CN110575217A

CN110575217A - Side shoulder formula breast cancer postoperative pressure monitoring device

Info

Publication number: CN110575217A
Application number: CN201910776884.2A
Authority: CN
Inventors: 唐舒亚; 李永平; 邵英; 王青青
Original assignee: Shanghai Pudong Hospital Fudan University Pudong Medical Center
Current assignee: Shanghai Pudong Hospital Fudan University Pudong Medical Center
Priority date: 2019-08-22
Filing date: 2019-08-22
Publication date: 2019-12-17

Abstract

The invention provides a side-shoulder type breast cancer postoperative pressure monitoring device which comprises cups, wherein chest girth binding belts are connected to two sides of each cup, a box body is movably arranged on each chest girth binding belt, a microprocessor and a power supply are arranged in each box body, a display screen is arranged on the outer surface of each box body, the oblique upper side of each cup is connected with one end of a shoulder belt, the other end of each shoulder belt is connected with the chest girth binding belt, each cup sequentially comprises a fixed layer, a pressurizing layer and a flexible layer from outside to inside, each pressurizing layer is an air bag, a pressure sensor is arranged on each flexible layer, the power supply is respectively connected with the microprocessor and the. According to the invention, the pressure sensor senses the pressure of the wound of the patient, the pressure sensor sends the monitored information of the patient to the microprocessor, the microprocessor processes the information and displays the information through the display screen, the inflation quantity of the air bag can be adjusted according to the display condition, the pressure of the wound of the patient is controlled, and the postoperative complications of flap hematocele, effusion, necrosis and the like of the patient are prevented, so that the practicability is strong.

Description

Side shoulder formula breast cancer postoperative pressure monitoring device

Technical Field

the invention belongs to the technical field of medical instruments, and particularly relates to a side-shoulder type breast cancer postoperative pressure monitoring device.

Background

Breast cancer is one of the common malignant tumors in women and has a tendency to rise year by year. At present, the clinical treatment scheme aiming at the breast cancer is usually treated by adopting the improved radical treatment, the discovery of early cases is greatly increased along with the wide development of general survey and health promotion, the improved radical treatment is widely developed along with the general survey, and the treatment effect is equal to the radical treatment, so the improved radical treatment gradually becomes the standard surgical formula for the surgical treatment of the breast cancer from 20 th century and 70 th century.

However, postoperative complications often occur, and postoperative complications of breast cancer mainly include bleeding, effusion, skin flap necrosis, upper limb edema, breast cancer arm edema and the like. After radical operation of breast cancer, lymphatic system is damaged, lymphatic return from arm is not smooth or head vein is ligated, so that protein is accumulated in tissue, osmotic pressure is increased, and water is absorbed to cause lymphedema of affected limb.

In order to prevent postoperative complications of breast cancer, a binding belt such as gauze or bandage is usually adopted to bind the operation part after the operation is finished, because the binding part is on the chest and is influenced by respiration, the chest is fluctuated, the binding belt is easy to be too loose, too tight or even fall off, the binding pressure at the wound of a patient cannot be monitored, and the postoperative recovery of the patient is not favorable. Because the doctor often will inspect patient's operation wound, current constraint area wraps the mode comparatively loaded down with trivial details, wastes time and energy, and the practicality is poor. And the binding belt is only limited in chest binding, so that the shoulder and the arm of a patient cannot be fixed, the binding is not comprehensive after operation, and symptoms such as upper limb edema, breast cancer arm edema and the like easily occur.

Disclosure of Invention

The invention aims to provide a pressure monitoring device, in particular to a side shoulder type postoperative pressure monitoring device for breast cancer, which is simple in structure, convenient to operate, specially suitable for postoperative recovery of breast cancer, adjustable in pressure and capable of comprehensively restraining shoulders and arms of a patient.

In order to solve the technical problems, the invention adopts the technical scheme that: a side shoulder type breast cancer postoperative pressure monitoring device comprises a side shoulder binding device, wherein the side shoulder binding device comprises a cup for covering the chest of a patient, chest girth binding belts are connected to two sides of the cup and are annular, the chest girth binding belts are arranged on the chest of the patient and are used for fixing the cup, a box body is movably arranged on the chest girth binding belts, a microprocessor and a power supply are arranged in the box body, a display screen is arranged on the outer surface of the box body, one end of a shoulder belt is connected to the oblique upper part of the cup, the other end of the shoulder belt is connected with the chest girth binding belts, the cup is of a multilayer structure and sequentially comprises a fixing layer, a pressurizing layer and a flexible layer from outside to inside, the fixing layer is made of small net-shaped hard materials, the pressurizing layer is an air bag, the flexible layer is made of skin-friendly flexible materials, a pressure sensor is arranged on the flexible, and the microprocessor is respectively connected with the pressure sensor and the display screen.

