WO2019131243A1 - 情報処理装置、情報処理方法、及び情報処理プログラム - Google Patents

情報処理装置、情報処理方法、及び情報処理プログラム Download PDF

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Publication number
WO2019131243A1
WO2019131243A1 PCT/JP2018/046238 JP2018046238W WO2019131243A1 WO 2019131243 A1 WO2019131243 A1 WO 2019131243A1 JP 2018046238 W JP2018046238 W JP 2018046238W WO 2019131243 A1 WO2019131243 A1 WO 2019131243A1
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Prior art keywords
blood pressure
information
measurement
fluctuation
environmental
Prior art date
Legal status (The legal status 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 status listed.)
Ceased
Application number
PCT/JP2018/046238
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English (en)
French (fr)
Japanese (ja)
Inventor
出野　徹
直樹 土屋
臼井　弘
皓介 井上
善之 森田
和 松岡
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Omron Healthcare Co Ltd
Original Assignee
Omron Healthcare Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Omron Healthcare Co Ltd filed Critical Omron Healthcare Co Ltd
Priority to DE112018006642.8T priority Critical patent/DE112018006642T5/de
Priority to CN201880081710.8A priority patent/CN111511273B/zh
Publication of WO2019131243A1 publication Critical patent/WO2019131243A1/ja
Priority to US16/910,610 priority patent/US11457826B2/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/02141—Details of apparatus construction, e.g. pump units or housings therefor, cuff pressurising systems, arrangements of fluid conduits or circuits
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/022—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/022—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
    • A61B5/02225—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers using the oscillometric method
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/022—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
    • A61B5/02233—Occluders specially adapted therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/022—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
    • A61B5/0235—Valves specially adapted therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • A61B5/1118—Determining activity level
    • A—HUMAN NECESSITIES
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    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802—Sensor mounted on worn items
    • A61B5/681—Wristwatch-type devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6813—Specially adapted to be attached to a specific body part
    • A61B5/6824—Arm or wrist
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    • A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/683—Means for maintaining contact with the body
    • A61B5/6831—Straps, bands or harnesses
    • A—HUMAN NECESSITIES
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    • A61B5/7271—Specific aspects of physiological measurement analysis
    • A61B5/7275—Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
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    • A61B5/74—Details of notification to user or communication with user or patient; User input means
    • A61B5/742—Details of notification to user or communication with user or patient; User input means using visual displays
    • A—HUMAN NECESSITIES
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    • A61B2560/02—Operational features
    • A61B2560/0242—Operational features adapted to measure environmental factors, e.g. temperature, pollution
    • A61B2560/0247—Operational features adapted to measure environmental factors, e.g. temperature, pollution for compensation or correction of the measured physiological value
    • A61B2560/0252—Operational features adapted to measure environmental factors, e.g. temperature, pollution for compensation or correction of the measured physiological value using ambient temperature
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    • A61B2560/0247—Operational features adapted to measure environmental factors, e.g. temperature, pollution for compensation or correction of the measured physiological value
    • A61B2560/0257—Operational features adapted to measure environmental factors, e.g. temperature, pollution for compensation or correction of the measured physiological value using atmospheric pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/02—Operational features
    • A61B2560/0242—Operational features adapted to measure environmental factors, e.g. temperature, pollution
    • A61B2560/0247—Operational features adapted to measure environmental factors, e.g. temperature, pollution for compensation or correction of the measured physiological value
    • A61B2560/0261—Operational features adapted to measure environmental factors, e.g. temperature, pollution for compensation or correction of the measured physiological value using hydrostatic pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0219—Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0247—Pressure sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0271—Thermal or temperature sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/029—Humidity sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0004—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted

Definitions

  • the present invention relates to an information processing apparatus, an information processing method, and an information processing program.
  • Japanese Patent Application Laid-Open No. 2017-023546 discloses a wearable sphygmomanometer that starts blood pressure measurement in response to an input operation of a measurement instruction as an example.
  • blood pressure can be easily measured in various situations.
  • blood pressure values can be measured and recorded at various locations, such as at home or at work, and blood pressure values can be measured and recorded at various times, including on the go. Blood pressure values measured in these various situations are used for health care and the like.
  • the present invention has been made in view of such circumstances in one aspect, and an object thereof is to provide a technique for giving a subject or the like a recognition opportunity of blood pressure fluctuation.
  • the present invention adopts the following configuration in order to solve the problems described above.
  • the information processing apparatus includes: an information acquisition unit that acquires first blood pressure information and second blood pressure information in the past more than the first blood pressure information;
  • the blood pressure fluctuation detection unit detects blood pressure fluctuation exceeding a first reference value from the second blood pressure information, and the fluctuation information output unit outputs blood pressure fluctuation information notifying the blood pressure fluctuation.
  • the subject or the like can know that the blood pressure fluctuation has occurred, and can consider improvement of the living environment and the like.
  • a second aspect of the present invention is the information processing apparatus according to the first aspect, wherein the environmental change exceeding the second reference value from the first environmental information and the second environmental information in the past from the first environmental information. And a blood pressure measurement unit that measures the first blood pressure information based on the detection of the environmental change, and a blood pressure information output unit that outputs the first blood pressure information.
  • blood pressure fluctuation may occur based on an environmental change exceeding the second reference value, and the detection probability of blood pressure fluctuation can be increased.
  • the second blood pressure information is selected based on any one of a measurement instruction corresponding to an input operation and a measurement instruction corresponding to a measurement schedule.
  • the blood pressure information output unit outputs the second blood pressure information.
  • the second blood pressure information can be measured at timing according to the intention of the person to be measured or the like. Alternatively, the second blood pressure information can be measured at a timing determined by the measurement schedule.
  • a fourth aspect of the present invention is the information processing apparatus according to the third aspect, wherein the blood pressure fluctuation detection unit updates the second blood pressure information in response to acquisition of blood pressure information. According to the above configuration, the blood pressure fluctuation can be detected from the first blood pressure information and the second blood pressure information updated according to the acquisition of the blood pressure information.
  • a fifth aspect of the present invention is the information processing apparatus according to any one of the second to fourth aspects, wherein the environmental change detection unit updates the second environmental information in response to acquisition of environmental information. According to the above configuration, it is possible to detect an environmental change from the first environmental information and the second environmental information updated according to the acquisition of the environmental information.
  • a sixth aspect of the present invention is the information processing apparatus according to any one of the second to fifth aspects, wherein the environmental change detection unit comprises: first temperature information corresponding to the first environmental information; The environmental change exceeding the second reference value is detected from second temperature information corresponding to the second environmental information.
  • a seventh aspect of the present invention is the information processing apparatus according to any one of the second to sixth aspects, wherein the fluctuation information output unit outputs the blood pressure fluctuation information including information indicating the change in the environment.
  • a subject or the like can know the blood pressure fluctuation according to the environmental change, and can consider improvement of the living environment and the like.
  • An eighth aspect of the present invention is the information processing apparatus according to any one of the second to seventh aspects, wherein the blood pressure information output unit associates the first and the second information with information indicating a blood pressure measurement condition of a subject.
