CN111866459B - Extracorporeal membrane lung use scene monitoring system - Google Patents

Extracorporeal membrane lung use scene monitoring system Download PDF

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Publication number
CN111866459B
CN111866459B CN202010675749.1A CN202010675749A CN111866459B CN 111866459 B CN111866459 B CN 111866459B CN 202010675749 A CN202010675749 A CN 202010675749A CN 111866459 B CN111866459 B CN 111866459B
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extracorporeal membrane
membrane lung
data
content identification
monitoring system
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CN111866459A (en
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汤国斌
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Geno Medical Technology Hangzhou Co ltd
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Geno Medical Technology Hangzhou Co ltd
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    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04NPICTORIAL COMMUNICATION, e.g. TELEVISION
    • H04N7/00Television systems
    • H04N7/18Closed-circuit television [CCTV] systems, i.e. systems in which the video signal is not broadcast
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04NPICTORIAL COMMUNICATION, e.g. TELEVISION
    • H04N23/00Cameras or camera modules comprising electronic image sensors; Control thereof
    • H04N23/50Constructional details
    • H04N23/555Constructional details for picking-up images in sites, inaccessible due to their dimensions or hazardous conditions, e.g. endoscopes or borescopes

Abstract

The invention relates to an extracorporeal membrane lung use scene monitoring system, which comprises: the platelet detection equipment is connected with a side circulation pipeline joint of the extracorporeal membrane lung and is used for detecting platelet parameters of blood in the side circulation pipeline so as to obtain the corresponding platelet volume distribution width; the index analysis equipment is connected with the platelet detection equipment and is used for determining whether the blood in the side circulation pipeline is in a low coagulation state or not based on the received platelet volume distribution width; the multi-direction shooting mechanism is positioned in the center of the roof of the operating room and used for carrying out multi-direction shooting operation on the internal environment of the operating room so as to obtain an internal environment image. The extracorporeal membrane lung use scene monitoring system provided by the invention is stable in operation and reliable in monitoring. The monitoring of the number of field medical staff can be carried out on an operating room using the extracorporeal membrane lung, so that the staff shortage signal can be sent when the number of the field medical staff obtained by monitoring is not enough to the minimum number of medical staff using the extracorporeal membrane lung.

