CN114849065A - Wearable cardiac defibrillator - Google Patents

Wearable cardiac defibrillator Download PDF

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Publication number
CN114849065A
CN114849065A CN202210472272.6A CN202210472272A CN114849065A CN 114849065 A CN114849065 A CN 114849065A CN 202210472272 A CN202210472272 A CN 202210472272A CN 114849065 A CN114849065 A CN 114849065A
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China
Prior art keywords
monitor
wearer
defibrillation
cardiac defibrillator
heart
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Chinese (zh)
Inventor
王礼庆
陈陆陆
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Suzhou Wushuang Medical Equipment Co ltd
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Suzhou Wushuang Medical Equipment Co ltd
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Priority to CN202210472272.6A priority Critical patent/CN114849065A/en
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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
    • A61B5/02Detecting, 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
    • A61B5/02438Detecting, measuring or recording pulse rate or heart rate with portable devices, e.g. worn by the patient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802Sensor mounted on worn items
    • 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
    • A61B5/742Details of notification to user or communication with user or patient ; user input means using visual displays
    • 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
    • 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
    • A61N1/3968Constructional arrangements, e.g. casings

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

Abstract

The invention relates to the technical field of medical instruments, and particularly discloses a wearable cardiac defibrillator which comprises a vest, two defibrillation electrodes arranged on the vest, a monitor and a pressing assembly, wherein the two defibrillation electrodes are respectively and electrically connected with the monitor, and the pressing assembly is used for pressing the two defibrillation electrodes onto the skin of a wearer. This wearing formula cardiac defibrillator's watch-dog monitors the wearing person's arrhythmia, when urgently needing to defibrillate the heart, compress tightly the subassembly at first and compress tightly two defibrillation electrodes on wearing person's skin, this setting can reduce the skin of wearing person and the impedance between the defibrillation electrode, and then defibrillation electrode can be more effectual defibrillates the treatment to wearing person, and then the defibrillation electrode that has solved current wearing formula cardiac defibrillator can't compress tightly with wearing person's skin, and then lead to the impedance great, the poor problem of effect of defibrillating to wearing person's heart.

Description

Wearable cardiac defibrillator
Technical Field
The invention relates to the technical field of medical instruments, in particular to a wearable cardiac defibrillator.
Background
Random experiments prove that the Implantable Cardioverter Defibrillator (ICD) can reduce the death risk of high-risk patients, but part of patient groups have implantable cardioverter defibrillator contraindications and cannot receive the treatment of the implantable cardioverter defibrillator.
A Wearable Cardioverter Defibrillator (WCD) may be used as a post-diagnosis transition therapy, and a patient who is temporarily unable to implant an implantable cardioverter defibrillator may select a wearable defibrillator as a therapy. Once malignant arrhythmia is achieved, the standard wearable cardiac defibrillator alarms, and if the patient does not have feedback of cancellation of shock operation, the wearable cardiac defibrillator starts shock.
At present, wearable cardiac defibrillator includes the undershirt and sets up two defibrillation electrodes and the controller on the undershirt, wears the back with the undershirt, and two defibrillation electrodes can't compress tightly in patient's skin surface, and then leads to the impedance increase between defibrillation electrode and patient's skin, leads to the variation to patient's defibrillation effect.
Disclosure of Invention
The invention aims to: the utility model provides a wearing formula cardiac defibrillator to solve among the prior art patient and wear the back with the undershirt, two defibrillation electrodes can't compress tightly in patient's skin surface, and then lead to the impedance increase between defibrillation electrode and patient's skin, lead to the problem of the effect variation of defibrillating the patient.
The invention provides a wearable cardiac defibrillator which comprises a vest, two defibrillation electrodes arranged on the vest, a monitor and a pressing assembly, wherein the two defibrillation electrodes are respectively and electrically connected with the monitor, the monitor is used for providing pulses for the two defibrillation electrodes, and the pressing assembly is used for pressing the two defibrillation electrodes onto the skin of a wearer.
As a preferred technical solution of the wearable cardiac defibrillator, the compression assembly includes an annular balloon and a gas generator connected with the monitor and used for inflating the annular balloon.
