WO2020137631A1 - Urine volume measuring device, urine volume measuring method, and program - Google Patents

Urine volume measuring device, urine volume measuring method, and program Download PDF

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Publication number
WO2020137631A1
WO2020137631A1 PCT/JP2019/048973 JP2019048973W WO2020137631A1 WO 2020137631 A1 WO2020137631 A1 WO 2020137631A1 JP 2019048973 W JP2019048973 W JP 2019048973W WO 2020137631 A1 WO2020137631 A1 WO 2020137631A1
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Prior art keywords
urine volume
measurement data
urine
measurement
volume measuring
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PCT/JP2019/048973
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French (fr)
Japanese (ja)
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和久 山浦
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株式会社リリアム大塚
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Publication of WO2020137631A1 publication Critical patent/WO2020137631A1/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

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  • 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 measures the size of the bladder by transmitting ultrasonic waves to the bladder and receiving ultrasonic echoes that 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 apparatus can know the condition of the bladder in detail because the measurement results are displayed as two-dimensional image data.
  • the ultrasonic diagnostic apparatus can know a detailed state, but requires specialized knowledge and skill in how to view image data, and therefore is 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 measured values are constantly fluctuating under the influence of microscopic movements of the living body, the procedure of the measurer, the reaction of the sensor, the bubbles of the gel, etc., and the measurement accuracy of the conventional urine volume measuring instrument is affected by noise. There was a problem that it was easily received and the measurement accuracy was likely to decrease.
  • the conventional urine volume measuring device also requires the user to judge the timing of completion of the measurement and perform the operation.
  • 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, a urine volume measuring method, and a program capable of eliminating the influence of a technique and noise.
  • the urine volume measuring device determines whether the standard deviation of a plurality of measurement data is within a predetermined threshold value, and if the standard deviation is not within the predetermined threshold value, the square of the deviation is the maximum.
  • the measurement data is excluded from the plurality of measurement data, the standard deviation of the remaining plurality of measurement data is further determined to be within a predetermined threshold, and if the standard deviation is within the predetermined threshold, a plurality of If the number of measurement data is less than the predetermined number, the measurement data for the shortage is acquired to determine whether the standard deviation is within the predetermined threshold.
  • the method further includes a processor configured to calculate an average value of the plurality of measurement data and specify a urine storage amount when the plurality of measurement data is a predetermined number.
  • FIG. 1 is a diagram showing traveling directions A, B, C, and D of ultrasonic waves transmitted from the probe 10.
  • FIG. 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.
  • 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.
  • a probe 10 having a plurality of probe channels 11a, 11b, 11c, 11d is provided 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 a caretaker 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 person to be measured is lying on his back (supine position).
  • the accumulated amount of urine is measured by reciprocating the urine volume measuring device 1 along the midline of the body in the vicinity of the bladder while the probe 10 is pressed vertically. In the outward path in which the urine volume measuring device 1 is moved while sliding in the umbilicus direction (Y1 direction in FIG.
  • the 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.
  • 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 1 are further provided at that position.
  • the urine accumulation amount is specified by performing the measurement once and performing a detailed calculation. By doing so, after guiding to the maximum value position, it is possible to accurately determine the urine accumulation value by 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 urine volume that can be measured differs depending on the measurement position. What is the maximum amount of urine storage. 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. 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 accumulated urine volume value without any specialized knowledge, and the patient himself or a patient other than The user can handle it easily.
  • provisional maximum value may be updated by detailed calculation of the amount of urine collected on the return trip.
  • the probe 10 transmits and receives ultrasonic waves for each of the plurality of probe channels 11a, 11b, 11c, and 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 base is closely attached to the tissue of the pelvic floor and its movement is restricted.
  • 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 and 11d are arranged at regular intervals along the expansion direction.
  • FIG. 3 is a diagram showing traveling directions A, B, C, and D of the 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 of the probe 10, but from the second channel 11b and the third channel 11c.
  • the traveling directions B and C of the transmitted ultrasonic waves gradually increase in angle with respect to the display surface as shown in FIG.
  • the traveling direction D of the ultrasonic waves transmitted from the fourth channel 11d farthest from the display surface is The angle to the display surface is the largest. The reason the ultrasonic wave is inclined in this manner is to accurately capture the wall of the bladder on the back side of the pubis. This allows the ultrasonic waves to be incident perpendicularly on the bottom surface of the spherical bladder, thereby accurately capturing the wall of the bladder.
  • 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 position of the maximum value.
  • As the progress status for example, (first stage) the stage of capturing the end of the bladder, (second stage) )
  • the urine collection volume measured after capturing the end of the bladder is increasing, (3rd phase) the maximum urine collection volume is detected, (4th phase) the measured urine collection volume is 60% of the maximum value.
  • the progress status can be defined in five stages, such as a stage in which it is detected that there is something (the fifth stage), and a stage in which the measured amount of stored urine 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, it can be determined that the past measured value is the maximum value when the measured value changes from an increase to a decrease and the measured value which is, for example, 80% of the past measured value is detected when the urine storage amount is the maximum.
  • the progress status is for notifying the user of the position where the maximum value of urine accumulation is detected, and the number of stages is not limited to five, 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 again increases 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.
  • the above is the fourth stage
  • (e) indicates 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 displaced from the maximum value position in the pubic direction.
  • the display 30 can indicate to the user which stage of the progress the forward scan is in by displaying one of five different displays as shown in FIG. 4, for example, in the forward pass. 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. 5B) or the pubic side from the maximum value position (FIG. 5C). Although only shown, two or more modes are added, one in which the position of the arrow is further away from the center than in FIG. 5(b) on the navel side, and the other in which the position of the arrow is further away from the pubic side than in FIG. 5(c).
  • 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 notifications by various sounds.
  • the communication I/F (interface) 60 is an interface for communicating with a PC (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. As shown in FIG. 6, the urine volume measuring device 1 is configured to include 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 an 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 accumulation level determination unit 138.
  • the “scan determination unit 136” combines the urine storage amount and the channel pattern at the maximum value position, which is the position where the urine storage amount becomes the provisional maximum value, based on the urine storage amount measured by the measurement unit 131.
  • 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 control unit 110 can be configured by an ultrasonic 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.
  • 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.
  • 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 amount of urine stored, R represents a coefficient determined in accordance with the individual difference based on the anatomical structure and the posture during measurement. 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 on 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 and 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 the channel is the first channel 11a, and the channel closest to the pubis and the channel next to it. It is 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 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 storage volume and the channel pattern) acquired in the outward scan performed while moving the urine volume 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 that the forward scan is 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 accumulation amount that has tended to increase turns to decrease, the position that has the maximum value can be set as the maximum value position, which can be the third stage. However, due to the influence of noise, etc., this may occur at a position that is not the maximum value, and then it may start decreasing and then increase again. In that case, return from the third stage to the second stage. There is.
  • the outward 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 continuously a predetermined number of times after the maximum value position is detected (that is, described in FIG. 4). In the example described above, it is possible to determine that the outward scan is completed when it is determined that the fifth stage has been reached.
  • the scan determination unit 136 determines that the progress of the forward scan is changed or the forward scan is completed, the scan determination unit 136 displays or notifies the display processing unit 150 or the voice processing unit 160 to that effect in order to notify the user. 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 to 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 the urine accumulation amount. The maximum value determination unit 137 determines the return path measurement position and the maximum value position based on the measurement data measured each time by the measurement unit 131 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 can also calculate the value of the urine accumulation amount from the measurement data of a plurality of times measured at the maximum value position to specify 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 near the maximum value, and the average value thereof is specified as the urine accumulation amount.
  • the maximum value determination unit 137 can specify the calculation result of the urine storage amount satisfying a predetermined criterion as an accurate value of the urine storage amount, and determine that the return path measurement is completed. It is determined that the urine storage volume meets the predetermined criteria, 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 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 urine accumulation amount value are associated with each other, and stores the urine accumulation amount of the urine accumulation amount value passed from the maximum value determination unit 137. Determine the level.
  • the urine storage level determination unit 138 causes the display processing unit 150 to display the determined urine storage level on the display 30.
  • the urine storage level determination unit 138 may notify the urine storage level determined by the speaker 50 in 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 collection level and the urine collection value are associated with each other.
  • the display processing unit 150 generates the 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 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 the vertical direction from the body surface of the pubic portion in a state of 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 when moving.
  • 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 fine adjustment by the user. 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 prior to the start of 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 identifying 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 end of the bladder is captured after the scan is started, and then if the progress progresses smoothly, FIG. 4B, FIG. 4C, and FIG. , 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 measurement is at this time (S2).
  • the scan determination unit 136 for example, the urine accumulation amount measured each time by the measurement unit 131 and the urine accumulation measured before (just before and a predetermined number of times before) each time stored in the storage unit 140. 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 there is a change in the progress status (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 is 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 the measurement is switched to the return path is generated by, for example, an audio announcement such as "Please switch the scan direction" by the audio processing unit 160 and the speaker 50 is notified, or the display 30 is displayed 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 the vicinity of the navel and returning to the maximum value position identified by the forward pass scan, and a process for measuring the urine accumulation value.
  • 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. 5B is displayed. After that, if the measurement position advances in the pubic direction and exactly matches the maximum value position, FIG. If it is displayed too much, FIG. 5(c) will be displayed.
  • the measurement unit 131 acquires measurement data (S6) as in the forward scan (S6), 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 a 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 value position.
  • the maximum value determination unit 137 determines whether or not the measured position at each time matches the maximum value position. Then, it is determined whether or not the urine accumulation amount is calculated (S9). When it is determined that the measurement position at each time coincides with the maximum value position, it is determined to calculate the urine collection amount (S9: YES), and the calculation of the urine collection amount is executed (S10).
  • the calculation of the urine storage amount 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 value of the urine storage amount used for one determination of the urine storage amount level is calculated. It can be said that a more accurate urine storage amount can be obtained by calculating the urine storage amount from the measurement 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 urine storage amount calculation is completed (return trip measurement is completed) (S11). For example, as the calculation of the urine storage amount in the process of S10, a process of taking a plurality of measurement values near the maximum value and specifying the average value as the urine storage amount is performed. In the process of S11, the value is specified as an accurate urine storage amount, and it is determined that the calculation of the urine storage amount 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 storage volume level the urine storage volume corresponds to, and the determined urine storage volume level is displayed on the display 30 (S12).
  • the user of the urine volume measuring device 1 can automatically complete the measurement of the urine storage volume without determining the timing of completion of the measurement.
  • FIG. 8 is a conceptual diagram illustrating that the measured urine volume is affected by the procedure and noise, and is a plot of a plurality of measured values in one measurement.
  • the urine volume measurement values are plotted over time.
  • FIG. 8 is modeled for explaining the variation of the urine volume measurement value and is not included in the embodiment of the present invention.
  • the measured values are constantly fluctuating due to minute living body movements, measuring person's manipulations due to pressing pressure, sensor reaction, gel bubbles, and the like. Factors that reduce the measured value include, for example, the case where the measuring instrument moves during measurement due to camera shake of the measurer or the like and measures a position other than the maximum value position.
