operation unit 115 of the sphygmomanometer 100, the sphygmomanometer 100 is initialized (step Sl). Next, when measurement is possible, the CPU 122 starts driving the pump 134 and gradually increases the cuff pressure of the air bladder 151 (step S2). In the process of gradually increasing the cuff pressure, when the cuff pressure reaches a predetermined level necessary for blood pressure measurement, the CPU 122 stops the pump 134 and then gradually opens the valve 135 that has been closed to open the air bag. The air of 151 is gradually exhausted, and the cuff pressure is gradually reduced (step S3), and the cuff pressure is detected during the slow depressurization process of the cuff pressure.
[0040] 次に、 CPU122は公知の手順で血圧値 (最高血圧値、最低血圧値)を算出する (ス テツプ S4)。具体的には、カフ圧が徐々に減圧する過程において、 CPU122は発振 回路 125から得られる発振周波数に基づき脈波情報を抽出する。そして、抽出され た脈波情報により血圧値を算出する。ステップ S4において血圧値が算出されると、算 出された血圧値を表示部 114に表示する (ステップ S5)。なお、以上において説明し た測定方式は、空気袋の減圧時に脈波を検出して血圧値を算出するいわゆる減圧 測定方式に基づいたものであるが、空気袋の加圧時に脈波を検出して血圧値を算 出するいわゆる加圧測定方式を採用することも当然に可能である。 Next, the CPU 122 calculates blood pressure values (maximum blood pressure value, minimum blood pressure value) by a known procedure (step S4). Specifically, in the process of gradually reducing the cuff pressure, the CPU 122 extracts pulse wave information based on the oscillation frequency obtained from the oscillation circuit 125. Then, a blood pressure value is calculated from the extracted pulse wave information. When the blood pressure value is calculated in step S4, the calculated blood pressure value is displayed on the display unit 114 (step S5). The measurement method described above is a so-called decompression method that detects a pulse wave and calculates a blood pressure value when the air bag is decompressed. Although based on the measurement method, it is naturally possible to adopt a so-called pressurization measurement method in which a pulse wave is detected and the blood pressure value is calculated when the air bag is pressurized.
[0041] 図 4は、本実施の形態における血圧計用カフを展開させた状態を示す図であり、図 5は、図 4中に示す V— V線に沿った血圧計用カフの断面図である。以下においては 、これらの図を参照して、本実施の形態における血圧計用カフの構造について詳細 に説明する。  FIG. 4 is a view showing a state in which the sphygmomanometer cuff according to the present embodiment is unfolded, and FIG. 5 is a cross-sectional view of the sphygmomanometer cuff along the line V—V shown in FIG. It is. Hereinafter, the structure of the sphygmomanometer cuff according to the present embodiment will be described in detail with reference to these drawings.
[0042] 図 4および図 5に示すように、本実施の形態における血圧計用カフ 150Aは、エア 管 140に接続された空気袋 151と、この空気袋 151を内包する外装部材としての袋 状カバー体 160とを有している。図 4に示すように、カフ 150Aを展開した状態におい ては、空気袋 151は略矩形状の外形を有しており、袋状カバー体 160は空気袋 151 を内包する略矩形状の帯状の外形を有して 、る。  As shown in FIG. 4 and FIG. 5, the sphygmomanometer cuff 150A in the present embodiment includes an air bag 151 connected to an air tube 140, and a bag shape as an exterior member that encloses the air bag 151. And a cover body 160. As shown in FIG. 4, when the cuff 150A is deployed, the air bag 151 has a substantially rectangular outer shape, and the bag-like cover body 160 has a substantially rectangular belt-like shape that encloses the air bag 151. It has an outer shape.
[0043] カフ 150Aは、上腕に巻き付けられた状態において上腕を取り巻いて覆うこととなる 巻き付け部 161と、この巻き付け部 161から突出して設けられた突出部としての突出 舌片 165とを備えている。巻き付け部 161は、カフ 150Aのうちの空気袋 151が収容 される帯状の部分であり、カフ 150Aを装着した状態にお 、て上腕への巻き付けに寄 与する部分である。突出舌片 165は、カフ 150Aが上腕に巻き付けられた状態にお いて、上腕の軸方向(すなわち、上腕の延びる方向でありカフの幅方向)のうち、カフ 150Aが左腕に装着された状態にお 、て、左腕の肘側に向力つて巻き付け部 161か ら突出するように設けられている。突出舌片 165は、カフ 150Aを上腕に装着する際 に、当該カフ 150Aが装着される左腕の肘の内側において前腕および上腕によって 仮保持されるための部位である。  [0043] The cuff 150A includes a winding portion 161 that surrounds and covers the upper arm in a state of being wound around the upper arm, and a protruding tongue piece 165 as a protruding portion provided to protrude from the winding portion 161. . The winding portion 161 is a band-like portion in the cuff 150A in which the air bag 151 is accommodated, and is a portion that contributes to winding around the upper arm when the cuff 150A is attached. When the cuff 150A is wound around the upper arm, the protruding tongue piece 165 is in a state where the cuff 150A is attached to the left arm in the axial direction of the upper arm (that is, the direction in which the upper arm extends and the width direction of the cuff). The left arm is provided so as to protrude from the wrapping portion 161 with a force toward the elbow side of the left arm. When the cuff 150A is attached to the upper arm, the protruding tongue piece 165 is a part that is temporarily held by the forearm and upper arm inside the elbow of the left arm to which the cuff 150A is attached.
[0044] 図 5に示すように、空気袋 151は、好適には榭脂シートを用いて形成された袋状の 部材力 なる。空気袋 151は、カフ 150Aを上腕に巻き付けた状態において上腕で ある生体側に位置することとなるシート部材 152と、カフ 150Aを上腕に巻き付けた状 態においてシート部材 152の外側に位置することとなるシート部材 153とを重ね合わ せ、その周縁を溶着することにより袋状に形成されており、内部に膨縮空間 154を有 している。膨縮空間 154は、上述のエア管 140に接続されている。  [0044] As shown in FIG. 5, the air bag 151 preferably has a bag-like member force formed using a resin sheet. The air bag 151 is positioned on the living body side that is the upper arm when the cuff 150A is wound around the upper arm, and is positioned outside the sheet member 152 when the cuff 150A is wound around the upper arm. The sheet member 153 is overlapped and welded at the periphery thereof to form a bag, and has an expansion / contraction space 154 inside. The expansion / contraction space 154 is connected to the air pipe 140 described above.
[0045] 空気袋 151を構成する榭脂シートの材質としては、伸縮性に富んでおり溶着後に おいて膨縮空間 154からの漏気がないものであればどのようなものでも利用可能で ある。このような観点から、榭脂シートの好適な材質としては、エチレン—酢酸ビニー ル共重合体 (EVA)、軟質塩ィ匕ビュル (PVC)、ポリウレタン (PU)、ポリアミド(PA)、 生ゴム等が挙げられる。 [0045] As the material of the resin sheet constituting the air bag 151, it is rich in stretchability and after welding. Any device that does not leak from the expansion / contraction space 154 can be used. From this point of view, suitable materials for the resin sheet include ethylene-vinyl acetate copolymer (EVA), soft salt cellulose (PVC), polyurethane (PU), polyamide (PA), and raw rubber. Can be mentioned.
[0046] 図 5に示すように、袋状カバー体 160は、上腕への装着状態において上腕である 生体側に位置することとなる内側カバー部材 162と、上腕への装着状態において空 気袋 151を挟んで上腕側とは反対側に位置することとなる外側カバー部材 163とに よって構成されており、これら内側カバー部材 162と外側カバー部材 163とを重ね合 わせてその周縁を結合することによって袋状に形成されている。  As shown in FIG. 5, the bag-shaped cover body 160 includes an inner cover member 162 that is positioned on the living body side, which is the upper arm when attached to the upper arm, and an air bag 151 when attached to the upper arm. The outer cover member 163 is positioned on the opposite side of the upper arm with the outer periphery interposed therebetween, and the inner cover member 162 and the outer cover member 163 are overlapped to join the peripheral edge thereof. It is formed in a bag shape.
[0047] 袋状カバー体 160は、好適にはポリアミド (PA)、ポリエステル等の合成繊維力もな る布地によって形成され、内側カバー部材 162と外側カバー部材 163との結合には 、溶着や縫合等が利用される。なお、袋状カバー体 160の内側カバー部材 162は、 好適には伸縮性に優れた部材にて構成され、袋状カバー体 160の外側カバー部材 163は、好適には内側カバー部材 162よりも伸縮性に乏しい部材にて構成される。  [0047] The bag-like cover body 160 is preferably formed of a fabric having a synthetic fiber force such as polyamide (PA), polyester, and the like. For the connection between the inner cover member 162 and the outer cover member 163, welding, sewing, etc. Is used. The inner cover member 162 of the bag-like cover body 160 is preferably made of a member having excellent stretchability, and the outer cover member 163 of the bag-like cover body 160 is preferably more flexible than the inner cover member 162. Consists of poor-quality members.
