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JP5552681B2 - Medical test food and manufacturing method thereof - Google Patents

Medical test food and manufacturing method thereof Download PDF

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JP5552681B2
JP5552681B2 JP2006024332A JP2006024332A JP5552681B2 JP 5552681 B2 JP5552681 B2 JP 5552681B2 JP 2006024332 A JP2006024332 A JP 2006024332A JP 2006024332 A JP2006024332 A JP 2006024332A JP 5552681 B2 JP5552681 B2 JP 5552681B2
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food
food material
medical
contrast agent
original shape
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JP2007204413A (en
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宏司 坂本
賢哉 柴田
理子 石原
沙弥香 中津
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Hiroshima Prefecture
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Priority to US12/161,079 priority patent/US20080311174A1/en
Priority to EP07707851A priority patent/EP1987724A4/en
Priority to CN200780004390.8A priority patent/CN101378665B/en
Priority to PCT/JP2007/051665 priority patent/WO2007088918A1/en
Priority to CN201510977823.4A priority patent/CN105533653B/en
Publication of JP2007204413A publication Critical patent/JP2007204413A/en
Priority to US13/368,155 priority patent/US20120201758A1/en
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  • Coloring Foods And Improving Nutritive Qualities (AREA)
  • General Preparation And Processing Of Foods (AREA)
  • Jellies, Jams, And Syrups (AREA)
  • Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)

Description

本発明は、医療用造影剤を含む食材または食品素材を摂取した被検者の造影を行い、咀嚼状態、嚥下状態、消化管活動、食物移動速度等の検査を行うための医療用食材やその製造方法に関する。   The present invention provides a medical food for imaging a subject who has ingested a food or a food material containing a medical contrast agent, and for examining the chewing state, swallowing state, digestive tract activity, food movement speed, and the like. It relates to a manufacturing method.

消化管活動、嚥下状態等の検査は、一般的に、被検者が造影剤を含む食材を摂取し、X線撮影、CT、MRI、PET等の造影装置を用いて造影することにより行われている。造影剤を含む食材を被検者が摂取する方法として、炭水化物及びタンパク質で構成される高密度物質を造影剤としてこれを直接経口投与する方法(特許文献1)、造影剤を混ぜ込んだゼリーや流動食や、蒸パンなど食品表面に塗布し摂取する方法、ビスケットなどの整形加工食品の加工段階で造影剤を混ぜ込み整形加工した食品を摂取する方法(特許文献2、3)などが用いられている。   Examinations such as gastrointestinal tract activity and swallowing are generally performed by a subject taking a food containing a contrast agent and imaging using a contrast device such as X-ray imaging, CT, MRI, or PET. ing. As a method for a subject to take a food containing a contrast agent, a method of directly orally administering a high-density substance composed of carbohydrates and proteins as a contrast agent (Patent Document 1), a jelly mixed with a contrast agent, A method of ingesting liquid food, steam bread, or the like applied to the surface of the food, a method of ingesting a food processed by mixing a contrast medium in the processing stage of the processed food such as biscuits (Patent Documents 2 and 3), etc. are used. ing.

しかしながら、上記炭水化物及びタンパク質で構成される高密度物質を造影剤として用いる場合、実際の食材を消化する際の消化器官の消化状態とは乖離した状態を検出することになる。また、造影剤を混ぜ込んだゼリー、造影剤を表面に塗布した蒸パンや、加工段階で造影剤を混ぜ込んだビスケットなどでは、実際に食材を摂取する時の咀嚼状態や嚥下状態を検出することはできない。   However, when a high-density substance composed of the above carbohydrates and proteins is used as a contrast agent, a state deviating from the digestive state of the digestive organ when digesting actual foods is detected. In addition, jelly mixed with contrast medium, steamed bread coated with contrast medium on the surface, and biscuits mixed with contrast medium at the processing stage detect chewing and swallowing conditions when actually ingesting food. It is not possible.

これらの方法において使用する食材は、いずれも食材または食品素材の本来の形状を有する状態ではない。このような食材を用いた造影剤の投与方法を使用する限り、被検者が実際に食品を摂取する状態、例えば、食品の物理的状態、食感、香り、味、色、栄養成分を正確に反映した食品の状態で、造影検査を行っているとはいえず、被検者が食品を実際に摂取する状態、すなわち咀嚼状態、嚥下状態、消化管活動等を正確に検査することは困難である。   None of the food materials used in these methods is in a state having the original shape of the food material or food material. As long as the contrast medium administration method using such foods is used, the state in which the subject actually ingests the food, for example, the physical state of the food, texture, aroma, taste, color, and nutritional components are accurately determined. It is difficult to accurately test the state in which the subject actually ingests food, that is, the chewing state, swallowing state, gastrointestinal activity, etc. It is.

一方、本発明者らは植物食品素材を凍結、解凍後、減圧下で酵素液に浸漬し、原型を留めた状態で、植物食品素材の組織へ酵素を導入する方法について、既に開発している(特許文献4)。この植物食品素材は、高齢者においては食することが困難な硬い食材であっても、食材本来の形状、香り、味が維持されこれを賞味することができ、しかも、効率よく製造することができるものである。しかしながら、この方法によって酵素を導入した植物食品素材は食材であって、医療用検査食としては利用することはできない。
特開平6−228013号公報 特開2002−71669号公報 特開2004−517921号公報 特開2003−284522号公報
On the other hand, the present inventors have already developed a method for introducing an enzyme into a tissue of a plant food material in a state where the plant food material is frozen and thawed, immersed in an enzyme solution under reduced pressure, and kept in its original form. (Patent Document 4). Even if this plant food material is a hard food that is difficult for the elderly to eat, the original shape, scent, and taste of the food can be maintained and enjoyed, and it can be produced efficiently. It can be done. However, the plant food material into which an enzyme is introduced by this method is a food material and cannot be used as a medical test food.
JP-A-6-228013 JP 2002-71669 A JP 2004-517921 A JP 2003-284522 A

本発明の課題は、医療検査用造影剤を食材本来の形状、色、味、香り、栄養成分を保持しながら、食材や食品素材の表面や表面近傍のみに留まらず、内部の全体に亘って均一に含有させ、被検者の実際の食材の咀嚼状態、嚥下状態、消化管活動、食物移動速度等を正確且つ簡便に検査することができる医療用検査食や、このような医療用検査食を短時間で、無駄なく調製することができる医療用検査食の製造方法を提供することにある。   The problem of the present invention is that the contrast agent for medical examination retains the original shape, color, taste, fragrance, and nutritional components of the food material, and not only on the surface of the food material or the food material or in the vicinity of the surface, but the entire interior. A medical test meal that can be uniformly contained and can accurately and easily inspect the mastication state, swallowing state, digestive tract activity, food movement speed, etc. of the subject's actual food ingredients, and such a medical test meal Is to provide a method for producing a medical test meal that can be prepared in a short time without waste.

また、分解酵素や増粘剤を医療用造影剤と共に食材や食品素材に導入することにより、嚥下困難な被検者においても、摂取することができ、咀嚼状態、嚥下状態、消化管活動、食物移動速度等を正確且つ簡便に検査することができる医療用検査食や、その製造方法を提供することにある。   In addition, by introducing degrading enzymes and thickeners together with medical contrast agents into foods and food materials, it can be ingested even in subjects who have difficulty swallowing, and can be ingested, swallowed, digestive tract activity, food An object of the present invention is to provide a medical test food capable of accurately and simply inspecting the moving speed and a manufacturing method thereof.

本発明者らは鋭意研究の結果、食材や食品素材が、流動状やゼリー状、または細片に切断した状態でなく、塊状であっても、表面に医療用造影剤を付着させ、または、医療用造影剤を含む液に浸漬しつつ、減圧若しくは加圧の圧力処理を行なうことにより、食材又は食品素材の内部に医療用造影剤を均一に含有させることができることを見出した。このような表面やその近傍に留まらず、内部に均一に医療用造影剤を含有する食材や食品素材を用いることにより、咀嚼状態、嚥下状態、消化管活動、食物移動速度等を正確且つ簡便に検査することができる医療用検査食とすることができることの知見を得た。特に、食材によっては、冷凍し、冷凍状態で、若しくは解凍状態で用いたり、または凍結乾燥処理を行うことにより、医療用造影剤を効率よく食材中へ導入することができることを見い出した。かかる知見に基づき本発明を完成するに至った。   As a result of diligent research, the present inventors have attached a medical contrast agent to the surface, even if the food or food material is in the form of a fluid or jelly, or not in a state of being cut into strips, It has been found that a medical contrast agent can be uniformly contained in a food material or food material by performing pressure treatment of reduced pressure or pressurization while being immersed in a liquid containing a medical contrast agent. By using foods and food materials that uniformly contain a medical contrast agent inside the surface and not in the vicinity of such a surface, the chewing state, swallowing state, gastrointestinal activity, food movement speed, etc. can be accurately and simply The knowledge that it can be set as the medical test food which can be test | inspected was acquired. In particular, it has been found that medical contrast agents can be efficiently introduced into foods by freezing them, using them in a frozen or thawed state, or performing freeze-drying. Based on this finding, the present invention has been completed.

