CN104856667A - Novel non-invasion arrhythmia diagnosis and treatment technology and multi-parameter monitor integrated product - Google Patents
Novel non-invasion arrhythmia diagnosis and treatment technology and multi-parameter monitor integrated product Download PDFInfo
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- CN104856667A CN104856667A CN201410064341.5A CN201410064341A CN104856667A CN 104856667 A CN104856667 A CN 104856667A CN 201410064341 A CN201410064341 A CN 201410064341A CN 104856667 A CN104856667 A CN 104856667A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/346—Analysis of electrocardiograms
- A61B5/349—Detecting specific parameters of the electrocardiograph cycle
- A61B5/352—Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
- A61N1/3621—Heart stimulators for treating or preventing abnormally high heart rate
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/378—Electrical supply
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Abstract
The invention discloses a novel non-invasion arrhythmia diagnosis and treatment technology and multi-parameter monitor integrated product. The product is transplanted to a conventional multi-parameter monitor through a trans esophageal cardiac natural frequency pace-making technology, a trans esophageal cardiac pace-making module serves as an insertion piece of the monitor, and therefore a clinic commonly-used natural frequency temporary pace-making function is achieved through an existing multi-parameter monitoring system. An information function on the original monitor is sufficiently used by the trans esophageal cardiac pace-making insertion piece, R wave trigger pulse firing can be successfully achieved, integrated operation is achieved, the pace-making frequency, the pace-making time and the pace-making number arecontrolled in an integrated mode, and the full working process of non-invasion trans esophageal cardiac pace-making is controlled through the monitor. The novel non-invasion arrhythmia diagnosis and treatment technology and multi-parameter monitor integrated product can be used for occasions such as primary hospitals, battlefield medical treatment and emergency ambulances where the monitor is widely used, and non-invasion natural frequency temporary cardiac pace-making treatment which is easy and convenient to operate and high in practicability is carried out on a patient.
Description
Technical field
Patent of the present invention relates to medical electronic apparatus development field, more specifically, relates to the novel product that a kind of non-invasive arrhythmia Clinics is integrated with clinical conventional multi-parameter monitor.
Background technology
Domestic and international existing multi-parameter monitoring system, of many uses, almost contain all section office of hospital, in addition, basic hospital, battlefield medical treatment, the occasions such as emergency tender, cannot leave multiparameter physiological monitor equally.But the current scope of application is multiparameter physiological monitor so widely, its major function is to gather the multiple important physiological parameter of patient, is the physiologic information that clinician provides patient, namely only possesses diagnostic function, and do not have any treatment function.Gu frequently temporary heart pace-making technology be a kind of occur slowly for patient or tachy-arrhythmia time, that clinician often adopts, very practical treatment means.Multi-parameter monitor builds this function, to make clinical staff under severe arrhythmia situation occurs patient in monitoring process, effectively can carry out emergency action fast easily, namely serious bradyarrhythmia be carried out to the pace-making of nominal frequencies or urgent mode; And to tachyarrhythmias such as such as paroxysmal supraventricular tachycardia, then can carry out hypervelocity and suppress the mode of class to stop, realize safety, quick, the clinical common arrhythmia of effective treatment, its clinical application is widely.Patent design of the present invention is considered in order to make clinical manipulation fast and easy, safe and effective, first introduce non-invasive through esophagus atrium frequently pace-making technology mode admittedly, and when frequency temporary heart pace-making technology will be consolidated and multi-parameter monitoring system combination designs, provide fixing pluge or can " mobile precious " two kinds of modes of plug, selected by clinician.It is worth emphasizing that, patent of the present invention makes existing traditional multi-parameter monitoring system, achieve clinical conventional non-invasive through esophagus auricular pacemaking treatment function, by temporary heart pace-making technology and multi-parameter monitoring system implementation integral structure, fundamentally change domestic and international traditional multi-parameter monitor and only there is diagnosis and without the rigid general layout of any treatment function, necessarily the developing direction of multi-parameter monitor from now on.
