Breath sampling bag and gas measuring apparatus

Abstract: A breath sampling bag comprises a plurality of breath accumulating chambers joined together for respectively accumulating a plurality of breath samples and a plurality of breath introduction pipes to be respectively connected to a plurality of breath inlets of a gas measuring apparatus for breath measurement to introduce the breath samples from the respective breath accumulating chambers into the gas measuring apparatus, and is characterized in that the breath introduction pipes are each configured such that the breath introduction pipes are prevented from being connected to wrong breath inlets of the gas measuring apparatus.

Description: Technical Field The present invention relates to breath sampling bag and gas measuring apparatus for spectrometrically measuring the concentration of an isotopic gas on the basis of a difference in the light absorption characteristics of the isotope. Background Art Isotopic analyses are useful for diagnosis of a disease in a medical application, in which metabolic functions of a living body can be determined by measuring a change in the concentration or concentration ratio of an isotope after administration of a drug containing the isotope. In the other fields, the isotopic analyses are used for studies of the photosynthesis and metabolism of plants, and for ecological tracing in a geochemical application. It is generally known that gastric ulcer and gastritis are caused by bacteria called helicobacter pylori (HP) as well as by a stress. If the HP is present in the stomach of a patient, an antibiotic or the like should be administered to the patient for bacteria removal treatment. Therefore, it is indispensable to check if the patient has the HP. The HP has a strong urease activity for decomposing urea into carbon dioxide and ammonia. Carbon has isotopes having mass numbers of 12, 13 and 14, among which 13 C having a mass number of 13 is easy to handle because of its non-radioactivity and stability. If the concentration of 13 CO 2 (a final metabolic product) or the concentration ratio of 13 CO 2 to 12 CO 2 in breath of a patient is successfully measured after urea labeled with the isotope 13 C is administered to the patient, the presence of the HP can be confirmed. However, the concentration ratio of 13 CO 2 to 12 CO 2 in naturally occurring carbon dioxide is 1:100. Therefore, it is difficult to determine the concentration ratio in the breath of the patient with high accuracy. There have been known methods for determining the concentration ratio of 13 CO 2 to 12 CO 2 by means of infrared spectroscopy (see JPB 61(1986)-42219 and JPB 61(1986)-42220). In the method disclosed in JPB 61 (1986)-42220, two cells respectively having a long path and a short path are provided, the path lengths of which are adjusted such that the light absorption by 13 CO 2 in one cell is equal to the light absorption by 12 CO 2 in the other cell. Light beams transmitted through the two cells are lead to spectrometric means, in which the light intensities are measured at wavelengths each providing the maximum sensitivity. In accordance with this method, the light absorption ratio can be adjusted to "1" for the concentration ratio of 13 CO 2 to 12 CO 2 in naturally occurring carbon dioxide. If the concentration ratio is changed, the light absorption ratio also changes by the amount of a change in the concentration ratio. Thus, the change in the concentration ratio can be determined by measuring a change in the light absorption ratio. In the infrared spectroscopic measurement, breath is sampled in breath sampling bags before and after a diagnostic drug is administered to a living body, and the breath samples in the breath sampling bags are respectively measured for determination of the 13 CO 2 concentration or the 13 CO 2 concentration ratio. A bag in which a single exhalation is used to inflate two compartments is known from US 3,734,692. The measurement of such breath samples is typically performed in a professional manner in a measurement organization, which manipulates a large amount of samples in a short time. Therefore, breath samples obtained before and after the drug administration are often mistakenly manipulated. More specifically, breath samples obtained from one patient before and after the drug administration are mistaken for those obtained from another patient, or a breath sample obtained before the drug administration is mistaken for that obtained after the drug administration. Such mistakes lead to erroneous measurement results and, therefore, should be assuredly prevented. Further, if a breath sample includes a gas remaining in the oral cavity of a patient, the measurement accuracy is reduced. To reduce a measurement error, breath from the lung of the patient should be sampled. Still further, since moisture in a breath sample adversely affects the optical measurement, the moisture should be removed from the breath sample. Furthermore, a consideration should be given to the breath sampling bag to prevent the breath sample from escaping from the bag. Disclosure of Invention It is the object of the present invention to provide a breath sampling bag, which is given a consideration to assuredly prevent a breath sample from being mistakenly manipulated. It is yet another object of the present invention to provide a breath sampling bag, which prevents the sampling of air present in the oral cavity of a patient but allows the sampling of breath from the lung of the patient. It is still another object of the present invention to provide a breath sampling bag, which is capable of removing moisture from breath blown therein. It is yet another object of the present invention to provide a breath sampling bag, which has a construction to prevent a breath sample from being escaped therefrom. To achieve the aforesaid objects, the present invention provides a breath sampling bag, which includes a plurality of breath accumulating chambers joined together for respectively accumulating a plurality of breath samples, and a plurality of breath introduction pipes for respectively introducing the breath samples from the plurality of breath accumulating chambers into a plurality of inlets of a gas measuring apparatus for measuring a breath sample, the plurality of breath introduction pipes each being configured such as to be prevented from being connected to the inlets of the gas measuring apparatus in a wrong way (claim 1). A gas measuring apparatus in accordance with the present invention is adapted to measure breath samples contained in a breath sampling bag which includes a plurality of breath accumulating chambers joined together and a plurality of breath introduction pipes for introducing therethrough a plurality of breath samples from a living body into the respective breath accumulating chambers, and includes a plurality of breath inlets for respectively introducing the breath samples from the breath accumulating chambers through the breath introduction pipes, the plurality of breath inlets each being configured such as to prevent the breath introduction pipes from being connected thereto in a wrong way (claim 5). With the breath sampling, bag and gas measuring apparatus of the aforesaid constructions, such an inconvenient accident can be eliminated that one breath sample in one breath accumulating chamber of the breath sampling bag is introduced into the gas measuring apparatus mistakenly for another breath sample in another breath accumulating chamber. Where breath is sampled from a living body before and after a diagnostic drug is administered to the living body and the 13 CO 2 concentration or 13 CO 2 concentration ratio of the breath samples is measured, for example, the manipulation mistake of the breath samples obtained before and after the administration of the diagnostic drug for measurement can be prevented. Further, where a load test is performed and breath is sampled at a predetermined time interval after the administration of a diagnostic drug, breath samples thus obtained are prevented from being measured in a wrong order. The breath introduction pipes or the breath inlets are, for example, asymmetrically configured