  • Factors that increase the measured value include, for example, the case where a strong reflection echo from a substance in the body different from the bladder is received, or the case where reflection echoes scattered from different channels are received.
  • the measurements may also include outliers (outliers) when affected by noise. In FIG. 8, an extremely large measurement value is illustrated as an outlier (the leftmost peak and the rightmost peak in FIG. 8).
  • the measurement result is a simple average value of each measurement value, it may be affected by a large measurement value or a small measurement value, which may lead to a decrease in measurement accuracy.
  • the measurement result may also be different from the actual amount of urine stored, subject to outliers when they are included, given the maximum measured value.
  • a predetermined number of measurement values such as two measurement values in descending order from the maximum value and two measurement values in descending order from the minimum value are excluded, and the remaining A method of calculating an average value from the measured values of 1 can be considered.
  • the frequency of detecting outliers under the influence of noise may increase. Even if the number of excluded measurement values is increased from the predetermined number as the number of samplings increases, the outliers may remain if they continuously occur. Therefore, sufficient measurement accuracy cannot be obtained by simply excluding a plurality of measured values from the actual measured values.
  • FIG. 9 is a process flow chart showing the measured urine volume calculation process of this embodiment.
  • FIG. 9 exemplifies a detailed calculation process of S10 (calculation of urine accumulation amount) of FIG. 7.
  • S10 calculation of urine accumulation amount
  • the urine volume measuring device 1 measures the urine volume of the person to be measured by the measuring unit 131, and acquires measurement data (S1001).
  • the urine volume measuring device 1 determines whether or not the acquired measurement data is within a predetermined range from the maximum value with reference to the measurement data (provisional maximum value) at the maximum value position stored in the storage unit 140. Yes (S1002).
  • the maximum value can use the provisional maximum value acquired during the outward scan, but can be updated by the maximum value update process (S1012) described below.
  • the predetermined range may be, for example, 80% or more from the maximum value.
  • the process proceeds to the next process.
  • the urine volume measuring device 1 accumulates measurement data within a predetermined range from the maximum value in a population of calculation measurement data (S1003).
  • the urine volume measuring device 1 determines whether or not the data accumulation amount of the population of the measurement data for calculation is N (S1004).
  • N is, for example, an arbitrary value of 10 to 50, and preferably 20 to 30.
  • the urine volume measuring device 1 returns to the process of S1001.
  • the process proceeds to the next process.
  • the urine volume measuring device 1 sorts N pieces of data, for example, in descending order, and extracts n pieces of data in descending order of numerical value (S1005).
  • the number n is, for example, an arbitrary value of 5 to 30, and preferably 10 to 15.
  • the urine volume measuring device 1 determines whether or not there are two or more n pieces of data (S1006). When the number of n data is not two or more (S1006: NO), the urine volume measuring instrument 1 returns to the processing of S1001 in order to acquire the measurement data of the shortage. When the number of n data is 2 or more (S1006: YES), the process proceeds to the next process.
  • the urine volume measuring device 1 obtains the average value and the deviation of each data using n pieces of data, and calculates the standard deviation (S1007).
  • the urine volume measuring device 1 determines whether the standard deviation is within a predetermined threshold value (S1008).
  • the predetermined threshold is, for example, an arbitrary value of 5 to 30 (ml), and preferably 10 to 20 (ml).
  • the urine volume measuring device 1 excludes the data having the maximum square of the deviation of each measurement data from the n data as invalid data (S1009).
  • the urine volume measuring device 1 also returns to the process of S1006 using the remaining data from which the data having the maximum square of the deviation is excluded.
  • the urine volume measuring device 1 determines whether or not there are n positive data sets, by setting the data group having the standard deviation within the predetermined threshold value as the positive data. Yes (S1010).
  • the urine volume measuring device 1 determines not to update the maximum value when the maximum value of the n pieces of data is not excluded as invalid data, and determines to update the maximum value when the maximum value is excluded.
  • the urine volume measuring instrument 1 returns to the processing of S1001 in order to acquire the measurement data for the shortage.
  • the maximum value in the correct data is updated as a new maximum value (S1012).
  • the urine volume measuring device 1 After updating the maximum value, the urine volume measuring device 1 returns to the process of S1001 in order to acquire the measurement data for the shortage.
  • the result obtained by the measurement urine volume calculation process is confirmed (S1013).
  • the result of the measurement urine volume calculation process may be, for example, the average value of the positive data, and the average value obtained in the process of S1007 may be used.
  • the average value of the positive data determined in S1013 is specified as the urine volume.
  • the maximum value is updated with the maximum value within the standard deviation, whereby measurement data closer to the true value can be stored.
  • the measurement urine volume calculation process of the present embodiment since incorrect data can be excluded while suppressing the population of measurement data used for statistics to a fixed number or less, a large amount of measurement data becomes unnecessary, and the calculation process The burden is reduced.
  • FIG. 9 the case where the user uses the urine volume measuring device 1 to measure the urine volume in the vicinity of the maximum value position and to calculate the urine volume has been described. The same process can be performed in the scene of acquiring.
  • FIG. 10 is a diagram showing a specific example of the measured urine volume calculation processing of the present embodiment.
  • FIG. 10 is a specific example of the processing after extracting the 10 data in order from the largest numerical value among the 20 data acquired through the processing of S1001 to S1005 of FIG. 9 for simplification of description. Indicates.
  • the 10 pieces of data are illustrated as the urine volume in each of the elements [1] to [10], and indicate that the urine volume of the element [1] is 224 ml, for example.
  • the urine volume measuring device 1 detects the remaining six elements except the elements [10], [9], [1], and [2], which are the data with the maximum squared deviation.
  • the urine volume measuring device 1 has the remaining elements except the elements [10], [9], [1], [2], and [3] that are the data with the maximum squared deviation.
  • the urine volume measuring device 1 detects that the elements [10], [9], [1], [2], [3], and [4], which are data that maximize the square of the deviation,
  • the standard deviation is calculated using the remaining four data that have been excluded (S1006: YES) (S1007). Since the standard deviation is 9.94 ml, it corresponds to the case where the standard deviation is within the threshold value of 10 ml (S1008: YES), and the process proceeds to the next process.
  • the urine volume measuring device 1 sets a data group having a standard deviation within a threshold value of 10 ml as positive data, and determines whether there are 10 positive data (S1010). In FIG. 10, since there are four correct data items [5] to [8] (S1010: NO), it is determined whether the maximum value is updated (S1011).
  • the maximum value is 650 ml of the element [10], but the element [10] is excluded as invalid data.
  • the urine volume measuring device 1 determines to update the maximum value (S1011: YES).
  • the urine volume measuring instrument 1 updates 417 ml of the element [8], which is the maximum value in the positive data, as a new maximum value (S1012). After updating the maximum value, the urine volume measuring device 1 returns to the process of S1001 in order to acquire the measurement data for the shortage.
  • FIG. 11 is a diagram showing a specific example of the measured urine volume calculation processing of the present embodiment.
  • FIG. 11 shows that, in addition to the measurement data remaining after the calculation shown in FIG. 10, six pieces of data are extracted in order from the largest numerical value among the 20 pieces of data acquired through the processing of S1001 to S1005 in FIG. Then, a specific example of the processing after the total of 10 pieces of data is shown. The 10 pieces of data are illustrated as the urine volume in the elements [1] to [10], respectively.
  • the urine volume measuring device 1 uses the remaining eight data (S1006: YES) excluding the elements [1] and [10] that are the data with the maximum squared deviation. Then, the standard deviation is calculated (S1007). Since the standard deviation is 6.71 ml, it corresponds to the case where the standard deviation is within the threshold value of 10 ml (S1008: YES), and the process proceeds to the next process.
  • the urine volume measuring device 1 sets a data group having a standard deviation within a threshold value of 10 ml as positive data, and determines whether there are 10 positive data (S1010).
  • the positive data is eight elements [2] to [9] (S1010: NO), and it is determined whether the maximum value is updated (S1011).
  • the maximum value is 417 ml of the element [10], but the element [10] is excluded as invalid data.
  • the urine volume measuring device 1 determines to update the maximum value (S1011: YES).
  • the urine volume measuring device 1 updates 399 ml of the element [9], which is the maximum value in the positive data, as a new maximum value (S1012). After updating the maximum value, the urine volume measuring device 1 returns to the process of S1001 in order to acquire the measurement data for the shortage.
  • FIG. 12 is a diagram showing a specific example of the measured urine volume calculation processing of the present embodiment.
  • FIG. 12 extracts two data in order from the one with the largest numerical value among the 20 data acquired through the processing of S1001 to S1005 in FIG. Then, a specific example of the processing after the total of 10 pieces of data is shown. The 10 pieces of data are illustrated as the urine volume in the elements [1] to [10], respectively.
  • the urine volume measuring device 1 calculates the standard deviation using 10 pieces of data (S1006: YES) (S1007). Since the standard deviation is 6.78 ml, it corresponds to the case where the standard deviation is within the threshold value of 10 ml (S1008: YES), and the process proceeds to the next process.
  • the urine volume measuring device 1 sets a data group having a standard deviation within a threshold value of 10 ml as positive data, and determines whether there are 10 positive data (S1010).
  • the positive data is ten elements [1] to [10] (S1010: YES), for example, the average value of the positive data is confirmed as the result of the measurement urine volume calculation process (S1013), and the measurement urine The quantity calculation process ends.
  • the average value is 389.20 ml.
  • the measurement urine volume calculation process in the present embodiment calculates the standard deviation using a maximum of n pieces of data.
  • the measurement urine volume calculation process it is possible to accumulate data estimated to be closer to the actual urine accumulation volume by repeating the measurement while leaving the positive data.
  • the frequency and number of times of measuring the extreme value may be different for each measurement, but the measured urine volume calculation processing in the present embodiment can reliably exclude incorrect data. Becomes Therefore, the measured urine volume calculation process in the present embodiment is clearly different from the process of simply excluding a plurality of values from the actually measured value.
  • FIG. 13 is a diagram comparing the urine volume measurement value acquired by the measurement urine volume calculation processing of the present embodiment with the urine volume measurement value acquired by the conventional method.
  • FIG. 13 exemplifies the results of measuring the urine volume using the conventional urine volume measuring instrument and the urine volume measuring instrument 1 of the present embodiment.
  • FIG. 13 shows raw data (without processing), a moving average value excluding two large values and three small values out of eight measurement data (hereinafter, referred to as “conventional method”), and the measurement of the present embodiment.
  • the urine volume measurement value acquired by the urine volume calculation process (hereinafter, referred to as “new method”) is illustrated.
  • the vertical axis indicates the measured urine volume
  • the horizontal axis indicates the number of times of measurement (time change, 0.1 second/time)
  • the raw data is a circle (uv0/plot0)
  • the conventional method is a triangle (uv1/plot1)
  • urine volume measurement values are plotted by a square (uv2/plot2).
