CN114246565A - A human detection first aid device for postural hypotension - Google Patents

A human detection first aid device for postural hypotension Download PDF

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Publication number
CN114246565A
CN114246565A CN202210040962.4A CN202210040962A CN114246565A CN 114246565 A CN114246565 A CN 114246565A CN 202210040962 A CN202210040962 A CN 202210040962A CN 114246565 A CN114246565 A CN 114246565A
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CN
China
Prior art keywords
module
shell
blood pressure
human detection
posture
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Pending
Application number
CN202210040962.4A
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Chinese (zh)
Inventor
王上
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Beijing Tiantan Hospital
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Beijing Tiantan Hospital
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Priority to CN202210040962.4A priority Critical patent/CN114246565A/en
Publication of CN114246565A publication Critical patent/CN114246565A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/0205Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • 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
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/365Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36535Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by body position or posture
    • 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
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/365Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36564Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by blood pressure
    • 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
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/365Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36585Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by two or more physical parameters
    • 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
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/365Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36592Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by the heart rate variability
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021Measuring pressure in heart or blood vessels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024Detecting, measuring or recording pulse rate or heart rate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1116Determining posture transitions

Abstract

The invention discloses a human body detection emergency device for postural hypotension, which comprises a shell, wherein a blood pressure measuring module, a battery bin, a posture measuring module, a fixing module and a cardiac pacing and data transmission module are sequentially arranged in the shell from back to front; the micro medical device can be implanted in a minimally invasive intervention mode, has no incision and scar, does not affect the appearance, can be used for dynamically monitoring the blood pressure, heart rate and posture change of a postural hypotension patient in real time on the function, can be adjusted according to the physiological change characteristics, has no influence on the life style of the patient, has good compliance, and has a wireless data transmission function for the analysis and reading of a clinician.

