CN104546428A - Composite multi-functional three-dimensional heart protection cover - Google Patents
Composite multi-functional three-dimensional heart protection cover Download PDFInfo
- Publication number
- CN104546428A CN104546428A CN201510048441.3A CN201510048441A CN104546428A CN 104546428 A CN104546428 A CN 104546428A CN 201510048441 A CN201510048441 A CN 201510048441A CN 104546428 A CN104546428 A CN 104546428A
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- CN
- China
- Prior art keywords
- layer
- outer housing
- heart
- cloth
- ice blanket
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
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- 239000002131 composite material Substances 0.000 title claims abstract description 11
- 239000004744 fabric Substances 0.000 claims abstract description 25
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims abstract description 24
- 239000000741 silica gel Substances 0.000 claims abstract description 21
- 229910002027 silica gel Inorganic materials 0.000 claims abstract description 21
- 230000003293 cardioprotective effect Effects 0.000 claims description 8
- 230000000694 effects Effects 0.000 claims description 7
- 238000007789 sealing Methods 0.000 claims description 2
- 238000010030 laminating Methods 0.000 claims 1
- 238000000034 method Methods 0.000 abstract description 8
- 230000000661 pacemaking effect Effects 0.000 abstract description 5
- 238000001356 surgical procedure Methods 0.000 abstract description 4
- 230000000638 stimulation Effects 0.000 abstract description 2
- 230000002595 cold damage Effects 0.000 description 7
- 230000000747 cardiac effect Effects 0.000 description 6
- 230000007831 electrophysiology Effects 0.000 description 5
- 238000002001 electrophysiology Methods 0.000 description 5
- 208000009084 Cold Injury Diseases 0.000 description 4
- 230000002612 cardiopulmonary effect Effects 0.000 description 4
- 208000032843 Hemorrhage Diseases 0.000 description 3
- 229940100084 cardioplegia solution Drugs 0.000 description 3
- 238000001816 cooling Methods 0.000 description 3
- 230000006378 damage Effects 0.000 description 3
- 238000012544 monitoring process Methods 0.000 description 3
- 230000005611 electricity Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 230000007794 irritation Effects 0.000 description 2
- 238000004088 simulation Methods 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- 210000000709 aorta Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 210000002808 connective tissue Anatomy 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000002107 myocardial effect Effects 0.000 description 1
- 210000003105 phrenic nerve Anatomy 0.000 description 1
- 238000004321 preservation Methods 0.000 description 1
- 230000000541 pulsatile effect Effects 0.000 description 1
- 238000013022 venting Methods 0.000 description 1
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- Electrotherapy Devices (AREA)
Abstract
The invention relates to a composite multi-functional three-dimensional heart protection cover. According to the scheme, the composite multi-functional three-dimensional heart protection cover comprises a non-elastic airtight outer cover, wherein the shape of the non-elastic airtight outer cover is matched with that of a heart; an opening is formed in the upper portion of the non-elastic airtight outer cover; a medical elastic silica gel layer is arranged in the outer cover; an air vent is formed in the outer cover and is connected with space between the outer cover and the medical elastic silica gel layer; a ventilating cover which covers the air vent is arranged on the inner side surface of the outer cover; the air vent is connected with a device capable of sucking and inflating continuously; an ice blanket is adhered to the inner side of the medical elastic silica gel layer; a temperature-measuring electrode is arranged on the inner layer of the ice blanket; a cloth layer is adhered to the inner layer of the ice blanket; a plurality of pace-making electrodes are distributed on the inner side surface of the cloth layer; wires of the pace-making electrodes are placed between the cloth layer and the ice blanket; and ends of the wires extend out of the outer cover via a combined position between the cloth layer and the upper portion of the ice blanket. Pressure is applied to the heart of a patient and released from the heart of the patient continuously with the aid of gas, electrophysiological levels of the patient can be monitored from a plurality of portions of the patient, required electrical stimulation can be given to the patient, and the temperature of the heart of the patient can be constant in a surgery process.
Description
Technical field
The present invention relates to heart cardiopulmonary bypass surgery field, particularly a kind of composite multifunction 3 D stereo Cardioprotective cover.
