CN112515635B - Multifunctional anesthesia plane tester - Google Patents

Multifunctional anesthesia plane tester Download PDF

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Publication number
CN112515635B
CN112515635B CN202011379732.8A CN202011379732A CN112515635B CN 112515635 B CN112515635 B CN 112515635B CN 202011379732 A CN202011379732 A CN 202011379732A CN 112515635 B CN112515635 B CN 112515635B
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probe
stimulation
handle
piezoelectric ceramic
operation block
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CN112515635A (en
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盛博
林雪梅
倪娟
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West China Second University Hospital of Sichuan University
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West China Second University Hospital of Sichuan University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4821Determining level or depth of anaesthesia

Abstract

The invention relates to a multifunctional anesthesia plane tester, which belongs to the technical field of medical instruments and comprises a handle and a stimulation probe, wherein the stimulation probe comprises at least two of a thermal stimulation probe, an electrical stimulation probe and a needling probe; the stimulus probe is mounted on a handle having a receiving space therein for receiving the stimulus probe so that the stimulus probe can be received within the handle. The multifunctional heat collecting and stimulating device has the advantages of simple structure, integration of heat collecting stimulation, electrical stimulation and needle stimulation, multiple functions, convenience in use and great convenience for clinical work.

Description

Multifunctional anesthesia plane tester
Technical Field
The invention relates to the technical field of medical instruments, in particular to a multifunctional anesthesia plane tester.
Background
The plane of anesthesia is a concept of anesthesia, and refers to the range of analgesia or upper and lower limits of skin. The measurement of the anesthesia plane after the intraspinal anesthesia plays an important role in judging the anesthesia effect, guiding the anesthesia dosage and judging whether the operation can be carried out by an anesthesiologist.
The plane of anesthesia block is too wide, which may lead to respiratory depression, hypotension, bradycardia, etc. The plane of anesthesia block is not sufficient or perfect, on one hand, the operation requirements cannot be met, and the anesthesia mode needs to be changed, and on the other hand, the pain stimulation can cause obvious hemodynamic fluctuation and poor subjective experience.
The conventional method for measuring the plane of anesthesia comprises the following steps: pain sensation (acupuncture), tactile sensation, cold sensation (alcohol cotton ball), infrared thermography and thermometry, which are based on the sequence of anesthesia block after intravertebral anesthesia. The anesthesia block sequence is vasomotor nerve fiber, cold and hot sensation nerve fiber, tactile nerve fiber, pain sensation nerve fiber, motor nerve fiber and proprioceptive nerve fiber.
At present, a multifunctional anesthesia plane measuring instrument capable of simultaneously measuring pain sense and temperature sense is lacking clinically. In addition, in clinical work, deaf-mute patients, children with language disorder and minority patients who do not understand Chinese are encountered, and the patients often have difficulty in language communication and complete the determination of the anesthesia plane in cooperation with an anesthesiologist, so that the determination of the anesthesia plane of the patients is inconvenient.
Disclosure of Invention
The invention provides a multifunctional anesthesia plane measuring instrument for solving the technical problems.
The invention is realized by the following technical scheme:
a multifunctional anesthesia plane measuring instrument comprises a stimulation probe, wherein the stimulation probe comprises at least two of a thermal stimulation probe, an electrical stimulation probe and a needle probe.
Furthermore, the multifunctional anesthesia plane measuring instrument also comprises a handle, the stimulation probe is arranged on the handle, and a receiving space for receiving the stimulation probe is arranged in the handle, so that the stimulation probe can be collected into the handle.
Wherein, each kind of stimulating probe is respectively and fixedly connected with an operation block, and the operation block is arranged on the surface of the handle in a sliding way.
Furthermore, each stimulation probe comprises a probe seat and a probe body;
the probe seat is in sliding fit with the receiving space in the handle, and the operation block is fixedly connected with the probe seat;
one end of the probe body is detachably connected with the probe seat.
Furthermore, the working switches of the thermal stimulation probe and the electrical stimulation probe are integrated on the operation block.
Wherein, a battery is arranged in the handle.
Preferably, the needle probe is of a plastic material.
Further preferably, the stimulation end face of the needle probe is a 30 degree bevel.
Furthermore, the heating probe of the thermal stimulation probe is a PTC heating element.
Further, the electric stimulation probe comprises a discharge probe and piezoelectric ceramics.
