WO2014102872A1 - Blood pressure meter - Google Patents

Blood pressure meter Download PDF

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Publication number
WO2014102872A1
WO2014102872A1 PCT/JP2012/008386 JP2012008386W WO2014102872A1 WO 2014102872 A1 WO2014102872 A1 WO 2014102872A1 JP 2012008386 W JP2012008386 W JP 2012008386W WO 2014102872 A1 WO2014102872 A1 WO 2014102872A1
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WO
WIPO (PCT)
Prior art keywords
surface portion
upper arm
armband
air bag
air
Prior art date
Application number
PCT/JP2012/008386
Other languages
French (fr)
Japanese (ja)
Inventor
雅人 中本
克美 築田
拓朗 中村
Original Assignee
テルモ株式会社
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 テルモ株式会社 filed Critical テルモ株式会社
Priority to PCT/JP2012/008386 priority Critical patent/WO2014102872A1/en
Publication of WO2014102872A1 publication Critical patent/WO2014102872A1/en

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    • 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
    • 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
    • A61B5/024Detecting, measuring or recording pulse rate or heart rate
    • A61B5/02438Detecting, measuring or recording pulse rate or heart rate with portable devices, e.g. worn by the patient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/742Details of notification to user or communication with user or patient ; user input means using visual displays

Definitions

  • the present invention relates to a sphygmomanometer that measures the blood pressure of a patient by wrapping an armband portion.
  • Blood pressure monitors used by medical personnel such as nurses at medical institutions include a manual pressurization type in which an air balloon for supplying air to the armband and a blood pressure monitor main body are integrated.
  • the arm band portion of the blood pressure monitor has an ischemic air bag for blocking the artery and an arterial pulsation detecting air bag attached to the ischemic air bag.
  • a medical worker manually holds or releases the air balloon, air is sent from the sphygmomanometer body through the tube to the air bag for ischemia in the armband, and the patient's upper arm is pressurized to measure blood pressure.
  • Medical personnel can easily operate the air balloon with one hand, and when sending air to the air bag for ischemia in the armband, a motor to send air is unnecessary, so quiet blood pressure measurement should be performed even at night (See Patent Document 1).
  • the inner surface of the armband moves and bends to the place where the armband is located Occurs. Wrinkles occur at the bent portion of the inner surface of the armband portion.
  • wrinkles are generated on the inner surface side of the arm band portion, a part of the upper arm skin may be pulled together with the inner surface of the arm band portion, and a part of the upper arm skin may be drawn into the wrinkle. For this reason, the patient feels uncomfortable at the time of blood pressure measurement, and may cause internal bleeding in the upper arm in some cases.
  • an object of the present invention is to provide a sphygmomanometer that can prevent wrinkles from being generated on the inner surface side of the armband portion when the upper arm is pressurized by the armband portion.
  • the sphygmomanometer according to the present invention is a sphygmomanometer that has an arm band part and measures the blood pressure by winding the arm band part around the upper arm of a person to be measured and pressurizing the arm band part, and the arm band part supplies air
  • a body member having an air bag for ischemia for blocking the upper arm and the body member has an outer first surface portion and a second surface portion that overlaps the first surface portion and contacts the upper arm.
  • the air bag for ischemia is formed by the first surface portion and the second surface portion, and the length of the first surface portion along the circumferential direction of the upper arm is the circumferential direction of the upper arm of the second surface portion.
  • the first surface portion is configured to be extendable in the length direction along the circumferential direction of the upper arm. According to the above configuration, since the first surface portion is formed to extend from the second surface, the first surface portion that is the outer surface side of the armband portion when the armband portion is wound around the upper arm and the upper arm is pressurized. However, it extends along the circumference of the upper arm. By extending the first surface portion, the second surface portion on the inner surface side of the armband portion does not move along the peripheral direction of the upper arm due to the tension of the first surface portion on the outer surface side, so there is an armband portion. There are no bent parts in the area. For this reason, when pressurizing the upper arm with the armband part, it is possible to prevent wrinkles from occurring on the inner surface side of the armband part, so that the patient does not feel uncomfortable during blood pressure measurement and causes internal bleeding in the upper arm There is no fear.
  • the armband portion is disposed in the air bag for ischemia of the main body member, and an air bag for detecting arterial pulsation for detecting pulsation of the artery of the upper arm by supplying the air is provided. It is characterized by having. With the above configuration, even if the armband portion has an air bag for ischemia and an air bag for detecting arterial pulsation, the first surface portion is formed so as to extend from the second surface. When the upper arm is wound around the upper arm and the upper arm is pressurized, the first surface portion, which is the outer surface side of the arm belt portion, extends along the circumferential direction of the upper arm.
  • the second surface portion on the inner surface side of the armband portion does not move along the peripheral direction of the upper arm due to the tension of the first surface portion on the outer surface side, so there is an armband portion.
  • the first surface portion is formed so as to have a more three-dimensional shape as compared with the second surface portion by introduction of air for ischemia.
  • the first surface portion is formed so as to swell and become three-dimensional by introducing air for ischemia, when the armband portion is wound around the upper arm and the upper arm is pressurized, the outer surface of the armband portion The first surface portion that is the side extends along the circumferential direction of the upper arm.
  • the second surface portion on the inner surface side of the armband portion does not move along the peripheral direction of the upper arm due to the tension of the first surface portion on the outer surface side, so there is an armband portion. There are no bent parts in the area. For this reason, when pressurizing the upper arm with the armband part, it is possible to prevent wrinkles from occurring on the inner surface side of the armband part, so that the patient does not feel uncomfortable during blood pressure measurement and causes internal bleeding in the upper arm There is no fear.
  • the first surface portion and the second surface portion are fixed by fusion bonding.
  • a 1st surface part and a 2nd surface part can be fixed easily so that air may not leak from the air bag for ischemia by fusion.
  • both the first surface portion and the second surface portion are formed in a rectangular shape.
  • the patient may not feel uncomfortable at the time of blood pressure measurement and may cause internal bleeding in the upper arm simply by overlapping and fixing the rectangular first surface portion and the rectangular second surface portion, which are simple shapes. Disappears. Blood pressure can be measured by wrapping the armband.
  • both the first surface portion and the second surface portion are formed in a fan shape.
  • the armband portion can be wound in a conical shape, the patient does not feel uncomfortable at the time of blood pressure measurement even if it is a thick upper arm, and internal bleeding occurs in the upper arm with a large peripheral length on the shoulder side. There is no risk of it occurring. Blood pressure can be measured by wrapping the armband.
  • the blood pressure monitor main body part connected to the air bag for ischemia of the armband part and the air bag for arterial pulsation detection using a tube
  • the blood pressure monitor main body part is a housing
  • an air supply balloon that is attached to the housing and pushes the air through the tube to send the air to the air bag for ischemia and the air bag for detecting arterial pulsation.
  • the present invention can provide a sphygmomanometer that can prevent wrinkles from occurring on the inner surface side of the armband when the upper arm is pressurized by the armband.
  • FIG. 1 is a perspective view showing a preferred embodiment of a sphygmomanometer according to the present invention.
  • the front view of the sphygmomanometer shown in FIG. The figure which shows the example of the display item which the display part of a blood pressure meter main-body part can display.
  • FIG. 5A is a perspective view showing the inner surface side of the armband portion
  • FIG. 5B is a perspective view showing the outer surface side of the armband portion.
  • FIG. 7 is a perspective view showing a state in which the first surface portion and the second surface portion shown in FIG. 6 are fixed by high-frequency fusion.
  • FIG. 1 is a perspective view showing a preferred embodiment of the sphygmomanometer of the present invention.
  • FIG. 2 is a front view of the sphygmomanometer shown in FIG.
  • the sphygmomanometer 1 shown in FIG. 1 is a manual pressurization method by a medical staff such as a nurse, and pressurizes an air bag in an armband attached to a patient's upper arm T, thereby allowing the patient who is the subject to be measured. Blood pressure can be measured, and the patient does not feel uncomfortable during blood pressure measurement, and there is no risk of internal bleeding in the upper arm T.
  • an air balloon (pressurization unit) 5 and a sphygmomanometer body unit 4 are integrated.
  • a medical worker can pressurize the air balloon 5 with one hand, and the sphygmomanometer 1 can quietly measure blood pressure even at night because there is no motor sound.
  • the medical staff can select three measurement modes according to the patient's pathological condition.
  • the three measurement modes are a normal mode, a slow mode, and an auscultation mode.
  • the normal mode is a mode in which blood pressure measurement can be performed more quickly by automatic measurement.
  • Slow mode is a mode in which the pressure reduction rate after pressurization can be set slower than the pressure reduction rate after pressurization in normal mode, and blood pressure can be measured for patients with low blood pressure or patients with weak pulses. It is.
  • the auscultation mode is a mode in which a medical worker measures blood pressure by an auscultation method using a stethoscope without performing automatic measurement.
  • the measurement method in the sphygmomanometer 1 shown in FIG. 1 and FIG. 2 is an oscillometric method (a so-called double cuff method using an air bag for ischemia and an air bag for detecting arterial pulsation).
  • a power source to be used for example, a dry battery is used.
  • the sphygmomanometer 1 has a sphygmomanometer main body 2 and an armband 3.
  • the sphygmomanometer main body 2 includes a housing 4 and an air balloon 5.
  • the air supply balloon 5 is a pressurizing unit that can send internal air to the armband unit 3 side when a medical worker holds the hand and pressurizes it.
  • the air supply balloon 5 is made of an elastically deformable material having elasticity.
  • a housing 4 of the sphygmomanometer main body 2 shown in FIGS. 1 and 2 is made of plastic, and has a rectangular display unit 8, a power switch 9, a mode switch 10, and an exhaust switch 11.
  • the display unit 8 is, for example, a liquid crystal display device or an organic EL (electroluminescence) display device, and may be a single color display or a color display.
  • the display unit 8 can display a maximum blood pressure value, a minimum blood pressure value, a pulse rate, and which of the three measurement modes described above is selected.
  • the power switch 9 shown in FIG. 1 and FIG. 2 can be turned on or off by the medical staff when pressed.
  • the mode switch 10 can switch the measurement mode to any of the above-described normal mode, slow mode, and auscultation mode.
  • the exhaust switch 11 can be forcibly exhausted by a medical worker when the air in the air bag for ischemia in the armband portion 3 and air in the air bag for detecting arterial pulsation, which will be described later, is pressed. it can.
  • the two tubes 6 and 7 shown in FIG. 1 are flexible tubes that connect the housing 4 of the blood pressure monitor main body 2 and the armband 3.
  • the tube 6 is thicker than the tube 7.
  • One end portion 6 ⁇ / b> B of the tube 6 is connected to the upper portion of the housing 4 via the connector portion 12.
  • One end portion 7B of the tube 7 is connected to the upper portion of the housing 4 via a plug 7C and a connector portion 12.
  • the vicinity of the ends 6B and 7B of the tubes 6 and 7 are fixed by a holder 13.
  • the tubes 6 and 7 are fixed by the holder 13 so that the tubes 6 and 7 are not separated, but the one end portion 7B of the thin tube 7 is connected to the one end portion 6B of the thick tube 6.
  • the length of the tube 7 has a margin so that the movement of the tube 7 can follow the movement of the tube 6.
  • an extension portion 14 is formed projecting downward from the lower portion of the housing 4.
  • the extension portion 14 is a thin plate-like member that covers a part of the front portion 5S of the air balloon 5.
  • Projections 4T are formed on both sides of the housing 4 so that the housing 4 can be easily gripped.
  • the display unit 8 includes a maximum blood pressure value display area 8A, a minimum blood pressure value display area 8B, a pulse display area 8C, a pulse wave signal display area 8D, a previous value display area 8E, and a display area during exhaust. 8F, under-pressurized display area 8G, over-pressurized display area 8H, and selected mode display area 8K.
  • the systolic blood pressure value display area 8A shown in FIG. 3 displays the instantaneous blood pressure during pressurization and decompression, and finally displays the systolic blood pressure value.
  • the lowest blood pressure value display area 8B displays the lowest blood pressure value finally determined.
  • the pulse display area 8C shown in FIG. 3 displays the measured pulse value.
  • the pulse wave signal display area 8D displays the magnitude of the detected pulse wave signal, and the magnitude of the pulse wave signal is displayed in a bar shape that moves to the left and right.
  • the display of the magnitude of the pulse wave signal rhythmically increases or decreases from side to side, but in the case of a patient with arrhythmia, the display of the magnitude of the pulse wave signal Rhythmically does not increase or decrease from side to side.
  • the previous value display area 8E shown in FIG. 3 blinks or lights up when the power switch 9 is pressed to activate the operation of the sphygmomanometer body 2, and the highest blood pressure value, lowest blood pressure value, and pulse value measured last time are the highest. It is displayed in the hypertension value display area 8A, the minimum blood pressure value display area 8B, and the pulse display area 8C. Then, after a while or when a medical worker pressurizes the air balloon 5 to supply air, the display of the highest blood pressure value, the lowest blood pressure value, and the pulse value measured last time disappears. In the value display area 8E, when the power switch 9 is pressed and the operation of the sphygmomanometer main body 2 is started, the blinking or lighting is also extinguished.
  • the display area 8 ⁇ / b> F during exhausting blinks when the air in the air bag for ischemia and the air bag for detecting arterial pulsation in the armband 3 is rapidly exhausted.
  • the display area 8F during exhaust also blinks when the exhaust switch 11 is pressed.
  • the underpressurized display area 8G shown in FIG. 3 When the underpressurized display area 8G shown in FIG. 3 is lit or blinking, it indicates that the pressure in the armband 3 has not reached a level sufficient for blood pressure measurement. Can be further encouraged to send air using the air balloon 5.
  • the overpressurization display area 8H When the overpressurization display area 8H is lit or flashing, it indicates that the pressure in the armband 3 is equal to or higher than a predetermined pressure (for example, 320 mmHg or higher), and the medical worker overpressurizes. By confirming the display area 8H, it is possible to prompt the user to stop the pressurizing operation.
  • the mode display area 8K being selected shown in FIG. 3 displays which mode is selected from the normal mode, the slow mode, and the auscultation mode when the mode switch 10 is pressed. By selecting this mode, the exhaust (decompression) speed can be changed.
  • the exhaust speed is set to about 5 mmHg / sec, for example. In the normal mode, there is an advantage that the measurement time can be made relatively short because the exhaust speed is relatively fast.
  • the increment of the pressure change measurement is large, there is no particular problem when measuring a person with stable pulse, but when measuring the blood pressure of a person with arrhythmia, the pulse is easily lost. Measurement error may increase.
  • a slow mode is provided, and when this slow mode is selected, the exhaust speed is set to approximately half of the normal mode, for example, 2.0 to 2.5 mmHg / sec.
  • the auscultation mode is a mode in which measurement is performed manually using a stethoscope.
  • the exhaust speed is set to about half of the normal mode, for example, 2.0 to 3.0 mmHg / sec.
  • FIG. 4 shows an example of a control circuit block arranged in the sphygmomanometer body 2 of the sphygmomanometer 1 and a configuration example of the armband 3.
  • a control unit 100 is disposed inside the housing 4 of the sphygmomanometer main body 2 shown in FIG. 4, and the control unit 100 has a central processing unit (CPU).
  • the control unit 100 includes a display unit 8, a power control unit 102, a power switch 9, a mode switch 10, an exhaust switch 11, a pressure sensor 110, a ROM (read only memory) 111, and a RAM (random access memory). ) 112, the driving unit 113, and the buzzer 114.
  • the battery 4 is controlled by the power control unit 102, so that power is supplied to the control unit 100.
  • the battery 115 may be a dry battery or a secondary battery (rechargeable battery). However, it is preferable that a medical worker grips with one hand and pressurizes the air balloon, and the power consumption at the time of measurement is about 0.5 W. Therefore, as a power source to be used, for example, an AA battery ( DC1.5V) or AA rechargeable battery (DC1.5V) is used. Therefore, when a new AA battery (DC1.5V) is used, blood pressure can be measured about 1000 times, and the entire sphygmomanometer 1 can be reduced in size and weight (about 135 g).
  • the display unit 8 displays the display items described with reference to FIG.
  • the armband portion 3 has a main body member 80, and the main body member 80 includes an air bag 20 for ischemia and an air bag 40 for detecting arterial pulsation.
  • the pressure sensor 110 detects the pressure in the air bag 20 for ischemia and the pressure in the air bag 40 for detecting arterial pulsation.
  • the pressure sensor 110 detects a change in pressure in the air bag 20 for ischemia.
  • the pressure in the air bag 40 for detecting arterial pulsation varies due to the vibration of the arterial wall due to arterial pulsation of the upper arm T that occurs during blood pressure measurement, that is, due to the pulse wave of the artery of the upper arm T, but the pressure sensor 110. Detects this pressure fluctuation.
  • the air bag 20 for ischemia is also called a large cuff
  • the air bag 40 for detecting arterial pulsation is also called a small cuff.
  • An air bag 40 for detecting arterial pulsation is built in the ischemic air bag 20.
  • the sphygmomanometer 1 has a so-called double cuff type armband portion 3.
  • the ROM 111 shown in FIG. 4 stores a control program and various data in advance.
  • the RAM 112 temporarily stores calculation results and measurement results.
  • the drive unit 113 drives the electromagnetic valve 116 according to a command from the control unit 100.
  • the control unit 100 determines that the fluctuation value of the pressure detected by the pressure sensor 110 is equal to or greater than a predetermined value, the control unit 100 determines that the pressurization is being performed and issues a command to the drive unit 113.
  • the electromagnetic valve 116 is closed.
  • the control unit 100 determines that the pressure fluctuation value (increase value) is substantially zero or in a reduced pressure state within a predetermined period with respect to the pressure detected by the pressure sensor 110, the control unit 100 instructs the drive unit 113. Then, the electromagnetic valve 116 is opened so that the pressure reduction speed becomes a predetermined value. The operation of the sphygmomanometer 1 shifts from the pressurization mode to the measurement mode. The forced exhaust valve 117 is opened by a command from the control unit 100 when the exhaust switch 11 is pressed. The buzzer 114 generates a predetermined warning sound according to a command from the control unit 100.
  • the buzzer 114 may cause an error when the blood pressure value is determined when the power switch 9 of the sphygmomanometer body 2 is pressed and the display unit 8 is ready for display, when the mode is switched by pressing the mode switch 10, A warning sound is generated when an error occurs.
  • the air supply bulb 5 is connected to one end portion 6B of the tube 6 through the manifold 118, the branching portion 119, the conducting tube 120, and the forced exhaust valve 117.
  • the other end 6A of the tube 6 is connected to the air bag 20 for ischemia.
  • the air supply balloon 5 is connected to the pressure sensor 110 via the manifold 118, the branch portion 119, the manifold 121, and the branch portion 122.
  • the branch portion 122 is connected to one end portion 7 ⁇ / b> B of the tube 7.
  • the other end 7A of the tube 7 is connected to an air bag 40 for detecting arterial pulsation.
  • the pressure sensor 110 can detect a change in pressure in the air bag 20 for ischemia and a change in pressure in the air bag 40 for detecting arterial pulsation.
  • the pressurizing operation in which the medical worker grips and releases the air balloon 5 by hand, the external air taken into the air balloon 5 is branched from the air balloon 5 into the manifold 118.
  • the air can be sent into the ischemic air bladder 20 through the portion 119, the conducting tube 120, the forced exhaust valve 117, and the tube 6.
  • the external air taken into the air supply balloon 5 is supplied to the manifold 118, the branch portion 119, The air can be sent to the air bag 40 for detecting arterial pulsation through the manifold 121, the branch part 122, and the tube 7.
  • FIG. 5 shows a structural example of the armband portion 3.
  • FIG. 5A is a perspective view showing the inner surface side of the armband portion 3
  • FIG. 5B is a perspective view showing the outer surface side of the armband portion 3.
  • the armband portion 3 is wound directly on the skin (bare skin) of the patient's upper arm T as a person to be measured, and sends air into the ischemic air bag 20 to pressurize the upper arm T. .
  • the armband 3 has a double cuff type bladder including an air bag for ischemia (large bag) 20 and an air bag for detecting arterial pulsation (small bag) 40. It has a so-called one-piece cuff structure that does not have an outer cloth for covering the bladder.
  • the armband portion 3 is composed of one member including an air bag for ischemia (large bag) 20 and an air bag for detecting arterial pulsation (small bag) 40.
  • the armband portion 3 includes a main body member 80, a sheet-like sealing member 52, a male member 61 of the surface fastener 60, a female member 62 of the surface fastener 60, and arterial pulsation detection.
  • Air bag (small bag) 40 The male member 61 of the surface fastener 60 can be detachably attached to the female member 62 of the surface fastener 60.
  • the male member 61 of the surface fastener 60 is one member of the surface fastener, and the female member 62 of the surface fastener 60 is the other member of the surface fastener.
  • a main body member 80 shown in FIG. 5A has a rectangular first surface portion 50A and a rectangular second surface portion 50B.
  • the first surface portion 50A is on the outer surface portion side of the armband portion 3 shown in FIG. 1
  • the second surface portion 50B is on the inner surface portion side of the armband portion 3
  • the second surface portion 50B is the skin (skin) of the upper arm T. It is a surface that touches directly.
