CN111420286A - In-vitro intelligent defibrillation device and method - Google Patents
In-vitro intelligent defibrillation device and method Download PDFInfo
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Abstract
The invention discloses an in-vitro intelligent defibrillation device and a method, which comprises an in-vitro defibrillation electrode patch, a signal acquisition and output module, a control system, a hemodynamic monitoring channel, and an electrocardiogram monitoring electrode integrated on the in-vitro defibrillation electrode patch; the electrocardiogram monitoring electrode is used for acquiring electrocardiosignals; the hemodynamic monitoring channel is used for acquiring hemodynamic information; the signal acquisition and output module is used for transmitting the electrocardiosignals and the hemodynamic information to the control system; the control system is used for judging according to the electrocardiosignals and the hemodynamic information, and issuing a defibrillation instruction to actively start a defibrillation process when ventricular arrhythmia is obtained; the external defibrillation electrode patch is used for defibrillation instructions and automatic external defibrillation treatment; the effect is as follows: by sensing electrocardio and hemodynamic information of a patient, when ventricular arrhythmia occurs, an electric shock defibrillation process is started in time and actively, and the life of the patient is saved; and the operation steps can be reduced, and the operation time can be saved.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to an in-vitro intelligent defibrillation device and method.
Background
Patients with severe ventricular arrhythmia (cardiac arrest) must contend for seconds to rescue and immediately apply shock defibrillation therapy, otherwise the patients are extremely easy to die suddenly. However, most ventricular arrhythmias occur suddenly and sometimes even during sleep at night, and if they are not discovered in time, the patient is likely to lose life because they cannot be treated correctly in time. Therefore, it is urgent to develop an intelligent defibrillation apparatus capable of automatically performing shock defibrillation according to the condition of a patient.
The existing defibrillator is an independent device and needs manual operation, the electrocardiogram electrodes are arranged, then a proper mode and an output voltage are selected, and finally the defibrillation electrodes are arranged and operated according to steps. For people who do not receive professional training, ventricular fibrillation cannot be identified, the pointer for using electrical defibrillation cannot be known, and the time for checking the operation instruction is also needed before using the defibrillator, so that patients cannot receive defibrillation treatment in time, and the treatment opportunity is delayed.
Disclosure of Invention
The invention aims to provide an in-vitro intelligent defibrillation device and method capable of reducing operation steps and saving operation time.
In a first aspect, the invention provides an in vitro intelligent defibrillation device, which comprises an in vitro defibrillation electrode patch, a signal acquisition and output module, a control system and a hemodynamic monitoring channel connected with the signal acquisition and output module, wherein an electrocardiogram monitoring electrode is integrated on the in vitro defibrillation electrode patch;
the electrocardiogram monitoring electrode is used for acquiring electrocardiosignals;
the hemodynamic monitoring channel is used for acquiring hemodynamic information;
the signal acquisition and output module is used for transmitting the electrocardiosignals and the hemodynamic information to the control system;
the control system is used for judging according to the electrocardiosignal and the hemodynamic information, and issuing a defibrillation instruction to actively start a defibrillation process when ventricular arrhythmia is obtained;
the external defibrillation electrode patch is used for receiving the defibrillation instruction of the control system through the signal acquisition and output module and carrying out automatic external defibrillation treatment.
As a preferred technical solution of the present invention, the extracorporeal intelligent defibrillation apparatus further includes a voice alarm system, and the voice alarm system is used for broadcasting the defibrillation procedure.
As a preferred technical solution of the present invention, the extracorporeal intelligent defibrillation apparatus further includes a display device, and the display device is configured to display various process information and prompt information, where the process information includes a display result of the electrocardiographic signal and a waveform of the hemodynamic information, and the display result includes ventricular fibrillation and non-ventricular fibrillation.
