JPH088912B2 - Clothing for measuring ECG - Google Patents

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention enables the electrodes to be placed close to a predetermined position on the body of a patient when the electrodes are fixed to the body of the patient for recording an electrocardiogram by putting the electrodes on the patient. Regarding the clothing accessories.

[0002]

2. Description of the Related Art As is well known, conventionally, in order to record an electrocardiogram, a method of sticking individual electrodes to the body of a patient with adhesive tape in correspondence with the position of inducing electromotive force of the heart is adopted. Has been done.

Incidentally, among cardiac diseases, angina pectoris, myocardial infarction, arrhythmia and the like cause changes in the electrocardiogram only when symptoms occur, and therefore recording the electrocardiogram at that time is indispensable for confirming the diagnosis. However, in these diseases, changes in the electrocardiogram are transient, and it is often difficult to induce seizure even in a provocation test at the time of examination, and it often takes time to confirm the initial diagnosis.

For this reason, in order to record an electrocardiogram when a symptom appears, care must be taken so that the electrocardiogram can be recorded on the spot at the time of an attack in daily life.
A time electrocardiography test has been performed.

[0005]

According to the conventional 24-hour electrocardiogram recording and inspection method, as a matter of course, if no seizure occurs within 24 hours while the patient is wearing the recorder, 2
The 4-hour record itself becomes meaningless. The recording time can be extended by replacing the recording tape, etc., but in the case of 24-hour electrocardiogram or ECG monitoring in a ward, the electrode is conventionally attached to the patient's body with adhesive tape, so the skin There is a risk of rash or itching, which causes great pain to the patient. Further, in a long-time recording inspection, the work is difficult because the adhesive tape is peeled off due to sweat or dirt. On the other hand, in the case of recording an electrocardiogram in an electrocardiographic examination room, it is a method of sandwiching a large clip-type electrode on a limb or adsorbing a sucker-type electrode on the chest so that the purpose of the invention is to continuously monitor it. Needless to say, it is not suitable for electrocardiographic examination. Furthermore, since the recording itself only makes two or three simple bipolar leads, there are many unsuitable points, such as a decrease in objectivity for ST segment analysis, which is important for the diagnosis of angina.

[0006]

As a result of various studies, the present inventor has found that, in order to solve the above problems, an electrode is attached to a sheet-shaped clothing accessory such as underwear, and a patient wears such clothing. Wearing a tool and spending the time until a seizure is significantly easier than the conventional method of sticking electrodes with adhesive tape or sandwiching them with clips, and especially 12-lead We have found that there is a special effect in waiting for the continuous recording of the electrocardiogram, and the patient's pain is greatly reduced, which is advantageous. However, in constructing such a clothing accessory, it is necessary to consider the following conditions.

First, according to the experience of the present inventor, it is expected that some patients will have only a few strokes per month, and that a record examination for a considerably long period of time will sometimes have to be performed. Therefore, it is necessary for the clothing accessory to minimize the burden on the patient when wearing the clothing, and it is required not to press the body during the waiting period before the attack or to cause a feeling of strangeness.

Second, at the time of an attack, the relationship between the electrodes and the body must be maintained in a state that enables quick and good recording.

Thirdly, it should be easy to put on and take off the body in consideration of taking off the clothing accessories when taking a bath.

Fourth, in preparation for a record inspection for a long period of time, it is necessary that the clothing accessory can be repeatedly worn while maintaining a clean state by ordinary washing.

Fifth, from the viewpoint of product cost, it is preferable that the garment can be used for both men and women, and can be worn by anyone by only providing several sizes.

[0012] Therefore, the present inventor has made it possible for the patient to comfortably wear the same clothes as general shirts, vests and the like while waiting, while using the garment for men and women at a low price.
Moreover, while wearing it while maintaining a clean condition by washing, it is possible to wear it repeatedly, and when an electrocardiogram is to be recorded suddenly due to a seizure or the like, the electrode can be quickly brought into close contact with the target site on the body surface. It was found that it is advantageous to provide
No. 893 and Japanese Patent Application No. 3-140894 (both filing date: May 15, 1991) have been proposed. As an improvement of these inventions, Japanese Patent Application No. 4-168491 (filing date:
June 3, 1992) was proposed.

