WO2020100942A1 - Urine quantity measuring instrument, and urine quantity measuring method - Google Patents

Urine quantity measuring instrument, and urine quantity measuring method Download PDF

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Publication number
WO2020100942A1
WO2020100942A1 PCT/JP2019/044539 JP2019044539W WO2020100942A1 WO 2020100942 A1 WO2020100942 A1 WO 2020100942A1 JP 2019044539 W JP2019044539 W JP 2019044539W WO 2020100942 A1 WO2020100942 A1 WO 2020100942A1
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Prior art keywords
maximum value
urine
channel
value position
measuring device
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PCT/JP2019/044539
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French (fr)
Japanese (ja)
Inventor
和久 山浦
敬明 篠原
功 白崎
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株式会社リリアム大塚
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Priority to JP2020556138A priority Critical patent/JPWO2020100942A1/en
Publication of WO2020100942A1 publication Critical patent/WO2020100942A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08Detecting organic movements or changes, e.g. tumours, cysts, swellings

Definitions

  • the present invention relates to a urine volume measuring device, and more particularly to a urine volume measuring device for measuring the amount of accumulated urine in the bladder by measurement using ultrasonic waves.
  • a urine volume measuring device which measures the size of the bladder by transmitting ultrasonic waves to the bladder and receiving ultrasonic echoes, which are reflected waves, to measure the amount of accumulated urine in the bladder.
  • An ultrasonic diagnostic apparatus is generally known as an apparatus for measuring the state of internal organs using ultrasonic waves, and the ultrasonic diagnostic apparatus can also be used as a urine volume measuring device.
  • the ultrasonic diagnostic device can know the state of the bladder in detail because the measurement results are displayed as two-dimensional image data.
  • the ultrasonic diagnostic apparatus can know the detailed state, but requires specialized knowledge and skill in how to view the image data, and is therefore premised on use in a medical institution.
  • Patent Document 1 proposes an ultrasonic measuring device that can perform positioning more easily when measuring data.
  • the urine accumulation amount can be measured while grasping the angle of the probe by acquiring the one-dimensional information using the ultrasonic A mode.
  • the measurement position greatly affects the measurement accuracy of the urine volume measuring instrument, so guide the urine volume measuring instrument to the appropriate measurement position. The importance of is found and the present invention has been achieved.
  • the present invention has been made in view of the conventional problems, and an object of the present invention is to provide a urine volume measuring device that is highly portable and can be easily handled by the patient himself or a user other than the patient.
  • the urine volume measuring device described in the embodiment is urine that measures the amount of accumulated urine in the bladder by measuring the amount of accumulated urine at a plurality of positions in the abdomen near the bladder of the subject.
  • a quantity measuring instrument which has a plurality of channels, emits ultrasonic waves in each of the plurality of channels, and receives ultrasonic echoes; and ultrasonic waves received in each of the plurality of channels of the probe.
  • a measurement unit that calculates a urine storage amount based on the echo and a channel pattern that is the information of the received channel, and a urine storage amount based on the urine storage amount measured by the measurement unit is a position where the temporary maximum value is the maximum.
  • Maximum value position specifying unit that specifies a combination of the urine storage amount and channel pattern at the value position, urine storage amount and channel pattern measured by the measurement unit, and urine storage at the maximum value position specified by the maximum value position specifying unit
  • a urine volume measuring device comprising: a notification unit that gives a notification for guiding the position of the urine volume measuring device to the maximum value position based on the volume and the channel pattern.
  • FIG. 4 is a diagram showing traveling directions A, B, C, and D of ultrasonic waves transmitted from the probe 10. It is a figure which shows the example of a display displayed in an outward scan. It is a figure which shows the example of a display displayed in the measurement of a return path. It is a block diagram of the urine volume measuring device 1 of this embodiment. It is a process flow figure which shows the process in the urine volume measuring device 1 of this embodiment. It is a state transition diagram for explaining a fine adjustment algorithm. It is a state transition diagram for explaining a fine adjustment algorithm.
  • FIG. 1 is a diagram showing an appearance of the urine volume measuring device of the present embodiment
  • FIG. 2 is a diagram showing an example of a usage state of the urine volume measuring device 1.
  • the urine volume measuring device 1 of the present embodiment is provided with a probe 10 having a plurality of probe channels 11a, 11b, 11c, 11d at one end of a main body portion 20, and the main body portion 20 further includes A display 30, a button 40, a speaker 50, and a communication I / F (interface) 60 are provided and configured.
  • the surface of the main body 20 on which the display 30 is provided is referred to as a “display surface”, and the opposite surface is referred to as a “rear surface”.
  • the urine volume measuring device 1 can perform measurement in the ultrasonic A mode.
  • the urine volume measuring device 1 of the present embodiment allows a user (measurer: the same person as the person being measured or an assistant who performs the measurement) so that the display surface faces the person's face.
  • the main body 20 is gripped, and the probe 10 is vertically pressed from the surface of the body to the pubis portion in a state in which the measurement subject lies on his back (supine position).
  • the accumulated amount of urine is measured by moving the urine volume measuring device 1 back and forth along the midline of the body in the vicinity of the bladder with the probe 10 pressed vertically. In the outward path in which the urine volume measuring device 1 is moved while sliding in the umbilicus direction in the umbilicus direction (Y1 direction in FIG.
  • a position (maximum) at which the urine collection volume is provisionally identified as the maximum value (also referred to as provisional maximum value) (Also called a value position) is scanned. After that, in the return path in which the urine direction is opposite to the umbilicus direction (Y2 direction in FIG. 2) while sliding, the urine volume measuring device 1 is guided to the maximum value position specified in the outward path, and a plurality of urine volume measuring devices are further provided at that position.
  • the maximum value of urine storage is determined by performing measurements once and performing detailed calculations. By doing so, it is possible to accurately determine the maximum value of the accumulated urine volume value by guiding to the maximum value position and then calculating the values measured a plurality of times at the fixed position.
  • the urine volume measuring device 1 of the present embodiment is intended to specify the correct measurement position and perform the measurement at that position on the assumption that the measurable urine volume varies depending on the measurement position, and should be measured originally. What is the maximum amount of urine collection. Therefore, the urine volume measuring device 1 is moved with respect to the person to be measured, the urine accumulation amount is measured, the position where the measured value becomes the provisional maximum value is specified as the correct measurement position, and the measurement is performed again at the specified position. It can be performed. That is, rather than finding the measurement position while searching for the optimum position, it is possible to perform high-precision measurement by scanning the entire body, identifying the optimum position, and guiding the optimum position. Thereby, in the urine volume measuring device of the present embodiment, it is possible to perform the measurement at the correct measurement position, it is possible to accurately measure the urine volume value without specialized knowledge, and the patient himself or a patient other than The user can handle it easily.
  • provisional maximum value may be updated by a detailed calculation of the maximum value of urine collection volume on the return trip.
  • the probe 10 transmits and receives ultrasonic waves for each of the plurality of probe channels 11a, 11b, 11c, 11d, and supplies a reception signal corresponding to the received ultrasonic echo to the main body unit 20. That is, each probe channel 11a, 11b, 11c, 11d transmits an ultrasonic wave, and each probe channel 11a, 11b, 11c, 11d receives an ultrasonic echo which is a reflected wave.
  • the plurality of probe channels 11a, 11b, 11c, 11d will be described as the first channel 11a, the second channel 11b, the third channel 11c, and the fourth channel 11d from the navel side.
  • the bladder is in the pelvis, so it will undergo a characteristic expansion based on its anatomy.
  • the bladder bottom is tightly bound to the tissue of the pelvic floor and its movement is restricted, and the bladder expansion associated with the accumulation of urine spreads mainly in the Y1 direction in FIG. 2 while pushing away the relatively small intestine. It has been confirmed by MRI measurement.
  • four probe channels 11a, 11b, 11c, 11d are arranged at regular intervals along the expansion direction.
  • FIG. 3 is a diagram showing traveling directions A, B, C and D of ultrasonic waves transmitted from the probe 10.
  • the traveling direction of part of the ultrasonic waves transmitted from the probe 10 is inclined.
  • the tilt angle increases as the distance from the display 30 increases.
  • the traveling direction A of the ultrasonic wave transmitted from the first channel 11a close to the display 30 is perpendicular to the end surface 10a of the probe 10, but the second channel 11b and the third channel 11c.
  • the traveling directions B and C of the ultrasonic waves transmitted from the display device gradually increase in angle with respect to the display surface, and the traveling directions D of the ultrasonic waves transmitted from the fourth channel 11d farthest from the display surface.
  • the display 30 displays the progress of the scan, that is, how much more the scan needs to be performed, and guides the user to the maximum value position on the return path until the scan of the entire image of the bladder on the outward path (outgoing path scan) is completed.
  • the forward scan scans the entire image of the bladder, and as a result, identifies the maximum value position.
  • As the progress status for example, (first stage) the stage where the end of the bladder is captured, (second stage) )
  • the measured urine storage amount is 60% of the maximum value.
  • the progress status can be defined in five stages such as a stage where it is detected that there is a certain amount (the fifth stage), and a stage where it is detected that the measured urine storage amount is 40% of the maximum value.
  • the maximum value of the urine storage amount is detected when the maximum value position is slightly passed. That is, the maximum urine storage amount causes the measured value to change from increase to decrease, and when the measured value which is, for example, 80% of the past measured value is detected, it can be determined that the past measured value is the maximum value.
  • the progress status is for notifying the user of the position where the maximum value of the urine storage amount is detected, and the number of stages is not limited to five stages, and the meaning of each stage can be defined as appropriate.
  • the detection of the maximum value of the urine accumulation amount may be corrected, and if corrected, the third stage may be returned to the second stage again. For example, if the measured value changes from an increase to a decrease and 80% of the past measured value is once detected, but the measured value starts to increase again and exceeds the maximum measured value, , Corrections are made.
  • FIG. 4 is a diagram showing a display example displayed in the forward scan
  • FIG. 5 is a diagram showing a display example displayed in the return pass measurement.
  • (a) indicates the first stage
  • (b) indicates the second stage
  • (c) indicates the third stage
  • (d) indicates. It shows that it is the fourth stage
  • (e) shows that it is the fifth stage.
  • (a) shows that the current measurement position is the maximum value position
  • (b) shows that the current measurement position is displaced from the maximum value position in the umbilicus direction
  • (c) shows the current position. It shows that the measurement position of is shifted from the maximum value position in the pubic direction.
  • the display 30 can indicate to the user at which stage in the progress of the outward scan by displaying one of five different displays as shown in FIG. 4, for example, on the outward trip. On the return trip, the display 30 displays any one of three different displays, for example, as shown in FIG. 5, so that the user can determine which of the umbilical side and the pubic side the current measurement position deviates. Can be shown. In FIG. 5, whether the measurement position indicated by the arrow deviates to the umbilicus side from the maximum value position (FIG. 5 (b)) or the pubic side from the maximum value position (FIG. 5 (c)). Although only shown, two or more modes are added: a mode in which the position of the arrow is further away from the center than the center in FIG. 5B, and a mode in which the position is further away from the pubic side than in FIG. 5C.
  • the current measurement position may be shown in more detail, for example.
  • a button 40 is a button for inputting to turn on / off the power of the urine volume measuring instrument 1 or to start measurement by the urine volume measuring instrument 1.
  • the speaker 50 gives notification by various kinds of voices.
  • the communication I / F (interface) 60 is an interface for communicating with a personal computer or a portable terminal as needed, and for example, a USB port or a wireless port can be adopted. Through this communication I / F (interface) 60, the measurement data stored in the second storage means can be transmitted to these devices.
  • FIG. 6 is a block diagram of the urine volume measuring device 1 of the present embodiment.
  • the urine volume measuring device 1 includes a probe 10, a display 30, a button 40, a speaker 50, a communication I / F 60, and a control unit 100 connected to these. ing.
  • the control unit 100 includes an ultrasonic wave control unit 110, an A / D conversion unit 120, a calculation unit 130, a storage unit 140, a display processing unit 150, a voice processing unit 160, a communication processing unit 170, and input control. And a hand portion 180.
  • the calculation unit 130 includes a measurement unit 131 and a determination unit 135, the measurement unit 131 includes a urine accumulation amount calculation unit 132 and a channel pattern acquisition unit 133, and the determination unit 135 includes a scan determination unit 136. It has a maximum value determination unit 137 and a urine storage level determination unit 138.
  • the “scan determination unit 136” combines the urine accumulation amount and the channel pattern at the maximum value position, which is the position where the urine accumulation amount becomes the provisional maximum value based on the urine accumulation amount measured by the measurement unit 131. It executes the function of the maximum value position specifying unit that specifies.
  • the A / D conversion unit 120, the calculation unit 130, the storage unit 140, the display processing unit 150, the voice processing unit 160, and the communication processing unit 170 can be configured by a CPU.
  • the ultrasonic wave control unit 110 can be composed of an ultrasonic wave control circuit or a CPU.
  • the ultrasonic control unit 110 controls the probe 10 to emit ultrasonic waves and receive the ultrasonic echoes.
  • the received ultrasonic echo is sent to the calculation unit 130 via the A / D conversion unit 120 for each channel.
  • the measurement unit 131 calculates the urine accumulation amount and specifies which channel was used for detection.
  • i in Pi and Di means a number given to the plurality of channels 11a to 11d, and is an integer from 1 to 4 here.
  • the accumulated urine amount, R represents a coefficient determined in accordance with the individual difference based on the anatomical structure and the posture being measured. Therefore, the average index value PD and the urine accumulation amount EU are calculated each time ultrasonic waves are transmitted and received through the plurality of channels 11a to 11d.
  • the channel pattern acquisition unit 133 acquires information about which channel pattern the urine accumulation amount calculated by the urine accumulation amount calculation unit 132 is an ultrasonic echo.
  • the channel pattern is information indicating which of the plurality of probe channels 11a, 11b, 11c, 11d of the probe 10 has received the ultrasonic echo. Specifically, for example, when it is received only on the first channel 11a that is the channel closest to the navel, it is the information that it is the first channel 11a, and the channel closest to the pubis and the channel next to it. It is the information that it is the fourth channel and the third channel when received on the fourth channel and the third channel.
  • the measurement unit 131 associates the urine accumulation amount calculated for each measurement with the channel pattern when the urine accumulation amount is measured, passes it to the determination unit 135 as measurement data, and stores it in the storage unit 140.
  • the forward scan and the return path are measured by the user moving the urine volume measuring instrument 1, and therefore the urine volume measuring instrument 1 itself controls the measurement position. I can't. Therefore, the scan determination unit 136 determines the position (measurement position) measured by the urine volume measuring device 1 based on the urine accumulation amount measured by the measurement unit 131 and the information (channel pattern) of the channel that received the ultrasonic echo at that time. ) Is determined. Specifically, the scan determination unit 136 temporarily stores, as the measurement data, the measurement data (the urine accumulation amount and the channel pattern) acquired in the outward scan performed while moving the urine amount measuring device 1 in the Y1 direction in FIG.
  • the scan determination unit 136 stores in the storage unit 140 the measurement data acquired at the position specified as the maximum value position (including the positions before and after the maximum value position).
  • the maximum value determination unit 137 can determine the relative position between the position of the urine volume measuring device 1 and the maximum value position based on the stored measurement data.
  • the scan determination unit 136 determines at what stage the progress status is in the forward scan and whether the forward scan has been completed. In the outward scan, the progress status is divided into a plurality of stages based on the urine accumulation amount at the maximum value position as shown in FIG. For example, when the urine storage volume that has tended to increase turns to decrease, the position that has the maximum value can be set as the maximum value position, and can be the third stage. However, this may occur at a position where the maximum value is not reached due to the effects of noise, etc., and may start to decrease and then increase again. In that case, return from the third stage to the second stage. There is.
  • the forward scan for example, when the measurement that the urine accumulation amount is 40% of the urine accumulation amount at the detected maximum value position occurs consecutively a predetermined number of times after the maximum value position is detected (that is, described in FIG. 4). In the above example, it is possible to determine that the outward scan is completed when it is determined that the fifth stage has been reached.
  • the scan processing unit 150 or the voice processing unit 160 displays or notifies the user of the change. To do.
  • the maximum value determination unit 137 determines that the change in the relative relationship between the measurement position on the return path and the maximum value position or the measurement on the return path has been completed, the maximum value determination unit 137 notifies the user of that fact by the display processing unit 150 or the voice processing. The unit 160 displays and notifies that effect. Since the measurement position cannot be controlled by the urine volume measuring device 1 itself of the present embodiment, the maximum value position is specified by the urine accumulation amount determined to be the temporary maximum value and the channel pattern associated with it. The maximum value determination unit 137 determines the return path measurement position and the maximum value position based on the measurement data measured by the measurement unit 131 each time in the return path measurement and the maximum value position measurement data stored in the storage unit 140. The change in the relative relationship with can be determined.
  • the maximum value determination unit 137 calculates the maximum value of the urine accumulation amount from the measurement data of a plurality of times measured at the maximum value position, and specifies the urine accumulation amount. For example, the measurement is performed a plurality of times at the maximum value position, a plurality of measurement values are taken in the vicinity of the maximum value, and the average value is set as the maximum value. It is possible to specify that the maximum value of the stored urine amount satisfying the predetermined criterion is specified as the accurate value of the stored urine amount, and that the measurement of the return path is completed. Judging that the urine storage volume meets the predetermined criteria is, for example, when multiple measurement values are obtained near the maximum value by multiple measurements at the maximum value position, and the accurate value of the urine storage volume is determined. Is.
  • the maximum value determination unit 137 determines that the accurate maximum value of the urine storage amount can be measured, it passes the urine storage amount value to the urine storage amount level determination unit 138.
  • the urine accumulation level determination unit 138 uses the table in the storage unit 140 in which the urine accumulation amount level stored in advance and the maximum urine accumulation amount are associated with each other to determine the maximum value of the urine accumulation amount passed from the maximum value determination unit 137. Determine urine collection level.
  • the urine collection level determination unit 138 causes the display processing unit 150 to display the determined urine collection level on the display 30.
  • the urine collection level determination unit 138 may notify the urine collection level determined by the speaker 50 by the audio processing unit 160. The user can determine whether to urinate or not based on the notified urine storage level.
  • the storage unit 140 stores the urine storage amount and the channel pattern (measurement data) near the maximum value position measured by the measurement unit 131 in association with each other for each measurement. It also stores a table in which the urine accumulation level and the maximum urine accumulation amount are associated with each other.