  • the first surface portion 50A and the second surface portion 50B are rectangular members formed along the longitudinal direction X. 50 A of 1st surface parts and the 2nd surface part 50B can form the rectangular main body member 80 by mutually superimposing along a X direction.
  • the X direction is the peripheral direction of the upper arm T.
  • the first surface portion 50A is formed of a material that is more easily extended in the X direction than the second surface portion 50B.
  • the second surface portion 50B is divided into a plurality of regions along the X direction, and each of the divided regions is, for example, when ischemic air is introduced. As will be described later, it expands three-dimensionally or three-dimensionally and extends in the X direction.
  • the first surface portion 50 ⁇ / b> A and the second surface portion 50 ⁇ / b> B of the main body member 80 preferably have a double structure having a first sheet layer 71 and a second sheet layer 72, respectively.
  • the first sheet layer 71 is an inner layer
  • the second sheet layer 72 is an outer layer.
  • the first sheet layer 71 is made of, for example, a polyurethane resin
  • the second sheet layer 72 is made of, for example, a nylon resin.
  • the first sheet layer 71 is not limited thereto, and may be made of, for example, polyester.
  • This nylon resin is a trade name of DuPont, USA, and is a general name for polyamide fibers (resins).
  • the first sheet layer 71 is not limited to a polyurethane resin, but may be made of natural rubber, synthetic rubber, elastomer, PVC (polyvinyl chloride), or the like.
  • the reason why the first sheet layer 71 is made of, for example, urethane resin is that it can be inflated by forming an air bag for ischemia (large bag) and putting in air, and the air does not escape. It is for doing so.
  • the second sheet layer 72 is made of nylon resin, for example, because it covers the first sheet layer 71 and directly touches the skin of the upper arm T of the patient (measured person) shown in FIG. This is because importance is placed on flexibility and flexibility.
  • FIG. 6 is a perspective view showing the first surface portion 50A and the second surface portion 50B of the main body member 80 shown in FIG.
  • the first surface portion 50A and the second surface portion 50B shown in FIG. 6 show a state before they are fused and integrated with each other by high frequency.
  • the first surface portion 50A is on the outer surface portion side of the armband portion 3 shown in FIG. 1
  • the second surface portion 50B is on the inner surface portion side of the armband portion 3, and the skin of the upper arm T (skin ) Directly touch the surface.
  • the length along the peripheral direction of the upper arm T of the first surface portion 50A is set longer than the length along the peripheral direction of the upper arm T of the second surface portion 50B.
  • the width N1 in the V direction of the first surface portion 50A is set to be the same as the length N2 in the V direction of the second surface portion 50B, or the width N1 is set to be slightly larger than the width N2.
  • FIG. 7 is a perspective view showing an example of a state in which the first surface portion 50A shown in FIG. 6 is overlaid on the second surface portion 50B and fixed by, for example, high frequency fusion.
  • the first surface portion 50A and the second surface portion 50B are overlapped with each other, and the first surface portion 50A and the second surface portion are formed so as to form a plurality of three-dimensionally formed portions 500 on the first surface portion 50A.
  • high-frequency fused portions 90, 90B, 90C, 93, 92, 91, 94 are formed.
  • This three-dimensional formation part 500 also refers to a three-dimensional fusion part.
  • the high-frequency fused portions 90, 90 B, 94, 91 form a blood-insulating air bag (large bag) 20, and the remaining high-frequency fused portions 92, 94, 90 C, 93 are arm-wrapped portions 96.
  • three three-dimensionally formed portions 500 are formed in the region of the ischemic air bag (large bag) 20, and three are formed in the region of the arm winding portion 96, but are not limited thereto.
  • the three-dimensionally formed portion 500 may be formed in advance on the planar first surface portion 50A shown in FIG.
  • the three-dimensionally formed portion 500 is formed by integrating the planar first surface portion 50A and the planar second surface portion 50B with the high-frequency fused portions 90, 90B, 90C, 93, 92, 91, 94, and at the same time, You may form with respect to 50 A of 1st surface parts.
  • the main body member 80 is fixed by overlapping the first surface portion 50A and the second surface portion 50B, and a plurality of three-dimensionally formed portions 500 are formed on the first surface portion 50A.
  • a lid member 50 ⁇ / b> K is formed in the second surface portion 50 ⁇ / b> B of the main body member 80 by being cut in advance.
  • an air bag 40 for detecting arterial pulsation is inserted inside the lid member 50K.
  • the air bag 40 for detecting arterial pulsation is located between the first surface portion 50A and the second surface portion 50B, and is held by the abutting member 51 from the back side. Thereby, the air bag 40 for detecting arterial pulsation is held between the lid member 50K and the abutting member 51 in a sealed state, for example, by high frequency fusion. For this reason, the air bag 40 for detecting arterial pulsation is built in the air bag 20 for ischemia.
  • the air bag 40 for detecting arterial pulsation shown in FIG. 5A is supported by a support plate (not shown), a large pressure fluctuation in the air bag 20 for ischemia causes air bag 40 for detecting arterial pulsation. Not communicated to. For this reason, a minute pressure fluctuation in the air bag 40 for detecting arterial pulsation can be detected without being influenced by a large pressure fluctuation in the air bag 20 for ischemia.
  • the air bag 40 for detecting arterial pulsation has a function capable of being brought into close contact with the bare skin of the upper arm T of the patient.
  • the male member 61 of the hook and loop fastener 60 is disposed on the three-dimensionally formed portion 500 of the first surface portion 50A, and the male member 61 is relative to the three-dimensionally formed portion 500 of the first surface portion 50A. It can be securely attached by sewing with thread.
  • the male member 61 is securely fixed to the first surface portion 50A by sewing as compared to the case where the male member 61 is fixed by fusion (fusion) because the attachment strength of the male member 61 to the first surface portion 50A is increased. It is because it can improve.
  • the through hole 80P is opened. Between the first surface portion 50A and the inner surface side, air passes and the air in the air bag 20 is leaked. Therefore, in order to prevent the passage of air through the through-hole 80P, as shown in FIG. 5B, the sheet-like sealing member 52 is, for example, high-frequency with respect to the inner surface of the three-dimensionally formed portion 500 of the first surface portion 50A. It is fixed by fusion.
  • the sheet-like sealing member 52 can block the through hole 80P through which the thread 80 passes, between the outer side of the male member 61 and the inner surface side of the three-dimensionally formed portion 500 of the first surface portion 50A. Air can be prevented from passing through, and air leakage in the ischemic bladder 20 can be reliably prevented.
  • the first surface portion 50A and the second surface portion 50B are formed by sealing the inside thereof.
  • Fusion parts 90, 90B, 90C, 93, 92, 91, 94 are provided.
  • the high frequency fusion parts 90, 90B, 90C, 93, 92, 91, 94 are divided into the air bag 20 for ischemia and the arm winding part 96 so as to be airtight.
  • the air bag 20 for ischemia is hermetically sealed by high-frequency fused portions 90, 90B, 94, 91.
  • the tube 6 is airtightly connected to the tube connection hole 20 ⁇ / b> H of the ischemic air bladder 20.
  • the arm winding portion 96 is formed to be hermetically sealed by the high frequency fusion portions 92, 94, 90C, 93.
  • the female member 62 of the surface fastener 60 is attached to the outer surface 50Q of the second surface portion 50B by sewing using the thread 99.
  • the reason why the female member 62 is thus fixed by sewing with the thread 99 is to improve the attachment strength of the female member 62.
  • the female member 62 is fixed to the outer surface 50Q of the second surface portion 50B by sewing using the thread 99, so that a through hole 98 is formed in a portion through which the thread 99 is passed.
  • the through hole 98 is formed to penetrate from the outside of the first surface portion 50A to the first surface portion 50A, the second surface portion 50B, and the outside of the female member 62 of the surface fastener 60.
  • the through hole 98 is formed so as to penetrate from the outside of the first surface portion 50A of the arm winding portion 96 to the outside of the first surface portion 50A, the second surface portion 50B, and the female member 62 of the surface fastener 60. Because of the reason.
  • the arm winding portion 96 shown in FIG. 5A is a portion where air does not flow, that is, a portion that does not expand when the upper arm is pressurized, unlike the air bag 20 for ischemia. For this reason, it is desirable to prevent air from entering the arm winding portion 96 in order to tightly wind around the upper arm T.
  • a plurality of high-frequency fused portions 90, 90B, 90C, 93, 92, 91, and 94 are provided with the hemostasis air bag 20 and the arm winding portion. If it is formed so that it can be hermetically divided into 96, it is difficult to prevent air from entering the arm winding portion 96 at all.
  • the through hole 98 is formed so as to penetrate the front and back of the arm winding portion 96, so that the arm winding portion is utilized using the through hole 98.
  • the air which is to remain in 96 can be pushed out completely. For this reason, there is an advantage that air bleedability from the arm winding portion 96 is improved.
  • the arm winding portion 96 of the arm band portion 3 does not cause unnecessary swelling due to residual air, the arm band portion 3 can be reliably and easily wound so as to be in close contact with the upper arm T of the patient. .
  • the size of the armband portion 3 is, for example, SS size, S size, M size, L size, and LL size from small to large.
  • FIG. 8 shows a state in which the armband portion 3 is directly wound around the skin (bare skin) of the upper arm T of the patient.
  • FIG. 9 shows an example of a procedure for winding the armband 3 directly around the skin of the upper arm T of the patient.
  • the medical staff directly wraps and fixes the arm band 3 around the skin of the upper arm T of the patient as follows.
  • the arm band portion 3 to be wound around the upper arm T has the first surface portion 50A on the lower side, the second surface portion 50B on the upper side, and the second surface portion 50B as shown in FIG. 9 (A).
  • the side is applied from the lower side of the upper arm T.
  • a medical worker holds the start end portion 159 of the armband portion 3 by hand and winds the armband portion 3 around the upper arm T along the R1 direction.
  • the air bag 40 for detecting arterial pulsation is positioned according to the position of the artery of the upper arm T, so that the air bag 40 for detecting arterial pulsation can be accurately positioned with respect to the artery of the upper arm T. .
  • the second surface portion 50B comes into direct contact with the bare skin of the upper arm T and exhibits water absorption, toughness and flexibility.
  • the air bag 40 for detecting arterial pulsation can be prevented from being displaced from the artery of the upper arm T.
  • the medical worker holds the terminal portion 169 of the armband portion 3 by hand and wraps the armband portion 3 around the upper arm T along the R2 direction.
  • the female member 62 of the hook-and-loop fastener described above is detachably attached to the male member 61 of the hook-and-loop fastener. Since the female member 61 of the hook-and-loop fastener and the male member 62 of the hook-and-loop fastener are detachably engaged, the arm band portion 3 can be directly wound around the bare skin of the upper arm T and fixed so as not to be displaced. In this case, the air that is to remain in the arm winding portion 96 shown in FIGS.
  • the medical staff presses the power switch 9 shown in FIG. 3 and the mode switch 10 while the armband 3 is held in the correct posture with respect to the upper arm T. Select the desired mode with.
  • FIG. 2 by repeating the operation of holding and releasing the air balloon 5 while supporting the extension portion 14 with the finger of the hand H, the air from the air balloon 5 is exchanged with the piping in the sphygmomanometer body 2. Air is sent through the tubes 6 and 7 into the air bag 20 for ischemia and the air bag 40 for detecting arterial pulsation in the armband 3.
  • the pressure sensor 110 shown in FIG. 4 can accurately detect the fluctuation of the air pressure in the air bag 40 for detecting arterial pulsation, so that the blood pressure can be accurately measured.
  • the air bag 20 for ischemia and the air bag 40 for detecting arterial pulsation can apply pressure to the upper arm T side, which is the inner side in the radial direction, and the pressure generated by the ischemic air bag 20 and arterial pulsation are detected.
  • the pressure generated by the air bag 40 can be applied to the upper arm T without escaping to the outside of the armband portion 2, and accurate blood pressure measurement can be performed.
  • FIG. 10 shows an example in which the pressure applied to the upper arm T by the ischemic bladder 20 changes with time.
  • Air is sent into the air bag 20 for detecting ischemia and the air bag 40 for detecting arterial pulsation shown in FIG. 4 by repeating the operation of grasping and releasing the air balloon 5 shown in FIG. Therefore, as shown in FIG. 10, the pressure in the air bag 20 for ischemia in the armband portion 3 increases during the pressure increase period t1.
  • the control unit 100 in FIG. 4 determines that the pressurization is currently being performed, and instructs the drive unit 113 to close the electromagnetic valve 116. And the operation
  • the controller 100 waits for the natural pressure reducing period t2, and then determines that the pressure detected by the pressure sensor 110 in FIG. 4 is in a reduced pressure state during the optimum speed pressure reducing period t3.
  • the unit 113 is commanded to open the electromagnetic valve 116 so that the pressure reduction speed becomes a predetermined value.
  • the control unit 100 shown in FIG. 4 receives a maximum blood pressure value (SYS) by a signal from the pressure sensor 110. And a minimum blood pressure value (D1A) and a pulse value are acquired.
  • SYS maximum blood pressure value
  • D1A minimum blood pressure value
  • control unit 100 in FIG. 4 operates the forced exhaust valve 117 to force the air in the air bag 20 for ischemia in the armband 3 and the air bag 40 for detecting arterial pulsation. Evacuate to eliminate pressure.
  • the first side which is the outer surface side of the arm band portion 3 is used.
  • a plurality of three-dimensionally formed portions 500 of the face portion 50A extend along the periphery of the upper arm T.
  • the second surface portion 50B on the inner surface side of the armband portion 3 is stretched by the tension of the first surface portion 50A on the outer surface side. Thus, it does not move along the peripheral direction of the upper arm T.
  • the medical staff may remove the armband 3 from the patient's upper arm T in the order of FIGS. 9C, 9B, and 9A. That is, as shown in FIG. 9C, the medical worker holds the end portion 169 of the armband portion 3 by hand and peels the end portion 169 of the armband portion 3 along the R3 direction. Accordingly, as shown in FIG. 9B, the female member 62 of the surface fastener on the terminal end 169 side of the armband portion 3 is peeled off from the male member 61 of the surface fastener on the start end portion 159 side of the armband portion 3. Can do. Then, as shown in FIG. 9 (B), the medical worker holds the starting end portion 159 of the armband portion 3 with his hand and separates it from the upper arm T in the R4 direction, as shown in FIG. 9 (A). The band 3 can be easily removed from the upper arm T.
  • FIG. 11 shows a second embodiment of the present invention.
  • FIG. 11A shows an example of the first surface portion 190A and the second surface portion 190B constituting the main body member 80A of the armband portion 3A of the second embodiment of the present invention.
  • FIG. 11B shows a state in which the armband portion 3A of the second embodiment of the present invention is attached to the upper arm T.
  • the armband portion 3A is connected to the sphygmomanometer body portion 2 shown in FIG.
  • 11B is used particularly when the upper arm T is thicker than the upper arm of a standard patient, and the arm band 3 has a shoulder side length that is longer than the hand side length. It is getting bigger.
  • a patient whose upper arm T is thicker than the upper arm of a standard patient is that the peripheral length on the shoulder side of the upper arm T and the peripheral length on the finger side of the upper arm T are the peripheral length on the shoulder side of the normal patient's upper arm T and the upper arm. It is a person who is larger than the peripheral length of T on the finger side.
  • the first surface portion 190A and the second surface portion 190B are both formed in a fan shape as shown in FIG. Yes.
  • the width K1 of the first surface portion 190A in the V direction is the same or slightly larger than the width K2 of the width second surface portion 190B in the V direction.
  • the circumferential length J1 in the Y direction of the first surface portion 190A is larger than the circumferential length J2 in the Y direction of the second surface portion 190B. That is, the length along the peripheral direction of the upper arm T of the first surface portion 190A is set to be longer than the length along the peripheral direction of the upper arm T of the second surface portion 190B.
  • the first surface portion 190A is fixed to the second surface portion 190B by high frequency fusion in the same manner as the armband portion 3 shown in FIG.
  • a plurality of three-dimensionally formed portions 600 are formed.
  • the three-dimensional forming portion 600 is also referred to as a three-dimensional sewing portion.
  • the armband portion 3 when the armband portion 3 is wound around the upper arm T, and the air is applied to the armband portion 3 to pressurize the upper arm T, the armband portion 3 can be wound as a conical cylindrical body. Even if there is, blood pressure can be measured by wrapping the armband.
  • a plurality of three-dimensionally formed portions 600 of the first surface portion 50 ⁇ / b> A on the outer surface side of the armband portion 3 extend along the peripheral length of the upper arm T. For this reason, when the three-dimensionally formed portions 600 of the first surface portion 50 ⁇ / b> A extend, the second surface portion 50 ⁇ / b> B on the inner surface side of the armband portion 3 moves and a bent portion is generated at a location where the armband portion 3 exists. Absent.
  • a sphygmomanometer 1 is a sphygmomanometer that has an arm band part and measures blood pressure by winding the arm band part around the upper arm of a person to be measured and pressurizing the arm band part.
  • the air bag is formed by the first surface portion and the second surface portion, and the length along the peripheral direction of the upper arm of the first surface portion is longer than the length along the peripheral direction of the upper arm of the second surface portion.
  • the first surface portion is configured to be extendable in the length direction along the peripheral direction of the upper arm.
  • the first surface portion is formed to extend from the second surface, when the arm band portion is wound around the upper arm and the upper arm is pressed, the first surface portion which is the outer surface side of the arm band portion is It extends along the circumferential direction of the.
  • the second surface portion on the inner surface side of the armband portion does not move along the peripheral direction of the upper arm due to the tension of the first surface portion on the outer surface side, so there is an armband portion. There are no bent parts in the area.
  • the arm band portion is disposed in the air bag for ischemia of the main body member, and includes an air bag for detecting arterial pulsation for detecting pulsation of the artery of the upper arm by supplying air.
  • an air bag for detecting arterial pulsation for detecting pulsation of the artery of the upper arm by supplying air.
  • the first surface portion which is the outer surface side of the arm belt portion, extends along the circumferential direction of the upper arm.
  • the second surface portion on the inner surface side of the armband portion does not move along the peripheral direction of the upper arm due to the tension of the first surface portion on the outer surface side, so there is an armband portion. There are no bent parts in the area.
  • the 1st surface part is formed in three dimensions, when the arm belt part is wrapped around the upper arm and the upper arm is pressurized, the first surface part which is the outer surface side of the arm belt part is along the peripheral direction of the upper arm. It grows. By extending the first surface portion, the second surface portion on the inner surface side of the armband portion does not move along the peripheral direction of the upper arm due to the tension of the first surface portion on the outer surface side, so there is an armband portion. There are no bent parts in the area. For this reason, when pressurizing the upper arm with the armband part, it is possible to prevent wrinkles from occurring on the inner surface side of the armband part, so that the patient does not feel uncomfortable during blood pressure measurement and causes internal bleeding in the upper arm There is no fear.
  • the first surface portion and the second surface portion are fixed by fusion, the first surface portion and the second surface portion can be easily fixed by fusion so that air does not leak from the air bag for ischemia. Since the first surface portion and the second surface portion are both formed in a rectangular shape, the patient can measure the blood pressure by simply stacking and fixing the rectangular first surface portion and the rectangular second surface portion, which are simple shapes. It does not feel uncomfortable and eliminates the possibility of internal bleeding in the upper arm. Blood pressure can be measured by wrapping the armband. Since both the first surface portion and the second surface portion are formed in a fan shape, the armband portion can be wound in a conical shape. There is no risk of uncomfortable feeling during blood pressure measurement, and there is no risk of internal bleeding in the upper arm. Blood pressure can be measured by wrapping the armband.
  • the blood pressure monitor body has a blood pressure monitor body connected to the armband air bag for ischemia and an air bag for detecting arterial pulsation using a tube.
  • the blood pressure monitor body is attached to the housing and the housing.
  • the male member 61 of the hook-and-loop fastener 60 is one member of the hook-and-loop fastener and is disposed in the blood-insulating air bag 20, and the female member 62 of the hook-and-loop fastener 60 is the other member of the hook-and-loop fastener and the arm winding portion. 96.
  • the present invention is not limited to this, and conversely, the female member of the hook-and-loop fastener 60 is one member of the hook-and-loop fastener and is disposed in the air bag 20 for ischemia, and the male member of the hook-and-loop fastener 60 is the other member of the hook-and-loop fastener. You may make it arrange
  • the sphygmomanometer of the embodiment of the present invention has a so-called double cuff-type armband portion having an air bag for ischemia and an air bag for detecting arterial pulsation, but the sphygmomanometer of the present invention is not limited to this. It can also be applied to a sphygmomanometer having a normal oscillometric armband having an air bag for ischemia and a pulse wave sensor.
  • the illustrated sphygmomanometer is of a manual pressurization type, but the sphygmomanometer of the present invention is not limited to this.
  • the automatic sphygmomanometer has an arm band and a sphygmomanometer body that is separate from the arm band, and the arm band is wound around the upper arm of a patient (a person to be measured).
  • air can be sent from the sphygmomanometer main body through the tube to the air bag for ischemia and the air bag for detecting arterial pulsation.
  • a part of each configuration of the above embodiment can be omitted, or can be arbitrarily combined so as to be different from the above.
  • SYMBOLS 1 Blood pressure monitor, 3 ... Arm band part, 2 ... Blood pressure monitor main-body part, 4 ... Housing