Furthermore, the shoulder tip of the lateral side of the shoulder strap is connected with an upper arm binding device for preventing upper limbs from drooping and swinging backwards, the upper arm binding device is a binding belt, and the binding belt is fixed at the position of biceps brachii of a patient.

Further, the air bag is connected with an inflating device, and the air bag is of a detachable structure.

Further, the side shoulder restraint device comprises a left shoulder restraint device and a right shoulder restraint device.

Furthermore, the chest circumference binding belt is made of elastic materials, and an opening and closing device is arranged on the chest circumference binding belt and is placed on the back of the patient.

Further, the opening and closing device is a thread gluing device.

Furthermore, the pressure sensor is a film pressure sensor, and the film pressure sensor is close to the position of the patient's Shanzhong acupoint.

Furthermore, the shoulder straps are made of elastic materials, and length adjusting devices are arranged on the shoulder straps.

Furthermore, a BLUETOOTH unit and/or a WiFi unit are arranged on the microprocessor, and the microprocessor is connected with the pressure sensor and/or the wireless display device of the user end through the BLUETOOTH unit and/or the WiFi unit.

Further, the wireless display device is a mobile phone, a computer or a printer.

The invention has the advantages and positive effects that:

1. The pressure sensor senses the pressure of the wound of the patient, the pressure sensor sends the monitored information of the patient to the microprocessor, the microprocessor processes the information and displays the information through the display screen, the inflation quantity of the air bag can be adjusted according to the display condition, the pressure of the wound of the patient is controlled, the monitoring condition is more accurate, the accuracy is high, complications such as flap hematocele, effusion, necrosis and the like can be prevented after the operation of the patient, and the practicability is high.

2. The pressurizing air bag is of a detachable structure, is suitable for a wound of a patient after being installed, is convenient for pressure regulation and monitoring of the wound, is a common female underwear after being detached, is suitable for the non-operation side of the patient, can be specifically matched according to the actual condition of the patient by arranging the side shoulder binding device into a left shoulder type and a right shoulder type, is high in flexibility and applicability, and improves the postoperative experience of the patient.

3. the bra cup is fixed by the chest circumference binding belt in contact with the chest circumference of a human body, the structure is simple, the opening and closing device is arranged on the chest circumference binding belt, the opening and closing device can be specifically adjusted according to the specific chest circumference of a patient, the application range is wide, the chest circumference binding belt is made of elastic materials, the bra cup is firmly contacted with the patient, and the using effect is good. Be equipped with length adjustment device on the baldric, can satisfy different patients' demand, the practicality is strong, shoulder the side shoulder point department and connect upper arm constraint device, shoulder point position is equipped with tensile fixed point, installs the upper arm constraint device that the winding was fixed in biceps brachii position additional through the restraint area, also can extend to elbow position, and two positions are retrained fixedly, are used for preventing upper limbs flagging and back pendulum through adjusting the position. Prevent the patient from symptoms such as upper limb edema, breast cancer arm edema and the like, and has strong practicability.

4. The microprocessor of the invention transmits the detected patient information to the wireless display device of the user terminal through the BLUETOOTH unit and the WiFi unit, thereby facilitating the medical personnel, the patient and the family members of the patient to observe the postoperative condition of the patient in real time and form the file record, and having strong practicability.

Drawings

Fig. 1 is a schematic view of the overall structure of the embodiment of the present invention.

Fig. 2 is a schematic structural view of a left shoulder restraint device according to an embodiment of the present invention.

Fig. 3 is a schematic structural view of a right shoulder restraint device according to an embodiment of the invention.

figure 4 is a rear view of a side shoulder restraint of an embodiment of the present invention.

Figure 5 is a cross-sectional view of a cup construction of an embodiment of the present invention.

Fig. 6 is a schematic diagram of the operation of an embodiment of the present invention.

Fig. 7 is a circuit diagram of a data acquisition circuit according to an embodiment of the present invention.

Fig. 8 is an interface circuit diagram of a display screen according to an embodiment of the present invention.

