CN110680330B - Wound measuring and evaluating tool - Google Patents

Wound measuring and evaluating tool Download PDF

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Publication number
CN110680330B
CN110680330B CN201911056518.6A CN201911056518A CN110680330B CN 110680330 B CN110680330 B CN 110680330B CN 201911056518 A CN201911056518 A CN 201911056518A CN 110680330 B CN110680330 B CN 110680330B
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China
Prior art keywords
detection
wound
plate
stick
rod
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CN201911056518.6A
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Chinese (zh)
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CN110680330A (en
Inventor
白璐
蒋美玲
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First Affiliated Hospital of Army Medical University
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First Affiliated Hospital of Army Medical University
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Priority to CN201911056518.6A priority Critical patent/CN110680330B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1072Measuring physical dimensions, e.g. size of the entire body or parts thereof measuring distances on the body, e.g. measuring length, height or thickness
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1075Measuring physical dimensions, e.g. size of the entire body or parts thereof for measuring dimensions by non-invasive methods, e.g. for determining thickness of tissue layer
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B05SPRAYING OR ATOMISING IN GENERAL; APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
    • B05DPROCESSES FOR APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
    • B05D5/00Processes for applying liquids or other fluent materials to surfaces to obtain special surface effects, finishes or structures
    • B05D5/06Processes for applying liquids or other fluent materials to surfaces to obtain special surface effects, finishes or structures to obtain multicolour or other optical effects
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F21LIGHTING
    • F21VFUNCTIONAL FEATURES OR DETAILS OF LIGHTING DEVICES OR SYSTEMS THEREOF; STRUCTURAL COMBINATIONS OF LIGHTING DEVICES WITH OTHER ARTICLES, NOT OTHERWISE PROVIDED FOR
    • F21V33/00Structural combinations of lighting devices with other articles, not otherwise provided for
    • F21V33/0064Health, life-saving or fire-fighting equipment
    • F21V33/0068Medical equipment
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F21LIGHTING
    • F21WINDEXING SCHEME ASSOCIATED WITH SUBCLASSES F21K, F21L, F21S and F21V, RELATING TO USES OR APPLICATIONS OF LIGHTING DEVICES OR SYSTEMS
    • F21W2131/00Use or application of lighting devices or systems not provided for in codes F21W2102/00-F21W2121/00
    • F21W2131/20Lighting for medical use
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F21LIGHTING
    • F21YINDEXING SCHEME ASSOCIATED WITH SUBCLASSES F21K, F21L, F21S and F21V, RELATING TO THE FORM OR THE KIND OF THE LIGHT SOURCES OR OF THE COLOUR OF THE LIGHT EMITTED
    • F21Y2115/00Light-generating elements of semiconductor light sources
    • F21Y2115/30Semiconductor lasers

Abstract

The invention relates to the technical field of medical equipment, in particular to a wound and evaluation tool, which comprises a detection plate, wherein the detection plate is rotatably connected with a rotating rod, one end of the rotating rod, which is far away from the detection plate, is radially and slidably connected with a detection rod, the detection rod is provided with scale marks, a detection surface vertical to the rotating rod is arranged on the detection plate, and the detection surface is used for recording the wound outline; be equipped with the detection lamp to transmitting laser light on the pick-up plate on the detection stick, detect the lamp and just distribute along detecting excellent axial direction for the bar, the dwang runs through the pick-up plate, and the one end that the detection stick was kept away from to the dwang is connected with adjust knob, and adjust knob passes through adjustment mechanism and is connected with the detection stick. According to the scheme, the wound outline can be recorded through the laser on the detection rod camera detection plate, so that the wound area and the creeping depth are facilitated, and the problem that the measurement error of the wound area is large in the prior art is solved.

