CN103801002A - Defibrillating medical device - Google Patents
Defibrillating medical device Download PDFInfo
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- CN103801002A CN103801002A CN201210454126.7A CN201210454126A CN103801002A CN 103801002 A CN103801002 A CN 103801002A CN 201210454126 A CN201210454126 A CN 201210454126A CN 103801002 A CN103801002 A CN 103801002A
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Abstract
A defibrillating medical device comprises an electrocardiograph detection device used for detecting an electrocardiosignal, a control device connected with the electrocardiograph detection device and used for receiving a detection result of the electrocardiograph detection device and judging whether treatment is required, a treatment device connected with the control device and used for receiving a treatment command of the control device to conduct automatic external defibrillating treatment when the control device judges that the treatment is required and a transmitting device connected with the control device to transmit a detection result of the electrocardiograph detection device. The detection result serves as pre-hospitable diagnose information. The defibrillating medical device meets the requirement for electrocardiograph detection and diagnosis of a cardiovascular emergency patient not allowing electric defibrillation in pre-hospital care, the electrocardiograph diagnosis is conducted in the pre-hospital care, the patient first-aid time is reduced, good reference is provided for medical workers, and the medical workers can quickly and accurately conduct pre-hospital care on the patient.
Description
Technical field
The present invention relates to field of medical, particularly relate to a kind of defibrillation armarium.
Background technology
Defibrillator is to eliminate arrhythmia by heart and make it to recover a kind of electric defibrillation equipment of sinus rhythm with stronger pulse current.(Automated External Defibrillator, AED) is different from common defibrillator for automated external defibrillator, and AED equipment itself can also determine whether to need electric defibrillation by automatic interpretation electrocardiogram.Therefore AED equipment, as a kind of important pre hospital care equipment, plays a significant role in pre hospital care.
General AED equipment only can carry out electric defibrillation to ventricular fibrillation or ventricular tachycardia patient, and therefore, when patient is can not defibrillation cardiovascular emergency case patient time, because AED functions of the equipments are single, the effect of playing is little.
Summary of the invention
Based on this, be necessary the problem single for AED functions of the equipments, a kind of armarium is provided.
A kind of defibrillation armarium, comprising:
ECG detection device, for detection of electrocardiosignal;
Control device, is connected with described ECG detection device, receives the testing result of described ECG detection device and judges whether to need treatment;
Therapy equipment, is connected with described control device, in the time that described control device judgement need to be treated, receives the treatment instruction of described control device and carries out automated external defibrillator treatment;
Transmitting device, be connected with described control device transmit described ECG detection device testing result as institute before diagnostic message.
Therein in an embodiment, described ECG detection device is 12 to lead ECG detection device.
Therein in an embodiment, described therapy equipment comprises automated external defibrillator treatment unit, the testing result of described ECG detection device comprises in described electrocardiosignal, whether comprising the defibrillation rhythm and pace of moving things, described control device sends defibrillation instruction to described automated external defibrillator treatment unit while receiving the testing result that comprises the defibrillation rhythm and pace of moving things in described electrocardiosignal, the analysis of described automated external defibrillator treatment unit starting automated external defibrillator, charging and electrical conversion.
Therein in an embodiment, described therapy equipment also comprises cardio-pulmonary resuscitation treatment unit, the testing result of described ECG detection device comprises the information that whether needs to carry out cardiopulmonary resuscitation, when described control device receives the described information that need to carry out cardiopulmonary resuscitation, send the instruction that starts institute's cardio-pulmonary resuscitation treatment unit, described cardio-pulmonary resuscitation treatment unit carries out cardio-pulmonary resuscitation and presses aid in guide.
Therein in an embodiment, described control device is also for receiving the testing result that described electrocardiosignal comprises the defibrillation rhythm and pace of moving things and carrying out reminding operator to end cardio-pulmonary resuscitation when cardio-pulmonary resuscitation is pressed and pressing and send defibrillation instruction to described automated external defibrillator treatment unit.
Therein in an embodiment, described therapy equipment is electric defibrillation device, described control device is analyzed for the electrocardiosignal that described ECG detection device is detected, and controls described electric defibrillation device and carry out defibrillation while obtaining comprising the defibrillation rhythm and pace of moving things in described electrocardiosignal.
Therein in an embodiment, described control device also comprises display unit and/or audio unit, described control device is analyzed for the electrocardiosignal that described ECG detection device is detected, and carries out cardio-pulmonary resuscitation press aid in guide while obtaining carrying out the information of cardiopulmonary resuscitation by described display unit and/or audio unit.
