CN104587604B - The self-checking system and method for defibrillation monitor discharge loop - Google Patents

The self-checking system and method for defibrillation monitor discharge loop Download PDF

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Publication number
CN104587604B
CN104587604B CN201510029049.4A CN201510029049A CN104587604B CN 104587604 B CN104587604 B CN 104587604B CN 201510029049 A CN201510029049 A CN 201510029049A CN 104587604 B CN104587604 B CN 104587604B
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China
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self
discharge
discharge loop
defibrillation
inspection
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CN104587604A (en
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王晶
尹鹏
易明生
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Shenzhen Comen Medical Instruments Co Ltd
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Shenzhen Comen Medical Instruments Co Ltd
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Priority to CN201510029049.4A priority Critical patent/CN104587604B/en
Publication of CN104587604A publication Critical patent/CN104587604A/en
Priority to PCT/CN2015/099765 priority patent/WO2016115965A1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3904External heart defibrillators [EHD]
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01RMEASURING ELECTRIC VARIABLES; MEASURING MAGNETIC VARIABLES
    • G01R31/00Arrangements for testing electric properties; Arrangements for locating electric faults; Arrangements for electrical testing characterised by what is being tested not provided for elsewhere
    • G01R31/28Testing of electronic circuits, e.g. by signal tracer

Abstract

A kind of self-checking system and method for defibrillation monitor discharge loop, discharge loop self-inspection is carried out in the default self-inspection time;If discharge loop self-detection result carries out defibrillation electric discharge self-inspection to pass through.The self-checking system and method for the defibrillation monitor discharge loop, according to the automatic discharge loop self-inspection for carrying out defibrillation monitor of default self-inspection time, the automatic progress defibrillation electric discharge self-inspection again after in discharge loop self-inspection.It can carry out discharge loop self-inspection and defibrillation electric discharge self-inspection automatically according to the self-inspection time of setting, and cumbersome self-test operations, the rescue time for the patient that can avoid delay are carried out without the artificial calculating time and in the defined time.

Description

The self-checking system and method for defibrillation monitor discharge loop
Technical field
The present invention relates to medical instruments field, the self-checking system of more particularly to a kind of defibrillation monitor discharge loop and side Method.
Background technology
Ventricular fibrillation, abbreviation ventricular fibrillation or room are quivered, and are a kind of fatal arrhythmias of most serious, to current Untill, electric defibrillation is considered as terminating ventricular fibrillation most rapid, effective manner.Defibrillator transmits high voltage, high electricity to heart Stream pulse is quivered to terminate room within the time as short as possible, recovers normal cardiac rhythm, is recovered the blood-pumping function of heart, is reached To the purpose of rescue cardiac sudden death.
Defibrillation monitor is a kind of first-aid apparatus, therefore the requirement for reliability is higher than general Medical Devices.For Ensure the reliability of defibrillation monitor when in use, general defibrillation monitor is integrated with the mechanism of a set of automatic detection in itself, its Mainly there are startup self-detection and timer-controlled self-inspection two ways.What both self test modes were mainly completed is some bases of defibrillation monitor The self-inspection of this function aspects.The self-inspection of the part discharge loop of defibrillation monitor most critical, is usually to be grasped manually by medical worker Complete.It is comprised the following steps that:Medical worker needs to access external loading first, that is, simulates the impedance of human body, then preset The energy of discharge and recharge, is discharged, and checks whether discharge loop is intact finally by the prompting for checking defibrillation monitor.
Because the self-inspection of discharge loop needs medical worker to be operated in person in the defined time, complex steps, and by people For the influence of factor.If medical worker does not carry out the self-inspection of discharge loop within the defined time to defibrillation monitor, When giving emergency treatment to a patient, if discharge loop goes wrong, it is likely that the time of delay rescue, or even cause equipment not use, give Patient brings life danger.
The content of the invention
Based on this, it is necessary to provide a kind of self-checking system and method for defibrillation monitor discharge loop.
A kind of self-checking system of defibrillation monitor discharge loop, including:
Discharge loop self-checking unit, for carrying out discharge loop self-inspection in the default self-inspection time;
Defibrillation electric discharge self-checking unit, if carrying out defibrillation electric discharge self-inspection for discharge loop self-detection result to pass through.
In one of the embodiments, the discharge loop of the defibrillation monitor includes:First IGBT, the 2nd IGBT, Three IGBT, the 4th IGBT, defibrillation relay, compensation resistance and electric capacity;Wherein, the first IGBT, the 2nd IGBT, described 3rd IGBT and the 4th IGBT composition defibrillation switches, for controlling defibrillation bi-phase wave granting, the defibrillation switch with it is described Electric capacity and compensation resistance connection;During discharge loop self-inspection, the first IGBT and the 4th IGBT constitutes one article of branch road; 2nd IGBT and the 3rd IGBT constitutes another article of branch road;Defibrillation discharge self-inspection when, the first IGBT and described the Three IGBT constitute a branch road, and the 2nd IGBT and the 4th IGBT constitutes another article of branch road;
The discharge loop self-checking unit, is specifically included:Charging control unit, for starting institute in the default self-inspection time The charging circuit for stating defibrillation monitor charges to electric capacity;It is additionally operable to when electric capacity is charged to up to predeterminated voltage, closes described The charging circuit of defibrillation monitor with stop charging;
Branch road control unit, for after charging control unit stops charging, every of the discharge loop to be controlled successively The defibrillation of branch road switches on or closed the self-inspection of every branch road to carry out the discharge loop.
In one of the embodiments, the system also includes harvester, voltage and institute for gathering electric capacity in real time State the voltage of the sampling resistor of discharge loop;
The discharge loop self-checking unit also includes:Computing unit, for the electric capacity collected according to the harvester Voltage and the discharge loop sampling resistor voltage and the compensation resistance and sampling resistor of the discharge loop, calculate The current value of every branch road of discharge loop and theoretical current value;
First judging unit, for the branch road by contrasting discharge loop current value and theoretical current value whether one Cause, judge whether respective branch is intact.
In one of the embodiments, the discharge loop self-checking unit also includes the second judging unit, for when first When judging unit judges that every branch road of the discharge loop is all intact, judge that the discharge loop self-inspection passes through.