Description

Wound measuring and evaluating tool
Technical Field
The invention relates to the technical field of medical equipment, in particular to a wound and evaluation tool.
Background
At present, the maximum length of a wound is measured by adopting a ruler, the maximum width of the wound is measured by adopting the ruler, then the product of the length and the width is used as the area of the wound, corresponding wound assessment is made according to the wound area, in the process of wound treatment, the area change of each wound assessment is compared, and if the wound area is reduced, the wound is healed. The wound assessment is beneficial to hospitals to make corresponding nursing and treatment, and is also beneficial to accumulating wound treatment experience.
In addition, if there is a wound potential (meaning internally damaged tissue that is not visible from the wound surface, usually inward at the visible wound margin on the surface), then the wound assessment requires recording of the depth of potential, which is typically the depth of penetration of a cotton swab along the wound margin, and the depth at which the swab can penetrate, i.e. the depth of potential, and recording the orientation, e.g. 2cm from 12 o ' clock to 15 o ' clock, of the patient's head at 12 o ' clock and foot at 6 o ' clock.
In the existing wound measurement, the size of a wound is recorded only through the length and the width, the measurement error is large, meanwhile, the wound latent depth and the wound area cannot be measured together, and the efficiency is low.
Disclosure of Invention
The invention aims to provide a wound measuring and evaluating tool, and solves the problem that the wound area measuring error is large in the prior art.
The scheme is basically as follows: wound is measured and evaluation tool, including the pick-up plate, the pick-up plate rotates and is connected with the dwang, and the dwang is kept away from pick-up plate one end and is upwards sliding connection has the detection stick, detects and is equipped with the scale mark on the stick, has on the pick-up plate with dwang vertically detect the face, detect the face and be used for taking notes the wound profile.
Has the advantages that: rotate the dwang, during rotatory certain angle, the slip detects the stick, make the tip and the wound edge that detect the stick flush, and can acquire the distance an between detection stick tip and the dwang through the scale mark on the monitoring stick, use the dwang to get same distance an with the chi volume in the position at this moment of corresponding detection stick as the center on the detection board, and use the pen to take a little the record distance a position, therefore, the dwang is rotatory a week, a plurality of points have been noted on the detection plane, thereby can draw the profile of wound with the line of going on, then can obtain the accurate area size of wound through calculating, measurement accuracy can further obtain improving through the quantity that increases the record point, relative prior art, this scheme measuring error is little, do benefit to the accurate aassessment of wound. Simultaneously, if there is the sneak in the wound, stretch into the wound with the dwang in, let the detection stick stretch into the subcutaneous of sneak wound, also can acquire the sneak degree of depth through the scale mark, the sneak degree of depth can be with the position at the pen record corresponding detection stick this moment on the detection face.
Further, be equipped with the detection lamp to transmitting laser light on the pick-up plate on the detection stick, the detection lamp is the bar and distributes along detection stick axial direction.
The detection lamp is in a strip shape, can be formed by arranging point lasers or can be formed by lasers emitted from the grating, the detection lamp irradiates on the detection surface, and the recording position can be determined through the irradiation position on the detection surface, so that the recording position does not need to be determined by measuring with a ruler, and the measurement efficiency and accuracy are improved.
Furthermore, one end of the detection rod, which is far away from the rotating rod, is fixedly provided with a radiation lamp.
The irradiation lamp adopts an LED type cold light source, can provide illumination for the wound, is favorable for adjusting the detection rod, particularly in a creeping wound, and the light of the irradiation lamp makes the light at the position of the creeping wound and the light at the position of normal human tissue generate light-shade difference, so that the detection rod is more suitable for adjusting the position of the detection plate.
Further, the dwang runs through the pick-up plate, and the one end that detects the stick is kept away from to the dwang is connected with adjust knob, and adjust knob passes through adjustment mechanism and is connected with the detection stick.
The dwang runs through the pick-up plate to do benefit to and rotate the dwang on the back of pick-up plate, also do benefit to and detect the stick through adjust knob regulation, relatively in going up the regulation in the face direction that detects, increase maneuverability.
