The pH value of esophagus wireless monitor system
Technical field
This utility model relates to medical apparatus and instruments, and the monitoring device of pH value in particularly a kind of esophagus specifically is an acid-base value wireless monitor system in a kind of esophagus.
Background technology
Gastroesophageal reflux disease (GERD) is meant stomach or the anti-esophagus that flows to of duodenum content, causes multiple complications, has damaged patient's quality of life.Modal clinical symptoms is heartburn, retrosternal pain and acid regurgitation.The outer symptom of esophagus also can appear in serious gastroesophageal reflux patient, shows as chronic pharyngitis, hoarseness, tracheitis, asthma etc., and constant error is examined and is bronchitis, pneumonia or asthma clinically.24 Hours PH Monitoring are " goldstandards " of diagnosis GERD acid reflux disease in the esophagus, and it can clearly reveal the relation of anti-stream outbreak and symptom, also can distinguish the gastroesophageal reflux that different positions take place and distinguish the factor that influences gastroesophageal reflux.
Traditional catheter type pH monitoring system comprises a conduit, and the doctor need pass patient's nasal cavity with this root conduit and enter esophagus, and directly is connected with recording system.During use, need elder generation that conduit is inserted to gastric, monitor shows acid ph value, and expression pH probe has entered gastric, and slowly outside then tractive pH conduit makes pH electrode place sphincter LES upper end 5cm place under the esophagus, has certain site error.Another localization method is: the LES position is determined in should go ahead of the rest before detection esophageal manometry or gastroscopy, and then the length of definite conduit, and like this, the patient just need carry out extra misery, and doctor's operation is also complicated more.In 24 hours checking processes, because the existence of conduit, very painful and embarrassed, Most patients need be stayed at home, and fasting also keeps sitting posture for a long time, can not normally have a bath and sleep.Because the target of test is the anti-stream situation of monitoring patient in the normal activity process, like this, certainly will influence the accuracy of test.In view of traditional catheter type pH monitoring system complicated operation, patient tolerability poor, reusable catheter type probe can cause measuring inaccurate, cross infection equivalent risk, this type of inspection is reluctant to carry out by considerable hospital, and the patient suffers sing misdiagnosis and mistreatment for a long time, has a strong impact on physical and mental health.
At present, a kind of pH value of esophagus wireless monitor system that is used for is arranged on the market, this system comprises pH capsule, data logger, analysis software and fixture, overcome above-mentioned shortcoming to a certain extent, it is by being fixed in the pH capsule on the esophageal wall by " safety pin " fixed form, the pH data that record are transferred on the receptor between patient's waist with wireless mode, thereby the duct free electrode is kept somewhere.
But this system still has a lot of deficiencies, such as: the capsular positioning accuracy of pH is not high, and fixed mass can not be understood in real time, data recorder function redundancy, cost height, and complicated operation, patient's toleration is not high or the like; At first, the location technology more complicated of this scheme, the LES position is determined in should go ahead of the rest before detection esophageal manometry or gastroscopy, and then the length of definite conduit, like this, the capsular positioning accuracy of pH is limited by other measurement results, needs of patients bears extra misery, doctor's complicated operation.Secondly, the doctor will be equipped with the capsular fixture per os of pH and be probeed in the process of esophagus, because can't careful observation esophagus details, the danger that trachea takes place to insert easily requires very high to doctor's operation skill.Once more, fixed effect can't be understood in real time, the pH capsule adopts the method for vacuum suction, puncture immobile mucosa to fix, operating procedure is many, fixed effect also can't be understood in real time, and having comes off causes the risk of test crash, still needs carry out extra operation with gastroscope, so that the inspection fixed effect, ease of use is poor.
Summary of the invention
At the deficiencies in the prior art, the purpose of this utility model be to provide a kind of easy to operate, the location accurately and not need special positioner, can reduce the novel pH value of esophagus wireless monitor system of patient's misery.
The technical scheme that adopts is so for achieving the above object: promptly a kind of pH value of esophagus wireless monitor system, comprise pH capsule and data logger two partly, and the pH capsule is by radio-frequency technique and the transmission of data logger data; It is characterized in that:
Described pH capsule is fairshaped flat capsule shape structure, and the axial end of its shell major axis has at least one perforation, is installed with backguy and annulus in the perforation and constitutes the capsular end that hangs from above of pH; The transducing part of the pH pick off of configuration is exposed to the outside of capsule shell in the described pH capsule, is positioned at the pH capsule other end and constitutes the test side.
