CN116035567B - Method and instrument for monitoring anesthesia plane - Google Patents
Method and instrument for monitoring anesthesia plane Download PDFInfo
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- CN116035567B CN116035567B CN202310307752.1A CN202310307752A CN116035567B CN 116035567 B CN116035567 B CN 116035567B CN 202310307752 A CN202310307752 A CN 202310307752A CN 116035567 B CN116035567 B CN 116035567B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
- A61B5/1104—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb induced by stimuli or drugs
- A61B5/1106—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb induced by stimuli or drugs to assess neuromuscular blockade, e.g. to estimate depth of anaesthesia
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/107—Measuring physical dimensions, e.g. size of the entire body or parts thereof
Abstract
The invention discloses a monitoring method and a monitoring instrument for an anesthesia plane, which relate to the technical field of medical appliances and comprise the following steps: the monitoring frame, the bottom fixed mounting of monitoring frame surface has a plurality of stabilizer blades, and a plurality of the equal movable mounting of bottom of stabilizer blade surface has the sticky tape. In the invention, the traditional anesthesia plane detection instrument is distinguished from the traditional acupuncture detection instrument, the electric stimulus with low intensity up to 5mA and short time of 0.05 to 1ms is used for obtaining definite response at a repetition rate of 1 to 2Hz, the current range of 0 to 5mA is used for avoiding discomfort of a patient, the pulse adopts a single-phase rectangular output pulse, repeatable stimulation can be provided for monitoring an anesthesia plane, and the response is objective, reliable and independent of subjective response of the patient through the movement response of the electric stimulus, so that the specific coverage area and anesthesia degree of the anesthesia plane are judged.
Description
Technical Field
The invention relates to the technical field of medical equipment, in particular to a method and a device for monitoring an anesthesia plane.
Background
The plane anesthesia detection refers to a method for evaluating anesthesia depth and anesthesia effect by monitoring and analyzing various physiological parameters such as physiological indexes, nerve responses and the like of a patient in the process of anesthesia. The anesthesia plane detection can help an anesthesiologist to know the anesthesia depth of a patient, so that the dosage and type of anesthetic can be timely adjusted in the operation process, and the safety of the patient and the success of the operation are ensured.
However, in the prior art, for clinical anesthesia, regional blocking techniques including nerve blocking, intraspinal anesthesia (lumbar anesthesia, epidural anesthesia, lumbar anesthesia epidural combined anesthesia, etc.) are performed in advance, in addition to general anesthesia. The anesthesia technology injects local anesthetic into the nerve or the vicinity of the nerve trunk and spinal cord to cause the innervation area to lose sensation, thereby achieving the purpose of painless during operation, and having the outstanding advantages of little physiological influence on patients, quick recovery and good postoperative pain relief. However, the nerve blocking effect and range of local anesthetics may be incomplete compared to general anesthesia, and may be related to a variety of factors. Therefore, the application area is delayed, the disappearing range (i.e. the anesthesia plane) and the degree of pain must be determined, for example, chinese patent application discloses an anesthesia auxiliary support for anesthesia, CN111686339A, which comprises an automatic medicine feeding device fixedly connected to the upper end surface of a lifting table, a stirring device positioned on the upper end surface of the lifting table and below the automatic medicine feeding device, and a switching device positioned below the lifting table and connected with the stirring device.
Although the above scheme has the advantages as above, the above scheme has disadvantages in that: for confirming the range and the degree of an anesthesia plane, a clinical common test method is a needling method, an anesthesiologist uses a needle point of a syringe to pierce a skin area of a patient, the patient is subjected to oral pain feeling, the anesthesia part is gradually tested outwards until a position with completely normal feeling is found, the anesthesia plane is determined, the needle punching can cause fear of most patients, wounds and skin lacerations are brought, meanwhile, the pain degree generated by the needle punching is different due to factors such as the size of the needle point, the sharpness degree, the strength of a tester and the like, the standardization cannot be achieved, the test error is easy to be caused, and therefore a monitoring instrument capable of noninvasively generating standardized pain feeling is needed to test the anesthesia plane and is convenient to record.