Further, adjust knob and dwang threaded connection, the inside cavity that is equipped with of dwang detects stick and cavity inner wall sliding connection, and adjustment mechanism includes the piston fixed with adjust knob, piston and cavity sliding connection, and the cavity part between piston and the detection stick is filled with liquid or gas.
The rotation is adjusted to axially move relative to the rotating rod, so that the piston can slide in the cavity, the liquid or gas pressure is changed, and the detection rod is controlled to slide.
Further, adjust knob and dwang threaded connection, the inside cavity that is equipped with of dwang detects stick and cavity inner wall sliding connection, and adjustment mechanism includes to rotate with adjust knob and be connected and with detect stick fixed connection's rubber strip or flexible iron wire, rubber strip or flexible iron wire and cavity sliding connection.
The relative dwang axial displacement of regulation rotation can push or pull through rubber strip or flexible iron wire and detect the stick and slide.
Furthermore, the detection surface of the detection plate is pasted with grid paper. The wound area can be obtained through the number of the grids covered by the recorded wound outline, the wound area can be estimated through relatively accurate calculation, and the efficiency is improved.
Further, a laser sensitive film is fixed on the detection surface. The laser sensitive film can record the area swept by the light of the detection lamp on the detection surface, so that the recording is not needed by a pen, and the efficiency is higher.
Furthermore, a photosensitive coating is coated on the detection surface, and transparent mesh paper is covered on the photosensitive coating. The photosensitive coating can be a coating which changes color by laser irradiation, for example, and changes color after laser irradiation, and then the area is read through the mesh paper.
Furthermore, a two-dimensional array of optical electronic detection devices is fixed on the detection surface. The optical electronic detection device can adopt a CCD (charge coupled device), generates current under the irradiation of laser, identifies the current through a computer, and finally records the outline and calculates the area through software.
Drawings
Fig. 1 is a schematic forward view of a first embodiment of the present invention.
Fig. 2 is a schematic diagram of a back side of the first embodiment of the invention.
Fig. 3 is a schematic diagram of a first mode of an adjusting mechanism according to an embodiment of the invention.
FIG. 4 is a diagram illustrating a second manner of adjusting a mechanism according to an embodiment of the invention.
FIG. 5 is a diagram illustrating a third manner of adjusting a mechanism according to an embodiment of the invention.
Fig. 6 is a schematic diagram of a situation in which a laser irradiates a detection board vertically according to an embodiment of the present invention.
Fig. 7 is a schematic diagram of a situation in which a laser is obliquely irradiated onto a detection plate according to an embodiment of the present invention.
Detailed Description
The following is further detailed by way of specific embodiments:
reference numerals in the drawings of the specification include: the device comprises a base 1, a detection plate 2, a rotating rod 3, an adjusting knob 31, a control knob 32, a detection rod 4, a detection lamp 41 and a radiation lamp 42.
The first embodiment is basically as follows:
wound measuring and evaluation tool, as shown in fig. 1, including pedestal 1, it has pick-up plate 2 to articulate through the hinge on the pedestal 1, and pick-up plate 2 can overturn angle of adjustment, does benefit to adjustment pick-up plate 2 and human wound surface just, and in order to increase pick-up plate 2 adjustable degree of freedom (including the perpendicular distance between pick-up plate 2 and the wound), pick-up plate 2 accessible universal joint arm is connected with pedestal 1, and universal joint arm is prior art, and here is no longer repeated.
The surface of the detection plate 2, which faces away from the base body 1, is a detection surface, the detection surface is attached with grid paper, a rotating rod 3 penetrates through the center of the detection plate 2, and the rotating rod 3 is rotatably connected with the detection plate 2. Dwang 3 is L shape, and the one end sliding connection that dwang 3 kept away from pick-up plate 2 has detection stick 4, and it is perpendicular with dwang 3 to detect stick 4, and detects stick 4 and slides along dwang 3's vertical direction, detects and is equipped with the scale mark on stick 4 along the axial direction. As shown in fig. 2, the detection rod 4 is provided with a strip-shaped detection lamp 41, and the detection lamp 41 is formed by laser, specifically, by a plurality of spot lasers arranged along the axis of the detection rod 4, or by laser emitted from a grating.
