CN111839958A - Membrane oxygenator homing state identification platform - Google Patents
Membrane oxygenator homing state identification platform Download PDFInfo
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- CN111839958A CN111839958A CN202010640692.1A CN202010640692A CN111839958A CN 111839958 A CN111839958 A CN 111839958A CN 202010640692 A CN202010640692 A CN 202010640692A CN 111839958 A CN111839958 A CN 111839958A
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- 238000001914 filtration Methods 0.000 claims description 25
- 238000000034 method Methods 0.000 claims description 7
- 238000012544 monitoring process Methods 0.000 abstract description 5
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- 239000008280 blood Substances 0.000 description 12
- 210000004369 blood Anatomy 0.000 description 12
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 8
- 229910002092 carbon dioxide Inorganic materials 0.000 description 4
- 239000001569 carbon dioxide Substances 0.000 description 4
- 238000006213 oxygenation reaction Methods 0.000 description 4
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- 229910052760 oxygen Inorganic materials 0.000 description 2
- 239000001301 oxygen Substances 0.000 description 2
- -1 polytetramethylene Polymers 0.000 description 2
- 230000005855 radiation Effects 0.000 description 2
- 238000010992 reflux Methods 0.000 description 2
- 210000003462 vein Anatomy 0.000 description 2
- 239000004743 Polypropylene Substances 0.000 description 1
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 1
- 230000001066 destructive effect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000002618 extracorporeal membrane oxygenation Methods 0.000 description 1
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- 229920001155 polypropylene Polymers 0.000 description 1
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- 238000002560 therapeutic procedure Methods 0.000 description 1
- 230000009278 visceral effect Effects 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
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- A—HUMAN NECESSITIES
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- A61G12/00—Accommodation for nursing, e.g. in hospitals, not covered by groups A61G1/00 - A61G11/00, e.g. trolleys for transport of medicaments or food; Prescription lists
- A61G12/001—Trolleys for transport of medicaments, food, linen, nursing supplies
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- A—HUMAN NECESSITIES
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- A—HUMAN NECESSITIES
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- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
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- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
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Abstract
The invention relates to a membrane oxygenator homing state identification platform, which comprises: the treatment vehicle body is positioned in the treatment ward of the gas exchanger, is arranged at one side of a patient bed needing treatment of the gas exchanger and is used for placing all parts of the gas exchanger; the manual brake is arranged on the base of the treatment vehicle body and used for locking the treatment vehicle body under manual operation so as to avoid the sliding of the treatment vehicle body; and the signal capturing mechanism is positioned on the roof of the treatment ward of the gas exchanger and is used for capturing the image signal of the environment where the treatment vehicle body is positioned so as to obtain a corresponding vehicle body periphery image. The membrane oxygenator homing state identification platform is effective in monitoring and compact in structure. Because the real-time monitoring of whether the membrane oxygenator is normally positioned on the treatment cart body on which the various components of the gas exchanger are placed can be performed during the treatment of the patient using the gas exchanger, an on-site alarm can be performed when the membrane oxygenator is not normally returned.
Description
Technical Field
The invention relates to the field of gas exchangers, in particular to a return state identification platform of a membrane oxygenator.
Background
The principle of the membrane oxygenator is that venous blood in a human body is led out of the human body, oxygen and carbon dioxide are exchanged to be changed into arterial blood after passing through the membrane oxygenator, and the arterial blood is returned to an arterial system of a patient to maintain the supply of oxygenated blood of visceral tissues of the human body. During the operation, it can temporarily replace the function of the lung, provide a quiet, bloodless and clear operation environment for doctors and facilitate the operation. The mainstream membrane oxygenator generally consists of two cylindrical chambers, namely an oxygenation chamber and a temperature-changing chamber.
The oxygenation chamber is internally provided with an oxygenator, which is an important component of the membrane oxygenator and mainly has the function of performing gas exchange to oxygenate blood and discharge carbon dioxide at the same time, thereby temporarily replacing the function of human lungs. The conditions that a high quality oxygenator should satisfy are: ideal blood oxygenation and carbon dioxide discharge, good temperature change effect, small precharge amount, light blood damage, small transmembrane pressure difference, convenient operation and easy air exhaust. The temperature-changing chamber is provided with a heat exchanger for adjusting the temperature of the blood.