By the way, based on the clothing accessories according to these inventions, a comfortable wearing feeling similar to that of clothes is pursued, and the clothing accessories are fastened tightly at the time of a seizure, and the electrodes are securely attached to the body. As a result of repeated studies to make the contact possible, it was found that it is advantageous to add a new improvement to the elastic long body for elastically fixing the electrode to the wearer's body.

Thus, the present invention is configured as a means that the front body and the back body are connected at both shoulders and both side lower parts.
However, electrodes for bipolar limb guidance are provided on the inner surface near both shoulders,
A chest guiding electrode is provided on the inner surface of the chest of the body,
Garment for measuring electrocardiogram with electrodes for lower limb equivalent induction on the inner surface of the body
In the tool, each end of the pair of shoulder elastic members 8a, 8b
Part is fixed near the shoulder part and the long body is attached to the front body.
Along the upper side edge of the
Fasten the pair of extension ends 11 and 11 in front of the chest or trunk.
The long body 14a, 14b for chest tightening
Place the parts near each end at the chest-corresponding position on the back body with each other.
Arrange them in a barrap shape and place each end 16, 16 near both sides of the back body.
The long body 14a for tightening both chests is fixed to the side part,
4b extend from each fixed end 16, 16 oppositely and on both sides
A pair of elongated body 20 for tightening the body portion
Place the parts near a and 20b at the positions corresponding to the trunk of the back body.
And overlap each other with each end 22, 22 rear
It is fixed to both sides of the body and long for tightening both torso
The bodies 20a and 20b are extended from the fixed ends 22 and 22 so as to face each other.
Longer and more extended than both sides, on one side of the side
Of the elongated body 14a for tightening one chest that has been extended
Extension end 17 and extension end 2 of one of the body tightening elongated body 20a
When the free end 26a is formed by merging and integrating 3
Both breasts extended on the other side of the armpit
For tightening the body part For tightening the extended end 17 of the elongated body 14b and one body part
A free end in which the extended end 23 of the elongated body 20b is merged and integrated.
26b, and a pair of the free ends 26a and 26b.
Is configured so that it can be fastened and fastened in front of the chest or torso .

[0015]

[0016]

[0017]

[0018]

Embodiments of the present invention will be described in detail below with reference to the drawings.

In one embodiment shown in FIGS. 1 to 3,
The garment 1 is a kind of clothing such as a shirt or vest that connects a front body 2 and a back body 3 with shoulders 4 and 4 and lower armpits 5 and 5, and is elastic and breathable. Fabrics that are rich in properties and can be washed at home, that is, knitted or woven fabrics (hereinafter,
It is manufactured by cutting and sewing a knitted fabric.

As shown in FIG. 1 (A), the front body 2 of the clothing accessory 1 has notches 6, 6 for exposing the wearer's milk part when worn. Therefore, regardless of whether the wearer is male or female, the clothing accessory 1 can be fitted to the wearer's body.

On the inner side of the front body 2, a plurality of electrodes 7 are provided in correspondence with the positions for inducing electromotive force of the wearer's heart when worn. The electrodes are bipolar limb guiding electrodes 7a and 7b provided on the inner surfaces in the vicinity of the shoulders 4 and 4, and chest guiding electrodes 7c, 7d, 7e and 7 provided on the chest inner surface of the front body 2.
f, 7g, 7h, and lower leg equivalent induction electrodes 7i, 7j provided on the inner surface of the body of the front body 2. The lead wires extending from these electrodes 7 may be appropriately led out by binding outside the clothing accessory 1. Alternatively, although such a lead wire is wired through the inside of the clothing accessory 1 and is not shown in the figure, by connecting to a connector provided outside the clothing accessory 1, a multi-axial pin is inserted into the connector. It is also possible to use a plug that is detachably inserted into the electrocardiograph through a cable.

