CN110353658A - Normalized electro-cardiologic acquires chest strap - Google Patents

Normalized electro-cardiologic acquires chest strap Download PDF

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Publication number
CN110353658A
CN110353658A CN201910654820.5A CN201910654820A CN110353658A CN 110353658 A CN110353658 A CN 110353658A CN 201910654820 A CN201910654820 A CN 201910654820A CN 110353658 A CN110353658 A CN 110353658A
Authority
CN
China
Prior art keywords
chest
electrode
cardiologic
hyaline membrane
acquires
Prior art date
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
CN201910654820.5A
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Chinese (zh)
Inventor
常世杰
李硕
李家栋
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
China Medical University
Original Assignee
China Medical University
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Publication date
Application filed by China Medical University filed Critical China Medical University
Priority to CN201910654820.5A priority Critical patent/CN110353658A/en
Publication of CN110353658A publication Critical patent/CN110353658A/en
Pending legal-status Critical Current

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Classifications

    • 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
    • A61B5/25Bioelectric electrodes therefor
    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/282Holders for multiple electrodes
    • 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
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6813Specially adapted to be attached to a specific body part
    • A61B5/6823Trunk, e.g., chest, back, abdomen, hip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/683Means for maintaining contact with the body
    • A61B5/6831Straps, bands or harnesses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0209Special features of electrodes classified in A61B5/24, A61B5/25, A61B5/283, A61B5/291, A61B5/296, A61B5/053

Abstract

Normalized electro-cardiologic acquisition chest strap is related to biomedical engineering technology field, and specially normalized electro-cardiologic acquires chest strap.The present invention provides a kind of simplified twelve-lead electrocardiogram machine process for using of energy, and normalized electro-cardiologic easy to use acquires chest strap.The present invention includes base band, it is characterised in that: the base band includes hyaline membrane, and the hyaline membrane right end is provided with vertical calibration line corresponding to human body front middle line, and transparent film surface is provided with lateral calibration line corresponding to two nipple line midpoint of human body;It is located on the left of the top and vertical calibration line of lateral calibration line on hyaline membrane and is provided with V1 chest crosslinking electrode.

