CN109686438A - A kind of colostomy patient management system based on cloud and wearable technology - Google Patents
A kind of colostomy patient management system based on cloud and wearable technology Download PDFInfo
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- CN109686438A CN109686438A CN201910155761.7A CN201910155761A CN109686438A CN 109686438 A CN109686438 A CN 109686438A CN 201910155761 A CN201910155761 A CN 201910155761A CN 109686438 A CN109686438 A CN 109686438A
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- module
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- bluetooth
- stoma
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/44—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices
- A61F5/445—Colostomy, ileostomy or urethrostomy devices
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
Abstract
The colostomy patient management system based on cloud and wearable technology that the invention discloses a kind of, system is monitored including bluetooth stoma, bluetooth ostomy bag monitors system, mobile terminal apps and long-distance cloud, it includes protection body that bluetooth stoma, which monitors system, main control chip mould group is provided in protection body, battery module, storage chip, data outputting module one, data input module one and low-power consumption bluetooth module one, it includes monitoring main body that bluetooth ostomy bag, which monitors system, the data input module two connecting respectively with master control chip module is provided in monitoring main body, data outputting module two and bending sensor signal processing module, master control chip module respectively with low-power consumption bluetooth module two, bending sensor connection, long-distance cloud includes user log-in block, data storage and display module, big data analysis module；Improved by new digitizing technique to disease management and monitoring capability, facilitate healthcare givers and patient to carry out comprehensive monitoring record to stoma and ostomy bag.
Description
Technical field
The present invention relates to field of medical device, specially a kind of colostomy patient management system based on cloud and wearable technology
System.
Background technique
Caused by " stoma " i.e. digestive system or disease in the urological system, need to divide intestinal tube by surgical operation therapy
From, by one end of intestinal tube be drawn out to body surface (anus or urethra move to stomach wall) formed one opening.Reach the decompression of row enteron aisle, mitigate
Obstruction, the identical or damage of protection distal end intestinal tube, promote the recovery from illness of enteron aisle, disease of urinary tract, or even save the life of patient.It makes
Mouth is generally be directed to rectum, bladder diseases (such as carcinoma of the rectum, bladder cancer, intestinal obstruction), in order to keep the life of patient, doctor's hand
Art cuts off the position of lesion, for example, the carcinoma of the rectum can cut off rectum, anal canal, bladder cancer can cut off bladder, then in the abdomen of patient
One mouth in left side or right side opening.Stool or the small stoma that will pass through do not excrete automatically, this kind of patient discharge with
It will need to paste a sack in making-port to fill the thing of discharge afterwards.Medically this kind of patient is referred to as " stoma people ".
Due to being gradually increasing for cancer or autoimmune disease disease incidence, there are a large amount of colostomy patients in the country, includes
Permanent stoma and interim stoma.It is complete there is no one at present for the postoperative self-management of colostomy patient and daily maintenance
Solution be given to user and medical authority.How to be improved by new digitizing technique to the management and monitoring to disease
Ability is always the project for needing final result.Lack on the market at present and is directed to colostomy patient crowd comprising wearable technology
Monitoring device, colostomy patient oneself can not change the clear bag event of bag and for stoma and ostomy bag picture monitoring can not accomplish
Real-time and high definition, for patient and medical worker, the monitoring device for having a whole set of wearable is necessary.
Summary of the invention
The colostomy patient management system based on cloud and wearable technology that the purpose of the present invention is to provide a kind of, on solving
State the problem of proposing in background technique.