  • FIG. 13 shows the actual urine volume of 239 ml (the actual urine volume in the human body, which is measured by urination immediately after the urine volume measurement by the urine volume measuring device of the present invention).
  • the measurement result when the measurement is performed a plurality of times is illustrated.
  • the raw data although the actual urine volume is 239 ml, an outlier around 300 ml, which is estimated to be the influence of noise, is measured multiple times.
  • the raw data can also confirm that the fluctuation range of the urine volume measurement value is particularly large.
  • the fluctuation range of the urine volume measurement value is smaller than the raw data, and the influence of sudden outliers can be reduced by the moving average value, but when continuously measuring the outliers, the influence of the outliers is reduced.
  • the new method has a measured value close to the actual urine volume, a small fluctuation range of the urine volume measured value, and a stable value that is not affected by noise.
  • FIG. 14 is a diagram comparing the urine volume measurement value acquired by the measurement urine volume calculation processing of the present embodiment with the urine volume measurement value acquired by the conventional method.
  • FIG. 14 exemplifies the result of measuring the urine volume using the conventional urine volume measuring instrument and the urine volume measuring instrument of the present embodiment similarly to FIG. 13.
  • the vertical axis indicates the measured urine volume
  • the horizontal axis indicates the number of times of measurement (time change, 0.1 second/time)
  • the raw data is a circle (uv0/plot0)
  • the conventional method is a triangle ( uv1/plot1)
  • the new method plots the urine volume measurement values by a square (uv2/plot2).
  • FIG. 14 illustrates the measurement result when the urine volume is small and the bladder is small.
  • the measurement results including a large amount of measurement values are illustrated for comparison, but the urine volume measuring device 1 of the present embodiment further acquires the measurement values when the measurement urine volume calculation process ends. No need. That is, when the measurement urine volume calculation process is completed and it is determined that the calculation of the urine volume has been completed (S11: YES in FIG. 7), the user of the urine volume measuring device 1 determines the timing of completion of the measurement. Instead, the measurement of the urine storage amount can be automatically completed.
  • some conventional urine volume measuring devices may be able to display the maximum urine volume and determine the maximum urine volume as the accumulated urine volume.
  • the maximum value of the raw data may be influenced by the procedure or noise, and therefore it is not appropriate to judge the urine storage amount only by the maximum value.
  • the maximum value may be updated with the maximum value within the predetermined threshold value of the standard deviation, and measurement data closer to the true value can be accumulated.
  • the present invention can adopt an embodiment as a system, a device, a method, a program, a storage medium, or the like.
  • 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 wave control unit 120 A/D conversion unit 130 arithmetic unit 131 measurement unit 132 urine accumulation amount calculation unit 133 channel pattern acquisition unit 135 determination unit 136 scan determination unit 137 maximum value determination unit 138 urine accumulation amount level determination unit 140 storage Unit 150 display processing unit 160 voice processing unit 170 communication processing unit

Abstract

Provided are a urine volume measuring device, a urine volume measuring method, and a program which are capable of eliminating the influence of a procedure and a noise. The urine volume measuring device comprises a processor configured to: determine whether the standard deviation of a plurality of pieces of measurement data is within a predetermined threshold; exclude measurement data with the maximum squared deviation from the plurality of pieces of measurement data, when the standard deviation is not within the predetermined threshold; further perform a determination as to whether the standard deviation of a plurality of pieces of remaining measurement data is within a predetermined threshold; determine whether the number of the plurality of pieces of measurement data is a predetermined number, when the standard deviation is within the predetermined threshold; acquire measurement data for shortage when the number of the plurality of pieces of measurement data is not the predetermined number; further perform a determination as to whether the standard deviation is within the predetermined threshold; and calculate an average value of the plurality of pieces of measurement data to specify a urine storage volume when the number of the plurality of pieces of measurement data is the predetermined number.

Description

尿量測定器、尿量測定方法およびプログラムUrine volume measuring instrument, urine volume measuring method and program
 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。 Conventionally, a urine volume measuring device has been known that measures the size of the bladder by transmitting ultrasonic waves to the bladder and receiving ultrasonic echoes that 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 apparatus can know the condition of the bladder in detail because the measurement results are displayed as two-dimensional image data. The ultrasonic diagnostic apparatus can know a detailed state, but requires specialized knowledge and skill in how to view image data, and therefore is 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 volume 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 which 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 such a viewpoint, 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.
 しかしながら、測定値は生体の微小動作、測定者の手技、センサの反応、ジェルの気泡等の影響を受けて絶えず変動していること、および従来の尿量測定器の測定精度はノイズの影響を受けやすく、測定精度が低下しやすいという問題があった。従来の尿量測定器はまた、使用者が測定の完了のタイミングを判断し、操作を行う必要があった。 However, the measured values are constantly fluctuating under the influence of microscopic movements of the living body, the procedure of the measurer, the reaction of the sensor, the bubbles of the gel, etc., and the measurement accuracy of the conventional urine volume measuring instrument is affected by noise. There was a problem that it was easily received and the measurement accuracy was likely to decrease. The conventional urine volume measuring device also requires the user to judge the timing of completion of the measurement and perform the operation.
 本発明は従来の問題に鑑みなされたものであって、手技およびノイズの影響を除去することができる尿量測定器、尿量測定方法およびプログラムを提供することを目的とする。 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, a urine volume measuring method, and a program capable of eliminating the influence of a technique and noise.
 本発明の一実施形態に係る尿量測定器は、複数の測定データの標準偏差が所定の閾値内であるかどうかを判定し、標準偏差が所定の閾値内でない場合、偏差の二乗が最大となる測定データを複数の測定データから除外して、残りの複数の測定データの標準偏差が所定の閾値内であるかどうかの判定をさらに実行し、標準偏差が所定の閾値内である場合、複数の測定データが所定の個数であるかどうかを判定し、複数の測定データが所定の個数でない場合、不足分の測定データを取得して、標準偏差が所定の閾値内であるかどうかの判定をさらに実行し、複数の測定データが所定の個数である場合、複数の測定データの平均値を算出して蓄尿量を特定する、ように構成されたプロセッサを備える。 The urine volume measuring device according to an embodiment of the present invention determines whether the standard deviation of a plurality of measurement data is within a predetermined threshold value, and if the standard deviation is not within the predetermined threshold value, the square of the deviation is the maximum. The measurement data is excluded from the plurality of measurement data, the standard deviation of the remaining plurality of measurement data is further determined to be within a predetermined threshold, and if the standard deviation is within the predetermined threshold, a plurality of If the number of measurement data is less than the predetermined number, the measurement data for the shortage is acquired to determine whether the standard deviation is within the predetermined threshold. The method further includes a processor configured to calculate an average value of the plurality of measurement data and specify a urine storage amount when the plurality of measurement data is a predetermined number.
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。3 is a diagram showing traveling directions A, B, C, and D of ultrasonic waves transmitted from the probe 10. FIG. 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. 尿量測定値が手技およびノイズの影響を受けたことを例示する概念図であり、1回の測定において複数の測定値をプロットしたものである。It is a conceptual diagram which illustrates that the urine volume measurement value was influenced by the technique and noise, and is a plot of a plurality of measurement values in one measurement. 本実施形態の測定尿量演算処理を示す処理フロー図である。It is a processing flow figure which shows the measurement urine volume calculation processing of this embodiment. 本実施形態の測定尿量演算処理の具体例を示す図である。It is a figure which shows the specific example of a measured urine volume calculation process of this embodiment. 本実施形態の測定尿量演算処理の具体例を示す図である。It is a figure which shows the specific example of a measured urine volume calculation process of this embodiment. 本実施形態の測定尿量演算処理の具体例を示す図である。It is a figure which shows the specific example of a measured urine volume calculation process of this embodiment. 本実施形態の測定尿量演算処理により取得した尿量測定値と従来の手法により取得した尿量測定値とを比較した図である。It is a figure which compared the urine volume measurement value acquired by the measurement urine volume calculation process of this embodiment, and the urine volume measurement value acquired by the conventional method. 本実施形態の測定尿量演算処理により取得した尿量測定値と従来の手法により取得した尿量測定値とを比較した図である。It is a figure which compared the urine volume measurement value acquired by the measurement urine volume calculation process of this embodiment, and the urine volume measurement value acquired by the conventional method.
 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. In the urine volume measuring device 1 of the present embodiment, as shown in FIG. 1, a probe 10 having a plurality of probe channels 11a, 11b, 11c, 11d is provided 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を特定する。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 a caretaker 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 person to be measured is lying on his back (supine position). The accumulated amount of urine is measured by reciprocating the urine volume measuring device 1 along the midline of the body in the vicinity of the bladder while the probe 10 is pressed vertically. In the outward path in which the urine volume measuring device 1 is moved while sliding in the umbilicus direction (Y1 direction in FIG. 2) from the pubic portion, the 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 while sliding in the pubic direction (Y2 direction in FIG. 2), 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 1 are further provided at that position. The urine accumulation amount is specified by performing the measurement once and performing a detailed calculation. By doing so, after guiding to the maximum value position, it is possible to accurately determine the urine accumulation value by 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。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 urine volume that can be measured differs depending on the measurement position. What is the maximum amount of urine storage. 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. 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 accumulated urine volume value without any 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 detailed calculation of the amount of urine collected 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, and 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 base is closely attached to the tissue of the pelvic floor and its movement is restricted. 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 and 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 the 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 of the probe 10, but from the second channel 11b and the third channel 11c. The traveling directions B and C of the transmitted ultrasonic waves gradually increase in angle with respect to the display surface as shown in FIG. 3, and the traveling direction D of the ultrasonic waves transmitted from the fourth channel 11d farthest from the display surface is The angle to the display surface is the largest. The reason the ultrasonic wave is inclined in this manner is to accurately capture the wall of the bladder on the back side of the pubis. This allows the ultrasonic waves to be incident perpendicularly on the bottom surface of the spherical bladder, thereby accurately capturing the wall of the bladder.
 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 position of the maximum value. As the progress status, for example, (first stage) the stage of capturing the end of the bladder, (second stage) ) When the urine collection volume measured after capturing the end of the bladder is increasing, (3rd phase) the maximum urine collection volume is detected, (4th phase) the measured urine collection volume is 60% of the maximum value. The progress status can be defined in five stages, such as a stage in which it is detected that there is something (the fifth stage), and a stage in which the measured amount of stored urine 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, it can be determined that the past measured value is the maximum value when the measured value changes from an increase to a decrease and the measured value which is, for example, 80% of the past measured value is detected when the urine storage amount is the maximum. The progress status is for notifying the user of the position where the maximum value of urine accumulation is detected, and the number of stages is not limited to five, 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 again increases 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. The above is the fourth stage, and (e) indicates 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 displaced 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 which stage of the progress the forward scan is in by displaying one of five different displays as shown in FIG. 4, for example, in the forward pass. 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. 5B) or the pubic side from the maximum value position (FIG. 5C). Although only shown, two or more modes are added, one in which the position of the arrow is further away from the center than in FIG. 5(b) on the navel side, and the other in which the position of the arrow is further away from the pubic side than in FIG. 5(c). 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 notifications by various sounds.