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Abstract

[Problem] To provide a blood pressure meter capable of not producing wrinkles on the inner-surface side of a cuff when applying pressure to the upper arm by using the cuff. [Solution] A blood-pressure-meter (1) cuff (3) equipped with a body member (80) having a blood-restricting airbag (20) for restricting the flow of blood in the upper arm by supplying air, and an arterial-pulse-detection airbag (40) for detecting the pulse of an artery in the upper arm (T) by supplying air, and positioned in the blood-restricting airbag (20) of the body member (80), wherein: the body member (80) has a first surface section (50A) on the outside and a second surface section (50B) which contacts the upper arm (T) and overlaps the first surface section (50A); the blood-restricting airbag (20) is formed from the first surface section (50A) and the second surface section (50B); the length of the first surface section (50A) in the direction encircling the upper arm is set so as to be longer than the length of the second surface section (50B) in the direction encircling the upper arm; and the first surface section (50A) is formed three-dimensionally in relation to the second surface section (50B).

Description

血圧計Sphygmomanometer
 本発明は、腕帯部を巻き付けて患者の血圧を測定する血圧計に関する。 The present invention relates to a sphygmomanometer that measures the blood pressure of a patient by wrapping an armband portion.
 医療機関で看護師等の医療従事者が使用する血圧計としては、腕帯部へ送気するための送気球と血圧計本体部とを一体化した手動加圧方式のものがある。この血圧計の腕帯部は動脈を阻血するための阻血用空気袋と、この阻血用空気袋に付けてある動脈拍動検出用の空気袋を有している。医療従事者が手動で送気球を握ったり離したりすることで、血圧計本体部からチューブを通して腕帯部内の阻血用空気袋に空気を送って、患者の上腕を加圧して血圧を測定する。医療従事者は送気球を片手で簡単に操作でき、腕帯部内の阻血用空気袋に空気を送る際に、空気を送るためのモータが不要であるので、夜間でも静かな血圧測定を行うことができる(特許文献1を参照)。 Blood pressure monitors used by medical personnel such as nurses at medical institutions include a manual pressurization type in which an air balloon for supplying air to the armband and a blood pressure monitor main body are integrated. The arm band portion of the blood pressure monitor has an ischemic air bag for blocking the artery and an arterial pulsation detecting air bag attached to the ischemic air bag. When a medical worker manually holds or releases the air balloon, air is sent from the sphygmomanometer body through the tube to the air bag for ischemia in the armband, and the patient's upper arm is pressurized to measure blood pressure. Medical personnel can easily operate the air balloon with one hand, and when sending air to the air bag for ischemia in the armband, a motor to send air is unnecessary, so quiet blood pressure measurement should be performed even at night (See Patent Document 1).
特許第4673020号公報Japanese Patent No. 4673020
 ところで、腕帯部を患者(被測定者)の上腕に巻き付けて腕帯部に空気を入れて上腕を加圧する場合に、腕帯部の内面が移動して腕帯部のある箇所に折れ曲がり部分が生じる。この腕帯部の内面の折れ曲がり部分では、シワが生じる。腕帯部の内面側にシワが生じると、腕帯部の内面とともに上腕の皮膚の一部分が引っ張られて、上腕の皮膚の一部分がシワに引き込まれてしまうことがある。このため、患者は血圧測定時に不快に感じ、場合によっては上腕に内出血を生じるおそれがある。 By the way, when the armband is wrapped around the patient's (measured person's) upper arm and air is put into the armband to pressurize the upper arm, the inner surface of the armband moves and bends to the place where the armband is located Occurs. Wrinkles occur at the bent portion of the inner surface of the armband portion. When wrinkles are generated on the inner surface side of the arm band portion, a part of the upper arm skin may be pulled together with the inner surface of the arm band portion, and a part of the upper arm skin may be drawn into the wrinkle. For this reason, the patient feels uncomfortable at the time of blood pressure measurement, and may cause internal bleeding in the upper arm in some cases.
 このように、腕帯部の内面側に生じるシワに上腕の皮膚の一部分が引っ張られるのは、次の理由からである。すなわち、腕帯部の外面側の長さと腕帯部の内面側の長さとが同じであるために、腕帯部を上腕に巻き付けて加圧する時には、外面側は緊張しているので外面側は長さ方向には余っていないが、内面側(上腕と接触する面側)は緩んで内面側の長さ方向が余ってしまい、内面側にはシワが生じてしまう。
 そこで、本発明は、腕帯部により上腕を加圧する際に、腕帯部の内面側にシワが生じないようにすることができる血圧計を提供することを目的とする。
As described above, a part of the upper arm skin is pulled by the wrinkles generated on the inner surface side of the armband portion for the following reason. That is, since the length of the outer surface side of the armband portion and the length of the inner surface side of the armband portion are the same, when the armband portion is wound around the upper arm and pressed, the outer surface side is strained, so the outer surface side is Although it does not remain in the length direction, the inner surface side (the surface side in contact with the upper arm) is loosened and the length direction on the inner surface side is left, and wrinkles are generated on the inner surface side.
Accordingly, an object of the present invention is to provide a sphygmomanometer that can prevent wrinkles from being generated on the inner surface side of the armband portion when the upper arm is pressurized by the armband portion.
 本発明の血圧計は、腕帯部を有し、前記腕帯部を被測定者の上腕に巻いて加圧することで血圧を測定する血圧計であって、前記腕帯部は、空気を供給することで前記上腕を阻血するための阻血用空気袋を有する本体部材を備え、前記本体部材は、外側の第1面部と前記第1面部に重なっており前記上腕に接する第2面部を有し、前記阻血用空気袋は、前記第1面部と前記第2面部により形成されており、前記第1面部の前記上腕の周囲方向に沿った長さは、前記第2面部の前記上腕の周囲方向に沿った長さに比べて長く設定され、前記第1面部は前記上腕の周囲方向に沿った長さ方向に伸長可能な構成とされていることを特徴とする。
 上記構成によれば、第1面部が第2面より伸長するように形成されているので、腕帯部を上腕に巻き付けて上腕を加圧する場合に、腕帯部の外面側である第1面部が、上腕の周囲方向に沿って伸びる。第1面部が伸びることにより、腕帯部の内面側の第2面部が、外面側の第1面部の緊張につられて上腕の周囲方向に沿って移動することが無いので、腕帯部のある箇所に折れ曲がり部分が生じない。このため、腕帯部により上腕を加圧する際に、腕帯部の内面側にシワが生じないようにすることができるので、患者は血圧測定時に不快に感じを受けず、上腕に内出血を生じるおそれが無くなる。
The sphygmomanometer according to the present invention is a sphygmomanometer that has an arm band part and measures the blood pressure by winding the arm band part around the upper arm of a person to be measured and pressurizing the arm band part, and the arm band part supplies air A body member having an air bag for ischemia for blocking the upper arm, and the body member has an outer first surface portion and a second surface portion that overlaps the first surface portion and contacts the upper arm. The air bag for ischemia is formed by the first surface portion and the second surface portion, and the length of the first surface portion along the circumferential direction of the upper arm is the circumferential direction of the upper arm of the second surface portion. The first surface portion is configured to be extendable in the length direction along the circumferential direction of the upper arm.
According to the above configuration, since the first surface portion is formed to extend from the second surface, the first surface portion that is the outer surface side of the armband portion when the armband portion is wound around the upper arm and the upper arm is pressurized. However, it extends along the circumference of the upper arm. By extending the first surface portion, the second surface portion on the inner surface side of the armband portion does not move along the peripheral direction of the upper arm due to the tension of the first surface portion on the outer surface side, so there is an armband portion. There are no bent parts in the area. For this reason, when pressurizing the upper arm with the armband part, it is possible to prevent wrinkles from occurring on the inner surface side of the armband part, so that the patient does not feel uncomfortable during blood pressure measurement and causes internal bleeding in the upper arm There is no fear.
 好ましくは、前記腕帯部は、前記本体部材の前記阻血用空気袋に配置され、前記空気を供給することで前記上腕の動脈の拍動を検出するための動脈拍動検出用の空気袋を備えていることを特徴とする。
 上記構成により、阻血用空気袋と動脈拍動検出用の空気袋を有する腕帯部であっても、第1面部が第2面より伸長するように形成されているので、腕帯部を上腕に巻き付けて上腕を加圧する場合に、腕帯部の外面側である第1面部が、上腕の周囲方向に沿って伸びる。第1面部が伸びることにより、腕帯部の内面側の第2面部が、外面側の第1面部の緊張につられて上腕の周囲方向に沿って移動することが無いので、腕帯部のある箇所に折れ曲がり部分が生じない。
 好ましくは、前記第1面部は、阻血用空気が導入されることにより、前記第2面部と比較して、より立体的な形態となるように形成されていることを特徴とする。
 上記構成によれば、第1面部が阻血用空気導入により膨らんで、立体的になるように形成されているので、腕帯部を上腕に巻き付けて上腕を加圧する場合に、腕帯部の外面側である第1面部が、上腕の周囲方向に沿って伸びる。第1面部が伸びることにより、腕帯部の内面側の第2面部が、外面側の第1面部の緊張につられて上腕の周囲方向に沿って移動することが無いので、腕帯部のある箇所に折れ曲がり部分が生じない。このため、腕帯部により上腕を加圧する際に、腕帯部の内面側にシワが生じないようにすることができるので、患者は血圧測定時に不快に感じを受けず、上腕に内出血を生じるおそれが無くなる。
Preferably, the armband portion is disposed in the air bag for ischemia of the main body member, and an air bag for detecting arterial pulsation for detecting pulsation of the artery of the upper arm by supplying the air is provided. It is characterized by having.
With the above configuration, even if the armband portion has an air bag for ischemia and an air bag for detecting arterial pulsation, the first surface portion is formed so as to extend from the second surface. When the upper arm is wound around the upper arm and the upper arm is pressurized, the first surface portion, which is the outer surface side of the arm belt portion, extends along the circumferential direction of the upper arm. By extending the first surface portion, the second surface portion on the inner surface side of the armband portion does not move along the peripheral direction of the upper arm due to the tension of the first surface portion on the outer surface side, so there is an armband portion. There are no bent parts in the area.
Preferably, the first surface portion is formed so as to have a more three-dimensional shape as compared with the second surface portion by introduction of air for ischemia.
According to the above configuration, since the first surface portion is formed so as to swell and become three-dimensional by introducing air for ischemia, when the armband portion is wound around the upper arm and the upper arm is pressurized, the outer surface of the armband portion The first surface portion that is the side extends along the circumferential direction of the upper arm. By extending the first surface portion, the second surface portion on the inner surface side of the armband portion does not move along the peripheral direction of the upper arm due to the tension of the first surface portion on the outer surface side, so there is an armband portion. There are no bent parts in the area. For this reason, when pressurizing the upper arm with the armband part, it is possible to prevent wrinkles from occurring on the inner surface side of the armband part, so that the patient does not feel uncomfortable during blood pressure measurement and causes internal bleeding in the upper arm There is no fear.
 好ましくは、前記第1面部と前記第2面部は、融着により固定されていることを特徴とする。
 上記構成によれば、第1面部と第2面部は融着により簡単にしかも阻血用空気袋から空気が漏れないように固定することができる。
 好ましくは、前記第1面部と前記第2面部は、共に長方形状に形成されていることを特徴とする。
 上記構成によれば、簡単な形状である長方形状の第1面部と長方形状の第2面部を重ねて固定するだけで、患者は血圧測定時に不快に感じを受けず、上腕に内出血を生じるおそれが無くなる。腕帯部を巻き付けて血圧測定をすることができる。
 好ましくは、前記第1面部と前記第2面部は、共に扇型形状に形成されていることを特徴とする。
 上記構成によれば、腕帯部は円錐状に巻くことができるので、太い上腕であっても、患者は血圧測定時に不快に感じを受けず、肩側の周囲長さの大きい上腕に内出血を生じるおそれが無くなる。腕帯部を巻き付けて血圧測定をすることができる。
Preferably, the first surface portion and the second surface portion are fixed by fusion bonding.
According to the said structure, a 1st surface part and a 2nd surface part can be fixed easily so that air may not leak from the air bag for ischemia by fusion.
Preferably, both the first surface portion and the second surface portion are formed in a rectangular shape.
According to the above configuration, the patient may not feel uncomfortable at the time of blood pressure measurement and may cause internal bleeding in the upper arm simply by overlapping and fixing the rectangular first surface portion and the rectangular second surface portion, which are simple shapes. Disappears. Blood pressure can be measured by wrapping the armband.
Preferably, both the first surface portion and the second surface portion are formed in a fan shape.
According to the above configuration, since the armband portion can be wound in a conical shape, the patient does not feel uncomfortable at the time of blood pressure measurement even if it is a thick upper arm, and internal bleeding occurs in the upper arm with a large peripheral length on the shoulder side. There is no risk of it occurring. Blood pressure can be measured by wrapping the armband.
 好ましくは、前記腕帯部の前記阻血用空気袋と前記動脈拍動検出用の空気袋に対してチューブを用いて接続された血圧計本体部を有し、前記血圧計本体部は、筐体と、前記筐体に取り付けられ、押すことにより前記チューブを通じて前記空気を前記阻血用空気袋と前記動脈拍動検出用の空気袋に送る送気球と、を有することを特徴とする。
 上記構成によれば、医療従事者が一方の手で送気球を持った状態で、医療従事者は他方の片手だけで腕帯部を上腕に容易に位置決めしながら装着できる。
Preferably, it has a blood pressure monitor main body part connected to the air bag for ischemia of the armband part and the air bag for arterial pulsation detection using a tube, and the blood pressure monitor main body part is a housing And an air supply balloon that is attached to the housing and pushes the air through the tube to send the air to the air bag for ischemia and the air bag for detecting arterial pulsation.
According to the said structure, a medical worker can wear | wear while positioning an arm belt | band | zone part to an upper arm easily only with the other one hand in the state which held the air balloon with one hand.
 本発明は、腕帯部により上腕を加圧する際に、腕帯部の内面側にシワが生じないようにすることができる血圧計を提供することができる。 The present invention can provide a sphygmomanometer that can prevent wrinkles from occurring on the inner surface side of the armband when the upper arm is pressurized by the armband.
本発明の血圧計の好ましい実施形態を示す斜図。1 is a perspective view showing a preferred embodiment of a sphygmomanometer according to the present invention. 図1に示す血圧計の正面図。The front view of the sphygmomanometer shown in FIG. 血圧計本体部の表示部が表示できる表示項目の例を示す図。The figure which shows the example of the display item which the display part of a blood pressure meter main-body part can display. 血圧計本体部内に配置されている制御回路ブロック例と、腕帯部の構成例を示す図。The figure which shows the example of a control circuit block arrange | positioned in the blood pressure meter main-body part, and the structural example of an armband part. 図5(A)は、腕帯部の内面側を示す斜視図であり、図5(B)は、腕帯部の外面側を示す斜視図。FIG. 5A is a perspective view showing the inner surface side of the armband portion, and FIG. 5B is a perspective view showing the outer surface side of the armband portion. 図5の腕帯部の第1面部と第2面部を示す斜視図。The perspective view which shows the 1st surface part and 2nd surface part of the arm wrap part of FIG. 図6に示す第1面部と第2面部が高周波融着により固定された状態を示す斜視図。FIG. 7 is a perspective view showing a state in which the first surface portion and the second surface portion shown in FIG. 6 are fixed by high-frequency fusion. 腕帯部を患者の上腕Tの素肌に直接巻き付ける様子を示す図。The figure which shows a mode that an arm band part is directly wound around the bare skin of the upper arm T of a patient. 腕帯部を患者の上腕Tの素肌に直接巻く手順の例を示す図。The figure which shows the example of the procedure which winds an arm belt part directly on the bare skin of the upper arm T of a patient. 阻血用空気袋により上腕に対して加えられる圧力が、時間経過により変化する例を示す図。The figure which shows the example from which the pressure applied with respect to an upper arm by the air bag for ischemia changes with time passage. 本発明の第2実施形態を示す図。The figure which shows 2nd Embodiment of this invention.
 以下に、本発明の好ましい実施形態を、図面を参照して詳しく説明する。
 尚、以下に述べる実施の形態は、本発明の好適な具体例であるから、技術的に好ましい種々の限定が付されているが、本発明の範囲は、以下の説明において特に本発明を限定する旨の記載がない限り、これらの態様に限られるものではない。
Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the drawings.
The embodiments described below are preferred specific examples of the present invention, and thus various technically preferable limitations are given. However, the scope of the present invention is particularly limited in the following description. Unless otherwise stated, the present invention is not limited to these embodiments.
(第1実施形態)
 図1は、本発明の血圧計の好ましい実施形態を示す斜視図である。図2は、図1に示す血圧計の正面図である。
 図1に示す血圧計1は、看護師等の医療従事者により手動加圧方式で、患者の上腕Tに装着された腕帯内の空気袋を加圧することで、被測定者である患者の血圧測定を行うことができ、患者は血圧測定時に不快に感じを受けず、上腕Tに内出血を生じるおそれが無い。
 この手動加圧方式の血圧計1は、送気球(加圧部)5と血圧計本体部4とが一体化されている。医療従事者は、片手で送気球5を加圧操作することができ、血圧計1は、モータ音が無いために、夜間でも静かに血圧測定を行うことができる。
(First embodiment)
FIG. 1 is a perspective view showing a preferred embodiment of the sphygmomanometer of the present invention. FIG. 2 is a front view of the sphygmomanometer shown in FIG.
The sphygmomanometer 1 shown in FIG. 1 is a manual pressurization method by a medical staff such as a nurse, and pressurizes an air bag in an armband attached to a patient's upper arm T, thereby allowing the patient who is the subject to be measured. Blood pressure can be measured, and the patient does not feel uncomfortable during blood pressure measurement, and there is no risk of internal bleeding in the upper arm T.
In the manual pressurization type sphygmomanometer 1, an air balloon (pressurization unit) 5 and a sphygmomanometer body unit 4 are integrated. A medical worker can pressurize the air balloon 5 with one hand, and the sphygmomanometer 1 can quietly measure blood pressure even at night because there is no motor sound.