Disclosure of Invention
The invention aims to solve the problems that in the prior art, the range and the degree of an anesthesia plane are confirmed by a traditional needling method, test errors caused by oral pain feeling of a patient can be caused, and the fear of a plurality of patients can be caused when a needle is punched on a wound, and the generated pain degree cannot reach standardization because of different factors such as the size of a needle point, the sharpness degree, the strength of a tester and the like.
In order to achieve the above purpose, the present invention adopts the following technical scheme: a monitoring instrument for an anesthesia plane, comprising: the bottom of the outer surface of the monitoring frame is fixedly provided with a plurality of supporting feet, the bottoms of the outer surfaces of the supporting feet are movably provided with adhesive tapes, the top of the outer surface of the monitoring frame is fixedly provided with a plurality of fixed feet, the top of the outer surface of the monitoring frame is rotationally embedded with a connecting disc, the outer surface of the connecting disc is provided with a plurality of teeth, the top of the outer surface of the monitoring frame is rotationally connected with a gear, a plurality of teeth are meshed with the gear, a plurality of sections of rods are slidingly embedded in the gear, the outer surface sliding sleeve of each section of rods is provided with a limiting wheel, the top of the inner wall of each section of rods is fixedly provided with a third spring, the third spring is fixedly arranged on the outer surface of the monitoring frame, the top of the outer surface of the fixed feet is rotationally provided with an inner ring, the inner part of the inner ring is fixedly embedded with a monitoring control console, the inside of the monitoring control console is fixedly embedded with a wire, the wire is fixedly embedded in the inner ring, the top of the outer surface of the monitoring control console is provided with a current pulse regulator, a pulse switch and a photoelectric scanning port, the outer surface of the monitoring control console is fixedly provided with a display window, the top of the outer surface of the monitoring frame is fixedly provided with a fixed bottom plate, the top of the outer surface of the fixed bottom plate is fixedly provided with a supporting disc, the bottom of the outer surface of the supporting disc is fixedly provided with a half fluted disc which is matched with a plurality of sections of rods, the inner wall of the monitoring frame is fixedly provided with a plurality of guide discs, the inner parts of the guide tracks are movably provided with extrusion regulating strips, the inner wall of the monitoring frame is fixedly provided with a fixed inner ring, the inner part of the monitoring frame is rotationally embedded with a rotary disc, the turntable is fixedly connected with the connecting disc.
As a preferable specific implementation mode, one side of the turntable, which is far away from the monitoring console, is fixedly provided with a plurality of regulating rollers, and the outer surfaces of the regulating rollers are respectively sleeved with a rotary drum in a rotating way.
As a preferred specific implementation mode, the outer surfaces of the rotating drums are fixedly connected with arc arms, and the outer surfaces of the arc arms are fixedly provided with a plurality of line cards.
As a preferred specific implementation mode, the wire is movably connected with the wire clip, the guide disc comprises an inner seat and a clamping strip, and the clamping strip is embedded in the guide rail in a sliding manner.
As a preferred specific implementation mode, a plurality of sliding grooves are formed in two sides of the outer surface of the inner seat, and a plurality of first springs are fixedly arranged in the sliding grooves.
As a preferred specific implementation mode, a plurality of clamping strips are fixedly arranged on one side, close to the inner seat, of each clamping strip, and the sliding sheets are fixedly connected with the first springs.
As a preferred specific implementation mode, the sliding sheets are slidably embedded in the sliding grooves, and the conductive columns are movably embedded in the guide discs.
As a preferred specific implementation mode, the outer surfaces of the plurality of conductive posts are fixedly sleeved with limiting rings, and one sides of the outer surfaces of the plurality of limiting rings are fixedly provided with second springs.
As a preferred specific implementation mode, the second springs are fixedly arranged in the inner seats, a plurality of rotary seats are fixedly arranged on one sides of the outer surfaces of the inner seats, and the rotary seats are rotatably connected with the arc arms.
