CN202277388U - Automatic scoring apparatus of Apgar scoring method - Google Patents
Automatic scoring apparatus of Apgar scoring method Download PDFInfo
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- CN202277388U CN202277388U CN2011204175613U CN201120417561U CN202277388U CN 202277388 U CN202277388 U CN 202277388U CN 2011204175613 U CN2011204175613 U CN 2011204175613U CN 201120417561 U CN201120417561 U CN 201120417561U CN 202277388 U CN202277388 U CN 202277388U
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Abstract
The utility model discloses an automatic scoring apparatus of an Apgar scoring method, which comprises a signal collecting device, an information input module, a central processing unit and one group of output unit devices, wherein the signal collecting device at least comprises a heart rate collecting device, or a combination of more than one of the heart rate collecting device and a body temperature detecting device, a blood pressure monitoring device and a blood gas analyzing device; the information input module is used for inputting information of neonates and scoring parameter valves of heart rate, breathing, responses to stimuli, colour of skin and muscular tone of the neonates; the central processing unit receives input information from the signal collecting device and the information input module, and outputs the scoring valves of the neonates; the group of output unit devices is used for outputting, printing or displaying a processing result of the central processing unit; the output ends of the signal collecting device and the information input module are connected with the input end of the central processing unit, and the output control end of the central processing unit is connected with input ports of the output unit devices. The automatic scoring apparatus of the Apgar scoring method can replace the traditional manner of manually evaluating the neonates, thereby giving an accurate assessment with unified standard.
Description
Technical field
This utility model relates to a kind of armarium, refer to especially a kind of can be to the Apgar scoring apparatus of clinical obstetrics neonate birth.
Background technology
Apgar (A Shi) point system (calling the apgar score method in the following text) is a kind of point system of nineteen fifty-three Virginia Apgar doctor invention.It leans on the manpower of doctor or midwives to look fully, listen sense organ, experience to gather connatae five the main vital signs of neonate as the point system of parameter (heart rate, breathing, to IR, the colour of skin and muscular tension).This point system promptly is the total points of this period through five vital sign score additions separately.The scientific combination content of apgar score method and simple standards of grading, five vital signs of neonate survival ability are as parameter and with how much the representing of score numerical value, to instruct rescue recovery in the time of will just being born.The numerical value of score is high more, and reflection neonate survival ability is more healthy and stronger.Every sign 0～2 minute (0 minute, 1 minute or 2 minutes).The gross score of five item ratings is 10 minutes.Total points represented neonate seriously poverty-stricken in 0～3 minute; Showed that moderate was poverty-stricken in 4～6 minutes; Prompting in 7～10 fens is no poverty-stricken.As≤6 minutes then the neonate survival ability belong to precarious position, need rescue recovery.And carry out three times respectively in back three periods of birth (1 minute, 5 minutes and 10 minutes) and mark.(as 5 minutes the scoring 7 minutes, and then repeated in 10 minutes the scoring).
Over more than 50 year; The apgar score method has promoted to have obtained immediately after the neonate birth scrutiny and the assessment of survival ability, and makes those high-risk youngsters in the hole (" 6 minutes) can be rescued timely and treat that (neonate of stalwartness accounts for 70% when it is reported birth with the method for scoring; Severe suppresses about 6%; Moderate about 24%).And a large amount of mark correlational study achievements of situation and short-term, long-term prognosis of Apgar when be born of therefore having derived about neonate; Promoted the development of obstetrics and department of pediatrics professional technique in this field widely, like IQ, cerebral palsy etc. even developed into veterinary applications.The science department of pediatrics of apgar score method or obstetrics all by generally acknowledged in the world and application lasting, appraisal result become department of pediatrics and obstetrics specialty World language (nearly all obstetrics and newborn department of pediatrics all says everyday, example example usefulness).Although in clinical implementation, be difficult to accurately take manpower again, it is alternative still not have more perfect method so far.In five main vital signs as parameter, except that one of heart rate has the quantitative criteria, other quadrinomial parameters will rely on all that manpower is looked, audition and experience are assessed (scoring).And be defined in birth back three periods (1 minute, 5 minutes and 10 minutes) and carry out three scorings respectively; Supplied only seasonally standard, gather heart rate be use auscultation to rely on manpower audition, experience vision to mark then to stipulate it because of the Apgar point system be non-quantized parameter