As a preferred technical solution of the wearable cardiac defibrillator, the two annular air bags are disposed on the vest, and the two annular air bags are respectively disposed on one side of the two defibrillation electrodes away from the skin of the wearer.
As a preferred technical scheme of the wearable heart defibrillator, the gas generator comprises an ignition device, a combustion tube and gas generating gunpowder, the combustion tube is provided with an exhaust hole communicated with the annular airbag, the gas generating gunpowder is arranged in the combustion tube, and the ignition device is electrically connected with the monitor and used for igniting the gas generating gunpowder.
As a preferred technical solution of the wearable cardiac defibrillator, the gas generator further comprises an ignition powder, the ignition powder is disposed in the combustion tube, and the ignition device is used for igniting the gas generation powder by igniting the ignition powder.
As a preferred solution of the wearable cardiac defibrillator, at least two gas generators are provided.
As a preferred technical solution of the wearable cardiac defibrillator, the monitor includes a controller and a cardiac monitor, the cardiac monitor is in communication connection with the controller, the cardiac monitor is disposed on the vest, and the cardiac monitor is used for monitoring the heart rate of the wearer.
As a preferred technical solution of the wearable cardiac defibrillator, the cardiac monitor includes a heart sound sensor, an electrocardiograph sensor and two monitoring electrodes, the heart sound sensor is configured to detect a heart sound signal of the wearer, and the electrocardiograph sensor monitors the electrocardiograph signal of the wearer through the two monitoring electrodes;
the controller can calculate the heart rate according to the electrocardio signals and the heart sound signals respectively, and determine whether the heart rate of the wearer is abnormal according to the calculated heart rate.
As a preferred technical scheme of the wearable cardiac defibrillator, the wearable cardiac defibrillator further comprises a feedback module, the feedback module is in communication connection with the monitor, the feedback module comprises an alarm and a defibrillation button, the alarm is used for giving a defibrillation alarm when a wearer is in arrhythmia, and the defibrillation button is used for the wearer to cancel defibrillation through manual operation; the feedback module is provided with a second fixing piece capable of being worn on the wrist of the wearer.
As a preferred solution for a wearable cardiac defibrillator, wherein one of the defibrillation electrodes is mounted in the chest region on the front side of the vest; the other defibrillation electrode is arranged at the waist area at the front side or the side of the vest;
the monitor is provided with a third fixing member capable of being worn on the upper arm of the wearer.
The invention has the beneficial effects that:
the invention provides a wearable cardiac defibrillator which comprises a vest, two defibrillation electrodes arranged on the vest, a monitor and a pressing assembly, wherein the two defibrillation electrodes are respectively and electrically connected with the monitor, and the pressing assembly is used for pressing the two defibrillation electrodes onto the skin of a wearer. This wearing formula cardiac defibrillator's watch-dog monitors the wearing person's arrhythmia, when urgently needing to defibrillate the heart, compress tightly the subassembly at first and compress tightly two defibrillation electrodes on wearing person's skin, this setting can reduce the skin of wearing person and the impedance between the defibrillation electrode, and then defibrillation electrode can be more effectual defibrillates the treatment to wearing person, and then the defibrillation electrode that has solved current wearing formula cardiac defibrillator can't compress tightly with wearing person's skin, and then lead to the impedance great, the poor problem of effect of defibrillating to wearing person's heart.