The invention also provides a use method of the anesthesia plane monitoring instrument, which comprises the following steps:
step 1, distinguishing the traditional anesthesia plane detection instrument from the traditional acupuncture detection, using low-intensity electric stimulation up to 5mA and short time 0.05 to 1ms to obtain definite response at 1 to 2Hz repetition rate, current range of 0-5mA, avoiding discomfort of patients, wherein the pulse adopts single-phase rectangular output pulse, can provide repeatable stimulation, monitors the anesthesia plane, and through the motor response convulsion of the electric stimulation, the response is objective, reliable and independent of subjective response of the patients, judging the specific coverage area and anesthesia degree of the anesthesia plane, the monitoring console comprises a current regulation controller, a power supply and electrodes, the method comprises the steps of generating stimulation current by using standard electric stimulation, wherein the body surface resistance of a human body is about 10k ohms, the pulse duration is regulated to 0.05 to 1ms by square wave direct current, the stimulation frequency is set to 1 to 2Hz, the current output of the contact section between a conductive column and skin is carried out by a lead, an electrode and a power supply, the sensory nerve fiber on the body surface can generate pain with smaller current when the pulse duration is 1ms, the pain can be obviously stimulated when the body surface current of a normal human body is 2mA, the pain can be completely eliminated when the pain is still not caused by 10mA, and the nerve blocking effect of a tested part is known by comparing the stimulation for generating the pain sensation and the current;
step 2, in order to facilitate the attachment of a human body, the adhesive tape can be a medical adhesive tape which is adhered to the periphery of a monitored anesthesia plane, the photoelectric scanning port is used for scanning a two-dimensional code on a wrist strap of a patient and returning the two-dimensional code back to an electronic medical record system of a hospital in real time, meanwhile, the test time of the patient, the anesthesia plane and the key index of stimulation current can be recorded, and the display window is used for displaying the current intensity, the pulse duration and the circuit impedance so that an operator can check the integrity of a circuit and detect the potential intra-nerve or intravascular placement of a needle point;
step 4, the wire is connected inside the inner ring simultaneously, the wire is fixed through the rotatable inner ring cooperation ply-yarn drill, the wire is twined when avoiding the carousel to rotate, and when confirming that current coverage area needs to carry out the electro-stimulation detection many times, can fix the angle of connection pad, the limit pulley slip cap is established on the multisection pole, the rotation of the rotation accessible multisection pole of limit pulley drives the rotation of gear, the built-in third spring of simultaneously supporting the multisection pole through the multisection pole is moved up all the time, normal non-pressing state, half fluted disc can carry out spacingly to the multisection pole, avoid the gear to grasp, when needing to mediate, press the back and can carry out manual rotation, thereby fix the coverage area of nerve blocking effect.
Compared with the prior art, the invention has the advantages and positive effects that,
1. according to the invention, the cooperation of the monitoring control console, the guide rail, the guide disc and the rotary disc is used for replacing the traditional acupuncture detection, the low-intensity electric stimulus up to 5mA and the short-time electric stimulus of 0.05 to 1ms are used for obtaining definite response at the repetition rate of 1 to 2Hz, the current range of 0 to 5mA is used for avoiding discomfort of a patient, the pulse adopts the monophasic rectangular output pulse, repeatable stimulation can be provided, the anesthesia plane is monitored, the response is objectively and reliably and is independent of the subjective response of the patient through the electric stimulus, the specific coverage area and the anesthesia degree of the anesthesia plane are judged, the nerve blocking effect of the test part is known by comparing the stimulation and the current of pain sensation, the monitoring effect is more objective and reliable, and the problems that the prior art can not confirm the anesthesia plane range and the anesthesia degree due to the oral pain sensation of the patient, and the fear of a plurality of patients can be caused when the needle is punctured, and the generated pain degree cannot meet the standard because of the needle point degree, and the like are different factors.
2. According to the invention, the two-dimensional code on the wrist strap of the patient is conveniently scanned and returned to the hospital electronic medical record system in real time through the setting of the monitoring console, meanwhile, the patient test time, the anesthesia plane and the stimulation current key index can be recorded, and the accuracy of the monitoring result is improved through recording the display current intensity, the pulse duration and the circuit impedance, so that an operator can check the circuit integrity and detect the potential intra-nerve or intravascular placement of the needle point.