to other quadrinomial parameters; Therefore; Still using till today at present, all is the uncertain factor of having buried degree of accuracy in the actual enforcement.Listen with stethoscope, and the number number, both taken manpower, time-consuming, be difficult for accurately again.In fact seldom hospital can remove to drop into more manpower in this respect in a large amount of clinical everyday work.Rely on the manpower audition to listen heart rate, then will have the special messenger on schedule stethoscope to be placed on neonatal chest and listen heart rate and number number, and difference is quite big between the manpower audition, also possibly cry because of neonate and disturb.Simultaneously; Manpower is listened heart rate and is counted in the number no matter use any method (10 * 6,6 * 10 or 30 * 2); Usually wait to count up to behind the heart rate similar over and done with 1 minute already; Other quadrinomial parameters are marked respectively (seldom very skilled) again, and addition begin total points, probably be the vital sign when having represented clock more than 2 minutes when treating the scoring of last parameter like this.And these hrv parameters that constantly change are that manpower is difficult on time in three periods, accurately accomplishes.Therefore, the degree of accuracy of apgar score method is challenged, and scientific research only can drop into more manpower.In addition, rely on the appraisal result of manpower vision also to have the difference between each picker unavoidably, must more be difficult to accurate enforcement with the hospital of lacking experience at manpower.So many scholar's lay special stress on reply scoring staff strainings are to make every effort to accurate.Coarse appraisal result then possibly mislead because of the difference of 1 minute or 2 minutes, makes correct guidance then to have reduced its Practical significance with timely treatment.Therefore, the appraisal result height often takes place in (or medical tangle is arranged) in many clinically retrospective discussion, and the contradictory phenomena of neonate prognosis mala.Wherein, be mostly the inaccuracy appraisal result and mislead.And it is also just not at all surprising that the result of apgar score method does not have the card a tree name of detailed at that time literature record to look into.Therefore, the apgar score method only with growing with each passing hour with science more, more human-saving and more accurate method acquisition parameter, mark, this using value to any good method is vital.Clinically; Produce female third stage of labor during the short time of neonate birth just; Also be that mother, son all need the period of more human inputs and Geng Duo medical treatment help (common; Large hospital delivery room night shift also has only two people on duty, and a people delivers a child under the decontamination equipment state, the customary conventional treatment of producing in female third stage of labor of another people assistant under platform).Especially in producing female third stage of labor, take place when unusual (like hemorrhage, blood pressure drops etc.); Assistant under the platform (scoring personnel) is busy with producing female inspection and treatment; Just more difficult accomplish to neonatal on time, marked accurately; Especially (it is many that third stage of labor is female, son all possibly take place by unusual person simultaneously, usually cause effect relation) more than time-consuming.Therefore " write afterwards " appraisal result and in many hospitals, case, become underlying rule.In other words; Have approximately clinically more than 30% (6%+24%) neonate need with accurate scoring they therefrom examination come out just can get timely medical treatment and rescue recovery; If appraisal result inaccuracy; Neonate possibly really not benefit from the apgar score method, and < 7 minutes unhealthy and strong neonate has then lost the value of scoring to 30% scoring.Wherein main reason is that point system is being difficult to simple and direct, accurately enforcement relevant (it is many that scientific research then drops into manpower) under third stage of labor expense manpower, time-consuming state on the method.Wherein, especially to listen heart rate to take manpower, time-consuming.Moreover, in the scoring interested party to have selfishness also be that the apgar score method is to rely on the expense manpower fully, time-consuming manpower is looked, the audition sense organ is gathered with mark relevant.Said as Editoroals: " this is not only these people is interested all clienies.And, too busy so that can not accurately carry out the scoring time in third stage of labor ".Obviously, people are also being perplexed by apgar score method many drawbacks in force since over half a century.Moreover; Have only oral overall score result when producing, the writing record of no original (in early days) scoring process can look back according to the apgar score method of invention before half a century today, also is when summing up experience or a kind of of truth analysis at that time, summary regretted during generation medical tangle.
The utility model content
The purpose of this utility model provides a kind of apgar score method automatic scoring appearance, can substitute existing artificial methods to the neonate test and appraisal from all angles, thereby can give accurate evaluation.