In one of the embodiments, the defibrillation electric discharge self-checking unit, is specifically included:
Detection unit, for detecting whether the discharge loop accesses the simulation human body impedance of preset resistive value;
Charging control unit, if detecting that the discharge loop accesses the simulation human body of preset resistive value for the detection unit Impedance, the charging circuit for starting the defibrillation monitor charges according to preset energy to electric capacity;
Control of discharge unit, for after electric capacity charging complete, opening the discharge loop of the defibrillation monitor, being put Electricity;
Harvester, discharge ionization voltage and electric discharge end voltage for gathering the discharge loop in electric discharge;
Second computing unit, for the discharge ionization voltage, the electric discharge knot collected according to the harvester The size of beam voltage and the electric capacity calculates discharge energy;
3rd judging unit, if the difference for the discharge energy and the preset energy is in default error range, Judge that the defibrillation electric discharge self-detection result is normal.
In one of the embodiments, the defibrillation electric discharge self-checking unit also includes detection means, for simulating human body Impedance, absorbs the discharge energy during electric discharge of defibrillation monitor discharge loop;The detection means, including detection circuit, for Close the detection unit and detect whether the discharge loop accesses simulation human body impedance;The detection circuit includes connector;Institute Stating connector has:First pin, the second pin and three-prong, first pin are normally-closed contact;Second pin is public affairs Common contact;The three-prong is normally opened contact;
The detection circuit also includes first resistor, transient voltage suppressor, second resistance, the second electric capacity and voltage Follower;One end of the first resistor is connected with power supply, and described the of the other end of the first resistor and the connector Three-prong, transient voltage suppressor and second resistance connection;
Second pin of the connector and transient voltage suppressor ground connection;The second resistance is also with second One end of electric capacity and one end connection of voltage follower, the other end ground connection of second electric capacity;The voltage follower it is another One end is connected with the I/O port of the detection unit;
When the battery lead plate of the defibrillation monitor is placed in holding tank, second pin and the three-prong connect Connect, then detect signal for low level, represent discharge loop access simulation human body impedance;The battery lead plate of the defibrillation monitor is not When being placed in the holding tank, second pin and first pin connection, and second pin and the described 3rd Pin is not connected with, then detects signal for high level, represents that discharge loop does not access simulation human body impedance.
A kind of self checking method of defibrillation monitor discharge loop, including step:
Discharge loop self-inspection is carried out in the default self-inspection time;
If discharge loop self-detection result carries out defibrillation electric discharge self-inspection to pass through.
In one of the embodiments, it is described the step of the default self-inspection time discharge loop self-inspection is carried out, specific bag Include step:
The charging circuit for starting the defibrillation monitor in the default self-inspection time charges to electric capacity;When electric capacity charging When reaching predeterminated voltage, close the charging circuit of the defibrillation monitor to stop charging;
After charging is stopped, the defibrillation of every branch road of the discharge loop is controlled to switch on or close successively The self-inspection of every branch road of the row discharge loop.
In one of the embodiments, it is described after charging is stopped, every branch road of the discharge loop is controlled successively The step of defibrillation switches on or closed the self-inspection of every branch road to carry out the discharge loop, specifically includes:
The voltage of the voltage of electric capacity and the sampling resistor of the discharge loop is gathered in real time;
According to the voltage and the electric discharge of the voltage of the electric capacity collected in real time and the sampling resistor of the discharge loop The compensation resistance and sampling resistor in loop, calculate the current value and theoretical current value of every branch road of discharge loop;
Whether the current value of the branch road by contrasting discharge loop is consistent with theoretical current value, whether judges respective branch It is intact;
When every branch road of the discharge loop is all intact, judge that the discharge loop self-inspection passes through.
In one of the embodiments, if the discharge loop self-detection result carries out the step of defibrillation electric discharge self-inspection to pass through Suddenly, specifically include:
Detect whether the discharge loop accesses the simulation human body impedance of preset resistive value;
If detecting, the discharge loop accesses the simulation human body impedance of preset resistive value, starts the charging of the defibrillation monitor Circuit charges according to preset energy to electric capacity;
After electric capacity charging complete, the discharge loop of the defibrillation monitor is opened, is discharged;
The discharge ionization voltage and electric discharge end voltage of the discharge loop are gathered in electric discharge;
Calculated and discharged according to the size of the discharge ionization voltage collected, the electric discharge end voltage and the electric capacity Energy;
If the difference of the discharge energy and the preset energy is being preset in error range, the defibrillation electric discharge is judged certainly It is normal to examine result.
The self-checking system and method for above-mentioned defibrillation monitor discharge loop, by setting the discharge loop self-inspection time, when up to During to the discharge loop self-inspection time, the automatic internal discharge loop self-inspection for carrying out defibrillation monitor, discharge loop self-inspection passes through it Carry out defibrillation electric discharge self-inspection again afterwards, and Self-Check Report is sent according to self-detection result.This method can be according to self-inspection time of setting It is automatic to carry out discharge loop self-inspection and defibrillation electric discharge self-inspection, without it is artificial calculate the time and carried out in the defined time it is cumbersome from Inspection operation, the rescue time for the patient that can avoid delay.
Brief description of the drawings
Fig. 1 is the circuit diagram of defibrillation monitor discharge loop;
Fig. 2 is the structure chart of the self-checking system of defibrillation monitor discharge loop in one embodiment;
Fig. 3 is the structure chart of the self-checking system of defibrillation monitor discharge loop in another embodiment;
Fig. 4 be one embodiment in defibrillation monitor discharge loop self-checking system in discharge loop self-checking unit it is specific Structure chart;
Fig. 5 be one embodiment in defibrillation monitor discharge loop self-checking system in defibrillation electric discharge self-checking unit it is specific Structure chart;
Fig. 6 illustrates for a visual angle of self-checking unit in the self-checking system of defibrillation monitor discharge loop in one embodiment Figure;
Fig. 7 shows for another visual angle of self-checking unit in the self-checking system of defibrillation monitor discharge loop in one embodiment It is intended to;
Fig. 8 shows for another visual angle of self-checking unit in the self-checking system of defibrillation monitor discharge loop in one embodiment It is intended to;
Fig. 9 is a circuit of the detection unit use of the self-checking system of defibrillation monitor discharge loop in one embodiment Figure;
Figure 10 is the flow chart of the self checking method of defibrillation monitor discharge loop in one embodiment;
Figure 11 is the flow chart of the self checking method of defibrillation monitor discharge loop in another embodiment;
Figure 12 be one embodiment in defibrillation monitor discharge loop self checking method in a step particular flow sheet;
Figure 13 is the particular flow sheet of the self checking method of defibrillation monitor discharge loop another step in one embodiment.