Disclosure of Invention
In order to solve the technical problems in the related art, the invention provides a membrane oxygenator homing state identification platform which can monitor whether a membrane oxygenator is normally positioned on a treatment vehicle body on which various parts of a gas exchanger are placed in real time in the process of treating a patient by using the gas exchanger, and can perform field alarm when the membrane oxygenator is not normally homing.
Therefore, the invention needs to have the following key invention points:
(1) the method comprises the steps of carrying out visual analysis on a treatment scene of the gas exchanger, and timely reminding medical staff of carrying out emergency treatment when detecting that a membrane oxygenator is positioned on a treatment vehicle body for placing each part of the gas exchanger so as to avoid medical accidents on site;
(2) and the state judgment of whether the membrane oxygenator is correctly returned to the treatment vehicle body is realized based on the relative positions of the membrane oxygenator and the treatment vehicle body.
According to an aspect of the present invention, there is provided a membrane oxygenator homing state identification platform, the platform comprising:
the treatment vehicle body is positioned in the treatment ward of the gas exchanger, is arranged at one side of a patient bed needing treatment of the gas exchanger and is used for placing all parts of the gas exchanger;
the manual brake is arranged on the base of the treatment vehicle body and used for locking the treatment vehicle body under manual operation so as to avoid the sliding of the treatment vehicle body;
the signal capturing mechanism is positioned on the roof of the treatment ward of the gas exchanger and is used for capturing image signals of the environment where the treatment vehicle body is positioned so as to obtain a corresponding vehicle body surrounding image;
the neighborhood interpolation equipment is connected with the signal capturing mechanism and used for executing Lanczos interpolation processing of 4-pixel X4-pixel neighborhood on the received image around the vehicle body so as to obtain and output a corresponding neighborhood interpolation image;
The inclination correction device is connected with the neighborhood interpolation device and used for executing inclination correction processing on the received neighborhood interpolation image so as to obtain and output a corresponding inclination correction image;
the content filtering device is connected with the inclination correction device and is used for carrying out filtering processing on the received inclination correction image traps so as to obtain and output corresponding content filtering images;
the vehicle body identification device is connected with the content filtering device and used for segmenting an image area where the treatment vehicle body is located from the content filtering image based on the appearance characteristics of the treatment vehicle body so as to be used as a reference vehicle body image to be output;
the target tracking device is connected with the vehicle body identification device and used for connecting all edge pixel points in the reference vehicle body image to obtain a plurality of closed curves, a plurality of corresponding image areas are respectively divided from the reference vehicle body image based on the plurality of closed curves, and when an image area matched with the reference shape of the membrane oxygenator of the gas exchanger exists in the plurality of image areas, a first identification instruction is sent out;
the instant alarm mechanism is connected with the target tracking equipment and used for sending out an alarm operation corresponding to the non-homing state of the membrane oxygenator when receiving a second identification instruction;
Wherein the target tracking device is further configured to issue a second recognition instruction when no image area matching a reference profile of a membrane oxygenator of the gas exchanger exists among the number of image areas.
According to another aspect of the invention, a membrane oxygenator homing state identification method is further provided, which comprises using a membrane oxygenator homing state identification platform as described above for judging whether the membrane oxygenator is abnormally positioned based on whether the membrane oxygenator is positioned on the treatment vehicle body at the current moment.
The membrane oxygenator homing state identification platform is effective in monitoring and compact in structure. Because the real-time monitoring of whether the membrane oxygenator is normally positioned on the treatment cart body on which the various components of the gas exchanger are placed can be performed during the treatment of the patient using the gas exchanger, an on-site alarm can be performed when the membrane oxygenator is not normally returned.
Drawings
Embodiments of the invention will now be described with reference to the accompanying drawings, in which:
fig. 1 is a configuration view of a treatment cart body to which a membrane oxygenator homing status identification platform is applied according to an embodiment of the present invention.
Detailed Description
Embodiments of the membrane oxygenator homing status identification platform of the present invention will be described in detail below with reference to the accompanying drawings.