 通信I/F(インタフェース)60は、必要に応じて、PC(パーソナルコンピュータ)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 PC (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 is configured to include 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 an 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 accumulation level determination unit 138. In the present embodiment, the “scan determination unit 136” combines the urine storage amount and the channel pattern at the maximum value position, which is the position where the urine storage amount becomes the provisional maximum value, based on the urine storage amount measured by the measurement unit 131. 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 control unit 110 can be configured by an ultrasonic 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. The urine accumulation amount 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. Further, 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, EU is calculated. The amount of urine stored, R, represents a coefficient determined in accordance with the individual difference based on the anatomical structure and the posture during measurement. 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 on 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 and 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 the channel is the first channel 11a, and the channel closest to the pubis and the channel next to it. It is 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, since the user performs the forward scan and the return path measurement by moving the urine volume measuring instrument 1, 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 storage volume and the channel pattern) acquired in the outward scan performed while moving the urine volume 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 that the forward scan is 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 accumulation amount that has tended to increase turns to decrease, the position that has the maximum value can be set as the maximum value position, which can be the third stage. However, due to the influence of noise, etc., this may occur at a position that is not the maximum value, and then it may start decreasing 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 outward 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 continuously a predetermined number of times after the maximum value position is detected (that is, described in FIG. 4). In the example described above, 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 determination unit 136 displays or notifies the display processing unit 150 or the voice processing unit 160 to that effect in order to notify the user. 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 to 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 the urine accumulation amount. The maximum value determination unit 137 determines the return path measurement position and the maximum value position based on the measurement data measured each time by the measurement unit 131 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はまた、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値を演算して、蓄尿量を特定することができる。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、その平均値を蓄尿量として特定する。最大値判定部137は、所定の基準を満たしている蓄尿量の演算結果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 can also calculate the value of the urine accumulation amount from the measurement data of a plurality of times measured at the maximum value position to specify 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 near the maximum value, and the average value thereof is specified as the urine accumulation amount. The maximum value determination unit 137 can specify the calculation result of the urine storage amount satisfying a predetermined criterion as an accurate value of the urine storage amount, and determine that the return path measurement is completed. It is determined that the urine storage volume meets the predetermined criteria, 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 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 urine accumulation amount value are associated with each other, and stores the urine accumulation amount of the urine accumulation amount value passed from the maximum value determination unit 137. Determine the level. The urine storage level determination unit 138 causes the display processing unit 150 to display the determined urine storage level on the display 30. The urine storage level determination unit 138 may notify the urine storage level determined by the speaker 50 in 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 collection level and the urine collection value 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 the 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、PCやスマートフォン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 PC 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 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 the vertical direction from the body surface of the pubic portion in a state of 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. The return path is measured when moving. 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 fine adjustment by the user. 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 prior to the start of 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 identifying 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 end of the bladder is captured after the scan is started, and then if the progress progresses smoothly, FIG. 4B, FIG. 4C, and FIG. , 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 measurement is at this time (S2). In S2, the scan determination unit 136, for example, the urine accumulation amount measured each time by the measurement unit 131 and the urine accumulation measured before (just before and a predetermined number of times before) each time stored in the storage unit 140. 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 there is a change in the progress status (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 is 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 the measurement is switched to the return path is generated by, for example, an audio announcement such as "Please switch the scan direction" by the audio processing unit 160 and the speaker 50 is notified, or the display 30 is displayed 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 path measurement]
The return pass measurement is a process for starting the vicinity of the navel and returning to the maximum value position identified by the forward pass scan, and a process for measuring the urine accumulation value. 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. 5B is displayed. After that, if the measurement position advances in the pubic direction and exactly matches the maximum value position, FIG. If it is displayed too much, 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 measurement data (S6) as in the forward scan (S6), 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。 When 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 a 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 value 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、蓄尿量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、蓄尿量の演算をすると判定し(S9:YES)、蓄尿量の演算を実行する(S10)。蓄尿量の演算は、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値を演算する処理である。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演算することで、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 measured position at each time matches the maximum value position. Then, it is determined whether or not the urine accumulation amount is calculated (S9). When it is determined that the measurement position at each time coincides with the maximum value position, it is determined to calculate the urine collection amount (S9: YES), and the calculation of the urine collection amount is executed (S10). The calculation of the urine storage amount 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 value of the urine storage amount used for one determination of the urine storage amount level is calculated. It can be said that a more accurate urine storage amount can be obtained by calculating the urine storage amount from the measurement value obtained by performing the measurement a plurality of times for one urine storage amount.
 最大値判定部137は、蓄尿量の演算をすると、蓄尿量の演算が完了した(復路の測定が完了した)か否かを判定する(S11)。例えば、S10の処理において蓄尿量の演算として、最大値付近で複数の測定値を取り、その平均値を蓄尿量として特定する処理を行う。S11の処理では、その値を正確な蓄尿量として特定し、蓄尿量の演算が完了したと判定する。 After calculating the urine storage amount, the maximum value determination unit 137 determines whether or not the urine storage amount calculation is completed (return trip measurement is completed) (S11). For example, as the calculation of the urine storage amount in the process of S10, a process of taking a plurality of measurement values near the maximum value and specifying the average value as the urine storage amount is performed. In the process of S11, the value is specified as an accurate urine storage amount, and it is determined that the calculation of the urine storage amount is completed.
 最大値判定部137は、蓄尿量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 urine storage amount has been 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 storage volume level the urine storage volume corresponds to, and the determined urine storage volume level is displayed on the display 30 (S12).
 このようにすることで、尿量測定器1の使用者が測定の完了のタイミングを判断することなく、自動で蓄尿量の測定を完了させることができる。 By doing this, the user of the urine volume measuring device 1 can automatically complete the measurement of the urine storage volume without determining the timing of completion of the measurement.
 図8は、尿量測定値が手技およびノイズの影響を受けたことを例示する概念図であり、1回の測定において複数の測定値をプロットしたものである。図8では、尿量測定値が時間経過に伴いプロットされている。なお、図8は、尿量測定値の変動について説明のためにモデル化したものであり、本発明の実施形態には含まれない。図8に示すように、測定値は微小な生体動作、押し圧等による測定者の手技、センサの反応、ジェルの気泡等により、絶えず変動している。測定値が小さくなる要因は、例えば測定者の手ブレ等により、測定器が測定中に動いて最大値位置以外の場所を測定してしまう場合等が挙げられる。測定値が大きくなる要因は、例えば膀胱とは異なる体内物質からの強反射エコーを受信した場合、または異なるチャネルの散乱した反射エコーを受信した場合等が挙げられる。測定値はまた、ノイズの影響を受けると外れ値(飛び値)を含み得る。図8において、極端に大きい測定値が外れ値であることを例示している(図8における、最も左の山と最も右の山)。測定結果は、各測定値の単純な平均値とした場合、大きい測定値または小さい測定値の影響を受け、測定精度の低下につながり得る。測定結果はまた、最大の測定値とした場合、外れ値が含まれているときに外れ値の影響を受け、実際の蓄尿量と異なり得る。 FIG. 8 is a conceptual diagram illustrating that the measured urine volume is affected by the procedure and noise, and is a plot of a plurality of measured values in one measurement. In FIG. 8, the urine volume measurement values are plotted over time. It should be noted that FIG. 8 is modeled for explaining the variation of the urine volume measurement value and is not included in the embodiment of the present invention. As shown in FIG. 8, the measured values are constantly fluctuating due to minute living body movements, measuring person's manipulations due to pressing pressure, sensor reaction, gel bubbles, and the like. Factors that reduce the measured value include, for example, the case where the measuring instrument moves during measurement due to camera shake of the measurer or the like and measures a position other than the maximum value position. Factors that increase the measured value include, for example, the case where a strong reflection echo from a substance in the body different from the bladder is received, or the case where reflection echoes scattered from different channels are received. The measurements may also include outliers (outliers) when affected by noise. In FIG. 8, an extremely large measurement value is illustrated as an outlier (the leftmost peak and the rightmost peak in FIG. 8). When the measurement result is a simple average value of each measurement value, it may be affected by a large measurement value or a small measurement value, which may lead to a decrease in measurement accuracy. The measurement result may also be different from the actual amount of urine stored, subject to outliers when they are included, given the maximum measured value.
 尿量測定値の外れ値を除外する手法として、例えば最大値から大きい順に2個の測定値、および最小値から小さい順に2個の測定値のような所定個数の測定値を除外して、残りの測定値から平均値を算出する手法等が考えられる。しかしながら、実際の測定値から単純に所定個数の測定値を除外することによって、全ての外れ値を除外することができるわけではない。例えば全ての測定値から極端に大きい値の外れ値を2つ除外したとしても、外れ値が残る場合がある。図8で例示したように、測定値は絶えず変動しているため、外れ値の頻度および回数は測定ごとに異なり得る。さらに、測定の処理速度が増加する(すなわち、サンプリング数が増加する)と、ノイズの影響を受けて外れ値を検出する頻度が高くなり得る。サンプリング数の増加に伴い、除外する測定値を所定個数から増加したとしても、連続で外れ値が発生すると外れ値が残る場合がある。したがって、実際の測定値から単純に複数の測定値を除外するだけでは十分な測定精度を得られない。 As a method of excluding outliers in the urine volume measurement value, for example, a predetermined number of measurement values such as two measurement values in descending order from the maximum value and two measurement values in descending order from the minimum value are excluded, and the remaining A method of calculating an average value from the measured values of 1 can be considered. However, it is not possible to exclude all outliers by simply excluding a predetermined number of measurement values from the actual measurement values. For example, even if two outliers having extremely large values are excluded from all the measured values, the outliers may remain. Since the measurements are constantly changing, as illustrated in FIG. 8, the frequency and number of outliers may vary from measurement to measurement. Further, as the processing speed of measurement increases (that is, the number of samplings increases), the frequency of detecting outliers under the influence of noise may increase. Even if the number of excluded measurement values is increased from the predetermined number as the number of samplings increases, the outliers may remain if they continuously occur. Therefore, sufficient measurement accuracy cannot be obtained by simply excluding a plurality of measured values from the actual measured values.
[測定尿量演算処理]
 図9は、本実施形態の測定尿量演算処理を示す処理フロー図である。図9は、図7のS10(蓄尿量の演算)の詳細な演算処理を例示する。以下、ユーザが尿量測定器1を使用して、最大値位置付近において蓄尿量を測定し、蓄尿量の演算を行う場面について説明する。
[Measured urine volume calculation processing]
FIG. 9 is a process flow chart showing the measured urine volume calculation process of this embodiment. FIG. 9 exemplifies a detailed calculation process of S10 (calculation of urine accumulation amount) of FIG. 7. Hereinafter, a case where the user uses the urine volume measuring device 1 to measure the urine volume in the vicinity of the maximum value position and calculates the urine volume will be described.