Background technology
At present when carrying out heart cardiopulmonary bypass surgery, entire patient is needed to cool to about 30 DEG C, then clamping of aorta, heart is needed to cool to 8-10 DEG C, and keep 30min-6h, traditional way pours into 4 DEG C of cold cardioplegia solution (10-15ml/kg) by the intrusion pipe of aortic root immediately, and ice bits cooling in heart bud simultaneously, stops rapidly to make heart to fight; But need when pouring into cold cardioplegia solution to stop operation, easily stab or cold injury heart surface and conductive beam, phrenic nerves with during the cooling of ice bits, and in whole process, need the carrying out of being interrupted repeatedly add ice bits or pour into cold cardioplegia solution, use inconvenience, and Heart temperature is wayward.
And at present when carrying out heart cardiopulmonary bypass surgery, particularly operating time is long, the patient of myocardial preservation difference, if need to stop the dirty pace-making of pulsatile heart, often need to the original power of one, heart, prior art realizes mainly through manually pressing heart, and this supplementary mode mainly contains following shortcoming: press uneven, easily increase the weight of heart and injury, long-time pressing cannot be realized; Secondly, Low output patient, generally need row extracorporeal circulation to assist cardio-pulmonary function, this extracorporeal circulation supplementary mode has increases hematoclasis, infection, the multiple severe complication such as hemorrhage and cannot making a connection for a long time; In addition under special circumstances OCCPR time, doctor does not have too many muscle power to carry out long-time effectively cardiac compression.
Traditional electrocardio pacing electrode needs the hand-held electrode of doctor to carry out multi-facetedly detecting one by one, and electrodes, use inconvenience; Cause great difficulty due to heartbeat to location simultaneously, cause accurately locating; Prior art cannot realize multiple location and monitor and electrophysiological stimulation simultaneously.
Summary of the invention
For above-mentioned situation, for overcoming the defect of prior art, the object of the present invention is just to provide a kind of composite multifunction 3 D stereo Cardioprotective cover, effectively solves the technical problem in above background technology.
Its scheme solved is, comprise the non-resilient airtight outer housing of the upper opening suitable with heart shape, the medical elastic layer of silica gel suitable with outer housing shape is provided with in outer housing, the top of medical elastic layer of silica gel is connected with the upper opening edge seal of outer housing, outer housing is provided with passage, passage is communicated with the space between outer housing and medical elastic layer of silica gel, and outer housing medial surface is provided with the ventilating cover covered on passage, and passage is connected to the device that uninterruptedly can carry out air-breathing inflation; Ice blanket is fitted with inside medical elastic layer of silica gel, ice blanket internal layer is provided with thermometric electrode, ice blanket internal layer is fitted with layer of cloth, layer of cloth medial surface is furnished with multiple pacing electrode, the wire of pacing electrode is placed between layer of cloth and ice blanket, the end of wire reaches outside outer housing through the junction on layer of cloth and ice blanket top, outer housing is provided with band loop around its upper opening, is equipped with the first elastic straps in band loop.
The present invention has following advantage: 1, the present invention uses gas constantly to carry out exerting pressure and release pressure to heart, simulation heartbeat, constantly provide power to heart, and exert pressure evenly, heart local damage can not be caused, the difficult point that solve pace-making difficulty under cardiac operation under direct vision, cannot press for a long time, sustainable even pressing heart, to heart original power, and can work long hours, achroacyte destroys, the advantages such as hemorrhage probability is little.2, the present invention not only can true omnibearing record electrocardio-activity, and the cardiac electrophysiology that can bring out multiple needs is movable, applies easy, accurate positioning, can the electricity irritation that needs of multiple location monitoring electro physiology situation and giving simultaneously.3, operation process can keep Heart temperature constant, lowering temperature uniform, can not cold injury or damage heart surface, facilitates the carrying out of operation and improves the efficiency of operation.
Accompanying drawing explanation
Fig. 1 is axonometric chart of the present invention (taking away the device that uninterruptedly can carry out air-breathing inflation).
Fig. 2 is layer structure figure of the present invention (taking away band ring, the second elastic straps and wire).
Fig. 3 is A portion enlarged drawing in Fig. 1.
