CN111543980A - Electrocardiogram electrode device, electrocardiogram capturing device and electrocardiogram checking system - Google Patents

Electrocardiogram electrode device, electrocardiogram capturing device and electrocardiogram checking system Download PDF

Info

Publication number
CN111543980A
CN111543980A CN202010411797.XA CN202010411797A CN111543980A CN 111543980 A CN111543980 A CN 111543980A CN 202010411797 A CN202010411797 A CN 202010411797A CN 111543980 A CN111543980 A CN 111543980A
Authority
CN
China
Prior art keywords
electrocardiogram
electrode
user
electrocardio
electrocardiographic
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN202010411797.XA
Other languages
Chinese (zh)
Inventor
石亚君
王晋丽
郜玲
王小鹏
文冬凌
郭亚涛
赵成辉
但晴
董颖
韩宝石
季磊
陈韵岱
郭军
王平
王进亮
陈力恒
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Xinyun Hengan Medical Technology Beijing Co Ltd
First Medical Center of PLA General Hospital
Original Assignee
Cardiocloud Medical Technology Beijing Co ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Cardiocloud Medical Technology Beijing Co ltd filed Critical Cardiocloud Medical Technology Beijing Co ltd
Priority to CN202010411797.XA priority Critical patent/CN111543980A/en
Publication of CN111543980A publication Critical patent/CN111543980A/en
Pending legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25Bioelectric electrodes therefor
    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/282Holders for multiple electrodes

Abstract

An electrocardiogram capture device for a user to self-service capture an electrocardiogram, comprising: an identification unit for identifying an electrocardiographic examination item or a user who performs electrocardiographic examination; the electrocardio-electrode device is provided with twelve-lead electrocardio-electrodes which are arranged according to the electrode positions of the Mason-Likar twelve-lead electrocardio-lead system and used for collecting twelve-lead electrocardiosignals of a user; the electrocardiosignal processing part is used for carrying out analog and digital processing on the electrocardiosignals to obtain the electrocardio data of the user; and the control and processing part is used for controlling the flow of the user to capture the electrocardiogram in a self-service way and acquiring the electrocardiogram data processed by the electrocardiogram signal processing part. The electrocardiogram capturing apparatus may include a licensing portion that performs a licensing action to obtain full usage rights for the electrocardioelectrode apparatus prior to capturing an electrocardiogram. Corresponding electrocardiographic examination systems, methods, computer devices and program media are also disclosed.