すなわち、本発明は、医療用造影剤を内部に均一に含有した食材または食品素材からなり、該食材または食品素材は本来の形状を保持していることを特徴とする医療用検査食や、医療用造影剤と共に、分解酵素および/または増粘剤を内部に均一に含有した食材または食品素材からなることを特徴とする請求項1記載の医療用検査食に関する。 That is, the present invention is Ri Do from foodstuff or food material uniformly containing medical imaging agent therein, or a medical inspection food, wherein Rukoto food material or food material maintains the original shape, 2. The medical test food according to claim 1, wherein the medical test food is made of a food material or a food material that uniformly contains a degradation enzyme and / or a thickener together with a medical contrast agent.

また、本発明は、本来の形状を保持した食材または食品素材を凍結し、凍結状態または解凍状態の食材または食品素材の表面に医療用造影剤を含み、pH4〜8に調整した液を付着させ医療用造影剤付着食材または食品素材を調製する工程と、医療用造影剤付着食材または食品素材に減圧および/または加圧による圧力処理を行なうことにより、食材または食品素材の内部に均一に医療用造影剤を含有させる工程と、医療用造影剤を含有する食材または食品素材を、中心温度が65℃以上になるように加熱する加熱処理工程とを有することを特徴とする食材または食品素材の本来の形状を保持した医療用検査食の製造方法に関する。 Further, the present invention is to freeze the food or food material to retain the original shape, the foodstuff or food material surface of the frozen or thawed state, seen including a medical imaging agent, a solution obtained by adjusting the pH4~8 By applying the pressure treatment by depressurization and / or pressurization to the medical contrast agent-attached food material or food material and the process of preparing the medical contrast agent-attached food material or food material to be adhered, and uniformly inside the food material or food material a step of incorporating a medical imaging agent, a food or food material containing a medical imaging agent, foodstuff or food material core temperature and having a heat treatment step of heating to be above 65 ° C. The present invention relates to a method for producing a medical test meal that retains its original shape .

また、本発明は、本来の形状を保持した食材または食品素材を凍結し、凍結状態または解凍状態の食材または食品素材を医療用造影剤を含み、pH4〜8に調整した液に浸漬し減圧および/または加圧による圧力処理を行なうことにより、食材または食品素材の内部に均一に医療用造影剤を含有させる工程と、医療用造影剤を含有する食材または食品素材を、中心温度が65℃以上になるように加熱する加熱処理工程とを有することを特徴とする食材または食品素材の本来の形状を保持した医療用検査食の製造方法に関する。 Further, the present invention is to freeze the food or food material to retain the original shape, a foodstuff or food material frozen or thawed state, seen including a medical imaging agent was immersed in a solution adjusted to pH4~8 By performing pressure treatment by decompression and / or pressurization , the center temperature of the step of containing the medical contrast agent uniformly in the food material or food material and the food material or food material containing the medical contrast agent is 65. The present invention relates to a method for producing a medical test food that retains the original shape of a food or food material, characterized in that it has a heat treatment step of heating to at least ° C.

また、本発明は、本来の形状を保持した食材または食品素材を凍結乾燥した食材または食品素材の表面に、医療用造影剤を含み、pH4〜8に調整した液を付着させ医療用造影剤付着食材または食品素材を調製する工程と、医療用造影剤付着食材または食品素材に減圧および/または加圧による圧力処理を行なうことにより、食材または食品素材の内部に均一に医療用造影剤を含有させる工程と、医療用造影剤を含有する食材または食品素材を、中心温度が65℃以上になるように加熱する加熱処理工程とを有することを特徴とする食材または食品素材の本来の形状を保持した医療用検査食の製造方法や、
本来の形状を保持した食材または食品素材を凍結乾燥した食材または食品素材を、医療用造影剤を含み、pH4〜8に調整した液に浸漬し減圧および/または加圧による圧力処理を行なうことにより、食材または食品素材の内部に均一に医療用造影剤を含有させる工程と、医療用造影剤を含有する食材または食品素材を、中心温度が65℃以上になるように加熱する加熱処理工程とを有することを特徴とする食材または食品素材の本来の形状を保持した医療用検査食の製造方法に関する。
In addition, the present invention provides a medical contrast agent adhering to a surface of a food or food material obtained by freeze-drying a food or food material having an original shape by attaching a liquid containing a medical contrast agent and adjusted to pH 4-8. The medical contrast agent is uniformly contained inside the food or food material by preparing the food or food material and subjecting the medical contrast agent-attached food or food material to pressure reduction and / or pressure treatment by pressurization. And maintaining the original shape of the food or food material, characterized by having a process and a heat treatment step of heating the food or food material containing the medical contrast agent so that the center temperature is 65 ° C. or higher A method for producing medical test meals,
By immersing the food or food material freeze-dried from the food or food material that retains its original shape in a liquid containing a medical contrast medium and adjusted to pH 4 to 8, and performing pressure treatment by reducing pressure and / or pressure A step of uniformly containing a medical contrast agent inside the food material or food material, and a heat treatment step of heating the food material or food material containing the medical contrast agent so that the center temperature is 65 ° C. or higher. It is related with the manufacturing method of the medical test food which hold | maintained the original shape of the foodstuff or foodstuff characterized by having.

本発明の医療用検査食は、食材本来の形状、色、味、香り、栄養成分を保持しながら、食材や食品素材の表面や表面近傍のみに留まらず、内部全体に亘って、医療検査用造影剤を均一に含有し、被検者の咀嚼状態、嚥下状態、消化管活動、食物移動速度等を正確且つ簡便に検査することができる。また、分解酵素や増粘剤を医療用造影剤と同時に導入することにより、嚥下困難な被検者においても、摂取することができ、咀嚼状態、嚥下状態、消化管活動、食物移動速度等を正確且つ簡便に検査することができる。   The medical test food of the present invention retains the original shape, color, taste, fragrance, and nutritional components of the food, and is not limited to the surface of the food or food material or the vicinity of the surface. Contrast agent is contained uniformly, and the subject's mastication state, swallowing state, gastrointestinal activity, food movement speed, etc. can be accurately and easily examined. In addition, by introducing a degrading enzyme and a thickener at the same time as a medical contrast agent, it can be ingested even in subjects who have difficulty swallowing, and the chewing state, swallowing state, gastrointestinal activity, food movement speed, etc. An accurate and simple inspection can be performed.

また、本発明の医療用検査食の製造方法は、医療用検査食を短時間で、無駄なく調製することができる。   Moreover, the manufacturing method of the medical test food of this invention can prepare a medical test food in a short time without waste.

本発明の医療用検査食は、医療用造影剤を内部に均一に含有した食材または食品素材からなり、該食材または食品素材は本来の形状を保持していることを特徴とする。 Medical inspection food of the present invention, Ri Do from foodstuff or food material uniformly containing medical imaging agent therein, the food material or food material is characterized that you have to hold the original shape.

本発明の医療用検査食に用いる医療用造影剤としては、X線撮影、CT、MRI、PET等の医療用の造影装置による活性エネルギー線照射により造影可能な医療用造影剤が適している。かかる医療用造影剤としては、具体的には、イオパミドール、イオヘキソール、イオベルソール、イオメプロール、イオプロミド、イオキシラン、イオトロラン、アミドトリゾ酸、イオタラム酸メグルミン、イオタラム酸、イオキサグル酸、イオトロクス酸メグルミン、ヨード化ケシ油脂肪酸エチルエステル、イオパノ酸、硫酸バリウム、ガドペンテト酸メグルミン、ガドテリドール、クエン酸鉄アンモニウム、フェルモキシデスなどを挙げることができる。   As the medical contrast agent used in the medical examination food of the present invention, a medical contrast agent that can be imaged by irradiation with active energy rays by a medical contrast device such as X-ray imaging, CT, MRI, and PET is suitable. Specific examples of the medical contrast agent include iopamidol, iohexol, ioversol, iomeprol, iopromide, ioxirane, iotrolan, amidotrizoic acid, meglumine iotalamate, iotalamic acid, oxaglic acid, meglumine iotroxate, ethyl iodinated poppy oil fatty acid Examples thereof include esters, iopanoic acid, barium sulfate, gadopentetate meglumine, gadoteridol, iron ammonium citrate, and fermoxides.

医療用造影剤の含有量としては、食材、食品素材の種類にもよるが、例えば、食材100gに対して3〜45gなどとすることができる。   The content of the medical contrast agent may be, for example, 3 to 45 g with respect to 100 g of the food, although depending on the type of food and food material.

