CN103371817B - A kind of family expenses rhythm of the heart monitoring analyzer - Google Patents

A kind of family expenses rhythm of the heart monitoring analyzer Download PDF

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Publication number
CN103371817B
CN103371817B CN201310284774.7A CN201310284774A CN103371817B CN 103371817 B CN103371817 B CN 103371817B CN 201310284774 A CN201310284774 A CN 201310284774A CN 103371817 B CN103371817 B CN 103371817B
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ecg
lead
host apparatus
module
leads
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CN103371817A (en
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朱建军
许云初
陆文远
宁新宝
霍铖宇
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JIANGSU DELFU MEDICAL DEVICES CO., LTD.
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Jiangsu Delfu Medical Devices Co Ltd
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Abstract

The present invention relates to a kind of novel household rhythm of the heart monitoring analyzer, including harvester and host apparatus;The harvester includes ECG acquisition systems, data transmission module and processor unit, and the set of ECG data is loaded on the host apparatus by the processor unit in real time by the data transmission module;The host apparatus includes embedded in the memory of diagnostic software and for showing the diagnostic software display.A kind of novel household rhythm of the heart monitoring analyzer of the present invention, simple in construction, cost is not also high, and does not need professional operation skill;Special diagnostic software is installed in the terminals such as mobile phone, computer, flat board to analyze electrocardiogram (ECG) data in real time, detection underlying rhythm parameter simultaneously makees tentative diagnosis to abnormal heart rhythm, so that patient sees a doctor in time, it can be widely used in general service, it can also be used to be mainly used as auxiliary diagnosis and as in the treatment of Medical Devices.