Description

Extracorporeal membrane lung use scene monitoring system
Technical Field
The invention relates to the field of surgical instruments, in particular to an extracorporeal membrane lung use scene monitoring system.
Background
Early surgery was limited to simple manual methods of cutting, incising, and suturing the body surface, such as abscess drainage, tumor excision, and trauma suturing. Surgery is a procedure that destroys the integrity of tissue (incision), or restores the integrity of the destroyed tissue (suture). With the development of surgery, the field of surgery is expanding and can be performed at any part of the human body. The applied instruments are also updated continuously, such as scalpels including electric scalpels, microwave scalpels, ultrasonic scalpels, laser scalpels and the like. Therefore, surgery also has a broader meaning.
Early surgery was limited to simple manual methods of cutting, incising, and suturing the body surface, such as abscess drainage, tumor excision, and trauma suturing. Surgery is a procedure that destroys the integrity of tissue (incision), or restores the integrity of the destroyed tissue (suture). With the development of surgery, the field of surgery is expanding and can be performed at any part of the human body. The applied instruments are also updated continuously, such as scalpels including electric scalpels, microwave scalpels, ultrasonic scalpels, laser scalpels and the like. When the surgery for treating the heart pre-excitation syndrome is performed, the location can be realized by means of a high-function electronic computer. Some surgical operations do not necessarily require cutting to destroy tissues, such as removal of stones or foreign bodies in the biliary tract, urinary tract or gastrointestinal tract by various endoscopes; dilation of coronary arteries with balloons via puncture catheters, recanalization of occluded vessels with laser, and the like. Therefore, surgery also has a broader meaning. Most of the procedures are still performed manually by physicians.
The number of field medical staff required for the operation is kept more than a certain amount during the operation, and different types of operations require different numbers of field medical staff.
Disclosure of Invention
The invention has at least the following two important points:
(1) monitoring the number of medical staff on site in an operating room using the extracorporeal membrane lung so as to send out a staff shortage signal when the monitored number of the medical staff on site is not enough to the minimum number of the medical staff using the extracorporeal membrane lung;
(2) and the platelet detection equipment and the index analysis equipment are used for detecting whether the blood in the side circulation pipeline joint of the extracorporeal membrane lung is in a low-condensation state in real time so as to provide valuable reference data for subsequent coagulation early warning operation.
According to an aspect of the present invention, there is provided an extracorporeal membrane lung use scenario monitoring system, the system comprising:
the platelet detection equipment is connected with a side circulation pipeline joint of the extracorporeal membrane lung and is used for detecting platelet parameters of blood in the side circulation pipeline so as to obtain the corresponding platelet volume distribution width;
the index analysis equipment is connected with the platelet detection equipment and is used for determining whether the blood in the side circulation pipeline is in a low coagulation state or not based on the received platelet volume distribution width;
the multi-direction shooting mechanism is positioned in the center of the roof of the operating room and is used for carrying out multi-direction shooting operation on the internal environment of the operating room so as to obtain an internal environment image;
the multidirectional shooting mechanism comprises a data output interface, a data splicing component and a plurality of directional shooting components, the shooting visual angle of each directional shooting component is different from the shooting visual angles of other directional shooting components, and the shooting visual angles of the plurality of directional shooting components complete 360-degree dead-angle-free shooting of the internal environment of the operating room;
the data splicing component is respectively connected with the plurality of directional shooting components and used for splicing a plurality of images respectively output by the plurality of directional shooting components to obtain the internal environment image, and the data output interface is connected with the data splicing component and used for outputting the received internal environment image;
the content identification device is connected with the data output interface and used for identifying the number of human body objects in the internal environment image and subtracting 1 from the number of the human body objects to serve as the number of medical staff;
the condition reminding mechanism is arranged near the content identification device, is connected with the content identification device and is used for sending out a staff shortage signal when the number of the received medical staff is not enough to use the minimum number of medical staff of the extracorporeal membrane lung;
wherein, in the index analysis device, the lower the received platelet volume distribution width, the closer the blood in the side circulation channel is to the low coagulation state.
The extracorporeal membrane lung use scene monitoring system provided by the invention is stable in operation and reliable in monitoring. The monitoring of the number of the medical staff on site can be carried out on the operating room using the extracorporeal membrane lung, so that the staff shortage signal can be sent when the number of the medical staff on site obtained by monitoring is not enough to the minimum number of the medical staff using the extracorporeal membrane lung.
Drawings
Embodiments of the invention will now be described with reference to the accompanying drawings, in which:
fig. 1 is a schematic view of an operating scenario of an extracorporeal membrane lung to which an extracorporeal membrane lung usage scenario monitoring system is applied according to an embodiment of the present invention.
Detailed Description
Embodiments of the extracorporeal membrane lung use scenario monitoring system of the present invention will be described in detail below with reference to the accompanying drawings.
The essence of extracorporeal membrane pulmonary oxygenation (ECMO) is an improved artificial heart-lung machine, the most core part is a membrane lung and a blood pump which respectively play the roles of an artificial lung and an artificial heart, and the heart-lung support can be used for long-time heart-lung support for patients with severe heart-lung function failure, so that precious time is won for critical rescue. ECMO is currently the most central support for severe cardiopulmonary failure. In 1953 Gibbon's created an artificial heart-lung machine that succeeded in using extracorporeal circulation techniques for the first time in clinical heart surgery, which made it possible to have an artificial heart-lung machine system that assisted the heart-lung for a long period of time. Extracorporeal membrane pulmonary oxygenation (ECMO), which has been used for decades to treat life-threatening respiratory failure, has in fact been an expanding and protracted application of cardiopulmonary bypass technology.
However, the lack of monitoring mechanism for performing the number of medical staff on site in the operating room using the extracorporeal membrane lung in the prior art results in the failure to signal staff shortage when the number of medical staff on site obtained by monitoring is not enough for the minimum number of medical staff using the extracorporeal membrane lung.
