CN103190900B - Place device and the electrocardiograph of electrocardio measurement electrode - Google Patents

Place device and the electrocardiograph of electrocardio measurement electrode Download PDF

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CN103190900B
CN103190900B CN201310141876.3A CN201310141876A CN103190900B CN 103190900 B CN103190900 B CN 103190900B CN 201310141876 A CN201310141876 A CN 201310141876A CN 103190900 B CN103190900 B CN 103190900B
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electrode
shape device
band shape
band
testee
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CN103190900A (en
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王平
段扬
徐广忠
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Heng Yun medical technology (Beijing) Co., Ltd.
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Beijing Biolat Science & Technology Development Co Ltd
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Abstract

A kind of band shape device (1) for placing electrocardio measurement electrode, comprise band body (10) and two ends (12,13), the electrode (2) of the predetermined anatomical location of the roughly chest level that will navigate to testee is provided with in this band body (10), a weight (5) is connected with in two ends (12,13) at least one end wherein, this band shape device (1) is fixed to utilize the weight of weight (5), so, a kind of fixing operation is provided simply for the band shape device of ECG measurement.

Description

Place device and the electrocardiograph of electrocardio measurement electrode
Technical field
In general, the present invention relates to the sensor for carrying out ecg measurement, specifically, relate to a kind of band shape device (harness) being provided with electrode, testee's chest can be fixed in simple to operately, and use described band shape device obtain electrocardiosignal and carry out the electrocardiograph of ecg measurement.
Background technology
The information provided about testee's cardiac function is provided with electrocardiograph (ECG) usually.By sensor being placed on the suitable position of testee, electrode records waveform from testee's human body surface and sends such as ECG device to, display or print the wavy curve figure representing testee heart condition after amplifying, to be supplied to doctor or relevant speciality technical staff carries out analyzing and diagnosing.
In order to obtain sufficient information to carry out analyzing and diagnosing to testee's heart condition, common 12 lead electrocardiogram need position near chest to place 6 electrodes, namely V1, V2, V3, V4, V5, V6 totally 6 thoracic wall electrodes, add 4 limb electrodes, totally 10 electrode synchronized samplings; For 18 Lead Synchronous ECGs, the right side chest generally also needed and back position respectively arrange other 3 electrodes, V3R, V4R, V5R totally 3 thoracic wall electrodes of V7, V8, V9 of being respectively back totally 3 thoracic wall electrodes and right chest, add 4 limb electrodes, totally 16 electrode synchronized samplings.
Obtain electrocardiogram accurately, it is very important for electrode being put into very accurate anatomical location.But even if for the medical worker of specialty, because the body sizes of testee are different, the work of this accurate electrodes also has suitable difficulty, and in case of emergency this work becomes more difficult.Such as, on ambulance or at the scene, carry out ECG measurement with portable ECG device, due to it is pressed for time, be often difficult to localizing electrode quickly and accurately.
Existingly patent discloses the multiple ECG of convenience and measure and particularly facilitate the device of its positioning of electrode.Generally, these devices comprise certain band or band shape device (such as, see patent documentation 1 or patent documentation 2).
Patent documentation 1 or patent documentation 2 disclosed band shape device can directly adhere to or be fixed on chest, greatly save wear time, and, its electrode is arranged near required anatomical location, can be adjusted the position of electrode by the bar shaped chute arranging the trickle adjustment electrode position of energy further more accurately.In addition, electrode with shape device in patent documentation 2 also realizes being electrically connected with described bonder terminal by the wire being electrically connected to the bonder terminal on the edge of band shape device one end in advance, as this reduced the chance of technical staff due to adapter cable because of carelessness and mistakenly.
Patent documentation 1: No. CN2524671Yth, Chinese utility model Granted publication
Patent documentation 2: No. CN1191784Cth, Chinese invention patent Granted publication
Although above-mentioned band shape device can be placed into roughly suitable anatomical location by disposable for multiple electrode, facilitate laying of electrode, still there is many defects or inconvenient part.
Because electrode when ECG measures needs to contact well with human body skin, as patent documentation 1 or patent documentation 2 disclosed band shape device all need special fixture by as described in be with shape device to be fixed on testee's chest.Such as, patent documentation 1 disclosed band shape device often all needs at its two ends to arrange sufficiently long fixing band, such as can enclose around the whole chest one of testee, and need on the fixing band at two ends, arrange the setting fastening part cooperatively interacted, so that band shape device is fixed on testee's breast portion, this setting fastening part is such as enough soft and is not easy two sections of ropes for tiing a knot of fracture, or the thread gluing be directly bonded together or other buckling piece, and the inner side (with the side of contact skin) of patent documentation 2 disclosed band shape device needs to apply the adhesive-layer for adhering on testee's skin.