[0048] 図 4に示すように、袋状カバー体 160の長手方向の一方の端部には、リング 168が 取り付けられている。リング 168は、血圧計用カフ 150Aの上腕への巻き付け固定の 際に補助具として機能するものであり、袋状カバー体 160の他方の端部がこのリング 168に挿入されて折り返されることにより、血圧計用カフ 150Aの上腕への巻き付け が行なわれる。  As shown in FIG. 4, a ring 168 is attached to one end of the bag-like cover body 160 in the longitudinal direction. The ring 168 functions as an auxiliary tool when the sphygmomanometer cuff 150A is wrapped around the upper arm, and the other end of the bag-like cover body 160 is inserted into the ring 168 and folded back. Wrapping around the upper arm of the sphygmomanometer cuff 150A.
[0049] また、袋状カバー体 160のリング 168が取り付けられた端部とは反対側に位置する 端部近傍の外周面には、面ファスナ 164が設けられている。面ファスナ 164は、カフ 1 50 Aを上腕に装着した状態において、袋状カバー体 160の外周面の所定の位置に 係止される。すなわち、面ファスナ 164は、カフ 150Aを上腕に巻き付け固定するた めの係止部材に相当する。  In addition, a hook-and-loop fastener 164 is provided on the outer peripheral surface in the vicinity of the end located on the opposite side to the end to which the ring 168 of the bag-like cover body 160 is attached. The surface fastener 164 is locked at a predetermined position on the outer peripheral surface of the bag-like cover body 160 in a state where the cuff 150 A is attached to the upper arm. That is, the hook and loop fastener 164 corresponds to a locking member for winding and fixing the cuff 150A around the upper arm.
[0050] さらに、袋状カバー体 160の長手方向の所定位置には、袋状カバー体 160の幅方 向と対応する方向に延びる目印 167が設けられている。この目印 167は、カフ 150A を上腕に装着する際の位置決めに利用されるものであり、袋状カバー体 160に内包 される空気袋 151の長手方向の中央部分を幅方向に横切る中心線 158に対して所 定方向に所定のオフセット量 Yだけ離して離間配置されて 、る。 Further, a mark 167 extending in a direction corresponding to the width direction of the bag-like cover body 160 is provided at a predetermined position in the longitudinal direction of the bag-like cover body 160. This mark 167 is used for positioning when the cuff 150A is attached to the upper arm, and is arranged on a center line 158 that crosses the central portion in the longitudinal direction of the air bag 151 included in the bag-like cover body 160 in the width direction. On the other hand They are spaced apart by a predetermined offset amount Y in a fixed direction.
[0051] 図 4に示すように、袋状カバー体 160の周縁には、内側カバー部材 162と外側カバ 一部材 163とを結合することによって形成された結合部 166aが全周囲にわたって位 置している。ここで、結合部 166aは、その一部が突出舌片 165の外縁に沿って設け られている。また、袋状カバー体 160の巻き付け部 161と突出舌片 165との境界部に は、内側カバー部材 162と外側カバー部材 163とを結合することによって形成された 結合部 166cが位置している。さらに、袋状カバー体 160の巻き付け部 161の長手方 向の所定位置には、袋状カバー体 160の幅方向(すなわち、長手方向と直交する方 向)に延びる結合部 166bが設けられている。 As shown in FIG. 4, on the periphery of the bag-shaped cover body 160, a coupling portion 166a formed by coupling the inner cover member 162 and the outer cover one member 163 is located over the entire circumference. Yes. Here, a part of the coupling portion 166 a is provided along the outer edge of the protruding tongue piece 165. Further, a coupling portion 166 c formed by coupling the inner cover member 162 and the outer cover member 163 is located at a boundary portion between the winding portion 161 and the protruding tongue piece 165 of the bag-like cover body 160. Further, at a predetermined position in the longitudinal direction of the winding portion 161 of the bag-shaped cover body 160, a coupling portion 166b extending in the width direction of the bag-shaped cover body 160 (that is, the direction orthogonal to the longitudinal direction) is provided. .
[0052] 図 4および図 5に示すように、上述の結合部 166a〜166cを設けることによって形成 された袋状カバー体 160の内部の 3つの空間のうち、突出舌片 165に対応する部分 に形成された空間には、弾性板 171が収容されている。また、巻き付け部 161に対応 する部分に形成された残る 2つの空間のうち、リング 168が位置する側の空間には、 空気袋 151が収容されて ヽる。 [0052] As shown in FIG. 4 and FIG. 5, among the three spaces inside the bag-like cover body 160 formed by providing the coupling portions 166a to 166c described above, the portion corresponding to the protruding tongue piece 165 An elastic plate 171 is accommodated in the formed space. Of the remaining two spaces formed in the portion corresponding to the winding part 161, the air bag 151 is accommodated in the space on the side where the ring 168 is located.
[0053] 突出舌片 165に対応する部分に形成された空間に収容される弾性板 171の材質と しては、適度な可撓性を有するように好適にはポリプロピレン (PP)等が利用される。 弾性板 171の形状としては、カフ 150Aを上腕に装着するに際して肘側に位置する 上腕の付け根にフィットするように、その主面が所定方向に湾曲した形状とされること が好ましい。 [0053] As the material of the elastic plate 171 accommodated in the space formed in the portion corresponding to the protruding tongue piece 165, polypropylene (PP) or the like is preferably used so as to have appropriate flexibility. The The shape of the elastic plate 171 is preferably such that its main surface is curved in a predetermined direction so as to fit the base of the upper arm located on the elbow side when the cuff 150A is attached to the upper arm.
[0054] 図 6は、本実施の形態における血圧計用カフを左腕の上腕に対して位置決めする 際の概念図であり、図 7および図 8は、位置決め後に血圧計用カフを左腕の上腕に 巻き付け固定する際の巻き付け動作を説明するための図である。なお、図 8は、上腕 の延伸方向にお 、て破断面を末梢側から中枢側に向けて見た場合の図である。以 下においては、これらの図を参照して、本実施の形態における血圧計用カフを上腕 に装着する作業について詳細に説明する。  FIG. 6 is a conceptual diagram when positioning the sphygmomanometer cuff in the present embodiment with respect to the upper arm of the left arm. FIGS. 7 and 8 show the sphygmomanometer cuff on the upper arm of the left arm after positioning. It is a figure for demonstrating the winding operation | movement at the time of winding fixing. FIG. 8 is a view when the fracture surface is viewed from the distal side toward the central side in the extending direction of the upper arm. Hereinafter, with reference to these drawings, the operation of attaching the sphygmomanometer cuff according to the present embodiment to the upper arm will be described in detail.
[0055] 図 6に示すように、上記構成の血圧計用カフ 150Aを左腕 200の上腕 210に装着 するに際しては、肘を曲げることなく左腕 200を伸ばし、左手 230の中指 231の延長 線 X上に目印 167が位置するように、袋状カバー体 160に設けられた目印 167を視 認しつつカフ 150Aの上腕 210に対する装着位置を調整する。そして、図 7に示すよ うに、上記目印 167が中指 231の延長線 X上に位置した状態を保ちつつ、左腕 200 の肘 215を折り曲げて前腕 220と上腕 210とによってカフ 150Aの突出舌片 165を挟 み込んで仮保持する。 [0055] As shown in FIG. 6, when attaching the sphygmomanometer cuff 150A having the above configuration to the upper arm 210 of the left arm 200, the left arm 200 is stretched without bending the elbow, and the middle finger 231 extension line X of the left hand 230 Look at the mark 167 provided on the bag-shaped cover body 160 so that the mark 167 is located on the Adjust the mounting position on the upper arm 210 of the cuff 150A while approving. As shown in FIG. 7, the elbow 215 of the left arm 200 is bent and the forearm 220 and the upper arm 210 are bent to keep the mark 167 positioned on the extension line X of the middle finger 231. And temporarily hold it.
[0056] つづいて、肘 215の内側によって突出舌片 165を仮保持した状態を維持しつつ、 図 8に示すように、リング 168に通されて折り返された袋状カバー体 160の端部を図 中矢印 A方向に向けて引っ張り、袋状カバー体 160が上腕 210に巻き付けられた状 態を維持して、面ファスナ 164を上腕 210に巻き付けられた袋状カバー体 160の外 周面に係止させる。以上により、上腕 210に対するカフ 150Aの巻き付け固定が完了 する。巻き付け固定後においては、折り曲げていた肘 215を伸ばして突出舌片 165 の仮保持を解除してよい。  [0056] Next, while maintaining the state in which the protruding tongue piece 165 is temporarily held by the inside of the elbow 215, as shown in FIG. 8, the end of the bag-like cover body 160 that is passed through the ring 168 and folded back is used. In the figure, pulling in the direction of arrow A, maintaining the state where the bag-shaped cover body 160 is wound around the upper arm 210, and engaging the hook and loop fastener 164 with the outer peripheral surface of the bag-shaped cover body 160 wound around the upper arm 210. Stop. Thus, the wrapping and fixing of the cuff 150A around the upper arm 210 is completed. After winding and fixing, the bent elbow 215 may be extended to release the temporary holding of the protruding tongue piece 165.
