CN109124616A - The postoperative blood microcirculation assessment equipment of severed finger reunion - Google Patents

The postoperative blood microcirculation assessment equipment of severed finger reunion Download PDF

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Publication number
CN109124616A
CN109124616A CN201811154533.XA CN201811154533A CN109124616A CN 109124616 A CN109124616 A CN 109124616A CN 201811154533 A CN201811154533 A CN 201811154533A CN 109124616 A CN109124616 A CN 109124616A
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temperature
microcirculation
monitoring information
blood
monitoring
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CN201811154533.XA
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俞乾
于涌
雷恒波
钟君
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Nanjing Guoke Medical Engineering Technology Development Co Ltd
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Nanjing Guoke Medical Engineering Technology Development Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/026Measuring blood flow
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/01Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
    • 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
    • A61B5/22Ergometry; 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
    • A61B5/48Other medical applications
    • A61B5/4848Monitoring or testing the effects of treatment, e.g. of medication

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Physics & Mathematics (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biophysics (AREA)
  • Public Health (AREA)
  • Pathology (AREA)
  • Spectroscopy & Molecular Physics (AREA)
  • Optics & Photonics (AREA)
  • Hematology (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)

Abstract

The present invention relates to a kind of postoperative blood microcirculation assessment equipments of severed finger reunion, it include: temperature control cabinet, microcirculation blood flow monitoring modular, situation is perfused in microcirculation blood flow to monitor human body detected part, microcirculation indirect monitoring module, to monitor the temperature of human body detected part, color and surface tension, blood oxygen monitoring module, to monitor the blood oxygen saturation of human body detected part, main control module, to obtain the temperature of the temperature control cabinet, monitoring information is perfused in microcirculation blood flow, temperature monitoring information, color monitoring information, surface tension monitoring information and blood oxygen saturation monitoring information, and obtain assessment result;And display module, to the assessment result for showing monitoring information and obtaining.The objectivity and convenience of evaluation servered fingers replanted prognosis are improved, subjective error caused by reducing because of medical staff.

