CN106938121A - External defibrillation pacing system - Google Patents
External defibrillation pacing system Download PDFInfo
- Publication number
- CN106938121A CN106938121A CN201610006344.2A CN201610006344A CN106938121A CN 106938121 A CN106938121 A CN 106938121A CN 201610006344 A CN201610006344 A CN 201610006344A CN 106938121 A CN106938121 A CN 106938121A
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- Prior art keywords
- defibrillation
- heart
- user
- sufferer
- pace
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3925—Monitoring; Protecting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/024—Detecting, measuring or recording pulse rate or heart rate
- A61B5/0245—Detecting, measuring or recording pulse rate or heart rate by using sensing means generating electric signals, i.e. ECG signals
- A61B5/02455—Detecting, measuring or recording pulse rate or heart rate by using sensing means generating electric signals, i.e. ECG signals provided with high/low alarm devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/346—Analysis of electrocardiograms
- A61B5/349—Detecting specific parameters of the electrocardiograph cycle
- A61B5/366—Detecting abnormal QRS complex, e.g. widening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/746—Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Cardiology (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
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- Surgery (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Biophysics (AREA)
- Physics & Mathematics (AREA)
- Physiology (AREA)
- Signal Processing (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Pulmonology (AREA)
- Electrotherapy Devices (AREA)
Abstract
The present invention is a kind of external defibrillation pacing system, it is adaptable to the rescue and treatment of medical field heart patient.The present invention is selected to be best suitable for the stimulation mode of user by result of the controller according to cardiac monitoring, and the historical record stored on storage card, treated by sufferer electrocardio characteristic automatic or manual defibrillation pace-making, selection therapy.The defibrillation effect of user more preferably, is paced more stable.And reduce the actual bodily harm to user and sequelae.And embedding in vivo need not easily be repaired after going wrong with regard to pace-making effect can be played, and without the risk of infection.It can facilitate sufferer not in hospital, and save somebody's life and use in the case of the urgent pace-making to defibrillation of needs.Symptom is slighter, and the system also may be selected in the sufferer for being not required to real-time monitoring.It has the advantages that curative effect is high, it is fast, easy to operate to act on and compared with medicine it is safer.
Description
Technical field
Present invention relates to a kind of external defibrillation pacing system, it is adaptable to the rescue and treatment of medical field heart patient.
Background technology
Defibrillator is also known as electrical conversion machine, mainly by defibrillation charge/discharge circuit, electrocardiosignal amplification/display circuit, control circuit, elecrocardiogram recorder, power supply with
And the composition such as defibrillation electrode plate, it is one of current clinically widely used crash equipment.It acts on heart with pulse current, implements peb treatment, eliminates arrhythmia cordis,
Heart is recovered sinus rhythm, it have the advantages that curative effect is high, it is fast, easy to operate to act on and compared with medicine it is safer.
Type includes internal defibrillation device and external defibrillator.Internal defibrillation device is to place an electrode within intrathoracic direct contact cardiac muscle to carry out defibrillation, the letter of early stage internal defibrillation device structure
It is single, directly cardiac muscle is shocked by electricity when being mainly used in out chest openheart surgery, modern internal defibrillation device is embedded.External defibrillator is that electrode is placed on into thoracic wall to be removed indirectly
Quiver, the defibrillator of current Clinical practice belongs to greatly this type.
Pacemaker is a kind of electric pulse for being implanted in internal electronic therapeutic instrument, providing energy by battery by impulse generator granting, by the conduction of lead electrode,
The cardiac muscle that stimulating electrode is contacted, makes heart excitement and shrinks, so as to reach treatment due to the purpose of some arrhythmia caused heart dysfunctions.First in 1958
Since pacemaker implantation human body, pacemaker manufacturing technology and technique are fast-developing, and function is gradually improved.Slow arrhythmia is successfully being treated using pacemaker, drawn
While having rescued thousands of patient vitals, pacemaker also begins to be applied to tachyarrhythmia and non-electrocardio disease, such as prevention paroxysmal atrial tachyarrhythmias, neck
Artery sinus is fainted, dual chamber synchronous therapeutic drug refractory congestive heart failure etc..