  • the blood pressure information of 2 is output, and the fluctuation information output unit outputs the blood pressure fluctuation information including information indicating the blood pressure measurement status.
  • the subject or the like can know the blood pressure measurement situation when the blood pressure change is occurring, and can consider measures for the blood pressure change based on the blood pressure measurement situation.
  • a ninth aspect of the present invention is the information processing apparatus according to the eighth aspect, wherein the information indicating the blood pressure measurement state includes the blood pressure measurement position of the subject.
  • the blood pressure measurement position can be notified to the subject or the like in addition to the blood pressure fluctuation by the output of the blood pressure fluctuation information.
  • the subject or the like can know the blood pressure measurement position when the blood pressure fluctuation occurs, and can consider measures for the blood pressure fluctuation from the blood pressure measurement position.
  • a tenth aspect of the present invention is the information processing apparatus according to the sixth aspect, wherein the environmental change detection unit changes the environmental change when at least one of the first and second temperature information is lower than a temperature reference value.
  • the environmental change is detected when at least one of the first and second temperature information is lower than the temperature reference value, and the blood pressure is measured in the environmental change under the temperature reference value and the blood pressure fluctuation is detected.
  • the burden of blood pressure measurement on the subject can be reduced and comfort can be enhanced.
  • the amount of information of blood pressure information to be recorded can be reduced, whereby the amount of storage resources used can be reduced.
  • An information processing method is an information processing method to be executed by an information processing apparatus, which is a first blood pressure information and a second blood pressure information in the past than the first blood pressure information.
  • Information acquisition process for acquiring information
  • blood pressure fluctuation detection process for detecting blood pressure fluctuation exceeding a first reference value from the first and second blood pressure information
  • fluctuation information for outputting blood pressure fluctuation information notifying the blood pressure fluctuation And an output process.
  • a twelfth aspect of the present invention is an information processing program that causes a computer to function as each unit included in the information processing apparatus of any one of the first to tenth aspects.
  • FIG. 1 is an external view showing an example of a sphygmomanometer according to the embodiment.
  • FIG. 2 is a block diagram showing an example of the sphygmomanometer according to the embodiment.
  • FIG. 3 is a cross-sectional view showing an example of the sphygmomanometer according to the embodiment.
  • FIG. 4 is a functional block diagram showing an example of the sphygmomanometer according to the embodiment.
  • FIG. 5 is a flowchart showing an example of a blood pressure measurement process based on an environmental change according to the embodiment.
  • FIG. 6 is a flowchart showing an example of the blood pressure change notification process according to the embodiment.
  • the present embodiment an embodiment according to one aspect of the present invention (hereinafter, also referred to as “the present embodiment”) will be described based on the drawings.
  • the embodiment described below is merely an illustration of the present invention in all respects. It goes without saying that various improvements and modifications can be made without departing from the scope of the present invention. That is, in the implementation of the present invention, a specific configuration according to the embodiment may be appropriately adopted.
  • signals appearing in the present embodiment are described in natural language, more specifically, they are specified in pseudo language, command, parameter, machine language or the like that can be recognized by a computer.
  • FIG. 1 is a view showing an appearance of a sphygmomanometer 1 which is an embodiment of an information processing apparatus according to the present invention.
  • the sphygmomanometer 1 is a watch-type wearable device.
  • the sphygmomanometer 1 includes a blood pressure measurement function as a blood pressure measurement unit, and further includes various information processing functions.
  • the information processing function includes, for example, an activity measurement function, a step count measurement function, a sleep state measurement function, and an environment (temperature, humidity, pressure) measurement function.
  • the sphygmomanometer 1 is, for example, a sphygmomanometer of a type that starts blood pressure measurement based on an input of an instruction to start blood pressure measurement by a subject or a trigger signal generated autonomously by the sphygmomanometer 1.
  • the sphygmomanometer 1 includes a main body 10, a belt 20, and a cuff structure 30.
  • the main body 10 is configured to be able to mount a plurality of elements such as an element of a control system of the sphygmomanometer 1.
  • the main body 10 includes a case 10A, a glass 10B, and a back cover 10C.
  • the case 10A has, for example, a substantially short cylindrical shape.
  • the case 10A is provided with a pair of projecting lugs for attaching the belt 20 at two places on its side.
  • the glass 10B is attached to the top of the case 10A.
  • the glass 10B is, for example, circular.
  • the back lid 10C is detachably attached to the lower portion of the case 10A so as to face the glass 10B.
  • the main body 10 includes a display unit 101 and an operation unit 102.
  • the display unit 101 displays various information.
  • the display unit 101 is provided in the main body 10 and at a position where the subject can visually recognize via the glass 10B.
  • the display unit 101 is, for example, an LCD (Liquid Crystal Display).
  • the display unit 101 may be an organic EL (Electro Luminescence) display.
  • the display part 101 should just be equipped with the function which displays various information, and is not limited to these.
  • the display unit 101 may include an LED (Light Emitting Diode).
  • the operation unit 102 is an element for inputting various instructions to the sphygmomanometer 1.
  • the operation unit 102 is provided on the side surface of the main body 10.
  • the operation unit 102 includes, for example, one or more push switches.
  • the operation unit 102 may be a pressure-sensitive (resistive) or proximity (capacitive) touch panel switch.
  • the operation part 102 should just be provided with the function to input the various instruction
  • the operation unit 102 includes a measurement switch for instructing start or stop of blood pressure measurement.
  • the operation unit 102 is a home switch for returning the display screen of the display unit 101 to a predetermined home screen, and a recording call switch for causing the display unit 101 to display measurement records such as blood pressure and activity in the past. You may have.
  • the main body 10 is mounted with a plurality of elements other than the display unit 101 and the operation unit 102.
  • the several element which the main body 10 mounts is mentioned later.
  • the configuration of the belt 20 will be described.
  • the belt 20 is configured to be able to wrap around the measurement target portion (for example, the left wrist) of the person to be measured.
  • the width direction of the belt 20 is taken as the X direction.
  • the direction in which the belt 20 surrounds the measurement site is taken as the Y direction.
  • the belt 20 includes a first belt portion 201, a second belt portion 202, a tail lock 203, and a belt holding portion 204.
  • the first belt portion 201 is in the form of a strip extending from the main body 10 in one direction (right side in FIG. 1).
  • a root portion 201 a of the first belt portion 201 close to the main body 10 is rotatably attached to a pair of lugs of the main body 10 via a connecting rod 401.
  • the second belt portion 202 has a belt shape extending from the main body 10 to the other side (left side in FIG. 1).
  • a root portion 202 a of the second belt portion 202 near the main body 10 is rotatably attached to a pair of lugs of the main body 10 via a connecting rod 402.
  • a plurality of small holes 202 c are formed in the thickness direction of the second belt portion 202 between the root portion 202 a of the second belt portion 202 and the tip portion 202 b far from the main body 10.
  • the tail lock 203 is configured to be able to fasten the first belt portion 201 and the second belt portion 202.