 尿量測定器1は、被測定者の蓄尿量について測定部131による測定を行い、測定データを取得する(S1001)。 The urine volume measuring device 1 measures the urine volume of the person to be measured by the measuring unit 131, and acquires measurement data (S1001).
 尿量測定器1は、記憶部140に記憶された最大値位置の測定データ(暫定最大値)を基準として、取得された測定データが最大値から所定の範囲内のデータであるかどうかを判定する(S1002)。測定尿量演算処理の開始時には、最大値は往路スキャン時に取得した暫定最大値を使用することができるが、後述する最大値の更新処理(S1012)により更新され得る。所定の範囲は、例えば最大値から80%以上等とすることができる。取得された測定データが最大値から所定の範囲内のデータでないと判定された場合(S1002:NO)、尿量測定器1はS1001の処理に戻る。最大値から所定の範囲内のデータでない場合、例えば手ブレ等により、尿量測定器1が測定中に動いて最大値位置以外の場所で測定した可能性があるため、測定データを破棄する。取得された測定データが最大値から所定の範囲内のデータであると判定された場合(S1002:YES)、次処理に進む。 The urine volume measuring device 1 determines whether or not the acquired measurement data is within a predetermined range from the maximum value with reference to the measurement data (provisional maximum value) at the maximum value position stored in the storage unit 140. Yes (S1002). At the start of the measurement urine volume calculation process, the maximum value can use the provisional maximum value acquired during the outward scan, but can be updated by the maximum value update process (S1012) described below. The predetermined range may be, for example, 80% or more from the maximum value. When it is determined that the acquired measurement data is not within the predetermined range from the maximum value (S1002: NO), the urine volume measuring device 1 returns to the process of S1001. If the data is not within the predetermined range from the maximum value, it is possible that the urine volume measuring instrument 1 moved during measurement due to camera shake or the like and the measurement was performed at a position other than the maximum value position, so the measurement data is discarded. When it is determined that the acquired measurement data is within the predetermined range from the maximum value (S1002: YES), the process proceeds to the next process.
 尿量測定器1は、最大値から所定の範囲内の測定データを計算用測定データの母集団に蓄積する(S1003)。 The urine volume measuring device 1 accumulates measurement data within a predetermined range from the maximum value in a population of calculation measurement data (S1003).
 尿量測定器1は、計算用測定データの母集団のデータ蓄積量がN個であるかどうかを判定する(S1004)。N個は例えば、10~50個の任意の値であり、好ましくは20~30個である。データ蓄積量がN個でないと判定された場合(S1004:NO)、尿量測定器1はS1001の処理に戻る。データ蓄積量がN個であると判定された場合(S1004:YES)、次処理に進む。 The urine volume measuring device 1 determines whether or not the data accumulation amount of the population of the measurement data for calculation is N (S1004). N is, for example, an arbitrary value of 10 to 50, and preferably 20 to 30. When it is determined that the data storage amount is not N (S1004: NO), the urine volume measuring device 1 returns to the process of S1001. When it is determined that the data storage amount is N (S1004: YES), the process proceeds to the next process.
 尿量測定器1は、N個のデータを例えば降順にソートして、数値の大きい方から順番にn個のデータを抽出する(S1005)。n個は例えば、5~30個の任意の値であり、好ましくは10~15個である。 The urine volume measuring device 1 sorts N pieces of data, for example, in descending order, and extracts n pieces of data in descending order of numerical value (S1005). The number n is, for example, an arbitrary value of 5 to 30, and preferably 10 to 15.
 尿量測定器1は、n個のデータが2個以上であるかどうかを判定する(S1006)。n個のデータが2個以上でない場合(S1006:NO)、尿量測定器1は不足分の測定データを取得するため、S1001の処理に戻る。n個のデータが2個以上である場合(S1006:YES)、次処理に進む。 The urine volume measuring device 1 determines whether or not there are two or more n pieces of data (S1006). When the number of n data is not two or more (S1006: NO), the urine volume measuring instrument 1 returns to the processing of S1001 in order to acquire the measurement data of the shortage. When the number of n data is 2 or more (S1006: YES), the process proceeds to the next process.
 尿量測定器1は、n個のデータを使用して平均値、各データの偏差を求め、標準偏差を算出する(S1007)。 The urine volume measuring device 1 obtains the average value and the deviation of each data using n pieces of data, and calculates the standard deviation (S1007).
 尿量測定器1は、標準偏差が所定の閾値内であるかどうかを判定する(S1008)。所定の閾値は例えば、5~30(ml)の任意の値であり、好ましくは10~20(ml)である。 The urine volume measuring device 1 determines whether the standard deviation is within a predetermined threshold value (S1008). The predetermined threshold is, for example, an arbitrary value of 5 to 30 (ml), and preferably 10 to 20 (ml).
 標準偏差が所定の閾値を超えた場合(S1008:NO)、尿量測定器1は各測定データの偏差の二乗が最大となるデータを不正データとしてn個のデータから除外する(S1009)。尿量測定器1はまた、偏差の二乗が最大となるデータが除外された残りのデータを使用して、S1006の処理に戻る。 If the standard deviation exceeds a predetermined threshold value (S1008: NO), the urine volume measuring device 1 excludes the data having the maximum square of the deviation of each measurement data from the n data as invalid data (S1009). The urine volume measuring device 1 also returns to the process of S1006 using the remaining data from which the data having the maximum square of the deviation is excluded.
 標準偏差が所定の閾値内である場合(S1008:YES)、尿量測定器1は、標準偏差が所定の閾値内にあるデータ群を正データとし、正データがn個であるかどうかを判定する(S1010)。 When the standard deviation is within the predetermined threshold value (S1008: YES), the urine volume measuring device 1 determines whether or not there are n positive data sets, by setting the data group having the standard deviation within the predetermined threshold value as the positive data. Yes (S1010).
 正データがn個でない場合、すなわち不正データ(偏差の二乗が最大となるデータ)が除外されている場合(S1010:NO)、最大値を更新するかどうかを判定する(S1011)。尿量測定器1は、n個のデータのうちの最大値が不正データとして除外されていない場合に最大値を更新しないと判定し、除外されている場合に最大値を更新すると判定する。 If the number of positive data is not n, that is, if the invalid data (the data having the maximum square of the deviation) is excluded (S1010: NO), it is determined whether the maximum value is updated (S1011). The urine volume measuring device 1 determines not to update the maximum value when the maximum value of the n pieces of data is not excluded as invalid data, and determines to update the maximum value when the maximum value is excluded.
 最大値を更新しないと判定した場合(S1011:NO)、尿量測定器1は不足分の測定データを取得するため、S1001の処理に戻る。 If it is determined that the maximum value is not updated (S1011: NO), the urine volume measuring instrument 1 returns to the processing of S1001 in order to acquire the measurement data for the shortage.
 最大値を更新すると判定した場合(S1011:YES)、正データ内の最大値を新たな最大値として更新する(S1012)。最大値を更新した後、尿量測定器1は不足分の測定データを取得するため、S1001の処理に戻る。 When it is determined to update the maximum value (S1011: YES), the maximum value in the correct data is updated as a new maximum value (S1012). After updating the maximum value, the urine volume measuring device 1 returns to the process of S1001 in order to acquire the measurement data for the shortage.
 正データがn個である場合(S1010:YES)、測定尿量演算処理によって得られた結果を確定する(S1013)。測定尿量演算処理の結果は、例えば正データの平均値とすることができ、S1007の処理過程で得られた平均値を使用してもよい。 If the number of positive data is n (S1010: YES), the result obtained by the measurement urine volume calculation process is confirmed (S1013). The result of the measurement urine volume calculation process may be, for example, the average value of the positive data, and the average value obtained in the process of S1007 may be used.
 測定尿量演算処理が終了すると、図7のS11では、S1013で確定された正データの平均値が蓄尿量として特定される。 When the measurement urine volume calculation process ends, in S11 of FIG. 7, the average value of the positive data determined in S1013 is specified as the urine volume.
 このようにすることで、不正データを確実に除外することが可能であり、手技およびノイズの影響を除去した蓄尿量の測定結果を得ることができる。本実施形態の測定尿量演算処理はまた、最大値を標準偏差内の最大値で更新することによって、より真値に近い測定データが蓄積可能となる。本実施形態の測定尿量演算処理はさらに、統計に使用する測定データの母集団を一定の数以下に抑えながら不正データを除外することができるため、多量の測定データが不要となり、計算処理の負担が軽減される。図9では、ユーザが尿量測定器1を使用して、最大値位置付近において蓄尿量を測定し、蓄尿量の演算を行う場面について説明したが、尿量測定器1を移動させながら測定データを取得する場面においても同様の処理を行うことができる。 By doing this, it is possible to exclude false data with certainty, and it is possible to obtain the measurement result of the urine collection volume that removes the influence of the procedure and noise. In the measurement urine volume calculation process of this embodiment, the maximum value is updated with the maximum value within the standard deviation, whereby measurement data closer to the true value can be stored. In the measurement urine volume calculation process of the present embodiment, since incorrect data can be excluded while suppressing the population of measurement data used for statistics to a fixed number or less, a large amount of measurement data becomes unnecessary, and the calculation process The burden is reduced. In FIG. 9, the case where the user uses the urine volume measuring device 1 to measure the urine volume in the vicinity of the maximum value position and to calculate the urine volume has been described. The same process can be performed in the scene of acquiring.
 図10は、本実施形態の測定尿量演算処理の具体例を示す図である。図10は、図9で示した処理の具体例であり、N=20(個)、n=10(個)、標準偏差の閾値=10(ml)として説明する。図10は、説明を簡略化するために図9のS1001~S1005の処理を通じて、取得した20個のデータのうち、数値の大きい方から順番に10個のデータを抽出した後の処理の具体例を示す。10個のデータは、それぞれ要素[1]から[10]に尿量として例示しており、例えば要素[1]の尿量が224mlであることを示している。 FIG. 10 is a diagram showing a specific example of the measured urine volume calculation processing of the present embodiment. FIG. 10 is a specific example of the processing shown in FIG. 9, and will be described with N=20 (pieces), n=10 (pieces), and a standard deviation threshold value=10 (ml). FIG. 10 is a specific example of the processing after extracting the 10 data in order from the largest numerical value among the 20 data acquired through the processing of S1001 to S1005 of FIG. 9 for simplification of description. Indicates. The 10 pieces of data are illustrated as the urine volume in each of the elements [1] to [10], and indicate that the urine volume of the element [1] is 224 ml, for example.