Furthermore, the multifunctional anesthesia plane measuring instrument also comprises a temperature sensor for monitoring the temperature of the thermal stimulation probe.
Compared with the prior art, the invention has the following beneficial effects:
the multifunctional heat collecting and stimulating device has the advantages of simple structure, integration of heat collecting stimulation, electrical stimulation and needle stimulation, multiple functions, convenience in use and great convenience for clinical work.
Drawings
The accompanying drawings, which are included to provide a further understanding of the embodiments of the invention and are incorporated in and constitute a part of this application, illustrate embodiment(s) of the invention and together with the description serve to explain the principles of the invention.
FIG. 1 is an external view of a first embodiment of a stimulus probe as it is pushed out;
FIG. 2 is an enlarged view of a portion of FIG. 1 at A;
FIG. 3 is a three-dimensional view of a first embodiment of the stimulus probe as it is retracted;
FIG. 4 is a schematic view of the internal structure of the first embodiment;
FIG. 5 is a schematic diagram of thermal stimulation in the second embodiment;
FIG. 6 is a schematic diagram of electrical stimulation in a third embodiment;
FIG. 7 is a sectional view at the site of the electrostimulation probe in the third embodiment;
FIG. 8 is a schematic structural view of the fourth embodiment;
FIG. 9 is a sectional view at an electrostimulation probe of the fourth embodiment;
FIG. 10 is a sectional view at the thermal stimulation probe in the fourth embodiment;
FIG. 11 is a schematic structural view of the fifth embodiment.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is further described in detail below with reference to examples and accompanying drawings, and the exemplary embodiments and descriptions thereof are only used for explaining the present invention and are not meant to limit the present invention.
Example one
As shown in fig. 1, 2 and 3, the multifunctional anesthesia level measuring apparatus disclosed in this embodiment comprises a handle 1 and a stimulation probe connected to the handle 1. There are at least two types of stimulus probes. The stimulation probe in the embodiment comprises a thermal stimulation probe 2, an electrical stimulation probe 3 and a acupuncture probe 4.
The handle 1 is provided with three receiving spaces 11 for receiving the thermal stimulation probe 2, the electrical stimulation probe 3 and the acupuncture probe 4 respectively. When not in use, the thermal stimulation probe 2, the electrical stimulation probe 3 and the acupuncture probe 4 can be received inside the handle 1. When in use, the utility model can be pushed out.
As shown in fig. 1 and 4, the thermal stimulation probe 2 in this embodiment includes a probe holder 20 and a heating probe 21, and one end of the heating probe 21 is detachably connected to the probe holder 20, so that the probe can be changed one by one in clinic, thereby reducing the risk of cross infection.
The electrostimulation probe 3 comprises a probe holder 20 and a discharge probe 31, and the discharge probe 31 is detachably connected with the probe holder 20.
The acupuncture probe 4 comprises a probe seat 20 and a needle body 41, and the needle body 41 is detachably connected with the probe seat 20. The detachable connection structure can be a snap connection or a threaded connection and the like.
The thermal stimulation probe 2, the electrical stimulation probe 3 and the acupuncture probe 4 are respectively fixedly connected with an operation block 5. The probe seat 20 is in sliding fit with the receiving space 11 in the handle 1, the operation block 5 is fixedly connected with the probe seat 20, and the operation block 5 is arranged in the chute 6 on the surface of the handle 1. The probe holder 20 is slid along the receiving space 11 by sliding the operation block 5, and then the corresponding probe is pushed out or retracted.
The thermal stimulation probe 2 comprises a thermally conductive metal. The acupuncture probe 4 is made of plastic. As shown in FIG. 2, the stimulation end face of the acupuncture probe 4 is a 30 degree bevel, and 30 degrees prevents the acupuncture probe 4 from being too sharp.
Wherein a battery 7 is arranged in the handle 1 for supplying power to the electronic components. The battery 7 can be a rechargeable battery, and a No. 7 battery can also be adopted, and the No. 7 battery is preferably provided with two batteries.
The surface of the handle 1 is provided with a thermal stimulation switch 22 and an electrical stimulation switch 32 which are respectively used for controlling the thermal stimulation probe 2 and the electrical stimulation probe 3.
The shape of the handle 1 is set according to the requirement, and can be round, oval or round and blunt square. The handle 1 is dimensioned as required. The shape and size of the operation block 5 are as required.
If the handle 1 is circular, the diameter of the handle 1 can be designed to be 4cm, and the length can be designed to be 10cm. The operating block 5 is rectangular and may have a length of 1.5cm and a width of 0.5cm.
The working principle of the embodiment is as follows:
if the thermal stimulation is needed, the operation block 5 corresponding to the thermal stimulation probe 2 is slid forwards, so that the thermal stimulation probe 2 is exposed from the handle 1; subsequently, the thermal stimulation switch 22 is pressed, and the heating probe 21 is powered on to start heating. When the thermal stimulation probe is not used, the operation block 5 corresponding to the thermal stimulation probe 2 is slid backwards, so that the thermal stimulation probe 2 is retracted into the handle 1.
If the electric stimulation is needed, the operation block 5 corresponding to the electric stimulation probe 3 is slid forwards, so that the electric stimulation probe 3 is exposed from the handle 1; subsequently, the electrostimulation switch 32 is pressed, and the electrostimulation probe 3 starts operating. When the electric stimulation probe is not used, the operation block 5 corresponding to the electric stimulation probe 3 is slid backwards, so that the electric stimulation probe 3 is retracted into the handle 1.
If the acupuncture probe 4 is required to be used, the operation block 5 corresponding to the acupuncture probe 4 is slid forward to expose the acupuncture probe 4 from the handle 1. When not in use, the operation block 5 corresponding to the acupuncture probe 4 is slid backwards, so that the acupuncture probe 4 is retracted into the handle 1.
For a patient who can normally communicate and is matched with the anesthesia plane measurement, a needle stimulation probe can be used for measuring the plane of analgesia, and a thermal stimulation probe is used for measuring the plane of heat sensation disappearance; for patients who cannot be matched with the anesthesia level measurement, the plane of sensory loss is measured using an electrical stimulation probe, and the plane of sensory loss is measured using a thermal stimulation probe. After the different stimulation probes are used for stimulating the corresponding parts of the patient, when the parts which are not anesthetized are subjected to electric stimulation and thermal stimulation, the patient still generates conditioned reflex such as twitching and avoiding, and the like, thereby being beneficial to judging the plane of anesthesia.
Example two
The difference between this embodiment and the first embodiment is: the heating probe 21 of the thermal stimulation probe 2 in this embodiment is a PTC heater. As shown in fig. 5, the heating probe 21 in this embodiment includes a metal case 210 and a PTC heating sheet disposed in the metal case 210.
The PTC heating element can realize constant temperature heating, which is a conventional technology in the field and is not described herein. In the embodiment, the thermal stimulation probe 2 is a heating probe with a constant temperature of 45-47 ℃.
EXAMPLE III
The difference between this embodiment and the first or second embodiment is: as shown in fig. 6 and 7, the electrical stimulation probe 3 in the present embodiment includes a discharge probe 31 and a piezoelectric ceramic.
There are two piezoelectric ceramics, a first piezoelectric ceramic 33 and a second piezoelectric ceramic 34. The first piezoelectric ceramics 33 and the second piezoelectric ceramics 34 are disposed at intervals. One end of the discharge probe 31 passes through between the first piezoelectric ceramics 33 and the second piezoelectric ceramics 34.
The electrical stimulation switch 32 is of a button structure and is provided with a return spring 35, the return spring 35 is a spiral spring, and the return spring 35 is arranged between the electrical stimulation switch 32 and the handle 1 and used for automatically resetting the electrical stimulation switch 32. The electrical stimulation switch 32 is disposed on one side of the first piezoelectric ceramic 33, and is used for impacting the first piezoelectric ceramic 33 to generate instantaneous high-voltage current through violent impact of the two piezoelectric ceramics. The power is discharged once by pressing the one-time electrical stimulation switch 32.
Example four
This embodiment differs from the previous three embodiments in that: in this embodiment, the operation switches of the thermal stimulation probe 2 and the electrical stimulation probe 3 are integrated on the operation block 5 thereof.
As shown in fig. 8 and 9, the electrostimulation switch 32 is fitted in the corresponding hole of the operation block 5, and the first piezoelectric ceramics 33 and the second piezoelectric ceramics 34 are provided in the probe holder 20.
The thermal stimulation switch 22 is installed in a hole of the corresponding operation block 5, and the power can be turned on by pressing the thermal stimulation switch 22.
EXAMPLE five
This embodiment differs from the previous four embodiments in that: as shown in fig. 11, the present embodiment is further provided with a temperature sensor. The temperature sensing probe 8 of the temperature sensor is arranged on the probe seat 20 of the thermal stimulation probe 2 and is used for monitoring the temperature of the heating probe 21. The surface of the handle 1 is provided with a display 9 for displaying the temperature monitored by the temperature sensor.
The above embodiments are provided to further explain the objects, technical solutions and advantages of the present invention in detail, it should be understood that the above embodiments are merely exemplary embodiments of the present invention and are not intended to limit the scope of the present invention, and any modifications, equivalents, improvements and the like made within the spirit and principle of the present invention should be included in the scope of the present invention.

