CN204744151U - 12 heart electric detection means leads - Google Patents

12 heart electric detection means leads Download PDF

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CN204744151U
CN204744151U CN201520307991.8U CN201520307991U CN204744151U CN 204744151 U CN204744151 U CN 204744151U CN 201520307991 U CN201520307991 U CN 201520307991U CN 204744151 U CN204744151 U CN 204744151U
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electrodes
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ecg
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余海鹏
师炜
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Beijing We Health Technology Co ltd
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Beijing Five Wei Yinchuan Science And Technology Ltd
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Abstract

一种12导联心电检测装置,它包括导联系统,该导联系统包括导联本体以及连接在导联本体上的若干个电极,所述电极包括6个固定电极和4个活动电极,固定电极依次按照心电检测的解刨学位置固定在导联本体上,6个固定电极呈倒立Z字形结构排布;导联本体上设有至少一个用于6个固定电极检测心电图时贴合电极的参考定位点结构;所述6个固定电极分别为V1、V2、V3、V4、V5和V6,其中一个参考定位点结构位于胸骨轴线上,V1和V2对称排布在参考定位点结构的两侧。本实用新型能够大大降低12导联心电检测的检测定位难度,简易的操作即可提供精准的心电检测的定位要求,不仅测量准确,省时省力,配合12道心电图机即可方便的取得具有医学诊断价值的心电信号。

A 12-lead ECG detection device, which includes a lead system, the lead system includes a lead body and several electrodes connected to the lead body, the electrodes include 6 fixed electrodes and 4 movable electrodes, The fixed electrodes are fixed on the lead body in turn according to the anatomical position of the ECG detection, and the 6 fixed electrodes are arranged in an inverted Z-shaped structure; there is at least one on the lead body for the bonding of the 6 fixed electrodes when detecting the ECG. The reference anchor point structure of the electrode; the six fixed electrodes are V1, V2, V3, V4, V5 and V6 respectively, one of the reference anchor point structures is located on the sternal axis, and V1 and V2 are symmetrically arranged on the reference anchor point structure sides. The utility model can greatly reduce the detection and positioning difficulty of 12-lead ECG detection, and the simple operation can provide accurate positioning requirements of ECG detection. ECG signal with medical diagnostic value.

Description

一种12导联心电检测装置A 12-lead ECG detection device

技术领域technical field

本实用新型涉及心电检测与诊断技术,尤其涉及一种12导联心电检测装置。The utility model relates to electrocardiographic detection and diagnosis technology, in particular to a 12-lead electrocardiographic detection device.

背景技术Background technique

目前,我国心血管病患病人数已经有2.9亿,每年约有350万人死于心血管病,占死亡原因的41%,且心血管疾病越来越呈现低龄化趋势;其中心脏病最为突出,心脏病具有高发病率、高死亡率、突发性和反复性等特点,已成为人类健康的杀手。At present, the number of patients with cardiovascular diseases in my country has reached 290 million, and about 3.5 million people die of cardiovascular diseases every year, accounting for 41% of the causes of death, and cardiovascular diseases are increasingly showing a trend of younger age; among them, heart disease is the most prominent , heart disease has the characteristics of high morbidity, high mortality, suddenness and repetition, and has become a killer of human health.

心脏病包括先天性心脏病和后天性心脏病,前者主要集中婴幼儿,后者常见于中老年人;研究表明,若能及时检测发现心脏节律异常,且采集相应的措施,能够大大降低心脏病的发病率和死亡率。Heart disease includes congenital heart disease and acquired heart disease. The former is mainly concentrated in infants and young children, while the latter is common in middle-aged and elderly people. Studies have shown that if abnormal heart rhythms can be detected in time, and corresponding measures can be taken, heart disease can be greatly reduced. morbidity and mortality.