Description

A human detection first aid device for postural hypotension
Technical Field
The invention relates to the technical field of first-aid devices, in particular to a human body detection first-aid device for postural hypotension.
Background
Orthostatic hypotension, also called orthostatic hypotension, refers to a condition in which the systolic pressure of the orthostatic position is reduced by more than 20mmHg or the diastolic pressure is reduced by more than 10mmHg, with or without dizziness or syncope, as compared to the decubitus position. It not only seriously affects the quality of life of the patient, but is also an independent risk factor for falls, syncope and cardiovascular and cerebrovascular events. Previous epidemiological investigations found that orthostatic hypotension is seen in various age groups, but is particularly common in older people. The incidence rate of the aged people over 65 years old can reach 20%. With the increasing severity of the aging problem of the population, the method has very important clinical and social significance for improving the life quality of patients and preventing falling, syncope and other events by treating orthostatic hypotension.
At present, the clinical treatment aiming at orthostatic hypotension comprises non-drug treatment and drug treatment, but the means are limited, and the effect is not good enough. Non-drug treatments are mainly: (1) lifestyle interventions, such as avoiding rapid getting up, hot water bathing, long-term bed rest, etc., however, elderly patients often have combined cognitive dysfunction with poor compliance; (2) elastic dressing treatment: such as wearing elastic socks and abdominal belts to reduce the blood volume of the venous bed of the lower limb and increase the amount of return blood. Many patients have poor tolerance to stretch socks and staylace, and stretch treatment has no significant effect on blood pressure and only mildly alleviates symptoms. The medicament treatment is mainly used for orthostatic hypotension patients with serious symptoms and frequent attacks. In addition, as high as 50% of orthostatic hypotension patients are combined with systolic hypertension in sitting position or supine position, so that certain risks exist in using the pressure-boosting medicines, and hypertension emergency and hypertension crisis can be caused. In summary, the existing methods for treating orthostatic hypotension are limited, the compliance of patients is poor, and a medical device capable of dynamically monitoring the blood pressure change of patients in real time and effectively treating orthostatic hypotension is not provided.
Disclosure of Invention
In order to overcome the defects of the prior art, the invention provides a human body detection emergency device for postural hypotension, a micro medical device can be implanted in a minimally invasive intervention mode, no incision scar is caused, the appearance is not influenced, the blood pressure, heart rate and posture change of a patient can be dynamically monitored in real time on the function, the adjustment is carried out according to the physiological change characteristics, the life style of the patient is not influenced, the compliance is good, and meanwhile, the human body detection emergency device has a wireless data transmission function and is used for a clinician to analyze and read.
In order to solve the technical problems, the invention provides the following technical scheme: the utility model provides a human detection first aid device for hypotension of postural character, first aid device includes the casing, by last blood pressure measurement module, battery compartment, posture measurement module, fixed module, cardiac pacing and the data transmission module of being equipped with in proper order backward in the casing, just blood pressure measurement module front end is equipped with the battery compartment, the battery compartment front end is equipped with posture measurement module, posture measurement module front end is equipped with fixed module, fixed module includes threaded shaft, fixed plate base, polymer fixed plate, fixed contact foot, just cardiac pacing and data transmission module are equipped with the electrode of pacing.
Preferably, a blood pressure monitoring sensor is assembled in the blood pressure measuring module, the posture measuring module is composed of a posture measuring sensor, and a lithium battery is arranged in the battery bin.
Preferably, a micro motor is arranged in the shell, and the threaded shaft rotates through the micro motor.
Preferably, a wireless transmission module is arranged in the shell and connected with a mobile phone or a computer terminal.
Preferably, the length of the shell is 25mm, the diameter of the shell is 8mm, and the shell is made of nickel-titanium alloy.
Preferably, the shell is integrally formed by 3D printing or formed by pouring a mold.
Compared with the prior art, the invention can achieve the following beneficial effects:
the micro medical device can be implanted in a minimally invasive intervention mode, has no incision and scar, does not affect the appearance, can be used for functionally and dynamically monitoring the blood pressure, heart rate and posture change of a patient with symptomatic postural hypotension in real time, can be adjusted according to the physiological change characteristics, is not affected in the life style of the patient, has good compliance, and simultaneously has a wireless data transmission function for the analysis and reading of a clinician.
Drawings
FIG. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is a schematic view of an implanted structure of the device of the present invention;
FIG. 3 is a schematic diagram of the working structure of the apparatus of the present invention;
wherein: 1. a housing; 2. a blood pressure measuring module; 3. a posture measurement module; 4. a cardiac pacing and data transmission module; 5. a battery compartment; 6. a pacing electrode; 7. a threaded shaft; 8. a fixed plate base; 9. a polymer fixing plate; 10. the contact pin is fixed.
Detailed Description