Embodiment
In order to facilitate the understanding of the purposes, features and advantages of the present invention, below in conjunction with the accompanying drawings to the present invention Embodiment be described in detail.Many details are elaborated in the following description to fully understand this hair It is bright.But the invention can be embodied in many other ways as described herein, those skilled in the art can be not Similar improvement is done in the case of running counter to intension of the present invention, therefore the present invention is not limited by following public specific embodiment.
Unless otherwise defined, all of technologies and scientific terms used here by the article is with belonging to technical field of the invention The implication that technical staff is generally understood that is identical.Term used in the description of the invention herein is intended merely to description tool The purpose of the embodiment of body, it is not intended that in the limitation present invention.
The discharge loop of defibrillation monitor as shown in figure 1, including:First IGBT Q1, the 2nd IGBT Q2, the 3rd IGBT Q3, the 4th IGBT Q4, defibrillation relay K1, compensation resistance R2, sampling resistor R1 and electric capacity C1.Wherein, the first IGBT Q1, 2nd IGBT Q2, the 3rd IGBT Q3 and the 4th IGBT Q4 composition defibrillation switches, for controlling defibrillation bi-phase wave granting.Defibrillation Switch is connected with electric capacity C1 and compensation resistance R2.Specifically, electric capacity C1 one end and the first IGBT Q1, the 2nd IGBT Q2 and mould Intend digital quantizer ADC connections, electric capacity C1 other end ground connection.First IGBT Q1 e poles connect with the 4th IGBT Q4 c poles Connect, the 2nd IGBT Q2 e poles are connected with the 3rd IGBT Q3 c poles.3rd IGBT Q3, the 4th IGBT Q4 e poles and compensation Resistance R2 one end connection, the compensation resistance R2 other end and the analog-digital converter ADC other end and sampling resistor R1's One end is connected.Sampling resistor R1 other end ground connection;Analog-digital converter ADC is also connected with microcontroller;First IGBT Q1, the 2nd IGBT Q2, the 3rd IGBT Q3 and the 4th IGBT Q4 control end are by system control.Defibrillation relay K1 two ends The first IGBT Q1, the 4th IGBT Q4 common port and the 2nd IGBT Q2, the 3rd IGBT Q3 common port are connected respectively;Defibrillation Relay K1 other two ends are connected with defibrillation electrode, and defibrillation electrode is used to connect simulation human body impedance or patient.
During discharge loop self-inspection, the first IGBT Q1 and the 4th IGBT Q4 constitute one article of branch road, the 2nd IGBT Q2 and the 3rd IGBT Q3 constitute a branch road.During defibrillation electric discharge self-inspection, the first IGBT Q1 and the 3rd IGBT Q3 constitute one article of branch road, second IGBT Q2 and the 4th IGBT Q4 constitute another article of branch road.
A kind of self-checking system of defibrillation monitor discharge loop, as shown in Fig. 2 including:
Discharge loop self-checking unit 120, for carrying out discharge loop self-inspection in the default self-inspection time.
Discharge loop self-inspection is to detect whether the discharge loop of defibrillation monitor is normal.Discharge loop self-detection result includes logical Cross and not by two kinds of results.Wherein, by representing that discharge loop is normal;Not by representing that discharge loop has failure.
Defibrillation electric discharge self-checking unit 140, if carrying out defibrillation electric discharge self-inspection for discharge loop self-detection result to pass through.
Whether defibrillation electric discharge self-inspection is to examine the discharging function of defibrillation monitor discharge loop normal.Defibrillation electric discharge self-inspection knot Fruit includes normal and abnormal two kinds of results.It is wherein normal to represent that discharging function is normal;It is abnormal to represent that discharging function is abnormal.
The self-checking system of above-mentioned defibrillation monitor discharge loop, when discharge loop self-checking unit 120 is according to default self-inspection Between the automatic discharge loop self-inspection for carrying out defibrillation monitor, defibrillation discharge self-checking unit 140 in discharge loop self-inspection after It is automatic again to carry out defibrillation electric discharge self-inspection.The system can carry out discharge loop self-inspection and defibrillation automatically according to the self-inspection time of setting Electric discharge self-inspection, calculates the time and in the cumbersome self-test operations of progress of defined time without artificial, can avoid delay patient's Rescue time.
A kind of self-checking system of defibrillation monitor discharge loop, as shown in figure 3, including:
Acquisition module 210, for obtaining the default self-inspection time.
Wherein, the default self-inspection time can be that system default is default;Can also be that user is rule of thumb default.
Discharge loop self-checking unit 220, for carrying out discharge loop self-inspection in the default self-inspection time.
Discharge loop self-inspection is to detect whether the discharge loop of defibrillation monitor is normal.Discharge loop self-detection result includes logical Cross and not by two kinds of results.Wherein, by representing that discharge loop is normal;Not by representing that discharge loop has failure.
Defibrillation electric discharge self-checking unit 240, if carrying out defibrillation electric discharge self-inspection for discharge loop self-detection result to pass through.
Whether defibrillation electric discharge self-inspection is to examine the discharging function of defibrillation monitor discharge loop normal.Defibrillation electric discharge self-inspection knot Fruit includes normal and abnormal two kinds of results.It is wherein normal to represent that discharging function is normal;It is abnormal to represent that discharging function is abnormal.
Harvester 260, the voltage for gathering the voltage of electric capacity and the sampling resistor of discharge loop in real time.
The voltage of the voltage of electric capacity and the sampling resistor of discharge loop is gathered in real time by analog-digital converter ADC, for putting Electrical circuit self-checking unit 220 used during discharge loop self-inspection.
Sending module 280 is reported, for according to discharge loop self-detection result and/or defibrillation electric discharge self-detection result, sending certainly Inspection report.
When discharge loop self-detection result for not by when, send Self-Check Report, notify user's discharge loop self-inspection not pass through, There is failure in discharge loop.