3. According to the invention, through the cooperation of the supporting legs, the gears, the guide disc, the rotary disc and the extrusion adjusting strips, the coverage area of the conductive columns is conveniently and gradually enlarged, so that the conductive columns are unfolded from the central area of the anesthesia surface to the periphery, the nerve blocking effect of the anesthesia plane is more rapidly determined, meanwhile, the conductive columns are designed for a human body, under the condition that the extrusion adjusting strips at the bottom are gradually and relatively increased, the conductive columns gradually extend out and are closer to the skin or are closer to the skin, the extrusion adjusting strips with the specification can be suitable for monitoring the nerve blocking effect of the anesthesia plane near the thighs, the extrusion adjusting strips can be replaced according to specific monitoring requirements, and the nerve blocking effect can be conveniently and rapidly monitored.
4. According to the invention, through the cooperation of the fixed bottom plate, the connecting disc and the gear, the angle of the connecting disc can be fixed, the limiting wheel is sleeved on the multi-section rod in a sliding way, the limiting wheel can drive the gear to rotate through the multi-section rod, meanwhile, the multi-section rod is propped against by the built-in third spring of the multi-section rod to move upwards all the time, in a normal non-pressing state, the semi-fluted disc can limit the multi-section rod, the gear is prevented from being grasped, and when adjustment is needed, the limiting wheel can be manually rotated after being pressed, so that the coverage area of the nerve blocking effect is fixed.
Drawings
FIG. 1 is a schematic side view of an anesthesia plane monitoring instrument according to the present invention;
FIG. 2 is a schematic view showing the internal structure of an anesthesia plane monitoring apparatus according to the present invention;
FIG. 3 is a schematic view of an adjusting device of an anesthesia plane monitoring instrument;
FIG. 4 is a schematic structural view of an external expansion monitoring device of an anesthesia plane monitoring instrument according to the present invention;
FIG. 5 is a schematic view of an adjusting brace for an anesthesia plane monitoring instrument;
FIG. 6 is a schematic view of the internal structure of an adjustable fitting distance device of an anesthesia plane monitoring instrument according to the present invention;
FIG. 7 is a schematic view of an adjustable base plate of an anesthesia plane monitoring instrument;
fig. 8 is a schematic bottom view of an anesthesia plane monitoring instrument according to the present invention.
In the figure:
1. a monitoring frame; 2. a monitoring console; 3. fixing the bottom plate; 4. a connecting disc; 5. a gear; 6. a guide rail; 7. fixing the inner ring; 8. a guide disc; 9. a turntable; 10. extruding the adjusting strip; 101. a support leg; 102. sticking a tape; 103. a fixed foot; 201. an inner ring; 202. a wire; 203. a current pulse regulator; 204. a pulse switch; 205. a photoelectric scanning port; 206. a display window; 301. abutting against the disc; 302. semi-fluted disc; 501. a multi-section bar; 502. a limiting wheel; 801. an inner seat; 802. clamping strips; 803. a chute; 804. a first spring; 805. a sliding sheet; 806. a conductive post; 807. a limiting ring; 808. a second spring; 809. rotating base; 901. an adjusting roller; 902. a rotating drum; 903. an arc arm; 904. line cards.