 医療従事者は、この血圧計1を用いる際には、患者の病態に応じて3つの測定モードを選択することができる。3つの測定モードとは、ノーマルモード、スローモード、そして聴診モードである。
 ノーマルモードは、自動測定により血圧測定をよりスピーディーに行うことができるモードである。スローモードは、自動測定により加圧後の減圧速度を、ノーマルモードの加圧後の減圧速度に比べて遅く設定して、低血圧の患者や脈拍の弱い患者の血圧測定を行うことができるモードである。そして、聴診モードは、自動測定は行わずに、医療従事者が聴診器を用いた聴診法により血圧測定をするモードである。
When using the sphygmomanometer 1, the medical staff can select three measurement modes according to the patient's pathological condition. The three measurement modes are a normal mode, a slow mode, and an auscultation mode.
The normal mode is a mode in which blood pressure measurement can be performed more quickly by automatic measurement. Slow mode is a mode in which the pressure reduction rate after pressurization can be set slower than the pressure reduction rate after pressurization in normal mode, and blood pressure can be measured for patients with low blood pressure or patients with weak pulses. It is. The auscultation mode is a mode in which a medical worker measures blood pressure by an auscultation method using a stethoscope without performing automatic measurement.
 図1と図2に示す血圧計1における測定方式は、オシロメトリック法(いわゆる阻血用空気袋と動脈拍動検出用の空気袋を用いるダブルカフ方式)あり、図1に示すように測定対象部位は、被測定者である患者の上腕Tである。使用する電源としては、例えば乾電池を用いている。
 図1と図2に示すように、血圧計1は、血圧計本体部2と、腕帯部3を有している。血圧計本体部2は、筐体4と送気球5を有している。送気球5は、医療従事者が手で把持して加圧操作することで、内部の空気を腕帯部3側に送ることができる加圧部である。この送気球5は、伸縮性を有して弾性変形可能な材料で作られている。
The measurement method in the sphygmomanometer 1 shown in FIG. 1 and FIG. 2 is an oscillometric method (a so-called double cuff method using an air bag for ischemia and an air bag for detecting arterial pulsation). As shown in FIG. The upper arm T of the patient who is the subject. As a power source to be used, for example, a dry battery is used.
As shown in FIGS. 1 and 2, the sphygmomanometer 1 has a sphygmomanometer main body 2 and an armband 3. The sphygmomanometer main body 2 includes a housing 4 and an air balloon 5. The air supply balloon 5 is a pressurizing unit that can send internal air to the armband unit 3 side when a medical worker holds the hand and pressurizes it. The air supply balloon 5 is made of an elastically deformable material having elasticity.
 図1と図2に示す血圧計本体部2の筐体4は、プラスチック製であり、長方形状の表示部8と、電源スイッチ9と、モードスイッチ10と、排気スイッチ11を有している。この表示部8は、例えば液晶表示装置や有機EL(エレクトロルミネッセンス)表示装置等であり、単色表示であっても、カラー表示であっても良い。この表示部8は、最高血圧値、最低血圧値、脈拍数、そして上述した3つの測定モードのどのモードが選択されているかを表示することができる。
 図1と図2に示す電源スイッチ9は、医療従事者が押すことで、血圧計本体部2の電源をオンしたり、オフすることができる。モードスイッチ10は、医療従事者が押すことで、測定モードを上述したノーマルモード、スローモード、そして聴診モードの内の任意のモードに切り替えることができる。排気スイッチ11は、医療従事者が押すことで、後で説明する腕帯部3内の阻血用空気袋内の空気と動脈拍動検出用の空気袋内の空気を強制的に排出することができる。
A housing 4 of the sphygmomanometer main body 2 shown in FIGS. 1 and 2 is made of plastic, and has a rectangular display unit 8, a power switch 9, a mode switch 10, and an exhaust switch 11. The display unit 8 is, for example, a liquid crystal display device or an organic EL (electroluminescence) display device, and may be a single color display or a color display. The display unit 8 can display a maximum blood pressure value, a minimum blood pressure value, a pulse rate, and which of the three measurement modes described above is selected.
The power switch 9 shown in FIG. 1 and FIG. 2 can be turned on or off by the medical staff when pressed. When the medical switch is pressed, the mode switch 10 can switch the measurement mode to any of the above-described normal mode, slow mode, and auscultation mode. The exhaust switch 11 can be forcibly exhausted by a medical worker when the air in the air bag for ischemia in the armband portion 3 and air in the air bag for detecting arterial pulsation, which will be described later, is pressed. it can.
 図1に示す2本のチューブ6,7は、血圧計本体部2の筐体4と腕帯部3とを接続しているフレキシブルなチューブである。チューブ6はチューブ7に比べて太い。チューブ6の一端部6Bは、コネクタ部12を介して筐体4の上部に対して接続されている。チューブ7の一端部7Bは、プラグ7Cとコネクタ部12を介して筐体4の上部に対して接続されている。チューブ6,7の一端部6B、7B側付近は、ホルダー13により固定されている。このように、チューブ6,7がホルダー13により固定されていることにより、チューブ6,7が分離しないようにまとめているが、細いチューブ7の一端部7Bは、太いチューブ6の一端部6Bに比べて弛ませることで、チューブ6の動きにチューブ7の動きが追従できるように、チューブ7の長さには余裕を持たせてある。これにより、太いチューブ6を引き回したことで太いチューブ6が多少無理な方向に引っ張られたとしても、細いチューブ7が太いチューブ6につられて抜けてしまわない。 The two tubes 6 and 7 shown in FIG. 1 are flexible tubes that connect the housing 4 of the blood pressure monitor main body 2 and the armband 3. The tube 6 is thicker than the tube 7. One end portion 6 </ b> B of the tube 6 is connected to the upper portion of the housing 4 via the connector portion 12. One end portion 7B of the tube 7 is connected to the upper portion of the housing 4 via a plug 7C and a connector portion 12. The vicinity of the ends 6B and 7B of the tubes 6 and 7 are fixed by a holder 13. As described above, the tubes 6 and 7 are fixed by the holder 13 so that the tubes 6 and 7 are not separated, but the one end portion 7B of the thin tube 7 is connected to the one end portion 6B of the thick tube 6. In comparison, the length of the tube 7 has a margin so that the movement of the tube 7 can follow the movement of the tube 6. As a result, even if the thick tube 6 is pulled in an unreasonable direction by pulling the thick tube 6, the thin tube 7 is not pulled by being pulled by the thick tube 6.
 図1に示すように、筐体4の下部には、延長部14が下方に突出して形成されている。この延長部14は、送気球5の正面部5Sの一部を覆っている薄板状の部材である。図2に示すように、医療従事者が延長部14を手Hの指で支えながら把持して、送気球5を握ったり離したりする動作を繰り返すことにより、送気球5内に取り込まれた空気は、血圧計本体部2内の配管と、チューブ6,7とを通じて、腕帯部3内の阻血用空気袋と動脈拍動検出用の空気袋側に供給することができる。筐体4の両側には筐体4を把持し易いように、突出部4Tが形成されている。 As shown in FIG. 1, an extension portion 14 is formed projecting downward from the lower portion of the housing 4. The extension portion 14 is a thin plate-like member that covers a part of the front portion 5S of the air balloon 5. As shown in FIG. 2, air taken in the air balloon 5 by a medical worker holding the extension 14 while supporting it with the finger of the hand H and repeatedly holding and releasing the air balloon 5. Can be supplied to the air bag for ischemia in the armband portion 3 and the air bag for detecting arterial pulsation through the piping in the blood pressure monitor main body 2 and the tubes 6 and 7. Projections 4T are formed on both sides of the housing 4 so that the housing 4 can be easily gripped.
 図3には、血圧計本体部2の表示部8が表示できる表示項目の例を示している。
 図3に示すように、表示部8は、最高血圧値表示領域8A、最低血圧値表示領域8B、脈拍表示領域8C、脈波信号表示領域8D、前回値の表示領域8E、排気中の表示領域8F、加圧不足の表示領域8G、過加圧の表示領域8H、選択中のモード表示領域8Kを有している。
 図3に示す最高血圧値表示領域8Aは、加圧中および減圧中にあっては血圧の瞬時圧を表示し、最終的には最高血圧値を表示する。最低血圧値表示領域8Bは、最終的に決定された最低血圧値を表示する。
In FIG. 3, the example of the display item which the display part 8 of the blood pressure meter main-body part 2 can display is shown.
As shown in FIG. 3, the display unit 8 includes a maximum blood pressure value display area 8A, a minimum blood pressure value display area 8B, a pulse display area 8C, a pulse wave signal display area 8D, a previous value display area 8E, and a display area during exhaust. 8F, under-pressurized display area 8G, over-pressurized display area 8H, and selected mode display area 8K.
The systolic blood pressure value display area 8A shown in FIG. 3 displays the instantaneous blood pressure during pressurization and decompression, and finally displays the systolic blood pressure value. The lowest blood pressure value display area 8B displays the lowest blood pressure value finally determined.
 図3に示す脈拍表示領域8Cは、測定された脈拍値を表示する。脈波信号表示領域8Dは、検出された脈波信号の大きさを表示し、脈波信号の大きさは左右に移動するバー状に表示する。通常の脈を持つ患者の場合には、脈波信号の大きさの表示はリズミカルに左右に増加したり減少したりするが、不整脈を持つ患者の場合には、脈波信号の大きさの表示はリズミカルに左右に増加したり減少することはない。この脈波信号表示領域8Dを備えることで、被測定者である患者が不整脈を有するか否かを視覚的に判断することができる。 The pulse display area 8C shown in FIG. 3 displays the measured pulse value. The pulse wave signal display area 8D displays the magnitude of the detected pulse wave signal, and the magnitude of the pulse wave signal is displayed in a bar shape that moves to the left and right. In the case of a patient with a normal pulse, the display of the magnitude of the pulse wave signal rhythmically increases or decreases from side to side, but in the case of a patient with arrhythmia, the display of the magnitude of the pulse wave signal Rhythmically does not increase or decrease from side to side. By providing this pulse wave signal display region 8D, it is possible to visually determine whether or not the patient who is the subject has arrhythmia.
 図3に示す前回値の表示領域8Eは、電源スイッチ9を押して血圧計本体部2の動作を立ち上げると点滅または点灯し、前回に測定した最高血圧値、最低血圧値、脈拍値が、最高血圧値表示領域8A、最低血圧値表示領域8B、脈拍表示領域8Cにそれぞれ表示される。そして、しばらく経過するか、あるいは医療従事者が送気球5を加圧操作して送気が行われると、前回に測定した最高血圧値、最低血圧値、脈拍値の表示が消滅して、前回値の表示領域8Eは、電源スイッチ9を押して血圧計本体部2の動作を立ち上げると点滅または点灯も消滅する。
 排気中の表示領域8Fは、腕帯部3内の阻血用空気袋と動脈拍動検出用の空気袋の空気を急速に排気する際に点滅する。また、排気中の表示領域8Fは、排気スイッチ11が押された場合にも点滅する。
The previous value display area 8E shown in FIG. 3 blinks or lights up when the power switch 9 is pressed to activate the operation of the sphygmomanometer body 2, and the highest blood pressure value, lowest blood pressure value, and pulse value measured last time are the highest. It is displayed in the hypertension value display area 8A, the minimum blood pressure value display area 8B, and the pulse display area 8C. Then, after a while or when a medical worker pressurizes the air balloon 5 to supply air, the display of the highest blood pressure value, the lowest blood pressure value, and the pulse value measured last time disappears. In the value display area 8E, when the power switch 9 is pressed and the operation of the sphygmomanometer main body 2 is started, the blinking or lighting is also extinguished.
The display area 8 </ b> F during exhausting blinks when the air in the air bag for ischemia and the air bag for detecting arterial pulsation in the armband 3 is rapidly exhausted. The display area 8F during exhaust also blinks when the exhaust switch 11 is pressed.
 図3に示す加圧不足の表示領域8Gが、点灯または点滅している時には、腕帯部3内の圧力が血圧測定をするのに十分なレベルまで達していないことを示すので、医療従事者に対してさらに送気球5を用いて空気を送るように促すことができる。
 過加圧の表示領域8Hが、点灯または点滅している時には、腕帯部3内の圧力が所定の圧力以上(例えば、320mmHg以上)になっていることを示し、医療従事者は過加圧の表示領域8Hを確認することで、加圧動作を止めるように促すことができる。
When the underpressurized display area 8G shown in FIG. 3 is lit or blinking, it indicates that the pressure in the armband 3 has not reached a level sufficient for blood pressure measurement. Can be further encouraged to send air using the air balloon 5.
When the overpressurization display area 8H is lit or flashing, it indicates that the pressure in the armband 3 is equal to or higher than a predetermined pressure (for example, 320 mmHg or higher), and the medical worker overpressurizes. By confirming the display area 8H, it is possible to prompt the user to stop the pressurizing operation.
 図3に示す選択中のモード表示領域8Kは、モードスイッチ10を押すことで、ノーマルモード、スローモード、そして聴診モードの内のどのモードが選択されているかを表示している。このモード選択によって、排気(減圧)スピードを変えることができるようになっている。
 ノーマルモードが選択されると、排気スピードは例えば約5mmHg/秒に設定される。ノーマルモードでは、排気スピードが比較的速いので測定時間を比較的短くできるという利点がある。その一方で、圧力変化測定の刻みが大きいことになるので、脈拍が安定した人を測定する場合には特に問題はないが、不整脈の人の血圧を測定する場合には、脈が抜けやすいので測定誤差が大きくなる可能性がある。
The mode display area 8K being selected shown in FIG. 3 displays which mode is selected from the normal mode, the slow mode, and the auscultation mode when the mode switch 10 is pressed. By selecting this mode, the exhaust (decompression) speed can be changed.
When the normal mode is selected, the exhaust speed is set to about 5 mmHg / sec, for example. In the normal mode, there is an advantage that the measurement time can be made relatively short because the exhaust speed is relatively fast. On the other hand, since the increment of the pressure change measurement is large, there is no particular problem when measuring a person with stable pulse, but when measuring the blood pressure of a person with arrhythmia, the pulse is easily lost. Measurement error may increase.
 そこで、スローモードが設けられており、このスローモードが選択された場合には、排気スピードをノーマルモード時の略半分付近、例えば2.0~2.5mmHg/秒に設定している。このように「スロー」モードでは通常よりゆっくり減圧することにより詳細に圧力変化を見ることができるので、脈が抜けやすい不整脈の人の測定がより正確に行うことができる。
 さらに、聴診モードは、聴診器を使ってマニュアルで測定するモードであるが、この場合も通常モードの略半分程度の排気スピード、例えば2.0~3.0mmHg/秒に設定される。
Therefore, a slow mode is provided, and when this slow mode is selected, the exhaust speed is set to approximately half of the normal mode, for example, 2.0 to 2.5 mmHg / sec. In this manner, in the “slow” mode, the pressure change can be seen in detail by reducing the pressure more slowly than usual, so that the person with an arrhythmia that is likely to lose a pulse can be measured more accurately.
Furthermore, the auscultation mode is a mode in which measurement is performed manually using a stethoscope. In this case, the exhaust speed is set to about half of the normal mode, for example, 2.0 to 3.0 mmHg / sec.
 次に、図4を参照して、血圧計1の血圧計本体部2内に配置されている制御回路ブロック例について説明する。図4は、血圧計本体部2内に配置されている制御回路ブロック例と、腕帯部3の構成例を示している。
 図4に示す血圧計本体部2の筐体4の内部には、制御部100が配置されており、この制御部100は中央処理装置(CPU)を有している。制御部100は、表示部8と、電源コントロール部102と、電源スイッチ9と、モードスイッチ10と、排気スイッチ11と、圧力センサ110と、ROM(読み出し専用メモリ)111と、RAM(ランダムアクセスメモリ)112と、駆動部113と、ブザー114に電気的に接続されている。
Next, an example of a control circuit block arranged in the sphygmomanometer body 2 of the sphygmomanometer 1 will be described with reference to FIG. FIG. 4 shows an example of a control circuit block arranged in the sphygmomanometer main body 2 and a configuration example of the armband 3.
A control unit 100 is disposed inside the housing 4 of the sphygmomanometer main body 2 shown in FIG. 4, and the control unit 100 has a central processing unit (CPU). The control unit 100 includes a display unit 8, a power control unit 102, a power switch 9, a mode switch 10, an exhaust switch 11, a pressure sensor 110, a ROM (read only memory) 111, and a RAM (random access memory). ) 112, the driving unit 113, and the buzzer 114.
 図4に示す電池115の電源は、電源コントロール部102によりコントロールされることで、制御部100に電源供給される。電池115としては、乾電池であっても、2次電池(充電池)であっても良い。しかし、好ましくは、医療従事者が片手で把持して送気球の加圧操作を行い、しかも測定時の消費電力は0.5W程度であるため、使用する電源としては、例えば単3形乾電池(DC1.5V)または単3形充電池(DC1.5V)を1本のみ用いる。このため、新品の単3形乾電池(DC1.5V)を使用する場合、1000回程度の血圧測定が可能となり、血圧計1全体の小型化,軽量化(135g程度)が図られる。表示部8は、制御部100の指令により図3を参照しながら説明した表示項目を表示する。 4 is controlled by the power control unit 102, so that power is supplied to the control unit 100. The battery 115 may be a dry battery or a secondary battery (rechargeable battery). However, it is preferable that a medical worker grips with one hand and pressurizes the air balloon, and the power consumption at the time of measurement is about 0.5 W. Therefore, as a power source to be used, for example, an AA battery ( DC1.5V) or AA rechargeable battery (DC1.5V) is used. Therefore, when a new AA battery (DC1.5V) is used, blood pressure can be measured about 1000 times, and the entire sphygmomanometer 1 can be reduced in size and weight (about 135 g). The display unit 8 displays the display items described with reference to FIG.
 図4において、後で詳しく説明するが、腕帯部3は、本体部材80を有しており、この本体部材80には、阻血用空気袋20と、動脈拍動検出用の空気袋40が設けられている。圧力センサ110は、この阻血用空気袋20内の圧力と、動脈拍動検出用の空気袋40内の圧力を検出する。圧力センサ110は、阻血用空気袋20内の圧力の変化を検出する。しかも、動脈拍動検出用の空気袋40内の圧力は、血圧測定中に生じる上腕Tの動脈拍動による動脈壁の振動により、すなわち上腕Tの動脈の脈波により変動するが、圧力センサ110はこの圧力の変動を検出する。
 阻血用空気袋20は大カフともいい、動脈拍動検出用の空気袋40は小カフともいう。阻血用空気袋20には、動脈拍動検出用の空気袋40が内蔵して配置されている。血圧計1は、いわゆるダブルカフ方式の腕帯部3を有している。
As will be described later in detail in FIG. 4, the armband portion 3 has a main body member 80, and the main body member 80 includes an air bag 20 for ischemia and an air bag 40 for detecting arterial pulsation. Is provided. The pressure sensor 110 detects the pressure in the air bag 20 for ischemia and the pressure in the air bag 40 for detecting arterial pulsation. The pressure sensor 110 detects a change in pressure in the air bag 20 for ischemia. Moreover, the pressure in the air bag 40 for detecting arterial pulsation varies due to the vibration of the arterial wall due to arterial pulsation of the upper arm T that occurs during blood pressure measurement, that is, due to the pulse wave of the artery of the upper arm T, but the pressure sensor 110. Detects this pressure fluctuation.
The air bag 20 for ischemia is also called a large cuff, and the air bag 40 for detecting arterial pulsation is also called a small cuff. An air bag 40 for detecting arterial pulsation is built in the ischemic air bag 20. The sphygmomanometer 1 has a so-called double cuff type armband portion 3.
