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JP7516791B2 - Portable electrocardiogram device - Google Patents
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JP7516791B2 - Portable electrocardiogram device - Google Patents

Portable electrocardiogram device Download PDF

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JP7516791B2
JP7516791B2 JP2020048994A JP2020048994A JP7516791B2 JP 7516791 B2 JP7516791 B2 JP 7516791B2 JP 2020048994 A JP2020048994 A JP 2020048994A JP 2020048994 A JP2020048994 A JP 2020048994A JP 7516791 B2 JP7516791 B2 JP 7516791B2
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心哉 小高
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Omron Healthcare Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25Bioelectric electrodes therefor
    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/332Portable devices specially adapted therefor

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Description

本発明は、日常生活等における心電波形測定が可能な携帯型の心電装置に関する。 The present invention relates to a portable electrocardiogram device capable of measuring electrocardiogram waveforms in daily life, etc.

従来、日常生活における胸部の痛みや動悸などの異常発生時に、すぐに心電波形を測定可能な携帯型の心電測定装置(以下、「携帯型心電装置」ともいう)が提案されている。医師等においては、家庭や外出先等で動悸等の症状が起きた際に当該心電装置によって測定された心電波形のデータ等に基づいて、心疾患の早期発見や適切な治療行為を施すことが可能になる。 Portable electrocardiogram measuring devices (hereinafter also referred to as "portable electrocardiogram devices") have been proposed that can immediately measure electrocardiogram waveforms when abnormalities such as chest pain or palpitations occur in daily life. When symptoms such as palpitations occur at home or on the go, doctors and others can detect heart disease early and provide appropriate treatment based on the electrocardiogram waveform data measured by the electrocardiogram device.

このような携帯型心電装置として、特許文献1に開示されているように、扁平かつ細長な略直方体形状の外形を有する装置が知られている。この心電装置では、装置本体の長手方向の一方の端面に正電極が配置され、他方の端面に負電極と接地電極が配置されている。また、携帯型心電装置の電源となる電池は装置本体の短手方向に沿うように収容される。測定時には、心電装置の一方の端面寄りを右手で把持して負電極と接地電極に右手の指を接触させつつ、他方の端面を胸部の所定箇所に押し当てて正電極を当該箇所の皮膚に接触させる。装置本体の長手方向の寸法が、装置本体を把持する手の幅よりも相当に長い形状であれば、胸部に押し当てる力が、他方の端面に沿った軸を中心として装置本体を回転させる方向に作用するため、電極の接触状態が不安定になりやすい。また、装置本体の寸法が大きくなると携帯性も悪くなる。 As disclosed in Patent Document 1, a device having a flat and elongated, approximately rectangular parallelepiped shape is known as such a portable electrocardiogram device. In this electrocardiogram device, a positive electrode is arranged on one end face in the longitudinal direction of the device body, and a negative electrode and a ground electrode are arranged on the other end face. In addition, a battery that serves as the power source for the portable electrocardiogram device is housed along the short side of the device body. During measurement, the electrocardiogram device is held near one end face with the right hand and the fingers of the right hand are brought into contact with the negative electrode and the ground electrode, while the other end face is pressed against a predetermined location on the chest to bring the positive electrode into contact with the skin at that location. If the longitudinal dimension of the device body is considerably longer than the width of the hand holding the device body, the force pressing against the chest acts in a direction that rotates the device body around an axis along the other end face, making the contact state of the electrodes unstable. In addition, portability is reduced when the dimensions of the device body are large.

特開2010-166961号公報JP 2010-166961 A

上記のような従来の技術に鑑み、本発明は、電極の接触状態の安定性及び携帯性が高い携帯型心電装置を提供することを目的とする。 In view of the above-mentioned conventional techniques, the present invention aims to provide a portable electrocardiogram device that has high stability of electrode contact and is highly portable.

上記の課題を解決するため、本発明に係る携帯型心電装置は、
電子部品が実装された回路基板と、
前記回路基板と電池を収容する筐体と、
前記筐体の長手方向に沿って対向する一対の面にそれぞれ設けられ、前記回路基板に電気的に接続された、心電信号を検出するための第1電極及び第2電極とを備えた携帯型心電装置であって、
前記電池は長手方向が前記筐体の長手方向に沿うように前記筐体に収容され、
前記第1電極及び前記第2電極は、被検者が前記第1電極に右手人差し指を接触させた状態で前記第2電極を胸部に接触させた場合に右手の手根部が胸部に接触可能となる距離に設けられたことを特徴とする。
In order to solve the above problems, the portable electrocardiogram device according to the present invention comprises:
A circuit board on which electronic components are mounted;
a housing for accommodating the circuit board and a battery;
a first electrode and a second electrode for detecting an electrocardiogram signal, the first electrode and the second electrode being provided on a pair of surfaces facing each other along a longitudinal direction of the housing and electrically connected to the circuit board;
The battery is housed in the housing such that the longitudinal direction of the battery is aligned with the longitudinal direction of the housing;
The first electrode and the second electrode are arranged at a distance such that when a subject places the index finger of his/her right hand in contact with the first electrode and then places the second electrode in contact with his/her chest, the wrist of the right hand can touch the chest.

このように、被検者が、第1電極を右手人差し指を接触させた状態で第2電極を胸部に接触させて心電信号を検出する場合に、筐体の長手方向に沿って対向する一対の面の一方に設けられた第1電極に人差し指を接触させている右手の手根部が胸部に接触させることができる距離に第1電極と第2電極を設けている。このため、第1電極と第2電極との距離を短くして、携帯型心電装置1の長手方向に小型化することができるので、携帯性が向
上する。また、右手人差し指を第1電極に接触させ、胸部に第2電極を接触させて心電信号を検出する場合に、胸部に接触させた第2電極を支点として、比較的運動の自由度の高い右手の人差し指から第1電極に作用する力の回転モーメントを小さくすることができるので、携帯型心電装置の姿勢を安定させ、電極の接触状態を安定化させることができる。
In this way, when the subject detects an electrocardiogram signal by touching the second electrode to the chest with the index finger of the right hand in contact with the first electrode, the first electrode and the second electrode are provided at a distance such that the carpal part of the right hand, which is touching the index finger to the first electrode provided on one of a pair of surfaces facing each other along the longitudinal direction of the housing, can contact the chest. Therefore, the distance between the first electrode and the second electrode can be shortened to reduce the size of the portable electrocardiogram device 1 in the longitudinal direction, thereby improving portability. In addition, when the right index finger is touched to the first electrode and the second electrode is touched to the chest to detect an electrocardiogram signal, the rotation moment of the force acting on the first electrode from the index finger of the right hand, which has a relatively high degree of freedom of movement, can be reduced with the second electrode touched to the chest as a fulcrum, so that the posture of the portable electrocardiogram device can be stabilized and the contact state of the electrodes can be stabilized.

また、本発明において、
前記第1電極及び前記第2電極が、円筒形の前記電池をその長手方向の両端から挟むように、前記筐体に配置されるようにしてもよい。
In the present invention,
The first electrode and the second electrode may be arranged in the housing so as to sandwich the cylindrical battery from both ends in the longitudinal direction thereof.

このようにすれば、円筒形の電池の長手方向の両端から挟むように、第1電極及び第2電極を筐体に配置しているので、筐体の長手方向に直交する方向にもコンパクトに携帯型心電装置を構成することができるので、携帯性を高めることができる。 In this way, the first and second electrodes are arranged in the housing so as to sandwich the cylindrical battery from both ends in the longitudinal direction, so that the portable electrocardiogram device can be configured compactly in the direction perpendicular to the longitudinal direction of the housing, thereby improving portability.

また、本発明において、
前記筐体は、前記電池を、該筐体に収容し又は該筐体から取り出すための電池用開口部と、該電池用開口部を開閉する開閉部材とを有するようにしてもよい。
In the present invention,
The housing may have a battery opening for inserting the battery into the housing or removing the battery from the housing, and an opening/closing member for opening and closing the battery opening.

このようにすれば、開閉部材によって電池用開口部を開くことによって、電池を筐体に収容し又は筐体から取り出すことができるので、携帯型心電装置を小型化しても利便性が損なわれることがない。 In this way, the battery can be inserted into or removed from the housing by opening the battery opening with the opening/closing member, so convenience is not compromised even if the portable electrocardiogram device is made smaller.