As a preferred technical solution of the present invention, the control system is configured to perform the determination according to the electrocardiographic signal and the hemodynamic information, and specifically includes:
the display result of the electrocardiosignal is ventricular fibrillation, when the waveform of the hemodynamic information is abnormal, ventricular arrhythmia is obtained, and a defibrillation instruction is issued to actively start a defibrillation process;
the display result of the electrocardiosignal is ventricular fibrillation, and when the waveform of the hemodynamic information is normal, preset first reminding information is displayed through the display device;
when the display result of the electrocardiosignal is not ventricular fibrillation and the waveform of the hemodynamic information is abnormal, displaying preset second reminding information through the display device;
and when the display result of the electrocardiosignal is non-ventricular fibrillation and the waveform of the hemodynamic information is normal, the situation that ventricular arrhythmia does not occur is obtained, and the defibrillation process is stopped.
In a second aspect, the present invention further provides an external intelligent defibrillation method applied to the external intelligent defibrillation apparatus in the first aspect, where the method includes:
acquiring an electrocardiosignal through an electrocardiogram monitoring electrode;
acquiring hemodynamic information by using a hemodynamic monitoring channel;
the electrocardiosignal and the hemodynamic information are transmitted to a control system by a signal acquisition and output module;
judging according to the electrocardiosignal and the hemodynamic information through the control system, and issuing a defibrillation instruction to actively start a defibrillation process when ventricular arrhythmia is obtained;
and receiving a defibrillation instruction of the control system through the signal acquisition and output module by using an external defibrillation electrode patch and carrying out automatic external defibrillation treatment.
As a preferred embodiment of the present invention, the method further comprises:
and broadcasting the defibrillation process through a voice alarm system.
As a preferred embodiment of the present invention, the method further comprises:
displaying various process information and prompt information by using a display device, wherein the process information comprises a display result of the electrocardiosignal and the waveform of the hemodynamic information, and the display result comprises ventricular fibrillation and non-ventricular fibrillation.
As a preferred technical solution of the present invention, the determining by the control system according to the electrocardiographic signal and the hemodynamic information specifically includes:
the display result of the electrocardiosignal is ventricular fibrillation, when the waveform of the hemodynamic information is abnormal, ventricular arrhythmia is obtained, and a defibrillation instruction is issued to actively start a defibrillation process;
the display result of the electrocardiosignal is ventricular fibrillation, and when the waveform of the hemodynamic information is normal, preset first reminding information is displayed through the display device;
when the display result of the electrocardiosignal is not ventricular fibrillation and the waveform of the hemodynamic information is abnormal, displaying preset second reminding information through the display device;
and when the display result of the electrocardiosignal is non-ventricular fibrillation and the waveform of the hemodynamic information is normal, the situation that ventricular arrhythmia does not occur is obtained, and the defibrillation process is stopped.
By adopting the technical scheme, the method has the following advantages: according to the in-vitro intelligent defibrillation device and method, the electrocardio and hemodynamic information of a patient can be sensed, whether the patient has ventricular arrhythmia is judged through the control system, an electric shock defibrillation process is started timely and actively, and the life of the patient is saved; and the electrocardiogram monitoring electrode is integrated on the external defibrillation electrode patch, so that the operation steps can be reduced, and the operation time can be saved.
Drawings
Fig. 1 is a block diagram of an in vitro intelligent defibrillation apparatus according to an embodiment of the present invention;
FIG. 2 is a flowchart of a determination process according to an embodiment of the present invention;
fig. 3 is a flowchart of an in vitro intelligent defibrillation method according to an embodiment of the present invention.
Detailed Description
In order to make the technical problems, technical solutions and advantages of the present invention more apparent, the following detailed description is given with reference to the accompanying drawings and specific examples, which are used for illustrating the present invention and are not intended to limit the scope of the present invention.
Referring to fig. 1, an embodiment of the present invention provides an external intelligent defibrillation device, including an external defibrillation electrode patch, a signal acquisition and output module, a control system, and a hemodynamic monitoring channel connected to the signal acquisition and output module, wherein an electrocardiogram monitoring electrode is integrated on the external defibrillation electrode patch; correspondingly, cables, buttons, interfaces, housings, batteries and the like applied in the prior art are also included, which are not listed here.
The electrocardiogram monitoring electrode is used for acquiring electrocardiosignals.