Description

Electrocardiogram electrode device, electrocardiogram capturing device and electrocardiogram checking system
Technical Field
The present invention relates to the field of electrocardiographic signal acquisition and electrocardiographic examination, and more particularly, to an apparatus, system, method, and computer program medium by which a general user can complete acquisition of a twelve-lead electrocardiogram by himself and quickly obtain a twelve-lead electrocardiographic examination result.
Background
Electrocardiography (ECG) is a graph that records from the surface of the body, using an electrocardiograph, the changes in electrical activity that occur during each cardiac cycle of the heart, and is used to characterize the electrical activity of the heart. Electrodes are placed at specific locations of the body to capture traces of the electrical activity of the heart. The electrocardiogram has high sensitivity to a plurality of diseases, particularly cardiovascular diseases, and generally changes of the electrocardiogram can be captured only by the onset of the diseases, so that the diagnosis of the diseases, particularly the cardiovascular diseases, can be assisted by the electrocardiogram. However, the diagnosis of the electrocardiogram depends on whether the related diseases occur or not, the electrocardiogram changes when the diseases occur, and symptoms of some diseases are passed when the patients go to hospital for examination, so that the abnormality of the electrocardiogram cannot be detected, which results in that the diagnosis of some important diseases is easily ignored or the early diagnosis opportunity is missed. The electrocardiogram formally used as the basis for disease diagnosis generally requires multi-lead synchronous electrocardiogram such as twelve-lead electrocardiogram, and the development of twelve-lead electrocardiogram inspection equipment which can be easily operated and used by common users has important significance for early detection and early treatment of cardiovascular diseases.
With the rise of smart medical treatment, some users capture their own electrocardiograms through wearable electrocardiogram capturing devices such as a belt type, a vest type, and the like, which can be worn at any time or for a long time. However, the existing internet-based electrocardiographic capturing devices are far from the point that all people are configured, or even though the existing internet-based electrocardiographic capturing devices are configured, the existing internet-based electrocardiographic capturing devices are not always carried around, and when a user suddenly feels untimely, the user often has difficulty in finding a professional electrocardiographic capturing device nearby and cannot timely acquire a twelve-lead or more-lead synchronous electrocardiographic which can be used as a basis for disease diagnosis. Many times, users still need to go to a comprehensive or professional hospital for electrocardiographic examination, and due to the shortage of professional technicians, hospitals with large treatment volumes still have quite serious waiting in line at the peak treatment time.
For electrocardiographic examination, the examination mode of the hospital at present is that generally, a doctor in a consulting room makes an electrocardiographic examination request for a user, then a patient goes to the electrocardiographic examination room of the hospital to acquire electrocardiographic signals, the electrocardiographic room issues an electrocardiographic examination report after the electrocardiographic signals are acquired, and then the patient returns to the consulting room to receive further treatment of the doctor, wherein the queuing for acquiring the electrocardiographic signals in the electrocardiographic room is unnecessary time consumption. The time consuming process sometimes even results in missing symptomatic periods of the heart disease.
In addition, some wearable electrocardiogram capture devices may not be suitable for repeated use by a large number of ambulatory users. For example, wearable electrocardiographic capture devices of the vest type are not only slightly cumbersome to wear, but it is difficult to provide the same device for different patients or users to use the device to ensure sufficient hygienic safety. Such devices are only suitable for use by private individuals on their own.
Therefore, there is a need to provide an electrocardiogram capture device that can reduce or even eliminate the need for professional technician involvement, avoid long distance inefficient movement across floors, reduce patient queue time, and ensure adequate health and safety, particularly to support a large number of ambulatory outpatients to complete professional twelve-lead electrocardiogram signal acquisition or electrocardiogram capture nearby the office, quickly, hygienically, and on a self-service basis. Meanwhile, there is a need for a system which can be installed in non-professional electrocardiographic examination medical institutions such as communities, large-scale shopping malls, large-scale enterprises, common drug stores and the like or public places which do not have professional electrocardiographic examination capability generally, and is simple enough and easy to use to support a large number of mobile users to finish professional twelve-lead electrocardiographic capture by themselves and obtain electrocardiographic diagnosis reports.
Disclosure of Invention
Generally, the electrocardiogram capturing device of the invention is a device which is suitable for being arranged in public places such as communities, large-scale shopping malls, large-scale enterprises, drug stores and the like, or places such as clinics, particularly near consulting rooms of large-scale hospitals and the like, can reduce the time consumption of patients in medical institutions for electrocardiogram examination, or can be convenient for general mobile users to complete twelve-lead electrocardiogram signal acquisition nearby, hygienically and in a self-service operation manner, and can complete electrocardiogram data processing. The electrocardiogram capturing device transmits the obtained electrocardiogram data to an electrocardiogram examination management System deployed in a Hospital or other professional institutions through a wireless or wired network, and is used for the electrocardiogram examination management of users to generate an electrocardiogram diagnosis report through judgment and diagnosis of doctors and other professional technicians or through automatic judgment and diagnosis of the System, and then the users can obtain the electrocardiogram diagnosis report from a Hospital Information System (HIS) of the Hospital or other professional medical institutions or directly from the electrocardiogram examination management System through own user mobile terminals such as mobile phones and PADs or other user terminals such as notebooks and computers.
The present invention also relates to an electrocardiographic electrode device used in the electrocardiographic capturing device, an electrocardiographic examination system for performing electrocardiographic examination using the electrocardiographic capturing device, a computer device, a program, and a program storage medium therefor, and a method related to electrocardiographic capture and examination.
The present invention includes at least the following embodiments.
An electrocardio-electrode device comprises a bracket body and ten electrodes for collecting twelve-lead electrocardiogram. The bracket body comprises a bracket central part and four electrode supporting legs extending out from the bracket central part; six chest electrodes which are arranged according with the electrode positions of a Wilson electrocardio-lead system or a Mason-Likar electrocardio-lead system are arranged at the center of the bracket; the four electrode supporting legs are provided with four limb electrodes which are arranged according to the electrode positions of the Mason-Likar electrocardio lead system.
The electrocardio-electrode device also comprises a disposable kit.
The electrocardioelectrode device is characterized in that the disposable kit comprises disposable isolation paper or isolation membrane component which can be attached to the central part of the bracket.
In the electrocardio-electrode device, the chest electrode and the limb electrode comprise disposable adhesive electrodes, and the disposable kit comprises the disposable adhesive electrodes.
In the aforementioned electrocardio-electrode device, the disposable kit has a separate package.
In the aforementioned electrocardiograph electrode device, the electrocardiograph electrode device is of an overall mechanical type, and the center portion of the holder has a curved side wing portion extending to one side.
In the above-mentioned electrocardiograph electrode device, the four electrode legs extend from the heart of the human body to the four limbs, respectively, the four electrode legs extend away from the center of the support and bend toward one side of the plane of the center of the support, and one side of the plane of the center of the support is the side facing the skin of the user when the electrode support is used for collecting electrocardiograph signals.
In the electrocardio-electrode device, the bracket body is integrally formed by a flexible plate-shaped material.
The electrocardio-electrode device further comprises an electrode lead arranged on the bracket body, and different sections of the lead have different toughness.
In the aforementioned electrocardiograph electrode device, the six chest electrodes and the four limb electrodes are elastic electrodes.
The electrocardio-electrode device further comprises an electrocardio-signal processing part, and the electrocardio-signal processing part is arranged in the center of the bracket.
In the aforementioned electrocardiograph electrode device, the central portion of the holder is integrally mechanical and has a curved side wing portion extending to one side.
In the electrocardioelectrode device, the six chest electrodes are fabric electrodes, elastic electrodes or detachable disposable adhesive electrodes.
The electrocardio-electrode device further comprises an electrocardio-signal processing part, wherein the electrocardio-signal processing part is arranged in the center of the bracket; the four electrode legs are four flexible legs extending from the electrocardiosignal processing part to a position far away from the central part of the bracket; the four limb electrodes are detachable disposable adhesive electrodes arranged at the distal end portions of the four flexible legs.
The use method of the electrocardio-electrode device obtains the disposable kit by scanning the electrocardiogram examination item codes before the electrocardio-signal is collected by the electrocardio-electrode device.
In the use method of the electrocardio-electrode device, the disposable kit comprises the disposable release paper or the release film component which can be attached to the central part of the bracket, and the disposable release paper or the release film component in the disposable kit is adhered to the central part of the bracket before electrocardio-signals are collected by the electrocardio-electrode device.
The electrocardio-electrode device is a film electrocardio-electrode device, and the six chest electrodes and the four limb electrodes are viscous electrodes arranged on the film bracket body.
An electrocardiogram capture device usable by a user to self-service capture an electrocardiogram, comprising: an identification unit for identifying an electrocardiographic examination item or a user who performs electrocardiographic examination; the electrocardio-electrode device is provided with ten electrocardio-electrodes which are arranged according with the electrode positions of the Mason-Likar twelve-lead electrocardio-lead system and are used for collecting twelve-lead electrocardiosignals of a user; an electrocardiosignal processing part for carrying out analog and digital processing on the electrocardiosignals to obtain the electrocardio data of the user; and the control and processing part is used for controlling the flow of the user to capture the electrocardiogram in a self-service way and acquiring the electrocardiogram data processed by the electrocardiogram signal processing part.
In the above-described electrocardiographic capturing device, the identification section identifies the electrocardiographic examination item by optically scanning an electrocardiographic examination request form code, or identifies the user by optically scanning a user code or electronically reading information of a user visiting card.
The electrocardiogram capturing apparatus further comprises a permission portion for executing a permission operation to obtain permission to use the electrocardiogram electrode apparatus.
In the electrocardiogram capturing apparatus, the control and processing unit determines whether to execute the operation of the permission unit based on the recognition result of the recognition unit.
The electrocardiogram capturing device also comprises a cabinet body; the electrocardio-electrode device comprises a reusable electrocardio-electrode device; the permission part comprises a locking device which can lock or release the reusable electrocardio-electrode device on or from the cabinet body.
The electrocardiogram capturing device further comprises a cabinet body, wherein the cabinet body is provided with an inner space and an object taking opening; the electrocardio-electrode device comprises a disposable cartridge stored in the interior space; the permitting section includes a pick-up transfer device that picks up and transfers the disposable set to the extraction opening.
The electrocardiogram capturing device also comprises a disinfecting device; and the disinfection device can disinfect the electrocardio-electrode device in a standby state.
The electrocardiogram capturing device comprises a plurality of electrocardiogram electrode devices of different models; the control and processing part acquires user attributes, such as body type parameters, of the user who performs electrocardiographic examination according to the identification result of the identification part, and automatically selects one model which is matched with the user attributes from the plurality of different models.
The aforementioned electrocardiogram capturing apparatus further comprises an input section; the electrocardio-electrode device comprises a plurality of electrocardio-electrode devices with different models; the control and processing part selects one model according to the input of the user from the input part.
The aforementioned electrocardiogram capturing apparatus further comprises an input section; the electrocardio-electrode device comprises two types of a reusable electrocardio-electrode device and a disposable electrocardio-electrode device; the control and processing section selects one of the two types in accordance with an input from the input section by a user.
In the above-mentioned ecg capturing apparatus, the control and processing unit obtains whether the ecg examination item is paid according to the recognition result of the recognition unit, or obtains whether the user has associated with the latest ecg examination item and further obtains whether the ecg examination item is paid. And forbidding the permission part to execute the action of the permission part when the electrocardiogram check item is not paid.
The electrocardiogram capturing device further comprises one or a combination of a display part, an input part and a feedback part.
The aforementioned electrocardiographic capturing device further includes a communication section for communicating with the electrocardiographic examination management system.
An electrocardiographic examination system comprising: the electrocardiogram examination management system is used for managing electrocardiogram examination items of the user; one or more of the above-mentioned electrocardiogram capturing devices are used for the user to self-help acquire the electrocardiogram thereof.
The electrocardiographic examination system further comprises one or more diagnosis terminals which are connected with the electrocardiographic examination management system through a network.
The electrocardiographic examination system further comprises an HIS system, and the electrocardiographic examination management system is connected with the HIS system through a network.
In the electrocardiographic examination system, one electrocardiographic capturing device is simultaneously provided with one electrocardiographic electrode device of different models.
In the electrocardiographic examination system, one electrocardiographic capturing device is simultaneously provided with different types of electrocardiographic electrode devices of the same type.
In the electrocardiographic examination system, one electrocardiographic capturing device is provided with electrocardiographic electrode devices of different types and models.
In the electrocardiographic examination system, a plurality of electrocardiographic capture devices are arranged in the number at least as large as the number of types of electrocardiographic electrode devices.
In the electrocardiographic examination system, a plurality of electrocardiographic capture devices are arranged, and the types of electrocardiographic electrode devices used in each electrocardiographic capture device are different.
In the electrocardiographic examination system, a plurality of electrocardiographic capture devices are arranged, and the types and models of electrocardiographic electrode devices used by each electrocardiographic capture device are different.
A method for self-service completion of electrocardiogram capture by an electrocardiogram capture device, which comprises an electrocardiogram electrode device, comprises the step of automatically identifying an electrocardiogram examination item or a user performing the electrocardiogram examination item by an identification part.
The method for capturing the electrocardiogram comprises the step of selecting the type and/or type of the electrocardio-electrode device.
The method for capturing the electrocardiogram comprises the step of automatically detecting whether the model of the selected electrocardio-electrode device is matched with the user according to the user attribute, such as body type parameters.
The method for capturing an electrocardiogram comprises the step of executing the action of the permission part and permitting the electrocardio-electrode device to be used.
The electrocardiogram capturing method comprises the step of automatically detecting whether the user wears the electrocardio-electrode device.
The method for capturing the electrocardiogram comprises the step of detecting whether the electrocardio-electrode falls off or not when or after the electrocardiogram of the user is acquired.
The method for capturing the electrocardiogram identifies the electrocardiogram examination items or the user by optically scanning codes on an electrocardiogram examination application form or a user mobile terminal; or by electronically reading the user visit card.
A computer device includes a memory and a processor. The memory having stored thereon a computer program executable by the processor; the processor, when running the computer program, performs the aforementioned method of electrocardiogram capture.
A non-transitory computer readable storage medium having stored thereon a computer program. Which when executed by a processor implements the aforementioned method of electrocardiogram capture.
Drawings
The present invention will be more fully understood from the following detailed description taken in conjunction with the accompanying drawings.
