CN110074871A - Perioperative nerve real-time system for monitoring and pre-warning - Google Patents

Perioperative nerve real-time system for monitoring and pre-warning Download PDF

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Publication number
CN110074871A
CN110074871A CN201910441485.0A CN201910441485A CN110074871A CN 110074871 A CN110074871 A CN 110074871A CN 201910441485 A CN201910441485 A CN 201910441485A CN 110074871 A CN110074871 A CN 110074871A
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CN
China
Prior art keywords
signal
monitoring
nerve
real
warning
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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
CN201910441485.0A
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Chinese (zh)
Inventor
赵杰祎
郭佳隽
杨植
李嘉美
朱梦遥
胡雨情
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Individual
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Individual
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Priority to CN201910441485.0A priority Critical patent/CN110074871A/en
Publication of CN110074871A publication Critical patent/CN110074871A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/7405Details of notification to user or communication with user or patient ; user input means using sound
    • A61B5/741Details of notification to user or communication with user or patient ; user input means using sound using synthesised speech
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/746Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0801Prevention of accidental cutting or pricking
    • A61B2090/08021Prevention of accidental cutting or pricking of the patient or his organs

Abstract

The invention discloses perioperative nerve real-time system for monitoring and pre-warning, including head probe electrode, limbs probe electrode and monitoring and warning instrument;The monitoring and warning instrument includes electrode jack, electroneurographic signal collector, high-pass filter, signal adapter, signal processor, voice prompting device, Power Supply Assembly and attaching plug.The present invention can issue in real time audio alert signal when touching the nerve on Neural monitoring circuit when scalpel, it does not need to inform operating doctor after practicing engineer determines according to monitoring signals, the problem of procedure of the decision process and operating doctor that solve practicing engineer is difficult to coordinate and the accurate signal in monitoring process and interference signal are difficult to differentiation promptly and accurately.

