CN102905758A

CN102905758A - Intercardiac defibrillation catheter system

Info

Publication number: CN102905758A
Application number: CN2010800657189A
Authority: CN
Inventors: 小野寺泰
Original assignee: Japan Lifeline Co Ltd
Current assignee: Japan Lifeline Co Ltd
Priority date: 2010-03-25
Filing date: 2010-09-29
Publication date: 2013-01-30
Anticipated expiration: 2030-09-29
Also published as: KR101217403B1; JP4672802B1; KR20120114401A; JP2011200434A; TW201138887A; WO2011118061A1; HK1179553A1; CN102905758B; TWI455737B

Abstract

Disclosed is an intercardiac defibrillation catheter system provided with a defibrillation catheter (100) and a power source device (700); wherein the defibrillation catheter (100) is provided with a memory (110) comprising an initial connection information storage unit (112) and an event information storage unit (113); and the power source device (700) is provided with an arithmetic processing unit (75) which comprises an output circuit (751) of direct current voltage, a memory (752) for storing a usage time limit, and an internal clock (753), and which controls writing to and reading from the memory (110) of the defibrillation catheter (100). The arithmetic processing unit (75), for each event that has been written to the event storage unit (113) of the memory (110) of the defibrillation catheter (100), performs control so that the next event is not executed if the elapsed time between the connection time that has been written to the initial connection information storage unit (112) of the memory (110) of the defibrillation catheter (100) and the time that the first-mentioned event has been performed has been determined to exceed the usage time limit.

Description

The intracardiac defibrillation probe system

Technical field

The present invention relates to the intracardiac defibrillation probe system, in particular to possessing the probe system that inserts the defibrillation probe in the chambers of the heart and apply the supply unit of DC voltage to the electrode of this defibrillation probe.

Background technology

As the defibrillator of removing ventricle and trembling, known have an external formula defibrillator (AED) (for example with reference to patent documentation 1).

In the defibrillation therapy based on AED, apply DC voltage by the body surface electrode mounting pad the patient, in patient's body, provide electric energy.Here, the electric energy that flows in from electronic pads to patient body is generally 150～200J, and a part wherein (being generally about several %～20%) flows to heart and is used for defibrillation therapy.

Patent documentation 1: TOHKEMY 2001-112874 communique reference

In addition, ventricle trembles and produces easily in the cardiac probe art, also needs to carry out electric defibrillation this moment.

Yet, utilize the AED of electric energy from external supply, be difficult to supply with effective electric energy (for example 10～30J) to the heart that trembles.

That is, from the electric energy of external supply, (for example about several %) can't carry out sufficient defibrillation therapy when the ratio that flows to heart is less.

On the other hand, when the electric energy from external supply flows to heart with higher proportion, be considered to damage the tissue of heart.

In addition, in the defibrillation therapy based on AED, burn wound easy generation of the body surface that electronic pads has been installed.And as described above, when the ratio of the electric energy that flows to heart is less, thereby the degree that causes burning wound owing to the supply of repeatedly carrying out electric energy increases the weight of, and becomes suitable burden for the patient who accepts the probe art.

In order to address the above problem, inventor of the present invention propose a kind of possess be inserted into the defibrillation probe that carries out defibrillation in the chambers of the heart, apply the supply unit of DC voltage and the probe system of ecg scanning instrument (Patent 2009-70940 description) to the electrode of this defibrillation probe.

In addition, the defibrillation probe is the product of disposable (Disposable), and its performance of use by certain hour can descend.

In addition, if use for a long time the defibrillation probe, then can produce the aging of whole electric wires, the insulation damages of wire, the constituent material problem on the safety such as blood stripping.

So from the viewpoint of performance and safety, expectation realizes surpassing this binding hours and then can't using using the set of time restriction of defibrillation probe.

In order to use the defibrillation probe so that surpass binding hours, can consider and to be stored in this supply unit to the moment of defibrillation probe connection supply unit, after constantly having passed through binding hours from this, be controlled to be this defibrillation probe by this supply unit and do not move.

But, in such control method, when taking off supply unit from the defibrillation probe, the moment that connects is eliminated, by again connecting this supply unit, the moment that again connects becomes the Fixed Initial Point that uses binding hours, may from this constantly again action use binding hours.

In this case, also can consider and to give the defibrillation probe by the serial number that supply unit reads, make the supply unit that is connected with the defibrillation probe store this serial number, when supply unit is connected again with the defibrillation probe of the serial number of storage, the moment that will be connected at first with this defibrillation probe is as Fixed Initial Point, after constantly having passed through the use binding hours from this, control so that this defibrillation probe can't move.

But, in such control method, not in 1 the situation at the supply unit that is connected with the defibrillation probe, for example, when reconnecting on stream the supply unit of preparation, in the supply unit that reconnects, the record information (moment that connects at first supply unit) of the initial supply unit action that connects of this defibrillation probe utilization is not stored, therefore the moment that reconnects becomes Fixed Initial Point, may constantly move again from this and use binding hours.

Summary of the invention

The present invention is based on above-mentioned situation and finishes, the object of the invention is to, provide a kind of can be to the intracardiac defibrillation probe system that in the cardiac probe art, has produced heart that ventricle trembles and supply with reliably the electric energy of the needed abundance of defibrillation.

Another object of the present invention is to, provide burn the intracardiac defibrillation probe system that carries out defibrillation therapy a kind of can not can causing at patient's body surface with hindering.

Another object of the present invention is to, provide a kind of and can make the intracardiac defibrillation probe system that only within the time no problem from its performance and safety viewpoint, uses (action) as the defibrillation probe of disposable (Disposable) product.

Another object of the present invention is to, even provide a kind of identical or different supply units is connected with the defibrillation probe again, also can be only within the time no problem from its performance and safety viewpoint, uses the intracardiac defibrillation probe system of this defibrillation probe (action).

(1) the present invention's (the 1st invention) intracardiac defibrillation probe system possesses and is inserted into the defibrillation probe that carries out defibrillation in the chambers of the heart and applies the supply unit of DC voltage to the electrode of this defibrillation probe,

Above-mentioned defibrillation probe possesses: the duct member of insulating properties;

The 1st electrode group (1DC electrode group) that is consisted of by a plurality of ring electrodes of the apex zone that is installed on the aforementioned tube parts;

Be installed on the 2nd electrode group (2DC electrode group) that a plurality of ring electrodes of aforementioned tube parts consist of by leaving from above-mentioned the 1st electrode group to base end side;

The 1st wire group that a plurality of wires that are connected with each electrode that consists of above-mentioned 1DC electrode group by the top consist of;

The 2nd wire group that a plurality of wires that are connected with each electrode that consists of above-mentioned 2DC electrode group by the top consist of; With

Probe sequence storage part, storage with sequence information of the above-mentioned defibrillation probe of storage at first connects the first link information storage part of sequence information of moment of supply unit and the initial supply unit that connects and the memorizer that will comprise the event information storage part that information that the event of the defibrillation that above-mentioned defibrillation probe carries out relates to and the sequence information of the supply unit of the moment of having carried out this event and connection are stored in the lump to above-mentioned defibrillation probe

Above-mentioned supply unit possesses: the DC power supply unit;

The probe adapter that is connected with the base end side of the 1st wire group of above-mentioned defibrillation probe and the 2nd wire group;

Comprise the mode selector switch that makes above-mentioned supply unit become defibrillation mode, the configuration switch of electric energy and the external switch that applies switch of electric energy;

Control above-mentioned DC power supply unit based on the input of said external switch, and has output from the output circuit of the DC voltage of this DC power supply unit, and store the use binding hours of sequence information and the probe of above-mentioned supply unit, have for determining internal clocking constantly, control is for the arithmetic processing section that writes and read of the memorizer of above-mentioned defibrillation probe

When carrying out defibrillation by above-mentioned defibrillation probe, after the resistance value of having measured between above-mentioned 1DC electrode group and the above-mentioned 2DC electrode group, input based on the said external switch, apply polarity mutually different voltage to the above-mentioned 1DC electrode group of above-mentioned defibrillation probe with above-mentioned 2DC electrode group via the output circuit of above-mentioned arithmetic processing section, above-mentioned probe adapter from the DC power supply unit of above-mentioned supply unit

The arithmetic processing section of above-mentioned supply unit is characterised in that, carries out following control:

(a) when connecting at first this supply unit to above-mentioned defibrillation probe at first, the sequence information of moment of connecting and initial this supply unit that connects is write the first link information storage part in the memorizer of above-mentioned defibrillation probe,

(b) when utilizing above-mentioned defibrillation probe to carry out defibrillation, obtain resistance value between above-mentioned 1DC electrode group and the above-mentioned 2DC electrode group, will be to the information of setting value, output voltage and the output time of the electric energy that applies between above-mentioned 1DC electrode group and the above-mentioned 2DC electrode group, with these information with carried out the moment of this defibrillation and the sequence information of this supply unit of being connected writes event storage part in the memorizer of above-mentioned defibrillation probe in the lump

(c) when not carrying out defibrillation behind the resistance value between the above-mentioned 1DC electrode group of having measured above-mentioned defibrillation probe and the above-mentioned 2DC electrode group, the measurement of resistance value is identified as event, the sequence information of moment of the resistance value measured and measurement and this supply unit of being connected is write in the lump the event storage part in the memorizer of above-mentioned defibrillation probe

(d) when the defibrillation probe that has taken off the supply unit that uses is connected this identical or different supply units again, this is identified as event, and the sequence information of the moment that will again connect and this supply unit of again connecting writes the event storage part in the memorizer of above-mentioned defibrillation probe

(e) be written to the event of the event storage part in the memorizer of above-mentioned defibrillation probe by each, whether the elapsed time that the connection of judging the first link information storage part from the memorizer that is written to this defibrillation probe begins till the moment of having carried out this event constantly surpasses above-mentioned use binding hours (being stored in the use binding hours of the arithmetic processing section of supply unit), be judged as above the time, be controlled to be and make this defibrillation probe not carry out next event.

The defibrillation probe that consists of intracardiac defibrillation probe system of the present invention is positioned at Coronary vein with 1DC electrode group, 2DC electrode group is positioned at the mode of right ventricle and inserts the chambers of the heart, utilize supply unit, apply mutually different voltage (between 1DC electrode group and 2DC electrode group, applying DC voltage) of polarity via the 1st wire group and the 2nd wire group to 1DC electrode group and 2DC electrode group, thus, directly provide electric energy to the heart that trembles, thereby carry out defibrillation therapy.

Like this, the 1DC electrode group and the 2DC electrode group that are disposed at the defibrillation probe in the chambers of the heart according to utilization directly provide electric energy to the heart that trembles, and can only provide reliably defibrillation therapy required sufficient electricity irritation (surge) to heart.

And, owing to can directly provide electric energy to heart, therefore can not cause at patient's body surface and burn wound.

The arithmetic processing section of the supply unit of formation the present invention's (the 1st invention) intracardiac defibrillation probe system is when connecting supply unit to the defibrillation probe at first, the sequence information of moment of connecting at first and initial this supply unit that connects is write the first link information storage part in the memorizer of defibrillation probe, when again connecting identical or different supply units to the defibrillation probe, the sequence information of the moment that again connects and this supply unit that again connects is write the event storage part in the memorizer of defibrillation probe.Therefore, by the again connection of supply unit, the moment that writes first link information storage part can not be rewritten.And the resume that again connect (exchange) of supply unit are recorded in the event storage part in the lump with the sequence information of supply unit before and after the exchange.

The arithmetic processing section of this supply unit is when having carried out defibrillation by the defibrillation probe, the sequence information of the information of setting value, the actual output voltage that applies and the output time of the electric energy that will apply between resistance value (intracardiac resistance value), 1DC electrode group and the 2DC electrode group between 1DC electrode group and the 2DC electrode group and moment that this defibrillation is carried out and supply unit is write in the lump the event storage part in the memorizer of defibrillation probe, can be stored as event (action) resume of this defibrillation probe.

The arithmetic processing section of this supply unit is not when carrying out defibrillation behind the 1DC electrode group of having measured the defibrillation probe and the resistance value between the 2DC electrode group, the sequence information of the resistance value of measuring and the moment that measures and this supply unit of being connected is write in the lump the event storage part in the memorizer of above-mentioned defibrillation probe, can record thus the data of the intracardiac resistance value when not carrying out defibrillation.

The arithmetic processing section of this supply unit is written to the event of the event storage part in the memorizer of defibrillation probe by each, the connection of judging the first link information storage part from the memorizer that writes this defibrillation probe constantly begins elapsed time (service time of this defibrillation probe) till the moment of having carried out this event and whether has surpassed the use binding hours that the arithmetic processing section of supply unit is stored, be judged as above the time, be controlled to be and make this defibrillation probe not carry out next event, even therefore identical or different supply units is connected again with the defibrillation probe, begin through after the use binding hours in the moment from initial connection supply unit, when having carried out certain event by the defibrillation probe, this defibrillation probe is not carried out next event yet.