Description

Normalized electro-cardiologic acquires chest strap
Technical field
The present invention relates to biomedical engineering technology field, specially normalized electro-cardiologic acquires chest strap.
Background technique
Nowadays the acquisition of electrocardiosignal and monitoring instrument are many kinds of, have single lead, two leads to 12 by lead classification Lead electrocardiogram machine, and static, dynamic ecg can be divided.Whether the electrocardiosignal acquired from human body can accurately extract spy Whether sign, cardiovascular disease can correctly be diagnosed, it is desirable that it has preferable data accuracy and transmission stability.Various types of In type instrument, twelve-lead electrocardiogram function obtains more comprehensive diagnosis information, to feature extraction, doctor required for scientific research Diagnosis and the treatment of patient's cardiovascular disease have more medical value.
Twelve-lead electrocardiogram machine is divided into host, power supply line, conducting wire and ten crosslinking electrodes.Electrode slice often uses Ag/ Agcl electrode, adsorption electrode and metal holding electrode.Ag/Agcl electrode is needed when in use as moist electrode in human body Skin surface applies one layer of conductive paste to reduce contact impedance, and conductive paste is easy to cause the allergy of patient anti-with skin contact It answers.Ag/Agcl electrode and adsorption electrode using when be required to user and find out the rib cage position of patient to determine V1-V6 chest leads Position.Therefore twelve-lead electrocardiogram machine when in use, in addition to the clipping metal plate limb lead of four limbs is using relatively simple, The connection of other crosslinking electrodes needs user to have gained some understanding human anatomy rudimentary knowledge.In this way, twelve-lead electrocardiogram The use of machine needs more professional related practitioner.
Develop more rapid today in Holter electrocardiograph, for cardiac electrical three lead can be monitored in real time, five lead The research of the wearable ECGs figure measuring devices such as connection is constantly reinforced deepening.These equipment allow doctor to the heart by long-term record Restrain that a small number of cardiovascular diseases such as not normal, myocardial ischemia carry out diagnosis and the prognosis of cardiac and curative effect of medication etc. are commented Valence.And for the inspection of cardiovascular disease, it is the most comprehensive to have the disease that twelve-lead electrocardiogram machine can be shown only.Cause This, simplifies the process for using of twelve-lead electrocardiogram machine crosslinking electrode, undoubtedly reduces the requirement to user of service, can be Hospital is issued with external environment waves bigger effect.
Summary of the invention
The present invention addresses the above problem, provides a kind of simplified twelve-lead electrocardiogram machine process for using of energy, user Just normalized electro-cardiologic acquires chest strap.
Above-mentioned purpose to realize the present invention, the present invention adopt the following technical scheme that the present invention includes base band, and feature exists In: the base band includes hyaline membrane, and the hyaline membrane right end is provided with vertical calibration line, hyaline membrane corresponding to human body front middle line Surface is provided with lateral calibration line corresponding to two nipple line midpoint of human body;It is located at the top of lateral calibration line on hyaline membrane and erects V1 chest crosslinking electrode is provided on the left of straight calibration line, be disposed on the right side of hyaline membrane the different first band body of coefficient of elasticity, Second band body and third band body, are provided with V2 chest crosslinking electrode, V3 chest leads by the oblique arrangement in upper left to bottom right on first band body Electrode and V4 chest crosslinking electrode;Third band body left end lower part is provided with V5 chest crosslinking electrode and V6 chest crosslinking electrode;Third Band body right end and hyaline membrane left end are provided with corresponding velcro;The stretching with body with body and third of the first band body, second Shrinkage meets the following conditions:, can be different according to user's bust in drawing process, keep the accurate of six chest lead electrode positions Property.
As a preferred solution of the present invention, six chest crosslinking electrodes are provided with conducting wire below the base band Connector.
As another preferred embodiment of the invention, six chest crosslinking electrode structures are identical, include fixed sponge Slot is provided with hemispherical supporter in sponge slot, and electrode lead cloth is provided with outside hemispherical supporter, is arranged outside electrode lead cloth There is metal conductive fabric.
As the third preferred embodiment of the invention, the leading wire connector includes rubber face, and rubber face side is provided with Fastening structure, the rubber face other side are provided with connected structure.
As the 4th kind of preferred embodiment of the invention, non-slip rubber ring is provided with above the V6 chest crosslinking electrode.
Further, the non-slip rubber ring includes the rubber pad being connected with third with body, is provided with matrix on rubber pad At least four cushion rubber bodies of arrangement.
Beneficial effects of the present invention: 1, the present invention passes through the different first band body of setting coefficient of elasticity, the second band body and the Three band bodies so that patient's lead point different when being stretched with same power is stretched to different positions, make in the use of the present invention, The chest strap of same original length is adapted to the patient of different busts;Hyaline membrane is convenient for the position of observation scaling point.