for prevention of the connection mistake of the breath sampling bag. For asymmetrical configuration, the plurality of breath introduction pipes may have different diameters, lengths and cross-sections, and the plurality of breath inlets may have different diameters, lengths and cross-sections corresponding to those of the respective breath introduction pipes. Another breath sampling bag in accordance with the present invention includes a breath accumulating chamber for accumulating breath and a breath introduction pipe for introducing the breath from a living body into the breath accumulating chamber, the breath introduction pipe having a resistance generating means for generating a resistance to the blowing of the breath during the sampling of the breath (claim 2). With this construction, the provision of the resistance generating means prevents the sampling of breath present in the oral cavity of the living body, but enables the sampling of breath from the lung thereof. Thus, a measurement error can be reduced. The resistance generating means is embodied by allowing the interior of the breath introduction pipe to have some change which generates a resistance to the blowing of the breath. For example, the inner diameter of the breath introduction pipe may be reduced or, alternatively, a resistance component may be provided on the interior of the breath introduction pipe. Further another breath sampling bag in accordance with the present invention includes a breath accumulating chamber for accumulating breath and a breath introduction pipe for introducing the breath from a living body into the breath accumulating chamber, the breath introduction pipe having a detachable filter for removing moisture from the breath during the sampling of the breath (claim 3). With this construction, the moisture in the breath can be removed therefrom by means of the filter, so that a reduction in the optical measurement accuracy can be prevented. The removal of moisture is particularly effective for infrared spectrometry. Still another breath sampling bag in accordance with the present invention includes a breath accumulating chamber for accumulating breath and a breath introduction pipe for introducing the breath from a living body into the breath accumulating chamber, the breath introduction pipe having a valve for preventing the back flow of the breath during the sampling of the breath (claim 4). With this construction, the provision of the back-flow prevention valve in the breath introduction pipe prevents the breath from leaking out of the breath sampling bag. Another gas measuring apparatus in accordance with the present invention, which is adapted to measure a breath sample contained in a breath sampling bag including a breath accumulating chamber for accumulating the breath sample and a breath introduction pipe with a back-flow prevention valve for introducing the breath sample from a living body into the breath accumulating chamber, includes a breath inlet for introducing therein the breath sample from the breath sampling bag through the breath introduction pipe, the breath inlet having means for disabling the function of the valve with the breath introduction pipe being connected to the breath inlet (claim 6). With this construction, the function of the valve can be disabled with the breath introduction pipe being connected to the breath inlet when the breath sample is to be introduced into the gas measuring apparatus through the breath introduction pipe. Therefore, the breath sample can be smoothly introduced into the gas measuring apparatus. The means for disabling the function of the valve is embodied, for example, by providing a long pin projecting from the breath inlet, which is adapted to forcibly open the valve when the breath introduction pipe is connected to the breath inlet. The foregoing and other objects and features of the present invention will become apparent from the following description with reference to the attached drawings. Brief Description of Drawings Hereinafter, concentration of 12 CO 2 is called " 12 Conc", concentration of 13 CO 2 is called " 13 Conc", absorbance of 12 CO 2 is called " 12 Abs" and absorbance of 13 CO 2 is called " 13 Abs". Fig. 1 is a graphical representation in which concentrations 12 Conc and concentration ratios 13 Conc/ 12 Conc are plotted as abscissa and ordinate, respectively, the concentrations 12 Conc and 13 Conc and the concentration ratios 13 Conc/ 12 Conc having been determined by using calibration curves prepared on the basis of measurements of the absorbances 12 Abs and 13 Abs of component gases in gaseous samples having the same concentration ratio 13 Conc/ 12 Conc but different concentrations of the component gases; Fig. 2 is a graphical representation in which 13 CO 2 concentration ratios are plotted with respect to oxygen contents, the 13 CO 2 concentration ratios having been determined by measuring gaseous samples containing 13 CO 2 diluted with oxygen and nitrogen and having the same 13 CO 2 concentration ratio but different oxygen concentrations, the 13 CO 2 concentration ratios being normalized on the basis of a 13 CO 2 concentration ratio for an oxygen content of 0%; Fig. 3 is a graphical representation illustrating the result of measurement in which gaseous samples having different 13 CO 2 concentration ratios and containing no oxygen were measured, in which graphical representation the actual 13 CO 2 concentration ratios and the measured 13 CO 2 concentration ratios are plotted as abscissa and ordinate, respectively, and the 13 CO 2 concentration ratios are normalized on the basis of the minimum 13 CO 2 concentration ratio; Fig. 4 is a graphical representation illustrating the result of measurement in which gaseous samples having different 13 CO 2 concentration ratios and containing various concentration of oxygen (up to 90%) were measured, in which graphical representation the actual 13 CO 2 concentration ratios and the measured 13 CO 2 concentration ratios are plotted as abscissa and ordinate, respectively, and the 13 CO 2 concentration ratios are normalized on the basis of the minimum 13 CO 2 concentration ratio; Fig. 5 is a view illustrating the appearance of a breath sampling bag to be connected to nozzles of an apparatus for spectrometrically measuring an isotopic gas; Fig. 6 is a partial view illustrating pipes connected to an end of the breath sampling bag; Fig. 7 is a block diagram illustrating the overall construction of the spectrometric apparatus; Fig. 8 is a sectional view illustrating the construction of a cell chamber 11; Fig. 9 is a block diagram schematically illustrating a mechanism for adjusting the temperature of the cell chamber; Figs. 10A and 10B are a plan view and a side view, respectively, of a gas injector for quantitatively injecting a gaseous sample; Fig. 11 is a diagram illustrating a gas flow path through which a clean reference gas is passed for cleaning the gas flow path and the cell chamber of the spectrometric apparatus; Fig. 12 is a diagram illustrating a gas flow path through which the clean reference gas is passed for cleaning the gas flow path and the cell chamber of the spectrometric apparatus and for performing a reference measurement; Fig. 13 is a diagram illustrating a state where a base gas is sucked from a breath sampling bag by means of the gas injector 21 with the reference gas prevented from flowing through first and second sample cells 11a and 11b; Fig. 14 is a diagram illustrating a gas flow path to be employed when the base gas sucked in the gas injector 21 is mechanically pushed out at a constant rate by the gas injector 21 for measurement of light intensity by detection elements 25a and 25b; Fig. 15 is a diagram illustrating a state where a sample gas is sucked from the breath sampling bag by means of the gas injector 21 with the reference gas prevented from flowing through the first and second sample cells 11a and 11b; Fig. 16 is a diagram illustrating a gas flow path to be employed when the sample gas sucked in the gas injector 21 is mechanically pushed out at a constant rate by the gas injector 21 for measurement of light intensity by the detection elements 25a and 25b; Fig. 17A