The membrane oxygenator can be divided into an adult membrane oxygenator and a pediatric membrane oxygenator according to different applicable people. Adult membrane oxygenators contain integral heat exchangers and pediatric membrane oxygenators do not.
There are many membrane oxygenators produced worldwide, and the basic structure of the membrane can be divided into a non-porous type and a porous type. The non-porous membrane oxygenator mainly consists of a silica gel membrane and is suitable for long-time perfusion. The porous membrane oxygenator is used in clinic frequently, and the selected materials are polytetramethylene, polypropylene and the like. The materials have good histocompatibility and strong gas exchange capacity, can effectively discharge carbon dioxide, but have unstable oxygenation performance if being infused for a long time.
The shape of the membrane oxygenator can be divided into a reel type, a flat plate folding type and a hollow fiber type. Rolled oxygen and performance stability, and membrane oxygenators of this type are used in ECMO therapy; the flat folding membrane oxygenator is formed by folding a breathing membrane into a sandwich shape, and qi and blood flow along one side; hollow fiber membrane oxygenators were released in the early eighties. The blood circulation can be divided into tube-shaped and tube-shaped according to the position of blood.
The membrane oxygenator can be classified into an open type and a closed type according to the venous return mode. The open membrane oxygenator is returned to the reflux chamber communicated with gas via vein, and the reflux chamber and the membrane oxygenator are connected into one integral for convenient use. The closed membrane oxygenator is a plastic bag which is returned to the vein and isolated from the atmosphere, reduces the pollution of blood, avoids the direct contact between the blood and gas and prevents the blood from emptying.
Current membrane oxygenators do not allow real-time monitoring of whether the membrane oxygenator is properly positioned on the treatment cart on which the various components of the gas exchanger are positioned during treatment of the patient using the gas exchanger, resulting in the inability to perform an on-site alarm when the membrane oxygenator is not properly parked.
In order to overcome the defects, the invention builds a membrane oxygenator homing state identification platform, and can effectively solve the corresponding technical problem.
Fig. 1 is a block diagram of an external shape of a treatment cart to which a membrane oxygenator homing status identification platform is applied, according to an embodiment of the present invention, the platform including:
the treatment vehicle body is positioned in the treatment ward of the gas exchanger, is arranged at one side of a patient bed needing treatment of the gas exchanger and is used for placing all parts of the gas exchanger;
The manual brake is arranged on the base of the treatment vehicle body and used for locking the treatment vehicle body under manual operation so as to avoid the sliding of the treatment vehicle body;
the signal capturing mechanism is positioned on the roof of the treatment ward of the gas exchanger and is used for capturing image signals of the environment where the treatment vehicle body is positioned so as to obtain a corresponding vehicle body surrounding image;
the neighborhood interpolation equipment is connected with the signal capturing mechanism and used for executing Lanczos interpolation processing of 4-pixel X4-pixel neighborhood on the received image around the vehicle body so as to obtain and output a corresponding neighborhood interpolation image;
the inclination correction device is connected with the neighborhood interpolation device and used for executing inclination correction processing on the received neighborhood interpolation image so as to obtain and output a corresponding inclination correction image;
the content filtering device is connected with the inclination correction device and is used for carrying out filtering processing on the received inclination correction image traps so as to obtain and output corresponding content filtering images;
the vehicle body identification device is connected with the content filtering device and used for segmenting an image area where the treatment vehicle body is located from the content filtering image based on the appearance characteristics of the treatment vehicle body so as to be used as a reference vehicle body image to be output;
The target tracking device is connected with the vehicle body identification device and used for connecting all edge pixel points in the reference vehicle body image to obtain a plurality of closed curves, a plurality of corresponding image areas are respectively divided from the reference vehicle body image based on the plurality of closed curves, and when an image area matched with the reference shape of the membrane oxygenator of the gas exchanger exists in the plurality of image areas, a first identification instruction is sent out;
the instant alarm mechanism is connected with the target tracking equipment and used for sending out an alarm operation corresponding to the non-homing state of the membrane oxygenator when receiving a second identification instruction;
wherein the target tracking device is further configured to issue a second recognition instruction when no image area matching a reference profile of a membrane oxygenator of the gas exchanger exists among the number of image areas.