  • the display processing unit 150 generates display content to be displayed based on the result calculated by the calculation unit 130 and displays it on the display 30.
  • the voice processing unit 160 generates notification content for voice notification based on the result calculated by the calculation unit 130, and notifies the speaker 50 of the content.
  • the communication processing unit 170 inputs / outputs data for communicating with an external device via a wired or wireless network via the communication I / F 60.
  • the measured urine storage level is stored in a second storage means (not shown) in association with the date and time of the measurement, and the communication processing unit 170 inputs / outputs the stored data via the communication I / F 60.
  • the second storage means may be composed of a flash memory, an EEPROM or the like.
  • the measurement using the urine volume measuring device 1 of the present embodiment will be described.
  • the user holds the main body portion 20 so that the display surface of the urine volume measuring device 1 of the present embodiment faces the navel, and pushes the probe 10 in a vertical direction from the body surface of the pubic portion while lying on the back.
  • the measurement process is started.
  • a forward scan is performed when the user moves the urine volume meter 1 in the direction from the pubis to the navel along the midline of the body, and the urine volume meter 1 is moved in the direction opposite to the forward scan.
  • the return path is measured.
  • time-series measurement data is acquired and which measurement data corresponds to the maximum value position is specified.
  • the fine adjustment algorithm that enables fine adjustment of the measurement position in the return path measurement allows the user to perform fine adjustment. It makes high measurements easy.
  • the urine volume measuring instrument 1 of the present embodiment notifies the user that the urine volume measuring instrument 1 is moved in the direction from the pubis to the navel before starting the outward scan.
  • the scan determination unit 136 can notify by the speaker 50 or the display 30.
  • FIG. 7 is a processing flow chart showing processing in the urine volume measuring device 1 of the present embodiment.
  • the measurement data is acquired by the measurement unit 131 (S1).
  • the urine accumulation amount calculation unit 132 calculates the urine accumulation amount
  • the channel pattern acquisition unit 133 acquires the channel pattern of the probe 10 used to detect the urine accumulation amount.
  • the urine storage amount and the channel pattern are associated with each other, stored in the storage unit 140, and passed to the determination unit 135.
  • the outward scan is a scan process for specifying the maximum value position (a combination of the urine volume and the channel pattern at that time), and one of the displays in FIG. 4 is displayed on the display 30 according to the progress status. .. Specifically, FIG. 4A is displayed when the scan starts and the end of the bladder is captured, and then, if the progress progresses smoothly, FIG. 4B, FIG. 4C, and FIG. 4D. , FIG. 4 (e) will be displayed.
  • the scan determination unit 136 of the determination unit 135 determines whether or not there is a change in the progress status based on which stage of the outward scan the current measurement is (S2).
  • the scan determination unit 136 for example, the urine accumulation amount measured each time in the measurement unit 131 and the urine accumulation measured in each time (immediately before and a predetermined number of times before) stored in the storage unit 140 each time. The value is compared with the amount to determine which of the above-described first to fifth stages the process is in, and whether the stage has changed.
  • the scan determination unit 136 determines that the progress status has changed (S2: Yes)
  • the display processing unit 150 switches the display on the display 30 (S3). Specifically, the display is switched to any of the displays shown in FIGS. After S2 or S3, the scan determination unit 136 further determines whether the outward scan has been completed (S4).
  • the scan determination unit 136 determines that there is no change in the progress status (S2: No) and the forward scan is not completed (S4: No), the measurement determination unit 131 returns to the measurement (S1) again.
  • the scan determination unit 136 notifies that the measurement will be switched to the backward scan (S5).
  • the notification to the effect that switching to the return path measurement is performed, for example, by generating an audio announcement such as "switch scan direction" by the audio processing unit 160 and causing the speaker 50 to notify, or displaying the display 30 on the outward scan shown in FIG.
  • the display processing unit 150 generates the display content and displays it on the display 30 so as to switch from the display of 1 to the display of the measurement of the return path shown in FIG.
  • the return pass measurement is a process for starting a process near the navel and returning to the maximum value position specified by the forward pass scan, and a process for measuring the maximum value of the urine accumulation amount.
  • one of the displays shown in FIG. 5 is displayed on the display 30 according to the relative relationship between the measurement position and the maximum value position each time. Specifically, when the measurement of the return path is started, the measurement position is near the navel, so that FIG. 5 (b) is displayed. After that, when the measurement position advances in the pubic direction and exactly matches the maximum value position, FIG. 5 (a) is displayed. If it is displayed too much, then FIG. 5 (c) will be displayed.
  • the measurement unit 131 acquires the measurement data (S6) as in the forward scan, stores the measurement data in the storage unit 140, and passes the measurement data to the determination unit 135.
  • the maximum value determination unit 137 of the determination unit 135 receives the measurement data
  • the maximum value determination unit 137 receives the measurement data, and based on whether the measurement data at each time matches the measurement data at the maximum value position and whether there is a deviation, the measurement position at each time. It is determined whether or not there is a change in the relative relationship between the position and the maximum value position (S7).
  • the maximum value determination unit 137 gives an instruction to execute the process of switching the notification (S8).
  • the display processing unit 150 generates the display so as to switch the display of the display 30 to the display showing the changed relative relationship in (a) to (c) of FIG.
  • the processing unit 160 executes by switching the voice notification by the speaker 50. For example, when the measurement position at each time changes from the position closer to the umbilicus than the maximum value position to the state corresponding to the maximum value position, the display is switched from FIG. 5 (b) to FIG. 5 (a). At this time, the speaker 50 announces an instruction to stop the movement. According to this instruction, the user can fix the urine volume measuring device 1 in order to perform the measurement at the correct maximum position.
  • the maximum value determination unit 137 determines whether or not the measurement position at each time matches the maximum value position. Then, it is determined whether or not the maximum value is calculated (S9). When it is determined that the measurement position at each time coincides with the maximum value position, it is determined that the maximum value is calculated (S9: Yes), and the maximum value is calculated (S10).
  • the calculation of the maximum value is a process in which the measurement by the measuring unit 131 is repeated a plurality of times at the maximum value position and the maximum value of the urine storage amount used for one determination of the urine storage amount level is specified. It can be said that a more accurate urine storage amount can be obtained by specifying the urine storage amount from the measured value obtained by performing the measurement a plurality of times for one urine storage amount.
  • the maximum value determination unit 137 determines whether or not the calculation of the maximum value has been completed (the return path measurement has been completed) (S11). For example, as the calculation of the maximum value in the process of S10, a process of taking a plurality of measurement values near the maximum value and setting the average value as the maximum value is performed. In the process of S11, the maximum value is specified as an accurate urine storage amount, and it is determined that the calculation of the maximum value is completed.
  • the maximum value determination unit 137 passes the identified urine storage amount to the urine storage amount level determination unit 138, and the urine storage amount level determination unit 138 receives it. It is determined which urine accumulation level the urine accumulation corresponds to, and the determined urine accumulation level is displayed on the display 30 (S12).
  • FIG. 18 is a diagram showing an example of the display of the urine storage level.
  • the display processing unit 150 When the urine collection level determination unit 138 determines the urine collection level, the display processing unit 150 generates a display of the determined urine collection level and causes the display 30 to display a level display such as that shown in FIG. 18 (S12).
  • the level of stored urine can be indicated by, for example, four levels.
  • FIG. 18 shows that the third level, that is, half or more of the allowable bladder capacity, is not the limit.
  • [Fine adjustment algorithm] 8 to 17 are state transition diagrams for explaining the fine adjustment algorithm in the return path measurement.
  • the fine adjustment algorithm is an algorithm of how to switch the notification in S8 when it is determined that the relative relationship between the current measurement position and the maximum value position has changed in the return path measurement (Yes in S7 of FIG. 7). Is. In each figure, the relationship between the ultrasonic waves transmitted from the urine volume measuring device 1 and the pubis T and the bladder S, and the channel patterns (from the top of the drawing, the first channel, the second channel, the third channel, the 4 channels) and the display state on the display 30 are shown to transition with the movement of the urine volume measuring device 1. The processing of the return path measurement differs depending on the channel pattern at the maximum value position.
  • the state shown in FIG. 8A is at the maximum value position. In this state, only the ultrasonic wave emitted from the fourth channel of the probe 10 is incident on the bladder, and the channel pattern is in the receiving state only in the fourth channel. This maximum value position is estimated in the outward measurement, and the urine volume measuring instrument 1 is guided so as to match this channel pattern.
  • the display on the display 30 is displayed in the measurement of the return path, and FIG. 5A showing the maximum value position is displayed.
  • the display 30 displays the display shown in FIG. By confirming this display, the user can determine that the current measurement position is the maximum value position, and can stop the movement here.
  • the ultrasonic waves emitted from the probe channels 11d, 11c and 11b by moving the urine volume measuring device 1 further from the maximum value position to the pubis side hit the pubis and only the ultrasonic waves emitted from the probe channel 11a enter the bladder.
  • the maximum value determination unit 137 guides the user to approach the maximum value position on the outward path on the basis of the combination of the urine accumulation amount and the channel pattern that is the maximum value position.
  • the guidance can be performed by a notification on the speaker 50 or the display 30.
  • FIG. 8B since the measurement position of the urine volume measuring device 1 is displaced to the umbilicus side from the maximum value position, FIG. 5B is displayed on the display 30 to guide the pubic side.
  • the Rukoto since the measurement position of the urine volume measuring device 1 is displaced to the umbilicus side from the maximum value position, FIG. 5B is displayed on the display 30 to guide the pubic side. The Rukoto.
  • FIGS. 8C, 8D, and 8E since the measurement position of the urine volume measuring device 1 is deviated to the pubic side from the maximum value position, the display 30 is displayed on the display 30 to guide it to the umbilicus side. FIG. 5C will be displayed.
  • FIG. 9A (When only the third channel responds at the maximum position) In this case, the state shown in FIG. 9A is at the maximum value position. In this state, only the ultrasonic wave transmitted from the third channel of the probe 10 is incident on the bladder, and only the third channel of the channel pattern is in the receiving state. As for the display on the display 30, FIG. 5A showing that it is at the maximum value position is displayed.
  • the return path measurement starts from near the navel and is in the state shown in FIG. 9 (b). 9A and 9B.
  • the state shown in FIG. 9C is obtained, and when the measurement position coincides with the maximum value position, the state shown in FIG. 9A is obtained.
  • the maximum value determination unit 137 can notify the user to move the urine volume measuring device 1 to the umbilicus side.
  • the maximum value determination unit 137 guides the user to approach the maximum value position on the outward path on the basis of the combination of the urine accumulation amount and the channel pattern that is the maximum value position.
  • the guidance can be performed by a notification on the speaker 50 or the display 30.
  • FIGS. 9B and 9C since the measurement position of the urine volume measuring device 1 is displaced to the umbilicus side from the maximum value position, FIG. ) Will be displayed.
  • FIGS. 9D and 9E since the measurement position of the urine volume measuring device 1 is deviated to the pubic side from the maximum value position, FIG. ) Will be displayed.
  • FIG. 10A When only the second channel responds at the maximum position, the state shown in FIG. 10A is at the maximum value position. In this state, only the ultrasonic waves emitted from the second channel of the probe 10 are incident on the bladder, and the channel pattern is in the receiving state only in the second channel. As for the display on the display 30, FIG. 5A showing that it is at the maximum value position is displayed.
  • the return path measurement starts from near the navel and is in the state shown in FIG. 10 (b).
  • the state shown in FIG. 10 (c) is reached, then the state shown in FIG. 10 (d) is reached, and when the measurement position matches the maximum value position, the state shown in FIG. Become.
  • the maximum value determination unit 137 can notify the user to move the urine volume measuring device 1 to the umbilicus side.
  • the maximum value determination unit 137 guides the user to approach the maximum value position on the outward path on the basis of the combination of the urine accumulation amount and the channel pattern that is the maximum value position.
  • the guidance can be performed by a notification on the speaker 50 or the display 30.
  • FIGS. 10B, 10C, and 10D since the measurement position of the urine volume measuring device 1 is displaced to the umbilicus side from the maximum value position, the display 30 is displayed on the display 30 to guide it to the pubic side. FIG. 5B will be displayed.
  • FIGS. 10 (e) and 10 (f) since the measurement position of the urine volume measuring device 1 is displaced to the pubic side from the maximum value position, FIG. ) Will be displayed.
  • FIG. 11A (When only the first channel responds at the maximum position) In this case, the state shown in FIG. 11A is at the maximum value position. In this state, only the ultrasonic waves emitted from the first channel of the probe 10 are incident on the bladder, and the channel pattern is in the receiving state only in the first channel. As for the display on the display 30, FIG. 5A showing that it is at the maximum value position is displayed.
  • the return path measurement starts from near the navel and is in the state shown in FIG. 11 (b).
  • the state shown in FIG. 11 (c) is reached, and then the state shown in FIG. 11 (d) is reached.
  • the measurement position matches the maximum value position, the state shown in FIG. 11 (a) is obtained. Become.
  • the maximum value determination unit 137 can notify the user to move the urine volume measuring device 1 to the navel side.
  • the maximum value determination unit 137 guides the user to approach the maximum value position on the outward path on the basis of the combination of the urine accumulation amount and the channel pattern that is the maximum value position.
  • the guidance can be performed by a notification on the speaker 50 or the display 30.
  • FIGS. 11B, 11C, and 11D since the measurement position of the urine volume measuring device 1 is deviated to the umbilicus side from the maximum value position, the display 30 is displayed on the display 30 to guide it to the pubic side. FIG. 5B will be displayed.
  • the measurement position of the urine volume measuring device 1 is displaced to the pubic side from the maximum value position, so that the display 30 displays FIG. 5C to guide it to the umbilicus side.
  • the Rukoto is the reason for the measurement position of the urine volume measuring device 1 to the pubic side from the maximum value position, so that the display 30 displays FIG. 5C to guide it to the umbilicus side. The Rukoto.
  • FIG. 12A (When the fourth channel and the third channel react at the maximum position) In this case, the state shown in FIG. 12A is at the maximum value position. In this state, only the ultrasonic waves transmitted from the third channel and the fourth channel of the probe 10 are incident on the bladder, and the channel pattern is in the receiving state only in the third channel and the fourth channel. As for the display on the display 30, FIG. 5A showing that it is at the maximum value position is displayed.
  • the return path measurement starts from near the navel and is in the state shown in FIG. 12 (b).
  • the state shown in FIG. 12C is obtained, and when the measurement position matches the maximum value position, the state shown in FIG. 12A is obtained.
  • the maximum value determination unit 137 may notify the user to move the urine volume measuring device 1 to the umbilicus side. it can.
  • the maximum value determination unit 137 guides the user to approach the maximum value position on the outward path on the basis of the combination of the urine accumulation amount and the channel pattern that is the maximum value position.
  • the guidance can be performed by a notification on the speaker 50 or the display 30.
  • FIGS. 12B and 12C since the measurement position of the urine volume measuring device 1 is deviated to the umbilicus side from the maximum value position, FIG. ) Will be displayed.
  • FIGS. 12D and 12E since the measurement position of the urine volume measuring device 1 is deviated to the pubic side from the maximum value position, FIG. ) Will be displayed.
  • FIG. 13A When the third channel and the second channel react at the maximum position, the state shown in FIG. 13A is at the maximum value position. In this state, only the ultrasonic waves emitted from the second channel and the third channel of the probe 10 are incident on the bladder, and the channel pattern is in the receiving state only in the second channel and the third channel. As for the display on the display 30, FIG. 5A showing that it is at the maximum value position is displayed.
  • the return path measurement starts from the vicinity of the navel and is in the state shown in FIG. 13 (b).
  • the state shown in FIG. 13C is obtained, and when the measurement position matches the maximum value position, the state shown in FIG. 13A is obtained.
  • the maximum value determination unit 137 may notify the user to move the urine volume measuring device 1 to the umbilicus side. it can.
  • the maximum value determination unit 137 guides the user to approach the maximum value position on the outward path on the basis of the combination of the urine accumulation amount and the channel pattern that is the maximum value position.
  • the guidance can be performed by a notification on the speaker 50 or the display 30.
  • FIG. 14A When the second channel and the first channel react at the maximum position, the state shown in FIG. 14A is at the maximum value position. In this state, only the ultrasonic waves emitted from the first channel and the second channel of the probe 10 are incident on the bladder, and the channel pattern is in the receiving state only in the first channel and the second channel. As for the display on the display 30, FIG. 5A showing that it is at the maximum value position is displayed.
  • the return path measurement starts from near the navel and is in the state shown in FIG. 14 (b).
  • the state shown in FIG. 14 (c) is reached, and then the state shown in FIG. 14 (d) is reached.
  • the measurement position coincides with the maximum value position, the state shown in FIG. 14 (a) is obtained. Become.
  • the maximum value determination unit 137 may notify the user to move the urine volume measuring device 1 to the navel side. it can.
  • the maximum value determination unit 137 guides the user to approach the maximum value position on the outward path on the basis of the combination of the urine accumulation amount and the channel pattern that is the maximum value position.
  • the guidance can be performed by a notification on the speaker 50 or the display 30.
  • FIGS. 14B, 14C, and 14D since the measurement position of the urine volume measuring device 1 is deviated to the umbilicus side from the maximum value position, the display 30 is displayed on the display 30 to guide it to the pubic side. FIG. 5B will be displayed.
  • FIG. 15A When the fourth channel, the third channel, and the second channel react at the maximum value position, the state shown in FIG. 15A is at the maximum value position. In this state, only the ultrasonic waves emitted from the second channel, the third channel, and the fourth channel of the probe 10 are incident on the bladder, and the channel pattern has the second channel, the third channel, and the fourth channel. Only the channel is in receive state. As for the display on the display 30, FIG. 5A showing that it is at the maximum value position is displayed.
  • the return path measurement starts from near the navel and is in the state shown in FIG. 15 (b).
  • the state shown in FIG. 15C is obtained, and when the measurement position matches the maximum value position, the state shown in FIG. 15A is obtained.
  • the maximum value determination unit 137 moves the urine volume measuring device 1 to the navel side, The user can be notified.
  • the maximum value determination unit 137 guides the user to approach the maximum value position on the outward path on the basis of the combination of the urine accumulation amount and the channel pattern that is the maximum value position.