Drawings
Fig. 1 is a first schematic structural diagram of a wearable cardiac defibrillator in an embodiment of the present invention;
fig. 2 is a second schematic structural diagram of a wearable cardiac defibrillator in an embodiment of the present invention;
FIG. 3 is a first schematic structural diagram of a hold-down assembly in an embodiment of the present invention;
FIG. 4 is a first schematic structural diagram of a pressing assembly according to an embodiment of the present invention;
FIG. 5 is a schematic structural view of a gas generator according to an embodiment of the present invention;
FIG. 6 is a schematic structural diagram of a monitor according to an embodiment of the present invention;
FIG. 7 is a schematic structural diagram of an electrode body according to an embodiment of the present invention;
FIG. 8 is a schematic view of the assembly of the air tube and the connecting wire according to the embodiment of the present invention;
FIG. 9 is a schematic structural diagram of an electrode plate according to an embodiment of the present invention;
FIG. 10 is a first schematic view of a plurality of hinged electrode bodies according to an embodiment of the present invention;
FIG. 11 is a second schematic view of a plurality of electrode bodies hinged together according to an embodiment of the present invention;
FIG. 12 is a schematic structural diagram of a monitor and a feedback module according to an embodiment of the present invention;
FIG. 13 is a schematic diagram of a cardiac monitor according to an embodiment of the present invention;
FIG. 14 is an enlarged view of a portion of FIG. 2 at A;
fig. 15 is an overall connection diagram of the wearable cardiac defibrillator in an embodiment of the present invention.
In the figure:
100. a wearer;
1. a vest; 11. a dark channel; 12. a fixing member;
21. an electrode body; 211. an electrode plate; 2111. air holes are formed; 212. a second joint; 22. a connecting wire; 23. An air tube; 24. a first solenoid valve; 25. a helical line;
3. a monitor; 31. a power source; 32. a controller; 33. a pump body; 34. a liquid storage tank; 35. a second solenoid valve; 36. a third electromagnetic valve; 37. a first branch; 38. a second branch circuit;
4. a compression assembly; 41. an annular air bag; 42. a gas generator; 421. an ignition device; 422. a combustion tube; 4221. an exhaust hole; 423. gas generating gunpowder; 424. igniting the gunpowder;
5. a cardiac monitor; 51. a heart sound sensor; 52. an electrocardiograph sensor; 53. a monitoring electrode;
6. and a feedback module.
Detailed Description
The technical solutions of the present invention will be described clearly and completely with reference to the accompanying drawings, and it should be understood that the described embodiments are some, but not all embodiments of the present invention. All other embodiments, which can be obtained by a person skilled in the art without making any creative effort based on the embodiments in the present invention, belong to the protection scope of the present invention.
In the description of the present invention, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc., indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description and simplicity of description, but do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be construed as limiting the present invention. Furthermore, the terms "first," "second," and the like are used for descriptive purposes only and are not to be construed as indicating or implying relative importance. Where the terms "first position" and "second position" are two different positions, and where a first feature is "over", "above" and "on" a second feature, it is intended that the first feature is directly over and obliquely above the second feature, or simply means that the first feature is at a higher level than the second feature. A first feature being "under," "below," and "beneath" a second feature includes the first feature being directly under and obliquely below the second feature, or simply meaning that the first feature is at a lesser elevation than the second feature.
In the description of the present invention, it should be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral connection; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.
Reference will now be made in detail to embodiments of the present invention, examples of which are illustrated in the accompanying drawings, wherein like or similar reference numerals refer to the same or similar elements or elements having the same or similar function throughout. The embodiments described below with reference to the accompanying drawings are illustrative only for the purpose of explaining the present invention, and are not to be construed as limiting the present invention.
As shown in fig. 1 to 15, the present embodiment provides a wearable cardiac defibrillator, which includes a vest 1, two defibrillation electrodes disposed on the vest 1, a monitor 3 and a pressing component 4, wherein the two defibrillation electrodes are electrically connected to the monitor 3 respectively, the monitor 3 is used for providing pulses for the two defibrillation electrodes, and the pressing component 4 is used for pressing the two defibrillation electrodes against the skin of a wearer 100. This wearing formula cardiac defibrillator's watch-dog 3 monitors wearing person 100 arrhythmia, when need defibrillate the heart urgently, compress tightly subassembly 4 at first and compress tightly two defibrillation electrodes on wearing person 100's skin, this setting can reduce the impedance between wearing person 100's skin and the defibrillation electrode, and then defibrillation electrode can more effectually carry out the defibrillation treatment to wearing person 100, and then the defibrillation electrode of having solved current wearing formula cardiac defibrillator can't compress tightly with wearing person 100 skin, and then lead to the impedance great, the poor problem of effect is defibrillated to wearing person 100 heart.