But patent documentation 1 is disclosed to be with the setting fastening of shape device and to trip all very time-consuming.Patent documentation 2 disclosed band shape device is for testee, and adhesive-layer may bring offending sensation.In addition, use the band shape device of viscose glue to be generally not suitable for reusing, viscose glue contacts different testee may cause hygienic issues, reuses and people can be made to produce antihygienic fear.In addition, for operator such as doctor, patent documentation 2 disclosed band shape device sticks to testee's chest, if the position that band shape device is placed for the first time is improper, the position that change band shape device can bother relatively.
In addition, although patent documentation 1 and patent documentation 2 disclosed band shape device all have can the rectangular slot of fine adjustments electrode position or bar hole, all be applicable to using to the testee with different bust sizes, but it also can bring problem, because chest non-fully is smooth, when therefore using, electrode position easily may depart from the position of original setting.
When hospital or MEC carry out ECG measurement, often have a large amount of waiting to see the doctor or wait inspection person, slight inconvenience may all can cause being with shape device to need the place of doing ECG measurement to be in a large number difficult to obtain large-scale application at hospital or MEC etc.Therefore, needing one to have and testee is experienced good, operator is used to the band shape device more simply with fixture, in addition, also will avoiding the electrode when testing that the problem departed from position easily occurs.
Summary of the invention
The object of the present invention is to provide and a kind ofly can be fixed on the band shape device being provided with the electrode measured for ECG of testee's chest simple to operately and comprise the ECG measuring device of described band shape device.In a preferred embodiment, the electrode be arranged in this band shape device can adapt to the change of body configuration, all the time can well with the contact skin of testee, and the convenient adjustment of electrode position, after adjustment, its position is not easily departed from again.
Generally, the present invention is for placing the band shape device of electrocardio measurement electrode, comprise band body and two ends, the electrode setting unit of the predetermined anatomical location of the roughly chest level that will navigate to testee is provided with in described band body, electrode is provided with in described electrode setting unit, wherein at least one end of described band shape device two ends is connected with weight, makes described electrode and testee's skin good contact for providing suitable pressure.
Naturally droop provided pressure owing to utilizing weight and make described electrode and testee's skin good contact, do not need the fixture of other complexity, make operation band shape device being fixed on testee's chest extremely easy, need the occasion of frequently carrying out ECG measurement for a long time very practical at such as hospital or MEC etc.
In one embodiment of the invention, described band shape device two ends are all connected with weight.During test, band shape device is placed in testee's chest, the weight at band shape device two ends is decontroled nature in testee both sides and hangs down, make band shape device be fixed on testee's chest well by the weight of two ends weight.
In another embodiment of the invention, the tool side of lying that one of them end winding support of above-mentioned two ends is couching for testee.So, one end of band shape device is fixed in advance, further simplify the fixing operation of band shape device.
In another embodiment of the present invention, one of them end of above-mentioned two ends is connected with a plate body.During use, first described plate body can be inserted into from testee's health side testee back and be used for that testee couches lie between tool, utilize the gravity of testee's health with one end of fixing described band shape device, then the other end being connected with weight is hung down at testee's opposite side relieving nature.Because the operation of plate body being inserted the back of testee is very simple, therefore, provides a kind of fixing operation equally and be simply with shape device.
Preferably, above-mentioned plate body is also provided with electrode.For some special state of an illness, or asynchronous-sampling synchronous to the ECG signal of testee's back chest is needed just can correctly to diagnose.Owing to also arranging electrode for being inserted on testee back and the plate body of lying between tool, just in time can provide the collection of the electrocardiosignal to back chest, therefore so design is very novel and convenient.
Preferably, in above-mentioned various embodiment, the end of described band shape device adopts with the connection of band body and is flexibly connected, such as, adopt slide fastener, the connections such as the fastener cooperatively interacted, like this, can be convenient for changing various end, select different fixed forms.
Preferably, in above-mentioned various embodiment, described electrode setting unit is provided with electrode position adjustment structure, therefore can regulates the position of electrode easily, this is very useful to obtain more accurate ECG signal for accurate localizing electrode.
