CN113101523A - Portable AED defibrillation monitoring system and method - Google Patents

Portable AED defibrillation monitoring system and method Download PDF

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Publication number
CN113101523A
CN113101523A CN202110432584.XA CN202110432584A CN113101523A CN 113101523 A CN113101523 A CN 113101523A CN 202110432584 A CN202110432584 A CN 202110432584A CN 113101523 A CN113101523 A CN 113101523A
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patient
defibrillation
signal acquisition
electrode plate
data signal
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唐丽雯
王旭
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Jiuxin Medical Science & Technology (suzhou) Co ltd
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Jiuxin Medical Science & Technology (suzhou) Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3904External heart defibrillators [EHD]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/05Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053Measuring electrical impedance or conductance of a portion of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/746Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3925Monitoring; Protecting

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Cardiology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Physiology (AREA)
  • Electrotherapy Devices (AREA)

Abstract

The invention discloses a portable AED defibrillation monitoring system and a method, comprising an automatic external defibrillator and a wearable electrode plate; the wearable electrode plate comprises a data signal acquisition plate, and an electrode plate connecting buckle is arranged at the edge of the data signal acquisition plate and is connected with the defibrillation electrode plate; the data signal acquisition board acquires signals in real time and sends the signals to the automatic external defibrillator; when the fact that the heart rhythm of the patient reaches a defibrillation standard is monitored, the system gives an alarm through sound-light vibration to perform consciousness test on the patient; if the patient is conscious and is considered a false positive, the patient or bystander may manually terminate defibrillation therapy; if not, the system starts normal work flow, fast charges and releases defibrillation shock. According to the invention, consciousness test can be carried out on the patient, if the patient is conscious, electric shock release can be cancelled manually, and the misjudgment rate of the system is reduced; when the patient is unconscious, the accompanying personnel near the patient can rescue immediately by one key; and other physiological parameter monitoring is additionally arranged, so that the safety guarantee of the patient is enhanced.