然而,当前用于心脏节律监控的设备大多为医院采用的专业的检测设备,它包括心电采集分析设备以及与心电采集分析设备电连接的导联设备。而导联设备一般包括众多的检测电极,尤其为取得有医学诊断价值的心电图,就需要12导以上心电检测。满足12导心电检测则需要取得10个电极的信号。这些电极均为活动电极,由于线路较多,定位复杂,非专业的检测医生无法胜任;因此,普通个人很难完成专业的心电检测。However, currently most of the equipment used for cardiac rhythm monitoring is professional testing equipment adopted by hospitals, which includes ECG collection and analysis equipment and lead equipment electrically connected to the ECG collection and analysis equipment. The lead equipment generally includes a large number of detection electrodes, especially in order to obtain an electrocardiogram with medical diagnostic value, more than 12 electrocardiograms are required. To satisfy 12-lead ECG detection, signals from 10 electrodes need to be obtained. These electrodes are all active electrodes. Due to the large number of lines and complicated positioning, non-professional testing doctors are not competent; therefore, it is difficult for ordinary individuals to complete professional ECG testing.

虽然目前市场上出现了一些专为个人设计的心电检测设备,但结构复杂笨重,不利于携带,操作也非常麻烦,需要放置于固定场合使用;由于心脏病人运动时心脏搏动异常较大,此状况下实时检测心电信号非常有必要,而当前的设备还不能满足心电检测的随机性要求。现有的个人心电检测设备只能局限在家庭中的固定场合使用,移动时不便携带,且无心脏起搏异常自动预警功能以及电极脱离检测功能,不利于操作使用。Although there are some ECG detection equipment specially designed for individuals on the market, the structure is complicated and heavy, it is not conducive to carrying, and the operation is also very troublesome. It needs to be placed in a fixed place for use; It is very necessary to detect ECG signals in real time under certain conditions, but the current equipment cannot meet the randomness requirements of ECG detection. Existing personal ECG detection equipment can only be used in fixed occasions in the home, and it is inconvenient to carry when moving, and there is no automatic warning function of cardiac pacing abnormality and electrode detachment detection function, which is not conducive to operation and use.

安装永久性心脏起搏器是作为治理心脏疾病的后效手段,且近年来安装永久性心脏起搏器的人数不断增加,心电图能记录到各种情况下的起搏功能异常表现,可反映患者在日常生活的心电图变化,因此心电图常常作为起搏器置入术后功能随访评价的一种有效手段,但现有检测设备显然无法满足这种全天候的心电检测要求。The installation of a permanent cardiac pacemaker is used as an aftereffect method to treat heart diseases, and the number of people who have installed a permanent cardiac pacemaker has been increasing in recent years. The electrocardiogram can record the abnormal performance of pacing function in various situations, which can reflect the patient's ECG changes in daily life, so ECG is often used as an effective means of functional follow-up evaluation after pacemaker implantation, but the existing detection equipment obviously cannot meet the requirements of this kind of all-weather ECG detection.

实用新型内容Utility model content

本实用新型的目的是提供一种12导联心电检测装置,它具有电极定位操作简单、检测准确的特点。The purpose of the utility model is to provide a 12-lead ECG detection device, which has the characteristics of simple electrode positioning operation and accurate detection.

本实用新型是这样来实现的,一种12导联心电检测装置,它包括导联系统,其特征在于,所述导联系统包括可穿戴的导联本体以及连接在导联本体上的若干个电极,所述电极包括6个用于胸部心电信号采集的固定电极和4个用于腹部或四肢心电信号采集的活动电极,其中固定电极依次按照心电检测的解刨学位置固定在导联本体上,6个固定电极呈倒立Z字形结构排布。The utility model is achieved in this way, a 12-lead ECG detection device, which includes a lead system, is characterized in that the lead system includes a wearable lead body and several leads connected to the lead body. The electrodes include 6 fixed electrodes for chest electrocardiographic signal collection and 4 movable electrodes for abdomen or limbs electrocardiographic signal collection, wherein the fixed electrodes are fixed in sequence according to the anatomical position of electrocardiographic detection. On the lead body, six fixed electrodes are arranged in an inverted Z-shaped structure.