 図4に示すROM111は、制御プログラムや各種のデータを予め格納している。RAM112は、演算結果や測定結果を一時的に格納する。駆動部113は、制御部100の指令により電磁バルブ116を駆動する。腕帯部3が上腕Tを加圧している場合には、圧力センサ110により検出される圧力の変動値は、測定時である減圧時の圧力の変動値に比べてかなり大きい。このため、圧力センサ110が検出する圧力の変動値が所定値以上であると、制御部100が判断すると、制御部100は現在加圧中であると判断して駆動部113に指令をして電磁バルブ116を閉める。 The ROM 111 shown in FIG. 4 stores a control program and various data in advance. The RAM 112 temporarily stores calculation results and measurement results. The drive unit 113 drives the electromagnetic valve 116 according to a command from the control unit 100. When the armband portion 3 pressurizes the upper arm T, the fluctuation value of the pressure detected by the pressure sensor 110 is considerably larger than the fluctuation value of the pressure at the time of depressurization, which is the measurement time. For this reason, when the control unit 100 determines that the fluctuation value of the pressure detected by the pressure sensor 110 is equal to or greater than a predetermined value, the control unit 100 determines that the pressurization is being performed and issues a command to the drive unit 113. The electromagnetic valve 116 is closed.
 これに対して、圧力センサ110が検出する圧力について、所定期間内に圧力変動値(上昇値)がほぼゼロもしくは減圧状態であると制御部100が判断すると、制御部100は駆動部113に指令をして、電磁バルブ116を減圧スピードが所定値になるように開く。そして血圧計1の動作は、加圧モードから測定モードに移行することになる。
 強制排気弁117は、排気スイッチ11が押されると、制御部100の指令により開くようになっている。
 ブザー114は、制御部100の指令により所定の警告音を発生する。例えば、ブザー114は、血圧計本体部2の電源スイッチ9を押して表示部8が表示可能な状態になった時、モードスイッチ10を押すことによるモードの切り替え時、血圧値が決定した時、エラーが発生した時等に警告音を発生する。
On the other hand, when the control unit 100 determines that the pressure fluctuation value (increase value) is substantially zero or in a reduced pressure state within a predetermined period with respect to the pressure detected by the pressure sensor 110, the control unit 100 instructs the drive unit 113. Then, the electromagnetic valve 116 is opened so that the pressure reduction speed becomes a predetermined value. The operation of the sphygmomanometer 1 shifts from the pressurization mode to the measurement mode.
The forced exhaust valve 117 is opened by a command from the control unit 100 when the exhaust switch 11 is pressed.
The buzzer 114 generates a predetermined warning sound according to a command from the control unit 100. For example, the buzzer 114 may cause an error when the blood pressure value is determined when the power switch 9 of the sphygmomanometer body 2 is pressed and the display unit 8 is ready for display, when the mode is switched by pressing the mode switch 10, A warning sound is generated when an error occurs.
 図4に示す強制排気弁117は、チューブ6の一端部6Bと導通管120の間に配置されている。送気球5は、マニホールド118と、分岐部119と、導通管120と、強制排気弁117を通じて、チューブ6の一端部6Bに接続されている。チューブ6の他端部6Aは、阻血用空気袋20に接続されている。また、送気球5は、マニホールド118と、分岐部119と、マニホールド121と、分岐部122を介して、圧力センサ110に接続されている。分岐部122は、チューブ7の一端部7Bに接続されている。チューブ7の他端部7Aは、動脈拍動検出用の空気袋40に接続されている。 4 is disposed between one end 6B of the tube 6 and the conducting tube 120. The forced exhaust valve 117 shown in FIG. The air supply bulb 5 is connected to one end portion 6B of the tube 6 through the manifold 118, the branching portion 119, the conducting tube 120, and the forced exhaust valve 117. The other end 6A of the tube 6 is connected to the air bag 20 for ischemia. In addition, the air supply balloon 5 is connected to the pressure sensor 110 via the manifold 118, the branch portion 119, the manifold 121, and the branch portion 122. The branch portion 122 is connected to one end portion 7 </ b> B of the tube 7. The other end 7A of the tube 7 is connected to an air bag 40 for detecting arterial pulsation.
 これにより、圧力センサ110は、阻血用空気袋20内の圧力の変動と、動脈拍動検出用の空気袋40内の圧力の変動を検出することができる。医療従事者が送気球5を手で把持して握ったり離したりする加圧動作を繰り返すことで、送気球5内に取り込まれた外部の空気は、送気球5内から、マニホールド118と、分岐部119と、導通管120と、強制排気弁117と、チューブ6を通じて、阻血用空気袋20内に送り込むことができる。しかも、医療従事者が送気球5を手で把持して握ったり離したりする加圧動作を繰り返すことで、送気球5内に取り込まれた外部の空気は、マニホールド118と、分岐部119と、マニホールド121と、分岐部122と、チューブ7を通じて、動脈拍動検出用の空気袋40に送り込むことができる。 Thereby, the pressure sensor 110 can detect a change in pressure in the air bag 20 for ischemia and a change in pressure in the air bag 40 for detecting arterial pulsation. By repeating the pressurizing operation in which the medical worker grips and releases the air balloon 5 by hand, the external air taken into the air balloon 5 is branched from the air balloon 5 into the manifold 118. The air can be sent into the ischemic air bladder 20 through the portion 119, the conducting tube 120, the forced exhaust valve 117, and the tube 6. In addition, by repeating the pressurizing operation in which a medical worker grips and releases the air supply balloon 5 by hand, the external air taken into the air supply balloon 5 is supplied to the manifold 118, the branch portion 119, The air can be sent to the air bag 40 for detecting arterial pulsation through the manifold 121, the branch part 122, and the tube 7.
 次に、図5(A)と図5(B)を参照して、腕帯部3の構造例を説明する。
 図5は、腕帯部3の構造例を示している。図5(A)は、腕帯部3の内面側を示す斜視図であり、図5(B)は、腕帯部3の外面側を示す斜視図である。
 この腕帯部3は、図1に示すように、被測定者である患者の上腕Tの皮膚(素肌)に直接巻かれて、阻血用空気袋20内に空気を送り込んで上腕Tを加圧する。
 本発明の実施形態では、例えば腕帯部3は、阻血用空気袋(大バッグ)20と動脈拍動検出用の空気袋(小バッグ)40から成るダブルカフ型のブラダーを有しているが、このブラダーを覆うための外布は有していない、いわゆるワンピースカフ構造を有している。すなわち、この腕帯部3は、阻血用空気袋(大バッグ)20と、動脈拍動検出用の空気袋(小バッグ)40から成る1部材により構成されている。
Next, referring to FIGS. 5A and 5B, a structural example of the armband portion 3 will be described.
FIG. 5 shows a structural example of the armband portion 3. FIG. 5A is a perspective view showing the inner surface side of the armband portion 3, and FIG. 5B is a perspective view showing the outer surface side of the armband portion 3.
As shown in FIG. 1, the armband portion 3 is wound directly on the skin (bare skin) of the patient's upper arm T as a person to be measured, and sends air into the ischemic air bag 20 to pressurize the upper arm T. .
In the embodiment of the present invention, for example, the armband 3 has a double cuff type bladder including an air bag for ischemia (large bag) 20 and an air bag for detecting arterial pulsation (small bag) 40. It has a so-called one-piece cuff structure that does not have an outer cloth for covering the bladder. In other words, the armband portion 3 is composed of one member including an air bag for ischemia (large bag) 20 and an air bag for detecting arterial pulsation (small bag) 40.
 図5に示すように、腕帯部3は、本体部材80と、シート状の封止部材52と、面ファスナ60のオス部材61と、面ファスナ60のメス部材62と、動脈拍動検出用の空気袋(小バッグ)40を有している。
 この面ファスナ60のオス部材61は、面ファスナ60のメス部材62に対して着脱可能に取り付けることができる。面ファスナ60のオス部材61は、面ファスナの一方の部材であり、面ファスナ60のメス部材62は、面ファスナの他方の部材である。
As shown in FIG. 5, the armband portion 3 includes a main body member 80, a sheet-like sealing member 52, a male member 61 of the surface fastener 60, a female member 62 of the surface fastener 60, and arterial pulsation detection. Air bag (small bag) 40.
The male member 61 of the surface fastener 60 can be detachably attached to the female member 62 of the surface fastener 60. The male member 61 of the surface fastener 60 is one member of the surface fastener, and the female member 62 of the surface fastener 60 is the other member of the surface fastener.
 図5(A)に示す本体部材80は、長方形状の第1面部50Aと、長方形状の第2面部50Bを有している。
 第1面部50Aは、図1の示す腕帯部3の外面部側であり、第2面部50Bは、腕帯部3の内面部側であり、第2面部50Bは上腕Tの皮膚(肌)に直接触れる面である。
 第1面部50Aと第2面部50Bは、この長手方向Xに沿って形成されている長方形状の部材である。第1面部50Aと第2面部50Bは、X方向に沿って互いに重ねることで,長方形状の本体部材80を形成することができる。X方向は、上腕Tの周囲方向である。
 第1面部50Aは、第2面部50Bと比較すると、よりX方向に伸びやすい材料で形成されている。そのような材料及び形態は種々考えられるが、より好ましくは第2面部50BはX方向に沿って、複数領域に区分され、各区分された領域は、阻血用空気が導入されたときに、たとえば、後述するように、立体的もしくは三次元的に膨らんで、X方向に伸びるようにされている。
A main body member 80 shown in FIG. 5A has a rectangular first surface portion 50A and a rectangular second surface portion 50B.
The first surface portion 50A is on the outer surface portion side of the armband portion 3 shown in FIG. 1, the second surface portion 50B is on the inner surface portion side of the armband portion 3, and the second surface portion 50B is the skin (skin) of the upper arm T. It is a surface that touches directly.
The first surface portion 50A and the second surface portion 50B are rectangular members formed along the longitudinal direction X. 50 A of 1st surface parts and the 2nd surface part 50B can form the rectangular main body member 80 by mutually superimposing along a X direction. The X direction is the peripheral direction of the upper arm T.
The first surface portion 50A is formed of a material that is more easily extended in the X direction than the second surface portion 50B. Various such materials and forms are conceivable, but more preferably, the second surface portion 50B is divided into a plurality of regions along the X direction, and each of the divided regions is, for example, when ischemic air is introduced. As will be described later, it expands three-dimensionally or three-dimensionally and extends in the X direction.
 図5に示すように、本体部材80の第1面部50Aと第2面部50Bは、好ましくはそれぞれ第1シート層71と第2シート層72を有する2重構造である。この第1シート層71は、内側の層であり、第2シート層72は、外側の層である。第1シート層71は、例えばポリウレタン樹脂で作られており、第2シート層72は、例えばナイロン樹脂で作られているが、これに限定されず、例えばポリエステルでも良い。このナイロン樹脂は、米デュポン社の商品名であるが、ポリアミド系繊維(樹脂)の一般名であり、吸水性が高く、結晶性が高く、耐薬品性に優れ、優れた強靭性、耐衝撃性、柔軟性を有する。第1シート層71は、ポリウレタン樹脂に限らず、天然ゴム、合成ゴム、エラストマーやPVC(ポリ塩化ビニル)等により作ることもできる。
 このように、第1シート層71が例えばウレタン樹脂で作られているのは、阻血用空気袋(大バッグ)を形成して、空気を入れることで膨らませることができ、しかも空気が抜けないようにするためである。第2シート層72が例えばナイロン樹脂で作られているのは、第1シート層71を覆い、図1に示す患者(被測定者)の上腕Tの素肌に直接触れるので、吸水性や強靭性や柔軟性等を重視するためである。
As shown in FIG. 5, the first surface portion 50 </ b> A and the second surface portion 50 </ b> B of the main body member 80 preferably have a double structure having a first sheet layer 71 and a second sheet layer 72, respectively. The first sheet layer 71 is an inner layer, and the second sheet layer 72 is an outer layer. The first sheet layer 71 is made of, for example, a polyurethane resin, and the second sheet layer 72 is made of, for example, a nylon resin. However, the first sheet layer 71 is not limited thereto, and may be made of, for example, polyester. This nylon resin is a trade name of DuPont, USA, and is a general name for polyamide fibers (resins). It has high water absorption, high crystallinity, excellent chemical resistance, excellent toughness, and impact resistance. And flexibility. The first sheet layer 71 is not limited to a polyurethane resin, but may be made of natural rubber, synthetic rubber, elastomer, PVC (polyvinyl chloride), or the like.
Thus, the reason why the first sheet layer 71 is made of, for example, urethane resin is that it can be inflated by forming an air bag for ischemia (large bag) and putting in air, and the air does not escape. It is for doing so. The second sheet layer 72 is made of nylon resin, for example, because it covers the first sheet layer 71 and directly touches the skin of the upper arm T of the patient (measured person) shown in FIG. This is because importance is placed on flexibility and flexibility.
 図6は、図5に示す本体部材80の第1面部50Aと第2面部50Bを示す斜視図である。図6に示す第1面部50Aと第2面部50Bは、互いに高周波融着して一体化する前の状態を示している。すでに説明したように、第1面部50Aは、図1の示す腕帯部3の外面部側であり、第2面部50Bは、腕帯部3の内面部側であり、上腕Tの皮膚(肌)に直接触れる面である。
 第1面部50Aの上腕Tの周囲方向に沿った長さは、第2面部50Bの上腕Tの周囲方向に沿った長さに比べて長く設定されている。すなわち、第1面部50AのX方向の長さM1は、第2面部50BのX方向の長さM2に比べて大きく設定されており、長さM1と長さM2との比率は、例えば、長さM1:長さM2=108~113:100である。
 また、第1面部50AのV方向の幅N1は、第2面部50BのV方向の長さN2と同じか、幅N1が幅N2に比べてやや大きく設定されている。
6 is a perspective view showing the first surface portion 50A and the second surface portion 50B of the main body member 80 shown in FIG. The first surface portion 50A and the second surface portion 50B shown in FIG. 6 show a state before they are fused and integrated with each other by high frequency. As described above, the first surface portion 50A is on the outer surface portion side of the armband portion 3 shown in FIG. 1, and the second surface portion 50B is on the inner surface portion side of the armband portion 3, and the skin of the upper arm T (skin ) Directly touch the surface.
The length along the peripheral direction of the upper arm T of the first surface portion 50A is set longer than the length along the peripheral direction of the upper arm T of the second surface portion 50B. That is, the length M1 in the X direction of the first surface portion 50A is set to be larger than the length M2 in the X direction of the second surface portion 50B, and the ratio between the length M1 and the length M2 is, for example, long Length M1: Length M2 = 108 to 113: 100.
The width N1 in the V direction of the first surface portion 50A is set to be the same as the length N2 in the V direction of the second surface portion 50B, or the width N1 is set to be slightly larger than the width N2.
 図7は、図6に示す第1面部50Aを第2面部50Bに重ねて、例えば高周波融着により固定した状態の例を示している斜視図である。
 図7に示すように、第1面部50Aと第2面部50Bを重ねて、しかも第1面部50Aには、複数箇所の立体形成部分500を形成するようにして、第1面部50Aと第2面部50Bに対して、高周波融着部90,90B,90C,93,92,91,94を形成する。この立体形成部分500は、立体融着部分もいう。
FIG. 7 is a perspective view showing an example of a state in which the first surface portion 50A shown in FIG. 6 is overlaid on the second surface portion 50B and fixed by, for example, high frequency fusion.
As shown in FIG. 7, the first surface portion 50A and the second surface portion 50B are overlapped with each other, and the first surface portion 50A and the second surface portion are formed so as to form a plurality of three-dimensionally formed portions 500 on the first surface portion 50A. For 50B, high-frequency fused portions 90, 90B, 90C, 93, 92, 91, 94 are formed. This three-dimensional formation part 500 also refers to a three-dimensional fusion part.
 これにより、高周波融着部90,90B,94,91は、阻血用空気袋(大バッグ)20を形成しており、残りの高周波融着部92,94,90C,93は、腕巻き部分96を形成している。図7の例では、立体形成部分500は、阻血用空気袋(大バッグ)20の領域では3つ形成され、腕巻き部分96の領域では、3つ形成されているが、これに限定されない。
 なお、この立体形成部分500は、図6に示す平面状の第1面部50Aに対して予め形成しておいても良い。あるいは立体形成部分500は、平面状の第1面部50Aと、平面状の第2面部50Bを高周波融着部90,90B,90C,93,92,91,94により一体化すると同時に、平面状の第1面部50Aに対して形成しても良い。
 このように、本体部材80は、第1面部50Aと第2面部50Bを重ねて固定し、しかも第1面部50Aには、複数箇所の立体形成部分500を形成している。
As a result, the high-frequency fused portions 90, 90 B, 94, 91 form a blood-insulating air bag (large bag) 20, and the remaining high-frequency fused portions 92, 94, 90 C, 93 are arm-wrapped portions 96. Is forming. In the example of FIG. 7, three three-dimensionally formed portions 500 are formed in the region of the ischemic air bag (large bag) 20, and three are formed in the region of the arm winding portion 96, but are not limited thereto.
The three-dimensionally formed portion 500 may be formed in advance on the planar first surface portion 50A shown in FIG. Alternatively, the three-dimensionally formed portion 500 is formed by integrating the planar first surface portion 50A and the planar second surface portion 50B with the high-frequency fused portions 90, 90B, 90C, 93, 92, 91, 94, and at the same time, You may form with respect to 50 A of 1st surface parts.
In this manner, the main body member 80 is fixed by overlapping the first surface portion 50A and the second surface portion 50B, and a plurality of three-dimensionally formed portions 500 are formed on the first surface portion 50A.
 ここで、図5に戻って参照すると、図5(A)に示すように、本体部材80の第2面部50Bには、予め切り込まれていることで、蓋部材50Kが形成されている。この蓋部材50Kを開けることにより、蓋部材50Kの内側には、動脈拍動検出用の空気袋40が挿入されている。動脈拍動検出用の空気袋40は、第1面部50Aと第2面部50Bとの間に位置され、しかも当て部材51により裏側から保持されている。
 これにより、動脈拍動検出用の空気袋40は、蓋部材50Kと当て部材51との間で、例えば高周波融着により密封した状態で保持されている。このため、動脈拍動検出用の空気袋40は、阻血用空気袋20に内蔵されている。
Here, referring back to FIG. 5, as shown in FIG. 5A, a lid member 50 </ b> K is formed in the second surface portion 50 </ b> B of the main body member 80 by being cut in advance. By opening the lid member 50K, an air bag 40 for detecting arterial pulsation is inserted inside the lid member 50K. The air bag 40 for detecting arterial pulsation is located between the first surface portion 50A and the second surface portion 50B, and is held by the abutting member 51 from the back side.
Thereby, the air bag 40 for detecting arterial pulsation is held between the lid member 50K and the abutting member 51 in a sealed state, for example, by high frequency fusion. For this reason, the air bag 40 for detecting arterial pulsation is built in the air bag 20 for ischemia.
 図5(A)に示す動脈拍動検出用の空気袋40は、図示しないが支持プレートにより支持されているので、阻血用空気袋20内の大きな圧力変動が動脈拍動検出用の空気袋40に伝わらない。このため、動脈拍動検出用の空気袋40内の微小な圧力変動が、阻血用空気袋20内の大きな圧力変動に影響されること無く検出することができる。また、支持プレートが配置されているので、動脈拍動検出用の空気袋40は、患者の上腕Tの素肌に確実に密着させることができる機能を有する。 Although the air bag 40 for detecting arterial pulsation shown in FIG. 5A is supported by a support plate (not shown), a large pressure fluctuation in the air bag 20 for ischemia causes air bag 40 for detecting arterial pulsation. Not communicated to. For this reason, a minute pressure fluctuation in the air bag 40 for detecting arterial pulsation can be detected without being influenced by a large pressure fluctuation in the air bag 20 for ischemia. In addition, since the support plate is disposed, the air bag 40 for detecting arterial pulsation has a function capable of being brought into close contact with the bare skin of the upper arm T of the patient.
