CN105640569A - Mistaken aspiration prevention early warning system and implementation method thereof - Google Patents

Mistaken aspiration prevention early warning system and implementation method thereof Download PDF

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Publication number
CN105640569A
CN105640569A CN201610121776.8A CN201610121776A CN105640569A CN 105640569 A CN105640569 A CN 105640569A CN 201610121776 A CN201610121776 A CN 201610121776A CN 105640569 A CN105640569 A CN 105640569A
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Prior art keywords
early warning
app software
warning module
esophagus
receiver
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CN201610121776.8A
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Inventor
张艺军
钟武装
刘坚
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General Hospital of Guangzhou Military Command
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General Hospital of Guangzhou Military Command
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Priority to CN201610121776.8A priority Critical patent/CN105640569A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/14507Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue specially adapted for measuring characteristics of body fluids other than blood
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/1468Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using chemical or electrochemical methods, e.g. by polarographic means
    • A61B5/1473Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using chemical or electrochemical methods, e.g. by polarographic means invasive, e.g. introduced into the body by a catheter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/742Details of notification to user or communication with user or patient ; user input means using visual displays
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/746Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Surgery (AREA)
  • Biophysics (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Optics & Photonics (AREA)
  • Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Physiology (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

The invention discloses a mistaken aspiration prevention early warning system and an implementation method thereof. The system comprises a PH sensor, a receiver, APP software and an early warning module. The output end of the PH sensor is connected with the input end of the receiver through a sensor circuit. The receiver is connected with the APP software. The output end of the APP software is connected with the input end of the early warning module. The PH sensor is installed on a stomach tube at the lower segment of the esophagus or the outer side wall of a detection guide pipe. The receiver is located outside the body of the patient. Both the APP software and the early warning module are installed on a mobile terminal of a medical worker. Micro esophageal acid reflux at the lower segment of the esophagus is accurately sensed in real time through the PH sensor, alarm signals are triggered by the APP software to activate the early warning module when the PH value is smaller than 4, and the system is more convenient and reliable to use; the detection range is greatly simplified, and the cost of instruments and the checking cost are lowered obviously. The mistaken aspiration prevention early warning system can be widely applied to the field of medical electronic equipment.

