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JP6675629B1 - Fingertip capillary blood flow observation microscope - Google Patents

Fingertip capillary blood flow observation microscope Download PDF

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JP6675629B1
JP6675629B1 JP2019189080A JP2019189080A JP6675629B1 JP 6675629 B1 JP6675629 B1 JP 6675629B1 JP 2019189080 A JP2019189080 A JP 2019189080A JP 2019189080 A JP2019189080 A JP 2019189080A JP 6675629 B1 JP6675629 B1 JP 6675629B1
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holding member
cuticle
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大内 正敏
正敏 大内
敏治 室川
敏治 室川
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株式会社アイセル
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Abstract

【課題】被験者の手の指先の毛細血管の血流を観察しようとする部位に顕微鏡を簡単に位置合わせでき、観察時の指のぶれを抑制でき、顕微鏡のピントを合わせるだけで容易に指先の毛細血管の血流を観察できる指先毛細血管血流観察顕微鏡を提供する。【解決手段】指先毛細血管血流観察顕微鏡は、回動軸10の周りに回動可能な第1挟持部材20および第2挟持部材30と、第1挟持部材20の挟持部21および第2挟持部材30の挟持部31の互いに対向する内面に設けられた指収容部41、42と、先端部が第1挟持部材20の挟持部21に臨むように第2挟持部材30に取り付けられたピント合わせ機能を有する顕微鏡本体60と、第2挟持部材30の挟持部31の内面に設けられた甘皮ストッパー70とを有し、甘皮ストッパー70の先端が指の爪の甘皮に引っ掛った状態において顕微鏡本体60の光軸が指の爪の甘皮に隣接する爪根部に合うように構成される。【選択図】図1PROBLEM TO BE SOLVED: To easily position a microscope on a portion of a test subject's fingertip where blood flow of capillaries is to be observed, to suppress blurring of a finger at the time of observation, and to easily focus the fingertip of the microscope. A fingertip capillary blood flow observation microscope capable of observing blood flow in capillaries. A fingertip capillary blood flow observing microscope includes a first pinching member 20 and a second pinching member 30, which are rotatable around a pivot shaft 10, and a pinching portion 21 and a second pinching portion of the first pinching member 20. The finger accommodating portions 41 and 42 provided on the inner surfaces of the sandwiching portion 31 of the member 30 facing each other, and the focusing attached to the second sandwiching member 30 so that the tip end faces the sandwiching portion 21 of the first sandwiching member 20. A microscope main body 60 having a function and a cuticle stopper 70 provided on the inner surface of the holding portion 31 of the second holding member 30. The microscope main body in a state in which the tip of the cuticle stopper 70 is caught by the cuticle of the fingernail. The optical axis of 60 is configured to fit the nail root portion adjacent to the cuticle of the fingernail. [Selection diagram] Fig. 1

Description

この発明は、指先毛細血管血流観察顕微鏡に関し、特に、手の指先の毛細血管の血流を観察するのに用いて好適なものである。   The present invention relates to a fingertip capillary blood flow observation microscope, and is particularly suitable for use in observing blood flow in capillaries at the fingertips of a hand.

従来、手の指先などの毛細血管の血流を観察する装置として血流観察用デジタルマイクロスコープが知られており、市販されている(非特許文献1参照。)。この血流観察用デジタルマイクロスコープは、顕微鏡(マイクロスコープ)とモニター(ディスプレイ)とを組み合わせたものである。この血流観察用デジタルマイクロスコープにより手の指先の毛細血管の血流を観察する方法は次の通りである。すなわち、まず、顕微鏡の直下の観察台に設けられた指置きに利き手の反対側の手の薬指を置く。薬指には事前に乱反射防止用オイルを塗布しておく。指置きには指の形状に合わせてU字形の溝が形成されている。そして、指置きに指を置いた状態で、顕微鏡の先端を左右前後に移動し、かつ被験者の指も動かしながら指の爪の甘皮の直ぐ後方の部分の表面に接近させる。その後、モニターを見ながら顕微鏡の鏡筒に取り付けられたピント調節ねじと被験者の指移動で皮膚直下の毛細血管の映像が出るように位置とピントを調節する。   2. Description of the Related Art Conventionally, a digital microscope for observing blood flow is known as a device for observing blood flow in a capillary such as a fingertip of a hand, and is commercially available (see Non-Patent Document 1). This digital microscope for blood flow observation is a combination of a microscope (microscope) and a monitor (display). The method of observing the blood flow in the capillary at the fingertip of the hand using this digital microscope for blood flow observation is as follows. That is, first, the ring finger opposite to the dominant hand is placed on the finger rest provided on the observation table immediately below the microscope. Oil for preventing irregular reflection is applied to the ring finger in advance. A U-shaped groove is formed in the finger rest according to the shape of the finger. Then, with the finger placed on the finger rest, the tip of the microscope is moved right and left and back and forth, and the subject's finger is moved while approaching the surface of the finger nail just behind the cuticle. Then, while looking at the monitor, the position and focus are adjusted by moving the focus adjusting screw attached to the lens barrel of the microscope and the finger of the subject so that an image of the capillaries just below the skin appears.

[平成31年3月1日検索]、インターネット〈URL:http://www.gokocamera.com/ev/bscan-z.php〉[Search on March 1, 2019], Internet <URL: http://www.gokocamera.com/ev/bscan-z.php>

非特許文献1に記載された血流観察用デジタルマイクロスコープでは、血流を鮮明に観察することができるのは、爪の甘皮からコンマ数ミリ以内の爪根部の表皮であるため、そこに顕微鏡を位置合わせすることが重要である。しかしながら、指サイズや爪サイズの個人差が大きく、かつ観察時には指置きに指を置くだけであるため、初期位置合わせやピント合わせだけでも大変である。しかも、観察中に呼吸などにより体がぶれるため観察対象の指も上下左右に移動してしまうことからその都度位置合わせやピント合わせが必要となることにより、毛細血管の血流を鮮明に観察するためには操作に熟練が必要であった。   In the digital microscope for blood flow observation described in Non-Patent Document 1, the blood flow can be clearly observed in the nail epidermis within a few millimeters from the cuticle of the nail. It is important to align However, since there is a large difference between individuals in finger size and nail size, and only placing a finger on a finger rest at the time of observation, it is difficult to perform only initial positioning and focusing. In addition, the finger of the observation target moves up, down, left, and right because the body is shaken by breathing during the observation, so it is necessary to perform positioning and focusing each time, so that the blood flow of the capillary blood vessels is clearly observed. For this purpose, the operation required skill.

そこで、この発明が解決しようとする課題は、被験者の手の指先の毛細血管の血流を観察しようとする部位に顕微鏡を簡単に位置合わせすることができ、しかも観察時の指のぶれを抑制することができ、顕微鏡のピントを合わせるだけで容易に指先の毛細血管の血流を観察することができる指先毛細血管血流観察顕微鏡を提供することである。   Therefore, the problem to be solved by the present invention is that the microscope can be easily positioned at the site where the blood flow of the capillary at the fingertip of the subject's hand is to be observed, and the blurring of the finger during the observation is suppressed. It is an object of the present invention to provide a fingertip capillary blood flow observation microscope capable of easily observing the blood flow of the fingertip capillaries simply by adjusting the focus of the microscope.