[0057] 上述のように、本実施の形態における血圧計用カフ 150Aにあっては、装着に際し て巻き付け部 161から突出するように設けられた突出舌片 165が肘 215の内側にお いて肘 215を折り曲げることにより仮保持可能である。したがって、カフ 150Aの巻き 付けのためにカフ 150Aの一端を引っ張っても、上腕 210上においてカフ 150Aが上 腕 210の周方向に回転することが防止されるようになる。すなわち、図 8に示すように 、カフ 150Aの一端を引っ張ることによって生じるカフ 150Aの巻き付け部 161の図中 矢印 B方向への回転が上述の仮保持によって制限される。したがって、巻き付けのた めの力がカフ 150Aにうまく伝わることになり、カフ 150Aの巻き付け固定作業が容易 化する。その結果、上腕 210に対する装着作業が容易化した血圧計用カフとすること ができる。  [0057] As described above, in the sphygmomanometer cuff 150A according to the present embodiment, the protruding tongue piece 165 provided so as to protrude from the wrapping portion 161 when worn is provided inside the elbow 215. Temporary holding is possible by bending 215. Therefore, even if one end of the cuff 150A is pulled for winding the cuff 150A, the cuff 150A is prevented from rotating on the upper arm 210 in the circumferential direction of the upper arm 210. That is, as shown in FIG. 8, the rotation of the winding portion 161 of the cuff 150A in the direction of the arrow B in the drawing generated by pulling one end of the cuff 150A is limited by the temporary holding described above. Therefore, the wrapping force is transmitted well to the cuff 150A, and the wrapping and fixing work of the cuff 150A is facilitated. As a result, a sphygmomanometer cuff that facilitates the mounting operation on the upper arm 210 can be obtained.
[0058] また、本実施の形態における血圧計用カフ 150Aにあっては、目印 167を使って予 め上腕 210に対して位置決めしたカフ 150Aの位置合わせが巻き付け作業中におい ても維持されることになる。そのため、巻き付け後においてカフ 150Aは、上腕 210に 対して当初位置決めした状態のまま固定されることになる。ここで、空気袋 151の中 心線 158に対する上記目印 167のオフセット量 Yを、経験的に得られる上腕 210の 中心軸から上腕大動脈 212までの距離に基づいた所定の値としておくことにより、図 8に示すように、上記装着状態において空気袋 151の長手方向の中央部分が上腕 大動脈 212の直上に位置することになる。したがって、厚み方向において最も膨張す る部分である空気袋 151の長手方向の中央部分と上腕大動脈 212とが近接して配 置されることになり、上腕大動脈 212が空気袋 151の中央部分と上腕骨 211によって 挟み込まれることになる。その結果、測定時において上腕大動脈 212が効率よくかつ 確実に空気袋 151によって圧迫 *阻血されることになり、高精度に血圧値を測定する ことが可能になる。 [0058] Also, in the sphygmomanometer cuff 150A in the present embodiment, the alignment of the cuff 150A that has been previously positioned with respect to the upper arm 210 using the mark 167 is maintained even during the winding operation. become. Therefore, after winding, the cuff 150A is fixed while being initially positioned with respect to the upper arm 210. Here, the offset amount Y of the mark 167 with respect to the center line 158 of the air bag 151 is set to a predetermined value based on the distance from the central axis of the upper arm 210 to the upper arm aorta 212 obtained empirically. As shown in FIG. 8, in the above-mentioned wearing state, the longitudinal center portion of the air bag 151 is the upper arm. It will be located just above the aorta 212. Therefore, the central portion in the longitudinal direction of the air bag 151, which is the most inflated portion in the thickness direction, and the brachial aorta 212 are arranged close to each other, and the brachial aorta 212 is located above the central portion of the air bag 151. It will be pinched by the humerus 211. As a result, at the time of measurement, the brachial aorta 212 is efficiently and reliably compressed / ischemic by the air bag 151, and the blood pressure value can be measured with high accuracy.
[0059] なお、本実施の形態における血圧計用カフ 150Aにあっては、突出舌片 165が肘 2 15の内側によって仮保持し易い形状に形成されていることが好ましい。そのため、突 出舌片 165の外形寸法は、好適には図 4に示す長手方向の大きさ L1が 10cm± 5c mの範囲となるように、かつ図 4に示す幅方向における大きさ D1が 3cm± l. 5cmの 範囲となるように調整される。なお、血圧計用カフ 150Aの巻き付け部 161の外形寸 法は、好適にはその長手方向における全長が 46cm± 20cmの範囲に形成され、そ の幅方向における全幅 (突出舌片 165が形成された部分を除く)が 14cm± 5cmの 範囲に形成される。上記寸法の範囲内であれば、男性、女性、成人、高齢者等の別 を問わず、カフ 150Aの装着の際の突出舌片 165の肘 215の内側による仮保持が可 會 になる。  [0059] In the sphygmomanometer cuff 150A in the present embodiment, it is preferable that the protruding tongue piece 165 is formed in a shape that can be easily temporarily held by the inner side of the elbow 215. Therefore, the external dimension of the protruding tongue piece 165 is preferably such that the longitudinal dimension L1 shown in FIG. 4 is in the range of 10 cm ± 5 cm and the dimension D1 in the width direction shown in FIG. 4 is 3 cm. ± l. Adjusted to be within 5cm. It should be noted that the outer dimensions of the winding part 161 of the sphygmomanometer cuff 150A are preferably formed so that the total length in the longitudinal direction is in the range of 46 cm ± 20 cm, and the entire width in the width direction (the protruding tongue piece 165 is formed). Is formed within the range of 14cm ± 5cm. Within the range of the above dimensions, it is possible to temporarily hold the protruding tongue piece 165 inside the elbow 215 when the cuff 150A is worn, regardless of whether it is male, female, adult, elderly or the like.
[0060] (実施の形態 2)  [0060] (Embodiment 2)
図 9は、本発明の実施の形態 2における血圧計用カフの外観を示す斜視図であり、 図 10は、幅方向の断面図である。また、図 11および図 12は、本実施の形態におけ る血圧計用カフを左腕の上腕に巻き付け固定する際の巻き付け動作を示す図である 。なお、図 12は、上腕の延伸方向において破断面を末梢側から中枢側に向けて見 た場合の図である。図 9ないし図 12においては、上述の実施の形態 1における血圧 計用カフと同様の部分について同一の符号を付し、その説明はここでは繰り返さない  FIG. 9 is a perspective view showing an appearance of a sphygmomanometer cuff according to Embodiment 2 of the present invention, and FIG. 10 is a cross-sectional view in the width direction. 11 and 12 are diagrams showing a winding operation when the sphygmomanometer cuff according to the present embodiment is wound around and fixed to the upper arm of the left arm. FIG. 12 is a view when the fracture surface is viewed from the distal side toward the central side in the extending direction of the upper arm. 9 to 12, the same reference numerals are given to the same parts as those of the sphygmomanometer cuff in the first embodiment, and the description thereof will not be repeated here.
[0061] 図 9に示すように、本実施の形態における血圧計用カフ 150Bは、上述の実施の形 態 1における血圧計用カフ 150Aと同様に、上腕に巻き付けられた状態において上 腕を取り巻いて覆うこととなる巻き付け部 161と、この巻き付け部 161から突出して設 けられた突出舌片 165とを備えている。突出舌片 165は、カフ 150Bが上腕に巻き付 けられた状態において、上腕の軸方向(すなわち、上腕の延びる方向でありカフの幅 方向)のうち、カフ 150Bが左腕に装着された状態において、左腕の肘側に向力つて 巻き付け部 161から突出するように設けられている。突出舌片 165は、カフ 150Bを 上腕に装着する際に、当該カフ 150Bが装着される左腕の肘の内側において前腕お よび上腕によって仮保持されるための部位である。 As shown in FIG. 9, sphygmomanometer cuff 150B according to the present embodiment surrounds the upper arm in a state of being wound around the upper arm, similar to sphygmomanometer cuff 150A according to the first embodiment described above. And a protruding tongue piece 165 provided so as to protrude from the winding portion 161. Projecting tongue 165 has cuff 150B wrapped around upper arm From the wrapping portion 161, the arm is directed toward the elbow of the left arm when the cuff 150B is attached to the left arm in the axial direction of the upper arm (ie, the direction in which the upper arm extends and the cuff width direction). It is provided to protrude. The protruding tongue piece 165 is a part for temporarily holding the cuff 150B by the forearm and the upper arm inside the elbow of the left arm to which the cuff 150B is attached when the cuff 150B is attached to the upper arm.
