The present invention relates to a biological information acquiring device.
Blood pressure measurement is available as biological information acquisition of a human body. As blood pressure measurement methods, an oscillometric method and a tonometry method are known.
In the oscillometric method, a cuff is wrapped around the upper arm or wrist to pressure a blood vessel and stop the blood flow temporarily, and then a blood pressure value is measured by checking the pressure in the cuff, which reflects vibration of a blood vessel wall in synchronization with a heart beat, in the process of reducing the pressure in the cuff. On the other hand, in the tonometry method, a blood pressure value is obtained by pressing a sensor with a flat contact pressure against an artery and measuring a fluctuation in the internal pressure of the artery pulsating against the sensor.
Compared to the oscillometric method, the tonometry method has an advantage that pressuring of the blood vessel until the blood flow stops completely is not required. However, a measurement unit used in the tonometry method is formed of the sensor array having tens of channels as illustrated in
Moreover, the tonometry method has a problem of measurement accuracy to be reduced or measurement to become impossible when a body movement causes the wearing condition of the sensor on the human body change to disturb the waveform of a pulse wave acquired. It has thus been required that the body is restrained by using a large-sized body anchor and that a subject is stationary.
Moreover, the measurement unit formed of the sensor array having several tens of channels causes a problem of high power consumption, and the fact that the measurement unit is not portable and the waveform is disturbed by a body movement makes it unsuitable for the measurement unit to measure the blood pressure in exercising.
PTL 1 proposes a blood pressure measurement system employing the tonometry method and using a pressure sensor pressed against a blood vessel wall, but includes no technical concept for obtaining an accurate pulse waveform even when a subject moves his/her body or he/she is in exercising.
PTL 2 and 3 disclose systems for detecting a pulse wave by applying light to a blood vessel, receiving light reflected from the vessel, and performing signal processing. However, it is difficult to perform constant measurement with such systems that are aimed at improving the convenience of measurement and is large in size to restrict a behavior of a subject.
The present invention has been made in view of the above problems, and an object of the present invention to provide a biological information acquiring device that consumes less power, is worn easily, and can acquire an accurate pulse waveform without imposing a burden on a subject.
A first aspect of the present invention is a biological information acquiring device for measuring biological information of a subject with a pressure sensor, the device including: one or a plurality of multi-axis pressure sensors for detecting pressure in directions along two or more axes intersecting at a predetermined angle; and an arithmetic unit for calculating outputs of the multi-axis pressure sensors, each of the multi-axis pressure sensors including a signal detection means for detecting a signal of a pressure component for each axis of a pulse wave of the subject, the arithmetic unit including a pulse waveform synthesizing means for synthesizing a pulse waveform based on the signals of the pressure components for respective axes detected by the multi-axis pressure sensors.
The device can include a wearing body to which the multi-axis pressure sensors are mounted and which brings the multi-axis pressure sensors into close contact with the skin of the subject. The multi-axis pressure sensor may be an orthogonal multi-axis pressure sensor that detects pressure components for at least two axes orthogonal to each other. The multi-axis pressure sensor may be an orthogonal triaxial pressure sensor that detects pressure components for three axes.
The pulse waveform synthesizing means may include a blood pressure estimation means for estimating the blood pressure based on the pulse waveform. The device may also include: a display for indicating a more accurate pulse wave measurement position on the basis of the output of the multi-axis pressure sensors; a sensor position moving mechanism provided on the wearing body for moving a position of the multi-axis pressure sensor; and a controller for controlling the sensor position moving mechanism on the basis of the outputs of the multi-axis pressure sensors to move the sensors to the more accurate pulse wave measurement position.
The accurate pulse wave measurement position which is indicated on the display or to which the sensors are moved by the sensor position moving mechanism is preferably a position at which a detected pulse wave converges to a component for one axis out of the pressure components for the axes detected by the multi-axis pressure sensors.
The sensor position moving mechanism preferably includes a mechanism for moving the position of the sensor in the directions along at least an X axis and a Z axis and changing an α angle with respect to a blood vessel subjected to measurement by the multi-axis pressure sensor, where the Z axis corresponds to the direction in which the blood vessel pushes a surface of the skin, the X axis corresponds to the direction perpendicular to an axial direction of the blood vessel and orthogonal to the Z axis, a Y axis corresponds to the axial direction of the blood vessel, the α angle is an inclination of the multi-axis pressure sensor about an X-Z axes plane, and a β angle is the inclination of the multi-axis pressure sensor about a Z-Y axes plane. The sensor position moving mechanism may also move the position of the sensor in the direction along the Y axis and change the β angle.