  • the guidance can be performed by a notification on the speaker 50 or the display 30.
  • FIGS. 15D, 15E, and 15F since the measurement position of the urine volume measuring device 1 is displaced to the pubic side from the maximum value position, the display 30 is displayed to guide it to the umbilicus side. FIG. 5C will be displayed.
  • FIG. 16A When the third channel, the second channel, and the first channel react at the maximum value position, the state shown in FIG. 16A is at the maximum value position. In this state, only the ultrasonic waves emitted from the first channel, the second channel and the third channel of the probe 10 are incident on the bladder, and the channel pattern has the first channel, the second channel and the third channel. Only the channel is in receive state. As for the display on the display 30, FIG. 5A showing that it is at the maximum value position is displayed.
  • the return path measurement starts from near the navel and is in the state shown in FIG. 16 (b).
  • the state shown in FIG. 16 (c) is followed by the state shown in FIG. 16 (d), and when the measurement position matches the maximum value position, the state shown in FIG. 16 (a) is obtained. Become.
  • the maximum value determination unit 137 may notify the user to move the urine volume measuring device 1 to the navel side. it can.
  • the maximum value determination unit 137 guides the user to approach the maximum value position on the outward path on the basis of the combination of the urine accumulation amount and the channel pattern that is the maximum value position.
  • the guidance can be performed by a notification on the speaker 50 or the display 30.
  • FIGS. 16B, 16C, and 16D since the measurement position of the urine volume measuring device 1 is deviated to the umbilicus side from the maximum value position, the display 30 is displayed on the display 30 to guide it to the pubic side. FIG. 5B will be displayed.
  • FIGS. 16 (e) and 16 (f) since the measurement position of the urine volume measuring device 1 is displaced to the pubic side from the maximum value position, FIG. ) Will be displayed.
  • FIG. 17A (When all channels respond at the maximum position) In this case, the state shown in FIG. 17A is at the maximum value position. In this state, the ultrasonic waves emitted from all the first to fourth channels of the probe 10 are incident on the bladder, and the channel pattern has all the first to fourth channels in the receiving state. As for the display on the display 30, FIG. 5A showing that it is at the maximum value position is displayed.
  • the return path measurement starts from near the navel and is in the state shown in FIG. 17 (b).
  • the state shown in FIG. 17 (c) is reached, and then the state shown in FIG. 17 (d) is reached.
  • the measurement position coincides with the maximum value position, the state shown in FIG. 17 (a) is obtained. Become.
  • the maximum value determination unit 137 moves the urine volume measuring device 1 to the umbilicus side. The user can be notified.
  • the maximum value determination unit 137 guides the user to approach the maximum value position on the outward path on the basis of the combination of the urine accumulation amount and the channel pattern that is the maximum value position.
  • the guidance can be performed by a notification on the speaker 50 or the display 30.
  • FIGS. 17B, 17C, and 17D since the measurement position of the urine volume measuring device 1 is displaced to the umbilicus side from the maximum value position, the display 30 is displayed on the display 30 to guide it to the pubic side. FIG. 5B will be displayed.
  • the display 30 is displayed on the display 30 to guide it to the umbilicus side.
  • FIG. 5C will be displayed.
  • the maximum value position is not updated when the forward scan is determined, but in the measurement of the accurate value of the maximum value in the return scan, when it is determined that the maximum value position of the forward scan is not accurate,
  • the maximum value position may be updated.
  • the case where the plurality of channels of the probe is four has been described as an example, but the number of channels is not limited to four.
  • Urine Volume Measuring Device 10 Probes 11a, 11b, 11c, 11d Probe Channel 20 Main Body 30 Display 40 Button 50 Speaker 60 Communication I / F (Interface) 100 control unit 110 ultrasonic control unit 120 A / D conversion unit 130 arithmetic unit 131 measurement unit 132 urine storage amount calculation unit 133 channel pattern acquisition unit 135 determination unit 136 scan determination unit 137 maximum value determination unit 138 urine storage amount level determination unit 140 storage Unit 150 Display processing unit 160 Voice processing unit 170 Communication processing unit

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Abstract

The objective of the present invention is to provide a urine quantity measuring instrument which is highly portable and which can be handled easily by a patient him or herself, or by a user other than the patient. This urine quantity measuring instrument for measuring a quantity of accumulated urine in the bladder of a subject, by measuring the quantity of accumulated urine at a plurality of positions in an abdominal part in the vicinity of the bladder, is provided with: a probe which has a plurality of channels, and which transmits ultrasonic waves in each of the plurality of channels and receives ultrasonic wave echoes; a measuring unit which calculates a quantity of accumulated urine on the basis of the received ultrasonic wave echoes in each of the plurality of channels of the probe, and measures a channel pattern, which is information relating to the received channels; a maximum value position identifying unit which, on the basis of the quantities of accumulated urine measured by the measuring unit, identifies a combination of the quantity of accumulated urine at a maximum value position, which is the position at which the quantity of accumulated urine reaches a provisional maximum value, and the channel pattern; and a notifying unit which issues a notification for guiding the position of the urine quantity measuring instrument to the maximum value position, on the basis of the quantities of accumulated urine and the channel pattern measured by the measuring unit, and the quantity of accumulated urine and the channel pattern at the maximum value position identified by the maximum value position identifying unit.

Description

尿量測定器および尿量測定方法Urine volume measuring device and urine volume measuring method
 本発明は尿量測定器に関し、詳細には超音波を用いた測定により膀胱内の蓄尿量を測定する尿量測定器に関する。 The present invention relates to a urine volume measuring device, and more particularly to a urine volume measuring device for measuring the amount of accumulated urine in the bladder by measurement using ultrasonic waves.
 従来から、膀胱に向けて超音波を発信し、その反射波である超音波エコーを受信することにより膀胱の大きさを測定して、膀胱内の蓄尿量を測定する尿量測定器が知られている。一般に超音波を用いて内臓の状態を測定する装置としては、超音波診断装置が知られており、超音波診断装置を尿量測定器として用いることもできる。 BACKGROUND ART Conventionally, a urine volume measuring device has been known which measures the size of the bladder by transmitting ultrasonic waves to the bladder and receiving ultrasonic echoes, which are reflected waves, to measure the amount of accumulated urine in the bladder. ing. An ultrasonic diagnostic apparatus is generally known as an apparatus for measuring the state of internal organs using ultrasonic waves, and the ultrasonic diagnostic apparatus can also be used as a urine volume measuring device.
 超音波診断装置は、測定結果が2次元の画像データとして表示されるため、膀胱の状態を詳細に知ることができるといえる。超音波診断装置は、詳細な状態を知ることができる一方で、画像データをどのように見ればよいかは専門的な知識や技量が必要になるため、医療機関での使用が前提となる。 It can be said that the ultrasonic diagnostic device can know the state of the bladder in detail because the measurement results are displayed as two-dimensional image data. The ultrasonic diagnostic apparatus can know the detailed state, but requires specialized knowledge and skill in how to view the image data, and is therefore premised on use in a medical institution.
国際公開第2018/168363号International Publication No. 2018/168363
 また、脳や神経、その他の病気のために膀胱内に尿が溜まったことを感じることができない(尿意がない)症状を抱える人々が、尿量測定器を自宅で簡単に使用することができれば、その生活の質を高めることができるといえる。このような背景から、可搬性が高く、患者自身または患者以外の使用者が容易に取り扱いできる尿量測定器が求められている。 Also, if people with symptoms that can not feel that urine has accumulated in the bladder due to brain, nerves, or other illness (unwillingness to urinate) can easily use the urine meter at home , It can be said that it can improve the quality of life. Under such circumstances, there is a demand for a urine volume measuring instrument that is highly portable and can be easily handled by the patient himself or a user other than the patient.
 このような観点から、データを測定する際に、より簡易に位置決めをすることができる超音波測定器が特許文献1に提案されている。この超音波測定器では、超音波Aモードを用いて一次元情報を取得することにより、プローブの角度を把握しながら蓄尿量を測定することができる。 From this point of view, Patent Document 1 proposes an ultrasonic measuring device that can perform positioning more easily when measuring data. In this ultrasonic measuring device, the urine accumulation amount can be measured while grasping the angle of the probe by acquiring the one-dimensional information using the ultrasonic A mode.
 本発明者らが鋭意検討した結果、超音波Aモードにより測定する場合、その測定位置が尿量測定器の測定精度に大きく影響するので、その適切な測定位置に尿量測定器を誘導することの重要性を見出し、本発明に至った。 As a result of intensive studies by the present inventors, when the measurement is performed in the ultrasonic A mode, the measurement position greatly affects the measurement accuracy of the urine volume measuring instrument, so guide the urine volume measuring instrument to the appropriate measurement position. The importance of is found and the present invention has been achieved.
 本発明は従来の問題に鑑みなされたものであって、本発明の課題は、可搬性が高く、患者自身または患者以外の使用者が容易に取り扱いできる尿量測定器を提供することにある。 The present invention has been made in view of the conventional problems, and an object of the present invention is to provide a urine volume measuring device that is highly portable and can be easily handled by the patient himself or a user other than the patient.
 上記の課題を解決するために、実施形態に記載された尿量測定器は、被測定者の膀胱近傍の腹部の複数の位置において蓄尿量を測定することにより膀胱内の蓄尿量を測定する尿量測定器であって、複数のチャネルを有し、該複数のチャネルのそれぞれにおいて超音波を発信するとともに超音波エコーを受信するプローブと、前記プローブの前記複数のチャネルのそれぞれにおいて受信した超音波エコーに基づいて蓄尿量を算出すると共に受信したチャネルの情報であるチャネルパターンを測定する測定部と、前記測定部において測定された蓄尿量に基づいて蓄尿量が暫定最大値となる位置である最大値位置における蓄尿量とチャネルパターンとの組合せを特定する最大値位置特定部と、前記測定部において測定された蓄尿量およびチャネルパターンと、最大値位置特定部において特定された前記最大値位置における蓄尿量およびチャネルパターンとに基づいて、前記尿量測定器の位置が前記最大値位置となるように誘導するための通知を行う通知部とを備えたことを特徴とする尿量測定器である。 In order to solve the above problems, the urine volume measuring device described in the embodiment is urine that measures the amount of accumulated urine in the bladder by measuring the amount of accumulated urine at a plurality of positions in the abdomen near the bladder of the subject. A quantity measuring instrument, which has a plurality of channels, emits ultrasonic waves in each of the plurality of channels, and receives ultrasonic echoes; and ultrasonic waves received in each of the plurality of channels of the probe. A measurement unit that calculates a urine storage amount based on the echo and a channel pattern that is the information of the received channel, and a urine storage amount based on the urine storage amount measured by the measurement unit is a position where the temporary maximum value is the maximum. Maximum value position specifying unit that specifies a combination of the urine storage amount and channel pattern at the value position, urine storage amount and channel pattern measured by the measurement unit, and urine storage at the maximum value position specified by the maximum value position specifying unit A urine volume measuring device, comprising: a notification unit that gives a notification for guiding the position of the urine volume measuring device to the maximum value position based on the volume and the channel pattern.
本実施形態の尿量測定器の外観を示す図である。It is a figure which shows the external appearance of the urine volume measuring device of this embodiment. 尿量測定器1の使用状態例を示す図である。It is a figure which shows the example of a usage state of the urine volume measuring device 1. プローブ10から発信された超音波の進行方向A、B、C、Dを示す図である。FIG. 4 is a diagram showing traveling directions A, B, C, and D of ultrasonic waves transmitted from the probe 10. 往路スキャンにおいて表示される表示例を示す図である。It is a figure which shows the example of a display displayed in an outward scan. 復路の測定において表示される表示例を示す図である。It is a figure which shows the example of a display displayed in the measurement of a return path. 本実施形態の尿量測定器1のブロック図である。It is a block diagram of the urine volume measuring device 1 of this embodiment. 本実施形態の尿量測定器1における処理を示す処理フロー図である。It is a process flow figure which shows the process in the urine volume measuring device 1 of this embodiment. 微調整アルゴリズムを説明するための状態遷移図である。It is a state transition diagram for explaining a fine adjustment algorithm. 微調整アルゴリズムを説明するための状態遷移図である。It is a state transition diagram for explaining a fine adjustment algorithm. 微調整アルゴリズムを説明するための状態遷移図である。It is a state transition diagram for explaining a fine adjustment algorithm. 微調整アルゴリズムを説明するための状態遷移図である。It is a state transition diagram for explaining a fine adjustment algorithm. 微調整アルゴリズムを説明するための状態遷移図である。It is a state transition diagram for explaining a fine adjustment algorithm. 微調整アルゴリズムを説明するための状態遷移図である。It is a state transition diagram for explaining a fine adjustment algorithm. 微調整アルゴリズムを説明するための状態遷移図である。It is a state transition diagram for explaining a fine adjustment algorithm. 微調整アルゴリズムを説明するための状態遷移図である。It is a state transition diagram for explaining a fine adjustment algorithm. 微調整アルゴリズムを説明するための状態遷移図である。It is a state transition diagram for explaining a fine adjustment algorithm. 微調整アルゴリズムを説明するための状態遷移図である。It is a state transition diagram for explaining a fine adjustment algorithm. レベル表示の例を示す図である。It is a figure which shows the example of a level display.
 以下、本発明の実施の形態について、詳細に説明する。 Hereinafter, embodiments of the present invention will be described in detail.
 図1は、本実施形態の尿量測定器の外観を示す図であり、図2は尿量測定器1の使用状態例を示す図である。本実施形態の尿量測定器1は、図1に示すように、複数のプローブチャネル11a、11b、11c、11dを有するプローブ10が本体部20の一端に設けられ、本体部20には、さらにディスプレイ30とボタン40とスピーカ50と通信I/F(インタフェース)60とが設けられて構成されている。なお、説明のために、本明細書では、本体部20のディスプレイ30が設けられている側の面を「表示面」といい、その反対側の面を「裏面」という。この尿量測定器1は、超音波Aモードで測定を行うことができる。 FIG. 1 is a diagram showing an appearance of the urine volume measuring device of the present embodiment, and FIG. 2 is a diagram showing an example of a usage state of the urine volume measuring device 1. As shown in FIG. 1, the urine volume measuring device 1 of the present embodiment is provided with a probe 10 having a plurality of probe channels 11a, 11b, 11c, 11d at one end of a main body portion 20, and the main body portion 20 further includes A display 30, a button 40, a speaker 50, and a communication I / F (interface) 60 are provided and configured. For the sake of explanation, in this specification, the surface of the main body 20 on which the display 30 is provided is referred to as a “display surface”, and the opposite surface is referred to as a “rear surface”. The urine volume measuring device 1 can perform measurement in the ultrasonic A mode.
 本実施形態の尿量測定器1は、図2に示すように、ユーザ(測定者:被測定者と同一人または測定を行う介助者)によって、表示面が被測定者の顔に向かうように本体部20が把持され、被測定者が仰向けで横たわった状態(仰臥位)で恥骨部分にプローブ10が体の表面から垂直方向に押し当てられる。プローブ10が垂直方向に押し当てられた状態で膀胱の近傍部分を体の正中線に沿って尿量測定器1を往復させることで蓄尿量の測定が行われる。尿量測定器1を恥骨部分から臍方向(図2ではY1方向)に滑らせながら移動させる往路においては、蓄尿量が暫定的に最大値(暫定最大値ともいう)と特定される位置(最大値位置ともいう)のスキャンがなされる。その後、臍方向の逆方向である恥骨方向(図2ではY2方向)に滑らせながら移動させる復路においては、往路で特定した最大値位置に尿量測定器1を誘導し、その位置でさらに複数回の測定を行って詳細な演算により蓄尿量の最大値を決定する。そうすることで、最大値位置に誘導した上で、その定位置で複数回測定した値を演算して蓄尿量値の最大値を精度よく決定することができる。 As shown in FIG. 2, the urine volume measuring device 1 of the present embodiment allows a user (measurer: the same person as the person being measured or an assistant who performs the measurement) so that the display surface faces the person's face. The main body 20 is gripped, and the probe 10 is vertically pressed from the surface of the body to the pubis portion in a state in which the measurement subject lies on his back (supine position). The accumulated amount of urine is measured by moving the urine volume measuring device 1 back and forth along the midline of the body in the vicinity of the bladder with the probe 10 pressed vertically. In the outward path in which the urine volume measuring device 1 is moved while sliding in the umbilicus direction in the umbilicus direction (Y1 direction in FIG. 2), a position (maximum) at which the urine collection volume is provisionally identified as the maximum value (also referred to as provisional maximum value) (Also called a value position) is scanned. After that, in the return path in which the urine direction is opposite to the umbilicus direction (Y2 direction in FIG. 2) while sliding, the urine volume measuring device 1 is guided to the maximum value position specified in the outward path, and a plurality of urine volume measuring devices are further provided at that position. The maximum value of urine storage is determined by performing measurements once and performing detailed calculations. By doing so, it is possible to accurately determine the maximum value of the accumulated urine volume value by guiding to the maximum value position and then calculating the values measured a plurality of times at the fixed position.
 本実施形態の尿量測定器1では、測定位置によって測定できる蓄尿量が異なることを前提として、その正しい測定位置を特定してその位置で測定を行うことを意図しており、本来測定すべきなのは最大の値を示す蓄尿量である。したがって、被測定者に対して尿量測定器1を移動させて蓄尿量を測定し、その測定した値が暫定最大値となる位置を正しい測定位置として特定して、その特定した位置で改めて測定を行うことができる。すなわち、最適位置を探りながら測定位置を見つけるのではなく、全体をスキャンして最適位置を特定してその位置に導くことにより高精度の測定をすることができる。これにより、本実施形態の尿量測定器では、正しい測定位置で測定を行うことができ、専門的な知識がなくても正確な蓄尿量値の測定が可能であり、患者自身または患者以外の使用者が容易に取り扱いできる。 The urine volume measuring device 1 of the present embodiment is intended to specify the correct measurement position and perform the measurement at that position on the assumption that the measurable urine volume varies depending on the measurement position, and should be measured originally. What is the maximum amount of urine collection. Therefore, the urine volume measuring device 1 is moved with respect to the person to be measured, the urine accumulation amount is measured, the position where the measured value becomes the provisional maximum value is specified as the correct measurement position, and the measurement is performed again at the specified position. It can be performed. That is, rather than finding the measurement position while searching for the optimum position, it is possible to perform high-precision measurement by scanning the entire body, identifying the optimum position, and guiding the optimum position. Thereby, in the urine volume measuring device of the present embodiment, it is possible to perform the measurement at the correct measurement position, it is possible to accurately measure the urine volume value without specialized knowledge, and the patient himself or a patient other than The user can handle it easily.