In order to overcome the defects, the invention builds an extracorporeal membrane lung use scene monitoring system, and can effectively solve the corresponding technical problem.
Fig. 1 is a schematic view of an operating scenario of an extracorporeal membrane lung applied by an extracorporeal membrane lung usage scenario monitoring system according to an embodiment of the present invention, where the system includes:
the platelet detection equipment is connected with a side circulation pipeline joint of the extracorporeal membrane lung and is used for detecting platelet parameters of blood in the side circulation pipeline so as to obtain the corresponding platelet volume distribution width;
the index analysis equipment is connected with the platelet detection equipment and is used for determining whether the blood in the side circulation pipeline is in a low coagulation state or not based on the received platelet volume distribution width;
the multi-direction shooting mechanism is positioned in the center of the roof of the operating room and is used for carrying out multi-direction shooting operation on the internal environment of the operating room so as to obtain an internal environment image;
the multidirectional shooting mechanism comprises a data output interface, a data splicing component and a plurality of directional shooting components, the shooting visual angle of each directional shooting component is different from the shooting visual angles of other directional shooting components, and the shooting visual angles of the plurality of directional shooting components complete 360-degree dead-angle-free shooting of the internal environment of the operating room;
the data splicing component is respectively connected with the plurality of directional shooting components and used for splicing a plurality of images respectively output by the plurality of directional shooting components to obtain the internal environment image, and the data output interface is connected with the data splicing component and used for outputting the received internal environment image;
the content identification equipment is connected with the data output interface and used for identifying the number of the human body objects in the internal environment image and subtracting 1 from the number of the human body objects to serve as the number of medical staff;
the condition reminding mechanism is arranged near the content identification device, is connected with the content identification device and is used for sending out a staff shortage signal when the number of the received medical staff is not enough to use the minimum number of medical staff of the extracorporeal membrane lung;
wherein, in the index analysis device, the lower the received platelet volume distribution width, the closer the blood in the side circulation channel is to a low coagulation state.
Next, the specific structure of the extracorporeal membrane lung use scenario monitoring system of the present invention will be further described.
In the extracorporeal membrane lung use scenario monitoring system:
the status alert mechanism is further configured to signal staff sufficiency when the number of medical staff received is equal to or greater than the minimum number of medical staff using the extracorporeal membrane lung.
In the extracorporeal membrane lung use scene monitoring system, further comprising:
and the WIFI communication equipment is connected with the condition reminding mechanism and used for receiving the output data of the condition reminding mechanism and wirelessly sending the output data.
In the extracorporeal membrane lung use scenario monitoring system:
the content recognition device is implemented by a programmable logic device, and the programmable logic device is designed by VHDL.
In the extracorporeal membrane lung use scenario monitoring system:
the condition reminding mechanism is a DSP processing chip, and a timer and a ROM are arranged in the DSP processing chip.
In the extracorporeal membrane lung use scenario monitoring system:
and the content identification equipment and the condition reminding mechanism are in data connection and data interaction through an 8-bit parallel data interface.
In the extracorporeal membrane lung use scenario monitoring system:
the content recognition device and the condition prompting mechanism share the same field timing device and the same power supply input device.
In the extracorporeal membrane lung use scenario monitoring system:
and a data cache device is also arranged between the content identification device and the condition reminding mechanism and is respectively connected with the content identification device and the condition reminding mechanism through two data interfaces.
In the extracorporeal membrane lung use scene monitoring system, further comprising:
and the FPM DRAM storage device is respectively connected with the content identification device and the condition reminding mechanism and is used for respectively storing the current output data and the current input data of the content identification device and the condition reminding mechanism.
The content identification device and the condition reminding mechanism are respectively realized by SOC chips with different models;
wherein the content recognition device and the condition alerting mechanism are integrated on the same printed circuit board.
In the extracorporeal membrane lung use scene monitoring system, further comprising:
the temperature sensing mechanism is respectively connected with the content identification device and the condition reminding mechanism and is used for respectively detecting the shell temperatures of the content identification device and the condition reminding mechanism;
the temperature sensing mechanism is composed of two different temperature sensors and is used for respectively detecting the shell temperatures of the content identification device and the condition reminding mechanism.
In addition, a DSP processing chip, also called a digital signal processor, is a microprocessor particularly suitable for performing digital signal processing operations, and is mainly applied to rapidly implement various digital signal processing algorithms in real time.
According to the requirement of digital signal processing, a DSP processing chip generally has the following main characteristics: (1) one multiplication and one addition can be completed in one instruction cycle; (2) the program and the data space are separated, and the instruction and the data can be accessed simultaneously; (3) the chip is provided with a fast RAM which can be accessed in two blocks at the same time through independent data buses; (4) hardware support with low or no overhead loops and jumps; (5) fast interrupt handling and hardware I/O support; (6) having a plurality of hardware address generators operating in a single cycle; (7) multiple operations may be performed in parallel; (8) and pipeline operation is supported, so that the operations of fetching, decoding, executing and the like can be executed in an overlapping way.
It is to be understood that while the present invention has been described in conjunction with the preferred embodiments thereof, it is not intended to limit the invention to those embodiments. It will be apparent to those skilled in the art from this disclosure that many changes and modifications can be made, or equivalents modified, in the embodiments of the invention without departing from the scope of the invention. Therefore, any simple modification, equivalent change and modification made to the above embodiments according to the technical essence of the present invention are still within the scope of the protection of the technical solution of the present invention, unless the contents of the technical solution of the present invention are departed.

