CN115737400A - Self-adaptive external counterpulsation bag sleeve control device - Google Patents

Self-adaptive external counterpulsation bag sleeve control device Download PDF

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Publication number
CN115737400A
CN115737400A CN202211527953.4A CN202211527953A CN115737400A CN 115737400 A CN115737400 A CN 115737400A CN 202211527953 A CN202211527953 A CN 202211527953A CN 115737400 A CN115737400 A CN 115737400A
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CN
China
Prior art keywords
bag
bag sleeve
control device
external counterpulsation
sleeve
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Withdrawn
Application number
CN202211527953.4A
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Chinese (zh)
Inventor
张亚慧
魏永利
张晓东
刘凯
刘瑶瑶
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Rehabilitation University Preparatory
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Rehabilitation University Preparatory
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Publication date
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Priority to CN202211527953.4A priority Critical patent/CN115737400A/en
Publication of CN115737400A publication Critical patent/CN115737400A/en
Withdrawn legal-status Critical Current

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Abstract

The invention relates to a self-adaptive external counterpulsation capsule cover control device and a control method thereof, wherein the device mainly comprises an adaptive adjustment power device I; II, a sensing system; III, three major parts of an external counterpulsation system. The invention designs two implementation modes of linear motor driving and servo motor driving. The controller is through real-time comparison sensor collection tie up power information and set for tie up the size between the power, control driving source drive bag cover motion driving medium motion drive bag cover coiling patient's shank is in order to reduce the laminating area of winding the district of tying, or drive bag cover motion driving medium motion loosely ties the bag cover is in order to resume the laminating area of winding the district of tying. On the one hand, the problem that the internal pressure of the capsule in the existing capsule sleeve is attenuated during treatment so as to influence the treatment effect of a patient is solved, on the other hand, the technical problem that the internal pressure of the capsule sleeve cannot be evaluated and adjusted at present is solved, and the self-adjusting type capsule sleeve has the beneficial effects of evaluating and self-adjusting the internal pressure of the capsule sleeve and adjusting the fitting degree of the capsule sleeve according to the height and the weight of the patient.