 なお、暫定最大値は、復路における蓄尿量の最大値の詳細な演算により更新されることがある。 Note that the provisional maximum value may be updated by a detailed calculation of the maximum value of urine collection volume on the return trip.
 プローブ10は、複数のプローブチャネル11a、11b、11c、11dごとに、超音波の送受信を行なって、受信した超音波エコーに応じた受信信号を本体部20に供給する。すなわち、それぞれのプローブチャネル11a、11b、11c、11dが超音波を発信し、かつそれぞれのプローブチャネル11a、11b、11c、11dが反射波である超音波エコーを受信する。複数のプローブチャネル11a、11b、11c、11dについては、臍側から第1のチャネル11a、第2のチャネル11b、第3のチャネル11c、第4のチャネル11dとして説明する。 The probe 10 transmits and receives ultrasonic waves for each of the plurality of probe channels 11a, 11b, 11c, 11d, and supplies a reception signal corresponding to the received ultrasonic echo to the main body unit 20. That is, each probe channel 11a, 11b, 11c, 11d transmits an ultrasonic wave, and each probe channel 11a, 11b, 11c, 11d receives an ultrasonic echo which is a reflected wave. The plurality of probe channels 11a, 11b, 11c, 11d will be described as the first channel 11a, the second channel 11b, the third channel 11c, and the fourth channel 11d from the navel side.
 ここで、膀胱は、骨盤内にあるので、その解剖構造に基づいて特徴的な拡張をする。膀胱底部は骨盤底部の組織に密着して動きが束縛されており、尿の蓄積に伴う膀胱拡張は、比較的可動性のある小腸を押し退けながら、主として図2のY1方向に拡がっていくものであることがMRI測定により確認されている。本発明における尿量測定器1では、この拡張方向に沿って4つのプローブチャネル11a、11b、11c、11dが一定間隔に配列されている。 Here, the bladder is in the pelvis, so it will undergo a characteristic expansion based on its anatomy. The bladder bottom is tightly bound to the tissue of the pelvic floor and its movement is restricted, and the bladder expansion associated with the accumulation of urine spreads mainly in the Y1 direction in FIG. 2 while pushing away the relatively small intestine. It has been confirmed by MRI measurement. In the urine volume measuring device 1 according to the present invention, four probe channels 11a, 11b, 11c, 11d are arranged at regular intervals along the expansion direction.
 図3はプローブ10から発信された超音波の進行方向A、B、C、Dを示す図である。図3に示すように、本実施形態の尿量測定器1では、プローブ10から発信される超音波の一部の進行方向は傾いている。ディスプレイ30から離れるに従いその傾き角度が大きくなる。具体的には、ディスプレイ30に近い第1のチャネル11aから発信された超音波の進行方向Aは、プローブ10の端面10aに対して垂直であるが、第2のチャネル11b、第3のチャネル11cから発信された超音波の進行方向B、Cは図3に示すように表示面に対する角度が徐々に大きくなり、表示面から一番遠い第4のチャネル11dから発信された超音波の進行方向Dが表示面に対する角度が最も大きくなる。このように超音波の進行方向が傾いているのは、恥骨の裏側にある膀胱の壁を正確にとらえるためである。これにより、球面状の膀胱の底面に対して垂直に超音波が入射することによって膀胱の壁を正確にとらえることができる。 FIG. 3 is a diagram showing traveling directions A, B, C and D of ultrasonic waves transmitted from the probe 10. As shown in FIG. 3, in the urine volume measuring device 1 of the present embodiment, the traveling direction of part of the ultrasonic waves transmitted from the probe 10 is inclined. The tilt angle increases as the distance from the display 30 increases. Specifically, the traveling direction A of the ultrasonic wave transmitted from the first channel 11a close to the display 30 is perpendicular to the end surface 10a of the probe 10, but the second channel 11b and the third channel 11c. As shown in FIG. 3, the traveling directions B and C of the ultrasonic waves transmitted from the display device gradually increase in angle with respect to the display surface, and the traveling directions D of the ultrasonic waves transmitted from the fourth channel 11d farthest from the display surface. Has the largest angle with respect to the display surface. The reason the ultrasonic wave is inclined in this way is to accurately capture the wall of the bladder behind the pubis. Thus, the ultrasonic waves are incident perpendicularly to the spherical bottom surface of the bladder, so that the wall of the bladder can be accurately captured.
 ディスプレイ30は、往路において膀胱の全体像のスキャン(往路スキャン)が完了するまでは、スキャンの進行状況、すなわち、あとどのくらいスキャンする必要があるかを示す表示や、復路において最大値位置に誘導させるための表示を行う。往路スキャンは、膀胱の全体像をスキャンし、その結果、最大値位置を特定するものであり、その進行状況としては、例えば、(第1段階)膀胱の端をとらえた段階、(第2段階)膀胱の端をとらえてから測定した蓄尿量が増加している段階、(第3段階)蓄尿量の最大値を検出した段階、(第4段階)測定した蓄尿量が最大値の6割であることを検出した段階、(第5段階)測定した蓄尿量が最大値の4割であることを検出した段階などの5つの段階で進行状況を定義することができる。第3段階において蓄尿量の最大値を検出するのは、実際には、最大値位置を少し通過した時である。すなわち、蓄尿量が最大であることは測定値が増加から減少に転じ、過去の測定値の例えば8割となる測定値を検出した時にその過去の測定値が最大値であることが判断できる。なお、進行状況は、蓄尿量の最大値を検出した位置をユーザに知らせるためのものであり、その段階も5段階に限定されず、各段階の意味する内容も適宜定義することができる。蓄尿量の最大値の検出は修正されることもあり、修正される場合に第3段階から再び第2段階に戻ったりすることもある。例えば、測定値が増加から減少に転じ、過去の測定値の8割となる測定値を一旦検出したが、再び測定値が増加に転じ、最大と判断された測定値を超えたような場合は、修正がなされる。 The display 30 displays the progress of the scan, that is, how much more the scan needs to be performed, and guides the user to the maximum value position on the return path until the scan of the entire image of the bladder on the outward path (outgoing path scan) is completed. For display. The forward scan scans the entire image of the bladder, and as a result, identifies the maximum value position. As the progress status, for example, (first stage) the stage where the end of the bladder is captured, (second stage) ) When the amount of urine collection measured after catching the end of the bladder is increasing, (the third stage) the stage where the maximum value of the urine storage amount is detected, (the fourth stage), the measured urine storage amount is 60% of the maximum value. The progress status can be defined in five stages such as a stage where it is detected that there is a certain amount (the fifth stage), and a stage where it is detected that the measured urine storage amount is 40% of the maximum value. In the third step, the maximum value of the urine storage amount is detected when the maximum value position is slightly passed. That is, the maximum urine storage amount causes the measured value to change from increase to decrease, and when the measured value which is, for example, 80% of the past measured value is detected, it can be determined that the past measured value is the maximum value. The progress status is for notifying the user of the position where the maximum value of the urine storage amount is detected, and the number of stages is not limited to five stages, and the meaning of each stage can be defined as appropriate. The detection of the maximum value of the urine accumulation amount may be corrected, and if corrected, the third stage may be returned to the second stage again. For example, if the measured value changes from an increase to a decrease and 80% of the past measured value is once detected, but the measured value starts to increase again and exceeds the maximum measured value, , Corrections are made.
 ここでディスプレイ30における表示について説明する。図4は往路スキャンにおいて表示される表示例を示す図であり、図5は復路の測定において表示される表示例を示す図である。図4において、(a)は上記第1段階であることを示し、(b)は上記第2段階であることを示し、(c)は上記第3段階であることを示し、(d)は上記第4段階であることを示し、(e)は上記第5段階であることを示している。図5において、(a)は現在の測定位置が最大値位置であることを示し、(b)は現在の測定位置が最大値位置から臍方向にずれていることを示し、(c)は現在の測定位置が最大値位置から恥骨方向にずれていることを示している。 Here, the display on the display 30 will be described. FIG. 4 is a diagram showing a display example displayed in the forward scan, and FIG. 5 is a diagram showing a display example displayed in the return pass measurement. In FIG. 4, (a) indicates the first stage, (b) indicates the second stage, (c) indicates the third stage, and (d) indicates. It shows that it is the fourth stage, and (e) shows that it is the fifth stage. In FIG. 5, (a) shows that the current measurement position is the maximum value position, (b) shows that the current measurement position is displaced from the maximum value position in the umbilicus direction, and (c) shows the current position. It shows that the measurement position of is shifted from the maximum value position in the pubic direction.
 ディスプレイ30は、往路においては、例えば図4に示すように、5つの異なる表示のいずれかを表示することにより、往路スキャンが進行状況のどの段階であるのかをユーザに示すことができる。ディスプレイ30は、復路においては、例えば図5に示すように、3つの異なる表示のいずれかを表示することにより、現在の測定位置が臍側と恥骨側のどちら方向にずれているのかをユーザに示すことができる。図5では矢印によって示される測定位置が、最大値位置よりも臍側にずれている(図5(b))か最大値位置よりも恥骨側にずれている(図5(c))かを示すのみであるが、矢印の位置が図5(b)よりもさらに中心から臍側により離れた態様と、図5(c)よりも恥骨側により離れた態様との2つ以上の態様を追加するなどして、現在の測定位置をより詳細に示してもよい。 The display 30 can indicate to the user at which stage in the progress of the outward scan by displaying one of five different displays as shown in FIG. 4, for example, on the outward trip. On the return trip, the display 30 displays any one of three different displays, for example, as shown in FIG. 5, so that the user can determine which of the umbilical side and the pubic side the current measurement position deviates. Can be shown. In FIG. 5, whether the measurement position indicated by the arrow deviates to the umbilicus side from the maximum value position (FIG. 5 (b)) or the pubic side from the maximum value position (FIG. 5 (c)). Although only shown, two or more modes are added: a mode in which the position of the arrow is further away from the center than the center in FIG. 5B, and a mode in which the position is further away from the pubic side than in FIG. 5C. The current measurement position may be shown in more detail, for example.
 図1において、ボタン40は、尿量測定器1の電源をON/OFFしたり、尿量測定器1による測定を開始することを入力するためのボタンである。スピーカ50は、各種音声による通知を行う。 In FIG. 1, a button 40 is a button for inputting to turn on / off the power of the urine volume measuring instrument 1 or to start measurement by the urine volume measuring instrument 1. The speaker 50 gives notification by various kinds of voices.
 通信I/F(インタフェース)60は、必要に応じて、パソコンや携帯型端末と通信するためのインタフェースであり、例えば、USBポートや無線ポートを採用することができる。この通信I/F(インタフェース)60を介して、第2の記憶手段に記憶されている測定データをこれらの機器に送信することができる。 The communication I / F (interface) 60 is an interface for communicating with a personal computer or a portable terminal as needed, and for example, a USB port or a wireless port can be adopted. Through this communication I / F (interface) 60, the measurement data stored in the second storage means can be transmitted to these devices.
 図6は、本実施形態の尿量測定器1のブロック図である。図6に示すように、尿量測定器1は、プローブ10と、ディスプレイ30と、ボタン40と、スピーカ50と、通信I/F60と、これらに接続された制御部100とを備えて構成されている。 FIG. 6 is a block diagram of the urine volume measuring device 1 of the present embodiment. As shown in FIG. 6, the urine volume measuring device 1 includes a probe 10, a display 30, a button 40, a speaker 50, a communication I / F 60, and a control unit 100 connected to these. ing.
 制御部100は、超音波制御部110と、A/D変換部120と、演算部130と、記憶部140と、表示処理部150と、音声処理部160と、通信処理部170と、入力制御手部180とを、を備えている。演算部130は、測定部131と判定部135とを有しており、測定部131は、蓄尿量算出部132とチャネルパターン取得部133とを有し、判定部135は、スキャン判定部136と最大値判定部137と蓄尿量レベル判定部138とを有する。なお、本実施形態では、「スキャン判定部136」が、測定部131において測定された蓄尿量に基づいて蓄尿量が暫定最大値となる位置である最大値位置における蓄尿量とチャネルパターンとの組合せを特定する最大値位置特定部の機能を実行する。 The control unit 100 includes an ultrasonic wave control unit 110, an A / D conversion unit 120, a calculation unit 130, a storage unit 140, a display processing unit 150, a voice processing unit 160, a communication processing unit 170, and input control. And a hand portion 180. The calculation unit 130 includes a measurement unit 131 and a determination unit 135, the measurement unit 131 includes a urine accumulation amount calculation unit 132 and a channel pattern acquisition unit 133, and the determination unit 135 includes a scan determination unit 136. It has a maximum value determination unit 137 and a urine storage level determination unit 138. In the present embodiment, the “scan determination unit 136” combines the urine accumulation amount and the channel pattern at the maximum value position, which is the position where the urine accumulation amount becomes the provisional maximum value based on the urine accumulation amount measured by the measurement unit 131. It executes the function of the maximum value position specifying unit that specifies.
 A/D変換部120と、演算部130と、記憶部140と、表示処理部150と、音声処理部160と、通信処理部170とは、CPUで構成することができる。超音波制御部110は超音波制御回路で構成することができるし、CPUで構成することもできる。 The A / D conversion unit 120, the calculation unit 130, the storage unit 140, the display processing unit 150, the voice processing unit 160, and the communication processing unit 170 can be configured by a CPU. The ultrasonic wave control unit 110 can be composed of an ultrasonic wave control circuit or a CPU.
 超音波制御部110は、プローブ10を制御して超音波を発信するとともに、その超音波エコーを受信する。受信した超音波エコーは、チャネルごとにA/D変換部120を介して演算部130に送られる。 The ultrasonic control unit 110 controls the probe 10 to emit ultrasonic waves and receive the ultrasonic echoes. The received ultrasonic echo is sent to the calculation unit 130 via the A / D conversion unit 120 for each channel.
 演算部130に送られたチャネルごとに受信した超音波エコーに基づいて、測定部131において、蓄尿量が算出されるともに、どのチャネルで検出がされたのかを特定する。蓄尿量算出部132は、受信した超音波エコーから膀胱の奥行を推定し、推定した膀胱の奥行に基づいて蓄尿量を算出する。具体的には、i番目のチャネルにて受信した波形のうち、後壁からの超音波エコーのピーク強度をPi、前壁及び後壁からの超音波エコーの強度のピーク間距離をDiとすると、膀胱内の蓄尿量EUは、以下の式(1)、(2)に基づいて算出することができる。
 PD=ΣPi×Di・・・(1)
 EU=PD×R・・・・・(2)
Based on the ultrasonic echo received for each channel sent to the calculation unit 130, the measurement unit 131 calculates the urine accumulation amount and specifies which channel was used for detection. The urine accumulation amount calculation unit 132 estimates the depth of the bladder from the received ultrasonic echo, and calculates the urine accumulation amount based on the estimated depth of the bladder. Specifically, in the waveform received on the i-th channel, the peak intensity of the ultrasonic echo from the rear wall is Pi, and the peak-to-peak distance of the ultrasonic echo intensity from the front wall and the rear wall is Di. , EU in the bladder can be calculated based on the following equations (1) and (2).
PD = ΣPi × Di (1)
EU = PD × R (2)
 ここで、Pi、Diのiは複数のチャネル11a~11dに付された番号を意味しており、ここでは1から4までの整数となっている。また、PDは、各チャネル11a~11dで受信される超音波エコーの強度Piとピーク間の距離Diとの積をi=1~4につき加算することにより得られる平均指標値、EUは算出される蓄尿量、Rは解剖構造に基づく個人差や測定中の姿勢に対応して定められる係数を示す。したがって、この平均指標値PD及び蓄尿量EUは、複数のチャネル11a~11dで超音波の送受信をする毎に算出される。 Here, i in Pi and Di means a number given to the plurality of channels 11a to 11d, and is an integer from 1 to 4 here. Also, PD is an average index value obtained by adding the product of the intensity Pi of the ultrasonic echo received on each channel 11a to 11d and the distance Di between peaks for i = 1 to 4, and EU is calculated. The accumulated urine amount, R, represents a coefficient determined in accordance with the individual difference based on the anatomical structure and the posture being measured. Therefore, the average index value PD and the urine accumulation amount EU are calculated each time ultrasonic waves are transmitted and received through the plurality of channels 11a to 11d.
 チャネルパターン取得部133は、蓄尿量算出部132で算出された蓄尿量がどのチャネルパターンで受信した超音波エコーであるのかの情報を取得する。チャネルパターンとは、プローブ10の複数のプローブチャネル11a、11b、11c、11dのうちでどのチャネルで超音波エコーを受信したのかを示す情報である。具体的には、例えば、臍に一番近いチャネルである第1のチャネル11aのみで受信した場合に、第1のチャネル11aであるという情報であり、恥骨に一番近いチャネルとその隣のチャネルである第4のチャネルおよび第3のチャネルで受信した場合に、第4のチャネルおよび第3のチャネルであるという情報である。 The channel pattern acquisition unit 133 acquires information about which channel pattern the urine accumulation amount calculated by the urine accumulation amount calculation unit 132 is an ultrasonic echo. The channel pattern is information indicating which of the plurality of probe channels 11a, 11b, 11c, 11d of the probe 10 has received the ultrasonic echo. Specifically, for example, when it is received only on the first channel 11a that is the channel closest to the navel, it is the information that it is the first channel 11a, and the channel closest to the pubis and the channel next to it. It is the information that it is the fourth channel and the third channel when received on the fourth channel and the third channel.
 測定部131は、測定ごとに算出された蓄尿量とその蓄尿量を測定したときのチャネルパターンとを紐づけて測定データとして判定部135に渡すと共に記憶部140に記憶する。 The measurement unit 131 associates the urine accumulation amount calculated for each measurement with the channel pattern when the urine accumulation amount is measured, passes it to the determination unit 135 as measurement data, and stores it in the storage unit 140.