Summary of the invention
Main purpose of the present invention is for solving the problem.In this invention, by non-invasive through esophagus atrium frequently pace-making technology admittedly, be placed on conventional multi-parameter monitor, by trans esophageal auricle pacing module as the fixing pluge of monitor or can " mobile precious " of plug, existing traditional multi-parameter monitoring system is made to realize the treatment function of the clinical conventional pace-making frequently admittedly through esophagus atrium.The present invention mainly comprises four parts in technology and structure: the temporary heart pacing module 1) with the non-invasive frequently pacing function admittedly through esophagus atrium; 2) non-invasive through esophagus atrium admittedly frequently the temporary heart pacing module of pacing function insert conventional multi-parameter monitor in fixing pluge mode, form the Novel multi-parameter monitor of integrated Diagnosis and Treat; 3) non-invasive through esophagus atrium admittedly frequently the temporary heart pacing module of pacing function be connected with conventional multi-parameter monitor in " mobile precious " mode, both can the Novel multi-parameter monitor of being integrally formed Diagnosis and Treat, the temporary heart pacing therapy instrument of the non-invasive pacing function frequently admittedly through esophagus atrium with conventional multi-parameter monitor lift-off, the moveable but also small portable that can work independently can be formed not only; 4) can with temporary heart pace-making fixing pluge module with can " mobile precious " of plug communicate, and to the Novel multi-parameter monitor that it controls.
Non-invasive through esophagus atrium admittedly frequently the temporary heart pace-making stuck-module of pace-making there is independently CPU control, its main task is that the formation of pacemaker impulse occurs, and shaping pulse and pulse amplifying, pulse amplitude intensity 10-50V, stepping is adjustable.It is non-invasive when through esophagus atrium, frequently the temporary heart pacing module of pacing function inserts conventional multi-parameter monitor in fixing pluge mode admittedly, its circuit power takes from monitor 12V and 5V power supply, and carries out the process of 6000V high_voltage isolation to this pacing module power supply and former monitor power supply.The basic function of temporary heart pacing module, based on through esophagus heart frequency pace-making admittedly, includes solid frequency constant speed pace-making, solid overdrive pacing frequently, timing pace-making, fixed number pace-making and emergency pacing totally 5 kinds of mode of cardiac pacings.In addition, for preventing the RonT risk because solid pace-making frequently produces, the present invention have also been devised ecg-r wave and triggers pace-making technology, selects for clinician.Get limb lead in multi-parameter monitor electrocardio module or the relatively tall and big or outstanding lead signals of precordial leads R ripple is pace-making trigger impulse, control the Time Of Release of first pacemaker impulse, to stop because pacemaker impulse causes atrial fibrillation, room is flutterred, even room speed, the room generation of quivering.
With movable plug-in unit mode non-invasive through esophagus atrium temporary heart pace-making " mobile precious " frequently admittedly, not only there is the feature be integrated with multi-parameter monitor, also have with multi-parameter monitor by R232 interface, the operating characteristic communicated in the spacing of 5-7 rice, to realize the resource of shared multi-parameter monitor, this function is very practical at clinical ICU, CCU and operating room.In addition, with " mobile precious " of movable plug-in unit mode the non-invasive temporary cardiac pacing frequently admittedly through esophagus atrium, for realizing it from the feature worked alone after multi-parameter monitor is extracted, the present invention's design is in this pace-making " mobile precious ", with the independently key technology such as CPU, small sized colour liquid crystal display screen, independently body surface and intracavity ecg amplifier, construct and both can carry out temporary heart pace-making, the function of a large amount of clinical practices such as guarding in body surface and intracavity cardiac monitoring, pacing catheter intubate position observation, temporary cardiac pacing can be carried out again.Pace-making " mobile precious " is when inserting multi-parameter monitor, and its work is powered and to be provided by monitor 5V, charges to 18650 lithium batteries in pace-making " mobile precious " simultaneously.After pace-making " mobile precious " is extracted from multi-parameter monitor, its power supply that normally works is provided by 18650 lithium batteries of inside, when pace-making " mobile precious " electricity that works alone for a long time is not enough, this patent design is outside charges to pace-making " mobile precious ", instead of dependence multi-parameter monitor provides electric energy completely.What deserves to be explained is, pace-making " mobile precious ", under the state of working alone, still has the important clinical security function that R ripple triggers pace-making, just when independent use, must settle body surface ecg crosslinking electrode for realizing this function.