FIG. 1 is a schematic block diagram of one embodiment of the self-service electrocardiographic examination system and its electrocardiographic capture device of the present invention.
Fig. 2 is a schematic block diagram of another embodiment of the self-service electrocardiographic examination system and its electrocardiographic capturing device of the present invention.
Fig. 3 is a schematic diagram of a specific application scenario of the electrocardiogram capture device of the present invention, in which a user is utilizing the electrocardio-electrode device to self-help capture his or her electrocardiogram.
Fig. 4 is a schematic view of a specific application scenario of the electrocardiogram capturing apparatus of the present invention similar to the application scenario of fig. 3, but in a standby state, wherein the electrocardiogram capturing apparatus is placed on a cabinet and locked.
FIG. 5 is a schematic representation of the body surface locations on the body where the electrodes of a particular ECG lead system used in the present invention should be positioned.
Fig. 6 is a plan view of an electrocardiograph electrode device used in the present invention, which is an entirely mechanical electrocardiograph electrode device, and which is further provided with an electrocardiograph signal processing unit at the center thereof.
FIG. 7 is a top view and various side views of the electrocardioelectrode device of FIG. 6 in accordance with the present invention.
Fig. 8 is a schematic diagram of another specific application scenario of the electrocardiogram acquisition device of the present invention, wherein a user is self-service acquiring his own electrocardiogram by using a banded electrocardio-electrode device.
FIG. 9 is one of the disposable components of a disposable electrocardioelectrode device for use with the present invention.
Fig. 10 is a flow chart of a part of the flow of the self-service electrocardiograph acquisition method of the present invention.
Fig. 11 is a flow chart of a part of the flow of the self-service electrocardiograph acquisition method of the present invention.
Detailed Description
The electrocardiogram acquisition device of the invention is a device which can be used by a general user to acquire and process twelve-lead electrocardiogram signals by the user by means of simple operation instructions without the help of professional medical care personnel. Generally, one or more of the electrocardiograph capturing devices can be connected with an electrocardiograph examination management system through a network, and electrocardiograph diagnosis terminals of a plurality of electrocardiograph rooms connected to the electrocardiograph examination management system can obtain electrocardiograph data acquired by a user by self from the system, and the electrocardiograph data is examined and judged by a doctor or a professional medical technician or an automatic electrocardiograph screening program of the electrocardiograph examination management system, so that a diagnosis report is generated and stored in the electrocardiograph examination management system. The electrocardiographic examination management system may also be further connected to the HIS system to accomplish the storage, verification and synchronization of certain information. The user mobile terminal, such as a mobile phone and a PAD, can also perform network communication with the electrocardiographic examination management system or the HIS system to realize functions of appointment, payment, report inquiry and the like of electrocardiographic examination items. Generally, the electrocardiogram acquisition device is provided with an electrocardiogram electrode device which is relatively easy to operate and an interactive operation mode, so that the usability and sanitary conditions required by the electrocardiogram self-service examination can be met, and the requirement of a common user on self-service professional twelve-lead electrocardiogram examination can be met. When the electrocardiogram capturing device is arranged in an electrocardiogram room of a hospital with a large application amount of electrocardiogram examination and near a clinic area with a large demand of electrocardiogram examination, most users can be guided and shunted to capture own electrocardiograms by themselves, so that the time that the users need to wait in line for electrocardiogram examination in the electrocardiogram room is obviously reduced.
As shown in fig. 1, an electrocardiogram capturing apparatus 100 of the present invention generally includes an electrocardiograph electrode device 10, an electrocardiograph signal processing unit 30, a control and processing unit 40, and a recognition unit 50. The electrocardio-electrode device 10 has excellent mechanical and electrode layout design, so that a general user can conveniently and self-help locate and arrange the ten electrocardio-electrodes 7 (shown in figures 3 and 7) required for acquiring the twelve-lead electrocardiogram to the corresponding positions on the skin surface of the body of the general user. In some embodiments, the ecg capturing device 100 further includes a sterilization device 20 for sterilizing the ecg electrode device 10, and in particular the ecg electrodes 7 thereof, as described in detail below. The electrocardiograph signal processing unit 30 performs analog and digital processing, such as signal buffering, amplification, filtering, power frequency trapping, analog-to-digital conversion, on the electrocardiograph signals obtained from the electrocardiograph electrode device 10, and obtains electrocardiograph data of each electrocardiograph lead. The control and processing unit 40 controls the whole process of self-help collecting electrocardiosignals by the user, and can acquire the electrocardio data of the user processed by the electrocardiosignal processing unit 30 in a wired or wireless, e.g. bluetooth, communication mode. The control and processing unit 40 includes hardware and software necessary for program execution such as a processor and a memory, and stores program codes necessary for executing the flow of the corresponding computer program. The identification part 50 optically or electronically identifies the user performing the electrocardiographic examination or the electrocardiographic examination item thereof, so that the electrocardiographic data can be associated with the corresponding electrocardiographic examination item and the user thereof, and can also be further inquired to obtain the attribute of the electrocardiographic examination item or the attribute of the user so as to execute different procedures corresponding to self-help capture of the electrocardiogram according to different guide programs of the attribute of the electrocardiographic examination item or the attribute of the user. Examples of electronic Identification are, for example, electronically reading information of a doctor card based on Radio Frequency Identification (RFID) or Near Field Communication (NFC) technology and standards to identify a user, for example, an Identification code (ID) to identify the user; examples of optical recognition are, for example, scanning of an electrocardiographic examination item code or a user code, such as a serial code of an application form or a code of a user identification code, by means of optical scanning, which is, for example, printed on the electrocardiographic examination application form or displayed on a display of a user-held mobile terminal. The attributes of the ecg examination items generally include the time of the ecg examination item, whether the ecg examination item is paid, whether the ecg capture has been completed, and the like. User attributes typically include the user's electronic account name, ID number, body type parameters, and the like.
Generally, the electrocardiographic capturing device 100 further includes a communication section 90, whereby connection with the electrocardiographic examination management system 200 is made by a wired or wireless network. The electrocardiographic examination management system is generally a system deployed in a medical institution, a data center or other places for managing electrocardiographic examination, and can establish a user account and give an identity code distinguished by the user through user application registration, establish a data record with a transaction serial code as an identifier for electrocardiographic examination transactions of the user through user application or reservation, and the data record can store electrocardiographic data, electrocardiographic diagnosis reports and the like acquired by electrocardiographic examination of the user. The system can also establish a diagnosis account used by an electrocardiograph or doctor, the diagnosis account can establish electrocardiographic examination items for a patient, and then read electrocardiogram data obtained after electrocardiographic examination of the user and/or an electrocardiogram diagnosis report to make a further diagnosis report and the like. Through the network connection, the ecg capturing device 100 can inquire about the attributes of the ecg items, such as payment of the ecg items, from the ecg management system 200, and also transmit the ecg data of the user to the ecg management system 200 through the network, so that the doctor or professional technician connected to the ecg management system 200 through the diagnosis terminal 400 (shown in fig. 2) can read and diagnose the ecg data and generate a diagnosis report, thereby forming the ecg system 1000 capable of performing a rapid ecg examination.
In another embodiment, as shown in FIG. 2, the electrocardiographic examination management system 200 may be further connected to the HIS system 500. By using the services of the HIS system 500, the user can complete application, registration, establishment of a user account and giving identification codes for distinguishing the user through the user terminal, and the user actively applies for or reserves the ecg examination items, pays for the ecg examination items, and the like. The electrocardiographic examination management system 200 can synchronize the relevant information of the user with the HIS system, inquire whether the electrocardiographic examination items of the user are paid or not, or further store the relevant electrocardiographic diagnosis report of the user into the electronic medical record of the user of the HIS system, and the like.
Referring to fig. 1 and 2, in general, a user may log in to the HIS system 500 to inquire HIS examination results or other relevant information through various user terminals, such as a mobile phone, a PAD, and the like, which may be networked, in particular, the user mobile terminal 300. In the case where the HIS system is not deployed, the user mobile terminal 300 may also be able to log into the electrocardiographic examination management system 200, so that it can query its own examination results or other relevant information. Of course, the HIS system 500 or the electrocardiographic examination management system 200 may actively push the examination result or other related information to the user mobile terminal 300, so that the user can obtain the related result and information in time.
With continued reference to fig. 1, the electrocardiogram capturing apparatus 100 may further include one or more components or units of the display portion 60, the input portion 70 and the feedback portion 80. The display 60 may be any of a variety of displays, such as a flat panel display, and the input 70 will typically include hardware or graphically displayed soft keys (not shown) to facilitate user entry of certain necessary parameters or to select or control execution of the program flow. As is well known in the art, the display section and the input section may be implemented by one component, such as various types of touch display panels, such as a capacitive touch panel display. The feedback section 80 may be a speaker to provide audible feedback to the user, or may be visual feedback or other types of feedback, such as visual feedback provided by the display 60, or a combination of feedback to guide the user to properly operate the system or to alert the user to important items of the electrocardiographic examination.
The electrocardiogram acquisition device and the included electrocardioelectrode device are described next by means of a schematic diagram of a specific self-service application scenario. Referring to fig. 3, in a particular self-service application scenario and embodiment, the electrocardioelectrode device 10 is an integral mechanical electrocardioelectrode device. In the present application, the term "overall mechanical component or device" means that the component or device as a whole has a relatively stable mechanical structure and shape regardless of the use state or non-use state. The overall mechanical electrocardio-electrode device means that the structure and the shape of the overall electrocardio-electrode device including the four-limb electrodes are stable. However, the overall mechanical component or device is not adjustable in shape or size, for example, even if it is overall mechanical, in order to adjust the length of the electrode legs of the four-limb electrode to fit users with different body sizes, the length of the electrode legs 14 and 15 shown in fig. 6 may be adjustable, but after adjustment, the structure and shape of the electrode legs are still stable, so it is still called as overall mechanical. Generally, the electrocardioelectrode device which connects the four-limb electrodes to the electrode device body through the very flexible and easily-wound lead wire is not a whole mechanical electrocardioelectrode device because the whole electrocardioelectrode device including the four-limb electrodes does not have a stable whole mechanical structure and shape. Returning to fig. 3, the electrocardioelectrode device 10 comprises an electrode support 1 and ten electrocardioelectrodes 7 fixed to the electrode support 1. The electrode support 1 has model distinction, and the model is determined according to the chest circumference of a human body or is formed into a series according to body parameters such as the height and the weight of the human body. When the electrocardiosignal processing device is used, the user 2000 only needs to select a proper model according to the body type of the user, pick up the electrode support 1 by hand and place the electrode support in front of the chest of the user according to related instructions or prompts, the electrocardioelectrode 7 on the electrode support 1 can correspondingly and stably contact with a preset position to obtain an electrocardiosignal of the user, and the electrocardiosignal is processed into electrocardio data by the electrocardiosignal processing part 30 and then is transmitted to the control and processing part 40 in a wireless or wired mode.
After the stand-by state (also called standby state), or one electrocardiographic examination, the electrode holder 1 is placed on an electrocardiographic acquisition cabinet 2, as shown in fig. 4, and waits for the next use by the (other) user. The object shown in the circular dashed box F in fig. 4 is the electrode holder 1 of fig. 3, which is used by the user for electrocardiographic acquisition, and which is placed on the electrocardiographic acquisition cabinet 2.
Referring to fig. 3 or 4, generally, the ecg collecting cabinet 2 is disposed in a space 5. Space body 5 is, for example, a house in a community, hospital, mall, airport terminal, subway station, or the like, or a box or cabinet that is large enough for a user to enter and perform an electrocardiographic examination. The electrocardiograph collecting cabinet 2 may be vertically disposed in the spatial body 5, or may be wall-mounted in the spatial body 5 as shown in the drawings. The ecg collecting cabinet 2 can be movable, for example, with movable wheels, or can be fixedly disposed in the space body 5. To protect the privacy of the user, typically, the spatial volume 5 also has a peep-proof line barrier 6, such as a door, curtain, screen, or the like, or a combination thereof, that blocks the view of others.
With continued reference to fig. 3 and 4. In one non-limiting embodiment, display 60 is disposed on spatial volume 5, such as a wall of a house, to provide electrocardiographic examination procedure instructions, electrocardiographic stent model selection instructions, operation demonstrations, electrocardiographic waveform displays, and the like. Of course, the electrocardiographic examination procedure description, the electrocardiographic electrode holder model selection description, the operation demonstration, etc. may be other indicators or displays separately provided and statically or dynamically indicated, such as one or more drawings or other displays that can be hung or stuck on the spatial body 5, and the display unit 60 provides only the necessary operation guide buttons or selection buttons during the electrocardiographic examination process, or also provides the electrocardiographic waveform display function. Alternatively, in another embodiment, the electrocardiogram capturing apparatus 100 has a plurality of display portions 60. In addition, a mirror 4 for allowing the user to observe the body by himself or herself and to observe whether the electrode holder and the electrocardiograph electrodes are placed at predetermined positions of the body during electrocardiographic examination is provided in the spatial body 5. Alternatively, for example, a video camera, not shown, may be provided to capture a user located in the space body 5, and a video may be displayed on, for example, the display unit 60 to assist the user in similar observation.
Preferably, but not limitatively, as shown in fig. 3, the control and processing unit 40 and the recognition unit 50 are provided in the electrocardiographic acquisition cabinet 2. However, the processing unit 40 and the recognition unit 50 may be provided on the display unit 60, and the display unit 60 may be provided not on the electrocardiograph housing 2 but on a wall of the space 5, for example, the processing unit 40 may be provided on the electrocardiograph housing 2 and the recognition unit 50 may be provided on the display unit 60, or the recognition unit 50 may be provided on the electrocardiograph housing 2 and the processing unit may be provided on the display unit 60. Of course, the display unit 60 may be provided on the electrocardiographic acquisition cabinet 2.
The electrode holder 1 of the electrocardiograph electrode device 10 in the above-described embodiment is described next in detail. In the field of electrocardiography, it is known that the electrode arrangement and lead connection of a conventional twelve-lead electrocardiogram are designed in accordance with the Wilson lead system, and that the limb electrodes need to be rigidly connected to specific locations of the limbs of the human body. The collected electrocardiograms have slight difference due to different electrode positions, and the difference of the collected electrocardiograms when the position difference is too large can cause the doctor to misdiagnose the disease, so the conventional twelve-lead electrocardiogram generally needs a professional technician for collection. In addition, since the four limbs are far away from the chest, the four limb electrodes of the conventional twelve-lead electrocardiograph capturing device can only be connected to the electrocardiograph capturing device through long and flexible lead wires, and are not suitable for being fixedly arranged on an electrode support which is mechanical in whole and is convenient for users to operate. Conversely, if a twelve lead integrated mechanical electrode holder were designed to accommodate the Wilson lead system, the electrode holder would be so large that the user would be inconveniently and stably involved in the electrode positioning operation.
