CN103405851A - Wearable defibrillator - Google Patents

Wearable defibrillator Download PDF

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Publication number
CN103405851A
CN103405851A CN2013103360752A CN201310336075A CN103405851A CN 103405851 A CN103405851 A CN 103405851A CN 2013103360752 A CN2013103360752 A CN 2013103360752A CN 201310336075 A CN201310336075 A CN 201310336075A CN 103405851 A CN103405851 A CN 103405851A
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electrode slice
defibrillator
signal sensor
core signal
pulse
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郑巍
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Abstract

The invention provides a wearable defibrillator which comprises a first electrode plate, a second electrode plate, an electrocardiosignal sensor used for detecting electrocardiosignals of users, a high-voltage generating part used for generating high voltage, a control part, and a shell body. The control part judges whether defibrillating motion is needed according to the detection result of the electrocardiosignal sensor, and controls the high-voltage generating part to generate high voltage and execute the defibrillating motion when judging that the defibrillating motion is needed. The electrocardiosignal sensor, the high-voltage generating part and the control part are contained in the shell body. The second electrode plate is formed on a face of the shell body. When the defibrillating motion is conducted, a controller breaks the connection between the electrocardiosignal sensor and the first electrode plate and the second electrode plate, enables one output end of the high-voltage generating part to be connected with the first electrode plate, and the other output end of the high-voltage generating part with the second electrode plate. When defibrillating motion is not conducted, the controller disconnects the high-voltage generating part and the first electrode plate and the second electrode plate, and enables one terminal of the electrocardiosignal sensor to be connected with the first electrode plate, and the other terminal of the electrocardiosignal sensor to be connected with the second electrode plate.

Description

Wearable defibrillator
Technical field
The present invention relates to defibrillator, relate to particularly wearable external defibrillator.
Background technology
The whole world approximately has 1,750 ten thousand people to die from heart disease every year at present, accounts for 30% of whole death tolls; Although the survivor of annual heart attack and apoplexy has 2,000 ten thousand at least, wherein majority have very high recurrence and mortality risk.In case after heart attack, patient runs into the not normal risk of life-threatening cardiac rhythm to be increased.
The modal reason of sudden cardiac death is ventricular fibrillation, this is a kind of serious ventricular arrhythmia, make heart lose effective ejection function, do cardiac compression or other measures all can only extend the persistent period of quivering in chamber, temporary transient be important organ blood supply oxygen supply, recovers and can't the chamber of termination quiver the rhythm of the heart effectively poured into.So quiver and be only the most basic method of life of saving in the Quick stop chamber at the scene.
For arrhythmia, can select Drug therapy.But various research and experience show, the effect of drug administration is non-constant.
A kind of way for the treatment of outside medicine is defibrillation.Defibrillation is to make stronger pulse current eliminate arrhythmia by heart, makes it to recover the way of sinus rhythm.
Traditional defibrillator needs artificial cognition patient's cardiac rhythm, selects defibrillation mode and energy, therefore only has the medical worker through special training to use.
For this problem, automatic defibrillator has been proposed.Automatic defibrillator can detect patient's electrocardiosignal, and according to the electrocardiosignal automatic decision detected, carries out the opportunity of defibrillation action, and defibrillation mode and energy etc., and the people of training can use automatic defibrillator to give first aid to others a little.Therefore, usually in densely populated places such as school, airport, shopping centers, automatic defibrillator is set, makes it possible in time the cardiac be rescued.But prerequisite is to have other people can use this equipment, when judgement client need defibrillation by attachment of electrodes to suitable position and automatic defibrillator is operated, this is often unrealistic.In addition, traditional automatic defibrillator volume ratio is larger, is not suitable for carrying, and can not to the patient, monitor whenever and wherever possible and give first aid to.
For the shortcoming of traditional automatic defibrillator, implantable cardiac defibrillator (ICD) has been proposed.ICD is implanted in the subcutaneous of patient, is connected with heart by electric wire.ICD detects electrocardiosignal constantly, and the electrocardiosignal detected is analyzed.When according to analysis result, being judged as arrhythmia, heart is carried out to pulsed discharge, make patient's the rhythm of the heart recover normal.In the implanted patient body of ICD and carried by the patient, and without manual intervention, automatically monitoring patient's the rhythm of the heart and automatically discharge, is therefore very easily.But, need to perform the operation ICD is implanted in patient body, can bring misery to the patient, and ICD need to regularly replace battery, while changing battery, also can bring misery to the patient.In addition, be implanted in body and also can bring uncertain risk.This is all the conflict reasons of ICD of a lot of patients.
