CN111759286B - Real-time perineum pressure monitoring system and method during vaginal delivery - Google Patents

Real-time perineum pressure monitoring system and method during vaginal delivery Download PDF

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Publication number
CN111759286B
CN111759286B CN202010753560.XA CN202010753560A CN111759286B CN 111759286 B CN111759286 B CN 111759286B CN 202010753560 A CN202010753560 A CN 202010753560A CN 111759286 B CN111759286 B CN 111759286B
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fixedly connected
electronic module
pressure
pressure measurement
measurement electronic
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CN111759286A (en
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徐彬彬
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Ningbo Women and Children Hospital
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Ningbo Women and Children Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/43Detecting, measuring or recording for evaluating the reproductive systems
    • A61B5/4306Detecting, measuring or recording for evaluating the reproductive systems for evaluating the female reproductive systems, e.g. gynaecological evaluations
    • A61B5/4343Pregnancy and labour monitoring, e.g. for labour onset detection
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6867Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive specially adapted to be attached or implanted in a specific body part
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/309Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using white LEDs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0247Pressure sensors
    • 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
    • F21Y2115/10Light-emitting diodes [LED]

Abstract

The invention discloses a real-time perineum pressure monitoring system and a monitoring method during vaginal delivery, wherein the system comprises a pressure measurement electronic module, a pressure sensor and a data recording device, wherein the right end of the pressure measurement electronic module is fixedly connected with a protective layer, the middle part of the front end surface of the pressure measurement electronic module is fixedly connected with a liquid crystal display screen, the lower part of the front end surface of the pressure measurement electronic module is provided with a control button, the middle part of an inner cavity of the pressure measurement electronic module is fixedly connected with a micro processor, the rear end surface of the pressure measurement electronic module is fixedly connected with an LED lamp slot, the left end of the pressure measurement electronic module is fixedly connected with a functional module, the left end surface of the functional module is provided with four annular slots, the upper part of the inner cavity of the functional module is provided with a battery bin, the middle part of the inner cavity of the pressure sensor is fixedly connected with a sensor contact, and the sensor contact is a round film sensor contact.

Description

Real-time perineum pressure monitoring system and method during vaginal delivery
Technical Field
The invention belongs to a medical monitoring system, and particularly relates to a real-time perineum pressure monitoring system and method during vaginal delivery.
Background
Perineum injury is the most common complication of vaginal delivery, and the occurrence rate is up to 50-85%, and is mainly caused by natural perineum tearing caused by fetal head compression and extremely distended perineum tissues during delivery, or surgical perineum incision for avoiding serious perineum laceration and artificially enlarging the delivery passage outlet. At present, most of clinical evaluation on the occurrence probability of perineum injury is based on working experience, the subjectivity is strong, and particularly no specific numerical value and objective index are measurable on the decision and implementation time of perineum incision, so that the occurrence probability of injury and the necessity of perineum incision are difficult to judge. Therefore, starting from basic research, the research on the correlation between the perineal pressure and the perineal injury during vaginal delivery and the measurement method are important. The correlation between the perineum pressure and the perineum injury with different degrees can be known clinically through the perineum pressure, but no related research report is found at home and abroad at present, in the prior patent documents, CN104042224A, CN208823332U, CN109106433A and CN205459361U are all researched on intrauterine pressure before delivery and during delivery, and in US2017215945A1, the traditional pressure sensor is adopted for testing, the prior pressure measuring mode is not suitable for measuring the perineum pressure during delivery, because the pressure space of the fetal head is small, the fetal head is easy to slip due to the decrease of the fetal head, the fetal head is spherical, in the pressure testing environment in the actual delivery process, the vulva is continuously contracted and expanded, the pressure sensor is easy to accidentally slip, so that monitoring failure is caused, and the fixed structure of the prior pressure sensor, which is suitable for contraction change, is studied. In addition, the existing pressure sensor is arranged to be capable of searching for a proper pressure sensor placement position only through rotation of an external fixed handle, and an illumination module is often required to be arranged on the external fixed handle, so that the proper sensor placement position and the proper illumination direction cannot be fully achieved.
Disclosure of Invention
The invention aims to provide a real-time perineum pressure monitoring system and a real-time perineum pressure monitoring method during vaginal delivery so as to solve the problems in the background technology.
