CN108378862A - A kind of monitor for muscle relaxation with oxygen saturation monitor function - Google Patents

A kind of monitor for muscle relaxation with oxygen saturation monitor function Download PDF

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Publication number
CN108378862A
CN108378862A CN201810271759.1A CN201810271759A CN108378862A CN 108378862 A CN108378862 A CN 108378862A CN 201810271759 A CN201810271759 A CN 201810271759A CN 108378862 A CN108378862 A CN 108378862A
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CN
China
Prior art keywords
module
oxygen saturation
monitor
circuit
monitoring
Prior art date
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Pending
Application number
CN201810271759.1A
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Chinese (zh)
Inventor
谢小波
徐圣普
崔红岩
冯莉
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Institute of Biomedical Engineering of CAMS and PUMC
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Institute of Biomedical Engineering of CAMS and PUMC
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Application filed by Institute of Biomedical Engineering of CAMS and PUMC filed Critical Institute of Biomedical Engineering of CAMS and PUMC
Priority to CN201810271759.1A priority Critical patent/CN108378862A/en
Publication of CN108378862A publication Critical patent/CN108378862A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/22Ergometry; Measuring muscular strength or the force of a muscular blow
    • 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
    • A61B5/1455Measuring 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 optical sensors, e.g. spectral photometrical oximeters
    • A61B5/14551Measuring 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 optical sensors, e.g. spectral photometrical oximeters for measuring blood gases
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7225Details of analog processing, e.g. isolation amplifier, gain or sensitivity adjustment, filtering, baseline or drift compensation

Abstract

The present invention relates to a kind of monitor for muscle relaxation with oxygen saturation monitor function, it pops one's head in including power module, oxygen saturation monitor module, neuromuscular monitoring module, memory module, display module, central control unit and external sensor, central control unit is connected with oxygen saturation monitor module, neuromuscular monitoring module, memory module, external sensor probe, and the signal that oxygen saturation monitor module, neuromuscular monitoring module are popped one's head according to external sensor monitors blood oxygen saturation index and flesh pine index simultaneously.It is equipped with oxygen saturation monitor module, neuromuscular monitoring module in of the invention and is popped one's head in by external sensor while monitoring blood oxygen saturation index and flesh pine index, These parameters are observed convenient for doctor, and procedure is adjusted according to the state of patient in time, urgent measure can be promptly taken in the case of anoxic especially in art, ensures the safety of patient and postoperative recovery;The number of sensors that patient wears by monitoring needs can be reduced, while reducing patient monitor and using the interference generated to patient.