When discharge loop self-detection result for pass through but defibrillation electric discharge self-detection result be abnormal when, notify user's discharge loop from Inspection passes through, and discharge loop is normal, but defibrillation electric discharge self-detection result is abnormal, and discharging function is abnormal.Preferably, user's defibrillation is notified The self-detection result that discharges is abnormal, discharging function exception.
When discharge loop self-detection result for pass through and defibrillation electric discharge self-detection result be normal when, notify user's discharge loop from Inspection passes through, and discharge loop is normal, and defibrillation electric discharge self-detection result is normal, and discharging function is normal.Preferably, user's defibrillation is notified The self-detection result that discharges is normal, and discharging function is normal.
As shown in figure 4, discharge loop self-checking unit 220 is specifically included:
Charging control unit 221, the charging circuit for starting defibrillation monitor in the default self-inspection time enters to electric capacity Row charging;It is additionally operable to when electric capacity is charged to up to predeterminated voltage, closes the charging circuit of defibrillation monitor to stop charging.
Present embodiment carries out the self-inspection of discharge loop using low-voltage, and predeterminated voltage is low-voltage, preferably 50V.
Branch road control unit 223, for after charging control unit stops charging, every branch of discharge loop to be controlled successively The defibrillation on road switches on or closed the self-inspection of every branch road to carry out discharge loop.
In the present embodiment, whether the self-inspection of discharge loop needs two branch roads of checking intact.Discharge back as previously described Road includes two discharge paths, and branch road control unit controls removing for every branch road successively after charging control unit stops charging Quiver and switch on or close, when the first IGBT Q1 and the 4th the IGBTQ4 unlatching of branch road control unit first article of branch road of control, The self-inspection of first branch road is carried out, after the completion of first branch road self-inspection, branch road control unit controls the first of first branch road IGBT Q1 and the 4th IGBTQ4 are closed, and the 2nd IGBT Q2 and the 3rd IGBTQ3 of control Article 2 branch road are opened, and are verified another Whether bar branch road is intact.
Computing unit 225, for the voltage and the sampling resistor of discharge loop of the electric capacity collected according to harvester 260 Voltage and discharge loop compensation resistance and sampling resistor, calculate discharge loop every branch road current value with it is theoretical Current value.
Specifically, when charging control unit 221 controls the defibrillation of respective branch to switch unlatching, the basis of computing unit 225 The compensation resistance of the voltage and discharge loop of the voltage for the electric capacity that harvester 260 is collected and the sampling resistor of discharge loop And sampling resistor, calculate the current value and theoretical current value of respective branch.
Assuming that the voltage of electric capacity is V1, the voltage of sampling resistor is V2, and sampling resistor is R1 and compensation resistance is R2, accordingly The electric current of branch road is I1, and theoretical current value is I2.
The voltage V2 for the sampling resistor that computing unit 225 is collected according to harvester 260, calculates the electric current of respective branch I1, the formula of calculating current is:
The voltage V1 for the charging capacitor that computing unit is collected always according to harvester 260 and sampling resistor R1 and compensation Resistance R2 calculates the theoretical current value of respective branch, and calculation formula is:
First judging unit 227, for the branch road by contrasting discharge loop current value and theoretical current value whether Unanimously, judge whether respective branch is intact.
It is whether consistent with theoretical current value by the current value for contrasting branch road, it can interpolate that whether respective branch is intact. If the current value of branch road is consistent with theoretical current value, respective branch is intact;Otherwise, respective branch failure.
Second judging unit 228, when every branch road for judging discharge loop when the first judging unit is all intact, judges Discharge loop self-inspection passes through.
That is, if the current value of every branch road and the current value of theory are all consistent, discharge loop self-detection result is put to pass through Electrical circuit is normal.
Otherwise, discharge loop self-detection result is not pass through.
The self-checking unit 240 as shown in figure 5, defibrillation discharges, is specifically included:
Detection unit 241, for detecting whether discharge loop accesses the simulation human body impedance of preset resistive value.
Simulate the resistance that human body impedance is preset resistive value.In the present embodiment, the preset resistive value of simulation human body impedance is 50 Ohm.It should be understood that the preset resistive value can be set as other values.
Charging control unit 221, if being additionally operable to the simulation human body resistance of detection unit detection discharge loop access preset resistive value Anti-, the charging circuit for starting defibrillation monitor charges according to preset energy to electric capacity.
Control of discharge unit 243, for after electric capacity charging complete, opening the discharge loop of defibrillation monitor, being put Electricity.
Harvester 260, is additionally operable to the discharge ionization voltage of collection discharge loop and electric discharge end voltage in electric discharge.
In the discharge process of defibrillation monitor, harvester 260 gathers the discharge ionization voltage V3 of discharge loop and put Electric end voltage V4, is used for defibrillation electric discharge self-checking unit 240 when carrying out defibrillation electric discharge self-inspection.
Second computing unit 245, for the discharge ionization voltage collected according to harvester 260, end voltage of discharging And the size of electric capacity calculates discharge energy.
By discharge ionization voltage V3, the electric discharge end voltage V4 collected, and electric capacity size C, discharge energy is calculated E.Its calculation formula is as follows:
E=(1/2) * (CV32–CV42)。
3rd judging unit 247, if the difference for discharge energy and preset energy is in default error range, judgement is removed The electric discharge self-detection result that quivers is normal.
Difference by judging discharge energy and preset energy judges that defibrillation electric discharge self-inspection is whether in default error range It is no normal.In the present embodiment, it is ± 5J to preset error range.
In the present embodiment, the self-checking unit of defibrillation monitor discharge loop, which also includes detection means 270, is used to simulate people The impedance of body, absorbs the discharge energy during electric discharge of defibrillation monitor discharge loop;And coordinate detection unit 241 to detect discharge loop Whether human body impedance is simulated in access.
As shown in figs 6-8, detection means 270 includes first 10 and can be with first 10 second 30 be connected. Include for first 10 being used to place the holding tank 15 of the battery lead plate of defibrillation monitor, be arranged at the conducting metal of the bottom of holding tank 15 Piece 13, the simulation human body impedance 11 being connected with conductive metal sheet 13.When the battery lead plate of defibrillation monitor is placed on detection means When in 270 holding tank 15, the battery lead plate of defibrillation monitor is connected by conductive metal sheet 13 with simulation human body impedance 11.Specifically , in the present embodiment, first 10 is connected with second 30 by screw.