In order to alleviate simultaneously patient's misery in the situation that help automatically to carry out rhythm of the heart detection and defibrillation without other people, wearable defibrillator has been proposed.This wearable defibrillator is made into the form that vest is the same, wears for the patient.For example, so wearable defibrillator is disclosed in following patent documentation 1 and 2.
Patent documentation 1:US8140154
Patent documentation 2:US4928690
For example, this wearable defibrillator can comprise a plurality of core signal sensor electrodes (such as 4) of being attached to the patient chest abdominal part, be attached to patient's chest or a plurality of sparking electrodes at back (such as 2 or 3), be worn at main frame on patient's waist and corresponding wire etc., and main frame comprises controller, power supply, operation-interface etc.
Although this wearable defibrillator has facilitated patient's use largely, but there are some problems.For example, current wearable defibrillator components is various, particularly troublesome in the time of each the wearing.In addition, current wearable defibrillator components volume is still too huge, when pasting health and put on clothes after having dressed defibrillator, can seem too fat to move especially, and cause movable very inconvenient.This causes the patient to be unwilling to dress this defibrillator to a certain extent.
In addition, the existing defibrillator testing result that is based on electrocardiosignal starts the defibrillation electric discharge.But, in actual environment for use, due to the contact condition of sensor electrode and health, the electromagnetic interference in environment etc., often make in the signal detected and comprise interference component.Such interference component is difficult to eliminate, and makes ARR judgement produce error, in serious situation, can cause misoperation or be failure to actuate, and both of these case may be all fatal for the patient.
Summary of the invention
The present invention proposes in view of the problems referred to above of the prior art.
An object of the present invention is to provide a kind of simple in structure, the wearable external defibrillator of being convenient to dress.
Another object of the present invention is the impact that makes the work of defibrillator avoid disturbing, and avoids malfunction.
In order to realize above-mentioned purpose of the present invention, the invention provides a kind of wearable defibrillator, it comprises:
The first electrode slice;
The second electrode slice;
Core signal sensor, an one terminal optionally is connected with described the first electrode slice, and another terminal optionally is connected with described the second electrode slice, for detection of the electrocardiosignal of user;
The high pressure generating unit, it is for generation of high voltage, and an outfan optionally is connected with described the first electrode slice, and another outfan optionally is connected with described the second electrode slice;
Control part, this control part judges whether to carry out the defibrillation action according to the testing result of described core signal sensor, in the situation that be judged as needs, control described high pressure generating unit and produces high voltage and carry out the defibrillation action;
Housing, this housing are accommodated described core signal sensor, described high pressure generating unit and described control part,
Described the second electrode slice is formed on a face of described housing,
When carrying out described defibrillation action, the described core signal sensor of described controller disconnection is connected with described the first electrode slice and described the second electrode slice, and an outfan of described high pressure generating unit is connected with described the first electrode slice, another outfan is connected with described the second electrode slice, time beyond the defibrillation action, the described high pressure generating unit of described controller disconnection is connected with described the first electrode slice and described the second electrode slice, and a terminal of described core signal sensor is connected with described the first electrode slice, and another terminal is connected with described the second electrode slice.
In order further to realize above-mentioned purpose of the present invention, wearable defibrillator of the present invention also can have pulse transducer, this pulse transducer is for detection of the pulse of user, and the two judges whether the pulse that the electrocardiosignal that described control part detects according to described core signal sensor and described pulse transducer detect to carry out the defibrillation action.
According to the present invention, the structure of defibrillator is very simple.EGC sensor, control part, high pressure generating unit etc. all are housed in housing, and the second electrode slice is formed on a face of housing, thereby forms as one with housing.So, as the parts of split, just only have 2, i.e. the first electrode slice and housing.When dressing, only the first electrode slice need be attached to the shirtfront of user, housing is fixed to arm, namely completed wearing.And in the past wearable defibrillator, need on health, attach general 4 sensor electrodes, a 2-3 sparking electrode, and fuselage is clothed on health, add line between each electrode and fuselage etc., the process of whole wearing bothers very much, also easily makes mistakes.The present invention by comparison, has greatly simplified the wearing process, and is not easy to make mistakes.In addition, because parts reduce, overall volume also greatly reduces, and user can not seem yet after having dressed this defibrillator too fat to move, can not cause on the action of user too large impact.