上記課題を解決するために、この発明は、
回動軸の周りに回動可能かつ初期位置に復元可能に構成された第1挟持部材および第2挟持部材と、
上記第1挟持部材の挟持部および上記第2挟持部材の挟持部の互いに対向する内面に設けられた、上記第1挟持部材の上記挟持部と上記第2挟持部材の上記挟持部との間に上記回動軸に垂直な方向から被験者の手の、指先の毛細血管の血流を観察しようとする指を挿入したときに当該指を当該指に垂直でかつ上記回動軸に平行な方向に拘束した状態で収容する指収容部と、
先端部が上記第1挟持部材の上記挟持部に臨むように上記第2挟持部材に取り付けられたピント合わせ機能を有する顕微鏡本体と、
上記第2挟持部材の上記挟持部の内面に設けられた、上記第1挟持部材の上記挟持部と上記第2挟持部材の上記挟持部との間に上記指を挟持したときに、上記指の爪の甘皮に引っ掛かることにより上記第1挟持部材および上記第2挟持部材に対する上記指の長手方向前方への移動を阻止する甘皮ストッパーとを有し、
上記甘皮ストッパーの先端が上記指の爪の甘皮に引っ掛った状態において、上記顕微鏡本体の光軸が上記指の爪の甘皮に隣接する爪根部に合うように構成されている指先毛細血管血流観察顕微鏡である。
In order to solve the above problems, the present invention provides
A first holding member and a second holding member configured to be rotatable about a rotation axis and to be able to be restored to an initial position;
Between the holding portion of the first holding member and the holding portion of the second holding member, provided on inner surfaces of the holding portion of the first holding member and the holding portion of the second holding member facing each other. When inserting a finger for observing the blood flow of the capillary at the fingertip of the subject's hand from a direction perpendicular to the rotation axis, insert the finger in a direction perpendicular to the finger and in a direction parallel to the rotation axis. A finger storage unit that is housed in a restrained state,
A microscope main body having a focusing function attached to the second holding member such that a tip end faces the holding portion of the first holding member;
When the finger is clamped between the clamping portion of the first clamping member and the clamping portion of the second clamping member provided on the inner surface of the clamping portion of the second clamping member, A cuticle stopper that prevents the finger from moving forward in the longitudinal direction with respect to the first holding member and the second holding member by being hooked on the cuticle of the nail;
Fingertip capillary blood flow configured such that the optical axis of the microscope main body is aligned with the nail base adjacent to the cuticle of the finger nail in a state where the tip of the cuticle stopper is hooked on the cuticle of the finger nail. It is an observation microscope.

この指先毛細血管血流観察顕微鏡においては、第1挟持部材の挟持部と反対側の端部(操作部)と、第2挟持部材の挟持部と反対側の端部(操作部)とを手の指でつまんで力を加えることにより第1挟持部材および第2挟持部材を回動軸の周りに回動させて第1挟持部材の挟持部と第2挟持部材の挟持部とを互いに離し、この状態で被験者の手の、指先の毛細血管の血流の観察を行おうとする指を第1挟持部材の挟持部および第2挟持部材の挟持部の指収容部に挿入した後、第1挟持部材の挟持部と反対側の端部(操作部)と、第2挟持部材の挟持部と反対側の端部(操作部)とに力を加えるのを止め、第1挟持部材および第2挟持部材を回動軸の周りに逆方向に回動させることにより指収容部に指が収容された状態で第1挟持部材の挟持部と第2挟持部材の挟持部との間に指を挟持する。このように第1挟持部材の挟持部と第2挟持部材の挟持部との間に指を挟持したまま指を少し前進させることにより指の爪の甘皮が甘皮ストッパーの先端に引っ掛かるようにする。この状態で顕微鏡本体のピントを合わせて指先の毛細血管の血流を観察する。   In the fingertip capillary blood flow observation microscope, the end (operation portion) of the first holding member opposite to the holding portion and the end (operation portion) of the second holding member opposite to the holding portion are manually moved. The first holding member and the second holding member are rotated about a rotation axis by applying a force by pinching with the fingers of the fingers to separate the holding portion of the first holding member and the holding portion of the second holding member from each other, In this state, after inserting the finger of the subject's hand for observing the blood flow of the capillary of the fingertip into the finger accommodating portions of the holding portion of the first holding member and the holding portion of the second holding member, the first holding is performed. Stop applying force to the end (operation portion) of the member opposite to the holding portion and the end (operation portion) of the second holding member opposite to the holding portion, and stop the first holding member and the second holding member. The holding portion of the first holding member in a state where the finger is housed in the finger housing portion by rotating the member around the rotation axis in the opposite direction. Clamping the finger between the clip portions of the second clamping member. In this way, by slightly moving the finger forward while holding the finger between the holding portion of the first holding member and the holding portion of the second holding member, the cuticle of the fingernail is hooked on the tip of the cuticle stopper. In this state, the microscope main body is focused, and the blood flow in the capillary at the fingertip is observed.

第1挟持部材の挟持部および第2挟持部材の挟持部の指収容部は、一般的には、第1挟持部材の挟持部の内面に回動軸に垂直な方向に延在して設けられた、指の下半分を収容する第1凹部および第2挟持部材の挟持部の内面に回動軸に垂直な方向に延在して設けられた、指の上半分を収容する第2凹部からなるが、これに限定されるものではない。指収容部の断面形状および断面寸法ならびに長さは、一般的には、この指収容部に指先の毛細血管の血流の観察を行おうとする指の少なくとも末節骨の全部、典型的には末節骨の全部に加えて中節骨の全部または末節骨側の一部を収容することができ、かつこの指をこの指に垂直でかつ回動軸に平行な方向に拘束することができるように選択される。指収容部に指が収容され、かつ第1挟持部材の挟持部と第2挟持部材の挟持部との間に指が挟持されることにより、指を回動軸に平行な方向に加えて回動軸に垂直な方向にも拘束することができる。こうして、観察中の指のぶれを抑制することができることにより、爪の甘皮の近傍の爪根部の表皮に顕微鏡のピント合わせを行いやすくなり、それによって毛細血管の血流が観察しやすくなる。   The finger holding portions of the holding portion of the first holding member and the holding portion of the second holding member are generally provided on the inner surface of the holding portion of the first holding member so as to extend in a direction perpendicular to the rotation axis. In addition, the first concave portion for accommodating the lower half of the finger and the second concave portion for accommodating the upper half of the finger provided on the inner surface of the holding portion of the second holding member so as to extend in a direction perpendicular to the rotation axis. However, the present invention is not limited to this. The cross-sectional shape, cross-sectional dimension, and length of the finger housing are generally the same as at least the entire distal phalanx, typically the distal phalanx, of the finger whose capillary blood flow is to be observed in the finger housing. In addition to the whole bone, it is possible to accommodate the entire middle phalanx or a part of the distal phalanx side, and to restrain this finger in a direction perpendicular to the finger and parallel to the rotation axis. Selected. Since the finger is accommodated in the finger accommodating portion and the finger is clamped between the clamping portion of the first clamping member and the clamping portion of the second clamping member, the finger is rotated in a direction parallel to the rotation axis. It can also be constrained in a direction perpendicular to the axis of motion. In this way, since the movement of the finger during the observation can be suppressed, the microscope can be easily focused on the epidermis of the nail base in the vicinity of the cuticle of the nail, whereby the blood flow of the capillary can be easily observed.