Description

Self-adaptive external counterpulsation bag sleeve control device
Technical Field
The invention relates to the technical field of external counterpulsation, in particular to a self-adaptive external counterpulsation bag sleeve control device.
Background
EECP is a passive adjuvant therapy for non-invasive treatment of ischemic diseases, and the development of the equipment is originated in China. In 1970, the professor of Zheng Sheng of Zhongshan university and the subject group thereof successfully developed independent intellectual property right-sequential pressurized external counterpulsation of air sacs of limbs, which is called EECP (enhanced external coronary pulsation), and was formally applied to the treatment of coronary heart disease, angina pectoris and the like in 1982, and was approved by the FDA in 1992, and was mainly used for stable or unstable angina, acute myocardial infarction, cardiogenic shock and the like. The european cardiology society of 2013 began to incorporate EECP therapy as recommended IIa in guidelines for stable coronary heart disease diagnosis and treatment. The device has the working principle that R waves are identified through ECG, air bags are sequentially inflated from the lower leg, the thigh and the hip from bottom to top to squeeze arterial blood flow of the lower half body, the blood flow is driven back to the upper half body in diastole, perfusion of important organs such as heart and brain is improved, venous return of the right heart is increased due to simultaneous compression of venous systems, the three-stage air bags are simultaneously exhausted in systole, and afterload of the heart is reduced.
However, the lower limb airbag device of the EECP has no substantial breakthrough in recent 30 years, the device is controlled extensively, the evaluation is single, and accurate intervention and regulation cannot be realized on the cuff device, so that the clinical optimal benefit is influenced. At present, lower limbs are wrapped in a thread gluing mode in hospitals, communities and rehabilitation medical institutions commonly used, the judgment standard of wrapping the lower limbs in a static state is that the height of a finger can be only held under a bag cover, but in EECP treatment, the traditional thread gluing type air bag can be loosened after being pasted in the air filling and exhausting process of treatment, and the height of a half-1 fist is probably held in the air exhausting process in about 30min of treatment; in addition, the existing bag cover can not adjust the attaching degree of the bag cover according to the indexes of the leg circumference and the like of the patient. In conclusion, the current cuff device not only brings technical troubles to the operation and guidance of clinicians, but also causes the attenuation of the treatment effect, thereby seriously affecting the optimal clinical benefit.
Disclosure of Invention
The invention aims to provide a self-adaptive external counterpulsation cuff control device and a control method thereof, which aim to solve the problems in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme: an adaptive external counterpulsation bag sleeve control device comprises:
a cuff that is wrapped around a leg of a patient to form a closed wrapped region;
the bag sleeve movement transmission piece is fixedly connected with the bag sleeve, and drives the bag sleeve to wind the leg of the patient to reduce the fitting area of the winding area or drives the bag sleeve to loosely bind the leg of the patient to recover the fitting area of the winding area when moving;
the driving source is connected with the bag sleeve movement transmission piece and drives the bag sleeve movement transmission piece to move;
a sensor for collecting the binding force information of the bag cover in real time,
and the controller receives the binding force information of the bag sleeve acquired by the sensor in real time and compares the binding force information with the set binding force to control the driving source to drive the bag sleeve movement transmission member to move.
Preferably, the bag sleeve movement transmission part comprises a scroll, a scroll bearing and a scroll bearing seat, wherein the two shaft ends of the scroll are respectively connected with the scroll bearing, the scroll bearing is connected in the scroll bearing seat, and one end of the bag sleeve is fixedly connected with the scroll.
Preferably, the driving source adopts a servo motor, and the servo motor is connected with the reel through a coupling.
Preferably, the sensor is a touch sensor fixed on the side of the bag sleeve contacting with the human body.
Preferably, the bag sleeve movement transmission part comprises a guide rod, a sliding block, a sliding rail and a sliding rail base, the two ends of the guide rod are respectively connected with the sliding block, the sliding block is connected with the sliding rail in a sliding manner, and the sliding rail is fixed on the back of the treatment bed through the sliding rail base.
Preferably, the sensor is a tension-compression sensor.
Preferably, the driving source adopts a linear motor, one end of the tension and compression sensor is fixedly connected with a telescopic shaft of the linear motor, and the other end of the tension and compression sensor is fixed in the middle of the guide rod.