First Patent design of the present invention is introduced non-invasive through esophagus atrium frequently pace-making technology mode admittedly, and when consolidate that temporary heart pace-making technology and multi-parameter monitoring system combination design frequently, provide fixing pluge or can " movement treasured " two kinds of modes of plug.The combination of these two kinds of modes and multi-parameter monitor, all achieves multi-parameter monitor and is responsible for arranging pacing parameter, the function of display pace-making state and routine care data.By the pulse of non-invasive trans esophageal auricle pacing to the temporary heart pace-making state procedure of patient, start and stop state, pulse drives the reliability of heart atrium/ventricle, adjusting thresholds, the monitoring process of pace cardiagram, under the visual field being all presented on medical worker by the display screen of former monitor, and the state of being guarded according to patient's pace-making by medical worker, former monitor user interface is made the adjustment to pacing parameter parameter, and whether pacing function continues the relevant clinical means such as operation and stopping.
Principal character of the present invention will be described in detail by reference to the accompanying drawings by embodiment.
Accompanying drawing explanation
Fig. 1 is the blue border rectangle of the overall construction drawing of fixing pluge integration product of the present invention, font-weight, represents the claim point that this patent is laid special stress on protecting.
Fig. 2 is the overall construction drawing of " mobile precious " of the present invention product
Fig. 3 is the main surface chart of system of the present invention, and pacing parameter setting area is positioned at upper right comer region (red elliptic).
Fig. 4 is isolated from power and the 50V booster circuit schematic diagram of temporary heart pacing module and monitor.
Fig. 5 is temporary heart pacing module pulse generation theory diagram.
Fig. 6 is monitor ecg-r wave is that trigger impulse and pacemaker impulse provide program flow diagram.
Detailed description of the invention
Below by detailed description of the invention by reference to the accompanying drawings 1 to Fig. 6 be described in further detail.
The invention discloses a kind of non-invasive novel product integrated with multi-parameter monitor through esophagus auricular pacemaking treatment arrhythmia technology.
1) in an embodiment, non-invasive through esophagus atrium, frequently the ARR temporary heart pacing module of pacing therapy is in fixing pluge mode, be incorporated on multi-parameter monitor by communication module admittedly, and Fig. 1 is the overall construction drawing of fixing pluge integration product of the present invention.
2) in an embodiment, non-invasive through esophagus atrium admittedly frequently the ARR temporary heart pacing module of pacing therapy with can " mobile precious " mode of plug, both inserted on multi-parameter monitor by communication module form, also " mobile precious " can be extracted from multi-parameter monitor, form and possess the non-invasive through esophagus auricular pacemaking portable therapeutic device of Presentation Function completely independently, equally.Fig. 2 is the overall construction drawing of the present invention " mobile precious " product.
Due to fixing pluge mode of the present invention and " mobile precious " mode, substantially identical with other aspect of performances at pacing parameter, therefore following content is only introduced in fixing pluge mode.
In one embodiment, multi-parameter monitor provides the pacing parameter controlling pacing module work to arrange interface (see Fig. 3 upper right corner), and the pacing parameter that need arrange is in table 1.The pacing parameter set is issued pacing module by communication module, pacing module is controlled.Multi-parameter monitor display pace-making state (Fig. 3 top left region) and conventional cardiac monitoring data (Fig. 3 lower area).
In one embodiment, multi-parameter monitor provides power supply for pacing module, is isolated the two power supply by high voltage power supply isolation (6000V) transformator, and object prevents the power supply caused because of high pressure because of electric defibrillation etc. from puncturing generation.Power isolation circuit is shown in Fig. 4.Multi-parameter monitor comprises 5V and 12V to the power supply that pacing module provides.Through multi-group powers such as the 50V that high voltage power supply isolating transformer provides VCC, VEE, 3.3V of pacing module and independent booster circuit to produce, for the ECG preamplifier of pacing module, shaping pulse and CPU part use.