 図10の演算1回目において、尿量測定器1は、10個のデータ(S1006:YES)を使用して標準偏差を算出する(S1007)。標準偏差は116.71mlであるため、標準偏差が閾値10mlを超えた場合に該当し(S1008:NO)、平均値は384.20ml、偏差の二乗は各測定データの右隣の列に例示する通りとなる。偏差の二乗が最大となるデータは、偏差の二乗=70649.64である要素[10]となるため、要素[10]を不正データとしてデータから除外する(S1009)。 In the first calculation in FIG. 10, the urine volume measuring device 1 calculates a standard deviation using 10 pieces of data (S1006: YES) (S1007). Since the standard deviation is 116.71 ml, it corresponds to the case where the standard deviation exceeds the threshold value of 10 ml (S1008: NO), the average value is 384.20 ml, and the square of the deviation is illustrated in the column on the right of each measurement data. It becomes a street. The data having the maximum square of the deviation is the element [10] with the square of the deviation=70649.64. Therefore, the element [10] is excluded from the data as invalid data (S1009).
 図10の演算2回目において、尿量測定器1は、偏差の二乗が最大となるデータである要素[10]が除外された残りの9個のデータ(S1006:YES)を使用して標準偏差を算出する(S1007)。標準偏差は80.08mlであるため、標準偏差が閾値10mlを超えた場合に該当し(S1008:NO)、平均値は354.67ml、偏差の二乗は各測定データの右隣の列に例示する通りとなる。偏差の二乗が最大となるデータは、偏差の二乗=18315.11である要素[9]となるため、要素[9]を不正データとしてデータから除外する(S1009)。 In the second calculation of FIG. 10, the urine volume measuring device 1 uses the remaining 9 data (S1006: YES) excluding the element [10], which is the data with the maximum square of the deviation, to use the standard deviation. Is calculated (S1007). Since the standard deviation is 80.08 ml, it corresponds to the case where the standard deviation exceeds the threshold value of 10 ml (S1008: NO), the average value is 354.67 ml, and the square of the deviation is illustrated in the column on the right of each measurement data. It becomes a street. The data having the maximum square of the deviation is the element [9] with the square of the deviation=18315.11. Therefore, the element [9] is excluded from the data as invalid data (S1009).
 図10の演算3回目において、尿量測定器1は、偏差の二乗が最大となるデータである要素[10]、[9]が除外された残りの8個のデータ(S1006:YES)を使用して標準偏差を算出する(S1007)。標準偏差は68.10mlであるため、標準偏差が閾値10mlを超えた場合に該当し(S1008:NO)、平均値は337.75ml、偏差の二乗は各測定データの右隣の列に例示する通りとなる。偏差の二乗が最大となるデータは、偏差の二乗=12939.06である要素[1]となるため、要素[1]を不正データとしてデータから除外する(S1009)。 In the third calculation of FIG. 10, the urine volume measuring device 1 uses the remaining eight data (S1006: YES) excluding the elements [10] and [9] that are the data with the maximum squared deviation. Then, the standard deviation is calculated (S1007). Since the standard deviation is 68.10 ml, it corresponds to the case where the standard deviation exceeds the threshold value of 10 ml (S1008: NO), the average value is 337.75 ml, and the square of the deviation is illustrated in the column on the right of each measurement data. It becomes a street. Since the data having the maximum square of the deviation is the element [1] having the square of the deviation=12939.06, the element [1] is excluded from the data as invalid data (S1009).
 図10の演算4回目において、尿量測定器1は、偏差の二乗が最大となるデータである要素[10]、[9]、[1]が除外された残りの7個のデータ(S1006:YES)を使用して標準偏差を算出する(S1007)。標準偏差は56.46mlであるため、標準偏差が閾値10mlを超えた場合に該当し(S1008:NO)、平均値は354.00ml、偏差の二乗は各測定データの右隣の列に例示する通りとなる。偏差の二乗が最大となるデータは、偏差の二乗=9216.00である要素[2]となるため、要素[2]を不正データとしてデータから除外する(S1009)。 In the fourth calculation in FIG. 10, the urine volume measuring device 1 uses the remaining seven pieces of data (S1006: S1006: The standard deviation is calculated using (YES) (S1007). Since the standard deviation is 56.46 ml, it corresponds to the case where the standard deviation exceeds the threshold value of 10 ml (S1008: NO), the average value is 354.00 ml, and the square of the deviation is illustrated in the column on the right of each measurement data. It becomes a street. The data with the maximum square of the deviation is the element [2] with the square of the deviation=9216.00, so the element [2] is excluded from the data as invalid data (S1009).
 図10の演算5回目において、尿量測定器1は、偏差の二乗が最大となるデータである要素[10]、[9]、[1]、[2]が除外された残りの6個のデータ(S1006:YES)を使用して標準偏差を算出する(S1007)。標準偏差は43.91mlであるため、標準偏差が閾値10mlを超えた場合に該当し(S1008:NO)、平均値は370.00ml、偏差の二乗は各測定データの右隣の列に例示する通りとなる。偏差の二乗が最大となるデータは、偏差の二乗=3969.00である要素[3]となるため、要素[3]を不正データとしてデータから除外する(S1009)。 In the fifth calculation of FIG. 10, the urine volume measuring device 1 detects the remaining six elements except the elements [10], [9], [1], and [2], which are the data with the maximum squared deviation. The standard deviation is calculated using the data (S1006: YES) (S1007). Since the standard deviation is 43.91 ml, it corresponds to the case where the standard deviation exceeds the threshold value of 10 ml (S1008: NO), the average value is 370.00 ml, and the square of the deviation is illustrated in the column on the right of each measurement data. It becomes a street. Since the data having the maximum square of the deviation is the element [3] with the square of the deviation=3969.00, the element [3] is excluded from the data as invalid data (S1009).
 図10の演算6回目において、尿量測定器1は、偏差の二乗が最大となるデータである要素[10]、[9]、[1]、[2]、[3]が除外された残りの5個のデータ(S1006:YES)を使用して標準偏差を算出する(S1007)。標準偏差は36.89mlであるため、標準偏差が閾値10mlを超えた場合に該当し(S1008:NO)、平均値は382.60ml、偏差の二乗は各測定データの右隣の列に例示する通りとなる。偏差の二乗が最大となるデータは、偏差の二乗=5126.56である要素[4]となるため、要素[4]を不正データとしてデータから除外する(S1009)。 In the sixth operation of FIG. 10, the urine volume measuring device 1 has the remaining elements except the elements [10], [9], [1], [2], and [3] that are the data with the maximum squared deviation. The standard deviation is calculated using the five pieces of data (S1006: YES) (S1007). Since the standard deviation is 36.89 ml, it corresponds to the case where the standard deviation exceeds the threshold value of 10 ml (S1008: NO), the average value is 382.60 ml, and the square of the deviation is illustrated in the column on the right of each measurement data. It becomes a street. Since the data having the maximum square of the deviation is the element [4] with the square of the deviation=5126.56, the element [4] is excluded from the data as invalid data (S1009).
 図10の演算7回目において、尿量測定器1は、偏差の二乗が最大となるデータである要素[10]、[9]、[1]、[2]、[3]、[4]が除外された残りの4個のデータ(S1006:YES)を使用して標準偏差を算出する(S1007)。標準偏差は9.94mlであるため、標準偏差が閾値10ml以内である場合に該当し(S1008:YES)、次処理に進む。 In the seventh calculation in FIG. 10, the urine volume measuring device 1 detects that the elements [10], [9], [1], [2], [3], and [4], which are data that maximize the square of the deviation, The standard deviation is calculated using the remaining four data that have been excluded (S1006: YES) (S1007). Since the standard deviation is 9.94 ml, it corresponds to the case where the standard deviation is within the threshold value of 10 ml (S1008: YES), and the process proceeds to the next process.
 尿量測定器1は、標準偏差が閾値10ml以内にあるデータ群を正データとし、正データが10個であるかどうかを判定する(S1010)。図10において、正データは要素[5]~[8]の4個であるため(S1010:NO)、最大値を更新するかどうかを判定する(S1011)。 The urine volume measuring device 1 sets a data group having a standard deviation within a threshold value of 10 ml as positive data, and determines whether there are 10 positive data (S1010). In FIG. 10, since there are four correct data items [5] to [8] (S1010: NO), it is determined whether the maximum value is updated (S1011).
 偏差の二乗が最大となるデータを除外する前の要素[1]~[10]のうち、最大値は要素[10]の650mlであるが、要素[10]は不正データとして除外されているため、尿量測定器1は最大値を更新すると判定する(S1011:YES)。尿量測定器1は、正データ内の最大値である要素[8]の417mlを新たな最大値として更新する(S1012)。最大値を更新した後、尿量測定器1は不足分の測定データを取得するため、S1001の処理に戻る。 Among the elements [1] to [10] before excluding the data with the maximum squared deviation, the maximum value is 650 ml of the element [10], but the element [10] is excluded as invalid data. The urine volume measuring device 1 determines to update the maximum value (S1011: YES). The urine volume measuring instrument 1 updates 417 ml of the element [8], which is the maximum value in the positive data, as a new maximum value (S1012). After updating the maximum value, the urine volume measuring device 1 returns to the process of S1001 in order to acquire the measurement data for the shortage.
 図11は、本実施形態の測定尿量演算処理の具体例を示す図である。図11は、図10に示す演算後に残った測定データに加えて、図9のS1001~S1005の処理を通じて、取得した20個のデータのうち、数値の大きい方から順番に6個のデータを抽出し、合計で10個のデータとした後の処理の具体例を示す。10個のデータは、それぞれ要素[1]から[10]に尿量として例示している。 FIG. 11 is a diagram showing a specific example of the measured urine volume calculation processing of the present embodiment. FIG. 11 shows that, in addition to the measurement data remaining after the calculation shown in FIG. 10, six pieces of data are extracted in order from the largest numerical value among the 20 pieces of data acquired through the processing of S1001 to S1005 in FIG. Then, a specific example of the processing after the total of 10 pieces of data is shown. The 10 pieces of data are illustrated as the urine volume in the elements [1] to [10], respectively.
 図11の演算1回目において、尿量測定器1は、10個のデータ(S1006:YES)を使用して標準偏差を算出する(S1007)。標準偏差は14.11mlであるため、標準偏差が閾値10mlを超えた場合に該当し(S1008:NO)、平均値は390.10ml、偏差の二乗は各測定データの右隣の列に例示する通りとなる。偏差の二乗が最大となるデータは、偏差の二乗=906.01である要素[1]となるため、要素[1]を不正データとしてデータから除外する(S1009)。 In the first calculation shown in FIG. 11, the urine volume measuring instrument 1 calculates a standard deviation using 10 pieces of data (S1006: YES) (S1007). Since the standard deviation is 14.11 ml, it corresponds to the case where the standard deviation exceeds the threshold value of 10 ml (S1008: NO), the average value is 390.10 ml, and the square of the deviation is illustrated in the column to the right of each measurement data. It becomes a street. Since the data having the maximum square of the deviation is the element [1] with the square of the deviation=906.01, the element [1] is excluded from the data as invalid data (S1009).
