CN205697736U - A kind of anaesthesia depth monitor of many monitoring indexes - Google Patents
A kind of anaesthesia depth monitor of many monitoring indexes Download PDFInfo
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- CN205697736U CN205697736U CN201620230745.1U CN201620230745U CN205697736U CN 205697736 U CN205697736 U CN 205697736U CN 201620230745 U CN201620230745 U CN 201620230745U CN 205697736 U CN205697736 U CN 205697736U
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Abstract
The utility model discloses the anaesthesia depth monitor of a kind of many monitoring indexes, it is characterized in that, including acquisition module, the outfan of described acquisition module is connected with the input of amplification module, the outfan of described amplification module is connected with the input of denoising module, the described outfan of denoising module is connected with the input of modular converter, the outfan of described modular converter is connected with the input of MCU, the input of described MCU also outfan with analogue simulation module is connected, the input of described analogue simulation module is connected with individual variation parameter input module, the outfan of described MCU is connected with display module and injection module respectively.The anaesthesia depth monitor of a kind of many monitoring indexes that this utility model provides, monitoring index is many, individual parameter differences can be revised, different acquisition module can be selected according to the actual demand of different patients, the monitoring result of each acquisition module can be mutually authenticated, it is ensured that the anesthetis consumption of input is applicable to the required metering of Different Individual.
Description
Technical field
This utility model relates to the anaesthesia depth monitor of a kind of many monitoring indexes, belongs to technical field of medical instruments.
Background technology
In art, accurately monitoring and the judgement of depth of anesthesia have become clinical anesthesia doctor and have paid high attention to and a difficult problem urgently to be resolved hurrily.General anesthesia is a kind of special and the state of complexity, including tranquilizing soporific, amnesia, analgesia, stress suppress and the many factors such as of flaccid muscles, and the overall process gone through general anesthesia induction, maintain and revive, all by using anaesthetic to control during whole.Different modus operandis, different crowd and art moderate stimulation in various degree are the most different to anaesthetic reactivity.The depth of anesthesia that anaesthetic consumption deficiency causes is the most shallow, is easily caused the untoward reaction such as hemodynamics fluctuation, intraoperative diagnosis and body move, makes operation to be smoothed out；What anaesthetic excess caused anaesthetized deep the most then occurs serious suppression to respiratory system, blood circulation in interior vital organ function, and hypoxic-ischemic, serious may cause patient's injury of brain function, threat to life.Therefore, in art, anesthesia depth monitoring not only improves control anesthesia quality, may utilize again the anaesthetic effect that minimum anaesthetic reaches optimal, shortens postoperative recovery time.
Presently the most successfully depth of anesthesia monitoring method is BIS(BIS Propofol-targeted, bispectral index), this method designs according to human nerve's physiological characteristics, it is possible to reaction patient realizes disappearance and recovery situation rapidly, has preferable advantage as anesthesia depth monitoring index.
But shortcoming the most prominent for BIS is its threshold value to be not individually present when anaesthetic use in conjunction, during different drug combination, BIS value is identical, and not represent depth of anesthesia identical, and different patients all can change at different anesthesia stage BIS value.Furthermore, BIS value is affected by many factors, as esmolol, ectogenic epinephrine can make BIS value raise, affects the actual value of depth of anesthesia, and nonetheless, BIS value still be can yet be regarded as one and reflected cerebral cortex function, reflects the preferable index of depth of anesthesia.But, BIS value is still not clear in situation of change and the mechanism thereof of the different anaesthetic of Different Individual application, and BIS is not suitable for those patients that can not make a response, therefore be presently required and take multiple means combined monitoring depth of anesthesia, each means monitoring result can be mutually authenticated, it is ensured that the anesthetis consumption of input is applicable to the required metering of Different Individual.
Utility model content
Technical problem to be solved in the utility model is, there is provided a kind of monitoring index many, individual parameter differences can be revised, different acquisition module can be selected according to the actual demand of different patients, the monitoring result of each acquisition module can be mutually authenticated, it is ensured that the anesthetis consumption of input is applicable to the anaesthesia depth monitor of the required metering of Different Individual.