In order to achieve the aim of the problems, the invention provides the following technical scheme: the utility model provides a perineum pressure real-time monitoring system during vagina delivery, includes pressure measurement electronic module, pressure sensor and data recording device, pressure measurement electronic module right-hand member fixedly connected with inoxidizing coating, pressure measurement electronic module front end face middle part fixedly connected with liquid crystal display, pressure measurement electronic module front end face lower part is equipped with control button, pressure measurement electronic module inner chamber middle part fixedly connected with microprocessor, microprocessor rear end fixedly connected with storage module, lower extreme middle part fixedly connected with holds the handle, pressure measurement electronic module rear end face fixedly connected with LED lamp groove, the LED lamp groove is equipped with four and is rectangular array, fixedly connected with two LED lamp pearls in the LED lamp groove, pressure measurement electronic module rear end face left part still fixedly connected with switch;
the pressure measurement electronic module left end fixedly connected with functional module, functional module left end face is opened there is inside and outside dicyclo slot, the annular slot is equipped with two and concentric settings, functional module inner chamber upper portion is opened there is the battery compartment, pressure sensor inner chamber middle part fixedly connected with sensor contact, the sensor contact is circular film sensor contact, sensor contact lower extreme passes through conducting block and signal transmission line electric connection, signal transmission line end fixedly connected with plug, the model and the annular slot assorted of plug just this plug are in lockable rotary support in the annular slot, pressure sensor lower extreme fixedly connected with hydrogel layer, hydrogel layer lower extreme fixedly connected with waterproof dressing, waterproof dressing surface is equipped with the scale pattern, data recording device front end fixedly connected with display screen, data recording device lower extreme fixedly connected with miniature printer, miniature printer front end face is opened there is the exit slot, miniature printer lower extreme fixedly connected with mounting base, pass through USB electric connection between data recording device and the pressure measurement electronic module.
The pressure measurement electronic module right-hand member fixedly connected with inoxidizing coating, grip handle lateral wall has cup jointed the antiskid cover, grip handle bottom fixedly connected with anticreep ball, the antiskid cover is sponge antiskid cover and surface open has the anti-skidding line.
The battery compartment is movably clamped with a rechargeable battery, and the left end of the battery compartment is movably clamped with a battery compartment cover plate.
The functional module is also provided with USB sockets, and at least two USB sockets are arranged.
The method for monitoring the real-time perineum pressure monitoring system during vaginal delivery is characterized by comprising the following operation steps of:
a, after the fetal head of the second labor is lowered to 2cm below the ischial spine plane, using sterile gauze to wipe off secretions in the vagina;
b, selecting an initial monitoring position according to the following rule: the plugs of the two pressure sensors are respectively placed in the inner ring annular slot and the outer ring annular slot, so that the pressure sensors are positioned between the fetal head and the perineum wall, the sites are respectively the anus fissure and the vagina corresponding projection of the left ischial spine, and the left vaginal wall can be placed on the right side if the left vaginal wall is damaged;
c, when the fetal head is pressed, displaying a pressure value through a pressure measurement electronic module, and transmitting the pressure value to a data recording device to trace a pressure curve through a preset program;
d, taking the average value of the sum of the maximum values of the pressures measured at the two points as the perineum pressure peak value after the delivery is finished;
and b, selecting an initial monitoring position according to the rule, and rotating the pressure measurement electronic module and the holding handle according to the lighting direction of the LED lamp beads, so that the plug in the annular slot is passively rotated to a target position and then locked.
Compared with the prior art, the invention has the beneficial effects that:
the invention can monitor the perineum pressure in real time during the parturient antenatal period and forecast the perineum to be damaged, thereby helping medical staff to better control the delivery process, avoiding blind implementation of perineum incision, reducing the incidence rate of severe perineum laceration and improving the safety of delivery; in addition, the pressure sensor fixing structure is arranged in a special mode, so that the pressure sensor is self-adaptively fixed in the delivery process, passive adaptation adjustment can be carried out according to the requirement of illumination direction change in the delivery process, perineum pressure change conditions and threshold values in the production process of the puerpera can be recorded and stored, and great convenience is provided for follow-up theoretical research and clinical experience summary.