In the figure:

Detailed Description

The technical solutions of the present invention will be described clearly and completely with reference to the accompanying drawings, and it should be understood that the described embodiments are some, but not all embodiments of the present invention. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

In the description of the present invention, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc., indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description and simplicity of description, but do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be construed as limiting the present invention. Furthermore, the terms "first," "second," and "third" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.

In the description of the present invention, it should be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral connection; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.

embodiments of the invention are further described below with reference to the accompanying drawings:

As shown in fig. 1-3, a side shoulder type breast cancer postoperative pressure monitoring device comprises two sets of symmetrically arranged side shoulder binding devices 1, wherein each side shoulder binding device 1 comprises a cup 2 for covering the chest of a patient, and each cup 2 is of a full-cover type and is square, circular or oval in shape.

Bra binding belt 3 is connected to 2 both sides of cup, and bra binding belt 3 is the annular, arranges patient's chest in and encloses for fixed cup 2, and the activity is equipped with box body 4 on bra binding belt 3, is equipped with microprocessor 7 and power 8 in the box body 4, and the 4 surfaces of box body are equipped with display screen 10.

Preferably, the chest circumference binding belt 3 is made of elastic and breathable material, and the chest circumference binding belt 3 is provided with an opening and closing device 11, as shown in fig. 4, the opening and closing device 11 is placed on the back of the patient. The opening and closing device 11 is any device capable of adjusting the girth of the chest girth binding belt 3, and can be a hook, a binding belt and the like, and a thread gluing is used in the embodiment.

The oblique upper side of the cup 2 is connected with one end of a shoulder belt 5, the other end of the shoulder belt 5 is connected with a chest girth binding belt 3, the shoulder belt 5 is made of elastic material, and a length adjusting device 12 is arranged on the shoulder belt 5. The length adjusting device 12 is any device for adjusting the length of the shoulder strap 5, and may be a hook and loop fastener, a strap, etc., and an adjusting ring is used in this embodiment.

As shown in fig. 5, the cup 2 is a multi-layer structure, and sequentially comprises a fixed layer 13, a pressurizing layer 14 and a flexible layer 15 from outside to inside, the fixed layer 13 is made of a small net-shaped hard material, the pressurizing layer 14 is an air bag, the flexible layer 15 is made of a skin-friendly flexible material, the flexible layer 15 is provided with a pressure sensor 9, the power supply 8 is respectively connected with the microprocessor 7 and the display screen 10, and the microprocessor 7 is respectively connected with the pressure sensor 9 and the display screen 10.

The air bag is connected with an inflating device, and the inflating quantity can be adjusted according to the specific situation of a patient, so that the pressure at the wound of the patient is controlled. The air bag is of a detachable structure, and after the pressurizing air bag is installed, the pressurizing air bag is suitable for a wound of a patient, so that the pressure at the wound can be adjusted and monitored conveniently, and after the pressurizing air bag is detached, the pressurizing air bag is a common female underwear and is suitable for the side of the patient which is not operated. Side shoulder constraint dress, 1 includes left shoulder constraint device and right shoulder constraint device, through tying side shoulder constraint device 1 to left shoulder formula and right shoulder formula, can specifically arrange according to patient's actual conditions, the flexibility is strong, and the suitability is strong, has improved patient's postoperative experience.

The shoulder belt 5 is connected with an upper arm binding device 6 at the lateral shoulder tip for preventing upper limb from drooping and swinging backwards, the upper arm binding device 6 is a binding belt, and the binding belt is fixed at the position of biceps brachii of a patient. Can also be extended to the elbow position of the patient, and the two parts are restrained and fixed, and the positions are adjusted to prevent the upper limbs from drooping and swinging backwards. Prevent the patient from symptoms such as upper limb edema, breast cancer arm edema and the like, and has strong practicability.

The pressure sensor 9 senses the pressure of the wound of the patient, the pressure sensor 9 sends the monitored information of the patient to the microprocessor 7, and the information is processed by the microprocessor 7 and displayed by the display screen 10.