For solving above-mentioned technical problem, the technical solution adopted in the utility model is:
A kind of anaesthesia depth monitor of many monitoring indexes, it is characterized in that, including acquisition module, the outfan of described acquisition module is connected with the input of amplification module, the outfan of described amplification module is connected with the input of denoising module, the described outfan of denoising module is connected with the input of modular converter, the outfan of described modular converter is connected with the input of MCU, the input of described MCU also outfan with analogue simulation module is connected, the input of described analogue simulation module is connected with individual variation parameter input module, the outfan of described MCU is connected with display module and injection module respectively；Described acquisition module includes at least two that brain electric data collecting electrode slice, auditory evoked potential acquisition electrode sheet, electrocardio-data collection electrode slice, non-invasive blood pressure acquisition module, body temperature acquisition module, pulse collection module, oxygen saturation monitor module, monitoring of respiration module and eye move in monitoring modular.
Described injection module is microsyringe, and the heap(ed) capacity of described microsyringe is 10 μ L.
Described eye moves monitoring modular and includes eye tracker.
Described brain electric data collecting electrode slice is bilateral cerebral electricity double frequency acquisition electrode sheet.
Described analogue simulation module includes individual variation correcting module.
Described display module includes LED display.
Individual variation parameter input module includes anesthetis kind input submodule, operation selection submodule, patient age input submodule, weight in patients input submodule and patient's premedicate input submodule.
Described anesthetis kind input submodule, operation selection submodule, patient age input submodule, weight in patients input submodule and patient's premedicate input submodule all include keyboard.
Analogue simulation module is single-chip microcomputer.
The setting of individual variation parameter input module, it is simple to judge patient's actually required anesthetis consumption more accurately, as brain electric data collecting electrode slice is used for exporting BIS value, BIS value 100, waking state；BIS value 0, entirely without brain electrical acti state (cerebral cortex suppression), it is considered that BIS value is normal condition 85 ~ 100；65 ~ 85 is sedation；40 ~ 65 is narcotism；＜ 40 may present outburst suppression.And BIS value is affected by many factors, as esmolol, ectogenic epinephrine can make BIS value raise, affect the actual value of depth of anesthesia, therefore patient's premedicate input submodule need to be set, it is considered to the premedicate impact on BIS value.
The degree of association of anesthetis kind is also differed by different acquisition module, and the sedation depth produced such as BIS and most of anaesthetics has dependency.In intravenous anesthetics, the depth of anesthesia of propofol is fabulous with BIS value dependency, can the accurate measurements simple propofol degree of depth.BIS is good with the inhaled concentration dependency of sevoflurane, desflurane, and when using Sevoflurane, BIS Depth of Anesthesia is reliable.But the research to isoflurane finds, BIS and isoflurane inhaled concentration non-correlation, it is impossible to the depth of anesthesia that monitoring isoflurane sucks, therefore different acquisition module need to be selected to be monitored according to different anesthetis kinds.
Anesthetis consumption needed for patient's all ages and classes, different body constitution, different sexes, different weight and different modus operandi is the most different, therefore needs each influence factor of comprehensive consideration.
BIS is relevant with the tranquilizing soporific degree in anesthesia, and it is the good index that a monitoring is calm；And AEP(auditory evoked potential, auditory evoked potentials) it is provided that many information such as operation stimulation, analgesia, tranquilizing soporific.When, after a large amount of use analgesic, BIS is difficult to predictor and moves, and in this case, only AEP could reflect depth of anesthesia, it was predicted that body moves and intraoperative diagnosis comprehensively.But the inapplicable deafness patient of AEP.
The dynamic monitoring modular of eye can monitor the depth of anesthesia of patient according to rapid eye movement and SEM, but eye moves monitoring modular is not suitable for schizophrenia, depression, mania, bipolar disorders, obsession, anxiety neurosis, all kinds of neurosis such as neurasthenia and somatization disorder, cerebral organic psychosis, psychoactive drug substance (such as ethanol) caused by mental disorder, and stress-related disorder etc..
The anaesthesia depth monitor of a kind of many monitoring indexes that this utility model provides, the setting of various monitoring measures, applicable at least two acquisition module can be selected according to the Different Individual situation of patient, the monitoring result of at least two acquisition module selected can be mutually authenticated, make monitoring result accurate, the depth of anesthesia of patient can be guarded, it is ensured that anesthetis consumption is accurate；Analogue simulation module and the setting of individual variation parameter input module, it is achieved that individual parameter differences can be revised, and can be modified the error of monitoring result with actual value according to individual instances, it is ensured that anesthetis consumption is accurate；The setting of the dynamic monitoring modular of eye, can the depth of anesthesia of patient the most anyway, the evaluation for patient's depth of anesthesia has clinical meaning.
