CN106821456A - A kind of shock wave treatment instrument and the VAS evaluation modules for the shock wave treatment instrument - Google Patents

A kind of shock wave treatment instrument and the VAS evaluation modules for the shock wave treatment instrument Download PDF

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Publication number
CN106821456A
CN106821456A CN201710055392.5A CN201710055392A CN106821456A CN 106821456 A CN106821456 A CN 106821456A CN 201710055392 A CN201710055392 A CN 201710055392A CN 106821456 A CN106821456 A CN 106821456A
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CN
China
Prior art keywords
vas
treatment
shock wave
pain
scorings
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201710055392.5A
Other languages
Chinese (zh)
Inventor
李星涛
李赛
万永钢
沈智群
李文勇
陆金花
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
SUZHOU HAOBRO MEDICAL DEVICE CO Ltd
Original Assignee
SUZHOU HAOBRO MEDICAL DEVICE CO Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by SUZHOU HAOBRO MEDICAL DEVICE CO Ltd filed Critical SUZHOU HAOBRO MEDICAL DEVICE CO Ltd
Priority to CN201710055392.5A priority Critical patent/CN106821456A/en
Publication of CN106821456A publication Critical patent/CN106821456A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4824Touch or pain perception evaluation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H23/00Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
    • A61H23/008Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms using shock waves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H23/00Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
    • A61H23/02Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B2017/22005Effects, e.g. on tissue
    • A61B2017/22007Cavitation or pseudocavitation, i.e. creation of gas bubbles generating a secondary shock wave when collapsing

Abstract

The invention discloses a kind of shock wave treatment instrument, it includes main frame and joystick, wherein, joystick includes that bullet body and treatment are popped one's head in;Main frame includes pressure apparatus.VAS evaluation modules the invention further relates to be applied to the shock wave treatment instrument, pain Assessment and assessment result before it includes treating and after treatment, wherein, the pain Assessment includes VAS scorings and facial expression measures figure, and the VAS scorings include dynamic VAS scorings, static state VAS scorings, sleep VAS scorings.Shock wave treatment instrument of the invention can loosen adhesion between tissue, the activity, the pain of alleviation that improve microcirculation and metabolism, improve cell, the clinical efficacy that VAS evaluation modules of the invention realize treatment method is accurately assessed, and is easy to be visually known the effect of shock wave treatment.