また、本発明において、
前記筐体に内蔵され、前記電池を収容する電池収容部を備え、
前記電池収容部において、前記電池の正極端子の突出部が形成されている正極側端面に、該電池の長手方向の外方から指又は爪を引っ掛けるために、前記電池用開口部の前記正極端子側の内縁と該正極側端面との間に、前記指又は爪を挿入可能な間隙が設けられるように前記電池収容部は前記筐体に配置されるようにしてもよい。
In the present invention,
a battery housing portion that is built into the housing and that houses the battery;
In the battery accommodating section, the positive electrode side end face on which the protruding portion of the positive terminal of the battery is formed may be formed with a positive electrode side end face on which a finger or nail can be hooked from the outside in the longitudinal direction of the battery, so that the battery accommodating section may be arranged in the housing such that a gap is provided between the inner edge of the positive electrode terminal side of the battery opening and the positive electrode side end face into which the finger or nail can be inserted.

このようにすれば、電池用開口部に対して、電池正極側端面に、該電池の長手方向の外方から指又は爪を引っ掛けるために、電池用開口部の正極端子側の内縁と該正極側端面との間に、指又は爪を挿入可能な間隙が設けられるように電池収容部を筐体に配置している。このため、電池の取り出しやすさを損なうことなく、第1電極と第2電極との間の距離を短くして、携帯型心電装置の携帯性を高めることができる。 In this way, the battery storage section is arranged in the housing so that a gap is provided between the inner edge of the positive terminal side of the battery opening and the positive electrode side end face, allowing a finger or nail to be inserted into the positive electrode side end face of the battery opening from the outside in the longitudinal direction of the battery. This shortens the distance between the first electrode and the second electrode without compromising the ease of removing the battery, thereby improving the portability of the portable electrocardiogram device.

また、本発明において、
前記電池収容部は、前記正極端子が前記筐体の長手方向に対して互いに逆向きとなるように収容される前記電池に対応して、前記間隙が前記筐体の長手方向に対して両側に設けられるように前記筐体に配置されるようにしてもよい。
In the present invention,
The battery accommodating section may be arranged in the housing such that the gap is provided on both sides in the longitudinal direction of the housing, corresponding to the batteries accommodated so that the positive terminals are oriented in opposite directions relative to the longitudinal direction of the housing.

このようにすれば、複数の電池を電源とする場合にも、電池の取り出しやすさを損なうことなく、携帯型心電装置の第1電極と第2電極との間の距離を短くすることができる。 In this way, even when multiple batteries are used as the power source, the distance between the first and second electrodes of the portable electrocardiogram device can be shortened without compromising the ease of removing the batteries.

また、本発明において、
前記正極端子が前記筐体の長手方向に対して互いに逆向きとなるよう収容される前記電池は、それぞれの負極側にずらして前記電池収容部に収容されるようにしてもよい。
In the present invention,
The batteries housed such that the positive terminals are oriented in opposite directions relative to the longitudinal direction of the housing may be housed in the battery housing section with the positive terminals shifted toward the negative terminals.

このようにすれば、電池の取り出しやすさを損なうことなく、携帯型心電装置の第1電極と第2電極との間の距離を短くして、携帯型心電装置の携帯性を高めることができる。 In this way, the distance between the first and second electrodes of the portable electrocardiogram device can be shortened without compromising the ease of removing the battery, thereby improving the portability of the portable electrocardiogram device.

本発明によれば、電極の接触状態の安定性及び携帯性が高い携帯型心電装置を提供することができる。 The present invention provides a portable electrocardiogram device with highly stable electrode contact and portability.

図1は、実施形態に係る携帯型心電装置の外観を示す斜視図である。FIG. 1 is a perspective view showing the appearance of a portable electrocardiogram device according to an embodiment. 図2は、実施形態に係る携帯型心電装置の使用態様を示す図である。FIG. 2 is a diagram showing a usage mode of the portable electrocardiogram device according to the embodiment. 図3は、実施形態に係る携帯型心電装置のシステム構成の一例を示すブロック図である。FIG. 3 is a block diagram showing an example of a system configuration of the portable electrocardiogram device according to the embodiment. 図4は、比較例に係る携帯型心電装置の電池の収納構造を示す外観図である。FIG. 4 is an external view showing a battery storage structure of a portable electrocardiogram device according to a comparative example. 図5は、比較例に係る携帯型心電装置のA-A断面図である。FIG. 5 is a cross-sectional view taken along line AA of a portable electrocardiogram device according to a comparative example. 図6は、実施形態に係る携帯型心電装置の電池の収納構造を示す外観図である。FIG. 6 is an external view showing a battery storage structure of the portable electrocardiogram device according to the embodiment. 図7は、実施形態に係る携帯型心電装置のB-B断面図である。FIG. 7 is a cross-sectional view taken along the line BB of the portable electrocardiogram device according to the embodiment. 図8(A)は、実施形態に係る携帯型心電装置のC-C断面図であり、図8(B)は、実施形態に係る携帯型心電装置のD-D断面図である。FIG. 8A is a cross-sectional view taken along line CC of the portable electrocardiogram device according to the embodiment, and FIG. 8B is a cross-sectional view taken along line DD of the portable electrocardiogram device according to the embodiment. 図9は、実施形態に係る携帯型心電装置におけるメインハウジングへの電池カバーの組み付けを説明する図である。FIG. 9 is a diagram illustrating the attachment of the battery cover to the main housing in the portable electrocardiogram device according to the embodiment.

以下、本発明の具体的な実施形態について図面に基づいて説明する。 Specific embodiments of the present invention will be described below with reference to the drawings.

<実施形態1>
以下に、本発明の実施形態の一例について説明する。但し、この実施形態に記載されている構成部品の寸法、材質、形状、その相対配置などは、特に記載がない限りは、この発明の範囲をそれらのみに限定する趣旨のものではない。
<Embodiment 1>
An example of an embodiment of the present invention will be described below. However, unless otherwise specified, the dimensions, materials, shapes, relative positions, and the like of the components described in this embodiment are not intended to limit the scope of the present invention to those alone.

(携帯型心電装置の構成)
図1(A)~(C)は本実施形態に係る携帯型心電装置1の構成の一例を示す図である。図1(A)は、携帯型心電装置1を前面の左上方から見た斜視図である。図1(B)は、携帯型心電装置1を裏面の左上方から見た斜視図である。図1(C)は、携帯型心電装置1を前面の左下方から見た斜視図である。以下に述べる、上下方向は、図1(A)~(C)に示す姿勢の携帯型心電装置1に対して、紙面上での上下方向を意味する。
(Configuration of portable electrocardiogram device)
Figures 1(A) to (C) are diagrams showing an example of the configuration of a portable electrocardiogram device 1 according to this embodiment. Figure 1(A) is a perspective view of the portable electrocardiogram device 1 as viewed from the upper left of the front side. Figure 1(B) is a perspective view of the portable electrocardiogram device 1 as viewed from the upper left of the back side. Figure 1(C) is a perspective view of the portable electrocardiogram device 1 as viewed from the lower left of the front side. The up-down direction described below refers to the up-down direction on the paper with respect to the portable electrocardiogram device 1 in the posture shown in Figures 1(A) to (C).