In addition, according to the present invention, wearable defibrillator also has the pulse transducer of the pulse that detects user, and the two judges whether the pulse that the electrocardiosignal that control part detects according to core signal sensor and pulse transducer detect to carry out the defibrillation action.As mentioned above, due to the contact condition of sensor electrode and health, the electromagnetic interference in environment etc., in the electrocardiosignal detected, often comprise interference component.Such interference component is difficult to remove, and makes ARR judgement produce error, in serious situation, can cause misoperation or be failure to actuate, and both of these case may be all fatal for the patient.And in the present invention, not only according to electrocardiosignal, judge rhythm abnormality, also to judge in conjunction with patient's pulse.So greatly improve ARR judgment accuracy, can prevent to greatest extent erroneous judgement and misoperation.This situation for ventricular tachycardia is particularly effective.
The accompanying drawing explanation
Fig. 1 schematically shows the behaviour in service of the wearable defibrillator of the first embodiment;
Fig. 2 schematically shows the side view of case unit of the wearable defibrillator of the first embodiment;
Fig. 3 schematically shows the functional structure of the wearable defibrillator of the first embodiment;
Fig. 4 shows the workflow diagram of the wearable defibrillator of the first embodiment;
Fig. 5 shows the workflow diagram of the wearable defibrillator of the second embodiment.
The specific embodiment
Below in conjunction with accompanying drawing, illustrative embodiments of the present invention is elaborated.What need statement is, the invention is not restricted to the embodiment of following explanation, and scope of the present invention only is defined by the claims.
The first embodiment
Fig. 1 is shown schematically in the using state of the wearable defibrillator of present embodiment.As shown in Figure 1, from the appearance, the wearable defibrillator of present embodiment comprises 2 parts of separating substantially, i.e. fuselage (according to circumstances, sometimes also referred to as housing) the 1 and first electrode slice 3.The first electrode slice 3 is made by metal material, is connected in fuselage 1 via wire 2.Fuselage 1 is worn on user (sometimes also referred to as the patient's) arm.
In fuselage (housing) 1, contain battery, core signal sensor 102, circuit for producing high voltage (high pressure generating unit) 103 and controller (control part) 104.Battery, as the working power of defibrillator, provides electric power to core signal sensor 102, circuit for producing high voltage 103 and controller 104 etc.
Housing 1 can be made by the insulating properties material of plastics etc.In the bottom surface of housing 1, even the one side of used time and patient's Body contact is formed with the second electrode slice 4 of being made by metal material.As shown in Figure 2, the second electrode slice 4 is fixed on housing 1 and becomes one with housing 1.On housing 1, be connected with the wearing apparatus of bandage 5 grades.Bandage 5 is for being fixed to housing (fuselage) 1 patient's arm.For bandage 5 without any restriction, as long as can be fixed to arm to housing 1 reliably, such as being elastic cord, zipper tape etc.Fig. 2 shows the situation that bandage 5 is zipper tapes.
Core signal sensor 102 is for detection of patient's electrocardiosignal.The processing that core signal sensor 102 detects electrocardiosignal can be any known processing, does not repeat them here.In the present embodiment, core signal sensor 102 utilizes 2 electrodes to detect electrocardiosignal, i.e. the first electrode slice 3 and the second electrode slice 4.In use, by conductive adhesive, the first electrode slice 3 being attached to patient's shirtfront, is generally the top right-hand side that is attached to patient's heart, also can be attached to the lower left corner of heart, can select the most effective modes of emplacement according to patient's concrete condition.For example, in Fig. 1, show respectively two kinds of possible sticking positions of the first electrode slice 3 with solid line and dotted line.Housing 1 is to be worn on patient's arm, thereby the second electrode slice 4 is along with the arm contact skin of housing 1 with the patient.In order to improve the contact quality between the second electrode slice 4 and patient skin, also can be across conductive adhesive between the second electrode slice 4 and patient skin.
Circuit for producing high voltage 103 is for generation of the patient being carried out to the high voltage of electric defibrillation.Circuit for producing high voltage 103 can be any known structure, is not limited in this respect.In addition, the magnitude of voltage when the present invention carries out electric defibrillation for circuit for producing high voltage 103, discharge type etc. are not restriction also, can adopt any known form.For example, circuit for producing high voltage 103 can comprise transformator and high-voltage capacitor etc., via the gauge tap output HIGH voltage of IBGT or SCR formation.
