CN111466955A - Cardiopulmonary resuscitation assists monitoring head and cardiopulmonary resuscitation assists monitoring devices - Google Patents

Cardiopulmonary resuscitation assists monitoring head and cardiopulmonary resuscitation assists monitoring devices Download PDF

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Publication number
CN111466955A
CN111466955A CN202010422034.5A CN202010422034A CN111466955A CN 111466955 A CN111466955 A CN 111466955A CN 202010422034 A CN202010422034 A CN 202010422034A CN 111466955 A CN111466955 A CN 111466955A
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China
Prior art keywords
monitoring
cardiopulmonary resuscitation
ultrasonic probe
brachial artery
fixing part
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CN202010422034.5A
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Chinese (zh)
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潘慧斌
嵇朝晖
邹晓月
温晓红
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First Peoples Hospital of Huzhou
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First Peoples Hospital of Huzhou
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Priority to CN202010422034.5A priority Critical patent/CN111466955A/en
Publication of CN111466955A publication Critical patent/CN111466955A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/06Measuring blood flow
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/42Details of probe positioning or probe attachment to the patient
    • A61B8/4209Details of probe positioning or probe attachment to the patient by using holders, e.g. positioning frames
    • A61B8/4227Details of probe positioning or probe attachment to the patient by using holders, e.g. positioning frames characterised by straps, belts, cuffs or braces
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/42Details of probe positioning or probe attachment to the patient
    • A61B8/4209Details of probe positioning or probe attachment to the patient by using holders, e.g. positioning frames
    • A61B8/4236Details of probe positioning or probe attachment to the patient by using holders, e.g. positioning frames characterised by adhesive patches
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H31/00Artificial respiration or heart stimulation, e.g. heart massage

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Engineering & Computer Science (AREA)
  • Hematology (AREA)
  • Cardiology (AREA)
  • Emergency Medicine (AREA)
  • Pulmonology (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Percussion Or Vibration Massage (AREA)

Abstract

The invention relates to the technical field of cardio-pulmonary resuscitation, in particular to a cardio-pulmonary resuscitation auxiliary monitoring head and a cardio-pulmonary resuscitation auxiliary monitoring device with the same. The cardiopulmonary resuscitation auxiliary monitoring head comprises an ultrasonic probe (1), wherein the ultrasonic probe (1) is provided with a transmission component (3) for transmitting monitored parameters to a monitoring host (2), the ultrasonic probe (1) is arranged in a brachial artery fixing part (4), the brachial artery fixing part (4) is a patch or a cuff, and the monitored parameters comprise blood flow velocity in the brachial artery. The ultrasonic probe has the advantages of simple structure and convenience in fixation, and the monitoring object of the ultrasonic probe is changed, so that the working time of monitoring preparation is shortened, and the referential property of monitoring data is improved.