Detailed description of the invention
Below in conjunction with accompanying drawing, the specific embodiment of the present invention is described in further detail.
Provided by Fig. 1 to Fig. 3, the present invention includes the non-resilient airtight outer housing 1 of the upper opening suitable with heart shape, the medical elastic layer of silica gel 2 suitable with outer housing 1 shape is provided with in outer housing 1, the top of medical elastic layer of silica gel 2 is connected with the upper opening edge seal of outer housing 1, outer housing 1 is provided with passage 3, passage 3 is communicated with the space between outer housing 1 and medical elastic layer of silica gel 2, outer housing 1 medial surface is provided with the ventilating cover 4 covered on passage 3, and passage 3 is connected to the device 5 that uninterruptedly can carry out air-breathing inflation; Ice blanket 6 is fitted with inside medical elastic layer of silica gel 2, ice blanket 6 internal layer is provided with thermometric electrode, ice blanket 6 internal layer is fitted with layer of cloth 7, layer of cloth 7 medial surface is furnished with multiple pacing electrode 8, the wire 9 of pacing electrode 8 is placed between layer of cloth 7 and ice blanket 6, the end of wire 9 reaches outside outer housing 1 through layer of cloth 7 and the junction on ice blanket 6 top, outer housing 1 is provided with band loop 10 around its upper opening, is equipped with the first elastic straps 11 in band loop 10.
The described device 5 that uninterruptedly can carry out air-breathing inflation comprises tumbler 501 and is communicated with the cylindrical shell 502 on passage 3 with one end, in cylindrical shell 502, sealing is provided with rubber piston 503, one end activity of rubber piston 503 passage 3 is dorsad fixed with piston rod 504, described tumbler 501 drives through rotary electric machine 505 and rotates, piston rod 504 rotates the side being fixed on tumbler 501 turns of hearts, the rotational plane of tumbler 501 and the axis being parallel of piston rod 504, utilize connecting rod crank structure herein, reach the straight reciprocating motion rotation of motor being converted to piston.
Described non-resilient airtight outer housing 1 is formed with the rubber layer 102 being fixed on non-resilient cloth 101 internal layer of fitting by being placed in outer field non-resilient cloth 101.
Described outer housing 1 is vertically interval with more than one group along the spaced multiple band ring 12 of its outer rim, be provided with the second elastic straps 13 in band ring 12.
Described layer of cloth 7 is nonwoven layer.
The wire of described pacing electrode 8, through band loop 10, passes through the edge of the first elastic straps 11.
When the present invention uses, layer of cloth 7 is crossed the position that heart circumference is maximum, upwards using the first elastic straps 11 to shrink is fixed on heart, when needs carry out external impetus to heart, open rotary electric machine 505, rotary electric machine 505 promotes piston rod 504 through tumbler 501 and drives rubber piston 503 to move reciprocatingly, now rubber piston 503 moves downward, the air of sleeve 502 bottom is pressed between outer housing 1 and medical elastic layer of silica gel 2, outer housing 1 is made up of non-resilient gas impermeable material (non-resilient cloth 101), it is airtight, and not there is elasticity, therefore, medical elastic layer of silica gel 2 effect of being stressed is towards heart pressuring direction, when rubber piston 503 moves upward, gas between medical elastic layer of silica gel 2 and outer housing 1 is detached, now heart returns to normal condition, while rubber piston 503 constantly moves back and forth process, medical elastic layer of silica gel 2 is constantly exerted pressure to heart, the process of release, the rotating speed that can adjust rotary electric machine 505 adjusts the frequency of carrying out air-breathing and venting, passage 3 on outer housing 1 medial surface is provided with ventilating cover 4, when can be blocked in air-breathing, medical elastic layer of silica gel 2 fits on passage 3, and the adverse consequences causing air-breathing not smooth.When needs use pacing electrode 8, the second band 13 can be further used to be fitted on heart by outer housing 1, then pacing electrode 8 is connected on electrode system through wire, the activity of pacing electrode is controlled through electrode system, multiple pacing electrode 8 is arranged in inside layer of cloth 7, and pacing electrode 8 contacts heart adventitia, can carry out 3 D stereo monitoring to heart, really omnibearing record electrocardio-activity, and the cardiac electrophysiology that can bring out multiple needs is movable.When needs keep Heart temperature constant in operation process, the second band 13 can be used to be fitted on heart by outer housing 1 further, then by ice blanket 6 and thermometric Electrode connection on ice blanket cooling instrument, it is outside that the top edge that ice blanket wire 14 and thermometric electrode cable 15 can combine with medical elastic layer of silica gel through ice blanket reaches outer housing 1, the temperature of the liquid in control inputs ice blanket 6, the temperature that the heart surface temperature recorded from thermometric electrode adjusts, it is made to keep in certain temperature range, Heart temperature can be kept invariable in its temperature of whole intra-operative, be beneficial to the carrying out of operation, uninterrupted in the middle of operation, procedure efficiency is high, because the temperature constant of ice blanket 6 is even, can not cold injury or damage heart surface.