Second 30 of detection means 270 includes detection switch 33 and elastic component 31.Detection switch 33 is in an initial condition Close, detection switch 33 is specifically for detecting whether the battery lead plate of defibrillation monitor is placed in holding tank 15;Elastic component 31 It is located at the lower section of holding tank 15 with detection switch 33, elastic component 31 is connected with the bottom resilient of holding tank 15, can make conducting metal Piece 13 is closer or far from detection switch 33, so as to control being turned on and off for detection switch 33;When the battery lead plate of defibrillation monitor When being placed in the holding tank 15 of detection means 270, the bottom of holding tank 15 is under the pressure effect of the battery lead plate of patient monitor Compression elastic piece 31, makes the conductive metal sheet 13 of the bottom of holding tank 15 close to detection switch 33, open detection switch 33.
Detection means 270 also includes detection circuit, and specifically for coordinating the detection unit to detect, the discharge loop is No access simulation human body impedance.
The signal that detection unit 241 is turned on and off specifically for acquisition detection switch 33, and according to detection means 270 The signal that detection switch 33 is turned on and off judges whether discharge loop accesses simulation human body impedance 11.Judging that discharge loop connects Enter to simulate after human body impedance 11, detection unit 241 judges the resistance for simulating human body impedance for preset resistive value.Specifically, detect Unit 241 obtains the signal that detection switch 33 is turned on and off by detection circuit as shown in Figure 9, and according to detection switch 33 signals being turned on and off judge whether the battery lead plate of defibrillation monitor is placed in the holding tank 15 of detection means 270, shape Into the discharge loop of closure, so as to judge whether discharge loop accesses simulation human body impedance 11.Detection circuit includes:Opened with detection Close 33 connected connector J1;Connector J1 has:First pin 1, the second pin 2 and three-prong 3.Wherein, the first pin 1 For normally-closed contact, the second pin 2 is common, and three-prong 3 is normally opened contact;Wherein, the unlatching of detection switch 33 or pass Close signal and determined by whether the battery lead plate of defibrillation monitor is placed in holding tank 15;Detect circuit also include first resistor R3, Transient voltage suppressor D1, second resistance R4, the second electric capacity C2 and voltage follower U1;One end of the first resistor R3 Be connected with power supply VCC, the first resistor R3 other end and connector J1 three-prong 3, transient voltage suppressor D1 and Second resistance R4 connections.Connector J1 the second pin 2 and transient voltage suppressor D1 ground connection.Second resistance R4 is also with Two electric capacity C2 one end and voltage follower U1 one end connection, the second electric capacity C2 other end ground connection.Voltage follower U1's The other end is connected with the I/O port of detection unit 241.In the present embodiment, the normally opened contact of detection switch 33 passes through first resistor R3 Power supply VCC, second resistance R4 and electric capacity C2 composition RC filtering are pulled upward to, the signal that is turned on and off of detection switch 33 is filtered Ripple;The signal that is turned on and off of filtered detection switch 33 passes through the I/O port that voltage follower U1 is followed by detection unit 241, It is detected by detection unit 241.When the battery lead plate of defibrillation monitor is placed in holding tank 15, detection switch 33 is opened Open, i.e., the second pin 2 and three-prong 3 are connected, then detect signal for low level, represent discharge loop access simulation human body resistance It is anti-;When the battery lead plate of defibrillation monitor is not placed in holding tank 15, detection switch 33 is closed, i.e. the second pin 2 and the first pipe Pin 1 is connected, and the second pin 2 and three-prong 3 are not connected, then detect signal for high level, represent that discharge loop is not accessed Simulate human body impedance.Therefore, it can hinder by the way that whether the electrical level judging discharge loop of the signal detected has accessed simulation human body It is anti-, without manually detecting.
The self-checking system of above-mentioned defibrillation monitor discharge loop, acquisition module 210 obtains the default self-inspection time;Discharge back Road self-checking unit 220 carries out the discharge loop self-inspection of defibrillation monitor, defibrillation electric discharge self-inspection according to the default self-inspection time automatically The automatic progress defibrillation electric discharge self-inspection again after in discharge loop self-inspection of device 240.Harvester 260 gathers electric capacity in real time The voltage of the sampling resistor of voltage and discharge loop, is used when carrying out discharge loop self-inspection for discharge loop self-checking unit 220;And In electric discharge, the discharge ionization voltage of collection discharge loop and electric discharge end voltage, are being carried out for defibrillation electric discharge self-checking unit 240 Used during defibrillation electric discharge self-inspection.Sending module 280 is reported according to discharge loop self-detection result and/or defibrillation electric discharge self-detection result, Self-Check Report is sent, medical personnel is known the self-detection result of defibrillation monitor discharge loop, medical personnel can not only be made true Determine whether defibrillation monitor can use, and when defibrillation monitor discharge loop occurs abnormal, can know plant maintenance personnel Where dawn problem.Detection means 270 simulates the impedance of human body, absorbs the discharge energy during electric discharge of defibrillation monitor discharge loop; And the signal for coordinating the detection of detection unit 241 detection switch 33 to be turned on and off, and be turned on and off according to detection switch 33 Signal judges whether the battery lead plate of defibrillation monitor is placed in the holding tank 15 of detection means 270, and the electric discharge for forming closure is returned Road, so as to judge whether discharge loop accesses simulation human body impedance.
A kind of self checking method of defibrillation monitor discharge loop, as shown in Figure 10, including step:
S120:Discharge loop self-inspection is carried out in the default self-inspection time.
Discharge loop self-inspection is to detect whether the discharge loop of defibrillation monitor is normal.Discharge loop self-detection result includes logical Cross and not by two kinds of results.Wherein, by representing that discharge loop is normal;Not by representing that discharge loop has failure.
S140:If discharge loop self-detection result carries out defibrillation electric discharge self-inspection to pass through.
Whether defibrillation electric discharge self-inspection is to examine the discharging function of defibrillation monitor discharge loop normal.Defibrillation electric discharge self-inspection knot Fruit includes normal and abnormal two kinds of results.It is wherein normal to represent that discharging function is normal;It is abnormal to represent that discharging function is abnormal.