[0062] 図 9および図 10に示すように、本実施の形態における血圧計用カフ 150Bは、空気 袋 151および袋状カバー体 160にカ卩え、湾曲弾性板としてのカーラ 172を備えてい る。カーラ 172は、袋状カバー体 160に内包されるとともに空気袋 151の外側に配置 されている。 As shown in FIG. 9 and FIG. 10, the sphygmomanometer cuff 150B in the present embodiment is held on the air bag 151 and the bag-like cover body 160, and includes a curler 172 as a curved elastic plate. . The curler 172 is enclosed in the bag-like cover body 160 and is disposed outside the air bag 151.
[0063] カーラ 172は、上腕にフィットするように円筒形状に形成されており、環状に巻き回 されることによって径方向に弾性変形可能に構成された可撓性の部材カもなる。カー ラ 172は、空気袋 151の外周面に図示しない両面テープ等の接着部材によって接着 •固定されており、自身の環状形態を維持することによって上腕に沿うように構成され ている。このカーラ 172は、被験者自身によってカフ 150Bを上腕に装着し易くするた めのものであるとともに、カフ 150Bの上腕への装着状態において空気袋 151を上腕 側に向けて付勢する。このカーラ 172は、十分な弾性力を発現するように、たとえば ポリプロピレン (PP)等の榭脂部材にて形成される。  [0063] The curler 172 is formed in a cylindrical shape so as to fit the upper arm, and is also a flexible member that is configured to be elastically deformable in the radial direction by being wound in an annular shape. The curler 172 is bonded and fixed to the outer peripheral surface of the air bladder 151 by an adhesive member such as a double-sided tape (not shown), and is configured to follow the upper arm by maintaining its own annular shape. The curler 172 is intended to make it easier for the subject himself to wear the cuff 150B on the upper arm, and urges the air bag 151 toward the upper arm when the cuff 150B is attached to the upper arm. The curler 172 is formed of a grease member such as polypropylene (PP) so as to exhibit a sufficient elastic force.
[0064] カーラ 172は、カフ 150Bの巻き付け部 161に対応する部分力もその幅方向に向か つて突出する立設部 173を有している。この立設部 173は、カーラ 172に一体的に設 けられており、上述の突出舌片 165の内部の空間に収容されて突出舌片 165の一 部を構成している。なお、立設部 173の形状としては、カフ 150Bを上腕に装着する に際して肘側に位置する上腕の付け根にフィットするように、その主面が所定方向に 湾曲した形状とされることが好ましい。  [0064] The curler 172 has a standing portion 173 in which a partial force corresponding to the winding portion 161 of the cuff 150B also protrudes in the width direction. The standing portion 173 is integrally provided with the curler 172 and is housed in the space inside the protruding tongue piece 165 described above and constitutes a part of the protruding tongue piece 165. The shape of the standing portion 173 is preferably a shape in which the main surface is curved in a predetermined direction so as to fit the base of the upper arm located on the elbow side when the cuff 150B is attached to the upper arm.
[0065] また、本実施の形態における血圧計用カフ 150Bにあっては、上述の実施の形態 1 における血圧計用カフ 150Aと異なり、巻き付け作業の際の補助具となるリング 168 が設けられていない。そのため、カフ 150Bの長手方向の一方端は折り返されること なく上腕に巻き付けられる。したがって、面ファスナ 164は、巻き付け後において内側 に位置することとなるカフ 150Bの一方端近傍の外周面に設けられている。 [0066] 上記構成の血圧計用カフ 150Bを左腕の上腕に装着するに際しては、上述の実施 の形態 1における血圧計用カフ 150Aの場合と同様に、肘を曲げることなく左腕を伸 ばし、左手の中指の延長線上にカフ 150Bの袋状カバー体 160の外周面に設けられ た目印 167が位置するように、カフ 150Bの上腕に対する装着位置を調整する。ここ で、本実施の形態における血圧計用カフ 150Bにあっては、袋状カバー体 160の内 部にカーラ 172が収容されているため、カーラ 172の有する環状形態によって上腕 へのカフ 150Bの取り付けが容易となっている。そして、図 11に示すように、上記目印 167が左手 230の中指の延長線上に位置した状態を保ちつつ、左腕 200の肘 215 を折り曲げて前腕 220と上腕 210とによってカフ 150Bの突出舌片 165を挟み込んで 仮保持する。 [0065] Further, in the sphygmomanometer cuff 150B in the present embodiment, unlike the sphygmomanometer cuff 150A in the above-described first embodiment, a ring 168 serving as an auxiliary tool in the winding operation is provided. Absent. Therefore, one end in the longitudinal direction of the cuff 150B is wound around the upper arm without being folded back. Therefore, the surface fastener 164 is provided on the outer peripheral surface in the vicinity of one end of the cuff 150B that will be positioned inside after winding. [0066] When the sphygmomanometer cuff 150B having the above configuration is attached to the upper arm of the left arm, as in the case of the sphygmomanometer cuff 150A in the first embodiment, the left arm is extended without bending the elbow, The mounting position of the cuff 150B on the upper arm is adjusted so that the mark 167 provided on the outer peripheral surface of the bag-like cover body 160 of the cuff 150B is positioned on the extension line of the middle finger of the left hand. Here, in the sphygmomanometer cuff 150B according to the present embodiment, since the curler 172 is housed inside the bag-like cover body 160, the cuff 150B is attached to the upper arm by the annular form of the curler 172. Is easy. Then, as shown in FIG. 11, the elbow 215 of the left arm 200 is bent and the forearm 220 and the upper arm 210 are bent so that the protruding tongue piece 165 of the cuff 150B is maintained while the mark 167 is positioned on the extension line of the middle finger of the left hand 230. And temporarily hold it.
[0067] つづいて、肘 215の内側によって突出舌片 165を仮保持した状態を維持しつつ、 図 12に示すように、袋状カバー体 160の一方の端部を図中矢印 C方向に向けて引 つ張り、袋状カバー体 160が上腕 210に締め付けられた状態として面ファスナ 164を 上腕 210に巻き付けられた袋状カバー体 160の内周面に係止させる。以上により、 上腕 210に対するカフ 150Bの巻き付け固定が完了する。巻き付け固定後において は、折り曲げていた肘 215を伸ばして突出舌片 165の仮保持を解除してよい。  [0067] Next, while maintaining the state in which the protruding tongue piece 165 is temporarily held by the inside of the elbow 215, as shown in FIG. 12, one end of the bag-like cover body 160 is directed in the direction of arrow C in the figure. The hook-and-loop fastener 164 is locked to the inner peripheral surface of the bag-shaped cover body 160 wound around the upper arm 210 in a state where the bag-shaped cover body 160 is fastened to the upper arm 210. Thus, the wrapping and fixing of the cuff 150B around the upper arm 210 is completed. After winding and fixing, the bent elbow 215 may be extended to release the temporary holding of the protruding tongue piece 165.
[0068] 本実施の形態の如くの血圧計用カフ 150Bとした場合にも、上述の実施の形態 1に おける血圧計用カフ 150Aとした場合と同様の効果を得ることができる。すなわち、装 着に際して巻き付け部 161から突出するように設けられた突出舌片 165を肘の内側 において肘を折り曲げることによって仮保持することにより、上腕 210上においてカフ 150Bが図 12中の矢印 D方向に回転することが防止され、カフ 150Bの巻き付け固 定作業が容易化する。その結果、上腕 210に対する装着作業が容易化した血圧計 用カフとすることができる。また、予め上腕 210に対して位置決めしたカフ 150Bの位 置合わせが巻き付け作業後においても維持されることになるため、測定時において 上腕大動脈 212が効率よくかつ確実に空気袋 151によって圧迫 '阻血されることにな り、高精度に血圧値を測定することが可能になる。  [0068] Even when the sphygmomanometer cuff 150B is used as in the present embodiment, the same effect as in the sphygmomanometer cuff 150A in the first embodiment described above can be obtained. That is, by temporarily holding the protruding tongue piece 165 provided so as to protrude from the winding part 161 at the time of wearing by bending the elbow inside the elbow, the cuff 150B is placed on the upper arm 210 in the direction of arrow D in FIG. Rotation of the cuff 150B is prevented, making it easier to wrap and fix the cuff 150B. As a result, it is possible to provide a sphygmomanometer cuff that can be easily attached to the upper arm 210. In addition, since the alignment of the cuff 150B previously positioned with respect to the upper arm 210 is maintained even after the winding operation, the brachial aorta 212 is efficiently and surely compressed and is blocked by the air bladder 151 during measurement. As a result, the blood pressure value can be measured with high accuracy.