Description

A kind of family expenses rhythm of the heart monitoring analyzer
Technical field
The present invention relates to a kind of Medical Instruments, more particularly to a kind of novel household rhythm of the heart monitoring analyzer.
Background technology
Rhythm abnormality is a kind of common disease, and Accurate Diagnosis, but rhythm abnormality can be carried out by the inspection of patient ECG Disease typically has transient and sporadic.Early stage rhythm abnormality patient often when feeling the symptom such as palpitaition, uncomfortable in chest, monitors the heart Electrograph is just it can be found that abnormal.Symptom disappearance Hou Zaiqu hospitals carry out routine electrocardiogram (ECG) inspection and often can't find, so as to It is delayed disease treatment, causes the progressively exacerbation of rhythm abnormality, until threat to life.Therefore, there is an urgent need to one kind patient can be allowed The ECG detecting equipment that oneself is operated in home environment.It is general but the interpreting blueprints of electrocardiogram, analysis need a large amount of professional knowledges Logical patient can not also analyse whether that normally Holter on the contrary possesses analysis software even if the electrocardiogram of oneself has been measured, but Can only ex-post analysis, it is impossible to draw analytical conclusions at once at that time in generation extremely, can not often learn and abnormal patient at that time occur State.
ECG is a kind of known device for being used to monitoring and recording heart function.The equipment operation of recording current potential with the time change Change situation reflects heart function situation with this, may also provide the data about situations such as heart rate, cardiac muscle and its blood supplies.But ECG Equipment it is complicated, it is also necessary to professional operating technology, price is also fairly expensive, and due to ECG provide data volume very Greatly, could proper use of this equipment only under the control of medical worker.ECG typically only have hospital just have ready conditions buy and make With, and rhythm abnormality disease typically have it is transient and sporadic, Most patients arrival hospital when, often had already passed by hair Stadium, now ECG can not detect exception.
Holter is device known to another kind, and the device is perceived using 3 to 4 electrodes being placed at correct position With measurement action potential, then by measured numerical value compared with storage preferable ECG signal in its memory, such as The difference of fruit between the two has exceeded a certain predetermined value, Holter just by it is measured be actually numerical value in the cardiac arrhythmia cycle And its time of measuring record storage is got off.When being diagnosed can by a read-out device by the data read-out stored come. Holter is not suitable for the rhythm abnormality situation in the instant playback short time.Even if its variable to be arranged to most beneficial situation, The fact that Holter can only be also offset under instant recording, that is to say, that it can only alarm and can not provide for example relevant skew Actual conditions, there occurs what abnormal symptom and this do what information.Moreover, many patients are wearing Holter monitorings It can feel that carrying out normal activity is limited when device and its numerous leads and electrode, that usually opposes these monitors does not accommodate inconvenience. Therefore, existing Holter monitors use and were having occurred and that patient's body of more serious rhythm abnormality disease with only limiting to On, for example, Holter is used to recording ECG waveform in patient's period of 24 hours, and simply recording period terminate after obtain Know and analyze the data of record.It can't go to wear Holter there occurs the patient of slighter heart rate abnormal symptom for simply Monitor, therefore the best opportunity of the state of an illness of oneself, often delay treatment can not be learnt in time.
The content of the invention
The technical problem to be solved in the present invention is:In order to overcome existing heart rate monitor expensive, use occasion by Limitation is unable to at-once monitor to rhythm abnormality disease, can not also draw illness analysis at that time at once, it is necessary to using professional skill The deficiency of conclusion, the present invention provide a kind of novel household rhythm of the heart monitoring analyzer, greatly increase patient's rhythm abnormality and obtain early stage Diagnosis, the chance of early treatment.
The technical solution adopted for the present invention to solve the technical problems is:A kind of novel household rhythm of the heart monitoring analyzer, its It is characterised by:Including harvester and host apparatus;
The harvester includes
ECG acquisition systems, including signal sampling module, the ECG acquisition systems are used for the collection that ECG data is collected from patient Close, and control the collection of the set from the patient to ECG data;
Data transmission module, it is configured to make real-time Data Transmission between the harvester and host apparatus;And
Processor unit, wherein the processor unit by the data transmission module by the set of ECG data It is loaded into real time on the host apparatus;
The host apparatus includes
It embedded in the memory of diagnostic software;And
Display, for showing the diagnostic software.
The diagnostic software can automatically analyze the set of ECG data, that is, the heart rate parameter of the electrocardiogram monitored, Including:Heart rate, Q wave amplitudes, R wave amplitudes, S wave amplitudes, T wave amplitudes, ST sections height, phase etc. between phase, QT between QRS wave width, RR. The illness analysis module can it is whether normal to patient's rhythm of the heart according to every heart rate parameter, whether have nodal tachycardia, Sinus bradycardia, sinus arrest, leakage are fought, an outer property tachiysystole, atrial premature beats, RonT, VPB, room speed, QRS width Abnormal, room property is fluttered, continuously broadening, sinus arrhythmia etc. makes tentative diagnosis to QRS.So so that rhythm of the heart monitoring more family Front yard, patient simultaneously do not need professional skill just can draw tentative diagnosis result, avoid because failing to understand waveform and during delay treatment Machine, or ignore because failing to understand waveform the disease symptom of early stage.