An adjusting knob 31 and a control knob 32 are arranged at one end of the rotating rod 3 far away from the detection rod 4, and the control knob 32 is fixedly connected with the rotating rod 3 and used for manually controlling the rotating rod 3 to rotate relative to the detection plate 2; adjusting knob 31 and dwang 3 swing joint for the relative dwang 3 of control detection stick 4 slides that stretches out and draws back, and adjusting knob 31 adjusts the concrete structure of detection board 2 and can adopt any one of following three kinds: (1) as shown in fig. 3, an adjusting knob 31 is sleeved at the upper end of a rotating rod 3 and is in threaded connection with the rotating rod 3, a cavity is formed in the rotating rod 3, a detection rod 4 is in sliding connection and sealing with the inner wall of the cavity, a piston rod extending into the cavity is fixed on the inner wall of the adjusting knob 31, the lower end of the piston rod is connected with a piston, liquid or gas is filled in the cavity between the piston and the detection rod 4, and when the adjusting knob 31 is rotated, the adjusting knob 31 drives the piston to ascend or descend, so that the length of the detection plate 2 extending out of the rotating rod 3 is changed through hydraulic pressure or air pressure change; (2) as shown in fig. 4, the structure is different from that in the step (1), a rubber strip or a flexible iron wire is connected in the cavity in a sliding manner, the upper end of the rubber strip or the iron wire is rotatably connected with an adjusting knob 31, and the lower end of the rubber strip or the iron wire is fixedly connected with a detection rod 4; (3) as shown in fig. 5, the adjusting knob 31 is rotatably connected with the upper end of the rotating rod 3, the adjusting knob 31 is fixedly connected with a connecting rod extending into the rotating rod 3, a gear is fixed at the lower end of the connecting rod, the rotating rod 3 is penetrated through by the left end and the right end of the detecting rod 4, and a rack meshed with the gear is arranged on the detecting rod 4.
When specifically measuring the wound, as shown in fig. 6, stretch into the wound with dwang 3 free end in, control dwang 3 through control knob 32 and rotate a week, rotate a week in-process, constantly adjust through adjust knob 31 and detect 4 tip of stick and flush with the wound edge, detect on the stick 4 and detect lamp 41 directive and form a light on pick-up plate 2, keep away from the one end of dwang 3 with this light on pick-up plate 2 with the pen and mark, link up the line with the mark at last and form wound profile map, the area size that can accurately obtain the wound through the net number that the wound profile covered on the grid paper.
At the position of the sneak wound, as shown in fig. 6, due to the illumination effect of the radiation lamp 42 at the end part of the detection plate 2, the edge of the sneak wound is roughly distinguished by distinguishing the brightness of the light rays transmitted by the radiation lamp 42 through the skin, the end part of the detection rod 4 is inserted into the subcutaneous part to the edge of the sneak wound through the adjusting knob 31, the detection lamp 41 on the part of the detection rod 4 in the sneak wound is blocked by the human tissue, so that the wound contour recorded on the detection plate 2 is still the same, and the depth of the sneak can be obtained through the scale on the detection rod 4 and recorded on the position of the detection plate 2.
As shown in fig. 7, if the light of the detection lamp 41 is not perpendicular to the detection plate 2, the real wound area can be obtained by scaling the wound area recorded on the detection plate 2.
In addition, the circumferential surface of the rotating rod 3 can be wrapped with a color contrast card, different colors can be reflected by the wound according to the severity, the severity of the wound can be conveniently judged through the color contrast card, and the evaluation dimensionality of the wound is increased.
Example two:
the difference from the first embodiment is that a laser sensitive film is fixed on the detection surface of the detection plate 2, the laser sensitive film comprises a substrate formed by a glass plate or a polyester sheet base material, then a silver halide emulsion layer is coated on the substrate, and the transparent protective film with a grid is used for covering, and the scheme adopts a film imaging principle and records the wound outline by the laser sensitive film.
Alternatively, the laser sensitive film can be replaced by a photosensitive coating, and the photosensitive coating can be made of laser color-changing materials, so that the wound area is reflected through color change.
Example three:
the difference from the first embodiment is that the detection surface of the detection plate 2 is provided with a two-dimensional array of optical electronic detection devices, which may be specifically a photosensitive sensor imaging module (such as a CCD), the imaging module is connected to a computer, the computer records the contour in real time, and finally the software calculates the wound area.
The above are merely examples of the present invention, and common general knowledge of known specific structures and characteristics in the schemes is not described herein. It should be noted that, for those skilled in the art, without departing from the structure of the present invention, several changes and modifications can be made, which should also be regarded as the protection scope of the present invention, and these will not affect the effect of the implementation of the present invention and the practicability of the patent. The scope of the claims of the present application shall be determined by the contents of the claims, and the description of the embodiments and the like in the specification shall be used to explain the contents of the claims.