More preferably, above-mentioned electrode position adjustment structure comprises an elongated slit, and described electrode can move in described slit, is provided with electrode retainer in described slit.Owing to being provided with electrode retainer, the electrode be arranged in described slit can be stoped to a certain extent to move.So-called " to a certain degree ", be exactly that appropriateness is exerted oneself, the interception of this electrode retainer can be broken through again, described electrode can be moved with the position regulating described electrode in slit along described slit, but when not applying the special external force exceeding a certain size, electrode can remain on the position of setting.
Preferably, in above-mentioned various embodiment, in described band body, be provided with multiple electrode setting unit.Owing to being provided with multiple electrode setting unit, thus multiple electrode can be set lead the test of electrocardiosignal to adapt to difference.
Preferably, in above-mentioned various embodiment, the electrode arranged in the electrode setting unit in testee's anterior part of chest intermediate recess region in band body is columnar electrode, described columnar electrode comprises electrode contact, cylinder and signal leading-out portion, electrode accommodation section is provided with in described band body, described columnar electrode is located in the electrode accommodation section of described band body, described columnar electrode has certain length, make when being with shape device to be evened up, described electrode contact also can well with the contact skin in testee's anterior part of chest intermediate recess region, thus ensure the stability profit accuracy of test.
More preferably, the length the closer to the columnar electrode in testee's anterior part of chest intermediate recess region is longer.The length of columnar electrode is so set, described columnar electrode can be made can be suitable for the change of the different sinking degrees in testee's anterior part of chest intermediate recess region, thus when being with shape device to be evened up, described columnar electrode can more well with the contact skin in testee's anterior part of chest intermediate recess region, more ensure the stability of testing and accuracy.
More preferably, between described band body and the described electrode contact of above-mentioned columnar electrode, flexible member is provided with.After band shape device is fixed on testee's chest, this flexible member can provide an elastic pressure to electrode contact, and this electrode contact is contacted more well with the skin of testee.
More preferably, between described band body and described flexible member, electrode pads or electrode collar is provided with.Electrode pads or electrode collar are set between described band body and described flexible member, can effectively prevent flexible member to the wearing and tearing of band body, in addition, when electrode is removable electrode in described electrode position adjustment structure, described electrode pads is set or described electrode collar can make the movement of described electrode more smooth and easy.
Above-mentioned flexible member is hollow spring preferably.Hollow spring can conveniently on the cylinder being arranged on such as columnar electrode, and be not easy to come off from electrode, makes to be with the electrode structure of flexible member relatively simple.
More preferably, the described cylinder outside described band body is arranged with electrode collar, or is provided with electrode pads and pad collar.Owing to having electrode collar or pad collar in the arranged outside of described band body, can prevent electrode from coming off from band shape device and drop out.
Preferably, described band body is also attached to the interface that can connect 4 limb lead electrodes.So, when doing 12 conventional lead electrocardiogram or 18 lead electrocardiogram, required limb lead electrode can be connected easily.
The present invention also provides a kind of electrocardiosignal measuring instrument, comprises instrument body and any band shape device above-mentioned, and sends the signal of the electrode from described band shape device to described instrument body by wire.
Accompanying drawing explanation
Fig. 1 is a front view, schematically indicates the ECG formed by the present invention and is with shape device.
Fig. 2 is a front view with the partial enlargement of the electrode of electrode position adjustment structure in band shape device of the present invention.
Fig. 3 is a kind of schematic diagram being adapted to the columnar electrode that band shape device of the present invention uses.
Fig. 4 is the schematic diagram being adapted to the another kind of columnar electrode that band shape device of the present invention uses.
Fig. 5 is the end view of the band shape device being connected with weight.
Fig. 6 is the end view of the band shape device being connected with plate.
Fig. 7 is torso model profile and is arranged on chest and the schematic diagram of the band shape device be straightened.
Fig. 8 is a kind of schematic diagram of columnar electrode of improvement.
Fig. 9 is that a kind of ECG being attached to 4 limb lead electrode wires is with shape device.
Detailed description of the invention
(basic structure of band shape device)
Referring to Fig. 1, band shape device 1 carries out ECG measurement for being placed into patient.Band shape device 1 comprises band body 10 and two ends 12 and 13, and band body 10 entirety is longilineal, and the length the second end 13 that is from the first end 12 in diagram left side to right side is significantly greater than its width.The length of band body 10 roughly corresponds to the chest width between the human body left and right sides, also can be slightly shorter than the chest width between the human body left and right sides.