Described capsule shell is by nontoxic, harmless to human body and have acid-alkali-corrosive-resisting, and the medical macromolecular materials with hydrophobic property are made.Described annulus is made by the medical metal material of and acid-alkali-corrosive-resisting nontoxic, harmless to human body.Described backguy is by the biomaterial for medical purpose of nontoxic, the harmless automatic degraded of human body being made, being had hydrophobic property.
The use work process of system described in the utility model is such: promptly under the involving of backguy, patient's pH capsule of swallowing naturally, utilize gastroscope and related accessories, the pH capsule is fixed on the mucosa at 5cm place, esophagus LES top, fixedly finish, withdraw from backguy, because the sensing head of the pH pick off on the pH capsule is downward, pH value in can the long term monitoring esophagus utilizes radio-frequency technique that data are sent to external data logger.After test was finished, the pH capsule came off naturally from esophagus, entered digestive tract and excreted.The present invention is owing to can directly adopt existing visualized operation device in the installation course, the location is accurate, and the capsular fixed effect of pH can be grasped in real time, avoids the pH capsule to be strayed into the risk of trachea, patient's toleration improves, and can realize the long-time monitoring to pH value of esophagus.
Obviously, this utility model compared with prior art has safety and the localized accuracy controlled, and designs simplification, can reduce the expense that the patient bears.
Description of drawings
Fig. 1 is a user mode reference view of the present utility model;
Fig. 2 is that this utility model pH capsule is subjected to liquid hydraulic shock power effect sketch map;
Fig. 3 is the structured flowchart of this utility model pH capsule built-in circuit;
Fig. 4 is the circuit structure block diagram of this utility model digital recorder;
Fig. 5 is the structure chart of the shell of this utility model pH capsule embodiment;
Fig. 6 is the capsular fixedly embodiment of a this utility model pH step 1 sketch map;
Fig. 7 is the capsular fixedly embodiment of a this utility model pH step 2 sketch map.
Among the figure: 1, pH capsule; 2, digital recorder; 3, esophagus; 11, pH pick off; 12, A/D sample circuit; 13, data processor; , 14 batteries; 15 memorizeies; 16, signal emission module; 17, capsule shell; 17a, perforation; 17b, backguy; The 17c annulus; 21, battery; 22, signal receiving module; 23, memorizer; 24, data processor; 25, button; 26, display lamp; 27, buzzer; 28, data-interface (28); 29, data logger shell.
The specific embodiment
The embodiment of an indefiniteness that this utility model is provided below in conjunction with accompanying drawing further specifies.
At present, gastroscope has been the conventional instrument of Gastroenterology dept. of hospital, and gastroscope adopts the optical system of super Radix Rumicis, has high-resolution optical characteristics, but Real Time Observation esophagus inwall, the doctor can clearly tell down sphincter, pectinate line etc., is the pinpoint basis of native system.Simultaneously, the gastroscope system is furnished with all kinds of special equipments, such as biopsy forceps, titanium folder, lasso device etc., can sample to diseased region in the body, operation such as treatment, polyp excision, these doctors use operating apparatus always, can be used to the described pH capsule 1 in fixing this utility model.Along with the continuous development of gastroscope technology, its insertion section diameter is more and more thinner, and patient's toleration also progressively improves.
Fig. 1 is a user mode reference view of the present utility model, and pH capsule 1 is fixed on the esophagus, and pH capsule 1 carries out data by radio-frequency technique and data logger 2 and transmits.
Fig. 2 is that this utility model pH capsule is subjected to liquid hydraulic shock power effect sketch map, the people is when swallowing saliva or feed spoon meat, unavoidably can be to the micro device power that impacts, can have a strong impact on fixed effect, therefore, the external shape of shell is carried out airflow design, all is streamlined as automobile, aircraft, bridge pier, is usually expressed as level and smooth and regular surface, does not have big fluctuating and sharp-pointed corner angle.PH capsule 1 is fairshaped flat capsule shape structure, reduces the probability that the effect of liquid hydraulic shock causes pH capsule 1 to come off.