図1(A)~(C)に示すように、携帯型心電装置1の本体は、角を丸めた略四角柱形状であって前面及び背面間が扁平に形成されている。携帯型心電装置1の上部には、前面から見て右側に指電極4、左側にグランド電極(以下「GND電極」という。)3が設けられている。そして、携帯型心電装置1の底部には、胸電極2が設けられている。携帯型心電装置1の上部は、被検者の右手人差し指が当接しやすいように滑らかに湾曲する形状となっている。具体的には、本体の上部は、その長手方向である、前面から見て左右方向には、指電極4とGND電極3とに挟まれた中央部が高くなる、上方に凸な形状である。また、本体の上部は、その短手方向である、前面から見て前後方向には、中央部が低くなる、上方に凹な形状である。携帯型心電装置1の本体の前面には、測定通知LED12と異常波検出LED13が上下に並んで配置されている。測定通知LED12は、心電波形(心電信号)の計測時に点灯あるいは明滅する発光素子である。異常波形検出LED13は、計測された心電波形に関し、異常波形が検出された際に点灯する発光素子である。異常波形検出LED13の点灯を通じて、心電波形の測定データから検出された異常波形の有無が被験者に通知される。携帯型心電装置1の本体の、前面から見て左側面には、電源LED6、電源スイッチ7、通信LED8、通信スイッチ9、メモリ残表示LED10、電池交換LED11が上下に並んで配置されている。電源スイッチ7は、携帯型心電装置
1の電源を投入するための押下スイッチであり、電源LED6は電源投入時に点灯する発光素子である。通信スイッチ9は、所定の通信方式に準拠した機器との通信を機能させるための操作部品であり、通信LED8は、通信時に点灯する発光素子である。なお、携帯型心電装置1の備える通信機能は、BLE、赤外線通信、超音波による情報伝送などの無線通信方法、ケーブル又はコネクタ等を介して接続される有線通信方式であってもよく、限定されない。メモリ残表示LED10は、後述するメモリ部の空き容量の状態を示す発光素子である。電池交換LED11は、携帯型心電装置1の備える電源(バッテリ)の電力が所定値を下回ったときに点灯し、電池交換を促す発光素子である。携帯型心電装置1の本体の底部には、胸電極2が設けられている。また、携帯型心電装置1の本体の背面には、裏面の大部分を占める、角が丸められた長方形の着脱可能な電池カバー5が設けられている。指電極4及びGND電極3が本発明の第1電極に対応する。また、胸電極2が本発明の第2電極に対応する。電池カバー5が、本発明の開閉部材に対応する。
As shown in Fig. 1 (A) to (C), the main body of the portable electrocardiogram device 1 is in the shape of a substantially rectangular prism with rounded corners, and is flattened between the front and back. At the top of the portable electrocardiogram device 1, a finger electrode 4 is provided on the right side as viewed from the front, and a ground electrode (hereinafter referred to as "GND electrode") 3 is provided on the left side. At the bottom of the portable electrocardiogram device 1, a chest electrode 2 is provided. The top of the portable electrocardiogram device 1 is smoothly curved so that the subject's right index finger can easily contact it. Specifically, the top of the main body is an upwardly convex shape in which the central part sandwiched between the finger electrode 4 and the GND electrode 3 is higher in the longitudinal direction, i.e., the left-right direction as viewed from the front. Moreover, the top of the main body is an upwardly concave shape in which the central part is lower in the lateral direction as viewed from the front, i.e., the short side direction. At the front of the main body of the portable electrocardiogram device 1, a measurement notification LED 12 and an abnormal wave detection LED 13 are arranged vertically. The measurement notification LED 12 is a light-emitting element that lights up or blinks when an electrocardiogram waveform (electrocardiogram signal) is measured. The abnormal waveform detection LED 13 is a light-emitting element that lights up when an abnormal waveform is detected in the measured electrocardiogram waveform. The subject is notified of the presence or absence of an abnormal waveform detected from the measurement data of the electrocardiogram waveform through the lighting of the abnormal waveform detection LED 13. On the left side of the main body of the portable electrocardiogram device 1 as viewed from the front, a power LED 6, a power switch 7, a communication LED 8, a communication switch 9, a memory remaining display LED 10, and a battery replacement LED 11 are arranged vertically in a line. The power switch 7 is a push switch for turning on the power of the portable electrocardiogram device 1, and the power LED 6 is a light-emitting element that lights up when the power is turned on. The communication switch 9 is an operating part for functioning communication with a device that complies with a predetermined communication method, and the communication LED 8 is a light-emitting element that lights up during communication. The communication function of the portable electrocardiogram device 1 may be a wireless communication method such as BLE, infrared communication, and information transmission by ultrasound, or a wired communication method connected via a cable or connector, etc., and is not limited thereto. The remaining memory display LED 10 is a light-emitting element that indicates the state of free space in the memory section, which will be described later. The battery replacement LED 11 is a light-emitting element that lights up when the power of the power source (battery) provided in the portable ECG device 1 falls below a predetermined value, prompting battery replacement. A chest electrode 2 is provided at the bottom of the main body of the portable ECG device 1. In addition, a removable rectangular battery cover 5 with rounded corners is provided on the back of the main body of the portable ECG device 1, occupying most of the back surface. The finger electrode 4 and the GND electrode 3 correspond to the first electrode of the present invention. In addition, the chest electrode 2 corresponds to the second electrode of the present invention. The battery cover 5 corresponds to the opening and closing member of the present invention.

ここで、心電測定においてI誘導測定が行われる場合には、携帯型心電装置1を右手で把持しつつ、本体の底部に設けられた胸電極2を左手掌に接触させる。携帯型心電装置1を把持する右手の人差し指は、本体の上部側に施された凹状の加工に沿って、先端側をGND電極3に、基端側を指電極4に密着させる。この状態で、胸電極2を本体の上部側から左手掌方向に押し当てる方向に押圧させる。まここで、GND電極3に密着する「先端側」には、右手人差し指の末節に相当する部位が含まれる。また、指電極4に密着する「基端側」には、例えば、右手人差し指の中節部に相当する部位が含まれる。 When I-lead measurement is performed in electrocardiogram measurement, the chest electrode 2 provided at the bottom of the device is placed in contact with the palm of the left hand while holding the portable electrocardiogram device 1 in the right hand. The index finger of the right hand holding the portable electrocardiogram device 1 is pressed against the GND electrode 3 at the tip end and against the finger electrode 4 at the base end, following the concave processing on the upper side of the device. In this state, the chest electrode 2 is pressed from the upper side of the device toward the left palm. Here, the "tip side" that is in contact with the GND electrode 3 includes the area corresponding to the distal phalange of the right index finger. The "base side" that is in contact with the finger electrode 4 includes, for example, the area corresponding to the middle phalange of the right index finger.

また、心電測定において胸部誘導測定が行われる場合では、図2に示すように、被験者は、携帯型心電装置1を右手16で把持しつつ、胸電極2を、例えば、胸部17に接触させる。I誘導測定の場合と同様に、携帯型心電装置1を把持する右手の人差し指161は、本体の上部側に施された凹状の加工に沿って、先端側をGND電極3に、基端側を指電極4に密着させ、胸電極2を、本体の上部側から胸部17方向に押し当てる方向に押圧させる。 When chest lead measurement is performed in electrocardiogram measurement, as shown in Figure 2, the subject holds the portable electrocardiogram device 1 in the right hand 16 and places the chest electrode 2 in contact with, for example, the chest 17. As in the case of I-lead measurement, the index finger 161 of the right hand holding the portable electrocardiogram device 1 is pressed against the GND electrode 3 at the tip and against the finger electrode 4 at the base, following the concave processing on the upper side of the main body, and the chest electrode 2 is pressed against the chest 17 from the upper side of the main body.

また、上述のように、人差し指161を本体の上部の指電極4及びGND電極3に密着させつつ、胸電極2を胸部17に押し当てるとき、図2に示すように、携帯型心電装置1を把持する右手16の親指162が前面に添えられ、中指、薬指及び小指が背面に添えられる。このとき、右手16の手根部163を胸部17に接触させることができる。すなわち、携帯型心電装置1の長手方向に沿って対向する上面及び下面に、それぞれ配置された指電極4及びGND電極3と、胸電極2との距離は、右手の人差し指を指電極4及びGND電極3に接触させ、胸電極2を胸部17に接触させた場合に、右手16の手根部163を胸部17に接触可能となる距離に設定されている。このようにすれば、指電極4及びGND電極3と、胸電極2との間の長さを短くして、携帯型心電装置1を小型化することができるので、携帯性が向上する。また、携帯型心電装置1によって胸部誘導測定を行う場合に、携帯型心電装置1を把持する右手16の手根部163を胸部17に接触させることにより、胸部17に接触させた胸電極2を支点として、比較的運動の自由度の高い右手の人差し指から指電極4及びGND電極4に作用する力の回転モーメントを小さくすることができるので、胸部17に対する携帯型心電装置1の姿勢を安定させ、正確な測定を行うことができる。 As described above, when the index finger 161 is pressed against the finger electrode 4 and the GND electrode 3 on the upper part of the main body and the chest electrode 2 is pressed against the chest 17, the thumb 162 of the right hand 16 holding the portable electrocardiogram device 1 is placed on the front side, and the middle finger, ring finger, and little finger are placed on the back side, as shown in FIG. 2. At this time, the carpal part 163 of the right hand 16 can be brought into contact with the chest 17. That is, the distance between the finger electrode 4 and the GND electrode 3 arranged on the upper and lower surfaces facing each other along the longitudinal direction of the portable electrocardiogram device 1 and the chest electrode 2 is set to a distance that allows the carpal part 163 of the right hand 16 to be in contact with the chest 17 when the index finger of the right hand is brought into contact with the finger electrode 4 and the GND electrode 3 and the chest electrode 2 is brought into contact with the chest 17. In this way, the length between the finger electrode 4 and the GND electrode 3 and the chest electrode 2 can be shortened to reduce the size of the portable electrocardiogram device 1, thereby improving portability. In addition, when performing chest lead measurement using the portable electrocardiogram device 1, by contacting the wrist 163 of the right hand 16 holding the portable electrocardiogram device 1 with the chest 17, the rotational moment of the force acting on the finger electrode 4 and GND electrode 4 from the index finger of the right hand, which has a relatively high degree of freedom of movement, can be reduced with the chest electrode 2 in contact with the chest 17 as a fulcrum, thereby stabilizing the position of the portable electrocardiogram device 1 with respect to the chest 17 and enabling accurate measurement.