Description of the embodiments
The following description of the embodiments of the present invention will be made clearly and fully with reference to the accompanying drawings, in which it is evident that the embodiments described are only some, but not all embodiments of the invention. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Referring to fig. 1-8, the present invention provides a technical solution: a monitoring instrument for an anesthesia plane, comprising: the monitoring frame 1, a plurality of support legs 101 are fixedly arranged at the bottom of the outer surface of the monitoring frame 1, a pasting belt 102 is movably arranged at the bottom of the outer surface of the plurality of support legs 101, a plurality of fixing legs 103 are fixedly arranged at the top of the outer surface of the monitoring frame 1, a connecting disc 4 is rotationally embedded at the top of the outer surface of the monitoring frame 1, a plurality of teeth are arranged on the outer surface of the connecting disc 4, a gear 5 is rotationally connected at the top of the outer surface of the monitoring frame 1, the teeth are in meshed connection with the gear 5, a multi-section rod 501 is slidingly embedded in the gear 5, a limit wheel 502 is slidingly sleeved on the outer surface of the multi-section rod 501, a third spring is fixedly arranged at the top of the inner wall of the multi-section rod 501, a third spring is fixedly arranged on the outer surface of the monitoring frame 1, an inner ring 201 is rotationally arranged at the top of the outer surface of the plurality of fixing legs 103, a monitoring console 2 is fixedly embedded in the inner ring 201, the inside of the monitoring control console 2 is fixedly embedded with a lead 202, the lead 202 is fixedly embedded in the inner ring 201, the top of the outer surface of the monitoring control console 2 is provided with a current pulse regulator 203, a pulse switch 204 and a photoelectric scanning port 205, the outer surface of the monitoring control console 2 is fixedly provided with a display window 206, the top of the outer surface of the monitoring frame 1 is fixedly provided with a fixed bottom plate 3, the top of the outer surface of the fixed bottom plate 3 is fixedly provided with a supporting plate 301, the bottom of the outer surface of the supporting plate 301 is fixedly provided with a half fluted plate 302, the half fluted plate 302 is matched with a multi-section rod 501, the inner wall of the monitoring frame 1 is fixedly provided with a plurality of guide rails 6, the inner parts of the plurality of guide rails 6 are respectively provided with a guide plate 8, the inner parts of the plurality of guide rails 6 are respectively movably provided with an extrusion regulating strip 10, the inner wall of the monitoring frame 1 is fixedly provided with a fixed inner ring 7, the inner part of the monitoring frame 1 is rotationally embedded with a rotary plate 9, the rotary plate 9 is fixedly connected with the connecting plate 4, different from the traditional anesthesia plane detection instrument, instead of the traditional acupuncture detection, the low-intensity electric stimulation with the intensity of 5mA and the short time of 0.05 to 1ms is used for obtaining definite response at the repetition rate of 1 to 2Hz, the current range of 0 to 5mA is used for avoiding discomfort of a patient, the pulse adopts a single-phase rectangular output pulse, repeatable stimulation can be provided, the anesthesia plane can be monitored, the response is monitored through the movement response of the electric stimulation, the response is objective, reliable and independent of the subjective response of the patient, the specific coverage area of the anesthesia plane and the anesthesia degree are judged, the monitoring control console 2 internally comprises a current regulation controller, a power supply and an electrode, the standard electric stimulation is used for generating stimulation current, the pulse duration is regulated to be 0.05 to 1ms through square wave direct current, the stimulation frequency is set to be 1 to 2Hz due to the body surface resistance of the human body is about 10k ohms, the current output of the contact section between the conductive column 806 and the skin is carried out through the lead 202, the electrode and the power supply, the sensory nerve fiber on the body surface can generate pain with smaller current when the pulse duration is 1ms, obvious stimulation pain can be generated when the current on the body surface of a normal human body is 2mA, the pain is considered to be completely disappeared when the current is not painful, the nerve blocking effect of the tested part is known by comparing the stimulation of the pain feeling and the current, and in order to