In order to adapt to the requirement of a non-professional common user for self-help acquisition of a twelve-lead electrocardiogram, in one embodiment of the invention, four-limb electrodes are positioned to positions corresponding to the chest and abdomen of the user, so that six chest electrodes and four-limb electrodes of the twelve-lead electrocardiogram are relatively intensively arranged. Thus, the electrode positions of the Mason-Likar lead system were adopted as the electrode positions of the lead system of the twelve-lead electrocardiogram of the present invention.
The Mason-Likar lead system is an electrocardiogram lead system which is provided for solving the influence of movement on electrocardiogram detection, improves the position of an electrocardiogram electrode from limb to body so as to optimize the interference of limb movement on the acquisition of electrocardiogram signals, and is mainly applied to movement tests and dynamic electrocardiogram recording. The electrocardiogram capturing device is generally arranged in fixed places such as hospitals or public places and the like for collecting the electrocardiogram under the quiet state, is not used for electrocardiogram detection under the motion state, but utilizes the characteristic that the electrode position of the Mason-Likar lead system is positioned on the body, so that an integral mechanical type twelve-lead electrocardiogram electrode bracket with a relatively small volume is possible to construct, even if the integral mechanical type is not constructed, the length of a lead wire of a limb electrode can be tried to be shortened, so that the probability that the lead wire is wound can be reduced, and the electrocardiogram electrode device which is suitable for self-help operation of ordinary users to capture the synchronous twelve-lead electrocardiogram is designed. Furthermore, positioning the extremity electrodes on the body also serves to help the user to operate the ecg capture device on their own.
Referring to fig. 5, two upper limb electrodes are positioned in the middle of the subclavian fossa to the insertion site of the deltoid muscle, position R, L in the figure, and two lower limb electrodes are positioned in the middle between the costal margin on the anterior axillary line and the iliac crest, position F, N in the figure, while the six chest electrodes still adopt the chest electrode layout 3 of the wilson lead system, whereby the above four limb electrodes together with the positioning positions of the six chest electrodes constitute the positioning positions of the ten electrodes 7 of the Mason-Likar twelve lead system of the present invention. Because the four-limb electrodes are placed on the trunk part, the noise interference caused by the movement of the upper and lower limbs can be reduced, and the self-service electrocardiogram collecting device is suitable for self-service electrocardiogram collecting. More importantly, the ten electrodes 7 are all arranged on the trunk part, so that the ten electrocardio-electrodes are favorably and intensively arranged on an integral electrode bracket of the electrocardiogram acquisition device, or the length of a four-limb electrode lead wire is shortened.
In addition to the centralized arrangement of the electrocardio-electrodes as far as possible, the electrocardio-electrode bracket suitable for self-service operation needs to be designed to adapt to the self-service examination of the electrocardiogram. Fig. 6 and 7 show a twelve-lead electrocardiogram electrode holder 1 suitable for self-service operation designed according to the Mason-Likar lead system of the present invention, wherein fig. 6 is a top view of the electrode holder 1, and fig. 7(a) -7 (D) are bottom, right, left and front views thereof, respectively. The electrode holder 1 comprises a holder body 11 for arranging all ten electrocardio-electrodes for acquiring twelve-lead electrocardiosignals. The frame body 11 is substantially formed of a plate-shaped material and comprises a frame central portion 12 on which six chest electrodes 71 are arranged in accordance with the positions to which the six chest electrodes of the wilson lead system correspond, so that upon pressing the electrode frame 1 against the chest of a user, the six chest electrodes correspond exactly to the positions at which the six chest electrodes of the conventional twelve lead system should be in contact with the chest of the user. The plate-shaped material is preferably a material having toughness. The support body is formed by the plate-shaped material, particularly the plate-shaped material with toughness, so that compared with the support body with a thicker central part, the support body can save materials to reduce the weight of the electrocardio-electrode device, and is beneficial to self-service operation.
In a preferred embodiment, the stent core 12 includes curved side wing portions 13 extending to one side (corresponding to the left side of the human body) with the direction of curvature directed to the side facing the body surface when the stent is positioned on the chest. The curved shape of the curved wing part 13 is clearly shown in fig. 7(D) which is a front view of the electrode holder 1. The curved side wing part which is curved towards the body surface side towards the left side of the human body is arranged at the center part of the support body, the function of the curved side wing part is that the six chest electrodes slightly deviate towards the left side of the human body relative to the whole human body chest, and when the integral mechanical electrocardio-electrode device is pressed and positioned on the chest, the electrocardio-electrode device inevitably moves relative to the body surface due to the force and shake of hands. After the curved side wing part 13 is arranged, when the electrocardioelectrode device 10 is pressed on the chest of a body by force, the force can be simultaneously applied to the body from the two directions of the front side and the left side of the body, thereby providing stable support for the electrocardioelectrode device by utilizing the curved body surface shape at the left side of the chest of the body and ensuring the contact stability of the electrocardioelectrodes and the skin when the electrocardiogram is captured by self.
The stent body 11 further comprises two upper limb electrode legs 14 and two lower limb electrode legs 15 which are respectively extended from the central part 12 of the stent in the direction pointing to the four limbs from the heart of the human body. The two upper limb electrode legs 14 and the two lower limb electrode legs 15 are oriented and sized such that when the electrode support 1 is pressed to the correct chest collecting position, the distal ends of the two upper limb electrode legs 14 are respectively positioned at the insertion positions from the middle of the left and right subclavian fossae of the user to the deltoid muscle, one of the two upper limb electrode legs is used for arranging the left upper limb electrode 72, the other is used for arranging the right upper limb electrode 73, the distal ends of the two lower limb electrode legs 15 are respectively positioned at the middle positions between the rib edges and the iliac crest on the left and right anterior axillary lines of the user, one of the two lower limb electrode legs is used for arranging the left lower limb electrode 74. Although the holder body 11 is generally formed of a plate-shaped material as a whole, it is not limited particularly that the electrode legs therein are formed of a rod-shaped material having a cross section in a shape of, for example, an ellipse, a circle, a combination of a straight line on one side and an elliptical arc on the other side, or the like.
Preferably, the upper limb electrode leg 14 and the lower limb electrode leg 15 are slightly curved in a direction away from the stent center 12 to a side facing the skin of the user when the electrode stent 1 is used to acquire electrocardiographic signals. Due to the fact that the legs provide a certain bending, a certain elastic pressure can be provided when the electrode support 1 is pressed on the chest, and the electrodes can be contacted with the skin of the user more stably.
Because the electrocardio-electrode device is of an integral mechanical structure and the surface of a human body is not a plane or a regular curved surface, ten electrodes on the electrocardio-electrode device can be difficult to simultaneously and stably contact the skin on the surface of the human body. In a preferred embodiment, most or all of the ten electrodes on the stent body 11 are elastic electrodes. For example, an elastic joint member 77 is provided between the electrode head or electrode suction cup 76 of the electrode and the holder body 11, and the elastic joint member 77 is, for example, a spring. Adopt the elastic electrode, when the electrode was pressed toward body surface skin, the reaction force of skin to the electrode can make the elastic electrode produce the elastic buffer effect, and the unevenness of body surface skin can produce the reaction force of equidimension not to the electrode and produce the elastic buffer effect of equidimension not, consequently can further smooth the electrode and contact the unstable that probably exists of skin, improves the stability of electrode and skin contact, acquires more reliable and more stable electrocardiosignal.
Although the electrocardiographic signal processing section 30 and the electrocardiographic electrode device 10 shown in fig. 1 are functionally independent and are part of the electrocardiographic capturing device 100, preferably, but not restrictively, the electrocardiographic signal processing section 30 may be provided on the holder body 11 and constitute a part of the electrocardiographic device 10. Preferably, the electrocardiograph signal processing section 30 is provided on the stent center section 12 of the stent body 11 and constitutes a part of the stent center section 12. The electrocardiograph signal processing unit 30 is fixed to the holder body 11 by a detachable connector, not shown, such as a snap or a screw, or by a non-detachable connection method such as welding. The ten electrocardiographic electrodes 71 to 75 provided on the holder body 11 are connected to the electrocardiographic signal processing section 30 via not-shown lead wires and connectors thereof. In alternative embodiments, the connector may be implemented by a fastener such as a bayonet pin, a screw, or a solder joint to which the cardiac signal processor 30 is fixed. The arrangement of the electrocardiographic signal processing section 30 on the holder body 11 can omit or shorten the length of the signal line cable from the electrode holder 1 to the signal processing section 30, and avoid the shaking of the signal line, thereby reducing the influence of the interference signal.
In one embodiment, the electrode holder 1 may be integrally formed by injection molding using a polymer material such as a polymer, and a lead wire not shown may be embedded in the material of the holder body 11. In another embodiment, the electrode holder 1 is formed by cutting a polymer plate with certain toughness and then performing heat treatment, the lead connecting the electrode 7 and the connector for mounting the electrocardiosignal processing part 30 can be arranged on the holder body 11, and the electrode holder 1 can be formed by laying a conductive material on the holder body 11 by adopting the processes of printing, offset printing, silk-screen printing, transfer printing, pad printing, deposition, spraying, painting, ink-jetting and the like before or after the electrode holder is formed; if the surface of the bracket body 11 is itself paved with the conductive material, the conductive wire can also be formed by the processes of exposure, development, etching and the like. In general, a water-proof protective layer may be provided on the outermost layer of the surface on which the lead is formed. The holder body 11 may be formed of a multilayer plate, and in this case, the lead connecting the electrode 7 and the electrocardiographic signal processing unit 30 may be provided on the outer surface or the inner surface of the surface layer, or may be provided in an intermediate layer.
When the electrocardiogram capturing apparatus 100 of the present invention is installed in a hospital or the like where users frequently use, the electrode holder 1 may be used hundreds or thousands of times per day. When the electrode support 1 is pressed to the chest and abdomen of the user with each use, the upper limb electrode leg 14 and the lower limb electrode leg 15 of the electrode support 1 are deformed to some extent. As shown in fig. 6, the deformation is frequent and severe especially at the connecting portions 16, where for example the legs 14, 15 are connected to the central portion 12 of the stent, which makes the electrode leads passing through these areas prone to breakage. In a preferred embodiment, different sections of the same wire may be provided with different flexibility to accommodate different deformation changes, for example by providing different thicknesses for the same wire, or by providing different amounts of material in the composition, so that sections with frequent or more severe changes in shape have better fracture resistance, for example better toughness.
In addition, for self-service electrocardiographic signal acquisition, because no doctor cleans and moistens the skin of the user, if electrocardiographic electrodes generally made of conductive metal and/or metal alloy, such as copper alloy silver-plated electrodes, nickel silver alloy electrodes, zinc silver copper alloy electrodes, silver/silver chloride electrodes, and the like, are directly contacted with dry skin of the user, the electrodes cannot stably acquire electrocardiographic signals due to unstable impedance between the dry skin and the electrodes, and the acquired electrocardiographic signals have larger interference noise. In order to solve this problem, referring to fig. 1, a disinfecting device 20 is further provided in the electrocardiogram capturing apparatus 100 of the present invention. In a specific embodiment, as shown in fig. 4 and also referring to fig. 7, in the standby state, the electrode holder 1 is placed on the electrocardiograph collecting cabinet 2, an electrode hole (not shown) matched with the size of the electrode 7 is provided on the housing 8 (shown by a dotted line in fig. 7 (D)) of the electrocardiograph collecting cabinet 2 at a position corresponding to each electrode 7 on the placed electrode holder 1, and after the electrode 7 protruding from the electrode holder 1 passes through the electrode hole, the electrode head or the electrode suction cup 76 thereof can contact the absorbing material 21 which is arranged inside the housing 8 of the electrocardiograph collecting cabinet 2 and is easy to absorb the disinfectant. The absorbent material 21 is, for example, a material that easily absorbs the moist disinfectant, such as cotton and sponge. The electrocardio collecting cabinet 2 is also internally provided with a disinfectant storage, a disinfectant infiltration channel or a disinfectant supplement channel and a disinfectant driving pump which are not shown and can automatically supplement disinfectant for the absorbing material 21. Because the electrode 7 is fully contacted with the absorbing material 21 which can absorb the disinfectant or can automatically supplement the disinfectant in the using state to obtain moist disinfection, the problem of cross infection possibly existing in the electrocardio detection is solved, and the problem of bad signals caused by the collection of electrocardiosignals by dry skin is also solved, thereby being particularly suitable for users to capture electrocardiograms in a self-help way. Alternatively, an electrode socket (not shown) may be provided on the housing 8 of the electrocardiograph acquisition cabinet 2 at a position corresponding to each electrode 7 of the electrode holder, and the absorbing material 21 may be provided in each electrode socket to automatically replenish the disinfecting solution.
The electrocardiogram electrode device configured by the electrocardiogram capturing device has the advantages that the support body is integrally mechanical and reusable, the consumption of consumables is reduced, the use cost is low, and the use is more convenient. However, as mentioned above, since the device is used repeatedly for different users, it is essential to sterilize the electrodes with liquid in order to ensure stable collection of reliable electrocardiographic signals. In particular, even if the electrodes of the electrocardio-electrode device are sterilized, the non-sterilized part of the electrode holder may still cause mental barrier to poor hygiene when the user uses the electrocardio-electrode device.
In another embodiment, the stent body of the electrocardio-electrode device 10 is not a reusable unitary mechanical type, but rather is a variety of suitable disposable electrocardio-electrode devices. Various disposable electrocardioelectrode devices manufactured by various processes exist, such as an electrocardioelectrode device formed by connecting a sensor and a concentrator through a variable-length connector described in a patent of Chinese patent No. CN 102065751B, or similar various film electrocardioelectrode devices connected with the concentrator through a flexible circuit board described in an application publication of Chinese patent application No. CN 102283644A. The disclosures of the above patents or patent applications are incorporated herein in their entirety. The membrane-based electrocardioelectrode device, while perhaps not quite inexpensive, is generally manufactured within acceptable price ranges for disposable consumables. However, these prior art thin film electrocardiograph devices are not designed according to the Mason-Likar twelve lead system and are therefore not suitable for self-help acquisition of twelve lead electrocardiograms.
FIG. 8 illustrates a thin film disposable electrocardioelectrode device 10 suitable for self-service operation according to the present application. Before use, the film type electrocardio-electrode device is an integral film covered with a release film on a conductive film layer, all electrode plates and lead wires thereof are cut and formed by the conductive film layer (but unnecessary parts are not removed generally), the length of the lead wires is determined by the circuitous length of a cutting strip, the lead wires of all the electrode plates are gathered at one position to form a lead wire concentrator, and the concentrator is shown as a connecting buckle 19 in figure 8. When the electrocardiosignal processing device is used, the connecting buckle 19 is electrically connected with the electrocardiosignal processing part 30 in a detachable matching way through the connecting clamping seat 39 and the lead bundle 31 electrically connected with the connecting clamping seat, the release film is torn off, and all or part of the electrode plates and the lead wires thereof are straightened along the cutting lines to be adhered to the preset position of the body surface of a user. After use, the connecting buckle 19 can be separated from the connecting clamping seat 39, and the whole electrocardio-electrode device 10 can be discarded. The electrocardiographic signal processing unit 30 is installed on the wall of the spatial body 5 or in the electrocardiographic acquisition cabinet 2. In the present embodiment, the ten electrodes of the electrocardiograph electrode device 10 are designed according to the electrode positions of the Mason-Likar twelve-lead system, the length of the thin film layer lead wire of the four limb electrodes is greatly shortened, and even if a user who is not skilled straightens the electrode sheet of the limb electrode with a relatively long lead wire and the lead wire thereof, the thin film layer is still not easy to break, so that the electrocardiograph electrode device is suitable for self-help operation.