Band body 10 is non-conductive flexible belt bodies, can be single layer structure or superimposed multiple structure, and the material of layer can be various fabric, rubber, plastics, thin film etc.When being multiple structure, the material of each layer can be the same or different, but preferably with contact skin inside layer be the good fabric of human feeling.
Band body 10 is provided with multiple electrode setting unit 3 according to the roughly anatomical location selected, and multiple electrode 2 for ECG measurement is arranged in electrode setting unit 3.Further, some electrode 2 each on band body 10 or wherein is provided with to the electrode position adjustment structure of the position of adjustable electrode 2.
Fig. 2 is a figure comprising the amplification of the fine structure of the electrode setting unit 3 of electrode position adjustment structure 30.Electrode position adjustment structure 30 is an elongated slit 31 on the whole, and these gaps 31 pass completely through band body 10, and along the length direction of slit 31, two the long limits forming slit 31 are roughly zigzag and mutually extend roughly symmetrically.On the symmetrical long limit of zigzag of slit 31, every two face the electrode retainer 32 making the narrowed width of slit 31 to protuberance 321,322 formation one that slit 31 is projecting inward, every two corresponding recesses 331,332 form an electrode accommodation section 33 adapted with the size of the electrode 2 be arranged in slit 31 between electrode retainer 32 or between electrode retainer 32 and the end of the length direction of slit 31, and electrode accommodation section 33 is disposed adjacent with electrode retainer 32.When electrode 2 is positioned at electrode accommodation section 33, electrode retainer 32 can stop electrode 2 with being intended to move in slit 31, but the material due to band body 10 has certain pliability, suitably firmly stir electrode 2, then can break through the prevention of electrode retainer 32, electrode 2 is toggled it to adjacent with it another electrode accommodation section from front electrode accommodation section 33.
Each slit 31 is not all straight, such as wherein a certain or some slit 31 entirety can be arc, slit 31 is also not all the same length, and slit 31 has difformity and length to be larger changes in order to adapt to the anatomical location required by different body profile dimensions testee.
Be provided with 1-15 electrode retainer 32 in each slit 31, be preferably 2-8, be more preferably 3-6.Can be equidistant between adjacent two electrode retainers 32, may also be Unequal distance.Relative two protuberances 321,322 forming electrode retainer 32 are preferably arc protuberance but do not do special restriction.When the material of band body 10 is very soft material, such as common fabric, electrode retainer 32 is preferably one slightly larger than described slit area, be fixed on the plates on band body 10 or in its interlayer, such as, and the material of these plates is preferably slightly hard than the material of band body 10 but have the material of excellent toughness, plastics or film.When band body 10 has certain hardness as plastics, film etc., electrode retainer 32 is preferred and band body 10 is one-body molded.
Owing to all forming electrode accommodation section 33 between electrode retainer 32 and between the end in electrode retainer 32 and slit length direction, therefore more than the number of electrode retainer 32 1 of the number of electrode accommodation section 33.Distance d between adjacent two electrode accommodation sections 33 is 5-25mm, is more preferably 8-15mm.Electrode accommodation section 33 entirety is preferably configured to the shape of circular but does not do special restriction, other shapes such as such as ellipse, polygon are also fine, also can be resemble bend in succession straight way standard stadium of track and field close run-track shaped, but preferably to adapt with the shape of the electrode 2 be arranged in wherein.Its size dimension preferably adopts same size, to facilitate processing.
Electrode 2 can be various being suitable for be fastened on the electrode in electrode position adjustment structure 30, such as columnar electrode.Fig. 3 schematically shows a kind of columnar electrode 20 and a kind of electrode collar 200 be used on this columnar electrode 20.The arbitrary cross section of this columnar electrode 20 is preferably rounded, comprises the electrode contact 21 with testee's contact skin, the signal leading-out portion 22 that can be connected with wire and the cylinder 23 be between electrode contact 21 and signal leading-out portion 22.Cylinder 23 is comparatively large away from the diameter of one end 23A of electrode contact 21, and therefore cylinder 23 and electrode contact 21 entirety are formed as the shape of a spill draw-in groove 24.Because band body 10 has certain pliability, slit 31 is more elongated again, and therefore columnar electrode 20 easily can pass slit 31, and matrix draw-in groove 24 is arranged in electrode accommodation section 33.In order to ensure that columnar electrode 20 is fastened on difficult drop-off behind electrode accommodation section 33, the outside that can be positioned at band body 10 on spill draw-in groove 24 is blocked and is established an electrode collar 200.Electrode collar 200 entirety is a circular elastic sheet 201, circular elastic sheet 201 has an installation seam 202 along its radial direction, during installing electrodes collar 200, seam 202 is installed be separated by a distance to both sides, makes circular elastic sheet 201 can cross the spill draw-in groove 24 of columnar electrode 20 and be fastened on spill draw-in groove 24.