In an embodiment, described transmitting device is wireless communication unit, mobile comm unit, wired network communication unit or USB interface therein.
Above-mentioned defibrillation armarium, solved in pre hospital care can not electric defibrillation cardiovascular emergency case patient cardioelectric monitor and diagnostic requirements, before being placed on to institute, cardiac diagnosis shortens the First Aid time, simultaneously for medical worker's first aid provides good reference, facilitate medical worker quicker, patient implements pre hospital care accurately.Medical worker does not need to bring multiple equipment such as defibrillator and monitor or electrocardiograph in pre hospital care, for the first aid of medical worker's Rapid Implementation provides light equipment guarantee.
Accompanying drawing explanation
Fig. 1 is the module map of the defibrillation armarium of the first embodiment;
Fig. 2 is the module map of the defibrillation armarium of the second embodiment;
Fig. 3 is the module map of the defibrillation armarium of the 3rd embodiment.
The specific embodiment
Automated external defibrillator (Automated External Defibrillator, AED) equipment is as visual plant in pre hospital care equipment, play a significant role at pre hospital care, but because traditional AED equipment only can carry out electric defibrillation to the chamber chamber speed patient that quivers, cannot realize other life-threatening cardiovascular emergency case patients are carried out to cardiac diagnosis before institute, postpone the time of patient's treatment, caused patient because not obtaining early diagnosis and institute's pre-treatment timely and effectively timely the state of an illness further to be worsened.Therefore, before early stage institute cardiac diagnosis and institute's pre-treatment to reducing cardiovascular emergency case patient's mortality rate, to improve long-term prognosis most important.
As shown in Figure 1, defibrillation armarium comprises ECG detection device, control device, therapy equipment and transmitting device.ECG detection device, therapy equipment and transmitting device are all connected with control device.
ECG detection device is for detection of electrocardiosignal.ECG detection device can adopt 3 to lead electrocardio and detect, 5 lead electrocardio and detect, 12 lead the detection modes such as electrocardio detection.Lead electrocardio detection and 5 with respect to 3 and lead electrocardio detection, 12 lead electrocardio detects the situation that can more fully understand cardiomotility.ECG detection device can be both the device with analytic function, can be also the device of not being with analytic function.For the ECG detection device with analytic function, can be except from patient body gathers electrocardiosignal, also electrocardiosignal is analyzed, for example analyze arrhythmia for can the defibrillation rhythm and pace of moving things, analyzed and stopped rich or carefully quiver etc. can not the defibrillation rhythm and pace of moving things but need to start immediately cardiopulmonary resuscitation etc.For the ECG detection device with analytic function not, can be only to gather electrocardiosignal from patient body, and not possess analytic function.
Control device is connected with ECG detection device, receives the testing result of ECG detection device and judges whether to need treatment.In the time that ECG detection device has analytic function, judge whether to need treatment according to the testing result after analyzing, for example analyze arrhythmia judgement for can the defibrillation rhythm and pace of moving things time and need to carry out automated external defibrillator, analyzed and stopped rich or carefully quiver that wait can not the defibrillation rhythm and pace of moving things but judge need to start cardiopulmonary resuscitation immediately time and need to carry out cardiopulmonary resuscitation.In the time that ECG detection device does not have analytic function, according to judge whether to need treatment from the electrocardiosignal of patient body collection, the process of judgement comprises the analytic process to electrocardiosignal.
Therapy equipment is connected with control device, the treatment instruction of receiving control device carry out automated external defibrillator treatment in the time that control device judgement need to be treated.External defibrillation treatment refers to the electric conductance utmost point of therapy equipment is connected to outside the chest of sufferer, in the time that Heart Rate is not whole, cannot effectively blood be delivered to whole body though heart is beaten, by the rectification of being shocked by electricity of the electric conductance utmost point of therapy equipment.For example, in the time of ventricular fibrillation, the electrical activity of heart is in chaotic state, and ventricle cannot effectively as side Pu be got blood; In the time of ventricle frequency arteries and veins, heart is cannot effectively get sufficient blood because jump too fast, and ventricle frequency arteries and veins finally can become ventricular fibrillation conventionally.If do not correct, these two kinds of bradytachycardias can cause rapidly brain injury and death.Automated external defibrillator treatment can judge after electric shock whether patient's the rhythm of the heart has recovered normally again, or need to remake electric shock.Automated external defibrillator treatment can be semi-automatic external defibrillation treatment or full-automatic external defibrillation treatment.Semi-automatic external defibrillation treatment can remind operator to avoid contacting patient, treats that operator presses electric shock button and just shocks by electricity; After full-automatic external defibrillation treatment can be left patient by sound or display alarm operator, dirty the starting of automatic centering shocked by electricity.