Description

A kind of monitor for muscle relaxation with oxygen saturation monitor function
Technical field
The invention belongs to biomedicine signals monitoring technical field, especially a kind of flesh pine prison with oxygen saturation monitor function Survey instrument.
Background technology
In modern medicine, muscle relaxant is widely used to Breathing Suppotion and the Respiratory Therapy of clinical anesthesia and urgent patient In treatment, in the monitoring process of surgery anesthesia and patient ICU, the change of continuous real-time monitoring degree of flaccid muscles is needed, to obtain The growth and decline process for reacting myorelaxant effects, with the research of the application of accurate instruction muscle relaxant and progress muscle relaxant pharmacodynamics.By In the affected persons of muscle relaxant are widely different and drug combination influences each other, the experience only according to doctor is difficult to accomplish to flesh pine State carries out objective and accurate assessment, and it is even more impossible to realize the continuous flesh pine status monitoring of dynamic.It is monitored and is applied by flesh loose measure method The retarding degree and recovery of body Neuromuscular Transmission Function after muscle relaxant, it is postoperative due to Muscle relaxation remains for reducing The incidence of caused various severe complications, the safety for improving muscle relaxant clinical application and reasonability are very necessary.
Detecting sphygmus and blood oxygen saturation is the important physiological parameter for needing to monitor in clinical monitoring.Have during surgery very a high proportion of Anesthesia mistake, and anaesthetizing causes pulse to stop to feed back to by the real time monitoring to the human body oxygen content of blood with cardiac arrest Doctor.Show that the real time monitoring that operation patients are carried out with blood oxygen saturation can reduce by 40% or more fiber crops by clinical experience Liquor-saturated error.Patients after surgery causes cycle, respiratory insufficiency due to various reasons, and continuous blood oxygen saturation monitoring can be timely It was found that change of illness state, opponent's postoperative care has directive function.Meanwhile early stage hypoxemia is found in time, it is provided for clinical rescue Foundation.
Existing monitoring flesh pine instrument, has the characteristics that small, easy to use, but monitoring index is single;And clinical hand It is the parameter of most close relation that art, which needs multi-parameter monitoring, especially blood oxygen,;The existing multifunctional monitoring equipment of Clinical practice It is to be placed in parts of body by multiple sensors while monitoring, patient's human body connects multiple sensors in art, and wiring is multiple It is miscellaneous, inconvenient.Moreover, the power supply that excessive monitor uses generates interference, interference is generated to surgical environments, influences to perform the operation Process.
Invention content
It is an object of the invention to overcome the deficiencies in the prior art, propose a kind of neuromuscular monitoring with oxygen saturation monitor function Instrument can monitor flesh pine index and blood oxygen saturation index simultaneously in an instrument, can in time be adjusted according to the state of patient Procedure can promptly take urgent measure especially in art in the case of anoxic, and reduce patient monitor use to patient The interference of generation.
The present invention solves its technical problem and following technical scheme is taken to realize:
A kind of monitor for muscle relaxation with oxygen saturation monitor function, including power module, oxygen saturation monitor module, neuromuscular monitoring mould Block, memory module, display module, central control unit and external sensor probe, the power module and oxygen saturation monitor module, Neuromuscular monitoring module, memory module, display module, central control unit, which are connected, is connected in entire monitor power supply, the center control Unit processed is connected with oxygen saturation monitor module, neuromuscular monitoring module, memory module, external sensor probe realizes that core controls work( Can, signal that oxygen saturation monitor module, neuromuscular monitoring module pop one's head ins according to external sensor and meanwhile monitor blood oxygen saturation index and Flesh pine index, the display module is connected with oxygen saturation monitor module, neuromuscular monitoring module respectively realizes the display of monitoring data Function.
Further, the memory module is also connected with data uploading module and realizes data upload function, the data uploading module Including ethernet interface circuit or wireless network interface circuit.
Further, the memory module is also connected with print module and realizes data-printing function.
Further, the power module includes input module, rectification and filter module, transformer module and control module, The input module connects external communication electricity, and the input module, rectification and filter module, transformer module link together, and control Module is connected with input module and transformer module, and transformer module carries out transformation, transformer under the control of control module Module output voltage is powered for modules.