In one embodiment, pacing module uses independently CPU, according to the pacing parameter that monitor is assigned, formed pacemaker impulse, carry out shaping pulse and amplification, by pacing electrode by pulse granting to patient, Fig. 5 is shown in by the occurring principle block diagram of pulse.Mode of cardiac pacing comprise solid frequency constant speed, solid hypervelocity frequently, regularly, fixed number and emergency pacing, detailed pacing parameter is in table 1.
In one embodiment, monitor provides body surface ecg R ripple signal, for the trigger source of pacemaker impulse for pacing module.The pacemaker impulse dispensing flow path that to use from the body surface R ripple of monitor be trigger source is shown in Fig. 6.When use monitor R ripple is as trigger source, first detects whether there is R ripple by multi-parameter monitor, if there is R ripple, postpone 300 milliseconds, after namely departing from patient's ventricular refractory period, then provide pulse by the mode of cardiac pacing that doctor is arranged; Otherwise, will not pulse be provided, until 300ms just provides pacemaker impulse after R ripple being detected, to guarantee the safety of clinical treatment.Note, R ripple perceptive function of the present invention is clinical practice selectable items in design, and as patient, that Ventricular Rate occurs is serious slowly or stop fighting, and R ripple perceptive function should not use.
The list of table 1 pacing parameter
Illustrate: emergency pacing, pacing frequency is 70PPM, voltage 30V, provides pulse by solid frequency mode, at monitor operation interface definition shortcut.
Claims (3)
1. the novel product that non-invasive arrhythmia Clinics is integrated with electrocardiogram monitor, comprising:
1) there is the temporary heart pacing module of the non-invasive frequently pacing function admittedly through esophagus atrium.
2) trans esophageal auricle pacing module is as multi-parameter monitor fixing pluge.
3) trans esophageal auricle pacing module is as can " mobile precious " form of plug.
4) can with temporary heart pace-making fixing pluge module with can " mobile precious " of plug communicate, and to the Novel multi-parameter monitor that it controls.
2. novel product as claimed in claim 1, is characterized in that: the new structure of temporary heart pacing module being inserted special multi-parameter monitor with fixing pluge and " mobile precious " form that described instrument has.
3. novel product as claimed in claim 1, is characterized in that: unified co-ordination pattern hardware circuit and software realizing non-invasive trans esophageal auricle pacing and conventional multi-parameter monitor.Comprise:
1) power supply of temporary heart pace-making stuck-module circuit is taken from multi-parameter monitor 12V and 5V and is supplied, and the treatment technology of 6000V isolation both implementing.Temporary heart pace-making can " mobile precious " form of plug, and it is when inserting multi-parameter monitor, and power supply takes from monitor 12V and 5V power supply, and the treatment technology of 6000V high_voltage isolation both implementing; And when extracting multi-parameter monitor and working alone, then provide the energy by 18650 lithium electricity of its inside.
2) temporary heart pacing module, comprise the module with fixing pluge and " mobile precious " form, all have independently CPU and control, its main task is that pacemaker impulse formation occurs, and shaping pulse and pulse amplifying, pulse amplitude intensity, stepping is adjustable.
3) for preventing the RonT risk because pace-making produces, the ecg-r wave that temporary heart pace-making stuck-module gets the setting of former monitor is trigger impulse, controls the Time Of Release of first pulse.It is trigger impulse that the pacing module of " mobile precious " form inserts at it ecg-r wave getting the setting of former monitor when multi-parameter monitor works; And its extract multi-parameter monitor work alone time, then provide the perception of R ripple to carry out trigger impulse by the electrocardiogram acquisition circuit of this inside.