甘皮ストッパーは、指収容部に被験者の手の指を収容し、第1挟持部材の挟持部と第2挟持部材の挟持部との間に指を挟持した状態で指の爪を指に直交する方向に横断するようにその位置および方向が決められる。そして、この状態で指を前方に少し移動させると、甘皮ストッパーが甘皮で引っ掛かり、この時点で第1挟持部材および第2挟持部材に対するこの指の長手方向前方への移動が阻止される。このとき、甘皮ストッパーの先端と顕微鏡本体の光軸との間の距離を予め定めておくことで、爪の甘皮の近傍の爪根部の表皮の直上に顕微鏡本体を位置させることができる。すなわち、甘皮ストッパーの先端が甘皮に引っ掛った状態において、顕微鏡本体の光軸が指の爪の甘皮に隣接する爪根部に合うように構成される。このため、甘皮の近傍の爪根部の表皮に顕微鏡のピントを合わせることにより、毛細血管の血流を観察することができる。甘皮ストッパーの先端と顕微鏡本体の光軸との間の距離は、例えば1.0mm以上2.0mm以下である。   The cuticle stopper accommodates the finger of the subject's hand in the finger accommodating portion, and interposes the fingernail at right angles to the finger in a state where the finger is clamped between the clamping portion of the first clamping member and the clamping portion of the second clamping member. The position and direction are determined so as to cross the direction. When the finger is slightly moved forward in this state, the cuticle stopper is caught by the cuticle, and at this point, the finger is prevented from moving forward in the longitudinal direction with respect to the first holding member and the second holding member. At this time, by predetermining the distance between the tip of the cuticle stopper and the optical axis of the microscope main body, the microscope main body can be positioned directly above the epidermis of the nail base near the cuticle of the nail. That is, in a state where the tip of the cuticle stopper is hooked on the cuticle, the optical axis of the microscope main body is adapted to the nail base of the fingernail adjacent to the cuticle. For this reason, the blood flow of the capillary can be observed by focusing the microscope on the epidermis of the nail root near the cuticle. The distance between the tip of the cuticle stopper and the optical axis of the microscope main body is, for example, 1.0 mm or more and 2.0 mm or less.

顕微鏡本体のピント合わせは、手動で行うことができるようにしてもよいし、自動で行うことができるようしてもよい。顕微鏡本体は、先端部が第1挟持部材の挟持部に臨むように第2挟持部材に取り付けられるが、具体的には、例えば、第2挟持部材の挟持部を貫通して取り付けられ、あるいは、第2挟持部材の挟持部のうちの第1挟持部材の挟持部に臨む面に埋め込まれる形で取り付けられる。顕微鏡本体は、第1挟持部材の挟持部に臨む側に設けられた対物レンズを含む結像光学系を有する。顕微鏡本体は、対物レンズと接眼レンズとを備える一般的な光学顕微鏡の鏡筒と同様のものであってもよいが、好適には、対物レンズがファイバー束の一方の端面に取り付けられ、他方の端面に撮像素子が設けられたファイバースコープが用いられる。顕微鏡本体は、スマートフォンやタブレット型端末などのカメラと同様なものであってもよい。照明光学系は対物レンズの下方を照明することができる限り、顕微鏡本体に一体に設けてもよいし、顕微鏡本体とは別に設けてもよく、必要に応じて選ばれる。照明光学系を顕微鏡本体に一体に設ける場合、例えば、顕微鏡本体の光軸の周りに対物レンズを取り囲むように複数の発光ダイオードが設けられる。特に、顕微鏡本体がファイバースコープである場合は、顕微鏡本体の対物レンズにより結像した像が撮像素子により撮像され、この撮像素子により取得された画像がこの撮像素子の出力端に接続されたケーブルを介して外部のディスプレイやスマートフォンのディスプレイに送られて画像を表示することができる。   The focusing of the microscope main body may be performed manually or may be performed automatically. The microscope main body is attached to the second holding member such that the distal end faces the holding portion of the first holding member. Specifically, for example, the microscope body is attached through the holding portion of the second holding member, or It is attached so as to be embedded in a surface of the holding portion of the second holding member facing the holding portion of the first holding member. The microscope main body has an imaging optical system including an objective lens provided on the side facing the holding portion of the first holding member. The microscope body may be similar to the barrel of a general optical microscope having an objective lens and an eyepiece, but preferably, the objective lens is attached to one end face of the fiber bundle and the other A fiberscope provided with an image sensor on the end face is used. The microscope body may be similar to a camera such as a smartphone or a tablet terminal. The illumination optical system may be provided integrally with the microscope main body or may be provided separately from the microscope main body as long as it can illuminate the lower part of the objective lens, and is selected as necessary. When the illumination optical system is provided integrally with the microscope main body, for example, a plurality of light emitting diodes are provided so as to surround the objective lens around the optical axis of the microscope main body. In particular, when the microscope main body is a fiberscope, an image formed by the objective lens of the microscope main body is taken by the image pickup device, and the image acquired by the image pickup device is connected to a cable connected to an output end of the image pickup device. The image can be sent to an external display or a display of a smartphone via the MFP and displayed.

この発明によれば、第1挟持部材の挟持部と反対側の端部と、第2挟持部材の挟持部と反対側の端部とを手の指でつまんで力を加えることにより第1挟持部材および第2挟持部材を回動軸の周りに回動させて第1挟持部材の挟持部と第2挟持部材の挟持部とを互いに離し、この状態で被験者の手の、指先の毛細血管の血流の観察を行おうとする指を第1挟持部材の挟持部および第2挟持部材の挟持部の指収容部に挿入した後、第1挟持部材の挟持部と反対側の端部と、第2挟持部材の挟持部と反対側の端部とに力を加えるのを止め、第1挟持部材および第2挟持部材を回動軸の周りに逆方向に回動させることにより、指収容部に指が収容された状態で第1挟持部材の挟持部と第2挟持部材の挟持部との間に指を挟持し、さらに甘皮ストッパーの先端を指の爪の甘皮に引っ掛けることにより、指を回動軸に平行な方向および垂直な方向に拘束することができるため観察中の指のぶれを抑制することができ、この状態で顕微鏡本体の対物レンズのピントを指の爪の甘皮の近傍の爪根部の表皮に合わせることにより、指先の毛細血管を鮮明に観察することができる。   According to the present invention, the end of the first holding member opposite to the holding portion and the end of the second holding member opposite to the holding portion are pinched by the fingers of the hand to apply the first holding force. The member and the second holding member are rotated about a rotation axis to separate the holding portion of the first holding member and the holding portion of the second holding member from each other. After inserting a finger whose blood flow is to be observed into the finger holding portions of the holding portion of the first holding member and the holding portion of the second holding member, an end opposite to the holding portion of the first holding member; (2) Stop applying a force to the holding portion and the opposite end of the holding member, and rotate the first holding member and the second holding member in the opposite directions around the rotation axis, so that The finger is held between the holding portion of the first holding member and the holding portion of the second holding member in a state where the finger is accommodated, and a cuticle stopper is further provided. By hooking the tip on the cuticle of the fingernail, the finger can be restrained in the direction parallel to and perpendicular to the rotation axis, so that the movement of the finger during observation can be suppressed. By aligning the focus of the objective lens with the epidermis at the base of the nail near the cuticle of the fingernail, the capillary at the fingertip can be clearly observed.