[0069] さらには、本実施の形態における血圧計用カフ 150Bにおいては、突出舌片 165の 一部をカーラ 172の立設部 173によって構成しているため、突出舌片 165を容易に 弾性変形可能に構成することができる。したがって、別途弾性板を必要とせず、部品 点数を削減することができる。 [0069] Furthermore, in the sphygmomanometer cuff 150B according to the present embodiment, a part of the protruding tongue piece 165 is constituted by the standing portion 173 of the curler 172, so that the protruding tongue piece 165 can be easily formed. It can be configured to be elastically deformable. Therefore, a separate elastic plate is not required, and the number of parts can be reduced.
[0070] (実施の形態 3)  [Embodiment 3]
図 13は、本発明の実施の形態 3における血圧計用カフを展開させた状態を示す図 である。また、図 14は、本実施の形態における血圧計用カフを左腕の上腕に巻き付 け固定する際の巻き付け動作を説明するための図である。なお、本実施の形態にお ける血圧計用カフは、上述の実施の形態 1における血圧計用カフと近似の構成を有 して 、るため、上述の実施の形態 1における血圧計用カフと同様の部分にっ 、て図 中同一の符号を付し、その説明はここでは繰り返さな 、。  FIG. 13 is a diagram showing a state in which the sphygmomanometer cuff according to Embodiment 3 of the present invention is deployed. FIG. 14 is a diagram for explaining a winding operation when the sphygmomanometer cuff in the present embodiment is wound around and fixed to the upper arm of the left arm. The sphygmomanometer cuff in the present embodiment has a configuration similar to that of the sphygmomanometer cuff in the first embodiment described above, and therefore, the sphygmomanometer cuff in the first embodiment described above. Similar parts are denoted by the same reference numerals in the figure, and the description thereof will not be repeated here.
[0071] 図 13に示すように、本実施の形態における血圧計用カフ 150Cは、上腕に巻き付 けられた状態にお 、て上腕を取り卷 、て覆うこととなる巻き付け部 161と、この巻き付 け部 161から突出して設けられた突出舌片 165とを備えている。突出舌片 165は、力 フ 150Cが上腕に巻き付けられた状態において、上腕の軸方向(すなわち、上腕の 延びる方向でありカフの幅方向)のうち、カフ 150Cが左腕に装着された状態におい て、左腕側の肩側に向力つて巻き付け部 161から突出するように設けられている。突 出舌片 165は、カフ 150Cを上腕に装着する際に、当該カフ 150Cが装着される左腕 側の腋の下において上腕 210および体幹 240によって仮保持されるための部位であ る。  As shown in FIG. 13, the sphygmomanometer cuff 150C according to the present embodiment includes a winding part 161 that covers and covers the upper arm in a state of being wound around the upper arm. And a protruding tongue piece 165 provided so as to protrude from the winding portion 161. The protruding tongue piece 165 is in a state where the cuff 150C is attached to the left arm in the axial direction of the upper arm (that is, the extending direction of the upper arm and the width direction of the cuff) in a state where the force fuff 150C is wound around the upper arm. The left arm side is provided so as to protrude from the wrapping portion 161 toward the shoulder side on the left arm side. The protruding tongue piece 165 is a part for temporarily holding the cuff 150C by the upper arm 210 and the trunk 240 under the arm on the left arm side where the cuff 150C is attached when the cuff 150C is attached to the upper arm.
[0072] 図 13に示すように、本実施の形態における血圧計用カフ 150Cにおいても、上述 の実施の形態 1における血圧計用カフ 150Aと同様に、袋状カバー体 160に結合部 166a〜166cが設けられている。これら結合部 166a〜166cを設けることによって形 成された袋状カバー体 160の内部の 3つの空間のうち、突出舌片 165に対応する部 分に形成された空間には、弾性板 171が収容されている。また、巻き付け部 161に対 応する部分に形成された残る 2つの空間のうち、リング 168が位置する側の空間には 、空気袋 151が収容されている。突出舌片 165に対応する部分に形成された空間に 収容される弾性板 171としては、適度な可撓性を有するように好適にはポリプロピレ ン (PP)等の材質からなるものが選択され、その形状は、カフ 150Cを上腕に装着す るに際して肩側に位置する上腕の付け根にフィットするように、その主面が所定方向 に湾曲した形状とされることが好ましい。 [0072] As shown in Fig. 13, in sphygmomanometer cuff 150C according to the present embodiment, joint portions 166a to 166c are connected to bag-like cover body 160 in the same manner as sphygmomanometer cuff 150A according to the first embodiment described above. Is provided. Of the three spaces inside the bag-shaped cover body 160 formed by providing the coupling portions 166a to 166c, the elastic plate 171 is accommodated in the space formed in the portion corresponding to the protruding tongue piece 165. Has been. Of the remaining two spaces formed in the part corresponding to the winding part 161, the air bag 151 is accommodated in the space where the ring 168 is located. As the elastic plate 171 accommodated in the space formed in the portion corresponding to the protruding tongue piece 165, a material made of a material such as polypropylene (PP) is preferably selected so as to have appropriate flexibility, The main surface of the cuff 150C is in a specified direction so that it fits the base of the upper arm located on the shoulder side when the cuff 150C is attached to the upper arm. It is preferable to have a curved shape.
[0073] 上記構成の血圧計用カフ 150Cを左腕の上腕に装着するに際しては、上述の実施 の形態 1における血圧計用カフ 150Aの場合と同様に、肘を曲げることなく左腕を伸 ばし、左手の中指の延長線上にカフ 150Cの袋状カバー体 160の外周面に設けられ た目印 167が位置するように、カフ 150Cの上腕に対する装着位置を調整する。そし て、図 13に示すように、上記目印 167が中指 231の延長線上に位置した状態を保ち つつ、左腕 200側の腋の下において上腕 210と体幹 240とによってカフ 150Cの突 出舌片 165を挟み込んで仮保持する。  [0073] When the sphygmomanometer cuff 150C configured as described above is attached to the upper arm of the left arm, as in the case of the sphygmomanometer cuff 150A in the first embodiment described above, the left arm is extended without bending the elbow, The mounting position of the cuff 150C with respect to the upper arm is adjusted so that the mark 167 provided on the outer peripheral surface of the bag-shaped cover body 160 of the cuff 150C is positioned on the extension line of the middle finger of the left hand. Then, as shown in FIG. 13, the protruding tongue piece 165 of the cuff 150C is moved by the upper arm 210 and the trunk 240 under the arm on the left arm 200 side while the mark 167 is positioned on the extension line of the middle finger 231. Hold it temporarily.
[0074] つづいて、腋の下によつて突出舌片 165を仮保持した状態を維持しつつ、袋状力 バー体 160の一方の端部近傍に設けられた面ファスナ 164を上腕 210に巻き付けら れた袋状カバー体 160の外周面に係止させる。以上により、上腕 210に対するカフ 1 50Cの巻き付け固定が完了する。巻き付け固定後においては、腋の下による突出舌 片 165の仮保持を解除してょ 、。  [0074] Next, the surface fastener 164 provided near one end of the bag-like force bar body 160 is wound around the upper arm 210 while maintaining the state where the protruding tongue piece 165 is temporarily held by the underarm. The bag-like cover body 160 is engaged with the outer peripheral surface. Thus, the winding and fixing of the cuff 150C around the upper arm 210 is completed. After winding and fixing, release the temporary holding of the protruding tongue piece 165 by the armpit.
[0075] 本実施の形態の如くの血圧計用カフ 150Cとした場合にも、上述の実施の形態 1に おける血圧計用カフ 150Aとした場合と同様の効果を得ることができる。すなわち、装 着に際して腋の下を閉じることにより、巻き付け部 161から突出するように設けられた 突出舌片 165を腋の下において上腕 210と体幹 240とで仮保持することができ、そ の結果、上腕 210上においてカフ 150Cが上腕 210の周方向に回転することが防止 され、カフ 150Cの巻き付け固定作業が容易化する。その結果、上腕 210に対する装 着作業が容易化した血圧計用カフとすることができる。また、予め上腕 210に対して 位置決めしたカフ 150Cの位置合わせが巻き付け作業後においても維持されること になるため、測定時にお!、て上腕大動脈 212が効率よくかつ確実に空気袋 151によ つて圧迫 '阻血されることになり、高精度に血圧値を測定することが可能になる。  [0075] When the sphygmomanometer cuff 150C as in the present embodiment is used, the same effect as in the sphygmomanometer cuff 150A in the first embodiment described above can be obtained. That is, by closing the bottom of the heel at the time of wearing, the protruding tongue piece 165 provided so as to protrude from the winding portion 161 can be temporarily held by the upper arm 210 and the trunk 240 under the heel. As a result, the upper arm 210 The cuff 150C is prevented from rotating in the circumferential direction of the upper arm 210 at the top, and the winding and fixing work of the cuff 150C is facilitated. As a result, a sphygmomanometer cuff can be provided in which the work of attaching the upper arm 210 is facilitated. In addition, since the alignment of the cuff 150C previously positioned with respect to the upper arm 210 is maintained even after the winding operation, the brachial aorta 212 is efficiently and reliably attached to the air bag 151 during measurement. Pressing 'Being blocked, blood pressure can be measured with high accuracy.