また、本発明の医療用検査食は上記医療用造影剤と共に、分解酵素や増粘剤を含有することが好ましい。これらの分解酵素や増粘剤は、食材や、被検者の状態により適宜選択して用いることができる。医療用検査食が分解酵素を含むことにより、食品の咀嚼、嚥下が困難な被検者や、胃、小腸等の切除術後の被検者であっても、食品の咀嚼、嚥下、消化管運動などの検査を容易に行うことができ、増粘剤を含むことにより、嚥下が困難な被検者においても、食品の咀嚼、嚥下、消化管運動などの検査を容易に行うことができる。   Moreover, it is preferable that the medical test food of this invention contains a decomposing enzyme and a thickener with the said medical contrast agent. These degrading enzymes and thickeners can be appropriately selected and used depending on the food and the condition of the subject. Even if the test food for medical use contains a degrading enzyme, it is difficult to chew and swallow foods, and subjects who have undergone resection of the stomach, small intestine, etc. Examinations such as exercise can be easily performed, and by including a thickener, examinations such as mastication, swallowing, and gastrointestinal motility of food can be easily performed even for subjects who are difficult to swallow.

分解酵素としては、炭水化物、タンパク質、脂肪の分解酵素であればいずれも用いることができ、例えば、プロテアーゼ、ペプチダーゼなどタンパク質をアミノ酸及びペプタイドに分解する酵素、アミラーゼ、グルカナーゼ、セルラーゼ、ペクチナーゼ、ペクチンエステラーゼ、ヘミセルラーゼ、β−グルコシダーゼ、マンナーゼ、キシラナーゼ、アルギン酸リアーゼ、キトサナーゼ、イヌリナーゼ、キチナーゼなどでんぷん、セルロース、イヌリン、グルコマンナン、キシラン、アルギン酸、フコイダンなどの多糖類をオリゴ糖に分解する酵素、リパーゼなど脂肪を分解する酵素など食材の消化・分解作用のある酵素が適している。   As the degrading enzyme, any carbohydrate, protein, and fat degrading enzymes can be used. For example, protease, peptidase and other enzymes that degrade proteins into amino acids and peptides, amylase, glucanase, cellulase, pectinase, pectinesterase, Fats such as hemicellulase, β-glucosidase, mannase, xylanase, alginate lyase, chitosanase, inulinase, chitinase, starch, cellulose, inulin, glucomannan, xylan, alginic acid, fucoidan, etc. Enzymes that digest and degrade foods, such as those that degrade, are suitable.

増粘剤としては、液状の食材の粘度上昇作用を有する食品用増粘剤であればいずれも用いることができ、食材または食品素材が分解酵素を含有する場合、含有する分解酵素の種類によっては増粘剤としての機能が低下するものもあるため、含有する分解酵素の種類によって適宜選択して使用することができる。増粘剤としては、具体的に、ペクチン、ガム類、寒天、ゼラチンなどを挙げることができる。   As the thickener, any food thickener can be used as long as it has a viscosity-increasing action for liquid foods. When the food or food material contains a degrading enzyme, depending on the type of decomposing enzyme contained Since some of the functions as a thickening agent are reduced, the function can be appropriately selected depending on the type of the degrading enzyme contained. Specific examples of the thickener include pectin, gums, agar, and gelatin.

分解酵素の含有量としては、食材、食品素材の種類、被検者の状態にもよるが、例えば、食材100gに対して0.001〜0.5gなどとすることができ、増粘剤の含有量としては、食材、食品素材の種類、被検者の状態にもよるが、例えば、食材100gに対して0.01〜0.5gなどとすることができる。   The content of the degrading enzyme depends on the type of food, the type of food material, and the condition of the subject. The content may be, for example, 0.01 to 0.5 g with respect to 100 g of food, although depending on the type of food, the type of food material, and the condition of the subject.

本発明の医療用検査食に用いられる食材や食品素材としては、動植物食材のいずれであってもよく、生の食材でも、煮る、焼く、蒸す、揚げるなど加熱・調理した食材であってもよい。具体的には、大根、人参、牛蒡、筍、生姜、キャベツ、白菜、セロリ、アスパラガス、葱、玉葱、ほうれん草、小松菜、茗荷、ブロッコリー、胡瓜、茄子、隠元などの野菜、ジャガイモ、薩摩芋、里芋などの芋類、大豆、小豆、蚕豆、エンドウ豆などの豆類、米、小麦などの穀類、みかん、林檎、桃、サクランボ、梨、パイナップル、バナナなどの果実類、椎茸、シメジ、エノキ、ナメコ、松茸などのきのこ類、鯛、鮪、鯵、鯖、鰯、烏賊、蛸、浅蜊、蛤などの魚介類、鶏肉、豚肉、牛肉などの肉類、若布、昆布、海苔などの藻類などを例示することができる。   The foodstuff or food material used in the medical test food of the present invention may be any animal or plant food material, and may be a raw food material or a cooked / cooked food material such as boiled, baked, steamed or fried. . Specifically, vegetables such as radish, carrot, beef bowl, salmon, ginger, cabbage, Chinese cabbage, celery, asparagus, salmon, onion, spinach, Japanese mustard spinach, rice cake, broccoli, pepper, eggplant, herbs, potatoes, potatoes, taro Beans such as soybeans, red beans, peas and peas, grains such as rice and wheat, fruits such as mandarin oranges, apples, peaches, cherries, pears, pineapples, bananas, shiitake mushrooms, shimeji, enoki, nameko, Illustrate mushrooms such as matsutake mushrooms, seafood such as sea bream, sea bream, sea bream, sea bream, bandits, sea bream, shallow sea bream, sea bream, and other meats such as chicken, pork and beef, and algae such as young cloth, kelp and laver Can do.

このような食材、食品素材の大きさは、医療用造影剤を中心部まで均一に導入するために、略立方体であれば1辺が30mm以下、略球状であれば直径30mm以下であることが好ましいが、食材、食品素材に適した大きさとすることができる。業務用食材や食品素材とする場合は、包装、運搬に適した大きき、形態に加工したものであってもよい。また、調理、摂取するのに適当な大きさであってもよい。   In order to uniformly introduce the medical contrast agent to the central part, the size of such a food material or food material may be 30 mm or less for one side if it is a substantially cubic shape, and 30 mm or less if it is a substantially spherical shape. Although it is preferable, it can be set to a size suitable for food materials and food materials. In the case of a commercial food or food material, it may be processed into a large form suitable for packaging and transportation. Moreover, the size suitable for cooking and ingestion may be sufficient.

本発明の食材または食品素材の本来の形状を保持した医療用検査食の製造方法としては、本来の形状を保持した食材または食品素材を凍結し、凍結状態または解凍状態の食材または食品素材の表面に医療用造影剤を含み、pH4〜8に調整した液を付着させ医療用造影剤付着食材または食品素材を調製する工程と、医療用造影剤付着食材または食品素材に減圧および/または加圧による圧力処理を行なうことにより、食材または食品素材の内部に均一に医療用造影剤を含有させる工程と、医療用造影剤を含有する食材または食品素材を、中心温度が65℃以上になるように加熱する加熱処理工程とを有することを特徴とする。 As a method for producing a medical test meal having the original shape of the food or food material of the present invention, the food or food material having the original shape is frozen, and the surface of the frozen or thawed food or food material to, look including a medical imaging agent, a step of preparing the adjusted liquid deposited allowed medical contrast agent adhering foodstuff or food material to pH 4-8, vacuum and / or pressurized to a medical imaging agent adhering foodstuff or food material By performing pressure treatment by pressure , the center temperature of the step of containing the medical contrast agent uniformly in the food material or food material and the food material or food material containing the medical contrast agent are set to 65 ° C. or higher. And a heat treatment step of heating the substrate .

本発明の医療用検査食の製造方法における食材または食品素材の表面に医療用造影剤を含む液を付着させ医療用造影剤付着食材または食品素材を調製する工程に用いる食材や食品素材としては上記食材や食品素材を用いることができる。   The above-mentioned ingredients and food materials used in the step of preparing a medical contrast agent-attached food or food material by attaching a liquid containing a medical contrast agent to the surface of the food or food material in the method for producing a medical test food of the present invention Ingredients and food materials can be used.

このような食材や食品素材は、その種類によって、凍結し、凍結状態のまま若しくは解凍状態で用いる。食材を凍結することにより、食材中に含有される水が凍結して食材の組織中でその体積を膨張させ組織を押し、その後、水の状態となったとき、空隙が形成され組織内への造影剤の導入が容易になり、食材への導入を効率よく短時間で行うことができる。 Such foods and food materials are frozen depending on the type and used in a frozen state or in a thawed state. By freezing the foodstuff, the water contained in the foodstuff freezes and expands its volume in the tissue of the foodstuff and pushes the tissue, then when it becomes a water state, voids are formed and into the tissue The introduction of the contrast agent is facilitated, and the introduction to the food can be performed efficiently and in a short time.