第1の実施の形態による指先毛細血管血流観察顕微鏡を示す斜視図である。It is a perspective view showing a fingertip capillary blood flow observation microscope by a 1st embodiment. 第1の実施の形態による指先毛細血菅血流観察顕微鏡を示す平面図である。FIG. 2 is a plan view showing a fingertip capillary blood flow observation microscope according to the first embodiment. 第1の実施の形態による指先毛細血菅血流観察顕微鏡を示す正面図である。It is a front view showing a fingertip capillary blood flow observation microscope according to the first embodiment. 第1の実施の形態による指先毛細血菅血流観察顕微鏡を示す右側面図である。It is a right view which shows the fingertip capillary blood flow observation microscope by 1st Embodiment. 第1の実施の形態による指先毛細血菅血流観察顕微鏡を構成する第2挟持部材の挟持部の内面を示す略線図である。FIG. 5 is a schematic diagram illustrating an inner surface of a holding portion of a second holding member included in the fingertip capillary blood flow observation microscope according to the first embodiment. 第1の実施の形態による指先毛細血菅血流観察顕微鏡により指先の毛細血管の血流を観察する部位を示す略線図である。FIG. 3 is a schematic diagram illustrating a part where a capillary blood flow at a fingertip is observed with a fingertip capillary blood flow observation microscope according to the first embodiment. 第1の実施の形態による指先毛細血菅血流観察顕微鏡において観察時に指を挿入した状態を示す斜視図である。It is a perspective view showing the state where a finger was inserted at the time of observation with a fingertip capillary blood flow observation microscope according to the first embodiment. 第1の実施の形態による指先毛細血菅血流観察顕微鏡において観察時に指を挿入した状態を示す右側面図である。It is a right view which shows the state which inserted the finger at the time of observation with the finger-tip capillary blood flow observation microscope by 1st Embodiment. 第1の実施の形態による指先毛細血菅血流観察顕微鏡において観察時に指を挿入した状態において指収容部の奥から指先を見た略線図である。FIG. 4 is a schematic diagram of a fingertip viewed from the back of a finger housing in a state where a finger is inserted at the time of observation with a fingertip capillary blood flow observation microscope according to the first embodiment. 第1の実施の形態による指先毛細血菅血流観察顕微鏡を構成する第2挟持部材の挟持部の内面に設けられた甘皮ストッパーが指の先端の甘皮近傍に位置している様子を示す略線図である。A schematic line showing that the cuticle stopper provided on the inner surface of the holding portion of the second holding member constituting the fingertip capillary blood flow observation microscope according to the first embodiment is located near the cuticle at the tip of the finger. FIG. 第2の実施の形態による指先毛細血管血流観察顕微鏡を示す斜視図である。It is a perspective view showing a fingertip capillary blood flow observation microscope by a 2nd embodiment. 第2の実施の形態による指先毛細血菅血流観察顕微鏡を示す平面図である。It is a top view showing a fingertip capillary blood flow observation microscope by a 2nd embodiment. 第2の実施の形態による指先毛細血菅血流観察顕微鏡を示す正面図である。It is a front view showing a fingertip capillary blood flow observation microscope by a 2nd embodiment.

以下、発明を実施するための形態(以下「実施の形態」とする)について説明する。   Hereinafter, embodiments for carrying out the invention (hereinafter, referred to as “embodiments”) will be described.

〈第1の実施の形態〉
[指先毛細血管血流観察顕微鏡]
図1〜図4は第1の実施の形態による指先毛細血管血流観察顕微鏡を示し、図1は斜視図、図2は平面図、図3は正面図、図4は右側面図である。
<First Embodiment>
[Fingertip capillary blood flow observation microscope]
1 to 4 show a fingertip capillary blood flow observation microscope according to a first embodiment, FIG. 1 is a perspective view, FIG. 2 is a plan view, FIG. 3 is a front view, and FIG. 4 is a right side view.

図1〜図4に示すように、この指先毛細血管血流観察顕微鏡は、回動軸10の周りに回動可能かつ初期位置に復元可能に構成された洗濯ばさみ状の第1挟持部材20および第2挟持部材30からなる本体を有する。第1挟持部材20および第2挟持部材30は互いにほぼ同様な形状および大きさを有し、回動軸10に平行な方向の幅はほぼ一定になっている。第1挟持部材20および第2挟持部材30は一端側にそれぞれ挟持部21および挟持部31を有し、これらの挟持部21および挟持部31は互いに対向している。第1挟持部材20および第2挟持部材30の材質は必要に応じて選ばれるが、典型的にはプラスチックが用いられる。第1挟持部材20および第2挟持部材30の回動部は従来公知の一般的な洗濯ばさみと同様に構成することができる。   As shown in FIGS. 1 to 4, this fingertip capillary blood flow observation microscope is a clothespin-like first holding member configured to be rotatable around a rotation axis 10 and to be able to be restored to an initial position. 20 has a main body composed of the second holding member 30. The first holding member 20 and the second holding member 30 have substantially the same shape and size as each other, and have a substantially constant width in a direction parallel to the rotating shaft 10. The first holding member 20 and the second holding member 30 have a holding portion 21 and a holding portion 31 on one end side, respectively, and these holding portions 21 and 31 face each other. The material of the first holding member 20 and the second holding member 30 is selected as needed, but typically, plastic is used. The rotating portions of the first holding member 20 and the second holding member 30 can be configured in the same manner as conventionally known general clothespins.