The present invention has following advantage: 1, the present invention uses gas constantly to carry out exerting pressure and release pressure to heart, simulation heartbeat, constantly provide power to heart, and exert pressure evenly, heart local damage can not be caused, the difficult point that solve pace-making difficulty under cardiac operation under direct vision, cannot press for a long time, sustainable even pressing heart, to heart original power, and can work long hours, achroacyte destroys, the advantages such as hemorrhage probability is little.2, the present invention not only can true omnibearing record electrocardio-activity, and the cardiac electrophysiology that can bring out multiple needs is movable, applies easy, accurate positioning, can the electricity irritation that needs of multiple location monitoring electro physiology situation and giving simultaneously.3, operation process can keep Heart temperature constant, lowering temperature uniform, can not cold injury or damage heart surface, facilitates the carrying out of operation and improves the efficiency of operation.
Claims (5)
1. a composite multifunction 3 D stereo Cardioprotective cover, comprise the non-resilient airtight outer housing (1) of the upper opening suitable with heart shape, it is characterized in that, the medical elastic layer of silica gel (2) suitable with outer housing (1) shape is provided with in outer housing (1), the top of medical elastic layer of silica gel (2) is connected with the upper opening edge seal of outer housing (1), outer housing (1) is provided with passage (3), passage (3) is communicated with the space between outer housing (1) and medical elastic layer of silica gel (2), outer housing (1) medial surface is provided with the ventilating cover (4) covered on passage (3), passage (3) is connected to the device (5) that uninterruptedly can carry out air-breathing inflation, medical elastic layer of silica gel (2) inner side is fitted with ice blanket (6), ice blanket (6) internal layer is provided with thermometric electrode, ice blanket (6) internal layer is fitted with layer of cloth (7), layer of cloth (7) medial surface is furnished with multiple pacing electrode (8), the wire (9) of pacing electrode (8) is placed between layer of cloth (7) and ice blanket (6), the end of wire (9) reaches outer housing (1) outward through layer of cloth (7) and the junction on ice blanket (6) top, outer housing (1) is provided with band loop (10) around its upper opening, in band loop (10), is equipped with the first elastic straps (11).
2. composite multifunction 3 D stereo Cardioprotective cover according to claim 1; it is characterized in that; described outer housing (1) is vertically interval with more than one group along the spaced multiple band ring (12) of its outer rim, be provided with the second elastic straps (13) in band ring (12).
3. composite multifunction 3 D stereo Cardioprotective cover according to claim 1 and 2, it is characterized in that, the described device (5) that uninterruptedly can carry out air-breathing inflation comprises tumbler (501) and is communicated with the cylindrical shell (502) on passage (3) with one end, in cylindrical shell (502), sealing is provided with rubber piston (503), one end activity of rubber piston (503) passage (3) is dorsad fixed with piston rod (504), described tumbler (501) drives through rotary electric machine (505) and rotates, piston rod (504) rotates and is fixed on the side that tumbler (501) turns the heart, the rotational plane of tumbler (501) and the axis being parallel of piston rod (504).
4. composite multifunction 3 D stereo Cardioprotective cover according to claim 1 and 2; it is characterized in that, described non-resilient airtight outer housing (1) is made up of the rubber layer (102) being placed in outer field non-resilient cloth (101) and laminating and being fixed on non-resilient cloth (101) internal layer.