For realizing above-mentioned purpose, this utility model is taked following design:
A kind of apgar score method automatic scoring appearance, it includes:
One signal pickup assembly includes a heart rate harvester at least, or is any one the above combination in heart rate harvester and temperature check device, monitoring of blood pressure device and the blood gas analysis device;
One MIM message input module is used to import neonate information and to neonatal heart rate, breathing, to the grading parameters value of IR, the colour of skin and muscular tension;
One central processing unit receives the input information from signal pickup assembly and MIM message input module, and output is to neonatal score value;
One group of output unit device is used to accomplish output, printing or the demonstration to the central processing unit result;
The input port of the output termination central processing unit of said signal pickup assembly and MIM message input module, the output control terminal of central processing unit connects the input port of each output unit device.
The central processing unit of described apgar score method automatic scoring appearance adopts and embeds the processing and control module group that declines, and comprises that at least one is solidified with the module of apgar score method analysis and processing program.This embedding declines and also is solidified with the module of the handling procedure of temperature check, monitoring of blood pressure or blood gas analysis in the processing and control module group.
The MIM message input module of described apgar score method automatic scoring appearance is at least a in keyboard input module or the voice input module.Can have monitoring/interface module in the said keyboard input module, to should monitor/keypad of interface module can import neonate information and in real time to neonatal heart rate, breathing, to the grading parameters value of IR, the colour of skin and muscular tension.
The output unit device of described apgar score method automatic scoring appearance contains a kind of in printer, LCDs and the voice output module at least.
The heart rate harvester of described apgar score method automatic scoring appearance adopts a kind of in ultrasonic Doppler transducer, heart rate from the pulse pick off, hear sounds probe and the cardiac diagnosis lead electrode.
Be provided with memory module in the central processing unit of described apgar score method automatic scoring appearance, be used to preserve the heart rate value data that receive and reach by the object information after the apgar score method analyzing and processing.
This utility model A Shi (Apgar) point system automatic scoring appearance has at first utilized collection heart rate harvester to solve the only quantifiable hrv parameter that has; Make this take most manpower, also be current detection technique progress and computer function develop into the parameter of probability can be simple and easy as far as possible and accurate in collection; Also can original full and accurate writing record be printed as document, as permanent foundation.
The utility model has the advantages that: save time, laborsaving; On time, accurately; Can prevent interference from human factor, can show directly that on the fluorescent screen intuitive is stronger.
Description of drawings
Fig. 1 is that this utility model apgar score method automatic scoring appearance constitutes sketch map.
Fig. 2 is the heart rate harvester one example structure sketch map of apgar score method automatic scoring appearance.
Fig. 3 is the operating system schematic block diagram of apgar score method automatic scoring appearance.
Fig. 4 is the monitoring/interface module sketch map of apgar score method automatic scoring appearance.
The specific embodiment
Referring to shown in Figure 1, this utility model apgar score method automatic scoring appearance includes a signal pickup assembly 1, a MIM message input module 2, a central processing unit 3, one group of output unit device 4.The outfan of signal pickup assembly 1 and keyboard input module 2 connects the input port of central processing unit 3 respectively, and the output control terminal of central processing unit 3 connects the input port of output unit device 4.
Described signal pickup assembly 1 is the device that is used for collecting the various sign information of neonate; One heart rate harvester will be arranged at least; Can also be any one combination in heart rate harvester and temperature check device, monitoring of blood pressure device and the blood gas analysis device, or the common combination of two or three in heart rate harvester and temperature check device, monitoring of blood pressure device and the blood gas analysis device.
Described heart rate harvester adopts a kind of in ultrasonic Doppler transducer, heart rate from the pulse pick off, hear sounds probe and the cardiac diagnosis lead electrode.Wherein:
The shape structure of described Doppler's heart rate probe can be referring to shown in Figure 2; Be a kind of pick off of picking up heart rate, the wafer center on the ultrasonic Doppler transducer is for penetrating wafer transmitted wave (bundle), when running into mobiles (heart); By around a plurality of wafers produce transmitted waves (bundle); As receiving signal, be organized into rule, periodicity heart rate through the self correlation mode, be one of optimum selection.Its major function is that each valve pass chorus sound when utilizing the ultrasonic signal heart to pick up heart beating transmits to center processor as transducing signal.