2, vertical calibration line and lateral calibration line are set on hyaline membrane of the present invention.By medical knowledge it is found that two nipple lines It is close with V1 the and V2 lead position of twelve-lead electrocardiogram machine for the 4th intercostal, be with midsternal line with nipple line It is two nipple line midpoints that calibration line, which can obtain scaling point, and used V1~V6 lead of the invention position is with two nipple line midpoints For scaling point, measured through many experiments.
3, leading wire connector of the invention.Its one side is connected structure, and another side is fastening structure, can be applicable on the market Most electrocardiographs.Rubber face has the characteristic for insulating and being isolated external environment interference, prevents from causing making an uproar for ecg wave form Sound.Lead to medical lead in rubber and be connected with chest strap Correspondence lead point electrode piece, transmit the present invention can by measured electric signal To twelve-lead electrocardiogram machine.
4, human epidermal is not completely smooth, but there are different degrees of hairs, when electrode and skin contact, hair Formed interface flatness can be changed, and then influence effective contact area of electrode-skin interface, increase formed sensor resistance It is anti-.Meanwhile in electrode~skin interaction, if using supporter and conventional fabrics electrode, without slow between skin Region is rushed, Yi Yinfa electrode~skin interface deformation causes electrocardiogram to generate interference and noise.Used rigid support object itself Non-deformable, electrode-skin interface gap is obvious when with skin contact with hair.If surrounding them is made to wrap up one layer of sea Silk floss itself can adapt to skin surface hair style, reduce the gap of electrode and skin interface, reduce formed sensor resistance It is anti-;Textile electrode is soft electrode, due to using uniform length chest strap, for the same lead point of the people of different busts when use Pressure applied is different, not can guarantee it then according to smooth textile electrode and effectively contacts with human skin, therefore uses half Ball supporter, thereon by textile electrode covering.So in use, hemispheric electrode under the pressure that chest strap applies with human body The minimal-contact area of skin can be guaranteed, while can have bigger contact area;Conductive fabric is continuing to conduct electric signal While can also motion artifact caused by the friction preferably between bucking electrode piece and base band.
5, " the electrocardiographic criteriaization reconciliation translated, interpret and issued by Chinese electrocardiology meeting and Chinese rhythm of the heart association joint The suggestion and clinical application international guidelines 2009 of analysis " it is to reinforce electrocardiogram accurately to refer to accuracy " goldstandard ", it points out, Influence one key factor of electrocardiogram accuracy is electrocardio-electrode placement position.It is general now " 2 centimetres of precordial leads error with It is interior " under standard, the present invention relies on the reference such as national standard clothes model, Chinese Industrial Standards (CIS) personal data, and has carried out a large amount of reality Border data acquire (true man's measurement), finally, obtain universal models chest strap length and each lead position with appraisal through statistics.So that Human body effective lead position is covered when present invention can be suitably applied to most crowds, and applying lead.
It is 6, of the invention by the way that need that rib cage is looked for determine position respectively originally six chest leads are scaled on a chest strap, Simplify the use step of twelve-lead electrocardiogram machine.It does not need to determine rib cage position, makes the use of twelve-lead electrocardiogram machine User is not needed with medical knowledge, its use occasion is made to be expanded to base firstaid location, common people family from hospital department.
7, the design of non-slip rubber ring of the present invention, so that the present invention can better adapt to the body of testee when in use Type.Non-slip rubber ring is made of rubber pad and four cushion rubber bodies, is placed on above V6 lead, i.e., at left chest midaxillary line.Rubber It is soft for padding, and is adapted to skin shape, guarantees comfort.It can be increased using four cushion rubber bodies rather than one big rubber ring The contact area of skin and rubber ring, increasing friction force, fixed chest strap position.There are two its main functions.
First effect is fixed chest strap position.Since human chest structure is that figure, strip chest strap are tied up in chest Where nipple when circle, the support force between both sides human body side and skin is obliquely that support force non-level in this way can be to chest With the power that generation is downward.Because chest strap guarantees the comfort of human body, the friction with human skin using soft cloth Power is little, when human body light activity, it is easy to chest strap be made to glide.The rubber bottom plate of non-slip rubber ring and rubber ring are thicker, can To fill the gap of chest strap and chest, while increasing frictional force.Even if testee's activity upper body and arm can also keep chest The fixation of band.
Detailed description of the invention
Fig. 1 is structural schematic diagram of the invention.
Fig. 2 is the structural schematic diagram of chest crosslinking electrode.
Fig. 3 is the cross-sectional view of chest crosslinking electrode.
Fig. 4 is the structural schematic diagram of leading wire connector.
Fig. 5 is the structural schematic diagram of rubber pad.