食材や食品素材の凍結方法としては、食材や食品素材内部に氷結晶が生成する凍結温度で行うことが好ましく、例えば、−5℃以下で行うことができる。−5℃以下であれば急速凍結、緩慢凍結いずれも適用することができるが、氷結晶を内部全体に均一に分布させ、食感を悪化させないことを考慮すると、−15℃前後が適当である。凍結時間は氷結晶を内部全体に均一に分布させることが可能であれば、30分で十分であるが、これより長時間凍結してもよい。   As a method for freezing foodstuffs and food materials, it is preferable to carry out at a freezing temperature at which ice crystals are generated inside the foodstuffs and food materials, for example, at −5 ° C. or lower. Both quick freezing and slow freezing can be applied at −5 ° C. or lower. However, considering that ice crystals are uniformly distributed throughout the interior and do not deteriorate the texture, −15 ° C. is appropriate. . A freezing time of 30 minutes is sufficient as long as ice crystals can be uniformly distributed throughout the interior, but may be frozen for a longer time.

また、豆類など表皮が厚い食材や食品素材では、凍結後、水分の減少率が2〜10質量%程度になるまで表面の水分を蒸発させることが、後述する造影剤導入効率を高めることができるため、好ましい。表面水分の蒸発は冷風乾燥、温風乾燥、凍結乾燥が好適である。   Moreover, in foodstuffs and food materials with thick epidermis such as beans, it is possible to increase the contrast agent introduction efficiency described later by evaporating the surface moisture until the moisture reduction rate is about 2 to 10% by mass after freezing. Therefore, it is preferable. The evaporation of surface moisture is preferably cold air drying, hot air drying, or freeze drying.

上記凍結した食材または食品素材は凍結状態のまま用いることもできるが、解凍して用いることができる。凍結した食材や食品素材の解凍方法としては、室温で放置する方法でもよく、解凍時間を短縮するため、恒温装置中で加温して行うこともできる。加温温度は、高いほど解凍時間の短縮を図ることができるが、品質を保持するためには60℃以下であることが好ましい。   The frozen food material or food material can be used in a frozen state, but can be used after being thawed. As a method for thawing frozen foods and food materials, a method of leaving them at room temperature may be used, and in order to shorten the thawing time, heating can be performed in a thermostatic apparatus. The higher the heating temperature, the shorter the thawing time, but it is preferably 60 ° C. or lower in order to maintain the quality.

このような食材や食品素材に付着させる医療用造影剤を含む液としては、上記医療用造影剤を水、アルコール、これらを混合した液などに溶解、分散させた液を用いることができる。医療用造影剤を含む液は、硬い食材の摂取困難な被検者や、嚥下が困難な被検者に投与する食材を製造する場合、分解酵素や増粘剤を含有することが、好ましい。医療用造影剤を含む液が分解酵素や増粘剤を含有することにより、これらを医療用造影剤と共に食材や食品素材に均一に含有させることができ、得られる医療用検査食を食材の摂取や、嚥下が困難な被検者に対する検査に用いることができる。   As a liquid containing a medical contrast agent to be attached to such food or food material, a liquid obtained by dissolving and dispersing the medical contrast agent in water, alcohol, a mixture of these, or the like can be used. The liquid containing a medical contrast agent preferably contains a degrading enzyme or a thickener when producing a food material to be administered to a subject who has difficulty ingesting hard food materials or a subject who has difficulty swallowing. Since the liquid containing the medical contrast agent contains a degrading enzyme or thickener, it can be uniformly contained in the food or food material together with the medical contrast agent, and the obtained medical test food is ingested by the food It can also be used for examinations on subjects who have difficulty swallowing.

医療用造影剤を含む液には、その他、有機酸類とその塩類等やリン酸塩などのpH調整剤や、摂取を容易にする味付けのための塩、醤油、糖類、アミノ酸類,核酸類などの調味料や、グルコン酸塩などの栄養強化剤や、糖アルコール、シクロデキストリン、着色料などを含有させてもよい。   Other liquids containing medical contrast agents include pH adjusters such as organic acids and their salts and phosphates, salt for seasoning, soy sauce, sugars, amino acids, nucleic acids, etc. Seasonings, nutrient enhancers such as gluconate, sugar alcohols, cyclodextrins, colorants and the like may be included.

上記医療用造影剤の液中の医療用造影剤の濃度としては、特に限定されるものではなく、例えば、10〜70質量%とすることができ、20〜60質量%であることが好ましい。医療用造影剤の濃度がこの範囲であると、投与量を少量にして適切な造影検査を行うことができる。また、分解酵素や、増粘剤も、液中の濃度として、0.01〜5.0質量%とすることができ、0.1〜2.5質量%であることが好ましい。   The concentration of the medical contrast agent in the liquid of the medical contrast agent is not particularly limited, and can be, for example, 10 to 70% by mass, and preferably 20 to 60% by mass. When the concentration of the medical contrast agent is within this range, an appropriate contrast examination can be performed with a small dose. Moreover, a degradation enzyme and a thickener can also be 0.01-5.0 mass% as a density | concentration in a liquid, and it is preferable that it is 0.1-2.5 mass%.

また、医療用造影剤の液のpHは、4.0〜8.0の範囲とするFurther, pH of the liquid medical contrast agent in the range of 4.0 to 8.0.

このような医療用造影剤の液を上記食材や食品素材に付着させ医療用造影剤付着食材または食品素材を調製する方法としては、例えば、上記食材や食品素材を凍結せずに用いる場合や、凍結後解凍状態で用いる場合、塗布、噴霧、浸漬などの方法によることができ、上記食材や食品素材を凍結状態で用いる場合は、浸漬などの方法によることができる。浸漬時間としては、例えば、5〜120分等、その温度としては、10〜70℃とすることができる。   As a method of preparing a medical contrast agent-attached food or food material by attaching such a medical contrast agent liquid to the food or food material, for example, when using the food or food material without freezing, When it is used in a thawed state after freezing, it can be applied by a method such as coating, spraying, or dipping. When the food or food material is used in a frozen state, it can be obtained by a method such as dipping. For example, the immersion time may be 5 to 120 minutes, and the temperature may be 10 to 70 ° C.

食材や食品素材表面への医療用造影剤の液の付着量としては、医療用造影剤の液中の濃度によって、適宜選択することができ、液中の医療用造影剤の濃度が上記濃度であれば、食材や食品素材100gに対して、10g前後とすることができる。   The amount of medical contrast medium adhering to the surface of the food or food material can be appropriately selected depending on the concentration of the medical contrast medium in the liquid, and the concentration of the medical contrast medium in the liquid is the above concentration. If it exists, it can be set to about 10g with respect to 100g of foodstuffs and foodstuff materials.

上記医療用造影剤付着食材または食品素材を調整する工程において得られた医療用造影剤付着食材または食品素材の圧力処理としては、減圧または加圧、減圧及び加圧など組み合わせ、必要に応じて複数回反復した圧力処理を挙げることができる。減圧としては吸引圧力10〜60mmHg程度、加圧としては10〜4000気圧とすることが好ましい。この範囲の圧力処理により食材や食品素材の内部に、5〜60分間など短時間で造影剤を均一に導入することができる。加圧としては700気圧程度であると、後工程において30〜60℃程度加温すれば残存する医療用造影剤、分解酵素、増粘剤の品質を損なうことなく、殺菌、再利用することができるため、好ましい。このような圧力処理により、食材の組織の破壊を抑制して、食材や食品素材の加熱を行わずにその内部に急速に、均一に医療用造影剤を導入することができる。特に凍結処理を行った食材や食品素材においては、内部に分散した微細な氷結晶の解凍により生じた多数の微細空隙を有するため、造影剤を容易に均等に含有させることができる。更に、凍結乾燥した食材の場合、水分の蒸発によりできた空隙が造影剤の浸透をより容易にし、造影剤の含有量を劇的に増加させることができる。減圧時間は60分以内で十分であり、5分程度が好ましい。   The pressure treatment of the medical contrast agent-attached food or food material obtained in the step of adjusting the above-mentioned medical contrast agent-attached food or food material includes a combination of reduced pressure or pressurization, reduced pressure and pressurization, etc. Mention may be made of pressure treatment repeated several times. It is preferable that the suction pressure is about 10 to 60 mmHg, and the pressure is 10 to 4000 atmospheres. By the pressure treatment within this range, the contrast agent can be uniformly introduced into the food material or food material in a short time such as 5 to 60 minutes. When the pressure is about 700 atm, it can be sterilized and reused without deteriorating the quality of the remaining medical contrast agent, decomposing enzyme, and thickener if heated at about 30 to 60 ° C. in the subsequent step. This is preferable because it is possible. By such pressure treatment, the destruction of the tissue of the food material can be suppressed, and the medical contrast medium can be rapidly and uniformly introduced into the inside without heating the food material or the food material. In particular, foods and food materials that have been subjected to a freezing treatment have a large number of fine voids generated by thawing of fine ice crystals dispersed therein, so that a contrast medium can be easily and evenly contained. Furthermore, in the case of freeze-dried foodstuffs, the voids created by the evaporation of moisture can make the contrast agent penetrate more easily and can dramatically increase the contrast agent content. The decompression time is sufficient within 60 minutes, and is preferably about 5 minutes.