For the specific structure of the pressing assembly 4, optionally, two pressing assemblies 4 are provided, the pressing assembly 4 comprises an annular air bag 41 and a gas generator 42, and the gas generator 42 is connected with the monitor 3 and is used for inflating the annular air bag 41; two annular bladders 41 are provided in the vest 1, the two annular bladders 41 being respectively provided on the sides of the two defibrillation electrodes that are distal from the skin of the wearer 100. In this embodiment, when the wearer 100 wears the vest 1, both of the annular bladders 41 are fitted over the wearer 100. When the heart rate of the wearer 100 is not abnormal, the pressing component 4 is in a dormant state, the annular air bag 41 is in an air leakage state, pressing force cannot be generated on the wearer 100, and the comfort of the wearer 100 is improved. When monitor 3 detects that there is an abnormality in the heart rate of wearer 100 and it is necessary to defibrillate this wearer 100, monitor 3 controls gas generator 42 to inflate annular bladder 41. As the annular balloon 41 is inflated, the annular balloon 41 presses the defibrillation electrode disposed corresponding thereto against the skin of the wearer 100, and thus the impedance between the skin of the wearer 100 and the defibrillation electrode can be reduced.
For the specific structure of the gas generator 42, optionally, the gas generator 42 is disposed inside the annular bag 41; the gas generator 42 comprises an ignition device 421, a combustion tube 422, an ignition powder 424 and gas generating powder 423, the combustion tube 422 is provided with an exhaust hole 4221, the gas generating powder 423 is arranged in the combustion tube 422, the ignition powder 424 is arranged in the combustion tube 422, the ignition device 421 ignites the ignition powder 424, and the ignition powder 424 ignites the gas generating powder 423. In this embodiment, after the ignition device 421 receives an ignition instruction from the monitor 3, the ignition device 421 applies an ignition current to the ignition charge 424. The ignition charge 424 burns under the action of the current pulse and ignites the gas generant charge 423. The gas generated after the gas generating gunpowder 423 is ignited is discharged into the annular air bag 41 through the exhaust hole 4221, the annular air bag 41 is expanded after receiving the gas, the annular air bag 41 after being expanded pushes the defibrillation electrode to the skin of the human body, and the defibrillation electrode is pressed on the skin of the human body to be in contact with the skin of the human body. The patient may be defibrillated by completing the automatic application of the defibrillation electrodes at this point. In other embodiments, the gas generator 42 may be disposed outside the annular bladder 41, and the vent hole 4221 may be disposed inside the annular bladder 41.
The amount of inflation of the annular bladder 41 required varies from wearer to wearer 100 due to the difference in body size. For this purpose, at least two gas generators 42 are optionally provided. In this embodiment, when the impedance between the defibrillation electrode and the skin surface of the wearer 100 does not meet the defibrillation requirement after the gas generating charges 423 in one gas generator 42 are completely burned, the remaining gas generators 42 are sequentially operated until the impedance between the defibrillation electrode and the skin of the wearer 100 meets the defibrillation requirement. In other embodiments, the gas generator 42 may be replaced with a gas pump.
For how to determine whether the impedance between the skin of the wearer 100 and the defibrillation electrodes meets the defibrillation impedance requirement, optionally, the monitor 3 is provided with an impedance measurement circuit, the impedance measurement circuit is electrically connected with the two defibrillation electrodes respectively, the impedance measurement circuit applies a measurement current to the two defibrillation electrodes, the defibrillation impedance is calculated according to the measurement current, if the defibrillation impedance does not meet the threshold requirement, the annular airbag 41 is continuously inflated until the defibrillation impedance requirement is met, the inflation is stopped, and the inflation is continued until the impedance requirement is not met. And stopping inflating after the impedance requirement is met, and simultaneously performing defibrillation. After defibrillation is completed, the annular air bag 41 keeps an inflated state, the monitor 3 detects whether the heart rate of the patient recovers to a normal heart rate while the annular air bag 41 keeps the inflated state, and if the heart rate does not recover to the normal heart rate, defibrillation is continued on the patient. If the normal heart rate is restored, the gas in the annular air bag 41 is released.