The arithmetic processing section of the supply unit of 2) formation the present invention's (the 1st invention) intracardiac defibrillation probe system is termly with reference to the moment shown in the above-mentioned internal clocking, after the connection from the first link information storage part of the memorizer that writes above-mentioned defibrillation probe begins through above-mentioned use binding hours (the use binding hours that the arithmetic processing section of supply unit is stored) constantly, can be controlled to be and make this defibrillation probe not carry out event.

That is, the arithmetic processing section of supply unit also can have the timer function of not carrying out new event according to the process of using binding hours.

In the 1st invention, begin elapsed time till the moment of having been carried out certain event by this defibrillation probe when having surpassed the use binding hours in the moment that connects at first supply unit to the defibrillation probe, be controlled to be " next " event of not carrying out this defibrillation probe, therefore after in the time will passing through the use binding hours, having carried out certain event, passing through with the state that has connected supply unit in such situation of long period, using the moment of binding hours can carry out " next " event significantly having surpassed.

So, by in the 1st invention, also using intervalometer, even in situation as described above, also can after using binding hours, make the event do not carried out.

(3) the present invention's (the 2nd invention) intracardiac defibrillation probe system possesses and is inserted into the defibrillation probe that carries out defibrillation in the chambers of the heart and applies the supply unit of DC voltage to the electrode of this defibrillation probe, and this intracardiac defibrillation probe system is characterised in that,

The 1DC electrode group that is consisted of by a plurality of ring electrodes of the apex zone that is installed on the aforementioned tube parts;

Be installed on the 2DC electrode group that a plurality of ring electrodes of aforementioned tube parts consist of by leaving from above-mentioned 1DC electrode group to base end side;

The 2nd wire group that a plurality of wires that are connected with each electrode that consists of above-mentioned 2DC electrode group by the top consist of;

Probe sequence storage part, storage with sequence information of the above-mentioned defibrillation probe of storage at first to above-mentioned defibrillation probe connect the moment of supply unit and the connection of be connected supply unit sequence information first link information storage part and will comprise the event information that relates to and the moment of having carried out this event of the defibrillation of above-mentioned defibrillation probe and the memorizer of the event information storage part that the sequence information of the supply unit that is connected is stored in the lump

Above-mentioned supply unit possesses: the DC power supply unit;

Comprise be used to making above-mentioned supply unit become the mode selector switch of defibrillation mode, the configuration switch of electric energy and the external switch that applies switch of electric energy;

Control above-mentioned DC power supply unit based on the input of said external switch, and has output from the output circuit of the DC voltage of this DC power supply unit, and, store the use binding hours of sequence information and the probe of above-mentioned supply unit, have for determining internal clocking constantly, control is for the arithmetic processing section that writes and read of the memorizer of above-mentioned defibrillation probe

The arithmetic processing section of above-mentioned supply unit,

(a) when connecting this supply unit to above-mentioned defibrillation probe at first, the sequence information of moment of connecting at first and initial this supply unit that connects is write the first link information storage part in the memorizer of above-mentioned defibrillation probe,

(b) when having carried out defibrillation by above-mentioned defibrillation probe, the information of setting value, output voltage and the output time of the electric energy that obtain resistance value between above-mentioned 1DC electrode group and the above-mentioned 2DC electrode group, between above-mentioned 1DC electrode group and above-mentioned 2DC electrode group, will apply, the sequence information of these information and the moment of having carried out this defibrillation and this supply unit of being connected is write in the lump the event storage part in the memorizer of above-mentioned defibrillation probe

(c) when not carrying out defibrillation behind the resistance value between the above-mentioned 1DC electrode group of having measured above-mentioned defibrillation probe and the above-mentioned 2DC electrode group, the measurement of resistance value is identified as event, the sequence information of moment of the resistance value that measures and measurement and this supply unit of being connected is write in the lump the event storage part in the memorizer of above-mentioned defibrillation probe

(d) when the defibrillation probe that has taken off the supply unit that uses is connected this identical or different supply units again, this is identified as event, the sequence information of the moment that again connects and this supply unit that again connects is write the event storage part in the memorizer of above-mentioned defibrillation probe

(e) in the time will carrying out new event by above-mentioned defibrillation probe, whether the elapsed time that the connection of the first link information storage part of judgement from the memorizer that is written to this defibrillation probe begins till the current time shown in the above-mentioned internal clocking has constantly surpassed above-mentioned use binding hours (the use binding hours that the arithmetic processing section of supply unit is stored), be judged as above the time, be controlled to be this event of not carrying out.

The intracardiac defibrillation probe system of (the 2nd invention) according to the present invention, even identical or different supply units is connected again with the defibrillation probe, beginning also not use this defibrillation probe (not carrying out new event) through after the above-mentioned use binding hours from the moment (moment that connects at first supply unit) that writes first link information storage part.

(4) in intracardiac defibrillation probe system of the present invention, preferably constitute, possess in the lump the ecg scanning instrument with above-mentioned defibrillation probe and above-mentioned supply unit,

Above-mentioned supply unit possesses: the ecg scanning instrument adapter that is connected with the input terminal of above-mentioned ecg scanning instrument;

Consisted of by the double-contact change-over switch of a circuit, be connected with above-mentioned probe adapter in common junction, at the 1st contact the above-mentioned ecg scanning instrument adapter of connection is arranged, connect the switching part of above-mentioned arithmetic processing section at the 2nd contact;

When the electrode of the 1st electrode group by consisting of above-mentioned defibrillation probe and/or the 2nd electrode group is measured heart potential, in above-mentioned switching part, select the 1st contact, heart potential information from above-mentioned defibrillation probe inputs to above-mentioned ecg scanning instrument via the above-mentioned probe adapter of above-mentioned supply unit, above-mentioned switching part and above-mentioned ecg scanning instrument adapter

When carrying out defibrillation by above-mentioned defibrillation probe, above-mentioned arithmetic processing section by above-mentioned supply unit, the contact of above-mentioned switching part is switched to the 2nd contact, applies polarity mutually different voltage via the output circuit of above-mentioned arithmetic processing section, above-mentioned switching part and above-mentioned probe adapter to above-mentioned the 1st electrode group of above-mentioned defibrillation probe and above-mentioned the 2nd electrode group from above-mentioned DC power supply unit.

In the switching part that consists of supply unit, by selecting the 1st contact, guarantee to arrive from probe adapter the path of ecg scanning instrument adapter, therefore can be by the electrode measurement heart potential of the 1DC electrode group that consists of the defibrillation probe and/or 2DC electrode group, and the heart potential information that obtains is input to the ecg scanning instrument via probe adapter, switching part and ecg scanning instrument adapter.

That is, when need not to carry out defibrillation therapy in the cardiac probe art, can consist of defibrillation probe of the present invention as the measuring electrode catheter of heart potential.Its result when in the cardiac probe art ventricle having occured and tremble, can save and take out electrode catheter and the new trouble of inserting the probe that is used for defibrillation etc.

(5) in the intracardiac defibrillation probe system of above-mentioned (4), preferably constitute, above-mentioned defibrillation probe possesses: by leaving from above-mentioned the 1st electrode group or above-mentioned the 2nd electrode group and be installed on the potential-measuring electrode group that a plurality of electrodes of aforementioned tube parts consist of;

Consisted of with a plurality of wires that each electrode that consists of above-mentioned potential-measuring electrode group is connected by the top, and the potential measurement wire group that is connected with the probe adapter of above-mentioned supply unit of its base end side,

Be formed with the path of the above-mentioned probe adapter of direct binding and above-mentioned ecg scanning instrument adapter at above-mentioned supply unit,

The heart potential information of measuring by the electrode that consists of above-mentioned potential-measuring electrode group outputs to above-mentioned ecg scanning instrument from the above-mentioned probe adapter of above-mentioned supply unit via above-mentioned ecg scanning instrument adapter, and not via above-mentioned switching part.

According to such formation, even when the ecg scanning instrument can't be obtained defibrillation therapy from the heart potential of the 1DC electrode group of defibrillation probe and above-mentioned 2DC electrode group, the ecg scanning instrument also can be obtained the heart potential of being measured by the potential-measuring electrode group, can monitor heart potential (supervision) Yi Bian carry out defibrillation therapy at the ecg scanning instrument on one side.

(6) in the ecg scanning instrument of the intracardiac defibrillation probe system that consists of above-mentioned (4) or (5), preferably connect above-mentioned defibrillation probe heart potential measuring unit in addition.

(7) in addition, preferably this heart potential measuring unit is electronic pads or electrode catheter.

According to such formation, even when the ecg scanning instrument can't be obtained defibrillation therapy from the heart potential of the 1DC electrode group of defibrillation probe and above-mentioned 2DC electrode group, the ecg scanning instrument also can be obtained the heart potential of being measured by this heart potential measuring unit, can monitor that at the ecg scanning instrument heart potential (supervision) is Yi Bian carry out defibrillation therapy on one side.

(8) supply unit of the intracardiac defibrillation probe system of formation above-mentioned (4)～(7) preferably constitutes, possess the electrocardiogram input connector that is connected with the lead-out terminal of above-mentioned arithmetic processing section and above-mentioned ecg scanning instrument and the heart potential information display section that is connected with above-mentioned arithmetic processing section

The heart potential information from above-mentioned ecg scanning instrument that inputs to above-mentioned electrocardiogram input connector is input to above-mentioned arithmetic processing section, and then is shown in above-mentioned heart potential information display section.

According to such formation, the heart potential information of the input ecg scanning instrument (heart potential of being obtained by the electrode of the 1DC electrode group that consists of the defibrillation probe and/or 2DC electrode group, the heart potential of being obtained by the electrode of the potential-measuring electrode group that consists of the defibrillation probe, the heart potential of perhaps being obtained by the heart potential measuring unit beyond the defibrillation probe) a part is transfused to arithmetic processing section, can control the DC power supply unit based on this heart potential information in arithmetic processing section.

In addition, can monitor in the heart potential information display section on one side that the heart potential information (waveform) of input arithmetic processing section is Yi Bian carry out defibrillation therapy (input of external switch etc.).

Intracardiac defibrillation probe system according to the present invention has been realized following effect.

(1) can supply with reliably the required sufficient electric energy of defibrillation to the heart that ventricle trembles etc. has occured in the cardiac probe art.In addition, can not cause at patient's body surface and burn wound, aggressive is also less.

(2) the defibrillation probe as disposable (Disposable) product only can be used (execution event) within the time no problem from the viewpoint of its performance and safety.Thus, can guarantee performance and the safety of defibrillation probe.

(3) even with in identical or different supply units and the situation that the defibrillation probe is connected again, also this defibrillation probe only can be used within the time no problem from the viewpoint of its performance and safety.

(4) can record the event resume of defibrillation probe.

(5) even use a plurality of supply units to carry out the event of defibrillation probe by reconnecting different supply units, also the event resume of this defibrillation probe can be stored in 1 memorizer (event information storage part), can carry out by the defibrillation probe management of event record information.

Description of drawings

Fig. 1 is the block diagram of an embodiment of expression intracardiac defibrillation probe system of the present invention.

Fig. 2 is the explanation top view that expression consists of the probe that trembles of probe system shown in Figure 1.

Fig. 3 is the explanation plane graph (figure that is used for explanation size and hardness) of the probe that trembles of expression formation probe system shown in Figure 1.

Fig. 4 is the profile of the A-A section of presentation graphs 2.

Fig. 5 is B-B section, the C-C section of presentation graphs 2, the profile of D-D section.

Fig. 6 is the in-built axonometric chart of handle of an embodiment of expression defibrillation probe shown in Figure 2.

Fig. 7 is the part enlarged drawing of handle shown in Figure 6 inner (tip side).

Fig. 8 is the part enlarged drawing of handle shown in Figure 6 inner (base end side).

Fig. 9 is the key diagram of connecting state that schematically shows the probe adapter of the adapter of defibrillation probe in probe system shown in Figure 1 and supply unit.

Figure 10 is illustrated in the probe system shown in Figure 1, the block diagram that flows of the heart potential information when utilizing defibrillation probe measurement heart potential.

Figure 11 A is a part (Step1～Step7) of the flow chart of the action of the supply unit in the expression probe system shown in Figure 1 and operation.

Figure 11 B is another part (Step8～Step16) of the flow chart of the action of the supply unit in the expression probe system shown in Figure 1 and operation.

Figure 11 C is another part (Step17～Step22) of the flow chart of the action of the supply unit in the expression probe system shown in Figure 1 and operation.

Figure 12 is illustrated in the probe system shown in Figure 1, the block diagram that flows of the information between the arithmetic processing section of the supply unit when having connected supply unit to the defibrillation probe and the memorizer of defibrillation probe.

Figure 13 is illustrated in the probe system shown in Figure 1, the block diagram that flows of the heart potential information under the heart potential measurement pattern.

Figure 14 is illustrated under the defibrillation mode of probe system shown in Figure 1, the block diagram that flows of the information relevant with the resistance value between the electrode group and heart potential information.