Description

A kind of anti-error suction early warning system and its implementation
Technical field
The present invention relates to medical treatment electronic equipment field, especially a kind of anti-error suction early warning system and its implementation.
Background technology
GERD is common disease of upper digestive tract, in West Europe and the incidence of disease of North America be 10%~20%. Recently, in Asia, this sick incidence of disease is also the trend of remarkable rising. Wherein, the elderly is gone down because of body physiological function, the albedo of swallowing is gone down, and become the group of people at high risk of esophageal regurgitation. , sicken for consciousness, the patient of central nervous system disease or breathing problem meanwhile, dysphagia also easily occurs, cause the generation of esophageal regurgitation. In addition, for needing Preserving time nasogastric tube to carry out the patient of EA, the chance of its esophageal regurgitation is also to raise significantly.
As everyone knows, the generation that esophageal regurgitation easily causes patient's mistake to be inhaled, causes aspiration pneumonia, and severe patient even can cause patient's death by suffocation. If can early detection or detect patient's anti-stream, generation that just can pre-anti-error suction, avoids producing serious consequence in time.
The method of existing detection esophageal regurgitation mainly comprises superior gastrointestinal endoscopy method, 24h esophageal pH monitoring method, proton pump inhibitor test method(s), esophageal manometry, bile regurgitation determination method, x-ray barium meal method and radio nuclide examination method, the object of these methods is to understand the anti-situation that flows of acid of patient's esophagus, with assisted diagnosis esophageal regurgitation disease. Wherein, 24h esophageal pH monitoring method be goldstandard (be generally acknowledged this disease of diagnosis of current clinical medicine circle the most reliably, the most accurate, the most best diagnostic method), the conduit intranasal of monitoring is entered patient's oesophagus by the method, and electrode is fixed on to the 5cm place above LES, the sensitivity of its diagnosis is 93.3%, and specificity is 90.4%. The method that the people such as domestic super generation adopt wireless pH monitoring system to combine with multichannel intraluminal impedance is carried out pH monitoring, the pH capsule that the method is used is delivered to patient's 6cm place, squama post boundary line top through scope, then by vacuum suction, pH capsule is fixed on the Esophageal Mucosa at this place. The data that above two kinds of methods obtain are more, data analysis complexity, and instrument consumables cost is high, and inspection fee is also high, and detects capsule and easily come off and be also not easy to long-time indwelling in esophagus. Above-mentioned two kinds of methods are all just for understanding patient's the anti-stream situation of esophagus acid, do not set up the pre-alarming system of corresponding pre-anti-error suction, can not allow in real time medical personnel or entourage obtain patient's esophageal regurgitation information, and then take rapidly to stop patient that the emergency measures that mistake is inhaled occurs.
Visible, still lack at present the early warning system that pre-anti-error suction occurs both at home and abroad.
Summary of the invention
For solving the problems of the technologies described above, the object of the invention is to: provide a kind of simple, fast, efficient, low cost and reliable anti-error suction early warning system.
Another object of the present invention is to: provide a kind of simple, fast, the implementation method of efficient, low cost and reliable anti-error suction early warning system.
The technical solution used in the present invention is:
A kind of anti-error suction early warning system, comprising:
PH sensor, for the pH value signal of Real-time Obtaining esophagus;
Receiver, for receiving pH value signal, and carries out communication with APP software and mates;
APP software, for identifying the pH value signal of receiver, and judge according to recognition result whether the pH value of esophagus is less than 4, if, represent that anti-stream occurs esophagus, now trigger alarm signal activates warning module, otherwise, indicate to occur without esophageal regurgitation, now trigger alarm signal does not activate warning module;
Warning module, for carrying out anti-error suction early warning according to alarm signal;
The output of described PH sensor is connected with the input of receiver by sensor line, and described receiver is connected with APP software, and the output of described APP software is connected with the input of warning module;
Described PH installation of sensors is on the stomach tube of esophagus lower section or the lateral wall of detected catheter, and described receiver is positioned at the external of patient, and described APP software and warning module are installed on medical personnel's mobile terminal.
Further, the PH sensor of described esophagus lower section is fixed on stomach tube or the detected catheter lateral wall at 30cm~40cm place, patient's front tooth below.
Further, described warning module comprises red alarm lamp and green normal lamp, and the input of described red alarm lamp is all connected with the output of APP software with the input of green normal lamp.
Further, described receiver adopts single-chip microcomputer.
Further, described mobile terminal is mobile phone, computer or Mobile Server.
Another technical scheme that the present invention takes is:
An implementation method for anti-error suction early warning system, comprises the following steps:
The pH value signal of S1, PH sensor Real-time Obtaining esophagus;
S2, receiver receive pH value signal, and carry out communication with APP software and mate;