But current defibrillator can not be applicable patient customization intensity, custom frequencies, the stimulus signal of the electric phase of customization in defibrillation according to the electrocardio characteristic of user.
Physical hazard easily is caused to sufferer.And pacemaker can only can just be worked by embedding in vivo, complication is high, and has certain probability to break down.
The content of the invention
To solve the above problems, the invention provides a kind of external defibrillation pacing system different from existing traditional defibrillation pacemaker, used with heart monitor automatic detection
The various physiological signals of person's heart, then automatically analyze the physiological signal detected, through the electrode of human external, the stimulation to heart being customized small-power low-voltage.
For the cardiac characteristic of different sufferers, the stimulus signal that can be sent including but not limited to customization intensity, custom frequencies, the electric phase of customization carrys out defibrillation pace-making.It can be carried out automatically
Guard, judge arrhythmia cordis, treated by sufferer electrocardio characteristic automatic or manual defibrillation pace-making, selection therapy.
Ventricular fibrillation or when fluttering, carrys out defibrillation using the nonsynchronous stimulus signal of R ripples with patient itself and paces.Except ventricular fibrillation and all rapidity hearts in addition to fluttering
Not normal, such as supraventricular and Ventricular Tachycardia is restrained, the stimulus signal synchronous with the R ripples of patient itself can be used to carry out defibrillation pace-making.It utilizes human ecg signal R ripples
The granting of electric pulse is controlled, shock pulse is just fallen in R ripple decents, rather than vulnerable period, so that the generation of ventricular fibrillation is avoided,.
Small electric pulse is sent to heart when needing.Wire is made up of insulated conductor, and electrode is responsible for transmitting small electric pulse to human body, and cardiac stimulus is beated,
Regular electric pulse is sent, heart can be made to keep bounce.Its electricity consumption impulse action implements peb treatment in heart, eliminates arrhythmia cordis, heart is recovered sinus rhythm,
The technical solution adopted in the present invention is：By the heart physiological signal of heart monitor monitoring record user, by result of the controller according to cardiac monitoring, Yi Jicun
The historical record stored in card storage come select be best suitable for user stimulation mode, by sufferer electrocardio characteristic automatic or manual defibrillation pace-making, selection therapy treated.By except
Pacing electrode of quivering and wire are delivered to the cardia of user.Whole system provides energy by a portable rechargable power supplies.
In above-mentioned technical proposal, more specifically technical scheme can also be：Heart monitor and controller are all connected to cardia, are used by heart monitor monitoring record
The various physical signs of person's heart, heart monitor can show the various physical signs detected, including but not limited to user's heart rate, ecg wave form, electric phase etc., be remembered
Record in storage card.Controller carries diagnostic function, to various rhythm abnormality energy automatic alarms, including but not limited to tachycardia, bradycardia, cardiac arrest etc..Its energy
Automatically guarded, judged arrhythmia cordis, treated by sick allegiant electrical characteristics automatic or manual defibrillation pace-making, selection therapy.Automatically again can be advance according to the index detected
It is set as, various physical signs (A) Complete Synchronization (B) measured with heart monitor is asynchronous, nonsynchronous degree that misplaces is performed and can adjusted according to presetting,
Including but not limited in the ascending branch or decent of decent ripple, crest or trough.Such as including but not limited to the QRS wave group synchronization in (A) discharge pulse and ecg wave form
Or asynchronous, the electric phase and the electric Phase synchronization or asynchronous of heart biology of (B) discharge pulse.Whole system provides energy by a portable rechargable power supplies.