Transmitting device is connected with control device, transmit the testing result of ECG detection device as institute before diagnostic message.Transmitting device can be wireless communication unit, mobile comm unit, wired network communication unit or USB interface etc.For example, when transmitting device adopts wireless communication unit, utilize WLAN (WirelessLAN) to access network, ECG detection device is detected to the ECG signal sampling result obtaining and be sent to hospital, be convenient to hospital and just grasped conditions of patients before patient is admitted to hospital first aid, carry out the preparation for the treatment of; Or in the time being admitted to hospital, can obtain at once at the latest ECG detection device and detect the ECG signal sampling result obtaining, thereby in the time being admitted to hospital, not need to detect again, save valuable therapeutic time.Similarly, while adopting mobile comm unit, can utilize GPRS(General Packet Radio Service, general packet radio service technology), the mobile communications network such as 3G, 4G is sent to hospital when ECG detection device is detected to the ECG signal sampling fructufy obtaining; While adopting wired network communication unit, if there is cable network on first aid ground, can transmit in real time, if first aid ground does not have cable network, after can being admitted to hospital, adopt cable network transmission; While adopting USB interface, after can being admitted to hospital, transmit ECG detection device by USB interface and detect the ECG signal sampling result obtaining.
ECG detection device, control device and therapy equipment in above-mentioned defibrillation armarium can be function opposite independent device, be that ECG detection device, control device and therapy equipment itself possess analytic function, for example ECG detection device can be analyzed and obtain the testing result that whether comprises the defibrillation rhythm and pace of moving things in electrocardiosignal electrocardiosignal; The testing result that control device receives ECG detection device plays coordinative role; Therapy equipment also judges and analyzes after obtaining testing result, carrying out peb treatment in Autonomous Control.In addition, above-mentioned defibrillation armarium can be central controlled equipment, be that ECG detection device is only responsible for gathering electrocardiosignal as testing result, control device analysis draws the testing result that whether comprises the defibrillation rhythm and pace of moving things in electrocardiosignal, the controlled device of therapy equipment carries out peb treatment, namely ECG detection device does not possess analytic function as input equipment, and therapy equipment does not possess analytic function as outut device yet.
As shown in Figure 2, it is the schematic diagram that ECG detection device, control device and therapy equipment itself possess the defibrillation armarium of analytic function.
In the present embodiment, ECG detection device is 12 to lead ECG detection device, and the testing result of ECG detection device comprises in electrocardiosignal, whether comprising the defibrillation rhythm and pace of moving things.For example 12 lead collection, filtering, the analysis that ECG detection device completes 12 derivative certificates, obtain the testing result that whether comprises the defibrillation rhythm and pace of moving things in electrocardiosignal.
Control device sends defibrillation instruction to therapy equipment while receiving the testing result that comprises the defibrillation rhythm and pace of moving things in electrocardiosignal.In addition, control device can also comprise display unit and/or audio unit, and display unit is used for showing testing result and some informations etc., and audio unit is sounded and pointed out, and for example in the time carrying out AED treatment, prompting operation person does not touch patient etc.
Therapy equipment comprises automated external defibrillator (AED) treatment unit.Control device sends defibrillation instruction to automated external defibrillator and treats unit while receiving the testing result that comprises the defibrillation rhythm and pace of moving things in electrocardiosignal, automated external defibrillator treatment unit starting AED analysis, charging and electrical conversion.That is to say, automated external defibrillator treatment unit is receiving after the defibrillation instruction of control device transmission, do not shock by electricity at once, but can gather AED ecg wave form according to the defibrillation electrode of self, carry out filtering, analysis again and independently carry out defibrillation charging and discharging function, i.e. the effect of enabling automated external defibrillator treatment unit is played in the defibrillation instruction of control device.
In addition, therapy equipment also comprises cardio-pulmonary resuscitation (CPR) treatment unit, 12 testing results of leading ECG detection device comprise the information that whether needs to carry out cardiopulmonary resuscitation, when receiving the described information that need to carry out cardiopulmonary resuscitation, control device sends the instruction that starts institute's cardio-pulmonary resuscitation treatment unit, cardio-pulmonary resuscitation treatment unit carries out CPR and presses aid in guide, for example, guide compression frequency and according to pressing depth etc.It should be noted that; although cardio-pulmonary resuscitation is treated in Fig. 3 to the part of unit as therapy equipment; but in actual product; cardio-pulmonary resuscitation treatment unit can be incorporated into and in control device, carry out CPR and press aid in guide; now; cardio-pulmonary resuscitation treatment unit logically still belongs to therapy equipment, therefore still belongs to protection scope of the present invention.