所述导联本体上设有至少一个用于6个固定电极检测心电图时贴合电极的参考定位点结构;所述6个固定电极分别为V1、V2、V3、V4、V5和V6,其中一个参考定位点结构位于胸骨轴线上,V1和V2对称排布在参考定位点结构的两侧。所述导联本体贴覆胸部的一侧设有呈倒立Z字形结构的电极通道,6个固定电极依次吸附或黏贴在电极通道上,所述4个活动电极嵌入在导联本体背离胸部的一侧。The lead body is provided with at least one reference positioning point structure for 6 fixed electrodes to be attached to the electrodes when detecting the electrocardiogram; the 6 fixed electrodes are respectively V1, V2, V3, V4, V5 and V6, one of which is The reference anchor point structure is located on the sternal axis, and V1 and V2 are symmetrically arranged on both sides of the reference anchor point structure. The side of the lead body covering the chest is provided with an electrode channel in an inverted Z-shaped structure, and the 6 fixed electrodes are sequentially adsorbed or pasted on the electrode channel, and the 4 movable electrodes are embedded in the side of the lead body away from the chest. side.

优选的是:所述4个活动电极通过可伸缩电缆与导联本体相连。所述可穿戴的导联本体为手套、背心、T恤或背带。Preferably, the four movable electrodes are connected to the lead body through retractable cables. The wearable lead body is a glove, a vest, a T-shirt or a strap.

优选的是:所述V1与V2的直线距离为3~5cm,V2与V3的直线距离为4.5~6.5cm,V3与V4的直线距离4.5~6.5cm,V4与V5的直线距离4.5~6.5cm,V5与V6的直线距离4.5~6.5cm。Preferably: the straight-line distance between V1 and V2 is 3-5 cm, the straight-line distance between V2 and V3 is 4.5-6.5 cm, the straight-line distance between V3 and V4 is 4.5-6.5 cm, and the straight-line distance between V4 and V5 is 4.5-6.5 cm , The straight-line distance between V5 and V6 is 4.5-6.5cm.

本实用新型的有益效果为:本实用新型能够大大降低12导联心电检测的检测定位难度,简易的操作即可提供精准的心电检测的定位要求,不仅测量准确,省时省力,方便快捷,配合12道心电图机即可方便的取得具有医学诊断价值的心电信号。The beneficial effects of the utility model are: the utility model can greatly reduce the detection and positioning difficulty of the 12-lead ECG detection, and the simple operation can provide accurate positioning requirements of the ECG detection, not only accurate measurement, time-saving and labor-saving, but also convenient and quick , with a 12-channel electrocardiograph, you can easily obtain electrocardiographic signals with medical diagnostic value.

附图说明Description of drawings

图1为本实用新型导联系统中固定电极相对位置示意图。Figure 1 is a schematic diagram of the relative positions of the fixed electrodes in the lead system of the present invention.

图2为本实用新型导联系统一个实施例的正面结构示意图。Fig. 2 is a schematic diagram of the front structure of an embodiment of the lead system of the present invention.

图3为图4所示导联系统反面的结构示意图。FIG. 3 is a structural schematic view of the reverse side of the lead system shown in FIG. 4 .

图4为本实用新型导联系统得到的心电节律图。Fig. 4 is the electrocardiographic rhythm diagram obtained by the lead system of the present invention.

在图中,1、导联本体2、参考定位点结构3、固定电极4、活动电极5、电极通道。In the figure, 1, the lead body 2, the reference positioning point structure 3, the fixed electrode 4, the movable electrode 5, and the electrode channel.

具体实施方式Detailed ways

下面结合附图对本实用新型的具体实施方式作进一步说明。Below in conjunction with accompanying drawing, the specific embodiment of the present utility model will be further described.