In order to ensure that the annular air bags 41 always press the defibrillation electrodes against the skin of the wearer 100 when being inflated, the pressing assembly 4 optionally further includes two limiting members, and the two limiting members respectively fix the corresponding annular air bags 41 to the two defibrillation electrodes. In this embodiment, two ends of one limiting member are respectively fixed to the corresponding defibrillation electrodes, and the annular air bag 41 is inserted into the hole surrounded by the limiting member and the corresponding defibrillation electrodes.
When the defibrillation electrodes are in long-term contact with the skin of the wearer 100, moisture is generated between the skin and the defibrillation electrodes, and when the humidity exceeds a preset range value, the defibrillation of the defibrillation electrodes on the wearer 100 is affected, so that the humidity between the skin and the defibrillation electrodes is maintained within the preset range value. Optionally, the monitor 3 comprises a power source 31, a controller 32 and a pump body 33, the controller 32 being connected to the power source 31. Note that the controller 32 is an MCU shown in fig. 6. Defibrillation electrode includes electrode body 21, connecting wire 22, and electrode body 21 is cavity structure and is the electrode board 211 with the lateral wall of wearer 100 skin contact, and connecting wire 22's both ends are connected with electrode board 211 and power 31 respectively, and electrode body 21 is connected with first joint and second and connects 212, and first joint and second connect 212 respectively with cavity structure intercommunication, the interval is provided with bleeder vent 2111 on the electrode board 211, and pump body 33 is with gaseous in the cavity structure is gone into from first joint pump. In this embodiment, when the humidity exceeds the preset range, the controller 32 controls the pump 33 to operate, so as to pump the external air into the cavity structure from the first joint and then flow out from the second joint 212. In the process, the flowing gas takes away the moisture between the electrode body 21 and the skin of the wearer 100 through the air holes 2111 until the humidity between the electrode body 21 and the skin of the wearer 100 is within the preset range value.
Optionally, the vents 2111 are arranged in an array. In this embodiment, the air holes 2111 form a large number of edges, which can reduce the problem of skin burn caused by local electric arcs generated by high voltage during discharge.
Specifically, the defibrillation electrodes further include a temperature sensor and a humidity sensor, and the monitor 3 detects the temperature and humidity between the defibrillation electrodes and the skin of the wearer 100 through the temperature sensor and the humidity sensor.
Specifically, the power supply 31 includes a high-voltage boost circuit and a capacitor C, and the monitor 3 further includes a discharge circuit. When a patient has malignant arrhythmia (including ventricular fibrillation and ventricular velocity), the high-voltage booster circuit charges the capacitor C, and after the capacitor C is charged, the discharge circuit applies bi-phase defibrillation to the human body through the defibrillation electrode.
Specifically, the defibrillation electrode further comprises a trachea 23, the connecting line 22 enters the cavity structure from the first joint, the trachea 23 is sleeved outside the connecting line 22, one end of the trachea is communicated with the first joint, and the other end of the trachea is communicated with the outlet of the pump body 33. In this embodiment, one end of the air tube 23 is inserted into the first connector, and the other end of the air tube 23 is inserted into the outlet of the pump body 33. The air tube 23 is spaced from the internal connecting line 22. One end of the connecting wire 22 enters the cavity structure from the first connector and is electrically connected with the electrode body 21.
In order to further reduce the impedance between the electrode body 21 and the skin of the wearer 100, optionally, the defibrillation electrode further includes a first solenoid valve 24, the monitor 3 further includes a liquid storage tank 34 and a solenoid valve set, specifically, the solenoid valve set includes a second solenoid valve 35 and a third solenoid valve 36, the first solenoid valve 24 controls the opening and closing of the second connector 212, the inlet of the pump body 33 is provided with a first branch 37 and a second branch 38, the first branch 37 is communicated with the liquid storage tank 34, the second branch 38 is communicated with the environment, the second solenoid valve 35 and the third solenoid valve 36 respectively control the opening and closing of the first branch 37 and the second branch 38, and the first solenoid valve 24, the second solenoid valve 35 and the third solenoid valve 36 are respectively connected with the controller 32. In this embodiment, the liquid storage tank 34 stores conductive adhesive. When the controller 32 detects that there is an abnormality in the heart rate of the wearer 100 and defibrillation needs to be performed on the wearer 100, the controller 32 controls the first solenoid valve 24 to be in the closed state, controls the third solenoid valve 36 to be in the closed state, opens the second solenoid valve 35, and simultaneously the pump 33 pumps out the conductive adhesive through the first branch 37 and into the cavity structure through the air tube 23, and since the second joint 212 is in the closed state, the conductive adhesive entering the cavity structure reaches between the electrode body 21 and the skin of the wearer 100 through the air hole 2111. And thus the impedance between the electrode body 21 and the skin of the wearer 100 can be further reduced. When it is desired to control the humidity between the electrode body 21 and the skin of the wearer 100, it is only necessary to open the first and third solenoid valves 24, 36. While closing the second solenoid valve 35.