Referring to Fig. 3, pH capsule 1 comprises pH pick off 11, A/D sample circuit 12, data processor 13, battery 14, memorizer 15, signal emission module 16, above-mentioned parts are sealed within the capsule shell 17, wherein the transducing part of pH pick off 11 is exposed to the outside of capsule shell 17, can contact with the body fluid of esophagus.Described pH pick off connects data processor by the A/D sample circuit, under data processor 13 controls, pH pick off 11 is measured the pH value of liquid in the esophagus with certain frequency, convert data format to by A/D sample circuit 12, be temporarily stored in the memorizer 15 in the capsule, every the regular hour, utilize signal emission module 16 that packet is sent to external data logger 2.Wherein, battery 14 adopts the 3V silver oxide button cell, it is the chip of MSP430f2012 that data processor 13 can adopt model, its inner integrated 2Kflash, the RAM of 128B, the AD of 10Bit, can satisfy the needs of data storage and procedure stores, the pH pick off that pH pick off 11 selects for use medical antimony measurement electrode and Ag/AgCl reference electrode to form, utilize miniature three amplifiers, adopt the A/D sample circuit 12 of constant pressure and flow circuits built pH pick off, built-in A/D carries out data acquisition via data processor, adopt the signal emission module 16 of TH72015 then, the FSK/ASK communication modes, European 433MHz ISM band arrives external data logger with transfer of data.
Fig. 4 is the functional schematic of data logger 2 of the present utility model, described data logger 2 comprises battery 21, signal receiving module 22, memorizer 23, data processor 24, button 25, display lamp 26, buzzer 27, data-interface 28, except that button, above-mentioned parts all are installed in 29 li on data logger 2 shells.Wherein: described signal receiving module 22 receives the pH data of pH capsule 1 transmission, under data processor 24 controls, data is temporarily stored in the memorizer 23, or sends once more by data-interface 28.The shell 29 of described data logger 2 is by nontoxic, the harmless material of human body is made; The patient utilizes the button 25 on the data logger 2 to write down incidents such as feed in the operating process, sleep, acid regurgitation; Memorizer 23 in the data logger 2 is used for storing the pH data, and described pH data can transmit by carrying out data between the data handling equipment such as data-interface 28 and computer; Computer passes through data-interface 28 and controls initialization operations such as the time check and correction of monitors, pH value calibration.Described battery 21 can adopt 7#1.5 volt alkaline battery, utilize the LDO boost module to provide 3V voltage for system applies, data processor 24 adopts MSP430F1232,22 I/O, 10 AD, program storage is no less than 8K, be with 1 serial ports, the 8MHZ clock, signal receiving module 22 adopts TH71101 FSK/FM/ASK 433MHz receptor, memorizer 23 adopts the FALSH memorizer AT45DB642D of the 64M BIT of atmel corp, and data-interface 28 adopts RS232 MAX3221 and PC to carry out two-way transfer of data.
For the fixing means of utility model better is described, now introduce an embodiment who utilizes titanium folder Stationary pH capsule 1.Shown in Fig. 6,7, have two perforation 17a on the shell of pH capsule 1, pass a flexible bowden cable 17b in one of them circular hole, and make a call to a slip-knot; Another one perforation 17a passes a metal ring 17c.Patient's pH capsule 1 of at first swallowing is subjected to the control of bifilar flexible wires length, and as shown in Figure 6, pH capsule 1 rests near the 5cm of LES top; Utilize foreign body forceps that bifilar flexible wires is pulled out gastroscope via the gastroscope service aisle, gastroscope is inserted patient's esophagus, observe, adjust pH capsule 1 position by the image monitor of gastroscope; Operate titanium folder release then, as shown in Figure 7, make a pin of titanium folder pass a retainer ring of pH capsule 1, clamp the mucosa of esophagus then; By observing the gastroscope monitor, behind the fixed effect of affirmation pH capsule 1, doublet cord is withdrawn from from the gastroscope passage, take out gastroscope then, steady job finishes.
Esophageal wall is made of mucosa, tela submucosa, flesh layer and adventitial tissue; mucosa forms several longitudinal plicas; its epithelium is a keratinized stratified squamous epithelium not; tela submucosa is loose connective tissue; mucosal tissue has the strong characteristics of regeneration capacity; constantly carry out histiocytic renewal, with protection esophagus safety.The part mucosa of titanium folder clamping can be downright bad gradually and be come off, and therefore, being fixed on supraoesophageal pH capsule 1 can come off naturally from esophagus, enters digestive tract and excretes.
At different patients, their esophagus length, there is some difference for the health status of esophageal mucosa membrane injury, and therefore, there is some difference for the effective time of fixed clamp, needs the operator to note.And along with the continuous development of gastroscope technology, the diameter of gastroscope insertion section is more and more thinner, and the kind of gastroscope adnexa improves constantly, and cost constantly descends, and application prospect of the present utility model is more wide.