如图1和图2所示,本本实用新型是这样来实现的,一种12导联心电检测装置,它包括导联系统,其结构是,所述导联系统包括可穿戴的导联本体1以及连接在导联本体1上的若干个电极,所述电极包括6个用于胸部心电信号采集的固定电极3和4个用于腹部或四肢心电信号采集的活动电极5,其中固定电极依次按照心电检测的解刨学位置固定在导联本体1上,6个固定电极3呈倒立Z字形结构排布;所述可穿戴的导联本体为手套、背心、T恤或背带。事实上,心电检测有单导联、3导联、5导联等,但只有12导联检测采集的心电信号才具有医学诊断价值,但这种检测意味着复杂的电极定点操作;采用本实用新型则大大简化操作步骤,使用时仅需要按照简单的使用说明即可完成心电的定位检测。如图1-3所示,以右手手套为例,将该导联系统与匹配的心电图机相连接,让心电图机处于待机状态,将手套戴在右手后覆于左胸前,参考定位点结构对准胸骨凹陷处后,轻轻按压使电极与人体有效贴合,左手将4个活动电极逐一拽出并固定,然后即可启动心电图机进行心电检测。该过程免去了6个胸电极逐一固定的步骤,可快速准确的完成电极的固定,为下一步心电检测做好准备,在急救时,能为病人抢救争取宝贵时间。As shown in Figure 1 and Figure 2, the utility model is realized in this way, a 12-lead ECG detection device, which includes a lead system, and its structure is that the lead system includes a wearable lead body 1 and several electrodes connected to the lead body 1, the electrodes include 6 fixed electrodes 3 for collecting chest ECG signals and 4 movable electrodes 5 for collecting abdominal or extremities ECG signals, wherein the fixed The electrodes are sequentially fixed on the lead body 1 according to the anatomical position of the ECG detection, and the six fixed electrodes 3 are arranged in an inverted Z-shaped structure; the wearable lead body is a glove, a vest, a T-shirt or a strap. In fact, there are single-lead, 3-lead, 5-lead, etc. for ECG detection, but only the ECG signal collected by 12-lead detection has medical diagnostic value, but this detection means complicated electrode fixed-point operation; using The utility model greatly simplifies the operation steps, and only needs to follow the simple instructions for use to complete the positioning detection of the electrocardiogram. As shown in Figure 1-3, take the right hand glove as an example, connect the lead system with the matching ECG machine, put the ECG machine in standby mode, put the glove on the right hand and put it on the left chest, refer to the positioning point structure After aligning with the depression of the sternum, press lightly to make the electrodes fit effectively with the human body, pull out and fix the 4 movable electrodes one by one with the left hand, and then start the electrocardiograph for ECG detection. This process eliminates the step of fixing the six chest electrodes one by one, and can quickly and accurately complete the fixing of the electrodes, making preparations for the next step of ECG detection, and buying precious time for the patient in emergency.

在使用时,若为第一次使用,则需要根据个人体态进行固定的电极的微调,由于导联本体1上设有至少一个用于6个固定电极3检测定位与位置调整的参考定位点结构2;6个固定电极分别为V1、V2、V3、V4、V5和V6,其中一个参考定位点结构2位于胸骨轴线上,V1和V2对称排布在参考定位点结构2的两侧,在定位操作时,只需要将上述参考定位点结构2正对胸骨,沿胸骨上下移动手套,调整V1和V2,使得V1正对胸骨右缘第四肋间V2正对胸骨左缘第四肋间,然后沿着Z字形结构,将V4移动至左锁骨中线与第五肋间相交处,将V3固定在V2至V4连线的中点处,最后按照Z字形结构,且沿与V4同一水平线固定V5和V6,使得V5处于左腋前线,V6处于左腋中线;为进一步降低上述初次调整的难度以及后续更精确的微调,如图4所示,还在导联本体贴覆胸部的一侧设置呈倒立Z字形结构的电极通道,6个固定电极依次吸附或黏贴在电极通道上,这样6个固定电极可方便地通过魔术贴或粘黏层等固定在电极通道上,首次定位后,第二次使用可直接通过参考定位点结构2完成固定电极的定位,即重复使用;参考定位点结构2的数量根据实际需要设定,除了胸骨参考定位点结构,还可设置第四、第五肋骨参考定位点结构等。若采用背带、T恤或背心结构,则直接穿戴身即可,且能够解放双手,不影响运动,适用场合更加广泛。When in use, if it is the first use, it is necessary to fine-tune the fixed electrodes according to the personal posture, because the lead body 1 is provided with at least one reference positioning point structure for the detection, positioning and position adjustment of the six fixed electrodes 3 2. The six fixed electrodes are V1, V2, V3, V4, V5 and V6, one of which is located on the sternal axis, and V1 and V2 are symmetrically arranged on both sides of the reference anchor structure 2. During operation, you only need to align the above-mentioned reference anchor point structure 2 with the sternum, move the glove up and down along the sternum, and adjust V1 and V2 so that V1 is facing the fourth intercostal space on the right edge of the sternum, V2 is facing the fourth intercostal space on the left edge of the sternum, and then Along the Z-shaped structure, move V4 to the intersection of the left mid-clavicular line and the fifth intercostal space, fix V3 at the midpoint of the line connecting V2 to V4, and finally follow the Z-shaped structure and fix V5 and V4 along the same horizontal line as V4 V6, so that V5 is on the left anterior axillary line, and V6 is on the left midaxillary line; in order to further reduce the difficulty of the above-mentioned initial adjustment and subsequent more precise fine-tuning, as shown in Figure 4, the side of the lead body that is attached to the chest is also set upside down Z-shaped electrode channel, 6 fixed electrodes are adsorbed or pasted on the electrode channel in turn, so that the 6 fixed electrodes can be easily fixed on the electrode channel through Velcro or adhesive layer, etc. After the first positioning, the second time The positioning of the fixed electrode can be completed directly through the reference positioning point structure 2, that is, repeated use; the number of reference positioning point structures 2 can be set according to actual needs, in addition to the sternum reference positioning point structure, the fourth and fifth rib reference positioning can also be set point structure etc. If the strap, T-shirt or vest structure is used, it can be worn directly on the body, and hands can be freed without affecting sports, and the applicable occasions are more extensive.