The self checking method of above-mentioned defibrillation monitor discharge loop, defibrillation monitor is carried out according to the default self-inspection time automatically Discharge loop self-inspection, the automatic defibrillation that carries out discharges self-inspection again after discharge loop self-inspection passes through.This method can be according to setting The fixed self-inspection time carries out discharge loop self-inspection and defibrillation electric discharge self-inspection automatically, and the time is calculated and in the defined time without artificial Carry out cumbersome self-test operations, the rescue time for the patient that can avoid delay.
A kind of self checking method of defibrillation monitor discharge loop, as shown in figure 11, including step:
S210:Obtain the default self-inspection time.
Wherein, the default self-inspection time can be that system default is default;Can also be that user is rule of thumb default.
S220:Discharge loop self-inspection is carried out in the default self-inspection time.
Discharge loop self-inspection is to detect whether the discharge loop of defibrillation monitor is normal.Discharge loop self-detection result includes logical Cross and not by two kinds of results.Wherein, by representing that discharge loop is normal;Not by representing that discharge loop has failure.
S240:If discharge loop self-detection result carries out defibrillation electric discharge self-inspection to pass through.
Whether defibrillation electric discharge self-inspection is to examine the discharging function of defibrillation monitor discharge loop normal.Defibrillation electric discharge self-inspection knot Fruit includes normal and abnormal two kinds of results.It is wherein normal to represent that discharging function is normal;It is abnormal to represent that discharging function is abnormal.
S280:According to discharge loop self-detection result and/or defibrillation electric discharge self-detection result, Self-Check Report is sent.
When discharge loop self-detection result for not by when, send Self-Check Report, notify user's discharge loop self-inspection not pass through, There is failure in discharge loop.
When discharge loop self-detection result for pass through but defibrillation electric discharge self-detection result be abnormal when, notify user's discharge loop from Inspection passes through, and discharge loop is normal, but defibrillation electric discharge self-detection result is abnormal, and discharging function is abnormal.Preferably, user's defibrillation is notified The self-detection result that discharges is abnormal, discharging function exception.
When discharge loop self-detection result for pass through and defibrillation electric discharge self-detection result be normal when, notify user's discharge loop from Inspection passes through, and discharge loop is normal, and defibrillation electric discharge self-detection result is normal, and discharging function is normal.Preferably, user's defibrillation is notified The self-detection result that discharges is normal, and discharging function is normal.
As shown in figure 12, step S220 is specifically included:
S221:The charging circuit for starting defibrillation monitor in the default self-inspection time charges to electric capacity.
S222:When electric capacity is charged to up to predeterminated voltage, close the charging circuit of defibrillation monitor to stop charging.
Present embodiment carries out the self-inspection of discharge loop using low-voltage, and predeterminated voltage is low-voltage, preferably 50V.
S223:Stop charging after, successively control discharge loop every branch road defibrillation switch on or close with Carry out the self-inspection of every branch road of discharge loop.
In the present embodiment, whether the self-inspection of discharge loop needs two branch roads of checking intact.
Foregoing discharge loop includes two discharge paths, and branch road control unit stops charging in charging control unit Afterwards, the defibrillation of every branch road is controlled to switch on or close successively, when branch road control unit controls the first of first branch road IGBT Q1 and the 4th IGBT Q4 are opened, and carry out the self-inspection of first branch road, after the completion of first branch road self-inspection, branch road control Unit controls the first IGBT Q1 and the 4th IGBT Q4 of first article of branch road to close, and controls the 2nd IGBT Q2 of Article 2 branch road Opened with the 3rd IGBT Q3, whether another branch road of checking be intact.
S224:The voltage of the voltage of electric capacity and the sampling resistor of discharge loop is gathered in real time.
Gather the voltage of the voltage of electric capacity and the sampling resistor of discharge loop in real time by analog-digital converter ADC.
S225:According to the benefit of the voltage and discharge loop of the voltage of the electric capacity collected and the sampling resistor of discharge loop Resistance and sampling resistor are repaid, the current value and theoretical current value of every branch road of discharge loop is calculated.
Specifically, when the defibrillation for controlling respective branch is switched and opened, according to the voltage of the electric capacity collected with discharging back The voltage of the sampling resistor on road and the compensation resistance and sampling resistor of discharge loop, calculate the current value and theory of respective branch Current value.
Assuming that the voltage of electric capacity is V1, the voltage of sampling resistor is V2, and sampling resistor is R1 and compensation resistance is R2, accordingly The electric current of branch road is I1, and theoretical current value is I2.
According to the voltage V2 of the sampling resistor collected, the electric current I1 of respective branch is calculated, the formula of calculating current is:
Respective branch is calculated according to the voltage V1 and sampling resistor R1 of the charging capacitor collected and compensation resistance R2 Theoretical current value, calculation formula is:
S227:Whether the current value of the branch road by contrasting discharge loop is consistent with theoretical current value, judges corresponding branch Whether road is intact.
It is whether consistent with theoretical current value by the current value for contrasting branch road, it can interpolate that whether respective branch is intact. If the current value of branch road is consistent with theoretical current value, respective branch is intact;Otherwise, respective branch failure.
S228:When every branch road of discharge loop is all intact, judge that discharge loop self-inspection passes through.
That is, if the current value of every branch road and the current value of theory are all consistent, discharge loop self-detection result is put to pass through Electrical circuit is normal.
Otherwise, discharge loop self-detection result is not pass through.
As shown in figure 13, step S240, is specifically included:
S241:Whether detection discharge loop accesses the simulation human body impedance of preset resistive value.
Simulate the resistance that human body impedance is preset resistive value.In the present embodiment, the preset resistive value of simulation human body impedance is 50 Ohm.It should be understood that the preset resistive value can be set as other values.Specifically, whether step S241 detection discharge loops connect The simulation human body impedance for entering preset resistive value realized by detection means, detection means as shown in figs 6-8, when the electricity of defibrillation monitor When pole plate is placed in the holding tank 15 of detection means, the battery lead plate of defibrillation monitor is connected with simulation human body impedance 11, shape Into the discharge loop of closure.When the battery lead plate of defibrillation monitor is placed in the holding tank 15 of detection means, detection switch Open.The signal opened according to detection switch judges whether the battery lead plate of defibrillation monitor is placed on the holding tank 15 of detection means It is interior, the discharge loop of closure is formed, so as to judge that discharge loop has accessed simulation human body impedance.Judge that discharge loop has accessed mould After plan human body impedance, then whether the resistance for judging to simulate human body impedance is preset resistive value.