facilitate the attachment of the human body, the adhesive tape 102 can be a medical adhesive tape and is adhered to the periphery of the monitored anesthesia plane, the photoelectric scanning port 205 is used for scanning the two-dimensional code on the wrist band of the patient and returning the two-dimensional code to the electronic medical record system of the hospital in real time, the test time of the patient, the anesthesia plane and the stimulation current key index can be recorded, the display window 206 is used for displaying the current intensity, the pulse duration and the circuit impedance, in order to check the integrity of the circuit and detect the potential nerve or intravascular placement of the needle tip, in addition, after the whole device is fixed on the skin of a patient by the adhesive tape 102, the gear 5 is driven to rotate by rotating the multi-section rod 501, and then the rotary table 9 is driven to rotate by the connecting disc 4, thereby adjusting the positions of the plurality of guide plates 8, and then the plurality of conductive columns 806 are facilitated to gradually enlarge the coverage area, thereby expanding from the central area of the anesthesia surface to the periphery, further determining the nerve blocking effect of the anesthesia plane more quickly, aiming at the improvement of the human body, the extension distance of the second spring 808 can be adjusted by adjusting the specific surface bulge of the extrusion regulating strip 10, the conductive columns 806 can gradually extend out under the condition that the bottom extrusion regulating strip 10 is gradually increased relatively when the conductive columns 806 are expanded outwards, and then be more close to or close to the skin, the extrusion regulating strip 10 of the specification can be suitable for monitoring the nerve blocking effect of the anesthesia plane near the thigh, the nerve blocking effect can be replaced according to specific monitoring requirements, the replacement of the extrusion regulating strip 10 is facilitated, simultaneously, the wire 202 is connected inside the wire 202, the wire 202 can be connected inside the inner ring 202 is matched with the inner ring 501, the wire 501 can be prevented from being matched with the inner ring 501 to be fixed by the inner ring 501, the wire 501, the inner ring is always rotates, the multi-section rod is prevented from being fixed by the inner ring 501, the current state is fixed by the wire 501, and the multi-section rod is prevented from being rotated by the current, and the current state is fixed by the wire 501, and the multi-section rod 501 is fixed by the wire rod, and the wire rod is fixed by the wire rod, and the wire is fixed by the wire rod is fixed by the wire, and the wire 86 is fixed by the wire 86 when the wire is fixed by the wire. The gear 5 is prevented from being grasped, and when adjustment is needed, the gear can be manually rotated after being pressed, so that the coverage area of the nerve block effect is fixed.
Referring to fig. 1-8, a plurality of regulating rollers 901 are fixedly mounted on a side of the turntable 9 away from the monitoring console 2, and a rotary drum 902 is rotatably sleeved on the outer surfaces of the regulating rollers 901.
Referring to fig. 1-8, arc arms 903 are fixedly connected to the outer surfaces of the drums 902, and a plurality of line cards 904 are fixedly mounted on the outer surfaces of the arc arms 903.
Referring to fig. 1-8, the wire 202 is movably connected to the wire card 904, and the guide disc 8 includes an inner seat 801 and a clamping strip 802, where the clamping strip 802 is slidably embedded in the guide rail 6.
Referring to fig. 1-8, sliding grooves 803 are formed on two sides of the outer surface of the inner seats 801, and a plurality of first springs 804 are fixedly mounted inside the sliding grooves 803.
Referring to fig. 1-8, a sliding piece 805 is fixedly mounted on one side of the plurality of clamping strips 802 close to the inner seat 801, and the sliding piece 805 is fixedly connected with the first spring 804.
Referring to fig. 1-8, a sliding piece 805 is slidably embedded in the sliding groove 803, and conductive posts 806 are movably embedded in the plurality of guide plates 8.
Referring to fig. 1-8, the outer surfaces of the plurality of conductive posts 806 are fixedly sleeved with limiting rings 807, and a second spring 808 is fixedly mounted on one side of the outer surfaces of the plurality of limiting rings 807.
Referring to fig. 1-8, the second springs 808 are fixedly mounted inside the inner seats 801, and the swivel mounts 809 are fixedly mounted on one side of the outer surfaces of the plurality of inner seats 801, and the swivel mounts 809 are rotatably connected with the arc arms 903.