is a graphical representation in which 12 CO 2 concentrations and 12 CO 2 absorbances are plotted as abscissa and ordinate, respectively, for preparation of a calibration curve, the 12 CO 2 absorbances having been measured for 20 measuring points in a 12 CO 2 concentration range of about 0% to about 6%; Fig. 17B is a graphical representation in which 12 CO 2 concentrations and 12 CO 2 absorbances in five data points in a relatively narrow 12 CO 2 concentration range around a 12 CO 2 concentration determined by using the calibration curve of Fig. 17A are plotted as abscissa and ordinate, respectively; Fig. 18A is a graphical representation in which 13 CO 2 concentrations and 13 CO 2 absorbances are plotted as abscissa and ordinate, respectively, for preparation of a calibration curve, the 13 CO 2 absorbances having been measured for 20 measuring points in a 13 CO 2 concentration range of about 0.00% to about 0.07%; Fig. 18B is a graphical representation in which 13 CO 2 concentrations and 13 CO 2 absorbances in five data points in a relatively narrow 13 CO 2 concentration range around a 13 CO 2 concentration determined by using the calibration curve of Fig. 18A are plotted as abscissa and ordinate, respectively; Fig. 19 is a graphical representation in which concentration ratios 13 Conc/ 12 Conc plotted as ordinate are normalized on the basis of a concentration ratio 13 Conc/ 12 Conc obtained when 12 Conc is 0.5%; Fig. 20 is a graphical representation illustrating the relationship of 12 Conc (plotted as abscissa) versus 13 CO 2 concentration ratio 13 Conc/ 12 Conc (plotted as ordinate) which was determined by measuring the 12 CO 2 concentrations 12 Conc and 13 CO 2 concentrations 13 Conc of gaseous samples; Fig. 21 is a graphical representation illustrating the relationship of 12 Conc (plotted as abscissa) versus concentration ratio 13 Conc/ 12 Conc (plotted as ordinate) which was determined by measuring the 12 CO 2 concentrations 12 Conc and 13 CO 2 concentrations 13 Conc of gaseous samples and correcting obtained concentration ratios 13 Conc/ 12 Conc; Fig. 22 is a graphical representation illustrating the relationship of 12 Conc (plotted as abscissa) versus concentration ratio 13 Conc/ 12 Conc (plotted as ordinate) which was obtained by determining the 12 CO 2 concentrations 12 Conc and 13 CO 2 concentrations 13 Conc of gaseous samples on the basis of absorbances measured on the gaseous samples by using the calibration curves shown in Figs. 17A and 18A; Fig. 23 is a graphical representation illustrating the relationship of 12 Conc (plotted as abscissa) and concentration ratio 13 Conc/ 12 Conc (plotted as ordinate) which was obtained by determining the concentration ratios 13 Conc/ 12 Cono of gaseous samples first on the basis of the calibration curves shown in Figs. 17A and 18A and then on the basis of the calibration curves in limited ranges shown in Figs. 17B and 18B; and Fig. 24 is a graphical representation illustrating the result of measurement in which gaseous samples having different 13 CO 2 concentration ratios and containing various concentration of oxygen (up to 90%) were measured and measurements were subjected to a correction process according to the present invention, in which graphical representation the actual 13 CO 2 concentration ratios and the measured 13 CO 2 concentration ratios are plotted as abscissa and ordinate, respectively, and the 13 CO 2 concentration ratios are normalized on the basis of the minimum 13 CO 2 concentration ratio. Best Mode for Carrying Out the Invention A preferred embodiment of the present invention will hereinafter be described with reference to the attached drawings. The embodiment is adapted for a case where a 13 CO 2 concentration or concentration ratio 13 Conc/ 12 Conc in a breath test sample is spectrometrically determined after administration of an urea diagnostic drug labeled with an isotope 13 C. I. Breath test Before the urea diagnostic drug is administered to a patient, breath of the patient is sampled in a breath sampling bag. The volume of the breath sampling bag may be about 250ml. Then, the urea diagnostic drug is administered to the patient and, after a lapse of 10 to 15 minutes, breath of the patient is sampled in the breath sampling bag in the same manner as in the previous breath sampling. Fig. 5 is a view illustrating the appearance of the breath sampling bag 1 to be connected to nozzles N 1 and N 2 of an apparatus for spectrometrically measuring an isotopic gas. The breath sampling bag 1 includes a breath sampling chamber 1a for sampling breath of the patient after the administration of the urea diagnostic drug and a breath sampling chamber 1b for sampling breath of the patient before the administration of the urea diagnostic drug, the breath sampling chambers 1a and 1b being integrally molded and joined together to form a single body. A pipe 2a is attached to an end of the breath sampling chamber 1a, and a pipe 2b is attached to an end of the breath sampling chamber 1b. Bottom ends 5a and 5b of the breath sampling chambers 1a and 1b are closed. The pipes 2a and 2b each have two functions, i.e., the pipes 2a and 2b serve not only as breath blowing ports from which breath is blown into the breath sampling chambers 1a and 1b, but also for introducing the breath samples from the breath sampling chambers 1a and 1b into the spectrometric apparatus when the breath sampling bag is connected to the nozzles N 1 and N 2 of the apparatus. When breath is sampled, a cylindrical filter (like cigarette filter) 7a or 7b is fitted into the pipe 2a or 2b, and then the breath is blown into the breath sampling bag 1. The filters 7a and 7b are used to remove moisture in the breath. As shown in Fig. 6, back-flow valves 3a and 3b are provided in the pipes 2a and 2b, respectively, for preventing the breath blown into the breath sampling bag from flowing back. The pipes 2a and 2b each have a portion having a smaller inner diameter (e.g., a smaller diameter portion 4a or 4b) for generating a resistance to the blowing of the breath. The resistance to the blowing of the breath allows the patient to exhale air from his lung. It has been experimentally confirmed that air exhaled from the lung of a patient provides a more stable CO 2 concentration than air present in the oral cavity of the patient. After the completion of the sampling of the breath, the filters are removed, and the pipes 2a and 2b are inserted into the nozzles N 1 and N 2 , respectively, of the spectrometric apparatus. The nozzles N 1 and N 2 have different inner diameters, and the pipes 2a and 2b have different outer diameters corresponding to the inner diameters of the nozzles N 1 and N 2 . This prevents the pipes 2a and 2b from being inserted into wrong nozzles N 2 and N 1 , thereby preventing the breath samples obtained before and after the administration of the urea diagnostic drug from being mistakenly manipulated. The nozzles N 1 and N 2 of the spectrometric apparatus have projections 6a and 6b, respectively, which are adapted to disable the function of the back-flow valves 3a and 3b when the pipes 2a and 2b are inserted into the nozzles N 1 and N 2 . Although the outer diameters of the pipes 2a and 2b are made different in this embodiment, any other constructions may be employed to prevent the mistake of connection between the pipes 2a and 2b and the nozzles N 1 and N 2 . For example, the pipes may have different lengths and the nozzles N 1 and N 2 of the spectrometric apparatus may have different depths corresponding to the lengths of the pipes. With this construction, a longer one of the pipes mistakenly inserted into a nozzle having a smaller depth fails to perfectly fit in the nozzle. Therefore, a user notices the connection mistake of the pipes. Alternatively, the pipes may have different cross sections (e.g., round, rectangular or triangular cross sections). Upon completion of the connection of the breath sampling bag 1, the spectrometric apparatus performs the following automatic control. II. Apparatus for spectrometrically measuring isotopic gas Fig. 7 is a block diagram illustrating the overall construction of the apparatus for spectrometrically measuring an isotopic gas. The