(携帯型心電装置のシステム構成)
次に、携帯型心電装置のシステム構成を説明する。図2は、本実施形態に係る携帯型心電装置1のシステム構成の一例を示す図である。図2に示すように、携帯型心電装置1は、電極部101と、アンプ部102と、AD(Analog to Digital)変換部103と、制
御部104と、タイマ部105を含んで構成される。また、携帯型心電装置1の構成には、メモリ部106と、表示部107と、報知部108と、操作部109と、電源部110
と、通信部111が含まれる。制御部104と、タイマ部105と、メモリ部106と、表示部107と、報知部108と、操作部109と、電源部110と、通信部111とは相互に接続されている。
(System configuration of portable electrocardiogram device)
Next, the system configuration of the portable electrocardiogram device will be described. Fig. 2 is a diagram showing an example of the system configuration of the portable electrocardiogram device 1 according to this embodiment. As shown in Fig. 2, the portable electrocardiogram device 1 includes an electrode section 101, an amplifier section 102, an AD (Analog to Digital) conversion section 103, a control section 104, and a timer section 105. The portable electrocardiogram device 1 also includes a memory section 106, a display section 107, an alarm section 108, an operation section 109, and a power supply section 110.
and a communication unit 111. The control unit 104, the timer unit 105, the memory unit 106, the display unit 107, the notification unit 108, the operation unit 109, the power supply unit 110, and the communication unit 111 are connected to each other.

電極部101は、一対の測定電極として機能する胸電極2及び指電極4と、GND電極3を備える。被験者の皮膚に接触された電極部101を通じて、所定期間内における心電波形が検出される。電極部101の各電極で検出された心電波形は、それぞれ、当該電極部に接続されるアンプ部102に入力される。アンプ部102では、電極部101で検出された信号が増幅されてAD変換部103に出力される。AD変換部103では、アンプ部102を通じて増幅された心電波形の検出信号がデジタル変換されて制御部104に出力される。 The electrode unit 101 includes a chest electrode 2 and a finger electrode 4 that function as a pair of measurement electrodes, and a GND electrode 3. An electrocardiogram waveform within a predetermined period is detected through the electrode unit 101 that is in contact with the subject's skin. The electrocardiogram waveform detected by each electrode of the electrode unit 101 is input to an amplifier unit 102 connected to the electrode unit. In the amplifier unit 102, the signal detected by the electrode unit 101 is amplified and output to an AD conversion unit 103. In the AD conversion unit 103, the detection signal of the electrocardiogram waveform amplified through the amplifier unit 102 is digitally converted and output to the control unit 104.

制御部104は、携帯型心電装置1の制御を司る手段であり、例えば、CPU(Central Processing Unit)などを含んで構成される。制御部104は、操作部109を介して
被験者からの心電波形の計測開始の指示を受け付けると、電極部101が検出した所定期間内の心電波形に関する測定データをメモリ部106に記録する。そして、制御部104は、所定期間内で検出された心電波形を解析し、解析結果をメモリ部106に保存する。制御部104は、心電波形の解析の結果、異常波形が検出されたときには異常波形検出LED13を点灯させる。その他、操作部109を通じて被験者の操作に応じた処理を実行するように携帯型心電装置1の各構成要素を制御する。
The control unit 104 is a means for controlling the portable electrocardiogram device 1, and is configured to include, for example, a CPU (Central Processing Unit). When the control unit 104 receives an instruction from the subject via the operation unit 109 to start measuring the electrocardiogram waveform, the control unit 104 records measurement data related to the electrocardiogram waveform detected by the electrode unit 101 within a predetermined period in the memory unit 106. The control unit 104 then analyzes the electrocardiogram waveform detected within the predetermined period and stores the analysis result in the memory unit 106. When an abnormal waveform is detected as a result of the analysis of the electrocardiogram waveform, the control unit 104 turns on the abnormal waveform detection LED 13. In addition, the control unit 104 controls each component of the portable electrocardiogram device 1 to execute processing according to the operation of the subject via the operation unit 109.

なお、メモリ部106に記録された所定期間内で計測された心電波形に関するデータ、当該心電波形の解析結果は、BLE通信等を通じて、連携するスマートフォンやPC等の情報処理装置に提供される。医療機関等においては、携帯型心電装置1から提供された心電波形の測定データ、解析結果等に基づいて、心疾患の早期発見や適切な治療行為を施すことが可能になる。 The data on the electrocardiogram waveform measured within a specified period and recorded in the memory unit 106, and the analysis results of the electrocardiogram waveform are provided to a linked information processing device such as a smartphone or PC via BLE communication or the like. In medical institutions and the like, it becomes possible to detect cardiac diseases early and provide appropriate treatment based on the measurement data of the electrocardiogram waveform and the analysis results provided from the portable electrocardiogram device 1.

タイマ部105は、制御部104からの指示を受け付け、心電波形の計測に係る各種期間をカウントする手段である。メモリ部106は、ROM(Read Only Memory)及びRAM(Random Access Memory)などの主記憶装置の他、例えばフラッシュメモリなどの長期記憶媒体を含んで構成される。メモリ部106には、心電波形の測定や解析に係る各種プログラム、異常波形等を検出するための各種の情報が記憶される。表示部107は、心電波形の計測に係る各種の情報を表示する手段である。表示部107には、電源LED6、通信LED9、メモリ残表示LED10、電池交換LED11、測定通知LED12、異常波形検出LED13が含まれる。表示部107は、液晶ディスプレイ等の画像・映像により各種の情報を表示する手段を含んでもよい。報知部108は、被検者に対して、携帯型心電装置1を振動させることによって、測定終了等の各種の情報を報知する手段である。報知部108は、被験者に対して音声によるメッセージを報知するためのスピーカ等を含んでもよい。 The timer unit 105 is a means for receiving instructions from the control unit 104 and counting various periods related to the measurement of the electrocardiogram waveform. The memory unit 106 is configured to include a long-term storage medium such as a flash memory in addition to a main storage device such as a ROM (Read Only Memory) and a RAM (Random Access Memory). The memory unit 106 stores various programs related to the measurement and analysis of the electrocardiogram waveform, and various information for detecting abnormal waveforms, etc. The display unit 107 is a means for displaying various information related to the measurement of the electrocardiogram waveform. The display unit 107 includes a power LED 6, a communication LED 9, a memory remaining display LED 10, a battery replacement LED 11, a measurement notification LED 12, and an abnormal waveform detection LED 13. The display unit 107 may include a means for displaying various information by images or videos such as a liquid crystal display. The notification unit 108 is a means for notifying the subject of various information such as the end of measurement by vibrating the portable electrocardiogram device 1. The notification unit 108 may include a speaker or the like for notifying the subject of an audio message.

操作部109は、被験者からの操作入力を受け付ける手段である。操作部109には、電源スイッチ7、通信スイッチ9が含まれる。電源部110は、携帯型心電装置1を機能させるための電力を供給する手段であり、バッテリや2次電池等が含まれる。通信部111は、スマートフォンといった機器との間で信号の送受信を司る通信インターフェィスである。通信部111の提供する通信機能としてBLE通信が例示できるが、他の公知の無線通信方式、有線通信方式が採用できる。 The operation unit 109 is a means for accepting operation input from the subject. The operation unit 109 includes a power switch 7 and a communication switch 9. The power supply unit 110 is a means for supplying power for functioning the portable electrocardiogram device 1, and includes a battery, a secondary battery, and the like. The communication unit 111 is a communication interface that controls the transmission and reception of signals with devices such as a smartphone. An example of a communication function provided by the communication unit 111 is BLE communication, but other well-known wireless communication methods and wired communication methods can also be used.