 図5(B)に示すように、面ファスナ60のオス部材61が、第1面部50Aの立体形成部分500上に配置され、オス部材61は第1面部50Aの立体形成部分500に対して、糸を用いた縫製によりしっかりと取り付けられる。このように、オス部材61を第1面部50Aに対して縫製により確実に固定するのは、融着(融着)により固定する場合に比べて、第1面部50Aに対するオス部材61の取付け強度を向上することができるためである。 As shown in FIG. 5 (B), the male member 61 of the hook and loop fastener 60 is disposed on the three-dimensionally formed portion 500 of the first surface portion 50A, and the male member 61 is relative to the three-dimensionally formed portion 500 of the first surface portion 50A. It can be securely attached by sewing with thread. Thus, the male member 61 is securely fixed to the first surface portion 50A by sewing as compared to the case where the male member 61 is fixed by fusion (fusion) because the attachment strength of the male member 61 to the first surface portion 50A is increased. It is because it can improve.
 ただし、糸による縫製により、面ファスナ60のオス部材61と第1面部50Aの立体形成部分500には、糸が通っているので貫通孔80Pが開いており、このままでは、オス部材61の外側と、第1面部50Aの内面側との間では、空気が通って阻血用空気袋20内の空気が漏れてしまう。
 そこで、この貫通孔80Pによる空気の通りを防ぐために、図5(B)に示すように、シート状の封止部材52が、第1面部50Aの立体形成部分500の内面に対して、例えば高周波融着により固定されている。これにより、シート状の封止部材52は、糸80の通った貫通孔80Pを塞ぐことができるので、オス部材61の外側と、第1面部50Aの立体形成部分500の内面側との間で空気が通ってしまうことを防いで、阻血用空気袋20内の空気漏れを確実に防ぐことができる。
However, since the thread passes through the male member 61 of the surface fastener 60 and the three-dimensionally formed portion 500 of the first surface portion 50A by sewing with a thread, the through hole 80P is opened. Between the first surface portion 50A and the inner surface side, air passes and the air in the air bag 20 is leaked.
Therefore, in order to prevent the passage of air through the through-hole 80P, as shown in FIG. 5B, the sheet-like sealing member 52 is, for example, high-frequency with respect to the inner surface of the three-dimensionally formed portion 500 of the first surface portion 50A. It is fixed by fusion. Thereby, since the sheet-like sealing member 52 can block the through hole 80P through which the thread 80 passes, between the outer side of the male member 61 and the inner surface side of the three-dimensionally formed portion 500 of the first surface portion 50A. Air can be prevented from passing through, and air leakage in the ischemic bladder 20 can be reliably prevented.
 図5(A)と図5(B)に示すように、本体部材80を形成する際に、第1面部50Aと第2面部50Bは、内部を封止して形成するために、これらの高周波融着部90,90B,90C,93,92,91,94を設けている。
 これにより、本体部材80では、高周波融着部90,90B,90C,93,92,91,94は、阻血用空気袋20と、腕巻き部分96とに、気密になるように区分している。阻血用空気袋20は、高周波融着部90,90B,94,91により密封して形成されている。この阻血用空気袋20のチューブ接続用の穴20Hには、チューブ6が気密に接続されている。また、腕巻き部分96は、高周波融着部92,94,90C,93により密封して形成されている。
As shown in FIGS. 5A and 5B, when the main body member 80 is formed, the first surface portion 50A and the second surface portion 50B are formed by sealing the inside thereof. Fusion parts 90, 90B, 90C, 93, 92, 91, 94 are provided.
Thereby, in the main body member 80, the high frequency fusion parts 90, 90B, 90C, 93, 92, 91, 94 are divided into the air bag 20 for ischemia and the arm winding part 96 so as to be airtight. . The air bag 20 for ischemia is hermetically sealed by high-frequency fused portions 90, 90B, 94, 91. The tube 6 is airtightly connected to the tube connection hole 20 </ b> H of the ischemic air bladder 20. Further, the arm winding portion 96 is formed to be hermetically sealed by the high frequency fusion portions 92, 94, 90C, 93.
 図5(A)に示すように、腕巻き部分96では、面ファスナ60のメス部材62が、糸99を用いる縫製により、第2面部50Bの外面50Qに対して取り付けられる。このように、このようにメス部材62を糸99による縫製により固定するのは、メス部材62の取付け強度を向上するためである。メス部材62が、糸99を用いて縫製により第2面部50Bの外面50Qに対して固定されることにより、糸99を通した部分には、貫通穴98が形成されている。この貫通孔98は、第1面部50Aの外側から第1面部50A、第2面部50B、そして面ファスナ60のメス部材62の外側に貫通して形成されている。 As shown in FIG. 5A, in the arm winding portion 96, the female member 62 of the surface fastener 60 is attached to the outer surface 50Q of the second surface portion 50B by sewing using the thread 99. The reason why the female member 62 is thus fixed by sewing with the thread 99 is to improve the attachment strength of the female member 62. The female member 62 is fixed to the outer surface 50Q of the second surface portion 50B by sewing using the thread 99, so that a through hole 98 is formed in a portion through which the thread 99 is passed. The through hole 98 is formed to penetrate from the outside of the first surface portion 50A to the first surface portion 50A, the second surface portion 50B, and the outside of the female member 62 of the surface fastener 60.
 この貫通孔98が、腕巻き部分96の第1面部50Aの外側から第1面部50A、第2面部50B、そして面ファスナ60のメス部材62の外側に貫通して形成されているのは、次の理由からである。図5(A)に示す腕巻き部分96は、阻血用空気袋20とは異なり、空気の流入の無い部分、すなわち上腕を加圧する時に膨張しない部分である。このため、上腕Tに対して密着して確実に巻き付けるためには、この腕巻き部分96内には、空気が入らないようにすることが望ましい。しかし、実際に本体部材80を製造する際に、本体部材80では、複数箇所の高周波融着部90,90B,90C,93,92,91,94が、阻血用空気袋20と、腕巻き部分96とに気密に区分できるように形成すると、腕巻き部分96内に空気を全く入れないようにすることが困難である。 The through hole 98 is formed so as to penetrate from the outside of the first surface portion 50A of the arm winding portion 96 to the outside of the first surface portion 50A, the second surface portion 50B, and the female member 62 of the surface fastener 60. Because of the reason. The arm winding portion 96 shown in FIG. 5A is a portion where air does not flow, that is, a portion that does not expand when the upper arm is pressurized, unlike the air bag 20 for ischemia. For this reason, it is desirable to prevent air from entering the arm winding portion 96 in order to tightly wind around the upper arm T. However, when the main body member 80 is actually manufactured, in the main body member 80, a plurality of high-frequency fused portions 90, 90B, 90C, 93, 92, 91, and 94 are provided with the hemostasis air bag 20 and the arm winding portion. If it is formed so that it can be hermetically divided into 96, it is difficult to prevent air from entering the arm winding portion 96 at all.
 そこで、面ファスナ60のメス部材62を腕巻き部分96に取り付ける際に、貫通孔98を腕巻き部分96の表裏に渡って貫通して形成することで、貫通孔98を利用して腕巻き部分96内に残留しようとする空気を完全に外に押し出すことができる。このため、腕巻き部分96からの空気抜け性が向上するメリットがある。腕帯部3の腕巻き部分96は、残留空気による無用な膨らみが生じないので、腕帯部3は、患者の上腕Tに対して密着するようにして、確実にしかも容易に巻き付けることができる。
 なお、図5に示す腕帯部3としては、患者の腕周り寸法を考慮して異なるサイズを用意することができる。腕帯部3のサイズは、例えば小さいものから大きいものにかけて、SSサイズ、Sサイズ、Mサイズ、Lサイズ、そしてLLサイズである。
Therefore, when attaching the female member 62 of the hook-and-loop fastener 60 to the arm winding portion 96, the through hole 98 is formed so as to penetrate the front and back of the arm winding portion 96, so that the arm winding portion is utilized using the through hole 98. The air which is to remain in 96 can be pushed out completely. For this reason, there is an advantage that air bleedability from the arm winding portion 96 is improved. Since the arm winding portion 96 of the arm band portion 3 does not cause unnecessary swelling due to residual air, the arm band portion 3 can be reliably and easily wound so as to be in close contact with the upper arm T of the patient. .
As the arm band 3 shown in FIG. 5, different sizes can be prepared in consideration of the patient's arm circumference. The size of the armband portion 3 is, for example, SS size, S size, M size, L size, and LL size from small to large.
 次に、上述した血圧計1の使用例を、図8から図10を参照しながら説明する。
 図8は、腕帯部3を患者の上腕Tの皮膚(素肌)に直接巻き付ける様子を示している。図9は、腕帯部3を患者の上腕Tの皮膚に直接巻く手順の例を示している。医療従事者は、図8に示すように、患者の上腕Tの皮膚に対して直接腕帯部3を、次のようにして巻き付けて固定する。
Next, a usage example of the above-described blood pressure monitor 1 will be described with reference to FIGS.
FIG. 8 shows a state in which the armband portion 3 is directly wound around the skin (bare skin) of the upper arm T of the patient. FIG. 9 shows an example of a procedure for winding the armband 3 directly around the skin of the upper arm T of the patient. As shown in FIG. 8, the medical staff directly wraps and fixes the arm band 3 around the skin of the upper arm T of the patient as follows.
 図8に示すように上腕Tに巻こうとする腕帯部3は、図9(A)に示すように、第1面部50Aを下側にして第2面部50Bを上側にし、第2面部50B側を上腕Tの下側から当てる。医療従事者は、手で腕帯部3の始端部159を持って、R1方向に沿って腕帯部3を上腕Tに対して巻き付ける。この際に、動脈拍動検出用の空気袋40は、上腕Tの動脈の位置に合わせて位置決めすることで、動脈拍動検出用の空気袋40が上腕Tの動脈に対して正確に位置決めできる。
 これにより、医療従事者が患者の上腕Tに対して腕帯部3を巻く際に、上腕Tの素肌には、第2面部50Bが直接接触し、吸水性や強靭性や柔軟性を発揮しながら、動脈拍動検出用の空気袋40が上腕Tの動脈上からずれてしまうことを防止できる。
As shown in FIG. 8, the arm band portion 3 to be wound around the upper arm T has the first surface portion 50A on the lower side, the second surface portion 50B on the upper side, and the second surface portion 50B as shown in FIG. 9 (A). The side is applied from the lower side of the upper arm T. A medical worker holds the start end portion 159 of the armband portion 3 by hand and winds the armband portion 3 around the upper arm T along the R1 direction. At this time, the air bag 40 for detecting arterial pulsation is positioned according to the position of the artery of the upper arm T, so that the air bag 40 for detecting arterial pulsation can be accurately positioned with respect to the artery of the upper arm T. .
As a result, when the medical staff wraps the armband portion 3 around the patient's upper arm T, the second surface portion 50B comes into direct contact with the bare skin of the upper arm T and exhibits water absorption, toughness and flexibility. However, the air bag 40 for detecting arterial pulsation can be prevented from being displaced from the artery of the upper arm T.
 図9(B)に示すように、医療従事者は手で腕帯部3の終端部169を持ってR2方向に沿って腕帯部3を上腕Tに対して巻き付けて、図9(C)に示すように、面ファスナのオス部材61に対して、上述した面ファスナのメス部材62を着脱可能に貼り付ける。面ファスナのメス部材61と面ファスナのオス部材62が着脱可能にかみ合うので、腕帯部3は上腕Tの素肌に対して直接巻き付けて、ずれない様に固定することができる。
 この場合に、図5(A)と図5(B)に示す腕巻き部分96内に残留しようとする空気は、貫通孔98を利用して、腕巻き部分96の外部に押し出すことができる。このため、腕巻き部分96は、残留空気による無用な膨らみが生じないので、腕帯部3は、上腕Tに対して密着するようにして、確実にしかも容易に巻き付けることができる。
As shown in FIG. 9 (B), the medical worker holds the terminal portion 169 of the armband portion 3 by hand and wraps the armband portion 3 around the upper arm T along the R2 direction. As shown, the female member 62 of the hook-and-loop fastener described above is detachably attached to the male member 61 of the hook-and-loop fastener. Since the female member 61 of the hook-and-loop fastener and the male member 62 of the hook-and-loop fastener are detachably engaged, the arm band portion 3 can be directly wound around the bare skin of the upper arm T and fixed so as not to be displaced.
In this case, the air that is to remain in the arm winding portion 96 shown in FIGS. 5A and 5B can be pushed out of the arm winding portion 96 using the through-hole 98. For this reason, since the arm winding portion 96 does not cause unnecessary swelling due to residual air, the arm band portion 3 can be reliably and easily wound so as to be in close contact with the upper arm T.
 次に、図1に示すように腕帯部3が上腕Tに対して正しい姿勢で保持された状態で、医療従事者は、図3に示す電源スイッチ9を押し、しかもモードスイッチ10を押すことで任意のモードを選択する。
 図2に示すように、延長部14を手Hの指で支えながら送気球5を握ったり離したりする動作を繰り返すことにより、送気球5からの空気は、血圧計本体部2内の配管とチューブ6,7を通じて、腕帯部3内の阻血用空気袋20と動脈拍動検出用の空気袋40内に空気をそれぞれ送り込まれる。
Next, as shown in FIG. 1, the medical staff presses the power switch 9 shown in FIG. 3 and the mode switch 10 while the armband 3 is held in the correct posture with respect to the upper arm T. Select the desired mode with.
As shown in FIG. 2, by repeating the operation of holding and releasing the air balloon 5 while supporting the extension portion 14 with the finger of the hand H, the air from the air balloon 5 is exchanged with the piping in the sphygmomanometer body 2. Air is sent through the tubes 6 and 7 into the air bag 20 for ischemia and the air bag 40 for detecting arterial pulsation in the armband 3.
 これにより、図4に示す圧力センサ110は、動脈拍動検出用の空気袋40内の空気圧力の変動を正確に検出できるので、正確な血圧測定を行うことができる。阻血用空気袋20と動脈拍動検出用の空気袋40は半径方向の内側である上腕T側に加圧力をかけることができ、阻血用空気袋20が発生する圧力と動脈拍動検出用の空気袋40が発生する圧力は、腕帯部2の外側へは逃げずに上腕Tに対して加圧でき、正確な血圧測定をすることができる。 Accordingly, the pressure sensor 110 shown in FIG. 4 can accurately detect the fluctuation of the air pressure in the air bag 40 for detecting arterial pulsation, so that the blood pressure can be accurately measured. The air bag 20 for ischemia and the air bag 40 for detecting arterial pulsation can apply pressure to the upper arm T side, which is the inner side in the radial direction, and the pressure generated by the ischemic air bag 20 and arterial pulsation are detected. The pressure generated by the air bag 40 can be applied to the upper arm T without escaping to the outside of the armband portion 2, and accurate blood pressure measurement can be performed.
 図10は、阻血用空気袋20により上腕Tに対して加えられる圧力が、時間経過により変化する例を示している。
 図1に示す送気球5を握ったり離したりする動作を繰り返すことにより、図4に示す腕帯部3内の阻血用空気袋20と動脈拍動検出用の空気袋40内には空気を送るので、図10に示すように、腕帯部3内の阻血用空気袋20内の圧力は、圧力上昇期間t1において上昇する。この圧力上昇期間t1では、図4の制御部100は現在加圧中であると判断して駆動部113に指令をして電磁バルブ116を閉める。そして、医療従事者が送気球5を握ったり離したりする動作を停止して加圧を終了する。
FIG. 10 shows an example in which the pressure applied to the upper arm T by the ischemic bladder 20 changes with time.
Air is sent into the air bag 20 for detecting ischemia and the air bag 40 for detecting arterial pulsation shown in FIG. 4 by repeating the operation of grasping and releasing the air balloon 5 shown in FIG. Therefore, as shown in FIG. 10, the pressure in the air bag 20 for ischemia in the armband portion 3 increases during the pressure increase period t1. In the pressure increase period t1, the control unit 100 in FIG. 4 determines that the pressurization is currently being performed, and instructs the drive unit 113 to close the electromagnetic valve 116. And the operation | movement which a medical worker grasps or separates the air balloon 5 is stopped, and pressurization is complete | finished.
 送気球5を使用しているので、図10の自然減圧期間t2では、圧力は自然に少し低下する。この自然減圧期間t2の間待機して、その後、最適な速度減圧期間t3では、図4の圧力センサ110が検出する圧力について、減圧状態であると制御部100が判断すると、制御部100は駆動部113に指令をして電磁バルブ116を減圧スピードが所定値になるように開く。これにより、腕帯部3内の阻血用空気袋20内の圧力が減少され、この減圧の間に、図4に示す制御部100は、圧力センサ110からの信号により、最高血圧値(SYS)と最低血圧値(D1A)と脈拍値を取得する。その後、排気期間t4では、図4の制御部100は強制排気弁117を作動することで、腕帯部3内の阻血用空気袋20と動脈拍動検出用の空気袋40内の空気を強制排気することで、圧力を無くす。 Since the air balloon 5 is used, the pressure naturally decreases a little during the natural decompression period t2 in FIG. The controller 100 waits for the natural pressure reducing period t2, and then determines that the pressure detected by the pressure sensor 110 in FIG. 4 is in a reduced pressure state during the optimum speed pressure reducing period t3. The unit 113 is commanded to open the electromagnetic valve 116 so that the pressure reduction speed becomes a predetermined value. As a result, the pressure in the air bag 20 for ischemia in the armband 3 is reduced, and during this decompression, the control unit 100 shown in FIG. 4 receives a maximum blood pressure value (SYS) by a signal from the pressure sensor 110. And a minimum blood pressure value (D1A) and a pulse value are acquired. Thereafter, during the exhaust period t4, the control unit 100 in FIG. 4 operates the forced exhaust valve 117 to force the air in the air bag 20 for ischemia in the armband 3 and the air bag 40 for detecting arterial pulsation. Evacuate to eliminate pressure.
 このように、図8に示すように、腕帯部3を上腕Tに巻き付けて、腕帯部3に空気を入れて上腕Tを加圧する場合に、腕帯部3の外面側である第1面部50Aの複数箇所の立体形成部分500が、上腕Tの周囲に沿って伸びる。第1面部50Aの複数箇所の立体形成部分500が上腕Tの周囲方向に沿って伸びることにより、腕帯部3の内面側の第2面部50Bが、外面側の第1面部50Aの緊張につられて上腕Tの周囲方向に沿って移動することが無い。このため、腕帯部3の内面側の第2面部50Bが移動して腕帯部3のある箇所に折れ曲がり部分が生じることがない。すなわち、腕帯部3を上腕Tに巻き付けると、第1面部50Aの長さと第2面部50Bの長さに差が無くなるので、腕帯部3の内面側の第2面部50Bには、従来生じていた折れ曲がり部分の発生によるシワが生じない。
 このため、腕帯部3の内面側にシワが生じると、腕帯部3の内面とともに上腕の皮膚の一部分が引っ張られて、上腕の皮膚の一部分がシワに引き込まれてしまうという現象を防げる。従って、患者は血圧測定時に不快に感じることがなく、上腕に内出血を生じない。
Thus, as shown in FIG. 8, when the arm band portion 3 is wrapped around the upper arm T and air is put into the arm band portion 3 to pressurize the upper arm T, the first side which is the outer surface side of the arm band portion 3 is used. A plurality of three-dimensionally formed portions 500 of the face portion 50A extend along the periphery of the upper arm T. When the three-dimensionally formed portions 500 of the first surface portion 50A extend along the peripheral direction of the upper arm T, the second surface portion 50B on the inner surface side of the armband portion 3 is stretched by the tension of the first surface portion 50A on the outer surface side. Thus, it does not move along the peripheral direction of the upper arm T. For this reason, the 2nd surface part 50B of the inner surface side of the armband part 3 moves, and a bending part does not arise in the location with the armband part 3. FIG. That is, when the armband portion 3 is wound around the upper arm T, there is no difference between the length of the first surface portion 50A and the length of the second surface portion 50B, so that the second surface portion 50B on the inner surface side of the armband portion 3 is conventionally generated. No wrinkles due to the bent parts.