Description

A kind of shock wave treatment instrument and the VAS evaluation modules for the shock wave treatment instrument
Technical field
The present invention relates to a kind of shock wave treatment instrument, it can be used for human body regulation and disease treatment, the invention further relates to Suitable for the VAS evaluation modules of the shock wave treatment instrument.
Background technology
Shock wave treatment instrument refers to the bullet body in the energy drive control handle produced using compressed air, makes bullet body Pulsed impact treatment head, the pressure wave produced using the elastic collision of the two, percutaneous conduction is treated in painful area Equipment.Shock wave can produce following effect in human body:Cavitation effect, stress effect, analgesic effect, metabolic activation effect. Using the physiological effect of shock wave, shock wave treatment instrument is applied to scapulohumeral periarthritis, humerus epicondylitis, the auxiliary treatment of Achilles tendinitis.
Shock wave treatment instrument in the market, is not equipped with the pain Assessment management system of standardization, so can not be straight See the pain intensity and therapeutic effect of analysis shock wave treatment Patients Before And After exactly.Although can be judged by doctor, This depends critically upon the personal experience of doctor, it is difficult to realizes evaluation rapidly and efficiently, and is not avoided that in some cases, for example Doctor individual work long hours fatigue when erroneous judgement.
Although there is expert to think that in the method for various measurement pain visual analogue scales (VAS) is most sensitive reliability Method, but still do not tried out, be positively applied on shock wave treatment instrument.
The content of the invention
In view of the shortcomings of the prior art, it is an object of the invention to provide a kind of shock wave treatment instrument and suitable for the impact The VAS evaluation modules of wave therapeutic instrument, are achieved in so that visual analogue scales (VAS) is safe and reliable, simple operation ground evaluation disease The pain degree and treatment results of people.
To achieve these goals, the present invention uses following technical scheme:
The shock wave treatment instrument of a specific embodiment of the invention, it includes main frame and is connected with the main frame Joystick, wherein, the joystick includes that bullet body and treatment are popped one's head in, and the bullet body is located at the joystick In cavity, the treatment probe is used for and treated location contacts positioned at the end of the joystick;The main frame includes pressure Power apparatus, the energy that the pressure apparatus is produced drives the bullet body to clash into the treatment probe and thus acts in being controlled The shock wave at position is treated, wherein the pressure apparatus is air compressor;The main frame also includes passing through electric wire and the control The output channel of handle connection.
Shock wave treatment instrument according to an embodiment of the invention, wherein, the main frame also includes display and control panel and control Molding block, can set number of shocks, impact strength, staircase frequency and frequency of impact in the main interface of the display and control panel; The control module is configured to control the number of shocks of the pressure apparatus, impact strength, the bullet body to be visited with the treatment The selection of the frequency of impact and staircase frequency and the output channel of head.
Shock wave treatment instrument according to an embodiment of the invention, wherein, the main frame also includes prescription/evaluation module And patient database system, the prescription/evaluation module and patient database system can be according to the treatments of patient in institute State to patient feedback's therapeutic effect and health and fitness information on display and control panel, the main frame is fixed on bearing, the bottom of the bearing Universal wheel is installed, the material of the treatment probe is the titanium alloy of medical grade 316.
An a kind of specific embodiment of the invention, there is provided VAS evaluation modules of shock wave treatment instrument, it is fitted For any shock wave treatment instrument as described above, it can export the pain Assessment and assessment result before treating and after treatment, institute Stating pain Assessment includes VAS scorings and facial expression measurement figure, VAS scoring includes that dynamic VAS scores, static state VAS scores, Sleep VAS scorings.
VAS evaluation modules according to an embodiment of the invention, wherein, shown VAS scorings are at 0 point -10/ It is divided into 20 intervals at equal intervals, step-length is 0.5 point, and 0 point of expression is painless, and 10 points of expressions most have an intense pain.
VAS evaluation modules according to an embodiment of the invention, wherein, shown facial expression measurement figure is 6 representatives The facial expression order of different degrees of pain is arranged, and " 0 " represents painless, and " 1 " represents a small amount of pain, and " 2 " represent mild pain, " 3 " represent moderate pain, and " 4 " represent severe pain, and " 5 " represent extreme pain.
VAS evaluation modules according to an embodiment of the invention, wherein, the pain before complete treatment has been carried out once After assessment and treatment after pain Assessment, VAS evaluation modules can automatic spring assessment result.
VAS evaluation modules according to an embodiment of the invention, wherein, VAS is commented before the assessment result includes treatment VAS scorings after dividing and treating, and VAS weighted values.
VAS evaluation modules according to an embodiment of the invention, wherein, VAS weighted values=(A-B)/A × 100%, its Middle A is VAS scorings before treatment, and B is VAS scorings after treatment;VAS weighted value >=75%, represents clinical cure;VAS weighted values >= 50%~75%, represent that treatment is effective;VAS weighted value >=25%~50%, represents that treatment is effective;VAS weighted value≤25%, table Show and fail to respond to any medical treatment.
Cavitation effect, stress effect, analgesic effect, metabolic activation effect that shock wave treatment instrument of the invention passes through shock wave Should, adhesion, improvement microcirculation and metabolism between the tissue that can loosen, activity, the pain of alleviation of raising cell, it is adaptable to shoulder Inflammation, humerus epicondylitis, the auxiliary treatment of Achilles tendinitis.Also, VAS evaluation modules of the invention are by the pain before treatment and after treatment Pain assessment result is contrasted, and the clinical efficacy for realizing treatment method is accurately assessed, and is easy to be visually known the effect of shock wave treatment Really, the confidence of enhancing patient shock wave treatment.
