CN115089880B - Wearable electrode and wearable automatic defibrillator - Google Patents

Wearable electrode and wearable automatic defibrillator Download PDF

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Publication number
CN115089880B
CN115089880B CN202210706607.6A CN202210706607A CN115089880B CN 115089880 B CN115089880 B CN 115089880B CN 202210706607 A CN202210706607 A CN 202210706607A CN 115089880 B CN115089880 B CN 115089880B
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metal sheet
soft
electrode
metal layer
control unit
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CN115089880A (en
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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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25Bioelectric electrodes therefor
    • A61B5/251Means for maintaining electrode contact with the body
    • A61B5/256Wearable electrodes, e.g. having straps or bands
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25Bioelectric electrodes therefor
    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/332Portable devices specially adapted therefor
    • 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
    • A61N1/3987Heart defibrillators characterised by the timing or triggering of the shock

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

Abstract

The application provides a wearable electrode, comprising: the metal sheet comprises a contact surface for contacting a human body and a back surface opposite to the contact surface; the soft cushion is arranged on the back surface of the metal sheet and comprises a plurality of through holes which are uniformly distributed and penetrate through two sides of the soft cushion; a plurality of hard electrodes movably arranged in the plurality of through holes respectively; the first leads extend into one end of the through hole, which is opposite to the metal sheet, and are connected with the corresponding hard electrodes; the soft metal layer is arranged between the metal sheet and one surface of the soft cushion facing the metal sheet, one surface of the soft metal layer facing the metal sheet is tightly attached to the metal sheet, and one surface of the soft metal layer facing the soft cushion extends into the through holes and is respectively connected with the hard electrodes. The wearable electrode provided by the application can be bent according to the shape of the body surface of a patient, so that the wearing comfort level of the wearable automatic defibrillator is improved.

Description

Wearable electrode and wearable automatic defibrillator
Technical Field
The application relates to the technical field of medical equipment, in particular to a wearable electrode and a wearable automatic defibrillator.
Background
The automatic external defibrillator is also called as an automatic external electric shock device, an automatic defibrillator, a cardiac defibrillator, a foolproof electric shock device and the like, is portable medical equipment, can diagnose specific arrhythmia, gives electric shock defibrillation, and is medical equipment which can be used by non-professional staff for rescuing patients suffering from sudden cardiac arrest. When the patient is subjected to ventricular fibrillation to cause sudden cardiac arrest, sudden cardiac arrest can be effectively prevented only by defibrillation and cardiopulmonary resuscitation of the patient in the period of 'golden 4 minutes' of optimal rescue time, and most of patients suffering from sudden cardiac arrest are in an environment without professional staff during morbidity, so that an Automatic External Defibrillator (AED) for non-professional staff is arranged in a public environment, and the survival probability of the patients suffering from sudden cardiac arrest can be greatly improved.
With the advancement of technology, a wearable automatic defibrillator is applied to the medical field, provides personal automatic rescue assistance for patients with potential ventricular fibrillation risks, electrodes of the wearable automatic defibrillator are tied on preset positions on the body surface of the patient through a constraint structure conforming to ergonomics, but the areas of the electrodes are large, and in order to achieve the purpose of discharging the patient, the electrodes are usually made of metal and are clung to the body surface of the patient, so that discomfort of the patient is easily caused, and the patient often refuses to use the wearable automatic defibrillator due to the discomfort, so that the rescue opportunity is missed in the onset of the disease.
Disclosure of Invention
The application aims to provide a wearable electrode and a wearable automatic defibrillator, so as to solve the technical problems in the prior art.
The application provides a wearable electrode, which comprises:
a metal sheet, including a contact surface for contacting a human body and a back surface opposite to the contact surface;
the soft cushion is arranged on the back surface of the metal sheet and comprises a plurality of through holes which are uniformly distributed and penetrate through two sides of the soft cushion;
a plurality of hard electrodes movably arranged in the plurality of through holes respectively;
the first leads extend into one end of the through hole, which is opposite to the metal sheet, and are connected with the corresponding hard electrodes;
the soft metal layer is arranged between the metal sheet and one surface of the soft cushion facing the metal sheet, one surface of the soft metal layer facing the metal sheet is tightly attached to the metal sheet, one surface of the soft metal layer facing the soft cushion extends into the through holes and is respectively connected with the hard electrodes.
Further, the thickness of the soft metal layer is greater than the thickness of the metal sheet.
Further, the soft metal layer is made of indium or indium tin alloy.
Further, the metal sheet is made of copper or aluminum.