Specifically, the number of the electrocardiogram monitoring electrodes is at least one, and the electrocardiogram monitoring electrodes are embedded on an external defibrillation electrode patch, and the external defibrillation electrode patch includes a left defibrillation electrode patch and a right defibrillation electrode patch, which will be understood by those skilled in the art and will not be described herein again.
The hemodynamic monitoring channel is used for obtaining hemodynamic information.
Specifically, the hemodynamic monitoring channel can be connected with an invasive or non-invasive blood pressure channel of a patient to acquire hemodynamic information;
the hemodynamic information includes basic data for understanding dynamic changes of cardiovascular functions, including pulmonary capillary wedge pressure, pulmonary artery pressure, systemic arterial pressure, central venous pressure, cardiac output, cardiac index, ejection fraction, left ventricular ejection time, pre-ejection period, and hemodynamic, and the present embodiment takes blood pressure as an example for description.
The signal acquisition and output module is used for transmitting the electrocardiosignals and the hemodynamic information to the control system;
the control system is used for judging according to the electrocardiosignals and the hemodynamic information, and issuing a defibrillation instruction to initiatively start a defibrillation process when ventricular arrhythmia is obtained.
The external defibrillation electrode patch is used for receiving the defibrillation instruction of the control system through the signal acquisition and output module and carrying out automatic external defibrillation treatment.
Furthermore, in order to enable the patient to receive the defibrillation treatment in time and not need to spend excessive time on viewing the operation instruction, the external intelligent defibrillation device further comprises a voice alarm system, and the voice alarm system is used for broadcasting the defibrillation process.
Correspondingly, in order to facilitate the operator to know what process and subsequent operation suggestion are currently in, an external intelligent defibrillation device, still include display device, display device is used for showing various process information and prompt information, wherein, process information include electrocardiosignal's display result the wave form of hemodynamic information, the display result includes ventricular fibrillation and non-ventricular fibrillation, the wave form of hemodynamic information includes normally and unusually.
In practical application, the control system is configured to perform determination according to the electrocardiographic signal and the hemodynamic information, and specifically includes:
the display result of the electrocardiosignal is ventricular fibrillation, when the waveform of the hemodynamic information is abnormal, ventricular arrhythmia is obtained, and a defibrillation instruction is issued to actively start a defibrillation process;
the display result of the electrocardiosignal is ventricular fibrillation, and when the waveform of the hemodynamic information is normal, preset first reminding information is displayed through the display device; the first reminding information here can be: examining the electrodes and informing the doctor;
when the display result of the electrocardiosignal is not ventricular fibrillation and the waveform of the hemodynamic information is abnormal, displaying preset second reminding information through the display device; the second reminding information here can be: checking the blood pressure and informing a doctor; therefore, the operation during defibrillation can be standardized through each reminding information, external interference factors can be eliminated, and misjudgment possibly brought by a single electrocardiosignal can be avoided by utilizing the introduced hemodynamic information.
And when the display result of the electrocardiosignal is non-ventricular fibrillation and the waveform of the hemodynamic information is normal, the situation that ventricular arrhythmia does not occur is obtained, and the defibrillation process is stopped.
In practical application, referring to fig. 2, when it is determined that arrhythmia has an influence on circulation, a defibrillation procedure is started, and an electrical defibrillation procedure is played in a voice manner; correspondingly, the manual/automatic mode can be selected, so that the operation flexibility is convenient, the emergency stop can be realized in the manual mode, and the judgment can be carried out again after each electrical defibrillation to determine whether the circulation is influenced; in other embodiments, based on the above scheme, the control system further automatically sets the energy value according to the defibrillation times and the change of the resistance value, so as to achieve better effect.
By adopting the scheme, the electrocardiogram monitoring electrode is integrated on the external defibrillation electrode patch, so that the operation steps can be reduced, and the operation time can be saved; meanwhile, electrocardio and hemodynamic information of a patient are sensed, whether the patient has ventricular arrhythmia is judged through a control system, and then an electric shock defibrillation process is started in time and actively, so that the life of the patient is saved.
The device with the scheme can be applied to patients who are easy to have arrhythmia in the cardiology department or the department of living in a hospital, so that the patients can be automatically defibrillated by electric shock according to the condition of the patients even if sudden arrest or night sleep occurs, and the patients can be timely and effectively treated.