breath sampling bag is set to the apparatus so that one breath sampling chamber thereof containing the breath sampled after the drug administration (hereinafter referred to as "sample gas") and the other breath sampling chamber thereof containing the breath (hereinafter referred to as "base gas") sampled before the drug administration are connected to the nozzles N 1 and N 2 , respectively. The nozzle N 1 is connected to one port of a three-way valve V 1 through a transparent resin pipe (hereinafter referred to simply as "pipe") and the nozzle N 2 is connected to one port of a three-way valve V 2 through a pipe. A reference gas (any gas having no absorption at a wavelength for measurement, e.g., nitrogen gas) is supplied from a gas cylinder to the apparatus. The reference gas flows through a flow path diverged into two paths. One path is connected through a flow meter M 1 to a reference cell 11c. The other.path is connected through a flow meter M 2 to one port of a three-way valve V 3 . The reference gas flows into the reference cell 11c, and discharged therefrom. The other ports of the three-way valve V 3 are connected to another port of the three-way valve V 1 and to a first sample cell 11a for measuring a 12 CO 2 absorbance. The other ports of the three-way valve V 2 are connected to the first sample cell 11a through a two-way valve V 4 and to the other port of the three-way valve V 1 . A gas injector 21 (volume: 60cc) for quantitatively injecting the sample gas or the base gas is interposed between the three-way valve V 3 and the first sample cell 11a. The gas injector 21 is a syringe-like device having a piston and a cylinder. The piston is driven by cooperation of a motor, a screw connected to the motor and a nut fixed to the piston (which will be described later). As shown in Fig. 7, a cell chamber 11 has the first sample cell 11a having a smaller length for measuring therein a 12 CO 2 absorbance, a second sample cell 11b having a greater length for measuring therein a 13 CO 2 absorbance, and the reference cell 11c through which the reference gas is passed. The first sample cell 11a communicates with the second sample cell 11b. The sample gas or the base gas is introduced into the first sample cell 11a and then into the second cell 11b, and discharged therefrom. The reference gas is introduced into the reference cell 11c, and then discharged therefrom. Specifically, the first and second sample cells 11a and 11b have lengths of 13mm and 250mm, respectively, and the reference cell 11c has a length of 236mm. A discharge pipe extending from the second sample cell 11b is provided with an O 2 sensor 18. Usable as the O 2 sensor 18 are commercially available oxygen sensors such as a solid electrolyte gas sensor (e.g., zirconia sensor) and an electrochemical gas sensor (e.g., galvanic cell sensor). A reference character L denotes an infrared light source having two waveguides 23a and 23b for guiding infrared rays for irradiation. The generation of the infrared rays may be achieved in any way. For example, a ceramic heater (surface temperature: 450°C) and the like can be used. A rotary chopper 22 for periodically blocking the infrared rays is provided adjacent to the infrared light source L. Infrared rays emitted from the infrared light source L are transmitted to the first sample cell 11a and the reference cell 11c through a first light path, and to the second sample cell 11b through a second light path (see Fig. 8). A reference character D denotes an infrared detector for detecting the infrared rays transmitted through the cells. The infrared detector D has a first wavelength filter 24a and a first detection element 25a disposed in the first light path, and a second wavelength filter 24b and a second detection element 25b disposed in the second light path. The first wavelength filter 24a (band width: about 20nm) passes an infrared ray having a wavelength of about 4,280nm to be used for measurement of a 12 CO 2 absorbance. The second wavelength filter 24b (band width: about 50nm) passes an infrared ray having a wavelength of about 4,412nm to be used for measurement of a 13 CO 2 absorbance. Usable as the first and second detection elements 25a and 25b are any elements capable of detecting infrared rays. For example, a semiconductor infrared sensor such as of PbSe is used. The first wavelength filter 24a and the first detection element 25a are housed in a package 26a filled with an inert gas such as Ar. Similarly, the second wavelength filter 24b and the second detection element 25b are housed in a package 26b filled with an inert gas. The whole infrared detector D is maintained at a constant temperature (25°C) by means of a heater and a Peltier element. The inside temperatures of the packages 26a and 26b are kept at 0°C by means of a Peltier element. The cell chamber 11 is formed of a stainless steel, and vertically and laterally sandwiched between metal plates (e.g., brass plates) 12. A heater 13 is provided on upper, lower and lateral sides of the cell chamber. The cell chamber 11 is sealed with insulators 14 such as of polystyrene foam with the heater 13 interposed therebetween. Though not shown, a temperature sensor (e.g., a platinum temperature sensor) for measuring the temperature of the cell chamber 11 is provided in the cell chamber 11. The cell chamber 11 has two tiers. The first sample cell 11a and the reference cell 11c are disposed in one tier, and the second sample cell 11b is disposed in the other tier. The first light path extends through the first sample cell 11a and the reference cell 11c which are disposed in series, and the second light path extends through the second sample cell b. Reference characters 15, 16 and 17 denote sapphire transmission windows through which the infrared rays are transmitted. Fig. 9 is a block diagram illustrating a mechanism for adjusting the temperature of the cell chamber 11. The temperature adjustment mechanism is constituted by the temperature sensor 32 provided in the cell chamber 11, a temperature adjustment substrate 31 and the heater 13. The temperature of the temperature adjustment substrate 31 may be adjusted in any manner. For example, the temperature adjustment can be achieved by changing the duty ratio of a pulse current flowing through the heater 13 on the basis of a temperature measurement signal of the temperature sensor 32. The heater 13 is controlled on the basis of this temperature adjustment method so as to maintain the cell chamber 11 at a constant temperature (40°C). Figs. 10A and 10B are a plan view and a side view, respectively, of the gas injector 21 for quantitatively injecting a gaseous sample. The gas injector 21 includes a cylinder 21b disposed on a base 21a, a piston 21c inserted in the cylinder 21c, and a movable nut 21d connected to the piston 21c, a feed screw 21e threadingly meshed with the nut 21d and a motor 21f for rotating the feed screw 21e which are disposed below the base 21a. The motor 21f is driven for forward and backward rotation by a driving circuit not shown. As the feed screw 21e is rotated by the rotation of the motor 21f, the nut 21d moved forward or backward depending on the rotational direction of the feed screw 21e. The piston 21c advances toward a position indicated by a dashed line in Fig. 10A. Thus, the gas injector 21 can be flexibly controlled to introduce and extract the gaseous sample in/from the cylinder 21b. IIIa. Measuring procedure 1 The measuring procedure includes reference gas measurement, base gas measurement, reference gas measurement, sample gas measurement and reference gas measurement, which are to be performed in this order. Alternatively, base gas measurement, reference gas measurement and base gas measurement, and sample gas measurement, reference gas measurement and sample gas measurement may be performed in this order. In the latter case, the base gas measurement and the sample gas measurement are each performed twice and, therefore, the operation efficiency is reduced. The former measuring procedure which is more efficient will hereinafter be described. During the measurement, the reference gas constantly flows through the reference cell 11c, and the flow rate thereof is