By adopting the disposable electrocardio-electrode device, the possible cross infection of the cross use of the user can be eliminated, and the psychological barrier of insanitation felt by the user can be eliminated. Meanwhile, before the electrocardiosignal acquisition cabinet is used, the electrodes do not need to be moistened and disinfected additionally, the disinfection device 20 is not arranged in the electrocardiosignal acquisition cabinet 2, and the maintenance cost and the disinfectant consumption cost of the disinfection device are saved.
In another embodiment, only a portion of the components of the electrocardioelectrode device 10 are disposable, e.g., only the detachable electrodes 7 may be disposable, while the other components may be reusable.
In the present application, the combination of all the disposable components of the electrocardio-electrode device 10 is referred to as a disposable component set, and in order to facilitate self-help collection of electrocardiograms, the disposable component set may be individually packaged together and provided for users, or a plurality of components may be individually packaged. The disposable kit of parts may include the entire disposable electrocardioelectrode device, or may include only the disposable components or assemblies of the electrocardioelectrode device, such as the disposable adhesive electrode, the disposable release paper or the release film assembly, etc. described later.
One possible embodiment of an electrocardioelectrode device 10 of this type is, for example, an improvement of the strapped electrocardioelectrode device disclosed in the chinese design patent CN 304355045S, previously filed by the applicant and granted hereon, the entire content of which is incorporated herein by reference. In this modified embodiment, the band as disclosed in CN 304355045S may be tied or adhered to the body of the user and is reusable, with electrodes disposed thereon, such as removable disposable adhesive electrodes. The viscous electrode is a wet electrode, so that electrocardiosignals can be well collected without permeating the skin of the position where the user needs to arrange the electrode on the body surface, and the electrode can be stably adhered to the skin on the body surface of the user due to the viscosity on the surface of the electrode, so that the function of fixing the electrode is achieved. The disposable adhesive electrode is typically detachably disposed on the electrocardiograph electrode device 10 by electrically conductive fasteners, snaps, fasteners, screws, magnetic attraction, and the like. Of course, the electrodes of the strap-type electrocardiograph electrode device 10 may be fabric electrodes made of a textile material containing a conductive material or other flexible electrodes, or elastic electrodes may also be used. The electrocardiosignal processing part 30 can be arranged at the central part of the belt as the bracket body, the four limb electrodes can be disposable adhesive electrodes arranged at the tail ends of four flexible legs extending from the electrocardiosignal processing part 30 to the position far away from the central part of the bracket, and the flexible legs can be served by flexible lead wires of the limb electrodes.
To eliminate cross-contamination that may occur when the user cross-uses the band, a separate disposable release paper or film may be provided, which is attached to the side of the band that contacts the user's skin prior to use. FIG. 9 is an illustration of one embodiment of a disposable release paper or release film assembly 17 for use with the strap electrocardioelectrode assembly described above. Wherein fig. 9(a) is a top external view of the module after it is unfolded and laid flat, and fig. 9(B) is a cross-sectional view taken along a-a line. A disposable release paper or release film assembly 17 is the disposable component (or one of the) of the strapped electrocardio-electrode device. The disposable release paper or release film assembly 17 has a front projection shape substantially corresponding to the belt, and includes a release paper or release film 171 adhered to the belt in use and a release paper or release film 172 adhered to the surface of the release paper or release film 171, wherein six perforations 173 are provided on the release paper or release film 171 according to the positions of the six chest electrodes, and an adhesive layer is provided on the surface of the release paper or release film 172. In use, the release paper or film 172 is torn from one end, the release paper or film 171 is adhered to the corresponding end of the strap, and then the release paper or film 172 is continuously torn while the release paper or film 171 with the release paper or film 172 torn away is continuously adhered to the other end of the strap until the whole release paper or film 171 is adhered to the strap, and since the aperture of the six perforations 173 is slightly larger than the maximum outer diameter of the corresponding electrocardioelectrode passing through the perforations, each chest electrode on the strap can easily pass through each perforation 173 when the release paper or film 171 is adhered to the strap.
In another embodiment, the release paper or release film 171 of the disposable release paper or release film assembly 17 is not provided with an adhesive layer, but a magnetic region 174 or an electrostatic attraction region 174 is provided on the release paper or release film 171, and accordingly, a magnetic region or an electrostatic attraction region having an attraction effect therewith is provided at a corresponding position of the band. The electrostatically attracting regions 174 may be obtained by providing different materials in the release paper or film 171 and at corresponding location regions in the belt, respectively. Since the release paper or the release film 171 is not provided with an adhesive layer, the adhesive can be prevented from contaminating the reusable belt, and even the release paper or the release film 172 attached to the surface can be omitted from the disposable release paper or the release film assembly 17.
In addition, as mentioned above, with the electrocardio-electrode device of the overall mechanical type shown in fig. 6 and 7, even if the disinfection device 20 is provided, which may only suitably or only disinfect the electrodes 7, the electrode holder may still have non-disinfection parts, and the user may still have mental disorders of insufficient hygiene when using the electrocardio-electrode device. It will be readily appreciated, however, that the various disposable release papers or release film assemblies 17 described above may also be employed in such unitary mechanical electrocardioelectrode devices to provide a more secure sanitary environment for the user.
In addition, in the non-integral mechanical electrocardio-electrode device, in order to facilitate self-help operation of a user, the length of electrode legs or electrode signal wires (namely lead wires) of four limb electrodes designed according to the Mason-Likar lead system is obviously shorter than that of the electrode signal wires of the limb electrodes of the conventional twelve-lead electrocardiogram device. Because the length of the electrode supporting legs or the electrode signal wires of the four-limb electrodes is reduced, the electrode supporting legs or the electrode signal wires are not easy to wind, and the twelve-lead electrocardiosignal acquisition is facilitated.
In order to enable a non-professional ordinary user to correctly and relatively easily use the twelve-lead electrocardiogram capture device 100 of the present invention, preferably, the electrocardiogram electrode devices 10 of different models are designed according to body type parameters, for example, the sizes of the series of sizes S, M, L, XL, and XXL are designed from small to large, just like the garment model made for a specific body type of people, the user only needs to select the electrode device of the most suitable model according to the body type of the user to perform electrocardiogram collection, and does not need to make complicated electrocardiogram electrode position adjustment on the electrocardiogram electrode device 10, so as to improve the usability and accuracy of collecting electrocardiogram data by the non-professional user. It should be noted that not only the unitary mechanical electrocardioelectrode device is suitable for manufacturing and using a type number, but also the non-unitary mechanical electrocardioelectrode device, such as a strap type or film type electrocardioelectrode device, is also suitable for manufacturing and using a type number, and thus can have different types. In the present application, when the term "model" is used for describing the electrocardiograph electrode device, only different models designed according to the user body shape are referred; when the term "type" is used in describing the electrocardiograph electrode device, it generally refers to the electrocardiograph electrode device being reusable or disposable, unitary mechanical or strap or film, or the like.
Different populations may have different preferences for selecting different types of electrocardioelectrode devices to use. This preference may be due to hygiene issues that may exist with cross-use, and may also be due to the different individuals' ability to treat how different types of electrocardioelectrode devices may be quickly and accurately placed, positioned and stably contacted to their own body skin surfaces. In a preferred embodiment, both a certain type of integrated mechanical electrocardioelectrode device and another type of electrocardioelectrode device of the same type are provided in one electrocardiogram acquisition device 100 in order to take care of the needs of different people. For a user who needs to perform electrocardiographic examination frequently, the user terminal may be preset with the preferred electrocardiographic electrode device type, and the setting will be stored in the HIS system 500 or the electrocardiographic examination management system 200, and when performing electrocardiographic examination by self, the electrocardiographic capturing device 100 first queries and obtains the preferred electrocardiographic electrode device type preset by the user and releases or provides the preferred electrocardiographic electrode device type for the user.
In some situations, such as malls, there may be fewer users using an electrocardiogram capture device and the rental field may be expensive. In one embodiment, in order to save space and rent the field, one electrocardiograph capturing device 100 is provided with a plurality of types and types of electrocardiograph electrode devices 10. In a large hospital or the like, there may be a large number of users who need to perform electrocardiographic examination, and in such a case, it is necessary to configure a plurality of electrocardiographic capture devices 100 in one location to effectively reduce the waiting in line of the users, and in such a case, it is preferable to configure a plurality of electrocardiographic capture devices 100 at least as many as the number of types of electrocardiographic electrode devices 10, and each electrocardiographic capture device 100 uses one type of electrocardiographic electrode device 10, or even each electrocardiographic capture device 100 is configured with only one specific type of electrocardiographic electrode device 10 of one type. Of course, the number of electrocardiograph capturing devices 100 in which electrocardiograph electrode devices 10 of different types are arranged at the same location can be determined approximately based on the ratio of experienced or statistically different body types of patients to the total number of patients.
In order to adapt to the self-service electrocardiographic examination in an open public place, particularly when the electrocardiographic electrode device 10 adopts a disposable electrode device or comprises a disposable kit, the electrode device can be generally used for obtaining the use permission after payment and purchase; when the electrocardiographic capture device 100 is used with a reusable unitary mechanical electrode device, there is also sometimes a need to prevent an unregistered or unauthorized user from gaining access to the electrode device in order to prevent the user from taking, using, and inadvertently damaging the electrode device at will. To this end, in a specific embodiment, referring to fig. 1, the electrocardiogram capturing apparatus 100 of the present invention includes a licensing portion 110 that permits use of the electrocardiogram electrode assembly 10. In a specific embodiment, as shown in fig. 4, the permission part 110 includes a locking device capable of locking the electrode holder 1 of the integral mechanical type on the electrocardiograph collecting cabinet 2, such as a lock or a cover with a lock, not shown, which can be automatically controlled to be opened and closed, wherein the cover is preferably transparent or translucent to facilitate the observation of the electrode device by a user when the electrocardiograph electrode device 10 is locked, and a legal user can open the locking device to access the electrocardiograph electrode device 10. In another embodiment, as shown in fig. 8, the permitting unit 110 comprises a pick-up and delivery device, a disposable kit of parts, such as a disposable adhesive electrode sheet, a release paper or a release film assembly, or even the entire disposable electrocardiograph electrode assembly, which is packaged and stored in the interior space 9 of the locked electrocardiograph collecting cabinet 2 in a sterile and sealed manner, and after the identification unit 50 identifies the user 2000 and its attributes, such as a paid-up authorized user, the permitting unit 110 picks up and delivers a disposable kit of parts to the access opening 23 of the electrocardiograph collecting cabinet 2. Such a pick-up and transfer device may be constructed using various well-known components, such as a flexible pusher, a drive motor, a conveyor belt, etc., or combinations thereof, which will not be described in detail herein.
Preferably, but not limitatively, the display unit 60, the electrocardiographic signal processing unit 30, and the like of the electrocardiographic capturing device 100 according to the present invention are integrated with the electrocardiographic acquisition cabinet 2, and thus the electrocardiographic capturing device 100 is constituted by the electrocardiographic acquisition cabinet 2 having an integral cabinet structure. Such a monolithic structure may facilitate the placement and withdrawal of the ecg capture device in certain scenarios, such as in a large mall environment.
Some typical application or implementation flows of the present invention are described next. Although the figures are only given illustrations with respect to certain advantageous features, practical applications and implementations may contain more detailed steps. In correspondence with these flows, embodiments within the scope of the present invention also include computer-readable media, which are any available media that can be accessed by a general purpose or special purpose computer for carrying or having computer-executable instructions or data structures corresponding to the flows. By way of example, and not limitation, such media can comprise RAM, ROM, EEPROM, CD-ROM or other optical disk storage, magnetic disk storage or other magnetic storage devices, or any other medium which can be used to carry or store desired program code means in the form of computer-executable instructions or data structures and which can be accessed by a general purpose or special purpose computer. It should be noted that because information including program instructions may be streamed, when information or data is transferred or provided over a network or a communication connection to a computer, the invention views the network or connection entirely as a computer-readable medium. Further, while some of the steps described herein are preferably implemented in software, it is contemplated that implementations in hardware or a combination of software and hardware are possible.
It should be noted that, when a user goes to a hospital to perform an electrocardiographic examination or uses the device in a public place, generally, an account is registered in advance in the HIS system or the electrocardiographic examination management system and has a diagnosis card authorized to be used by a relevant institution, the user goes through registration and diagnosis, and when the user needs to perform the electrocardiographic examination, a doctor generates electrocardiographic examination items and transmits and stores the electrocardiographic examination items to the HIS system and/or the electrocardiographic examination management system, or the user himself/herself has made an appointment or purchased the electrocardiographic examination items through an application program of the user mobile terminal 300, for example, an APP application program of the relevant medical institution, a wechat public number, and the like. Whether generated after doctor's diagnosis or reserved or purchased by the user, the ecg examination items can be reviewed or further processed in the relevant application program of the user mobile terminal 300, such as on-line inquiry for successful reservation, payment of fee, and the like. Meanwhile, if the doctor generates the electrocardiographic examination items after diagnosis, the doctor generally prints a paper electrocardiographic examination application form corresponding to the electrocardiographic examination items for the user. In addition to the case of a doctor or the like, generally, the user needs to pay to perform the electrocardiographic examination by using the self-service electrocardiographic examination system, so that when the electrocardiographic examination is performed by self-service, it is necessary to verify the validity of the user, especially, to verify whether the user has purchased the relevant examination service items and paid the fee. The user validity generally means that the user should be a registered user, and the user must have a registered account and store necessary information in an electrocardiogram check management system or an HIS system, for example, a treatment card should be handled, the user should have a corresponding treatment card identification code, a treatment order serial code formed by appointment or treatment, or various medicine purchase and check item serial codes.
Fig. 10 is a schematic diagram of a user validity and payment verification process before the user performs the electrocardiographic examination by self. The main steps involved in this process are briefly described below with reference to the other figures.
After the electrocardiographic capturing device 100 is powered on and self-checked, it enters a standby state waiting for recognizing a valid electrocardiographic examination application form or a user. In the standby state, the display unit 60 may display a confirmation button such as "self-service electrocardiographic examination" to prompt the user to click the button to start the self-service electrocardiographic examination, or the display unit 60 may simultaneously display descriptions of various media types such as video, pictures, and characters related to the self-service electrocardiographic examination, or repeatedly play animation or video of the main operation process of the self-service electrocardiographic examination.