  • the tail lock 203 is attached to the distal end portion 201 b of the first belt portion 201 which is far from the main body 10.
  • the tail lock 203 includes a frame body 203A, a stick 203B, and a connecting rod 203C.
  • the frame-like body 203A and the stick 203B are rotatably attached to the leading end portion 201b of the first belt portion 201 via a connecting rod 203C.
  • the frame body 203A and the stick 203B are made of, for example, a metal material.
  • the frame 203A and the stick 203B may be made of a plastic material.
  • the leading end portion 202b of the second belt portion 202 is passed through the frame-like body 203A.
  • the sticking rod 203B is inserted into any one of the plurality of small holes 202c of the second belt portion 202.
  • the belt holding portion 204 is attached between the root portion 201 a and the tip end portion 201 b of the first belt portion 201.
  • the leading end portion 202 b of the second belt portion 202 is passed through the belt holding portion 204.
  • the configuration of the cuff structure 30 will be described.
  • the cuff structure 30 is configured to be able to compress the measurement site at the time of blood pressure measurement.
  • the cuff structure 30 is a strip extending along the Y direction.
  • the cuff structure 30 is opposed to the inner peripheral surface of the belt 20.
  • One end 30 a of the cuff structure 30 is attached to the main body 10.
  • the other end 30 b of the cuff structure 30 is a free end. For this reason, the cuff structure 30 can be separated from the inner circumferential surface of the belt 20.
  • the cuff structure 30 includes a curler 301, a pressure cuff 302, a back plate 303, and a sensing cuff 304.
  • the curler 301 is disposed at the outermost periphery of the cuff structure 30. In the natural state, the curler 301 is curved along the Y direction.
  • the curler 301 is a resin plate having predetermined flexibility and hardness.
  • the resin plate is made of, for example, polypropylene.
  • the pressing cuff 302 is disposed along the inner circumferential surface of the curler 301.
  • the pressure cuff 302 is in the form of a bag.
  • Attached to the pressure cuff 302 is a flexible tube 501 (shown in FIG. 2).
  • the flexible tube 501 is an element for supplying a fluid for pressure transmission (hereinafter, also simply referred to as “fluid”) from the main body 10 side or discharging the fluid from the pressure cuff 302.
  • the fluid is, for example, air.
  • the pressing cuff 302 may include, for example, two fluid bags stacked in the thickness direction. Each fluid bag is made of, for example, a stretchable polyurethane sheet. As fluid is supplied to the pressure cuff 302, fluid flows into each fluid bladder. As each fluid bag is inflated, the pressure cuff 302 is inflated.
  • the back plate 303 is disposed along the inner circumferential surface of the pressing cuff 302.
  • the back plate 303 is band-shaped.
  • the back plate 303 is made of, for example, a resin.
  • the resin is, for example, polypropylene.
  • the back plate 303 functions as a reinforcing plate. For this reason, the back plate 303 can transmit the pressing force from the pressing cuff 302 to the entire area of the sensing cuff 304.
  • On the inner and outer peripheral surfaces of the back plate 303 a plurality of V-shaped or U-shaped grooves extending in the direction X are provided parallel to and separated from each other in the direction Y. Since the back plate 303 is easily bent, the back plate 303 does not prevent the cuff structure 30 from bending.
  • the sensing cuff 304 is disposed along the inner circumferential surface of the back plate 303.
  • the sensing cuff 304 is in the form of a bag.
  • the sensing cuff 304 includes a first sheet 304A (shown in FIG. 3) and a second sheet 304B (shown in FIG. 3) facing the first sheet 304A.
  • the first sheet 304A corresponds to the inner circumferential surface 30c of the cuff structure 30. Therefore, the first sheet 304A is in contact with the measurement site.
  • the second sheet 304 B faces the inner circumferential surface of the back plate 303.
  • the first sheet 304A and the second sheet 304B are, for example, stretchable polyurethane sheets.
  • Attached to the sensing cuff 304 is a flexible tube 502 (shown in FIG. 2).
  • the flexible tube 502 is an element for supplying fluid to the sensing cuff 304 or discharging fluid from the sensing cuff 304.
  • FIG. 2 is a block diagram showing a hardware configuration of the sphygmomanometer 1.
  • the main body 10 includes a control unit 103, a storage unit 104, an acceleration sensor 105, a temperature and humidity sensor 106, an air pressure sensor 107, a communication unit 108, and a GPS ( (Global Positioning System) receiver 109, battery 110, first pressure sensor 111, second pressure sensor 112, pump drive circuit 113, pump 114, and on-off valve 115 are mounted.
  • GPS Global Positioning System
  • the control unit 103 includes a processor that configures a computer, a random access memory (RAM), a read only memory (ROM), and the like, and performs information processing based on a program (an information processing program) stored in at least one of the ROM and the storage unit 104.
  • a program an information processing program stored in at least one of the ROM and the storage unit 104.
  • the processor is a CPU (Central Processing Unit).
  • the program is an instruction to operate the control unit 103.
  • control unit 103 sends the data acquired from the acceleration sensor 105, the temperature and humidity sensor 106, the pressure sensor 107, the communication unit 108, the GPS receiver 109, the first pressure sensor 111, and the second pressure sensor 112 to the storage unit 104.
  • the configuration of each unit mounted on the control unit 103 will be described later.
  • the storage unit 104 is, for example, an auxiliary storage device such as a hard disk drive or a solid state drive.
  • the storage unit 104 stores a program executed by the control unit 103.
  • the storage unit 104 stores control data used to control the sphygmomanometer 1, setting data for setting various functions of the sphygmomanometer 1, and the like. Further, the storage unit 104 is used as a work memory or the like when the program is executed.
  • the storage unit 104 stores blood pressure related information.
  • the blood pressure related information includes a plurality of blood pressure information measured at different dates and times, and the condition of the subject when measuring the blood pressure associated with each blood pressure information (hereinafter also referred to as "blood pressure measurement condition") Including.
  • the blood pressure information includes blood pressure values (such as systolic blood pressure SBP and diastolic blood pressure DBP).
  • the blood pressure measurement situation includes time information (measurement date and time) acquired according to the blood pressure measurement timing, and further, position information (measurement position), acceleration information, temperature and humidity information, pressure information, action schedule information, and the like.
  • the timing of blood pressure measurement described above is any one of the timing at the start of blood pressure measurement, during the measurement of blood pressure, or at the end of blood pressure measurement.
  • the acceleration information may be information acquired according to the timing a predetermined time (for example, one minute or five minutes before) before the start of blood pressure measurement.
  • the acceleration sensor 105 is a three-axis acceleration sensor.
  • the acceleration sensor 105 outputs, to the control unit 103, acceleration information representing acceleration in three directions orthogonal to each other.
  • the acceleration information is an example of information representing the movement of the subject.
  • the control unit 103 can calculate the amount of activity in various activities such as housework and desk work as well as walking of the person to be measured, using the acceleration information.
  • the activity amount is, for example, an index related to the activity of the person to be measured, such as the movement (walking) distance, the calorie consumption, or the fat burning amount.