Further, the hard electrode is a metal ball or a metal pin.
Further, the hard electrode is made of copper or aluminum.
Further, the soft cushion is made of rubber.
Further, the cross section of the through hole is circular.
Further, the distance between the adjacent through holes is larger than the diameter of the through holes.
Further, the method further comprises the following steps:
at least one second wire;
at least one through hole is not provided with the hard electrode, at least one second wire passes through the through hole without the hard electrode and is directly connected with the soft metal layer, or
The second lead bypasses the soft cushion and is directly connected with the soft metal layer.
Further, the method further comprises the following steps:
at least one third wire;
at least one third wire bypasses the soft cushion and the soft metal layer and is directly connected with the metal sheet.
Further, the method further comprises the following steps:
the soft cover is provided with an opening corresponding to one surface of the metal sheet, the opening exposes the metal sheet in the soft cover, and the edge of the metal sheet is fixedly connected with the edge of the opening.
Also provided is a wearable automatic defibrillator, wherein the wearable automatic defibrillator comprises the wearable electrode.
Further, the method further comprises the following steps:
a control unit;
a selection circuit connected with the control unit and respectively communicated with the plurality of hard electrodes, the soft metal layer and the metal sheet under the control of the control unit;
and the test circuit is connected with the control unit and the selection circuit and is used for testing whether each two hard electrodes, each hard electrode and the soft metal layer, each hard electrode and the metal sheet, and/or each soft metal layer and the metal sheet are conducted or not under the control of the control unit.
Further, the method further comprises the following steps:
and the discharging circuit is connected with the control unit and the selection circuit and is used for discharging to the wearable electrode under the control of the control unit.
Further, the method further comprises the following steps:
and the prompt unit is connected with the control unit and used for sending out prompts under the control of the control unit before the discharge circuit discharges to the wearable electrode.
Further, the method further comprises the following steps:
the cancellation circuit is connected with the control unit and used for sending a signal for canceling discharge to the control unit before the discharge circuit discharges to the wearable electrode;
and the trigger mechanism is arranged in the cancellation circuit and is used for operably controlling the cancellation circuit to send out the signal for canceling the discharge.
Further, the triggering mechanism comprises a triggering button.
Further, the method further comprises the following steps:
an electrocardiograph data acquisition unit, which is connected with the control unit and is connected with the soft metal layer and/or the metal sheet through the selection circuit;
and the electrocardio data judging unit is connected with the electrocardio data collecting unit and the control unit and is used for sending a signal for discharging to the wearable electrode to the control unit when the collected electrocardio data is abnormal.
Further, the method further comprises the following steps:
the low-power consumption alarm unit is connected with the electrocardio data judging unit and is used for entering a working state from a dormant state when the electrocardio data meets a first preset condition so as to be connected with an external mobile terminal;
and the high-power-consumption alarm unit is connected with the electrocardio data judging unit and the low-power-consumption alarm unit and is used for alarming from a dormant state to a working state when the electrocardio data is abnormal or the low-power-consumption alarm unit cannot be connected with the external mobile terminal.
Further, the low-power consumption alarm unit comprises a Bluetooth communication device, a zigbee communication device and a near field communication device.
Further, the high power consumption alarm unit comprises a mobile network communication device.
The wearable electrode provided by the application can be bent according to the shape of the body surface of a patient, so that the wearing comfort level of the wearable automatic defibrillator is improved.
Drawings
In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the drawings that are needed in the description of the embodiments or the prior art will be briefly described, and it is obvious that the drawings in the description below are some embodiments of the present application, and other drawings can be obtained according to the drawings without inventive effort for a person skilled in the art.
Fig. 1 is a schematic cross-sectional structure of an embodiment of a wearable electrode according to the present application;
FIG. 2 is an exploded view of a soft pad, a hard electrode soft metal layer and a metal sheet in an embodiment of a wearable electrode according to the present application;
FIG. 3 is a cross-sectional view of an assembled middle cushion, hard electrode soft metal layer and metal sheet of an embodiment of a wearable electrode provided by the present application;
fig. 4 is a block diagram of an embodiment of a wearable automatic defibrillator provided by the present application;
fig. 5 is a circuit diagram of an embodiment of a selection circuit and a test circuit of a wearable automatic defibrillator provided by the present application;
FIG. 6 is a block diagram of an embodiment of a wearable automatic defibrillator provided by the present application having an electrocardiographic data acquisition unit and an electrocardiographic data determination unit;
fig. 7 is a block diagram of an embodiment of a wearable automatic defibrillator provided by the present application having a low power alarm unit and a high power alarm unit.