4) pulse of non-invasive trans esophageal auricle pacing is to the temporary heart pace-making state procedure of patient, start and stop state, pulse drives the reliability of heart atrium/ventricle, pacing threshold adjusts, the monitoring process of pace cardiagram, under the visual field being all presented on medical worker by the display screen of former monitor, and the state of being guarded according to patient's pace-making by medical worker, former monitor user interface is made the adjustment to pacing parameter, and whether pacing function continues the relevant clinical means such as operation and stopping.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410064341.5A CN104856667A (en) | 2014-02-25 | 2014-02-25 | Novel non-invasion arrhythmia diagnosis and treatment technology and multi-parameter monitor integrated product |
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| CN201410064341.5A CN104856667A (en) | 2014-02-25 | 2014-02-25 | Novel non-invasion arrhythmia diagnosis and treatment technology and multi-parameter monitor integrated product |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108371752A (en) * | 2018-04-13 | 2018-08-07 | 深圳华腾生物医疗电子有限公司 | A kind of temporary cardiac pacing plug-in unit and cardiac monitoring pacing system |
| CN111419383A (en) * | 2020-03-30 | 2020-07-17 | 四川锦江电子科技有限公司 | Combined pulse generation circuit and method applied to pulsed electric field ablation technology |
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| DE4007169A1 (en) * | 1990-03-07 | 1991-09-12 | Dimitrov Pentcho | Electro-cardiograph with bio-electrical amplifier - has ECG recording part arranged as monitor and separate external tapping for auxiliary use |
| CN2215894Y (en) * | 1994-12-29 | 1995-12-27 | 杨继明 | Notebook type intelligent cardioelectric monitoring ECG machine |
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| CN2897151Y (en) * | 2006-03-10 | 2007-05-09 | 上海莱恩生物医学科技有限公司 | Heart connecting conduct operation station |
| CN103415320A (en) * | 2011-02-01 | 2013-11-27 | 布里格姆女子医院有限公司 | System and method for cardiac resychronization therapy control parameter generation using ventricular activation simulation and surface ECG registration |
| JP2014028052A (en) * | 2012-07-31 | 2014-02-13 | Fukuda Denshi Co Ltd | External pacemaker |
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2014
- 2014-02-25 CN CN201410064341.5A patent/CN104856667A/en active Pending
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5025808A (en) * | 1990-01-31 | 1991-06-25 | Marquette Electronics, Inc. | Cardiac monitoring method and apparatus |
| DE4007169A1 (en) * | 1990-03-07 | 1991-09-12 | Dimitrov Pentcho | Electro-cardiograph with bio-electrical amplifier - has ECG recording part arranged as monitor and separate external tapping for auxiliary use |
| CN2215894Y (en) * | 1994-12-29 | 1995-12-27 | 杨继明 | Notebook type intelligent cardioelectric monitoring ECG machine |
| CN1287867A (en) * | 2000-08-11 | 2001-03-21 | 贵州省人民医院 | Heart physiological pace-maker/program control stimulation instrument having electrocardio mornitoring function |
| CN2897151Y (en) * | 2006-03-10 | 2007-05-09 | 上海莱恩生物医学科技有限公司 | Heart connecting conduct operation station |
| CN103415320A (en) * | 2011-02-01 | 2013-11-27 | 布里格姆女子医院有限公司 | System and method for cardiac resychronization therapy control parameter generation using ventricular activation simulation and surface ECG registration |
| JP2014028052A (en) * | 2012-07-31 | 2014-02-13 | Fukuda Denshi Co Ltd | External pacemaker |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108371752A (en) * | 2018-04-13 | 2018-08-07 | 深圳华腾生物医疗电子有限公司 | A kind of temporary cardiac pacing plug-in unit and cardiac monitoring pacing system |
| CN111419383A (en) * | 2020-03-30 | 2020-07-17 | 四川锦江电子科技有限公司 | Combined pulse generation circuit and method applied to pulsed electric field ablation technology |
| CN111419383B (en) * | 2020-03-30 | 2021-08-10 | 四川锦江电子科技有限公司 | Combined pulse generation circuit and method applied to pulsed electric field ablation technology |
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Application publication date: 20150826 |