 ここで本実施形態の尿量測定器1では、往路スキャンおよび復路の測定はユーザが尿量測定器1を移動させることによって行うために、尿量測定器1自体では測定位置の制御をすることができない。したがって、スキャン判定部136は、測定部131で測定された蓄尿量とそのときの超音波エコーを受信したチャネルの情報(チャネルパターン)とにより尿量測定器1が測定している位置(測定位置)を判断している。具体的には、スキャン判定部136が、図2のY1方向に尿量測定器1を移動させながら行われる往路スキャンにおいて取得した測定データ(蓄尿量とチャネルパターン)を一時的に測定データとして記憶部140に記憶しておくことによって、Y1方向の各位置の測定データが記憶されることになる。スキャン判定部136は特に、最大値位置と特定された位置(最大値位置の前後の位置を含む)において取得した測定データを記憶部140に記憶しておく。復路において、最大値判定部137は、この記憶された測定データに基づいて尿量測定器1の位置と最大値位置との相対位置を判断することができる。 Here, in the urine volume measuring instrument 1 of the present embodiment, the forward scan and the return path are measured by the user moving the urine volume measuring instrument 1, and therefore the urine volume measuring instrument 1 itself controls the measurement position. I can't. Therefore, the scan determination unit 136 determines the position (measurement position) measured by the urine volume measuring device 1 based on the urine accumulation amount measured by the measurement unit 131 and the information (channel pattern) of the channel that received the ultrasonic echo at that time. ) Is determined. Specifically, the scan determination unit 136 temporarily stores, as the measurement data, the measurement data (the urine accumulation amount and the channel pattern) acquired in the outward scan performed while moving the urine amount measuring device 1 in the Y1 direction in FIG. By storing in the unit 140, the measurement data at each position in the Y1 direction is stored. In particular, the scan determination unit 136 stores in the storage unit 140 the measurement data acquired at the position specified as the maximum value position (including the positions before and after the maximum value position). On the return trip, the maximum value determination unit 137 can determine the relative position between the position of the urine volume measuring device 1 and the maximum value position based on the stored measurement data.
 スキャン判定部136は、往路スキャンにおいて進行状況がどの段階にあるかと、往路スキャンが完了したことを判定する。往路スキャンにおいては、図4に示すように最大値位置の蓄尿量を基準として進行状況を複数の段階に分けている。例えば、増加傾向にあった蓄尿量が減少に転じた場合に、最大値となった位置を最大値位置とすることができ、第3段階とすることができる。しかしながら、ノイズなどの影響で最大値でない位置でこのようなことが起こることがあり、いったん減少に転じた後に再び増加に転じることがあり、その場合は、第3段階から第2段階に戻ることがある。 The scan determination unit 136 determines at what stage the progress status is in the forward scan and whether the forward scan has been completed. In the outward scan, the progress status is divided into a plurality of stages based on the urine accumulation amount at the maximum value position as shown in FIG. For example, when the urine storage volume that has tended to increase turns to decrease, the position that has the maximum value can be set as the maximum value position, and can be the third stage. However, this may occur at a position where the maximum value is not reached due to the effects of noise, etc., and may start to decrease and then increase again. In that case, return from the third stage to the second stage. There is.
 往路スキャンにおいては、例えば、検出した最大値位置における蓄尿量の4割の蓄尿量であるという測定が、最大値位置を検出した後において所定回数連続して発生した場合(すなわち、図4で説明した例では第5段階となったと判断した場合)に、往路スキャンの完了と判定することができる。 In the forward scan, for example, when the measurement that the urine accumulation amount is 40% of the urine accumulation amount at the detected maximum value position occurs consecutively a predetermined number of times after the maximum value position is detected (that is, described in FIG. 4). In the above example, it is possible to determine that the outward scan is completed when it is determined that the fifth stage has been reached.
 スキャン判定部136は、往路スキャンの進行状況の変化や往路スキャンが完了したことを判定すると、その旨をユーザに知らせるために、表示処理部150や音声処理部160によりその旨の表示や通知を行う。 When the scan determination unit 136 determines that the progress of the forward scan is changed or the forward scan is completed, the scan processing unit 150 or the voice processing unit 160 displays or notifies the user of the change. To do.
 最大値判定部137は、復路の測定位置と最大値位置との相対関係の変化や復路での測定が完了したことを判定すると、その旨をユーザに知らせるために、表示処理部150や音声処理部160によりその旨の表示や通知を行う。本実施形態の尿量測定器1自体では測定位置の制御をすることができないので、最大値位置は、暫定最大値であると判定された蓄尿量とそれに紐づけられたチャネルパターンで特定する。最大値判定部137は、復路の測定において測定部131でその都度測定された測定データと、記憶部140に記憶された最大値位置の測定データとを元に、復路の測定位置と最大値位置との相対関係の変化を判定することができる。 When the maximum value determination unit 137 determines that the change in the relative relationship between the measurement position on the return path and the maximum value position or the measurement on the return path has been completed, the maximum value determination unit 137 notifies the user of that fact by the display processing unit 150 or the voice processing. The unit 160 displays and notifies that effect. Since the measurement position cannot be controlled by the urine volume measuring device 1 itself of the present embodiment, the maximum value position is specified by the urine accumulation amount determined to be the temporary maximum value and the channel pattern associated with it. The maximum value determination unit 137 determines the return path measurement position and the maximum value position based on the measurement data measured by the measurement unit 131 each time in the return path measurement and the maximum value position measurement data stored in the storage unit 140. The change in the relative relationship with can be determined.
 最大値判定部137は、最大値位置において測定された複数回の測定データから蓄尿量の最大値を演算して、蓄尿量を特定する。例えば、最大値位置で複数回測定し、最大値付近で複数の測定値を取り、その平均値を最大値とする。所定の基準を満たしている蓄尿量の最大値を蓄尿量の正確な値として特定し、復路の測定が完了したと判定することができる。蓄尿量が所定の基準を満たしていると判断するのは、例えば、最大値位置における複数回の測定により、最大値付近で複数の測定値が得られ、蓄尿量の正確な値が決定した場合である。 The maximum value determination unit 137 calculates the maximum value of the urine accumulation amount from the measurement data of a plurality of times measured at the maximum value position, and specifies the urine accumulation amount. For example, the measurement is performed a plurality of times at the maximum value position, a plurality of measurement values are taken in the vicinity of the maximum value, and the average value is set as the maximum value. It is possible to specify that the maximum value of the stored urine amount satisfying the predetermined criterion is specified as the accurate value of the stored urine amount, and that the measurement of the return path is completed. Judging that the urine storage volume meets the predetermined criteria is, for example, when multiple measurement values are obtained near the maximum value by multiple measurements at the maximum value position, and the accurate value of the urine storage volume is determined. Is.
 最大値判定部137は、蓄尿量の最大値の正確な値が測定できたと判定すると、蓄尿量レベル判定部138に蓄尿量の値を渡す。 When the maximum value determination unit 137 determines that the accurate maximum value of the urine storage amount can be measured, it passes the urine storage amount value to the urine storage amount level determination unit 138.
 蓄尿量レベル判定部138は、記憶部140の予め記憶された蓄尿量レベルと蓄尿量の最大値との対応付けしたテーブルを用いて、最大値判定部137から渡された蓄尿量の最大値の蓄尿量レベルを判定する。蓄尿量レベル判定部138は、判定した蓄尿量レベルを表示処理部150によりディスプレイ30に表示させる。蓄尿量レベル判定部138は、音声処理部160でスピーカ50によって判定した蓄尿量レベルを通知させてもよい。ユーザは通知された蓄尿量レベルにより排尿するかどうかを判断することができる。 The urine accumulation level determination unit 138 uses the table in the storage unit 140 in which the urine accumulation amount level stored in advance and the maximum urine accumulation amount are associated with each other to determine the maximum value of the urine accumulation amount passed from the maximum value determination unit 137. Determine urine collection level. The urine collection level determination unit 138 causes the display processing unit 150 to display the determined urine collection level on the display 30. The urine collection level determination unit 138 may notify the urine collection level determined by the speaker 50 by the audio processing unit 160. The user can determine whether to urinate or not based on the notified urine storage level.
 記憶部140は、測定部131において測定された最大値位置付近の蓄尿量とチャネルパターン(測定データ)とを各測定ごとに互いに紐づけて記憶する。また、蓄尿量レベルと蓄尿量の最大値との対応付けしたテーブルも記憶している。 The storage unit 140 stores the urine storage amount and the channel pattern (measurement data) near the maximum value position measured by the measurement unit 131 in association with each other for each measurement. It also stores a table in which the urine accumulation level and the maximum urine accumulation amount are associated with each other.
 表示処理部150は、演算部130において演算された結果に基づいて表示する表示内容を生成してディスプレイ30に表示する。 The display processing unit 150 generates display content to be displayed based on the result calculated by the calculation unit 130 and displays it on the display 30.
 音声処理部160は、演算部130において演算された結果に基づいて音声通知する通知内容を生成してスピーカ50で通知する。 The voice processing unit 160 generates notification content for voice notification based on the result calculated by the calculation unit 130, and notifies the speaker 50 of the content.
 通信処理部170は、有線または無線のネットワークを経由して外部機器と通信するデータを通信I/F60を介して入出力する。例えば、図示しない第2の記憶手段に測定した蓄尿量レベルをその測定の日時と紐づけて記憶しておき、通信処理部170は、この記憶されたデータを通信I/F60を介して入出力することにより、パソコンやスマホなどの外部機器のアプリ(ソフトウェア)で測定データを用いて排尿管理をすることができる。なお、第2の記憶手段は、flashメモリ、EEPROMなどにより構成することもできる。 The communication processing unit 170 inputs / outputs data for communicating with an external device via a wired or wireless network via the communication I / F 60. For example, the measured urine storage level is stored in a second storage means (not shown) in association with the date and time of the measurement, and the communication processing unit 170 inputs / outputs the stored data via the communication I / F 60. By doing so, it is possible to manage urination by using the measurement data with an application (software) of an external device such as a personal computer or a smartphone. The second storage means may be composed of a flash memory, an EEPROM or the like.
 次に、本実施形態の尿量測定器1を用いた測定について説明する。まず、ユーザは、本実施形態の尿量測定器1の表示面が臍に向かうように本体部20を把持し、仰向けに横たわった状態でプローブ10を恥骨部分の体の表面から垂直方向に押し当てる。ユーザがボタン40を押下すると、測定処理が開始される。測定処理では、ユーザが体の正中線に沿って恥骨から臍に向かう方向に尿量測定器1を移動させるときに往路スキャンがなされ、往路スキャンとは逆方向に向かって尿量測定器1を移動させるときに復路の測定がなされる。往路スキャンにより、時系列の測定データを取得するとともにどの測定データが最大値位置に対応しているのかを特定する。本実施形態の尿量測定器1では、さらに、復路の測定において測定位置の微調整を可能とする微調整アルゴリズムによりユーザによる微調整を可能とし、これにより専門的な知識が無くても精度の高い測定を容易に行えるようにしている。 Next, the measurement using the urine volume measuring device 1 of the present embodiment will be described. First, the user holds the main body portion 20 so that the display surface of the urine volume measuring device 1 of the present embodiment faces the navel, and pushes the probe 10 in a vertical direction from the body surface of the pubic portion while lying on the back. Hit When the user presses the button 40, the measurement process is started. In the measurement process, a forward scan is performed when the user moves the urine volume meter 1 in the direction from the pubis to the navel along the midline of the body, and the urine volume meter 1 is moved in the direction opposite to the forward scan. When moving, the return path is measured. By the forward scan, time-series measurement data is acquired and which measurement data corresponds to the maximum value position is specified. In the urine volume measuring device 1 of the present embodiment, the fine adjustment algorithm that enables fine adjustment of the measurement position in the return path measurement allows the user to perform fine adjustment. It makes high measurements easy.
 本実施形態の尿量測定器1では、往路スキャンの開始に先立って、ユーザに対し、尿量測定器1を恥骨から臍に向かう方向に尿量測定器1を移動させる旨の通知を行う。例えば、スキャン判定部136がスピーカ50やディスプレイ30により通知することができる。 The urine volume measuring instrument 1 of the present embodiment notifies the user that the urine volume measuring instrument 1 is moved in the direction from the pubis to the navel before starting the outward scan. For example, the scan determination unit 136 can notify by the speaker 50 or the display 30.
[往路スキャン]
 図7は本実施形態の尿量測定器1における処理を示す処理フロー図である。往路スキャンが開始すると、測定部131によって測定データの取得がなされる(S1)。具体的には、蓄尿量算出部132が蓄尿量を算出し、チャネルパターン取得部133が蓄尿量の検出に使用されたプローブ10のチャネルパターンを取得する。蓄尿量とチャネルパターンとは互いに紐づけられて記憶部140に記憶されるとともに判定部135に渡される。
[Outbound scan]
FIG. 7 is a processing flow chart showing processing in the urine volume measuring device 1 of the present embodiment. When the outward scan is started, the measurement data is acquired by the measurement unit 131 (S1). Specifically, the urine accumulation amount calculation unit 132 calculates the urine accumulation amount, and the channel pattern acquisition unit 133 acquires the channel pattern of the probe 10 used to detect the urine accumulation amount. The urine storage amount and the channel pattern are associated with each other, stored in the storage unit 140, and passed to the determination unit 135.
 往路スキャンは、最大値位置(その時の尿量およびチャネルパターンの組合せ)を特定するためのスキャン処理であり、その進行状況に応じて、ディスプレイ30には、図4のいずれかの表示がなされる。具体的には、スキャン開始して膀胱の端をとらえたときには図4(a)が表示され、その後順調に進行状況が進めば図4(b)、図4(c)、図4(d)、図4(e)が表示されることになる。 The outward scan is a scan process for specifying the maximum value position (a combination of the urine volume and the channel pattern at that time), and one of the displays in FIG. 4 is displayed on the display 30 according to the progress status. .. Specifically, FIG. 4A is displayed when the scan starts and the end of the bladder is captured, and then, if the progress progresses smoothly, FIG. 4B, FIG. 4C, and FIG. 4D. , FIG. 4 (e) will be displayed.
 判定部135のスキャン判定部136は、今回の測定が往路スキャンのどの段階にあるかに基づいて進行状況の変化があるか否かを判定する(S2)。S2において、スキャン判定部136は、例えば、測定部131においてその都度測定された蓄尿量と記憶部140に記憶されているその都度より前(直前およびその前の所定数回)に測定された蓄尿量とを用いて値を比較して、上述した第1の段階から第5の段階のうちのどの段階にあるのかを判定し、段階が変化したか否かを判定する。 The scan determination unit 136 of the determination unit 135 determines whether or not there is a change in the progress status based on which stage of the outward scan the current measurement is (S2). In S2, the scan determination unit 136, for example, the urine accumulation amount measured each time in the measurement unit 131 and the urine accumulation measured in each time (immediately before and a predetermined number of times before) stored in the storage unit 140 each time. The value is compared with the amount to determine which of the above-described first to fifth stages the process is in, and whether the stage has changed.
 スキャン判定部136は、進行状況の変化があると判定した場合(S2:Yes)は、表示処理部150によりディスプレイ30における表示を切り替えさせる(S3)。具体的には、図4(a)から(e)の表示のいずれかに切り替えさせる。S2またはS3の後、スキャン判定部136は、さらに、往路スキャンが完了したか否かを判定する(S4)。 If the scan determination unit 136 determines that the progress status has changed (S2: Yes), the display processing unit 150 switches the display on the display 30 (S3). Specifically, the display is switched to any of the displays shown in FIGS. After S2 or S3, the scan determination unit 136 further determines whether the outward scan has been completed (S4).
 スキャン判定部136は、進行状況の変化がないと判定した場合(S2:No)および往路スキャンが完了していない場合(S4:No)は、再び測定部131による測定(S1)に戻る。 If the scan determination unit 136 determines that there is no change in the progress status (S2: No) and the forward scan is not completed (S4: No), the measurement determination unit 131 returns to the measurement (S1) again.
 往路スキャンが完了した場合(S4:Yes)は、スキャン判定部136は、復路の測定に切り替える旨の通知をする(S5)。復路の測定に切り替える旨の通知は、例えば「スキャン方向を切り換えてください」などの音声アナウンスを音声処理部160により生成してスピーカ50により通知させたり、ディスプレイ30の表示を図4に示す往路スキャンの表示から図5に示す復路の測定の表示に切り替えるように、表示処理部150が表示内容を生成してディスプレイ30に表示する。 If the forward scan is completed (S4: Yes), the scan determination unit 136 notifies that the measurement will be switched to the backward scan (S5). The notification to the effect that switching to the return path measurement is performed, for example, by generating an audio announcement such as "switch scan direction" by the audio processing unit 160 and causing the speaker 50 to notify, or displaying the display 30 on the outward scan shown in FIG. The display processing unit 150 generates the display content and displays it on the display 30 so as to switch from the display of 1 to the display of the measurement of the return path shown in FIG.
[復路の測定]
 復路の測定は、臍付近から始まって往路スキャンで特定された最大値位置に戻すための処理を行うための測定、及び蓄尿量の最大値を測定する処理である。尿量測定器1を最大値位置に戻すため、その都度の測定位置と最大値位置との相対関係に応じて、ディスプレイ30には、図5のいずれかの表示がなされる。具体的には、復路の測定開始時にはその測定位置は臍付近であるので図5(b)が表示され、その後測定位置が恥骨方向に進んで最大値位置にちょうど合えば図5(a)が表示され、行き過ぎると図5(c)が表示されることになる。
[Return trip measurement]
The return pass measurement is a process for starting a process near the navel and returning to the maximum value position specified by the forward pass scan, and a process for measuring the maximum value of the urine accumulation amount. In order to return the urine volume measuring device 1 to the maximum value position, one of the displays shown in FIG. 5 is displayed on the display 30 according to the relative relationship between the measurement position and the maximum value position each time. Specifically, when the measurement of the return path is started, the measurement position is near the navel, so that FIG. 5 (b) is displayed. After that, when the measurement position advances in the pubic direction and exactly matches the maximum value position, FIG. 5 (a) is displayed. If it is displayed too much, then FIG. 5 (c) will be displayed.
 図7のS5の後、測定部131は、往路スキャンと同様に、測定データの取得を行ない(S6)、測定データを記憶部140に記憶すると共に判定部135に渡す。 After S5 in FIG. 7, the measurement unit 131 acquires the measurement data (S6) as in the forward scan, stores the measurement data in the storage unit 140, and passes the measurement data to the determination unit 135.