Detailed Description
The technical solutions of the present application will be clearly and completely described in connection with the embodiments, and it is apparent that the described embodiments are some embodiments of the present application, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the application without making any inventive effort, are intended to be within the scope of the application.
In an embodiment of the present application, as shown in fig. 1 to 3, there is provided a wearable electrode, including:
a metal sheet 101 including a contact surface for contacting a human body and a back surface opposite to the contact surface;
the soft cushion 102 is arranged on the back surface of the metal sheet 101, and the soft cushion 102 comprises a plurality of through holes 103 which are uniformly distributed and penetrate through two sides of the soft cushion;
a plurality of hard electrodes 104 movably disposed in the plurality of through holes 103, respectively;
a plurality of first wires 105 respectively extending from one end of the through hole 103 facing away from the metal sheet 101 and connected with the corresponding hard electrodes 104;
a soft metal layer 106 disposed between the metal sheet 101 and the side of the soft pad 102 facing the metal sheet 101, wherein the side of the soft metal layer 106 facing the metal sheet 101 is tightly adhered to the metal sheet 101, and the side of the soft metal layer 106 facing the soft pad 102 extends into the plurality of through holes 103 and is respectively connected to the plurality of hard electrodes 104.
Wearable automatic defibrillators typically require the use of at least two wearable electrodes, one of which is attached under the outside of the patient's left nipple and the other of which is attached under the right collarbone of the patient, and in the prior art, the patient feels very uncomfortable when wearing the wearable electrodes because the location of the body to which the electrodes are attached is not flat and the size of each patient varies. In the prior art, some bendable electrodes can be bent only according to preset folds, and cannot be bent at will according to the body shape of a patient, so that wearing comfort of the wearable electrode cannot be truly improved.
In the above technical solution, the metal sheet 101 may be bent arbitrarily according to the shape of the patient's body surface, the cushion 102 may be bent together with the metal sheet 101, the hard electrodes 104 in the plurality of through holes 103 uniformly distributed in the cushion 102 may enable electric energy to be uniformly and fully applied to the metal sheet 101, the soft metal layer 106 between the cushion 102 and the metal sheet 101 is closely attached to the surface of the metal sheet 101 facing the cushion 102, when the metal sheet 101 is bent, the soft metal layer 106 may provide sufficient flexibility for the metal sheet 101, and meanwhile, increase the bending radius of the metal sheet 101 when the metal sheet 101 is bent, so as to prevent the metal sheet 101 from being broken due to the sharp angle of the metal sheet 101.
Further, the soft metal layer 106 is further used to connect the metal sheet 101 and the hard electrode 104 located in the through hole 103 of the soft pad 102, when the metal sheet 101 and the soft metal layer 106 are bent together, the soft pad 102 is bent along with the soft pad, at this time, the hard electrode 104 in the through hole 103 of the soft pad 102 is pulled or pushed by the soft metal layer 106, and the relative position of the soft pad 102 in the through hole 103 is changed, at this time, the soft pad 102 can provide a buffer for the hard electrode 104, so as to prevent the hard electrode 104 and the first conductive wire 105 connected with the hard electrode 104 from being squeezed or collided, resulting in the connection damage between the hard electrode 104 and the first conductive wire 105.
Further preferably, the thickness of the soft metal layer 106 may be greater than the thickness of the metal sheet 101. In this embodiment, the soft metal layer 106 having a thickness greater than that of the metal sheet 101 provides sufficient flexibility to the metal sheet 101 and sufficient support to prevent the metal sheet 101 from being broken when the metal sheet 101 is bent.
As a preferred embodiment, the material of the soft metal layer 106 may include indium or indium tin alloy. In this technical solution, the indium or the indium-tin alloy is soft metal and has ductility, when the thickness of the soft metal layer 106 is smaller, the soft metal layer can be bent at will, and the indium or the indium-tin alloy has a lower melting point, so that the liquid indium or the indium-tin alloy can be filled between the metal sheet 101 and the soft pad 102 during processing, the liquid indium or the indium-tin alloy has good fluidity and caulking effect, the liquid indium or the indium-tin alloy can fully flow into each through hole 103 of the soft pad 102 to fully contact with the hard electrode 104, and a welding effect can be generated between the indium or the indium-tin alloy and the metal sheet 101 and the hard electrode 104 after solidification by adopting a welding assisting measure on one surface of the metal sheet 101 facing the soft pad 102 and the surface of the hard electrode 104. Preferably, the soldering means may employ a flux.