[0076] なお、本実施の形態における血圧計用カフ 150Cにあっては、突出舌片 165が腋 の下によつて仮保持し易い形状に形成されていることが好ましい。そのため、突出舌 片 165の外形寸法は、好適には図 13に示す長手方向の大きさ L2が 20cm± 10cm の範囲となるように、かつ図 13に示す幅方向における大きさ D2が 3cm± l. 5cmの 範囲となるように調整される。 [0077] (実施の形態 4) [0076] In the sphygmomanometer cuff 150C in the present embodiment, it is preferable that the protruding tongue piece 165 is formed in a shape that can be temporarily held by the armpit. Therefore, the external dimension of the protruding tongue piece 165 is preferably such that the length L2 in the longitudinal direction shown in FIG. 13 is in the range of 20 cm ± 10 cm, and the size D2 in the width direction shown in FIG. 13 is 3 cm ± l. Adjusted to be in the 5cm range. [0077] (Embodiment 4)
図 15は、本発明の実施の形態 4における血圧計用カフの外観を示す斜視図である 。また、図 16は、本実施の形態における血圧計用カフを左腕の上腕に巻き付け固定 する際の図である。なお、本実施の形態における血圧計用カフは、上述の実施の形 態 1における血圧計用カフと近似の構成を有して ヽるため、上述の実施の形態 1にお ける血圧計用カフと同様の部分にっ 、て図中同一の符号を付し、その説明はここで は繰り返さない。  FIG. 15 is a perspective view showing an appearance of a sphygmomanometer cuff according to Embodiment 4 of the present invention. FIG. 16 is a diagram when the sphygmomanometer cuff according to the present embodiment is wrapped around and fixed to the upper arm of the left arm. The sphygmomanometer cuff in the present embodiment has a configuration similar to that of the sphygmomanometer cuff in the first embodiment described above, and therefore the sphygmomanometer cuff in the first embodiment described above. The same reference numerals are given to the same parts in the figure, and the description thereof will not be repeated here.
[0078] 図 15に示すように、本実施の形態における血圧計用カフ 150Dは、上腕に巻き付 けられた状態にお 、て上腕を取り卷 、て覆うこととなる巻き付け部 161と、この巻き付 け部 161から突出して設けられた突出舌片 165とを備えている。突出舌片 165は、力 フ 150Dが上腕に巻き付けられた状態において、上腕の軸方向(すなわち、上腕の 延びる方向でありカフの幅方向)のうち、カフ 150Dが左腕に装着された状態におい て、左腕の肘側に向力つて巻き付け部 161から突出するように設けられている。ここ で、本実施の形態における血圧計用カフ 150Dにあっては、突出舌片 165が、カフ 1 50Dを装着するに際してカフ 150Dが装着される左腕の肘の外側を覆うように構成さ れている。  As shown in FIG. 15, the sphygmomanometer cuff 150D according to the present embodiment includes a winding part 161 that covers and covers the upper arm in a state of being wound around the upper arm. And a protruding tongue piece 165 provided so as to protrude from the winding portion 161. The protruding tongue 165 is in a state where the cuff 150D is attached to the left arm in the axial direction of the upper arm (that is, the extending direction of the upper arm and the cuff width direction) in a state where the force fuff 150D is wound around the upper arm. The left arm is provided so as to protrude from the wrapping portion 161 with a direct force toward the elbow side of the left arm. Here, in the sphygmomanometer cuff 150D according to the present embodiment, the protruding tongue piece 165 is configured to cover the outside of the elbow of the left arm to which the cuff 150D is attached when the cuff 150D is attached. Yes.
[0079] 突出舌片 165は、血圧計用カフ 150Dを上腕に装着する際に、当該カフ 150Dが 装着される左腕の肘によって机等の台に向けて押し付けられる部位であり、突出舌 片 165に対応する部分の袋状カバー体 160の内部の空間には、好適には弾性板が 収容される。突出舌片 165に対応する部分の袋状カバー体 160の内部の空間に収 容される弾性板としては、適度な可撓性を有するように好適にはポリプロピレン (PP) 等の材質力 なるものが選択される。  [0079] When the sphygmomanometer cuff 150D is attached to the upper arm, the protruding tongue piece 165 is a portion that is pressed against a table such as a desk by the left arm elbow to which the cuff 150D is attached. An elastic plate is preferably accommodated in the space inside the bag-like cover body 160 corresponding to the above. The elastic plate accommodated in the space inside the bag-like cover body 160 corresponding to the protruding tongue piece 165 preferably has a material strength such as polypropylene (PP) so as to have appropriate flexibility. Is selected.
[0080] 上記構成の血圧計用カフ 150Dを左腕の上腕に装着するに際しては、上述の実施 の形態 1における血圧計用カフ 150Aの場合と同様に、肘を曲げることなく左腕を伸 ばし、左手の中指の延長線上にカフ 150Dの袋状カバー体 160の外周面に設けられ た目印 167が位置するように、カフ 150Dの上腕に対する装着位置を調整する。そし て、図 16に示すように、上記目印 167が中指の延長線上に位置した状態を保ちつつ 、左腕 200の肘 215をカフ 150Dの突出舌片 165を介して机等の台 300に対して押 し付け、肘 215と机等の台 300とによってカフ 150Dの突出舌片 165を挟み込んで仮 保持する。 [0080] When the sphygmomanometer cuff 150D configured as described above is attached to the upper arm of the left arm, as in the case of the sphygmomanometer cuff 150A in the first embodiment, the left arm is extended without bending the elbow, The mounting position of the cuff 150D on the upper arm is adjusted so that the mark 167 provided on the outer peripheral surface of the bag-like cover body 160 of the cuff 150D is positioned on the extension line of the middle finger of the left hand. Then, as shown in FIG. 16, the elbow 215 of the left arm 200 is moved with respect to the table 300 such as a desk via the protruding tongue piece 165 of the cuff 150D while the above-mentioned mark 167 is located on the extension line of the middle finger. Push The protruding tongue piece 165 of the cuff 150D is sandwiched between the elbow 215 and the table 300 such as a desk, and temporarily held.
[0081] つづいて、肘 215によって突出舌片 165を机等の台 300に押し付けた状態を維持 しつつ、袋状カバー体 160の一方の端部近傍に設けられた面ファスナ 164を上腕 21 0に巻き付けられた袋状カバー体 160の外周面に係止させる。以上により、上腕 210 に対するカフ 150Dの巻き付け固定が完了する。巻き付け固定後においては、肘 21 5による突出舌片 165の机等の台 300に対する押し付けを解除してもよい。  [0081] Subsequently, the surface fastener 164 provided in the vicinity of one end of the bag-like cover body 160 is maintained in the upper arm 21 0 while maintaining the state where the protruding tongue 165 is pressed against the table 300 such as a desk by the elbow 215. The bag-like cover body 160 is wound around the outer peripheral surface of the bag-like cover body 160. Thus, the wrapping and fixing of the cuff 150D around the upper arm 210 is completed. After winding and fixing, the pressing of the protruding tongue piece 165 by the elbow 215 against the table 300 such as a desk may be released.
[0082] 本実施の形態の如くの血圧計用カフ 150Dとした場合にも、上述の実施の形態 1に おける血圧計用カフ 150Aとした場合と同様の効果を得ることができる。すなわち、装 着に際して巻き付け部 161から突出するように設けられた突出舌片 165を肘 215で 机等の台 300に対して押し付けることにより、上腕 210上においてカフ 150Dが上腕 210の周方向に回転することが防止され、カフ 150Dの巻き付け固定作業が容易化 する。その結果、上腕 210に対する装着作業が容易化した血圧計用カフとすることが できる。また、予め上腕 210に対して位置決めしたカフ 150Dの位置合わせが巻き付 け作業後においても維持されることになるため、測定時において上腕大動脈 212が 効率よくかつ確実に空気袋 151によって圧迫 *阻血されることになり、高精度に血圧 値を測定することが可能になる。  [0082] Even when the sphygmomanometer cuff 150D is used as in the present embodiment, the same effect as in the sphygmomanometer cuff 150A in the first embodiment described above can be obtained. In other words, the cuff 150D rotates on the upper arm 210 in the circumferential direction by pressing the protruding tongue piece 165 provided so as to protrude from the winding part 161 at the time of wearing with the elbow 215 against the table 300 such as a desk. This prevents the cuff 150D from being wrapped and fixed. As a result, it is possible to provide a sphygmomanometer cuff that can be easily attached to the upper arm 210. In addition, since the alignment of the cuff 150D previously positioned with respect to the upper arm 210 is maintained even after the winding operation, the brachial aorta 212 is efficiently and reliably compressed by the air bag 151 during the measurement. As a result, the blood pressure value can be measured with high accuracy.