Description

Portable AED defibrillation monitoring system and method
Technical Field
The invention belongs to the field of medical equipment, and particularly relates to a portable AED (automated guided Equipment) defibrillation monitoring system and method.
Background
An Automated External Defibrillator (AED) is a portable medical device that can diagnose specific arrhythmias and deliver shock defibrillation, a medical device that can be used by non-professionals to rescue patients with cardiac arrest, and the importance of AED application in improving survival rates of witnessers of cardiac arrest has been demonstrated.
The existing AEDs are mainly divided into semi-automatic external defibrillators and full-automatic external defibrillators, and are suitable for common people suffering sudden cardiac arrest. Both of these current AED products require that other witnesses be present to rescue the patient. Moreover, patients who have problems with their own heart, who cannot be installed or are not suitable for the moment, and who are unwilling to install the embedded defibrillator and need defibrillation protection in a short time have a much higher probability of sudden cardiac arrest than normal persons, and the ordinary AEDs cannot guarantee the timeliness of treatment.
Therefore, the portable wearable cardiac defibrillator is available, the automatic external defibrillator and the electrodes can be worn on the patient, the electrocardiosignals of the patient can be automatically monitored in real time, and if the cardiac rhythm signals endangering the life of the patient occur, the automatic external defibrillator automatically performs electric shock defibrillation to realize the repetition of the electrocardio.
The existing portable defibrillator is heavy in overall shape, high in cost and inconvenient to operate; the metal electrode is adopted to be in contact with a patient, gel is automatically sprayed at the contact position of the electrode to defibrillate when the defibrillation is needed, and the comfort level of the patient is not high. Therefore, there is a need to design a portable defibrillator that is lightweight, comfortable to wear, and easy to operate.
Disclosure of Invention
The purpose of the invention is as follows: in order to solve the problems, the invention provides a portable AED defibrillation monitoring system and a method.
The technical scheme is as follows: in order to realize the purpose of the invention, the technical scheme adopted by the invention is as follows:
a portable AED defibrillation monitoring system includes an automatic external defibrillator and a wearable electrode pad; the wearable electrode plate comprises a defibrillation electrode plate, an electrode plate connecting buckle, a data signal acquisition board and a fixing binding band; the edge of the data signal acquisition plate is provided with an electrode plate connecting buckle which is connected with the defibrillation electrode plate, and two sides of the outer part of the data signal acquisition plate are provided with fixing bandages which are used for wearing; the data signal acquisition board acquires signals in real time and sends the signals to the automatic external defibrillator; when the fact that the heart rhythm of the patient reaches a defibrillation standard is monitored, the system gives an alarm through sound-light vibration to perform consciousness test on the patient; if the patient is conscious and is considered a false positive, the patient or bystander may manually terminate defibrillation therapy; if the manual termination is not performed, the system starts a normal working process, measures the transthoracic impedance of the patient, quickly charges according to the preset discharge energy level, selects the discharge pulse width according to the measured transthoracic impedance, and releases the defibrillation shock.
Further, an automated external defibrillator, comprising a housing; the shell is provided with a signal indicator light, a loudspeaker and an electric shock cancellation key; the signal indicator light and the loudspeaker are used for acousto-optic vibration alarm; the shock cancel key is used for canceling the shock defibrillation caused by the misjudgment.
Further, an automated external defibrillator, comprising an internal module; the internal module comprises a defibrillation module, a signal acquisition and processing module, a main control circuit, a storage module and a communication module; the defibrillation module is used for rapidly charging and releasing defibrillation electric shock; the signal acquisition and processing module is used for measuring electrocardiosignals, transthoracic impedance and other physiological parameters of the patient; collecting electrocardiosignals and transthoracic impedance of a patient through a defibrillation electrode slice; the main control circuit is used for judging the electrocardiosignals obtained by the signal acquisition and processing module, alarming for consciousness test and rapidly charging and discharging the defibrillation module; the storage module is used for storing data to the local; the communication module is used for receiving and transmitting data.
Further, a pressure sensor is integrated in the data signal acquisition board and used for measuring blood pressure; an integrated photoelectric pulse sensor for measuring pulse; an integrated photosensor for measuring blood oxygen saturation; the integrated thermosensitive element is used for measuring body temperature.
Further, the automatic external defibrillator may be worn around the wrist or waist.
Furthermore, an emergency rescue key is also arranged on the shell; when the patient is unconscious, the attendant beside the patient can press the emergency rescue key, and then the equipment immediately implements rescue measures.
Further, the defibrillation electrode pads use a flexible fabric.
A portable AED defibrillation monitoring method comprising the steps of:
(1) acquiring electrocardiosignals in real time through a data signal acquisition board, and sending the electrocardiosignals to an automatic external defibrillator for analysis and identification;
(2) when the heart rhythm of the patient is monitored to reach the defibrillation standard, the equipment performs sound-light vibration alarm to perform consciousness test on the patient;
(3) if the patient is conscious and is considered a false positive, the patient or an attendant near the patient may manually cancel the shock;
(4) if the patient is unconscious and no other person near the patient presses the emergency rescue key, the equipment starts a preset work flow after the judgment time is set, the transthoracic impedance of the patient is measured, and the defibrillation electric shock is released by quickly charging according to the preset discharge energy level;
if the patient is unconscious and an attendant near the patient can press the emergency rescue key, the device immediately starts a predetermined workflow.
Further, after defibrillation is finished, the system continues to monitor the electrocardiosignals, and if the heart rhythm is not recovered to be normal, electric shock defibrillation is continued; if the heart rhythm is recovered to be normal, the system carries out daily electrocardio monitoring and prompts the patient to change a new defibrillation electrode plate.
Further, from the time the patient wears the device, the device continues to transmit data to the server or client, and the local synchronous cache retains the corresponding data.
Has the advantages that: according to the invention, when the heart rhythm of the patient is monitored to reach the defibrillation standard, consciousness test is carried out on the patient, and if the consciousness of the patient is clear, electric shock release can be manually cancelled, so that the system misjudgment rate is reduced; if the patient is unconscious, the manual termination cannot be realized, and the assistance of other people nearby the patient is not provided, so that the patient can be rescued autonomously; when the patient is unconscious and can not be manually stopped, or the accompanying personnel near the patient determines that the patient is unconscious, without breathing and without pulse, the patient can be rescued immediately by one key; the simplified design is adopted, and the use cost is low; and other physiological parameter monitoring is additionally arranged, so that the safety guarantee of the patient is enhanced.
Drawings
Fig. 1 is a schematic diagram of a portable AED defibrillation monitoring system;
FIG. 2 is a schematic diagram of an automatic external defibrillator;
fig. 3 is a flow chart of a portable AED defibrillation monitoring method.
Detailed Description
The technical solution of the present invention is further described below with reference to the accompanying drawings and examples.
As shown in fig. 1, the portable AED defibrillation monitoring system of the present invention consists of an automatic external defibrillator 1 and a wearable electrode pad 2.
An automatic external defibrillator 1 comprising a housing and an internal module; the shell is provided with a power switch 11, a signal indicator lamp 12, a detachable battery 13, a loudspeaker 14, a shock cancellation key 15 and an emergency rescue key 16.
Wearable electrode slice 2 is including defibrillation electrode slice 21, electrode slice connection buckle 22, data signal acquisition board 23, fixing bandage 24.
The shell of the automatic external defibrillator 1 is provided with a signal indicator light 12 and a loudspeaker 14 which play a role of sound and light alarm; the detachable battery 13 is inserted from the right side of the case of the automatic external defibrillator 1; the shock cancel key 15 is used for canceling the defibrillation shock caused by the erroneous judgment; the emergency rescue key 16 is used to implement rescue measures immediately.
Be equipped with data signal acquisition board 23 on above-mentioned wearable electrode piece 2, data signal acquisition board 23 edge is equipped with electrode piece connection buckle 22, is connected with defibrillation electrode piece 21, and data signal acquisition board 23 outside both sides are equipped with fixing bandage 24 for dress.
The defibrillation electrode plate 21 is made of flexible fabric, is skin-friendly, has good fit with the skin, and is not easy to cause discomfort after being worn for a long time.
A pressure sensor and a photoelectric pulse sensor are integrated in the data signal acquisition board 23, and data such as blood pressure, pulse and the like can be measured; the integrated photoelectric sensor can measure the blood oxygen saturation data of the human body; the temperature sensor such as a thermocouple or a thermistor is integrated to measure body temperature data.
The fixing strap 24 has elasticity, inner side skid resistance, adjustability and detachability.
As shown in fig. 2, the internal modules of the automatic external defibrillator 1 include: the device comprises a defibrillation module, a signal acquisition and processing module, a main control circuit, a storage module, a communication module, a power module and the like.
The defibrillation module is used to quickly charge and release the defibrillation shock.
The signal acquisition and processing module is used for measuring electrocardiosignals, transthoracic impedance and other physiological parameters of the patient. Collecting electrocardiosignals and transthoracic impedance of a patient through an electrode plate; measuring data such as blood pressure, pulse and the like through a pressure sensor and a photoelectric pulse sensor; measuring the blood oxygen saturation of the human body through a photoelectric sensor; the body temperature is measured by other thermosensitive elements such as a thermocouple or a thermistor.