 図11の演算2回目において、尿量測定器1は、偏差の二乗が最大となるデータである要素[1]が除外された残りの9個のデータ(S1006:YES)を使用して標準偏差を算出する(S1007)。標準偏差は10.46mlであるため、標準偏差が閾値10mlを超えた場合に該当し(S1008:NO)、平均値は393.44ml、偏差の二乗は各測定データの右隣の列に例示する通りとなる。偏差の二乗が最大となるデータは、偏差の二乗=554.86である要素[10]となるため、要素[10]を不正データとしてデータから除外する(S1009)。 In the second calculation of FIG. 11, the urine volume measuring device 1 uses the remaining 9 pieces of data (S1006: YES) excluding the element [1] that is the data that maximizes the square of the deviation to obtain the standard deviation. Is calculated (S1007). Since the standard deviation is 10.46 ml, it corresponds to the case where the standard deviation exceeds the threshold value of 10 ml (S1008: NO), the average value is 393.44 ml, and the square of the deviation is illustrated in the column to the right of each measurement data. It becomes a street. Since the data having the maximum square of the deviation is the element [10] with the square of the deviation=554.86, the element [10] is excluded from the data as invalid data (S1009).
 図11の演算3回目において、尿量測定器1は、偏差の二乗が最大となるデータである要素[1]、[10]が除外された残りの8個のデータ(S1006:YES)を使用して標準偏差を算出する(S1007)。標準偏差は6.71mlであるため、標準偏差が閾値10ml以内である場合に該当し(S1008:YES)、次処理に進む。 In the third calculation of FIG. 11, the urine volume measuring device 1 uses the remaining eight data (S1006: YES) excluding the elements [1] and [10] that are the data with the maximum squared deviation. Then, the standard deviation is calculated (S1007). Since the standard deviation is 6.71 ml, it corresponds to the case where the standard deviation is within the threshold value of 10 ml (S1008: YES), and the process proceeds to the next process.
 尿量測定器1は、標準偏差が閾値10ml以内にあるデータ群を正データとし、正データが10個であるかどうかを判定する(S1010)。図11において、正データは要素[2]~[9]の8個であり(S1010:NO)、最大値を更新するかどうかを判定する(S1011)。 The urine volume measuring device 1 sets a data group having a standard deviation within a threshold value of 10 ml as positive data, and determines whether there are 10 positive data (S1010). In FIG. 11, the positive data is eight elements [2] to [9] (S1010: NO), and it is determined whether the maximum value is updated (S1011).
 偏差の二乗が最大となるデータを除外する前の要素[1]~[10]のうち、最大値は要素[10]の417mlであるが、要素[10]は不正データとして除外されているため、尿量測定器1は最大値を更新すると判定する(S1011:YES)。尿量測定器1は、正データ内の最大値である要素[9]の399mlを新たな最大値として更新する(S1012)。最大値を更新した後、尿量測定器1は不足分の測定データを取得するため、S1001の処理に戻る。 Of the elements [1] to [10] before excluding the data with the maximum squared deviation, the maximum value is 417 ml of the element [10], but the element [10] is excluded as invalid data. The urine volume measuring device 1 determines to update the maximum value (S1011: YES). The urine volume measuring device 1 updates 399 ml of the element [9], which is the maximum value in the positive data, as a new maximum value (S1012). After updating the maximum value, the urine volume measuring device 1 returns to the process of S1001 in order to acquire the measurement data for the shortage.
 図12は、本実施形態の測定尿量演算処理の具体例を示す図である。図12は、図11に示す演算後に残った測定データに加えて、図9のS1001~S1005の処理を通じて、取得した20個のデータのうち、数値の大きい方から順番に2個のデータを抽出し、合計で10個のデータとした後の処理の具体例を示す。10個のデータは、それぞれ要素[1]から[10]に尿量として例示している。 FIG. 12 is a diagram showing a specific example of the measured urine volume calculation processing of the present embodiment. In addition to the measurement data remaining after the calculation shown in FIG. 11, FIG. 12 extracts two data in order from the one with the largest numerical value among the 20 data acquired through the processing of S1001 to S1005 in FIG. Then, a specific example of the processing after the total of 10 pieces of data is shown. The 10 pieces of data are illustrated as the urine volume in the elements [1] to [10], respectively.
 図12の演算1回目において、尿量測定器1は、10個のデータ(S1006:YES)を使用して標準偏差を算出する(S1007)。標準偏差は6.78mlであるため、標準偏差が閾値10ml以内である場合に該当し(S1008:YES)、次処理に進む。 In the first calculation in FIG. 12, the urine volume measuring device 1 calculates the standard deviation using 10 pieces of data (S1006: YES) (S1007). Since the standard deviation is 6.78 ml, it corresponds to the case where the standard deviation is within the threshold value of 10 ml (S1008: YES), and the process proceeds to the next process.
 尿量測定器1は、標準偏差が閾値10ml以内にあるデータ群を正データとし、正データが10個であるかどうかを判定する(S1010)。図12において、正データは要素[1]~[10]の10個であるため(S1010:YES)、例えば正データの平均値を測定尿量演算処理の結果として確定し(S1013)、測定尿量演算処理を終了する。図12に示されているように、平均値は389.20mlとなる。 The urine volume measuring device 1 sets a data group having a standard deviation within a threshold value of 10 ml as positive data, and determines whether there are 10 positive data (S1010). In FIG. 12, since the positive data is ten elements [1] to [10] (S1010: YES), for example, the average value of the positive data is confirmed as the result of the measurement urine volume calculation process (S1013), and the measurement urine The quantity calculation process ends. As shown in FIG. 12, the average value is 389.20 ml.
 図9~図12で説明したように、本実施形態における測定尿量演算処理は、最大でn個のデータを使用して標準偏差を算出する。測定尿量演算処理はまた、正データを残して測定を繰り返すことによって、より実際の蓄尿量に近いと推定されるデータの蓄積が可能となる。また、測定値は絶えず変動しているため、極端な値を測定する頻度および回数は測定ごとに異なり得るが、本実施形態における測定尿量演算処理は、不正データを確実に除外することが可能となる。したがって、本実施形態における測定尿量演算処理は、単純に実測値から複数個の値を除外する処理等とは明確に異なる。 As described with reference to FIGS. 9 to 12, the measurement urine volume calculation process in the present embodiment calculates the standard deviation using a maximum of n pieces of data. In the measurement urine volume calculation process, it is possible to accumulate data estimated to be closer to the actual urine accumulation volume by repeating the measurement while leaving the positive data. Further, since the measured value is constantly changing, the frequency and number of times of measuring the extreme value may be different for each measurement, but the measured urine volume calculation processing in the present embodiment can reliably exclude incorrect data. Becomes Therefore, the measured urine volume calculation process in the present embodiment is clearly different from the process of simply excluding a plurality of values from the actually measured value.
 図13は、本実施形態の測定尿量演算処理により取得した尿量測定値と従来の手法により取得した尿量測定値とを比較した図である。図13は、従来の尿量測定器および本実施形態の尿量測定器1を使用して、尿量を測定した結果を例示する。図13は、生データ(加工無し)、8個の測定データのうち大きい値2個と小さい値3個を除外した移動平均値(以下、「従来手法」という。)、および本実施形態の測定尿量演算処理(以下、「新規手法」という。)で取得した尿量測定値を例示する。新規手法は、N=20(個)、n=10(個)、閾値=10(ml)であり、正データ内の最大値を新たな最大値として更新することを取得条件とする。図13において、縦軸は測定尿量、横軸は測定回数(時間変化、0.1秒/回)を示し、生データは丸(uv0/plot0)、従来手法は三角形(uv1/plot1)、新規手法は四角形(uv2/plot2)により尿量測定値がプロットされている。 FIG. 13 is a diagram comparing the urine volume measurement value acquired by the measurement urine volume calculation processing of the present embodiment with the urine volume measurement value acquired by the conventional method. FIG. 13 exemplifies the results of measuring the urine volume using the conventional urine volume measuring instrument and the urine volume measuring instrument 1 of the present embodiment. FIG. 13 shows raw data (without processing), a moving average value excluding two large values and three small values out of eight measurement data (hereinafter, referred to as “conventional method”), and the measurement of the present embodiment. The urine volume measurement value acquired by the urine volume calculation process (hereinafter, referred to as “new method”) is illustrated. The new method is N=20 (pieces), n=10 (pieces), and threshold value=10 (ml), and the acquisition condition is to update the maximum value in the positive data as a new maximum value. In FIG. 13, the vertical axis indicates the measured urine volume, the horizontal axis indicates the number of times of measurement (time change, 0.1 second/time), the raw data is a circle (uv0/plot0), the conventional method is a triangle (uv1/plot1), In the new method, urine volume measurement values are plotted by a square (uv2/plot2).
 図13は、実尿量が239ml(人体における実尿量であって、本発明の尿量測定器での尿量測定直後の排尿により測定)であり、ノイズの影響と推測される外れ値を複数回測定した場合の測定結果を例示する。生データは、実尿量が239mlであるにも関わらず、ノイズの影響と推測される300ml近辺の外れ値が複数回測定されている。生データはまた、尿量測定値の振れ幅が特に大きいことが確認できる。従来手法は、生データと比較すると尿量測定値の振れ幅は小さくなり、移動平均値により突発的な外れ値の影響を軽減できるが、連続して外れ値を測定した場合、外れ値の影響による測定精度の低下が確認できる。一方、新規手法は生データおよび従来手法と比較すると、測定値が実尿量に近いと共に、尿量測定値の振れ幅が小さく、ノイズの影響を受けない安定した値であることが確認できる。 FIG. 13 shows the actual urine volume of 239 ml (the actual urine volume in the human body, which is measured by urination immediately after the urine volume measurement by the urine volume measuring device of the present invention). The measurement result when the measurement is performed a plurality of times is illustrated. In the raw data, although the actual urine volume is 239 ml, an outlier around 300 ml, which is estimated to be the influence of noise, is measured multiple times. The raw data can also confirm that the fluctuation range of the urine volume measurement value is particularly large. In the conventional method, the fluctuation range of the urine volume measurement value is smaller than the raw data, and the influence of sudden outliers can be reduced by the moving average value, but when continuously measuring the outliers, the influence of the outliers is reduced. It is possible to confirm the decrease in measurement accuracy due to. On the other hand, compared with the raw data and the conventional method, it can be confirmed that the new method has a measured value close to the actual urine volume, a small fluctuation range of the urine volume measured value, and a stable value that is not affected by noise.
 図14は、本実施形態の測定尿量演算処理により取得した尿量測定値と従来の手法により取得した尿量測定値とを比較した図である。図14は、図13と同様に従来の尿量測定器および本実施形態の尿量測定器を使用して、尿量を測定した結果を例示する。図14は、図13と同様に縦軸は測定尿量、横軸は測定回数(時間変化、0.1秒/回)を示し、生データは丸(uv0/plot0)、従来手法は三角形(uv1/plot1)、新規手法は四角形(uv2/plot2)により尿量測定値がプロットされている。 FIG. 14 is a diagram comparing the urine volume measurement value acquired by the measurement urine volume calculation processing of the present embodiment with the urine volume measurement value acquired by the conventional method. FIG. 14 exemplifies the result of measuring the urine volume using the conventional urine volume measuring instrument and the urine volume measuring instrument of the present embodiment similarly to FIG. 13. In FIG. 14, as in FIG. 13, the vertical axis indicates the measured urine volume, the horizontal axis indicates the number of times of measurement (time change, 0.1 second/time), the raw data is a circle (uv0/plot0), and the conventional method is a triangle ( uv1/plot1), and the new method plots the urine volume measurement values by a square (uv2/plot2).