本発明の食材または食品素材の本来の形状を保持した医療用検査食の製造方法としては、本来の形状を保持した食材または食品素材を凍結し、凍結状態または解凍状態の食材または食品素材を医療用造影剤を含み、pH4〜8に調整した液に浸漬し減圧および/または加圧による圧力処理により、食材または食品素材の内部に均一に医療用造影剤を含有させる工程と、医療用造影剤を含有する食材または食品素材を、中心温度が65℃以上になるように加熱する加熱処理工程とを有する方法であってもよい。 As a method for producing a medical test food that retains the original shape of the food or food material of the present invention, the food or food material that retains the original shape is frozen, and the frozen or thawed food or food material , look including a medical imaging agent, the pressure treatment with immersed in a liquid which is adjusted to pH4~8 vacuum and / or pressure, a step of containing uniformly medical contrast agent inside a foodstuff or food material, medical It may be a method having a heat treatment step of heating a food material or a food material containing a contrast agent so that the center temperature becomes 65 ° C. or higher .

この方法は、上記医療用造影剤付着食材または食品素材を調製する工程と、医療用造影剤付着食材または食品素材に減圧および/または加圧による圧力処理工程を同時に進行させる方法であり、より効率よく医療用検査食を製造することができる。この方法において、食材または食品素材や、医療用造影剤を含む液は上記のものと同様のものを挙げることができる。即ち、食材または食品素材としては、上記食材または食品素材を、予め、凍結し、凍結状態若しくは解凍状態で用いても、また、凍結乾燥したものを用いてもよい。   This method is a method in which the step of preparing the medical contrast agent-attached food material or food material and the pressure treatment step by pressure reduction and / or pressurization are simultaneously performed on the medical contrast agent-attached food material or food material. Medical test meals can often be manufactured. In this method, the food or food material and the liquid containing the medical contrast agent can be the same as those described above. That is, as the food or food material, the food or food material may be frozen in advance and used in a frozen state or a thawed state, or a freeze-dried one.

上記圧力処理を行う装置の一例として、以下のものを挙げることができる。   The following can be mentioned as an example of the apparatus which performs the said pressure processing.

圧力処理装置として、医療用造影剤、場合によって分解酵素や増粘剤を溶解若しくは分散させた液と、必要に応じて凍結、解凍、凍結乾燥などの予備処理を行った食材とを封入する耐圧性密封容器(耐圧性密封袋であってもよい。)と、これを温度調整可能な温度調整装置を備え、10気圧〜4000気圧などの加圧を行う加圧ポンプ及び50mmHgなどの圧力で吸引する真空ポンプを備え、加圧ポンプと真空ポンプを適宜切り替えて圧力処理を行うことができるものを挙げることができる。   Pressure-resistant device that seals a medical contrast agent, a solution in which a degrading enzyme or thickener is dissolved or dispersed, and a food that has been pretreated, such as freezing, thawing, or lyophilization, as necessary A pressure-sensitive airtight container (may be a pressure-resistant airtight bag), a temperature adjusting device capable of adjusting the temperature of the airtight container, a pressure pump for pressurizing 10 to 4000 atmospheres, and suction with a pressure of 50 mmHg or the like And a vacuum pump that can perform pressure treatment by appropriately switching between a pressure pump and a vacuum pump.

このような圧力処理装置は密封状態で医療用検査食を製造可能なこと、食材を浸漬する医療用造影液を含む液を加圧、加温することにより微生物の増殖を阻止できるので衛生的に製造することができるので好ましい。具体的には、耐圧性密封容器に医療用造影剤、場合によって分解酵素や増粘剤を溶解・分散させた液と、食材または食品素材とを入れ、空気や窒素などの気体が溶存した状態でピストンをポンプで引くことで減圧状態にする。加圧はピストンをポンプで押すことで加圧状態にする。   Such a pressure treatment device can manufacture a medical test food in a sealed state, and can hygienically prevent growth of microorganisms by pressurizing and heating a liquid containing a medical contrast liquid in which food is immersed. Since it can manufacture, it is preferable. Specifically, a medical contrast agent, in some cases a solution in which a degrading enzyme or thickener is dissolved and dispersed, and a food or food material are placed in a pressure-resistant sealed container, and a gas such as air or nitrogen is dissolved. The pressure is reduced by pulling the piston with a pump. Pressurization is performed by pressing the piston with a pump.

また、増粘剤が、分解酵素により増粘剤としての機能が低下するものである場合、医療用造影剤や分解酵素を含む液に含有させず、増粘剤を含有する液を別途調製し、医療用造影剤や分解酵素を圧力処理により導入した食材を浸漬等により表面に付着・浸透させることもできる。   In addition, if the thickener is one whose function as a thickener is reduced by a degrading enzyme, a liquid containing a thickener is not prepared in a liquid containing a medical contrast agent or degrading enzyme. In addition, food containing a medical contrast agent or a degrading enzyme introduced by pressure treatment can be adhered to and permeated on the surface by dipping.

上記工程を経て造影剤などを導入した食材または食品素材は、医療用造影剤を含む液中に浸漬状態で保存してもよいが、圧力処理後常圧に戻った圧力装置から、直ちに取出して、常温又は20℃〜60℃の恒温装置内で保存しても、あるいは空気中に放置してもよい。保存時間は5分〜120分程度が好ましく、10分〜30分が好適である。   Food materials or food materials into which a contrast medium or the like has been introduced through the above steps may be stored in a state of immersion in a liquid containing a medical contrast medium, but immediately removed from a pressure device that has returned to normal pressure after pressure treatment. It may be stored in a constant temperature device at room temperature or 20 ° C. to 60 ° C. or left in the air. The storage time is preferably about 5 minutes to 120 minutes, and preferably 10 minutes to 30 minutes.

更に、得られた医療用検査食について、上記圧力処理後、品質を維持するために密封包装し、滅菌、殺菌処理を行なう。滅菌、殺菌処理は、医療用検査食がpH4.3以下であれば、中心温度が65〜80℃で10〜35分間など、加熱殺菌する。医療用検査食がpH4.3〜8.0であれば、100℃以上の加熱が必要であり、120℃で20分〜60分間など加圧加熱殺菌することが好ましい。更に、品質を維持するため、上記加熱殺菌後、凍結し、冷凍状態で保存、流通させることもできる。 Further, the medical examination foods obtained after the pressure treatment, sealed packaging to maintain quality, sterile, sterilized performed. Sterilization and sterilization treatment is performed by heat sterilization at a center temperature of 65 to 80 ° C. for 10 to 35 minutes if the medical test food has a pH of 4.3 or less. If the medical test food has a pH of 4.3 to 8.0, heating at 100 ° C. or higher is necessary, and it is preferable to sterilize by heating at 120 ° C. for 20 minutes to 60 minutes. Furthermore, in order to maintain quality, it can be frozen after the heat sterilization and stored and distributed in a frozen state.

また、得られた医療用検査食について、上記加熱温度範囲で加熱を行い、調理することもできる。   Moreover, about the obtained medical test meal, it can also heat and cook in the said heating temperature range.

次に本発明について実施例より詳細に説明するが、本発明の技術的範囲はこれらの実施例に限定されるものではない。   EXAMPLES Next, although this invention is demonstrated in detail from an Example, the technical scope of this invention is not limited to these Examples.

実施例1]
キュウリを厚さ10mmに輪切にした。造影剤(商品名:イオパミロン300)33質量%、ペクチナーゼ(商品名:マセロチーム2A)0.5質量%、を含有する水溶液に50℃で10分浸漬した。次いで、造影剤(商品名:イオパミロン300)33質量%、ペクチナーゼ(商品名:マセロチーム2A)0.5質量%及び増粘剤(商品名:サナスウェルα)1.5質量%含有する水溶液に浸漬して、減圧状態(初期圧力40mmHg)で室温で5分放置後、常圧に戻した。造影剤(商品名:イオパミロン300)を33質量%含有する液20gと調味液(醤油、鰹節エキス、砂糖、昆布エキス、グルタミン酸ナトリウムで構成される市販のつゆ)40gとを混合し、脱気包装し、118℃で30分間加圧加熱殺菌を行い、医療用検査食(キュウリ1)を得た。
[Example 1]
Cucumbers were cut into 10 mm thicknesses. It was immersed in an aqueous solution containing 33% by mass of a contrast agent (trade name: Iopamylon 300) and 0.5% by mass of pectinase (trade name: Macero Team 2A) at 50 ° C. for 10 minutes. Next, it is immersed in an aqueous solution containing 33% by mass of a contrast agent (trade name: Iopamylon 300), 0.5% by mass of pectinase (trade name: Macero Team 2A) and 1.5% by mass of a thickener (trade name: Sanus Well α). The mixture was allowed to stand at room temperature for 5 minutes under reduced pressure (initial pressure 40 mmHg), and then returned to normal pressure. Degassing packaging by mixing 20 g of a liquid containing 33% by mass of a contrast agent (trade name: Iopamylon 300) and 40 g of a seasoning liquid (commercially available soup made of soy sauce, bonito extract, sugar, kelp extract, sodium glutamate). Then, sterilization was performed by heating at 118 ° C. for 30 minutes to obtain a medical test food (cucumber 1).