The pH value signal of S3, APP software identification receiver, and judge according to recognition result whether the pH value of esophagus is less than 4, if, represent that anti-stream occurs esophagus, now trigger alarm signal activates warning module, otherwise, indicate to occur without esophageal regurgitation, now trigger alarm signal does not activate warning module;
S4, warning module carry out anti-error suction early warning according to alarm signal;
Described PH installation of sensors is on the stomach tube of esophagus lower section or the lateral wall of detected catheter, and described receiver is positioned at the external of patient, and described APP software and warning module are installed on medical personnel's mobile terminal.
Further, the PH sensor of described esophagus lower section is fixed on stomach tube or the detected catheter lateral wall at 30cm~40cm place, patient's front tooth below.
Further, described warning module is red by red alarm lamp instruction in the time of APP software trigger alarm signal, and described warning module is not green by green alarm lamp instruction when trigger alarm signal at APP software.
The beneficial effect of system of the present invention is: comprise PH sensor, receiver, APP software and warning module, by being arranged on anti-stream of acid that PH sensor comes in real time, perception esophagus hypomere is small exactly on the stomach tube of esophagus lower section or the lateral wall of detected catheter, and be less than at pH value the alarm signal that triggers by APP software at 4 o'clock and activate warning module, the medical personnel that make to be equipped with APP software and warning module obtain rapidly patient and occur the information of esophageal regurgitation, and then take in time to stop mistake to inhale the emergency measures occurring, more timely and reliable; And for the equipment of 24hPH monitoring method, whether the present invention only need be less than 4 as Detection of content using pH value, greatly simplify the program and the data analysis process that detect, obviously reduce cost and the check cost of instrument consumptive material.
The beneficial effect of method of the present invention is: by being arranged on anti-stream of acid that PH sensor comes in real time, perception esophagus hypomere is small exactly on stomach tube or the detected catheter lateral wall of esophagus lower section, and be less than at pH value the alarm signal that triggers by APP software at 4 o'clock and activate warning module, the medical personnel that make to be equipped with APP software and warning module obtain rapidly patient and occur the information of esophageal regurgitation, and then take in time to stop mistake to inhale the emergency measures occurring, more timely and reliable; And for 24hPH monitoring method, whether the present invention only need be less than 4 as Detection of content using pH value, greatly simplify the program and the data analysis process that detect, obviously reduce cost and the check cost of instrument consumptive material.
Brief description of the drawings
Fig. 1 is the overall structure figure of a kind of anti-error suction early warning system of the present invention;
Fig. 2 is the top view of a kind of anti-error suction early warning system of the present invention;
Fig. 3 is the overall flow figure of the implementation method of a kind of anti-error suction early warning system of the present invention;
Fig. 4 is the control system structure chart of the anti-error suction early warning system of the embodiment of the present invention one.
Reference numeral: 1, sensor line; 2, stomach tube or detected catheter; 3, PH sensor; 4, receiver; 5, APP software.
Detailed description of the invention
With reference to Fig. 1 and 2, a kind of anti-error suction early warning system, comprising:
PH sensor, for the pH value signal of Real-time Obtaining esophagus;
Receiver, for receiving pH value signal, and carries out communication with APP software and mates;
APP software, for identifying the pH value signal of receiver, and judge according to recognition result whether the pH value of esophagus is less than 4, if, represent that anti-stream occurs esophagus, now trigger alarm signal activates warning module, otherwise, indicate to occur without esophageal regurgitation, now trigger alarm signal does not activate warning module;
Warning module, for carrying out anti-error suction early warning according to alarm signal;
The output of described PH sensor is connected with the input of receiver by sensor line, and described receiver is connected with APP software, and the output of described APP software is connected with the input of warning module;
Described PH installation of sensors is on the stomach tube of esophagus lower section or the lateral wall of detected catheter, and described receiver is positioned at the external of patient, and described APP software and warning module are installed on medical personnel's mobile terminal.
Be further used as preferred embodiment, the PH sensor of described esophagus lower section is fixed on stomach tube or the detected catheter lateral wall at 30cm~40cm place, patient's front tooth below.
Be further used as preferred embodiment, described warning module comprises red alarm lamp and green normal lamp, and the input of described red alarm lamp is all connected with the output of APP software with the input of green normal lamp.
Be further used as preferred embodiment, described receiver adopts single-chip microcomputer.
Be further used as preferred embodiment, described mobile terminal is mobile phone, computer or Mobile Server.
With reference to Fig. 3, a kind of implementation method of anti-error suction early warning system, comprises the following steps:
The pH value signal of S1, PH sensor Real-time Obtaining esophagus;
S2, receiver receive pH value signal, and carry out communication with APP software and mate;