The accurate pulse waveform can be acquired even when a body movement is observed. Moreover, the pulse waveform can be acquired constantly with low power consumption.
Embodiments of the present invention will now be described with reference to the drawings.
As illustrated in
The wearing body 13 includes a band for fixing the wearing body when one side thereof is opened and fitted on the wrist to press and fix the triaxial pressure sensor 11 against the skin of the wrist. This fixing structure against the wrist is not different in terms of function from a conventional cuff that is fitted to the wrist to acquire a pulse wave. The wearing body 13 may also be made of a soft material such as cloth as with the cuff, so long as the triaxial pressure sensor 11 can be brought into contact with the skin with an appropriate pressure.
Here, the display 23 and the operation unit 24 may be integrated together. Display and an operational input can be integrated by performing the operational input on a touch panel, for example.
The signal processor 21, the memory 22, the display 23, and the operation unit 24 can be accommodated in a casing separate from the wearing body 13 but may be provided in the wearing body 13 when the device is reduced in size. Although not shown, the casing also has a power supply for operating the pulse wave acquisition device. The power supply may be a battery or may be acquired from a commercial power supply.
The pulse wave acquisition device comprises an external interface (not shown) so that output of the signal processor 21 can be output to an external device via the external interface not shown. The external interface may be used when the pulse wave acquisition device is used as a monitor device of a patient or when the pulse waveform is acquired by an external device such as in acquiring a pulse waveform while a subject is in motion.
As described above, the magnitude of the vectors along the two axes (the X axis and the Z axis) detected by the triaxial pressure sensor 11 varies depending on where the triaxial pressure sensor 11 is positioned with respect to the artery, and the directions of the vectors change as well. The pulse waveform can thus be derived by synthesizing signals, and at the same time the direction of the optimum detection position can be known from the detected output of the triaxial pressure sensor 11.
Note that the origins of the triaxial vectors detected by the triaxial pressure sensor 11 do not strictly coincide with one another and that the vectors do not intersect. This is because, if the triaxial pressure sensor 11 is a sensor using micro electro mechanical systems (MEMS), for example, such a sensor is formed of three sensor elements detecting pressure (stress) in the corresponding axes being the X, Y, and Z axes so that the origins of the vectors of force detected at the corresponding positions of the sensor elements do not coincide with one another. However, the pulse waveforms can be synthesized for measurement with no problem when the shortest distance between the origins of the pressure vectors is roughly equal to the thickness of the artery or the distance between the vectors is less than or equal to the thickness of the artery.
Synthesis of signals when the position of the triaxial pressure sensor 11 is changed will be described.
As shown in
In the present embodiment, the display can indicate not only the measured blood pressure but also the direction in which the triaxial pressure sensor 11 worn on the wrist is moved to be able to acquire a better pulse wave signal.
The present embodiment obtains a vector by synthesizing outputs for the three axes orthogonal to one another and can thus estimate the position of the triaxial pressure sensor 11 where the output for the Z axis is maximized and the outputs for the X axis and the Y axis are minimized. Accordingly, the display 23 may indicate the direction on the X axis and the direction on the Y axis in which the X axis output and the Y axis output of the triaxial pressure sensor 11 are minimized to be able to instruct a movement of the triaxial pressure sensor 11 to a more suitable position. The wearing body may then be moved according to the instruction to be able to place the triaxial pressure sensor at the optimum position for detecting the pulse wave. The output in the Z axis direction is the maximum in this case, meaning that the triaxial pressure sensor 11 is positioned directly above the radial artery, whereby a more preferable pulse waveform can be acquired.
As described above, the embodiment of the present invention can acquire an accurate pulse waveform by synthesizing the detected waveforms for at least two axes even when the position of the sensor is moved or a body movement is observed on the subject. The pulse wave can thus be acquired even while the subject is in motion. Moreover, the device can be worn on the subject to monitor the pulse wave at all times. Furthermore, one triaxial pressure sensor is used to acquire the pulse waveform without using a sensor array including many sensors, whereby a required amount of power is small to be able to reduce the power and size of the pulse wave acquisition device and thus a blood pressure monitor.