Figure 15 is the block diagram that is illustrated in the state when DC voltage applies under the defibrillation mode of probe system shown in Figure 1.

Figure 16 is the potential waveform figure that the defibrillation probe of utilization formation probe system shown in Figure 1 has been measured when having given the regulation electric energy.

Figure 17 is illustrated in the probe system shown in Figure 1, and the information relevant with the defibrillation that is undertaken by the defibrillation probe is write the block diagram of state of the memorizer of defibrillation probe by the arithmetic processing section of supply unit.

Figure 18 is the block diagram of other embodiments of expression intracardiac defibrillation probe system of the present invention.

Figure 19 A is a part (Step1～Step7) of the flow chart of the action of the supply unit in the expression probe system shown in Figure 180 and operation.

Figure 19 B is another part (Step8～Step16) of the flow chart of the action of the supply unit in the expression probe system shown in Figure 180 and operation.

Figure 19 C is another part (Step17～Step22) of the flow chart of the action of the supply unit in the expression probe system shown in Figure 180 and operation.

The specific embodiment

The＜the 1 embodiment＞

The intracardiac defibrillation probe system of present embodiment possesses: be inserted into the defibrillation probe 100 that carries out defibrillation in the chambers of the heart, apply supply unit 700, ecg scanning instrument 800 and the heart potential measuring unit 900 of DC voltage to the electrode of this defibrillation probe 100.

Defibrillation probe 100 possesses: multi-lumen tube 10;

The 1DC electrode group 31G that is consisted of by 8 ring electrodes 31 of the apex zone that is installed on multi-lumen tube 10;

Be installed on the 2DC electrode group 32G that 8 ring electrodes 32 of multi-lumen tube 10 consist of by leaving from 1DC electrode group 31G to base end side;

Be installed on the base end side potential-measuring electrode group 33G that 4 ring electrodes 33 of multi-lumen tube 10 consist of by leaving from 2DC electrode group 32G to base end side;

The 1st wire group 41G that 8 wires 41 that are connected with each electrode 31 that consists of 1DC electrode group 31G by the top form;

The 2nd wire group 42G that 8 wires 42 that are connected with each electrode 32 that consists of 2DC electrode group 32G by the top form;

The 3rd wire group 43G that 4 wires 43 that are connected with each electrode 33 that consists of base end side potential-measuring electrode group 33G by the top form; And

The memorizer 110 of the event information storage part 113 that the probe sequence storage part 111, storage with sequence information of storage defibrillation probe 100 stored in the lump to the sequence information of the first link information storage part 112 of the sequence information of the initial moment that connects supply units of defibrillation probe 100 and the initial supply units that connect and the event that will comprise the defibrillation that defibrillation probe 100 the carries out information that relates to and the moment of having carried out this event and the supply unit that is connected

Supply unit 700 possesses: DC power supply unit 71;

The probe adapter 72 that is connected with the base end side of the 1st wire group 41G, the 2nd wire group 42G of defibrillation probe 100 and the 3rd wire group 43G;

The ecg scanning instrument adapter 73 that is connected with the input terminal of ecg scanning instrument 800;

Comprise the external switch 74 that applies switch 744 be used to the mode selector switch 741, electric energy configuration switch 742, charge switch 743 and the electric energy that make supply unit 700 become defibrillation mode;

Control DC power supply unit 71 based on the input of external switch 74, and has output from the output circuit 751 of the DC voltage of DC power supply unit 71, the memorizer 752 that also has the use binding hours of the sequence information of storage power device 700 and probe, have in addition for determining internal clocking 753 constantly, to writing and read the arithmetic processing section 75 of controlling for the memorizer 110 of defibrillation probe 100; And

Formed by the double-contact change-over switch of a circuit, at common junction linking probe adapter 72, connect above-mentioned ecg scanning instrument adapter 73 at the 1st contact, at the switching part 76 of the 2nd contact concatenation operation handling part 75,

When the electrode of the 1DC electrode group 31G by consisting of defibrillation probe 100 and/or 2DC electrode group 32G is measured heart potential, in switching part 76, select the 1st contact, input to ecg scanning instrument 800 from the heart potential information of defibrillation probe 100 via probe adapter 72, switching part 76 and the ecg scanning instrument adapter 73 of supply unit 700

When carrying out defibrillation by defibrillation probe 100, behind the resistance value (intracardiac resistance value) of having measured between 1DC electrode group 31G and the 2DC electrode group 32G, based on external switch 74(electric energy configuration switch 742, charge switch 743, electric energy applies switch 744) input, utilize the arithmetic processing section 75 of supply unit 700, the contact of switching part 76 is switched to the 2nd contact, from the DC power supply unit 71 of supply unit 700 output circuit 751 via arithmetic processing section 75, switching part 76 and probe adapter 72 apply mutually different voltage of polarity to the 1DC electrode group 31G of defibrillation probe 100 with 2DC electrode group 32G

The arithmetic processing section 75 of supply unit 700 is the systems that carry out following control:

(a) when connecting supply unit 700 to defibrillation probe 100 at first, the sequence information of moment of connecting at first and the initial supply unit 700 that connects is write the first link information storage part 112 in the memorizer 110 of defibrillation probe 100,

(b) when having carried out defibrillation by defibrillation probe 100, the information of setting value, the actual output voltage that applies and the output time of the electric energy that obtain resistance value between 1DC electrode group 31G and the 2DC electrode group 32G, will between 1DC electrode group 31G and 2DC electrode group 32G, apply, the sequence information of these information and the moment of having carried out this defibrillation and the supply unit 700 that is being connected is write in the lump the event information storage part 113 in the memorizer 110 of defibrillation probe 100

(c) when not carrying out defibrillation behind the resistance value between the 1DC electrode group 31G that has measured defibrillation probe 100 and the 2DC electrode group 32G, the measurement of resistance value is identified as event, the sequence information of moment of the resistance value measured and measurement and the supply unit 700 that is being connected is write in the lump the event information storage part 113 in the memorizer 110 of defibrillation probe 100

(d) when the defibrillation probe 100 that has taken off the supply unit that uses is connected identical or different supply units 700 again, this is identified as event, the sequence information of the moment that again connects and the supply unit 700 that again connects is write the event information storage part 113 in the memorizer 110 of defibrillation probe 100

(e) be written to the event of the event information storage part 113 in the memorizer 110 of defibrillation probe 100 by each, the connection of judging the first link information storage part 112 from the memorizer 110 that is written to defibrillation probe 100 constantly begins elapsed time till the moment of having carried out this event and whether has surpassed the use binding hours of the probe that the memorizer 752 of supply unit 700 stores, be judged as above the time, do not carry out as the defibrillation of the next event of being undertaken by this defibrillation probe 100 or the measurement of resistance value.

As shown in Figure 1, the intracardiac defibrillation probe system of present embodiment possesses defibrillation probe 100, supply unit 700, ecg scanning instrument 800 and heart potential measuring unit 900.

To shown in Figure 5, the defibrillation probe 100 that consists of the probe system of present embodiment possesses multi-lumen tube 10, handle 20,1DC electrode group 31G, 2DC electrode group 32G, base end side potential-measuring electrode group 33G, the 1st wire group 41G, the 2nd wire group 42G and the 3rd wire group 43G such as Fig. 2.

As shown in Figure 4 and Figure 5, have the insulating properties pipe component that multi-cavity is constructed at the multi-lumen tube 10(that consists of defibrillation probe 100) in, be formed with 4 lumens (the 1st lumen 11, the 2nd lumen 12, the 3rd lumen 13, the 4th lumen 14).

In Fig. 4 and Fig. 5, the 15th, divide the fluororesin layer of lumen, the 16th, interior (kernel) section that is formed by the nylon elastomer of soft, the 17th, by (shell) section outward that the nylon elastomer of high rigidity forms, 18 among Fig. 4 is stainless steel silks of formation braid.

Divide the fluororesin layer 15 of lumen such as being consisted of by the high material of the insulating properties such as perfluoroalkoxy (PFA), polytetrafluoroethylene (PTFE).

The nylon elastomer that consists of the outside 17 of multi-lumen tube 10 is used also different material of direction of principal axis different hardness.Thus, multi-lumen tube 10 is constituted as from tip side and uprises to base end side hardness stage.

A preferred example is shown, in Fig. 3, by L1(length 52mm) hardness (by the hardness of D type hardness tester instrumentation amount) in zone of expression is 40, by L2(length 108mm) hardness in zone of expression is 55, by L3(length 25.7mm) hardness in zone of expression is 63, by L4(length 10mm) hardness in zone of expression is 68, by L5(length 500mm) hardness in the zone of expression is 72.

The braid that is made of stainless steel silk 18 only is formed in Fig. 3 in the zone shown in the L5, as shown in Figure 4, is arranged between inner 16 and outside 17.

The external diameter of multi-lumen tube 10 for example is 1.2～3.3mm.

Be not particularly limited as the method for making multi-lumen tube 10.

The handle 20 that consists of the defibrillation probe 100 in the present embodiment possesses handle main body 21, carries button 22, meets an urgent need and insure 24.

By being rotated operation to carrying button 22, can make the top ends deflection (swing) of multi-lumen tube 10.

Periphery (not forming the apex zone of braiding in inside) in multi-lumen tube 10 is equipped with 1DC electrode group 31G, 2DC electrode group 32G and base end side potential-measuring electrode group 33G.Herein, " electrode group " is to consist of the same utmost point (having identical polar), perhaps has identical purpose with the aggregation of a plurality of electrodes of narrower interval (for example 5mm is following) installation.

1DC electrode group is to be installed with narrower interval by a plurality of electrodes that consist of same pole (utmost point or+utmost point) to form in the apex zone of multi-lumen tube.Here, the number of electrode that consists of 1DC electrode group is preferably 8～10 according to the width of electrode or configuration space and difference for example is made as 4～13.

In the present embodiment, 1DC electrode group 31G is made of 8 ring electrodes 31 of the apex zone that is installed on multi-lumen tube 10.

Consist of the electrode 31 of 1DC electrode group 31G via wire (consisting of the wire 41 of the 1st wire group 41G) and adapter described later, be connected with the probe adapter of supply unit 700.

Here, the width of electrode 31 (axial length) is preferably 2～5mm, and a preferred example is 4mm.

Narrow when the width of electrode 31, the caloric value when then voltage applies is excessive, might be to perienchyma's injury.On the other hand, excessive when the width of electrode 31, then damage sometimes flexibility, the flexibility of the part that the 1DC electrode group 31G in the multi-lumen tube 10 is set up.

The installation interval of electrode 31 (standoff distance of adjacent electrode) is preferably 1～5mm, and a preferred example is 2mm.

When using defibrillation probe 100 (when being disposed in the chambers of the heart), 1DC electrode group 31G for example is positioned at Coronary vein.

2DC electrode group is left to base end side from the installation site of the 1DC electrode group of multi-lumen tube, is installed and forms with narrower interval by a plurality of electrodes that consist of with 1DC electrode group phase the antipole (+utmost point or-utmost point).Here, the number of electrode that consists of 2DC electrode group with configuration space and different, for example is made as 4～13 according to the width of electrode, is preferably 8～10.

In the present embodiment, 2DC electrode group 32G is by leaving and 8 ring electrodes 32 being installed on multi-lumen tube 10 consist of from the installation site of 1DC electrode group 31G to base end side.

The electrode 32 that consists of 2DC electrode group 32G is connected with the probe adapter of supply unit 700 via wire (consisting of the wire 42 of the 2nd wire group 42G) and adapter described later.

Here, the width of electrode 32 (axial length) is preferably 2～5mm, and a preferred example that illustrates is 4mm.

When the width of electrode 32 was narrow, the caloric value when voltage applies was excessive, might be to perienchyma's injury.On the other hand, when the width of electrode 32 is excessive, damage sometimes flexibility, the flexibility of the part that the 2DC electrode group 32G in the multi-lumen tube 10 is set up.

The installation interval of electrode 32 (standoff distance of adjacent electrode) is preferably 1～5mm, and a preferred example that illustrates is 2mm.

When using defibrillation probe 100 (when being disposed in the chambers of the heart), 2DC electrode group 32G for example is positioned at right ventricle.

In the present embodiment, base end side potential-measuring electrode group 33G is by leaving and 4 ring electrodes 33 being installed on multi-lumen tube 10 consist of from the installation site of 2DC electrode group 32G to base end side.

The electrode 33 that consists of base end side potential-measuring electrode group 33G is connected with the probe adapter of supply unit 700 via wire (consisting of the wire 43 of the 3rd wire group 43G) and adapter described later.

Here, the width of electrode 33 (axial length) is preferably 0.5～2.0mm, and a preferred example that illustrates is 1.2mm.

When the width of electrode 33 was excessive, the certainty of measurement of heart potential descended, and perhaps was difficult to determine the generation position of abnormal potential.

The installation interval of electrode 33 (standoff distance of adjacent electrode) is preferably 1.0～10.0mm, and a preferred example that illustrates is 5mm.