Fig. 4 schematically shows another kind of columnar electrode 20.With the electrode contact 21 of columnar electrode 20 illustrated in fig. 3, cylinder 23 is different with the shape that signal leading-out portion 22 entirety is formed as a spill draw-in groove 24, the cylinder 23 of columnar electrode 20 illustrated in fig. 4 is identical with the maximum gauge of signal leading-out portion 22, therefore, this columnar electrode is suitable for not having setting to have the electrode position adjustment structure 30 of longer slit 31 in the electrode setting unit 3 only on band body 10, and only offer the situation of the electrode accommodation section 33 of the rounded through hole identical or bigger with cylinder 23 diameter of columnar electrode 20, this columnar electrode 20 is fixed in order to install, need on cylinder 23, arrange separately a pad draw-in groove 25, after band body 10 arranged outside electrode pads 210, pad collar 211 is set in pad draw-in groove 25, or directly in pad draw-in groove, electrode collar 200 established by card.Be different from electrode collar 200, electrode pads 210 need not be arranged installs seam.
Signal leading-out portion 22 can be that various applicable connection wire is with the structure derived by signal.Such as bolt arrangement, the packing ring being connected with wire is set on bolt, recycling nut screwing clamping.Preferably, signal leading-out portion 22 be such as shape as shown in Figure 3 or Figure 4 as in fastener in protruding pin thread shape, during use, the box be connected and this pin thread are fastened thus signal is derived with wires.This connected mode connects very stable, the connection of wire and electrode and disconnect all very convenient.Also the clip (can be such as common alligator clamp) of band wire can be adopted directly to clamp signal leading-out portion 22.The other end of wire is directly connected to ECG gauge by connector, see Fig. 9, also total splicing ear 14 can be set in band body 10 one end, with wire 15 (only schematically show in figure wherein one connect wire 15, in fact, each electrode 2 is electrically connected with splicing ear 14) first signal leading-out portion 22 is connected to splicing ear 14, then with multicore cable, splicing ear 14 and ECG gauge are coupled together.By arranging total splicing ear 14, decreasing various mixed and disorderly electrode connecting line, avoiding the various interference on measuring and impact.
The electrode 2 that above-mentioned band body 10 is arranged by being positioned to the anatomical location of testee's roughly chest level, is all thoracic wall electrode.But, in order to obtain 12 conventional lead electrocardiogram or 18 lead electrocardiogram, except thoracic wall electrode, also need extremity electrode.With further reference to Fig. 9, band shape device 1 comprises one or more interface 16 further, and interface 16 can connect 4 limb lead electrode wires 17, be respectively left upper extremity crosslinking electrode line 17-1, right upper extremity crosslinking electrode line 17-2, left lower extremity crosslinking electrode line 17-3, right lower extremity crosslinking electrode line 17-4.Interface 16 is also electrically connected with splicing ear 14.So, when needing to do 12 conventional lead electrocardiogram or 18 lead electrocardiogram, just can expand easily and connect above-mentioned 4 limb lead electrode wires 17, and 4 limb lead electrodes that described 4 limb lead electrode wires 17 are connected be arranged on together with the thoracic wall electrode on band body 10, form 12 complete lead electrocardiogram or the electrode required for 18 lead electrocardiogram, therefore, the application of band shape device 1 can so be further expanded easily.
Band body 10 preferably adopts multiple structure.So, the wire 15 be connected with signal leading-out portion 22 and total splicing ear 14 can be embedded in the interlayer of band body 10, can eliminate the easy perturbation operation person of wire carries out various operation shortcoming to band shape device.