Circuit for producing high voltage 103 has positive and negative two outfans.One of them outfan can be connected to the first electrode slice 3, and another outfan can be connected to the second electrode slice 4.
As can be seen here, the first electrode slice 3 and the second electrode slice 4 can optionally be connected to core signal sensor 102 or circuit for producing high voltage 103.Below to this, optionally connect and describe.
As shown in Figure 3, the wearable defibrillator of present embodiment has the first switch 111 between the first electrode slice 3 and core signal sensor 102 and circuit for producing high voltage 103, have second switch 112 between the second electrode slice 4 and core signal sensor 102 and circuit for producing high voltage 103.Switch 111 at one end has a contact, and this contact is connected with the first electrode slice 3.Switch 111 has two contacts at the other end, and one of them is connected with core signal sensor 102, and another is connected with an outfan of circuit for producing high voltage 103.Equally, switch 112 at one end has a contact, and this contact is connected with the second electrode slice 4.Switch 112 has two contacts at the other end, and one of them is connected with core signal sensor 102, and another is connected with another outfan of circuit for producing high voltage 103. Switch 111 and 112 is controlled by control part 104, and link, thereby at the first electrode slice 3 and the second electrode slice 4, be connected to respectively the state of core signal sensor 102, and the first electrode slice 3 and the second electrode slice 4 are connected to respectively between the state of circuit for producing high voltage 103 and switch.
Switch 111 and 112 can be by electromagnetic force carry out the electromagnetic switch of work, the semiconductor switch realized by semiconductor device, any forms such as on-off circuit of being formed by electrical equipment, to this without any restriction, as long as can realize above-mentioned switch motion.
In addition, for example bandage 5 can be designed as, when housing 1 is fixed on patient's arm, and its bottom surface, also namely the second electrode slice 4 is in the position for example, with the tremulous pulse (radial artery) of patient's arm relative.The scientist Patrick Reilly of U.S. Johns Hopkins University is (Applied bioelectricity:from electrical stimulation to electropathology in the bioelectric stimulation monograph, 1998Springer-Verlag New York, Inc) introduce the signal of telecommunication and can reduce resistance via the tremulous pulse transmission.By making the second electrode slice 4 be in the position for example, with the tremulous pulse (radial artery) of patient's arm relative, when carrying out electric defibrillation, electric current directly passes to cardiac muscle above by the tremulous pulse of upper arm, thereby has reduced the marginal value of myocardium electric shock, has so just further reduced the required energy that shocks by electricity.This is for by battery-driven wearable defibrillator, being even more important.
The wearable defibrillator of present embodiment carries out the action of electric defibrillation with in the past substantially identical based on the testing result of electrocardiosignal.Below only the special feature of present embodiment is described.
The wearable defibrillator of present embodiment has monitoring mode and these two kinds of mode of operations for the treatment of pattern.Controller 104 switches by switch 111 and 112 being controlled between these two kinds of mode of operations.Under monitoring mode, the first electrode slice 3 is connected with core signal sensor 102 respectively with the second electrode slice 4, and core signal sensor 102 carries out work.Under the treatment pattern, the first electrode slice 3 is connected with circuit for producing high voltage 103 respectively with the second electrode slice 4, and circuit for producing high voltage 103 carries out work.
After being switched on power supply, the wearable defibrillator of present embodiment works always.With reference to Fig. 4, after switching on power, enter step S401, controller 104 is set to monitoring mode, namely by gauge tap 111 and 112, the first electrode slice 3 is connected with core signal sensor 102 respectively with the second electrode slice 4, thereby the first electrode slice 3 and the second electrode slice 4 serve as respectively the detecting electrode of core signal sensor 102.After this, in step S402, core signal sensor 102 detects patient's electrocardiosignal constantly by certain time interval, the electrocardiosignal that 104 pairs of core signal sensors 102 of controller detect is carried out filtering and noise reduction, based on the electrocardiosignal after denoising, carry out waveforms detection, thereby whether analyze the rhythm of the heart not normal.In step S403, judge whether patient's the rhythm of the heart is not normal.Under being judged as the normal situation of the rhythm of the heart (in step S403 no), flow process is back to step S402, continues the determination and analysis of electrocardiosignal.In step S403, be judged as in ARR situation (being in step S403), flow process enters step S404, and controller is set as the treatment pattern by defibrillator.Now, 104 pairs of switches of controller 111 and 112 are controlled, disconnect being connected of the first electrode slice 3 and the second electrode slice 4 and core signal sensor 102, stop the work of core signal sensor 102, and the first electrode slice 3 is connected with two lead-out terminals of circuit for producing high voltage 103 respectively with the second electrode slice 4, circuit for producing high voltage 103 is started working.Then, in step S405, control circuit for producing high voltage 103 and carry out high-voltage charging, apply by the first electrode slice 3 and 4 couples of patients of the second electrode slice the voltage produced.Subsequently, through the regular hour, for example 1-2 is after second, flow process is back to step S401, controller 104 returns the defibrillator setting to monitoring mode, namely by gauge tap 111 and 112, the first electrode slice 3 is connected respectively with core signal sensor 102 with the second electrode slice 4, makes core signal sensor 102 carry out work.Then repeat above-mentioned processing.