挟持部21および挟持部31の互いに対向する内面にはそれぞれ、これらの挟持部21および挟持部31の間に回動軸10に垂直な方向から被験者の、指先の毛細血管の血流観察を行おうとする手の指、取り分け利き手の反対側の手の薬指を挿入して挟持したときにこの指をこの指に垂直でかつ回動軸10に平行な方向に拘束する指収容部41、42が設けられている。指収容部41は、挟持部21の内面に回動軸10に垂直な方向に延在して設けられた、被験者の手の指の末節骨から中節骨に掛けての部分の下半分(爪と反対側の片側部分)を収容することができる断面形状および断面寸法ならびに長さを有する半円筒状の凹部からなる。また、指収容部42は、挟持部31の内面に回動軸10に垂直な方向に延在して設けられた、被験者の手の指の末節骨から中節骨に掛けての部分の上半分(爪側の片側部分)を収容することができる断面形状および断面寸法ならびに長さを有する半円筒状の凹部からなる。指収容部41、42の奥の部分は指の先端部の形状に合わせた形状となっている。指収容部41、42の幅は、被験者の手の指の末節骨から中節骨に掛けての部分を収容することができ、かつ指に垂直で回動軸10に平行な方向に指を拘束することができる範囲内で必要に応じて選ばれるが、一般的には例えば15mm以上25mm以下、例えば20mmである。指収容部41、42の深さは、例えば3mm以上10mm以下、例えば5mmである。指収容部41の深さと指収容部42の深さとは互いに同一でも異なってもよいが、図1〜図4では、指収容部41の深さが指収容部42の深さより少し大きい場合が示されている。指収容部41、42の長さは、例えば30mm以上45mm以下、例えば35mmである。指収容部41、42の表面の材質は必要に応じて選ばれるが、好適には指をソフトに受け止めることができるようなある程度の柔軟性を有する材料、例えばシリコーン樹脂などが用いられる。   On the opposing inner surfaces of the holding portion 21 and the holding portion 31, blood flow observation of the capillary of the fingertip of the subject is performed between the holding portion 21 and the holding portion 31 from a direction perpendicular to the rotation axis 10. When the finger of the hand to be tried and the ring finger of the opposite hand of the dominant hand are inserted and pinched, the finger housing portions 41 and 42 for restraining this finger in a direction perpendicular to the finger and parallel to the rotation axis 10 are provided. Is provided. The finger accommodating portion 41 is provided on the inner surface of the holding portion 21 so as to extend in a direction perpendicular to the rotation axis 10, and the lower half of the portion of the finger of the subject extending from the distal phalanx to the middle phalanx ( (A part on one side opposite to the claw) is formed of a semi-cylindrical recess having a cross-sectional shape, a cross-sectional dimension, and a length. The finger accommodating portion 42 is provided on the inner surface of the holding portion 31 so as to extend in a direction perpendicular to the rotation axis 10, on a portion extending from the distal phalanx to the middle phalanx of the finger of the subject. It is formed of a semi-cylindrical recess having a cross-sectional shape, a cross-sectional dimension and a length capable of accommodating a half (one side portion on the claw side). The inner part of the finger housing portions 41 and 42 has a shape conforming to the shape of the tip of the finger. The widths of the finger housing portions 41 and 42 can accommodate a portion of the finger of the subject's hand that hangs from the distal phalanx to the middle phalanx, and the finger is perpendicular to the finger and parallel to the rotation axis 10. It is selected as needed within a range in which it can be constrained, but is generally, for example, 15 mm or more and 25 mm or less, for example, 20 mm. The depth of the finger housing portions 41 and 42 is, for example, 3 mm or more and 10 mm or less, for example, 5 mm. Although the depth of the finger housing 41 and the depth of the finger housing 42 may be the same or different from each other, in FIGS. 1 to 4, the depth of the finger housing 41 may be slightly larger than the depth of the finger housing 42. It is shown. The length of the finger housing portions 41 and 42 is, for example, 30 mm or more and 45 mm or less, for example, 35 mm. The material of the surface of the finger accommodating portions 41 and 42 is selected as needed, but a material having a certain degree of flexibility, such as a silicone resin, capable of softly receiving a finger is preferably used.

第1挟持部材20の挟持部21と反対側の端部は操作部22を構成し、第2挟持部材30の挟持部31と反対側の端部は操作部32を構成する。第1挟持部材20の操作部22と第2挟持部材30の操作部32との間には、ばね鋼などの弾性の高い金属からなる湾曲した金属ワイヤーまたは細長い金属片からなる挟みばね50が取り付けられている。第1挟持部材20の操作部22と第2挟持部材30の操作部32との間には、この挟みばね50の弾性力によりこれらの操作部22と操作部32とが互いに離れる方向の力、従って第1挟持部材20の挟持部21と第2挟持部材30の挟持部31とが互いに接近する方向の力が働くようになっており、これによって第1挟持部材20および第2挟持部材30が回動軸10の周りに回動可能かつ初期位置に復元可能に構成されている。   The end of the first holding member 20 on the side opposite to the holding section 21 constitutes the operation section 22, and the end of the second holding member 30 on the side opposite to the holding section 31 constitutes the operation section 32. Between the operating portion 22 of the first holding member 20 and the operating portion 32 of the second holding member 30, a pinching spring 50 made of a curved metal wire made of a highly elastic metal such as spring steel or an elongated metal piece is attached. Have been. Between the operating portion 22 of the first holding member 20 and the operating portion 32 of the second holding member 30, a force in a direction in which the operating portion 22 and the operating portion 32 are separated from each other by the elastic force of the holding spring 50, Accordingly, a force is applied in a direction in which the holding portion 21 of the first holding member 20 and the holding portion 31 of the second holding member 30 approach each other, whereby the first holding member 20 and the second holding member 30 are moved. It is configured to be rotatable around the rotation shaft 10 and to be able to be restored to the initial position.

第2挟持部材30の挟持部31には、この挟持部31を貫通し、先端部が第1挟持部材20の挟持部21に臨むように自動もしくは手動のピント合わせ機能を有する顕微鏡本体60が取り付けられている。顕微鏡本体60は、図示は省略するが、光軸上に設けられた対物レンズ、接眼レンズなどを含む結像光学系を備えた一般的な光学顕微鏡の鏡筒と同様なものであってもよいが、ここでは、ファイバースコープにより構成されているとする。ファイバースコープでは、ファイバー束の一端面に対物レンズが設けられ、ファイバー束の他端側に撮像素子が設けられる。撮像素子の出力端子はケーブルを介してコンピュータのディスプレイやスマートフォンのディスプレイに接続され、これらのディスプレイに画像を表示することができるようになっている。対物レンズは、顕微鏡本体60の、第1挟持部材20の挟持部21に臨む先端部(底部)に設けられている。顕微鏡本体60の先端部には、照明光学系として複数(例えば、8個)の発光ダイオードが光軸の周りの円周上に対物レンズを取り囲むように等間隔で取り付けられている。ただし、照明光学系は顕微鏡本体60の周辺に設けてもよい。顕微鏡本体60には焦点調整ダイヤル61が設けられている。手動でピント合わせを行う場合には、この焦点調整ダイヤル61を回すことによりピント合わせを行うことができるようになっている。   A microscope body 60 having an automatic or manual focusing function is attached to the holding portion 31 of the second holding member 30 so as to penetrate the holding portion 31 and face the holding portion 21 of the first holding member 20. Have been. Although not shown, the microscope main body 60 may be the same as a general optical microscope barrel having an imaging optical system including an objective lens, an eyepiece, and the like provided on the optical axis. However, here, it is assumed that it is configured by a fiberscope. In a fiberscope, an objective lens is provided on one end surface of a fiber bundle, and an image sensor is provided on the other end side of the fiber bundle. The output terminal of the imaging device is connected to a display of a computer or a display of a smartphone via a cable, and an image can be displayed on these displays. The objective lens is provided at the tip (bottom) of the microscope main body 60 facing the holding portion 21 of the first holding member 20. At an end of the microscope main body 60, a plurality (for example, eight) of light-emitting diodes as an illumination optical system are attached at equal intervals so as to surround the objective lens on a circumference around the optical axis. However, the illumination optical system may be provided around the microscope main body 60. The microscope main body 60 is provided with a focus adjustment dial 61. When performing manual focusing, the focus can be adjusted by turning the focus adjustment dial 61.