And step S101, identifying an electrocardiographic examination application form or a visiting card. When a decision button such as "self-service electrocardiographic examination" is clicked, the display unit 60 or the feedback unit 80 or both prompt the user to put the electrocardiographic examination request form code or the user code or the electronic clinical card held in the hand of the user into the recognition unit 50 for recognition, the recognition unit 50 scans the code or reads the information of the electronic clinical card and performs on-line verification and other processing through the electrocardiographic examination management system 200 or the HIS system 500, and if no valid electrocardiographic examination item (for example, a valid serial number) or valid user (for example, a valid user ID) is recognized, the system returns to the standby state. The electrocardiographic examination request sheet may be a physical request sheet made of various suitable media such as paper, plastic materials, etc., or may be an electronic document stored in various electronic media, and the code may be a code generated on the physical request sheet in various ways such as printing, etc., or may be a code displayed on a display of the user mobile terminal. The Code is, for example, a bar Code, a two-dimensional Code, or any other suitable Code, such as a Codebar Code, a Code25 Code, a Matrix25 Matrix Code, a Code39 Code, a Code128 Code, an ENA Code, a UPC Code, or the like.
Step S102, judge whether there is electrocardiogram examination matter without capturing electrocardiogram. If a valid electrocardiographic examination request form code is identified, inquiring the electrocardiographic examination management system 200 about the relevant attributes of the electrocardiographic examination items, wherein the relevant attributes comprise the establishment time of the examination items, whether the payment is made, whether the electrocardiogram is captured and the like; if a valid user is identified, the electrocardiographic examination management system 200 is queried for the relevant attributes of the most recent electrocardiographic examination event under the user name. If a plurality of electrocardiogram examination items exist under the user name, the latest item of the establishing time is the latest electrocardiogram examination item; if only one electrocardiographic examination item exists under the name of the user, the electrocardiographic examination item is the latest electrocardiographic examination item. If no valid electrocardiographic examination request form code is identified, or a valid electrocardiographic examination request form code is identified but the inquiry knows that the corresponding electrocardiographic examination item has captured an electrocardiograph, or a valid user is not identified, or a valid user is identified but the inquiry knows that the latest electrocardiographic examination item does not exist under the name of the user, or the inquiry knows that the latest electrocardiographic examination item exists under the name of the user but the latest electrocardiographic examination item has captured the electrocardiograph, corresponding error prompts are fed back, such as prompting ' invalid electrocardiographic examination request form ', ' invalid doctor card ' or ' you do not have electrocardiographic examination without electrocardiographic examination, and the standby state is returned.
As is apparent from the above description, in the present invention, the final purpose of the user is identified, and whether or not the user has a valid electrocardiographic examination item is determined. In addition, since some users may require frequent, timely electrocardiographic examination, there may be pre-paid or post-paid member users who have a limited or unlimited number of electrocardiographic examinations within a certain period of time, such as a week, month, year, or other period of time. In this case, possible solutions are: as long as the member's deadline is not over, the electrocardiographic examination management system 200 will automatically establish an electrocardiographic examination item to be captured for the member at a later time and in a paid state every time an electrocardiographic examination is done; or, the electrocardiographic examination management system 200 automatically establishes a new electrocardiographic examination item of the paid to-be-captured electrocardiogram in real time as long as the user in the valid period is identified; or, the user applies a new electrocardiographic examination item for the paid electrocardiogram to be captured from the user terminal in advance.
Step S103, judging whether the electrocardiogram examination items are paid. When there is an ecg examination item that does not capture an ecg, the ecg capturing device 100 further determines whether the ecg examination item is paid according to the related attributes. If the user does not pay for the electrocardiographic examination item, the display part 60 or the feedback part 80 or both prompt the user that the examination item is not paid, and display or feed back various possible payment modes to guide the user to pay first and then perform electrocardiographic examination. A return button may be displayed on the display unit 60, and the user may click the return button displayed on the display unit 60 to return the system to the standby state, or the system may automatically return to the standby state after a certain time.
Step S104 can be selected, and the type and/or type of the electrocardio-electrode device is selected. If the query feedback is paid, the user may next perform a self-service electrocardiographic examination, and at this time, if one electrocardiographic capture device 100 is configured with a plurality of types of electrocardiographic electrode devices 10, for example, including an integrated mechanical, film, and belt type electrocardiographic electrode device, or configured with a plurality of types of electrocardiographic electrode devices, the user will be required to select the type of electrocardiographic electrode device according to his/her preference, and/or the user will be required to select or recommend or automatically select the type of electrocardiographic electrode device according to the user's attribute. Of course, if a plurality of electrocardiograph capturing devices 100 are arranged at a location and each electrocardiograph capturing device uses one type of electrocardiograph electrode device 10, before self-service electrocardiograph examination is performed by a user, the user can select a specific type of electrocardiograph capturing device according to the preference and related prompts or descriptions, and the electrocardiograph examination process of the electrocardiograph capturing device does not need to execute the electrode device type selecting step. Similarly, if only one type of the electrocardiograph electrode device is configured in one electrocardiograph capture device, the step of selecting the type is not needed, but a step of confirming whether the types are matched or not by the user may be provided, for example, a step of prompting the user with a suitable type to make a judgment and confirmation by the user.
Optionally, step S105, permitting use of the electrocardioelectrode device. For an electrocardiograph capturing device 100 provided with the permitting portion 110, the device 100 will optionally perform the permitting portion action to prepare or provide the user with a set of available electrocardiograph electrode devices 10. For an ecg electrode device configured and selected for use by a user that includes a disposable set, the ecg capture device 100 releases the disposable set from the enclosed interior space 9 of the ecg collection cabinet 2 via the permit portion 110. The disposable set may be the entire disposable electrocardioelectrode device, such as a thin film electrocardioelectrode device, or just the disposable components of some reusable electrocardioelectrode devices, such as the disposable release paper or release film assembly 17 and/or the disposable adhesive electrodes. For the electrocardiograph capturing device 100 in which, for example, the entire mechanical electrocardiograph device or the strap-type electrocardiograph device is disposed and the user selects to use, and the electrocardiograph device is locked, the locked electrocardiograph device is opened by the permission section 110.
And step S106, starting the self-service electrocardio data acquisition process. The electrocardiogram capturing apparatus 100 prompts the start of the self-service electrocardiogram examination process at this time, and initializes the self-service electrocardiogram data acquisition times N, for example, to zero; at this time, the display unit 60 and the feedback unit 80 can display a video or animation of how to wear the electrode device, guide and wait for the user to assemble the electrocardiographic electrode device 10, and guide the user to position each electrocardiographic electrode of the electrocardiographic electrode device 10 at a predetermined position by self-help and stably for electrocardiographic examination.
Fig. 11 is a schematic flow chart of self-service electrocardiographic data acquisition by a user. The main steps involved in this process are briefly described below with reference to the other figures.
Step S201, self-checking whether the wearing of the electrode device is completed. In guiding and waiting for the user to prepare (including possible assembly) the electrocardioelectrode device 10 and guiding the user to stably position each electrocardioelectrode of the electrocardioelectrode device 10 at a predetermined position, the electrocardiogram capturing device 100 may invoke the electrode device wearing integrity check program to continuously check whether wearing of the electrocardioelectrode device 10 is completed. For example, by detecting the signals of the electrodes, it is possible to distinguish whether or not the electrodes are in contact with the skin of the user and determine whether or not the electrodes are in stable contact with the skin of the user, thereby automatically completing the inspection of whether or not the electrocardiograph electrode device 10 is worn. Of course, the display portion 60 may also display a determination button such as "determine that the wearing of the electrode device is completed", which means that the user subjectively considers that the wearing of the electrode device is completed once the user clicks the determination button, and then the electrocardiograph capturing device 100 calls the electrode device wearing integrity checking program to further verify and confirm that the wearing of the electrocardiograph electrode device is completed.
In step S202, after detecting that the electrocardiograph electrode device is worn well, the electrocardiograph capturing device 100 acquires twelve-lead electrocardiograph data of the user for a predetermined time, for example, 10 to 20 seconds, for example, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20 seconds, and the predetermined time may be 10 to 30 minutes, for example, 10, 15, 20, 25, 30 minutes.
Step S203, the wearing integrity of the electrode device is rechecked. In order to ensure that the collected electrocardiographic data is valid, after the electrocardiographic data of the predetermined time is collected, the electrocardiographic capturing device 100 calls the electrode device wearing integrity check program again to check the wearing integrity of the electrode device. If the wearing is complete, the process goes to step S208 to transmit the acquired electrocardiographic data to the electrocardiographic examination management system 200; if the wearing is not perfect and the electrode is fallen off, the process goes to step S204.
Step S204, if the condition that the electrode falls off is detected, the acquired electrocardiogram data is possibly abnormal, and the self-service data acquisition frequency N is increased by 1.
Step S205, judging whether the self-service data acquisition times N are larger than a preset value. If the preset value is not exceeded, for example, 3 times, the user is given the attempt to collect the electrocardiogram data by self.
And step S206, prompting to dress again. Under the condition that the self-service electrocardio data acquisition times N do not exceed the preset value, the electrocardiogram capturing device 100 prompts the feedback user that the electrodes fall off or the electrocardio electrode device 10 can be worn again in the data acquisition process, and the step S201 is returned to perform automatic check on whether the wearing of the electrode device is finished.
And step S207, if the self-help electrocardio data acquisition times N are larger than a preset value, the user is difficult to master to stably position the electrode of the electrode device to the correct position of the body surface of the user, and the user is prompted to go to an electrocardiogram room to carry out electrocardiogram examination by a professional technician. The device will then end the self-service electrocardiographic examination process and return to the standby state.
And step S208, if the wearing of the electrocardio-electrode device is still intact after the data acquisition is found in the step S203 during the rechecking of the wearing integrity of the electrode device, the acquired data is considered to be valid data, the electrocardiogram capturing device 100 prompts and feeds back the completion of the acquisition of the electrocardio-data of the user, and transmits the acquired electrocardio-data to the electrocardiogram checking management system 200 for the electrocardiogram checking management system 200 to automatically judge and diagnose to make a report, or for professional technicians such as doctors accessing the electrocardio-diagnosis terminal 400 of the electrocardiogram checking management system 200 to judge and diagnose and make a report. The ecg capturing device 100 also reminds the user of further printing ecg examination reports and follow-up medical procedures such as doctor-seeking medical consultation. The printing apparatus may be configured integrally with the electrocardiogram capturing apparatus 100 or may be configured separately. For the electrocardiographic examination management system 200 accessing the HIS system 500, a relevant report or the like may be transmitted to and stored in the HIS system 500.
And S209, returning the electrocardiogram acquisition device to a standby state, and ending the self-service electrocardiogram acquisition process.
In the above flow of performing self-service electrocardiographic data collection, after a predetermined time, for example, 15 seconds, has elapsed since the electrocardiographic data collection, a subroutine call method is used to check whether the data is valid or not by calling an electrode device wearing integrity check program. However, the program may be interrupted, and in the process of collecting the electrocardiographic data of a predetermined time, whether the wearing of the electrocardiographic electrode device is intact and whether the electrode falls off are monitored at any time, and once the electrode falls off is detected, the program is interrupted immediately to step S204, so that the self-service electrocardiographic data collection frequency is increased by 1.
It should be understood that the devices, systems and methods related to the embodiments provided in this application are merely illustrative, and for example, the division of the components or units is only one logical division, and in actual implementation, there may be other divisions, such as: multiple units or components may be combined, or may be integrated into another device or system, or some units or components may be omitted, or certain steps or actions may not be performed. The components or units described above as separate components may or may not be physically separate, and components displayed as units may or may not be physical units; some or all of the units or components can be selected according to actual needs to achieve the purposes of the embodiment schemes.
In addition, all functional units in the embodiments of the present application may be integrated into one processing unit, or each unit may be separately regarded as one unit, or two or more units may be integrated into one unit; the integrated unit can be realized in a form of hardware, or in a form of hardware plus a software functional unit.
Those of ordinary skill in the art will understand that: all or part of the steps of the method embodiments for realizing the above flows can be completed by hardware related to program instructions, and the program can be stored in a computer readable storage medium, and when the program is executed, the steps including the method embodiments are executed. The integrated unit described above in the present application may also be stored in a computer-readable storage medium if it is implemented in the form of a software functional module and sold or used as a separate product.
The method steps disclosed in several of the method embodiments provided in the present application may be combined arbitrarily without conflict to obtain new method embodiments.
For example, the order of the method steps disclosed in the several method embodiments provided herein may not be the order presented in the foregoing detailed description or the figures. For example, although step 104 of selecting the type of electrode device shown in fig. 10 is executed after step 103 of determining whether or not the electrocardiographic examination item is paid, it may be executed before step 103.
Also, unless specifically limited, other method steps are not excluded from the present application. For example, in one embodiment, after the user selects the model of the electrocardio-electrode device, the electrocardiogram capturing apparatus 100 may perform the matching detection on the model of the electrocardio-electrode device selected by the user. The detection can be performed by requesting the user to input the chest circumference of the user from the input unit 70, or inputting body parameters such as height and weight, and comparing the body parameters with the comparison table of the body types stored in the electrocardiogram capturing apparatus 100; alternatively, the electrocardiograph capturing apparatus 100 may obtain the body type parameters (if any) that the user has recently acquired from the electrocardiographic examination management system 200 or from the HIS system, and compare the body type parameters with the model comparison table stored in the electrocardiograph capturing apparatus 100 to detect whether the model of the electrocardiograph electrode apparatus 10 selected by the user is appropriate.
Features disclosed in several of the product embodiments provided in the present application may be combined in any combination to yield new product embodiments without conflict.
The features disclosed in the several method or apparatus embodiments provided in the present application may be combined arbitrarily, without conflict, to arrive at new method embodiments or apparatus embodiments.
While the specific embodiments set forth herein represent particularly preferred embodiments of the invention, many other modifications and variations of the structure of the present invention will readily occur to those skilled in the art, which fall within the scope of the present invention. It is to be understood, therefore, that the detailed description is only illustrative of the principles of the present invention and not restrictive thereof. The technical solution and the protection scope of the present invention are defined by the contents of the claims based on the contents of the specification.