Description

The postoperative blood microcirculation assessment equipment of severed finger reunion
Technical field
The present invention relates to field of medical device, more particularly to a kind of postoperative blood microcirculation assessment equipment of severed finger reunion.
Background technique
Severed finger reunion be complete or partially mutilation being referred to, body, tendon, blood vessel, nerve coincide again, and fixed fracture and Skin is repaired, refers to body blood circulation, is allowed to survive and restore the highly difficult delicate procedure of certain function.Although current severed finger 90%~98% can be reached by replanting success rate of operation, but due to by patient at heart factor, patient's braking, postoperative pain stimulation, The influence of ward environment, postoperative, diet nursing and functional training etc., the blood circulation of implant restores after severed finger reunion Situation is different.Poor blood circulation serious situation will lead to implant necrosis and operative failure, and huge body can be brought to patient Pained bitter and financial burden.For the blood microcirculation status checkout of severed finger post-transplantation, touches, two sees basically by one, three Test, sees color, touches temperature and tension, test capillary reaction.Vascular crisis includes arterial crisis, Vein Crisiss, artery Crisis, which shows as replanting, refers to ochrodermia, tension bottom, temperature decline, and capillary filling time extends, and Vein Crisiss are shown as Patient skin gradually it is dimmed it is purple, tension is high, or even occur that blister, temperature decline, capillary filling time is lower than 1s, or even disappear It loses.Above-mentioned observation judgement is all based on the micro-judgment of doctors and nurses, and there are biggish subjective errors.
Summary of the invention
Based on this, it is necessary to which the judgment method traditional severed finger reunion has biggish subjective error, mentions For a kind of postoperative blood microcirculation assessment equipment of severed finger reunion.
A kind of postoperative blood microcirculation assessment equipment of severed finger reunion, comprising:
Temperature control cabinet, to accommodate human body detected part and provide and the consistent isoperibol of body temperature;
Microcirculation blood flow monitoring modular, situation is perfused in the microcirculation blood flow to monitor human body detected part, and obtains micro- Recycle blood perfusion monitoring information;
Microcirculation indirect monitoring module, to monitor the temperature, color and surface tension of human body detected part, and respectively To temperature monitoring information, color monitoring information and surface tension monitoring information;
Blood oxygen monitoring module to monitor the blood oxygen saturation of human body detected part, and obtains blood oxygen saturation monitoring letter Breath;
Main control module, with the temperature control module, microcirculation blood flow monitoring module, microcirculation indirect monitoring module and blood oxygen Monitoring module is electrically connected, to obtain temperature, the microcirculation blood flow perfusion monitoring information, temperature monitoring letter of the temperature control cabinet Breath, color monitoring information, surface tension monitoring information and blood oxygen saturation monitoring information, and according to the temperature for stating temperature control cabinet Degree, microcirculation blood flow perfusion monitoring information, temperature monitoring information, color monitoring information, surface tension monitoring information and blood oxygen are full Assessment result is obtained with degree monitoring information;
And display module, it is electrically connected with the main control module, to show temperature, the microcirculation for stating temperature control cabinet Blood perfusion monitoring information, temperature monitoring information, color monitoring information, surface tension monitoring information and blood oxygen saturation monitoring letter Breath obtains assessment result.
In a wherein preferred embodiment, the temperature control cabinet includes:
Ontology;
Temperature sensor is set in the ontology, to detect the intrinsic temperature;
Temperature conditioning unit is electrically connected with the temperature sensor and main control module, and the main control module is according to the temperature The testing result of sensor makes the temperature conditioning unit control the intrinsic temperature.
In a wherein preferred embodiment, the temperature control cabinet further include:
Warning device issues alarm signal to be greater than temperature threshold when the intrinsic temperature.
In a wherein preferred embodiment, microcirculation blood flow monitoring module includes laser, attenuator, expands dress It sets, imaging sensor and data processing unit, and using postoperative using laser speckle comparative analysis technical monitoring severed finger reunion Situation is perfused in microcirculation blood flow.
In a wherein preferred embodiment, the microcirculation indirect monitoring module includes:
Temperature sensor, to monitor the temperature of human body detected part;
Imaging sensor, to monitor the color of human body detected part;
Pressure sensor and mechanical driving structure, to monitor the surface tension of human body detected part.
In a wherein preferred embodiment, there is the blood oxygen monitoring module blood oxygen transducer and fingerstall shape to pop one's head in.
In a wherein preferred embodiment, the main control module has processor of single chip computer.
In a wherein preferred embodiment, the display module has touch screen.