Further, control device is also for receiving the testing result that electrocardiosignal comprises the defibrillation rhythm and pace of moving things and carrying out reminding when CPR presses operator to end CPR and pressing and send defibrillation instruction to automated external defibrillator and treat unit.That is to say, if just being carried out CPR, certain patient presses, now leading ECG detection device by 12 detects and need to carry out defibrillation, at this moment needing to stop CPR pressing and carries out defibrillation, can send prompting by display unit or audio unit, whether remind operator to end CPR and press, and send defibrillation instruction to automated external defibrillator and treat unit, carrying out Analysis deterrmination by automated external defibrillator treatment unit needs to carry out electric defibrillation.
In the present embodiment, transmitting device is real-time Communication for Power processing unit.Real-time Communication for Power processing unit is connected with control device, the testing result that transmits in real time ECG detection device as institute before diagnostic message.Real-time Communication for Power processing unit can be wireless communication unit, mobile comm unit etc.By real-time Communication for Power processing unit, ECG detection device is detected to the ECG signal sampling result obtaining and be sent to hospital, be convenient to hospital and just grasped conditions of patients before patient is admitted to hospital first aid, carry out the preparation for the treatment of, save valuable therapeutic time.
As shown in Figure 3, its schematic diagram that is central controlled equipment for defibrillation armarium.
In the present embodiment, ECG detection device is only responsible for gathering electrocardiosignal as testing result, collects after the signal of telecommunication by electrode, carries out being input to control device after analog digital conversion.
Control device receives electrocardiosignal analysis and draws the testing result that whether comprises the defibrillation rhythm and pace of moving things in electrocardiosignal, if by analysis, draws while comprising the defibrillation rhythm and pace of moving things in electrocardiosignal and sends defibrillation instruction to therapy equipment.
Therapy equipment is electric defibrillation device, and electric defibrillation device carries out defibrillation while receiving the defibrillation instruction that control device sends.By central controlled mode, can simplify the structure of ECG detection device and therapy equipment, i.e. ECG detection device and therapy equipment do not need to possess the function of analysis, and analytic function is incorporated in control device.
Transmitting device is connected with control device, transmit the testing result of ECG detection device as institute before diagnostic message.Transmitting device can be wireless communication unit, mobile comm unit, wired network communication unit or USB interface etc.By transmitting device, ECG detection device is detected to the ECG signal sampling result obtaining and be sent to hospital, be convenient to hospital and just grasped conditions of patients before patient is admitted to hospital first aid, carry out the preparation for the treatment of; Or in the time being admitted to hospital, can obtain at once at the latest ECG detection device and detect the ECG signal sampling result obtaining, thereby in the time being admitted to hospital, not need to detect again, save valuable therapeutic time.
Further, control device also comprises display unit and/or audio unit, control device is analyzed for the electrocardiosignal that ECG detection device is detected, while obtaining carrying out the information of cardiopulmonary resuscitation, carry out CPR by display unit and/or audio unit and press aid in guide, for example, guide compression frequency and according to pressing depth etc.
Above-mentioned defibrillation armarium, solved in pre hospital care can not electric defibrillation cardiovascular emergency case patient cardioelectric monitor and diagnostic requirements, before being placed on to institute, cardiac diagnosis shortens the First Aid time, simultaneously for medical worker's first aid provides good reference, facilitate medical worker quicker, patient implements pre hospital care accurately.Medical worker does not need to bring multiple equipment such as defibrillator and monitor or electrocardiograph in pre hospital care, for the first aid of medical worker's Rapid Implementation provides light equipment guarantee.
The above embodiment has only expressed several embodiment of the present invention, and it describes comparatively concrete and detailed, but can not therefore be interpreted as the restriction to the scope of the claims of the present invention.It should be pointed out that for the person of ordinary skill of the art, without departing from the inventive concept of the premise, can also make some distortion and improvement, these all belong to protection scope of the present invention.Therefore, the protection domain of patent of the present invention should be as the criterion with claims.