Description

Cardiopulmonary resuscitation assists monitoring head and cardiopulmonary resuscitation assists monitoring devices
Technical Field
The invention relates to the technical field of cardio-pulmonary resuscitation, in particular to a cardio-pulmonary resuscitation auxiliary monitoring head and a cardio-pulmonary resuscitation auxiliary monitoring device with the same.
Background
Effective chest compression is important for patients with sudden cardiac arrest, and can generate certain blood flow in the aorta of the patients, so that the arterial blood pressure of about 60mmHg and the carotid blood flow velocity of about 60cm/s are generated, and the basic blood supply of important organs such as the brain is guaranteed.
For the monitoring equipment of extrathoracic compression quality, the existing monitoring equipment mostly stays in the compression sensor, mainly monitors the compression rate, the compression depth and the continuous compression duration of a rescuer, has single monitoring means, and is mainly aimed at the rescuer rather than paying attention to the individual patient. Most of existing patient body hemodynamics equipment in the market indirectly monitors patient circulation indexes (such as end-expiratory carbon dioxide partial pressure, area under a pulse curve and the like), and most of the indexes are unsmooth and difficult to understand, multi-parameter collaborative judgment is needed, the influence factors are more, and the accuracy is poor.
The ultrasonic is a noninvasive examination technology widely applied to clinic, has clear imaging, and can monitor the dynamic process of heart motion and hemodynamic parameters in real time. Chinese patent document CN108514504A discloses an intelligent cardiopulmonary resuscitator, wherein an ultrasonic probe fixing frame is arranged on a supporting arm, an ultrasonic probe which is attached to the skin of a human body through a spring device and used for collecting data is mounted on the ultrasonic probe fixing frame, the ultrasonic probe is connected with a monitoring control platform through line communication for real-time data transmission, and the monitoring control platform can display cardiac images and specific data and can judge whether a pressing plate is placed in place.
Currently, the ultrasonic blood flow Doppler technology is mature for the monitoring technology of the blood flow of the aorta of a human body. Royal Hongyu, equal to 2019, in 3 months, published "feasibility study of carotid artery pulse real-time ultrasonic detection on evaluation of CPR (chest compression CPR) effect" in the journal of emergency medicine of China critical illness, and points out: the bedside emergency ultrasonic monitoring of carotid artery blood flow has the characteristics of real time and no wound, and can be used as a feasible method for feeding back the CPR effect. The disadvantages of the scheme are that: the neck has two arteries inside and outside the neck, mixes and can lead to the data to appear great fluctuation, needs to spend longer time (about 2.5 minutes) before the monitoring and implements accurate positioning, and the monitoring process is comparatively difficult in addition, and the monitoring position changes because of rescue measures implementation (trachea cannula, face guard ventilate, chest press) easily.
On the other hand, the clinical existing ultrasonic blood flow doppler technology is mostly integrated in the existing ultrasonic equipment, cannot be fixed on the skin around the aorta of a patient, is easy to shake in clinical implementation, and has no practical value for monitoring the aorta blood flow in the cardio-pulmonary resuscitation process.
Disclosure of Invention
The invention aims to overcome the defects of the prior art and provides a cardiopulmonary resuscitation auxiliary monitoring head and a cardiopulmonary resuscitation auxiliary monitoring device with the same, so that the monitoring head can be quickly fixed on the surface of a human body, and the effectiveness of chest compression can be reflected in real time.
In order to achieve the purpose, the technical scheme of the invention is as follows:
the cardiopulmonary resuscitation auxiliary monitoring head comprises an ultrasonic probe, wherein the ultrasonic probe is provided with a transmission component for transmitting monitored parameters to a monitoring host, and the ultrasonic probe is arranged in a brachial artery fixing part.
As an improvement, the brachial artery fixing part is a patch.
Alternatively, the brachial artery anchoring portion is a cuff.
As a refinement, the transmission component is a data line.
As a further refinement, the monitored parameter comprises a flow velocity of blood in the brachial artery.
The cardiopulmonary resuscitation auxiliary monitoring device comprises an ultrasonic probe and a monitoring host machine, wherein the ultrasonic probe is provided with a transmission component for transmitting monitored parameters to the monitoring host machine, and the ultrasonic probe is arranged in a brachial artery fixing part.
As an improvement, the brachial artery fixing part is a patch.
Alternatively, the brachial artery anchoring portion is a cuff.
As a refinement, the transmission component is a data line.
As a further refinement, the monitored parameter comprises a flow velocity of blood in the brachial artery.
The invention has the following inventive concept: brachial arteries were selected as the monitored subjects for evaluation of effectiveness of chest compressions. The brachial artery is easy to position, the operation of fixing the ultrasonic probe on the arm is relatively easy, and the ultrasonic probe can be quickly and accurately fixed above the brachial artery in the rescue site which strives for seconds. More importantly, the upper arm only has one brachial artery without interference of other arteries, the measured data has small interference, and the data is relatively reliable.
In conclusion, the ultrasonic probe has the advantages of simple structure and convenience in fixation, and the monitoring object of the ultrasonic probe is changed, so that the working time of monitoring preparation is shortened, and the referential property of monitoring data is improved.
Drawings
FIG. 1 is a schematic structural view of example 1 of the present invention;
FIG. 2 is a schematic view of the position of the brachial artery on the arm;
fig. 3 is a schematic structural diagram of embodiment 2 of the present invention.
In the figure: 1. an ultrasonic probe; 2. monitoring the host; 3. a transmission member; 4. brachial artery fixing part.
Detailed Description
Example 1
As shown in fig. 1, the cardiopulmonary resuscitation auxiliary monitoring head according to the present invention includes an ultrasound probe 1, the ultrasound probe 1 has a transmission component 3 for transmitting monitored parameters to a monitoring host 2, the ultrasound probe 1 is disposed in a brachial artery fixing portion 4, and the brachial artery fixing portion 4 is a patch. The transmission member 3 is a data line, and the transmission member 3 has a plug for connecting with the monitoring host 2. The transmission component 3 can also be a wireless transmission module, and can realize data communication between the ultrasonic probe 1 and the monitoring host 2.
The schematic position of brachial artery on arm is shown in fig. 2, only one artery on the upper arm is easy to locate, and there is no interference from other arteries. Wherein, the dotted line square frame is the position where the brachial artery fixing part 4 is fixed with the upper arm.
This application still applies for the cardiopulmonary resuscitation of this monitoring head of protective equipment and assists monitoring devices, it is including the monitoring head and the monitoring host computer 2 that have above-mentioned structure. The monitoring host 2 may be a color doppler ultrasound device, or a defibrillator or a cardiopulmonary resuscitation device integrated with data analysis and display functions, or a separate monitoring device with only data analysis and display functions for field use.
Wherein the monitored parameters mainly comprise blood flow velocity in brachial artery. The monitoring result is interpreted mainly based on the Doppler signal of the local arterial blood flow velocity, the operation is simple and convenient, the continuous readability is strong, the pressing quality can be conveniently guided to the treatment personnel to adjust at any time, and the clinical implementation is convenient.
Clinical protocol: the effective compression can generate the femoral artery blood flow rate of about 45-50cm/s, but the femoral artery blood flow rate of about 5-15cm/s can be generated by the effective compression instead of the effective compression, so that whether the compression is effective or not can be judged easily.
Example 2
As shown in fig. 3, the present embodiment is different from embodiment 1 in that: the brachial artery fixing part 4 is a cuff. The structure of sleeve area can refer to the sphygmomanometer sleeve area, utilizes the sleeve area to take the magic from the area and pastes the device, can conveniently be fixed in patient's upper arm with ultrasonic probe 1, can last, stably monitor brachial artery blood flow rate, and the direct feedback person of suing and labouring presses the quality, has certain clinical practical value.
It should be noted that: the functions to be realized by each hardware related in the invention are supported by a great deal of mature technologies, and the improvement of the internal software of the hardware is not related. The essence of the invention lies in the selection of the monitored object and the parameter, and the improvement of the fixing mode.