The above-described postoperative blood microcirculation assessment equipment of severed finger reunion can replant rear severed finger position by monitoring The indexs such as blood oxygen saturation, blood perfusion state, temperature, color and tension, the postoperative postoperative status of assessment severed finger reunion, are improved The objectivity and convenience of evaluation servered fingers replanted prognosis, subjective error caused by reducing because of medical staff.
Detailed description of the invention
Fig. 1 is the module signal of the postoperative blood microcirculation assessment equipment of severed finger reunion in a preferred embodiment of the invention Figure.
Specific embodiment
In order to make the objectives, technical solutions, and advantages of the present invention clearer, with reference to the accompanying drawings and embodiments, right The present invention is further elaborated.It should be appreciated that the specific embodiments described herein are merely illustrative of the present invention, and It is not used in the restriction present invention.
It should be noted that it can directly on the other element when element is referred to as " being set to " another element Or there may also be elements placed in the middle.When an element is considered as " connection " another element, it, which can be, is directly connected to To another element or it may be simultaneously present centering elements.Term as used herein " vertical ", " horizontal ", " left side ", " right side " and similar statement for illustrative purposes only, are not meant to be the only embodiment.
Unless otherwise defined, all technical and scientific terms used herein and belong to technical field of the invention The normally understood meaning of technical staff is identical.Term as used herein in the specification of the present invention is intended merely to description tool The purpose of the embodiment of body, it is not intended that in the limitation present invention.Term " and or " used herein includes one or more phases Any and all combinations of the listed item of pass.
As shown in Figure 1, a kind of postoperative blood microcirculation assessment of severed finger reunion is disclosed in a preferred embodiment of the invention Equipment 100, the postoperative blood microcirculation assessment equipment 100 of the severed finger reunion includes temperature control cabinet 110, microcirculation blood flow monitoring mould Block 120, microcirculation indirect monitoring module 130, blood oxygen monitoring module 140, main control module 150 and display module 160.
It is above-mentioned by temperature control cabinet to accommodate human body detected part and provide with the consistent isoperibol of body temperature.Specifically Ground, the temperature control cabinet 110 include ontology (not shown), temperature sensor 112, temperature conditioning unit 113.
Above-mentioned ontology (not shown) can be square box, which has accommodation space, which can be with Accommodate human body detected part, when human body detected part is in the accommodation space, the postoperative blood microcirculation assessment equipment of severed finger reunion 100 carry out test assessment.
In more detail, above-mentioned temperature sensor 100 is set in above-mentioned ontology (not shown), to detect above-mentioned ontology Temperature in (not shown).
Above-mentioned temperature conditioning unit 113 is electrically connected with above-mentioned temperature sensor 112 and main control module 150, above-mentioned main control module 150, according to the testing result of above-mentioned temperature sensor 112, control above-mentioned temperature conditioning unit 113 in above-mentioned ontology (not shown) Temperature.Temperature conditioning unit 113 may include resistance heating wire or Peltier, fan, temperature controller, power lights etc., make cabinet temperature In optimum range, which can be 25-38 DEG C for degree control.
The temperature control cabinet 110 further includes warning device 114, and the warning device 114 and above-mentioned temperature sensor 112 are electrically Connection issues alarm signal to be greater than temperature threshold when the intrinsic temperature.
Situation is perfused in above-mentioned microcirculation blood flow monitoring modular 120, the microcirculation blood flow to monitor human body detected part, and Microcirculation blood flow perfusion monitoring information is obtained, specifically, which includes laser 121, attenuator 122, expand device 123, imaging sensor 124 and data processing unit 125, and utilize laser speckle comparative analysis technology It monitors the postoperative microcirculation blood flow of severed finger reunion and situation is perfused.
Above-mentioned laser speckle comparative analysis technology is compared using the backward dynamic speckle that red blood cell movement generates in blood vessel Angle value obtains blood flowing speed information, therefore can obtain the high-resolution blood distribution of two dimension of the whole audience by imaging mode Image, do not need combine mechanical scanning, so that it may realize for a long time and successional blood flow monitor.In conjunction with image sensing Device and high performance concurrent operation equipment, the technology can reach the temporal resolution of millisecond magnitude and the space point of micron dimension Resolution is truly realized Real-time High Resolution blood flow imaging.
Laser can select the He-Ne laser of 632.8nm wavelength.The coherent light that laser issues by attenuator and Expand device exposes in fingerstall shape probe and replants severed finger skin surface, between the reflected light and scattering light of different light paths mutually Interference forms speckle, and imaging sensor is sent by certain time for exposure and frame rate acquisition image to data processing module.Due to The movement for replanting scattering medium in severed finger (erythrocyte), the ambiguity of space angle degree as caused by flow velocity can obtain high spatial and when Between resolution ratio two-dimentional velocity profile, this fog-level is known as speckle contrast.