Described heart rate from the pulse pick off is to obtain pulse signal through various pulse transducer (photoelectric sensor etc.), handles through multistage amplification and various filtering, shaping, realizes the high accuracy of pulse signal, in each instantaneous heart rate meansigma methods of asking of certain hour.3 charactrons commonly used show, also are preferable selections of present design.
The thorax level that described hear sounds probe can be put the breast heart is amplified hear sounds through mike,, can eliminate the noise of sneaking into through host process, record heart rate value and demonstration with the logic route.
The merge module that described ultrasonic heart rate acquisition module 2 can adopt computer to carry, but also acquisition module are independently realized gathering heart rate data from the outfan of Doppler's heart rate probe.
Described cardiac diagnosis lead electrode promptly is to place in the neonate front, can derive a complete QRS ripple, and the spacing of measuring eartbeat interval (t) and heart beating is to obtain heart rate value.
Described temperature check device, monitoring of blood pressure device can collect neonatal body temperature and blood pressure values in real time.
Described blood gas analysis device can be measured PH, partial pressure of carbon dioxide (PCO from neonatal umbilical blood
2), partial pressure of oxygen (PO
2), bicarbonate radical (HCO
3 -), total carbon dioxide capacity (PCO
2), (O such as actual buffuer excess (ABE), standard base excess (SBE), standard base (SB) (SBC), blood oxygen saturation (SAT) and blood oxygen total amount
2CT); There are certain dependency in these parameter values and apgar score, and these measured value input central processing units are analyzed, handled, and can obtain the apgar score value equally.
Described MIM message input module 2 can adopt keyboard input module or voice input module.
Adopt the keyboard input module can supply the medical worker pass through the direct typing newborn respiration of keyboard/mouse, to the fractional value of IR, the colour of skin and muscular tension.
This apgar score method automatic scoring appearance also can adopt the phonetic entry form; Adopt a voice input module; Microsoft's speech recognition system in the central processing unit capable of using; Can be receivable numeral or analog signal information with the speech conversion of staff's real-time broadcasting, thereby further handle by central processing unit.
Described central processing unit 3 is core components of this utility model; Can store softwares such as operation program in it; Adopt and embed the processing and control module group that declines; At least comprise that one is solidified with the module of apgar score method analysis and processing program, the also curable module that the handling procedure of temperature check, monitoring of blood pressure or blood gas analysis is arranged.By operating platform will receive come the input information storage, analyze, sort out, finally export neonatal score value.Fig. 3 illustrates the operating platform of a specific embodiment; Can cooperate device hardware such as ultrasonic doppler heart rate probe to receive the heart rate data that collects; Data through the information acquisition module collection; Send to this central processing unit 3 and calculate, become periodic heartbeat blanking time (t1, the t2 of rule through the arrangement of auto-correlation processing method; T3 ... .), and after regularly the real time record standard of (be advisable 8 seconds) transforms digital signal through driver module with analogue signal, be presented on the LCDs (can be TFT plasma display fluorescent screen) in computer fluorescent screen district with heart rate value.Simultaneously; Accomplish female, this information of subbase input on the TFT plasma display; Response keyboard/mouse module input image data information, and mark by the COMPUTER CALCULATION accumulation process with other quadrinomial parameters (breathe, to IR, the colour of skin and muscular tension) and TFT plasma display fluorescent screen district shows the overall score result of day part.Accomplish the function of printing by printer module.Simultaneously, the function that also has timing and alarming, storage data is to reach more perfect automatization's effect in the enforcement of Apgar (A Shi) point system.Software systems such as systems such as through computer is operating platform, the cooperating equipment interface and operation program are accomplished the repertoire that heart rate value shows.
Described operating platform can be realized through a monitoring/interface module is set; Referring to shown in Figure 4; The fluorescent screen is provided with fixed form; There is the input space of producing mother and neonate essential information the information area; Except that the form demonstration of driver module, click respectively mark little button (wicket) and click [affirmation] in five parameters synchronously respectively through keyboard simultaneously by the information of accomplishing mother, the input of this information of subbase on the serial ports of computers response keyboard/mouse collection fluorescent screen, and according to real-time heart rate with heart rate value.After the wicket of treating five parameters is all accomplished click, click [completions], then five parameters have the computing module of computer to add up automatically on the backstage, calculate overall score and on the fluorescent screen with the overall score of form this period of demonstration of numeral.Wrong like a certain item in five parameter scores processes, can click [cancellation] corrigendum in time.And because of being provided with [timer], when neonate is born through click 1 minute, 5 minutes and the function of marking one by one with timing automatic warning reminding in 10 minutes under [timer] in good time.At last, after the computer printout module is being clicked [printing], accomplish writing record and print, document is preserved with the neonate case history.Or in central processing unit, be provided with memory module, preserve the heart rate value data that receive and reach, directly the typing electronic record by the object information after the apgar score method analyzing and processing.