The main control circuit is used for realizing the functions of electrocardiosignal measurement and judgment, transthoracic impedance measurement, rapid charge and discharge, termination of discharge, consciousness test alarm and the like.
The storage module is used for storing data to the local. The communication module is used for receiving and transmitting data.
The portable AED defibrillation monitoring system clings to a human body through the wearable electrode plate 2, collects electrocardiosignals in real time, measures the transthoracic impedance information of a patient and other part physiological data, and analyzes and identifies the electrocardiosignals and the patient. When the heart rhythm of the patient is monitored to reach the standard of ventricular fibrillation or ventricular velocity, the system gives an alarm through sound and light vibration to carry out consciousness test on the patient. If the patient is conscious and is considered a false positive, the patient or bystander may manually terminate defibrillation therapy. If the manual termination is not performed, the system starts a normal working process, measures the transthoracic impedance of the patient, quickly charges according to the preset discharge energy level, selects the discharge pulse width according to the measured transthoracic impedance, and releases the defibrillation shock. And after the discharge defibrillation is finished, the system continues to monitor, if the heart rhythm is not recovered to be normal, the electric shock defibrillation is continued, and if the heart rhythm is recovered to be normal, the system continues to perform daily monitoring.
As shown in fig. 3, the portable AED defibrillation monitoring method of the present invention has the following specific process:
adopt portable AED to defibrillate monitored control system, the patient dresses wearable electrode slice 2, pastes data signal acquisition board 23 in chest suitable position, adjusts electrode slice connecting buckle 22 and fixes, makes defibrillation electrode slice 21 be in the optimum position of defibrillating: the doctor selects the positions for placing the signal acquisition board and the defibrillation electrode plate according to the experience of the doctor and the judgment of the body type of the patient, so that the defibrillation electric shock releasing effect is optimal. Only the defibrillation electrode plates need to be replaced subsequently, and the position of the signal acquisition board does not need to be moved. The electrocardiosignals are collected in real time through the data signal collecting board 23, and the signals are analyzed and identified.
The automatic external defibrillator 1 can be worn on other body parts such as the wrist or the waist.
When the heart rhythm of the patient is monitored to reach the defibrillation standard, the device gives an audible and visual vibration alarm through the signal indicator lamp 12 and the loudspeaker 14 to perform consciousness test on the patient. The intensity is slowly transited from low to high, so that sudden fright to the patient is avoided, and the intensity is increased to the highest in the transition, so that the intensity can be successfully transmitted to the patient and accompanying personnel near the patient.
If the patient is conscious and is considered a false positive, the patient or a caregiver near the patient may manually terminate the alarm by clicking the shock cancel key 15.
If the patient is unconscious and cannot be manually stopped, and no other person nearby the patient presses the emergency rescue key 16, the equipment starts a preset work flow after the judgment time is set, the transthoracic impedance of the patient is measured through the data signal acquisition board 23, the rapid charging is carried out according to the preset discharge energy level, and the defibrillation electric shock is released through the defibrillation electrode plate 21.
If the patient is unconscious and cannot be manually stopped, or the attendant nearby the patient determines that the patient is unconscious, without breathing or without pulse, presses the emergency rescue key 16, the equipment immediately starts a preset work flow, measures the transthoracic impedance of the patient through the data signal acquisition board 23, quickly charges according to the preset discharge energy level, and releases defibrillation electric shock through the defibrillation electrode plate 21.
And after the discharge defibrillation is finished, the equipment continues to monitor the electrocardiosignals, if the heart rhythm is not recovered to be normal, the electric shock defibrillation is continued, if the heart rhythm is recovered to be normal, the system continues to carry out daily electrocardio monitoring, and prompts that a patient is replaced by a new defibrillation electrode plate 21.
From the patient wearing the equipment, the equipment continuously transmits data to a server or a client and the like, and the local synchronous cache reserves corresponding data.
The invention has the beneficial effects that: when the heart rhythm of the patient is monitored to reach the defibrillation standard, consciousness test is carried out on the patient, if the patient is conscious, electric shock release can be manually cancelled, and the system misjudgment rate is reduced; if the patient is unconscious, the manual termination cannot be realized, and the assistance of other people nearby the patient is not provided, so that the patient can be rescued autonomously; when the patient is unconscious and can not be manually stopped, or the accompanying personnel near the patient determines that the patient is unconscious, without breathing and without pulse, the patient can be rescued immediately by one key; the simplified design is adopted, and the use cost is low; and other physiological parameter monitoring is additionally arranged, so that the safety guarantee of the patient is enhanced.