得られたキュウリは、エネルギー分散型X線解析装置による観察を行った結果、中心部まで造影剤が均一に含有されていた。   The obtained cucumber was observed with an energy dispersive X-ray analyzer, and as a result, the contrast medium was uniformly contained up to the center.

得られた医療用検査食(キュウリ1)を嚥下困難な被検者が摂取したところ、良好な摂食嚥下が可能であった。X線による嚥下造影(Video fluorography:VF)検査を実施した結果、良好な嚥下造影像が得られた。   When the subject who had difficulty swallowing ingested the obtained medical test meal (cucumber 1), good swallowing was possible. As a result of X-ray swallowing imaging (Video fluorography: VF) examination, a good swallowing contrast image was obtained.

[比較例1]
キュウリを厚さ10mmに輪切にした。造影剤(商品名:イオパミロン300)33質量%、ペクチナーゼ(商品名:マセロチーム2A)0.5質量%、を含有する水溶液に50℃で10分浸漬した。次いで、造影剤(商品名:イオパミロン300)33質量%、ペクチナーゼ(商品名:マセロチーム2A)0.5質量%及び増粘剤(商品名:サナスウェルα)1.5質量%含有する水溶液に浸漬し、50℃で5分間放置した。参考例1と同様にして得られたキュウリ中の造影剤を検出したところ、中心部には造影剤は含有されておらず、実施例1と同様にして嚥下造影検査を行ったところ、造影像は得られなかった。
[Comparative Example 1]
Cucumbers were cut into 10 mm thicknesses. It was immersed in an aqueous solution containing 33% by mass of a contrast agent (trade name: Iopamylon 300) and 0.5% by mass of pectinase (trade name: Macero Team 2A) at 50 ° C. for 10 minutes. Next, it is immersed in an aqueous solution containing 33% by mass of a contrast agent (trade name: Iopamylon 300), 0.5% by mass of pectinase (trade name: Macero Team 2A) and 1.5% by mass of a thickener (trade name: Sanus Well α). And left at 50 ° C. for 5 minutes. When a contrast agent in cucumber obtained in the same manner as in Reference Example 1 was detected, no contrast agent was contained in the center, and a swallowing contrast examination was performed in the same manner as in Example 1 to find a contrast image. Was not obtained.

[実施例2]
ゴボウを剥皮し、厚さ10mmに輪切りにし、沸騰水で2分、湯がき、水中で冷却し、−15℃で冷凍した。次いで、造影剤(商品名:オイパロミン300)33質量%含有する水溶液に50℃で10分間浸漬し、解凍した。減圧状態(初期圧力40mmHg)で室温で5分放置後、常圧に戻した。造影剤(商品名:オイパロミン300)を33質量%含有する液20gと調味液(醤油、鰹節エキス、砂糖、昆布エキス、グルタミン酸ナトリウムで構成される市販のつゆ)40gと混合し、レトルト用パウチに脱気包装し、118℃で30分間加圧加熱殺菌を行い、医療用検査食(ゴボウ2)を得た。
[Example 2]
Burdocks were peeled, cut into 10 mm thicknesses, boiled with boiling water for 2 minutes, cooled in water, and frozen at -15 ° C. Subsequently, it was immersed in an aqueous solution containing 33% by mass of a contrast agent (trade name: Oipalomin 300) at 50 ° C. for 10 minutes and thawed. After being left at room temperature for 5 minutes in a reduced pressure state (initial pressure 40 mmHg), the pressure was returned to normal pressure. 20 g of a liquid containing 33% by mass of a contrast agent (trade name: Oipalomine 300) and 40 g of a seasoning liquid (commercially available soup made of soy sauce, bonito extract, sugar, kelp extract, sodium glutamate) are mixed into a pouch for retort. Degassed and packaged and sterilized by heating at 118 ° C. for 30 minutes to obtain a medical test meal (burdock 2).

得られたゴボウは、エネルギー分散型X線解析装置による観察を行った結果、中心部まで造影剤が均一に含有されていた。   The obtained burdock was observed with an energy dispersive X-ray analyzer, and as a result, the contrast agent was uniformly contained up to the center.

得られた医療用検査食(ゴボウ2)を摂取した被検者に、X線による嚥下造影(Video fluorography:VF)検査を実施した結果、良好な嚥下造影像が得られた。   As a result of subjecting the subject who took the medical test meal (burdock 2) to X-ray swallowing imaging (Video fluorography: VF), a good swallowing contrast image was obtained.

[比較例2]
ゴボウを剥皮し、厚さ10mmに輪切りにし、沸騰水で2分、湯がき、水中で冷却し、−15℃で冷凍した。次いで、造影剤(商品名:オイパロミン300)33質量%含有する水溶液に50℃で15分間浸漬し、解凍した。実施例2と同様にして得られたゴボウ中の造影剤を検出したところ、中心部には造影剤は含有されておらず、実施例2と同様にして嚥下造影検査を行ったところ、造影像は得られなかった。
[Comparative Example 2]
Burdocks were peeled, cut into 10 mm thicknesses, boiled with boiling water for 2 minutes, cooled in water, and frozen at -15 ° C. Subsequently, it was immersed in an aqueous solution containing 33% by mass of a contrast agent (trade name: Oipalomin 300) at 50 ° C. for 15 minutes and thawed. When a contrast agent in burdock obtained in the same manner as in Example 2 was detected, no contrast agent was contained in the center, and a swallowing contrast examination was performed in the same manner as in Example 2 to find a contrast image. Was not obtained.

[実施例3]
市販の水煮タケノコを20mm×30mm×10mmの略三角柱に切断し、−15℃で冷凍した。次いで、造影剤(商品名:イオパミロン300)33質量%、ヘミセルラーゼ(商品名:ヘミセルラーゼ「アマノ」90)0.1質量%含有する水溶液に50℃で10分間浸漬し、解凍した。次いで、造影剤(商品名:イオパミロン300)33質量%、ヘミセルラーゼ(商品名:ヘミセルラーゼ「アマノ」90)0.1質量%及び増粘剤(商品名:サナスウェルα)1.5質量%含有する水溶液に浸漬し、減圧状態(初期圧力40mmHg)で室温で5分放置後、常圧に戻した。50℃の恒温装置内で60分間保存した。造影剤(商品名:イオパミロン300)を33質量%含有する液20gと調味液(醤油、鰹節エキス、砂糖、昆布エキス、グルタミン酸ナトリウムで構成される市販のつゆ)40gと混合し、脱気包装し、118℃で30分間加圧加熱殺菌を行い、医療用検査食(タケノコ3)を得た。
[Example 3]
Commercially boiled bamboo shoots were cut into approximately 30 mm × 30 mm × 10 mm triangular prisms and frozen at −15 ° C. Subsequently, it was immersed in an aqueous solution containing 33% by mass of a contrast agent (trade name: Iopamylon 300) and 0.1% by mass of hemicellulase (trade name: hemicellulase “Amano” 90) at 50 ° C. for 10 minutes and thawed. Next, 33% by mass of contrast agent (trade name: Iopamylon 300), 0.1% by weight of hemicellulase (trade name: hemicellulase “Amano” 90) and 1.5% by weight of thickener (trade name: Sanus Well α) It was immersed in the aqueous solution to be used, and allowed to stand at room temperature for 5 minutes under reduced pressure (initial pressure 40 mmHg), and then returned to normal pressure. It preserve | saved for 60 minutes in a 50 degreeC thermostat. Mix with 20 g of a liquid containing 33% by mass of a contrast agent (trade name: Iopamylon 300) and 40 g of a seasoning liquid (commercially available soup made from soy sauce, bonito extract, sugar, kelp extract, sodium glutamate) and degassed. Sterilized by heating at 118 ° C. for 30 minutes to obtain a medical test food (bamboo shoot 3).

得られたタケノコは、エネルギー分散型X線解析装置による観察を行った結果、中心部まで造影剤が均一に含有されていた。   The obtained bamboo shoots were observed with an energy dispersive X-ray analyzer, and as a result, the contrast agent was uniformly contained up to the center.