A wide variety of signals and techniques may be used between the pressure sensor 9, display screen 10 and microprocessor 7 to achieve the above-described functions. These signals and techniques include: orthogonal signals, CDMA, TDMA, FDMA, OFDMA, ultra wideband signals, chirp signals, laser signals, and many others. The signals to and from the microprocessor 7 and pressure sensors 9, display screen 10 may be modulated (using AM, FM, PSK, FSK, MSK, QAM or any other possible modulation) or may be otherwise encoded or configured to contain timing, synchronization, control, data, multipath signal component identification, security codes, information to ensure proper operation, and redundancy. The signals to and from the microprocessor 7 and pressure sensor 9, display screen 10 may include Gold codes, PN codes, M-Sequence codes, Walsh-Hadamard codes, or any other codes. The microprocessor 7 may be a conventional chip, a single chip, or other device, and has a module with a corresponding function, which drives the above device to implement the above function, and is not described herein again.

The connection modes of the microprocessor 7, the pressure sensor 9 and the display screen 10 comprise a wired connection and a wireless connection. The wired connections may be connected by means of a serial bus, P1394, Thunderbolt, etc., and the wires in the wired connections are not shown in fig. 1 in order to avoid clutter. The wireless connection mode can be connected through modes such as Bluetooth, Bluetooth Low Energy, WIFI and Zigbee. As shown in fig. 6, a schematic diagram of the connection of the microprocessor 7 to the pressure sensor 9, the display screen 10, the power supply 8, etc. is shown. The microprocessor 7 and the display screen 10 may receive power via a wired or wireless connection, as well as from a disposable or rechargeable battery.

The microprocessor 7 is provided with a BLUETOOTH unit and/or a WiFi unit, and the microprocessor 7 is connected with the pressure sensor 9 and/or a wireless display device of a user end through the BLUETOOTH unit and/or the WiFi unit. The wireless display device may be a cell phone, computer, printer or other electronic device. The computer can be a tablet computer, a notebook computer, a desktop computer, etc.

Preferably, the BLUETOOTH unit is a CC2540 module, and the WIFI unit is an Esp8266 module.

The working principle of the invention is as follows:

According to the actual operation condition of a patient, a proper left shoulder restraint device and a proper right shoulder restraint device are selected, the air bag is placed on one side of a wound of the patient, the air bag is inflated through the inflation device, the cup 2 with the air bag exerts pressure on the bottom of an armpit and the healthy side of a chest for shaping, meanwhile, the pressure sensor 9 collects the pressurized pressure, the power supply 8 supplies power to the microprocessor 7 and the display screen 10, the pressure sensor 9 converts monitored patient information into an electric signal and sends the electric signal to the microprocessor 7, and after the microprocessor 7 analyzes the electric signal, the electric signal is displayed through the display screen 10.

When the pressure strength is not appropriate, the tightness of the shoulder and the armpit can be adjusted to achieve the appropriate pressure, specifically, the length of the shoulder strap 5 can be adjusted through the length adjusting device 12, and the length of the chest circumference binding belt 3 can be adjusted through the opening and closing device 11.

The shoulder belt 5 is connected with an upper arm binding device 6 at the lateral shoulder tip for preventing upper limb from drooping and swinging backwards, the upper arm binding device 6 is a binding belt, and the binding belt is fixed at the position of biceps brachii of a patient. Can also be extended to the elbow position of the patient, and the two parts are restrained and fixed, and the positions are adjusted to prevent the upper limbs from drooping and swinging backwards. Preventing the patients from the symptoms of upper limb edema, breast cancer arm edema and the like.

The pressure sensor 9 provided by the embodiment is a membrane pressure sensor with the model number RX-M64, the working voltage of the pressure sensor 9 is 3V-5V, the size is 125mm multiplied by 125mm, the side length of a sensing area is 12mm, and the response time is less than 10 ms. The circuit diagram for data acquisition of the pressure sensor 9 is shown IN fig. 7, the a/D conversion circuit adopts a common chip ADC0809, and the output end of the pressure sensor 9 is connected to IN0 of the ADC 0809. As can be seen in FIG. 7, the channel select addresses A, B, C of ADC0809 are provided by P0.0-P0.2 of 89C51 via the address latch 74LS373 output, respectively. When P2.7 is 0, ADC0809 is gated in common with the write signal WR. In fig. 7, the ALE signal is coupled to the ST signal to write the address signal on the leading edge of the WR signal and to initiate the transition on the trailing edge. For example, when the output address is 7FF8H, the channel IN0 can be gated, so that the analog quantity output by the pressure sensor 9 is converted. In fig. 7, the end-of-conversion state signal EOC of the ADC0809 is connected to the INT1 pin of the 89C51, and when the a/D conversion is completed, the EOC goes high, indicating that the conversion is ended, and an interrupt is generated. In the interrupt service routine, the converted data is sent to the designated storage unit.