The wearer 100 often has some bending motion during daily life and work, and in order to maintain the defibrillation electrodes in conformity with the skin of the wearer 100 and in conformity with the physiological curvature of the waist side, the electrode bodies 21 are optionally provided in plural, and the plural electrode bodies 21 are hinged in turn. In this embodiment, the plurality of electrode bodies 21 are sequentially hinged to enable the defibrillation electrode to adjust its shape along with the posture of the wearer 100, thereby ensuring that the defibrillation electrode is always attached to the skin of the wearer 100.
Optionally, the monitor 3 further comprises a heart monitor 5, the heart monitor 5 is connected to the controller 32, the heart monitor 5 is disposed on the vest 1 and located on the chest of the human body, and the heart monitor 5 is used for monitoring the heart rate of the wearer 100. In this embodiment, the heart monitor 5 and the controller 32 are connected in wired or wireless communication.
For the specific structure of the heart monitor 5, optionally, the heart monitor 5 includes a heart sound sensor 51, a processor, an electrocardiograph sensor 52, a battery, a wireless communication module, and two monitoring electrodes 53; the two monitoring electrodes 53 are respectively attached to the skin of the wearer 100 or implanted into the skin of the wearer, the electrocardiograph sensor 52 detects the electrocardiograph signals of the heart of the wearer 100 through the two monitoring electrodes 53, and the heart sound sensor 51 can directly monitor the heart sound signals of the human body. The processor calculates the heart rate through the heart sound signals and the electrocardiosignals respectively, the processor transmits the signals to the controller 32 through the wireless communication module, the controller 32 judges whether malignant arrhythmia (including ventricular fibrillation and ventricular velocity) occurs or not according to the heart rate measured by the two sensors, and if the malignant arrhythmia (including ventricular fibrillation and ventricular velocity) occurs, an electric shock warning is sent. In this embodiment, calculate the heart rate through electrocardio signal and heart sound signal respectively, then compare the heart rate that heart rate and heart sound sensor 51 that the heart rate that heart sensor 52 detected, if the heart rate that the two were monitored is when unusual, can judge that wearing person 100 takes place malignant arrhythmia, and this setting can improve the accuracy of heart rate monitoring.
In order to prevent the heart monitor 5 from false detection, the wearable heart defibrillator further comprises a feedback module 6, the feedback module 6 is in communication connection with the monitor 3, and the feedback module 6 comprises an alarm and a defibrillation button. In this embodiment, when the monitor 3 determines that the cardiac monitor 5 monitors the malignant arrhythmia, the monitor 3 sends an instruction of whether to shock to the defibrillation button of the feedback module 6, and if the defibrillation button is actuated within the preset time, the defibrillation is cancelled, and if the button is not actuated within the preset time, the defibrillation is implemented through the defibrillation electrode. Meanwhile, the alarm further comprises a display screen and an alarm, the alarm reminds the wearer of whether the heart rate of the 100 is in a malignant abnormal state, and the display screen displays health information such as the heart rate of the heart and state information (such as the residual electric quantity of the battery, the quantity of conductive adhesive in the liquid storage tank 34 and the like) of the wearable heart defibrillator.