Temperature, color and surface tension of the above-mentioned microcirculation indirect monitoring module 130 to monitor human body detected part, and Temperature monitoring information, color monitoring information and surface tension monitoring information are respectively obtained, specifically, the microcirculation indirect monitoring Module 130 includes temperature sensor 131, imaging sensor 132, pressure sensor 133 and mechanical driving structure 134, above-mentioned temperature Spend temperature of the sensor 131 to monitor human body detected part, above-mentioned imaging sensor 132 is to monitor human body detected part Color.Above-mentioned pressure sensor 133 cooperates with mechanical driving structure 134, and mechanical actuation device driving pressure passes when detection Sensor moves certain stroke with replanting again after severed finger contacts, the output valve of pressure sensor, which can reflect, at this time replants severed finger Skin tension.Mechanical driving structure 134 adjusts the dynamics that pressure sensor 133 contacts human body detected part, the pressure sensor 133 monitor the surface tension on its surface.
Above-mentioned blood oxygen monitoring module 140 obtains blood oxygen saturation to monitor the blood oxygen saturation of human body detected part Monitoring information.The blood oxygen monitoring module 140 have blood oxygen transducer 141 and fingerstall shape probe 142, the fingerstall shape probe 142 with Blood oxygen transducer 141 cooperates the blood oxygen saturation test carried out to human body detected part, in more detail, blood oxygen transducer 141 Including light emitting unit, light receiving unit, signal processing unit.Wherein, light emitting unit and light receiving unit and fingerstall shape are visited Head is connected.Light emitting unit is for the human body detected part in alternate emission feux rouges and Infrared irradiation fingerstall shape probe, irradiation Light receiving unit is used to receive the feux rouges and infrared light of human body detected part reflection;Signal processing unit is for controlling light emitting list First alternate emission feux rouges and infrared light, and blood oxygen saturation is calculated according to light receiving unit received signal.
Above-mentioned main control module 150 is supervised indirectly with above-mentioned temperature control module 120, microcirculation blood flow monitoring module 130, microcirculation It surveys module 140 and blood oxygen monitoring module 150 is electrically connected, to obtain temperature, the microcirculation blood flow of the temperature control cabinet 110 Monitoring information, temperature monitoring information, color monitoring information, surface tension monitoring information and blood oxygen saturation monitoring information is perfused Deng, and according to the temperature for stating temperature control cabinet, microcirculation blood flow perfusion monitoring information, temperature monitoring information, color monitoring letter Breath, surface tension monitoring information and blood oxygen saturation monitoring information obtain assessment result.Specifically, which has Processor of single chip computer, the function of the master controller include: that control display, temperature control box body, blood oxygen sensing module micro- follow respectively Ring blood flow monitoring modular and microcirculation indirect monitoring module, make its collaborative work;Blood oxygen sensing module, microcirculation blood are received respectively It flows the measurement data of monitoring modular and microcirculation indirect monitoring module and as a result, progress data analysis and process, obtains severed finger again Plant postoperative blood microcirculation assessment result.
Above-mentioned display module 160 is electrically connected with above-mentioned main control module 150, to show the temperature for stating temperature control cabinet Degree, microcirculation blood flow perfusion monitoring information, temperature monitoring information, color monitoring information, surface tension monitoring information and blood oxygen are full Assessment result is obtained with degree monitoring information.The display module 160 can have touching display screen, and operator can pass through the touching It controls display screen and carries out human-computer interaction.
The postoperative blood microcirculation assessment equipment of above-described severed finger reunion in above embodiment of the present invention, Ke Yitong It crosses monitoring and replants the indexs such as blood oxygen saturation, blood perfusion state, temperature, color and the tension at rear severed finger position, assess severed finger Postoperative status after reimplantation improves the objectivity and convenience of evaluation servered fingers replanted prognosis, reduces because medical staff makes At subjective error.
Each technical characteristic of embodiment described above can be combined arbitrarily, for simplicity of description, not to above-mentioned reality It applies all possible combination of each technical characteristic in example to be all described, as long as however, the combination of these technical characteristics is not deposited In contradiction, all should be considered as described in this specification.
The embodiments described above only express several embodiments of the present invention, and the description thereof is more specific and detailed, but simultaneously It cannot therefore be construed as limiting the scope of the patent.It should be pointed out that coming for those of ordinary skill in the art It says, without departing from the inventive concept of the premise, various modifications and improvements can be made, these belong to protection of the invention Range.Therefore, the scope of protection of the patent of the invention shall be subject to the appended claims.