To achieve the above object, the invention provides the following technical scheme: a kind of suffered from based on the stoma of cloud and wearable technology
Person's management system, including bluetooth stoma monitoring system, bluetooth ostomy bag monitoring system, mobile terminal apps and long-distance cloud, it is mobile
Terminal apps is connect with bluetooth stoma monitoring system, bluetooth ostomy bag monitoring system, long-distance cloud respectively；
It includes protection body that bluetooth stoma, which monitors system, and protection body front is provided with signal lamp one, switch, function key one and function
Energy selection key, protection body both ends are respectively arranged with bandage with a tight waist, and the protection body back side covers Neoprene gasket, the setting of the protection body back side
There is inner cavity；Inner cavity inner top installs endoscopic camera, and main control chip mould group interconnected, battery are provided in protection body
Module, storage chip, data outputting module one, data input module one and low-power consumption bluetooth module one；
It includes monitoring main body that bluetooth ostomy bag, which monitors system, and monitoring main body includes housing shell, the installation of housing shell one end
There is blue-tooth device, function key two and signal lamp two are provided on blue-tooth device, low-power consumption bluetooth module is provided in blue-tooth device
Two, bending sensor is installed in outer shell body, bending sensor is connect with low-power consumption bluetooth module two, setting in monitoring main body
There are master control chip module and the data input module connecting respectively with master control chip module two, data outputting module two and bending
Sensor signal processing module, master control chip module are connect with low-power consumption bluetooth module two, bending sensor respectively；
Mobile terminal apps includes stoma dilation display module, alarm modules, stoma image/video display module, clear bag
Bag module and social module are changed, stoma dilation display module and alarm modules are used to for monitoring ostomy bag dilation and report
Alert, for showing stoma image/video and abnormity prompt, clear bag changes bag module and is used to record thing stoma image/video display module
Part and data statistics, social module be used to carry out user's exchange with share knowledge etc.；
Long-distance cloud includes user log-in block, data storage and display module, big data analysis module.
Preferably, occlusion clamping is carried out by telescopically adjustable snap fastener between two bandages with a tight waist.
Preferably, master control chip module includes battery component, memory module and sensor control block.
Preferably, protection body and housing shell are made of pp, pe, abs resin or plastic material.
Preferably, bluetooth ostomy bag monitoring system is charged using USB patch.
Preferably, the data for storing and showing in long-distance cloud include stoma dilation acquisition data, stoma image or video,
Clear bag changes bag a number data, user data, and the data of big data analysis include structural data, image data and video counts
According to big data analysis module carries out anomaly analysis to stoma image using artificial intelligence image recognition.
Compared with prior art, the beneficial effects of the present invention are: wearable technology is applied to colostomy patient by the present invention, lead to
Cross new digitizing technique improve to disease management and monitoring capability, facilitate healthcare givers and patient to stoma and
Ostomy bag carries out comprehensive monitoring record, and patient behavior is biometrics, transparence helps patient to prevent the generation of disease, mentions
High medical personnel's remote diagnosis monitoring capability improves patients ' life quality and ability of self-management, for the people of application big data
Work intelligence timely feedbacks offer for the analysis of stoma image data and prediction may.
Detailed description of the invention
Fig. 1 is that bluetooth stoma of the invention monitors system module connection schematic diagram；
Fig. 2 is that bluetooth ostomy bag of the invention monitors system module connection schematic diagram；
Fig. 3 is protection body positive structure schematic of the invention；
Fig. 4 is protection body structure schematic diagram of the invention；
Fig. 5 is inner cavity structural schematic diagram of the invention；
Fig. 6 is the overall structure diagram of monitoring main body of the invention；
Fig. 7 is the monitoring main body of the invention attachment structure schematic diagram on ostomy bag；
Fig. 8 is Integral connection structure schematic diagram of the invention.
In figure: 1, protection body；2, signal lamp one；3, it switchs；4, first baffle；5, function selecting key；6, bandage with a tight waist；7,
Neoprene gasket；8, inner cavity；9, endoscopic camera；10, main body is monitored；11, housing shell；12, blue-tooth device；13, function
Key two；14, signal lamp two；15, bending sensor；16, ostomy bag.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete
Site preparation description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.It is based on
Embodiment in the present invention, it is obtained by those of ordinary skill in the art without making creative efforts every other
Embodiment shall fall within the protection scope of the present invention.
In the description of the present invention, it should be noted that the orientation of the instructions such as term "vertical", "upper", "lower", "horizontal"
Or positional relationship is to be based on the orientation or positional relationship shown in the drawings, and is merely for convenience of description of the present invention and simplification of the description, and
It is not that the device of indication or suggestion meaning or element must have a particular orientation, be constructed and operated in a specific orientation, therefore
It is not considered as limiting the invention.
In the description of the present invention, it is also necessary to which explanation is unless specifically defined or limited otherwise, term " setting ",
" installation ", " connected ", " connection " shall be understood in a broad sense, for example, it may be fixedly connected, may be a detachable connection or one
Connect to body；It can be mechanical connection, be also possible to be electrically connected；It can be directly connected, it can also be indirect by intermediary
It is connected, can be the connection inside two elements.For the ordinary skill in the art, it can manage as the case may be
Solve the concrete meaning of above-mentioned term in the present invention.