The pH value signal of S3, APP software identification receiver, and judge according to recognition result whether the pH value of esophagus is less than 4, if, represent that anti-stream occurs esophagus, now trigger alarm signal activates warning module, otherwise, indicate to occur without esophageal regurgitation, now trigger alarm signal does not activate warning module;
S4, warning module carry out anti-error suction early warning according to alarm signal;
Described PH installation of sensors is on the stomach tube of esophagus lower section or the lateral wall of detected catheter, and described receiver is positioned at the external of patient, and described APP software and warning module are installed on medical personnel's mobile terminal.
Be further used as preferred embodiment, the PH sensor of described esophagus lower section is fixed on stomach tube or the detected catheter lateral wall at 30cm~40cm place, patient's front tooth below.
Be further used as preferred embodiment, described warning module is red by red alarm lamp instruction in the time of APP software trigger alarm signal, and described warning module is not green by green alarm lamp instruction when trigger alarm signal at APP software.
Below in conjunction with Figure of description and specific embodiment, the present invention is described in further detail.
Embodiment mono-
Lack for prior art early warning system and the method that pre-anti-error suction occurs, cannot allow in real time medical personnel or entourage obtain the early warning information of esophageal regurgitation, and then take rapidly to stop mistake to inhale the emergency measures problem occurring, the present invention proposes early warning system and implementation method that a kind of brand-new anti-error suction occurs. The present invention is by indwelling detected catheter or stomach tube, and the lateral wall that PH sensor adheres to stomach tube or monitoring tube carried out to the pH value situation of perception esophagus hypomere; Once the anti-stream of acid occurs patient, by pH value signal input patient's external receiver, then coordinate APP software and warning module identify, judge and regulate and control.
According to priori, when the anti-stream of acid occurs esophagus, the pH value of esophagus hypomere will be less than 4.
As shown in Fig. 1,2 and 4, the present invention is taking stomach tube or detected catheter as carrier, on the stomach tube apart from the place of 30cm~40cm below front tooth or detected catheter lateral wall, pH value sensor is installed, so that patient's (as postoperative patient indwelling detected catheter or need indwelling gastric tube to solve the patient of nasal feeding nutrition) is carried out to Real-Time Monitoring; Once there is anti-stream in patient's esophagus, pH value sensor can promptly be retained in the receiver (can adopt single-chip microcomputer to realize) outside patient body by the input of pH value signal, and receiver in advance and the APP software of medical personnel's mobile terminal match, therefore on mobile terminal (as computer, mobile phone or nurse's Mobile Server etc.), can receive pH value signal by APP software, and identify, judge and report to the police. When the pH value of input is while being less than 4, warning module can alert notice medical personnel, promptly process, and reach the object that prevention patient mistake is inhaled.
The present invention only need be less than at 4 o'clock at the pH value of PH sensor senses and just activate warning module by APP software trigger alarm signal, then alarm signal is transferred to red alarm indicator lamp, the measure that stops patient's esophageal regurgitation to occur to remind medical personnel to take in time by red light. Medical personnel, entourage have installed relevant APP software and warning module in advance, thus can obtain rapidly early warning information, and the intervention of being correlated with in time, the generation of effectively having avoided patient's mistake to inhale. Therefore,, for there being aphetite disorder to need the patient of Preserving time stomach tube, can take the stomach tube (as shown in Figure 1) after the present invention reequips to carry out nutrition; Also can take after surgery detected catheter of the present invention (as shown in Figure 1) to carry out monitoring and warning patient until its postoperative conscious for the patient of average of operation periods, thereby avoid and the generation of complication such as inhaling relevant Postoperative pneumonia by mistake or suffocate.
Compared with prior art, the present invention has the following advantages:
1, on the stomach tube of esophagus lower section or the lateral wall of detected catheter, PH sensor is installed, the generation of the anti-stream of acid in perception esophagus accurately and real-time.
2, only need whether be less than 4 as Detection of content using pH value, compared with 24hPH monitoring method, simplify trace routine, not need record analysis patient that the duration of anti-stream occurs, obviously reduce instrument consumables cost and check cost;
3, be less than at 4 o'clock at pH value and activate warning module by APP software trigger alarm signal, the medical personnel that make to be equipped with APP software and warning module obtain the early warning information of esophageal regurgitation in time, and then take in time to stop mistake to inhale the emergency measures occurring, more timely and reliable.
More than that better enforcement of the present invention is illustrated, but the invention is not limited to described embodiment, those of ordinary skill in the art also can make all equivalent variations or replacement under the prerequisite without prejudice to spirit of the present invention, and the distortion that these are equal to or replacement are all included in the application's claim limited range.