 判定部135の最大値判定部137は、測定データを受け取ると、その都度の測定データが最大値位置の測定データと一致しているかおよびズレがあるか否かに基づいて、その都度の測定位置と最大値位置との相対関係に変化があるのか否かを判定する(S7)。 When the maximum value determination unit 137 of the determination unit 135 receives the measurement data, the maximum value determination unit 137 receives the measurement data, and based on whether the measurement data at each time matches the measurement data at the maximum value position and whether there is a deviation, the measurement position at each time. It is determined whether or not there is a change in the relative relationship between the position and the maximum value position (S7).
 最大値判定部137は、相対関係に変化があった場合(S7:Yes)は、通知を切り替える処理を実行する指示を行う(S8)。通知を切り替える処理は、ディスプレイ30の表示を図5の(a)から(c)のうちで変化した相対関係を表す表示に切り替えるように表示処理部150は表示を生成し、必要に応じて音声処理部160はスピーカ50による音声通知を切り替えることによって実行する。例えば、その都度の測定位置が最大値位置よりも臍側であった状態から最大値位置と一致した状態に変化した場合は、図5(b)から図5(a)に表示が切り替わる。このとき、スピーカ50により移動を止める旨の指示のアナウンスがなされる。ユーザはこの指示にしたがって、正しい最大値位置において測定を行うべく、尿量測定器1を固定することができる。 If there is a change in the relative relationship (S7: Yes), the maximum value determination unit 137 gives an instruction to execute the process of switching the notification (S8). In the process of switching the notification, the display processing unit 150 generates the display so as to switch the display of the display 30 to the display showing the changed relative relationship in (a) to (c) of FIG. The processing unit 160 executes by switching the voice notification by the speaker 50. For example, when the measurement position at each time changes from the position closer to the umbilicus than the maximum value position to the state corresponding to the maximum value position, the display is switched from FIG. 5 (b) to FIG. 5 (a). At this time, the speaker 50 announces an instruction to stop the movement. According to this instruction, the user can fix the urine volume measuring device 1 in order to perform the measurement at the correct maximum position.
 相対関係の変化を判定し(S7)、必要な通知の切り替えがなされた後(S8)、最大値判定部137は、その都度の測定位置が最大値位置と一致すると判定されたか否かに基づいて、最大値の演算をするか否かを判定する(S9)。その都度の測定位置が最大値位置と一致すると判定された場合に、最大値の演算をすると判定し(S9:Yes)、最大値の演算を実行する(S10)。最大値の演算は、その最大値位置において測定部131による測定を複数回繰り返し、1回の蓄尿量レベルの判定に用いる蓄尿量の最大値を特定する処理である。1つの蓄尿量に対して複数回の測定を行うことによって得られた測定値から蓄尿量を特定することで、より正確な蓄尿量を求めることができるといえる。 After the change in the relative relationship is determined (S7), and the necessary notification is switched (S8), the maximum value determination unit 137 determines whether or not the measurement position at each time matches the maximum value position. Then, it is determined whether or not the maximum value is calculated (S9). When it is determined that the measurement position at each time coincides with the maximum value position, it is determined that the maximum value is calculated (S9: Yes), and the maximum value is calculated (S10). The calculation of the maximum value is a process in which the measurement by the measuring unit 131 is repeated a plurality of times at the maximum value position and the maximum value of the urine storage amount used for one determination of the urine storage amount level is specified. It can be said that a more accurate urine storage amount can be obtained by specifying the urine storage amount from the measured value obtained by performing the measurement a plurality of times for one urine storage amount.
 最大値判定部137は、最大値の演算をすると、最大値の演算が完了した(復路の測定が完了した)か否かを判定する(S11)。例えば、S10の処理において最大値の演算として、最大値付近で複数の測定値を取り、その平均値を最大値とする処理を行う。S11の処理では、その最大値を正確な蓄尿量として特定し、最大値の演算が完了したと判定する。 After calculating the maximum value, the maximum value determination unit 137 determines whether or not the calculation of the maximum value has been completed (the return path measurement has been completed) (S11). For example, as the calculation of the maximum value in the process of S10, a process of taking a plurality of measurement values near the maximum value and setting the average value as the maximum value is performed. In the process of S11, the maximum value is specified as an accurate urine storage amount, and it is determined that the calculation of the maximum value is completed.
 最大値判定部137は、最大値の演算が完了したと判定された場合(S11:Yes)に、特定した蓄尿量を蓄尿量レベル判定部138に渡し、蓄尿量レベル判定部138は、受け取った蓄尿量がどの蓄尿量レベルに該当するかを判定し、判定した蓄尿量レベルをディスプレイ30に表示させる(S12)。 When it is determined that the calculation of the maximum value is completed (S11: Yes), the maximum value determination unit 137 passes the identified urine storage amount to the urine storage amount level determination unit 138, and the urine storage amount level determination unit 138 receives it. It is determined which urine accumulation level the urine accumulation corresponds to, and the determined urine accumulation level is displayed on the display 30 (S12).
 図18は蓄尿量レベルの表示の例を示す図である。蓄尿量レベル判定部138が蓄尿量レベルを判定すると、表示処理部150は判定した蓄尿量レベルの表示を生成しディスプレイ30に例えば図18に示すようなレベル表示を表示させる(S12)。蓄尿量のレベルは、例えば4つのレベルで示すことができる。図18では第3のレベル、すなわち、膀胱許容量の半分以上であるが、限界ではないことを示している。 FIG. 18 is a diagram showing an example of the display of the urine storage level. When the urine collection level determination unit 138 determines the urine collection level, the display processing unit 150 generates a display of the determined urine collection level and causes the display 30 to display a level display such as that shown in FIG. 18 (S12). The level of stored urine can be indicated by, for example, four levels. FIG. 18 shows that the third level, that is, half or more of the allowable bladder capacity, is not the limit.
[微調整アルゴリズム]
 図8から図17は復路の測定における微調整アルゴリズムを説明するための状態遷移図である。微調整アルゴリズムは、復路の測定において現在の測定位置と最大値位置との相対関係が変化したと判断された場合(図7のS7においてYes)に、S8でどのように通知を切り替えるのかのアルゴリズムである。それぞれの図には、尿量測定器1から発信された超音波と恥骨Tおよび膀胱Sとの関係と、チャネルパターン(図示上から第1のチャネル、第2のチャネル、第3のチャネル、第4のチャネルが示されている。)と、ディスプレイ30における表示状態とが尿量測定器1の移動に伴って遷移することが示されている。復路の測定は、最大値位置におけるチャネルパターンによって処理が異なる。最大値位置における反応センサが4つのチャネルのうちのいずれか1つのチャネルであるチャネルパターン(図8~11)と、最大値位置における反応センサが4つのチャネルのうちのいずれか2つのチャネルであるチャネルパターン(図12~14)と、最大値位置における反応センサが4つのチャネルのうちのいずれか3つのチャネルであるチャネルパターン(図15、16)と、最大値位置における反応センサが4つのチャネル全部であるチャネルパターン(図17)とのいずれかである。
[Fine adjustment algorithm]
8 to 17 are state transition diagrams for explaining the fine adjustment algorithm in the return path measurement. The fine adjustment algorithm is an algorithm of how to switch the notification in S8 when it is determined that the relative relationship between the current measurement position and the maximum value position has changed in the return path measurement (Yes in S7 of FIG. 7). Is. In each figure, the relationship between the ultrasonic waves transmitted from the urine volume measuring device 1 and the pubis T and the bladder S, and the channel patterns (from the top of the drawing, the first channel, the second channel, the third channel, the 4 channels) and the display state on the display 30 are shown to transition with the movement of the urine volume measuring device 1. The processing of the return path measurement differs depending on the channel pattern at the maximum value position. A channel pattern in which the reaction sensor at the maximum position is any one of the four channels (FIGS. 8 to 11) and the reaction sensor at the maximum position is any two of the four channels Channel patterns (FIGS. 12 to 14), a channel pattern in which the reaction sensor at the maximum value position is any three of the four channels (FIGS. 15 and 16), and four reaction sensors at the maximum value position It is either the entire channel pattern (FIG. 17).
(最大値位置において第4のチャネルのみが反応する場合)
 この場合、図8(a)に示す状態が最大値位置にあるときのものである。この状態では、プローブ10の第4のチャネルから発信された超音波のみが膀胱に入射し、チャネルパターンは第4のチャネルのみが受信状態にある。この最大値位置は、往路の測定において推定されたものであり、このチャネルパターンに合わせるように尿量測定器1を誘導する。ディスプレイ30における表示は、復路の測定において表示されるものであり、最大値位置であることを示す図5(a)が表示されることになる。
(When only the fourth channel responds at the maximum position)
In this case, the state shown in FIG. 8A is at the maximum value position. In this state, only the ultrasonic wave emitted from the fourth channel of the probe 10 is incident on the bladder, and the channel pattern is in the receiving state only in the fourth channel. This maximum value position is estimated in the outward measurement, and the urine volume measuring instrument 1 is guided so as to match this channel pattern. The display on the display 30 is displayed in the measurement of the return path, and FIG. 5A showing the maximum value position is displayed.
 第1に、復路の測定が開始されて、尿量測定器1が臍付近にあり、まだ膀胱をとらえていない場合は、図8(b)に示す状態となる。 First, when the measurement of the return path is started and the urine volume meter 1 is near the navel, and the bladder has not yet been caught, the state shown in FIG. 8 (b) is obtained.
 第2に、尿量測定器1を下げていって(恥骨側に移動させて)プローブチャネル11dの超音波のみ膀胱に当たった場合に、図8(a)に示す状態となる。この状態は、最大値位置とチャネルパターンが一致しているため、ディスプレイ30には図5(a)に示す表示がなされる。ユーザはこの表示を確認することにより、現在の測定位置が最大値位置であることを判断することができるので、ここで動きを止めることができる。 Second, when the urine volume measuring device 1 is lowered (moved to the pubic side) and only the ultrasonic waves of the probe channel 11d hit the bladder, the state shown in FIG. 8 (a) is obtained. In this state, since the maximum value position and the channel pattern match, the display 30 displays the display shown in FIG. By confirming this display, the user can determine that the current measurement position is the maximum value position, and can stop the movement here.
 本来は、ここでユーザは尿量測定器1の移動を止めるべきだが、説明の為に更に尿量測定器1を下(恥骨側)に移動させてしまったことを想定して以下に説明する。 Originally, the user should stop moving the urine volume measuring device 1 here, but the following description will be given assuming that the user has further moved the urine volume measuring device 1 downward (pubic side). ..
 第3に、尿量測定器1を最大値位置から更に恥骨側に移動させてしまってプローブチャネル11dから発信した超音波は恥骨に当たり、プローブチャネル11cから発信した超音波のみ膀胱に当たった場合は、図8(c)に示す状態となる。 Thirdly, when the urine volume measuring device 1 is moved further from the maximum value position to the pubis side and the ultrasonic wave emitted from the probe channel 11d hits the pubis, and only the ultrasonic wave emitted from the probe channel 11c hits the bladder. The state shown in FIG.
 第4に、尿量測定器1を最大値位置から更に恥骨側に移動させてしまってプローブチャネル11d、11cから発信した超音波は恥骨に当たり、プローブチャネル11bから発信した超音波のみ膀胱に当たった場合は、図8(d)に示す状態となる。 Fourthly, the ultrasonic waves emitted from the probe channels 11d and 11c by moving the urine volume measuring device 1 further from the maximum position to the pubic side hit the pubis, and only the ultrasonic waves emitted from the probe channel 11b hit the bladder. In this case, the state shown in FIG.
 第5に、尿量測定器1を最大値位置から更に恥骨側に移動させてしまってプローブチャネル11d、11c、11bから発信した超音波は恥骨に当たり、プローブチャネル11aから発信した超音波のみ膀胱に当たった場合は、図8(e)に示す状態となる。 Fifthly, the ultrasonic waves emitted from the probe channels 11d, 11c and 11b by moving the urine volume measuring device 1 further from the maximum value position to the pubis side hit the pubis and only the ultrasonic waves emitted from the probe channel 11a enter the bladder. When it hits, the state shown in FIG.
 さらに、ユーザが第5の状態(図8(d)の状態)から尿量測定器1を臍側に移動させた場合について説明する。 Further, a case where the user moves the urine volume measuring device 1 from the fifth state (the state shown in FIG. 8D) to the navel side will be described.
 第6に、尿量測定器1を第5の状態から少し臍側に移動させて、プローブチャネル11d、11cから発信した超音波は恥骨に当たり、プローブチャネル11bから発信した超音波のみ膀胱に当たった場合は、図8(d)に示す状態となる。つまり、上記第4と同じ状態となる。 Sixthly, by moving the urine volume measuring device 1 slightly from the fifth state to the umbilicus side, the ultrasonic waves emitted from the probe channels 11d and 11c hit the pubis, and only the ultrasonic waves emitted from the probe channel 11b hit the bladder. In this case, the state shown in FIG. That is, the same state as the above-mentioned fourth state is obtained.
 第7に、尿量測定器1を更に少し臍側に移動させて、プローブチャネル11dから発信した超音波は恥骨に当たり、プローブチャネル11cから発信した超音波のみ膀胱に当たった場合は、図8(c)に示す状態となる。つまり、上記第3と同じ状態となる。 Seventhly, when the urine volume measuring device 1 is moved a little further to the navel side, the ultrasonic waves emitted from the probe channel 11d hit the pubis, and only the ultrasonic waves emitted from the probe channel 11c hit the bladder. The state shown in c) is obtained. That is, the same state as the third state is obtained.
 第8に、尿量測定器1を更に更に臍側に移動させて、プローブチャネル11dから発信した超音波のみ膀胱に当たった場合は、図8(a)に示す状態となる。つまり、上記第2と同じ状態となる。この位置は最大値位置なので、尿量測定器1をそこに止めて正確な尿量値を測定することができる。 Eighth, when the urine volume measuring device 1 is moved further to the navel side and only the ultrasonic waves transmitted from the probe channel 11d hit the bladder, the state shown in FIG. 8 (a) is obtained. That is, the same state as that of the second state is obtained. Since this position is the maximum value position, the urine volume measuring device 1 can be stopped there to measure an accurate urine volume value.
 最大値判定部137は、往路において、最大値位置となる蓄尿量とチャネルパターンの組み合わせを基準として最大値位置に近づくように誘導する。誘導はスピーカ50やディスプレイ30における通知によって行うことができる。 The maximum value determination unit 137 guides the user to approach the maximum value position on the outward path on the basis of the combination of the urine accumulation amount and the channel pattern that is the maximum value position. The guidance can be performed by a notification on the speaker 50 or the display 30.
 図8(b)の場合は、尿量測定器1の測定位置が最大値位置よりも臍側にずれているので、恥骨側に誘導するべく、ディスプレイ30には図5(b)が表示されることとなる。 In the case of FIG. 8B, since the measurement position of the urine volume measuring device 1 is displaced to the umbilicus side from the maximum value position, FIG. 5B is displayed on the display 30 to guide the pubic side. The Rukoto.
 図8(c)、(d)、(e)の場合は、尿量測定器1の測定位置が最大値位置よりも恥骨側にずれているので、臍側に誘導するべく、ディスプレイ30には図5(c)が表示されることとなる。 In the case of FIGS. 8C, 8D, and 8E, since the measurement position of the urine volume measuring device 1 is deviated to the pubic side from the maximum value position, the display 30 is displayed on the display 30 to guide it to the umbilicus side. FIG. 5C will be displayed.
(最大値位置において第3のチャネルのみが反応する場合)
 この場合、図9(a)に示す状態が最大値位置にあるときのものである。この状態では、プローブ10の第3のチャネルから発信された超音波のみが膀胱に入射し、チャネルパターンは第3のチャネルのみが受信状態にある。ディスプレイ30における表示は、最大値位置であることを示す図5(a)が表示されることになる。
(When only the third channel responds at the maximum position)
In this case, the state shown in FIG. 9A is at the maximum value position. In this state, only the ultrasonic wave transmitted from the third channel of the probe 10 is incident on the bladder, and only the third channel of the channel pattern is in the receiving state. As for the display on the display 30, FIG. 5A showing that it is at the maximum value position is displayed.
 最大値位置におけるチャネルパターンが図9(a)に示すチャネルパターンである場合は、復路の測定は、臍付近から開始して、図9(b)に示す状態であり、尿量測定器1を恥骨側に近づけていくと、図9(c)に示す状態となり、測定位置が最大値位置と一致すると、図9(a)に示す状態となる。 When the channel pattern at the maximum value position is the channel pattern shown in FIG. 9 (a), the return path measurement starts from near the navel and is in the state shown in FIG. 9 (b). 9A and 9B. When approaching the pubic side, the state shown in FIG. 9C is obtained, and when the measurement position coincides with the maximum value position, the state shown in FIG. 9A is obtained.
 一旦、最大値位置に到達しチャネルパターンが図9(a)に示す状態となった後に、尿量測定器1を更に恥骨側に近づけていくと、図9(d)に示す状態となり、さらに図9(e)に示す状態となる。図9(d)、図9(e)に示す状態となった場合は、最大値判定部137は、尿量測定器1を臍側に移動させるように、ユーザに通知することができる。 Once the maximum value position is reached and the channel pattern is in the state shown in FIG. 9 (a), when the urine volume measuring device 1 is brought closer to the pubic side, the state shown in FIG. 9 (d) is obtained. The state shown in FIG. 9E is obtained. In the case of the state shown in FIG. 9D and FIG. 9E, the maximum value determination unit 137 can notify the user to move the urine volume measuring device 1 to the umbilicus side.
 最大値判定部137は、往路において、最大値位置となる蓄尿量とチャネルパターンの組み合わせを基準として最大値位置に近づくように誘導する。誘導はスピーカ50やディスプレイ30における通知によって行うことができる。 The maximum value determination unit 137 guides the user to approach the maximum value position on the outward path on the basis of the combination of the urine accumulation amount and the channel pattern that is the maximum value position. The guidance can be performed by a notification on the speaker 50 or the display 30.
 図9(b)、(c)の場合は、尿量測定器1の測定位置が最大値位置よりも臍側にずれているので、恥骨側に誘導するべく、ディスプレイ30には図5(b)が表示されることとなる。 In the case of FIGS. 9B and 9C, since the measurement position of the urine volume measuring device 1 is displaced to the umbilicus side from the maximum value position, FIG. ) Will be displayed.