Drawings
FIG. 1 is a front view of the present invention;
FIG. 2 is a rear view of the pressure measurement electronics module of the present invention;
FIG. 3 is a cross-sectional view of the pressure measurement electronics module of the present invention;
FIG. 4 is a schematic diagram of a pressure sensor according to the present invention;
fig. 5 is a front view of the waterproof dressing of the present invention;
fig. 6 is a schematic structural diagram of a data recording device according to the present invention.
In the figure: the pressure measuring device comprises a pressure measuring electronic module, a protective layer 11, a liquid crystal display screen 12, a control button 13, a microprocessor 14, a storage module 15, a holding handle 16, an anti-slip sleeve 17, an LED lamp slot 18, an LED lamp bead 19, a switch 10, a functional module 2, a first slot 21, a USB socket 22, a battery compartment cover plate 23, a battery compartment 24, a rechargeable battery 25, a pressure sensor 3, a sensor contact 31, a conductive block 32, a signal transmission line 33, a plug 34, a hydrogel layer 35, a waterproof dressing 36, a scale pattern 37, a data recording device 4, a display screen 41, a miniature printer 42, an outlet slot 43, a mounting base 44 and a USB connecting line 45.
Description of the embodiments
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Referring to fig. 1-6, the present invention provides a technical solution: the real-time perineum pressure monitoring system during vaginal delivery comprises a pressure measurement electronic module 1, a pressure sensor 3 and a data recording device 4, wherein the right end of the pressure measurement electronic module 1 is fixedly connected with a protective layer 11, the middle part of the front end surface of the pressure measurement electronic module 1 is fixedly connected with a liquid crystal display 12, the lower part of the front end surface of the pressure measurement electronic module 1 is provided with a control button 13, the middle part of an inner cavity of the pressure measurement electronic module 1 is fixedly connected with a microprocessor 14, the rear end of the microprocessor 14 is fixedly connected with a storage module 15, the middle part of the lower end is fixedly connected with a holding handle 16, the rear end surface of the pressure measurement electronic module 1 is fixedly connected with LED lamp grooves 18, the LED lamp grooves 18 are provided with four and are in a rectangular array, two LED lamp beads 19 are fixedly connected in the LED lamp grooves 18, and the left part of the rear end surface of the pressure measurement electronic module 1 is also fixedly connected with a switch 10;
the pressure measurement electronic module 1 left end fixedly connected with functional module 2, the inside and outside double annular slot 21 is opened to functional module 2 left end face, annular slot 21 is equipped with two and concentric settings, open on functional module 2 inner chamber upper portion has battery compartment 24, pressure sensor 3 inner chamber middle part fixedly connected with sensor contact 31, sensor contact 31 is circular film sensor contact, sensor contact 31 lower extreme passes through conducting block 32 and signal transmission line 33 electric connection, signal transmission line 33 end fixedly connected with plug 34, the model and the annular slot 21 phase-match of plug 34 are in by lockable rotary support in the annular slot 21, pressure sensor 3 lower extreme fixedly connected with hydrogel layer 35, hydrogel layer 35 lower extreme fixedly connected with waterproof dressing 36, waterproof dressing 36 surface is equipped with scale pattern 37, data recording device 4 front end fixedly connected with display screen 41, data recording device 4 lower extreme fixedly connected with micro printer 42, micro printer 42 front end face has export groove 43, micro printer 4 electric connection installs between the electronic printer base 45 and the electronic printer module 1 electric connection 45.
The right end fixedly connected with inoxidizing coating 11 of pressure measurement electronic module 1, grip handle 16 lateral wall has cup jointed anti-skidding cover 17, grip handle 16 bottom fixedly connected with anticreep ball, anti-skidding cover 17 is sponge antiskid cover and surface open has the anti-skidding line.
The rechargeable battery 25 is movably clamped in the battery bin 24, and the battery bin cover plate 23 is movably clamped at the left end of the battery bin 24.
The functional module 2 is also provided with USB sockets 22, and at least two USB sockets 22 are arranged.