When using defibrillation probe 100 (when being disposed in the chambers of the heart), base end side potential-measuring electrode group 33G for example is positioned at the upper large vein that is easy to produce abnormal potential.

On the top of defibrillation probe 100 top chip 35 is installed.

On this top chip 35, do not connect wire, do not use as electrode in the present embodiment.But, by connecting wire, also can be used as electrode.The constituent material of top chip 35 can use platinum, stainless steel and other metal materials, various resin materials etc., is not particularly limited.

The electrode 31 of 1DC electrode group 31G(base end side) and the electrode 32 of 2DC electrode group 32G(tip side) standoff distance d2 be preferably 40～100mm, a preferred example that illustrates is for 66mm.

The electrode 32 of 2DC electrode group 32G(base end side) and the electrode 33 of base end side potential-measuring electrode group 33G(tip side) standoff distance d3 be preferably 5～50mm, a preferred example that illustrates is for 30mm.

As the

electrode

31,32,33 that consists of 1DC electrode group 31G, 2DC electrode group 32G and base end side potential-measuring electrode group 33G, good in order to make for the radiography of X ray, preferably the alloy by platinum or platinum group consists of.

Fig. 4 and the 1st wire group 41G of being connected are the aggregations of 8 wires 41 being connected respectively with 8 electrodes (31) that consist of 1DC electrode group (31G).

Utilize the 1st wire group 41G(wire 41), 8 electrodes 31 that consist of 1DC electrode group 31G can be electrically connected with supply unit 700 respectively.

8 electrodes 31 that consist of 1DC electrode group 31G connect from different wire 41 respectively.Each of wire 41 be in the inner peripheral surface welding of its head portion and electrode 31, and enter the 1st lumen 11 from the side opening of the tube wall that is formed at multi-lumen tube 10.8 wires 41 that enter the 1st lumen 11 extend at the 1st lumen 11 as the 1st wire group 41G.

Fig. 4 and the 2nd wire group 42G of being connected are the aggregations of 8 wires 42 being connected respectively with 8 electrodes (32) that consist of 2DC electrode group (32G).

Utilize the 2nd wire group 42G(wire 42), 8 electrodes 32 that consist of 2DC electrode group 32G can be electrically connected with supply unit 700 respectively.

8 electrodes 32 that consist of 2DC electrode group 32G connect from different wire 42 respectively.Each of wire 42 be in the inner peripheral surface welding of its head portion and electrode 32, and the different lumen of the 1st lumen 11 that enters that the 2nd lumen 12(and the 1st wire group 41G extend from the side opening of the tube wall that is formed at multi-lumen tube 10).8 wires 42 that enter the 2nd lumen 12 extend at the 2nd lumen 12 as the 2nd wire group 42G.

As mentioned above, the 1st wire group 41G extends at the 1st lumen 11, and the 2nd wire group 42G extends at the 2nd lumen 12, and both are interior by fully insulation isolation in multi-lumen tube 10 thus.Therefore, when applying the required voltage of defibrillation, can prevent reliably the 1st wire group 41G(1DC electrode group 31G) and the 2nd wire group 42G(2DC electrode group 32G) between short circuit.

The 3rd wire group 43G shown in Figure 4 is the aggregation of 4 wires 43 being connected respectively with the electrode (33) that consists of base end side potential-measuring electrode group (33G).

Utilize the 3rd wire group 43G(wire 43), the electrode 33 that consists of base end side potential-measuring electrode group 33G can be electrically connected with supply unit 700 respectively.

4 electrodes 33 that consist of base end side potential-measuring electrode group 33G connect from different wire 43 respectively.Each of wire 43 be in the inner peripheral surface welding of its head portion and electrode 33, and enter the 3rd lumen 13 from the side opening of the tube wall that is formed at multi-lumen tube 10.4 wires 43 that enter the 3rd lumen 13 extend at the 3rd lumen 13 as the 3rd wire group 43G.

The 3rd wire group 43G and the 1st wire group 41G and all fully insulation isolation of the 2nd wire group 42G of extending at the 3rd lumen 13 as mentioned above.Therefore, when applying the required voltage of defibrillation, can prevent reliably the 3rd wire group 43G(base end side potential-measuring electrode group 33G) and the 1st wire group 41G(1DC electrode group 31G) or the 2nd wire group 42G(2DC electrode group 32G) between short circuit.

Wire 41, wire 42 and wire 43 all are made of by the resin envelope curve that the resins such as polyimides cover the outer peripheral face of plain conductor.Here, the thickness as covering resin is made as about 2～30 μ m.

65 is wire drawings in Fig. 4 and Fig. 5.

Wire drawing 65 is extended at the 4th lumen 14, with respect to the eccentricity of central axis ground extension of multi-lumen tube 10.

The head portion utilization of wire drawing 65 is fixedly welded on top chip 35.In addition, also can form the large-diameter portion (anti-delinking part) that anticreep is used on the top of wire drawing 65.Thus, top chip 35 is combined securely with wire drawing 65, can prevent reliably coming off of top chip 35 etc.

On the other hand, the cardinal extremity of wire drawing 65 part is connected with the button 22 of carrying of handle 20, carries button 22 by operation, and wire drawing 65 is pulled, thus the top ends deflection of multi-lumen tube 10.

Wire drawing 65 is that superelastic alloy consists of by rustless steel or Ni-Ti, but is not to be made of metal.Wire drawing 65 is such as also being made of non-conductive line of high Strong degree etc.

In addition, making the mechanism of the top ends deflection of multi-lumen tube be not limited to this, for example also can be to possess leaf spring and consist of.

At the 4th lumen 14 of multi-lumen tube 10, only there is wire drawing 65 to extend, wire (group) does not extend.Thus, when the deflection operation of the top ends of carrying out multi-lumen tube 10, can prevent by the damage that causes to 65 pairs of wires of axially movable wire drawing (for example scratch).

For the defibrillation probe 100 in the present embodiment, in the inside of handle 20, the 1st wire group 41G, the 2nd wire group 42G and the 3rd wire group 43G also are insulated isolation.

Fig. 6 is the in-built axonometric chart of the handle of the defibrillation probe 100 in the expression present embodiment, and Fig. 7 is the part enlarged drawing of handle inner (tip side), and Fig. 8 is the part enlarged drawing of handle inner (base end side).

As shown in Figure 6, the base end part of multi-lumen tube 10 is inserted into the top end opening of handle 20, and thus, multi-lumen tube 10 is connected with handle 20.

Such as Fig. 6 and shown in Figure 8, at the base end part of handle 20, be built-in with the adapter cylindraceous 50 that to be disposed at top end face 50A to the outstanding a plurality of pin terminals (51,52,53) of top orientation and to form.

In addition, extremely shown in Figure 8 such as Fig. 6, in the inside of

handle

20,3 insulating properties pipes (the 1st insulating properties pipe 26 that 3 wire groups (the 1st wire group 41G, the 2nd wire group 42G, the 3rd wire group 43G) are inserted through respectively, the 2nd insulating properties pipe 27, the 3 insulating properties pipes 28) extend.

As shown in Figure 6 and Figure 7, the top ends of the 1st insulating properties pipe 26 (apart from about the 10mm of top) is inserted into the 1st lumen 11 of multi-lumen tube 10, and thus, the 1st lumen 11 that the 1st insulating properties pipe 26 and the 1st wire group 41G extend links.

The 1st insulating properties pipe 26 that links with the 1st lumen 11 extends to the top end face 50A that adapter 50(pin terminal is configured by the endoporus of the 1st protecting tube 61 that extends in the inside of handle 20) near, form near the slotting path that the base end part of the 1st wire group 41G is guided to adapter 50.Thus, from multi-lumen tube 10(the 1st lumen 11) extended the 1st wire group 41G can not twine, can extend in the inside of handle 20 (endoporus of the 1st insulating properties pipe 26).

Be dispersed into 8 wires 41 that consist of it from extended the 1st wire group 41G of the cardinal extremity opening of the 1st insulating properties pipe 26, these wires 41 utilize respectively welding and the pin terminal that is disposed at the top end face 50A of adapter 50 to be connected and fixed respectively.Here, the wire 41 that consists of the 1st wire group 41G is connected zone that fixing pin terminal (pin terminal 51) is configured as " the 1st terminal group is regional ".

The top ends of the 2nd insulating properties pipe 27 (apart from about the 10mm of top) is inserted into the 2nd lumen 12 of multi-lumen tube 10, and thus, the 2nd lumen 12 that the 2nd insulating properties pipe 27 and the 2nd wire group 42G extend links.

The 2nd insulating properties pipe 27 that links with the 2nd lumen 12 extends to the top end face 50A that adapter 50(pin terminal is configured by the endoporus of the 2nd protecting tube 62 that extends in the inside of handle 20) near, form base end part with the 2nd wire group 42G and guide near the adapter 50 slotting path.Thus, from multi-lumen tube 10(the 2nd lumen 12) extended the 2nd wire group 42G can not twine, can extend in the inside of handle 20 (endoporus of the 2nd insulating properties pipe 27).

Be dispersed into 8 wires 42 that consist of it from extended the 2nd wire group 42G of the cardinal extremity opening of the 2nd insulating properties pipe 27, these wires 42 utilize respectively welding and the pin terminal that is disposed at the top end face 50A of adapter 50 to be connected and fixed respectively.Here, the wire 42 that consists of the 2nd wire group 42G is connected zone that fixing pin terminal (pin terminal 52) is configured as " the 2nd terminal group is regional ".

The top ends of the 3rd insulating properties pipe 28 (apart from about the 10mm of top) is inserted into the 3rd lumen 13 of multi-lumen tube 10, and thus, the 3rd lumen 13 that the 3rd insulating properties pipe 28 and the 3rd wire group 43G extend links.

The 3rd insulating properties pipe 28 that links with the 3rd lumen 13 extends to the top end face 50A that adapter 50(pin terminal is configured by the endoporus of the 2nd protecting tube 62 that extends in the inside of handle 20) near, form base end part with the 3rd wire group 43G and guide near the adapter 50 slotting path.Thus, from multi-lumen tube 10(the 3rd lumen 13) extended the 3rd wire group 43G can not twine, can extend in the inside of handle 20 (endoporus of the 3rd insulating properties pipe 28).

Be dispersed into 4 wires 43 that consist of it from extended the 3rd wire group 43G of the cardinal extremity opening of the 3rd insulating properties pipe 28, these wires 43 utilize respectively welding and the pin terminal that is disposed at the top end face 50A of adapter 50 to be connected and fixed respectively.Here, the wire 43 that consists of the 3rd wire group 43G is connected zone that fixing pin terminal (pin terminal 53) is configured as " the 3rd terminal group is regional ".

Here, the constituent material as insulating properties pipe (the 1st insulating properties pipe 26, the 2 insulating properties pipes 27 and the 3rd insulating properties pipe 28) can example illustrate polyimide resin, polyamide, polyamide-imide resin etc.Wherein, particularly preferably hardness is higher, inserts easily admittance line group, the polyimide resin that shaping can be thinner.

As the wall thickness of insulating properties pipe, be preferably 20～40 μ m, a preferred example that illustrates is 30 μ m.

In addition, the constituent material of the protecting tube (the 1st protecting tube 61 and the 2nd protecting tube 62) that is interpolated as the insulating properties pipe, can illustration " Pebax " (registered trade mark of ARKEMA company) etc. the nylon based elastomers.

According to the defibrillation probe 100 with above-mentioned such present embodiment that consists of, the 1st wire group 41G is in the 26 interior extensions of the 1st insulating properties pipe, the 2nd wire group 42G is in the 27 interior extensions of the 2nd insulating properties pipe, the 3rd wire group 43G is in the 28 interior extensions of the 3rd insulating properties pipe, thus in the inside of handle 20, the isolation of also the 1st wire group 41G, the 2nd wire group 42G and the 3rd wire 43G can being insulated fully.Its result when having applied the required voltage of defibrillation, can prevent the 1st wire group 41G, the 2nd wire group 42G and the short circuit between the 3rd wire 43G (especially near the short circuit between the extended wire group opening of lumen) of the inside of handle 20 reliably.

And; inside at handle 20; the 1st insulating properties pipe 26 is by 61 protections of the 1st protecting tube; the 2nd insulating properties pipe 27 and the 3rd insulating properties pipe 28 are by 52 protections of the 2nd protecting tube; thus, for example can prevent the situation that when the deflection operation of the top ends of multi-lumen tube 10, contacts, nuzzle up and cause the insulating properties pipe to damage because of the component parts (movable member) of carrying button 22.

The top end face 50A that defibrillation probe 100 in the present embodiment possesses the adapter 50 that a plurality of pin terminals are configured is divided into the 1st terminal group zone, the 2nd terminal group zone and the 3rd terminal group zone, and with wire 41, wire 42 and wire 43 mutual partition walls 55 of isolating.

Divide the partition wall 55 in the 1st terminal group zone, the 2nd terminal group zone and the 3rd terminal group zone by insulative resin machine-shaping is formed for the catheter-like that has tabular surface in both sides.Insulative resin as consisting of partition wall 55 is not particularly limited, and can use the common resins such as polyethylene.