  • the control unit 103 can also estimate the to-be-measured person's bedtime, bedtime, and wake-up using the acceleration information.
  • the control unit 103 can also estimate whether the subject is in motion or not using acceleration information.
  • the temperature and humidity sensor 106 measures the ambient temperature (room temperature) and humidity around the sphygmomanometer 1.
  • the temperature and humidity sensor 106 outputs environmental information indicating the environmental temperature and humidity to the control unit 103.
  • environmental changes such as air temperature (air temperature change) can be considered as one of the factors that can cause human blood pressure fluctuation.
  • the environmental temperature is information that can be a factor of the blood pressure fluctuation of the subject.
  • the barometric pressure sensor 107 detects the barometric pressure around the sphygmomanometer 1.
  • the atmospheric pressure sensor 107 outputs environmental information representing atmospheric pressure to the control unit 103.
  • the control unit 103 can measure the number of steps of the person to be measured, the number of fast walks, the number of steps of stairs, and the like, using the environmental information and the acceleration information indicating the atmospheric pressure. For example, environmental changes such as barometric pressure (barometric pressure changes) are considered as one of the factors that can cause human blood pressure fluctuation. For this reason, the barometric pressure is information that can be a factor of the blood pressure fluctuation of the subject.
  • the communication unit 108 is an interface for connecting the sphygmomanometer 1 to at least one of the server 70 and the portable terminal 80.
  • the portable terminal 80 is, for example, a smartphone or a tablet terminal.
  • the portable terminal 80 is assumed to be owned by the subject.
  • the communication unit 108 is controlled by the control unit 103.
  • the communication unit 108 transmits information to at least one of the server 70 and the portable terminal 80 via the network.
  • the communication unit 108 passes the information from at least one of the server 70 and the portable terminal 80 received through the network to the control unit 103. Communication via this network may be either wireless or wired.
  • the network is, for example, the Internet, but is not limited thereto.
  • the network may be another type of network such as an in-hospital LAN (Local Area Network), or may be one-to-one communication using a USB cable or the like.
  • the communication unit 108 may include a micro USB connector.
  • the communication unit 108 may transmit the information to the portable terminal 80 by near field communication such as Bluetooth (registered trademark).
  • the GPS receiver 109 receives GPS signals transmitted from a plurality of GPS satellites, and outputs the received GPS signals to the control unit 103.
  • the control unit 103 calculates the current position of the sphygmomanometer 1, that is, the current position of the measurement subject wearing the sphygmomanometer 1, by performing distance measurement calculation based on the above-described GPS signals.
  • the sphygmomanometer 1 may not necessarily have the distance measuring function by the GPS receiver 109 and the control unit 103.
  • the sphygmomanometer 1 acquires position information indicating the current position calculated by the mobile terminal 80 from the mobile terminal 80 via the communication unit 108.
  • the position information calculated by the portable terminal 80 corresponds to the current position of the sphygmomanometer 1.
  • the portable terminal 80 may have a GPS reception function and may calculate position information from a GPS signal received by the GPS reception function, or the portable terminal 80 may acquire position information by communicating with a base station. You may
  • the battery 110 is, for example, a rechargeable secondary battery.
  • the battery 110 supplies power to each element mounted on the main body 10.
  • the battery 110 includes, for example, a display unit 101, an operation unit 102, a control unit 103, a storage unit 104, an acceleration sensor 105, a temperature and humidity sensor 106, an air pressure sensor 107, a communication unit 108, a first pressure sensor 111, and a second pressure sensor 112.
  • the pump drive circuit 113, the pump 114, and the on-off valve 115 are supplied with power.
  • the first pressure sensor 111 is, for example, a piezoresistive pressure sensor.
  • the first pressure sensor 111 detects the pressure in the pressure cuff 302 via the flexible tube 501 and the first flow path forming member 503 that constitute the first flow path.
  • the first pressure sensor 111 outputs pressure data to the control unit 103.
  • the second pressure sensor 112 is, for example, a piezoresistive pressure sensor.
  • the second pressure sensor 112 detects the pressure in the sensing cuff 304 via the flexible tube 502 and the second flow path forming member 504 that constitute the second flow path.
  • the second pressure sensor 112 outputs pressure data to the control unit 103.
  • the pump drive circuit 113 drives the pump 114 based on the control signal from the control unit 103.
  • the pump 114 is, for example, a piezoelectric pump.
  • the pump 114 is fluidly connected to the pressure cuff 302 via a first flow path.
  • the pump 114 can supply fluid to the pressure cuff 302 through the first flow path.
  • the pump 114 is equipped with an exhaust valve (not shown) whose opening and closing are controlled according to the on / off of the pump 114. That is, the exhaust valve closes when the pump 114 is turned on to help entrap air within the pressure cuff 302. On the other hand, the exhaust valve is opened when the pump 114 is turned off, and the air in the pressure cuff 302 is exhausted to the atmosphere through the first flow path.
  • this exhaust valve has a function of a check valve, and the air to be discharged never flows back.
  • the pump 114 is further fluidly connected to the sensing cuff 304 via a second flow path.
  • the pump 114 can supply fluid to the sensing cuff 304 through the second flow path.
  • the on-off valve 115 is interposed in the second flow path forming member 504.
  • the on-off valve 115 is, for example, a normally open solenoid valve. Opening and closing (opening degree) of the on-off valve 115 is controlled based on a control signal from the control unit 103. When the open / close valve 115 is in the open state, the pump 114 can supply fluid to the sensing cuff 304 through the second flow path.
  • FIG. 3 is a view showing a cross section perpendicular to the left wrist 90 which is a measurement site in the mounted state.
  • the main body 10 and the belt 20 are not shown.
  • a radial artery 91, an ulnar artery 92, a rib 93, an ulna 94, and a tendon 95 of the left wrist 90 are shown.
  • the curler 301 extends along the outer circumference (Z direction) of the left wrist 90.
  • the pressing cuff 302 extends along the Z direction on the inner peripheral side of the curler 301.
  • the back plate 303 is interposed between the pressing cuff 302 and the sensing cuff 304 and extends along the Z direction.
  • the sensing cuff 304 is in contact with the left wrist 90 and extends in the Z direction so as to cross the arterial passage portion 90 a of the left wrist 90.
  • the belt 20, the curler 301, the pressing cuff 302, and the back plate 303 work as a pressing member capable of generating pressing force toward the left wrist 90, and press the left wrist 90 via the sensing cuff 304.
  • FIG. 4 is a block diagram showing a configuration of software included in the control unit 103 of the sphygmomanometer 1.
  • the control unit 103 has an information acquisition unit 1031, a blood pressure fluctuation detection unit 1032, a fluctuation information output unit 1033, a situation detection unit 1034, an environmental change detection unit 1035, and a blood pressure measurement unit 1036 as characteristic control functions according to the embodiment. And a blood pressure information output unit 1037.
  • These control functions are all realized by causing a processor to execute a program stored in a ROM or the like.
  • Each control function unit may be implemented by being distributed to two or more processors.
  • the configuration of the information acquisition unit 1031 will be described.