(心電波形測定処理の概略)
以下に、携帯型心電装置1を用いた心電波形の測定処理の概略について説明する。ここでは、携帯型心電装置1が単体で心電波形を測定する場合を例として説明する。以下に説
明する心電波形の測定処理は、携帯型心電装置1の制御部104がメモリ部106に記憶されたプログラムを実行することで実現される。
(Outline of electrocardiogram waveform measurement process)
Below, an outline of the electrocardiogram waveform measurement process using the portable electrocardiogram device 1 will be described. Here, an example will be described in which the portable electrocardiogram device 1 measures the electrocardiogram waveform by itself. The electrocardiogram waveform measurement process described below is realized by the control unit 104 of the portable electrocardiogram device 1 executing a program stored in the memory unit 106.

まず、被検者が携帯型心電装置1の電源スイッチ7を押下すると、電源LED6が点灯する。胸電極2、指電極4、GND電極3に対する被検者の接触状態を検出し、電極接触状態が良好であると判断されると、心電波形の測定が開始される。心電波形の測定が開始されると、測定通知LED12が点灯又は明滅する。心電波形の測定が開始されると、心電波形データは、時刻情報とともにメモリ部106に記録される。所定時間継続して測定が行われると、測定された心電波形データに基づいて被検者の心電波形についての解析が行われる。このとき、メモリ部106に記録された時系列上のデータに基づいて心電波形の解析が行われる。解析結果はメモリ部106に保存される。心電波形の解析の結果、異常波形が検出された場合には、異常波形検出LED13が点灯又は明滅する。その後、被検者が電源スイッチ7を再び押下すると、電源部110から供給されている電力が切断され、電源LED6が消灯する。
なお、携帯型心電装置1をスマートフォン等と連携して使用する場合には、通信部11を介して、スマートフォン等と通信を行い、その際、通信LED9の点灯又は明滅により通信状態に関する情報を表示する。
First, when the subject presses the power switch 7 of the portable electrocardiogram device 1, the power LED 6 lights up. When the subject's contact state with the chest electrode 2, the finger electrode 4, and the GND electrode 3 is detected and it is determined that the electrode contact state is good, measurement of the electrocardiogram waveform is started. When the measurement of the electrocardiogram waveform is started, the measurement notification LED 12 lights up or blinks. When the measurement of the electrocardiogram waveform is started, the electrocardiogram waveform data is recorded in the memory unit 106 together with time information. When the measurement is continued for a predetermined time, the electrocardiogram waveform of the subject is analyzed based on the measured electrocardiogram waveform data. At this time, the electrocardiogram waveform is analyzed based on the time-series data recorded in the memory unit 106. The analysis result is stored in the memory unit 106. When an abnormal waveform is detected as a result of the analysis of the electrocardiogram waveform, the abnormal waveform detection LED 13 lights up or blinks. After that, when the subject presses the power switch 7 again, the power supplied from the power supply unit 110 is cut off and the power LED 6 is turned off.
When the portable electrocardiogram device 1 is used in conjunction with a smartphone or the like, communication is performed with the smartphone or the like via the communication unit 11, and at that time, information regarding the communication status is displayed by the communication LED 9 lighting up or blinking.

(電池の収納構造)
次に、携帯型心電装置1における電池の収容構造について説明する。図4及び図5は、本発明の比較例としてなる携帯型心電装置1000を示す図である。携帯型心電装置1000は、電池の収容に関連する構成を除き、全体的な構成は携帯型心電装置1と同様の構成については同様の符号を付して説明を省略する。図4は、電池カバーを取り外した携帯型心電装置1000を背面から見た図である。図5は、図4に示すA-A断面における携帯型心電装置1000における内部構造を示す図である。
図4に示すように、携帯型心電装置1000では、2本の単4形乾電池14及び15を、電極の向きが上下方向に交互になるように収容している。すなわち、電池14は、正極14aが上方、負極側端面14bが下方を向き、電池15は、負極15bが上方、正極112aが下方を向くように収容されている。A-A断面は、図4に示すように、略円柱形状の電池14の中心軸を通る断面である。
(Battery storage structure)
Next, the battery housing structure in the portable electrocardiogram device 1 will be described. Figures 4 and 5 are diagrams showing a portable electrocardiogram device 1000 serving as a comparative example of the present invention. Except for the configuration related to the battery housing, the portable electrocardiogram device 1000 has an overall configuration similar to that of the portable electrocardiogram device 1, and similar reference numerals are used and descriptions thereof will be omitted. Figure 4 is a rear view of the portable electrocardiogram device 1000 with the battery cover removed. Figure 5 is a diagram showing the internal structure of the portable electrocardiogram device 1000 in the A-A cross section shown in Figure 4.
As shown in Fig. 4, the portable electrocardiogram device 1000 houses two AAA batteries 14 and 15 with the electrodes facing up and down. That is, the battery 14 is housed with the positive electrode 14a facing up and the negative electrode end surface 14b facing down, and the battery 15 is housed with the negative electrode 15b facing up and the positive electrode 112a facing down. As shown in Fig. 4, the A-A cross section is a cross section passing through the central axis of the battery 14, which is substantially cylindrical.

電池14及び15は、携帯型心電装置1000の筐体を構成するメインハウジング1001の内部に格納された電池ホルダ1002に収容されている。電池ホルダ1002は、電池14及び15の外形に倣う部分円筒面が並列された形状の側壁10021と、側壁10021の長手方向の両端部に接続し、収容される電池14及び15の長手方向の両端面に対向する端壁10022及び10023とを含む。端壁10022の内面10022aには、正極側接点10024が設けられている。また、端壁10023の内面10023aには、電池14の負極端子が形成されている負極側端面14bとの間に介在し、電池14を端壁10022側に押圧するとともに負極側の接点を兼ねるスパイラルスプリング10025が設けられている。また、電池ホルダの端壁10023は、胸電極2を支持する胸電極支持部1023bと一体に形成されている。 The batteries 14 and 15 are housed in a battery holder 1002 stored inside a main housing 1001 that constitutes the case of the portable electrocardiogram device 1000. The battery holder 1002 includes a side wall 10021 having a shape in which partial cylindrical surfaces that follow the outer shapes of the batteries 14 and 15 are arranged in parallel, and end walls 10022 and 10023 that are connected to both ends of the side wall 10021 in the longitudinal direction and face both ends of the batteries 14 and 15 in the longitudinal direction. A positive electrode side contact 10024 is provided on the inner surface 10022a of the end wall 10022. In addition, a spiral spring 10025 is provided on the inner surface 10023a of the end wall 10023, which is interposed between the negative electrode side end surface 14b on which the negative electrode terminal of the battery 14 is formed, and presses the battery 14 toward the end wall 10022 and also serves as a negative electrode side contact. In addition, the end wall 10023 of the battery holder is integrally formed with the chest electrode support part 1023b that supports the chest electrode 2.

また、端壁10022の内面10022aには、電池15の負極端子が形成される負極側端面15bとの間に介在し、電池15を端壁10023側に押圧するとともに負極側の接点を兼ねるスパイラルスプリング10026が設けられている。端壁10023の内面10023aには、正極側の接点が設けられている。端壁10023の内面10023aに設けられたスパイラルスプリング10025からは、基板1003上の電源部110に接続されるリード線10025aが引き出され、電池15の正極端子の突出部15aに対向する接点からも同様にリード線が引き出される。また、端壁10022の内面10022aに設けられた正極側の接点10024とスパイラルスプリング10026とは電気的
に接続される。このようして、電池14の正極端子の突出部14aが電池15の負極側端面15bに接続され、電池14及び電池15は直列に接続される。
A spiral spring 10026 is provided on the inner surface 10022a of the end wall 10022, which is interposed between the end wall 10022 and the negative end surface 15b on which the negative terminal of the battery 15 is formed, and which presses the battery 15 toward the end wall 10023 and also serves as a contact on the negative side. A positive contact is provided on the inner surface 10023a of the end wall 10023. A lead wire 10025a connected to the power supply unit 110 on the substrate 1003 is drawn from the spiral spring 10025 provided on the inner surface 10023a of the end wall 10023, and a lead wire is similarly drawn from the contact facing the protrusion 15a of the positive terminal of the battery 15. A positive contact 10024 provided on the inner surface 10022a of the end wall 10022 and the spiral spring 10026 are electrically connected. In this manner, the protruding portion 14a of the positive terminal of the battery 14 is connected to the negative end surface 15b of the battery 15, and the batteries 14 and 15 are connected in series.