The thickness of partition wall 55 is 0.1～0.5mm for example, a preferred example is shown is 0.2mm.

The height of partition wall 55 (distance from the cardinal extremity edge to top edge) need to be higher than the top end face 50A of adapter 50 and the standoff distance of insulating properties pipe (the 1st insulating properties pipe 26 and the 2nd insulating properties pipe 27), when this standoff distance was 7mm, the height of partition wall 55 for example was 8mm.On the partition wall of height less than 7mm, the cardinal extremity that its top edge is positioned at than insulating properties pipe leans on tip side.

According to such formation, can be reliably and fitly isolation consist of the wire 41(of the 1st wire group 41G from the cardinal extremity part of the extended wire 41 of cardinal extremity opening of the 1st insulating properties pipe 26) and the wire 42(of formation the 2nd wire group 42G from the cardinal extremity part of the extended wire 42 of cardinal extremity opening of the 2nd insulating properties pipe 27).

In the situation that does not possess partition wall 55, wire 41 and wire 42 fitly can't be isolated (division), might cause their swinging cross.

And, thereby the wire 41 of formation the 1st wire group 41G of different voltage and the wire 42 that consists of the 2nd wire group 42G are mutually isolated by partition wall 55 and can not contacted mutually to be applied in polarity, therefore when using defibrillation probe 100, even apply the required voltage of intracardiac defibrillation, in the cardinal extremity part of the wire 41(that consists of the 1st wire group 41G from the extended wire 41 of cardinal extremity opening of the 1st insulating properties pipe 26) and the wire 42(of formation the 2nd wire group 42G from the cardinal extremity part of the extended wire 42 of cardinal extremity opening of the 2nd insulating properties pipe 27) between can not be short-circuited yet.

In addition, when making the defibrillation probe, in the situation about when wire and pin terminal are connected and fixed, making a mistake, for example in the situation that the wire 41 that will consist of the 1st wire group 41G has been connected with pin terminal in the 2nd terminal group zone, this wire 41 can be found the mistake that connects thus easily across next door 55.

In addition, consist of the wire 43(pin terminal 53 of the 3rd wire group 43G) with wire 42(pin terminal 52) in the lump by partition wall 55 from wire 41(pin terminal 51) isolation, but be not limited to this, also can with wire 41(pin terminal 51) in the lump by partition wall 55 from wire 42(pin terminal 52) isolation.

In defibrillation probe 100, the cardinal extremity that the top edge of partition wall 55 is positioned at than the cardinal extremity of the 1st insulating properties pipe 26 and the 2nd insulating properties pipe 27 all leans on tip side.

Thus, from the extended wire of cardinal extremity opening (consisting of the wire 41 of the 1st wire group 41G) of the 1st insulating properties pipe 26 with between the extended wire of cardinal extremity opening (consisting of the wire 42 of the 2nd wire group 42G) of the 2nd insulating properties pipe 27, partition wall 55 always exists, and can prevent reliably that wire 41 from contacting the short circuit that causes with wire 42.

As shown in Figure 8, from the cardinal extremity opening of the 1st insulating properties pipe 26 extend and 8 wires 41 being connected and fixed with the pin terminal 51 of adapter 50, from the cardinal extremity opening of the 2nd insulating properties pipe 27 extend and 8 wires 42 being connected and fixed with the pin terminal 52 of adapter 50, from the cardinal extremity opening of the 3rd insulating properties pipe 28 extend and 4 wires 43 being connected and fixed with the pin terminal 53 of adapter 50 around fixed by resin 58, separately shape keeps fixing thus.

Keep the resin 58 of the shape of wire to form and cylindric with the footpath of adapter 50, in the inside of this resin molded body, be in the base end part of pin terminal, wire, insulating properties pipe and the state that partition wall 55 is embedded into.

And, be embedded into the formation of the inside of resin molded body according to the base end part of insulating properties pipe, extend out to be connected with the pin terminal from the cardinal extremity opening of insulating properties pipe and be fixed as wire (cardinal extremity part) integral body of ending and covered fully by resin 58, the shape of wire (cardinal extremity part) fully can be kept fixing.

In addition, the height of resin molded body (distance from the cardinal extremity face to top end face) preferably is higher than the height of partition wall 55, and the height of next door plate 55 is the situation of 8mm, for example is made as 9mm.

Here, be not particularly limited as the resin 58 that consists of resin molded body, but preferred thermosetting resin or the ray hardening resin of using.Particularly, can illustration ammonia ester the hardening resin of system, epoxy system, ammonia ester-epoxy system.

According to formation as described above, because the shape of wire is kept fixing by resin 58, so when making defibrillation probe 100 (at the inside of handle 20 mounted connector 50 time), can prevent the situation (for example, the coated with resin fracture of wire) of twining or causing with the EDGE CONTACT of pin terminal damaging from the extended wire of the cardinal extremity opening of insulating properties pipe.

As shown in Figure 1, the defibrillation probe 100 that consists of the probe system of present embodiment possesses and has probe sequence storage part 111, the memorizer 110 of first link information storage part 112 and event information storage part 113.

The memorizer 110 that defibrillation probe 100 possesses for example is made of the memory chip of the inside that is contained in handle 20.

Following table 1 represents an example of the memory construction of defibrillation probe 100 in the lump with the information that writes.

[table 1]

In the probe sequence storage part 111 of memorizer 110, store the sequence information of defibrillation probe 100.

As the sequence information of defibrillation probe 100, can enumerate and make numbering (serial number), make date etc.This sequence information is the information in the management of product that writes when making defibrillation probe 100, can't be rewritten or append.

For example, in the structure of the memorizer 110 shown in the table 1, in probe sequence storage part 111, write the serial number (123456) of defibrillation probe.

In the first link information storage part 112 of memorizer 110, storage is to the defibrillation probe 100 initial moment (time on date) of supply unit and the sequence informations of the initial supply unit that connects of connecting.

The arithmetic processing section of the supply unit that the sequence information of the initial moment that connects and the initial supply unit that connects is connected at first writes, in case just can't be rewritten after writing.

Defibrillation probe 100 as disposable (Disposable) product can descend by use time performance to a certain degree.Therefore, for defibrillation probe 100, set according to performance and safety point of view and to use binding hours (this use binding hours is stored in the memorizer 752 of supply unit 700.), " to the 100 initial moment that connect supply unit of defibrillation probe " become the Fixed Initial Point of the use binding hours of defibrillation probe 100.

In the structure of the memorizer 110 shown in the above-mentioned table 1, in first link information storage part 112, write the moment (December was 10: 00: 00 on the 5th in 2009) that supply unit is connected at first, as the sequence information of the supply unit of initial connection, serial number (10011) is written into.

In the event information storage part 113 of memorizer 110, comprise that the sequence information of the supply unit that moment (time on date) that information that the event (action) of the defibrillation that defibrillation probe 100 carries out relates to and this event are carried out and this moment are connected is stored in the lump.

As the event that event information storage part 113 is stored, can enumerate:

(1) defibrillation (applying of electric energy) that carries out of defibrillation probe 100,

(2) measurement of the 1DC electrode group 31G of defibrillation probe 100 and the resistance value between the 2DC electrode group 32G,

(3) after the employed supply unit of event that defibrillation probe 100 carries out is removed, this defibrillation probe 100 is connected again the operation of identical or different supply units.

When having carried out defibrillation by defibrillation probe 100, the information of setting value, the actual output voltage that applies and the output time of the electric energy that will apply between the resistance value (intracardiac resistance value) between 1DC electrode group 31G and the 2DC electrode group 32G, the above-mentioned electrode group is written into event information storage part 113 in the lump with the sequence information of the supply unit that the moment of carrying out this defibrillation and this moment are connected.

For example, in the structure of the memorizer 110 shown in the above-mentioned table 1, in the event 2 of event information storage part 113, as event, the serial number (10011) of the supply unit that the moment (December was 10: 06: 12 on the 5th in 2009) that the resistance value between the electrode group (75 Ω), energy settings value (15J), output voltage (300V) and output time (13.5msec) and defibrillation are carried out and this moment are connected is writing events information storage part 113 in the lump with defibrillation.In addition, for

event

3,4 and 7 too.

For the measurement of the resistance value between 1DC electrode group 31G and the 2DC electrode group 32G, usually owing to before defibrillation, carry out, although so can be included in the event of defibrillation, but in the situation that defibrillation does not carry out afterwards, the measurement of resistance value is identified as independent event, and the sequence information of measured resistance value and the moment of measurement and the supply unit that is connected is written into event information storage part 113 in the lump.

For example, in the structure of the memorizer 110 shown in the above-mentioned table 1, in the event 1 of event information storage part 113, the resistance value between the electrode group (75 Ω) is written into event information storage part 113 in the lump with the serial number (10011) of measuring the supply unit that is connected the moment (December was 10: 05: 00 on the 5th in 2009) and this moment.

In addition, in event 6, the resistance value between the electrode group (79 Ω) is written into event information storage part 113 in the lump with the serial number (10032) of measuring the supply unit that is connected the moment (December was 10: 53: 22 on the 5th in 2009) and this moment.

In the probe system of present embodiment, when having connected supply unit to defibrillation probe 100, in the situation of initial connection in this connection, the sequence information of this moment and this supply unit is written into first link information storage part 112, and when again connecting identical or different supply units, these information are written into event information storage part 113.

For example, in the structure of the memorizer 110 shown in the above-mentioned table 1, in the event 5 of event information storage part 113, the serial number (10032) of the moment (December was 10: 40: 08 on the 5th in 2009) that again connects and the supply unit that again connects is written into event information storage part 113.

In addition, in event 8, the serial number (10055) of the moment (December was 11: 30: 00 on the 6th in 2009) that again connects and the supply unit that again connects is written into event information storage part 113.

As shown in Figure 1, the supply unit 700 of the probe system of formation present embodiment possesses DC power supply unit 71, probe adapter 72, ecg scanning instrument adapter 73, external switch (input block) 74, arithmetic processing section 75, switching part 76, electrocardiogram input connector 77 and heart potential information display section 78.

Be built-in with electric capacity in the DC power supply unit 71, according to external switch 74(charge switch 743) input, built-in capacitance is recharged.

Probe adapter 72 is connected with the adapter 50 of defibrillation probe 100, is electrically connected with the base end side of the 1st wire group (41G), the 2nd wire group (42G) and the 3rd wire group (43G).

As shown in Figure 9, the adapter 50 of defibrillation probe 100 is connected device cable C1 with the probe adapter 72 of supply unit 700 and links, thus, the pin terminal 51(that 8 wires 41 that consist of the 1st wire group are connected and fixed is actual to be 8) actual with the terminal 721(of probe adapter 72 be 8), the pin terminal 52(that 8 wires 42 that consist of the 2nd wire group are connected and fixed is actual to be 8) actual with the terminal 722(of probe adapter 72 be 8), the pin terminal 53(that 4 wires 43 that consist of the 3rd wire group are connected and fixed is actual to be 4) actual with the terminal 723(of probe adapter 72 be 4) be connected respectively.

Here, the terminal 721 of probe adapter 72 is connected with terminal and is connected with switching part 76, and terminal 723 directly is not connected with ecg scanning instrument adapter 73 via switching part 76.

Thus, the heart potential information that is measured by 1DC electrode group 31G and 2DC electrode group 32G arrives ecg scanning instrument adapter 73 via switching part 76, and the heart potential information that is measured by base end side potential-measuring electrode group 33G does not arrive ecg scanning instrument adapter 73 via switching part 76.

Ecg scanning instrument adapter 73 is connected with the input terminal of ecg scanning instrument 800.

As the external switch 74 of input block by the electric energy configuration switch 742 of the mode selector switch 741 that is used for heart potential measurement pattern and defibrillation mode are switched, the electric energy that applies when setting defibrillation, the charge switch 743 that is used for DC power supply unit 71 is charged, be used for applying electric energy that electric energy carries out defibrillation and apply switch (discharge switch) 744 and consist of.Input signal from said external switch 74 all is sent to arithmetic processing section 75.

The arithmetic processing section 75 of supply unit is controlled DC power supply unit 71, switching part 76 and heart potential information display section 78 based on the input of external switch 74.

In this arithmetic processing section 75, have for will be from the DC voltage of DC power supply unit 71 via the output circuit 751 of switching part 76 to the electrode output of defibrillation probe 100.

Utilize this output circuit 751, can apply DC voltage, so that the terminal 721(of probe adapter 72 shown in Figure 9 finally is the 1DC electrode group 31G of defibrillation probe 100) finally be the 2DC electrode group 32G of defibrillation probe 100 with the terminal 722(of probe adapter 72) mutually different polarity (side electrode group for the-utmost point time, the opposing party's electrode group is+utmost point) become.

Arithmetic processing section 75 have the sequence information of storage power device 700 and probe the use binding hours memorizer 752 and be used for determining internal clocking 753 constantly.