5. composite multifunction 3 D stereo Cardioprotective cover according to claim 1 and 2, it is characterized in that, described layer of cloth (7) is nonwoven layer.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510048441.3A CN104546428B (en) | 2015-01-30 | 2015-01-30 | Composite multifunction 3 D stereo Cardioprotective cover |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510048441.3A CN104546428B (en) | 2015-01-30 | 2015-01-30 | Composite multifunction 3 D stereo Cardioprotective cover |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104546428A true CN104546428A (en) | 2015-04-29 |
| CN104546428B CN104546428B (en) | 2016-06-15 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510048441.3A Expired - Fee Related CN104546428B (en) | 2015-01-30 | 2015-01-30 | Composite multifunction 3 D stereo Cardioprotective cover |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN104546428B (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106726439A (en) * | 2016-12-24 | 2017-05-31 | 无锡市人民医院 | Intrathoracic cardiac massage device |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6129751A (en) * | 1998-07-28 | 2000-10-10 | Intermedics Inc. | Cardiac lead with active fixation and biocompatible lubricant |
| US20040230140A1 (en) * | 2003-05-12 | 2004-11-18 | Stig Steen | Systems and procedures for treating cardiac arrest |
| US20120232551A1 (en) * | 2001-12-04 | 2012-09-13 | Swanson David K | Ablative treatment of the heart to improve patient outcomes following surgery |
| US20130190717A1 (en) * | 2011-09-13 | 2013-07-25 | Quest Medical, Inc. | Cardioplegia Apparatus and Method |
| CN103796714A (en) * | 2011-07-14 | 2014-05-14 | 布里格姆女子医院有限公司 | System and method for automated adjustment of cardiac resynchronization therapy control parameters |
| CN104014064A (en) * | 2014-06-23 | 2014-09-03 | 蔡国强 | Air bag with electrode and bronchial catheter for electrocardio pace-making defibrillation monitoring |
| CN204428409U (en) * | 2015-01-30 | 2015-07-01 | 张建卿 | 3 D stereo Cardiac Power cover |
-
2015
- 2015-01-30 CN CN201510048441.3A patent/CN104546428B/en not_active Expired - Fee Related
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6129751A (en) * | 1998-07-28 | 2000-10-10 | Intermedics Inc. | Cardiac lead with active fixation and biocompatible lubricant |
| US20120232551A1 (en) * | 2001-12-04 | 2012-09-13 | Swanson David K | Ablative treatment of the heart to improve patient outcomes following surgery |
| US20040230140A1 (en) * | 2003-05-12 | 2004-11-18 | Stig Steen | Systems and procedures for treating cardiac arrest |
| CN103796714A (en) * | 2011-07-14 | 2014-05-14 | 布里格姆女子医院有限公司 | System and method for automated adjustment of cardiac resynchronization therapy control parameters |
| US20130190717A1 (en) * | 2011-09-13 | 2013-07-25 | Quest Medical, Inc. | Cardioplegia Apparatus and Method |
| CN104014064A (en) * | 2014-06-23 | 2014-09-03 | 蔡国强 | Air bag with electrode and bronchial catheter for electrocardio pace-making defibrillation monitoring |
| CN204428409U (en) * | 2015-01-30 | 2015-07-01 | 张建卿 | 3 D stereo Cardiac Power cover |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106726439A (en) * | 2016-12-24 | 2017-05-31 | 无锡市人民医院 | Intrathoracic cardiac massage device |
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| Publication number | Publication date |
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| CN104546428B (en) | 2016-06-15 |
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Effective date of registration: 20170608 Address after: 450000, Henan economic and Technological Development Zone, Zhengzhou Province Second Avenue West, south one South Road, Xinghua science and Technology Industrial Park, No. 2, building 8, No. 808 Patentee after: Henan dragon three dimensional Biological Engineering Co., Ltd. Address before: 450000 No. 7, building 2, No. 1401, the Yellow River Road, Jinshui District, Henan, Zhengzhou Patentee before: Zhang Jianqing |
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Granted publication date: 20160615 Termination date: 20190130 |
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