 図9(d)、(e)の場合は、尿量測定器1の測定位置が最大値位置よりも恥骨側にずれているので、臍側に誘導するべく、ディスプレイ30には図5(c)が表示されることとなる。 In the case of FIGS. 9D and 9E, since the measurement position of the urine volume measuring device 1 is deviated to the pubic side from the maximum value position, FIG. ) Will be displayed.
(最大値位置において第2のチャネルのみが反応する場合)
 この場合、図10(a)に示す状態が最大値位置にあるときのものである。この状態では、プローブ10の第2のチャネルから発信された超音波のみが膀胱に入射し、チャネルパターンは第2のチャネルのみが受信状態にある。ディスプレイ30における表示は、最大値位置であることを示す図5(a)が表示されることになる。
(When only the second channel responds at the maximum position)
In this case, the state shown in FIG. 10A is at the maximum value position. In this state, only the ultrasonic waves emitted from the second channel of the probe 10 are incident on the bladder, and the channel pattern is in the receiving state only in the second channel. As for the display on the display 30, FIG. 5A showing that it is at the maximum value position is displayed.
 最大値位置におけるチャネルパターンが図10(a)に示すチャネルパターンである場合は、復路の測定は、臍付近から開始して、図10(b)に示す状態であり、尿量測定器1を恥骨側に近づけていくと、図10(c)に示す状態となった後、図10(d)に示す状態となり、測定位置が最大値位置と一致すると、図10(a)に示す状態となる。 When the channel pattern at the maximum value position is the channel pattern shown in FIG. 10 (a), the return path measurement starts from near the navel and is in the state shown in FIG. 10 (b). When approaching the pubic side, the state shown in FIG. 10 (c) is reached, then the state shown in FIG. 10 (d) is reached, and when the measurement position matches the maximum value position, the state shown in FIG. Become.
 一旦、最大値位置に到達しチャネルパターンが図10(a)に示す状態となった後に、尿量測定器1を更に恥骨側に近づけていくと、図10(e)に示す状態となり、さらに図10(f)に示す状態となる。図10(d)、図10(e)に示す状態となった場合は、最大値判定部137は、尿量測定器1を臍側に移動させるように、ユーザに通知することができる。 Once the maximum value position is reached and the channel pattern is in the state shown in FIG. 10 (a), when the urine volume measuring device 1 is brought closer to the pubic side, the state shown in FIG. 10 (e) is obtained. The state shown in FIG. In the case of the states shown in FIGS. 10D and 10E, the maximum value determination unit 137 can notify the user to move the urine volume measuring device 1 to the umbilicus side.
 最大値判定部137は、往路において、最大値位置となる蓄尿量とチャネルパターンの組み合わせを基準として最大値位置に近づくように誘導する。誘導はスピーカ50やディスプレイ30における通知によって行うことができる。 The maximum value determination unit 137 guides the user to approach the maximum value position on the outward path on the basis of the combination of the urine accumulation amount and the channel pattern that is the maximum value position. The guidance can be performed by a notification on the speaker 50 or the display 30.
 図10(b)、(c)、(d)の場合は、尿量測定器1の測定位置が最大値位置よりも臍側にずれているので、恥骨側に誘導するべく、ディスプレイ30には図5(b)が表示されることとなる。 In the case of FIGS. 10B, 10C, and 10D, since the measurement position of the urine volume measuring device 1 is displaced to the umbilicus side from the maximum value position, the display 30 is displayed on the display 30 to guide it to the pubic side. FIG. 5B will be displayed.
 図10(e)、(f)の場合は、尿量測定器1の測定位置が最大値位置よりも恥骨側にずれているので、臍側に誘導するべく、ディスプレイ30には図5(c)が表示されることとなる。 In the case of FIGS. 10 (e) and 10 (f), since the measurement position of the urine volume measuring device 1 is displaced to the pubic side from the maximum value position, FIG. ) Will be displayed.
(最大値位置において第1のチャネルのみが反応する場合)
 この場合、図11(a)に示す状態が最大値位置にあるときのものである。この状態では、プローブ10の第1のチャネルから発信された超音波のみが膀胱に入射し、チャネルパターンは第1のチャネルのみが受信状態にある。ディスプレイ30における表示は、最大値位置であることを示す図5(a)が表示されることになる。
(When only the first channel responds at the maximum position)
In this case, the state shown in FIG. 11A is at the maximum value position. In this state, only the ultrasonic waves emitted from the first channel of the probe 10 are incident on the bladder, and the channel pattern is in the receiving state only in the first channel. As for the display on the display 30, FIG. 5A showing that it is at the maximum value position is displayed.
 最大値位置におけるチャネルパターンが図11(a)に示すチャネルパターンである場合は、復路の測定は、臍付近から開始して、図11(b)に示す状態であり、尿量測定器1を恥骨側に近づけていくと、図11(c)に示す状態となった後、図11(d)に示す状態となり、測定位置が最大値位置と一致すると、図11(a)に示す状態となる。 When the channel pattern at the maximum value position is the channel pattern shown in FIG. 11 (a), the return path measurement starts from near the navel and is in the state shown in FIG. 11 (b). When approaching the pubic side, the state shown in FIG. 11 (c) is reached, and then the state shown in FIG. 11 (d) is reached. When the measurement position matches the maximum value position, the state shown in FIG. 11 (a) is obtained. Become.
 一旦、最大値位置に到達しチャネルパターンが図11(a)に示す状態となった後に、尿量測定器1を更に恥骨側に近づけていくと、図11(e)に示す状態となる。図11(e)に示す状態となった場合は、最大値判定部137は、尿量測定器1を臍側に移動させるように、ユーザに通知することができる。 Once the maximum value position is reached and the channel pattern is in the state shown in FIG. 11 (a), when the urine volume measuring device 1 is brought closer to the pubic side, the state shown in FIG. 11 (e) is obtained. In the case of the state shown in FIG. 11E, the maximum value determination unit 137 can notify the user to move the urine volume measuring device 1 to the navel side.
 最大値判定部137は、往路において、最大値位置となる蓄尿量とチャネルパターンの組み合わせを基準として最大値位置に近づくように誘導する。誘導はスピーカ50やディスプレイ30における通知によって行うことができる。 The maximum value determination unit 137 guides the user to approach the maximum value position on the outward path on the basis of the combination of the urine accumulation amount and the channel pattern that is the maximum value position. The guidance can be performed by a notification on the speaker 50 or the display 30.
 図11(b)、(c)、(d)の場合は、尿量測定器1の測定位置が最大値位置よりも臍側にずれているので、恥骨側に誘導するべく、ディスプレイ30には図5(b)が表示されることとなる。 In the case of FIGS. 11B, 11C, and 11D, since the measurement position of the urine volume measuring device 1 is deviated to the umbilicus side from the maximum value position, the display 30 is displayed on the display 30 to guide it to the pubic side. FIG. 5B will be displayed.
 図11(e)の場合は、尿量測定器1の測定位置が最大値位置よりも恥骨側にずれているので、臍側に誘導するべく、ディスプレイ30には図5(c)が表示されることとなる。 In the case of FIG. 11E, the measurement position of the urine volume measuring device 1 is displaced to the pubic side from the maximum value position, so that the display 30 displays FIG. 5C to guide it to the umbilicus side. The Rukoto.
(最大値位置において第4のチャネルおよび第3のチャネルが反応する場合)
 この場合、図12(a)に示す状態が最大値位置にあるときのものである。この状態では、プローブ10の第3のチャネルおよび第4のチャネルから発信された超音波のみが膀胱に入射し、チャネルパターンは第3のチャネルおよび第4のチャネルのみが受信状態にある。ディスプレイ30における表示は、最大値位置であることを示す図5(a)が表示されることになる。
(When the fourth channel and the third channel react at the maximum position)
In this case, the state shown in FIG. 12A is at the maximum value position. In this state, only the ultrasonic waves transmitted from the third channel and the fourth channel of the probe 10 are incident on the bladder, and the channel pattern is in the receiving state only in the third channel and the fourth channel. As for the display on the display 30, FIG. 5A showing that it is at the maximum value position is displayed.
 最大値位置におけるチャネルパターンが図12(a)に示すチャネルパターンである場合は、復路の測定は、臍付近から開始して、図12(b)に示す状態であり、尿量測定器1を恥骨側に近づけていくと、図12(c)に示す状態となり、測定位置が最大値位置と一致すると、図12(a)に示す状態となる。 When the channel pattern at the maximum value position is the channel pattern shown in FIG. 12 (a), the return path measurement starts from near the navel and is in the state shown in FIG. 12 (b). When approaching the pubic side, the state shown in FIG. 12C is obtained, and when the measurement position matches the maximum value position, the state shown in FIG. 12A is obtained.
 一旦、最大値位置に到達しチャネルパターンが図12(a)に示す状態となった後に、尿量測定器1を更に恥骨側に近づけていくと、図12(d)に示す状態となった後、図12(e)に示す状態となる。図12(d)に示す状態および図12(e)に示す状態となった場合は、最大値判定部137は、尿量測定器1を臍側に移動させるように、ユーザに通知することができる。 Once the maximum value position is reached and the channel pattern is in the state shown in FIG. 12 (a), when the urine volume measuring instrument 1 is brought closer to the pubic side, the state shown in FIG. 12 (d) is obtained. After that, the state shown in FIG. In the state shown in FIG. 12D and the state shown in FIG. 12E, the maximum value determination unit 137 may notify the user to move the urine volume measuring device 1 to the umbilicus side. it can.
 最大値判定部137は、往路において、最大値位置となる蓄尿量とチャネルパターンの組み合わせを基準として最大値位置に近づくように誘導する。誘導はスピーカ50やディスプレイ30における通知によって行うことができる。 The maximum value determination unit 137 guides the user to approach the maximum value position on the outward path on the basis of the combination of the urine accumulation amount and the channel pattern that is the maximum value position. The guidance can be performed by a notification on the speaker 50 or the display 30.
 図12(b)、(c)の場合は、尿量測定器1の測定位置が最大値位置よりも臍側にずれているので、恥骨側に誘導するべく、ディスプレイ30には図5(b)が表示されることとなる。 In the case of FIGS. 12B and 12C, since the measurement position of the urine volume measuring device 1 is deviated to the umbilicus side from the maximum value position, FIG. ) Will be displayed.
 図12(d)、(e)の場合は、尿量測定器1の測定位置が最大値位置よりも恥骨側にずれているので、臍側に誘導するべく、ディスプレイ30には図5(c)が表示されることとなる。 In the case of FIGS. 12D and 12E, since the measurement position of the urine volume measuring device 1 is deviated to the pubic side from the maximum value position, FIG. ) Will be displayed.
(最大値位置において第3のチャネルおよび第2のチャネルが反応する場合)
 この場合、図13(a)に示す状態が最大値位置にあるときのものである。この状態では、プローブ10の第2のチャネルおよび第3のチャネルから発信された超音波のみが膀胱に入射し、チャネルパターンは第2のチャネルおよび第3のチャネルのみが受信状態にある。ディスプレイ30における表示は、最大値位置であることを示す図5(a)が表示されることになる。
(When the third channel and the second channel react at the maximum position)
In this case, the state shown in FIG. 13A is at the maximum value position. In this state, only the ultrasonic waves emitted from the second channel and the third channel of the probe 10 are incident on the bladder, and the channel pattern is in the receiving state only in the second channel and the third channel. As for the display on the display 30, FIG. 5A showing that it is at the maximum value position is displayed.
 最大値位置におけるチャネルパターンが図13(a)に示すチャネルパターンである場合は、復路の測定は、臍付近から開始して、図13(b)に示す状態であり、尿量測定器1を恥骨側に近づけていくと、図13(c)に示す状態となり、測定位置が最大値位置と一致すると、図13(a)に示す状態となる。 When the channel pattern at the maximum value position is the channel pattern shown in FIG. 13 (a), the return path measurement starts from the vicinity of the navel and is in the state shown in FIG. 13 (b). When approaching the pubic side, the state shown in FIG. 13C is obtained, and when the measurement position matches the maximum value position, the state shown in FIG. 13A is obtained.
 一旦、最大値位置に到達しチャネルパターンが図13(a)に示す状態となった後に、尿量測定器1を更に恥骨側に近づけていくと、図13(d)に示す状態となった後、図13(e)に示す状態となる。図13(d)に示す状態および図13(e)に示す状態となった場合は、最大値判定部137は、尿量測定器1を臍側に移動させるように、ユーザに通知することができる。 Once the maximum value position is reached and the channel pattern is in the state shown in FIG. 13 (a), when the urine volume measuring device 1 is brought closer to the pubic side, the state shown in FIG. 13 (d) is obtained. After that, the state shown in FIG. In the case of the state shown in FIG. 13D and the state shown in FIG. 13E, the maximum value determination unit 137 may notify the user to move the urine volume measuring device 1 to the umbilicus side. it can.
 最大値判定部137は、往路において、最大値位置となる蓄尿量とチャネルパターンの組み合わせを基準として最大値位置に近づくように誘導する。誘導はスピーカ50やディスプレイ30における通知によって行うことができる。 The maximum value determination unit 137 guides the user to approach the maximum value position on the outward path on the basis of the combination of the urine accumulation amount and the channel pattern that is the maximum value position. The guidance can be performed by a notification on the speaker 50 or the display 30.
 図13(b)、(c)の場合は、尿量測定器1の測定位置が最大値位置よりも臍側にずれているので、恥骨側に誘導するべく、ディスプレイ30には図5(b)が表示されることとなる。 In the case of FIGS. 13B and 13C, since the measurement position of the urine volume measuring device 1 is displaced to the navel side from the maximum value position, the display 30 shown in FIG. ) Will be displayed.
 図13(d)、(e)の場合は、尿量測定器1の測定位置が最大値位置よりも恥骨側にずれているので、臍側に誘導するべく、ディスプレイ30には図5(c)が表示されることとなる。 In the case of FIGS. 13D and 13E, since the measurement position of the urine volume measuring device 1 is displaced to the pubic side from the maximum value position, the display 30 is shown in FIG. ) Will be displayed.
(最大値位置において第2のチャネルおよび第1のチャネルが反応する場合)
 この場合、図14(a)に示す状態が最大値位置にあるときのものである。この状態では、プローブ10の第1のチャネルおよび第2のチャネルから発信された超音波のみが膀胱に入射し、チャネルパターンは第1のチャネルおよび第2のチャネルのみが受信状態にある。ディスプレイ30における表示は、最大値位置であることを示す図5(a)が表示されることになる。
(When the second channel and the first channel react at the maximum position)
In this case, the state shown in FIG. 14A is at the maximum value position. In this state, only the ultrasonic waves emitted from the first channel and the second channel of the probe 10 are incident on the bladder, and the channel pattern is in the receiving state only in the first channel and the second channel. As for the display on the display 30, FIG. 5A showing that it is at the maximum value position is displayed.
 最大値位置におけるチャネルパターンが図14(a)に示すチャネルパターンである場合は、復路の測定は、臍付近から開始して、図14(b)に示す状態であり、尿量測定器1を恥骨側に近づけていくと、図14(c)に示す状態となった後、図14(d)に示す状態となり、測定位置が最大値位置と一致すると、図14(a)に示す状態となる。 When the channel pattern at the maximum value position is the channel pattern shown in FIG. 14 (a), the return path measurement starts from near the navel and is in the state shown in FIG. 14 (b). When approaching the pubic side, the state shown in FIG. 14 (c) is reached, and then the state shown in FIG. 14 (d) is reached. When the measurement position coincides with the maximum value position, the state shown in FIG. 14 (a) is obtained. Become.
 一旦、最大値位置に到達しチャネルパターンが図14(a)に示す状態となった後に、尿量測定器1を更に恥骨側に近づけていくと、図14(e)に示す状態となった後、図14(f)に示す状態となる。図14(e)に示す状態および図14(f)に示す状態となった場合は、最大値判定部137は、尿量測定器1を臍側に移動させるように、ユーザに通知することができる。 Once the maximum value position has been reached and the channel pattern has changed to the state shown in FIG. 14 (a), when the urine volume measuring device 1 is brought closer to the pubic side, the state shown in FIG. 14 (e) is obtained. After that, the state shown in FIG. In the state shown in FIG. 14E and the state shown in FIG. 14F, the maximum value determination unit 137 may notify the user to move the urine volume measuring device 1 to the navel side. it can.
 最大値判定部137は、往路において、最大値位置となる蓄尿量とチャネルパターンの組み合わせを基準として最大値位置に近づくように誘導する。誘導はスピーカ50やディスプレイ30における通知によって行うことができる。 The maximum value determination unit 137 guides the user to approach the maximum value position on the outward path on the basis of the combination of the urine accumulation amount and the channel pattern that is the maximum value position. The guidance can be performed by a notification on the speaker 50 or the display 30.
 図14(b)、(c)、(d)の場合は、尿量測定器1の測定位置が最大値位置よりも臍側にずれているので、恥骨側に誘導するべく、ディスプレイ30には図5(b)が表示されることとなる。 In the case of FIGS. 14B, 14C, and 14D, since the measurement position of the urine volume measuring device 1 is deviated to the umbilicus side from the maximum value position, the display 30 is displayed on the display 30 to guide it to the pubic side. FIG. 5B will be displayed.
 図14(e)、(f)の場合は、尿量測定器1の測定位置が最大値位置よりも恥骨側にずれているので、臍側に誘導するべく、ディスプレイ30には図5(c)が表示されることとなる。 In the case of FIGS. 14E and 14F, since the measurement position of the urine volume measuring device 1 is displaced from the maximum position to the pubic side, the display 30 shown in FIG. ) Will be displayed.
(最大値位置において第4のチャネル、第3のチャネルおよび第2のチャネルが反応する場合)
 この場合、図15(a)に示す状態が最大値位置にあるときのものである。この状態では、プローブ10の第2のチャネル、第3のチャネルおよび第4のチャネルから発信された超音波のみが膀胱に入射し、チャネルパターンは第2のチャネル、第3のチャネルおよび第4のチャネルのみが受信状態にある。ディスプレイ30における表示は、最大値位置であることを示す図5(a)が表示されることになる。
(When the fourth channel, the third channel, and the second channel react at the maximum value position)
In this case, the state shown in FIG. 15A is at the maximum value position. In this state, only the ultrasonic waves emitted from the second channel, the third channel, and the fourth channel of the probe 10 are incident on the bladder, and the channel pattern has the second channel, the third channel, and the fourth channel. Only the channel is in receive state. As for the display on the display 30, FIG. 5A showing that it is at the maximum value position is displayed.