如图3所示,4个活动电极嵌入在导联本体背离胸部的一侧;4个活动电极通过可伸缩电缆与导联本体相连;平时不使用时,活动电极很好地嵌入在导联系统的本体中,利于携带,在使用时,拽出活动电极固定在手臂等监测位置即可,检测完,活动电极可通过可伸缩电缆收回收纳舱。As shown in Figure 3, 4 movable electrodes are embedded on the side of the lead body away from the chest; the 4 movable electrodes are connected to the lead body through retractable cables; when not in use, the movable electrodes are well embedded in the lead system In the main body, it is easy to carry. When in use, just pull out the movable electrode and fix it on the monitoring position such as the arm. After the detection, the movable electrode can be retracted into the storage compartment through the retractable cable.

利用上述结构进行心电检测时,可沿着电极通道4进行初步设置,具体为:V1与V2的直线距离3~5cm,V2与V3的直线距离为4.5~6.5cm,V3与V4的直线距离4.5~6.5cm,V4与V5的直线距离4.5~6.5cm,V5与V6的直线距离4.5~6.5cm;然后按照上述操作进行微调,可进一步提高12导联心电定位的准确性以及测量的可靠性,利用上述结构得到的心电节律图如图4所示,该心电节律完整可靠,且连续型好。When using the above-mentioned structure for ECG detection, preliminary settings can be made along the electrode channel 4, specifically: the straight-line distance between V1 and V2 is 3-5cm, the straight-line distance between V2 and V3 is 4.5-6.5cm, and the straight-line distance between V3 and V4 4.5-6.5cm, the straight-line distance between V4 and V5 is 4.5-6.5cm, and the straight-line distance between V5 and V6 is 4.5-6.5cm; then fine-tuning according to the above operations can further improve the accuracy of 12-lead ECG positioning and the reliability of measurement The electrocardiographic rhythm diagram obtained by using the above structure is shown in Figure 4. The electrocardiographic rhythm is complete, reliable, and continuous.

当实施例采用背心,绑带等时,则可根据背心、T恤和绑带固定尺寸,此时固定电极则在上述范围内准确选择,基于以上固定电极间距是不同人群因体型差异所体现出的间距的范围,背心等上的固定电极采用不可调结构,根据不同人群做出不同尺码的产品,该产品中的固定电极按照上述定位位置预先准确固定,可进一步降低了操作难度,穿戴后即完成检测电极的定位。When the embodiment adopts vests, straps, etc., the size can be fixed according to the vests, T-shirts, and straps. At this time, the fixed electrodes can be accurately selected within the above range. The range of spacing, the fixed electrode on the vest, etc. adopts a non-adjustable structure, and products of different sizes are made according to different groups of people. The fixed electrodes in this product are fixed in advance according to the above positioning position, which can further reduce the difficulty of operation. Complete the positioning of the detection electrodes.