図3および図4に示すように、第2挟持部材30の挟持部31の内面、より詳細には指収容部42の内面には、第1挟持部材20の挟持部21と第2挟持部材30の挟持部31との間に被験者の手の指を挟持したときに、この指の爪の甘皮に引っ掛かることにより第1挟持部材20および第2挟持部材30に対する指の長手方向前方への移動を阻止する甘皮ストッパー70が設けられている。図5は挟持部31の内面を示す。図5に示すように、この甘皮ストッパー70は、指収容部41、42に被験者の手の指を収容し、第1挟持部材20の挟持部21と第2挟持部材30の挟持部31との間に指を挟持した状態で指の爪を指に直交する方向に横断するように回動軸10に平行な方向に延在している。この甘皮ストッパー70の、第1挟持部材20の挟持部21に臨む先端部は回動軸10に平行になっている。また、この甘皮ストッパー70の延在方向に垂直な方向の断面形状は台形状となっている。この台形状の断面形状を有する甘皮ストッパー70の指挿入側の側面が指の爪の甘皮に引っ掛かるようになっている。この場合、甘皮ストッパー70の指挿入側の側面が指の爪に対して鋭角となっているため、甘皮ストッパー60の先端を指の爪の甘皮に引っ掛ける時に甘皮や爪などが傷つくのを防止することができる。この甘皮ストッパー70の断面形状の台形の上底と指挿入側の側面との交点(交線)と顕微鏡本体60の光軸との間の距離Dは、観察時に指の爪の甘皮に甘皮ストッパー70の先端が引っ掛かった状態で顕微鏡本体60の光軸が甘皮に隣接する爪根部の表皮に位置するように選択される。距離Dは、例えば、1.0mm以上2.0mm以下、あるいは1.2mm以上1.8mm以下、あるいは1.3mm以上1.6mm以下、例えば1.4mmである。甘皮ストッパー60の下底の長さは例えば1mm以上2mm以下、例えば1.5mm、上底の長さは例えば0.5mm以上1.5mm以下、例えば1mmである。必要に応じて、甘皮ストッパー60の先端部の角部を直線状または円弧などの曲線状に面取りしてもよい。こうすることで、甘皮ストッパー60の先端を指の爪の甘皮に引っ掛ける時に甘皮や爪などが傷つくのをより確実に防止することができる。図5には、顕微鏡本体60の先端部が示されており、照明光学系として光軸の周りの円周上に対物レンズ62を取り囲むように等間隔で取り付けられている複数(例えば、8個)の発光ダイオードの照明領域63が示されている。   As shown in FIGS. 3 and 4, the holding portion 21 of the first holding member 20 and the second holding member 30 are provided on the inner surface of the holding portion 31 of the second holding member 30, more specifically, on the inner surface of the finger housing portion 42. When the finger of the subject's hand is pinched between the pinching portion 31 of the subject and the fingernail, the finger nail is caught by the cuticle, thereby moving the finger forward with respect to the first holding member 20 and the second holding member 30 in the longitudinal direction. A cuticle stopper 70 for blocking is provided. FIG. 5 shows the inner surface of the holding portion 31. As shown in FIG. 5, the cuticle stopper 70 accommodates the fingers of the subject's hand in the finger accommodating portions 41 and 42 and forms the It extends in a direction parallel to the rotating shaft 10 so as to cross the fingernail in a direction perpendicular to the finger with the finger held therebetween. The tip of the cuticle stopper 70 facing the holding portion 21 of the first holding member 20 is parallel to the rotating shaft 10. The cross-sectional shape in a direction perpendicular to the direction in which the cuticle stopper 70 extends is trapezoidal. The side of the cuticle stopper 70 having the trapezoidal cross section on the finger insertion side is adapted to be hooked on the cuticle of the fingernail. In this case, since the side of the cuticle stopper 70 on the finger insertion side is at an acute angle with respect to the fingernail, the cuticle or the nail is prevented from being damaged when the tip of the cuticle stopper 60 is hooked on the cuticle of the fingernail. be able to. The distance D between the intersection (intersecting line) between the upper base of the trapezoidal cross section of the cuticle stopper 70 and the side surface on the finger insertion side and the optical axis of the microscope main body 60 is determined by the cuticle stopper at the cuticle of the fingernail during observation. The optical axis of the microscope main body 60 is selected such that the optical axis of the microscope main body 60 is positioned on the epidermis of the nail base adjacent to the cuticle with the tip of 70 being hooked. The distance D is, for example, 1.0 mm or more and 2.0 mm or less, or 1.2 mm or more and 1.8 mm or less, or 1.3 mm or more and 1.6 mm or less, for example, 1.4 mm. The length of the lower bottom of the cuticle stopper 60 is, for example, 1 mm or more and 2 mm or less, for example, 1.5 mm, and the length of the upper bottom is, for example, 0.5 mm or more and 1.5 mm or less, for example, 1 mm. If necessary, the corner of the tip of the cuticle stopper 60 may be chamfered in a straight line or a curved line such as an arc. By doing so, it is possible to more reliably prevent the cuticle or the nail from being damaged when the tip of the cuticle stopper 60 is hooked on the cuticle of the fingernail. FIG. 5 shows a distal end portion of the microscope main body 60, and a plurality of (for example, eight) attached at equal intervals so as to surround the objective lens 62 on a circumference around the optical axis as an illumination optical system. 2) shows the light emitting diode illumination area 63.

[指先毛細血管血流観察顕微鏡の使用方法]
この指先毛細血管血流観察顕微鏡を用いて被験者の手の指先の毛細血管の血流を観察する方法について説明する。
[How to use a fingertip capillary blood flow observation microscope]
A method of observing the blood flow of the capillary at the fingertip of the subject's hand using this fingertip capillary blood flow observation microscope will be described.

図6は指先の毛細血管の血流を観察する場所を示す。図6に示すように、指の爪の甘皮に隣接する爪根部の表皮が観察場所となる。   FIG. 6 shows a place for observing the blood flow of the capillary at the fingertip. As shown in FIG. 6, the epidermis of the nail base adjacent to the cuticle of the fingernail is the observation site.

まず、この指先毛細血管血流観察顕微鏡の第1挟持部材20の操作部22と第2挟持部材30の操作部32とを手の指でつまんで力を加えることにより第1挟持部材20の挟持部21と第2挟持部材30の挟持部31とを互いに離す。   First, the operating portion 22 of the first holding member 20 and the operating portion 32 of the second holding member 30 of the fingertip capillary blood flow observation microscope are pinched by a finger of the hand to apply a force to the first holding member 20. The part 21 and the holding part 31 of the second holding member 30 are separated from each other.