Like this, after carrying out electric defibrillation, normal if patient's the rhythm of the heart also recovers, can automatically carry out defibrillation again.
According to above-mentioned the first embodiment of the present invention, defibrillator only has two electrodes, and these two electrodes are also used as the detecting electrode of electrocardiosignal and the sparking electrode of electric defibrillation, and the fuselage of one of them electrode and defibrillator forms as one.Like this, as the parts of split, just only have 2, i.e. the first electrode slice and housing.When dressing, only the first electrode slice need be attached to the shirtfront of user, housing is fixed to arm, namely completed wearing.Whole wearing process is very simple, also is not easy to make mistakes.In addition, because parts reduce, overall volume also greatly reduces, and user can not seem yet after having dressed this defibrillator too fat to move, can not cause on the action of user too large impact.Due to the part count reduced, also correspondingly reduced the cost of defibrillator in addition.
The second embodiment
Below the second embodiment of the present invention is described.Except the part of following explanation, the other side of the wearable defibrillator of the second embodiment is identical with the wearable defibrillator of the first embodiment.
The wearable defibrillator of the second embodiment was specially adapted to the cardiac of tachycardia medical history.
Two kinds of common life-threatening tachycardias comprise ventricular tachycardia and ventricular fibrillation.Ventricular tachycardia is a kind of cardiac rhythm fast, originates from the signal of telecommunication that ventricle causes.Ventricular tachycardia can reduce heart and blood transport, causes blood pressure low.Ventricular tachycardia also can develop into more serious situation, i.e. ventricular fibrillation.
Ventricular fibrillation refers to that quick, unordered excitement occurs ventricle, is that cardiac muscle by ventricle produces irregular contraction and causes.Ventricular fibrillation is modal arrhythmia, if this arrhythmia continues to surpass several seconds, it may degenerate to asystole, this situation can cause cardiogenic shock and blood circulation to stop, thereby cause sudden cardiac death within short a few minutes, if the patient can not recover in time, will produce irreversible brain injury.
When tachyarrhythmia occurred, ventricle can not produce effective blood flow, thereby there is no cardiac output, can deteriorate into speed usually be greater than 180 per minute, thereby cause without pulse frequency, this is the typical characteristic of tachyarrhythmia.
As previously described, due to the contact condition of electrode and health, on every side electromagnetic interference etc., in the electrocardio detection signal, often contain interference component, and be difficult to remove fully the impact of interference component, this causes sometimes judging exactly that heart beating is not normal, thereby causes without judgement or misoperation.
Present embodiment, on the basis of the first embodiment, has been appended pulse transducer.This pulse transducer is housed in housing 1, and the one end be exposed to housing outer and with patient's Body contact, this end exposed is roughly concordant with the outer surface of the second electrode slice 4.For example, can form respectively and the corresponding opening of this pulse transducer on housing 1 and the second electrode slice 4, pulse transducer exposes by this opening.Certainly, between the sidewall of pulse transducer and this opening, sealing member can be set, to keep the sealing in housing 1.In addition, when defibrillator was clothed to patient's arm, this pulse transducer was relative with the vessel position of patient's arm.
For the not restriction of type of this pulse transducer, as long as can detect patient's pulse.For example, can adopts pressure sensor, detect the variation of the pressure of blood vessel along with pulse.Also can adopt infrared sensor, the infrared ray of some wavelength is very responsive to the variation of the volumetric blood in blood vessel, therefore can utilize this infrared sensor to irradiate infrared ray and receive the infrared ray returned to blood vessel and detect the capacity of blood vessel variation, thereby realize the detection of pulse.The detection signal of pulse transducer is sent to controller 104.