Preferably, the device also comprises a capsule sleeve sliding shaft, and the capsule sleeve bypasses the capsule sleeve sliding shaft and is fixedly connected with the capsule sleeve reel.
Preferably, the bag sleeve sliding shaft device further comprises a sliding shaft bearing and a sliding shaft bearing seat, wherein two shaft ends of the bag sleeve sliding shaft are connected with the sliding shaft bearing, and the sliding shaft bearing is fixed in the sliding shaft bearing seat.
The invention also provides a control method of the self-adaptive external counterpulsation bag sleeve control device, which comprises the following steps: the controller is through real-time comparison sensor collection tie up power information and set for tie up the size between the power, control driving source drive bag cover motion driving medium motion drive bag cover coiling patient's shank is in order to reduce the laminating area of winding the district of tying, or drive bag cover motion driving medium motion loosely ties the bag cover is in order to resume the laminating area of winding the district of tying.
Compared with the prior art, the invention has the beneficial effects that:
the self-adaptive external counterpulsation air bag sleeve control device has a simple structure, realizes the aim of automatically and accurately adjusting the external counterpulsation air bag, can keep the optimal binding force in real time in the treatment process, simultaneously realizes the individualized adjustment of the air bag sleeve, solves the problem that the treatment effect of a patient is influenced by the attenuation of the pressure in the air bag during the treatment of the traditional air bag sleeve on one hand, and solves the technical problem that the pressure in the air bag cannot be evaluated and adjusted by the traditional air bag sleeve on the other hand, and has the beneficial effects of evaluating and automatically adjusting the pressure in the air bag and adjusting the fitting degree of the air bag sleeve according to the height and the weight of the patient.
Drawings
FIG. 1 is a schematic diagram of the overall structure of a control device of an adaptive external counterpulsation cuff in embodiment 1;
FIG. 2 is another overall structure schematic diagram of the control device of the adaptive external counterpulsation bag sleeve in the embodiment 1;
FIG. 3 is a flowchart of a control method of the control device of the adaptive external counterpulsation cuff in the embodiment 1;
fig. 4 is a schematic view of the overall structure of the adaptive external counterpulsation cuff control device in embodiment 2.
In the figure: the device comprises a capsule sleeve 1, a scroll 2, a capsule sleeve sliding shaft 3, a servo motor 4, a coupler 5, a scroll bearing 6, a scroll bearing seat 7, a servo motor support 8, a sliding shaft bearing 9, a sliding shaft bearing seat 10, a touch sensor 11, a guide rod 12, a sliding block 13, a sliding rail 14, a sliding rail base 15, a linear motor 16, a linear motor support 17, a tension and compression sensor 18, a treatment bed 100 and a strip-shaped hole 101.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention clear and fully described, embodiments of the present invention will be further described in detail below with reference to the accompanying drawings. It is to be understood that the specific embodiments described herein are merely illustrative of some embodiments of the invention and are not limiting of the invention, and that all other embodiments obtained by those of ordinary skill in the art without the exercise of inventive faculty are within the scope of the invention.
Example 1
Referring to fig. 1-2, the present embodiment provides an adaptive external counterpulsation cuff control apparatus, including: bag cover 1, spool 2, bag cover sliding shaft 3, servo motor 4, shaft coupling 5, reel bearing 6, reel bearing frame 7, servo motor support 8, sliding shaft bearing 9, sliding shaft bearing frame 10, touch sensor 11, controller, servo motor support 8 is fixed at the back of treatment bed 100, servo motor 4 passes through servo motor support 8 to be fixed at the back of treatment bed 100, reel bearing frame 7, sliding shaft bearing frame 10 respectively have two, also fix the back at treatment bed 100 respectively, reel bearing 6 has two, sets up in reel bearing frame 7, sliding shaft bearing 9 has two, sets up in sliding shaft bearing frame 10, the diaxon end of spool 2 is connected with reel bearing 6 respectively, the diaxon end of bag cover sliding shaft 3 is connected with sliding shaft bearing 9 respectively, servo motor 4 is connected with spool 2 through shaft coupling 5. In actual use, a patient lies on the treatment couch, the bag sleeve 1 is wound on the leg of the patient, and in order to match the use of the whole control device, a strip-shaped hole 101 is required on the treatment couch 100 to pass through the bag sleeve 1. The bag cover 1 is an inflatable and deflatable air bag.
The bag cover 1 is wound on the leg of the patient to form a closed winding area, and the bag cover 1 can be provided with a sticking buckle for fixing. One end of the bag cover 1 penetrates through a strip-shaped hole 101 of the treatment bed 100 and is fixedly connected with the bag cover reel 2 around the bag cover sliding shaft 3, and the touch sensor 11 is fixed on one surface of the bag cover 1, which is contacted with the leg of the patient.