  • the information acquisition unit 1031 periodically acquires blood pressure related information from the storage unit 104, or monitors the storage unit 104 and responds to updating (additional writing) of information stored in the storage unit 104, from the storage unit 104. , And outputs sequentially acquired blood pressure related information to the blood pressure variation detection unit 1032.
  • the information acquisition unit 1031 also describes the first blood pressure measurement status (including the first blood pressure measurement date and time) and the first blood pressure information (hereinafter, “current blood pressure information”) associated with the first blood pressure measurement status.
  • First blood pressure related information (hereinafter also referred to as “current blood pressure related information”), and a second blood pressure measurement status (including a second blood pressure measurement date and time before the first blood pressure measurement date and time)
  • second blood pressure related information (hereinafter also referred to as “past blood pressure related information”) including second blood pressure information (hereinafter also referred to as “past blood pressure information”) associated with the second blood pressure measurement situation Get).
  • the past blood pressure related information may be information obtained in one past measurement, or may be information obtained in a plurality of past measurements.
  • the information acquisition unit 1031 regularly acquires environmental information, and outputs environmental information acquired sequentially to the situation detection unit 1034.
  • the environmental information is at least one of the temperature, the humidity, and the pressure around the sphygmomanometer 1.
  • the information acquisition unit 1031 acquires current time information and outputs the information to the situation detection unit 1034.
  • the information acquisition unit 1031 may acquire at least one piece of information among position information, acceleration information, registered action schedule information, and the like, and may output at least one piece of information to the situation detection unit 1034.
  • the information acquisition unit 1031 acquires time information from the communication unit 108.
  • the communication unit 108 receives time information from the server 70 or the portable terminal 80.
  • the information acquisition unit 1031 may acquire time information provided by the clock function.
  • the clock function may correct the current date and time based on the time information acquired from the communication unit 108 and provide the corrected time information.
  • the information acquisition unit 1031 acquires temperature and humidity information from the temperature and humidity sensor 106, and acquires pressure information from the pressure sensor 107.
  • the information acquisition unit 1031 acquires a GPS signal from the GPS receiver 109.
  • the information acquisition unit 1031 may acquire position information indicating the current position from the communication unit 108.
  • the information acquisition unit 1031 acquires action schedule information from the communication unit 108.
  • the communication unit 108 receives action schedule information from the portable terminal 80.
  • schedule management application software is installed in the portable terminal 80, and the schedule management application software creates and registers action schedule information, and outputs the information to the outside.
  • the action schedule information includes bedtime and wake-up time.
  • the information acquisition unit 1031 acquires acceleration information from the acceleration sensor 105.
  • the configuration of the blood pressure fluctuation detection unit 1032 will be described.
  • the blood pressure fluctuation detection unit 1032 is sequentially acquired by the blood pressure measurement operation of the blood pressure measurement unit 1036 based on at least one of the input operation of blood pressure measurement to the operation unit 102 and the blood pressure measurement schedule registered in the storage unit 104.
  • the blood pressure change detection unit 1032 sequentially updates the first and second blood pressure information according to blood pressure related information (including blood pressure information) sequentially acquired as time passes.
  • the blood pressure change detection unit 1032 detects a blood pressure change exceeding the blood pressure reference value from the updated first blood pressure information and the updated second blood pressure information.
  • the difference between the value of the first blood pressure information of the first measurement date and time obtained in one measurement and the second blood pressure information obtained in the past one measurement closest to the first measurement date and time is When the blood pressure reference value is exceeded, this difference is detected as blood pressure fluctuation.
  • the average value of the first blood pressure information of the first measurement date and time obtained in one measurement, and the plurality of second blood pressure information obtained in a plurality of measurements past the first measurement date and time This difference is detected as blood pressure fluctuation when the difference between the For example, when the difference between the value of the first blood pressure information and the average value of a plurality of blood pressure information in the past 1 hour, the past 6 hours, the past 1 day, or the past 1 week exceeds the blood pressure reference value Detect as blood pressure fluctuation. For example, by setting 10 mmHg as a blood pressure reference value, a difference exceeding 10 mmHg is detected as a blood pressure fluctuation.
  • the configuration of the fluctuation information output unit 1033 will be described.
  • the fluctuation information output unit 1033 outputs blood pressure fluctuation information notifying of blood pressure fluctuation.
  • the blood pressure fluctuation information is transmission control information for instructing transmission of a blood pressure fluctuation notification mail, and the fluctuation information output unit 1033 outputs the transmission control information to the communication unit 108.
  • the communication unit 108 transmits a blood pressure change notification e-mail to a destination registered in advance based on the transmission control information.
  • the communication unit 108 transmits a blood pressure change notification e-mail to the portable terminal 80 by registering in advance the destination corresponding to the portable terminal 80.
  • the portable terminal 80 receives the blood pressure change notification e-mail, and displays the blood pressure change notification e-mail.
  • the blood pressure fluctuation information is notification control information for notifying blood pressure fluctuation, and the fluctuation information output unit 1033 outputs the notification control information to the display unit 101.
  • the display unit 101 displays blood pressure change guidance based on the notification control information.
  • the blood pressure change notification e-mail and the blood pressure change guide are information indicating the blood pressure change visually by characters, images, or characters and images.
  • the sphygmomanometer 1 has a vibration notification function
  • the blood pressure fluctuation may be notified by the vibration of the vibration notification function based on the blood pressure fluctuation information.
  • the sphygmomanometer 1 includes a speaker
  • the blood pressure change may be notified based on the blood pressure change information by a sound from the speaker or a sound effect.
  • the condition detection unit 1034 measures blood pressure information by combining at least one of position information, acceleration information, temperature and humidity information, barometric pressure information, activity schedule information, and the like with time information. Detects the current situation and outputs information representing this current situation. Note that the above “detection” may be read as "estimate”.
  • the blood pressure information output unit 1037 uses the current situation output from the situation detection unit 1034 as the blood pressure measurement situation in response to the blood pressure measurement.
  • the situation detection unit 1034 outputs the environment information associated with the time information as one of the present situations based on the sequentially obtained environment information.
  • the first environmental information hereinafter, also referred to as “current environmental information”
  • the second environmental information hereinafter also referred to as “past environmental information”.
  • the status detection unit 1034 detects whether the current position corresponds to the registered position based on the acquired position information (current position) and the position information (registered position) registered in advance. For example, when the current position is included in a predetermined range from the registered position, it is detected that the current position corresponds to the registered position. That is, the situation detection unit 1034 can detect, as the present situation, whether the current position corresponds to the registered position. For example, by pre-registering at least one position of work, home, hospital, etc., it is possible to detect whether or not the current position corresponds to the at least one position.
  • the situation detection unit 1034 detects whether the current situation corresponds to various situations estimated from the acceleration information, based on the acquired acceleration information. For example, the situation detection unit 1034 can estimate the amount of activity from the acceleration information, and further detect whether it corresponds to any situation such as before going to bed, while sleeping or after getting up based on the amount of activity. In addition, the situation detection unit 1034 can detect whether it is during exercise and immediately after exercise based on the activity amount information.