携帯型心電装置1000では、電池14の正極端子の突出部14aが形成されている正極側端面14cと、対向する電池ホルダ1002の端壁10022の内面10022a及びメインハウジング1001の開口部10011の端縁10011aとの間には空間Sp10が設けられている。この空間Sp10は、被検者が電池14を電池ホルダ1002から取り外す際に、電池14の正極側端面14cに指又は爪を引っ掛けるために挿入するためのものである。ここでは、メインハウジング1001の開口部10011の端縁10011aと、電池ホルダ1002の端壁10022の内面10022aとは、略同一面上に位置しているので、これらと電池14の正極側端面14cとの間隔C10が空間Sp10の大きさを規定するが、略同一面上にない場合には、電池14の長手方向に見て、電池14の正極側端面14cにいずれか近い方との間隔をC10とし、この間隔C10が空間Sp10の大きさを規定する。電池14の負極側端面14b側にはスパイラルスプリング10025が設けられており、このスパイラルスプリング10025による付勢力により、電池14の正極端子の突出部14aを接点10024に押圧している。このため、電池14の負極側端面14b側では、メインハウジング1001の開口部10011の端縁10011b及び電池ホルダ1002の端壁10023の内面10023aとの間隔は比較的大きい。電池15についても、同様である。 In the portable electrocardiogram device 1000, a space Sp10 is provided between the positive electrode side end surface 14c on which the protrusion 14a of the positive electrode terminal of the battery 14 is formed and the opposing inner surface 10022a of the end wall 10022 of the battery holder 1002 and the edge 10011a of the opening 10011 of the main housing 1001. This space Sp10 is for the subject to insert a finger or nail to hook onto the positive electrode side end surface 14c of the battery 14 when removing the battery 14 from the battery holder 1002. In this embodiment, the edge 10011a of the opening 10011 of the main housing 1001 and the inner surface 10022a of the end wall 10022 of the battery holder 1002 are located on approximately the same plane, so the distance C10 between these and the positive electrode end face 14c of the battery 14 defines the size of the space Sp10, but if they are not on approximately the same plane, the distance C10 between either of them closer to the positive electrode end face 14c of the battery 14 as viewed in the longitudinal direction of the battery 14 is taken as C10, and this distance C10 defines the size of the space Sp10. A spiral spring 10025 is provided on the negative electrode end face 14b side of the battery 14, and the biasing force of this spiral spring 10025 presses the protrusion 14a of the positive terminal of the battery 14 against the contact 10024. Therefore, on the negative end surface 14b side of the battery 14, the distance between the edge 10011b of the opening 10011 of the main housing 1001 and the inner surface 10023a of the end wall 10023 of the battery holder 1002 is relatively large. The same is true for the battery 15.

上述のような構成の携帯型心電装置1000では、電池14及び15の長手方向の携帯型心電装置1000全体の高さを抑えるために、電池14及び15以外の部品をより高密度に集積して配置しようとすると、電池14及び15と、メインハウジング1001の開口部10011の端縁10011a等との間の空間Sp10が狭くなり、電池14及び15を取り出しにくくなる。 In the portable electrocardiogram device 1000 configured as described above, if one were to attempt to pack and arrange components other than the batteries 14 and 15 more densely in order to reduce the overall height of the portable electrocardiogram device 1000 in the longitudinal direction of the batteries 14 and 15, the space Sp10 between the batteries 14 and 15 and the edge 10011a of the opening 10011 of the main housing 1001 would become narrower, making it difficult to remove the batteries 14 and 15.

本実施形態に係る携帯型心電装置1の電池の収容構造を、図6及び図7を参照して説明する。図6は電池カバー5を取り外して開口部202が開放された携帯型心電装置1を背面から見た図である。図7は、B-B断面における携帯型心電装置1の内部構造を示す図である。ここでは、開口部202が、本発明における電池用開口部に対応する。
携帯型心電装置1では、2本の単4形乾電池14及び15を、電極の向きが上下方向に交互になるように収容している。すなわち、電池14は、正極端子の突出部14aが上方、負極端子が形成されている負極側端面14bが下方を向き、電池15は、負極側端面15bが上方、正極端子の突出部15aが下方を向き、メインハウジング201の長手方向に対して逆向きとなるように収容されている。B-B断面は、図6に示すように、略円柱形状の電池14の中心軸を通る断面である。ここでは、単3形乾電池14及び15が、本発明における円筒形の電池に相当する。
The battery housing structure of the portable electrocardiogram device 1 according to this embodiment will be described with reference to Figures 6 and 7. Figure 6 is a rear view of the portable electrocardiogram device 1 with the battery cover 5 removed to expose the opening 202. Figure 7 is a diagram showing the internal structure of the portable electrocardiogram device 1 at the B-B cross section. Here, the opening 202 corresponds to the battery opening in the present invention.
In the portable electrocardiogram device 1, two AAA batteries 14 and 15 are housed so that the electrodes are oriented vertically in an alternating manner. That is, the battery 14 is housed so that the protruding portion 14a of the positive terminal faces upward and the negative electrode side end surface 14b on which the negative electrode terminal is formed faces downward, while the battery 15 is housed so that the negative electrode side end surface 15b faces upward and the protruding portion 15a of the positive electrode terminal faces downward, so that they are oriented in the opposite direction to the longitudinal direction of the main housing 201. As shown in FIG. 6, the B-B cross section is a cross section passing through the central axis of the battery 14, which is substantially cylindrical. Here, the AA batteries 14 and 15 correspond to the cylindrical batteries in the present invention.

電池14及び15は、携帯型心電装置1の筐体を構成し、外部に露出するメインハウジング201の内部に格納(内蔵)された電池ホルダ500に収容されている。電池ホルダ500は、電池14及び15の外形に倣う部分円筒面が並列された形状の側壁501と、側壁501の長手方向の両端部に接続し、収容される電池14及び15の長手方向の両端面に対向する端壁502及び503とを含む。端壁502の内側面502aには、電池14を端壁503側に押圧するとともに正極側の接点を兼ねるスパイラルスプリング505が設けられている。また、端壁503の内側面503aには、電池14の負極側端面14b側の端面との間に介在し、電池14を端壁502側に押圧するとともに負極側の接点を兼ねるスパイラルスプリング506が設けられている。また、電池ホルダの端壁503は、胸電極2を支持する胸電極ホルダ504と一体に形成されている。図7に示すように、電池ホルダ500とメインハウジング201との間には、制御部104、電源部110等の電子部品が実装された回路基板60が収容されている。この回路基板60に電気的に接
続された胸電極2と、指電極4及びGND電極3が、メインハウジング201の長手方向(携帯型心電装置1の上下方向)に沿って対向する一対の面にそれぞれ設けられている。電池14及び15は、メインハウジング201の長手方向に沿うように、電池ホルダ500を介してメインハウジング201に収容されている。ここでは、電池ホルダ500が、本発明の電池収容部に対応する。
The batteries 14 and 15 are housed in a battery holder 500 that is housed (built-in) inside the main housing 201 that constitutes the case of the portable electrocardiogram device 1 and is exposed to the outside. The battery holder 500 includes a side wall 501 having a shape in which partial cylindrical surfaces that follow the external shapes of the batteries 14 and 15 are arranged in parallel, and end walls 502 and 503 that are connected to both ends of the side wall 501 in the longitudinal direction and face both ends of the batteries 14 and 15 in the longitudinal direction. A spiral spring 505 that presses the battery 14 toward the end wall 503 and also serves as a contact point on the positive electrode side is provided on the inner surface 502a of the end wall 502. In addition, a spiral spring 506 that presses the battery 14 toward the end wall 502 and also serves as a contact point on the negative electrode side is provided on the inner surface 503a of the end wall 503 and is interposed between the end surface on the negative electrode side end surface 14b side of the battery 14. The spiral spring 506 presses the battery 14 toward the end wall 502 and also serves as a contact point on the negative electrode side. The end wall 503 of the battery holder is integrally formed with a chest electrode holder 504 that supports the chest electrode 2. As shown in Fig. 7, a circuit board 60 on which electronic components such as the control unit 104 and power supply unit 110 are mounted is housed between the battery holder 500 and the main housing 201. The chest electrode 2, finger electrodes 4, and GND electrode 3, which are electrically connected to the circuit board 60, are provided on a pair of opposing surfaces along the longitudinal direction of the main housing 201 (the vertical direction of the portable electrocardiogram device 1). The batteries 14 and 15 are housed in the main housing 201 via the battery holder 500 so as to be aligned along the longitudinal direction of the main housing 201. Here, the battery holder 500 corresponds to the battery housing section of the present invention.