 図14は、尿量が少なく膀胱が小さい場合の測定結果を例示する。一般的に、尿量が少なく膀胱が小さい場合、センサが膀胱を連続して捉えることが困難となり、ノイズの影響を受けやすくなる。生データは、センサが膀胱を連続して捉えることが困難であるため、反応がない(=0ml)測定データを多く取得していることが確認できる。従来手法は、生データと同様に反応がない測定データの影響を受け、平均値が下がることが確認できる。一方、新規手法は生データおよび従来手法と比較すると、尿量測定値の振れ幅が小さく、反応がない測定データの影響を受けないことが確認できる。また、新規手法は最大値が標準偏差の所定の閾値内であるかどうかの判定が行われているため、ノイズによる外れ値を含む大きな測定値及び小さな測定値を除外することができ、実尿量に近い尿量を安定的に測定・算出できる。 FIG. 14 illustrates the measurement result when the urine volume is small and the bladder is small. Generally, when the amount of urine is small and the bladder is small, it is difficult for the sensor to continuously capture the bladder, and the sensor is easily affected by noise. Since it is difficult for the sensor to continuously capture the bladder with the raw data, it can be confirmed that a large amount of measurement data with no reaction (=0 ml) is acquired. It can be confirmed that the conventional method is affected by the measurement data that does not respond like the raw data and the average value decreases. On the other hand, it can be confirmed that the new method has a smaller fluctuation range of the urine volume measurement value than the raw data and the conventional method and is not affected by the measurement data having no reaction. In addition, since the new method determines whether the maximum value is within the predetermined threshold of standard deviation, it is possible to exclude large measurement values and small measurement values including outliers due to noise. It is possible to stably measure and calculate the urine volume close to the volume.
 図13および図14において、比較のために多量の測定値を含む測定結果を例示したが、本実施形態の尿量測定器1は、測定尿量演算処理が終了すると、さらに測定値を取得する必要はない。すなわち、測定尿量演算処理が終了し、蓄尿量の演算が完了したと判定された場合(図7のS11:YES)、尿量測定器1の使用者が測定の完了のタイミングを判断することなく、自動で蓄尿量の測定を完了させることができる。 13 and 14, the measurement results including a large amount of measurement values are illustrated for comparison, but the urine volume measuring device 1 of the present embodiment further acquires the measurement values when the measurement urine volume calculation process ends. No need. That is, when the measurement urine volume calculation process is completed and it is determined that the calculation of the urine volume has been completed (S11: YES in FIG. 7), the user of the urine volume measuring device 1 determines the timing of completion of the measurement. Instead, the measurement of the urine storage amount can be automatically completed.
 また、従来の尿量測定器の中には、尿量の最大値を表示すること、尿量の最大値を蓄尿量と判定すること等ができる場合がある。しかしながら、図13および図14に例示するように、生データの最大値は手技またはノイズの影響を受けていることがあり得るため、最大値のみで蓄尿量を判断することは適切でない。本実施形態の測定尿量演算処理は、最大値を標準偏差の所定の閾値内の最大値で更新してもよく、より真値に近い測定データが蓄積可能となる。 In addition, some conventional urine volume measuring devices may be able to display the maximum urine volume and determine the maximum urine volume as the accumulated urine volume. However, as illustrated in FIG. 13 and FIG. 14, the maximum value of the raw data may be influenced by the procedure or noise, and therefore it is not appropriate to judge the urine storage amount only by the maximum value. In the measurement urine volume calculation processing of the present embodiment, the maximum value may be updated with the maximum value within the predetermined threshold value of the standard deviation, and measurement data closer to the true value can be accumulated.
 以上、例示的な実施形態を参照しながら本発明の原理を説明したが、本発明の要旨を逸脱することなく、構成および細部において変更する様々な実施形態を実現可能である。すなわち、本発明は、例えば、システム、装置、方法、プログラムまたは記憶媒体等としての実施態様を採用することが可能である。 The principle of the present invention has been described above with reference to the exemplary embodiments, but various embodiments with changes in configuration and details can be realized without departing from the gist of the present invention. That is, the present invention can adopt an embodiment as a system, a device, a method, a program, a storage medium, or the like.
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 wave control unit 120 A/D conversion unit 130 arithmetic unit 131 measurement unit 132 urine accumulation amount calculation unit 133 channel pattern acquisition unit 135 determination unit 136 scan determination unit 137 maximum value determination unit 138 urine accumulation amount level determination unit 140 storage Unit 150 display processing unit 160 voice processing unit 170 communication processing unit

Claims (11)

  1.  複数の測定データの標準偏差が所定の閾値内であるかどうかを判定し、
      前記標準偏差が前記所定の閾値内でない場合、偏差の二乗が最大となる測定データを前記複数の測定データから除外して、残りの前記複数の測定データの標準偏差が所定の閾値内であるかどうかの判定をさらに実行し、
      前記標準偏差が前記所定の閾値内である場合、前記複数の測定データが所定の個数であるかどうかを判定し、
       前記複数の測定データが前記所定の個数でない場合、不足分の測定データを取得して、前記標準偏差が所定の閾値内であるかどうかの判定をさらに実行し、
       前記複数の測定データが前記所定の個数である場合、前記複数の測定データの平均値を算出して蓄尿量を特定する、
     ように構成されたプロセッサを備えた、尿量測定器。
    Determines whether the standard deviation of multiple measurement data is within a predetermined threshold,
    If the standard deviation is not within the predetermined threshold value, the measurement data having the maximum square of the deviation is excluded from the plurality of measurement data, and the standard deviation of the remaining plurality of measurement data is within the predetermined threshold value. Further determination of whether,
    If the standard deviation is within the predetermined threshold, it is determined whether the plurality of measurement data is a predetermined number,
    If the plurality of measurement data is not the predetermined number, the measurement data for the shortage is acquired, and further determination of whether the standard deviation is within a predetermined threshold value is performed,
    When the plurality of measurement data is the predetermined number, the average value of the plurality of measurement data is calculated to specify the urine storage amount,
    Urine meter with a processor configured as described above.
  2.  前記複数の測定データは、最大値から所定の範囲内にある測定データであり、
     前記最大値は、前記不足分の測定データを取得するとき、前記複数の測定データのうちの最大値によって更新される、
     請求項1に記載の尿量測定器。
    The plurality of measurement data is measurement data within a predetermined range from the maximum value,
    The maximum value is updated by the maximum value of the plurality of measurement data when acquiring the measurement data of the shortage,
    The urine volume measuring device according to claim 1.
  3.  前記プロセッサは、前記蓄尿量を特定すると測定データの取得を終了するようにさらに構成された、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 processor is further configured to end acquisition of measurement data when the urine accumulation amount is specified.
  4.  前記測定データは、超音波Aモードによって得られた尿量値である、請求項1乃至3のいずれか一項に記載の尿量測定器。 The urine volume measuring device according to any one of claims 1 to 3, wherein the measurement data is a urine volume value obtained by an ultrasonic A mode.
  5.  前記所定の閾値は、5~30(ml)である、請求項1乃至4のいずれか一項に記載の尿量測定器。 The urine volume measuring device according to any one of claims 1 to 4, wherein the predetermined threshold value is 5 to 30 (ml).
  6.  尿量測定器によって実施される尿量測定方法であって、
     前記尿量測定器が、複数の測定データの標準偏差が所定の閾値内であるかどうかを判定することと、
      前記標準偏差が前記所定の閾値内でない場合、前記尿量測定器が、偏差の二乗が最大となる測定データを前記複数の測定データから除外して、残りの前記複数の測定データの標準偏差が所定の閾値内であるかどうかの判定をさらに実行することと、
      前記標準偏差が前記所定の閾値内である場合、前記尿量測定器が、前記複数の測定データが所定の個数であるかどうかを判定することと、
       前記複数の測定データが前記所定の個数でない場合、前記尿量測定器が、不足分の測定データを取得して、前記標準偏差が所定の閾値内であるかどうかの判定をさらに実行することと、
       前記複数の測定データが前記所定の個数である場合、前記尿量測定器が、前記複数の測定データの平均値を算出して蓄尿量を特定することと
     を含む、尿量測定方法。
    A method for measuring urine volume performed by a urine volume measuring instrument, comprising:
    The urine volume measuring device determines whether the standard deviation of a plurality of measurement data is within a predetermined threshold value,
    If the standard deviation is not within the predetermined threshold, the urine volume measuring device excludes the measurement data having the maximum square of the deviation from the plurality of measurement data, and the standard deviation of the remaining plurality of measurement data is Further performing a determination as to whether it is within a predetermined threshold,
    If the standard deviation is within the predetermined threshold, the urine volume measuring device determines whether the plurality of measurement data is a predetermined number,
    When the plurality of measurement data is not the predetermined number, the urine volume measuring instrument acquires the measurement data of the shortage, and further executes the determination of whether the standard deviation is within a predetermined threshold value. ,
    When the plurality of measurement data are the predetermined number, the urine volume measuring device calculates an average value of the plurality of measurement data to specify a urine storage amount, and a urine volume measuring method.
  7.  前記複数の測定データは、最大値から所定の範囲内にある測定データであり、
     前記最大値は、前記不足分の測定データを取得するとき、前記複数の測定データのうちの最大値によって更新される、
     請求項6に記載の尿量測定方法。
    The plurality of measurement data is measurement data within a predetermined range from the maximum value,
    The maximum value is updated by the maximum value of the plurality of measurement data when acquiring the measurement data of the shortage,
    The urine volume measuring method according to claim 6.
  8.  前記蓄尿量を特定すると測定データの取得を終了することをさらに含む、請求項6または7に記載の尿量測定方法。 The urine volume measuring method according to claim 6 or 7, further comprising terminating acquisition of measurement data when the urine volume is specified.
  9.  前記測定データは、超音波Aモードによって得られた尿量値である、請求項6乃至8のいずれか一項に記載の尿量測定方法。 The urine volume measuring method according to any one of claims 6 to 8, wherein the measurement data is a urine volume value obtained by an ultrasonic A mode.
  10.  前記所定の閾値は、5~30(ml)である、請求項6乃至9のいずれか一項に記載の尿量測定方法。 The urine volume measuring method according to any one of claims 6 to 9, wherein the predetermined threshold value is 5 to 30 (ml).
  11.  請求項6乃至10のいずれか一項に記載の方法を尿量測定器に実施させるためのプログラム。 A program for causing a urine volume measuring device to carry out the method according to any one of claims 6 to 10.
PCT/JP2019/048973 2018-12-26 2019-12-13 Urine volume measuring device, urine volume measuring method, and program WO2020137631A1 (en)

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