  • the situation detection unit 1034 detects whether or not the current situation corresponds to the situation of the action schedule information based on the obtained time information (current time) and the obtained action schedule information. For example, the situation detection unit 1034 uses the current time and the action schedule information instead of the acceleration information to detect whether the present situation corresponds to any situation such as before going to bed, while sleeping, after getting up, etc. be able to. For example, the status detection unit 1034 detects that the current status corresponds to bedtime based on the action schedule information including the current time 23:00, the scheduled bedtime 22:00, and the scheduled wakeup time 7:00.
  • the configuration of the environmental change detection unit 1035 will be described.
  • the environmental change detection unit 1035 holds the first environmental information (current environmental information) and the second environmental information (past environmental information) based on environmental information sequentially acquired as time passes, and The first and second environmental information are sequentially updated based on the environmental information sequentially acquired accordingly. For example, at the first timing, the environment information acquired at the first timing becomes the first environment information, and at the second timing after the first timing, the environment acquired at the second timing. The information becomes new first environmental information, and at this second timing, the first environmental information acquired at the first timing becomes second environmental information.
  • the environmental change detection unit 1035 detects an environmental change exceeding the environmental reference value (second reference value) from the first environmental information to be updated and the second environmental information to be updated, and based on the detection of the environmental change.
  • Output trigger signal of start of blood pressure measurement For example, the first environmental information of the first environmental measurement date and time obtained in one measurement, and the second environmental information obtained in the past one measurement of the second environmental measurement date and time older than the first measurement date and time
  • this difference is detected as an environmental change.
  • the second environment measurement date and time and the above-described second blood pressure measurement date and time may be substantially the same date and time related to each other, or may be independent dates and times.
  • an average value of first environmental information of a first environmental measurement date and time obtained by one measurement and a plurality of second environmental information obtained by a plurality of measurements in the past from the first environmental measurement date and time This difference is detected as an environmental change when the difference between the two and the environmental reference value is exceeded. For example, when the difference between the first environmental information and the average value of a plurality of environmental information in the past 1 hour, the past 6 hours, the past 1 day, or the past 1 week exceeds the environmental reference value As detected.
  • one environmental measurement date among multiple environmental measurement dates may be substantially the same as the second blood pressure measurement date described above, or may be multiple environmental measurement dates and times.
  • the blood pressure measurement date may be independent of the date.
  • first temperature reference value is set to 5 ° C.
  • the environmental change detection unit 1035 may detect a temperature change when at least one of the current and past temperature information is less than the second temperature reference value.
  • the second temperature reference value is set to 15 ° C. Thereby, the temperature change under relatively low temperature is detected.
  • the environmental change detection unit 1035 receives current temperature information (temperature information included in the morning time zone from 4:00 am to 6:00 am on the day) and past temperature information (from 9:00 pm on the previous day) The temperature change from last night to the next morning exceeding the first temperature reference value is detected from the temperature information included in the night zone at 11:00 pm Furthermore, a steep temperature change can be detected by setting the first temperature reference value to a relatively high value. For example, by setting the above current and past condition settings and the first temperature reference value to 5 ° C. or more, the environmental change detection unit 1035 detects a steep temperature change from last night to the next morning. Furthermore, temperature change under low temperature (for example, winter) conditions can be detected by adding that both current and past temperature information is less than the second temperature reference value.
  • current temperature information temperature information included in the morning time zone from 4:00 am to 6:00 am on the day
  • past temperature information from 9:00 pm on the previous day
  • the temperature change from last night to the next morning exceeding the first temperature reference value is detected from the temperature information included in the night zone at 11:00 pm
  • the environmental change detection unit 1035 detects the winter season (10 ° C.) Detect steep temperature changes from last night to the next morning.
  • the environmental change detection unit 1035 outputs a trigger signal of the start of blood pressure measurement based on the detection of the temperature change.
  • the environmental change detection unit 1035 exceeds the atmospheric pressure reference value (second reference value) from the present atmospheric pressure information which is one of the present environmental information and the past atmospheric pressure information which is one of the past environmental information. A change in air pressure may be detected.
  • the blood pressure measurement unit 1036 detects a measurement instruction output in response to pressing of the measurement switch of the operation unit 102 by the subject (input operation of blood pressure measurement), or a measurement instruction serving as a trigger for starting blood pressure measurement. Based on the detection of the above, various operations are controlled as follows, and the blood pressure value of the subject is measured. The measurement of the blood pressure value by the blood pressure measurement unit 1036 is to calculate the blood pressure value from the sensed data.
  • the blood pressure measurement unit 1036 initializes the processing memory area of the storage unit 104 based on the detection of the measurement instruction or the detection of the measurement instruction serving as a trigger for starting the blood pressure measurement.
  • the blood pressure measurement unit 1036 turns off the pump 114 via the pump drive circuit 113, opens the exhaust valve built in the pump 114, and maintains the on-off valve 115 in an open state, so that the inside of the pressure cuff 302 and the sensing cuff 304 can be maintained. Control to exhaust the air inside.
  • the blood pressure measurement unit 1036 controls the first pressure sensor 111 and the second pressure sensor 112 to adjust 0 mmHg.
  • the blood pressure measurement unit 1036 turns on the pump 114 via the pump drive circuit 113, maintains the open / close valve 115 in an open state, and controls to start pressurizing the pressure cuff 302 and the sensing cuff 304.
  • the blood pressure measurement unit 1036 controls the pump 114 to be driven via the pump drive circuit 113 while monitoring the pressure of the pressing cuff 302 and the sensing cuff 304 by the first pressure sensor 111 and the second pressure sensor 112 respectively.
  • the blood pressure measurement unit 1036 controls so as to send air to the pressure cuff 302 through the first flow path and to the sensing cuff 304 through the second flow path.
  • the blood pressure measurement unit 1036 waits until the pressure of the sensing cuff 304 reaches a predetermined pressure (for example, 15 mmHg) or the driving time of the pump 114 has elapsed for a predetermined time (for example, 3 seconds).
  • the blood pressure measurement unit 1036 closes the on-off valve 115 and continues control of supplying air from the pump 114 to the pressure cuff 302 through the first flow path.
  • the pressure cuff 302 is gradually pressurized and gradually squeezes the left wrist 90.
  • the back plate 303 transmits the pressure from the pressure cuff 302 to the sensing cuff 304.
  • the sensing cuff 304 compresses the left wrist 90 (including the arterial passage portion 90a).
  • the blood pressure measurement unit 1036 performs sensing by the second pressure sensor 112 in order to calculate a blood pressure value (such as systolic blood pressure SBP and diastolic blood pressure DBP).
  • a blood pressure value such as systolic blood pressure SBP and diastolic blood pressure DBP.
  • the pressure Pc of the cuff 304 that is, the pressure of the arterial passage portion 90a of the left wrist 90 is monitored to acquire a pulse wave signal Pm as a fluctuation component.
  • the blood pressure measurement unit 1036 calculates a blood pressure value by applying a known algorithm by oscillometric method based on the pulse wave signal Pm.