Optionally, the feedback module 6 is provided with a second fixing member which can be worn on the wrist of the wearer 100. In this embodiment, the feedback module 6 is disposed at the wrist for facilitating the viewing and operation of the wearer 100. Specifically, the second fixing member is disposed at the wrist portion of the vest 1, the second fixing member is a receiving bag, the feedback module 6 is disposed in the receiving bag, and the receiving bag has an opening or a transparent flexible panel for the wearer 100 to operate, so that the wearer can observe or operate the feedback module 6 through the opening or the transparent flexible panel. In other embodiments, the second fastener may also be a wristband or the like.
Optionally, the feedback module 6 is connected with the monitor 3 by a wire, and the wire is arranged in a blind channel 11 of the vest 1 at the arm part. In other embodiments, the feedback module 6 may also be wirelessly connected to the monitor 3. The feedback module 6 may be designed as a bracelet structure.
Optionally, one of the defibrillation electrodes is mounted to the chest region on the front side of the vest 1; the other defibrillation electrode is mounted in the lumbar region on the front or side of the vest 1 and the monitor 3 is provided with a third attachment which can be worn on the upper arm of the wearer 100. In this embodiment, this arrangement may facilitate daily life and rest of the wearer 100. The two defibrillation electrodes are arranged in the chest of the wearer 100 and the waist area on the front side or the side of the wearer 100, so that the back of the wearer 100 is not stressed when the wearer has a rest, and meanwhile, the liquid storage tank 34 is arranged in the monitor 3, so that the size of the defibrillation electrodes can be reduced. In addition, the defibrillation electrodes are positioned on the chest and waist of the patient, and the defibrillation vector formed by the defibrillation electrodes when discharging can cover most of the cardiac muscle.
The monitor 3 is provided on the upper arm without affecting the normal work and life of the wearer 100. Specifically, the third fixing member may be a pocket, a fixing band, a snap-in member, a magnetic member, or the like provided on the vest 1.
Optionally, the vest 1 is provided with a blind passage 11, the connecting line 22 and the air tube 23 are arranged in the blind passage 11, one end of the connecting line 22 is connected with the monitor 3, and the other end of the connecting line 22 is connected with the electrode body 21. In this embodiment, the hidden channel 11 can hide the connection line 22 and the air tube 23, and can prevent interference with normal activities of the wearer 100. In particular, the lane 11 may be provided on the side of the vest 1 that is close to the skin of the wearer 100, or on the side of the vest 1 that is remote from the skin of the wearer 100.
Optionally, the vest 1 further comprises a fixing member 12, the fixing member 12 fixing the connecting line 22 and the air tube 23 in the dark path 11. In this embodiment, the fixing member 12 can prevent the connecting wire 22 and the trachea 23 from sliding in the dark channel 11, thereby affecting the movement of the defibrillation electrode and the monitor 3.
Optionally, the defibrillation electrode further comprises a helical wire 25, one end of the helical wire 25 is connected with one end of the connection wire 22, and the other end of the helical wire 25 is connected with the electrode body 21. In this embodiment, helix 25 can stretch out and draw back under the effect of external force, consequently when wearing person 100 carried out the gross movement, helix 25 can prevent that the wire from pulling the electrode, prevents that the electrode from pulling because of pulling the emergence and droing.
Monitor 3 still includes communication and programme-controlled module, and it includes that existing known communication methods such as bluetooth communication, WIFI communicate with programme-controlled device, and programme-controlled device is used for providing doctor/producer personnel with the basic information of wearing formula cardiac defibrillator, and programme-controlled device passes through the communication and conveys the inside storage of programme-controlled device with data among the wearing formula cardiac defibrillator, or conveys the information transmission of wearing formula cardiac defibrillator to the high in the clouds through programme-controlled device. The program control equipment can also transmit program control parameters of the wearable cardiac defibrillator set by a doctor to the wearable cardiac defibrillator in a wireless communication mode, and the wearable cardiac defibrillator works by using the new parameters. These programmable parameters include, but are not limited to: a diagnostic partition parameter, a diagnostic count parameter, a defibrillation vector parameter, a ventilation parameter.