1 it is lateral calibration line in attached drawing, 2 be vertical calibration line, 3 be V1 chest crosslinking electrode, 4 be V2 chest crosslinking electrode, 5 is V3 chest crosslinking electrode, 6 be V4 chest crosslinking electrode, 7 be V5 chest crosslinking electrode, 8 be V6 chest crosslinking electrode, 9 be velcro, 10 be Bright film, 11 be first band body, 12 be the second band body, 13 be third band body, 14 be base band, 15 be leading wire connector, 16 be sponge Slot, 17 be hemispherical supporter, 18 be motor lead cloth, 19 be metal conductive fabric, 20 be fastening structure, 21 be rubber face, 22 it is connected structure, 23 be non-slip rubber ring, 24 be cushion rubber body, 25 is rubber pad.
Specific embodiment
The present invention includes base band 14, it is characterised in that: the base band 14 includes hyaline membrane 10, the 10 right end phase of hyaline membrane Human body front middle line should be provided with vertical calibration line 2,10 surface of hyaline membrane is provided with corresponding to two nipple line midpoint of human body Lateral calibration line 1;The left side of the top and vertical calibration line 2 that are located at lateral calibration line 1 on hyaline membrane 10 is provided with V1 chest leads Electrode 3 is disposed with coefficient of elasticity different the 11, second band body 12 of first band body and third band body 13 on the right side of hyaline membrane 10, V2 chest crosslinking electrode 4, V3 chest crosslinking electrode 5 and V4 chest leads electricity are provided with by the oblique arrangement in upper left to bottom right on first band body 11 Pole 6;The third band 13 left end lower part of body is provided with V5 chest crosslinking electrode 7 and V6 chest crosslinking electrode 8;Third band 13 right end of body and 10 left end of hyaline membrane is provided with corresponding velcro 9;The first band body 11, second is with body 12 and third with the flexible of body 13 Rate meets the following conditions:, can be different according to user's bust in drawing process, keep the accurate of six chest lead electrode positions Property.
As a preferred solution of the present invention, six chest crosslinking electrodes are provided with lead below the base band 14 Wire terminal 15.
As another preferred embodiment of the invention, six chest crosslinking electrode structures are identical, include fixed sponge Slot 16 is provided with hemispherical supporter 17 in sponge slot 16, electrode lead cloth, electrode lead is provided with outside hemispherical supporter 17 Metal conductive fabric 19 is provided with outside cloth.
As the third preferred embodiment of the invention, the leading wire connector 15 includes rubber face 21,21 side of rubber face It is provided with fastening structure 20,21 other side of rubber face is provided with connected structure 22.
As the 4th kind of preferred embodiment of the invention, non-slip rubber ring 23 is provided with above the V6 chest crosslinking electrode 8.
Further, the non-slip rubber ring 23 includes the rubber pad being connected with third with body 13, is arranged on rubber pad 25 At least four cushion rubber bodies 24 for thering is matrix to arrange.
Before using equipment, determines that environment temperature is higher than 18 degrees Celsius, prevent the too high or too low influence patient of environment temperature; It keeps quite, divulge information;Whether examination couch is narrow, and muscle tonue bring is avoided to interfere;Nearly bed side wall is walked without electric wire, electrocardio measurement As far as possible without other equipment by equipment;Ensure that patient loosens in measuring chamber.After determining that environmental factor does not generate interference, it can carry out The use of equipment.
In use, should be connected with six chest leads conducting wires of twelve-lead electrocardiogram machine.Exposure patients wrist's ankle and on Body wears metal holding electrode.User holds chest strap, and the lateral calibration line 1 is aligned with the right nipple of patient, keeps hyaline membrane 10 left end portions are motionless, stretch the present invention and surround patient one week and both ends velcro 9 of the present invention is harmonious.Different patient V1~V4 Lead position difference is smaller, by the lower first band body 11 of coefficient of elasticity, can make up different bust patient V1~V4 The error of lead position.Because patient size is different, the thicker patient of chest muscle and chest muscle relatively thin patient V4 and V5 The distance between lead point differs greatly, therefore the present invention uses: the second band body 12 and two sides first band body 11 and third band body 13 coefficient of elasticity is different, when stretching described in the second band 12 elongation degree of body first band body 11 and the second band body 12 more Greatly, therefore the V5 lead location error caused by patient is because of bust variation is offset by the elastic cloth of two kinds of different telescopicing performances.This When, six chest crosslinking electrodes correspond to patient's V1~V6 chest leads position, that is, V1: the 4th intercostal of right border of sternum;V2: left border of sternum 4 intercostals;V3:V2 and V4 two o'clock line midpoint;V4: left mid-clavicular line and the 5th intercostal intersection;V5: left anterior axillary line is the same as V4 level; V6: left midaxillary line is the same as V4 level.
It is understood that being merely to illustrate the present invention above with respect to specific descriptions of the invention and being not limited to this Technical solution described in inventive embodiments, those skilled in the art should understand that, still the present invention can be carried out Modification or equivalent replacement, to reach identical technical effect;As long as meet use needs, all protection scope of the present invention it It is interior.