Referring to fig. 3, this embodiment further provides a control method of the adaptive external counterpulsation cuff control device, where the method includes: the method comprises the steps that a tactile sensor acquires the air-filled and exhausted capsule internal pressure information of a capsule sleeve 1 in real time and uploads the air-filled and exhausted capsule internal pressure information to a controller, the controller compares the capsule internal pressure information acquired by the tactile sensor 11 with the set binding force in real time to control the servo motor 4 to rotate, the servo motor 4 is set to be in torque control, when the capsule internal pressure information acquired by the tactile sensor 11 is smaller than the set binding force, the controller drives the servo motor 4 to rotate forward and drive a capsule sleeve reel 2 to rotate forward and wind the capsule sleeve 1 to reduce the area of a wound area and increase the binding force to an optimal value, and when the capsule internal pressure information acquired by the tactile sensor 11 is larger than the set binding force, the controller drives the servo motor 4 to rotate backward and drive the capsule sleeve reel 2 to rotate backward and wind the capsule sleeve 1 to increase the area of the wound area and reduce the binding force to the optimal value.
Example 2
Referring to fig. 4, the present embodiment is different from embodiment 1 in that: adopt linear electric motor to replace servo motor, adopt to draw and press the sensor to replace touch sensor, adopt the guide arm to replace the bag cover spool, the external counterpulsation bag cover controlling means of self-adaptation of this embodiment includes: the capsule sleeve comprises a capsule sleeve 1, a guide rod 12, a sliding block 13, a sliding rail 14, a sliding rail base 15, a linear motor 16, a linear motor support 17, a capsule sleeve sliding shaft 3, sliding shaft bearings 9, sliding shaft bearing seats 10, a tension and compression sensor 18 and a controller, wherein the linear motor support 17 is fixed on the back of the treatment bed 100, the linear motor 16 is fixed on the back of the treatment bed 100 through the linear motor support 17, the sliding rail base 15 and the sliding shaft bearing seats 10 are respectively provided with two sliding shaft bearings and also respectively fixed on the back of the treatment bed 100, the sliding shaft bearings 9 are arranged in the sliding shaft bearing seats 10, the two ends of the capsule sleeve sliding shaft 3 are respectively connected with the sliding shaft bearings 9, the two ends of the guide rod 12 are respectively and fixedly connected with the sliding block 14, the sliding block 13 can slide on the sliding rail 14, the two ends of the sliding rail 14 are fixed on the back of the treatment bed 100 through the sliding rail base 15, the middle of the guide rod 12 is in threaded connection with the tension and compression sensor 18, the other end of the tension and compression sensor 18 is in threaded connection with a telescopic shaft of the linear motor 16, and one end of the capsule sleeve 1 is fixedly connected with the guide rod 12. In actual use, a patient lies on the treatment bed, the bag sleeve 1 is wound on the leg of the patient, and in order to match the use of the whole control device, the treatment bed 100 is also provided with a strip-shaped hole 101 so as to pass through the bag sleeve 1.
One end of the bag cover 1 penetrates through a strip-shaped hole 101 of the treatment couch 100 and bypasses the bag cover sliding shaft 3 to be fixedly connected with the guide rod 12, and the tension and compression sensor 18 is used for binding force of the bag cover.
The embodiment also provides a control method of the adaptive external counterpulsation cuff control device, which comprises the following steps: the tension and compression sensor collects pressure information of a capsule sleeve driven by the linear motor to be wound and released in real time and uploads the pressure information to the controller, the controller compares the size between the pressure information collected by the tension and compression sensor and a set binding force in real time, controls a telescopic shaft of the linear motor, when the pressure information collected by the tension and compression sensor is smaller than the set binding force, the controller drives the linear motor to drive the guide rod to move and wind the capsule sleeve to increase the area around a binding area, the binding force is increased to an optimal value, and when the pressure information collected by the tension and compression sensor is larger than the set binding force, the controller drives the linear motor to drive the guide rod to move and release the capsule sleeve to reduce the area around the binding area and reduce the binding force to an optimal value. The scheme of the embodiment can provide a more accurate adjustment method for patients with different body types.
Although the illustrative embodiments of the present application have been described in order to enable those skilled in the art to understand the present application, the present application is not limited to these embodiments, and various modifications can be made within the spirit and scope of the present application as defined and defined by the appended claims.