As a preferred embodiment, the metal sheet 101 may be made of copper or aluminum.
As a preferred embodiment, the thickness of the foil 101 may be set in the range of 0.1mm-0.5mm, on the basis of which the thickness of the soft metal layer 106 may preferably be 2-3 times the thickness of the foil 101.
As a preferred embodiment, the hard electrode 104 may be a metal ball or a metal pin. In this technical scheme, the hard electrode 104 can be realized by adopting a metal ball or a metal pin with a shape matched with the through hole 103, so that the hard electrode 104 has the capability of moving along the length direction of the through hole in the through hole 103, when the soft pad 102 is deformed due to bending, the through hole 103 deforms along with the deformation of the soft pad 102, and the hard electrode 104 which can move along the length direction of the through hole 103 can be better adapted to the deformation of the through hole 103.
Further preferably, the hard electrode 104 is made of copper or aluminum.
Further preferably, the cushion 102 is made of a heat-resistant elastic material, such as a heat-resistant rubber material.
On this basis, it is further preferable that the cross section of the through hole 103 may be circular or elliptical.
Further preferably, the distance between the adjacent through holes 103 may be larger than the diameter of the through holes 103, in this technical solution, the distance between the adjacent through holes 103 is larger than the diameter of the through holes 103, so that the resistance of the hard electrode 104 in each through hole 103 to the bending of the cushion 102 can be reduced.
In the above technical solution, the wearable electrode is a sheet-like body as a whole, the size can be predefined according to the size of the patient, and the specific definition mode of the size is described in the prior art, and is not a point of interest of the patient, so that the description is omitted.
Further, the method may further include:
at least one second wire 107;
at least one via 103 is not provided with a hard electrode 104, at least one second wire 107 passes through the via without the hard electrode 104 and is directly connected with the soft metal layer 106, or
The second wire 107 bypasses the soft pad 102 and is directly connected to the soft metal layer 106.
In this technical solution, the soft metal layer 106 is directly connected to the soft metal layer 106 through an independent second wire 107, so that the soft metal layer 106 and each hard electrode 104 can be independently connected, in an alternative embodiment, each hard electrode 104 can be connected to the soft metal layer 106 through the first wire 105 through a selection circuit, and the soft metal layer 106 can be connected to the soft metal layer 106 through the second wire 107 through the first wire 105, and the selection circuit can selectively connect or disconnect each hard electrode 104, or the soft metal layer 106, so that the conduction condition between each hard electrode 105 and the soft metal layer 106 can be tested. If a pair of hard electrodes 104 is selected to be conducted by a selection circuit, it is tested whether the pair of hard electrodes 104 is conducted, and according to this method, it is tested whether the connection between each pair of hard electrodes 104 is normal because all hard electrodes 104 are conducted by the soft metal layer 106. The wearable electrode slice provided by the application can be bent according to the body surface morphology of a patient, and after bending, whether the connection between the hard electrode 104 and the soft metal layer 106 is damaged in the bending process can be tested by the method. Further, all the hard electrodes 104 may be disconnected by a selection circuit, and only the connection with the soft metal layer 106 may be maintained, so that the soft metal layer 106 and the metal sheet 101 may be used as an independent electrode for detecting electrocardiographic data of a patient.
Further preferably, the method further comprises the following steps:
at least one third wire 108;
at least one third wire 108 bypasses the soft pad 102 and the soft metal layer 106 and is directly connected to the metal sheet 101.
In this embodiment, the selection circuit described above may be controllably connected to or disconnected from the metal sheet 101 via at least one third conductive line 108. If the selection circuit can select all the hard electrodes 104 that are disconnected from the first wire 105 and conduct the soft metal layer 106 through the second wire 107 and the metal sheet 101 through the third wire 108, it is tested whether the connection between the soft metal layer 106 and the metal sheet 101 is damaged. It is also possible to disconnect all the hard electrodes 104 by a selection circuit and to disconnect the soft metal layer 106, only keeping the connection to the foil 101, so that the foil 101 is used as an independent electrode for detecting the electrocardiographic data of the patient.