For this reason, when wrinkles are generated on the inner surface side of the armband part 3, a part of the upper arm skin is pulled together with the inner surface of the armband part 3, and a phenomenon that a part of the upper arm skin is drawn into the wrinkles can be prevented. Therefore, the patient does not feel uncomfortable when measuring blood pressure, and internal bleeding does not occur in the upper arm.
 なお、血圧を測定後は、医療従事者は腕帯部3を、図9(C)、図9(B)、そして図9(A)の順番に患者の上腕Tから取り外せばよい。すなわち、図9(C)に示すように、医療従事者は手で腕帯部3の終端部169を持って、R3方向に沿って腕帯部3の終端部169を剥がす。これにより、図9(B)に示すように、腕帯部3の終端部169側の面ファスナのメス部材62は、腕帯部3の始端部159側の面ファスナのオス部材61から剥がすことができる。そして、医療従事者は、図9(B)に示すように、腕帯部3の始端部159を手で持ってR4方向に上腕Tから離すことにより、図9(A)に示すように腕帯部3は上腕Tから取り外すことが簡単にできる。 In addition, after the blood pressure is measured, the medical staff may remove the armband 3 from the patient's upper arm T in the order of FIGS. 9C, 9B, and 9A. That is, as shown in FIG. 9C, the medical worker holds the end portion 169 of the armband portion 3 by hand and peels the end portion 169 of the armband portion 3 along the R3 direction. Accordingly, as shown in FIG. 9B, the female member 62 of the surface fastener on the terminal end 169 side of the armband portion 3 is peeled off from the male member 61 of the surface fastener on the start end portion 159 side of the armband portion 3. Can do. Then, as shown in FIG. 9 (B), the medical worker holds the starting end portion 159 of the armband portion 3 with his hand and separates it from the upper arm T in the R4 direction, as shown in FIG. 9 (A). The band 3 can be easily removed from the upper arm T.
(第2実施形態)
 次に、本発明の第2実施形態を説明する。
 図11は、本発明の第2実施形態を示している。図11(A)は、本発明の第2実施形態の腕帯部3Aの本体部材80Aを構成する第1面部190Aと第2面部190Bの例を示している。図11(B)は、本発明の第2実施形態の腕帯部3Aが上腕Tに装着された状態を示している。この腕帯部3Aは、図1に示す血圧計本体部2対して、チューブ6,7を用いて接続される。
 図11(B)に示す腕帯部3Aは、特に上腕Tが標準の患者の上腕よりも太い場合に用いられ、腕帯部3は、肩側の長さが手側の長さに比べて大きくなっている。上腕Tが標準の患者の上腕よりも太い患者とは、上腕Tの肩側の周囲長さと上腕Tの手指寄り側の周囲長さが、通常の患者の上腕Tの肩側の周囲長さと上腕Tの手指寄り側の周囲長さよりも大きい人である。
(Second Embodiment)
Next, a second embodiment of the present invention will be described.
FIG. 11 shows a second embodiment of the present invention. FIG. 11A shows an example of the first surface portion 190A and the second surface portion 190B constituting the main body member 80A of the armband portion 3A of the second embodiment of the present invention. FIG. 11B shows a state in which the armband portion 3A of the second embodiment of the present invention is attached to the upper arm T. The armband portion 3A is connected to the sphygmomanometer body portion 2 shown in FIG.
The arm band 3A shown in FIG. 11B is used particularly when the upper arm T is thicker than the upper arm of a standard patient, and the arm band 3 has a shoulder side length that is longer than the hand side length. It is getting bigger. A patient whose upper arm T is thicker than the upper arm of a standard patient is that the peripheral length on the shoulder side of the upper arm T and the peripheral length on the finger side of the upper arm T are the peripheral length on the shoulder side of the normal patient's upper arm T and the upper arm. It is a person who is larger than the peripheral length of T on the finger side.
 このような上腕Tの太い患者に用いる腕帯部3の形状を得るために、図11(A)に示すように、第1面部190Aと第2面部190Bは、共に扇型形状に形成されている。しかも、第1面部190AのV方向の幅K1は幅第2面部190BのV方向の幅K2に比べて、同じかやや大きい。第1面部190AのY方向の円周方向長さJ1は、第2面部190BのY方向の円周方向長さJ2に比べて、大きくなっている。すなわち、第1面部190Aの上腕Tの周囲方向に沿った長さは、第2面部190Bの上腕Tの周囲方向に沿った長さに比べて長く設定されている。
 図11(B)に示すように、第1面部190Aは第2面部190Bに対して、図5に示す腕帯部3の場合と同様にして、高周波融着により固定され、第1面部190Aには、複数箇所の立体形成部分600が形成されている。立体形成部分600は、立体縫製部分ともいう。
In order to obtain the shape of the armband portion 3 used for such a patient with a thick upper arm T, the first surface portion 190A and the second surface portion 190B are both formed in a fan shape as shown in FIG. Yes. Moreover, the width K1 of the first surface portion 190A in the V direction is the same or slightly larger than the width K2 of the width second surface portion 190B in the V direction. The circumferential length J1 in the Y direction of the first surface portion 190A is larger than the circumferential length J2 in the Y direction of the second surface portion 190B. That is, the length along the peripheral direction of the upper arm T of the first surface portion 190A is set to be longer than the length along the peripheral direction of the upper arm T of the second surface portion 190B.
As shown in FIG. 11B, the first surface portion 190A is fixed to the second surface portion 190B by high frequency fusion in the same manner as the armband portion 3 shown in FIG. A plurality of three-dimensionally formed portions 600 are formed. The three-dimensional forming portion 600 is also referred to as a three-dimensional sewing portion.
 これにより、腕帯部3を上腕Tに巻き付けて、腕帯部3に空気を入れて上腕Tを加圧する場合に、腕帯部3は円錐の筒体として巻くことができるので、太い上腕であっても腕帯部を巻き付けて血圧測定をすることができる。この腕帯部3の外面側である第1面部50Aの複数箇所の立体形成部分600が、上腕Tの周囲長さに沿って伸びる。このため、第1面部50Aの複数箇所の立体形成部分600が伸びることにより、腕帯部3の内面側の第2面部50Bが移動して腕帯部3のある箇所に折れ曲がり部分が生じることがない。すなわち、腕帯部3を上腕Tに巻き付けると、第1面部50Aの長さと第2面部50Bの長さに差が無くなるので、腕帯部3の内面側の第2面部50Bには、従来生じていた折れ曲がり部分の発生によるシワが生じない。このため、太い上腕Tであっても、上腕の皮膚の一部分がシワに引き込まれてしまうという現象を防げる。このため、患者は血圧測定時に不快に感じることがなく、上腕に内出血を生じない。 As a result, when the armband portion 3 is wound around the upper arm T, and the air is applied to the armband portion 3 to pressurize the upper arm T, the armband portion 3 can be wound as a conical cylindrical body. Even if there is, blood pressure can be measured by wrapping the armband. A plurality of three-dimensionally formed portions 600 of the first surface portion 50 </ b> A on the outer surface side of the armband portion 3 extend along the peripheral length of the upper arm T. For this reason, when the three-dimensionally formed portions 600 of the first surface portion 50 </ b> A extend, the second surface portion 50 </ b> B on the inner surface side of the armband portion 3 moves and a bent portion is generated at a location where the armband portion 3 exists. Absent. That is, when the armband portion 3 is wound around the upper arm T, there is no difference between the length of the first surface portion 50A and the length of the second surface portion 50B, so that the second surface portion 50B on the inner surface side of the armband portion 3 is conventionally generated. No wrinkles due to the bent parts. For this reason, even if it is the thick upper arm T, the phenomenon that a part of skin of the upper arm is drawn into wrinkles can be prevented. For this reason, the patient does not feel uncomfortable when measuring blood pressure, and internal bleeding does not occur in the upper arm.
 本発明の実施形態の血圧計1は、腕帯部を有し、腕帯部を被測定者の上腕に巻いて加圧することで血圧を測定する血圧計であって、腕帯部は、空気を供給することで上腕を阻血するための阻血用空気袋を有する本体部材を備え、本体部材は、外側の第1面部と第1面部に重なっており上腕に接する第2面部を有し、阻血用空気袋は、第1面部と第2面部により形成されており、第1面部の上腕の周囲方向に沿った長さは、第2面部の上腕の周囲方向に沿った長さに比べて長く設定され、第1面部は上腕の周囲方向に沿った長さ方向に伸長可能な構成とされている。
 これにより、第1面部が第2面より伸長するように形成されているので、腕帯部を上腕に巻き付けて上腕を加圧する場合に、腕帯部の外面側である第1面部が、上腕の周囲方向に沿って伸びる。第1面部が伸びることにより、腕帯部の内面側の第2面部が、外面側の第1面部の緊張につられて上腕の周囲方向に沿って移動することが無いので、腕帯部のある箇所に折れ曲がり部分が生じない。このため、腕帯部により上腕を加圧する際に、腕帯部の内面側にシワが生じないようにすることができるので、患者は血圧測定時に不快に感じを受けず、上腕に内出血を生じるおそれが無くなる。
 腕帯部は、本体部材の阻血用空気袋に配置され、空気を供給することで上腕の動脈の拍動を検出するための動脈拍動検出用の空気袋を備えている。
 これにより、阻血用空気袋と動脈拍動検出用の空気袋を有する腕帯部であっても、第1面部が第2面より伸長するように形成されているので、腕帯部を上腕に巻き付けて上腕を加圧する場合に、腕帯部の外面側である第1面部が、上腕の周囲方向に沿って伸びる。第1面部が伸びることにより、腕帯部の内面側の第2面部が、外面側の第1面部の緊張につられて上腕の周囲方向に沿って移動することが無いので、腕帯部のある箇所に折れ曲がり部分が生じない。
A sphygmomanometer 1 according to an embodiment of the present invention is a sphygmomanometer that has an arm band part and measures blood pressure by winding the arm band part around the upper arm of a person to be measured and pressurizing the arm band part. A body member having an air bag for ischemia for isolating the upper arm by supplying the body, and the body member has an outer first surface portion and a first surface portion, and has a second surface portion in contact with the upper arm. The air bag is formed by the first surface portion and the second surface portion, and the length along the peripheral direction of the upper arm of the first surface portion is longer than the length along the peripheral direction of the upper arm of the second surface portion. The first surface portion is configured to be extendable in the length direction along the peripheral direction of the upper arm.
Thereby, since the first surface portion is formed to extend from the second surface, when the arm band portion is wound around the upper arm and the upper arm is pressed, the first surface portion which is the outer surface side of the arm band portion is It extends along the circumferential direction of the. By extending the first surface portion, the second surface portion on the inner surface side of the armband portion does not move along the peripheral direction of the upper arm due to the tension of the first surface portion on the outer surface side, so there is an armband portion. There are no bent parts in the area. For this reason, when pressurizing the upper arm with the armband part, it is possible to prevent wrinkles from occurring on the inner surface side of the armband part, so that the patient does not feel uncomfortable during blood pressure measurement and causes internal bleeding in the upper arm There is no fear.
The arm band portion is disposed in the air bag for ischemia of the main body member, and includes an air bag for detecting arterial pulsation for detecting pulsation of the artery of the upper arm by supplying air.
As a result, even the armband portion having the air bag for ischemia and the air bag for detecting arterial pulsation is formed so that the first surface portion extends from the second surface. When the upper arm is wound and the upper arm is pressed, the first surface portion, which is the outer surface side of the arm belt portion, extends along the circumferential direction of the upper arm. By extending the first surface portion, the second surface portion on the inner surface side of the armband portion does not move along the peripheral direction of the upper arm due to the tension of the first surface portion on the outer surface side, so there is an armband portion. There are no bent parts in the area.
 これにより、第1面部が立体的に形成されているので、腕帯部を上腕に巻き付けて上腕を加圧する場合に、腕帯部の外面側である第1面部が、上腕の周囲方向に沿って伸びる。第1面部が伸びることにより、腕帯部の内面側の第2面部が、外面側の第1面部の緊張につられて上腕の周囲方向に沿って移動することが無いので、腕帯部のある箇所に折れ曲がり部分が生じない。このため、腕帯部により上腕を加圧する際に、腕帯部の内面側にシワが生じないようにすることができるので、患者は血圧測定時に不快に感じを受けず、上腕に内出血を生じるおそれが無くなる。 Thereby, since the 1st surface part is formed in three dimensions, when the arm belt part is wrapped around the upper arm and the upper arm is pressurized, the first surface part which is the outer surface side of the arm belt part is along the peripheral direction of the upper arm. It grows. By extending the first surface portion, the second surface portion on the inner surface side of the armband portion does not move along the peripheral direction of the upper arm due to the tension of the first surface portion on the outer surface side, so there is an armband portion. There are no bent parts in the area. For this reason, when pressurizing the upper arm with the armband part, it is possible to prevent wrinkles from occurring on the inner surface side of the armband part, so that the patient does not feel uncomfortable during blood pressure measurement and causes internal bleeding in the upper arm There is no fear.
 第1面部と第2面部は、融着により固定されているので、第1面部と第2面部は融着により簡単にしかも阻血用空気袋から空気が漏れないように固定することができる。
 第1面部と第2面部は、共に長方形状に形成されているので、簡単な形状である長方形状の第1面部と長方形状の第2面部を重ねて固定するだけで、患者は血圧測定時に不快に感じを受けず、上腕に内出血を生じるおそれが無くなる。腕帯部を巻き付けて血圧測定をすることができる。
 第1面部と第2面部は、共に扇型形状に形成されているので、腕帯部は円錐状に巻くことができるので、肩側の周囲長さの大きい太い上腕であっても、患者は血圧測定時に不快に感じを受けず、上腕に内出血を生じるおそれが無くなる。腕帯部を巻き付けて血圧測定をすることができる。
Since the first surface portion and the second surface portion are fixed by fusion, the first surface portion and the second surface portion can be easily fixed by fusion so that air does not leak from the air bag for ischemia.
Since the first surface portion and the second surface portion are both formed in a rectangular shape, the patient can measure the blood pressure by simply stacking and fixing the rectangular first surface portion and the rectangular second surface portion, which are simple shapes. It does not feel uncomfortable and eliminates the possibility of internal bleeding in the upper arm. Blood pressure can be measured by wrapping the armband.
Since both the first surface portion and the second surface portion are formed in a fan shape, the armband portion can be wound in a conical shape. There is no risk of uncomfortable feeling during blood pressure measurement, and there is no risk of internal bleeding in the upper arm. Blood pressure can be measured by wrapping the armband.
 腕帯部の阻血用空気袋と動脈拍動検出用の空気袋に対してチューブを用いて接続された血圧計本体部を有し、血圧計本体部は、筐体と、筐体に取り付けられ、押すことによりチューブを通じて空気を阻血用空気袋と動脈拍動検出用の空気袋に送る送気球と、を有する。このため、医療従事者が一方の手で送気球を持った状態で、医療従事者は他方の片手だけで腕帯部を上腕に容易に位置決めしながら装着できる。 It has a blood pressure monitor body connected to the armband air bag for ischemia and an air bag for detecting arterial pulsation using a tube. The blood pressure monitor body is attached to the housing and the housing. , And a balloon for sending air through the tube to the air bag for ischemia and the air bag for detecting arterial pulsation. For this reason, in a state where the medical worker holds the air balloon with one hand, the medical worker can wear it while easily positioning the armband portion on the upper arm with only the other hand.
 本発明は、上記実施形態に限定されず、特許請求の範囲を逸脱しない範囲で種々の変更を行うことができる。
 図示例では、面ファスナ60のオス部材61が、面ファスナの一方の部材であり阻血用空気袋20に配置され、面ファスナ60のメス部材62は、面ファスナの他方の部材であり腕巻き部分96に配置されている。しかし、これに限らず、逆に、面ファスナ60のメス部材が、面ファスナの一方の部材であり阻血用空気袋20に配置され、面ファスナ60のオス部材は、面ファスナの他方の部材であり腕巻き部分96に配置されるようにしても良い。
 本発明の実施形態の血圧計は、阻血用空気袋と動脈拍動検出用の空気袋を有するいわゆるダブルカフ型の腕帯部を有しているが、本発明の血圧計は、これに限らず、阻血用の空気袋と脈波センサを有する通常のオシロメトリック法の腕帯部を有する血圧計に適用することもできる。
The present invention is not limited to the above embodiment, and various modifications can be made without departing from the scope of the claims.
In the illustrated example, the male member 61 of the hook-and-loop fastener 60 is one member of the hook-and-loop fastener and is disposed in the blood-insulating air bag 20, and the female member 62 of the hook-and-loop fastener 60 is the other member of the hook-and-loop fastener and the arm winding portion. 96. However, the present invention is not limited to this, and conversely, the female member of the hook-and-loop fastener 60 is one member of the hook-and-loop fastener and is disposed in the air bag 20 for ischemia, and the male member of the hook-and-loop fastener 60 is the other member of the hook-and-loop fastener. You may make it arrange | position to the dovetail winding part 96. FIG.
The sphygmomanometer of the embodiment of the present invention has a so-called double cuff-type armband portion having an air bag for ischemia and an air bag for detecting arterial pulsation, but the sphygmomanometer of the present invention is not limited to this. It can also be applied to a sphygmomanometer having a normal oscillometric armband having an air bag for ischemia and a pulse wave sensor.
 図示した血圧計は、手動加圧式のものであるが、本発明の血圧計はこれに限らない。自動式の血圧計は、腕帯部と、腕帯部とは別体の血圧計本体部を有し、腕帯部は患者(被測定者)の上腕に対して巻き付ける。そして、血圧計本体部内のポンプを駆動すると、血圧計本体部から空気がチューブを通じて阻血用空気袋と動脈拍動検出用の空気袋に送ることができる。
 上記実施形態の各構成は、その一部を省略したり、上記とは異なるように任意に組み合わせることができる。
The illustrated sphygmomanometer is of a manual pressurization type, but the sphygmomanometer of the present invention is not limited to this. The automatic sphygmomanometer has an arm band and a sphygmomanometer body that is separate from the arm band, and the arm band is wound around the upper arm of a patient (a person to be measured). When the pump in the sphygmomanometer main body is driven, air can be sent from the sphygmomanometer main body through the tube to the air bag for ischemia and the air bag for detecting arterial pulsation.
A part of each configuration of the above embodiment can be omitted, or can be arbitrarily combined so as to be different from the above.
 1・・・血圧計、3・・・腕帯部、2・・・血圧計本体部、4・・・筐体、5・・・送気球、6,7・・・チューブ、20・・・阻血用空気袋、40・・・動脈拍動検出用の空気袋、50A・・・第1面部、50B・・・第2面部、80・・・本体部材、500・・・立体形成部分、高周波融着部・・・90,90B,90C,91,92,93,94、T・・・上腕 DESCRIPTION OF SYMBOLS 1 ... Blood pressure monitor, 3 ... Arm band part, 2 ... Blood pressure monitor main-body part, 4 ... Housing | casing, 5 ... Air balloon, 6, 7 ... Tube, 20 ... Air bag for ischemia, 40 ... air bag for detecting arterial pulsation, 50A ... first surface portion, 50B ... second surface portion, 80 ... main body member, 500 ... three-dimensionally formed portion, high frequency Fusion part ... 90, 90B, 90C, 91, 92, 93, 94, T ... upper arm