The relatively medical rhythm of the heart monitoring analyzer of the present invention, by connecting host apparatus, partial function is set to marry again main frame dress Put, such as printing function so that volume is substantially reduced.Host apparatus can use smart mobile phone, flat board or computer, without right The host apparatus carries out the improvement of hardware, and user need to only install diagnostic software on the host apparatus and can be used.Due to described The set of ECG data is loaded on the host apparatus by processor unit in real time by the data transmission module, Therefore the real-time analysis of rhythm of the heart monitoring can be realized, on this relative market for existing Holter monitors, hence it is evident that enhance The practicality of family expenses rhythm of the heart monitoring, make user's use more convenient.
The ECG acquisition systems also include
Five conducting wires, and
Selecting switch, for controlling five conducting wires and signal sampling module to be configured to the measurement of chest leads electrocardiosignal Circuit or limb lead electrocardiosignal measuring circuit.Four in five conducting wires, measurement chest leads letter are taken when measuring limb leads Number when, five conducting wires all connect.Electrocardioelectrode is connected to the external part of conducting wire, for being connected with human body.Electrocardioelectrode It is divided into two kinds of electrode patch and electrode holder, electrode patch is used for chest leads and simulation limb leads measurement, and electrode holder is used for limbs Lead measures.Selecting switch switches lead pattern, using only one group of 5 conducting wire, can both carry out I, II, III, AVR, AVL, The monitoring analysis of the leg body lead electrocardiogram of AVF six, the monitoring analysis of MV1, MV5 chest leads can also be carried out.Therefore, so may be used To reduce the quantity of sample circuit, and measure and more facilitate.
The signal sampling module includes
ECG signal drive circuit;
First sample circuit and the second sample circuit:Any two kinds respectively in I leads, II leads or III leads are led The sample circuit of connection;And
Computing module:For calculating I leads, II leads by the collection result of the first sample circuit and the second sample circuit With the result of the road limb leads of lead and AVR, AVL, AVF six not gathered in III leads.The signal sampling mould of the present invention Block need to only include two-way sample circuit, you can obtain the ECG data of other limb leads modes, therefore, it is possible to reduce cost and The volume of analyzer is reduced, it is more suitable for family expenses.
The harvester also includes data memory module, for storing the set of ECG data.Data are added to deposit After storing up module, real time data transmission can be both carried out by bluetooth, USB or Internet of Things, in-situ analysis monitoring, can also be led to Storage card storage electrocardiogram (ECG) data is crossed, is then transferred in the terminals such as mobile phone, computer, flat board and is analyzed.General data memory module It is responsible for the interim storage data in bluetooth and USB not connected, the data stored can be transferred to main frame at the end of measurement Analyzing and diagnosing is carried out on device.
The harvester is provided with casing, and the ECG acquisition systems also include three electrode slices being arranged on casing, institute State three electrode slices and be configured to simple limb leads electrocardiosignal measuring circuit with signal sampling module, usually the 1st lead is surveyed Measure circuit.Three electrode slices can be realized in the case where being not connected to conducting wire only by hands grasping or by pinching electrode slice The measurement analysis of the 1st lead electrocardiosignal is carried out, makes measurement more convenient.Using three electrode slices, an electrode slice connects ECG signal drive circuit is connect, two other electrode slice connection lead electrocardiosignal measuring circuit, respectively positioned at the both ends of casing, It is described connection ECG signal drive circuit electrode slice can with wherein any one be arranged on the same side.
The host apparatus is the tablet personal computer in smart mobile phone or computer, especially computer.
, can automatic start remote alarms work(in smartphone software application to the serious rhythm abnormality of possible threat to life Can, the smart mobile phone also can be used to be communicated with the mobile phone of preset number, generally by short message to preset number Mobile phone send alarming short message.
The data transmission module includes USB data transmission module, bluetooth communication module and/or Internet of Things communication module.
The harvester also includes Bluetooth switch, for bluetooth communication module described in electric control and the host apparatus it Between communication.When need not analyze in real time, user can select to close Bluetooth function to save electric power.When Bluetooth switch is closed, Bluetooth communication module function is closed.
The interface of the USB data transmission module and other circuit light-coupled isolations, to meet Safe of Medical Device requirement.