Description

Perioperative nerve real-time system for monitoring and pre-warning
Technical field
Present invention relates particularly to perioperative nerve real-time system for monitoring and pre-warning.
Background technique
Perioperative, also referred to as operation full period, refer to nurse from meet patient enter medical ward to patient it is postoperative recovery from illness go home this Section period, including it is preoperative, in art and postoperative total segment time, since disease is in the performance, variation and Chang Fasheng of these three periods The problem of etc. be all not quite similar, disposal skill is also different;On the other hand, the perioperative of same disease development, variation again Interosculate or cry the class same sex;Therefore surgical specialists specially propose the concept of perioperative for the sake of prudent.Surgery doctor The processing due to having paid attention to perioperative is learned, so that modern operation safety has obtained huge raising.
In surgical procedures, operating doctor is difficult to the position where all nerves of the errorless judgement of entirely accurate, hand Art knife is easy to damage important damaging property of nerve when cutting human body, brings the postoperative physiological function for being difficult to restore to patient Obstacle.Currently, clinical practice is badly in need of that the Electrophysiology monitoring probe electrode of drawbacks described above can be overcome, to solve in practice The inexactness problem of neuroprotection need to be carried out by experience accumulation and visual assessment, but need practicing engineer according to equipment Monitoring signals inform that operating doctor, the decision process of practicing engineer and the procedure of operating doctor are difficult to assist after being determined It adjusts, and accurate signal in monitoring process and interference signal are difficult to differentiation promptly and accurately.
Summary of the invention
The purpose of the present invention is to overcome the shortcomings of the existing technology, provides perioperative nerve real-time system for monitoring and pre-warning, with It solves to inform operating doctor after existing nerve needs practicing engineer to determine according to monitoring signals, practicing engineer's The procedure of decision process and operating doctor is difficult to coordinate, and accurate signal in monitoring process and interference signal be difficult to and When the problem of accurately distinguishing.
To achieve the above object, the technical solution used in the present invention is:
Perioperative nerve real-time system for monitoring and pre-warning is provided, including
Head probe electrode, for connecting with brain neuroblastoma, handle part is connected with by signal wire at probe position Terminal electrode contact pin;
Limbs probe electrode, for connecting with limbs nerve, handle part is connected with by signal wire at probe position Limb electrode contact pin;
Monitoring and warning instrument for acquiring human nerve electric signal and being converted into waveform signal, and is being monitored by different When the unusual waveforms signal of normal electroneurographic signal conversion, real-time broadcasting is carried out with voice;
The monitoring and warning instrument includes
Electrode jack, be equipped with multiple discrete jacks, two jacks respectively with terminal electrode contact pin and limbs Electrode contact pin grafting;
The signal output end of electroneurographic signal collector, signal input part and electrode jack connects, brain neuroblastoma, head Probe electrode, terminal electrode contact pin, electroneurographic signal collector, limb electrode contact pin, limbs probe electrode and limbs nerve shape Pass through the Neural monitoring circuit of operative site at one, the corresponding nerve of operative site is located at head on Neural monitoring circuit and visits Between tip electrode and limbs probe electrode, the quantity of head probe electrode and limbs probe electrode can be increased to set up multiple nerves Monitoring circuit, electroneurographic signal collector acquire the electroneurographic signal in Neural monitoring circuit;
High-pass filter, signal input part is connect with the signal output end of electroneurographic signal collector, for filtering out mind Through the low-frequency interference signal in electric signal, the high-frequency signal in electroneurographic signal passes through high-pass filter;
The signal output end of signal adapter, signal input part and high-pass filter connects, and high-frequency signal is converted to Waveform signal;
Signal processor, signal inputs one end and the signal output end of signal adapter connects, when scalpel touches The abnormal neuron electric signal that frequency is much higher than normal neuronal signal frequency, signal can be generated when nerve on Neural monitoring circuit Abnormal neuron electric signal is converted to frequency by converter to be believed much higher than the unusual waveforms of preset normal waveform signal frequency wave band Number, signal processor issues audio alert signal after receiving unusual waveforms signal in real time;
The signal of voice prompting device, signal input part and signal processor exports one end connection, by audio alert signal Real-time broadcasting is carried out with voice;
Power Supply Assembly, for providing power adapter for the operation of monitoring and warning instrument, monitoring and warning instrument is externally provided with and power supply group The attaching plug of part power input connection.
Preferably, further including display screen, it is defeated that signal processor is equipped with the signal connecting with the signal input part of display screen Two end out is used for real-time display waveform signal and audio alert signal.
Preferably, further including data storage, signal processor is equipped with the signal interaction end connecting with data storage, For storing waveform signal, audio alert signal and the signal data corresponding time of signal processor acquisition.
Preferably, further including operation keyboard, signal processor is equipped with the letter connecting with the signal output end of operation keyboard Number input two ends, for checking the historical data in data storage by display screen.
Preferably, further including USB data interface, signal processor is equipped with to be connected with the signal input part of USB data interface The signal connect exports three ends, for passing through the historical data in operation keyboard input instruction export data storage.
The invention has the benefit that