S242:If detecting, discharge loop accesses the simulation human body impedance of preset resistive value, starts the charging electricity of defibrillation monitor Electric capacity is charged according to preset energy on road.
S243:After electric capacity charging complete, the discharge loop of defibrillation monitor is opened, is discharged.
S244:The discharge ionization voltage of collection discharge loop and electric discharge end voltage in electric discharge.
In the discharge process of defibrillation monitor, the discharge ionization voltage V3 and electric discharge end voltage of discharge loop are gathered V4。
S245:Discharge energy is calculated according to the size of the discharge ionization voltage collected, electric discharge end voltage and electric capacity.
By discharge ionization voltage V3, the electric discharge end voltage V4 collected, and electric capacity size C, discharge energy is calculated E.Its calculation formula is as follows:
E=(1/2) * (CV32–CV42)。
S247:If the difference of discharge energy and preset energy is in default error range, defibrillation electric discharge self-detection result is judged To be normal.
Difference by judging discharge energy and preset energy judges that defibrillation electric discharge self-inspection is whether in default error range It is no normal.In the present embodiment, it is ± 5J to preset error range.
The self checking method of above-mentioned defibrillation monitor discharge loop, obtains the default self-inspection time;During according to default self-inspection Between the automatic discharge loop self-inspection for carrying out defibrillation monitor, discharge loop self-inspection after again it is automatic carry out defibrillation electric discharge from Inspection.According to discharge loop self-detection result and/or defibrillation electric discharge self-detection result, Self-Check Report is sent, medical personnel is known defibrillation The self-detection result of patient monitor discharge loop, can not only make medical personnel determine whether defibrillation monitor can use, and work as defibrillation When patient monitor discharge loop occurs abnormal, plant maintenance personnel can be made to know problem place.This method, in discharge loop self-inspection During, the voltage and the voltage of sampling resistor of the electric capacity of respective branch are gathered in real time;Calculate respective branch current value with Theoretical current value;Whether the current value of the branch road by contrasting discharge loop is consistent with theoretical current value, judges corresponding branch Whether road is intact;If all branch roads are all intact, discharge loop self-detection result is to pass through;If with the presence of branch road failure, putting Electrical circuit self-detection result is not pass through.In the anti-electric discharge process of self-test that quivers, collection discharge initiation voltage and electric discharge end voltage;It is logical The electric capacity of the discharge initiation voltage, electric discharge end voltage and storage capacitor of collection is crossed, discharge energy is calculated;By judging electric discharge energy Whether amount and the difference of preset energy are being preset in error range, to judge whether defibrillation electric discharge self-inspection is normal.
Embodiment described above only expresses the several embodiments of the present invention, and it describes more specific and detailed, but simultaneously Therefore the limitation to the scope of the claims of the present invention can not be interpreted as.It should be pointed out that for one of ordinary skill in the art For, without departing from the inventive concept of the premise, various modifications and improvements can be made, these belong to the guarantor of the present invention Protect scope.Therefore, the protection domain of patent of the present invention should be determined by the appended claims.

Claims (10)

1. a kind of self-checking system of defibrillation monitor discharge loop, it is characterised in that including:
Acquisition module, for obtaining the default self-inspection time;
Discharge loop self-checking unit, for carrying out discharge loop self-inspection in the default self-inspection time;
Defibrillation electric discharge self-checking unit, if carrying out defibrillation electric discharge self-inspection for discharge loop self-detection result to pass through;
Sending module is reported, for according to the discharge loop self-detection result and/or defibrillation electric discharge self-detection result, sending self-inspection report Accuse;
The discharge loop of the defibrillation monitor includes:First IGBT, the 2nd IGBT, the 3rd IGBT, the 4th IGBT, defibrillation relay Device, compensation resistance and electric capacity;Wherein, the first IGBT, the 2nd IGBT, the 3rd IGBT and the 4th IGBT groups Into defibrillation switch, for controlling defibrillation bi-phase wave granting, the defibrillation switch is connected with the electric capacity and the compensation resistance;Put During electrical circuit self-inspection, the first IGBT and the 4th IGBT constitutes one article of branch road;2nd IGBT and the described 3rd IGBT constitutes another branch road;During defibrillation electric discharge self-inspection, the first IGBT and the 3rd IGBT constitutes one article of branch road, described 2nd IGBT and the 4th IGBT constitutes another article of branch road.
2. the self-checking system of defibrillation monitor discharge loop according to claim 1, it is characterised in that the discharge loop Self-checking unit, is specifically included:Charging control unit, the charging electricity for starting the defibrillation monitor in the default self-inspection time Electric capacity is charged on road;It is additionally operable to when electric capacity is charged to up to predeterminated voltage, closes the charging circuit of the defibrillation monitor To stop charging;
Branch road control unit, for after charging control unit stops charging, every branch road of the discharge loop to be controlled successively Defibrillation switch on or close the self-inspection of every branch road to carry out the discharge loop.
3. the self-checking system of defibrillation monitor discharge loop according to claim 2, it is characterised in that the system is also wrapped Harvester is included, the voltage for gathering the voltage of electric capacity and the sampling resistor of the discharge loop in real time;
The discharge loop self-checking unit also includes:Computing unit, for the electricity of the electric capacity collected according to the harvester Pressure and the voltage and the compensation resistance and sampling resistor of the discharge loop of the sampling resistor of the discharge loop, calculate electric discharge The current value of every branch road in loop and theoretical current value;
Whether the first judging unit, the current value for the branch road by contrasting discharge loop is consistent with theoretical current value, sentences Whether disconnected respective branch is intact.
4. the self-checking system of defibrillation monitor discharge loop according to claim 3, it is characterised in that the discharge loop Self-checking unit also includes the second judging unit, for judging that every branch road of the discharge loop is all intact when the first judging unit When, judge that the discharge loop self-inspection passes through.