Referring to fig. 3, an embodiment of the present invention further provides an external intelligent defibrillation method applied to the foregoing external intelligent defibrillation apparatus, where the method includes:
s101, acquiring an electrocardiosignal through an electrocardiogram monitoring electrode;
s102, acquiring hemodynamic information by using a hemodynamic monitoring channel;
s103, the electrocardiosignal and the hemodynamic information are transmitted to a control system by a signal acquisition and output module;
s104, judging according to the electrocardiosignals and the hemodynamic information through the control system, and issuing a defibrillation instruction to actively start a defibrillation process when ventricular arrhythmia is obtained;
and S105, receiving a defibrillation instruction of the control system through the signal acquisition and output module by using the external defibrillation electrode patch and carrying out automatic external defibrillation treatment.
Further, the method also comprises the step of broadcasting the defibrillation process through a voice alarm system; displaying various process information and prompt information by using a display device, wherein the process information comprises a display result of the electrocardiosignal and the waveform of the hemodynamic information, and the display result comprises ventricular fibrillation and non-ventricular fibrillation.
In the above scheme, the determining by the control system according to the electrocardiographic signal and the hemodynamic information specifically includes:
the display result of the electrocardiosignal is ventricular fibrillation, when the waveform of the hemodynamic information is abnormal, ventricular arrhythmia is obtained, and a defibrillation instruction is issued to actively start a defibrillation process;
the display result of the electrocardiosignal is ventricular fibrillation, and when the waveform of the hemodynamic information is normal, preset first reminding information is displayed through the display device;
when the display result of the electrocardiosignal is not ventricular fibrillation and the waveform of the hemodynamic information is abnormal, displaying preset second reminding information through the display device;
and when the display result of the electrocardiosignal is non-ventricular fibrillation and the waveform of the hemodynamic information is normal, the situation that ventricular arrhythmia does not occur is obtained, and the defibrillation process is stopped.
It should be noted that, in the method steps, specific embodiments and beneficial effects are described in the foregoing text, and are not described herein again.
By the method, the electrocardio and hemodynamic information of the patient can be sensed, whether the patient has ventricular arrhythmia is judged by the control system, and then the electric shock defibrillation process is started in time and actively, so that the life of the patient is saved.
Finally, it should be noted that the above description is only a preferred embodiment of the present application and is illustrative of the technical principles applied. It will be appreciated by those skilled in the art that the scope of the invention herein disclosed is not limited to the particular combination of features described above, but also encompasses other arrangements formed by any combination of the above features or their equivalents without departing from the spirit of the present application. For example, the above features may be replaced with (but not limited to) features having similar functions disclosed in the present application.
Claims (8)
1. An in vitro intelligent defibrillation device comprises an in vitro defibrillation electrode patch, a signal acquisition and output module and a control system, and is characterized by further comprising a hemodynamic monitoring channel connected with the signal acquisition and output module, wherein an electrocardiogram monitoring electrode is integrated on the in vitro defibrillation electrode patch;
the electrocardiogram monitoring electrode is used for acquiring electrocardiosignals;
the hemodynamic monitoring channel is used for acquiring hemodynamic information;
the signal acquisition and output module is used for transmitting the electrocardiosignals and the hemodynamic information to the control system;
the control system is used for judging according to the electrocardiosignal and the hemodynamic information, and issuing a defibrillation instruction to actively start a defibrillation process when ventricular arrhythmia is obtained;
the external defibrillation electrode patch is used for receiving the defibrillation instruction of the control system through the signal acquisition and output module and carrying out automatic external defibrillation treatment.
2. The in vitro intelligent defibrillation apparatus according to claim 1, further comprising a voice alarm system for broadcasting the defibrillation procedure.
3. The in-vitro intelligent defibrillation apparatus according to claim 2, further comprising a display device for displaying various process information and prompt information, wherein the process information includes a display result of the cardiac signal and a waveform of the hemodynamic information, and the display result includes ventricular fibrillation and non-ventricular fibrillation.