The existing automatic defibrillator usually leaves an insulating area in an electrode sheet, a small metal area is embedded in the insulating area to serve as an electrode for detecting the electrocardiographic data of a patient, the embedded electrode is used for detecting the electrocardiographic data of the patient, as the electrode is embedded in a discharge electrode sheet of the automatic defibrillator, the area of the electrode for detecting the electrocardiographic data of the patient is small so as not to influence the discharge of the electrode sheet, and therefore a required detection position cannot be accurately aligned, experienced personnel are required to be required for accurate alignment, and in the case of a wearable automatic defibrillator used by non-professional personnel, the embedded electrode with a small area is easy to move along with the body movement of the patient when worn on the patient, so that the wearable automatic defibrillator cannot accurately acquire the electrocardiographic data of the patient, and rescue time is missed. According to the technical scheme, the area of the electrode for detecting the electrocardiographic data of the patient is completely the same as that of the wearable electrode slice, so that the defects that the embedded electrode is small in area and difficult to align with the position and the position moves due to the body movement of the patient in the prior art are avoided.
Based on the above technical solution, further preferably, the method further includes:
the soft cover 110, the metal sheet 101, the soft metal layer 106 and the soft cushion 102 are wrapped in the soft cover 110, one surface of the soft cover 110 corresponding to the metal sheet 101 is provided with an opening, the metal sheet 101 in the soft cover 110 is exposed by the opening, and the edge of the metal sheet 101 is fixedly connected with the edge of the opening.
In this technical solution, the soft cover 110 wraps the soft cushion 102, the soft metal layer 106 and the metal sheet 101 are stacked to form a composite structure, and the soft cover can be laterally provided with an outlet from which the first wire 105, the second wire 107 and the third wire 108 extend, further preferably, a connector can be provided at the outlet, the connector is connected with the first wire 105, the second wire 107 and the third wire 108, and provides an interface for the access of the wearable automatic defibrillator, further preferably, the connector can be used for the access of the wearable automatic defibrillator, and the connector can be pluggable and can be used for replacing the wearable electrode.
Based on the above-mentioned technical solution, it is further preferable that the soft cover 110 is formed of soft rubber, for example, silicone rubber may be used to form the soft cover. Further preferably, grooves corresponding to the intervals between the through holes 103 may be provided on both the inner and outer sides of one side of the soft cover 110 corresponding to the cushion 102. In this technical solution, grooves are provided on both the inner and outer sides of one surface of the soft cover 110 corresponding to the cushion 102, so that the soft cover 110 can be bent more conveniently.
In the above-described embodiments, the larger the number of the hard electrodes 104, the smaller the area of the single hard electrode 104 projected on the metal sheet 101, and therefore, when more hard electrodes 104 are provided, the smaller the cross-sectional area of the single hard electrode 104 parallel to the opening of the through hole 103, that is, the smaller the resistance of the single hard electrode 104 to bending of the whole cushion 102, that is, the more hard electrodes 104 are provided, the greater the bending freedom of the cushion 102.
In the technical scheme of the application, a wearable automatic defibrillator is also provided, as shown in fig. 4, wherein the wearable automatic defibrillator comprises the wearable electrode.
In a preferred embodiment, further comprising:
a control unit;
a selection circuit connected with the control unit and respectively communicated with the plurality of hard electrodes 104, the soft metal layer 106 and the metal sheet 101 under the control of the control unit;
and a testing circuit connected with the control unit and the selection circuit for testing whether the connection between each two hard electrodes 104, between each hard electrode 104 and the soft metal layer 106, between each hard electrode 104 and the metal sheet 101, and between the soft metal layer 106 and the metal sheet 101 is conducted under the control of the control unit.
Hereinabove and how the selection circuit selects the hard electrode 104, the soft metal layer 106, and the metal sheet 101 for testing is described, and will not be repeated here.
In a preferred embodiment, as shown in fig. 5, the selection circuit may include a plurality of first switches 201 respectively connected in series to each of the first wires 105, a second switch 202 connected in series to the second wire 107, and a third switch 203 connected in series to the third wire 108, and the selection of the hard electrode 104, the soft metal layer 106, and the metal sheet 101 may be achieved by controlling the on/off of the first switches 201, the second switches 202, and the third switches 203.
Further preferably, the first switch 201, the second switch 202, and the third switch 203 may be MOS (Metal Oxide Semiconductor ) transistors, and the selection circuit may further include a signal generating device connected to each gate of the MOS transistors forming the first switch 201, the second switch 202, and the third switch 203 to control on and off of the MOS transistors. Optionally, the signal generating device may be formed by a microcontroller or a single-chip microcomputer, and the microcontroller or the single-chip microcomputer is connected to the gates of the MOS transistors forming the first switch 201, the second switch 202, and the third switch 203 through pins, and the gates of the MOS transistors may be controlled by setting the pins of the microcontroller or the single-chip microcomputer.