5. the self-checking system of defibrillation monitor discharge loop according to claim 1, it is characterised in that the defibrillation electric discharge Self-checking unit, is specifically included:
Detection unit, for detecting whether the discharge loop accesses the simulation human body impedance of preset resistive value;
Charging control unit, if detecting the simulation human body resistance of the discharge loop access preset resistive value for the detection unit Anti-, the charging circuit for starting the defibrillation monitor charges according to preset energy to electric capacity;
Control of discharge unit, for after the electric capacity charging complete, opening the discharge loop of the defibrillation monitor, being put Electricity;
Harvester, discharge ionization voltage and electric discharge end voltage for gathering the discharge loop in electric discharge;
Second computing unit, electricity is terminated for the discharge ionization voltage that is collected according to the harvester, the electric discharge Pressure and the size of the electric capacity calculate discharge energy;
3rd judging unit, if the difference for the discharge energy and the preset energy judges in default error range The defibrillation electric discharge self-detection result is normal.
6. the self-checking system of defibrillation monitor discharge loop according to claim 5, it is characterised in that the defibrillation electric discharge Self-checking unit also includes detection means, and the impedance for simulating human body absorbs the electric discharge during electric discharge of defibrillation monitor discharge loop Energy;The detection means, including detection circuit, for coordinating the detection unit to detect whether the discharge loop accesses mould Intend human body impedance;The detection circuit includes connector;The connector has:First pin, the second pin and three-prong, First pin is normally-closed contact;Second pin is common;The three-prong is normally opened contact;
The detection circuit also includes first resistor, transient voltage suppressor, second resistance, the second electric capacity and voltage follow Device;One end of the first resistor is connected with power supply, the 3rd pipe of the other end of the first resistor and the connector Pin, transient voltage suppressor and second resistance connection;
Second pin of the connector and transient voltage suppressor ground connection;The second resistance also with the second electric capacity One end and voltage follower one end connection, second electric capacity the other end ground connection;The other end of the voltage follower It is connected with the I/O port of the detection unit;
When the battery lead plate of the defibrillation monitor is placed in holding tank, second pin and the three-prong are connected, then Signal is detected for low level, discharge loop access simulation human body impedance is represented;The battery lead plate of the defibrillation monitor is not placed When in the holding tank, second pin and first pin connection, and second pin and the three-prong It is not connected, then signal is detected for high level, represents that discharge loop does not access simulation human body impedance.
7. a kind of self checking method of defibrillation monitor discharge loop, it is characterised in that including step:
Obtain the default self-inspection time;
Discharge loop self-inspection is carried out in the default self-inspection time;
If discharge loop self-detection result carries out defibrillation electric discharge self-inspection to pass through;
According to discharge loop self-detection result and/or defibrillation electric discharge self-detection result, Self-Check Report is sent;
The discharge loop of the defibrillation monitor includes:First IGBT, the 2nd IGBT, the 3rd IGBT, the 4th IGBT, defibrillation relay Device, compensation resistance and electric capacity;Wherein, the first IGBT, the 2nd IGBT, the 3rd IGBT and the 4th IGBT groups Into defibrillation switch, for controlling defibrillation bi-phase wave granting, the defibrillation switch is connected with the electric capacity and the compensation resistance;Put During electrical circuit self-inspection, the first IGBT and the 4th IGBT constitutes one article of branch road;2nd IGBT and the described 3rd IGBT constitutes another branch road;During defibrillation electric discharge self-inspection, the first IGBT and the 3rd IGBT constitutes one article of branch road, described 2nd IGBT and the 4th IGBT constitutes another article of branch road.
8. the self checking method of defibrillation monitor discharge loop according to claim 7, it is characterised in that described default The step of self-inspection time carries out discharge loop self-inspection, specifically includes step:
The charging circuit for starting the defibrillation monitor in the default self-inspection time charges to electric capacity;Reached when electric capacity is charged to During predeterminated voltage, close the charging circuit of the defibrillation monitor to stop charging;
After charging is stopped, the defibrillation of every branch road of the discharge loop is controlled to switch on or close to carry out institute successively State the self-inspection of every branch road of discharge loop.
9. the self checking method of defibrillation monitor discharge loop according to claim 8, it is characterised in that described to stop filling After electricity, the defibrillation of every branch road of the discharge loop is controlled to switch on or close to carry out the discharge loop successively The step of self-inspection of every branch road, specifically include:
The voltage of the voltage of electric capacity and the sampling resistor of the discharge loop is gathered in real time;
According to the voltage of the electric capacity collected in real time and the voltage and the discharge loop of the sampling resistor of the discharge loop Compensation resistance and sampling resistor, calculate the current value and theoretical current value of every branch road of discharge loop;
Whether the current value of the branch road by contrasting discharge loop is consistent with theoretical current value, judges whether respective branch is complete It is good;
When every branch road of the discharge loop is all intact, judge that the discharge loop self-inspection passes through.
10. the self checking method of defibrillation monitor discharge loop according to claim 7, it is characterised in that if the electric discharge Loop self-detection result is passes through, and the step of carrying out defibrillation electric discharge self-inspection specifically includes:
Detect whether the discharge loop accesses the simulation human body impedance of preset resistive value;
If detecting, the discharge loop accesses the simulation human body impedance of preset resistive value, starts the charging circuit of the defibrillation monitor Electric capacity is charged according to preset energy;
After electric capacity charging complete, the discharge loop of the defibrillation monitor is opened, is discharged;
The discharge ionization voltage and electric discharge end voltage of the discharge loop are gathered in electric discharge;
Electric discharge energy is calculated according to the size of the discharge ionization voltage collected, the electric discharge end voltage and the electric capacity Amount;
If the difference of the discharge energy and the preset energy is being preset in error range, the defibrillation electric discharge self-inspection knot is judged Fruit is normal.
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CN104587604B (en) * 2015-01-20 2017-09-26 深圳市科曼医疗设备有限公司 The self-checking system and method for defibrillation monitor discharge loop
CN106597357A (en) * 2016-12-07 2017-04-26 中国计量科学研究院 Calibrating device of defibrillation energy analyzer
CN107831418A (en) * 2017-10-27 2018-03-23 深圳迈瑞生物医疗电子股份有限公司 Detect method, system and the defibrillator of defibrillator
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