  • the blood pressure measurement unit 1036 controls the pump 114 to stop and open the on-off valve 115 so as to discharge the air in the pressure cuff 302 and the pressure in the sensing cuff 304.
  • the blood pressure measurement unit 1036 can calculate the blood pressure value by the control described above, and outputs the calculated blood pressure value to the blood pressure information output unit 1037 as blood pressure information.
  • the configuration of the blood pressure information output unit 1037 will be described.
  • the blood pressure information output unit 1037 receives the current situation output from the situation detection unit 1034 as the blood pressure measurement situation according to the timing of blood pressure measurement by the blood pressure measurement unit 1036, and the blood pressure information and the blood pressure output from the blood pressure measurement unit 1036 Associate with the measurement status and output. That is, the blood pressure information output unit 1037 outputs blood pressure related information including the blood pressure information and the blood pressure measurement status associated with the blood pressure information to the display unit 101 and the storage unit 104.
  • the display unit 101 displays blood pressure related information
  • the storage unit 104 stores blood pressure related information. A plurality of blood pressure related information is stored (accumulated) in the storage unit 104 by repeating the blood pressure measurement by the blood pressure measurement unit 1036.
  • the plurality of blood pressure related information includes current blood pressure related information and past blood pressure related information (a plurality of past blood pressure related information corresponding to a plurality of measurements).
  • the first and second blood pressure information are sequentially acquired and updated based on at least one of the blood pressure measurement input operation and the blood pressure measurement schedule.
  • the blood pressure measurement process based on the intention of the subject etc. will be described.
  • the sphygmomanometer 1 measures blood pressure based on a measurement instruction generated in response to pressing of the measurement switch. That is, the blood pressure measurement unit 1036 controls an operation for blood pressure measurement based on a measurement instruction generated in response to pressing of the measurement switch of the operation unit 102, and measures blood pressure information such as a blood pressure value.
  • Such blood pressure measurement based on the operation of the measurement switch in the operation unit 102 is also referred to as manual measurement.
  • the information acquisition unit 1031 acquires the blood pressure measurement schedule, and the situation detection unit 1034 generates a blood pressure measurement instruction based on the blood pressure measurement schedule.
  • the blood pressure measurement schedule includes information on blood pressure measurement date (every 6 hours (e.g., every 6 o'clock, 12 o'clock, 18 o'clock, and 0 o'clock) or daily (for example, every morning at 6 o'clock)).
  • the situation detection unit 1034 generates a blood pressure measurement instruction based on the blood pressure measurement date and time and the current date and time included in the blood pressure measurement schedule.
  • the blood pressure measurement unit 1036 controls an operation for blood pressure measurement based on the measurement instruction of the blood pressure, and measures blood pressure information. Blood pressure measurement based on such a blood pressure measurement schedule is referred to as schedule measurement. In this embodiment, execution of at least one of manual measurement and schedule measurement is assumed.
  • the blood pressure information output unit 1037 receives the current situation output from the situation detection unit 1034 as a blood pressure measurement situation (including the blood pressure measurement date and time), and is associated with the blood pressure information output from the blood pressure measurement unit 1036 and the blood pressure information Output blood pressure related information including the blood pressure measurement status.
  • the blood pressure information output unit 1037 outputs blood pressure related information to the display unit 101 and the storage unit 104.
  • the display unit 101 displays blood pressure related information
  • the storage unit 104 stores blood pressure related information. For example, the storage unit 104 stores (accumulates) blood pressure related information by repeating blood pressure measurement.
  • the blood pressure related information stored in the storage unit 104 is the current blood pressure related information, but as time passes, the blood pressure related information stored in the storage unit 104 becomes the blood pressure related information in the past. That is, the blood pressure related information is sequentially acquired according to the passage of time, and as a result, the first and second blood pressure information are sequentially updated.
  • FIG. 5 is a flowchart showing an example of a blood pressure measurement process based on an environmental change according to the embodiment.
  • the sphygmomanometer 1 constantly measures environmental information (step S11).
  • the temperature and humidity sensor 106 constantly measures temperature and humidity information (step S11).
  • the information acquisition unit 1031 sequentially acquires time information and environment information, and the status detection unit 1034 outputs environment information in association with the time information.
  • the environmental change detection unit 1035 detects an environmental change exceeding a reference value from present and past environmental information (step S12, YES), and outputs a trigger signal of the start of blood pressure measurement based on the detection of the environmental change.
  • the environmental change detection unit 1035 detects a temperature change exceeding a reference value from current and past temperature information (step S12, YES), and outputs a trigger signal of the start of blood pressure measurement based on the detection of the temperature change.
  • the environmental change detection unit 1035 does not output a trigger signal for the start of blood pressure measurement if it does not detect an environmental change exceeding a reference value from present and past environmental information (step S12, NO).
  • the sphygmomanometer 1 measures the blood pressure based on the trigger signal of the start of blood pressure measurement (step S13). That is, the blood pressure measurement unit 1036 controls an operation for blood pressure measurement based on the detection of environmental change, and measures blood pressure information such as a blood pressure value (step S13).
  • the blood pressure information output unit 1037 outputs blood pressure related information including the blood pressure information and the blood pressure measurement status associated with the blood pressure information (step S14). For example, the blood pressure information output unit 1037 outputs blood pressure related information to the display unit 101 and the storage unit 104.
  • the display unit 101 displays the blood pressure related information, and the storage unit 104 stores the blood pressure related information (step S15). At the beginning of measurement, the blood pressure related information stored in the storage unit 104 is the current blood pressure related information, but as time passes, the blood pressure related information stored in the storage unit 104 becomes the past blood pressure related information.
  • the fluctuation information output unit 1033 executes the blood pressure fluctuation notification process based on the detection of the blood pressure fluctuation (step S16).
  • FIG. 6 is a flowchart showing a blood pressure change notification process according to the embodiment.
  • the information acquisition unit 1031 acquires current and past blood pressure related information stored in the storage unit 104 (step S161).
  • the fluctuation information output unit 1033 notifies the blood pressure fluctuation based on the detection of the blood pressure fluctuation. Blood pressure fluctuation information is output (step S163). If the blood pressure fluctuation detection unit 1032 does not detect the blood pressure fluctuation exceeding the blood pressure reference value from the current and past blood pressure related information (step S162, NO), the blood pressure fluctuation detection continues based on the blood pressure reference value.
  • the fluctuation information output unit 1033 outputs, to the communication unit 108, transmission control information for instructing transmission of a blood pressure fluctuation notification e-mail.
  • the communication unit 108 transmits a blood pressure change notification e-mail to a destination registered in advance based on the transmission control information.
  • the fluctuation information output unit 1033 outputs the notification control information to the display unit 101.
  • the display unit 101 displays blood pressure change guidance based on the notification control information.
  • the server 70 or The memory of the portable terminal 80 may store blood pressure related information, and the information acquisition unit 1031 may acquire the blood pressure related information stored in the memory of the server 70 or the portable terminal 80.
  • the measurement date and time of the past environmental information in step S12 and the measurement date and time of the blood pressure related information in the past of step S161 may be substantially the same date and time related to each other or may be mutually independent dates and times.