Claims (7)

1. An extracorporeal membrane lung use scenario monitoring system, the system comprising:
the platelet detection equipment is connected with a side circulation pipeline joint of the extracorporeal membrane lung and is used for detecting platelet parameters of blood in the side circulation pipeline so as to obtain the corresponding platelet volume distribution width;
the index analysis equipment is connected with the platelet detection equipment and is used for determining whether the blood in the side circulation pipeline is in a low coagulation state or not based on the received platelet volume distribution width;
the multi-direction shooting mechanism is positioned in the center of the roof of the operating room and is used for carrying out multi-direction shooting operation on the internal environment of the operating room so as to obtain an internal environment image;
the multidirectional shooting mechanism comprises a data output interface, a data splicing component and a plurality of directional shooting components, the shooting visual angle of each directional shooting component is different from the shooting visual angles of other directional shooting components, and the shooting visual angles of the plurality of directional shooting components complete 360-degree dead-angle-free shooting of the internal environment of the operating room;
the data splicing component is respectively connected with the plurality of directional shooting components and used for splicing a plurality of images respectively output by the plurality of directional shooting components to obtain the internal environment image, and the data output interface is connected with the data splicing component and used for outputting the received internal environment image;
the content identification device is connected with the data output interface and used for identifying the number of human body objects in the internal environment image and subtracting 1 from the number of the human body objects to serve as the number of medical staff;
the condition reminding mechanism is arranged near the content identification device, is connected with the content identification device and is used for sending out a staff shortage signal when the number of the received medical staff is not enough to use the minimum number of medical staff of the extracorporeal membrane lung;
wherein, in the index analysis device, the lower the received platelet volume distribution width, the closer the blood in the side circulation tube is to a low-coagulation state;
the state reminding mechanism is also used for sending out a sufficient staff signal when the number of the received medical staff is equal to or more than the minimum number of medical staff using the extracorporeal membrane lung;
the WIFI communication equipment is connected with the condition reminding mechanism and used for receiving the output data of the condition reminding mechanism and wirelessly sending the output data;
the content recognition device is implemented by a programmable logic device, and the programmable logic device is designed by VHDL.
2. The extracorporeal membrane lung use scenario monitoring system of claim 1, wherein:
the condition reminding mechanism is a DSP processing chip, and a timer and a ROM are arranged in the DSP processing chip.
3. The extracorporeal membrane lung use scenario monitoring system of claim 2, wherein:
and the content identification equipment and the condition reminding mechanism are in data connection and data interaction through an 8-bit parallel data interface.
4. The extracorporeal membrane lung use scenario monitoring system of claim 3, wherein:
the content recognition device and the condition prompting mechanism share the same field timing device and the same power supply input device.
5. The extracorporeal membrane lung use scenario monitoring system of claim 4, wherein:
and a data cache device is also arranged between the content identification device and the condition reminding mechanism and is respectively connected with the content identification device and the condition reminding mechanism through two data interfaces.
6. The extracorporeal membrane lung use scenario monitoring system of claim 5, wherein the system further comprises:
the FPM DRAM storage device is respectively connected with the content identification device and the condition reminding mechanism and is used for respectively storing current output data and current input data of the content identification device and the condition reminding mechanism;
the content identification device and the condition reminding mechanism are respectively realized by SOC chips with different models;
wherein the content recognition device and the condition alerting mechanism are integrated on the same printed circuit board.
7. The extracorporeal membrane lung use scenario monitoring system of claim 6, further comprising:
the temperature sensing mechanism is respectively connected with the content identification device and the condition reminding mechanism and is used for respectively detecting the shell temperatures of the content identification device and the condition reminding mechanism;
the temperature sensing mechanism is composed of two different temperature sensors and is used for respectively detecting the shell temperatures of the content identification device and the condition reminding mechanism.
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