The pair of shoulder tightening elongated members 8a, 8b made of a band-shaped knitted fabric such as a tape material are shown in FIGS. 1 (A) and 1 (B).
As shown in FIG. 3, the respective end portions 9 and 9 are fixed to the positions near the shoulder portions 4 and 4 by sewing or the like, and extend from the end portions 9 and 9 and extend along the upper side edge of the back body 3. Towable part 1
0, 10 and extension parts 11, 11 extended from the pulling part and further extending from the side part.

As shown in FIG. 1B, shoulder body tightening guide bodies 12, 12 are provided on both upper edges of the rear body 3, and the shoulder body tightening elongated body is provided by the guide bodies 12, 12. 8
Each of a and 8b is shown. In the case of the illustrated embodiment, each guide body 12 is made of a band-shaped knitted fabric such as a tape material, and both side edges of the guide body 12 are sewn to the back body 3 to thereby join the guide body 12 and the back body 3 together. A tubular guide path 13 is formed in between, and the guide path 13 is made to have an opening 13a at a side part, and the shoulder tightening elongated bodies 8a, 8b are loosely inserted in the guide paths 13, 13. The guide body 12 can have various configurations other than the illustrated embodiment. For example, both upper side edges of the back body 3 are folded back, and the edge of the folded back overlapping portion is set to the back body 3. The guide path 13 may be formed by sewing.

Further, a pair of elongated members for chest tightening 14a, 14b made of a band-shaped knitted fabric such as tape cloth is shown in FIG.
As shown in FIG. 1, the end portions 15 and 15 are arranged at positions corresponding to the chest of the back body 3 so as to overlap each other, and
6 and 16 are fixed to the back body 3 by sewing or the like, and are provided with extension portions 17 and 17 extending from the side portions. On this occasion,
It is preferable that each of the end portions 16 and 16 is sewn so as to overlap the sewn portion 1a of the front and rear bodies 2 and 3 or sewn in the vicinity of the sewn portion 1a.
The front body 2 can be suitably tightened while pulling in.

As shown in FIGS. 1B and 3, a chest tightening guide body 18 is provided at a position corresponding to the chest of the back body 3, and the pair of elongated chest tightening bodies 1 is provided by the guide body 18.
4a and 14b near the overlapped end portions 15 and 1
I'm showing you 5. In the case of the illustrated embodiment, the chest tightening guide body 18 is made of a band-shaped knitted fabric,
Is arranged in a horizontal line at a position corresponding to the chest of the rear body 3, and both side edges of the guide body 18 are sewn to the rear body 3 so that a tubular shape is formed between the guide body 18 and the rear body 3. A guide path 19 is formed, and both ends of the guide path 19 are located at the lower part of the armpit so that both ends of the guide path 19 are opened 19a, 19a.
Is inserted. The guide body 18 may have various configurations other than the illustrated embodiment. For example, a C-shaped tape material such as a so-called belt threading material used for pants or the like may be provided at predetermined intervals. Alternatively, the guide path 19 may be formed by sewing a plurality of pieces.

Further, a pair of elongated body tightening members 20a, 20b made of a band-shaped knitted fabric such as a tape material is shown in FIG.
As shown in FIG. 2, the end portions 21 and 21 are arranged at the body corresponding positions of the back body 3 so as to overlap each other, and
2, 22 are fixed to the back body 3 by sewing or the like, and are provided with extension portions 23, 23 extending from the lower armpits. At this time, the respective end portions 22, 22 are the suture portions 1a of the front and rear bodies 2, 3.
It is preferable to overlap and sew or to sew in the vicinity of the sewn portion 1a, whereby the front body 2 can be suitably tightened while pulling the sewn portion 1a at the time of tightening described later.