The method for monitoring the real-time perineum pressure monitoring system during vaginal delivery is characterized by comprising the following operation steps of:
a, after the fetal head of the second labor is lowered to 2cm below the ischial spine plane, using sterile gauze to wipe off secretions in the vagina;
b, selecting an initial monitoring position according to the following rule: the plugs 34 of the two pressure sensors 3 are respectively placed in the inner ring annular slot 21 and the outer ring annular slot 21, so that the pressure sensors 3 are positioned between the fetal head and the perineum wall, and the positions are respectively the anus fissure and the vagina corresponding projection of the left ischial spine, wherein if the left vaginal wall is broken, the left vaginal wall can be placed on the right side;
c, when the fetal head is pressed, displaying a pressure value through the pressure measurement electronic module 1, and transmitting the pressure value to the data recording device 4 to trace a pressure curve through a preset program;
d, taking the average value of the sum of the maximum values of the pressures measured at the two points as the perineum pressure peak value after the delivery is finished; after the initial monitoring position is selected according to the rule in the step (b), the pressure measurement electronic module 1 and the holding handle 16 are turned according to the lighting direction of the LED lamp beads 19, so that the plug 34 in the annular slot 21 is passively turned to the target position and then locked.
Wherein, the back end face of the pressure measurement electronic module 1 is fixedly connected with an LED lamp groove 18, the LED lamp groove 18 is provided with four LED lamp grooves and is in a rectangular array, the effect of a shadowless lamp can be achieved, enough illumination is provided when a medical staff sticks to the pressure sensor 3, thereby the working speed and the working efficiency are improved, the discomfort of patients is reduced, two LED lamp beads 19 are fixedly connected in the LED lamp groove 18, the left part of the back end face of the pressure measurement electronic module 1 is fixedly connected with a switch 10, the switch 10 and the LED lamp beads 19 are in the same closed loop and can be controlled to be opened and closed, the left end of the pressure measurement electronic module 1 is connected with a functional module 2, the left end face of the functional module 2 is provided with a first slot 21, the first slot 21 is provided with four LED lamp beads 19 which are arranged in parallel at equal intervals, the upper part of the inner cavity of the functional module 2 is provided with a battery bin 24, the battery 25 is movably clamped in the battery bin 24, the left end of the battery compartment 24 is movably clamped with a battery compartment cover plate 23, the middle part of the inner cavity of the pressure sensor 3 is fixedly connected with a sensor contact 31, the sensor contact 31 is a round film sensor contact, the lower end of the sensor contact 31 is electrically connected with a signal transmission line 33 through a conductive block 32, the tail end of the signal transmission line 33 is fixedly connected with a plug 34, the type of the plug 34 is matched with that of a first slot 21, the lower end of the pressure sensor 3 is fixedly connected with a hydrogel layer 35, the lower end surface of the hydrogel layer 35 is fixedly connected with a waterproof dressing 36, the surface of the waterproof dressing 36 is provided with a scale pattern 37, the scale pattern 37 can prevent the hydrogel layer 35 from being soaked and expanded by body fluid of a parturient or fetal amniotic fluid, the scale pattern 37 can ensure that the waterproof dressing 36 and the hydrogel layer 35 expand together with perineum during delivery, the hydrogel layer 35 and the waterproof dressing 36 are disposable products, the special hydrogel dressing in the invention can enhance the bonding strength between the special tension sensor and the inner wall of the vagina, can effectively avoid unexpected falling-off phenomenon in the use process, the functional module 2 is also provided with USB sockets 22, at least two USB sockets 22 are arranged, the front end face of the data recording device 4 is fixedly connected with a display screen 41, the lower end of the data recording device 4 is fixedly connected with a micro printer 42, the front end face of the micro printer 42 is provided with an outlet groove 43, the lower end of the micro printer 42 is fixedly connected with a mounting base 44, and the data recording device 4 is electrically connected with the pressure measurement electronic module 1 through a USB connecting wire 45.