It should be noted that, each electrode 2 of band shape device 1 not all needs to arrange electrode position adjustment structure 30.General, the position of one of them electrode can be pre-determined in each electrode in band shape device 1.Such as, the position feature visibility point such as breast ridge, clavicle, nipple, which root bone or its position comprehensively determined can be utilized to pre-determine as the reference position of one of them electrode, therefore, this electrode can not arrange electrode position adjustment structure 30 and become an electrode that position is fixing in band shape device 1.When using band shape device 1, the electrode relative reference position can first this with fixed position is aimed at and fixing band shape device 1 in advance, then regulates other to have the position of the electrode of electrode position adjustment structure 30.In order to easy to use, this band shape device 1 also can indicate the fixing electrode in this position with reference role with obvious mark, such as, which which can indicate by printing such as " a few finger in right breast left side " or " a few finger on the right side of breast ridge, and between rib " such word on band shape device 1.
Preferably, described band body 10 is at least provided with 6 electrode setting units 3, measures to adapt to conventional 12 ECG that lead.
More preferably, described band body 10 is at least provided with 9 electrode setting units 3, measures to adapt to conventional 18 ECG that lead.
(the 1st embodiment)
Band shape device different from the past needs to arrange adhesive-layer or setting fastening part fixes band shape device, and band shape device 1 of the present invention adopts gravity mode to be fixed.Simultaneously see Fig. 1 and Fig. 5, be respectively connected with a weight 5 by a belt body 51 in two ends 12,13 of band shape device 1.Weight 5 can be such as in the textile bags of sealing, insert the larger pearl body of material making of the proportion such as lead or steel or the body in small, broken bits of other shapes, also can be the cylinder that belt body 51 material that directly binding one proportions such as plumbous or steel are larger makes.Belt body 51 can adopt the material identical with band body 10 one-body molded.Belt body 51 also can adopt the material identical or different with band body 10, be connected with the end 12,13 of band body 10 by conventional connected modes such as stitching, pressing, bonding, gummeds, more preferably, belt body 51 can be can be connected with triping with the end 12,13 of band body 10 by modes such as button, slide fastener, fasteners.
During use, testee lies in after on tool, and band shape device 1 is covered the chest of testee by operator, and the weight 5 at band shape device 1 two ends naturally hangs down in testee's health both sides and band shape device 1 is fixed on testee's chest.
(the 2nd embodiment)
In the present embodiment, the structure of one of them end of two ends 12,13 of band shape device 1 is identical with the structure of the 1st embodiment, is namely connected with a weight 5 by a belt body 51.Difference is, wherein another ends of two ends 12,13 of band shape device 1 is fixed on by belt body 51 lying on tool side of allowing testee couch in advance.Described fixing can be flexibly connected, such as, directly lain in by belt body 51 and lie on tool, or belt body 51 is provided with tool of lying the various snap close that can cooperatively interact.
During use, first band shape device 1 is placed in the side fixing with tool of lying, after testee lies down, picks up the one end connecting weight 5 and band shape device 1 is walked around testee's chest, decontrol at the opposite side of testee, make weight 5 naturally hang down and band shape device 1 is fixed on testee's chest.
Lain on tool because band shape device 1 one end is fixed in advance, when carrying out ECG measurement, by more convenient simpler than the 1st embodiment for the operation that band shape device is fixed on testee's chest.
(the 3rd embodiment)
In the present embodiment, the structure of one of them end of two ends 12,13 of band shape device 1 is identical with the structure of the 1st embodiment, is namely connected with a weight 5 by a belt body 51.Difference is, see Fig. 6, wherein another end with two of shape device 1 ends 12,13 in the present embodiment is connected with a plate body 6 by belt body 51.
During use, first allow testee lie down, then plate body 6 is inserted testee back, utilize testee's body wt institute applied pressure plate body 6 is pressed in back and lies between tool.Then, band shape device 1 is walked around testee's chest from side, is hung down naturally at opposite side in the one end connecting weight 5 and band shape device 1 is fixed on testee's chest.
The surface of plate body 6 had better not be too smooth, is beneficial to plate body 6 and can obtains enough frictional force and be not easy to slide.The top layer of plate body 6 also can cover with the material such as fabric, rubber, to make human body sensory comfortable.
When belt body 51 is connected with polar body 6, belt body 51 is preferably flexibly connected by modes such as thread gluings with the end of band body 10.
(the 4th embodiment)
When suspecting that testee exists right ventricle or the positive rear wall myocardial ischemia of left ventricle and myocardial infarction, often need to do 18 lead electrocardiogram.The practice is in the past, after formerly finishing 12 lead electrocardiogram, then add and be right chest V3R, V4R, V5R tri-and lead and chest back V7, V8, V9 tri-lead, the operation of this practice very bothers, and cannot accomplish synchronously to complete.