In a preferred embodiment, the test circuit may include a plurality of test terminals, and the test circuit includes a hard electrode 104, or a soft metal layer 106, or a metal sheet 101 selected by the selection circuit is connected to the plurality of test terminals, and sequentially set on one of the test terminals, and then the other test terminals are read, so that whether the hard electrode 104, or the soft metal layer 106, or the metal sheet 101 selected by the selection circuit is turned on can be determined according to whether the other test terminals read the valid bit. Preferably, the plurality of test terminals in the test circuit may be respectively connected to each of the first wires 105 through a fourth switch 301, correspondingly connected to the second wires 107 through a fifth switch 302, correspondingly connected to the third wires 108 through a sixth switch 303, further preferably, the fourth switch 301, the fifth switch 302, the sixth switch 303 may employ MOS transistors, the gate of the MOS transistor forming the fourth switch 301 is connected to the gate of the MOS transistor forming the first switch 201, the gate of the MOS transistor forming the fifth switch 302 is connected to the gate of the MOS transistor forming the second switch 202, the gate of the MOS transistor forming the sixth switch 303 is connected to the gate of the MOS transistor forming the third switch 203, the plurality of test terminals may be a plurality of pins of a microcontroller or a single chip microcomputer, set on one of the pins, if the active bit is not read on the other pin, indicating that the first wire 105 connected to the pin, or the second wire 107, or the third wire 108 not connected to the other pin is conducted on the other pin, if the active bit is read on the other pin, indicating that the active bit is read on the other pin or the wire connected to the third wire 108. Sequentially set on each pin, so that the conduction condition of the wires connected with all pins can be traversed, and the first switch 201, the second switch 202 and the third switch 203 can be directly tested by outputting corresponding binary codes according to the pins of the selection circuit, wherein the first wire 105, the second wire 107 and the third wire 108 where the first switch 201, the second switch 202 and the third switch 203 are located are turned on.
It is to be understood that, although the MOS transistors in fig. 5 are all PMOS transistors, the control signal level may be replaced by NMOS transistors.
In a preferred embodiment, the method may further include:
and the discharging circuit is connected with the control unit and the selection circuit and is used for discharging to the wearable electrode under the control of the control unit.
The discharge circuits in automatic defibrillators are well known in the art and are not the focus of the present application and are therefore not described in detail.
In a preferred embodiment, as shown in fig. 6, the method may further include:
and the prompting unit is connected with the control unit and used for sending out a prompt under the control of the control unit before the discharge circuit discharges to the wearable electrode.
In the technical scheme, the control unit judges whether rescue is to be implemented or not according to a preset judgment logic, and when the control unit considers that the rescue is required, the control discharge circuit is ready for discharging, and the prompting unit prompts a patient at the moment so as to prevent the control unit from misjudgment.
Further preferably, the method further comprises the following steps:
the cancellation circuit is connected with the control unit and used for sending a signal for canceling discharge to the wearable electrode discharge forward control unit when the discharge circuit discharges to the wearable electrode;
and the trigger mechanism is arranged in the cancellation circuit and is used for controlling the cancellation circuit to send out a signal for canceling discharge.
In the technical scheme, a trigger mechanism in the cancel circuit provides an operation opportunity for canceling discharge for a patient, namely when the control unit makes misjudgment, the patient can operate the trigger mechanism to enable the cancel circuit to form a signal for canceling discharge to the control unit, and the control unit controls the discharge circuit to cancel preparation for discharge after receiving the signal for canceling discharge, so that the discharge is not performed any more. Preferably, the trigger mechanism may comprise a trigger button.
On the basis, the system further comprises a posture judging unit which is connected with the control unit and used for judging the posture of the patient, and the posture judging unit can judge the current posture of the patient by judging the posture of the wearable automatic defibrillator, for example, whether the patient falls down or loses mobility, when the patient falls down or loses mobility, a posture judging signal can be sent to the control unit, for example, the control unit does not receive a posture control signal, and judging logic judges that the patient needs to be rescued currently, the possibility of erroneous judgment is high, the prompting unit can be controlled to prompt the patient at the moment, if the patient is in a normal state at the moment, a canceling circuit can be operated through a triggering mechanism according to the prompting of the prompting unit, a discharging canceling signal is generated, if the patient is in a disease state at the moment, the control unit does not receive the discharging canceling signal after starting the prompting unit for a preset time, and the discharging circuit is controlled to discharge so as to rescue the patient.