always kept constant by the flow meter M 1 . IIIa-1. Reference measurement As shown in Fig. 11, the clean reference gas is passed through a gas flow path and the cell chamber 11 of the spectrometric apparatus at a rate of 200ml/minute for about 15 seconds for cleaning the gas flow path and the cell chamber 11. In turn, as shown in Fig. 12, the gas flow path is changed, and then the reference gas is passed therethrough for cleaning the gas flow path and the cell chamber 11. After a lapse of about 30 seconds, light intensity are measured by means of the detection elements 25a and 25b. On the basis of the reference measurement, absorbances are calculated. The light intensity thus obtained by the first and second detection elements 25a and 25b are represented by 12 R 1 and 13 R 1 , respectively. IIIa-2. Base gas measurement The base gas is sucked into the gas injector 21 from the breath sampling bag with the reference gas prevented from flowing through the first and second sample cells 11a and 11b (see Fig. 13). Thereafter, the base gas is mechanically pushed out at a constant rate (60ml/minute) by the gas injector 21 as shown in Fig. 14 and, at the same time, light intensity are measured by means of the detection elements 25a and 25b. The light intensity thus obtained by the first and second detection elements 25a and 25b are represented by 12 B and 13 B, respectively. IIIa-3. Reference measurement The cleaning of the gas flow path and the cells and the light intensity measurement on the reference gas are performed again (see Figs. 11 and 12). The light intensity thus obtained by the first and second detection elements 25a and 25b are represented by 12 R 2 and 13 R 2 , respectively. IIIa-4. Sample gas measurement The sample gas is sucked into the gas injector 21 from the breath sampling bag with the reference gas prevented from flowing through the first and second sample cells 11a and 11b (see Fig. 15). Thereafter, the sample gas is mechanically pushed out at a constant rate (60ml/minute) by the gas injector 21 as shown in Fig. 16 and, at the same time, light intensity are measured by means of the detection elements 25a and 25b. The light intensity thus obtained by the first and second detection elements 25a and 25b are represented by 12 S and 13 S, respectively. IIIa-5. Reference measurement The cleaning of the gas flow path and the cells and the light intensity measurement on the reference gas are performed again (see Figs. 11 and 12). The light intensity thus obtained by the first and second detection elements 25a and 25b are represented by 12 R 3 and 13 R 3 , respectively. IIIb. Measurement procedure 2 In the measurement procedure 1, the CO 2 concentrations of the base gas and the sample gas are not adjusted to the same level. If the base gas and the sample gas are at the same CO 2 concentration level, the ranges of 12 CO 2 and 13 CO 2 calibration curves to be used for determination of the concentrations can be narrowed. By using limited ranges of the calibration curves, the measurement accuracy can be increased. In accordance with the measurement procedure 2, the CO 2 concentrations of the base gas and the sample gas are adjusted to substantially the same level. First, the CO 2 concentrations of the base gas and the sample gas are measured in a preliminary measurement. If the CO 2 concentration of the base gas obtained in the preliminary measurement is higher than the CO 2 concentration of the sample gas obtained in the preliminary measurement, the base gas is diluted to a CO 2 concentration level equivalent to that of the sample gas, and the measurement of the concentration is performed on the base gas and then on the sample gas in a main measurement. If the CO 2 concentration of the base gas obtained in the preliminary measurement is lower than the CO 2 concentration of the sample gas obtained in the preliminary measurement, the CO 2 concentration of the base gas is measured in the main measurement. The sample gas is diluted to a CO 2 concentration level equivalent to that of the base gas, and then the CO 2 concentration thereof is measured. The measurement procedure 2 includes preliminary base gas measurement, preliminary sample gas measurement, reference gas measurement, base gas measurement, reference gas measurement, sample gas measurement and reference gas measurement, which are performed in this order. IIIb-1. Preliminary base gas measurement The clean reference gas is passed through the gas flow path and the cell chamber 11 of the spectrometric apparatus for cleaning the gas flow path and the cell chamber 11 and, at the same time, a reference light intensity is measured. In turn, the base gas is sucked into the gas injector 21 from the breath sampling bag, and then mechanically pushed out at a constant flow rate by means of the gas injector 21. At this time, the intensity of light transmitted through the base gas is measured by means of the detection element 25a to determine an absorbance, and the CO 2 concentration of the base gas is determined on the basis of the absorbance by using a calibration curve. IIIb-2. Preliminary sample gas measurement The clean reference gas is passed through the gas flow path and the cell chamber 11 of the spectrometric apparatus for cleaning the gas flow path and the cell chamber 11 and, at the same time, a reference light intensity is measured. In turn, the sample gas is sucked into the gas injector 21 from the breath sampling bag, and then mechanically pushed out at a constant flow rate by means of the gas injector 21. At this time, the intensity of light transmitted through the sample gas is measured by means of the detection element 25a to determine an absorbance, and the CO 2 concentration of the sample gas is determined on the basis of the absorbance by using the calibration curve. IIIb-3. Reference measurement The gas flow path is changed, and then the reference gas is passed therethrough to clean the gas flow path and the cell chamber 11. After a lapse of about 30 seconds, light intensity are measured by means of the detection elements 25a and 25b. The light intensity thus obtained by the first and second detection elements 25a and 25b are represented by 12 R 1 and 13 R 1 , respectively. IIIb-4. Base gas measurement The CO 2 concentration of the base gas obtained by the first detection element 25a in "IIIb-1. Preliminary base gas measurement" is compared with the CO 2 concentration of the sample gas obtained by the first detection element 25a in "IIIb-2. Preliminary sample gas measurement". If the CO 2 concentration of the base gas is higher than the CO 2 concentration of the sample gas, the base gas is diluted with the reference gas in the gas injector 21 to a CO 2 concentration level equivalent to that of the sample gas, and then the light intensity measurement is performed on the base gas thus diluted. Since the CO 2 concentrations of the two breath samples are adjusted to substantially the same level by dilution, the ranges of the 12 CO 2 and 13 CO 2 calibration curves to be used can be narrowed. It should be noted that the measuring procedure 2 of this embodiment is characterized in that the CO 2 concentrations of the two breath samples are adjusted to substantially the same level, and does not necessarily require to employ a step of maintaining the CO 2 concentration at a constant level as described in JPB 4(1992)-124141. The use of limited ranges of calibration curves can be achieved simply by adjusting the CO 2 concentrations of the base gas and the sample gas to substantially the same level. Since the CO 2 concentrations of the base gas and the sample gas vary within a range of 1% to 5% in actual measurement, it is very troublesome to always maintain the CO 2 concentrations at a constant level. If the CO 2 concentration of the base gas is lower than the CO 2 concentration of the sample gas, the base gas is not diluted, and the measurement is performed on the base gas. The base gas is mechanically pushed out at a constant flow rate by the gas injector 21, and light intensity are measured by means of the detection elements 25a and 25b. The light intensity thus obtained by the first and second detection elements 25a and 25b are represented