The present invention will be further described with reference to specific embodiments for the purpose of facilitating an understanding of technical means, characteristics of creation, objectives and functions realized by the present invention, but the following embodiments are only preferred embodiments of the present invention, and are not intended to be exhaustive. Based on the embodiments in the implementation, other embodiments obtained by those skilled in the art without any creative efforts belong to the protection scope of the present invention. The experimental methods in the following examples are conventional methods unless otherwise specified, and materials, reagents and the like used in the following examples are commercially available unless otherwise specified.
Example (b):
as shown in fig. 1-3, a human body detection emergency treatment device for orthostatic hypotension comprises a shell 1, a blood pressure measurement module 2, a posture measurement module 3 and a cardiac pacing and data transmission module 4 are sequentially arranged in the shell 1 from back to front, a battery bin 5 is arranged at the front end of the blood pressure measurement module 2, the posture measurement module 3 is arranged at the front end of the battery bin 5, a fixing module is arranged at the front end of the posture measurement module 3, the fixing module comprises a threaded shaft 7, a fixing plate base 8, a polymer fixing plate 9 and a fixed contact pin 10, and a pacing electrode 6 is arranged at the front end of the cardiac pacing and data transmission module 4; a blood pressure monitoring sensor is assembled in the blood pressure measuring module 2, the posture measuring module 3 is composed of a posture measuring sensor, a pacing electrode is arranged in the head of the cardiac pacing and data transmission module 4, and a lithium battery is arranged in the battery bin 5; a micro motor is arranged in the shell 1, and the threaded shaft 7 rotates through the micro motor; the shell 1 is internally provided with a wireless transmission module which is connected with a mobile phone or a computer terminal.
The working principle is as follows: a blood pressure monitoring sensor is assembled in the blood pressure measuring module 2, the sensor generates periodic electric signals under the action of the blood pressure in the heart chamber, the amplitude of the electric signals corresponds to the pressure intensity, and the conversion from the pressure signals to the electric signals is realized; the battery bin 5 contains a high energy storage type lithium battery and provides energy supply for the device; the front end of the battery compartment 5 is provided with a posture measuring module 3 which is assembled with a posture measuring sensor for sensing the change of the body position; a pacing electrode is arranged in the head of the cardiac pacing and data transmission module 4, and a bipolar pacing mode can sense the heart rate of the heart chamber and provide a pacing function through the battery bin 5; all modules are integrated, the sheath is delivered into the right ventricle through a femoral vein through a special delivery sheath, after the pacing electrode 6 reaches the apex of the heart, the threaded shaft 7 is driven to rotate clockwise through the micro motor, the fixing plate base 8 is moved towards the rear end, so that the polymer fixing plate 9 is extruded to deform, further the fixed contact pin 10 extending the polymer fixing plate 9 bends towards one side of the main body and hooks the small muscle beam of the apex of the heart of the right ventricle, the device is fixed, the micro motor drives the threaded shaft 7 to rotate anticlockwise, the fixing plate base 8 is moved towards the front end, so that the polymer fixing plate 9 is released from extrusion and recovers smoothness, further the fixed contact pin 10 is separated from the small muscle beam of the apex of the heart of the right ventricle, and the position can be adjusted if the pacing electrode 6 is not in close contact with the myocardium or the tension is too large in the installation process. After the device is implanted, the device dynamically monitors the blood pressure, the heart rate and the body position of a patient, when any module blood pressure, posture and heart rate monitors that a non-physiological abnormal signal appears in the patient, such as the supine position is converted into the upright position, meanwhile, the pressure of a heart cavity is reduced, or the heart rate is slowed down, adjustment is carried out according to the characteristics of physiological change, the activation device is used for pacing to improve the basic heart rate, and the cardiac output is increased to maintain the arterial blood pressure and perfusion of important heart and brain organs. Meanwhile, related data can be sent to a mobile phone or a computer terminal through wireless data transmission.
The micro medical device can be implanted in a minimally invasive intervention mode, has no incision and scar, does not affect the appearance, can be used for functionally and dynamically monitoring the blood pressure, heart rate and posture change of a patient with symptomatic postural hypotension in real time, can be adjusted according to the physiological change characteristics, is not affected in the life style of the patient, has good compliance, and simultaneously has a wireless data transmission function for the analysis and reading of a clinician.
In other embodiments, as shown in fig. 1, the present embodiment discloses that the housing 1 has a length of 25mm and a diameter of 8mm, and the housing 1 is made of nitinol; the nickel-titanium alloy is an ideal medical biomaterial, has good biocompatibility, and is wear-resistant, corrosion-resistant, non-magnetic and non-toxic.
In other embodiments, the present embodiment discloses that, as shown in fig. 1, the housing 1 is integrally formed by 3D printing or is formed by pouring a mold; adopt 3D to print integrative or mould to pour integrative taking shape, can optimize the structure of complicated spare part to reach the advantage of effects such as weight reduction, increase life, promotion performance.
The embodiments of the present invention have been described in detail with reference to the drawings, but the present invention is not limited thereto, and various changes can be made within the knowledge of those skilled in the art without departing from the gist of the present invention.