[0083] なお、本実施の形態における血圧計用カフ 150Dにあっては、突出舌片 165が肘 2 15によって机等の台 300に押し付け易 、形状に形成されて!、ることが好ま 、。そ のため、突出舌片 165の外形寸法は、好適には図 15に示す長手方向の大きさ L3が 10cm± 5cmの範囲となるように、かつ図 15に示す幅方向における大きさ D3が 15c m± 5cmの範囲となるように調整される。また、袋状カバー体 160における突出舌片 165の形成位置は、突出舌片 165の中心位置が袋状カバー体 160の面ファスナ 16 4が設けられた側の端部から 30cm± 10cmの範囲に含まれるように調整されることが 好ましい。  In the sphygmomanometer cuff 150D according to the present embodiment, it is preferable that the protruding tongue piece 165 is easily pressed against the table 300 such as a desk by the elbow 215 and formed into a shape! . Therefore, the external dimension of the protruding tongue piece 165 is preferably such that the length L3 in the longitudinal direction shown in FIG. 15 is in the range of 10 cm ± 5 cm, and the size D3 in the width direction shown in FIG. It is adjusted to be in the range of m ± 5cm. Further, the protruding tongue piece 165 is formed on the bag-like cover body 160 so that the center position of the protruding tongue piece 165 is within a range of 30 cm ± 10 cm from the end of the bag-like cover body 160 on the side where the surface fastener 164 is provided. It is preferable to adjust so that it may be included.
[0084] また、本実施の形態における血圧計用カフ 150Dにおいては、巻き付け部 161に 対して突出舌片 165が回動可能もしくは折り曲げ可能に構成されていることが好まし い。突出舌片 165を巻き付け部 161に対して回動可能に構成するためには、好適に はヒンジが適用される。また、突出舌片 165を巻き付け部 161に対して折り曲げ可能 に構成するためには、突出舌片 165と巻き付け部 161との境界部を他の部位に比し て柔軟に構成したり薄く構成したりすることが考えられる。 Further, in sphygmomanometer cuff 150D in the present embodiment, it is preferable that protruding tongue piece 165 is configured to be rotatable or bendable with respect to winding portion 161. In order to configure the protruding tongue piece 165 to be rotatable with respect to the winding part 161, it is preferable to The hinge is applied. In addition, in order to configure the protruding tongue piece 165 so that it can be bent with respect to the winding portion 161, the boundary between the protruding tongue piece 165 and the winding portion 161 is configured to be more flexible or thinner than other parts. Can be considered.
[0085] (実施の形態 5)  [0085] (Embodiment 5)
図 17は、本発明の実施の形態 5における血圧計用カフの外観を示す斜視図である 。また、図 18および図 19は、本実施の形態における血圧計用カフを左腕の上腕に 巻き付け固定する際の巻き付け動作を説明するための図である。なお、図 19は、上 腕の延伸方向にお 、て破断面を末梢側から中枢側に向けて見た場合の図である。 本実施の形態における血圧計用カフは、上述の実施の形態 2における血圧計用カフ と近似の構成を有しているため、上述の実施の形態 2における血圧計用カフと同様 の部分にっ ヽて図中同一の符号を付し、その説明はここでは繰り返さな!/、。  FIG. 17 is a perspective view showing an appearance of a sphygmomanometer cuff according to Embodiment 5 of the present invention. FIG. 18 and FIG. 19 are diagrams for explaining a winding operation when the sphygmomanometer cuff in the present embodiment is wound around and fixed to the upper arm of the left arm. FIG. 19 is a view when the fracture surface is viewed from the distal side toward the central side in the extending direction of the upper arm. The sphygmomanometer cuff in the present embodiment has a configuration similar to that of the sphygmomanometer cuff in the above-described second embodiment, and therefore has the same portion as the sphygmomanometer cuff in the above-described second embodiment. In the figure, the same reference numerals are attached, and the description is not repeated here! /.
[0086] 図 17に示すように、本実施の形態における血圧計用カフ 150Eは、上述の実施の 形態 2における血圧計用カフ 150Bと近似の構成を有しており、突出舌片 165に代え て一対のアーム部 174およびグリップ部 175からなる保持具を有して!/、る。一対のァ ーム部 174のそれぞれは、袋状カバー体 160の内部に収容されたカーラ 172に固定 され、それぞれ袋状カバー体 160の巻き付け部 161から上腕の軸方向に向けて突出 して設けられている。グリップ部 175は、一対のアーム部 174の先端に固定されてい る。アーム部 174は、可撓性を実質的に有しない剛体にて構成されることが好ましぐ 金属製のものや硬質プラスチック製のもの等が好適である。  As shown in FIG. 17, sphygmomanometer cuff 150E in the present embodiment has a configuration similar to that of sphygmomanometer cuff 150B in the second embodiment described above, and is replaced with protruding tongue piece 165. And a holding tool comprising a pair of arm portions 174 and grip portions 175. Each of the pair of arm portions 174 is fixed to a curler 172 housed inside the bag-shaped cover body 160, and protrudes from the winding portion 161 of the bag-shaped cover body 160 toward the axial direction of the upper arm. It has been. The grip portion 175 is fixed to the tips of the pair of arm portions 174. The arm portion 174 is preferably made of a rigid body that does not substantially have flexibility, and is preferably made of metal, hard plastic, or the like.
[0087] 上記構成の血圧計用カフ 150Eを左腕の上腕に装着するに際しては、図 18に示す ように、カフ 150Eの巻き付け部 161内に上腕 210を挿入し、左手 230によってグリツ プ部 175を把持する。つづいて、図 19に示すように、左手 230によってグリップ部 17 5を把持した状態を維持しつつ、袋状カバー体 160の一方の端部を図中矢印 C方向 に向けて引っ張り、袋状カバー体 160の一方の端部近傍に設けられた面ファスナ 16 4を上腕 210に巻き付けられた袋状カバー体 160の内周面に係止させる。以上により 、上腕 210に対するカフ 150Eの巻き付け固定が完了する。巻き付け固定後におい ては、左手 230によるグリップ部 175の把持を解除してもよい。  When attaching the sphygmomanometer cuff 150E having the above configuration to the upper arm of the left arm, as shown in FIG. 18, the upper arm 210 is inserted into the winding part 161 of the cuff 150E, and the grip part 175 is inserted by the left hand 230. Hold it. Next, as shown in FIG. 19, while holding the grip portion 175 with the left hand 230, one end of the bag-like cover body 160 is pulled in the direction of arrow C in the figure to A hook-and-loop fastener 164 provided in the vicinity of one end of the body 160 is locked to the inner peripheral surface of the bag-like cover body 160 wound around the upper arm 210. Thus, the wrapping and fixing of the cuff 150E around the upper arm 210 is completed. After winding and fixing, gripping of the grip portion 175 by the left hand 230 may be released.
[0088] 本実施の形態の如くの血圧計用カフ 150Eとした場合にも、上述の実施の形態 2に おける血圧計用カフ 150Bとした場合と同様の効果を得ることができる。すなわち、装 着に際して巻き付け部 161から突出するように設けられた保持具のグリップ部 175を 把持することにより、上腕 210上においてカフ 150Eが図 19中の矢印 D方向に回転 することが防止され、カフ 150Eの巻き付け固定作業が容易化する。その結果、上腕 210に対する装着作業が容易化した血圧計用カフとすることができる。また、目印を 特に設けずとも保持具と空気袋 151との相対的な位置決めを予め行なっておくことに より、図 18に示す把持状態において必ず空気袋 151の長手方向の中央部分と上腕 大動脈 212との位置あわせが実施されるようになる。したがって、測定時において上 腕大動脈 212が効率よくかつ確実に空気袋 151によって圧迫 '阻血されることになり 、高精度に血圧値を測定することが可能になる。なお、被験者により上腕 210から左 手 230までの距離は異なるため、アーム部 174の長さを可変調節可能に構成すれば さらに使 、勝手のょ 、血圧計用カフとすることができる。 [0088] Even in the case of the sphygmomanometer cuff 150E as in the present embodiment, An effect similar to that obtained when the blood pressure monitor cuff 150B is used can be obtained. That is, by gripping the grip portion 175 of the holding tool provided so as to protrude from the winding portion 161 at the time of wearing, the cuff 150E is prevented from rotating in the direction of arrow D in FIG. The cuff 150E winding and fixing work is facilitated. As a result, the sphygmomanometer cuff can be easily attached to the upper arm 210. Further, the relative positioning of the holder and the air bag 151 is performed in advance without providing any mark, so that in the gripping state shown in FIG. Alignment with will be carried out. Therefore, the brachial aorta 212 is efficiently and reliably compressed and ischemic by the air bag 151 at the time of measurement, and the blood pressure value can be measured with high accuracy. In addition, since the distance from the upper arm 210 to the left hand 230 varies depending on the subject, if the length of the arm portion 174 is variably adjustable, it can be further used, hand-operated, or a sphygmomanometer cuff.