得られた医療用検査食(タケノコ3)を嚥下困難な被検者が摂取したところ、良好な摂食嚥下が可能であった。X線による嚥下造影(Video fluorography:VF)検査を実施した結果、良好な嚥下造影像が得られた。   When the subject who had difficulty swallowing ingested the obtained medical test meal (bamboo shoot 3), good swallowing was possible. As a result of X-ray swallowing imaging (Video fluorography: VF) examination, a good swallowing contrast image was obtained.

[比較例3]
市販の水煮タケノコを20mm×30mm×10mmの略三角柱に切断し、−15℃で冷凍した。次いで、造影剤(商品名:イオパミロン300)33質量%、ヘミセルラーゼ(商品名:ヘミセルラーゼ「アマノ」90)0.1質量%含有する水溶液に50℃で10分間浸漬し、解凍した。次いで、造影剤(商品名:イオパミロン300)33質量%、ヘミセルラーゼ(商品名:ヘミセルラーゼ「アマノ」90)0.1質量%及び増粘剤(商品名:サナスウェルα)1.5質量%含有する水溶液に浸漬し、50℃で5分間放置した。実施例3と同様にして得られたタケノコ中の造影剤を検出したところ中心部には造影剤は含有されていなかった。実施例3と同様にして嚥下造影検査を行ったところ、造影像は得られなかった。
[Comparative Example 3]
Commercially boiled bamboo shoots were cut into approximately 30 mm × 30 mm × 10 mm triangular prisms and frozen at −15 ° C. Subsequently, it was immersed in an aqueous solution containing 33% by mass of a contrast agent (trade name: Iopamylon 300) and 0.1% by mass of hemicellulase (trade name: hemicellulase “Amano” 90) at 50 ° C. for 10 minutes and thawed. Next, 33% by mass of contrast agent (trade name: Iopamylon 300), 0.1% by weight of hemicellulase (trade name: hemicellulase “Amano” 90) and 1.5% by weight of thickener (trade name: Sanus Well α) The sample was immersed in an aqueous solution and left at 50 ° C. for 5 minutes. When the contrast agent in the bamboo shoots obtained in the same manner as in Example 3 was detected, no contrast agent was contained in the center. When a swallowing contrast examination was performed in the same manner as in Example 3, a contrast image was not obtained.

[実施例4]
市販の生牛肉を20mm×20mm×10mmに切断し、−15℃で冷凍した。次いで、造影剤(商品名:イオパミロン300)33質量%、プロテアーゼ(商品名:パパインW−40)0.5質量%含有する水溶液に50℃で10分間浸漬し、解凍した。次いで、造影剤(商品名:イオパミロン300)33質量%、プロテアーゼ(商品名:パパインW−40)0.5質量%及び寒天1質量%含有する水溶液に浸漬し、減圧状態(初期圧力40mmHg)で室温で5分放置後、常圧に戻した。造影剤(商品名:イオパミロン300)33質量%含有する液20gと調味液(醤油、鰹節エキス、砂糖、昆布エキス、グルタミン酸ナトリウムで構成される市販のつゆ)40gと混合し、脱気包装し、118℃で30分間加圧加熱殺菌を行い、医療用検査食(牛肉4)を得た。
[Example 4]
Commercial raw beef was cut into 20 mm × 20 mm × 10 mm and frozen at −15 ° C. Subsequently, it was immersed in an aqueous solution containing 33% by mass of a contrast agent (trade name: Iopamylon 300) and 0.5% by mass of protease (trade name: Papain W-40) at 50 ° C. for 10 minutes and thawed. Then, it is immersed in an aqueous solution containing 33% by mass of a contrast agent (trade name: Iopamylon 300), 0.5% by mass of protease (trade name: Papain W-40) and 1% by mass of agar, and in a reduced pressure state (initial pressure 40 mmHg). After 5 minutes at room temperature, the pressure was returned to normal pressure. 20 g of a liquid containing 33% by mass of a contrast agent (trade name: Iopamylon 300) and 40 g of a seasoning liquid (commercially available soup made of soy sauce, bonito extract, sugar, kelp extract, sodium glutamate), deaerated and packaged, Sterilized by heating at 118 ° C. for 30 minutes to obtain a medical test food (beef 4).

得られた牛肉は、エネルギー分散型X線解析装置による観察を行った結果、中心部まで造影剤が均一に含有されていた。   The obtained beef was observed with an energy dispersive X-ray analyzer, and as a result, the contrast medium was uniformly contained up to the center.

得られた医療用検査食(牛肉4)を嚥下困難な被検者が摂取したところ、良好な摂食嚥下が可能であった。X線による嚥下造影(Video fluorography:VF)検査を実施した結果、良好な嚥下造影像が得られた。   When the subject who had difficulty in swallowing ingested the obtained medical test meal (beef 4), good swallowing was possible. As a result of X-ray swallowing imaging (Video fluorography: VF) examination, a good swallowing contrast image was obtained.

[比較例4]
市販の生牛肉を20mm×20mm×10mmに切断し、−15℃で冷凍した。次いで、造影剤(商品名:イオパミロン300)33質量%、プロテアーゼ(商品名:パパインW−40)0.5質量%及び寒天1質量%含有する水溶液に50℃で15分間浸漬し、解凍した。実施例4と同様にして得られた牛肉中の造影剤を検出したところ中心部には造影剤は含有されていなかった。実施例4と同様にして嚥下造影検査を行ったところ、造影像は得られなかった。
[Comparative Example 4]
Commercial raw beef was cut into 20 mm × 20 mm × 10 mm and frozen at −15 ° C. Subsequently, it was immersed in an aqueous solution containing 33% by mass of a contrast agent (trade name: Iopamilon 300), 0.5% by mass of protease (trade name: Papain W-40) and 1% by mass of agar at 50 ° C. for 15 minutes and thawed. When a contrast agent in beef obtained in the same manner as in Example 4 was detected, no contrast agent was contained in the center. When a swallowing contrast examination was performed in the same manner as in Example 4, a contrast image was not obtained.

[実施例5]
パイナップルの可食部を20mm×30mm×10mmに切断し、蒸気で2分蒸し、水中で冷却し、−15℃で冷凍した。室温で解凍後、造影剤(商品名:イオパミロン300)33質量%及び寒天1質量%を含有する水溶液を食材に対し10質量%程度、表面に噴霧しフィルムで脱気包装した。これを室温で30分放置して、医療用検査食(パイナップル5)を得た。
[Example 5]
The edible part of pineapple was cut into 20 mm × 30 mm × 10 mm, steamed with steam for 2 minutes, cooled in water, and frozen at −15 ° C. After thawing at room temperature, an aqueous solution containing 33% by mass of a contrast medium (trade name: Iopamylon 300) and 1% by mass of agar was sprayed on the surface at about 10% by mass with respect to the food, and degassed and packaged with a film. This was left at room temperature for 30 minutes to obtain a medical test meal (pineapple 5).

得られたパイナップルは、エネルギー分散型X線解析装置による観察を行った結果、中心部まで造影剤が均一に含有されていた。   The obtained pineapple was observed with an energy dispersive X-ray analyzer, and as a result, the contrast medium was uniformly contained up to the center.

得られた医療用検査食(パイナップル5)を嚥下困難な被検者が摂取したところ、良好な摂食嚥下が可能であった。X線による嚥下造影(Video fluorography:VF)検査を実施した結果、良好な嚥下造影像が得られた。   When the subject who had difficulty in swallowing ingested the obtained medical test meal (pineapple 5), good swallowing was possible. As a result of X-ray swallowing imaging (Video fluorography: VF) examination, a good swallowing contrast image was obtained.

[比較例5]
パイナップルの可食部を20mm×20mm×20mmに切断し、蒸気で2分蒸し、水中で冷却し、−15℃で冷凍した。室温で解凍し、造影剤(商品名:イオパミロン300)33質量%及び寒天1質量%を含有する水溶液を食材に対し10質量%程度、表面に噴霧しフィルムで包装し、室温で30分間放置した。実施例5と同様にして得られたパイナップル中の造影剤を検出したところ中心部には造影剤は含有されていなかった。実施例5と同様にして嚥下造影検査を行ったところ、造影像は得られなかった。
[Comparative Example 5]
The edible part of pineapple was cut into 20 mm × 20 mm × 20 mm, steamed with steam for 2 minutes, cooled in water, and frozen at −15 ° C. Thaw at room temperature, spray an aqueous solution containing 33% by mass of contrast medium (trade name: Iopamilon 300) and 1% by mass of agar on the surface of the food, package it with a film, and leave it at room temperature for 30 minutes. . When a contrast medium in the pineapple obtained in the same manner as in Example 5 was detected, no contrast medium was contained in the center. When a swallowing contrast examination was performed in the same manner as in Example 5, a contrast image was not obtained.