Claims (10)

1. Cardiopulmonary resuscitation assists monitoring head, including ultrasonic probe (1), ultrasonic probe (1) has transmission part (3) to the parameter transmission of monitoring to monitoring host computer (2), its characterized in that: the ultrasonic probe (1) is arranged in the brachial artery fixing part (4).
2. The cardiopulmonary resuscitation assistance monitoring head of claim 1, wherein: the brachial artery fixing part (4) is a patch.
3. The cardiopulmonary resuscitation assistance monitoring head of claim 1, wherein: the brachial artery fixing part (4) is a cuff.
4. The cardiopulmonary resuscitation assistance monitoring head of claim 1, wherein: the transmission component (3) is a data line.
5. The cardiopulmonary resuscitation assistance monitoring head of claim 1, wherein: the monitored parameter includes a flow velocity of blood flow in the brachial artery.
6. Cardiopulmonary resuscitation assists monitoring devices, including ultrasonic probe (1) and monitoring host computer (2), ultrasonic probe (1) has transmission part (3) to the parameter transmission of monitoring to monitoring host computer (2), its characterized in that: the ultrasonic probe (1) is arranged in the brachial artery fixing part (4).
7. The cardiopulmonary resuscitation assistance monitoring device of claim 6, wherein: the brachial artery fixing part (4) is a patch.
8. The cardiopulmonary resuscitation assistance monitoring device of claim 6, wherein: the brachial artery fixing part (4) is a cuff.
9. The cardiopulmonary resuscitation assistance monitoring device of claim 6, wherein: the transmission component (3) is a data line.
10. The cardiopulmonary resuscitation assistance monitoring device of claim 6, wherein: the monitored parameter includes a flow velocity of blood flow in the brachial artery.
CN202010422034.5A 2020-05-12 2020-05-12 Cardiopulmonary resuscitation assists monitoring head and cardiopulmonary resuscitation assists monitoring devices Pending CN111466955A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117243634A (en) * 2023-11-20 2023-12-19 四川大学华西医院 Cardiac arrest identification analysis judgment system based on ultrasonic carotid artery blood flow

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN210843030U (en) * 2019-09-06 2020-06-26 湖州市第一人民医院 Brachial artery blood flow detection cuff in cardio-pulmonary resuscitation process

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN210843030U (en) * 2019-09-06 2020-06-26 湖州市第一人民医院 Brachial artery blood flow detection cuff in cardio-pulmonary resuscitation process

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117243634A (en) * 2023-11-20 2023-12-19 四川大学华西医院 Cardiac arrest identification analysis judgment system based on ultrasonic carotid artery blood flow
CN117243634B (en) * 2023-11-20 2024-02-02 四川大学华西医院 Cardiac arrest identification analysis judgment system based on ultrasonic carotid artery blood flow

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Application publication date: 20200731