Claims (6)

1. normalized electro-cardiologic acquires chest strap, including base band (14), it is characterised in that: the base band (14) includes hyaline membrane (10), Hyaline membrane (10) right end is provided with vertical calibration line (2) corresponding to human body front middle line, and hyaline membrane (10) surface corresponds to Two nipple line midpoint of human body is provided with lateral calibration line (1);It is located at the top of lateral calibration line (1) on hyaline membrane (10) and erects V(1 is provided on the left of straight calibration line (2)) chest crosslinking electrode (3), hyaline membrane (10) right side is disposed with coefficient of elasticity difference First band body (11), the second band body (12) and third with body (13), by the oblique arrangement in upper left to bottom right on first band body (11) It is provided with V(2) chest crosslinking electrode (4), V(3) chest crosslinking electrode (5) and V(4) chest crosslinking electrode (6);Third band body (13) Left end lower part is provided with V(5) chest crosslinking electrode (7) and V(6) chest crosslinking electrode (8);Third band body (13) right end and hyaline membrane (10) left end is provided with corresponding velcro (9);The first band body (11), second are with body (12) and third with body (13) Expansion and contraction meets the following conditions:, can be different according to user's bust in drawing process, keep the standard of six chest lead electrode positions True property.
2. normalized electro-cardiologic according to claim 1 acquires chest strap, it is characterised in that: corresponded to below the base band (14) Six chest crosslinking electrodes are provided with leading wire connector (15).
3. normalized electro-cardiologic according to claim 1 acquires chest strap, it is characterised in that: six chest crosslinking electrode structure phases It together, include fixed sponge slot (16) being provided with hemispherical supporter (17) in sponge slot (16), hemispherical supporter (17) is outside It is provided with electrode lead cloth, is provided with metal conductive fabric (19) outside electrode lead cloth.
4. normalized electro-cardiologic according to claim 2 acquires chest strap, it is characterised in that: the leading wire connector (15) includes Rubber face (21), rubber face (21) side are provided with fastening structure (20), and rubber face (21) other side is provided with connected structure (22).
5. normalized electro-cardiologic according to claim 1 acquires chest strap, it is characterised in that: the V(6) chest crosslinking electrode (8) Top is provided with non-slip rubber ring (23).
6. normalized electro-cardiologic according to claim 5 acquires chest strap, it is characterised in that: the non-slip rubber ring (23) includes The rubber pad being connected with third with body (13) is provided at least four cushion rubber bodies (24) of matrix arrangement on rubber pad (25).
CN201910654820.5A 2019-07-19 2019-07-19 Normalized electro-cardiologic acquires chest strap Pending CN110353658A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116584901A (en) * 2023-07-17 2023-08-15 广州中医药大学深圳医院(福田) Leg nerve conduction detection device and application method

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US20090012408A1 (en) * 2004-03-24 2009-01-08 Dainippon Sumitomo Pharma Co., Ltd. Garment for bioinformation measurement having electrode, bioinformtion measurement system and bioinformation measurement device, and device control method
CN202619648U (en) * 2012-06-15 2012-12-26 郏建臣 Disposable electrocardiogram chest lead electrode paste
CN203303048U (en) * 2013-05-14 2013-11-27 广东省中医院 Belt type electrocardiogram electrode positioning device
CN204950943U (en) * 2015-08-24 2016-01-13 王永滨 Electrode subsides of leading of disposable electrocardiogram front
CN205107674U (en) * 2015-10-29 2016-03-30 山西医科大学 Heart electrograph chest leads electrode fixing device
CN207384256U (en) * 2017-03-01 2018-05-22 南阳理工学院 Front cardiac diagnosis lead interface clothing
CN210990264U (en) * 2019-07-19 2020-07-14 中国医科大学 Standardized electrocardio acquisition chest strap

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090012408A1 (en) * 2004-03-24 2009-01-08 Dainippon Sumitomo Pharma Co., Ltd. Garment for bioinformation measurement having electrode, bioinformtion measurement system and bioinformation measurement device, and device control method
CN1759805A (en) * 2004-10-12 2006-04-19 戴路 Portable analyzer of electrocardiogram in 12 tracks
CN202619648U (en) * 2012-06-15 2012-12-26 郏建臣 Disposable electrocardiogram chest lead electrode paste
CN203303048U (en) * 2013-05-14 2013-11-27 广东省中医院 Belt type electrocardiogram electrode positioning device
CN204950943U (en) * 2015-08-24 2016-01-13 王永滨 Electrode subsides of leading of disposable electrocardiogram front
CN205107674U (en) * 2015-10-29 2016-03-30 山西医科大学 Heart electrograph chest leads electrode fixing device
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116584901A (en) * 2023-07-17 2023-08-15 广州中医药大学深圳医院(福田) Leg nerve conduction detection device and application method
CN116584901B (en) * 2023-07-17 2023-09-26 广州中医药大学深圳医院(福田) Leg nerve conduction detection device and application method

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