Claims (8)

1. a kind of postoperative blood microcirculation assessment equipment of severed finger reunion characterized by comprising
Temperature control cabinet, to accommodate human body detected part and provide and the consistent isoperibol of body temperature;
Microcirculation blood flow monitoring modular, situation is perfused in the microcirculation blood flow to monitor human body detected part, and obtains microcirculation Blood perfusion monitoring information;
Microcirculation indirect monitoring module to monitor the temperature, color and surface tension of human body detected part, and respectively obtains temperature Spend monitoring information, color monitoring information and surface tension monitoring information;
Blood oxygen monitoring module to monitor the blood oxygen saturation of human body detected part, and obtains blood oxygen saturation monitoring information;
Main control module is monitored with the temperature control module, microcirculation blood flow monitoring module, microcirculation indirect monitoring module and blood oxygen Module be electrically connected, to obtain the temperature control cabinet temperature, microcirculation blood flow perfusion monitoring information, temperature monitoring information, Color monitoring information, surface tension monitoring information and blood oxygen saturation monitoring information, and according to the temperature for stating temperature control cabinet, Monitoring information, temperature monitoring information, color monitoring information, surface tension monitoring information and blood oxygen saturation is perfused in microcirculation blood flow Monitoring information obtains assessment result;
And display module, it is electrically connected with the main control module, to show temperature, the microcirculation blood flow for stating temperature control cabinet Perfusion monitoring information, temperature monitoring information, color monitoring information, surface tension monitoring information and blood oxygen saturation monitoring information obtain To assessment result.
2. the postoperative blood microcirculation assessment equipment of severed finger reunion according to claim 1, which is characterized in that the temperature control box Body includes:
Ontology;
Temperature sensor is set in the ontology, to detect the intrinsic temperature;
Temperature conditioning unit is electrically connected with the temperature sensor and main control module, and the main control module is according to the temperature sensing The testing result of device makes the temperature conditioning unit control the intrinsic temperature.
3. the postoperative blood microcirculation assessment equipment of severed finger reunion according to claim 2, which is characterized in that the temperature control box Body further include:
Warning device issues alarm signal to be greater than temperature threshold when the intrinsic temperature.
4. the postoperative blood microcirculation assessment equipment of severed finger reunion according to claim 1, which is characterized in that microcirculation blood flow Monitoring module includes laser, attenuator, expand device, imaging sensor and data processing unit, and is dissipated using using laser Situation is perfused in the postoperative microcirculation blood flow of spot comparative analysis technical monitoring severed finger reunion.
5. the postoperative blood microcirculation assessment equipment of severed finger reunion according to claim 1, which is characterized in that the microcirculation Indirect monitoring module includes:
Temperature sensor, to monitor the temperature of human body detected part;
Imaging sensor, to monitor the color of human body detected part;
Pressure sensor and mechanical driving structure, to monitor the surface tension of human body detected part.
6. the postoperative blood microcirculation assessment equipment of severed finger reunion according to claim 1, which is characterized in that the blood oxygen prison Controlling module, there is blood oxygen transducer and fingerstall shape to pop one's head in.
7. the postoperative blood microcirculation assessment equipment of severed finger reunion according to claim 1, which is characterized in that the master control mould Block has processor of single chip computer.
8. the postoperative blood microcirculation assessment equipment of severed finger reunion according to claim 1, which is characterized in that the display mould Block has touch screen.
CN201811154533.XA 2018-09-30 2018-09-30 The postoperative blood microcirculation assessment equipment of severed finger reunion Pending CN109124616A (en)

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Cited By (4)

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CN110664375A (en) * 2019-09-30 2020-01-10 柳州市工人医院 Severed finger replantation postoperative blood supply detection system and detection equipment
CN111904408A (en) * 2019-05-07 2020-11-10 依奈德医疗技术(上海)有限公司 Noninvasive microcirculation quantitative diagnosis system and quantitative processing method thereof
CN112120755A (en) * 2019-06-25 2020-12-25 深圳市理邦精密仪器股份有限公司 Pressure adjusting method in hemostasis process and medical equipment
CN114376536A (en) * 2022-01-17 2022-04-22 四川大学华西医院 Detection device and detection method for tissue microcirculation perfusion state

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Publication number Priority date Publication date Assignee Title
CN111904408A (en) * 2019-05-07 2020-11-10 依奈德医疗技术(上海)有限公司 Noninvasive microcirculation quantitative diagnosis system and quantitative processing method thereof
CN112120755A (en) * 2019-06-25 2020-12-25 深圳市理邦精密仪器股份有限公司 Pressure adjusting method in hemostasis process and medical equipment
CN110664375A (en) * 2019-09-30 2020-01-10 柳州市工人医院 Severed finger replantation postoperative blood supply detection system and detection equipment
CN114376536A (en) * 2022-01-17 2022-04-22 四川大学华西医院 Detection device and detection method for tissue microcirculation perfusion state

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Application publication date: 20190104