Next, a detailed structure of the membrane oxygenator homing status identifying platform of the present invention will be further described.
The membrane oxygenator is positioned in the state identification platform:
the instant alarm mechanism comprises a sound alarm device and a luminous alarm device, and the target tracking device is connected with the sound alarm device and the luminous alarm device respectively.
The membrane oxygenator is positioned in the state identification platform:
the vehicle body identification device further comprises a built-in storage unit used for temporarily storing input data and output data of the vehicle body identification device.
The membrane oxygenator homing state identification platform can further comprise:
and the field timing device is connected with the inclination correction device and is used for providing a timing reference signal for the inclination correction device.
The membrane oxygenator is positioned in the state identification platform:
the field timing device is also connected with the content filtering device and is used for providing a timing reference signal for the content filtering device.
The membrane oxygenator is positioned in the state identification platform:
the field timing equipment is also connected with the vehicle body identification equipment and used for providing timing reference signals for the vehicle body identification equipment.
The membrane oxygenator is positioned in the state identification platform:
the tilt correction apparatus, the content filtering apparatus, and the vehicle body recognition apparatus are connected to the same power supply apparatus;
wherein the inclination correction apparatus, the content filtering apparatus, and the vehicle body recognition apparatus respectively acquire the respective required supply powers from the electric power supply apparatus.
The membrane oxygenator is positioned in the state identification platform:
the tilt correcting apparatus, the content filtering apparatus, and the vehicle body recognizing apparatus are disposed on the same flexible circuit board.
The membrane oxygenator homing state identification platform can further comprise:
the electric leakage protection circuit is connected with the inclination correction equipment and is used for providing electric leakage protection service for the inclination correction equipment;
the CMOS sensor is arranged on the shell of the inclination correction equipment and is used for acquiring images of the surrounding environment of the inclination correction equipment;
and the light quantity measuring instrument is arranged near the CMOS sensor and is used for providing near light quantity measuring service for the CMOS sensor.
Meanwhile, in order to overcome the defects, the invention also provides a membrane oxygenator homing state identification method, which comprises the step of using the membrane oxygenator homing state identification platform for judging whether the membrane oxygenator is abnormally positioned or not based on whether the membrane oxygenator is positioned on the treatment vehicle body at the current moment.
In addition, the CMOS sensor has several advantages: 1) random window reading capability. Random window read operation is one aspect of CMOS sensors that is functionally superior to CCDs, also referred to as region of interest selection. In addition, the highly integrated nature of CMOS sensors makes it easy to implement the function of opening multiple tracking windows simultaneously. 2) And radiation resistance. In general, the potential radiation resistance of CMOS image sensors is significantly enhanced relative to CCD performance. 3) System complexity and reliability. The use of CMOS sensors can greatly simplify the system hardware architecture. 4) And a non-destructive data reading method. 5) Optimized exposure control. It is noted that CMOS sensors also have several disadvantages, mainly two indicators of noise and fill-rate, due to the integration of multiple functional transistors in the pixel structure. CMOS sensors have been widely used in various fields due to their relatively superior performance.
In the description herein, references to the description of the term "one embodiment," "some embodiments," "an example," "a specific example," or "some examples," etc., mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention.
Furthermore, the terms "first", "second" and "first" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include at least one such feature.
Although the present invention has been described with reference to the above embodiments, it should be understood by those skilled in the art that various changes may be made and equivalents may be substituted without departing from the spirit and scope of the invention. Therefore, the protection scope of the present invention should be subject to the scope defined by the claims of the present application.