In the present embodiment, the direction of pressure of the radial artery can be known from the directions of vector outputs for three axes of the triaxial pressure sensor 11, so that the triaxial pressure sensor 11 is moved by controlling the actuator of the sensor position moving mechanism 14 in X-Y directions in which the vector outputs in the X axis and Y axis directions are minimized and the vector output in the Z axis direction is maximized.
As a result, the triaxial pressure sensor can be automatically moved to the optimum position with a large output in the Z axis by controlling the actuator of the sensor position moving mechanism 14, and can acquire the pulse waveform with a reduced noise component.
The blood pressure can then be estimated by calculation from the detected pulse waveform on the basis of a correlation between the pulse waveform and the blood pressure such as the time from a zero-crossing point of the pulse waveform to a first peak and the time from a first peak to a second peak. This estimation is performed by the signal processor 21, and the blood pressure obtained as a result of the estimation can be output to the display 23 for indication.
With referring
This configuration allows a movement in the Y axis direction between the outer frame 151 and the inner frame 152 and a movement in the X axis direction between the inner frame 152 and the outer rotation mechanism 153. Moreover, when the ZX plane corresponds to the α axis, the α axis can rotate between the inner frame 152 and the outer rotation mechanism 153, and when the ZY plane corresponds to the β axis, the β axis can rotate between the outer rotation mechanism 153 and the inner rotation mechanism 155. Furthermore, the sensor can be moved in the Z axis direction by a slide mechanism or a thread feeding mechanism of the sensor attachment rod 157.
Here, when the sensor position moving mechanism is used to perform the position adjustment about the five axes and adjust the inclination of the two axes of the triaxial pressure sensor 11 such that the pulse wave has the maximum amplitude at the time of the position adjustment, there can be obtained the amplitude of the pulse wave about 1.8 times that obtained by an adjustment performed only about the three, X, Y, and Z axes.
Moreover, when the triaxial pressure sensor 11 is an SS22-FFC15 (with the diameter of the pressure receiving surface of the sensor part being 5.5 mm) manufactured by Touchence Inc., an appropriate range of the position adjustment about the five axes is approximately 0 to 1 mm for the X axis, approximately 0 to 3 mm for the Y axis, and, for the Z axis, approximately 4 to 5.5 mm inward from zero being the position at which the triaxial pressure sensor 11 is in contact with the skin. Furthermore, the sensor is positioned appropriately when tiled −15 to −10 degrees about the α axis and −20 to +15 degrees about the β axis. Moreover, the positions in the X axis, the Z axis, and the α axis largely affect a measured value so that a precise adjustment is required for the position adjustment in the directions along the X axis, the Z axis, and the α axis. This can be understood by considering the directions of the blood vessel and the force of the blood pressure acting on the blood vessel detected by the triaxial pressure sensor 11. That is, with the blood pressure acting outward with respect to the cross section of the blood vessel, it is necessary to perform an adjustment such that the force acting in such direction being the force (pressure) in the directions of the X axis, the Z axis, and the α axis which is the ZX plane can be measured appropriately. The pulse wave can certainly be measured more accurately when the sensor is adjusted to an appropriate measurement position about the five axes.
Moreover, the sensor position moving mechanism 15 can be provided on the wearing body 13 to be able to adjust the position of the triaxial pressure sensor 11 about the five axes. Although the sensor position moving mechanism 15 of the third embodiment illustrated in
Alternatively, the actuators can be included only for the X axis, the Z axis, and the α axis depending on the precision of the position adjustment on the triaxial pressure sensor.
As with the sensor position moving mechanism of the third embodiment, the sensor position moving mechanism shown in
Here, the significance of the α axis and the β axis in the adjustment of the position of the triaxial pressure sensor will be elaborated.
Some triaxial pressure sensors have high sensitivity and precision in the directions along the X, Y, and Z axes orthogonal to one another depending on the type of the sensor, so that the measurement accuracy can be improved by matching the vector components of the blood pressure with any one of the axial directions.