Claims (10)

1. An adaptive external counterpulsation bag cover control device is characterized by comprising:
a cuff that is wrapped around a leg of a patient to form a closed wrapped region;
the bag sleeve movement transmission part is fixedly connected with the bag sleeve, and drives the bag sleeve to wind the leg of the patient to reduce the attaching area of the binding area or drives the bag sleeve to loosely bind the leg of the patient to recover the attaching area of the binding area when the bag sleeve movement transmission part moves;
the driving source is connected with the bag sleeve movement transmission piece and drives the bag sleeve movement transmission piece to move;
the sensor collects the binding force information of the capsular bag in real time,
and the controller receives the binding force information of the bag sleeve acquired by the sensor in real time and compares the binding force information with the set binding force to control the driving source to drive the bag sleeve movement transmission member to move.
2. The adaptive external counterpulsation cuff control device of claim 1, wherein: the bag sleeve movement transmission part comprises a scroll, scroll bearings and scroll bearing seats, the two shaft ends of the scroll are respectively connected with the scroll bearings, the scroll bearings are connected in the scroll bearing seats, and one end of the bag sleeve is fixedly connected with the scroll.
3. The adaptive external counterpulsation cuff control device of claim 2, wherein: the driving source adopts servo motor, through the coupling joint between servo motor and the spool.
4. The adaptive external counterpulsation cuff control device of claim 3, wherein: the sensor adopts a touch sensor which is fixed on one surface of the bag cover contacting with the human body.
5. The adaptive external counterpulsation cuff control device of claim 1, wherein: the bag sleeve movement transmission part comprises a guide rod, a sliding block, a sliding rail and a sliding rail base, the sliding block is connected to two ends of the guide rod respectively, the sliding block is connected with the sliding rail in a sliding mode, and the sliding rail is fixed to the back face of the treatment bed through the sliding rail base.
6. The adaptive external counterpulsation cuff control device of claim 5, wherein: the sensor adopts a tension and compression sensor.
7. The adaptive external counterpulsation cuff control device of claim 6, wherein: the driving source adopts linear electric motor, draw pressure sensor one end and linear electric motor's telescopic shaft fixed connection, the other end is fixed in the middle part of guide arm.
8. The adaptive external counterpulsation cuff control device according to any of claims 1-7, wherein: the bag sleeve is fixedly connected with the bag sleeve reel by bypassing the bag sleeve sliding shaft.
9. The adaptive external counterpulsation cuff control device of claim 8, wherein: the bag sleeve is characterized by further comprising a sliding shaft bearing and a sliding shaft bearing seat, wherein two shaft ends of the bag sleeve sliding shaft are connected with the sliding shaft bearing, and the sliding shaft bearing is fixed in the sliding shaft bearing seat.
10. A control method of a self-adaptive external counterpulsation bag sleeve control device is characterized by comprising the following steps: the controller is through real-time comparison sensor collection tie up power information and set for tie up the size between the power, control driving source drive bag cover motion driving medium motion drive bag cover coiling patient's shank is in order to reduce the laminating area of winding the district of tying, or drive bag cover motion driving medium motion loosely ties the bag cover is in order to resume the laminating area of winding the district of tying.
CN202211527953.4A 2022-12-01 2022-12-01 Self-adaptive external counterpulsation bag sleeve control device Withdrawn CN115737400A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202211527953.4A CN115737400A (en) 2022-12-01 2022-12-01 Self-adaptive external counterpulsation bag sleeve control device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202211527953.4A CN115737400A (en) 2022-12-01 2022-12-01 Self-adaptive external counterpulsation bag sleeve control device

Publications (1)

Publication Number Publication Date
CN115737400A true CN115737400A (en) 2023-03-07

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202211527953.4A Withdrawn CN115737400A (en) 2022-12-01 2022-12-01 Self-adaptive external counterpulsation bag sleeve control device

Country Status (1)

Country Link
CN (1) CN115737400A (en)

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Application publication date: 20230307