Claims (8)
1. a defibrillation armarium, is characterized in that, comprising:
ECG detection device, for detection of electrocardiosignal;
Control device, is connected with described ECG detection device, receives the testing result of described ECG detection device and judges whether to need treatment;
Therapy equipment, is connected with described control device, in the time that described control device judgement need to be treated, receives the treatment instruction of described control device and carries out automated external defibrillator treatment;
Transmitting device, be connected with described control device transmit described ECG detection device testing result as institute before diagnostic message.
2. defibrillation armarium according to claim 1, is characterized in that, described ECG detection device is 12 to lead ECG detection device.
3. defibrillation armarium according to claim 1, it is characterized in that, described therapy equipment comprises automated external defibrillator treatment unit, the testing result of described ECG detection device comprises in described electrocardiosignal, whether comprising the defibrillation rhythm and pace of moving things, described control device sends defibrillation instruction to described automated external defibrillator treatment unit while receiving the testing result that comprises the defibrillation rhythm and pace of moving things in described electrocardiosignal, the analysis of described automated external defibrillator treatment unit starting automated external defibrillator, charging and electrical conversion.
4. defibrillation armarium according to claim 3, it is characterized in that, described therapy equipment also comprises cardio-pulmonary resuscitation treatment unit, the testing result of described ECG detection device comprises the information that whether needs to carry out cardiopulmonary resuscitation, when described control device receives the described information that need to carry out cardiopulmonary resuscitation, send the instruction that starts institute's cardio-pulmonary resuscitation treatment unit, described cardio-pulmonary resuscitation treatment unit carries out cardio-pulmonary resuscitation and presses aid in guide.
5. defibrillation armarium according to claim 4, it is characterized in that, described control device is also for receiving the testing result that described electrocardiosignal comprises the defibrillation rhythm and pace of moving things and carrying out reminding operator to end cardio-pulmonary resuscitation when cardio-pulmonary resuscitation is pressed and pressing and send defibrillation instruction to described automated external defibrillator treatment unit.
6. defibrillation armarium according to claim 1, it is characterized in that, described therapy equipment is electric defibrillation device, described control device is analyzed for the electrocardiosignal that described ECG detection device is detected, and controls described electric defibrillation device and carry out defibrillation while obtaining comprising the defibrillation rhythm and pace of moving things in described electrocardiosignal.
7. defibrillation armarium according to claim 6, it is characterized in that, described control device also comprises display unit and/or audio unit, described control device is analyzed for the electrocardiosignal that described ECG detection device is detected, and carries out cardio-pulmonary resuscitation press aid in guide while obtaining carrying out the information of cardiopulmonary resuscitation by described display unit and/or audio unit.
8. according to the defibrillation armarium described in any one in claim 1 to 7, it is characterized in that, described transmitting device is wireless communication unit, mobile comm unit, wired network communication unit or USB interface.
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| CN103976732A (en) * | 2014-06-03 | 2014-08-13 | 徐俊堂 | First-aid heartbeat machine and using method thereof |
| CN105030436A (en) * | 2015-08-24 | 2015-11-11 | 珠海新康杰特种车辆有限公司 | Ambulance for chest pain first aid |
| CN105708458A (en) * | 2014-12-05 | 2016-06-29 | 中国人民解放军第三军医大学第三附属医院 | Chest compression quality monitoring method and system |
| CN107106856A (en) * | 2014-12-18 | 2017-08-29 | 皇家飞利浦有限公司 | Be ranked and continuous operator scheme defibrillator |
| CN108135522A (en) * | 2016-01-16 | 2018-06-08 | Zoll医疗公司 | In ECG data can shockable rhythm or can not shockable rhythm quick identification |
| CN110917498A (en) * | 2019-11-29 | 2020-03-27 | 苏州维伟思医疗科技有限公司 | State control method, device, storage medium and automatic external defibrillator |
| WO2020133525A1 (en) * | 2018-12-29 | 2020-07-02 | 深圳迈瑞生物医疗电子股份有限公司 | Defibrillation method, automatic external defibrillator and computer readable medium |
| CN111514012A (en) * | 2020-05-28 | 2020-08-11 | 广州弘大医疗科技有限公司 | Portable pre-hospital emergency system and control method thereof |
| CN112022146A (en) * | 2020-09-30 | 2020-12-04 | 苏州无双医疗设备有限公司 | Implantable medical device and external defibrillation device combined system |
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| CN112022146A (en) * | 2020-09-30 | 2020-12-04 | 苏州无双医疗设备有限公司 | Implantable medical device and external defibrillation device combined system |
| CN112022146B (en) * | 2020-09-30 | 2022-06-17 | 苏州无双医疗设备有限公司 | Implantable cardiac pacemaker and wearable defibrillator combined system |
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