by 12 B and 13 B, respectively. IIIb-5. Reference measurement The cleaning of the gas flow path and the cells and the light intensity measurement on the reference gas are performed again. The light intensity thus obtained by the first and second detection elements 25a and 25b are represented by 12 R 2 and 13 R 2 , respectively. IIIb-6. Sample gas measurement If the base gas is diluted in "IIIb-4. Base gas measurement", the sample gas is sucked from the breath sampling bag, and then mechanically pushed out at a constant flow rate by the gas injector 21. At this time, light intensity are measured by the detection elements 25a and 25b. If the base gas is not diluted in "IIIb-4. Base gas measurement", the sample gas is diluted with the reference gas to a CO 2 concentration level equivalent to that of the base gas in the gas injector 21, and then the intensity of light transmitted through the sample gas is measured by means of the detection elements 25a and 25b. The light intensity thus obtained by the first and second detection elements 25a and 25b are represented by 12 S and 13 S, respectively. IIIb-7. Reference measurement The cleaning of the gas flow path and the cells and the light intensity measurement on the reference gas are performed again. The light intensity thus obtained by the first and second detection elements 25a and 25b are represented by 12 R 3 and 13 R 3 , respectively. IV. Data processing IV-1. Calculation of absorbances for base gas Absorbances 12 Abs(B) and 13 Abs(B) of 12 CO 2 and 13 CO 2 in the base gas are calculated on the basis of the transmitted light intensity 12 R 1 , 13 R 1 , 12 R 2 and 13 R 2 for the reference gas and the transmitted light intensity 12 B and 13 B for the base gas obtained in the measuring procedure 1 or in the measuring procedure 2. The absorbance 12 Abs(B) of 12 CO 2 is calculated from the following equation: 12 Abs(B)=-log[2· 12 B/( 12 R 1 + 12 R 2 )] The absorbance 13 Abs(B) of 13 CO 2 is calculated from the following equation: 13 Abs(B)=-log[2· 13 B/( 13 R 1 + 13 R 2 )] Since the calculation of the absorbances is based on the light intensity obtained in the base gas measurement and the averages ( 12 R 1 + 12 R 2 )/2 and ( 13 R 1 + 13 R 2 )/2 of the light intensity obtained in the reference measurements performed before and after the base gas measurement, the influence of a drift (a time-related influence on the measurement) can be eliminated. Therefore, when the apparatus is turned on, there is no need for waiting until the apparatus reaches a thermal equilibrium (it usually takes several hours). Where the measuring procedure of the base gas measurement, the reference gas measurement and the base gas measurement, and the sample gas measurement, the reference gas measurement and the sample gas measurement as describe at the beginning of "IIIa" is employed, the absorbance 12 Abs(B) of 12 CO 2 in the base gas is calculated from the following equation: 12 Abs(B)=-log[( 12 B 1 + 12 B 2 )/2· 12 R] and the absorbance 13 Abs(B) of CO 2 is calculated from the following equation: 13 Abs(B)=-log[( 13 B 1 + 13 B 2 )/2· 13 R] wherein 12 R and 13 R are the transmitted light intensity for the reference gas, 12 B 1 and 13 B 1 are the transmitted light intensity for the base gas obtained before the reference gas measurement, and 12 B 2 and 13 B 2 are the transmitted light intensity for the base gas obtained after the reference gas measurement. IV-2. Calculation of absorbances for sample gas Absorbances 12 Abs(S) and 13 Abs(S) of 12 CO 2 and 13 CO 2 in the sample gas are calculated on the basis of the transmitted light intensity 12 R 2 , 13 R 2 , 12 R 3 and 13 R 3 for the reference gas and the transmitted light intensity 12 S and 13 S for the sample gas obtained in the measuring procedure 1 or in the measuring procedure 2. The absorbance 12 Abs(S) of 12 CO 2 is calculated from the following equation: 12 Abs(S)=-log[2· 12 S/( 12 R 2 + 12 R 3 )] The absorbance 13 Abs(S) of 13 CO 2 is calculated from the following equation: 13 Abs(S)=-log[2· 13 S/( 13 R 2 + 13 R 3 )] Since the calculation of the absorbances is based on the light intensity obtained in the sample gas measurement and the averages of the light intensity obtained in the reference measurements performed before and after the sample gas measurement, the influence of a drift can be eliminated. Where the measuring procedure of the base gas measurement, the reference gas measurement and the base gas measurement, and the sample gas measurement, the reference gas measurement and the sample gas measurement as describe at the beginning of "IIIa" is employed, the absorbance 12 Abs(S) of 12 CO 2 in the sample gas is calculated from the following equation: 12 Abs(S)=-log[( 12 S 1 + 12 S 2 )/2· 12 R] and the absorbance 13 Abs(S) of 13 CO 2 is calculated from the following equation: 13 Abs(S)=-log[( 13 S 1 + 13 S 2 )/2· 13 R] wherein 12 R and 13 R are the transmitted light intensity for the reference gas, 12 S 1 and 13 S 1 are the transmitted light intensity for the sample gas obtained before the reference gas measurement, and 12 S 2 and 13 S 2 are the transmitted light intensity for the sample gas obtained after the reference gas measurement. IV-3. Calculation of concentrations The 12 CO 2 concentration and the 13 CO 2 concentration are calculated by using calibration curves. The calibration curves for 12 CO 2 and 13 CO 2 are prepared on the basis of measurement performed by using gaseous samples of known 12 CO 2 concentrations and gaseous samples of known 13 CO 2 concentrations, respectively. For preparation of the calibration curve for 12 CO 2 , the 12 CO 2 absorbances for different 12 CO 2 concentrations within a range of about 0% to about 6% are measured. The 12 CO 2 concentrations and the 12 CO 2 absorbances are plotted as abscissa and ordinate, respectively, and the curve is determined by the method of least squares, An appronimate quadratic curve, which includes relatively small errors, is employed as the calibration curve in this embodiment. For preparation of the calibration curve for 13 CO 2 , the 13 CO 2 absorbances for different 13 CO 2 concentrations within a range of about 0.00% to about 0.07% are measured. The 13 CO 2 concentrations and the 13 CO 2 absorbances are plotted as abscissa and ordinate, respectively, and the curve is determined by the method of least squares. An approximate quadratic curve, which includes relatively small errors, is employed as the calibration curve in this embodiment. Strictly speaking, the 13 CO 2 absorbance determined by individually measuring gases respectively containing 12 CO 2 and 13 CO 2 may be different from the 13 CO 2 absorbance determined by measuring a gas containing both 12 CO 2 and 13 CO 2 . This is because the wavelength filters each have a bandwidth and the 12 CO 2 absorption spectrum partially overlaps 13 CO 2 absorption spectrum. Since gases containing both 12 CO 2 and 13 CO 2 are to be measured in this measurement method, the overlap of these spectra should be corrected for preparation of the calibration curves. The calibration curves to be employed in this measurement are subjected to the correction for the overlap of the absorption spectra. For preparation of the calibration curve for the 12 CO 2 concentration, the 12 CO 2 absorbances for 20 different 12 CO 2 concentrations within a range of about 0% to about 6% are measured. The 12 CO 2 concentrations and the 12 CO 2 absorbances are plotted as abscissa and ordinate, respectively, as shown in Fig. 17A. The curve, which passes through the respective data points, is determined by the method of least squares. An approximate quadratic curve includes the least error. Therefore, the approximate quadratic curve is employed as the calibration curve for 12 CO 2 in this embodiment. In turn, five data points are selected which are located around the 12 CO 2 concentration of the base gas previously determined on the basis of the calibration curve for 12 CO 2 . The five data points fall within a concentration range of 1.5%, which accounts for 25% of the entire concentration range (6%) of the calibration curve shown in Fig. 17A. Then, the data within the limited concentration range are used for the preparation of a new