Claims (40)

1. The utility model provides an electrocardio electrode device, includes support body and ten electrodes of gathering twelve-lead electrocardiogram, its characterized in that:
the bracket body comprises a bracket central part and four electrode supporting legs extending out from the bracket central part;
six chest electrodes which are arranged according with the electrode positions of a Wilson electrocardio-lead system or a Mason-Likar electrocardio-lead system are arranged in the center of the bracket;
the four electrode supporting legs are provided with four limb electrodes which are arranged according to the electrode positions of the Mason-Likar electrocardio lead system.
2. The electrocardioelectrode device of claim 1, wherein: also included is a disposable kit comprising a disposable release paper or release film assembly attachable to the central portion of the stent.
3. The electrocardioelectrode device of claim 1, wherein: also included is a disposable kit including a disposable adhesive electrode.
4. The electrocardioelectrode device of claim 2 or 3, wherein: the disposable cartridge has a separate package.
5. The electrocardioelectrode device of claim 1, wherein: the electrocardio-electrode device is of an integral mechanical type; the bracket center portion has a curved flank portion extending to one side.
6. The electrocardioelectrode device of claim 5, wherein:
the four electrode supporting legs extend from the heart of the human body to the four limbs respectively;
the four electrode supporting legs extend away from the central part of the support and bend towards one side of the plane of the central part of the support, and one side of the plane of the central part of the support is the side facing a user when the electrode support is used for collecting electrocardiosignals.
7. The electrocardioelectrode device of claim 5, wherein: the stent body is integrally formed of a plate-shaped material having toughness.
8. The electrocardioelectrode device of claim 5, wherein: the electrode lead is arranged on the bracket body, and different sections of the lead have different toughness.
9. The electrocardioelectrode device of claim 5, wherein: the six chest electrodes and the four limb electrodes are elastic electrodes.
10. The electrocardioelectrode device of claim 5, wherein: the electrocardiogram signal processing device further comprises an electrocardiogram signal processing part, and the electrocardiogram signal processing part is arranged in the center of the bracket.
11. The electrocardioelectrode device of claim 1, wherein:
the central part of the bracket is of an integral mechanical type and is provided with a bent flank part extending towards one side;
the electrocardiosignal processing part is arranged in the center of the bracket;
the four electrode legs are four flexible legs extending from the electrocardiosignal processing part to a position far away from the central part of the bracket.
The four limb electrodes are disposable adhesive electrodes disposed at distal portions of the four flexible legs.
12. The electrocardioelectrode device of claim 1, wherein: the electrocardio-electrode device is a film type disposable electrocardio-electrode device, and the six chest electrodes and the four limb electrodes are viscous electrodes arranged on the film type bracket body.
13. A method of using the electrocardio-electrode device of claim 1, wherein: before the electrocardiosignal is collected by the electrocardiograph, the disposable kit is obtained by scanning the electrocardiograph examination item code.
14. A method of using the electrocardio-electrode device of claim 13, wherein:
the disposable kit comprises a disposable release paper or release film assembly attachable to the central portion of the stent;
adhering a disposable release paper or film in the disposable kit to the stent center prior to collecting an electrocardiosignal with the electrocardio-electrode device.
15. An electrocardiogram capture device usable by a user to self-service capture an electrocardiogram, comprising:
an identification unit for identifying an electrocardiographic examination item or a user who performs electrocardiographic examination;
the electrocardio-electrode device is provided with ten electrocardio-electrodes which are arranged according with the electrode positions of the Mason-Likar twelve-lead electrocardio-lead system and are used for collecting twelve-lead electrocardiosignals of a user;
an electrocardiosignal processing part for carrying out analog and digital processing on the electrocardiosignals to obtain the electrocardio data of the user;
and the control and processing part is used for controlling the flow of the user to capture the electrocardiogram in a self-service way and acquiring the electrocardiogram data processed by the electrocardiogram signal processing part.
16. The electrocardiogram acquisition device of claim 15 wherein: the identification unit identifies the electrocardiographic examination item by optically scanning an electrocardiographic examination request form code, or identifies the user by optically scanning a user code or electronically reading information of a user visiting card.
17. The electrocardiogram acquisition device of claim 15 wherein: the electrocardiograph device further comprises a permission part which is used for executing permission action so as to obtain the use permission of the electrocardiograph electrode device.
18. The electrocardiogram acquisition device of claim 17 wherein: the control and processing unit determines whether to execute the operation of the permission unit based on the recognition result of the recognition unit.
19. The electrocardiogram acquisition device of claim 17 wherein:
the electrocardiogram capturing device also comprises a cabinet body;
the electrocardio-electrode device comprises a reusable electrocardio-electrode device;
the permission part comprises a locking device which can lock or release the reusable electrocardio-electrode device on or from the cabinet body.
20. The electrocardiogram acquisition device of claim 17 wherein:
the electrocardiogram capturing device also comprises a cabinet body, wherein the cabinet body is provided with an inner space and an object taking opening;
the electrocardio-electrode device comprises a disposable cartridge stored in the interior space;
the permitting section includes a pick-up transfer device that picks up and transfers the disposable set to the extraction opening.
21. The electrocardiogram acquisition device of claim 15 wherein:
the electrocardiogram capturing device further comprises a disinfecting device; and the number of the first and second electrodes,
the disinfection device can disinfect the electrocardio-electrode device in a standby state.
22. The electrocardiogram acquisition device of claim 15 wherein:
the electrocardio-electrode device comprises a plurality of electrocardio-electrode devices with different models;
the control and processing part acquires the body type parameters of the user who carries out electrocardiographic examination according to the identification result of the identification part, and automatically selects one model which is matched with the body type parameters of the user from the plurality of different models.
23. The electrocardiogram acquisition device of claim 15 wherein:
the electrocardiogram capturing apparatus further comprises an input;
the electrocardio-electrode device comprises a plurality of electrocardio-electrode devices with different models;
the control and processing part selects one model according to the input of the user from the input part.
24. The electrocardiogram acquisition device of claim 15 wherein:
the electrocardiogram capturing apparatus further comprises an input;
the electrocardio-electrode device comprises two types of a reusable electrocardio-electrode device and a disposable electrocardio-electrode device;
the control and processing section selects one of the two types in accordance with an input from the input section by a user.
25. The electrocardiogram acquisition device of claim 15 wherein: the control and processing part acquires whether the electrocardiogram checking items are paid or not according to the identification result of the identification part, or acquires whether the user is associated with the latest electrocardiogram checking items and further acquires whether the latest electrocardiogram checking items are paid or not.
26. The electrocardiogram acquisition device of claim 15 wherein: and one or the combination of a display part, an input part and a feedback part.
27. The electrocardiogram acquisition device of claim 15 wherein: the electrocardiographic examination management system further comprises a communication part which is used for communicating with the electrocardiographic examination management system.
28. An electrocardiographic examination system characterized by comprising:
the electrocardiogram examination management system is used for managing electrocardiogram examination items of the user;
one or more electrocardiogram capture devices as claimed in any one of claims 15-27 which is used for a user to self-service capture his electrocardiogram.
29. The electrocardiographic examination system according to claim 28, wherein: one or more diagnosis terminals are also included, which are connected with the electrocardiographic examination management system through network.
30. The electrocardiographic examination system according to claim 28, wherein: the electrocardiographic examination management system is connected with the HIS system through a network.
31. The electrocardiographic examination system according to claim 28, wherein: an electrocardiogram capturing device is simultaneously provided with an electrocardiogram electrode device with different models; or one electrocardiogram capturing device is simultaneously provided with different types of electrocardio-electrode devices with the same model; or one electrocardiogram capturing device is simultaneously provided with electrocardio-electrode devices with different types and models; or a plurality of electrocardiogram capture devices with the number at least as much as that of the types of the electrocardiogram electrode devices are configured; or a plurality of electrocardiogram capturing devices are configured, and the types of the electrocardio-electrode devices used by each electrocardiogram capturing device are different; or a plurality of electrocardiogram capturing devices are arranged, and the types and the models of the electrocardiogram electrode devices used by each electrocardiogram capturing device are different.
32. A method for self-service electrocardiographic capture with an electrocardiographic capture device comprising an electrocardiograph electrode device, comprising: and automatically identifying the electrocardiogram examination item or the user who performs the electrocardiogram examination item by using the identification part.
33. The method of electrocardiographic capture according to claim 32 wherein: comprises the step of selecting the type and/or type of the electrocardio-electrode device.
34. The method of electrocardiographic capture according to claim 33 wherein: the method comprises the step of automatically detecting whether the model of the selected electrocardio-electrode device is matched with a user according to the user attribute.
35. The method of electrocardiographic capture according to claim 32 wherein: includes a step of executing an operation of a permission unit to permit use of the electrocardiograph electrode device.
36. The method of electrocardiographic capture according to claim 32 wherein: the method comprises the step of automatically detecting whether the user wears the electrocardio-electrode device.
37. The method of electrocardiographic capture according to claim 32 wherein: the method comprises the step of detecting whether the electrocardio-electrode falls off or not when or after the electrocardiogram of the user is acquired.
38. The method of electrocardiographic capture according to claim 32 wherein: identifying an electrocardiographic examination item or a user by optically scanning a code on an electrocardiographic examination application form or a user mobile terminal; or by electronically reading the user visit card.
39. A computer device comprising a memory and a processor; the memory having stored thereon a computer program executable by the processor; the processor, when executing the computer program, performs a method of electrocardiogram capture as claimed in any one of claims 32-38.
40. A non-transitory computer readable storage medium having stored thereon a computer program, wherein the computer program, when executed by a processor, implements a method of electrocardiogram capture as recited in any one of claims 32-38.
CN202010411797.XA 2020-05-15 2020-05-15 Electrocardiogram electrode device, electrocardiogram capturing device and electrocardiogram checking system Pending CN111543980A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202010411797.XA CN111543980A (en) 2020-05-15 2020-05-15 Electrocardiogram electrode device, electrocardiogram capturing device and electrocardiogram checking system