1. the present invention can issue in real time audio alert when touching the nerve on Neural monitoring circuit when scalpel Signal does not need to inform operating doctor after practicing engineer determines according to monitoring signals, solves the judgement of practicing engineer The procedure of journey and operating doctor is difficult to coordinate and the accurate signal in monitoring process and interference signal are difficult to promptly and accurately Differentiation the problem of.
2. display screen of the invention being capable of real-time display waveform signal and audio alert signal.
3. waveform signal, audio alert signal and letter that data storage of the invention can store signal processor acquisition The number corresponding time.
4. operation keyboard of the invention can check the historical data in data storage by display screen.
5. USB data interface of the invention can pass through the history number in operation keyboard input instruction export data storage According to.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of perioperative nerve real-time system for monitoring and pre-warning.
Specific embodiment
To make the object, technical solutions and advantages of the present invention clearer, below in conjunction with the specific embodiment of the invention and Technical solution of the present invention is clearly and completely described in corresponding attached drawing.
Embodiment:
With reference to Fig. 1, the present embodiment provides perioperative nerve real-time system for monitoring and pre-warning, including
Head probe electrode, for connecting with brain neuroblastoma, handle part is connected with by signal wire at probe position Terminal electrode contact pin;
Limbs probe electrode, for connecting with limbs nerve, handle part is connected with by signal wire at probe position Limb electrode contact pin;
Monitoring and warning instrument for acquiring human nerve electric signal and being converted into waveform signal, and is being monitored by different When the unusual waveforms signal of normal electroneurographic signal conversion, real-time broadcasting is carried out with voice;
The monitoring and warning instrument includes
Electrode jack, be equipped with multiple discrete jacks, two jacks respectively with terminal electrode contact pin and limbs Electrode contact pin grafting;
The signal output end of electroneurographic signal collector, signal input part and electrode jack connects, brain neuroblastoma, head Probe electrode, terminal electrode contact pin, electroneurographic signal collector, limb electrode contact pin, limbs probe electrode and limbs nerve shape Pass through the Neural monitoring circuit of operative site at one, the corresponding nerve of operative site is located at head on Neural monitoring circuit and visits Between tip electrode and limbs probe electrode, the quantity of head probe electrode and limbs probe electrode can be increased to set up multiple nerves Monitoring circuit, electroneurographic signal collector acquire the electroneurographic signal in Neural monitoring circuit;
High-pass filter, signal input part is connect with the signal output end of electroneurographic signal collector, for filtering out mind Through the low-frequency interference signal in electric signal, the high-frequency signal in electroneurographic signal passes through high-pass filter;
The signal output end of signal adapter, signal input part and high-pass filter connects, and high-frequency signal is converted to Waveform signal;
Signal processor, signal inputs one end and the signal output end of signal adapter connects, when scalpel touches The abnormal neuron electric signal that frequency is much higher than normal neuronal signal frequency, signal can be generated when nerve on Neural monitoring circuit Abnormal neuron electric signal is converted to frequency by converter to be believed much higher than the unusual waveforms of preset normal waveform signal frequency wave band Number, signal processor issues audio alert signal after receiving unusual waveforms signal in real time;
The signal of voice prompting device, signal input part and signal processor exports one end connection, by audio alert signal Real-time broadcasting is carried out with voice;
Power Supply Assembly, for providing power adapter for the operation of monitoring and warning instrument, monitoring and warning instrument is externally provided with and power supply group The attaching plug of part power input connection.
It further include display screen, signal processor is equipped with the signal connecting with the signal input part of display screen and exports two ends, uses In real-time display waveform signal and audio alert signal.
It further include data storage, signal processor is equipped with the signal interaction end connecting with data storage, for storing Waveform signal, audio alert signal and the signal data corresponding time that signal processor obtains.
It further include operation keyboard, signal processor is equipped with the signal input two connecting with the signal output end of operation keyboard End, for checking the historical data in data storage by display screen.
It further include USB data interface, it is defeated that signal processor is equipped with the signal connecting with the signal input part of USB data interface Three end out, for passing through the historical data in operation keyboard input instruction export data storage.
Embodiment explanation:
Before being performed the operation, determine that operative site and the brain for needing the nerve of monitoring and protecting to be on the same circuit are refreshing Through limbs probe electrode is connected corresponding limbs mind by the corresponding brain neuroblastoma of head probe electrode connection with limbs nerve Through the corresponding nerve of operative site between head probe electrode and limbs probe electrode, works as hand on Neural monitoring circuit Art knife can generate the abnormal neuron that frequency is much higher than normal neuronal signal frequency when touching the nerve on Neural monitoring circuit Abnormal neuron electric signal is converted to frequency much higher than preset normal waveform signal frequency wave band by electric signal, signal adapter Unusual waveforms signal, signal processor issue audio alert signal after receiving unusual waveforms signal in real time.
In conclusion the present invention can issue in real time language when touching the nerve on Neural monitoring circuit when scalpel Sound alarm signal does not need to inform operating doctor after practicing engineer determines according to monitoring signals, solves practicing engineer's The procedure of decision process and operating doctor is difficult to coordinate and the accurate signal in monitoring process and interference signal are difficult to and When the problem of accurately distinguishing.
Above embodiment is used to illustrate the present invention, rather than limits the invention, in spirit of the invention In scope of protection of the claims, to any modifications and changes that the present invention makes, protection scope of the present invention is both fallen within.