calibration curve (see Fig. 17B). It is confirmed that the preparation of the calibration curve within the limited data range improves the conformity of the data to the approximate curve, thereby remarkably reducing errors associated with the preparation of the calibration curve. The 12 CO 2 concentration of the base gas is determined on the basis of the absorbance 12 Abs(B) of the base gas by using the new calibration curve for 12 CO 2 . The 12 CO 2 concentration of the sample gas is determined in the same manner. For preparation of the calibration curve for the 13 CO 2 concentration, the 13 CO 2 absorbances for 20 different 13 CO 2 concentrations within a range of about 0.00% to about 0.07% are measured. The 13 CO 2 concentrations and the 13 CO 2 absorbances are plotted as abscissa and ordinate, respectively, as shown in Fig. 18A. The curve, which passes through the respective data points, is determined by the method of least squares. An approximate quadratic curve includes the least error. Therefore, the approximate quadratic curve is employed as the calibration curve for 13 CO 2 in this embodiment. In turn, five data points are selected which are located around the 13 CO 2 concentration of the base gas previously determined on the basis of the calibration curve for 13 CO 2 . The five data points fall within a concentration range of 0.015%, which accounts for about 1/4 of the entire concentration range (0.07%) of the calibration curve shown in Fig. 18A. Then, the data within the limited concentration range are used for the preparation of a new calibration curve (see Fig. 18B). It is confirmed that the preparation of the calibration curve within the limited data range improves the conformity of the data to the approximate curve, thereby remarkably reducing errors associated with the preparation of the calibration curve. The 13 CO 2 concentration of the base gas is determined on the basis of the absorbance 13 Abs(B) of the base gas by using the new calibration curve for 13 CO 2 . The 13 CO 2 concentration of the sample gas is determined in the same manner. The 12 CO 2 concentration and 13 CO 2 concentration of the base gas are represented by 12 Conc(B) and 13 Conc(B), respectively. The 12 CO 2 concentration and 13 CO 2 concentration of the sample gas are represented by 12 Conc(S) and 13 Conc(S), respectively. IV-4. Calculation of concentration ratios The concentration ratio of 13 CO 2 to 12 CO 2 is determined. The concentration ratios in the base gas and in the sample gas are expressed as 13 Conc(B)/ 12 Conc(B) and 13 Conc(S)/ 12 Conc(s), respectively. Alternatively, the concentration ratios in the base gas and in the sample gas may be defined as 13 Conc(B)/ 12 Conc(B)+ 13 Conc(B) and 13 Conc(S)/ 12 Conc(S)+ 13 Conc(S), respectively. Since the 12 CO 2 concentration is much higher than the 13 CO 2 concentration, the concentration ratios expressed in the former way and in the latter way are substantially the same. IV-5a. Correction of concentration ratios As described in "BACKGROUND ART", the concentration ratios obtained in the aforesaid manner deviate from actual concentrations, depending on the 12 CO 2 concentration. Although the cause of the deviation has not been elucidated yet, the deviation supposedly results from changes in the spectroscopic characteristics such as reflectance, refractive index and stray light in dependence on the 12 CO 2 concentration and from the error characteristics of the least square method employed for preparation of the calibration curves. If the concentration ratio is determined without correcting the deviation, a critical error may result. Therefore, absorbances 12 Abs and 13 Abs of 12 CO 2 and 13 CO 2 in gaseous samples having the same concentration ratio but different 12 CO 2 concentrations are measured, and the 13 CO 2 and 12 CO 2 concentrations and 13 CO 2 concentration ratios of the gaseous samples are determined by using the calibration curves. Then, the 12 CO 2 concentrations 12 Conc and the concentration ratios 13 Conc/ 12 Conc are plotted as abscissa and ordinate, respectively. The result is shown in Fig. 1. The concentration ratios plotted as ordinate in the graph of Fig.1 are not normalized. The concentration ratios may be normalized for easy processing of data. Fig. 19 illustrates a graph obtained by way of standardization of the concentration ratios in which a concentration ratio in a gaseous sample of the lowest CO 2 concentration is regarded as "1". (The concentration ratios thus normalized are hereinafter referred to as "normalized concentration ratios".) To obtain an approximate curve accommodating these plotted data, the method of least squares is employed for approximation of the data. It is experientially known that a function of the fourth degree expressed by the following equation (1) provides the most accurate approximate curve. F(x) = ax 4 + bx 3 + cx 2 + dx + e wherein F is a normalized concentration ratio, a to d are coefficients, e is a constant, and x is a 12 CO 2 concentration. Therefore, the fourth-order function (1) is used as a correction equation. Alternatively, a spline function may be used. Standardized 13 CO 2 / 12 CO 2 concentration ratios are calculated from the correction equation (1) on the basis of the 12 CO 2 concentrations 12 Conc(B) and 12 Conc(S) in the breath samples of the patient. Then, the concentration ratios 13 Conc(B)/ 12 Conc(B) and 13 Conc(S)/ 12 Conc(S) of the base gas and the sample gas obtained in the measurement are respectively divided by the normalized concentration ratios calculated from the correction equation (1). Thus, corrected concentration ratios are obtained as follows: Corrected concentration ratio = 13 Conc(B)/[ 12 Conc(B)·F( 12 Conc(B))] Corrected concentration ratio = 13 Conc(S)/[ 12 Conc(S)·F( 12 Conc(S))] IV-5b. Correction of concentration ratios The 13 CO 2 concentration ratios of the base gas and the sample gas are subjected to a correction for oxygen concentration according to the present invention. The 13 CO 2 concentration ratios are corrected by using a graph (Fig. 2) in which measurements of the 13 CO 2 concentration ratio are plotted with respect to the oxygen contents of gaseous samples. More specifically, normalized 13 CO 2 concentration ratios are obtained from the graph shown in Fig. 2 on the basis of the concentrations of oxygen in the breath samples which are measured by means of the O 2 sensor. Then, the 13 CO 2 concentration ratios of the base gas and the sample gas are respectively divided by the normalized 13 CO 2 concentration ratios. Thus, the 13 CO 2 concentration ratios corrected depending on the oxygen concentrations can be obtained. IV-6. Determination of change in 13 C A difference in 13 C between the sample gas and the base gas is calculated from the following equation: Δ 13 C = [Concentration ratio of sample gas - Concentration ratio of base gas] x 10 3 / [Concentration ratio of base gas] (Unit: per mill) V. Modification The present invention is not limited to the embodiment described above. In the above-mentioned embodiment, the 12 CO 2 and 13 CO 2 concentrations of the base gas and the sample gas are determined, then the concentration ratios thereof are calculated, and the concentration ratios are subjected to the oxygen concentration correction. Alternatively, the concentration ratios may be determined after the 12 CO 2 and 13 CO 2 concentrations of the base gas and the sample gas are determined and the 12 CO 2 and 13 CO 2 concentrations are corrected by way of the oxygen concentration correction. VI. Experiments VI-1. The absorbances of gaseous samples respectively containing 12 CO 2 in concentrations 12 Conc of 1%, 2%, 3%, 4%, 5% and 6% with a concentration ratio 13 Conc/ 12 Conc of 1.077% were measured in accordance with the method for spectrometrically measuring an isotopic gas. The 12 CO 2 concentrations 12 Conc and 13 CO 2 concentrations 13 Conc of the gaseous samples were determined on the basis of the measured absorbances by using the calibration curves. The 12 CO 2 concentrations 12 Conc and the concentration ratios 13 Conc/ 12 Conc were plotted as abscissa and ordinate, respectively, as shown in Fig. 20. The maximum and minimum values of the