Accompanying drawing explanation
Fig. 1 is structural representation of the present utility model.
Detailed description of the invention
Below in conjunction with the accompanying drawings this utility model is further described.
As shown in Figure 1, a kind of anaesthesia depth monitor of many monitoring indexes, it is characterized in that, including acquisition module, the outfan of described acquisition module is connected with the input of amplification module, the outfan of described amplification module is connected with the input of denoising module, the described outfan of denoising module is connected with the input of modular converter, the outfan of described modular converter is connected with the input of MCU, the input of described MCU also outfan with analogue simulation module is connected, the input of described analogue simulation module is connected with individual variation parameter input module, the outfan of described MCU is connected with display module and injection module respectively；Described acquisition module includes at least two that brain electric data collecting electrode slice, auditory evoked potential acquisition electrode sheet, electrocardio-data collection electrode slice, non-invasive blood pressure acquisition module, body temperature acquisition module, pulse collection module, oxygen saturation monitor module, monitoring of respiration module and eye move in monitoring modular.
Described injection module is microsyringe, and the heap(ed) capacity of described microsyringe is 10 μ L.
Described eye moves monitoring modular and includes eye tracker.
Described brain electric data collecting electrode slice is bilateral cerebral electricity double frequency acquisition electrode sheet.
Described analogue simulation module includes individual variation correcting module.
Described display module includes LED display.
The above is only preferred implementation of the present utility model; it is noted that, for those skilled in the art; on the premise of without departing from this utility model principle, it is also possible to make some improvements and modifications, these improvements and modifications also should be regarded as protection domain of the present utility model.
Claims (6)
1. the anaesthesia depth monitor of monitoring index more than a kind, it is characterized in that, including acquisition module, the outfan of described acquisition module is connected with the input of amplification module, the outfan of described amplification module is connected with the input of denoising module, the described outfan of denoising module is connected with the input of modular converter, the outfan of described modular converter is connected with the input of MCU, the input of described MCU also outfan with analogue simulation module is connected, the input of described analogue simulation module is connected with individual variation parameter input module, the outfan of described MCU is connected with display module and injection module respectively；Described acquisition module includes at least two that brain electric data collecting electrode slice, auditory evoked potential acquisition electrode sheet, electrocardio-data collection electrode slice, non-invasive blood pressure acquisition module, body temperature acquisition module, pulse collection module, oxygen saturation monitor module, monitoring of respiration module and eye move in monitoring modular.
The anaesthesia depth monitor of a kind of many monitoring indexes the most according to claim 1, it is characterised in that: described injection module is microsyringe, and the heap(ed) capacity of described microsyringe is 10 μ L.
The anaesthesia depth monitor of a kind of many monitoring indexes the most according to claim 1, it is characterised in that: described eye moves monitoring modular and includes eye tracker.
The anaesthesia depth monitor of a kind of many monitoring indexes the most according to claim 1, it is characterised in that: described brain electric data collecting electrode slice is bilateral cerebral electricity double frequency acquisition electrode sheet.
The anaesthesia depth monitor of a kind of many monitoring indexes the most according to claim 1, it is characterised in that: described analogue simulation module includes individual variation correcting module.
The anaesthesia depth monitor of a kind of many monitoring indexes the most according to claim 1, it is characterised in that: described display module includes LED display.
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105769146A (en) * | 2016-03-24 | 2016-07-20 | 美合实业（苏州）有限公司 | Anesthesia depth monitor adopting multiple monitoring indexes |
| CN107693917A (en) * | 2017-11-26 | 2018-02-16 | 张延艳 | A kind of painless medical treatment device precisely anaesthetized and its application method |
-
2016
- 2016-03-24 CN CN201620230745.1U patent/CN205697736U/en not_active Expired - Fee Related
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105769146A (en) * | 2016-03-24 | 2016-07-20 | 美合实业（苏州）有限公司 | Anesthesia depth monitor adopting multiple monitoring indexes |
| CN107693917A (en) * | 2017-11-26 | 2018-02-16 | 张延艳 | A kind of painless medical treatment device precisely anaesthetized and its application method |
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Granted publication date: 20161123 Termination date: 20190324 |
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