 最大値位置におけるチャネルパターンが図15(a)に示すチャネルパターンである場合は、復路の測定は、臍付近から開始して、図15(b)に示す状態であり、尿量測定器1を恥骨側に近づけていくと、図15(c)に示す状態となり、測定位置が最大値位置と一致すると、図15(a)に示す状態となる。 When the channel pattern at the maximum value position is the channel pattern shown in FIG. 15 (a), the return path measurement starts from near the navel and is in the state shown in FIG. 15 (b). When it approaches the pubic side, the state shown in FIG. 15C is obtained, and when the measurement position matches the maximum value position, the state shown in FIG. 15A is obtained.
 一旦、最大値位置に到達しチャネルパターンが図15(a)に示す状態となった後に、尿量測定器1を更に恥骨側に近づけていくと、図15(d)に示す状態となり、図15(e)に示す状態となった後、図15(f)に示す状態となる。図15(d)、図15(e)に示す状態および図15(f)に示す状態となった場合は、最大値判定部137は、尿量測定器1を臍側に移動させるように、ユーザに通知することができる。 Once the maximum value position is reached and the channel pattern is in the state shown in FIG. 15 (a), when the urine volume measuring device 1 is brought closer to the pubis side, the state shown in FIG. 15 (d) is obtained. After the state shown in 15 (e), the state shown in FIG. 15 (f) is obtained. When the state shown in FIG. 15 (d), FIG. 15 (e) or the state shown in FIG. 15 (f) is reached, the maximum value determination unit 137 moves the urine volume measuring device 1 to the navel side, The user can be notified.
 最大値判定部137は、往路において、最大値位置となる蓄尿量とチャネルパターンの組み合わせを基準として最大値位置に近づくように誘導する。誘導はスピーカ50やディスプレイ30における通知によって行うことができる。 The maximum value determination unit 137 guides the user to approach the maximum value position on the outward path on the basis of the combination of the urine accumulation amount and the channel pattern that is the maximum value position. The guidance can be performed by a notification on the speaker 50 or the display 30.
 図15(b)、(c)の場合は、尿量測定器1の測定位置が最大値位置よりも臍側にずれているので、恥骨側に誘導するべく、ディスプレイ30には図5(b)が表示されることとなる。 In the case of FIGS. 15B and 15C, since the measurement position of the urine volume measuring device 1 is displaced to the navel side from the maximum value position, the display 30 is shown in FIG. ) Will be displayed.
 図15(d)、(e)、(f)の場合は、尿量測定器1の測定位置が最大値位置よりも恥骨側にずれているので、臍側に誘導するべく、ディスプレイ30には図5(c)が表示されることとなる。 In the case of FIGS. 15D, 15E, and 15F, since the measurement position of the urine volume measuring device 1 is displaced to the pubic side from the maximum value position, the display 30 is displayed to guide it to the umbilicus side. FIG. 5C will be displayed.
(最大値位置において第3のチャネル、第2のチャネルおよび第1のチャネルが反応する場合)
 この場合、図16(a)に示す状態が最大値位置にあるときのものである。この状態では、プローブ10の第1のチャネル、第2のチャネルおよび第3のチャネルから発信された超音波のみが膀胱に入射し、チャネルパターンは第1のチャネル、第2のチャネルおよび第3のチャネルのみが受信状態にある。ディスプレイ30における表示は、最大値位置であることを示す図5(a)が表示されることになる。
(When the third channel, the second channel, and the first channel react at the maximum value position)
In this case, the state shown in FIG. 16A is at the maximum value position. In this state, only the ultrasonic waves emitted from the first channel, the second channel and the third channel of the probe 10 are incident on the bladder, and the channel pattern has the first channel, the second channel and the third channel. Only the channel is in receive state. As for the display on the display 30, FIG. 5A showing that it is at the maximum value position is displayed.
 最大値位置におけるチャネルパターンが図16(a)に示すチャネルパターンである場合は、復路の測定は、臍付近から開始して、図16(b)に示す状態であり、尿量測定器1を恥骨側に近づけていくと、図16(c)に示す状態となった後、図16(d)に示す状態となり、測定位置が最大値位置と一致すると、図16(a)に示す状態となる。 When the channel pattern at the maximum value position is the channel pattern shown in FIG. 16 (a), the return path measurement starts from near the navel and is in the state shown in FIG. 16 (b). When approaching the pubic side, the state shown in FIG. 16 (c) is followed by the state shown in FIG. 16 (d), and when the measurement position matches the maximum value position, the state shown in FIG. 16 (a) is obtained. Become.
 一旦、最大値位置に到達しチャネルパターンが図16(a)に示す状態となった後に、尿量測定器1を更に恥骨側に近づけていくと、図16(e)に示す状態となった後、図16(f)に示す状態となる。図16(e)に示す状態および図16(f)に示す状態となった場合は、最大値判定部137は、尿量測定器1を臍側に移動させるように、ユーザに通知することができる。 Once the maximum value position is reached and the channel pattern is in the state shown in FIG. 16 (a), when the urine volume measuring device 1 is brought closer to the pubic side, the state shown in FIG. 16 (e) is obtained. After that, the state becomes as shown in FIG. In the case of the state shown in FIG. 16E and the state shown in FIG. 16F, the maximum value determination unit 137 may notify the user to move the urine volume measuring device 1 to the navel side. it can.
 最大値判定部137は、往路において、最大値位置となる蓄尿量とチャネルパターンの組み合わせを基準として最大値位置に近づくように誘導する。誘導はスピーカ50やディスプレイ30における通知によって行うことができる。 The maximum value determination unit 137 guides the user to approach the maximum value position on the outward path on the basis of the combination of the urine accumulation amount and the channel pattern that is the maximum value position. The guidance can be performed by a notification on the speaker 50 or the display 30.
 図16(b)、(c)、(d)の場合は、尿量測定器1の測定位置が最大値位置よりも臍側にずれているので、恥骨側に誘導するべく、ディスプレイ30には図5(b)が表示されることとなる。 In the case of FIGS. 16B, 16C, and 16D, since the measurement position of the urine volume measuring device 1 is deviated to the umbilicus side from the maximum value position, the display 30 is displayed on the display 30 to guide it to the pubic side. FIG. 5B will be displayed.
 図16(e)、(f)の場合は、尿量測定器1の測定位置が最大値位置よりも恥骨側にずれているので、臍側に誘導するべく、ディスプレイ30には図5(c)が表示されることとなる。 In the case of FIGS. 16 (e) and 16 (f), since the measurement position of the urine volume measuring device 1 is displaced to the pubic side from the maximum value position, FIG. ) Will be displayed.
(最大値位置においてすべてのチャネルが反応する場合)
 この場合、図17(a)に示す状態が最大値位置にあるときのものである。この状態では、プローブ10の第1から第4の全てのチャネルから発信された超音波が膀胱に入射し、チャネルパターンは第1から第4の全てのチャネルが受信状態にある。ディスプレイ30における表示は、最大値位置であることを示す図5(a)が表示されることになる。
(When all channels respond at the maximum position)
In this case, the state shown in FIG. 17A is at the maximum value position. In this state, the ultrasonic waves emitted from all the first to fourth channels of the probe 10 are incident on the bladder, and the channel pattern has all the first to fourth channels in the receiving state. As for the display on the display 30, FIG. 5A showing that it is at the maximum value position is displayed.
 最大値位置におけるチャネルパターンが図17(a)に示すチャネルパターンである場合は、復路の測定は、臍付近から開始して、図17(b)に示す状態であり、尿量測定器1を恥骨側に近づけていくと、図17(c)に示す状態となった後、図17(d)に示す状態となり、測定位置が最大値位置と一致すると、図17(a)に示す状態となる。 When the channel pattern at the maximum value position is the channel pattern shown in FIG. 17 (a), the return path measurement starts from near the navel and is in the state shown in FIG. 17 (b). When approaching the pubic side, the state shown in FIG. 17 (c) is reached, and then the state shown in FIG. 17 (d) is reached. When the measurement position coincides with the maximum value position, the state shown in FIG. 17 (a) is obtained. Become.
 一旦、最大値位置に到達しチャネルパターンが図17(a)に示す状態となった後に、尿量測定器1を更に恥骨側に近づけていくと、図17(e)に示す状態となり、図17(f)に示す状態となった後、図17(g)に示す状態となる。図17(e)、図17(f)に示す状態および図17(g)に示す状態となった場合は、最大値判定部137は、尿量測定器1を臍側に移動させるように、ユーザに通知することができる。 Once the maximum value position is reached and the channel pattern is in the state shown in FIG. 17 (a), when the urine volume measuring device 1 is brought closer to the pubic side, the state shown in FIG. 17 (e) is obtained. After the state shown in 17 (f) is reached, the state shown in FIG. 17 (g) is obtained. When the state shown in FIG. 17 (e), FIG. 17 (f) or the state shown in FIG. 17 (g) is reached, the maximum value determination unit 137 moves the urine volume measuring device 1 to the umbilicus side. The user can be notified.
 最大値判定部137は、往路において、最大値位置となる蓄尿量とチャネルパターンの組み合わせを基準として最大値位置に近づくように誘導する。誘導はスピーカ50やディスプレイ30における通知によって行うことができる。 The maximum value determination unit 137 guides the user to approach the maximum value position on the outward path on the basis of the combination of the urine accumulation amount and the channel pattern that is the maximum value position. The guidance can be performed by a notification on the speaker 50 or the display 30.
 図17(b)、(c)、(d)の場合は、尿量測定器1の測定位置が最大値位置よりも臍側にずれているので、恥骨側に誘導するべく、ディスプレイ30には図5(b)が表示されることとなる。 In the case of FIGS. 17B, 17C, and 17D, since the measurement position of the urine volume measuring device 1 is displaced to the umbilicus side from the maximum value position, the display 30 is displayed on the display 30 to guide it to the pubic side. FIG. 5B will be displayed.
 図17(e)、(f)、(g)の場合は、尿量測定器1の測定位置が最大値位置よりも恥骨側にずれているので、臍側に誘導するべく、ディスプレイ30には図5(c)が表示されることとなる。 17 (e), (f), and (g), since the measurement position of the urine volume measuring device 1 is displaced to the pubis side from the maximum value position, the display 30 is displayed on the display 30 to guide it to the umbilicus side. FIG. 5C will be displayed.
 以上の実施形態では、往路スキャンにおいて最大値位置が定まると更新がされないが、復路の測定における最大値の正確な値の測定において、往路スキャンの最大値位置が正確でないと判定された場合は、その最大値位置が更新されてもよい。 In the above embodiment, the maximum value position is not updated when the forward scan is determined, but in the measurement of the accurate value of the maximum value in the return scan, when it is determined that the maximum value position of the forward scan is not accurate, The maximum value position may be updated.
 以上の実施形態では、プローブの複数のチャネルが4つである場合を例に挙げて説明したが、チャネルの数は4つに限定されない。 In the above embodiments, the case where the plurality of channels of the probe is four has been described as an example, but the number of channels is not limited to four.
1 尿量測定器
10 プローブ
11a、11b、11c、11d プローブチャネル
20 本体部
30 ディスプレイ
40 ボタン
50 スピーカ
60 通信I/F(インタフェース)
100 制御部
110 超音波制御部
120 A/D変換部
130 演算部
131 測定部
132 蓄尿量算出部
133 チャネルパターン取得部
135 判定部
136 スキャン判定部
137 最大値判定部
138 蓄尿量レベル判定部
140 記憶部
150 表示処理部
160 音声処理部
170 通信処理部
1 Urine Volume Measuring Device 10 Probes 11a, 11b, 11c, 11d Probe Channel 20 Main Body 30 Display 40 Button 50 Speaker 60 Communication I / F (Interface)
100 control unit 110 ultrasonic control unit 120 A / D conversion unit 130 arithmetic unit 131 measurement unit 132 urine storage amount calculation unit 133 channel pattern acquisition unit 135 determination unit 136 scan determination unit 137 maximum value determination unit 138 urine storage amount level determination unit 140 storage Unit 150 Display processing unit 160 Voice processing unit 170 Communication processing unit

Claims (8)

  1.  被測定者の膀胱近傍の腹部の複数の位置において蓄尿量を測定することにより膀胱内の蓄尿量を測定する尿量測定器であって、
     複数のチャネルを有し、該複数のチャネルのそれぞれにおいて超音波を発信するとともに超音波エコーを受信するプローブと、
     前記プローブの前記複数のチャネルのそれぞれにおいて受信した超音波エコーに基づいて蓄尿量を算出すると共に受信したチャネルの情報であるチャネルパターンを測定する測定部と、
     前記測定部において測定された蓄尿量に基づいて蓄尿量が暫定最大値となる位置である最大値位置における蓄尿量とチャネルパターンとの組合せを特定する最大値位置特定部と、
     前記測定部において測定された蓄尿量およびチャネルパターンと、最大値位置特定部において特定された前記最大値位置における蓄尿量およびチャネルパターンとに基づいて、前記尿量測定器の位置が前記最大値位置となるように誘導するための通知を行う通知部とを備えたことを特徴とする尿量測定器。
    A urine volume measuring device for measuring the urine accumulation amount in the bladder by measuring the urine accumulation amount at a plurality of positions on the abdomen near the bladder of the subject,
    A probe having a plurality of channels, which transmits ultrasonic waves in each of the plurality of channels and receives ultrasonic echoes;
    A measuring unit that calculates a urine accumulation amount based on ultrasonic echoes received in each of the plurality of channels of the probe and measures a channel pattern that is information of the received channel,
    A maximum value position specifying unit that specifies a combination of the urine accumulation amount and the channel pattern at the maximum value position, which is the position where the urine accumulation amount is the temporary maximum value based on the urine accumulation amount measured in the measuring unit,
    Based on the urine volume and channel pattern measured in the measuring unit, and the urine volume and channel pattern in the maximum value position specified in the maximum value position specifying unit, the position of the urine volume measuring device is the maximum value position A urine volume measuring device, comprising: a notification unit that gives a notification for inducing the following.
  2.  前記プローブの複数のチャネルのチャネル配置が一列に形成されていることを特徴とする請求項1に記載の尿量測定器。 The urine volume measuring device according to claim 1, wherein a plurality of channels of the probe are arranged in a line.
  3.  前記受信したチャネルの情報は、チャネル配置においてどのチャネルが超音波エコーを受信したかを示す情報を含むことを特徴とする請求項1または2に記載の尿量測定器。 The urine volume measuring device according to claim 1 or 2, wherein the received channel information includes information indicating which channel has received the ultrasonic echo in the channel arrangement.
  4.  前記最大値位置において前記測定部で蓄尿量の測定を複数回行なって得られた複数の蓄尿量の値を用いて蓄尿量の最大値の演算を行う演算部をさらに備えることを特徴とする請求項1から3のいずれかに記載の尿量測定器。 It is further provided with a calculation unit that calculates the maximum value of the urine storage amount by using a plurality of values of the urine storage amount obtained by measuring the urine storage amount by the measurement unit a plurality of times at the maximum value position. The urine volume measuring device according to any one of Items 1 to 3.
  5.  被測定者の膀胱近傍の腹部の複数の位置において、プローブの複数のチャネルのそれぞれにおいて超音波を発信するとともに超音波エコーを受信することによって膀胱内の蓄尿量を測定する尿量測定器による尿量測定方法であって、
     被測定者の膀胱近傍の腹部において恥骨から臍に向かって前記尿量測定器を移動させる旨の通知をする第1の通知工程と、
     前記尿量測定器の移動の際に、前記最大値位置を特定する最大値位置特定工程と、
     前記最大値位置が特定されると、被測定者の膀胱近傍の腹部において臍から恥骨に向かって前記尿量測定器を移動させる旨の通知をする第2の通知工程と、
     前記特定された最大値位置に誘導する通知をする第3の通知工程とを含むことを特徴とする尿量測定方法。
    Urine by a urine meter that measures the amount of accumulated urine in the bladder by transmitting ultrasonic waves in each of multiple channels of the probe and receiving ultrasonic echoes at multiple positions on the abdomen near the bladder of the measurement subject. A quantity measurement method,
    A first notifying step of notifying that the urine volume measuring device is moved from the pubis to the navel in the abdomen near the bladder of the measurement subject;
    When moving the urine volume measuring device, a maximum value position specifying step of specifying the maximum value position,
    When the maximum value position is specified, a second notifying step of notifying that the urine volume measuring device is moved from the navel to the pubis in the abdomen near the bladder of the measurement subject,
    A third notification step of making a notification to guide to the specified maximum value position, the urine volume measuring method.
  6.  前記最大値位置特定工程は、蓄尿量と前記超音波エコーを受信したチャネルの情報であるチャネルパターンとによって前記最大値位置を特定し、該特定した前記最大値位置に対応する前記蓄尿量とチャネルパターンとを記憶することを含むことを特徴とする請求項5に記載の尿量測定方法。 The maximum value position specifying step specifies the maximum value position by a urine storage amount and a channel pattern which is information of a channel that has received the ultrasonic echo, and the urine storage amount and the channel corresponding to the specified maximum value position. The method for measuring urine volume according to claim 5, further comprising storing a pattern.
  7.  前記第3通知工程は、前記記憶された蓄尿量とチャネルパターンに基づいて、尿量測定器を前記最大値位置に誘導することを含むことを特徴とする請求項6に記載の尿量測定方法。 The urine volume measuring method according to claim 6, wherein the third notifying step includes guiding a urine volume measuring device to the maximum value position based on the stored urine volume and the channel pattern. .
  8.  前記第3の通知工程の通知にしたがって誘導された前記最大値位置において、前記尿量測定器が、蓄尿量の測定を複数回行なって得られた複数の蓄尿量の値を用いて蓄尿量の最大値の演算を行う演算工程とをさらに含むことを特徴とする、請求項5から7のいずれか1項に記載の尿量測定方法。 At the maximum value position guided according to the notification of the third notification step, the urine volume measuring device uses a plurality of urine storage volume values obtained by measuring the urine storage volume a plurality of times to determine the urine storage volume. The urine volume measuring method according to any one of claims 5 to 7, further comprising a calculation step of calculating a maximum value.
PCT/JP2019/044539 2018-11-14 2019-11-13 Urine quantity measuring instrument, and urine quantity measuring method WO2020100942A1 (en)

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