CN110074871A - Perioperative nerve real-time system for monitoring and pre-warning - Google Patents
Perioperative nerve real-time system for monitoring and pre-warning Download PDFInfo
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- 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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- signal
- monitoring
- nerve
- real
- warning
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/7405—Details of notification to user or communication with user or patient ; user input means using sound
- A61B5/741—Details of notification to user or communication with user or patient ; user input means using sound using synthesised speech
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/746—Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/08—Accessories or related features not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0801—Prevention of accidental cutting or pricking
- A61B2090/08021—Prevention 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
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.
Priority Applications (1)
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CN201910441485.0A CN110074871A (en) | 2019-05-24 | 2019-05-24 | Perioperative nerve real-time system for monitoring and pre-warning |
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CN201910441485.0A CN110074871A (en) | 2019-05-24 | 2019-05-24 | Perioperative nerve real-time system for monitoring and pre-warning |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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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 |
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2019
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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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 |