Moreover, if the vector components of the blood pressure are adjusted to match the Z axis with an input to each of the X and Y axes being lower than or equal to a certain level, the input to the X and Y axes can be discarded to treat the sensor as a single axis sensor with only the Z axis. In this case, the amount of computation decreases since there is no need to combine forces from the axes, whereby power saving and high-speed processing can be achieved. That is, the sensor can be used as a triaxial pressure sensor when searching for the optimum position, or used as a single axis pressure sensor in performing uninterrupted measurement so that the pulse waveform can be acquired more effectively.
Such sensor is also useful for cases where the composition of a body tissue such as the skin is not uniform. The vector of the blood pressure is usually estimated on the assumption that the composition of the body tissue is uniform, so that an area with the largest vector component of the blood pressure perpendicular to the plane of the skin, namely directly above the blood vessel, is regarded as the optimum position. When the composition of the body tissue is not uniform, however, the area with the largest vector component of the blood pressure perpendicular to the plane of the skin may not always coincide with an area indicating the maximum value of the triaxial resultant. A more accurate pulse waveform can thus be acquired by performing an adjustment about the α axis and the β axis after searching for the area with the largest triaxial resultant and then matching the vector of the blood pressure with the Z axis.
In addition, such sensor is also useful against instability of the position of the blood vessel. For example, as illustrated in
Note that the aforementioned embodiment describes an example in which one triaxial pressure sensor is pressed against the radial artery of the wrist to detect the pulse waveform and estimate the blood pressure by calculation.
However, the pulse wave detected by the triaxial pressure sensor may be used for estimating not only the blood pressure but also another health condition as the biological information. For example, flexibility of the blood vessel can be evaluated by using the pulse waveform. Alternatively, a respiratory condition of a subject can be determined to monitor the active state of the sympathetic and parasympathetic nerves. Still alternatively, the level of risk for myocardial infarction can be determined from the pulse waveform. The estimation of these health conditions using the pulse waveform may be performed by modifying the details of the pulse waveform processing.
Furthermore, the position on the human body subjected to measurement need not be a part of the radius but may be any site from which the pulse wave can be acquired. For example, the site may be the temporal region, the cervical region, the knee, the femoral region, or the like.
Moreover, although the aforementioned embodiment describes an example of using one triaxial pressure sensor, the sensor need not be the triaxial pressure sensor since the pulse waveforms can be synthesized and detected when the outputs of at least two axes being the Z axis and the X axis are provided as described above. There may be used two biaxial pressure sensors disposed close to each other, for example.
The pulse waveforms can be synthesized by using the outputs of at least the Z axis and the X axis as described above, so that the pulse waveform can also be acquired by using the biaxial pressure sensors close to each other and synthesizing the outputs thereof to be able to reduce an error caused by a body movement even when a body movement is observed on the subject.
In addition, some triaxial pressure sensors are equipped with a temperature sensor used to compensate for a temperature characteristic. In the embodiment of the present invention, the triaxial pressure sensor is covered with the wearing body and is thermally coupled thereto, so that a thermal equilibrium is attained when the sensor is worn for a certain period of time or longer derived with parameters being the heat (body temperature) generated by the surface of a living body in contact with the wearing body, the heat radiated from the outer surface of the wearing body, and a specific heat of the entire wearing body (and the triaxial pressure sensor).
The temperature sensor of the triaxial pressure sensor can acquire a stable temperature on the surface of the living body when the sensor is worn uninterruptedly over a long period of time as in the embodiments of the present invention. Moreover, a temperature at a deep part of the living body can also be acquired if a correlation between the temperature on the surface of the living body and the temperature at the deep part of the living body is known. In addition, the specific heat of the entire wearing body (and the triaxial pressure sensor) has a function of absorbing the fluctuation in the body temperature along the time axis, so that the temperature acquired by the temperature sensor has a small disturbance and is suitable as secondary information obtained by the long, uninterrupted measurement.
Number | Date | Country | Kind |
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2015-124195 | Jun 2015 | JP | national |
2016-120883 | Jun 2016 | JP | national |
This is a U.S. national stage of application No. PCT/JP2016/068138, filed on Jun. 17, 2016. Priority under 35 U.S.C. § 119(a) and 35 U.S.C. § 365(b) is claimed from Japanese Patent Application Nos. 2015-124195, filed on Jun. 19, 2015 and 2016-120883, filed on Jun. 17, 2016, the disclosures of which are incorporated herein by reference.
Filing Document | Filing Date | Country | Kind |
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PCT/JP2016/068138 | 6/17/2016 | WO | 00 |