The invention has the advantages that a kind of novel household rhythm of the heart monitoring analyzer of the present invention, simple in construction, cost It is not high, and do not need professional operation skill;Special diagnostic software is installed in the terminals such as mobile phone, computer, flat board can be to electrocardio number According to being analyzed in real time, detect underlying rhythm parameter and tentative diagnosis is made to abnormal heart rhythm, can be extensive so that patient sees a doctor in time Ground is used for general service, it can also be used to is mainly used as auxiliary diagnosis and as in the treatment of Medical Devices;Communicated using Internet of Things, Third party's real-time monitoring can be achieved.
Brief description of the drawings
The present invention is further described with reference to the accompanying drawings and examples.
Fig. 1 is a kind of structured flowchart of novel household rhythm of the heart monitoring analyzer optimum embodiment of the present invention.
Fig. 2 is the job step schematic diagram of diagnostic software in a kind of novel household rhythm of the heart monitoring analyzer of the invention.
Fig. 3 is a kind of structural representation of the casing of novel household rhythm of the heart monitoring analyzer of the present invention.
Fig. 4 is a kind of lead of family expenses rhythm of the heart monitoring analyzer optimum embodiment with lead handoff functionality of the present invention The circuit diagram of switching.
100, casing in figure, 200, electrode slice, the 1, first differential amplifier circuit, the 2, second differential amplifier circuit, 3, ECG letters Number drive circuit, S3, Conduction choice switch.
Embodiment
In conjunction with the accompanying drawings, the present invention is further explained in detail.These accompanying drawings are simplified schematic diagram, only with Illustration illustrates the basic structure of the present invention, therefore it only shows the composition relevant with the present invention.
A kind of as shown in figure 1, structured flowchart of novel household rhythm of the heart monitoring analyzer optimum embodiment of the present invention.Including Harvester and host apparatus;
The harvester includes
ECG acquisition systems, including signal sampling module, the ECG acquisition systems are used for the collection that ECG data is collected from patient Close, and control the collection of the set from the patient to ECG data;
Data transmission module, it is configured to make real-time Data Transmission between the harvester and host apparatus;And
Central processor unit, wherein the central processor unit by the data transmission module by ECG data The set is loaded on the host apparatus in real time;
The host apparatus includes
It embedded in the memory of diagnostic software;And
Display, for showing the diagnostic software.
As shown in figure 4, the signal sampling module includes Conduction choice switch S3, for drawing five leads respectively The road inputs of Xian five, for adjust from the patient collect ECG data set Two-pass DINSAR amplifying circuit, ECG letter Number drive circuit 3, and computing module;
Two-pass DINSAR amplifying circuit is respectively the first sampling of any two kinds of leads in I leads, II leads or III leads Circuit and the second sample circuit;
Computing module is used to calculate in I leads, II leads and III leads by the collection result of Two-pass DINSAR amplifying circuit The lead and the result of the road limb leads of AVR, AVL, AVF six not gathered;
Five road input is divided into RA inputs, LA inputs, LLa inputs, LLb inputs, RL inputs;
Conduction choice switch S3 is single-pole double-throw switch (SPDT), including not moved end and two moved ends;
The Two-pass DINSAR amplifying circuit is divided into the first differential amplifier circuit 1 and the second differential amplifier circuit 2, described in per road Differential amplifier circuit is respectively provided with first input end and the second input;
The first input end of first differential amplifier circuit 1 is connected with RA inputs, the second input and LLa inputs Connection;
The first input end of second differential amplifier circuit 2 is connected with LA inputs, the second input and the lead The not moved end connection of selecting switch;
A wherein moved end of the Conduction choice switch S3 is connected with LLa inputs, and another moved end connects with LLb inputs Connect.
Four in five conducting wires are taken when measuring limb leads, when measuring chest lead signals, five conducting wires all connect Connect.Electrocardioelectrode is connected to the external part of conducting wire, for being connected with human body.Electrocardioelectrode is divided into electrode patch and electrode holder two Kind, electrode patch is used for chest leads and simulation limb leads measurement, and electrode holder measures for limb leads.
Conduction choice switch S3 is upward, then is limb leads electrocardiosignal measuring circuit, the both ends of the first differential amplifier circuit 1 LL inputs and RA inputs are connect respectively, and LL inputs connect left leg, and the RA inputs connection right hand, is II lead;Second is poor The both ends of amplifying circuit 2 are divided to connect LL inputs and LA inputs respectively, LA inputs connection left hand, is III lead.Each input This connection is not limited, but is necessary for any two kinds of lead connections in I leads, II leads or III leads.
Conduction choice switch S3 is downward, then complete for simulation chest leads electrocardiosignal measuring circuit, two-pass DINSAR amplifying circuit It is complete independent, measure simulate chest lead signals all the way respectively, such as LA is connect on the left of the 2nd rib manubrium, RA connects the 2nd rib manubrium right side Side, LLa are connect at V5, LLb is connect at V1, and RL is connect at right midclavicular line xiphoid-process level.
AVDD and AVEE in Fig. 4 are the supply voltage of amplifier, and AGND is earth terminal.
The signal sample circuit also includes
ECG signal drive circuit 3:With two inputs and an output end, its output end is connected with RL inputs, and two Individual input is connected with the output end of the first differential amplifier circuit 1 and the output end of the second differential amplifier circuit 2 respectively;With