It should be understood that the above-described embodiments of the present invention are merely examples for clearly illustrating the present invention, and are not intended to limit the embodiments of the present invention. Other variations and modifications will be apparent to persons skilled in the art in light of the above description. This need not be, nor should it be exhaustive of all embodiments. Any modification, equivalent replacement, and improvement made within the spirit and principle of the present invention should be included in the protection scope of the claims of the present invention.

Claims (10)

1. The wearable cardiac defibrillator is characterized by comprising a vest (1), two defibrillation electrodes arranged on the vest (1), a monitor (3) and a pressing component (4), wherein the two defibrillation electrodes are electrically connected with the monitor (3) respectively, the monitor (3) is used for providing pulses for the two defibrillation electrodes, and the pressing component (4) is used for pressing the two defibrillation electrodes onto the skin of a wearer (100).
2. The wearable cardiac defibrillator of claim 1, wherein the compression assembly (4) comprises a ring-shaped balloon (41) and a gas generator (42), the gas generator (42) being connected to the monitor (3) and serving to inflate the ring-shaped balloon (41).
3. The wearable cardiac defibrillator as claimed in claim 2, wherein two of the annular balloons (41) are provided to the vest (1), the two annular balloons (41) being provided on a side of the two defibrillation electrodes, respectively, which is remote from the skin of the wearer (100).
4. The wearable cardiac defibrillator as claimed in claim 3, wherein the gas generator (42) comprises an ignition device (421), a combustion tube (422) and a gas generating charge (423), the combustion tube (422) being provided with a vent hole (4221) communicating with the annular airbag (41), the gas generating charge (423) being disposed within the combustion tube (422), the ignition device (421) being electrically connected with the monitor (3) and being used for igniting the gas generating charge (423).
5. The wearable cardiac defibrillator as claimed in claim 4, wherein the gas generator (42) further comprises an ignition charge (424), the ignition charge (424) being disposed within the combustion tube (422), the ignition device (421) being configured to ignite the gas generation charge (423) by igniting the ignition charge (424).
6. The wearable cardiac defibrillator of any of claims 2-5 wherein at least two gas generators (42) are provided.
7. The wearable cardiac defibrillator as claimed in claim 1, wherein the monitor (3) comprises a controller (32) and a heart monitor (5), the heart monitor (5) being in communicative connection with the controller (32), the heart monitor (5) being provided to the vest (1), the heart monitor (5) being for monitoring the heart rate of the wearer (100).
8. The wearable cardiac defibrillator as claimed in claim 7, wherein the cardiac monitor (5) comprises a heart sound sensor (51), an electrocardiogram sensor (52) and two monitoring electrodes (53), the heart sound sensor (51) being configured to detect a heart sound signal of the wearer (100), the electrocardiogram sensor (52) monitoring the electrocardiogram signal of the wearer (100) via the two monitoring electrodes (53);
the controller (32) is capable of calculating the heart rate from the electrocardiographic signal and the heart sound signal, respectively, and determining whether the heart rate of the wearer (100) is abnormal from the calculated heart rate.
9. The wearable cardiac defibrillator of claim 1, further comprising a feedback module (6), the feedback module (6) being in communication with the monitor (3), the feedback module (6) comprising an alarm for issuing a defibrillation alarm when the wearer (100) is experiencing arrhythmia and a defibrillation button for the wearer (100) to manually operate to cancel defibrillation; the feedback module (6) is provided with a second fixing member which can be worn on the wrist of the wearer (100).
10. The wearable cardiac defibrillator of claim 1, wherein one of the defibrillation electrodes is mounted to the chest region on the front side of the vest (1); the other defibrillation electrode is arranged at the waist area on the front side or the side of the vest (1);
the monitor (3) is provided with a third fixing member which can be worn on the upper arm of the wearer (100).
CN202210472272.6A 2022-04-29 2022-04-29 Wearable cardiac defibrillator Pending CN114849065A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023236648A1 (en) * 2022-06-06 2023-12-14 创领心律管理医疗器械(上海)有限公司 Wearable defibrillator and using method therefor

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023236648A1 (en) * 2022-06-06 2023-12-14 创领心律管理医疗器械(上海)有限公司 Wearable defibrillator and using method therefor

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