Due to using above-mentioned technical proposal, the present invention has the advantages that compared with prior art：
The present invention can customize the defibrillation pace-making cardiac stimulation scheme of most suitable user according to the cardiac characteristic of sufferer, and the defibrillation effect of user more preferably, is paced more stable.
And the actual bodily harm to user and sequelae are reduced, for example：Reduce including but not limited to thrombotic risk.And need not be embedding with regard to pace-making effect can be played in vivo,
Easily repaired after going wrong, and without the risk of infection.It can facilitate sufferer not in hospital, and save somebody's life and use in the case of the urgent pace-making to defibrillation of needs.Symptom compared with
Slightly, the system also may be selected in the sufferer for being not required to real-time monitoring.It has the advantages that curative effect is high, it is fast, easy to operate to act on and compared with medicine it is safer.
The technical characteristic of the invention
Heart monitor described in the content of the invention, is different from conventional art and is characterised by：Electrocardiosignal is obtained by electrode, is shown on screen, it is possible to record
The heart physiological index of user, and the various heart physiological indexs monitored are delivered to control box and storage card, can automatic alarm when noting abnormalities.
Controller described in the content of the invention, is different from conventional art and is characterised by：Possess default order and program, include charge/discharge circuit, control circuit, the heart
Electric signal amplification/display circuit, elecrocardiogram recorder.It can receive and analyze electro-cardio signal, can voluntarily judge user's electrocardio situation and automatic to user's progress defibrillation
Pace-making, can also receive control manually and carry out defibrillation pace-making to user.The stimulus signal for coordinating sufferer cardiac characteristic can be sent, including but not limited to determining for suitable specific sufferer
Voltage processed, custom frequencies, the stimulus signal of the electric phase of customization.It can automatically be guarded, be judged arrhythmia cordis, by sufferer electrocardio characteristic automatic or manual defibrillation pace-making, choosing
Therapy is selected to be treated.
Storage card described in the content of the invention, is different from conventional art and is characterised by：Detachably, the various cardiac electrophysiologies that heart monitor monitors can be stored automatically to refer to
Mark is used for subsequent analysis.
Defibrillation pacing electrode and wire described in the content of the invention, are different from conventional art and are characterised by：Electrode can be fixed on skin, and is sent and included according to instruction
But it is not limited to varying strength, different frequency, the electric pulse of different potentials phase.
Invention brief description of the drawings
The schematic diagram of Fig. 1 present invention.
Part coding explanation：
1 heart monitor
2 controllers
3 storage cards
4 power supplys
5 defibrillation pacing electrodes
6 wires
Embodiment
The present invention is made in conjunction with the accompanying drawings and embodiments and being further illustrated.
As described in Figure 1, heart monitor (1) and controller (2) are all connected to cardia, by the various physiology of heart monitor (1) monitoring record user's heart
Index heart monitor (1) can show the various physical signs detected, including but not limited to user's heart rate, ecg wave form, electric phase etc., be recorded in storage card
(3) in.Controller (2) carries diagnostic function, to various rhythm abnormality energy automatic alarms, including but not limited to tachycardia, bradycardia, cardiac arrest etc..Its energy
Automatically guarded, judged arrhythmia cordis, treated by sick allegiant electrical characteristics automatic or manual defibrillation pace-making, selection therapy.
Embodiment 1：
Feel normal when there is (1) user, (2) user feels under the weather, (3) user's heartbeat overruns, it is too slow, stop fighting, (4) doctor feels the need to
Situation, more than in four kinds of situations, sufferer or doctor are with the various physical signs of heart monitor (1) automatic detection heart, then according to detected physical signs,
Through the defibrillation pacing electrode (5) and wire (6) of human external, small-power low-voltage and personalized thorn can be made to user's heart according to the index detected automatically
Swash, control manually can also be received defibrillation pace-making is carried out to user.