Claims (5)

1. perioperative nerve real-time system for monitoring and pre-warning, which is characterized in that including
Head probe electrode, for connecting with brain neuroblastoma, handle part is connected with head by signal wire at probe position Electrode contact pin;
Limbs probe electrode, for connecting with limbs nerve, handle part is connected with limbs by signal wire at probe position Electrode contact pin;
Monitoring and warning instrument for acquiring human nerve electric signal and being converted into waveform signal, and is being monitored by abnormal refreshing When the unusual waveforms signal converted through electric signal, real-time broadcasting is carried out with voice;
The monitoring and warning instrument includes
Electrode jack, be equipped with multiple discrete jacks, two jacks respectively with terminal electrode contact pin and limb electrode Contact pin grafting;
The signal output end of electroneurographic signal collector, signal input part and electrode jack connects, brain neuroblastoma, head probe Electrode, terminal electrode contact pin, electroneurographic signal collector, limb electrode contact pin, limbs probe electrode and limbs nerve form one A Neural monitoring circuit by operative site, the corresponding nerve of operative site are located at head probe electricity on Neural monitoring circuit Between pole and limbs probe electrode, the quantity of head probe electrode and limbs probe electrode can be increased to set up multiple Neural monitorings Circuit, electroneurographic signal collector acquire the electroneurographic signal in Neural monitoring circuit;
High-pass filter, signal input part is connect with the signal output end of electroneurographic signal collector, for filtering out neuroelectricity Low-frequency interference signal in signal, the high-frequency signal in electroneurographic signal pass through high-pass filter;
The signal output end of signal adapter, signal input part and high-pass filter connects, and high-frequency signal is converted to waveform Signal;
Signal processor, signal inputs one end and the signal output end of signal adapter connects, when scalpel touches nerve The abnormal neuron electric signal that frequency is much higher than normal neuronal signal frequency, signal conversion can be generated when nerve on monitoring circuit Abnormal neuron electric signal is converted to the unusual waveforms signal that frequency is much higher than preset normal waveform signal frequency wave band, letter by device Number processor issues audio alert signal after receiving unusual waveforms signal in real time;
The signal of voice prompting device, signal input part and signal processor exports one end connection, by audio alert signal with language Sound carries out real-time broadcasting;
Power Supply Assembly, for providing power adapter for the operation of monitoring and warning instrument, monitoring and warning instrument is externally provided with and Power Supply Assembly electricity The attaching plug of source input terminal connection.
2. perioperative nerve real-time system for monitoring and pre-warning according to claim 1, which is characterized in that it further include display screen, Signal processor is equipped with the signal connecting with the signal input part of display screen and exports two ends, is used for real-time display waveform signal and language Sound alarm signal.
3. perioperative nerve real-time system for monitoring and pre-warning according to claim 2, which is characterized in that further include data storage Device, signal processor are equipped with the signal interaction end connecting with data storage, for storing the waveform letter of signal processor acquisition Number, audio alert signal and signal data corresponding time.
4. perioperative nerve real-time system for monitoring and pre-warning according to claim 3, which is characterized in that further include operation key Disk, signal processor is equipped with the signal connecting with the signal output end of operation keyboard and inputs two ends, for being checked by display screen Historical data in data storage.
5. perioperative nerve real-time system for monitoring and pre-warning according to claim 4, which is characterized in that further include usb data Interface, signal processor is equipped with the signal connecting with the signal input part of USB data interface and exports three ends, for passing through operation key Historical data in disk input instruction export data storage.
CN201910441485.0A 2019-05-24 2019-05-24 Perioperative nerve real-time system for monitoring and pre-warning Pending CN110074871A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910441485.0A CN110074871A (en) 2019-05-24 2019-05-24 Perioperative nerve real-time system for monitoring and pre-warning

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910441485.0A CN110074871A (en) 2019-05-24 2019-05-24 Perioperative nerve real-time system for monitoring and pre-warning

Publications (1)

Publication Number Publication Date
CN110074871A true CN110074871A (en) 2019-08-02

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Family Applications (1)

Application Number Title Priority Date Filing Date
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Country Status (1)

Country Link
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116849805A (en) * 2023-09-04 2023-10-10 佛山市龙生光启科技有限公司 Imaging device and method for neurosurgery system

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116849805A (en) * 2023-09-04 2023-10-10 佛山市龙生光启科技有限公司 Imaging device and method for neurosurgery system
CN116849805B (en) * 2023-09-04 2023-11-24 衡阳市中心医院 Imaging device and method for neurosurgery system

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Application publication date: 20190802