Claims (7)

  1.  腕帯部を有し、前記腕帯部を被測定者の上腕に巻いて加圧することで血圧を測定する血圧計であって、
     前記腕帯部は、空気を供給することで前記上腕を阻血するための阻血用空気袋を有する本体部材を備え、
     前記本体部材は、外側の第1面部と前記第1面部に重なっており前記上腕に接する第2面部を有し、前記阻血用空気袋は、前記第1面部と前記第2面部により形成されており、前記第1面部の前記上腕の周囲方向に沿った長さは、前記第2面部の前記上腕の周囲方向に沿った長さに比べて長く設定され、前記第1面部は前記上腕の周囲方向に沿った長さ方向に伸長可能な構成とされている
     ことを特徴とする血圧計。
    A sphygmomanometer that has an armband part and measures the blood pressure by winding the armband part around the upper arm of the person to be measured and pressurizing the armband part;
    The armband portion includes a body member having an air bag for ischemia for isolating the upper arm by supplying air,
    The main body member has an outer first surface portion and a second surface portion that is in contact with the upper arm and is in contact with the upper arm, and the air bag for hemostasis is formed by the first surface portion and the second surface portion. The length of the first surface portion along the peripheral direction of the upper arm is set to be longer than the length of the second surface portion along the peripheral direction of the upper arm, and the first surface portion is set around the upper arm. A sphygmomanometer, characterized in that it can be extended in the longitudinal direction along the direction.
  2.  前記腕帯部は、前記本体部材の前記阻血用空気袋に配置され、前記空気を供給することで前記上腕の動脈の拍動を検出するための動脈拍動検出用の空気袋を備えていることを特徴とする請求項1に記載の血圧計。 The armband portion includes an air bag for detecting arterial pulsation that is disposed in the air bag for ischemia of the main body member and detects the pulsation of the artery of the upper arm by supplying the air. The sphygmomanometer according to claim 1.
  3.  前記第1面部は、阻血用空気が導入されることにより、前記第2面部と比較して、より立体的な形態となるように形成されていることを特徴とする請求項1に記載の血圧計。 2. The blood pressure according to claim 1, wherein the first surface portion is formed to have a more three-dimensional shape as compared with the second surface portion by introducing air for ischemia. Total.
  4.  前記第1面部と前記第2面部は、融着により固定されていることを特徴とする請求項1ないし3のいずれかに記載の血圧計。 The sphygmomanometer according to any one of claims 1 to 3, wherein the first surface portion and the second surface portion are fixed by fusion bonding.
  5.  前記第1面部と前記第2面部は、共に長方形状に形成されていることを特徴とする請求項4に記載の血圧計。 The sphygmomanometer according to claim 4, wherein both the first surface portion and the second surface portion are formed in a rectangular shape.
  6.  前記第1面部と前記第2面部は、共に扇型形状に形成されていることを特徴とする請求項4に記載の血圧計。 The sphygmomanometer according to claim 4, wherein both the first surface portion and the second surface portion are formed in a fan shape.
  7.  前記腕帯部の前記阻血用空気袋と前記動脈拍動検出用の空気袋に対してチューブを用いて接続された血圧計本体部を有し、前記血圧計本体部は、筐体と、前記筐体に取り付けられ、押すことにより前記チューブを通じて前記空気を前記阻血用空気袋と前記動脈拍動検出用の空気袋に送る送気球と、を有することを特徴とする請求項1ないし6のいずれかに記載の血圧計。 The sphygmomanometer body has a sphygmomanometer body connected to the air bag for ischemia of the armband and the air bag for detection of arterial pulsation using a tube. 7. An air supply balloon mounted on a housing and having an air supply balloon that sends the air through the tube to the air bag for ischemia and the air bag for detecting arterial pulsation by being pushed. The sphygmomanometer according to crab.
PCT/JP2012/008386 2012-12-27 2012-12-27 Blood pressure meter WO2014102872A1 (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107411731A (en) * 2017-06-12 2017-12-01 深圳市京港派科技有限公司 A kind of cuff apparatus trained for blood pressure measurement and ischemic preconditioning

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Publication number Priority date Publication date Assignee Title
JPS59214430A (en) * 1983-05-23 1984-12-04 菱華産業株式会社 Pressure bag band of hemomanometer and production thereof
JP2004195056A (en) * 2002-12-20 2004-07-15 Terumo Corp Cuff for hemadynamometer
JP2005329162A (en) * 2004-05-21 2005-12-02 Fukuda Denshi Co Ltd Finger cuff
JP2006075438A (en) * 2004-09-10 2006-03-23 Terumo Corp Hemadynamometer
JP2009284970A (en) * 2008-05-27 2009-12-10 Citizen Systems Japan Co Ltd Living body oppressing device and blood pressure measuring instrument

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS59214430A (en) * 1983-05-23 1984-12-04 菱華産業株式会社 Pressure bag band of hemomanometer and production thereof
JP2004195056A (en) * 2002-12-20 2004-07-15 Terumo Corp Cuff for hemadynamometer
JP2005329162A (en) * 2004-05-21 2005-12-02 Fukuda Denshi Co Ltd Finger cuff
JP2006075438A (en) * 2004-09-10 2006-03-23 Terumo Corp Hemadynamometer
JP2009284970A (en) * 2008-05-27 2009-12-10 Citizen Systems Japan Co Ltd Living body oppressing device and blood pressure measuring instrument

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107411731A (en) * 2017-06-12 2017-12-01 深圳市京港派科技有限公司 A kind of cuff apparatus trained for blood pressure measurement and ischemic preconditioning
CN107411731B (en) * 2017-06-12 2021-02-19 深圳市京港派科技有限公司 Cuff device for blood pressure measurement and ischemia pre-adaptation training

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