The invention also discloses a use method of the anesthesia plane monitoring instrument, which comprises the following steps:
step 1, distinguish traditional anesthesia plane detecting instrument, replace traditional acupuncture detection, use the low-intensity to reach 5mA and short-time 0.05 to 1ms electric stimulus to get explicit response with 1 to 2Hz repetition rate, the electric current range of 0-5mA, avoid patient to appear uncomfortable, here pulse adopts the monophasic rectangular output pulse, can provide repeatable stimulus, monitor the anesthesia plane, through the motor reaction convulsion of the electric stimulus, this reaction is objective, reliable and independent of subjective reaction of patient, with this judgement anesthesia plane concrete coverage area and anesthesia degree, monitor the control console 2 includes the electric current regulation controller in the inside, the power, electrode, use standard electric stimulus to produce the stimulating current, because human body surface resistance is about 10k ohms, through square wave direct current, adjust pulse duration to 0.05 to 1ms, the stimulating frequency is set to 1 to 2Hz, carry on the electric current output of the conductive post 806 and skin contact section through wire 202 and electrode, the nerve fiber of body surface can produce pain through the motor reaction convulsion the electric stimulus, the minor electric current can produce pain when the pulse duration 1, the human body surface current 2mA is difficult to feel pain, the sense that the nerve fiber produces pain and feel the pain completely when the nerve stimulation is difficult to feel the sense that the nerve has the pain, the nerve has no pain effect of the complete and the sense of the nerve blocking is known to be completely when the nerve blocking is difficult to produce the normal nerve stimulation;
step 2, in order to facilitate the attachment of the human body, the adhesive tape 102 may be a medical adhesive tape, which is adhered to the periphery of the monitored anesthesia plane, the photoelectric scanning port 205 is used for scanning the two-dimensional code on the wrist band of the patient and returning the two-dimensional code back to the hospital electronic medical record system in real time, and simultaneously, the patient test time, the anesthesia plane, the stimulation current key index can be recorded, and the display window 206 is used for displaying the current intensity, the pulse duration and the circuit impedance, so that the operator can check the integrity of the circuit and detect the potential intra-nerve or intravascular placement of the needle tip;
step 4, the wire 202 is connected inside the inner ring 201, the wire 202 is fixed through the rotatable inner ring 201 and the wire clamp 904, the wire 202 is prevented from winding when the turntable 9 rotates, the angle of the connecting disc 4 can be fixed when the current coverage area is determined to need to carry out electrical stimulation detection for multiple times, the limiting wheel 502 is slidably sleeved on the multi-section rod 501, the limiting wheel 502 rotates to drive the gear 5 to rotate through the multi-section rod 501, meanwhile, the multi-section rod 501 is propped against the multi-section rod 501 through the built-in third spring of the multi-section rod 501 to move upwards all the time, in a normal non-pressing state, the semi-fluted disc 302 can limit the multi-section rod 501, the gear 5 is prevented from being grabbed, and when adjustment is needed, manual rotation can be carried out after pressing, so that the coverage area with a nerve blocking effect is fixed.
Although the present invention has been described with reference to the foregoing embodiments, it will be apparent to those skilled in the art that modifications may be made to the embodiments described, or equivalents may be substituted for elements thereof, and any modifications, equivalents, improvements and changes may be made without departing from the spirit and principles of the present invention.
Claims (9)
1. A monitoring instrument for an anesthesia plane, comprising: monitoring frame (1), its characterized in that, the bottom fixed mounting of monitoring frame (1) surface has a plurality of stabilizer blades (101), a plurality of the equal movable mounting in bottom of stabilizer blade (101) surface paste area (102), the top fixed mounting of monitoring frame (1) surface has a plurality of fixed feet (103), the top rotation of monitoring frame (1) surface is inlayed and is equipped with connection pad (4), the surface of connection pad (4) is provided with a plurality of tooth, the top rotation of monitoring frame (1) surface is connected with gear (5), a plurality of tooth and gear (5) meshing are connected, the inside slip of gear (5) is inlayed and is equipped with many section poles (501), the surface slip cover of multisection pole (501) is equipped with spacing wheel (502), the top fixed mounting of multisection pole (501) inner wall has the third spring, the surface of third spring fixed mounting at monitoring frame (1), a plurality of the top rotation of fixed foot (103) surface is equipped with inner circle (201), the inside fixed mounting of inner circle (201) is equipped with control console (2), the inside fixed mounting of inner circle (201) is equipped with control console (202), the inside is inlayed (2) and is equipped with inside fixed conductor (203) of electric current (203) and is equipped with the inside the fixed control console (203) Pulse switch (204) and photoelectric scanning mouth (205), the surface fixed mounting of monitoring control cabinet (2) has display window (206), the top fixed mounting of monitoring frame (1) surface has fixed film (3), the top fixed mounting of fixed film (3) surface has to support dish (301), the bottom fixed mounting of supporting dish (301) surface has half fluted disc (302), half fluted disc (302) and multisection pole (501) cooperate, the inner wall fixed mounting of monitoring frame (1) has a plurality of guide rails (6), a plurality of the inside of guide rail (6) all is provided with guide disc (8), a plurality of the equal movable mounting of inside of guide rail (6) has extrusion regulation strip (10), the inner wall fixed mounting of monitoring frame (1) has fixed inner ring (7), the inside rotation of monitoring frame (1) is inlayed and is equipped with carousel (9), carousel (9) and connection dish (4) fixed connection.