Claims (6)

1. A human detection first aid device for postural hypotension which characterized in that: first aid device includes casing (1), by last blood pressure measurement module (2), posture measurement module (3), cardiac pace and data transmission module (4) of being equipped with in proper order backward in casing (1), just blood pressure measurement module (2) front end is equipped with battery compartment (5), battery compartment (5) front end is equipped with posture measurement module (3), posture measurement module (3) front end is equipped with fixed module, fixed module includes threaded shaft (7), fixed plate base (8), polymer fixed plate (9), fixed contact foot (10), just cardiac pace and data transmission module (4) front end is equipped with pace electrode (6).
2. The human detection and emergency device for orthostatic hypotension of claim 1, wherein: the blood pressure measuring module (2) is composed of a blood pressure monitoring sensor, the posture measuring module (3) is composed of a posture measuring sensor, and a lithium battery is arranged in the battery bin (5).
3. The human detection and emergency device for orthostatic hypotension of claim 1, wherein: a micro motor is arranged in the shell (1), and the threaded shaft (7) rotates through the micro motor.
4. The human detection and emergency device for orthostatic hypotension of claim 1, wherein: the wireless transmission module is arranged in the shell (1) and connected with a mobile phone or a computer terminal.
5. The human detection and emergency device for orthostatic hypotension of claim 1, wherein: the length of the shell (1) is 25mm, the diameter of the shell (1) is 8mm, and the shell (1) is made of nickel-titanium alloy.
6. The human detection and emergency device for orthostatic hypotension of claim 1, wherein: the shell (1) is integrally formed by 3D printing or formed by pouring a mold.
CN202210040962.4A 2022-01-14 2022-01-14 A human detection first aid device for postural hypotension Pending CN114246565A (en)

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Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20180021582A1 (en) * 2016-07-20 2018-01-25 Cardiac Pacemakers, Inc. Method and system for determining a cardiac cycle pace time in accordance with metabolic demand in a leadless cardiac pacemaker system
CN108601925A (en) * 2015-12-04 2018-09-28 项目莫里股份有限公司 Input for conduit and other purposes and articulated system
US20180361160A1 (en) * 2016-12-01 2018-12-20 Medtronic, Inc. Pacing mode switching in a ventricular pacemaker
CN109568793A (en) * 2018-12-25 2019-04-05 创领心律管理医疗器械(上海)有限公司 Without conducting wire pacemaker and without conducting wire pacing system
US20200016418A1 (en) * 2018-07-15 2020-01-16 Eagle Point Medical LLC Leadless multi-electrode cardiac pacemakers and methods of implantation thereof
CN111107899A (en) * 2017-09-20 2020-05-05 心脏起搏器股份公司 Implantable medical device with multiple modes of operation
CN113874070A (en) * 2019-05-23 2021-12-31 美敦力公司 Feedthrough assembly having features for controlling component position

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108601925A (en) * 2015-12-04 2018-09-28 项目莫里股份有限公司 Input for conduit and other purposes and articulated system
US20180021582A1 (en) * 2016-07-20 2018-01-25 Cardiac Pacemakers, Inc. Method and system for determining a cardiac cycle pace time in accordance with metabolic demand in a leadless cardiac pacemaker system
US20180361160A1 (en) * 2016-12-01 2018-12-20 Medtronic, Inc. Pacing mode switching in a ventricular pacemaker
CN111107899A (en) * 2017-09-20 2020-05-05 心脏起搏器股份公司 Implantable medical device with multiple modes of operation
US20200016418A1 (en) * 2018-07-15 2020-01-16 Eagle Point Medical LLC Leadless multi-electrode cardiac pacemakers and methods of implantation thereof
CN109568793A (en) * 2018-12-25 2019-04-05 创领心律管理医疗器械(上海)有限公司 Without conducting wire pacemaker and without conducting wire pacing system
CN113874070A (en) * 2019-05-23 2021-12-31 美敦力公司 Feedthrough assembly having features for controlling component position

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CB03 Change of inventor or designer information

Inventor after: Wang Shang

Inventor after: Xiong Yunyun

Inventor after: Zhao Xingquan

Inventor after: Wang Yongjun

Inventor before: Wang Shang

CB03 Change of inventor or designer information