Described output unit device 4 can be printer, LCDs or instantaneous speech power, and central processing unit output result is printed or directly the fluorescent screen shows, voice broadcast, and also can adopt two or three in the said apparatus simultaneously.
This utility model apgar score method automatic scoring appearance the function that will accomplish be to handle the back through the data operation that collects to form quantized heart rate value; And information is input to computer by serial ports, become digital signal to show analog signal conversion by computer with the heart rate value form.Simultaneously also other four information relevant parameters are shown to TFT plasma display fluorescent screen through display module, simultaneously with the Information Monitoring of keyboard/mouse information acquisition module, handle the keyboard/mouse input module by central processing unit (CPU) and accomplish the input of female, sub-information and five parameter individual event scorings, overall score, calculation process, timers are given the correct time, store data, and look back and print.
The concrete work process of this utility model is: when the puerpera is about to just before giving birth; Scoring personnel routine is with the power connection of this utility model apgar score method automatic scoring appearance; The fluorescent screen shows Apgar point system table; There are the format template (producing female name, age, admission number etc.) of producing female and neonate essential information, available keyboard input in the information area.When neonate birth, the scoring personnel with the keyboard year that the input neonate is born in the information area, the moon, day, the time, branch and sex, promptly be presented in the information area of monitoring/interface module.Then, click 1 minute, 5 minutes and 10 minutes under [timer] of the Apgar grade form below be arranged on the fluorescent screen respectively, mark one by one in good time with timing automatic warning reminding.The staff will coat the ultrasonic Doppler probe of coupling agent and aim at neonate left side breast heart level; And the ultrasonic Doppler probe band is fixed on outside the neonate thorax; This moment, neonatal heart rate value just began on the heart rate hurdle in fluorescent screen district, constantly dynamically to show; 1 minute consuming time approximately altogether also just in time is apgar score method required time (when birth 1 minute the time, rather than birth at that time).When the time comes; Click each wicket (heart rate, breathing, muscular tension, to the IR and the colour of skin) in five parameters of the apgar score table that the scoring personnel require according to the apgar score method on the fluorescent screen, to show respectively with speed synchronization as early as possible and carry out standard scoring (0 minute, 1 minute or 2 minutes) separately, after each parameter is clicked each wicket by standards of grading, all click [affirmation].After treating that hrv parameter and other quadrinomial parameters are accomplished at a dass, click [completion], then accomplished the overall score of five parameter additions, and on the fluorescent screen, show the overall score result (1～10 minute) in the Apgar point system that records 1 minute.The scoring personnel are clock more than 1 minute consuming time approximately altogether (per period is clicked 11 times or 6 times) in three scorings.Because the fluorescent screen is provided with help the to mark lifting (especially new hand) of degree of accuracy and speed of clear and definite Apgar point system standard.In the individual event scoring, if wrong, [cancellation] that can click Apgar grade form below is beneficial to time update.Customary during this period operations is included as neonate and wears the clothes, weighs etc.As long as doppler ultrasound heart rate probe band is fixed on neonate left side breast heart level; Neonatal heart rate value then can constantly dynamically show on the fluorescent screen; Not overslaugh neonate moves (in doppler ultrasound heart rate probe cable line length scope), and helps connecing survivor and assistant to the lasting understanding of the heart rate in most important in the neonate vital sign and timely guiding treatment.Forget in busy for avoiding scoring in 5 minutes; The timer that when neonate is born, in the scoring appearance, has been provided with by " intra-record slack byte "; Automatically start voice or thumper is reminded automatically on time; In time carry out 5 minutes scoring with five parameters of the punctual input synchronously of the input mode of above-mentioned 1 minute scoring, then obtained 5 minutes overall scores, and the general comment score value that records of the apgar score method automatic scoring appearance that demonstration recorded 5 minutes on the fluorescent screen.In addition, the point system according to the Apgar point system requires: < 7 minutes, then 10 minutes the same methods were marked (as long as do not take off ultrasonic probe, all can on the fluorescent screen, show heart rate value) once more like scoring in 5 minutes.After whole scorings finish; Click [printing]; Can go out the appraisal result label of the full and accurate literal of apgar score method automatic scoring appearance through the printer prints that is provided with in the apgar score method automatic scoring appearance, and preserve, be the literal foundation of Clinical Review, analysis with the neonate case history.After treating whole completion of automatization's scoring flow process of apgar score method, can the ultrasonic probe band be taken off.So far, the automatic scoring process of whole apgar score method is all accomplished.