Claims (10)
1. A membrane oxygenator homing state identification platform, the platform comprising:
the treatment vehicle body is positioned in the treatment ward of the gas exchanger, is arranged at one side of a patient bed needing treatment of the gas exchanger and is used for placing all parts of the gas exchanger;
The manual brake is arranged on the base of the treatment vehicle body and used for locking the treatment vehicle body under manual operation so as to avoid the sliding of the treatment vehicle body;
the signal capturing mechanism is positioned on the roof of the treatment ward of the gas exchanger and is used for capturing image signals of the environment where the treatment vehicle body is positioned so as to obtain a corresponding vehicle body surrounding image;
the neighborhood interpolation equipment is connected with the signal capturing mechanism and used for executing Lanczos interpolation processing of 4-pixel X4-pixel neighborhood on the received image around the vehicle body so as to obtain and output a corresponding neighborhood interpolation image;
the inclination correction device is connected with the neighborhood interpolation device and used for executing inclination correction processing on the received neighborhood interpolation image so as to obtain and output a corresponding inclination correction image;
the content filtering device is connected with the inclination correction device and is used for carrying out filtering processing on the received inclination correction image traps so as to obtain and output corresponding content filtering images;
the vehicle body identification device is connected with the content filtering device and used for segmenting an image area where the treatment vehicle body is located from the content filtering image based on the appearance characteristics of the treatment vehicle body so as to be used as a reference vehicle body image to be output;
The target tracking device is connected with the vehicle body identification device and used for connecting all edge pixel points in the reference vehicle body image to obtain a plurality of closed curves, a plurality of corresponding image areas are respectively divided from the reference vehicle body image based on the plurality of closed curves, and when an image area matched with the reference shape of the membrane oxygenator of the gas exchanger exists in the plurality of image areas, a first identification instruction is sent out;
the instant alarm mechanism is connected with the target tracking equipment and used for sending out an alarm operation corresponding to the non-homing state of the membrane oxygenator when receiving a second identification instruction;
wherein the target tracking device is further configured to issue a second recognition instruction when no image area matching a reference profile of a membrane oxygenator of the gas exchanger exists among the number of image areas.
2. The membrane oxygenator homing state identification platform of claim 1, wherein:
the instant alarm mechanism comprises a sound alarm device and a luminous alarm device, and the target tracking device is connected with the sound alarm device and the luminous alarm device respectively.
3. The membrane oxygenator homing state identification platform of claim 2, wherein:
The vehicle body identification device further comprises a built-in storage unit used for temporarily storing input data and output data of the vehicle body identification device.
4. The membrane oxygenator homing state identification platform of claim 3, further comprising:
and the field timing device is connected with the inclination correction device and is used for providing a timing reference signal for the inclination correction device.
5. The membrane oxygenator homing state identification platform of claim 4, wherein:
the field timing device is also connected with the content filtering device and is used for providing a timing reference signal for the content filtering device.
6. The membrane oxygenator homing state identification platform of claim 5, wherein:
the field timing equipment is also connected with the vehicle body identification equipment and used for providing timing reference signals for the vehicle body identification equipment.
7. The membrane oxygenator homing state identification platform of claim 6, wherein:
the tilt correction apparatus, the content filtering apparatus, and the vehicle body recognition apparatus are connected to the same power supply apparatus;
wherein the inclination correction apparatus, the content filtering apparatus, and the vehicle body recognition apparatus respectively acquire the respective required supply powers from the electric power supply apparatus.
8. The membrane oxygenator homing state identification platform of claim 7, wherein:
the tilt correcting apparatus, the content filtering apparatus, and the vehicle body recognizing apparatus are disposed on the same flexible circuit board.
9. The membrane oxygenator homing state identification platform of claim 8, further comprising:
the electric leakage protection circuit is connected with the inclination correction equipment and is used for providing electric leakage protection service for the inclination correction equipment;
the CMOS sensor is arranged on the shell of the inclination correction equipment and is used for acquiring images of the surrounding environment of the inclination correction equipment;
and the light quantity measuring instrument is arranged near the CMOS sensor and is used for providing near light quantity measuring service for the CMOS sensor.
10. A membrane oxygenator homing state identification method, the method comprising providing a membrane oxygenator homing state identification platform of any one of claims 1 to 9 for determining if the membrane oxygenator is out of position based on whether the membrane oxygenator is currently on the treatment cart.
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CN113413504A (en) * | 2021-07-30 | 2021-09-21 | 清华大学天津高端装备研究院 | Multi-chamber oxygenator with liquid separation drainage structure |
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