Fig. 1-7 is please referred to, the present invention provides a kind of technical solution: a kind of colostomy patient pipe based on cloud and wearable technology
Reason system, including bluetooth stoma monitoring system, bluetooth ostomy bag monitoring system, mobile terminal apps and long-distance cloud, mobile terminal
Apps is connect with bluetooth stoma monitoring system, bluetooth ostomy bag monitoring system, long-distance cloud respectively；
It includes protection body 1 that bluetooth stoma, which monitors system, and 1 front of protection body is provided with signal lamp 1, switch 3, function key one
4 and function selecting key 5,1 both ends of protection body are respectively arranged with bandage 6 with a tight waist, and 1 back side of protection body covers Neoprene gasket 7, protection
1 back side of body is provided with inner cavity 8；8 inner top of inner cavity installs endoscopic camera 9, is provided with master interconnected in protection body 1
Control chip module, battery module, storage chip, data outputting module one, data input module one and low-power consumption bluetooth module one；
It includes monitoring main body 10 that bluetooth ostomy bag, which monitors system, and monitoring main body 10 includes housing shell 11, housing shell 11
One end is equipped with blue-tooth device 12, and function key 2 13 and signal lamp 2 14 are provided on blue-tooth device 12, is set in blue-tooth device 12
It is equipped with low-power consumption bluetooth module two, bending sensor 15, bending sensor 15 and low-power consumption bluetooth are installed in housing shell 11
Module two connects, and monitors and is provided with master control chip module and the data connecting respectively with master control chip module input in main body 10
Module two, data outputting module two and bending sensor signal processing module, master control chip module respectively with low-power consumption bluetooth mould
Block two, bending sensor 15 connect；
Mobile terminal apps includes stoma dilation display module, alarm modules, stoma image/video display module, clear bag
Bag module and social module are changed, stoma dilation display module and alarm modules are used to for monitoring ostomy bag dilation and report
Alert, for showing stoma image/video and abnormity prompt, clear bag changes bag module and is used to record thing stoma image/video display module
Part and data statistics, social module be used to carry out user's exchange with share knowledge etc.；
Long-distance cloud includes user log-in block, data storage and display module, big data analysis module.
Preferably, occlusion clamping is carried out by telescopically adjustable snap fastener between two bandages 6 with a tight waist.
Preferably, master control chip module includes battery component, memory module and sensor control block.
Preferably, protection body 1 and housing shell 11 are made of pp, pe, abs resin or plastic material.
Preferably, bluetooth ostomy bag monitoring system is charged using USB patch.
Preferably, the data for storing and showing in long-distance cloud include stoma dilation acquisition data, stoma image or video,
Clear bag changes bag a number data, user data, and the data of big data analysis include structural data, image data and video counts
According to big data analysis module carries out anomaly analysis to stoma image using artificial intelligence image recognition.
Working principle: bluetooth stoma monitoring system, which is connected by low-power consumption bluetooth module one with mobile terminal apps, to be counted
According to synchronization, module connection such as Fig. 1；Protection body 1 is fixed on patient's loins by the bandage with a tight waist 6 being equipped with when use, is covered
On patient's ostomy bag 16, patient's stoma is carried out covering protection by inner cavity 8；Endoscopic camera 9 is placed on 8 cavity of inner cavity
Side, when starting to work, endoscopic camera 9 will carry out stoma periodic images or video acquisition, corresponding data
Signal can be stored in chip, while by the Bluetooth technology of connection, being transmitted data to above mobile terminal apps and being saved,
When bluetooth connection failure, data will be synchronized to mobile terminal apps when being successfully connected next time.1 front of protection body is provided with letter
Signal lamp 1, switch 3, function key 1 and function selecting key 5, function key 1 include bluetooth connection function, and video of taking pictures triggers function
Function can and be set；When bluetooth stoma monitors system use:
User can select starting by 3 button of switch or close device；
User can be performed the following operation by function key 1: bluetooth connection confirmation, by hand shooting photo or video with
And other function；
User can select picture mode or video mode by function selecting key 5；
Signal lamp 1 shows connection status and battery status, and blue indicates connection bluetooth connection success；
The device of bluetooth stoma monitoring system can replace minicell or realize the charging of usb patch.