As shown in FIGS. 1 (B) and 3, a body tightening guide body 24 is provided at a position corresponding to the body of the rear body 3, and a pair of body tightening lengths is provided by the guide body 24. Scale 2
0a, 20b overlapped end neighborhoods 21, 2
I'm showing you 1. In the case of the illustrated embodiment, the body tightening guide body 24 is made of a band-shaped knitted fabric,
Are arranged in a horizontal line at the body corresponding position of the rear body 3, and both side edges of the guide body 24 are sewn to the rear body 3 to form a tubular shape between the guide body 24 and the rear body 3. Is formed in the lower part of the armpit, and both ends of the guide path 25 are opened 25a, 25a, and the guide path 25 is provided in the vicinity of the ends 21, 21 of the body tightening elongated bodies 20a, 20b.
Is inserted. The guide body 24 may have various configurations other than the illustrated embodiment, and the guide path 25 can be formed by sewing a plurality of C-shaped tape materials as described above at predetermined intervals. It may be configured to be formed.

In the illustrated embodiment, the elongated body 1 for chest tightening is provided.
The extension parts 17 and 17 of 4a and 14b and the extension parts 23 and 23 of the elongated body tightening members 20a and 20b are merged and integrated with each other on the outside of the armpits, and free ends 26a that extend to the left and right respectively. , 26b. However, each extension 17, 17,
23, 23 may be independently extended, and the free ends may be constituted by the respective end portions.

According to the above-described embodiment, the wearer (subject) wears the clothing accessory 1 in the same manner as clothing such as ordinary shirts and vests while waiting, and the long length for shoulder tightening. Body 8a,
8b, the chest tightening elongated bodies 14a and 14b, and the trunk tightening elongated bodies 20a and 20b are not tightened, and the garment 1 is kept in a loose state, and the body can be relaxed without being pressed. Therefore, each elongated body 8a, 8b, 14a, 14
b, 20a, 20b may be in a state of being hung from the clothing accessory 1, or an extension of these elongated bodies may be loosely bound in front of the chest or torso of the wearer. .

Therefore, when a seizure or the like occurs and it is urgently necessary to record an electrocardiogram, the long bodies 8a, 8b,
The electrodes 14a, 14b, 20a, 20b are tightened to quickly bring the electrode 7 into close contact with the target site on the body surface.

That is, if the extended portions 11, 11 of the shoulder tightening elongated bodies 8a, 8b are turned to the front of the chest or torso of the wearer and are tightly tied to each other there, as shown in FIG. The fixed ends 9 and 9 of the elongated bodies 8a and 8b pull the shoulders 4 and 4 of the clothing accessory 1 to bring the bipolar limb guiding electrodes 7a and 7b into close contact with the shoulders of the wearer. At this time, the shoulder tightening elongated bodies 8a and 8b move inside the shoulder tightening guide body 12 and pull the shoulders 4 and 4 at the fixed ends 9 and 9 to pull the shoulders 4 and 4 together. Because of the tension, the bipolar limb guiding electrodes 7a, 7b are pressed against the wearer's body.

Also, the free ends 26a, 2 of the elongated members for chest tightening 14a, 14b and the elongated members for body tightening 20a, 20b.
If 6b is turned to the front of the chest or torso of the wearer and tightly tied to each other there, the back body 3 is pulled toward the center of the back, as a result, as shown in FIG. Is pulled to both sides to bring the electrodes 7c to 7h for guiding the chest and the electrodes 7i, 7j for guiding the lower limbs into close contact with the wearer's body.

At this time, the elongated members 14a and 14b for tightening the chest are provided.
While moving in the chest tightening guide body 18, the end portion 16,
16 are pulled toward each other and the rear body 3 is pulled from the vicinity of the side toward the center of the back, so that the chest of the front body 2 is tensioned correspondingly, and the chest guiding electrode 7c.
Press ~ 7h against a predetermined part of the wearer's body.

On the other hand, in the same manner as described above, the body tightening elongated bodies 20a and 20b also move inside the trunk tightening guide body 24 and pull the end portions 22 and 22 in a direction in which they come close to each other. Since 3 is drawn from the vicinity of the armpits toward the center of the back, the torso of the front body 2 is correspondingly tensioned, and the electrodes 7i and 7j for inducing the lower limbs are pressed against a predetermined part of the wearer's body.