Further, the oxygen saturation monitor module includes luminous controling unit, contribution ratios computing unit, pulse oximeter Calculate unit and storage display control unit, the luminous controling unit, contribution ratios computing unit respectively with sensor probe phase Connection, the contribution ratios computing unit, blood oxygen saturation calculate unit and are connected, and blood oxygen saturation calculates unit result of calculation By storing display control unit storage to memory module.
Further, the neuromuscular monitoring module includes that the voltage-controlled oscillating circuit of closed loop, transformer booster circuit, pwm pulse are defeated Go out control circuit, analog filtering and amplification computing circuit, A/D converter circuit and numerical value counting circuit, the voltage-controlled concussion electricity of closed loop Road, transformer booster circuit, pwm pulse output control circuit are connected in turn, the pwm pulse output control circuit, Analog filtering is connected with external sensor respectively with amplification computing circuit, and the analog filtering turns with amplification computing circuit, AD It changes circuit and numerical value counting circuit is sequentially connected and connects, the numerical computations circuit is connected with memory module.
The advantages and positive effects of the present invention are:
1, it is equipped with oxygen saturation monitor module, neuromuscular monitoring module in the present invention and is popped one's head in by external sensor while monitoring blood Oxygen saturation index and flesh pine index observe These parameters convenient for doctor, and adjust procedure in time according to the state of patient, Urgent measure can be promptly taken in the case of anoxic especially in art, ensures the safety of patient and postoperative recovery;It can be with The number of sensors that patient wears by monitoring needs is reduced, while reducing patient monitor and using the interference generated to patient.
2, the present invention can store the blood oxygen monitored and flesh pine horizontal data, for analyzing and counting greatly According to modeling, auxiliary is formulated muscle relaxants in similar patient's art and given to be estimated with therapeutic scheme.
3, the present invention have data upload function, can by patient's art blood oxygen and flesh pine horizontal data share, Convenient for the analysis and backtracking to Patient Global's sign, meanwhile, the storage of a large amount of patient datas can be modeled for analysis, medicine, and Instruct the solution formulation of similar patient and operation.
Description of the drawings
Fig. 1 is the schematic block circuit diagram of the present invention;
Fig. 2 is the functional block diagram of the power module of the present invention;
Fig. 3 is the functional block diagram of the oxygen saturation monitor module of the present invention;
Fig. 4 is the functional block diagram of the neuromuscular monitoring module of the present invention.
Specific implementation mode
The present invention is further described below in conjunction with attached drawing.
A kind of monitor for muscle relaxation with oxygen saturation monitor function, as shown in Figure 1, including power module A, oxygen saturation monitor module B, neuromuscular monitoring module C, memory module D, printing display module E, data uploading module F, central control unit G and external sense Device probe S.The power module A and oxygen saturation monitor module B, neuromuscular monitoring module C, memory module D, printing display module E, number It is connected according to uploading module F, central control unit G and is connected in entire monitor power supply, central control unit G and oxygen saturation monitor module B, Neuromuscular monitoring module C, memory module D, external sensor probe S are connected and realize core monitoring function;The memory module D with Printing display module E, data uploading module F are connected.The external sensor probe is carried with blood oxygen signal and flesh pine signal The dual function taken.Monitoring signals from sensor probe S are separately input to oxygen saturation monitor module B by central control unit G With neuromuscular monitoring module C, signal amplification, processing, calculating are carried out respectively, oxygen saturation monitor value and neuromuscular monitoring value is obtained and send simultaneously Enter data memory module D, can also further be respectively fed to printing display module E and data uploading module F and realize display printing With data upload function.
As shown in Fig. 2, power module A includes input module A1, rectification and filter module A2, transformer module A3 and control Modules A 4, the input module A1 connect external communication electricity, and external communication signal is carried out rectification in rectification and filter module A2 And filtering, and the signal after rectifying and wave-filtering is sent to transformer module A3;Transformer module A3 receives the voltage after rectifying and wave-filtering, Transformation is completed under the control of control module A4, and output voltage is powered for modules.In embodiment, external power supply uses 220V powers, and power module completes the conversion that direct voltage output is input to by 220V exchanges, is exported through voltage transformation module defeated Go out 12v and 5v DC power supplies, powers for entire instrument.