また、端壁502の内側面502aには、電池15の負極側端面15bとの間に介在し、電池15を端壁503側に押圧するとともに負極側の接点を兼ねるスパイラルスプリング507が設けられている。端壁503の内側面503aには、電池15を端壁502側に押圧するとも正極側の接点を兼ねるスパイラルスプリング508が設けられている。端壁503の内側面503aに設けられたスパイラルスプリング506とスパイラルスプリング508からは、回路基板60上の電源部110に接続されるリード線506a、508aがそれぞれ引き出される。また、端壁502の内側面502aに設けられたスパイラルスプリング505とスパイラルスプリング507とは電気的に接続された一体の部材で形成される。このようして、電池14の正極端子の突出部14aが電池15の負極側端面15bに接続され、電池14及び電池15は直列に接続される。 A spiral spring 507 is provided on the inner surface 502a of the end wall 502, which is interposed between the end wall 502 and the negative end surface 15b of the battery 15, and which presses the battery 15 toward the end wall 503 and also serves as a contact point on the negative side. A spiral spring 508 is provided on the inner surface 503a of the end wall 503, which presses the battery 15 toward the end wall 502 and also serves as a contact point on the positive side. Lead wires 506a and 508a connected to the power supply unit 110 on the circuit board 60 are drawn out from the spiral spring 506 and the spiral spring 508 provided on the inner surface 503a of the end wall 503, respectively. The spiral spring 505 and the spiral spring 507 provided on the inner surface 502a of the end wall 502 are formed of an integral member that is electrically connected. In this way, the protruding portion 14a of the positive terminal of the battery 14 is connected to the negative end surface 15b of the battery 15, and the batteries 14 and 15 are connected in series.

携帯型心電装置1のメインハウジング201の裏面には、電池カバー5が取り外されることによって内部と連通する開口部202が開設されている。開口部202は、電池14及び15の長手方向に長い略長方形であり、四隅が丸められている。開口部202は、メインハウジング201の表面から内側に屈曲する枠部2021と、枠部2021の内側端部から、開口部202の中央部に向けて屈曲する延出部2022と、延出部2022の、開口部202の中央部側の端部から外側に屈曲するフランジ部2023を有する。電池カバー5は、略板状の表面51の周囲に、表面51に対して直交するフランジ部52を有する。開口部の枠部2021は、開口部202に電池カバー5が取り付けられたときに、電池カバー5の端面52に対向する。電池カバー5が取り外された状態では、フランジ部2023が、開口部202の中央部側に位置することになる。このため、フランジ部2023と電池14及び15との位置関係が、電池14、15の取り出しやすさに影響を与える。 An opening 202 is opened on the back surface of the main housing 201 of the portable electrocardiogram device 1, which communicates with the inside when the battery cover 5 is removed. The opening 202 is a substantially rectangular shape that is long in the longitudinal direction of the batteries 14 and 15, and has rounded corners. The opening 202 has a frame portion 2021 that bends inward from the surface of the main housing 201, an extension portion 2022 that bends from the inner end of the frame portion 2021 toward the center of the opening 202, and a flange portion 2023 that bends outward from the end of the extension portion 2022 on the center side of the opening 202. The battery cover 5 has a flange portion 52 that is perpendicular to the surface 51 around the approximately plate-shaped surface 51. The frame portion 2021 of the opening faces the end surface 52 of the battery cover 5 when the battery cover 5 is attached to the opening 202. When the battery cover 5 is removed, the flange portion 2023 is located at the center of the opening 202. Therefore, the positional relationship between the flange portion 2023 and the batteries 14 and 15 affects the ease of removing the batteries 14 and 15.

携帯型心電装置1では、電池ホルダ500の端壁503の内側面503aを、開口部202のフランジ部2023の内側面2023bに対して、電池14の長手方向に、胸電極2側に退いた位置に設けている。一方で、電池ホルダ500の端壁502側では、内側面502aを、開口部202のフランジ部2023の内側面2023aに対して、電池14の長手方向に、GND電極3及び指電極4側に退いた位置に設け、スパイラルスプリング505が配置される内側面502aを、開口部202のフランジ部2023の内側面2023aに対して、電池14の長手方向に、胸電極2側に突出する位置に設けている。すなわち、開口部202に対して、電池14は、相対的に、長手方向の負極側端面14b側(携帯型心電装置1の全体で見れば下方である胸電極2側)に寄った位置に配置される。これによって、開口部202のフランジ部2023の内側面2023aと、電池14の正極端子の突出部14aが形成されている正極側端面14cとの間隔C1を大きく設定することでき、開口部202のフランジ部2023の内側面2023aと、電池14の正極側端面14cとの間に形成される、指又は爪を挿入可能な間隙、すなわち電池14の長手方向の外方から指又は爪を正極側端面14cに引っ掛けて電池14を取り出すためのスペースSp1を広く設定することができる。一方で、開口部202のフランジ部2023の内側面2023bと、電池14の負極側端面14bとの間に形成されるスペースSp2は狭くなる。ここでは、開口部202のフランジ部2023の内側面2023aが、本発明における電池用開口部の正極端子側の内縁に対応する。 In the portable electrocardiogram device 1, the inner surface 503a of the end wall 503 of the battery holder 500 is located in a position retreated toward the chest electrode 2 in the longitudinal direction of the battery 14 with respect to the inner surface 2023b of the flange portion 2023 of the opening 202. On the other hand, on the end wall 502 side of the battery holder 500, the inner surface 502a is located in a position retreated toward the GND electrode 3 and finger electrode 4 in the longitudinal direction of the battery 14 with respect to the inner surface 2023a of the flange portion 2023 of the opening 202, and the inner surface 502a on which the spiral spring 505 is arranged is located in a position protruding toward the chest electrode 2 in the longitudinal direction of the battery 14 with respect to the inner surface 2023a of the flange portion 2023 of the opening 202. In other words, the battery 14 is located relatively closer to the negative end surface 14b side in the longitudinal direction (the chest electrode 2 side, which is the lower side when viewed as a whole of the portable electrocardiogram device 1) with respect to the opening 202. This allows the distance C1 between the inner surface 2023a of the flange portion 2023 of the opening 202 and the positive electrode side end surface 14c on which the protrusion 14a of the positive electrode terminal of the battery 14 is formed to be set large, and the gap formed between the inner surface 2023a of the flange portion 2023 of the opening 202 and the positive electrode side end surface 14c of the battery 14 into which a finger or nail can be inserted, i.e., the space Sp1 for hooking a finger or nail on the positive electrode side end surface 14c from the outside in the longitudinal direction of the battery 14 to remove the battery 14, can be set wide. On the other hand, the space Sp2 formed between the inner surface 2023b of the flange portion 2023 of the opening 202 and the negative electrode side end surface 14b of the battery 14 becomes narrow. Here, the inner surface 2023a of the flange portion 2023 of the opening 202 corresponds to the inner edge of the positive electrode terminal side of the battery opening in the present invention.

電池15は、開口部202に対して、相対的に、長手方向の負極側端面15b側(携帯
型心電装置1の全体で見れば上方であるGND電極3及び指電極4側)に寄った位置に配置される。これによって、開口部202のフランジ部2023の内側面2023bと、電池15の正極端子の突出部15a側の端面15cとの間に形成される、指又は爪を挿入可能な間隙、すなわち電池15の長手方向の外方から指又は爪を正極側端面14cに引っ掛けて電池15を取り出すためのスペースSp3を広く設定することができる。一方で、開口部202のフランジ部2023の内側面2023aと、電池15の負極15bとの間に形成されるスペースSp4は狭くなる。電池14及び電池15は、長手方向に対して、正負が逆の配置となるので、携帯型心電装置1の全体に対して、電池14及び電池15がそれぞれ寄る方向は逆となる。また、指又は爪を挿入可能な間隙であるスペースSp1及びSp3は、メインハウジング201の長手方向の両側に設けられることとなる。
The battery 15 is disposed at a position closer to the negative electrode side end face 15b side in the longitudinal direction (the GND electrode 3 and finger electrode 4 side, which are on the upper side when viewed as a whole of the portable electrocardiogram device 1) relative to the opening 202. This allows a gap into which a finger or nail can be inserted, that is, a space Sp3 for hooking a finger or nail on the positive electrode side end face 14c from the outside in the longitudinal direction of the battery 15, to be set wide, which is formed between the inner surface 2023b of the flange portion 2023 of the opening 202 and the end face 15c on the protruding portion 15a side of the positive electrode terminal of the battery 15. On the other hand, a space Sp4 formed between the inner surface 2023a of the flange portion 2023 of the opening 202 and the negative electrode 15b of the battery 15 becomes narrow. Since the batteries 14 and 15 are arranged with the positive and negative poles reversed in the longitudinal direction, the batteries 14 and 15 are positioned in opposite directions relative to the entire portable electrocardiogram device 1. In addition, spaces Sp1 and Sp3, which are gaps into which a finger or nail can be inserted, are provided on both sides of the main housing 201 in the longitudinal direction.