concentration ratios 13 Conc/ 12 Conc were 1.083% and 1.076%, respectively, and the difference therebetween was 0.007%. In turn, the concentration ratios 13 Conc/ 12 Conc were corrected by using the correction equation (1), thus providing a less undulant curve as shown in Fig. 21. In Fig. 21, the maximum and minimum values of the concentration ratios 13 Conc/ 12 Conc were 1.078% and 1.076%, respectively, and the difference therebetween was 0.0015%. Therefore, the correction with the correction equation (1) remarkably reduced the variation in the concentration ratio 13 Conc/ 12 Conc. VI-2. The absorbances of gaseous samples respectively containing 12 CO 2 in concentrations 12 Conc of 1%, 2%, 3%, 4%, 5% and 6% with a concentration ratio 13 Conc/ 12 Conc of 1.065% were measured in accordance with the method for spectrometrically measuring an isotopic gas. The 12 Conc and the 13 Conc were determined on the basis of the measured absorbances by using the calibration curves shown in Figs. 17A and 18A. The 12 CO 2 concentrations 12 Conc and the concentration ratios 13 Conc/ 12 Conc were plotted as abscissa and ordinate, respectively, as shown in Fig. 22. The maximum and minimum values of the concentration ratios 13 Conc/ 12 Conc were 1.077% and 1.057%, respectively, and the difference therebetween was 0.02%. In turn, concentration ratios 13 Conc/ 12 Conc were determined by using the calibration curves shown in Figs. 17A and 18A and then using the limited-range calibration curves shown in Figs. 17B and 18B, thus providing a less undulant curve as shown in Fig. 23. In Fig. 23, the maximum and minimum values of the concentration ratios 13 Conc/ 12 Conc were 1.066% and 1.064%, respectively, and the difference therebetween was 0.002%. Therefore, the method of the present invention, in which the calibration curves were produced again, remarkably reduced the variation in the concentration ratio 13 Conc/ 12 Conc. VI-3. The absorbances of gaseous samples having different known 13 CO 2 concentration ratios and containing various concentration of oxygen (up to 90%) were measured, and then the 13 CO 2 concentration ratios were determined on the basis of the measured absorbances by using the calibration curves. Further, the 13 CO 2 concentration ratios thus determined were corrected by using a correction line as shown in Fig. 2. The actual 13 CO 2 concentration ratios and the 13 CO 2 concentration ratios thus corrected were normalized, and plotted as abscissa and ordinate, respectively, as shown in Fig. 24. In Fig. 24, the relationship between the actual 13 CO 2 concentration ratio and the measured 13 CO 2 concentration ratio is about 1:1 (or the scope of the fitting curve in Fig. 24 is about 1). In comparison with the prior art shown in Fig. 4, in which the relationship between the actual 13 CO 2 concentration ratio and the measured 13 CO 2 concentration ratio is about 1:0.3 (or the scope of the fitting curve is about 0.3), the measurement accuracy was drastically improved by performing the correction. Thus, the correction using the correction line remarkably improved the accuracy of the measurement of the 13 CO 2 concentration ratio. VI-4. The 12 CO 2 concentration of the same sample gas containing carbon dioxide was measured a plurality of times by means of the apparatus for spectrometrically measuring an isotopic gas. After one hour warming-up of apparatus, a measuring procedure consisting of the reference gas measurement, the sample gas measurement, the reference gas measurement, the sample gas measurement and the reference gas measurement were performed ten times on the same sample gas. The 12 CO 2 concentration was determined in each cycle of the measuring procedure in accordance with the method A of the present invention in which the absorbance of 12 CO 2 in the sample gas was determined on the basis of an average of values obtained in the reference gas measurements performed before and after the sample gas measurement, and in accordance with the prior art method B in which the absorbance of 12 CO 2 in the sample gas was determined on the basis of a value obtained in the reference measurement only before the sample gas measurement. The results of the calculation of the concentrations in accordance with the method A are shown in Table 1. In Table 1, the concentrations obtained in the second and subsequent measurements were normalized by regarding a concentration obtained in the first measurement as "1". The standard deviation of the concentration data calculated in accordance with the method A was 0.0009. 1 2 3 4 5 1 1.0011 0.9996 0.9998 1.0011 6 7 8 9 10 0.9982 1 1.0014 1.0005 1.0006 The results of the calculation of the concentrations in accordance with the method B are shown in Table 2. In Table 2, the concentrations obtained in the second and subsequent measurements were normalized by regarding a concentration obtained in the first measurement as "1". The standard deviation of the concentration data calculated in accordance with the method B was 0.0013. 1 2 3. 4 5 1 1.0024 1.0001 0.9996 1.0018 6 7 8 9 10 0.9986 1 1.0022 1.0014 1.0015 As can be understood from the foregoing, the method of the present invention, in which the absorbances are determined on the basis of the light intensity measured on the sample gas and an average of the light intensity measured on the reference gas, provides concentration data with little variation.

Claims: A breath sampling bag (1) comprising a plurality of breath accumulating chambers (1a, 1b) joined together for respectively accumulating a plurality of breath samples; characterized in a plurality of breath introduction pipes (2a, 2b) being specially adapted to be respectively connected to a plurality of breath inlets (N 1 , N 2 ) of a gas measuring apparatus for breath measurement in order to introduce the breath samples from the respective breath accumulating chambers into the gas measuring apparatus, whereby the breath introduction pipes (2a, 2b) are each configured such that the breath introduction pipes (2a, 2b) are prevented from being connected to wrong breath inlets of the gas measuring apparatus such that a user would notice a connection mistake. A breath sampling bag (1) as set forth in claim 1, characterized in that the breath introduction pipe (2a, 2b) has resistance generating means (4a, 4b) for generating a resistance to the blowing of the breath during sampling of the breath. A breath sampling bag (1) as set forth in claim 1, characterized in that the breath introduction pipe (2a, 2b) has a detachable filter (7a, 7b) for removing moisture from the breath during sampling of the breath. A breath sampling bag (1) as set forth in claim 1, characterized in that the breath introduction pipe (2a, 2b) has a valve (3a, 3b) for preventing the back flow of the sampled breath. A gas measuring apparatus, which is adapted to measure a plurality of breath samples accumulated in a breath sampling bag (1); characterized in a plurality of breath inlets (N 1 , N 2 ) for introducing the breath samples from a plurality of breath accumulating chambers (1a, 1b) of a breath sampling bag (1) through a plurality of breath introduction pipes (2a, 2b), said plurality of breath inlets (N 1 , N 2 ) being specially adapted to be respectively connected to a plurality of breath introduction pipes (2a, 2b) of said breath sampling bag(1), whereby the breath inlets (N 1 , N 2 ) are each configured such that the breath inlets (N 1 , N 2 ) are prevented from being connected to wrong breath introduction pipes (2a, 2b) of the breath sampling bag(1) such that a user would notice a connection mistake. A gas measuring apparatus, as set forth in claim 5 characterized in that the breath inlet (N 1 , N 2 ) has means for disabling the function of a back-flow prevention valve (3a, 3b) in the breath introduction pipe (2a, 2b) when the breath introduction pipe (2a, 2b) is connected to the breath inlet (N 1 , N 2 ).

Inventors: HAMAO TAMOTSU, KUBO YASUHIRO, MARUYAMA TAKASHI, MORI MASAAKI, HAMAO, TAMOTSU, KUBO, YASUHIRO, MARUYAMA, TAKASHI, MORI, MASAAKI
Applicants: OTSUKA PHARMA CO LTD, OTSUKA PHARMACEUTICAL COMPANY, LIMITED
Application year: 1996
Main classification: A61B5
IPC codes: G01N21, G01N33, A61B10, A61B5