Computing module:For calculating I by the collection result of the first differential amplifier circuit 1 and the second differential amplifier circuit 2 The result of lead and the road limb leads of AVR, AVL, AVF six.
The harvester also includes data memory module, for storing the set of ECG data.Data are added to deposit After storing up module, real time data transmission can be both carried out by bluetooth, USB or Internet of Things, in-situ analysis monitoring, can also be led to Storage card storage electrocardiogram (ECG) data is crossed, is then transferred in the terminals such as mobile phone, computer, flat board and is analyzed.General data memory module It is responsible for the interim storage data in bluetooth and USB not connected, the data stored can be transferred to main frame at the end of measurement Analyzing and diagnosing is carried out on device.
As shown in figure 3, the harvester is provided with casing 100, the ECG acquisition systems also include being arranged on casing 100 On three electrode slices 200, i.e., shown in Fig. 4, RA inputs, LL inputs, RL inputs are drawn in addition by lead respectively, are drawn Go out to hold connection electrode piece 200.Three electrode slices 200 are configured to simple limb leads electrocardiosignal with signal sample circuit and surveyed Measure circuit, the RA inputs connection right hand, LL inputs connection left hand, RL inputs connection left hand or the right hand.Three electrodes Piece 200 can be realized only carries out the I lead heart in the case where being not connected to conducting wire by hands grasping or by electrode slice 200 is pinched The measurement analysis of electric signal, makes measurement more convenient.
The host apparatus is smart mobile phone, flat board or computer.
, can automatic start remote alarms work(in smartphone software application to the serious rhythm abnormality of possible threat to life Can, the smart mobile phone also can be used to be communicated with the mobile phone of preset number, generally by short message to preset number Mobile phone send alarming short message.
The data transmission module includes USB data transmission module, bluetooth communication module and/or Internet of Things communication module.
The harvester also includes Bluetooth switch, for bluetooth communication module described in electric control and the host apparatus it Between communication.When need not analyze in real time, user can select to close Bluetooth function to save electric power.When Bluetooth switch is closed, Bluetooth communication module function is closed.
The harvester is powered using lithium polymer battery, and this battery is easy to carry, it would be preferable to support more than 24 hours Dynamic electrocardiogram record.
The battery has charge function, and harvester indoor design has power management module.Power management module is by electricity Cell voltage converts each road power supply provided needed for system operation by DC, and carries out battery charging management.
Selecting switch, Bluetooth switch are controlled by switch key input module, and switch key input module, which also carries, to be used for Control whether the power switch of power supply.
The interface of the USB data transmission module and other circuit light-coupled isolations, to meet Safe of Medical Device requirement.
The diagnostic software is controlled from the patient to described in ECG data according to the user command of graphical user interface The collection of set, and the set for also allowing the user to look back, manipulating, storing and print ECG data.It is measured Afterwards, the ECG detecting for exporting OFFICE forms can be needed to report that report form meets doctor's reading habit, typically according to user It is 400ms/cm.
Diagnostic software on the host apparatus is based on Android operation system and windows systems separately design, Ke Yian On the smart mobile phone with Bluetooth function, tablet personal computer or home computer.The job step of diagnostic software is as shown in Figure 2. Data source can be set as USB, bluetooth or the local data imported from storage card in diagnostic software, and diagnostic software can after starting measurement Receive ecg signal data and real-time display that harvester is transmitted through coming, while show electrocardiosignal basic parameter, measurement terminates Automatic spring diagnostic result simultaneously stores diagnosis report, if any exception, starts warning function.Diagnostic software storage inside is on items The relevant reference of rhythm abnormality diagnostic result, and the reference waveform of every rhythm abnormality, and can have access at any time in the past Measurement data.
Diagnostic software is analyzed electro-cardiologic signal waveforms data, the heart rate parameter of automatic detection ecg wave form, including:The heart Rate, Q wave amplitudes, R wave amplitudes, S wave amplitudes, T wave amplitudes, ST sections height, data such as phase between phase, QT between QRS wave width, RR.
Whether diagnostic software according to above parameter automatic decision surveys waveform normal, if nodal tachycardia, sinus be present Property bradycardia, sinus arrest, leakage fight, an outer property tachiysystole, atrial premature beats, RonT, VPB, room speed, QRS width it is different Often, phenomena such as room property is fluttered, QRS is continuously broadening, sinus arrhythmia.
It is complete by above-mentioned description, relevant staff using the above-mentioned desirable embodiment according to the present invention as enlightenment Various changes and amendments can be carried out without departing from the scope of the technological thought of the present invention' entirely.The technology of this invention Property scope is not limited to the content on specification, it is necessary to determines its technical scope according to right.