Claims (4)

1. The utility model provides a multi-functional anesthesia plane apparatus, includes the stimulus probe, its characterized in that: the probe also comprises a handle, and the stimulation probe comprises at least two of a thermal stimulation probe, an electrical stimulation probe and a acupuncture probe;
the stimulating probe is arranged on the handle, and a receiving space for receiving the stimulating probe is arranged in the handle, so that the stimulating probe can be collected into the handle;
each stimulation probe is fixedly connected with an operation block, and the operation block is slidably arranged in a chute on the surface of the handle;
each stimulating probe comprises a probe seat and a probe body;
the probe seat is in sliding fit with the receiving space in the handle, and the operation block is fixedly connected with the probe seat;
one end of the probe body is detachably connected with the probe seat;
the probe seat can slide along the receiving space by sliding the operation block, and then the corresponding probe is pushed out or retracted;
the thermal stimulation probe is connected with a temperature sensor for monitoring the temperature of the thermal stimulation probe, the surface of the handle is provided with a display for displaying the temperature monitored by the temperature sensor, and a temperature sensing probe of the temperature sensor is arranged on a probe seat of the thermal stimulation probe and used for monitoring the temperature of the heating probe;
the electric stimulation probe comprises a discharge probe and two piezoelectric ceramics, wherein the two piezoelectric ceramics are respectively a first piezoelectric ceramic and a second piezoelectric ceramic, and the first piezoelectric ceramic and the second piezoelectric ceramic are arranged at intervals; one end of the discharge probe penetrates through the space between the first piezoelectric ceramic and the second piezoelectric ceramic; the electrical stimulation switch is of a button structure and is provided with a return spring, and the return spring is arranged between the electrical stimulation switch and the handle and is used for automatically returning the electrical stimulation switch; the electrical stimulation switch is arranged on one side of the first piezoelectric ceramic and is used for impacting the first piezoelectric ceramic;
the thermal stimulation probe and the working switch of the electrical stimulation probe are integrated on the operation block, the electrical stimulation switch is arranged in the hole of the corresponding operation block, and the first piezoelectric ceramic and the second piezoelectric ceramic are arranged in the probe seat; the thermal stimulation switch is installed in the hole of the corresponding operation block.
2. The multi-functional anesthetic plane measuring instrument according to claim 1, characterized in that: the acupuncture probe is made of plastic.
3. The multifunctional anesthesia plane measuring instrument of claim 1 or 2, wherein: the stimulating end face of the acupuncture probe is a 30-degree inclined plane.
4. The multi-functional anesthetic plane measuring instrument according to claim 1, characterized in that: the heating probe of the thermal stimulation probe is a PTC heating element.
CN202011379732.8A 2020-11-30 2020-11-30 Multifunctional anesthesia plane tester Active CN112515635B (en)

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