As shown in figure 3, oxygen saturation monitor module B includes luminous controling unit B1, contribution ratios computing unit B2, blood oxygen saturation Spend computing unit B3 and storage display control unit B4.Luminous controling unit B1, contribution ratios computing unit B2 respectively with sensing Device probe S is connected, and contribution ratios computing unit B2, blood oxygen saturation calculate unit B 3 and be connected, and blood oxygen saturation calculates single First B3 result of calculations are by storing display control unit B4 storages to memory module D.The effect of luminous controling unit B1 is to supervise Two light emitting diodes in external sensor S for oxygen saturation monitor are controlled when measurement alternately to shine.Contribution ratios computing unit The effect of B2 is in the optical signal for receiving the external tissue absorption reflection for being received according to the sensor received The electric signal converted calculates contribution ratios of the human body to feux rouges and infrared light;Blood oxygen saturation calculates unit B 3 in the future The calculated value of self-absorption computation unit B2, it is converted that oximetry value is calculated, and oximetry value is stored in Memory module D.
In the present embodiment, oxygen saturation monitor module is the module made according to double light wave method principles, and sensor probe is to set In external photodiode, the optical signal received can be converted to faint current signal, received by oxygen saturation monitor module Current signal after primary current turns voltage amplifier circuit and secondary voltage amplifying circuit, voltage signal can be amplified to obtain with thoroughly Penetrate the directly proportional voltage signal of light intensity.
As shown in figure 4, neuromuscular monitoring module C includes the voltage-controlled oscillating circuit C1 of closed loop, transformer booster circuit C2, PWM arteries and veins Rush output control circuit C3, analog filtering and amplification computing circuit C4, A/D converter circuit C5 and numerical value counting circuit C6, closed loop pressure Control oscillating circuit C1, transformer booster circuit C2, pwm pulse output control circuit C3 are connected in turn, pwm pulse output Control circuit C3, analog filtering are connected with external sensor S respectively with amplification computing circuit C4, analog filtering and amplification operation Circuit C4, A/D converter circuit C5 and numerical value counting circuit C6 are sequentially connected and connect, and numerical computations circuit C6 is connected with memory module D It connects.Its course of work is:Under central control unit control, the voltage-controlled oscillating circuit C1 of closed loop, transformer booster circuit C2 and PWM Pulse output control circuit C3 works, and central control unit controls the voltage-controlled oscillating circuit potentiometer output control boosting of closed loop Circuit works, and high pressure is generated by step-up transformer circuit driver and step-up transformer.Meanwhile the certain frequency of PWM outputs Pulse Width Control pwm pulse output control circuit generate constant current impulse, and be applied to by external stimulating electrode outer Portion sensor S.The stimuli responsive signal monitored is input to analog filtering and amplification computing circuit C4, low-pass filtered and operation A/D converter circuit C5 is input to after amplification, AD conversion result is input to flesh pine computing module C6.Obtained neuromuscular monitoring result is defeated Enter to memory module D, and is further conveyed to printing display module E and data uploading module F.
In the present embodiment, neuromuscular monitoring module calculates flesh pine state using acceleration method.It is supervised from sensor That surveys makes its muscle dominated generate contraction and emg response by electro photoluminescence kinesitherapy nerve, and by pressure sensor monitoring, this is anti- It answers, convergent force is changed into electric signal, by filtering, amplifying, AD conversion, then calculate form neuromuscular monitoring to result by contrast.
The main function of memory module is to store the handling result of oxygen saturation monitor module B and neuromuscular monitoring module C.
Printing display module E includes display module and print module, and memory module connects host computer by USB port, can Blood oxygen and neuromuscular monitoring are sent to display module, print module and data uploading module simultaneously to real-time results, then carried out respectively It has been shown that, printing and data upload.
Data uploading module includes ethernet interface circuit or wireless network interface circuit, can pass through wired or wireless side Formula uploads monitoring data.
It is emphasized that embodiment of the present invention is illustrative, without being restrictive, therefore packet of the present invention Include the embodiment being not limited to described in specific implementation mode, it is every by those skilled in the art according to the technique and scheme of the present invention The other embodiment obtained, also belongs to the scope of protection of the invention.