In order to solve the problem, the 4th embodiment is improved on the basis of the 3rd embodiment, also arranges electrode 2 further on above-mentioned plate body 6.Specifically, in the present embodiment, described band body 10 is provided with V1, V2, V3, V4, V5, V6 and V3R, V4R, V5R totally 9 electrodes 2, above-mentioned plate body 6 arranges V7, V8, V9 totally 3 electrodes 2, so just disposablely synchronously can carry out 18 and to lead ECG measurement.
In addition, the electrode 2 on plate body 6 equally also can arrange electrode position adjustment structure 30, also can arrange electrode retainer 32 further in this electrode position adjustment structure 30.
(variant embodiment)
In the various embodiments described above, even if weight is enough heavy, also have in reality partial electrode 2 can not with testee's skin good contact, its reason can be described with Fig. 6.See Fig. 7, the contoured skin shape of cross section of parcel human chest 100 is not all cambered outwards, particularly shows significantly to the indent of thoracic cavity at the cross-sectional profiles of the skin 101 of the mid portion of anterior part of chest.When being with shape device 1 to be fixed on testee's chest, the band body 10 of band shape device 1 is drawn straight in the part of testee's anterior part of chest by gravity, forms an obvious sunk area 110 between the skin 101 of the therefore mid portion of band body 10 and anterior part of chest.Due to the existence of sunk area 110, the electrode contact 21 making to be arranged on the electrode 2 in the region near this sunk area 110 sometimes can not well with testee's contact skin.
This variation makes improvements the structure of electrode 2 on the basis of the various embodiments described above, makes the length of the electrode 2 being arranged on band shape device 1 diverse location different.Fig. 8 represents a kind of structure of columnar electrode 20 of improvement, compares with Fig. 3 or Fig. 4, and identical parts adopt identical Reference numeral.The improvements of the columnar electrode 20 shown in Fig. 8 are, for being arranged on the corresponding columnar electrode 20 near sunk area 110 region in band body 10, its cylinder 23 is obviously more longer than the length of cylinder 23 of the columnar electrode 20 being arranged on other positions, even if make when band body 10 is evened up, cylinder 23 also has enough length makes electrode contact 21 can touch the skin of testee.
In addition, for providing better contact force, a flexible member 26 can be set between electrode contact 21 and band body 10 to provide an elastic pressure to electrode contact 21.This makes when band body 10 is evened up, and band body 10 can provide an enough elastic force that electrode contact 21 can be contacted more well with the skin of testee to electrode contact 21 by this hollow spring.
This flexible member 26 is preferably a hollow spring, can be set on cylinder 23 and to be arranged between electrode contact 21 and band body 10 by this hollow spring.More preferably, the diameter of this hollow spring is change, and such as, in the middle of maximum, two ends diminish gradually, and so, when compressing this hollow spring, the turn of minor diameter can in the large diameter turn of indentation, makes the length compressing rear spring can be extremely short.
In addition, in order to reduce the wearing and tearing of flexible member 26 pairs of band bodies 10 when being provided with flexible member 26, and electrode 2 is smoothly moved in the slit 31 of electrode position adjustment structure 30, on cylinder 23, electrode pads 210 can be set between flexible member 26 and band body 10.In addition, on cylinder 23, outside band body 10, also electrode pads 210 should be set, pad collar 211 is set in pad draw-in groove 25 simultaneously, or electrode pads 210 and pad collar 211 also can not be set, and directly electrode collar 200 (not shown) is directly set in pad draw-in groove 25, depart from from band body 10 to prevent columnar electrode 20 and drop out.
In addition, except the columnar electrode near chest intermediate recess region 110, if the electrode 2 that other positions use also is columnar electrode, also can the suitable flexible member 26 of installation length between its electrode contact 21 and band body 10, such as hollow spring, can provide good contact pressure to testee's skin to make electrode contact 21.
Should be appreciated that, the specific embodiment of the present invention is for the present invention will be described but not limit.
Such as, for the weight of weight 5, can make to be with the electrode 2 on shape device 1 effectively just passable with the contact skin of testee by being arranged on as long as it will be understood by those skilled in the art that, the weight that such as 200 to 1000 grams of materials have.Although larger weight can improve the stability of band shape device, make electrode more well with the contact skin of testee, also can consume operator when using more physical, it is unfavorable that this especially may cause women operator.