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202010411797.XA CN111543980A (en) 2020-05-15 2020-05-15 Electrocardiogram electrode device, electrocardiogram capturing device and electrocardiogram checking system

Publications (1)

Publication Number Publication Date
CN111543980A true CN111543980A (en) 2020-08-18

Family

ID=72004756

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202010411797.XA Pending CN111543980A (en) 2020-05-15 2020-05-15 Electrocardiogram electrode device, electrocardiogram capturing device and electrocardiogram checking system

Country Status (1)

Country Link
CN (1) CN111543980A (en)

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20120165633A1 (en) * 2010-12-28 2012-06-28 Mohammad Khair Leadless wireless ecg measurement system and method for measuring of bio-potential electrical activity of the heart
CN106889985A (en) * 2017-03-24 2017-06-27 心韵恒安医疗科技(北京)有限公司 A kind of electrocardiogram limb lead module and 12 lead electrocardiogram acquisition and Transmission system
CN108968947A (en) * 2018-06-26 2018-12-11 清华大学 Flexible multi-lead electric signal measurement system
CN110801219A (en) * 2019-11-18 2020-02-18 心韵恒安医疗科技(北京)有限公司 Body surface bioelectric electrode holder, strip-shaped device and electrocardiogram measuring device
CN110974208A (en) * 2019-11-29 2020-04-10 武汉联影智融医疗科技有限公司 Flexible multi-lead dynamic electrocardiogram acquisition system

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20120165633A1 (en) * 2010-12-28 2012-06-28 Mohammad Khair Leadless wireless ecg measurement system and method for measuring of bio-potential electrical activity of the heart
CN106889985A (en) * 2017-03-24 2017-06-27 心韵恒安医疗科技(北京)有限公司 A kind of electrocardiogram limb lead module and 12 lead electrocardiogram acquisition and Transmission system
CN108968947A (en) * 2018-06-26 2018-12-11 清华大学 Flexible multi-lead electric signal measurement system
CN110801219A (en) * 2019-11-18 2020-02-18 心韵恒安医疗科技(北京)有限公司 Body surface bioelectric electrode holder, strip-shaped device and electrocardiogram measuring device
CN110974208A (en) * 2019-11-29 2020-04-10 武汉联影智融医疗科技有限公司 Flexible multi-lead dynamic electrocardiogram acquisition system

Similar Documents

Publication Publication Date Title
US10092203B2 (en) Using skin resistance measurements to determine timing of bio-telemetry measurements
US20140073979A1 (en) eCard ECG Monitor
US8038617B2 (en) Mobile defibrillator
TWI424832B (en) Body-associated receiver and method
US20160338646A1 (en) Ultra-thin wearable sensing device
US20070149888A1 (en) Devices and methods for self-administered ecg examinations
CN101442933A (en) Ear-thermometer with ear identification
JP5144927B2 (en) ECG recording device
KR20050079235A (en) System and method for managing growth and development of children
JP2007535357A (en) How to deliver subjective surveys linked to subjective and objective data
WO2001093143A1 (en) Measurement device, and measured data transmitting method
EP1959820A2 (en) Providing authentication of remotely collected external sensor measures
CN103282936A (en) Health care delivery verification methods, apparatus, and systems
JPH07504349A (en) 12-Lead Portable Cardiac Monitoring Device and Method
KR101461182B1 (en) visit management system for visit management box.
CN110897654B (en) Intelligent stethoscope
CN109497989A (en) A kind of cardiac electricity detecting system
CN209183272U (en) A kind of medical service system
JPWO2009147837A1 (en) Health management device
KR20180017419A (en) Smart medical bed system and patient management method using the system
CN213488862U (en) Electrocardiogram electrode device and electrocardiogram capture device
JP4671406B2 (en) Instant wearing electrode device
CN210667817U (en) Intelligent diagnosis and treatment room
CN111543980A (en) Electrocardiogram electrode device, electrocardiogram capturing device and electrocardiogram checking system
JP2004255029A (en) Portable terminal, health management supporting system

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
TA01 Transfer of patent application right
TA01 Transfer of patent application right

Effective date of registration: 20220513

Address after: 100039 Fuxing Road 28, Beijing, Haidian District

Applicant after: The first medical center of PLA General Hospital

Applicant after: Xinyun HengAn medical technology (Beijing) Co., Ltd

Address before: 100094 708, 7th floor, No. 10, Anxiang street, airport economic core area, Shunyi District, Beijing

Applicant before: CARDIOCLOUD MEDICAL TECHNOLOGY (BEIJING) CO.,LTD.