2. The anesthesia plane monitoring instrument according to claim 1, characterized in that: one side of the turntable (9) far away from the monitoring console (2) is fixedly provided with a plurality of regulating rollers (901), and the outer surfaces of the regulating rollers (901) are respectively sleeved with a rotary drum (902) in a rotary mode.
3. The anesthesia plane monitoring instrument according to claim 2, characterized in that: the outer surfaces of the rotating drums (902) are fixedly connected with arc arms (903), and the outer surfaces of the arc arms (903) are fixedly provided with a plurality of line cards (904).
4. A monitoring instrument for an anesthesia plane according to claim 3, characterized in that: the wire (202) is movably connected with the wire clip (904), the guide disc (8) comprises an inner seat (801) and a clamping strip (802), and the clamping strip (802) is embedded in the guide rail (6) in a sliding mode.
5. The anesthesia plane monitoring instrument of claim 4 wherein: sliding grooves (803) are formed in two sides of the outer surface of the inner seat (801), and a plurality of first springs (804) are fixedly arranged in the sliding grooves (803).
6. The anesthesia plane monitoring instrument according to claim 5, wherein: and a plurality of clamping strips (802) are fixedly arranged on one side, close to the inner seat (801), of each clamping strip, and sliding sheets (805) are fixedly connected with the first springs (804).
7. The anesthesia plane monitoring instrument according to claim 6, wherein: the sliding sheet (805) is slidably embedded in the sliding groove (803), and conductive columns (806) are movably embedded in the guide discs (8).
8. The anesthesia plane monitoring instrument according to claim 7, wherein: and the outer surfaces of the plurality of conductive columns (806) are fixedly sleeved with limiting rings (807), and one sides of the outer surfaces of the plurality of limiting rings (807) are fixedly provided with second springs (808).
9. The anesthesia plane monitoring instrument according to claim 8, wherein: the second springs (808) are fixedly arranged in the inner seats (801), a plurality of rotary seats (809) are fixedly arranged on one sides of the outer surfaces of the inner seats (801), and the rotary seats (809) are rotationally connected with the arc arms (903).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
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| US4387723A (en) * | 1980-12-09 | 1983-06-14 | Wisconsin Alumni Research Foundation | Method and apparatus for determining the level of neuromuscular block in a patient |
| KR20120000371A (en) * | 2010-06-25 | 2012-01-02 | 한국과학기술원 | Device for monitoring depth of anesthesia and method using the same |
| US10265514B2 (en) * | 2014-02-14 | 2019-04-23 | Medtronic, Inc. | Sensing and stimulation system |
| CN104665773B (en) * | 2015-02-12 | 2017-07-14 | 南京大学医学院附属鼓楼医院 | Local anaesthesia scope analyzer |
| CN104665774B (en) * | 2015-02-12 | 2017-07-14 | 南京大学医学院附属鼓楼医院 | Full-automatic level of anesthesia monitor |
| WO2021237417A1 (en) * | 2020-05-25 | 2021-12-02 | 中国科学院深圳先进技术研究院 | Panoramic light follow-up apparatus and photoacoustic imaging system thereof |
| CN213554900U (en) * | 2020-09-17 | 2021-06-29 | 烟台毓璜顶医院 | Novel recovered electric stimulation that uses of department of neurology device |
| CN215078416U (en) * | 2021-07-20 | 2021-12-10 | 深圳市龙华区人民医院 | Anesthesia platform monitor based on somatosensory evoked potential |
| CN113521530A (en) * | 2021-07-22 | 2021-10-22 | 何炳法 | Medical field electric treatment equipment |
| CN114445783A (en) * | 2022-02-24 | 2022-05-06 | 中国人民解放军陆军军医大学第二附属医院 | Perioperative anesthesia depth monitoring system and method based on multi-parameter indexes |
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