Above-mentioned stimulation is the various physical signs with the use of person's heart cut the garment according to the figure, user is made with the use of person's cardiac characteristic, customization stimulation, comprising but
It is not limited to customize voltage, custom frequencies, the stimulation of the electric phase of customization；With current thousand people one side, regardless of user's heart condition, without exception using high-power, high-tension
The shock by electricity heart of sufferer of mode is compared, and has following advantages：(1) it is more scientific and reasonable, (2) than less likely sufferer is damaged and sequelae, including but not limited to thrombus wind
Danger.
Embodiment 2：
Heart monitor (1) detects after exception have following three kinds of processing modes (A) to alarm, and points out user to go to hospital at once, but do not made to user's heart
Stimulate, (B) exceptional value exceeds after certain limit, the stimulation of customization is made to user's heart according to the index detected automatically, to race against time.(C) doctor can select
The dirty mode of disease loyalty is stimulated in automatic or manual mode, voltage, custom frequencies, the electric phase of customization is including but not limited to customized.
Selected to be best suitable for user by result of the controller (2) according to cardiac monitoring, and the historical record stored on storage card (3), including but not limited to customized
Electric pulse intensity, custom stimulation frequency, the electric phase of customization are stimulated.
Embodiment 3：
Automatically it can be redefined for, various physical signs (A) Complete Synchronization (B) measured with heart monitor is asynchronous, misplace asynchronous again according to the index detected
Degree perform and can adjust according to presetting, include but is not limited to the ascending branch or decent in decent ripple, crest or trough.Such as including but not limited to (A)
Discharge pulse and the QRS wave group synchronization or asynchronous in ecg wave form, the electric phase and the electric Phase synchronization or asynchronous of heart biology of (B) discharge pulse.Whole system is by one
Portable rechargable power supplies (4) provide energy.
Claims (6)
1. a kind of external defibrillation pacing system, can be applied to the medical application of heart patient, the system include heart monitor, controller, storage card, defibrillation pacing electrode and
Wire, power supply, with the various physical signs of heart monitor automatic detection user's heart, then automatically analyze detected physical signs, through human external
Electrode, the stimulation to heart being customized small-power low-voltage.For the cardiac characteristic of different sufferers, it can send including but not limited to varying strength, difference
The stimulus signal of frequency, different electric phases.
2. heart monitor as described in claim 1, it is characterised in that：Electrocardiosignal is obtained by electrode, is shown on screen, it is possible to record the heart of user
Physical signs, and the various heart physiological indexs monitored are delivered to control box and storage card, can automatic alarm when noting abnormalities.
3. controller as described in claim 1, it is characterised in that：Possess default order and program, comprising charge/discharge circuit, control circuit, electrocardiosignal amplification/
Display circuit, elecrocardiogram recorder.It can receive and analyze electro-cardio signal, can voluntarily judge user's electrocardio situation and automatic to user's progress defibrillation pace-making,
Control manually can also be received defibrillation pace-making is carried out to user.The stimulus signal for coordinating sufferer cardiac characteristic can be sent, including but not limited to the spy for being adapted to specific sufferer
Determine voltage, specific frequency, the stimulus signal of specific electric phase.It can automatically be guarded, judged arrhythmia cordis, be risen by sufferer electrocardio characteristic automatic or manual defibrillation
Fight, select therapy to be treated.
4. storage card as described in claim 1, it is characterised in that：Detachably, the various cardiac electrophysiology indexs that heart monitor monitors can be stored automatically supplies subsequent analysis
Use.
5. defibrillation pacing electrode as described in claim 1 and wire, it is characterised in that：Electrode can be fixed on skin, and is sent according to instruction including but not limited to not
Same intensity, different frequency, the electric pulse of different potentials phase.
6. power supply as described in claim 1, it is characterised in that：It is chargeable, can external power supply.