  • an output of blood pressure fluctuation information based on the detection of blood pressure fluctuation gives notification opportunities of the blood pressure fluctuation to a subject or the like, thereby providing a recognition opportunity of the blood pressure fluctuation.
  • the subject or the like can know that the blood pressure fluctuation has occurred at the first blood pressure measurement date and time, and the first blood pressure measurement It is possible to consider the improvement of the living environment at the date and time. For example, blood pressure fluctuation can be notified immediately after the blood pressure is measured at the first blood pressure measurement date and time.
  • the notification destination may be the e-mail address of the subject or the e-mail address of the related party.
  • the notification destination may be the e-mail address of the subject or the e-mail address of the related party.
  • it may be a mail address of a hospital, a relative or the like. In this way, it is possible to notify the subject person itself, and to notify related parties.
  • blood pressure fluctuation may occur based on a temperature change exceeding the second reference value, and the detection probability of blood pressure fluctuation can be increased.
  • blood pressure fluctuations may occur based on temperature changes
  • blood pressure fluctuations can be detected with a relatively high probability by detecting blood pressure fluctuations based on temperature changes.
  • blood pressure fluctuation can be efficiently detected by adding temperature change detection under low temperature as a condition. For example, environmental change is detected when at least one of the current temperature information and the past temperature information is less than the temperature reference value.
  • blood pressure fluctuation since blood pressure fluctuation may occur based on barometric pressure change, blood pressure fluctuation can be detected with a relatively high probability by detecting blood pressure fluctuation based on barometric pressure change.
  • the blood pressure fluctuation information notifying blood pressure fluctuation it is possible to notify the subject or the like of various information together with the blood pressure fluctuation.
  • at least one of information indicating an environmental change and information indicating a blood pressure measurement state may be a subject or the like Can be informed.
  • the blood pressure measurement position at home, at work, or the like in the blood pressure measurement status it is also possible to notify the subject or the like of the blood pressure measurement position.
  • the measurement date and time of the past environmental information and the measurement date and time of the blood pressure related information in the past are substantially the same date and time related to each other, detect and notify the blood pressure fluctuation directly affected by the environmental change. Can.
  • the measurement date and time of the past environmental information and the measurement date and time of the blood pressure related information in the past are independent, it is possible to detect and notify the blood pressure fluctuation indirectly affected by the environmental change.
  • the blood pressure fluctuation may be detected by the server 70 or the portable terminal 80, and the blood pressure fluctuation detection result may be notified to the sphygmomanometer 1.
  • the server 70 or the portable terminal 80 receives and stores current and past blood pressure related information from the sphygmomanometer 1.
  • the server 70 or the portable terminal 80 detects the blood pressure fluctuation from the current and past blood pressure related information, and notifies the blood pressure monitor 1 of the blood pressure fluctuation detection result.
  • the sphygmomanometer 1 receives the blood pressure fluctuation detection result from the server 70 or the portable terminal 80, and outputs blood pressure fluctuation information notifying blood pressure fluctuation based on the blood pressure fluctuation detection result.
  • the server 70 or the portable terminal 80 may output blood pressure fluctuation information for notifying the blood pressure fluctuation based on the blood pressure fluctuation detection result.
  • the communication unit 108 of the sphygmomanometer 1 receives the blood pressure fluctuation information from the server 70 or the portable terminal 80, and the display unit 101 or the like notifies the blood pressure fluctuation based on the blood pressure fluctuation information.
  • the sphygmomanometer 1 starts the blood pressure measurement based on the detection of the input of the blood pressure measurement instruction or the detection of the trigger signal generated autonomously by the sphygmomanometer 1 (discontinuous Type blood pressure monitor).
  • the sphygmomanometer 1 may be a sphygmomanometer (continuous type blood pressure) adopting a continuous measurement type blood pressure detection method using a PTT (Pulse Transmit Time) method, a tonometry method, an optical method, a radio wave method, or an ultrasonic method. Total).
  • PTT Pulse Transmit Time
  • the continuous type sphygmomanometer executes a blood pressure change notification process shown in FIG.
  • the PTT method is a method of measuring pulse wave transit time (PTT) and estimating a blood pressure value from the measured pulse wave transit time.
  • the tonometry method is a method in which a pressure sensor is brought into direct contact with a living body site (a measurement site) through which an artery such as a radial artery of the wrist passes and blood pressure values are measured using information detected by the pressure sensor.
  • the optical method, the radio wave method, and the ultrasonic method are methods in which light, radio waves or ultrasonic waves are applied to blood vessels and blood pressure values are measured from the reflected waves.
  • the continuous type sphygmomanometer transmits current and past blood pressure related information to the server 70 or the portable terminal 80, and the server 70 or the portable terminal 80 detects blood pressure fluctuation from the current and past blood pressure related information, The fluctuation detection result may be notified to the continuous sphygmomanometer.
  • the present invention is not limited thereto, and the present invention is also applicable to measurement of other biological information such as the amount of activity, the number of steps, electrocardiogram, pulse rate, and body temperature.
  • the various functional units described in the above embodiments may be realized by using a circuit.
  • the circuit may be a dedicated circuit that implements a specific function or may be a general-purpose circuit such as a processor.
  • the program for realizing the above process may be provided by being stored in a computer readable recording medium.
  • the program is stored on the recording medium as a file of an installable format or a file of an executable format.
  • a magnetic disc As the recording medium, a magnetic disc, an optical disc (CD-ROM (Compact Disc-Read Only Memory), a CD-R (Compact Disc-Recordable), a DVD (Digital Versatile Disc), etc.), a magneto-optical disc (MO (Magneto Optical) Etc), semiconductor memory, etc.
  • the recording medium may store the program and may be any computer readable one.
  • the program for realizing the above processing may be stored on a computer (server) connected to a network such as the Internet, and may be downloaded to the computer (client) via the network.
  • At least one processor is used to obtain first blood pressure information associated with a first blood pressure measurement date and second blood pressure information associated with a second blood pressure measurement date prior to the first blood pressure measurement date Information acquisition process, A blood pressure fluctuation detection process of detecting blood pressure fluctuation exceeding a first reference value from the first and second blood pressure information using the at least one processor; A fluctuation information output process of outputting blood pressure fluctuation information for notifying the blood pressure fluctuation using the at least one processor;
  • An information processing method comprising:
  • Second pressure sensor 113 ... Pump drive circuit 114 ... Pump 115 ... On-off valve 201 ... First belt section 201a ... Root section 201b ... Tip section 202 ... Second belt portion 202a ... Root portion 202b ... Tip portion 202c ... Small hole 203 ... Tail lock 203A ... Frame body 203B ... Stick 203C attached ... Rod 204: Belt holding portion 301: Curla 302: Pressure cuff 303: Back plate 304: Sensing sheet 304A: First sheet 304B: Second sheet 401: Connecting rod 402: Connecting rod 501: Flexible tube 502 ... Flexible tube 502 ...

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CN111511273B (zh) 2023-03-28
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