この状態で第1挟持部材20の挟持部21と第2挟持部材30の挟持部31との間の隙間から、被験者の手の、指先の毛細血管の血流を観察しようとする指、典型的には利き手の反対側の手の薬指を挿入し、指収容部41、42に収容する。好適には、その指の爪の甘皮の直ぐ後方の部分には予め少量のオイルを塗っておく。オイルを塗るのは、爪根部の表皮での照明光の反射を抑え、毛細血管の血流を観察しやすくするためである。この後、第1挟持部材20の操作部22と第2挟持部材30の操作部32とに力を加えるのを止める。こうすることで、挟みばね50が初期の状態に復元しようとすることにより第1挟持部材20の挟持部21と第2挟持部材30の挟持部31との間に指が挟持される。このとき、指収容部41、42に収容された指は回動軸10に平行な方向および垂直な方向に拘束される。この状態で指を少し前に移動させ、甘皮ストッパー70の指の挿入側の側面が甘皮に引っ掛かるようにする。この状態を図7〜図10に示す。ここで、図7は斜視図、図8は右側面図、図9は指収容部41、42に指を挿入した状態において指収容部41、42の奥から指先を見た略線図である。図10は甘皮ストッパー70が指の先端の甘皮近傍に位置している様子を示す。   In this state, a finger of a subject's hand for observing blood flow in a capillary at a fingertip, typically, from a gap between the holding portion 21 of the first holding member 20 and the holding portion 31 of the second holding member 30. Then, the ring finger of the hand on the other side is inserted into the finger housing portions 41 and 42. Preferably, a portion of the fingernails immediately behind the cuticle is pre-coated with a small amount of oil. The oil is applied in order to suppress the reflection of illumination light on the epidermis of the nail base and to make it easier to observe the blood flow in the capillaries. Thereafter, the application of force to the operation portion 22 of the first holding member 20 and the operation portion 32 of the second holding member 30 is stopped. By doing so, the finger is sandwiched between the holding portion 21 of the first holding member 20 and the holding portion 31 of the second holding member 30 by the holding spring 50 trying to restore the initial state. At this time, the fingers accommodated in the finger accommodating portions 41 and 42 are restrained in a direction parallel to the rotating shaft 10 and a direction perpendicular to the rotating shaft 10. In this state, the finger is moved slightly forward so that the side of the cuticle stopper 70 on the finger insertion side is hooked on the cuticle. This state is shown in FIGS. Here, FIG. 7 is a perspective view, FIG. 8 is a right side view, and FIG. 9 is a schematic diagram of a fingertip viewed from the back of the finger housing portions 41 and 42 in a state where a finger is inserted into the finger housing portions 41 and 42. . FIG. 10 shows a state in which the cuticle stopper 70 is located near the cuticle at the tip of the finger.

その後、自動もしくは手動で顕微鏡本体60のピント合わせを行い、顕微鏡本体60の対物レンズの焦点を爪の甘皮の近傍の爪根部の表皮に合わせる。手動でピント合わせを行う場合には、顕微鏡本体60の焦点調整ダイヤル61を回すことにより、顕微鏡本体60の対物レンズの焦点を爪の甘皮の近傍の爪根部の表皮に合わせる。こうして焦点合わせを行った後、顕微鏡本体60により爪根部の表皮を介して指先の毛細血管の血流を観察する。こうして観察される画像は撮像素子により撮像され、その画像がケーブルを介してコンピュータのディスプレイやスマートフォンのディスプレイに送られ、これらのディスプレイに表示される。こうして、ディスプレイ上で指先の毛細血管の血流を観察することができる。   Thereafter, the microscope main body 60 is automatically or manually focused, and the objective lens of the microscope main body 60 is focused on the epidermis of the nail base near the cuticle of the nail. When performing manual focusing, the focus of the objective lens of the microscope main body 60 is adjusted to the epidermis of the nail base near the cuticle of the nail by turning the focus adjustment dial 61 of the microscope main body 60. After focusing in this manner, the blood flow of the capillary at the fingertip is observed by the microscope main body 60 through the epidermis of the nail base. The image observed in this manner is captured by the image sensor, and the image is sent to a display of a computer or a display of a smartphone via a cable, and is displayed on these displays. Thus, the blood flow of the capillary at the fingertip can be observed on the display.

以上のように、この第1の実施の形態によれば、被験者が指先の毛細血管の血流を観察しようとする手の指を第1挟持部材20の挟持部21と第2挟持部材30の挟持部31との間の隙間から指収容部41、42に挿入し、甘皮ストッパー70の先端の指の挿入側の側面を指の爪の甘皮に引っ掛け、指を回動軸10に平行な方向および垂直な方向に拘束した状態で顕微鏡本体60のピントを指の爪の甘皮に隣接する爪根部の表皮に合わせるだけで毛細血管の血流を簡単にしかも鮮明に観察することができる。   As described above, according to the first embodiment, the subject places his / her finger on the blood vessel in the capillary at the fingertip between the holding portion 21 of the first holding member 20 and the second holding member 30. Insert the finger into the finger accommodating portions 41 and 42 from the gap between the pinching portion 31 and hook the side of the tip of the cuticle stopper 70 on the insertion side of the finger on the cuticle of the fingernail. In addition, the blood flow of the capillary can be easily and clearly observed simply by adjusting the focus of the microscope main body 60 to the epidermis of the nail base adjacent to the cuticle of the fingernail while being restrained in the vertical direction.

〈第2の実施の形態〉
[指先毛細血管血流観察顕微鏡]
図11〜図13は第2の実施の形態による指先毛細血管血流観察顕微鏡を示し、図11は斜視図、図12は平面図、図13は正面図である。
<Second embodiment>
[Fingertip capillary blood flow observation microscope]
11 to 13 show a fingertip capillary blood flow observation microscope according to the second embodiment, FIG. 11 is a perspective view, FIG. 12 is a plan view, and FIG. 13 is a front view.

図11〜図13に示すように、この指先毛細血管血流観察顕微鏡は、第1挟持部材20および第2挟持部材30に、挟持部21と挟持部31との間に挟持された指および甘皮ストッパー70の状態を外部から観察するための観察用窓33が設けられていることが第1の実施の形態による指先毛細血管血流観察顕微鏡と異なり、その他の構成は第1の実施の形態による指先毛細血管血流観察顕微鏡と同様である。   As shown in FIGS. 11 to 13, the fingertip capillary blood flow observation microscope includes a finger and a cuticle held between a holding portion 21 and a holding portion 31 by a first holding member 20 and a second holding member 30. Unlike the fingertip capillary blood flow observation microscope according to the first embodiment, the observation window 33 for observing the state of the stopper 70 from the outside is provided, and other configurations are the same as those according to the first embodiment. This is similar to a fingertip capillary blood flow observation microscope.