図8(A)は、携帯型心電装置1の図8(B)に示すC-C断面における断面図である。図8(B)は携帯型心電装置1の図8(A)に示すD-D断面における断面図である。
上述のように、電池14及び15を脱着するための開口部202に対して、電池14及び15をそれぞれ負極側端面14b及び15b側にずらすことにより、被検者が指又は爪を挿入して正極側端面14c側の及び15cに引っ掛けるためのスペースSp1及びSp3を広くとっている。このように、開口部202に対して、電池14及び15を配置するように、携帯型心電装置1を構成することにより、電池の長手方向の高さに対する、装置全体の高さの比を小さくすることができる。具体的には、電池14の高さ(正電極端子の突出部14aの長手方向先端から負極側端面14bまでの距離)H1に対する、携帯型心電装置1の全体の高さ(前面から見たときに上に凸に形成されているメインハウジング201のうち最も上方に位置する頂部201pから、胸電極2までの距離)H2の比を1:1.41(71%)とすることができる。このように、電池14及び15の取り外し易さを損なうことなく、携帯型心電装置1全体の高さを小さくすることができた。
Fig. 8(A) is a cross-sectional view of the portable electrocardiogram device 1 taken along the line CC shown in Fig. 8(B). Fig. 8(B) is a cross-sectional view of the portable electrocardiogram device 1 taken along the line DD shown in Fig. 8(A).
As described above, the batteries 14 and 15 are shifted toward the negative electrode end faces 14b and 15b, respectively, with respect to the opening 202 for attaching and detaching the batteries 14 and 15, thereby widening the spaces Sp1 and Sp3 for the subject to insert his/her finger or nail and hook it on the positive electrode end faces 14c and 15c. In this way, by configuring the portable electrocardiogram device 1 so that the batteries 14 and 15 are arranged with respect to the opening 202, the ratio of the height of the entire device to the longitudinal height of the battery can be reduced. Specifically, the ratio of the height of the entire portable electrocardiogram device 1 (the distance from the top 201p located at the top of the main housing 201 formed to be convex upward when viewed from the front side to the chest electrode 2) H2 to the height of the battery 14 (the distance from the longitudinal tip of the protruding part 14a of the positive electrode terminal to the negative electrode end face 14b) H1 can be set to 1:1.41 (71%). In this way, the overall height of the portable electrocardiogram device 1 can be reduced without compromising the ease of removing the batteries 14 and 15.

図9は、メインハウジング201に開口部202を開閉する電池カバー5を組み付ける手順を示す図である。
電池カバー5は、メインハウジング201とともに携帯型心電装置1の外装を構成する表面51と、表面51の端部から屈曲されたフランジ部52とを含む。電池カバー5の解除可能な係合部を、メインハウジング201の対応する係合部に係合させることにより、開口部202を電池カバー5によって閉じる。このとき、電池カバー5のフランジ部52は、メインハウジング201の開口部202のフランジ部2023の外周に嵌合する。
FIG. 9 is a diagram showing a procedure for assembling the battery cover 5, which opens and closes the opening 202, to the main housing 201. As shown in FIG.
The battery cover 5 includes a surface 51 which constitutes the exterior of the portable electrocardiogram device 1 together with the main housing 201, and a flange portion 52 bent from an end of the surface 51. The opening 202 is closed by the battery cover 5 by engaging a releasable engagement portion of the battery cover 5 with a corresponding engagement portion of the main housing 201. At this time, the flange portion 52 of the battery cover 5 fits into the outer periphery of the flange portion 2023 of the opening 202 of the main housing 201.

なお、本発明は、上記実施形態に限定されるものではなく、本発明の要旨を逸脱しない範囲で種々変形して実施可能である。 The present invention is not limited to the above embodiment, and can be modified in various ways without departing from the spirit of the present invention.

1・・・携帯型心電装置
2・・・胸電極
3・・・GND電極
4・・・指電極
1: Portable electrocardiogram device 2: Chest electrode 3: GND electrode 4: Finger electrode

Claims (5)

電子部品が実装された回路基板と、
前記回路基板と電池を収容する筐体と、
前記筐体の長手方向に沿って対向する一対の面にそれぞれ設けられ、前記回路基板に電気的に接続された、心電信号を検出するための第1電極及び第2電極とを備えた携帯型心電装置であって、
前記電池は長手方向が前記筐体の長手方向に沿うように前記筐体に収容され、
前記第1電極及び前記第2電極が、円筒形の前記電池をその長手方向の両端から挟むように、前記筐体に配置され、
前記筐体の長手方向の長さは、前記電池の長さの1.4倍であり、
前記第1電極及び前記第2電極は、被検者が前記第1電極に右手人差し指を接触させた状態で前記第2電極を胸部に接触させた場合に右手の手根部が胸部に接触可能となる距離に設けられたことを特徴とする携帯型心電装置。
A circuit board on which electronic components are mounted;
a housing for accommodating the circuit board and a battery;
a first electrode and a second electrode for detecting an electrocardiogram signal, the first electrode and the second electrode being provided on a pair of surfaces facing each other along a longitudinal direction of the housing and electrically connected to the circuit board;
The battery is housed in the housing such that the longitudinal direction of the battery is aligned with the longitudinal direction of the housing;
the first electrode and the second electrode are disposed in the housing so as to sandwich the cylindrical battery from both ends in the longitudinal direction thereof;
The longitudinal length of the housing is 1.41 times the length of the battery,
A portable electrocardiogram device characterized in that the first electrode and the second electrode are positioned at a distance such that when a subject touches the second electrode to his chest while touching the first electrode with the index finger of his right hand, the wrist of the right hand can touch the chest.
前記筐体は、前記電池を、該筐体に収容し又は該筐体から取り出すための電池用開口部と、該電池用開口部を開閉する開閉部材とを有することを特徴とする請求項1に記載の携帯型心電装置。 The portable electrocardiogram device according to claim 1, characterized in that the housing has a battery opening for inserting the battery into the housing or removing the battery from the housing, and an opening/closing member for opening and closing the battery opening. 前記筐体に内蔵され、前記電池を収容する電池収容部を備え、
前記電池収容部において、前記電池の正極端子の突出部が形成されている正極側端面に、該電池の長手方向の外方から指又は爪を引っ掛けるために、前記電池用開口部の前記正極端子側の内縁と該正極側端面との間に、前記指又は爪を挿入可能な間隙が設けられるように前記電池収容部は前記筐体に配置されることを特徴とする請求項2に記載の携帯型心電装置。
a battery housing portion that is built into the housing and that houses the battery;
The portable electrocardiogram device of claim 2, characterized in that the battery accommodating section is arranged in the housing so that a gap is provided between the inner edge of the positive terminal side of the battery opening and the positive electrode side end face on which the protruding portion of the positive electrode terminal of the battery is formed, so that a finger or nail can be inserted into the positive electrode side end face of the battery accommodating section from the outside in the longitudinal direction of the battery.
前記電池収容部は、前記正極端子が前記筐体の長手方向に対して互いに逆向きとなるように収容される前記電池に対応して、前記間隙が前記筐体の長手方向に対して両側に設けられるように前記筐体に配置されることを特徴とする請求項3に記載の携帯型心電装置。 The portable electrocardiogram device according to claim 3, characterized in that the battery storage section is arranged in the housing so that the gap is provided on both sides in the longitudinal direction of the housing, corresponding to the batteries stored so that the positive terminals are oriented in opposite directions relative to the longitudinal direction of the housing. 前記正極端子が前記筐体の長手方向に対して互いに逆向きとなるよう収容される前記電池は、それぞれの負極側にずらして前記電池収容部に収容されることを特徴とする請求項4に記載の携帯型心電装置。 The portable electrocardiogram device according to claim 4, characterized in that the batteries, whose positive terminals are housed so as to face in opposite directions relative to the longitudinal direction of the housing, are housed in the battery housing section shifted toward their respective negative terminals.
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