4. The in-vitro intelligent defibrillation apparatus according to claim 3, wherein the control system is configured to perform the determination according to the electrocardiographic signal and the hemodynamic information, and specifically includes:
the display result of the electrocardiosignal is ventricular fibrillation, when the waveform of the hemodynamic information is abnormal, ventricular arrhythmia is obtained, and a defibrillation instruction is issued to actively start a defibrillation process;
the display result of the electrocardiosignal is ventricular fibrillation, and when the waveform of the hemodynamic information is normal, preset first reminding information is displayed through the display device;
when the display result of the electrocardiosignal is not ventricular fibrillation and the waveform of the hemodynamic information is abnormal, displaying preset second reminding information through the display device;
and when the display result of the electrocardiosignal is non-ventricular fibrillation and the waveform of the hemodynamic information is normal, the situation that ventricular arrhythmia does not occur is obtained, and the defibrillation process is stopped.
5. An external intelligent defibrillation method applied to the external intelligent defibrillation apparatus of claim 1, the method comprising:
acquiring an electrocardiosignal through an electrocardiogram monitoring electrode;
acquiring hemodynamic information by using a hemodynamic monitoring channel;
the electrocardiosignal and the hemodynamic information are transmitted to a control system by a signal acquisition and output module;
judging according to the electrocardiosignal and the hemodynamic information through the control system, and issuing a defibrillation instruction to actively start a defibrillation process when ventricular arrhythmia is obtained;
and receiving a defibrillation instruction of the control system through the signal acquisition and output module by using an external defibrillation electrode patch and carrying out automatic external defibrillation treatment.
6. The method of claim 5, wherein the method further comprises:
and broadcasting the defibrillation process through a voice alarm system.
7. The method of claim 6, wherein the method further comprises:
displaying various process information and prompt information by using a display device, wherein the process information comprises a display result of the electrocardiosignal and the waveform of the hemodynamic information, and the display result comprises ventricular fibrillation and non-ventricular fibrillation.
8. The in-vitro intelligent defibrillation method according to claim 7, wherein the determining by the control system according to the electrocardiographic signal and the hemodynamic information specifically includes:
the display result of the electrocardiosignal is ventricular fibrillation, when the waveform of the hemodynamic information is abnormal, ventricular arrhythmia is obtained, and a defibrillation instruction is issued to actively start a defibrillation process;
the display result of the electrocardiosignal is ventricular fibrillation, and when the waveform of the hemodynamic information is normal, preset first reminding information is displayed through the display device;
when the display result of the electrocardiosignal is not ventricular fibrillation and the waveform of the hemodynamic information is abnormal, displaying preset second reminding information through the display device;
and when the display result of the electrocardiosignal is non-ventricular fibrillation and the waveform of the hemodynamic information is normal, the situation that ventricular arrhythmia does not occur is obtained, and the defibrillation process is stopped.
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Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN111657878A (en) * | 2020-07-20 | 2020-09-15 | 苏州无双医疗设备有限公司 | Implantable medical device for integrated identification of cardiac events |
| CN111657877A (en) * | 2020-07-20 | 2020-09-15 | 苏州无双医疗设备有限公司 | Implanted medical device for identifying ventricular fibrillation |
| CN111839460A (en) * | 2020-07-20 | 2020-10-30 | 苏州无双医疗设备有限公司 | Implanted medical equipment for comprehensively identifying ventricular fibrillation by blood flow and blood pressure |
| CN113350695A (en) * | 2021-05-24 | 2021-09-07 | 广东省人民医院 | Defibrillation method and defibrillation apparatus |
| CN115212459A (en) * | 2022-07-07 | 2022-10-21 | 中国人民解放军总医院第一医学中心 | Wearable automatic external defibrillator, system and equipment based on intelligent terminal |
| WO2023123428A1 (en) * | 2021-12-31 | 2023-07-06 | 合源医疗器械(上海)有限公司 | Atrial shunt apparatus and implantation method therefor, atrial implantation device, medical system, cardiac activity information collection method, and medical device |
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| CN113350695B (en) * | 2021-05-24 | 2024-06-07 | 广东省人民医院 | Defibrillation method and defibrillation device |
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