Bluetooth ostomy bag monitoring system is for being monitored ostomy bag dilation, mainly by a blue-tooth device 12 and always
Chip module is controlled to form plus a bending sensor 15.Bending sensor 15 with monitoring main body 10 set can insert it is replaceable, that is, insert
To use, bluetooth ostomy bag monitoring system is synchronous with mobile terminal apps connection progress data by low-power consumption bluetooth module two,
The following 5g epoch can directly synchronize with cloud database, and blue-tooth device 12 and bending sensor 15 are placed in plastic, transparent
In housing shell 11, ostomy bag 16 is invested close to exit by double faced adhesive tape, when replacing ostomy bag, user needs will monitoring
Main body 10 is taken out, and is posted on new 16 surface of ostomy bag.The resistance of bending sensor 15 can be sent out with the curvature of sensor
Changing, when starting to store liquid or solid in ostomy bag 16, ostomy bag 16 makes surface because of expansion in bottom
Bending, what is bent at the same time is the sensor bar of bending sensor 15 attached to the surface, when resistance changes, accordingly
Transducing signal can be stored in chip, while by connection Bluetooth technology, transmit data on mobile terminal apps
Face saves, and when bluetooth connection failure, data will be synchronized to mobile terminal apps when being successfully connected next time, is using 5g chip
When, video can directly be uploaded to cloud by 5G network.User can carry out bluetooth connection operation, clear by function key 2 13
Bag change bag event activation operation (it is similar click, double-click, long-pressing function etc., these events will be transmitted in mobile terminal apps and deposit
Storage is got up)；Signal lamp 2 14 shows connection status and battery status, and blue indicates connection bluetooth connection success；Bluetooth ostomy bag
The device of monitoring system is charged by USB patch.
Mobile terminal apps major function includes display stoma dilation and alarm function, records and analyze stoma image
Either video, clear bag or change the number of bag, social interactive function etc.；The threshold value of setting alarm, report inside mobile terminal apps
Alert mode, when the signal received from bending sensor 15 is persistently higher than threshold value for a period of time, mobile terminal apps can basis
The parameter of setting is alarmed；The parameter of setting image or video acquisition inside mobile terminal apps, such as frequency, pixel,
Backup, data storage, cleaning etc.；Most freshly harvested image or video can be checked inside mobile terminal apps, and can be divided
It enjoys；Mobile terminal apps is arranged according to background system to carry out image analysis and issues the user with abnormity prompt；Pass through mobile terminal
Apps, patient can click the current entry that button carries out clear bag, changes bag time；Clear bag, which is provided, by mobile terminal apps changes bag
All-round statistics data；Mobile terminal apps has user's sharing and social functions；The wired upper purchase product of mobile terminal apps or
Accessory functions.
Long-distance cloud is logged in for user and data are stored and shown and big data analysis, the data packet of storage and display
It includes stoma dilation acquisition data, stoma image or video, clear bag or changes bag a number data, user data, big data analysis
Data include structural data, image data and video data, and big data analysis module is using artificial intelligence image recognition to making
Mouth image carries out anomaly analysis.
It although an embodiment of the present invention has been shown and described, for the ordinary skill in the art, can be with
A variety of variations, modification, replacement can be carried out to these embodiments without departing from the principles and spirit of the present invention by understanding
And modification, the scope of the present invention is defined by the appended.
Claims (6)
1. a kind of colostomy patient management system based on cloud and wearable technology, which is characterized in that monitor system including bluetooth stoma
System, bluetooth ostomy bag monitoring system, mobile terminal apps and long-distance cloud, mobile terminal apps is monitored with bluetooth stoma respectively is
System, bluetooth ostomy bag monitoring system, long-distance cloud connection；
Bluetooth stoma monitoring system includes protection body (1), and protection body (1) front is provided with signal lamp one (2), switch (3), function
Key one (4) and function selecting key (5), protection body (1) both ends are respectively arranged with bandage with a tight waist (6), and the covering of protection body (1) back side is latent
Water backing strap piece (7), protection body (1) back side are provided with inner cavity (8)；Inner cavity (8) inner top installs endoscopic camera (9), prevents
It is defeated that main control chip mould group interconnected, battery module, storage chip, data outputting module one, data are provided in watch box (1)
Enter module one and low-power consumption bluetooth module one；
It includes monitoring main body (10) that bluetooth ostomy bag, which monitors system, and monitoring main body (10) includes housing shell (11), housing shell
(11) one end is equipped with blue-tooth device (12), and function key two (13) and signal lamp two (14) are provided on blue-tooth device (12), blue
It is provided with low-power consumption bluetooth module two in tooth device (12), is equipped with bending sensor (15) in housing shell (11), bending passes
Sensor (15) is connect with low-power consumption bluetooth module two, monitoring main body (10) in be provided with master control chip module and respectively with master control
Data input module two, data outputting module two and the bending sensor signal processing module of chip module connection, master control chip
Mo Zu is connect with low-power consumption bluetooth module two, bending sensor (15) respectively；
Mobile terminal apps includes that stoma dilation display module, alarm modules, stoma image/video display module, clear bag change bag
Module and social module, stoma dilation display module and alarm modules are used to make monitoring ostomy bag dilation and alarm
For showing stoma image/video and abnormity prompt, clear bag changes bag module and is used to record event sum number mouth image/video display module
According to statistics, social module be used to carry out user's exchange with share knowledge etc.；
Long-distance cloud includes user log-in block, data storage and display module, big data analysis module.