The following specific operation steps of the monitoring method of the real-time perineum pressure monitoring system for vaginal delivery are as follows:
(a) After the second labor fetal head descends to 2cm below the ischial spine plane, the secretion in the vagina is wiped off by using sterile gauze;
(b) The initial monitoring position is selected according to the following rule: the plugs 34 of the two pressure sensors 3 are respectively placed in the inner ring annular slot 21 and the outer ring annular slot 21, so that the pressure sensors 3 are positioned between the fetal head and the perineum wall, and the positions are respectively the anus fissure and the vagina corresponding projection of the left ischial spine, wherein if the left vaginal wall is broken, the left vaginal wall can be placed on the right side;
(c) When the fetal head is pressed, the pressure value is displayed by the pressure measurement electronic module 1 and is transmitted to the data recording device 4 to trace a pressure curve by a preset program;
(d) Taking the average value of the sum of the maximum values of the pressures measured at the two points as the peak value of the perineum pressure after the delivery is finished;
after the initial monitoring position is selected according to the rule in the step (b), the pressure measurement electronic module 1 and the holding handle 16 are turned according to the lighting direction of the LED lamp beads 19, so that the plug 34 in the annular slot 21 is passively turned to the target position and then locked.
Although embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes, modifications, substitutions and alterations can be made therein without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (2)

1. Perineum pressure real-time monitoring system during vaginal delivery, including pressure measurement electronic module (1), pressure sensor (3) and data recording device (4), its characterized in that: the novel pressure measuring electronic module is characterized in that the right end of the pressure measuring electronic module (1) is fixedly connected with a protective layer (11), the middle part of the front end face of the pressure measuring electronic module (1) is fixedly connected with a liquid crystal display screen (12), the lower part of the front end face of the pressure measuring electronic module (1) is provided with a control button (13), the middle part of the inner cavity of the pressure measuring electronic module (1) is fixedly connected with a micro processor (14), the rear end of the micro processor (14) is fixedly connected with a storage module (15), the middle part of the lower end of the pressure measuring electronic module (1) is fixedly connected with a holding handle (16), the rear end face of the pressure measuring electronic module (1) is fixedly connected with LED lamp grooves (18), the LED lamp grooves (18) are provided with four rectangular arrays, each LED lamp groove (19) is fixedly connected with two LED lamp beads, and the left part of the rear end face of the pressure measuring electronic module (1) is fixedly connected with a switch (10);
the utility model is characterized in that the left end of the pressure measurement electronic module (1) is fixedly connected with the functional module (2), the left end face of the functional module (2) is provided with four annular slots (21), each annular slot (21) is an inner annular slot and an outer annular slot which are concentrically arranged, the upper part of the inner cavity of the functional module (2) is provided with a battery compartment (24), the middle part of the inner cavity of the pressure sensor (3) is fixedly connected with a sensor contact (31), the sensor contact (31) is a circular thin film sensor contact, the lower end of the sensor contact (31) is electrically connected with a signal transmission line (33) through a conductive block (32), the tail end of the signal transmission line (33) is fixedly connected with a plug (34), the model of the plug (34) is matched with that of the annular slot (21), the plug (34) is in the annular slot (21) and is supported by lockable rotation, the lower end of the pressure sensor (3) is fixedly connected with a hydrogel layer (35), the lower end face of the hydrogel layer (35) is fixedly connected with a waterproof dressing (36), the surface of the waterproof dressing (36) is provided with a circular thin film sensor contact, the surface of the waterproof dressing (4) is fixedly connected with a data recording device (42), the front end face of the printer (4) is fixedly connected with a miniature printer (42), the lower end of the micro printer (42) is fixedly connected with a mounting base (44), and the data recording device (4) is electrically connected with the pressure measurement electronic module (1) through a USB connecting wire (45);
the pressure measurement electronic module (1) is fixedly connected with a protective layer (11), an anti-slip sleeve (17) is sleeved on the outer side wall of the holding handle (16), an anti-drop ball is fixedly connected with the bottom end of the holding handle (16), and the anti-slip sleeve (17) is a sponge anti-slip sleeve and is provided with anti-slip patterns on the surface;
the battery bin (24) is movably clamped with a rechargeable battery (25), and the left end of the battery bin (24) is movably clamped with a battery bin cover plate (23).
2. The real-time vaginal pressure monitoring system during vaginal delivery as claimed in claim 1, wherein: the functional module (2) is also provided with USB sockets (22), and at least two USB sockets (22) are arranged.
CN202010753560.XA 2020-07-30 2020-07-30 Real-time perineum pressure monitoring system and method during vaginal delivery Active CN111759286B (en)

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