Priority Applications (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610006344.2A CN106938121A (en) | 2016-01-05 | 2016-01-05 | External defibrillation pacing system |
| PCT/IB2017/050040 WO2017118933A1 (en) | 2016-01-05 | 2017-01-05 | Heart defibrillation pacing method and system |
| JP2018544214A JP2019506954A (en) | 2016-01-05 | 2017-01-05 | Cardiac defibrillation pacing method and system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610006344.2A CN106938121A (en) | 2016-01-05 | 2016-01-05 | External defibrillation pacing system |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN106938121A true CN106938121A (en) | 2017-07-11 |
Family
ID=59469560
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610006344.2A Pending CN106938121A (en) | 2016-01-05 | 2016-01-05 | External defibrillation pacing system |
Country Status (1)
| Country | Link |
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| CN (1) | CN106938121A (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108371752A (en) * | 2018-04-13 | 2018-08-07 | 深圳华腾生物医疗电子有限公司 | A kind of temporary cardiac pacing plug-in unit and cardiac monitoring pacing system |
| CN108543221A (en) * | 2018-05-14 | 2018-09-18 | 上海掌门科技有限公司 | It is a kind of for the stethoscope system of electric defibrillation, electric defibrillation method, equipment and medium |
| WO2022095927A1 (en) * | 2020-11-05 | 2022-05-12 | 合源医疗器械(上海)有限公司 | Pacing control method, pacing control apparatus, and medical device |
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| CN101500646A (en) * | 2006-08-16 | 2009-08-05 | 皇家飞利浦电子股份有限公司 | External defibrillators for analysis of multiple arrhythmia conditions |
| WO2013102062A1 (en) * | 2011-12-30 | 2013-07-04 | Cardialen, Inc. | Low-energy atrial cardioversion therapy with controllable pulse-shaped waveforms |
| CN103933665A (en) * | 2013-12-10 | 2014-07-23 | 电子科技大学 | Heart defibrillation method capable of automatically generating and controlling discharge mode and device thereof |
| CN104870050A (en) * | 2012-05-31 | 2015-08-26 | 佐尔医药公司 | Medical monitoring and treatment device with external pacing |
| CN205867311U (en) * | 2016-01-05 | 2017-01-11 | 陈生泰 | Externally defibrillat pace -making system |
-
2016
- 2016-01-05 CN CN201610006344.2A patent/CN106938121A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101500646A (en) * | 2006-08-16 | 2009-08-05 | 皇家飞利浦电子股份有限公司 | External defibrillators for analysis of multiple arrhythmia conditions |
| WO2013102062A1 (en) * | 2011-12-30 | 2013-07-04 | Cardialen, Inc. | Low-energy atrial cardioversion therapy with controllable pulse-shaped waveforms |
| CN104870050A (en) * | 2012-05-31 | 2015-08-26 | 佐尔医药公司 | Medical monitoring and treatment device with external pacing |
| CN103933665A (en) * | 2013-12-10 | 2014-07-23 | 电子科技大学 | Heart defibrillation method capable of automatically generating and controlling discharge mode and device thereof |
| CN205867311U (en) * | 2016-01-05 | 2017-01-11 | 陈生泰 | Externally defibrillat pace -making system |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108371752A (en) * | 2018-04-13 | 2018-08-07 | 深圳华腾生物医疗电子有限公司 | A kind of temporary cardiac pacing plug-in unit and cardiac monitoring pacing system |
| CN108543221A (en) * | 2018-05-14 | 2018-09-18 | 上海掌门科技有限公司 | It is a kind of for the stethoscope system of electric defibrillation, electric defibrillation method, equipment and medium |
| WO2022095927A1 (en) * | 2020-11-05 | 2022-05-12 | 合源医疗器械(上海)有限公司 | Pacing control method, pacing control apparatus, and medical device |
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Address after: 100032 collected by Yan Xinshui, 7 / 501, building 15, honghuiyuan, Financial Street, Xicheng District, Beijing Applicant after: Chen Shengtai Address before: 102299 Unit 901, Unit 3, Building 2, Suiyuan District, Changping District, Beijing Applicant before: Chen Shengtai |