The sequence information of the supply unit 700 of storing as memorizer 752 can be enumerated and make numbering (serial number), make date etc.This sequence information is the information in the management of product that is written into when making supply unit, can't rewrite or append.

" the use binding hours of probe " that memorizer 752 is stored set according to the performance of defibrillation probe 100 and the viewpoint of safety, can't be rewritten by the user of probe system.

As the use binding hours of probe, be set as than long time 1 operation required maximum time and from the time that the viewpoint of the performance of defibrillation probe and safety can not have problems, for example can be set as 24 hours, but certainly be not limited to this.

As the moment of being determined by internal clocking 753, can enumerate to defibrillation probe 100 is initial and connect the moment that the moment of supply units and event (measurement of the resistance value between defibrillation, electrode group, the again connection of supply unit) that defibrillation probe 100 carries out are performed.

Arithmetic processing section 75 is to defibrillation probe 100 initial connection supply unit 700 time, obtain moment of connection with reference to internal clocking 753, the sequence information of the supply unit 700 that this moment and memorizer 752 are stored writes the first link information storage part 112 in the memorizer 110 of defibrillation probe 100 in the lump.

Here, having connected the method that the situation of supply unit 700 detects as subtend defibrillation probe 100 is not particularly limited, for example can enumerate to be arranged on when connecting and flow through the such circuit of weak current, perhaps the probe adapter 72 of supply unit 700 be arranged the method for physical switch and so on.

In addition, for " initial " connects or again connect for being connected in this defibrillation probe 100 of supply unit 700, arithmetic processing section 75 is with reference to the first link information storage part 112 in the memorizer 110 of this defibrillation probe 100, being judged as when not storing information in the first link information storage part 112 is that " initial " connects, and being judged as when storing information in the first link information storage part 112 is again to connect.

Arithmetic processing section 75 is when utilizing defibrillation probe 100 to carry out defibrillation, obtain the resistance value (the intracardiac resistance value that measures first when carrying out defibrillation) between 1DC electrode group 31G and the 2DC electrode group 32G, the setting value (input value of energy settings switch 742) of the electric energy that will apply between 1DC electrode group 31G and the 2DC electrode group 32G, the information of output voltage and output time (the actual voltage that applies and time) writes the sequence information (sequence information that memorizer 752 is stored) of these information and the moment of carrying out this defibrillation (moment of internal clocking 753) and the supply unit 700 that is connected event information storage part 113(in the memorizer 110 of defibrillation probe 100 in the lump with reference to the event 2 of above-mentioned table 1,3,4,7).

In addition, when after the 1DC electrode group 31G of defibrillation probe 100 and the resistance value between the 2DC electrode group 32G are measured, not carrying out defibrillation, arithmetic processing section 75 is identified as event with the measurement of resistance value, the sequence information of moment of the resistance value of measuring and the measurement of having carried out resistance value and the supply unit 700 that is connected is write in the lump the

event

1,6 of the above-mentioned table 1 of event information storage part 113(reference in the memorizer 110 of defibrillation probe 100).

Thus, also can record the data of the intracardiac resistance value when not carrying out defibrillation.

And, arithmetic processing section 75 is after the supply unit of the event of carrying out for defibrillation probe 100 is removed, when again connecting identical or different supply units 700 to this defibrillation probe 100 (with storing defibrillation probe 100 constantly in the first link information storage part 112 at memorizer 110 and being connected), this is identified as event, the sequence information of moment of again connecting and supply unit 700 is write event information storage part 113(in the memorizer 110 of defibrillation probe 100 with reference to the

event

5,8 of above-mentioned table 1).

Thus, can record the resume of (exchange) that again connect supply unit.

According to the probe system of present embodiment, can record the resume of the event (measurement of the resistance value between defibrillation, electrode group, the again connection of supply unit) that defibrillation probe 100 carries out.And, the information that these events relate to is not to be stored in the supply unit side, but be stored in event information storage part 113 in the memorizer 110 of defibrillation probe 100, even therefore carry out the event of 1 defibrillation probe 100 with a plurality of supply units, the information that these events relate to can not be distributed to a plurality of supply units yet.

In the probe system of present embodiment, arithmetic processing section 75 is written to the event of the event information storage part 113 in the memorizer 110 of defibrillation probe 100 by each, the connection of the first link information storage part 112 of judgement from the memorizer 110 that writes defibrillation probe 100 constantly begins elapsed time till the moment of having carried out this event and whether surpasses the use binding hours of the probe that the memorizer 752 of supply unit 700 stores, be judged as above the time, be controlled to be and make defibrillation probe 100 not carry out next event.

For example, in the structure of the memorizer 110 shown in the above-mentioned table 1, elapsed time till constantly moment of carrying out defibrillation (December 10: 09: 25 on the 5th) of (December 10: 00: 00 on the 5th) event 3 of storing to event information storage part 113 of the connection that writes first link information storage part 112 is 9 minutes and 25 seconds, if the use binding hours of the probe that the memorizer 752 of supply unit 700 is stored for example is made as 24 hours 00 minute 00 second, then the above-mentioned elapsed time does not surpass the use binding hours of probe, therefore can carry out the defibrillation of next event 4.

Correspondingly, constantly (December 10: 00: 00 on the 5th) elapsed time that again connects till the moment (December 11: 30: 00 on the 6th) that is carried out of beginning the supply unit of the event 8 of storing to event information storage part 113 is 25 hours 30 minutes 00 second from the connection that writes first link information storage part 112, surpass the use binding hours (24 hours 00 minute 00 second) of the probe that the memorizer 752 of supply unit 700 stores, therefore can't carry out next event.

In the present invention, " not carrying out event " situation as arithmetic processing section, be not particularly limited, for example, in the time will carrying out defibrillation as event, even can enumerate and input mode selector switch and also do not switch to defibrillation mode, apply the situation that switch does not have to send control signal of being used for applying DC voltage and so on yet even perhaps inputted electric energy.

Here, be controlled to be the event of not carrying out as arithmetic processing section, can enumerate the measurement of defibrillation and resistance value.The situation of carrying out " the defibrillation probe that takes off supply unit is connected this identical or different supply units again " is identified as the event of writing events storage part, and because " again connecting " is operator's behavior, be controlled to be in the event of not carrying out so be not included in arithmetic processing section.

According to the probe system of the present embodiment with such formation, the defibrillation probe as disposable (Disposable) product only can be used within the time no problem from the viewpoint of its performance and safety.

And, because the connection that will write the first link information storage part 112 in the memorizer 110 of defibrillation probe 100 is constantly as the Fixed Initial Point of the use binding hours of defibrillation probe 100, even so identical or different supply units is connected again to defibrillation probe 100, when after having passed through the use binding hours from the connection moment (moment that connects at first supply unit) that writes first link information storage part 112, carrying out something spare, also make this defibrillation probe 100 not carry out next event.

Switching part 76 is by be connected with probe adapter 72(terminal 721 and terminal 722 in common junction), be connected with ecg scanning instrument adapter 73 at the 1st contact, the double-contact change-over switch of a circuit that is connected with arithmetic processing section 75 at the 2nd contact consists of.

That is, when having selected the 1st contact, guarantee to link the path of probe adapter 72 and ecg scanning instrument adapter 73, when having selected the 2nd contact, guaranteed to link the path of probe adapter 72 and arithmetic processing section 75.

The change action of switching part 76 applies switch 744 by arithmetic processing section 75 according to external switch 74(mode selector switch 741, electric energy) input control.

Electrocardiogram input connector 77 is connected with arithmetic processing section 75, in addition, is connected with the lead-out terminal of ecg scanning instrument 800.

Utilize this electrocardiogram input connector 77, can be with heart potential information (being generally the part of the heart potential information of input ecg scanning instrument 800) the input arithmetic processing section 75 from 800 outputs of ecg scanning instrument, in arithmetic processing section 75, can control DC power supply unit 71 and switching part 76 based on this heart potential information.

Heart potential information display section 78 is connected with arithmetic processing section 75, the operator shows from the heart potential information (mainly being the heart potential waveform) of electrocardiogram input connector 77 input arithmetic processing section 75 in heart potential information display section 78, while can monitor that the heart potential information (waveform) of input arithmetic processing section 75 carries out defibrillation therapy (input of external switch etc.).

Consist of the ecg scanning instrument 800(input terminal of the probe system of present embodiment) be connected with the ecg scanning instrument adapter 73 of supply unit 700, by the electrode that consists of of defibrillation probe 100(1DC electrode group 31G, 2DC electrode group 32G and base end side potential-measuring electrode group 33G) the heart potential information measured inputs to ecg scanning instrument 800 from ecg scanning instrument adapter 73.

In addition, other input terminals of ecg scanning instrument 800() also be connected with heart potential measuring unit 900, the heart potential information of being measured by heart potential measuring unit 900 also is input to ecg scanning instrument 800.

Here, as heart potential measuring unit 900, can enumerate in order to measure 12 lead electrocardiogram at the attached electronic pads of patient's surface note, be installed on electrode catheter in patient's the heart (electrode catheters different from defibrillation probe 100).

Ecg scanning instrument 800(lead-out terminal) is connected with the electrocardiogram input connector 77 of supply unit 700, the part of the heart potential information of input ecg scanning instrument 800 (from the heart potential information of defibrillation probe 100 and from the heart potential information of heart potential measuring unit 900) can be sent to arithmetic processing section 75 from electrocardiogram input connector 77.

Defibrillation probe 100 in the present embodiment can be used as the measuring electrode catheter of heart potential when need not to carry out defibrillation therapy.

Figure 10 is illustrated in when carrying out cardiac probe art (for example high-frequency treatment), the flowing of the heart potential information when utilizing defibrillation probe 100 that present embodiment relates to measure heart potential.

At this moment, the switching part 76 of supply unit 700 selects to connect the 1st contact of ecg scanning instrument adapter 73.

Heart potential by the electrode measurement of the 1DC electrode group 31G that consists of defibrillation probe 100 and/or 2DC electrode group 32G inputs to ecg scanning instrument 800 via probe adapter 72, switching part 76 and ecg scanning instrument adapter 73.

In addition, by the heart potential of the electrode measurement of the base end side potential-measuring electrode group 33G that consists of defibrillation probe 100 from probe adapter 72 not by switching part 76 but directly input to ecg scanning instrument 800 via ecg scanning instrument adapter 73.

Be shown in the monitor (omitting diagram) of ecg scanning instrument 800 from the heart potential information (heart potential waveform) of defibrillation probe 100.

In addition, can be with from the potential difference between the part (for example consisting of electrode 31(the 1st utmost point and the 2nd utmost point of 1DC electrode group 31G) of the heart potential information of defibrillation probe 100) input to heart potential information display section 78 from ecg scanning instrument 800 via electrocardiogram input connector 77 and arithmetic processing section 75 and show.

As mentioned above, when in the cardiac probe art, need not to carry out defibrillation therapy, can be with defibrillation probe 100 as the measuring electrode catheter of heart potential.

And, when ventricle having occured in the cardiac probe art and trembling, can utilize the defibrillation probe 100 that is used as electrode catheter to carry out immediately defibrillation therapy.Its result when ventricle occuring tremble, can save the trouble that the probe that will be used for defibrillation reinsert etc.

Below describe according to a flow chart shown in Figure 11 example to the defibrillation therapy of the intracardiac defibrillation probe system of present embodiment.

(1) at first, connect supply unit 700 to defibrillation probe 100.Particularly, utilize connector-cable C1 with probe adapter 72 bindings (with reference to Step1, Fig. 9 of Figure 11 A) of adapter 50 with the supply unit 700 of defibrillation probe 100.

(2) detect the probe sequence storage part 111 of arithmetic processing section 75 from the memorizer of defibrillation probe 100 of this supply unit 700 that has connected the situation of supply unit 700 to defibrillation probe 100 and read sequence information, and it is initial the connection or the again connection of identical or different supply units in order to judge that this is connected in this defibrillation probe 100, with reference to the first link information storage part 112 in the memorizer 110, judge the information that wherein whether has been written into, do not enter Step3 when in first link information storage part 112, having writing information, when having write information, enter Step4(with reference to Step2, Figure 12).

When (3) in first link information storage part 112, not having writing information, the arithmetic processing section 75 of supply unit 700 will connect moment (moment of internal clocking 753) of supply unit 700 and supply unit 700 in Step1 sequence information (sequence information that memorizer 752 is stored) writes the first link information storage part 112 in the memorizer 110 of defibrillation probe 100, and enters Step5(with reference to Step3, Figure 12).

When (4) in first link information storage part 112, having write information, the arithmetic processing section 75 of supply unit 700 will connect moment of supply unit 700 and supply unit 700 in Step1 sequence information writes the event information storage part 113 in the memorizer 110 of defibrillation probe 100, and enters Step5(with reference to Step4, Figure 12).