Claims (10)

1. A portable AED defibrillation monitoring system is characterized by comprising an automatic external defibrillator (1) and a wearable electrode plate (2);
the wearable electrode plate (2) comprises a defibrillation electrode plate (21), an electrode plate connecting buckle (22), a data signal acquisition board (23) and a fixing bandage (24);
an electrode plate connecting buckle (22) is arranged at the edge of the data signal acquisition plate (23) and is connected with the defibrillation electrode plate (21), fixing bands (24) are arranged on two sides of the outer portion of the data signal acquisition plate (23), and the fixing bands (24) are used for wearing;
the data signal acquisition board (23) acquires signals in real time and sends the signals to the automatic external defibrillator (1);
when the fact that the heart rhythm of the patient reaches a defibrillation standard is monitored, the system gives an alarm through sound-light vibration to perform consciousness test on the patient;
if the patient is conscious and is considered a false positive, the patient or bystander may manually terminate defibrillation therapy;
if the manual termination is not performed, the system starts a normal working process, measures the transthoracic impedance of the patient, quickly charges according to the preset discharge energy level, selects the discharge pulse width according to the measured transthoracic impedance, and releases the defibrillation shock.
2. The portable AED defibrillation monitoring system of claim 1, wherein the automated external defibrillator (1) comprises a housing; a signal indicator lamp (12), a loudspeaker (14) and a shock cancellation key (15) are arranged on the shell;
the signal indicator lamp (12) and the loudspeaker (14) are used for acousto-optic vibration alarm; the shock cancellation key (15) is used for canceling the defibrillation shock caused by the misjudgment.
3. The portable AED defibrillation monitoring system of claim 1, wherein the automated external defibrillator (1) comprises an internal module; the internal module comprises a defibrillation module, a signal acquisition and processing module, a main control circuit, a storage module and a communication module;
the defibrillation module is used for rapidly charging and releasing defibrillation electric shock;
the signal acquisition and processing module is used for measuring electrocardiosignals, transthoracic impedance and other physiological parameters of the patient; collecting electrocardiosignals and transthoracic impedance of a patient through a defibrillation electrode slice;
the main control circuit is used for judging the electrocardiosignals obtained by the signal acquisition and processing module, alarming for consciousness test and rapidly charging and discharging the defibrillation module;
the storage module is used for storing data to the local;
the communication module is used for receiving and transmitting data.
4. The portable AED defibrillation monitoring system of claim 3, wherein a pressure sensor is integrated inside the data signal acquisition board (23) for measuring blood pressure; an integrated photoelectric pulse sensor for measuring pulse; an integrated photosensor for measuring blood oxygen saturation; the integrated thermosensitive element is used for measuring body temperature.
5. The portable AED defibrillation monitoring system of claim 1, characterized in that the automatic external defibrillator (1) is wearable on the wrist or waist.
6. The portable AED defibrillation monitoring system of claim 2, wherein the case is further provided with an emergency rescue key (16);
when the patient is unconscious, the attendant beside the patient can press the emergency rescue key (16), and the equipment immediately implements rescue measures.
7. The portable AED defibrillation monitoring system of claim 1, wherein the defibrillation electrode pads (21) use a flexible fabric.
8. A portable AED defibrillation monitoring method comprising the steps of:
(1) acquiring electrocardiosignals in real time through a data signal acquisition board, and sending the electrocardiosignals to an automatic external defibrillator for analysis and identification;
(2) when the heart rhythm of the patient is monitored to reach the defibrillation standard, the equipment performs sound-light vibration alarm to perform consciousness test on the patient;
(3) if the patient is conscious and is considered a false positive, the patient or an attendant near the patient may manually cancel the shock;
(4) if the patient is unconscious and no other person near the patient presses the emergency rescue key, the equipment starts a preset work flow after the judgment time is set, the transthoracic impedance of the patient is measured, and the defibrillation electric shock is released by quickly charging according to the preset discharge energy level;
if the patient is unconscious and an attendant near the patient can press the emergency rescue key, the device immediately starts a predetermined workflow.
9. The portable AED defibrillation monitoring method of claim 8, wherein after defibrillation is completed, the system continues to monitor the ECG signal, and if the rhythm of the heart does not return to normal, shock defibrillation continues; if the heart rhythm is recovered to be normal, the system carries out daily electrocardio monitoring and prompts the patient to change a new defibrillation electrode plate.
10. The portable AED defibrillation monitoring method of claim 8, wherein the device continues to transmit data to the server or client from the time the device is worn by the patient, and the local synchronization cache retains the corresponding data.
CN202110432584.XA 2021-04-21 2021-04-21 Portable AED defibrillation monitoring system and method Withdrawn CN113101523A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115120882A (en) * 2022-07-01 2022-09-30 重庆舒博医疗科技有限公司 Wearable external defibrillator and operation method
WO2023236705A1 (en) * 2022-06-06 2023-12-14 创领心律管理医疗器械(上海)有限公司 Wearable defibrillation system

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023236705A1 (en) * 2022-06-06 2023-12-14 创领心律管理医疗器械(上海)有限公司 Wearable defibrillation system
CN115120882A (en) * 2022-07-01 2022-09-30 重庆舒博医疗科技有限公司 Wearable external defibrillator and operation method

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Application publication date: 20210713