Below with reference to Fig. 5, the work of the defibrillator of present embodiment is described.
After being switched on power supply, the wearable defibrillator of present embodiment works always.With reference to Fig. 5, after switching on power, enter step S401, controller 104 is set to monitoring mode, namely by gauge tap 111 and 112, the first electrode slice 3 is connected with core signal sensor 102 respectively with the second electrode slice 4, thereby the first electrode slice 3 and the second electrode slice 4 serve as respectively the detecting electrode of core signal sensor 102.After this, in step S402, core signal sensor 102 detects patient's electrocardiosignal constantly by certain time interval, the electrocardiosignal that 104 pairs of core signal sensors 102 of controller detect is carried out filtering and noise reduction, based on the electrocardiosignal after denoising, carry out waveforms detection, thereby whether analyze the rhythm of the heart not normal.In step S403, judge whether patient's the rhythm of the heart is not normal.Under being judged as the normal situation of the rhythm of the heart (in step S403 no), flow process is back to step S402, continues the determination and analysis of electrocardiosignal.In step S403, be judged as in ARR situation (being in step S403), flow process enters step S4031, and controller 104 judges whether patient's pulse is not normal, and namely whether judgement and pulse are greater than predetermined value, perhaps whether pulse is irregular, or whether there is no pulse.Here, can adopt any known method to judge that whether pulse is normal, repeats no more here.In addition, pulse transducer can be worked always after defibrillator energising, also can start according to the control of controller 104, for example, in the situation that the "Yes" that judgment result is that of step S403 is just started working, and quits work after step S404.Can reduce the power consumption of defibrillator like this.
Under being judged as the normal situation of pulse (in step S4031 no), flow process is back to step S402, continues the determination and analysis of electrocardiosignal.In the situation that in step S4031, be judged as pulse not normal (being in step S4031), flow process enters step S404, and controller 104 is set as the treatment pattern by defibrillator.Now, 104 pairs of switches of controller 111 and 112 are controlled, disconnect being connected of the first electrode slice 3 and the second electrode slice 4 and core signal sensor 102, stop the work of core signal sensor 102, and the first electrode slice 3 is connected with two lead-out terminals of circuit for producing high voltage 103 respectively with the second electrode slice 4, circuit for producing high voltage 103 is started working.Then, in step S405, control circuit for producing high voltage 103 and carry out high-voltage charging, apply by the first electrode slice 3 and 4 couples of patients of the second electrode slice the voltage produced.Subsequently, through the regular hour, for example 1-2 is after second, flow process is back to step S401, controller 104 returns the defibrillator setting to monitoring mode, namely by gauge tap 111 and 112, the first electrode slice 3 is connected respectively with core signal sensor 102 with the second electrode slice 4, makes core signal sensor 102 carry out work.Then repeat above-mentioned processing.
Like this, after carrying out electric defibrillation, normal if patient's the rhythm of the heart also recovers, can automatically carry out defibrillation again.
Present embodiment, on the basis that monitors electrocardiosignal, monitors patient's pulse simultaneously.Like this, except the advantage of the first embodiment, present embodiment can be avoided the impact of external interference, has greatly improved the reliability of defibrillator, especially the most effective to the patient of ventricular tachycardia.
Other embodiment
Above the first and second exemplary embodiments of the present invention are illustrated, but are appreciated that and the invention is not restricted to this 2 embodiments, and can carry out various improvement and change.
For example, in the above-described embodiment, the second electrode slice 4 is formed on the bottom surface of housing 1.But, the second electrode slice 4 is without the entire area of the bottom surface that occupies housing 1, and can be only on the part of the bottom surface of housing 1, forms the second electrode slice 4.In addition, the forming part of the second electrode slice 4 is not limited to the bottom surface of housing 1, and the second electrode slice 4 can extend at least a portion of bandage 5, also namely can on bandage 5 and face that patient body contacts, form the second electrode slice 4.Can increase like this contact area of the second electrode slice 4 and patient body, also be easy to make the second electrode slice 4 corresponding with the tremulous pulse of patient's arm.
In addition, keeping the normal operation of defibrillator is vital for the patient with defibrillator, need to guarantee that defibrillator can not quit work because of running down of battery.For this reason, in the above-described embodiment, electric quantity detection apparatus and alarm device can also be set.Electric quantity detection apparatus detects the surplus of the battery in defibrillator, in the situation that battery allowance detected lower than predetermined value, alarm device is given the alarm, and makes the patient notice the battery allowance deficiency and changes in time battery.