Claims (8)

1. an anti-error suction early warning system, is characterized in that: comprising:
PH sensor, for the pH value signal of Real-time Obtaining esophagus;
Receiver, for receiving pH value signal, and carries out communication with APP software and mates;
APP software, for identifying the pH value signal of receiver, and judge according to recognition result whether the pH value of esophagus is less than 4, if, represent that anti-stream occurs esophagus, now trigger alarm signal activates warning module, otherwise, indicate to occur without esophageal regurgitation, now trigger alarm signal does not activate warning module;
Warning module, for carrying out anti-error suction early warning according to alarm signal;
The output of described PH sensor is connected with the input of receiver by sensor line, and described receiver is connected with APP software, and the output of described APP software is connected with the input of warning module;
Described PH installation of sensors is on the stomach tube of esophagus lower section or the lateral wall of detected catheter, and described receiver is positioned at the external of patient, and described APP software and warning module are installed on medical personnel's mobile terminal.
2. the anti-error suction early warning system of one according to claim 1, is characterized in that: the PH sensor of described esophagus lower section is fixed on stomach tube or the detected catheter lateral wall at 30cm~40cm place, patient's front tooth below.
3. the anti-error suction early warning system of one according to claim 1, is characterized in that: described warning module comprises red alarm lamp and green normal lamp, and the input of described red alarm lamp is all connected with the output of APP software with the input of green normal lamp.
4. according to the anti-error suction early warning system of one described in claim 1,2 or 3, it is characterized in that: described receiver adopts single-chip microcomputer.
5. according to the anti-error suction early warning system of one described in claim 1,2 or 3, it is characterized in that: described mobile terminal is mobile phone, computer or Mobile Server.
6. an implementation method for anti-error suction early warning system, is characterized in that: comprise the following steps:
The pH value signal of S1, PH sensor Real-time Obtaining esophagus;
S2, receiver receive pH value signal, and carry out communication with APP software and mate;
The pH value signal of S3, APP software identification receiver, and judge according to recognition result whether the pH value of esophagus is less than 4, if, represent that anti-stream occurs esophagus, now trigger alarm signal activates warning module, otherwise, indicate to occur without esophageal regurgitation, now trigger alarm signal does not activate warning module;
S4, warning module carry out anti-error suction early warning according to alarm signal;
Described PH installation of sensors is on the stomach tube of esophagus lower section or the lateral wall of detected catheter, and described receiver is positioned at the external of patient, and described APP software and warning module are installed on medical personnel's mobile terminal.
7. the implementation method of a kind of anti-error suction early warning system according to claim 6, is characterized in that: the PH sensor of described esophagus lower section is fixed on stomach tube or the detected catheter lateral wall at 30cm~40cm place, patient's front tooth below.
8. the implementation method of a kind of anti-error suction early warning system according to claim 6, it is characterized in that: described warning module is red by red alarm lamp instruction in the time of APP software trigger alarm signal, described warning module is not green by green alarm lamp instruction when trigger alarm signal at APP software.
CN201610121776.8A 2016-03-03 2016-03-03 Mistaken aspiration prevention early warning system and implementation method thereof Pending CN105640569A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107970517A (en) * 2017-12-06 2018-05-01 北京大学第医院 A kind of anti-error absorbing method and stomach tube

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Publication number Priority date Publication date Assignee Title
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CN104970757A (en) * 2014-04-03 2015-10-14 宁波贝思转化医学研究中心有限公司 Implantable wireless gastroenteric function detection system and usage method thereof
CN105025979A (en) * 2012-12-24 2015-11-04 电子运动医疗有限公司 Gi tract stimulation devices and methods
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Publication number Priority date Publication date Assignee Title
CN102958493A (en) * 2010-01-28 2013-03-06 Art保健有限公司 Method and device of detecting and/or blocking reflux
CN105025979A (en) * 2012-12-24 2015-11-04 电子运动医疗有限公司 Gi tract stimulation devices and methods
US20150245788A1 (en) * 2013-07-22 2015-09-03 Quvium Uk Ltd Cough detection, analysis, and communication platform
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107970517A (en) * 2017-12-06 2018-05-01 北京大学第医院 A kind of anti-error absorbing method and stomach tube

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Application publication date: 20160608