In a preferred embodiment, the method may further include:
the electrocardiograph data acquisition unit is connected with the control unit and is connected with the soft metal layer, the metal sheet or the soft metal layer or the metal sheet through the selection circuit;
and the electrocardio data judging unit is connected with the electrocardio data collecting unit and the control unit and is used for sending a signal for discharging to the wearable electrode to the control unit when the collected electrocardio data is abnormal.
In the technical scheme, the electrocardiograph data of the patient acquired by the electrocardiograph data acquisition unit is used as the judgment basis of the judgment logic, the electrocardiograph data judgment unit judges according to the electrocardiograph data, when the judgment is abnormal, the control unit can control the discharge unit to send a signal for discharging to the wearable electrode, and after receiving the signal, the control unit can control the discharge circuit to prepare for discharging.
In a preferred embodiment, as shown in fig. 7, the method may further include:
the low-power consumption alarm unit is connected with the electrocardio data judging unit and is used for entering a working state from a dormant state when electrocardio data meets a first preset condition so as to be connected with an external mobile terminal;
the high-power-consumption alarm unit is connected with the electrocardio data judging unit and the low-power-consumption alarm unit and is used for alarming from a dormant state to a working state when electrocardio data are abnormal or when the low-power-consumption alarm unit cannot be connected with an external mobile terminal.
In the technical scheme, the external mobile terminal can be a mobile phone carried by a patient, optionally, the low-power-consumption alarm unit comprises a Bluetooth communication device, a zigbee communication device and a near field communication device, the equipment number of the low-power-consumption alarm unit or equipment handshake information can be preset in the mobile phone, the low-power-consumption alarm unit is awakened from a dormant state, when a connection signal is sent to the mobile phone, the mobile phone can be directly matched according to the equipment number of the low-power-consumption alarm unit carried in the connection request after receiving the connection request of the low-power-consumption alarm unit, if the connection request is matched with the preset equipment number or the equipment handshake information is corresponding to the preset equipment number, dialing is directly carried out to the preset telephone number or a short message is sent to carry out alarm, and the connection between the low-power-consumption alarm unit and the mobile phone is not required to be waited, and the preset telephone number can be the telephone number of a patient in close family or a guardian.
On the basis, it is further preferable that the high-power consumption alarm unit comprises a mobile network communication device, and similarly, telephone numbers of relatives or guardianship of patients can be preset in the mobile network communication device, and when the high-power consumption alarm unit needs to alarm, the high-power consumption alarm unit can dial or send short messages directly through the preset telephone numbers.
Preferably, the first predetermined condition may be that the electrocardiographic data is not abnormal, but is located at a critical value, and the critical value may be one range section corresponding to one index of the electrocardiographic data, or a set of range sections corresponding to a plurality of indexes in the electrocardiographic data, and the first predetermined condition may be determined to be satisfied when one or more indexes in the electrocardiographic data of the patient falls into the one or the set of range sections.
According to the technical scheme, the low-power-consumption alarm unit is used for alarming when the electrocardiograph data of the patient are normal, but one or more electrocardiograph data indexes reach the critical value, and the high-power-consumption alarm unit is used for alarming when the low-power-consumption alarm unit cannot complete alarming or the electrocardiograph data of the patient are abnormal.
Finally, it should be noted that: the above embodiments are only for illustrating the technical solution of the present application, and not for limiting the same; although the application has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical scheme described in the foregoing embodiments can be modified or some or all of the technical features thereof can be replaced by equivalents; such modifications and substitutions do not depart from the spirit of the application.

Claims (22)

1. A wearable electrode, comprising:
a metal sheet, including a contact surface for contacting a human body and a back surface opposite to the contact surface;
the soft cushion is arranged on the back surface of the metal sheet and comprises a plurality of through holes which are uniformly distributed and penetrate through two sides of the soft cushion;
a plurality of hard electrodes movably arranged in the plurality of through holes respectively;
the first leads extend into one end of the through hole, which is opposite to the metal sheet, and are connected with the corresponding hard electrodes;
the soft metal layer is arranged between the metal sheet and one surface of the soft cushion facing the metal sheet, one surface of the soft metal layer facing the metal sheet is tightly attached to the metal sheet, one surface of the soft metal layer facing the soft cushion extends into the through holes and is respectively connected with the hard electrodes.
2. The wearable electrode of claim 1, wherein the soft metal layer has a thickness greater than a thickness of the metal sheet.