[指先毛細血管血流観察顕微鏡の使用方法]
この指先毛細血管血流観察顕微鏡の使用方法は第1の実施の形態による指先毛細血管血流観察顕微鏡と同様である。
[How to use a fingertip capillary blood flow observation microscope]
The method of using the fingertip capillary blood flow observation microscope is the same as that of the fingertip capillary blood flow observation microscope according to the first embodiment.

この第2の実施の形態によれば、第1の実施の形態と同様な利点に加えて、挟持部21と挟持部31との間に指を挟持した状態で観察用窓33から指および甘皮ストッパー70の状態を観察することにより、甘皮ストッパー70の先端が指の爪の甘皮に引っ掛かっていることを確認した上で指の毛細血管の血流を観察することができるという利点を得ることができる。   According to the second embodiment, in addition to the same advantages as the first embodiment, the finger and the cuticle are cut out from the observation window 33 while the finger is held between the holding portion 21 and the holding portion 31. By observing the state of the stopper 70, it is possible to obtain an advantage that it is possible to observe that the tip of the cuticle stopper 70 is caught on the cuticle of the fingernail and then observe the blood flow of the capillary of the finger. it can.

以上、この発明の実施の形態について具体的に説明したが、この発明は上述の実施の形態に限定されるものではなく、この発明の技術的思想に基づく各種の変形が可能である。   Although the embodiments of the present invention have been specifically described above, the present invention is not limited to the above embodiments, and various modifications based on the technical concept of the present invention are possible.

例えば、上述の実施の形態において挙げた数値、構成、形状、材料、方法などはあくまでも例に過ぎず、必要に応じてこれらと異なる数値、構成、形状、材料、方法などを用いてもよい。   For example, the numerical values, configurations, shapes, materials, methods, and the like described in the above embodiments are merely examples, and different numerical values, configurations, shapes, materials, methods, and the like may be used as necessary.

例えば、上述の第1の実施の形態においては、第1挟持部材20の操作部22と第2挟持部材30の操作部32との間に挟みばね50を取り付けることにより第1挟持部材20および第2挟持部材30を初期位置に復元可能に構成しているが、挟みばね50を取り付けず、代わりに第1挟持部材20および第2挟持部材30の回動部にねじりコイルばねを取り付けることにより第1挟持部材20および第2挟持部材30を初期位置に復元可能に構成してもよい。   For example, in the above-described first embodiment, the first holding member 20 and the second holding member 20 are attached by attaching the holding spring 50 between the operating portion 22 of the first holding member 20 and the operating portion 32 of the second holding member 30. Although the second holding member 30 is configured to be able to be restored to the initial position, the first holding member 20 and the second holding member 30 are provided with a torsion coil spring instead of the first holding member 20 and the second holding member. The first holding member 20 and the second holding member 30 may be configured to be able to be restored to the initial positions.

10…回動軸、20…第1挟持部材、21…挟持部、22…操作部、30…第2挟持部材、31…挟持部、32…操作部、33…観察用窓、41、42…指収容部、50…挟みばね、60…顕微鏡本体、61…焦点調整ダイヤル、62…対物レンズ、70…甘皮ストッパー   DESCRIPTION OF SYMBOLS 10 ... Rotating shaft, 20 ... 1st holding member, 21 ... Holding part, 22 ... Operating part, 30 ... Second holding member, 31 ... Holding part, 32 ... Operating part, 33 ... Window for observation, 41, 42 ... Finger accommodating part, 50: pinching spring, 60: microscope body, 61: focus adjustment dial, 62: objective lens, 70: cuticle stopper

Claims (3)

回動軸の周りに回動可能かつ初期位置に復元可能に構成された第1挟持部材および第2挟持部材と、
上記第1挟持部材の挟持部および上記第2挟持部材の挟持部の互いに対向する内面に設けられた、上記第1挟持部材の上記挟持部と上記第2挟持部材の上記挟持部との間に上記回動軸に垂直な方向から被験者の手の、指先の毛細血管の血流を観察しようとする指を挿入したときに当該指を当該指に垂直でかつ上記回動軸に平行な方向に拘束した状態で収容する指収容部と、
先端部が上記第1挟持部材の上記挟持部に臨むように上記第2挟持部材に取り付けられたピント合わせ機能を有する顕微鏡本体と、
上記第2挟持部材の上記挟持部の内面に設けられた、上記第1挟持部材の上記挟持部と上記第2挟持部材の上記挟持部との間に上記指を挟持したときに、上記指の爪の甘皮に引っ掛かることにより上記第1挟持部材および上記第2挟持部材に対する上記指の長手方向前方への移動を阻止する甘皮ストッパーとを有し、
上記甘皮ストッパーの先端が上記指の爪の甘皮に引っ掛った状態において、上記顕微鏡本体の光軸が上記指の爪の甘皮に隣接する爪根部に合うように構成されている指先毛細血管血流観察顕微鏡。
A first holding member and a second holding member configured to be rotatable about a rotation axis and to be able to be restored to an initial position;
Between the holding portion of the first holding member and the holding portion of the second holding member, provided on inner surfaces of the holding portion of the first holding member and the holding portion of the second holding member facing each other. When inserting a finger for observing the blood flow of the capillary at the fingertip of the subject's hand from a direction perpendicular to the rotation axis, insert the finger in a direction perpendicular to the finger and in a direction parallel to the rotation axis. A finger storage unit that is housed in a restrained state,
A microscope main body having a focusing function attached to the second holding member such that a tip end faces the holding portion of the first holding member;
When the finger is clamped between the clamping portion of the first clamping member and the clamping portion of the second clamping member provided on the inner surface of the clamping portion of the second clamping member, A cuticle stopper that prevents the finger from moving forward in the longitudinal direction with respect to the first holding member and the second holding member by being hooked on the cuticle of the nail;
Fingertip capillary blood flow configured such that the optical axis of the microscope main body is aligned with the nail base adjacent to the cuticle of the finger nail in a state where the tip of the cuticle stopper is hooked on the cuticle of the finger nail. Observation microscope.
上記甘皮ストッパーの先端と上記顕微鏡本体の光軸との間の距離が1.0mm以上2.0mm以下である請求項1記載の指先毛細血管血流観察顕微鏡。   The fingertip capillary blood flow observation microscope according to claim 1, wherein a distance between a tip of the cuticle stopper and an optical axis of the microscope body is 1.0 mm or more and 2.0 mm or less. 上記指収容部は、上記第1挟持部材の挟持部の内面に上記回動軸に垂直な方向に延在して設けられた上記指の下半分を収容する第1凹部および上記第2挟持部材の挟持部の内面に上記回動軸に垂直な方向に延在して設けられた上記指の上半分を収容する第2凹部からなる請求項1または2記載の指先毛細血管血流観察顕微鏡。   The finger accommodating portion includes a first concave portion for accommodating a lower half of the finger provided on an inner surface of the holding portion of the first holding member and extending in a direction perpendicular to the rotation axis, and the second holding member. The fingertip capillary blood flow observation microscope according to claim 1 or 2, comprising a second concave portion provided on an inner surface of the holding portion and extending in a direction perpendicular to the rotation axis to accommodate an upper half of the finger.
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