In addition, reserve battery can be set in defibrillator.In the situation that electric quantity detection apparatus detects battery allowance lower than predetermined value, when alarm device is given the alarm, by the electrical source exchange of defibrillator to reserve battery.Like this, when changing battery, also can guarantee the continuous operation of defibrillator.
In addition, in defibrillator of the present invention, memorizer can be set.Can be recorded to record of the testing result of the testing result of core signal sensor, pulse transducer, defibrillation work etc. in this memorizer.And can on fuselage 1, output interface be set, such as USB port etc.User or doctor can be by the data of storing in this output interface readout memory, thereby can grasp the situation of user.
The above is illustrated some embodiments of the present invention.Should be appreciated that, embodiment described above is only exemplary and explanat, be used to helping to understand the present invention, and is not construed as limiting the invention.Scope of the present invention only is defined by the claims.In the claim limited range, can carry out various changes, displacement and combination etc. to embodiment described above.

Claims (9)

1. wearable defibrillator, it comprises:
The first electrode slice;
The second electrode slice;
Core signal sensor, an one terminal optionally is connected with described the first electrode slice, and another terminal optionally is connected with described the second electrode slice, for detection of the electrocardiosignal of user;
The high pressure generating unit, it is for generation of high voltage, and an outfan optionally is connected with described the first electrode slice, and another outfan optionally is connected with described the second electrode slice;
Control part, this control part judges whether to carry out the defibrillation action according to the testing result of described core signal sensor, in the situation that be judged as needs, control described high pressure generating unit and produces high voltage and carry out the defibrillation action;
Housing, this housing are accommodated described core signal sensor, described high pressure generating unit and described control part,
Described the second electrode slice is formed on a face of described housing,
Described controller constitutes, when carrying out described defibrillation action, disconnect being connected of described core signal sensor and described the first electrode slice and described the second electrode slice, and an outfan of described high pressure generating unit is connected with described the first electrode slice, another outfan is connected with described the second electrode slice, time beyond the defibrillation action, disconnect being connected of described high pressure generating unit and described the first electrode slice and described the second electrode slice, and a terminal of described core signal sensor is connected with described the first electrode slice, and another terminal is connected with described the second electrode slice.
2. wearable defibrillator according to claim 1, wherein,
This defibrillator also has pulse transducer, and this pulse transducer is for detection of the pulse of user,
The two judges whether the pulse that the electrocardiosignal that described control part detects according to described core signal sensor and described pulse transducer detect to carry out the defibrillation action.
3. wearable defibrillator according to claim 2, wherein,
This pulse transducer is contained in described housing, and the one end passes the opening formed on described the second electrode slice and is exposed to outside described housing.
4. according to the described wearable defibrillator of any one in claim 1-3, wherein,
This defibrillator also has the wearing apparatus, and this wearing apparatus, for this defibrillator being fixed to the arm of user, makes the Body contact of described the second electrode and user.
5. wearable defibrillator according to claim 4, wherein,
Described wearing apparatus is fixed as this defibrillator to make the tremulous pulse of described the second electrode surface to the user arm.
6. according to the described wearable defibrillator of any one in claim 1-3, wherein,
This defibrillator also has:
The battery of power supply is provided;
Detect the electric weight test section of the dump energy of described battery; And
For the alarm section given the alarm,
In the situation that the dump energy that described electric weight test section detects is lower than predetermined threshold, described control part is controlled described alarm section to give the alarm.
7. wearable defibrillator according to claim 6, wherein,
This defibrillator also has reserve battery,
In the situation that the dump energy that described electric weight test section detects is lower than predetermined threshold, described control part is described reserve battery by the electrical source exchange of this defibrillator.
8. wearable defibrillator according to claim 2, wherein,
This defibrillator also has:
Memorizer, the detection daily record of the described core signal sensor of this memory stores and/or described pulse transducer, and the daily record of described defibrillation action;
Output interface, it is for the storage content to the described memorizer of outside output.
9. wearable defibrillator according to claim 4, wherein,
Described the second electrode slice extends at least a portion of described wearing apparatus.
CN2013103360752A 2013-08-05 2013-08-05 Wearable defibrillator Pending CN103405851A (en)

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Application publication date: 20131127