(5) in radioscopic image, confirm the position of the electrode (the formation electrode of 1DC electrode group 31G, 2DC electrode group 32G and base end side potential-measuring electrode group 33G) of defibrillation probe 100, and select to invest from heart potential measuring unit 900(note the electronic pads of surface) input to the part of the heart potential information (12 lead electrocardiogram) of ecg scanning instrument 800, and from the arithmetic processing section 75(Step5 of electrocardiogram input connector 77 input power devices 700).At this moment, the part of the heart potential information of input arithmetic processing section 75 is shown in heart potential information display section 78(with reference to Figure 13).

In addition, from the formation electrode of the 1DC electrode group 31G of defibrillation probe 100 and/or 2DC electrode group 32G via probe adapter 72, switching part 76, ecg scanning instrument adapter 73 input to the heart potential information of ecg scanning instrument 800, the heart potential information that inputs to ecg scanning instrument 800 via probe adapter 72, ecg scanning instrument adapter 73 from the formation electrode of the base end side potential-measuring electrode group 33G of defibrillation probe 100 is shown in ecg scanning instrument 800 monitor (omitting diagram omits).

(6) then, input is as the mode selector switch 741(Step6 of external switch 74).Supply unit 700 in the present embodiment is " heart potential measurement pattern " in original state, and switching part 76 is selected the 1st contact, thus the path of guaranteeing to arrive via switching part 76 from probe adapter 72 ecg scanning instrument adapter 73.

(7) when mode selector switch 741 is transfused to, the arithmetic processing section 75 of supply unit 700 judges that the moment of the first link information storage part 112 from the memorizer 110 that writes defibrillation probe 100 begins elapsed time till the moment of last writing events information storage part 113 and whether surpassed the use binding hours of the probe that the memorizer 752 of arithmetic processing section 75 stores, enter Step8 when surpassing being judged as not, be judged as above the time, can't carry out later action and become " end " (Step7).

Here, being connected in this defibrillation probe 100 when being initial connection of the supply unit 700 in Step1 (via Step2,3,5,6 situation) owing to do not have writing information in event information storage part 113, therefore can enter Step8.On the other hand, being connected in this defibrillation probe 100 of supply unit 700 in Step1 is (via Step2,4,5,6 situation) when again connecting, and the moment of last writing events information storage part 113 becomes the moment that again connects supply unit 700 that writes in Step4.

In addition, when turning back to Step6 from Step22 described later (via Step22,6 situation), the moment of last writing events information storage part 113 becomes the moment that applies (defibrillation) of having carried out electric energy in Step17 described later.

(8) when being judged as the elapsed time that begins from the moment that writes first link information storage part 112 till the moment of last writing events information storage part 113 when surpassing the use binding hours of probe, arithmetic processing section 75 switches to " defibrillation mode " (Step8 of Figure 11 B) with the pattern of supply unit 700 from " heart potential measurement pattern ".

(9) as shown in figure 14, when thereby mode selector switch 741 is transfused to when switching to defibrillation mode, control signal according to arithmetic processing section 75, the contact of switching part 76 is switched to the 2nd contact, guaranteed to be cut off (Step9) from probe adapter 72 via the path that switching part 76 arrives ecg scanning instrument adapters 73 from the path of probe adapter 72 via switching part 76 arrival arithmetic processing section 75.When switching part 76 has been selected the 2nd contact, therefore heart potential information from the formation electrode of the 1DC electrode group 31G of defibrillation probe 100 and 2DC electrode group 32G can't input to ecg scanning instrument 800(, also this heart potential information can't be sent to arithmetic processing section 75.）。But the heart potential information from the formation electrode of base end side potential-measuring electrode group 33G via switching part 76 is not input to ecg scanning instrument 800.

(10) when the contact of switching part 76 is switched to the 2nd contact, measure the 1DC electrode group (31G) of defibrillation probe 100 and the resistance value (Step10) between the 2DC electrode group (32G).Can be shown in the lump heart potential information display section 78(with reference to Figure 14 from probe adapter 72 with the part from the heart potential information of heart potential measuring unit 900 of input arithmetic processing section 75 via the resistance value that switching part 76 is input to arithmetic processing section 75).

(11) contact of switching part 76 is switched to the 1st contact, recovers (Step11) from probe adapter 72 via the path that switching part 76 arrives ecg scanning instrument adapter 73.

In addition, (above-mentioned Step9～Step10) for example is between 1 second the contact of switching part 76 time of being selected to the 2nd contact.

(12) arithmetic processing section 75 judges whether the resistance value of measuring surpasses certain value in Step10, when not surpassing, enter next Step13(for the preparation that applies DC voltage), when surpassing, return the location confirmation of the electrode of Step5(defibrillation probe 100) (Step12).

Here, when resistance value has surpassed certain value, mean that 1DC electrode group and/or 2DC electrode group do not have fully and regulation position (for example the tube wall of Coronary vein, the inwall of right ventricle) butt, therefore need to return the position that Step5 adjusts electrode again.

Like this, can be only just apply voltage during butt fully at the 1DC electrode group of defibrillation probe 100 and 2DC electrode group and regulation position (for example, the tube wall of Coronary vein, the inwall of right ventricle), therefore can carry out effective defibrillation therapy.

Apply energy (Step13) when (13) input is set defibrillation as the electric energy configuration switch 742 of external switch 74.

According to the supply unit 700 in the present embodiment, applying energy can set with the 1J scale between from 1J to 30J.

(14) input is as the built-in capacitance charging (Step14) to DC power supply unit 71 of the charge switch 743 of external switch 74.

(15) after charging finished, input applied switch 744(Step15 as the electric energy of external switch 74).

(16) when electric energy applies switch 744 input, by arithmetic processing section 75 contact of switching part 76 is switched to the 2nd contact, guaranteed to have cut off the path (Step16) that arrives ecg scanning instrument adapters 73 from probe adapter 72 via switching part 76 from the path of probe adapter 72 via switching part 76 arrival arithmetic processing section 75.

(17) after the contact of switching part 76 is switched to the 2nd contact, from accepting to apply polarity mutually different DC voltage (with reference to Step17, Figure 15 of Figure 11 C) to the 1DC electrode group of defibrillation probe 100 with 2DC electrode group via output circuit 751, switching part 76 and the probe adapter 72 of arithmetic processing section 75 from the DC power supply unit 71 of the control signal of arithmetic processing section 75.

Here, arithmetic processing section 75 is carried out calculation process and is transmitted control signal to DC power supply unit 71 so that with via the heart potential synchronous waveform of electrocardiogram input connector 77 input apply voltage.

Particularly, in the heart potential waveform of inputting one by one to arithmetic processing section 75 (from the part of 12 lead electrocardiogram of heart potential measuring unit 900), detect 1 R ripple (peak-peak), and obtain this peak height, then, begin to begin to apply through after the certain hour (for example, about 1/10 of the peak width of R ripple utmost point short time) in the moment of 80% the height (triggering level) that arrives this peak height from potential difference (when next R ripple rises).

Figure 16 is that expression utilizes defibrillation probe 100 in the present embodiment to give the regulation electric energy (figure of the potential waveform of measuring when for example setting output=10J).In the figure, the transverse axis express time, the longitudinal axis represents current potential.

At first, according to passing through later on certain hour (t so that the potential difference in the heart potential waveform of input arithmetic processing section 75 arrives triggering level ₀) after, 1DC electrode group 31G becomes-utmost point, and 2DC electrode group 32G becomes+mode of the utmost point, and between applies DC voltage, and thus, electric energy is supplied to measures the current potential (V that rises ₁It is the crest voltage of this moment.）。Passing through certain hour (t ₁) after, according to so that 1DC electrode group 31G becomes+utmost point, 2DC electrode group 32G becomes-mode of the utmost point, between applies and reversed ± DC voltage, thus, electric energy is supplied to and measures the current potential (V that rises ₂It is the crest voltage of this moment.）。

Here, from arriving triggering level to the time (t that begins to apply ₀) be 0.01～0.05 second for example, it is 0.01 second that a preferred example is shown, time (t=t ₁+ t ₂) be 0.006～0.03 second for example, it is 0.02 second that a preferred example is shown.

Thus, can synchronously apply voltage with the heart potential waveform (being the R ripple of peak-peak) of input arithmetic processing section 75, can carry out effective defibrillation therapy.

Crest voltage (the V that measures ₁) for example be 300～600V.

(18) potential difference in the heart potential waveform arrives triggering level and has passed through later on certain hour (t ₀+ t) after, stop apply (Step18) from the voltage of DC power supply unit 71 thereby accept control signal from arithmetic processing section 75.

(19) after applying of voltage stops, the record that applies (the heart potential waveform during applying as shown in Figure 16) is shown in heart potential information display section 78(Step19).As displaying time, for example be between 5 seconds.

(20) arithmetic processing section 75 of supply unit 700 is when utilizing defibrillation probe 100 to carry out defibrillation, setting value (input value of energy settings switch 742), the output voltage (V of Figure 16 of the electric energy that obtain resistance value (the intracardiac resistance value of measuring first when carrying out defibrillation) between 1DC electrode group 31G and the 2DC electrode group 32G, will apply between 1DC electrode group 31G and 2DC electrode group 32G ₁The shown actual voltage that applies) and the information of output time (the actual time that applies shown in the t of Figure 16), the sequence information (sequence information that memorizer 752 is stored) of these information and the moment of carrying out this defibrillation (moment of being determined by internal clocking 753) and supply unit 700 is written into event information storage part 113(in the memorizer 110 of defibrillation probe 100 in the lump with reference to Step20, Figure 17).

(21) contact of switching part 76 is switched to the 1st contact, recover via the path that switching part 76 arrives ecg scanning instrument adapters 73 from probe adapter 72, be input to ecg scanning instrument 800(with reference to Step21, Figure 13 from the heart potential information of the formation electrode of the 1DC electrode group 31G of defibrillation probe 100 and 2DC electrode group 32G).

(22) to the monitor that is shown in ecg scanning instrument 800, observe from the heart potential information (electrocardiogram) of the formation electrode (the formation electrode of 1DC electrode group 31G, 2DC electrode group 32G and base end side potential-measuring electrode group 33G) of defibrillation probe 100 and from the heart potential information (12 lead electrocardiogram) of heart potential measuring unit 900, " if normally " then finish, when " undesired (ventricle trembles and do not cure) ", return Step6(Step22).

Probe system according to present embodiment, utilize 1DC electrode group 31G and the 2DC electrode group 32G of defibrillation probe 100, can directly provide electric energy to the heart that has occured to tremble, sufficient electricity irritation (surge) that can defibrillation therapy is required only provides reliably to heart.

And, owing to can directly provide electric energy to heart, do not burn wound so can not produce at patient's body surface.

In addition, can record the resume of the event (measurement of the resistance value between defibrillation, electrode group, the again connection of supply unit) of defibrillation probe 100.

Thus, for example in use the defibrillation probe has occured when unusual, the event resume can be used for seeking the unusual reason that occurs.

And, the information that these events relate to is stored in the memorizer 110(event information storage part 113 of defibrillation probe 100), even therefore carry out the event of 1 defibrillation probe 100 with a plurality of supply units, the information that these events relate to can not be distributed to a plurality of supply units yet.Therefore, can carry out the management of event record information by the defibrillation probe 100 of being determined by sequence information.

In the probe system of present embodiment, the parts that relate to first link information and event record information and be arranged at defibrillation probe 100 only have memorizer 100(memory element), because the task of these information of processing is by arithmetic processing section 75 burdens of supply unit 700, so can not occuring, the defibrillation probe do not maximize, perhaps the situation of its complex structure.

In addition, the information that writes the memorizer 110 of defibrillation probe 100 can be read by suitable information read device.

According to the probe system of present embodiment, the defibrillation probe as disposable (Disposable) product only can be used within the time no problem from the viewpoint of its performance and safety.

In addition, because the connection that will write the first link information storage part 112 in the memorizer 110 of defibrillation probe 100 is constantly as the Fixed Initial Point of the use binding hours of defibrillation probe 100, even so identical or different supply units is connected again with defibrillation probe 100, when beginning through after the use binding hours from the connection moment (with the initial moment that connects of supply unit) that writes first link information storage part 112, when having carried out certain event by defibrillation probe 100, also make this defibrillation probe 100 not carry out next event.

In addition, consist of heart potential information that electrode 33 measures from probe adapter 72 not via switching part 76 but input to ecg scanning instrument 800 via ecg scanning instrument adapter 73 by base end side potential-measuring electrode group 33G, and, be connected with heart potential measuring unit 900 at this ecg scanning instrument 800, therefore even (switching part 76 is switched to the 2nd contact when ecg scanning instrument 800 can't be obtained defibrillation therapy from the heart potential of the 1DC electrode group 31G of defibrillation probe 100 and 2DC electrode group 32G, when being cut off from the path that probe adapter 72 arrives ecg scanning instrument adapters 73 via switching part 76), ecg scanning instrument 800 also can be obtained the heart potential information of being measured by base end side potential-measuring electrode group 33G and heart potential measuring unit 900, can monitor that at ecg scanning instrument 800 heart potential (supervision) is Yi Bian carry out defibrillation therapy on one side.