And for example, special restriction is not done to the connected mode of belt body 51 and band body 10, but preferably adopt the movable connection method that can conveniently connect and disconnect, such as connected by modes such as slide fastener, the fasteners that cooperatively interacts, to make band body 10 can connect different fixtures to be suitable for different fixed forms, the weight 5 being also convenient for changing Different Weight is suitable for different operators.
And for example, are a kind of smooth metal contact with arc convex for the electrode contact 21 shown in columnar electrode 20, Fig. 3, Fig. 4 and Fig. 8, but common sucked type contact is also fine.
And for example, the electrode retainer 32 in the present invention forms with band body 10, but also can be that the mode of fixing the electrode retainer that closes with slit 31 matching form in the inner surface of band body 10, outer surface and interlayer is formed.
And for example, and electrodes 2 all on non-band shape device 1 all need use columnar electrode.Such as, except near the electrode in chest intermediate recess region 110, the electrode set by other positions also can be the very short other forms of electrode of length, such as shim-like electrode.
The present invention has significant advantage.This band shape device is cheap, easy to use.Because there is elongated electrode position adjustment structure, this band shape device is applicable to the testee of the various bodily form.The orientation of slit ensure that the very accurate anatomy location of electrode, and electrode retainer can avoid electrode to depart from the position of setting easily.Near the umbilicate region of chest, electrode length is slightly long and use flexible member provides pressure to electrode contact, makes the skin in electrode contact energy reliable contacts chest intermediate recess region.The most important thing is, owing to adopting gravity to fix this band shape device, this makes the operation of fixing band shape device become very easy, is particularly conducive to the occasion needing frequently to carry out ECG measurement for a long time.

Claims (10)

1. one kind for placing the band shape device (1) of electrocardio measurement electrode (2), comprise band body (10) and two ends (12,13), multiple electrode setting unit (3) that will navigate to the predetermined anatomical location of the roughly chest level of testee is provided with in described band body (10), described electrode (2) is arranged in described electrode setting unit (3), it is characterized in that:
Described two ends (12,13) wherein at least one is connected with weight (5), make described electrode (2) and testee's skin good contact for providing suitable pressure.
2. band shape device according to claim 1, is characterized in that: another in described two ends (12,13) is fixed on the tool side of lying couched for testee.
3. band shape device according to claim 1, it is characterized in that: one of them in described two ends (12,13) is connected with a plate body (6), during use, described plate body (6) is inserted into from testee side described testee back and couch for described testee lie between tool, be connected with one end of described plate body (6) with fixing described band shape device.
4. band shape device according to claim 3, is characterized in that: on described plate body (6), be also provided with electrode setting unit (3).
5. the band shape device according to claim arbitrary in claim 1-4, is characterized in that: described two ends (12,13) wherein at least one adopts with the connection of described band body (10) and is flexibly connected.
6. the band shape device according to claim arbitrary in claim 1-4, it is characterized in that: described electrode (2) has multiple, wherein comprise electrode contact (21) at least partly, flexible member (26) is provided with, for acting on an elastic pressure when testing to described electrode contact (21) and adjusting the distance between described electrode contact (21) and described band body (10) between described band body (10) and described electrode contact (21).
7. the band shape device according to claim arbitrary in claim 1-4, is characterized in that: comprise electrode position adjustment structure (30) at least partly in multiple described electrode setting unit (3).
8. the band shape device according to claim arbitrary in claim 1-4, is characterized in that: the described electrode setting unit (3) on described band body (10) and described electrode (2) are 6.
9. the band shape device according to claim arbitrary in claim 1-4, is characterized in that: on described band body (10), be attached to the interface (16) that can connect 4 limb lead electrodes.
10. an electrocardiograph, comprises instrument body and the band shape device according to claim arbitrary in claim 1-9, and by wire, the signal from described electrode (2) is sent to described instrument body.
CN201310141876.3A 2013-04-23 2013-04-23 Place device and the electrocardiograph of electrocardio measurement electrode Active CN103190900B (en)

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US5868671A (en) * 1997-01-28 1999-02-09 Hewlett-Packard Company Multiple ECG electrode strip
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US9326695B1 (en) * 2004-11-12 2016-05-03 Orbital Research Inc Electrode harness and method of taking biopotential measurements
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WO2009148595A2 (en) * 2008-06-03 2009-12-10 Jonathan Arnold Bell Wearable electronic system
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