[実施例6]
インゲンマメを切断せず、90℃で30分間加熱し、−15℃で16時間凍結後、凍結乾燥を60分間行った。造影剤(商品名:イオパミロン300)33質量%、ヘミセルラーゼ(商品名:ヘミセルラーゼ「アマノ」90)1質量%、寒天1.5質量%を含有する水溶液に50℃で10分間浸漬し、解凍した。次いで、造影剤(商品名:イオパミロン300)33質量%、ヘミセルラーゼ(商品名:ヘミセルラーゼ「アマノ」90)1質量%及び寒天1.5質量%含有する水溶液に浸漬し、加圧状態(1000気圧)で50℃で5分放置後、常圧に戻した。脱気包装し、118℃で30分間加圧加熱殺菌を行い、医療用検査食(インゲンマメ6)を得た。
[Example 6]
The kidney beans were not cut, heated at 90 ° C. for 30 minutes, frozen at −15 ° C. for 16 hours, and then lyophilized for 60 minutes. Immerse it in an aqueous solution containing 33% by mass of a contrast agent (trade name: Iopamylon 300), 1% by mass of hemicellulase (trade name: hemicellulase “Amano” 90), and 1.5% by mass of agar at 50 ° C. did. Next, the sample was immersed in an aqueous solution containing 33% by mass of a contrast agent (trade name: Iopamylon 300), 1% by mass of hemicellulase (trade name: hemicellulase “Amano” 90) and 1.5% by mass of agar, and under pressure (1000 (Atmospheric pressure) at 50 ° C. for 5 minutes and then returned to normal pressure. Degassed and packaged, and sterilized by heating at 118 ° C. for 30 minutes to obtain a medical test meal (green beans 6).

得られたインゲンマメは、エネルギー分散型X線解析装置による観察を行った結果、中心部まで造影剤が均一に含有されていた。   The obtained kidney bean was observed with an energy dispersive X-ray analyzer, and as a result, the contrast medium was uniformly contained up to the center.

得られた医療用検査食(インゲンマメ6)を嚥下困難な被検者が摂取したところ、良好な摂食嚥下が可能であった。X線による嚥下造影(Video fluorography:VF)検査を実施した結果、良好な嚥下造影像が得られた。   When the subject who had difficulty swallowing ingested the obtained medical test meal (green beans 6), good swallowing was possible. As a result of X-ray swallowing imaging (Video fluorography: VF) examination, a good swallowing contrast image was obtained.

[比較例6]
インゲンマメを切断せず、90℃で30分間加熱し、−15℃で16時間凍結後、凍結乾燥を60分間行った。造影剤(商品名:イオパミロン300)33質量%、ヘミセルラーゼ(商品名:ヘミセルラーゼ「アマノ」90)1質量%、寒天1.5質量%を含有する水溶液に50℃で15分間浸漬し、解凍した。実施例6と同様にして得られたインゲンマメ中の造影剤を検出したところ中心部には造影剤は含有されておらず、実施例6と同様にして嚥下造影検査を行ったところ、造影像は得られなかった。
[Comparative Example 6]
The kidney beans were not cut, heated at 90 ° C. for 30 minutes, frozen at −15 ° C. for 16 hours, and then lyophilized for 60 minutes. Immerse it in an aqueous solution containing 33% by mass of a contrast agent (trade name: Iopamylon 300), 1% by mass of hemicellulase (trade name: hemicellulase “Amano” 90), and 1.5% by mass of agar at 50 ° C. for 15 minutes. did. When the contrast agent in the kidney beans obtained in the same manner as in Example 6 was detected, no contrast agent was contained in the center, and when a swallowing contrast examination was performed in the same manner as in Example 6, the contrast image was It was not obtained.

Claims (7)

食材または食品素材の表面に、医療用造影剤を含み、pH4〜8に調整した液を付着させた後に減圧および/または加圧による圧力処理を行うことにより、医療用造影剤を内部に均一に含有させた食材または食品素材からなり、該食材または食品素材は本来の形状を保持していることを特徴とする医療用検査食。   The medical contrast agent is uniformly distributed inside by applying pressure treatment by reducing pressure and / or pressurizing after adhering a liquid adjusted to pH 4-8 on the surface of the food or food material. A medical test food characterized by comprising a food material or food material contained therein, wherein the food material or food material retains its original shape. 本来の形状を保持した食材または食品素材を凍結し、凍結状態または解凍状態の食材または食品素材の表面に、医療用造影剤を含み、pH4〜8に調整した液を付着させ医療用造影剤付着食材または食品素材を調製する工程と、医療用造影剤付着食材または食品素材に減圧および/または加圧による圧力処理を行なうことにより、食材または食品素材の内部に均一に医療用造影剤を含有させる工程とを有することを特徴とする食材または食品素材の本来の形状を保持した医療用検査食の製造方法。   Freeze food or food material that retains its original shape, and attach medical contrast agent to the surface of frozen or thawed food or food material, and adjust the pH to 4-8, and attach medical contrast agent The medical contrast agent is uniformly contained inside the food or food material by preparing the food or food material and subjecting the medical contrast agent-attached food or food material to pressure reduction and / or pressure treatment by pressurization. A method for producing a medical test food that retains the original shape of a food material or food material, characterized by comprising a step. 本来の形状を保持した食材または食品素材を凍結し、凍結状態または解凍状態の食材または食品素材を、医療用造影剤を含み、pH4〜8に調整した液に浸漬し減圧および/または加圧による圧力処理を行なうことにより、食材または食品素材の内部に均一に医療用造影剤を含有させる工程とを有することを特徴とする食材または食品素材の本来の形状を保持した医療用検査食の製造方法。   The food or food material that retains its original shape is frozen, and the frozen or thawed food or food material is immersed in a liquid containing a medical contrast agent and adjusted to pH 4 to 8, and is subjected to reduced pressure and / or pressure. A method for producing a medical test food that retains the original shape of the food or food material, comprising the step of uniformly containing a medical contrast agent inside the food or food material by performing pressure treatment . 本来の形状を保持した食材または食品素材を凍結乾燥した食材または食品素材の表面に、医療用造影剤を含み、pH4〜8に調整した液を付着させ医療用造影剤付着食材または食品素材を調製する工程と、医療用造影剤付着食材または食品素材に減圧および/または加圧による圧力処理を行なうことにより、食材または食品素材の内部に均一に医療用造影剤を含有させる工程とを有することを特徴とする食材または食品素材の本来の形状を保持した医療用検査食の製造方法。   Prepare a medical contrast agent-attached food or food material by adhering a liquid adjusted to pH 4 to 8 containing a medical contrast agent on the surface of the food or food material freeze-dried from the food or food material retaining its original shape. And a step of uniformly containing the medical contrast agent in the food material or food material by subjecting the medical contrast material-attached food material or food material to pressure reduction and / or pressure treatment by pressurization. A method for producing a medical test food that retains the original shape of the characteristic food material or food material. 本来の形状を保持した食材または食品素材を凍結乾燥した食材または食品素材を、医療用造影剤を含み、pH4〜8に調整した液に浸漬し減圧および/または加圧による圧力処理を行なうことにより、食材または食品素材の内部に均一に医療用造影剤を含有させる工程とを有することを特徴とする食材または食品素材の本来の形状を保持した医療用検査食の製造方法。   By immersing the food or food material freeze-dried from the food or food material that retains its original shape in a liquid containing a medical contrast medium and adjusted to pH 4 to 8, and performing pressure treatment by reducing pressure and / or pressure A method for producing a medical test food that retains the original shape of the food or food material, comprising the step of uniformly containing a medical contrast agent inside the food or food material. 医療用造影剤を含む液が、分解酵素および/または増粘剤を含有することを特徴とする請求項2〜5に記載の医療用検査食の製造方法。   The method for producing a medical test meal according to claim 2, wherein the liquid containing a medical contrast agent contains a degrading enzyme and / or a thickener. 前記食材または食品素材の内部に均一に医療用造影剤を含有させる工程に続き、医療用造影剤を含有する食材または食品素材をpH4.3以下に調整した液では中心温度65℃〜85℃になるように、pH4.3〜8.0に調整した液では中心温度100℃以上になるように加熱する加熱処理工程を有することを特徴とする請求項2〜6に記載の食材または食品素材の本来の形状を保持した医療用検査食の製造方法。Following the step of uniformly containing a medical contrast agent in the food material or food material, the liquid or the food material containing the medical contrast agent is adjusted to a pH of 4.3 or lower to a central temperature of 65 ° C to 85 ° C. As described above, the liquid adjusted to pH 4.3 to 8.0 has a heat treatment step of heating to a center temperature of 100 ° C. or higher. The food or food material according to claim 2, A method for producing a medical test meal that retains its original shape.
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