And, the arithmetic processing section 75 of supply unit 700 is carried out calculation process and is come DC power supply unit 71 is controlled, so that apply voltage (after the potential difference arrival triggering level in the heart potential waveform through beginning to apply behind the certain hour (for example 0.01 second)) with heart potential synchronous waveform ground via electrocardiogram input connector 77 input, can to the 1DC electrode group 31G of defibrillation probe 100 and 2DC electrode group 32G and heart potential synchronous waveform apply voltage, can carry out effective defibrillation therapy.

And, arithmetic processing section 75 is controlled to be when only the resistance value between the electrode group of defibrillation probe 100 does not surpass certain value, namely, the position of 1DC electrode group 31G and 2DC electrode group 32G and regulation (for example, the tube wall of Coronary vein, the inwall of right ventricle) fully during butt, just enters be used to the preparation that applies DC voltage, therefore can carry out effective defibrillation therapy.

In the probe system of present embodiment, the arithmetic processing section 75 of supply unit 700 also can have following function (intervalometer), namely, termly with reference to the moment shown in the internal clocking 753, constantly begin through after the memorizer 752 use binding hours of storing in the connection from the first link information storage part 112 of the memorizer 110 that writes defibrillation probe 100, be controlled to be and make defibrillation probe 100 not carry out event.

By also using intervalometer, for example in the time will passing through the use binding hours, undertaken after the event by defibrillation probe 100, even passed through at the state that is connected with supply unit 700 in the situation of long period, also can stop the execution of " next " event of this defibrillation probe 100.

The＜the 2 embodiment＞

Figure 18 is the block diagram of other embodiments of expression intracardiac defibrillation probe system of the present invention.In the figure, the element identical or corresponding with the 1st embodiment used identical symbol.

The arithmetic processing section 75a of the supply unit 700a of the probe system of formation present embodiment is in the time will carrying out new event (for example defibrillation) by defibrillation probe 100, judgement from the first link information storage part 112 of the memorizer 110 that writes this defibrillation probe 100 the time be carved into the use binding hours that memorizer 752 that whether elapsed time till the current time shown in the internal clocking 753 surpassed supply unit 700a is stored, be judged as above the time, be controlled to be this event of not carrying out.

Figure 19 is the action of the supply unit in the expression probe system shown in Figure 180 and the flow chart of operation.

As the defibrillation therapy of the intracardiac defibrillation probe system of present embodiment, except the Step7 with the flow chart shown in Figure 11 A was altered to the Step7 of the flow chart shown in Figure 19 A, other the defibrillation therapy with the probe system of the 1st embodiment was identical.

Namely, when mode selector switch 741 is transfused to, the arithmetic processing section 75a of supply unit 700a reads the moment (moment that connects at first supply unit) that the first link information storage part 112 in the memorizer 110 of defibrillation probe 100 is stored, judgement is carved into the use binding hours that memorizer 752 that whether elapsed time (using the time of defibrillation probe 100) till the current time shown in the internal clocking 753 surpassed supply unit 700 is stored during from this, when not surpassing, enter the Step8 of Figure 19 B, when surpassing, can't carry out later action and become " end ".

Thus, beginning through after the use binding hours from the connection moment (moment that connects at first supply unit) that writes first link information storage part 112, can not carry out new event, the defibrillation probe 100 as disposable products only can be used within the time no problem from the viewpoint of its performance and safety.

More than embodiments of the present invention are illustrated, but the present invention is not limited to these embodiments, can carry out various changes.

For example, passed through in the 1st embodiment and used " next event of defibrillation probe 100 " do not carried out after the binding hours, having passed through in the 2nd embodiment and used " the new event of defibrillation probe 100 " do not carried out after the binding hours can only be defibrillation also.

Symbol description among the figure:

100 ... the defibrillation probe; 10 ... multi-lumen tube; 11 ... the 1st lumen; 12 ... the 2nd lumen; 13 ... the 3rd lumen; 14 ... the 4th lumen; 15 ... fluororesin layer; 16 ... interior (kernel) section; 17 ... outer (shell) section; 18 ... stainless steel silk; 20 ... handle; 21 ... handle main body; 22 ... carry button; 24 ... emergent insurance; 26 ... the 1st insulating properties pipe; 27 ... the 2nd insulating properties pipe; 28 ... the 3rd insulating properties pipe; 31G ... 1DC electrode group; 31 ... ring electrode; 32G ... 2DC electrode group; 32 ... ring electrode; 33G ... base end side potential-measuring electrode group; 33 ... ring electrode; 35 ... the top chip; 41G ... the 1st wire group; 41 ... wire; 42G ... the 2nd wire group; 42 ... wire; 43G ... the 3rd wire group; 43 ... wire; 50 ... the adapter of defibrillation probe; 51,52,53 ... the pin terminal; 55 ... partition wall; 58 ... resin; 61 ... the 1st protecting tube; 62 ... the 2nd protecting tube; 65 ... wire drawing; 110 ... memorizer; 111 ... the probe sequence storage part; 112 ... first link information storage part; 113 ... the event information storage part; 700 ... supply unit; 71 ... the DC power supply unit; 72 ... probe adapter; 721,722,723 ... terminal; 73 ... ecg scanning instrument adapter; 74 ... external switch (input block); 741 ... mode selector switch; 742 ... the electric energy configuration switch; 743 ... charge switch; 744 ... electric energy applies switch (discharge switch); 75 ... arithmetic processing section; 751 ... output circuit; 752 ... memorizer; 753 ... internal clocking; 76 ... switching part; 78 ... the heart potential information display section; 700a ... supply unit; 75a ... arithmetic processing section; 800 ... the ecg scanning instrument; 900 ... the heart potential measuring unit;

Claims

1. intracardiac defibrillation probe system possesses and is inserted into the defibrillation probe that carries out defibrillation in the chambers of the heart and applies the supply unit of DC voltage to the electrode of this defibrillation probe, and this intracardiac defibrillation probe system is characterised in that,

Above-mentioned defibrillation probe possesses:

The duct member of insulating properties;

The 1st electrode group, its a plurality of ring electrodes by the apex zone that is installed on the aforementioned tube parts consist of;

The 2nd electrode group, its a plurality of ring electrodes that are installed on the aforementioned tube parts by leaving from above-mentioned the 1st electrode group to base end side consist of;

The 1st wire group, it is made of with a plurality of wires that each electrode that consists of above-mentioned the 1st electrode group is connected the top;

The 2nd wire group, it is made of with a plurality of wires that each electrode that consists of above-mentioned the 2nd electrode group is connected the top; And

Memorizer, it comprises: the probe sequence storage part, it stores the sequence information of above-mentioned defibrillation probe; First link information storage part, its storage connect the moment of supply unit and the sequence information of the initial supply unit that connects to above-mentioned defibrillation probe at first; With the event information storage part, its related information of event that will comprise the defibrillation of above-mentioned defibrillation probe is stored in the lump with the sequence information of the supply unit that has carried out the moment of this event and be connected,

Above-mentioned supply unit possesses:

The DC power supply unit;

Probe adapter, it is connected with the 1st wire group of above-mentioned defibrillation probe and the base end side of the 2nd wire group;

External switch, it comprises be used to making above-mentioned supply unit become the switch that applies of the configuration switch of mode selector switch, electric energy of defibrillation mode and electric energy; And

Arithmetic processing section, its input based on the said external switch is controlled above-mentioned DC power supply unit, and has output from the output circuit of the DC voltage of this DC power supply unit, and, store the use binding hours of sequence information and the probe of above-mentioned supply unit, and have for determining internal clocking constantly, control writing and reading for the memorizer of above-mentioned defibrillation probe

When carrying out defibrillation by above-mentioned defibrillation probe, after the resistance value of having measured between above-mentioned the 1st electrode group and above-mentioned the 2nd electrode group, input based on the said external switch, come to apply mutually different voltage of polarity to above-mentioned the 1st electrode group of above-mentioned defibrillation probe with above-mentioned the 2nd electrode group via the output circuit of above-mentioned arithmetic processing section, above-mentioned probe adapter from the DC power supply unit of above-mentioned supply unit

The arithmetic processing section of above-mentioned supply unit,

(b) when having carried out defibrillation by above-mentioned defibrillation probe, the information of setting value, output voltage and the output time of the electric energy that obtain resistance value between above-mentioned the 1st electrode group and above-mentioned the 2nd electrode group, between above-mentioned the 1st electrode group and above-mentioned the 2nd electrode group, will apply, and the sequence information of these information and the moment of having carried out this defibrillation and this supply unit of being connected is write in the lump event storage part in the memorizer of above-mentioned defibrillation probe

(c) when not carrying out defibrillation after the resistance value between above-mentioned the 1st electrode group of having measured above-mentioned defibrillation probe and above-mentioned the 2nd electrode group, the measurement of resistance value is identified as event, the sequence information of the resistance value that measures and the moment that measures and this supply unit of being connected is write in the lump the event storage part in the memorizer of above-mentioned defibrillation probe

(d) when the defibrillation probe that has taken off the supply unit that uses is connected this identical or different supply unit again, this is identified as event, and the sequence information of the moment that will again connect and this supply unit of again connecting writes the event storage part in the memorizer of above-mentioned defibrillation probe

(e) be written to the event of the event storage part in the memorizer of above-mentioned defibrillation probe by each, whether the elapsed time that the connection of judging the first link information storage part from the memorizer that is written to this defibrillation probe begins till the moment of having carried out this event has constantly surpassed above-mentioned use binding hours, be judged as above the time, be controlled to be and make this defibrillation probe not carry out next event.

2. intracardiac defibrillation probe system according to claim 1 is characterized in that,

The arithmetic processing section of above-mentioned supply unit is termly with reference to the moment shown in the above-mentioned internal clocking, constantly begin through after the above-mentioned use binding hours in the connection from the first link information storage part of the memorizer that writes above-mentioned defibrillation probe, be controlled to be and make this defibrillation probe not carry out event.

3. intracardiac defibrillation probe system possesses and is inserted into the defibrillation probe that carries out defibrillation in the chambers of the heart and applies the supply unit of DC voltage to the electrode of this defibrillation probe, and this intracardiac defibrillation probe system is characterised in that,

Above-mentioned defibrillation probe possesses:

The duct member of insulating properties;

Above-mentioned supply unit possesses:

The DC power supply unit;

Arithmetic processing section, its input based on the said external switch comes above-mentioned DC power supply unit is controlled, and has output from the output circuit of the DC voltage of this DC power supply unit, and, store the use binding hours of sequence information and the probe of above-mentioned supply unit, and have for determining internal clocking constantly, control writing and reading for the memorizer of above-mentioned defibrillation probe

The arithmetic processing section of above-mentioned supply unit,

(e) in the time will carrying out new event by above-mentioned defibrillation probe, whether the elapsed time that the connection of the first link information storage part of judgement from the memorizer that is written to this defibrillation probe begins till the current time shown in the above-mentioned internal clocking has constantly surpassed above-mentioned use binding hours, be judged as above the time, be controlled to be this event of not carrying out.

4. each described intracardiac defibrillation probe system in 3 according to claim 1, it possesses the ecg scanning instrument, and this intracardiac defibrillation probe system is characterised in that,

Above-mentioned supply unit possesses:

Ecg scanning instrument adapter, its input terminal with above-mentioned ecg scanning instrument is connected; And switching part, consisted of by the double-contact change-over switch of a circuit, be connected with above-mentioned in common junction

Probe adapter is connected with above-mentioned ecg scanning instrument adapter at the 1st contact, connects above-mentioned arithmetic processing section at the 2nd contact,

5. intracardiac defibrillation probe system according to claim 4 is characterized in that,

Above-mentioned defibrillation probe possesses:

The potential-measuring electrode group, its by leaving from above-mentioned the 1st electrode group or above-mentioned the 2nd electrode group and a plurality of electrodes that are installed on the aforementioned tube parts consist of; And

The wire group that potential measurement is used, it is made of with a plurality of wires that each electrode that consists of above-mentioned potential-measuring electrode group is connected the top, and the base end side of the wire group that this potential measurement is used is connected with the probe adapter of above-mentioned supply unit,

The heart potential information that measures by the electrode that consists of above-mentioned potential-measuring electrode group inputs to above-mentioned ecg scanning instrument from the above-mentioned probe adapter of above-mentioned supply unit via above-mentioned ecg scanning instrument adapter, and not via above-mentioned switching part.

6. according to claim 4 or 5 described intracardiac defibrillation probe systems, it is characterized in that,

Heart potential measuring unit beyond above-mentioned ecg scanning instrument is connected with above-mentioned defibrillation probe.

7. intracardiac defibrillation probe system according to claim 6 is characterized in that,

Above-mentioned heart potential measuring unit is electronic pads or electrode catheter.

8. each described intracardiac defibrillation probe system in 7 according to claim 4 is characterized in that,

Above-mentioned supply unit possesses the electrocardiogram input connector that is connected with the lead-out terminal of above-mentioned arithmetic processing section and above-mentioned ecg scanning instrument and the heart potential information display section that is connected with above-mentioned arithmetic processing section,