Claims (9)

  1. A kind of 1. family expenses cardiac rhythm analysis instrument, it is characterised in that:Including harvester and host apparatus;The harvester includes ECG acquisition systems, including signal sampling module, the ECG acquisition systems are used for the set that ECG data are collected from patient, And control is from the collection of the set of the patient ECG data;Data transmission module, it is configured to make described adopt Real-time Data Transmission between acquisition means and host apparatus;And processor unit, wherein the processor unit passes through the number The set of ECG data is loaded on the host apparatus in real time according to transport module;The host apparatus includes embedding The memory of Ru Liao diagnostic softwares;And display, for showing the diagnostic software;The ECG acquisition systems also include Five conducting wires and selecting switch, for controlling five conducting wires and signal sampling module to be configured to chest leads electrocardiosignal Measuring circuit or limb lead electrocardiosignal measuring circuit, limb lead include I, II, III, the road limb leads of AVR, AVL, AVF six, Chest leads includes MV1, MV5 chest leads;Four in five conducting wires are taken when measuring limb leads, measure chest lead signals When, five conducting wires all connect;The signal sampling module includes ECG signal drive circuit(3);First sample circuit and Two sample circuits:The sample circuit of any two kinds of leads in respectively I lead, II lead or III lead;And computing module: Do not gathered for being calculated by the collection result of the first sample circuit and the second sample circuit in I lead, II lead and III lead Lead and the road limb leads of AVL, AVF six result.
  2. A kind of 2. family expenses cardiac rhythm analysis instrument as claimed in claim 1, it is characterised in that:The harvester is also deposited including data Module is stored up, for storing the set of ECG data.
  3. A kind of 3. family expenses cardiac rhythm analysis instrument as claimed in claim 1, it is characterised in that:The harvester is provided with casing (100), the ECG acquisition systems are also including being arranged on casing(100)On three electrode slices(200), three electrodes Piece(200)Chest leads and simulation limb leads electrocardiosignal measuring circuit are configured to signal acquisition module.
  4. A kind of 4. family expenses cardiac rhythm analysis instrument as claimed in claim 1, it is characterised in that:The host apparatus be smart mobile phone or Computer.
  5. A kind of 5. family expenses cardiac rhythm analysis instrument as claimed in claim 4, it is characterised in that:The smart mobile phone also can be used to Communicated with the mobile phone of preset number.
  6. A kind of 6. family expenses cardiac rhythm analysis instrument as claimed in claim 1, it is characterised in that:The data transmission module includes USB Data transmission module, bluetooth communication module and/or Internet of Things communication module.
  7. A kind of 7. family expenses cardiac rhythm analysis instrument as claimed in claim 1, it is characterised in that:The harvester is also opened including bluetooth Close, for the communication between bluetooth communication module described in electric control and the host apparatus.
  8. A kind of 8. family expenses cardiac rhythm analysis instrument as claimed in claim 1, it is characterised in that:The USB data transmission modules Interface and each circuit light-coupled isolation.
  9. A kind of 9. family expenses cardiac rhythm analysis instrument as claimed in claim 4, it is characterised in that:The computer is flat board.
CN201310284774.7A 2013-07-08 2013-07-08 A kind of family expenses rhythm of the heart monitoring analyzer Active CN103371817B (en)

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CN106108892A (en) * 2016-08-04 2016-11-16 戴琨 A kind of Electrocardiographic processing means and processing method
CN107095663A (en) * 2017-03-31 2017-08-29 东华大学 A kind of portable health monitoring systems based on MICO
CN109745038B (en) * 2019-02-15 2023-11-24 联想(北京)有限公司 Detection equipment
CN114642496B (en) * 2020-12-17 2024-03-26 杭州诺诚医疗器械有限公司 Radio frequency ablation device

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CN102973263A (en) * 2012-12-05 2013-03-20 上海宏康信息科技有限公司 Intelligent ambulatory electrocardiogram comprehensive treatment device
CN203458380U (en) * 2013-07-08 2014-03-05 江苏华阳电器有限公司 Novel household heart rhythm monitoring and analyzing instrument

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CN203458380U (en) * 2013-07-08 2014-03-05 江苏华阳电器有限公司 Novel household heart rhythm monitoring and analyzing instrument

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