Therefore, each elongated body 8a, 8b, 14a, 1
4c, 20a, 20b can be tightened to quickly
It becomes possible to adjust the condition of electrocardiogram recording by pressing the button to a predetermined part of the body.

In order to maintain such a tightened state preferably, each elongated body 8a, 8b, 14a, 14b, 20a,
It is preferable that the tape material constituting 20b is made of a stretchable elastic knitted fabric such as an elastic stretchable fabric in which a rubber thread is knitted or a knitted fabric having an elastically stretchable knitting structure (for example, product name: spandex).

By the way, each elongated body 8a, 8b, 14a,
The tightening of 14b, 20a, and 20b has been described in the above-described embodiment by a method of tying and tightening in front of the chest or torso of the wearer, that is, a method of tying the strap of the yukata. A configuration can be adopted. For example, the opposite ends of the elongated body (the abutting ends of the extension parts 11 of the shoulder tightening elongated bodies 8a and 8b, the chest tightening elongated bodies 14a 14b, and the body tightening elongated body 20).
a, 20b free ends 26a, 26b butt ends)
Mutually, a hook-and-loop fastener for changing and adjusting the fixing position is provided, or a detachable fixing means such as a snap-type fastener or a button-type fastener by a button and a button hole is arranged in the longitudinal direction of the elongated body. Alternatively, it may be provided at a plurality of positions and the tightening and loosening can be freely performed by selecting the fixing position. Further, a buckle that can be tightened and loosened like a buckle of a pants belt may be provided.

Further, in the illustrated embodiment, two tightening means of the chest tightening elongated members 14a and 14b for tightening the chest and the trunk tightening elongated members 20a and 20b for tightening the torso. However, these tightening means
It is also possible to have a plurality of configurations of three or more, and an elongated body may be additionally configured as needed.

[0039]

As a result of the above-mentioned constitution of the present invention,
It has the following effects.

(1) According to the present invention, since the garment 1 is provided with electrodes corresponding to the positions for inducing electromotive force of the heart when worn, a plurality of conventional electrodes are adhered to each other. Compared with the method of sticking it to a predetermined part of the body with tape or sandwiching it with a clip, etc., it is enough to put the clothing accessory 1 on the wearer, and not only does the adhesive tape not cause skin irritation or itching, The work of deploying the electrodes can be performed very easily and easily. This is because, even when the clothing 1 is taken off for bathing or the like and the clothing 1 is worn again after bathing, the work can be performed quickly and easily. Is enormous.

(2) According to the present invention , the shoulder tightening elongated members 8a and 8b can be tightened and loosened freely, and in addition to the shoulder tightening elongated members 8a and 8b, the chest tightening member can be tightened. Since the elongated bodies 14a and 14b and the body tightening elongated bodies 20a and 20b are configured to be tightened and loosen freely, the patient can relax and comfortably relax the elongated bodies while the patient is waiting. The wearer can be assured of proper wear, but when symptoms occur, the long body can be tightened to bring the electrodes into close contact with the body immediately, and accurate and accurate ECG recording can be performed quickly. Have.

(3) Further , according to the present invention, the shoulder portion 4 of the clothing accessory 1 is provided via the pair of shoulder tightening elongated bodies 8a and 8b.
By pulling 4 from the back to the sides, the shoulders 4, 4 can be tensioned, so that the electrodes 7a, 7 for guiding the bipolar limbs can be obtained.
There is an effect that it becomes possible to bring b into close contact with the wearer's shoulder.