Claims (6)

1. a kind of monitor for muscle relaxation with oxygen saturation monitor function, it is characterised in that:Including power module, oxygen saturation monitor module, Neuromuscular monitoring module, memory module, display module, central control unit and external sensor probe, the power module and blood Oxygen monitoring modular, neuromuscular monitoring module, memory module, display module, central control unit, which are connected, is connected in entire monitor power supply, The central control unit and oxygen saturation monitor module, neuromuscular monitoring module, memory module, external sensor probe are connected realization Core control function, it is full that the signal that oxygen saturation monitor module, neuromuscular monitoring module are popped one's head according to external sensor monitors blood oxygen simultaneously With degree index and flesh pine index, the display module is connected with oxygen saturation monitor module, neuromuscular monitoring module respectively realizes monitoring The display function of data.
2. a kind of monitor for muscle relaxation with oxygen saturation monitor function according to claim 1, it is characterised in that:The storage Module is also connected with data uploading module and realizes data upload function, which includes ethernet interface circuit or wireless Network interface circuit.
3. a kind of monitor for muscle relaxation with oxygen saturation monitor function according to claim 1, it is characterised in that:The storage Module is also connected with print module and realizes data-printing function.
4. a kind of monitor for muscle relaxation with oxygen saturation monitor function according to any one of claims 1 to 3, feature exist In:The power module includes input module, rectification and filter module, transformer module and control module, the input module External communication electricity is connect, the input module, rectification and filter module, transformer module link together, control module and input mould Block is connected with transformer module, and transformer module carries out transformation, transformer module output voltage under the control of control module It powers for modules.
5. a kind of monitor for muscle relaxation with oxygen saturation monitor function according to any one of claims 1 to 3, feature exist In:The oxygen saturation monitor module includes luminous controling unit, contribution ratios computing unit, blood oxygen saturation calculating unit and storage Display control unit, the luminous controling unit, contribution ratios computing unit are connected with sensor probe respectively, the absorption Computation unit, blood oxygen saturation calculate unit and are connected, and blood oxygen saturation calculates unit result of calculation and shown by storing Control unit is stored to memory module.
6. a kind of monitor for muscle relaxation with oxygen saturation monitor function according to any one of claims 1 to 3, feature exist In:The neuromuscular monitoring module includes the voltage-controlled oscillating circuit of closed loop, transformer booster circuit, pwm pulse output control circuit, mould Quasi- filtering and amplification computing circuit, A/D converter circuit and numerical value counting circuit, the voltage-controlled oscillating circuit of the closed loop, transformer boosting Circuit, pwm pulse output control circuit are connected in turn, the pwm pulse output control circuit, analog filtering and amplification Computing circuit is connected with external sensor respectively, the analog filtering and amplification computing circuit, A/D converter circuit and numerical value meter Calculation circuit, which is sequentially connected, to be connect, and the numerical computations circuit is connected with memory module.
CN201810271759.1A 2018-03-29 2018-03-29 A kind of monitor for muscle relaxation with oxygen saturation monitor function Pending CN108378862A (en)

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Application Number Priority Date Filing Date Title
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Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2620531Y (en) * 2003-04-18 2004-06-16 吴一兵 Multifunctional anaesthetic depth monitor
CN201234212Y (en) * 2008-07-01 2009-05-06 比亚迪股份有限公司 Electricity supply system and transforming apparatus
CN203914935U (en) * 2014-06-16 2014-11-05 北京思路高医疗科技有限公司 Monitor for muscle relaxation
CN104856694A (en) * 2015-05-20 2015-08-26 无锡市崇安区科技创业服务中心 Portable pulse oxygen saturation measuring instrument
CN104970803A (en) * 2015-07-08 2015-10-14 中国医学科学院生物医学工程研究所 Probe with pulse blood oxygen detection and muscle relaxation detection function at same time
CN204765658U (en) * 2015-07-08 2015-11-18 中国医学科学院生物医学工程研究所 Probe that has pulse measurement detection and flesh pine monitor function simultaneously
CN107072737A (en) * 2015-08-25 2017-08-18 深圳迈瑞生物医疗电子股份有限公司 Patient monitoring system and patient parameter method for information display
CN208659382U (en) * 2018-03-29 2019-03-29 中国医学科学院生物医学工程研究所 A kind of monitor for muscle relaxation with oxygen saturation monitor function

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2620531Y (en) * 2003-04-18 2004-06-16 吴一兵 Multifunctional anaesthetic depth monitor
CN201234212Y (en) * 2008-07-01 2009-05-06 比亚迪股份有限公司 Electricity supply system and transforming apparatus
CN203914935U (en) * 2014-06-16 2014-11-05 北京思路高医疗科技有限公司 Monitor for muscle relaxation
CN104856694A (en) * 2015-05-20 2015-08-26 无锡市崇安区科技创业服务中心 Portable pulse oxygen saturation measuring instrument
CN104970803A (en) * 2015-07-08 2015-10-14 中国医学科学院生物医学工程研究所 Probe with pulse blood oxygen detection and muscle relaxation detection function at same time
CN204765658U (en) * 2015-07-08 2015-11-18 中国医学科学院生物医学工程研究所 Probe that has pulse measurement detection and flesh pine monitor function simultaneously
CN107072737A (en) * 2015-08-25 2017-08-18 深圳迈瑞生物医疗电子股份有限公司 Patient monitoring system and patient parameter method for information display
CN208659382U (en) * 2018-03-29 2019-03-29 中国医学科学院生物医学工程研究所 A kind of monitor for muscle relaxation with oxygen saturation monitor function

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