the model of the display screen 10 selected by the embodiment is VGG12864E-S002 model, the resolution is 128 × 64, and a 64 × 64 display data RAM is built in the display screen. Each bit of data in the RAM corresponds to the light and dark state of a point on the display screen 10. So two pieces of column driver controllers are used, each piece outputting 64 rows of row drivers. The VGG12864E module is indirectly controlled to be connected to the microprocessor 7, the interface circuit of the display screen 10 is shown in fig. 8, the common chips of the interface circuit are P89C669, the P1 port of the P89C669 is used as the data port, P3.2 and P3.3 are used as the chip select signal, P3.4 is used as the reset control signal, P3.5 is the register select signal, P3.6 is the enable signal E, and P3.7 is the read/write signal. Meanwhile, the information is sent to a mobile phone, a computer or a printer of a user side through the BLUETOOTH unit and the WiFi unit, so that the user can conveniently monitor the information at any time, and the printer can print, archive and backup the information.

The invention has the advantages and positive effects that:

While one embodiment of the present invention has been described in detail, the description is only a preferred embodiment of the present invention and should not be taken as limiting the scope of the invention. All equivalent changes and modifications made within the scope of the present invention shall fall within the scope of the present invention.

Claims

1. The utility model provides a side shoulder formula breast cancer postoperative pressure monitoring device, includes side shoulder constraint device, its characterized in that: the side shoulder binding device comprises a cup for covering the chest of the patient, two sides of the cup are connected with a chest circumference binding belt, the chest circumference binding belt is annular and is arranged on the chest circumference of a patient for fixing the cups, a box body is movably arranged on the chest circumference binding belt, a microprocessor and a power supply are arranged in the box body, a display screen is arranged on the outer surface of the box body, the oblique upper part of the cup is connected with one end of the shoulder strap, the other end of the shoulder strap is connected with the chest girth binding belt, the cup is of a multilayer structure and sequentially comprises a fixed layer, a pressurizing layer and a flexible layer from outside to inside, the fixed layer is made of small net-shaped hard material, the pressurizing layer is an air bag, the flexible layer is made of skin-friendly flexible material, the flexible layer is provided with a pressure sensor, the power supply is connected with the microprocessor and the display screen respectively, and the microprocessor is connected with the pressure sensor and the display screen respectively.

2. The device of claim 1, wherein the pressure monitoring device comprises: the shoulder-point position on the lateral surface of the shoulder strap is connected with an upper arm binding device for preventing upper limbs from drooping and swinging backwards, the upper arm binding device is a binding belt, and the binding belt is fixed at the position of biceps brachii of a patient.

3. The device for monitoring the postoperative pressure of side-shoulder breast cancer according to claim 1 or 2, wherein: the air bag is connected with an inflating device and is of a detachable structure.

4. The device of claim 3, wherein the pressure monitoring device comprises: the side shoulder restraint device comprises a left shoulder restraint device and a right shoulder restraint device.

5. The device for monitoring postoperative pressure of lateral shoulder breast cancer according to claim 1, 2 or 4, wherein: the chest circumference binding belt is made of elastic materials, and an opening and closing device is arranged on the chest circumference binding belt and is arranged on the back of a patient.

6. The device of claim 5, wherein the pressure monitoring device comprises: the opening and closing device is a thread gluing device.

7. The device for monitoring the postoperative pressure of lateral shoulder breast cancer according to claim 1, 2, 4 or 6, wherein: the pressure sensor is a film pressure sensor, and the film pressure sensor is close to the position of the patient's Shanzhong acupoint.

8. The device for monitoring the postoperative pressure of lateral shoulder breast cancer according to claim 1, 2, 4 or 6, wherein: the shoulder straps are made of elastic materials, and length adjusting devices are arranged on the shoulder straps.

9. The device for monitoring the postoperative pressure of lateral shoulder breast cancer according to claim 1, 2, 4 or 6, wherein: the microprocessor is provided with a BLUETOOTH unit and/or a WiFi unit, and is connected with the pressure sensor and/or the wireless display equipment of the user side through the BLUETOOTH unit and/or the WiFi unit.

10. The device for monitoring the postoperative pressure of lateral shoulder breast cancer according to claim 9, wherein: the wireless display equipment is a mobile phone, a computer or a printer.