Brief description of the drawings
Fig. 1 is the structural representation of shock wave treatment instrument of the invention;
Fig. 2 is the structural representation of the joystick of shock wave treatment instrument of the invention;
Fig. 3 is the main display interface schematic diagram of the VAS evaluation modules of shock wave treatment instrument of the invention;
Fig. 4 is that the VAS evaluation module assessment results display interface of shock wave treatment instrument of the invention is illustrated;
Fig. 5 a are the structural representations of the treatment probe of the joystick of shock wave treatment instrument of the invention;
Fig. 5 b are another structural representations of the treatment probe of the joystick of shock wave treatment instrument of the invention;
Fig. 5 c are another structural representations of the treatment probe of the joystick of shock wave treatment instrument of the invention;
Fig. 5 d are another structural representations of the treatment probe of the joystick of shock wave treatment instrument of the invention;
Fig. 6 is the VAS evaluation module structural representations for shock wave treatment instrument of the invention.
Description of reference numerals:
1 main frame, 2 display and control panels, 3 joysticks, 4 output channels, 5 treatment probes, 6 cavities, 7 air inlets, 8 bearings, 90,000 To wheel.
Specific embodiment
In order to make the purpose , technical scheme and advantage of the present invention be clearer, it is right with reference to embodiment and accompanying drawing The present invention is further elaborated.It should be appreciated that specific embodiment described herein is only used to explain the present invention, not For limiting the present invention.
As shown in Figure 1-2, shock wave treatment instrument of the invention includes main frame 1 and the joystick 3 being connected with main frame 1.Control Handle processed 3 includes bullet body (not shown) and treatment probe 5, and joystick 3 is used to control the reciprocation cycle of bullet body to move product Raw impulsive force, bullet body is located in the cavity 6 of joystick 3, treatment probe 5 be located at the end of joystick 3 and with it is treated Location contacts.The built in air compressor of main frame 1, the compressed gas that air compressor is produced enter joystick 3 by air inlet 7 It is interior, and then using the bullet body in the energy drive control handle 3 of compressed gas generation so that bullet body is with pulsed impact side Formula clashes into treatment probe 5, after bullet body occurs elastic collision with treatment probe 5, pulsed sound is converted into accurate ballistic Shock wave is in the painful area of treated position such as patient.
In a preferred embodiment, treatment probe 5 is configurable to different models, such as a diameter of 9mm in Fig. 5 a Treatment probe, its energy density be 1.83mJ/mm2;The treatment of a diameter of 15mm in Fig. 5 b is popped one's head in, and its energy density is 0.63mJ/mm2;The treatment probe of a diameter of 25mm in Fig. 5 c, its energy density is 0.23mJ/mm2;It is a diameter of in Fig. 5 d The treatment probe of 39mm, its energy density is 0.093mJ/mm2.The ceiling capacity for the treatment of probe 5 is about 116mJ, treatment probe 5 Using the titanium alloy material of medical grade 316, lifetime is pointed out when the use number of shocks for the treatment of probe 5 and bullet body is up to 1,000,000 times.
In a preferred embodiment, main frame 1 is fixed on bearing 8, and the bottom of bearing 8 is provided with universal wheel 9.
Main frame 1 also includes the output channel 4 being connected with joystick 3 by electric wire.Main frame 1 also includes control module, control Molding block is configured to the frequency of impact of the impact strength of control pressure device, number of shocks, bullet body and treatment probe 5 and defeated Go out the selection of passage 4, by mechanical pressure valve, the dual overvoltage protection of pressure detecting software control pressure, single therapy counts model Enclose for 0-9999 times.
As shown in Figures 3 and 4, the VAS evaluation modules of shock wave treatment instrument of the invention, can export before treating and after treatment Pain Assessment and final assessment result.Pain Assessment is made up of VAS scorings and facial expression measurement figure, wherein, VAS scorings Including dynamic VAS scorings, static state VAS scorings, sleep VAS scorings.VAS scorings are to be divided into 20 at 0 point -10/at equal intervals Interval, step-length is 0.5 point, and 0 point of expression is painless, and 10 points of expressions most have an intense pain;Facial expression measurement figure is 6 and represents different journeys The facial expression order for spending pain is arranged, and " 0 " represents painless, and " 1 " represents a small amount of pain, and " 2 " represent mild pain, and " 3 " represent Moderate pain, " 4 " represent severe pain, and " 5 " represent extreme pain.
As shown in fig. 6, VAS evaluation modules of the invention obtain VAS according to VAS scorings after VAS scorings before treatment and treatment Weighted value, and further collect every result and obtain assessment result.VAS weighted values=(A-B)/A × 100% are (before A=treatments VAS scorings after VAS scorings, B=treatments);VAS weighted value >=75%, represents clinical cure;VAS weighted value >=50%~75%, Represent that treatment is effective;VAS weighted value >=25%~50%, represents that treatment is effective;VAS weighted value≤25%, expression is failed to respond to any medical treatment.
According to one embodiment of present invention, pain is commented after pain Assessment before having carried out once complete treatment and treatment After estimating, VAS evaluation modules can automatic spring assessment result.
Embodiment described above only expresses embodiments of the present invention, and its description is more specific and detailed, but can not Therefore it is interpreted as the limitation to the scope of the claims of the present invention.It should be pointed out that for the person of ordinary skill of the art, Without departing from the inventive concept of the premise, various modifications and improvements can be made, these belong to protection model of the invention Enclose.