Above-mentioned each embodiment can be under the scope that does not break away from this utility model in addition some variations, so above explanation comprise and should be regarded as exemplary, but not in order to limit the protection domain that this utility model is applied for a patent.
Claims (8)
1. apgar score method automatic scoring appearance is characterized in that including:
One signal pickup assembly includes a heart rate harvester at least, or is any one the above combination in heart rate harvester and temperature check device, monitoring of blood pressure device and the blood gas analysis device;
One MIM message input module is used to import neonate information and to neonatal heart rate, breathing, to the grading parameters value of IR, the colour of skin and muscular tension;
One central processing unit receives the input information from signal pickup assembly and MIM message input module, and output is to neonatal score value;
One group of output unit device is used to accomplish output, printing or the demonstration to the central processing unit result;
The input port of the output termination central processing unit of said signal pickup assembly and MIM message input module, the output control terminal of central processing unit connects the input port of each output unit device.
2. apgar score method automatic scoring appearance according to claim 1 is characterized in that: described central processing unit adopts and embeds the processing and control module group that declines, and comprises that at least one is solidified with the module of apgar score method analysis and processing program.
3. apgar score method automatic scoring appearance according to claim 2 is characterized in that: described embedding declines and also is solidified with the module of the handling procedure of temperature check, monitoring of blood pressure or blood gas analysis in the processing and control module group.
4. apgar score method automatic scoring appearance according to claim 1 is characterized in that: described MIM message input module is at least a in keyboard input module or the voice input module.
5. apgar score method automatic scoring appearance according to claim 4; It is characterized in that: have monitoring/interface module in the said keyboard input module, to should monitor/keypad of interface module can import neonate information and in real time to neonatal heart rate, breathing, to the grading parameters value of IR, the colour of skin and muscular tension.
6. apgar score method automatic scoring appearance according to claim 1 is characterized in that: described output unit device contains a kind of in printer, LCDs and the voice output module at least.
7. apgar score method automatic scoring appearance according to claim 1 is characterized in that: described heart rate harvester adopts a kind of in ultrasonic Doppler transducer, heart rate from the pulse pick off, hear sounds probe and the cardiac diagnosis lead electrode.
8. apgar score method automatic scoring appearance according to claim 1 is characterized in that: be provided with memory module in the described central processing unit, be used to preserve the heart rate value data that receive and reach by the object information after the apgar score method analyzing and processing.
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| CN2011204175613U CN202277388U (en) | 2011-10-28 | 2011-10-28 | Automatic scoring apparatus of Apgar scoring method |
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| CN2011204175613U CN202277388U (en) | 2011-10-28 | 2011-10-28 | Automatic scoring apparatus of Apgar scoring method |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU170360U1 (en) * | 2016-06-20 | 2017-04-24 | Владислав Валерьевич Иванов | Apgar timer module |
| CN107495942A (en) * | 2017-09-21 | 2017-12-22 | 河南驼人医疗器械集团有限公司 | Neonate's Apgar score system and method |
-
2011
- 2011-10-28 CN CN2011204175613U patent/CN202277388U/en not_active Expired - Fee Related
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU170360U1 (en) * | 2016-06-20 | 2017-04-24 | Владислав Валерьевич Иванов | Apgar timer module |
| CN107495942A (en) * | 2017-09-21 | 2017-12-22 | 河南驼人医疗器械集团有限公司 | Neonate's Apgar score system and method |
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Granted publication date: 20120620 Termination date: 20171028 |