Claims (6)

1. the ECG detection device that leads, it comprises lead system, it is characterized in that, described lead system comprises the wearable body and be connected to several electrodes led on body of leading, and described electrode comprises 6 fixed electrodes for chest ecg signal acquiring and 4 float electrode for abdominal part or extremity ecg signal acquiring; Wherein fixed electrode is put to be fixed on according to the solution plane degree of ECG detecting successively and is led on body, and 6 fixed electrodes are handstand zigzag Structural assignments.
2. as claimed in claim 1 12 lead ECG detection device, it is characterized in that, described in the body that leads be provided with the reference location dot structure of laminating electrode when at least one detects electrocardiogram for 6 fixed electrodes; Described 6 fixed electrodes are respectively V1, V2, V3, V4, V5 and V6, and one of them reference location dot structure is positioned on breastbone axis, V1 and V2 symmetry arrangement is in the both sides of reference location dot structure.
3. as claimed in claim 1 or 2 12 lead ECG detection device, and the described wearable body that leads is glove, vest, T-shirt or braces.
4. as claimed in claim 3 12 lead ECG detection device, the side that the described body that leads pastes chest is provided with the electrode channel in handstand zigzag structure, 6 fixed electrodes adsorb successively or paste on electrode channel, and described 4 float electrodes are embedded in the side that the body that leads deviates from chest.
5. as claimed in claim 4 12 lead ECG detection device, and described 4 float electrodes are connected with the body that leads by scalable cable.
6. as claimed in claim 5 12 lead ECG detection device, air line distance 4.5 ~ the 6.5cm of the air line distance of described V1 and V2 to be the air line distance of 3 ~ 5cm, V2 and V3 be 4.5 ~ 6.5cm, V3 and V4, air line distance 4.5 ~ the 6.5cm of the air line distance 4.5 ~ 6.5cm of V4 and V5, V5 and V6.
CN201520307991.8U 2015-05-13 2015-05-13 12 heart electric detection means leads Expired - Lifetime CN204744151U (en)

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106889985A (en) * 2017-03-24 2017-06-27 心韵恒安医疗科技(北京)有限公司 A kind of electrocardiogram limb lead module and 12 lead electrocardiogram acquisition and Transmission system
CN106963362A (en) * 2017-03-24 2017-07-21 心韵恒安医疗科技(北京)有限公司 Seriation electrocardiographic lead positioning belt and localization method
CN107041742A (en) * 2017-03-24 2017-08-15 心韵恒安医疗科技(北京)有限公司 A kind of electrocardiographic lead positioning belt
WO2017166819A1 (en) * 2016-03-26 2017-10-05 深圳市前海安测信息技术有限公司 Wearable 12-lead electrocardiograph
CN109864738A (en) * 2018-09-27 2019-06-11 鞍钢集团公司总医院(鞍钢急救中心) A kind of electrocardiogram chest lead electrode fixing means and the fixed note of electrocardiogram chest lead electrode
CN110840447A (en) * 2019-11-26 2020-02-28 武汉中科医疗科技工业技术研究院有限公司 Multi-lead electrocardio electrode paste

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2017166819A1 (en) * 2016-03-26 2017-10-05 深圳市前海安测信息技术有限公司 Wearable 12-lead electrocardiograph
CN106889985A (en) * 2017-03-24 2017-06-27 心韵恒安医疗科技(北京)有限公司 A kind of electrocardiogram limb lead module and 12 lead electrocardiogram acquisition and Transmission system
CN106963362A (en) * 2017-03-24 2017-07-21 心韵恒安医疗科技(北京)有限公司 Seriation electrocardiographic lead positioning belt and localization method
CN107041742A (en) * 2017-03-24 2017-08-15 心韵恒安医疗科技(北京)有限公司 A kind of electrocardiographic lead positioning belt
CN106963362B (en) * 2017-03-24 2024-12-03 心韵恒安医疗科技(北京)有限公司 Serialized electrocardiogram lead positioning belt and positioning method
CN109864738A (en) * 2018-09-27 2019-06-11 鞍钢集团公司总医院(鞍钢急救中心) A kind of electrocardiogram chest lead electrode fixing means and the fixed note of electrocardiogram chest lead electrode
CN109864738B (en) * 2018-09-27 2024-06-04 鞍钢集团公司总医院(鞍钢急救中心) Electrocardiogram chest conductive electrode fixing method and electrocardiogram chest conductive electrode fixing paste
CN110840447A (en) * 2019-11-26 2020-02-28 武汉中科医疗科技工业技术研究院有限公司 Multi-lead electrocardio electrode paste

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