Claims (9)

1. A wound measurement and assessment tool, characterized by: the wound detection device comprises a detection plate, wherein the detection plate is rotatably connected with a rotating rod, one end of the rotating rod, which is far away from the detection plate, is radially and slidably connected with a detection rod, the detection rod is provided with scale marks, a detection surface which is vertical to the rotating rod is arranged on the detection plate, and the detection surface is used for recording the wound outline; the detection rod is provided with a detection lamp for emitting laser light to the detection plate, and the detection lamp is strip-shaped and distributed along the axial direction of the detection rod.
2. The wound measurement and assessment tool of claim 1, wherein: and a radiation lamp is fixed at one end of the detection rod, which is far away from the rotating rod.
3. The wound measurement and assessment tool of claim 2, wherein: the dwang runs through the pick-up plate, and the one end that detects the stick is kept away from to the dwang is connected with adjust knob, and adjust knob passes through adjustment mechanism and is connected with the detection stick.
4. The wound measurement and assessment tool according to claim 3, wherein: adjust knob and dwang threaded connection, the inside cavity that is equipped with of dwang detects stick and cavity inner wall sliding connection, and adjustment mechanism includes the piston fixed with adjust knob, piston and cavity sliding connection, and the cavity part between piston and the detection stick is filled with liquid or gas.
5. The wound measurement and assessment tool according to claim 3, wherein: adjust knob and dwang threaded connection, the inside cavity that is equipped with of dwang detects stick and cavity inner wall sliding connection, and adjustment mechanism includes to rotate with adjust knob and be connected and with detect stick fixed connection's rubber strip or flexible iron wire, rubber strip or flexible iron wire and cavity sliding connection.
6. The wound measurement and assessment tool according to any of claims 1-5, wherein: and the detection surface of the detection plate is adhered with mesh paper.
7. The wound measurement and assessment tool according to any of claims 1-5, wherein: and a laser sensitive film is fixed on the detection surface.
8. The wound measurement and assessment tool according to any of claims 1-5, wherein: the detection surface is coated with a photosensitive coating, and the photosensitive coating is covered with transparent mesh paper.
9. The wound measurement and assessment tool according to any of claims 1-5, wherein: and a two-dimensional array of optical electronic detection devices is fixed on the detection surface.
CN201911056518.6A 2019-10-31 2019-10-31 Wound measuring and evaluating tool Active CN110680330B (en)

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Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
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CN110680330B true CN110680330B (en) 2022-04-19

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CN200994778Y (en) * 2007-01-16 2007-12-26 张存华 Bone measuring ruler
US7401413B1 (en) * 2007-02-20 2008-07-22 Chris L Nelson Disposable wound measuring device
CN201373728Y (en) * 2009-03-10 2009-12-30 俞红利 Multifunctional measuring plate for measuring area of irregular damaged surface
CN203970392U (en) * 2014-07-14 2014-12-03 许腊梅 A kind of various dimensions wound survey tool
CN204286283U (en) * 2014-12-25 2015-04-22 上海市杨浦区中心医院 Disposable multifunction wound survey instrument
CN204394518U (en) * 2015-01-09 2015-06-17 叶晖蓉 A kind of follow-on medical wound dip stick
CN105078468A (en) * 2015-09-06 2015-11-25 上海市杨浦区市东医院 Wound depth measuring gauge
CN205947788U (en) * 2016-06-13 2017-02-15 李海燕 Wound dipperstick
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CN109813758A (en) * 2019-02-28 2019-05-28 西安交通大学 Interlayer debonding defect complex boundary profile based on infrared detection picture signal quantifies reconstructing method

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