[0089] 上述の実施の形態 1ないし 4においては、位置決め用の目印が設けられた血圧計 用カフを例示して説明を行なった力 位置決め用の目印が特に設けられない血圧計 用カフに本発明を適用することも当然に可能であり、その場合にもカフに仮保持用の 突出部を設けることにより、装着の際の巻き付け作業がより容易に行なえるようになる [0089] In the above-described first to fourth embodiments, the sphygmomanometer cuff provided with positioning marks is described as an example. The force sphygmomanometer cuff is not particularly provided with a force positioning mark. Of course, the invention can also be applied, and even in this case, by providing a projection for temporary holding on the cuff, the winding work at the time of mounting can be performed more easily.
[0090] また、上述の実施の形態 1ないし 5においては、仮保持用の突出部が舌片形状で あるものを例示して説明を行なった力 突出部の形状はこれに限定されるものではな ぐ適宜変更が可能である。 [0090] In the first to fifth embodiments described above, the shape of the force projecting portion described by exemplifying that the projecting portion for temporary holding is a tongue piece shape is not limited to this. However, it can be changed as appropriate.
[0091] また、上述の実施の形態 1ないし 5においては、左腕の上腕に装着されることが企 図された血圧計用カフを例示して説明を行なったが、右手の上腕に装着されることが 企図された血圧計用カフに本発明を適用することも可能である。 In the first to fifth embodiments described above, the sphygmomanometer cuff intended to be attached to the upper arm of the left arm has been described as an example, but it is attached to the upper arm of the right hand. However, it is also possible to apply the present invention to a cuff for a blood pressure monitor.
[0092] さらに、上述の実施の形態 1ないし 5においては、オシロメトリック式の血圧計のカフ に本発明を適用した場合を例示して説明を行なったが、当然にコロトコフ式の血圧計 のカフに本発明を適用することも可能である。 Further, in the above-described first to fifth embodiments, the case where the present invention is applied to the cuff of the oscillometric sphygmomanometer has been described as an example, but naturally the cuff of the Korotkoff sphygmomanometer is described. The present invention can also be applied to.
[0093] このように、今回開示した上記各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。 [0093] As described above, the above-described embodiments disclosed herein are illustrative in all respects and are not restrictive. The technical scope of the present invention is defined by the claims, and It is intended to include all modifications within the meaning and range equivalent to the description of the range.

Claims

請求の範囲 The scope of the claims
[1] 上腕を圧迫するための流体袋と、前記流体袋を内包する袋状の外装部材とを備え [1] A fluid bag for compressing the upper arm, and a bag-shaped exterior member containing the fluid bag
、上腕に巻き付けられて使用される帯状の血圧計用カフであって、 A band-shaped sphygmomanometer cuff wound around the upper arm,
当該血圧計用カフを上腕に装着した状態において上腕を取り囲むように巻き付け られる巻き付け部と、  A winding portion wound around the upper arm in a state where the cuff for the blood pressure monitor is attached to the upper arm;
当該血圧計用カフを上腕に装着した状態において前記巻き付け部力 上腕の軸 方向に向けて突出して設けられた仮保持用の突出部とを含む、血圧計用カフ。  A sphygmomanometer cuff comprising: a temporary holding projection provided to project in the axial direction of the upper arm when the sphygmomanometer cuff is attached to the upper arm.
[2] 前記突出部は、弾性変形可能に構成された突出舌片カもなる、請求の範囲第 1項 に記載の血圧計用カフ。  [2] The sphygmomanometer cuff according to claim 1, wherein the protruding portion is also a protruding tongue piece configured to be elastically deformable.
[3] 前記外装部材は、前記巻き付け部に対応する部分と前記突出舌片に対応する部 分との境界部において区切られた 2つの空間を内部に有し、 [3] The exterior member has two spaces defined therein at a boundary portion between a portion corresponding to the winding portion and a portion corresponding to the protruding tongue piece,
前記 2つの空間のうち、前記巻き付け部に対応する部分に設けられた空間に前記 流体袋が収容され、前記突出舌片に対応する部分に設けられた空間に可撓性の弾 性板が収容されて 、る、請求の範囲第 2項に記載の血圧計用カフ。  Of the two spaces, the fluid bag is accommodated in a space provided in a portion corresponding to the winding portion, and a flexible elastic plate is accommodated in a space provided in a portion corresponding to the protruding tongue piece. The cuff for a blood pressure monitor according to claim 2, wherein the cuff is for blood pressure monitor.
[4] 前記外装部材に内包されるとともに前記流体袋の外側に配置され、当該血圧計用 カフを上腕に装着した状態において上腕に対して前記流体袋を付勢する湾曲弾性 板をさらに備え、 [4] It further includes a curved elastic plate that is included in the exterior member and disposed outside the fluid bag, and biases the fluid bag against the upper arm when the cuff for a blood pressure monitor is attached to the upper arm,
前記突出舌片が、前記湾曲弾性板力も連続して延びる部分を少なくとも一部に含 んでいる、請求の範囲第 2項に記載の血圧計用カフ。  3. The sphygmomanometer cuff according to claim 2, wherein the protruding tongue piece includes at least part of a portion where the curved elastic plate force continuously extends.
[5] 前記突出部は、当該血圧計用カフを上腕に装着した状態において当該血圧計用 カフが装着された腕の肘側に向力つて突出しており、 [5] The protruding portion protrudes toward the elbow side of the arm on which the sphygmomanometer cuff is mounted in a state where the sphygmomanometer cuff is mounted on the upper arm,
当該血圧計用カフを装着するに際して、当該血圧計用カフが装着される腕の肘の 内側において前腕および上腕によって前記突出部が保持可能に構成されている、 請求の範囲第 1項に記載の血圧計用カフ。  2. The sphygmomanometer cuff according to claim 1, wherein the protrusion is configured to be held by a forearm and an upper arm inside an elbow of an arm to which the sphygmomanometer cuff is attached. Cuff for blood pressure monitor.
[6] 前記突出部は、当該血圧計用カフを上腕に装着した状態において当該血圧計用 カフが装着された腕側の肩側に向力つて突出しており、 [6] The protruding portion protrudes toward the shoulder side of the arm side on which the sphygmomanometer cuff is attached in a state where the sphygmomanometer cuff is attached to the upper arm,
当該血圧計用カフを装着するに際して、当該血圧計用カフが装着される腕側の腋 の下にお 、て上腕および体幹によって前記突出部が保持可能に構成されて 、る、 請求の範囲第 1項に記載の血圧計用カフ。 When mounting the sphygmomanometer cuff, the protrusion is configured to be held by the upper arm and the trunk under the armpit on which the sphygmomanometer cuff is mounted, The cuff for a blood pressure monitor according to claim 1.
[7] 前記突出部は、当該血圧計用カフを上腕に装着した状態において当該血圧計用 カフが装着された腕の肘側に向力つて突出しており、 [7] The protruding portion protrudes toward the elbow side of the arm on which the sphygmomanometer cuff is mounted in a state where the sphygmomanometer cuff is mounted on the upper arm,
当該血圧計用カフを装着するに際して、当該血圧計用カフが装着される腕の肘の 外側を覆うように前記突出部が構成されている、請求の範囲第 1項に記載の血圧計 用カフ。  2. The sphygmomanometer cuff according to claim 1, wherein when the sphygmomanometer cuff is attached, the protruding portion is configured to cover an outer side of an elbow of an arm to which the sphygmomanometer cuff is attached. .
[8] 上腕に装着する際の位置決め用の目印をさらに備えた、請求の範囲第 1項に記載 の血圧計用カフ。  [8] The sphygmomanometer cuff according to claim 1, further comprising a mark for positioning when worn on the upper arm.
PCT/JP2007/055870 2006-04-12 2007-03-22 Sphygmomanometers cuff WO2007119482A1 (en)

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WO2011081028A1 (en) * 2009-12-29 2011-07-07 オムロンヘルスケア株式会社 Cuff for blood pressure information measurement device and blood pressure information measurement device provided with the same
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