3. The wearable electrode of claim 1, wherein the soft metal layer comprises indium or indium tin alloy.
4. The wearable electrode of claim 1, wherein the metal sheet is copper or aluminum.
5. The wearable electrode of claim 1, wherein the hard electrode is a metal ball or a metal pin.
6. The wearable electrode of claim 5, wherein the hard electrode is made of copper or aluminum.
7. The wearable electrode of claim 1, wherein the cushion material is rubber.
8. The wearable electrode of claim 1, wherein the through-hole is circular in cross-section.
9. The wearable electrode of claim 8, wherein a spacing between adjacent ones of the through holes is greater than a diameter of the through holes.
10. The wearable electrode of claim 1, further comprising:
at least one second wire;
at least one through hole is not provided with the hard electrode, at least one second wire passes through the through hole without the hard electrode and is directly connected with the soft metal layer, or
The second lead bypasses the soft cushion and is directly connected with the soft metal layer.
11. The wearable electrode of claim 10, further comprising:
at least one third wire;
at least one third wire bypasses the soft cushion and the soft metal layer and is directly connected with the metal sheet.
12. The wearable electrode of claim 1, further comprising:
the soft cover is provided with an opening corresponding to one surface of the metal sheet, the opening exposes the metal sheet in the soft cover, and the edge of the metal sheet is fixedly connected with the edge of the opening.
13. A wearable automatic defibrillator comprising the wearable electrode of any of claims 1-12.
14. The automated defibrillator of claim 13, further comprising:
a control unit;
a selection circuit connected with the control unit and respectively communicated with the plurality of hard electrodes, the soft metal layer and the metal sheet under the control of the control unit;
and the test circuit is connected with the control unit and the selection circuit and is used for testing whether each two hard electrodes, each hard electrode and the soft metal layer, each hard electrode and the metal sheet, and/or each soft metal layer and the metal sheet are conducted or not under the control of the control unit.
15. The automated defibrillator of claim 14, further comprising:
and the discharging circuit is connected with the control unit and the selection circuit and is used for discharging to the wearable electrode under the control of the control unit.
16. The automated defibrillator of claim 15, further comprising:
and the prompt unit is connected with the control unit and used for sending out prompts under the control of the control unit before the discharge circuit discharges to the wearable electrode.
17. The automated defibrillator of claim 16, further comprising:
the cancellation circuit is connected with the control unit and used for sending a signal for canceling discharge to the control unit before the discharge circuit discharges to the wearable electrode;
and the trigger mechanism is arranged in the cancellation circuit and is used for operably controlling the cancellation circuit to send out the signal for canceling the discharge.
18. The automatic defibrillator of claim 17 wherein said trigger mechanism comprises a trigger button.
19. The automated defibrillator of claim 14, further comprising:
an electrocardiograph data acquisition unit, which is connected with the control unit and is connected with the soft metal layer and/or the metal sheet through the selection circuit;
and the electrocardio data judging unit is connected with the electrocardio data collecting unit and the control unit and is used for sending a signal for discharging to the wearable electrode to the control unit when the collected electrocardio data is abnormal.
20. The automated defibrillator of claim 19, further comprising:
the low-power consumption alarm unit is connected with the electrocardio data judging unit and is used for entering a working state from a dormant state when the electrocardio data meets a first preset condition so as to be connected with an external mobile terminal;
and the high-power-consumption alarm unit is connected with the electrocardio data judging unit and the low-power-consumption alarm unit and is used for alarming from a dormant state to a working state when the electrocardio data is abnormal or the low-power-consumption alarm unit cannot be connected with the external mobile terminal.
21. The automated defibrillator of claim 20 wherein the low power alarm unit comprises a bluetooth communication device, a zigbee communication device, a near field communication device.
22. The automatic defibrillator of claim 20 wherein said high power alerting unit comprises a mobile network communication device.
CN202210706607.6A 2022-06-21 2022-06-21 Wearable electrode and wearable automatic defibrillator Active CN115089880B (en)

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2012150528A1 (en) * 2011-05-03 2012-11-08 Koninklijke Philips Electronics N.V. Electrode assembly for contacting skin
CN108289611A (en) * 2015-08-26 2018-07-17 元素科学公司 Wearable device
CN211213094U (en) * 2019-08-05 2020-08-11 微动互联(北京)科技有限公司 Wearable wireless electrocardiogram acquisition monitoring patch

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2012150528A1 (en) * 2011-05-03 2012-11-08 Koninklijke Philips Electronics N.V. Electrode assembly for contacting skin
CN108289611A (en) * 2015-08-26 2018-07-17 元素科学公司 Wearable device
CN211213094U (en) * 2019-08-05 2020-08-11 微动互联(北京)科技有限公司 Wearable wireless electrocardiogram acquisition monitoring patch

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