2. a kind of colostomy patient management system based on cloud and wearable technology according to claim 1, it is characterised in that:
Occlusion clamping is carried out by telescopically adjustable snap fastener between two bandages (6) with a tight waist.
3. a kind of colostomy patient management system based on cloud and wearable technology according to claim 1, it is characterised in that:
Master control chip module includes battery component, memory module and sensor control block.
4. a kind of colostomy patient management system based on cloud and wearable technology according to claim 1, it is characterised in that:
Protection body (1) and housing shell (11) are made of pp, pe, abs resin or plastic material.
5. a kind of colostomy patient management system based on cloud and wearable technology according to claim 1, it is characterised in that:
Bluetooth ostomy bag monitoring system is charged using USB patch.
6. a kind of colostomy patient management system based on cloud and wearable technology according to claim 1, it is characterised in that:
The data for storing and showing in long-distance cloud include stoma dilation acquisition data, stoma image or video, clear bag or change a bag number
Data, user data, the data of big data analysis include structural data, image data and video data, big data analysis mould
Block carries out anomaly analysis to stoma image using artificial intelligence image recognition.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910155761.7A CN109686438B (en) | 2019-03-01 | 2019-03-01 | Ostomy patient management system based on cloud and wearable technology |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910155761.7A CN109686438B (en) | 2019-03-01 | 2019-03-01 | Ostomy patient management system based on cloud and wearable technology |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN109686438A true CN109686438A (en) | 2019-04-26 |
| CN109686438B CN109686438B (en) | 2023-07-21 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910155761.7A Active CN109686438B (en) | 2019-03-01 | 2019-03-01 | Ostomy patient management system based on cloud and wearable technology |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111419519A (en) * | 2020-01-16 | 2020-07-17 | 南京大学 | System and method for monitoring urine in urinary tract ostomy bag based on pressure sensor |
| CN113326745A (en) * | 2021-05-13 | 2021-08-31 | 青岛大学附属医院 | Application system for judging and identifying stoma situation through image identification technology |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6171289B1 (en) * | 1998-11-06 | 2001-01-09 | Plasto Sa | Safety device for colostomy having a wetness detector and alarm |
| WO2014122443A1 (en) * | 2013-02-08 | 2014-08-14 | Northumbria Systems Limited | Ostomy Device and Alarm |
| CN107661167A (en) * | 2016-07-29 | 2018-02-06 | 四川英奈德医疗科技有限公司 | Intelligent ostomy bag |
-
2019
- 2019-03-01 CN CN201910155761.7A patent/CN109686438B/en active Active
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6171289B1 (en) * | 1998-11-06 | 2001-01-09 | Plasto Sa | Safety device for colostomy having a wetness detector and alarm |
| WO2014122443A1 (en) * | 2013-02-08 | 2014-08-14 | Northumbria Systems Limited | Ostomy Device and Alarm |
| CN107661167A (en) * | 2016-07-29 | 2018-02-06 | 四川英奈德医疗科技有限公司 | Intelligent ostomy bag |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111419519A (en) * | 2020-01-16 | 2020-07-17 | 南京大学 | System and method for monitoring urine in urinary tract ostomy bag based on pressure sensor |
| CN111419519B (en) * | 2020-01-16 | 2023-08-22 | 南京大学 | System and method for monitoring urine in urinary tract ostomy bag based on pressure sensor |
| CN113326745A (en) * | 2021-05-13 | 2021-08-31 | 青岛大学附属医院 | Application system for judging and identifying stoma situation through image identification technology |
Also Published As
| Publication number | Publication date |
|---|---|
| CN109686438B (en) | 2023-07-21 |
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