Claims (9)

1. a kind of shock wave treatment instrument, it is characterised in that the joystick being connected including main frame and with the main frame, wherein,
The joystick includes that bullet body and treatment are popped one's head in, and the bullet body is located in the cavity of the joystick, described Treatment probe is used for and treated location contacts positioned at the end of the joystick;
The main frame includes pressure apparatus, and the energy that the pressure apparatus is produced drives the bullet body to clash into the treatment probe Thus act in the shock wave at treated position, wherein the pressure apparatus is air compressor,
The main frame also includes the output channel being connected with the joystick by electric wire.
2. shock wave treatment instrument according to claim 1, it is characterised in that
The main frame also includes display and control panel and control module,
Number of shocks, impact strength, staircase frequency and frequency of impact can be set in the main interface of the display and control panel,
The control module is configured to control the number of shocks of the pressure apparatus, impact strength, the bullet body to be controlled with described Treat the selection of the frequency of impact and staircase frequency and the output channel of probe.
3. shock wave treatment instrument according to claim 1 and 2, it is characterised in that the main frame also includes prescription/assessment mould Block and patient database system, the prescription/evaluation module and patient database system can exist according to the treatment of patient To patient feedback's therapeutic effect and health and fitness information on the display and control panel, the main frame is fixed on bearing, the bottom of the bearing Portion is provided with universal wheel, and the material of the treatment probe is the titanium alloy of medical grade 316.
4. a kind of VAS evaluation modules of shock wave treatment instrument, it is characterised in that suitable for any one according to claims 1 to 3 Described shock wave treatment instrument, it can export the pain Assessment and assessment result before treating and after treatment,
The pain Assessment includes that VAS scorings and facial expression measure figure,
The VAS scorings include dynamic VAS scorings, static state VAS scorings, sleep VAS scorings.
5. VAS evaluation modules according to claim 4, it is characterised in that shown VAS scorings are at 0 point -10/point Interval at equal intervals into 20, step-length is 0.5 point, and 0 point of expression is painless, and 10 points of expressions most have an intense pain.
6. VAS evaluation modules according to claim 4, it is characterised in that shown facial expression measurement figure be 6 representatives not Arranged with the facial expression order of degree pain, " 0 " represents painless, " 1 " represents a small amount of pain, " 2 " represent mild pain, " 3 " Moderate pain is represented, " 4 " represent severe pain, and " 5 " represent extreme pain.
7. VAS evaluation modules according to claim 4, it is characterised in that the pain before complete treatment has been carried out once After assessment and treatment after pain Assessment, VAS evaluation modules can automatic spring assessment result.
8. VAS evaluation modules according to claim 4, it is characterised in that the assessment result includes VAS scorings before treatment With the VAS scorings after treatment, and VAS weighted values.
9. VAS evaluation modules according to claim 4, it is characterised in that VAS weighted values=(A-B)/A × 100%, its Middle A is VAS scorings before treatment, and B is VAS scorings after treatment,
VAS weighted value >=75%, represents clinical cure;VAS weighted value >=50%~75%, represents that treatment is effective;VAS weighted values >=25%~50%, represent that treatment is effective;VAS weighted value≤25%, expression is failed to respond to any medical treatment.
CN201710055392.5A 2017-01-25 2017-01-25 A kind of shock wave treatment instrument and the VAS evaluation modules for the shock wave treatment instrument Pending CN106821456A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
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CN109730915A (en) * 2019-01-10 2019-05-10 河南翔宇医疗设备股份有限公司 Output control method, device, equipment and the storage medium of external knock wave

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CN105963554A (en) * 2016-05-31 2016-09-28 徐西玲 Preparation method of anorectal postoperative filling medicine
CN106823163A (en) * 2017-01-25 2017-06-13 苏州好博医疗器械有限公司 A kind of frequency of impact adjusting method of shock wave treatment instrument and the shock wave treatment instrument
CN106861060A (en) * 2017-01-25 2017-06-20 苏州好博医疗器械有限公司 A kind of impact strength adjusting method of shock wave treatment instrument and the shock wave treatment instrument

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CN103488880A (en) * 2013-09-09 2014-01-01 上海交通大学 Remote medical rehabilitation system in smart city
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CN109730915A (en) * 2019-01-10 2019-05-10 河南翔宇医疗设备股份有限公司 Output control method, device, equipment and the storage medium of external knock wave
CN109730915B (en) * 2019-01-10 2022-01-28 河南翔宇医疗设备股份有限公司 Method, device and equipment for controlling output of external shock wave and storage medium

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Application publication date: 20170613