(4) In particular, according to the present invention, a pair of breasts
For tightening the long parts 14a, 14b and for tightening the pair of body parts
The elongated bodies 20a and 20b are respectively shown in FIG. 1 (B) and FIG.
When overlapped and tightened, the edges
Pull the parts 16 and 16 together and the ends 22 and 22 together.
It is possible to tighten the back body 3 from both sides toward the center.
It is possible to obtain fast and firm tightening.
Therefore, the size of the clothing accessory is significantly larger than the wearer's physique.
Formed and relaxed at all times, but worn during attacks
There is an effect that the body accessory can be tightened quickly and easily. (5) Moreover, according to the present invention, the chest tightness is provided on the side.
The tightening elongated bodies 14a, 14b and the body tightening elongated body 20a,
Free ends 26a and 26b are formed by merging and integrating 20b.
In front of the chest or torso, a pair of free ends 26
Long body 14a for chest tightening by simply tightening a and 26b,
14b and body 20a, 20b for tightening the body at the same time
It is convenient and can easily respond to the urgency of a seizure
There is an effect. (6) In the present invention, if the entire clothing accessory 1 is made of a knitted fabric that is highly stretchable and breathable, it is possible to wear it as comfortably as ordinary underwear and clothes, and It can be worn repeatedly while maintaining a clean state by washing, and it can be used for both men and women, so it can be worn by an unspecified number of patients by preparing several large and small sizes, and low cost production is possible. become.

[Brief description of drawings]

1A and 1B show an embodiment of a clothing accessory of the present invention, in which FIG. 1A is a front perspective view and FIG. 1B is a rear perspective view.

FIG. 2 is a side view, partially in section, showing the action of the elongated body for shoulder tightening according to the embodiment of the clothing accessory of the present invention.

FIG. 3 is a cutaway perspective view of a main part showing the action of the elongated body for chest tightening and the elongated body for body tightening seen from the back side in one embodiment of the clothing accessory of the present invention.

[Explanation of symbols]

 1 clothing accessories 2 front body 3 back body 4 shoulders 7a, 7b bipolar limb induction electrodes 7c to 7h chest induction electrodes 7i, 7j lower limb equivalent induction electrodes 8a, 8b shoulder / long body 9 fixed ends 11 Extension part 12 Shoulder part tightening guide body 14a, 14b Chest tightening long body 16 Fixing end part 17 Extension part 18 Chest tightening guide body 20a, 20b Body part tightening long body 22 Sticking end part 23 Extension part 24 Body Part tightening guide bodies 26a, 26b free ends

 ─────────────────────────────────────────────────── ─── Continuation of the front page (56) Bibliography SHO 55-156704 (JP, U) HIAI 2-139608 (JP, U)

Claims (1)

[Claims] 1. A front body and a back body are connected by both shoulders and lower armpits, electrodes for bipolar limb induction are provided on the inner surface near both shoulders, and electrodes for chest induction are provided on the inner surface of the chest of the front body. In a clothing for measuring an electrocardiogram in which electrodes for inducing lower limbs are provided on the inner surface of the body of the front body, a pair of elongated shoulder fastening members (8a, 8b) are fixed at their respective ends near the shoulders. At the same time, the elongated body is arranged along the upper side edge of the front body and further extended from the side part, and the pair of extended ends (11, 11) is configured to be fastened freely in front of the chest or the trunk, Near each end of the pair of long body for chest tightening (14a, 14b)
Parts overlap each other at the chest corresponding position on the back body
The ends (16, 16) on both sides of the back body
Long body for tightening both chests (14a, 14
b) extend opposite each fixed end (16, 16) and
Near the ends of the pair of long body tightening members (20a, 20b) that extend further from both sides.
Parts overlap each other at the position corresponding to the torso of the back body
The ends (22, 22) on both sides of the back body
Long body (20a, 20
b) extend opposite each fixed end (22, 22) and
One chest tightening that is extended further from both sides and extended on one side of the side
Extension body (14a) extension end (17) and one body tightening
The extension end (23) of the elongated body (20a) is merged and integrated.
The free end (26a) is formed and the other side
The other chest elongated body extended at the side
Extension body (17) of (14b) and one elongated body for tightening body
Freedom with the extended end (23) of (20b) merged and integrated
The end (26b) is formed, and the free end (26a, 26a
The pair of b) is configured so that it can be fastened in front of the chest or torso.
A clothing accessory for measuring an electrocardiogram characterized by being made of: