CN211609747U - Multifunctional medical infusion related exudation, heart rate and body temperature detector and system - Google Patents

Multifunctional medical infusion related exudation, heart rate and body temperature detector and system Download PDF

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CN211609747U
CN211609747U CN201922119027.3U CN201922119027U CN211609747U CN 211609747 U CN211609747 U CN 211609747U CN 201922119027 U CN201922119027 U CN 201922119027U CN 211609747 U CN211609747 U CN 211609747U
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monitoring
body temperature
heart rate
exudation
sensor
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邢慧宇
张春富
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Abstract

The utility model relates to a multifunctional medical transfusion related exudation, heart rate and body temperature detector and a system, which comprises a detector body and an external integrated sensor, wherein the operation surface of the detector body is provided with a display screen, an electric control valve and a transfusion pipe groove for placing a transfusion pipe, and a clamping opening below the electric control valve is vertically intersected with a walking area of the transfusion pipe groove; the infusion tube groove transversely penetrates through the surface of the detector body, an infusion tube temperature monitoring sensor is arranged in the right end portion of the infusion tube groove, a sensor jack, a heart rate monitoring socket and an alarm are sequentially arranged at the right end portion of the surface of the detector body from top to bottom, and the external integrated sensor comprises an exudation monitoring probe, a real-time body temperature monitoring probe, a multi-point skin temperature monitoring probe, a heart rate detection probe and an exudation-body temperature detection probe. The utility model discloses simple structure, reaction are fast, realize the monitoring of multiple spot skin temperature when the intelligent monitoring infusion, real-time body temperature monitoring, and the monitoring of real-time rhythm of the heart in time discovers patient's abnormal state, alleviates family members and nursing staff's burden.

Description

Multifunctional medical infusion related exudation, heart rate and body temperature detector and system
Technical Field
The utility model belongs to the technical field of medical safety monitoring apparatus, concretely relates to multi-functional medical infusion is relevant oozes, rhythm of the heart and body temperature detector and system.
Background
Infusion is one of the commonly used administration routes of the vertebra of the medical institution in China, 108 hundred million bottles (bags) of infusion in China are counted in 2017, domestic and foreign surveys show that more than 90% of hospitalized patients need to receive intravenous administration, and the infusion is shown according to the national adverse drug reaction monitoring annual report (2017) compiled by the national adverse drug reaction monitoring center: according to the statistics of drug administration routes, the intravenous injection administration accounts for 61 percent, the proportion is increased by 1.3 percent, the intravenous administration composition ratio is obviously higher than that of other administration routes, the prognosis generated by various adverse events in the infusion process is in direct proportion to the instillation amount of the infusion, so the infusion safety is also the important part of daily nursing work, but at present, the nursing staff in China is seriously insufficient, the patient ratio is seriously disordered, the infusion safety in China generally depends on the supervision of family members of patients, the family members lack related professional knowledge and cannot be found in time at the initial stage of the change of related physical signs, so the infusion problem can not be responded at the first time, the pain of the patients is increased, the life is seriously critical, but the contradiction between medical care and patient is easily caused by any problem.
The common problems in transfusion are as follows: 1. the puncture point oozes (extravasation), 2, infusion reaction.
Firstly, monitoring of exudation (extravasation): venous transfusion leakage and extravasation are the most common clinical care problems. Extravasation refers to the entry of non-corrosive drugs or solutions into surrounding tissue due to fluid administration negligence. Extravasation refers to the entry of corrosive drugs or solutions into surrounding tissues due to fluid administration negligence. The exudation and the extravasation bring extra pain to patients, and the difference between the exudation and the extravasation is that the result of the extravasation is serious in exudation, when the medicine is extravasated, a light person causes local tissue pain, redness and swelling, and a serious person causes tissue ulcer and necrosis, even causes disability, and causes medical care dispute. Therefore, the prevention is mainly performed, and the extravasation is also properly treated so as to avoid causing more pain to the patient.
According to the classification standard (trial) regulation of medical accidents in China: the injection causes local tissue necrosis, the adult is more than 2 percent of the body surface area, the child is more than 5 percent of the body surface area, and the four-grade medical accident belongs to.
According to the 2009 american society for intravenous fluid care (Infusion Nurses Soclety. lN9) exudation grading Standard:
level 1: the skin is whitish, the maximum diameter of the edema range is less than 1 inch, and the skin is cool with or without pain;
and 2, stage: the skin is whitish, the maximum diameter of the edema range is less than 1 to 6 inches, the skin is cool, with or without pain;
and 3, level: the skin and liver are white and semitransparent, the maximum edema range is larger than 6 inches, the skin is cool and has pain of moderate degree, and the skin may have numb feeling;
4, level: whitish, translucent, tight skin, exudation, skin discoloration, drunkenness, edema with a minimum diameter greater than 6 inches, depressed edema, circulatory disturbance, moderate to severe pain, exudation of any volume of blood product, irritative or corrosive fluid;
extravasation belongs to grade 4 on the extravasation scale, and infusion must be stopped immediately after either extravasation or extravasation has occurred and intervention can be immediately taken while the physician is notified.
The adverse consequences of the exudation and the extravasation on the human body are in direct proportion to the amount of the medicine entering the tissues around the blood vessels of the human body, particularly the extravasation, the larger the entering amount is, the more difficult the treatment is, the more serious the consequences are, so the exudation and the extravasation need to be discovered as early as possible, the infusion is stopped in time, and the main reason of the occurrence of the exudation (extravasation) is 1) that the nursing and the patrol of family members are not in place; 2) most children cry and cry, the old people have low pain and loose skin, and even some young and middle-aged patients cannot find exudation and extravasation in the first time by watching mobile phones and playing games. And no instrument and equipment aiming at infusion seepage exist in the current market. The infusion pump with the blockage sensing function cannot accurately alarm the leakage condition of the liquid medicine at the puncture point due to the interference of folding, bending and other conditions of the infusion tube during infusion. Particularly, during CT (computed tomography) radiography, a patient usually injects 90-100ml of a contrast agent through a high-pressure injection pump during scanning, the flow rate reaches 5-10ml/s, most patients are seriously ill during the radiography, the blood vessel condition is poor, the leakage of the contrast agent is easy to occur, no medical staff is present during the examination, the leakage cannot be found in time, the amount of the contrast agent leaked under the skin can reach dozens of milliliters greatly, the puncture part is obviously swollen, the contrast agent can be absorbed in three to four days, the contrast agent needs to be purchased again, and one bottle of the contrast agent needs hundreds of yuan, which brings burden to the body and economy of the patient. At present, the existing high-pressure injection pump in China only has an anti-blocking function, and only a few import injection pumps have an anti-seepage function, but the price is extremely high.
II, clinical manifestations of transfusion reaction: (1) and (3) exothermic reaction: it is often caused by the input of pyrogenic substances (dead bacteria, free mycoprotein, impure pharmaceutical ingredients, poor disinfection and storage, etc.). Patients mainly have the symptoms of cold and fever, mild patients have cold and shiver at about 38 ℃ when the patients are severe, high fever reaches more than 40 ℃, and general symptoms such as headache, nausea, vomiting, rapid pulse and the like. (2) Serum sample reaction: usually takes place within 7-l 0d (immediate type l-48 h) of the medication. The symptoms of the traditional Chinese medicine include fever, arthralgia, urticaria, generalized lymphadenectasis, eosinophilia, transient proteinuria, accelerated blood flow and the like, and serious patients can suffer angioneurotic edema, cerebral edema and laryngeal edema and can also be fatal if the patients are not rescued in time. (3) Vasovagal syncope: commonly known as "fainting needle". Peripheral vascular resistance is suddenly reduced mainly due to emotional stress and anxiety of patients, stimulation of venipuncture, postural discomfort (such as sitting), and the like, peripheral blood vessels are dilated without being accompanied by increase of the blood volume of heart pulsation, and the blood flow of brain is reduced, so that syncope is generated. It is mainly characterized by the sudden appearance of dizziness, dark before the eyes, pale complexion, cold sweating, nausea, subsequent syncope, loss of consciousness, blood pressure drop and slow pulse. (4) Anaphylactic shock: manifested by heart rate variation, profuse sweating, cold limbs, dyspnea, cyanosis, blood pressure drop and coma. Usually within seconds after the injection, also minutes to half an hour or during continuous administration. (5) Phlebitis: phlebitis is a chemical inflammatory reaction of a local vein wall caused by long-term infusion of a liquid medicine with high concentration and strong irritation or too long time for placing a plastic tube with high irritation in an intravenous way, and can also cause local vein infection due to untight aseptic operation in the infusion process. Symptoms are: the red lines appear in the veins, and the local tissues are red, swollen, hot and painful, sometimes accompanied by general symptoms such as aversion to cold and fever. (6) Circulatory overload (pulmonary edema): the main symptoms of the infusion are heart rate change, dyspnea, shortness of breath, chest distress, cough, foam phlegm, damp luo-yin of the two lungs and the like due to too fast infusion speed or too much liquid input in a short time. In addition to vasovagal syncope, the other primary treatment in all infusion reactions is to stop the infusion.
Patients who suffer from diseases are mostly serious patients, safety protection in the treatment process of intravenous injection usually depends on care of family members, nurses can be called only when problems exist, but the family members are not medical personnel and lack of related professional knowledge, when the body temperature and heart rate changes which are frequently caused by adverse reactions and early symptoms change, the patients or the family members can easily ignore the problems, the patients are particularly patients with fever and abnormal heart rate, the patients are more easily confused with the illness states of the patients, medical personnel can not be called for the first time, the infusion is stopped, and serious consequences are easily caused.
In addition, in clinical treatment, patients who are easy to form thrombus, have vascular injury due to limb fracture, or have limited blood circulation after internal and external fixation such as central venous catheterization through a noble vein, long-term bed rest and the like, have skin temperature at the tail end of an affected limb, pay attention to a medical workstation in real time in order to prevent tissue injury caused by insufficient blood supply, increase the workload of medical staff, and are easy to cause negligence in manual monitoring. Furthermore, most thermometers on the market at present are used for single measurement, manual actions are needed, the thermometers are usually used for measuring after fever occurs, and the body temperature of a patient cannot be monitored in real time for a long time. Finally, according to the infection diagnosis of surgical infection in the ninth edition of "surgery" published by the people's health: typical clinical manifestations of surgical infection: redness, swelling, heat, pain, dysfunction and fever can be diagnosed with basic certainty. Meanwhile, the treatment of surgical infection shows that the operation treatment of local inflammation focus is the key for treating surgical infection, and the wound of a patient after operation is wrapped by dressing and cannot be discovered earlier in time, so that the temperature of the wound area of the patient after the operation needs to be monitored in real time, the infected state of the patient can be discovered in time, the treatment is carried out in time, and the secondary systemic infection is avoided.
Disclosure of Invention
To the weak point among the prior art, the utility model provides a multi-functional medical infusion is relevant oozes, rhythm of the heart and body temperature detector and system. The utility model discloses can accomplish early discovery, early termination, early treatment to adverse reaction, avoid or alleviate what adverse event brought to infusion patient health damage, alleviate patient, family members and nursing staff health, psychological burden, the emergence of furthest's avoiding medical malpractice.
In order to achieve the above purpose, the utility model discloses technical scheme as follows:
a multifunctional medical transfusion related exudation, heart rate and body temperature detector comprises a detector body, a transparent cover plate covering the detector body and an external integrated sensor;
the operation surface of the detector body is provided with a display screen, an electric control valve and an infusion tube groove for placing an infusion tube, the display screen is positioned on the left side of the operation surface of the detector body, the electric control valve is positioned on the right side of the display screen, a clamping opening below the electric control valve is vertically intersected with a walking area of the infusion tube groove, and the electric control valve is restored to an open state when the instrument is powered off or an electric control valve key is closed; the infusion tube groove transversely penetrates through the operation surface of the detector body in the direction, and an infusion tube temperature monitoring sensor is arranged in the right end part of the infusion tube groove;
the left end part of the operating surface of the detector body is sequentially provided with a charging and data interface and a wireless module from top to bottom, the wireless module is positioned above the infusion tube groove, the right end part of the operating surface of the detector body is sequentially provided with a sensor jack, a heart rate monitoring jack and an alarm from top to bottom, the sensor jack, the heart rate monitoring jack and the alarm are close to the right side of the display screen,
the external integrated sensor comprises an exudation monitoring probe, a real-time body temperature monitoring probe, a multi-point skin temperature monitoring probe, a heart rate detection probe and an exudation-body temperature detection probe.
Furthermore, the infusion tube temperature monitoring sensor comprises an infusion tube temperature sensor probe.
Furthermore, the display screen top transversely is equipped with in proper order oozes monitoring mode key, body temperature monitoring mode key and multiple spot skin temperature monitoring mode key, and the display screen below transversely is equipped with power key, rhythm of the heart monitoring key and automatically controlled valve key in proper order.
Further, the wireless module adopts a wireless bidirectional module.
Further, ooze the monitoring probe and adopt two temperature sensor probe settings, and wholly with the colour that is different from other monitoring function in order showing the differentiation, including oozing monitoring plug and two respectively with ooze the high accuracy temperature sensor that monitoring plug electricity is connected, sensor probe non-contact surface mark 1, 2 figures are in order showing the differentiation.
Furthermore, real-time body temperature monitoring probe adopts single temperature sensor setting, and wholly with the colour that is different from other monitoring function in order showing the differentiation, including real-time body temperature monitoring plug and with the high accuracy temperature sensor that real-time body temperature monitoring plug electricity is connected.
Further, the multipoint skin temperature monitoring probe adopts a three-temperature sensor probe, is integrally distinguished by colors different from other monitoring functions, comprises a multipoint skin temperature monitoring plug and a high-precision temperature sensor electrically connected with the multipoint skin temperature monitoring plug, and marks 1, 2 and 3 figures on the non-contact surface of the sensor probe for distinguishing.
Further, heart rate test probe adopts bipolar electrode sensor setting, and wholly with the colour that is different from other monitor function with showing the differentiation, including heart rate detection plug and with the potential sensor that heart rate detection plug electricity is connected.
Furthermore, the exudation-body temperature detection probe comprises an exudation-body temperature detection plug, two exudation monitoring sensors and a body temperature sensor, wherein the two exudation monitoring sensors are respectively connected with the exudation-body temperature detection plug through two short wire harnesses, and the body temperature sensor is connected with the exudation-body temperature detection plug through a long wire harness; the exudation-body temperature detection plug is surrounded by blue and green in an alternate mode, two short wire harnesses, an exudation monitoring sensor and an exudation monitoring probe are in the same color, and one long wire harness, a body temperature sensor and real-time body temperature monitoring are in the same color.
A multi-functional medical infusion is relevant to ooze, heart rate and body temperature detecting system includes:
the detection probes are used for detecting vital signs of a patient and sending a first signal to the main control unit sequentially through the signal conditioning unit and the signal acquisition unit;
the main control unit is used for receiving the first signal, performing operation corresponding to the information contained in the first signal and simultaneously sending a second signal containing biological information of the patient to the monitoring terminal through the communication unit;
the monitoring terminal is used for simultaneously managing a plurality of seepage monitoring nodes, real-time data management and alarm prompt; and
the power control module comprises a charging management unit, a lithium battery electrically connected with the charging management unit, a booster circuit 1 and a booster circuit 2, wherein the lithium battery is electrically connected with the booster circuit 1 and the booster circuit 2 respectively; the output end of the booster circuit 2 is electrically connected with the communication unit, the signal conditioning unit and the signal acquisition unit to provide electric power, and the booster circuit 2 is electrically connected with the main control unit and is controlled to be switched on and off by the main control unit to realize energy conservation of a peripheral circuit.
The utility model has the advantages that:
1. the utility model relates to an instrument characteristics have: the volume is small, the carrying is convenient, the flexibility is strong, the sensitivity is high, the reaction is rapid, and the pertinence is strong; and the original intravenous infusion mode is not changed, so that the popularization of the instrument is facilitated.
2. The infusion process monitoring main body is changed, an original manual nursing mode is changed into an artificial intelligent whole-course uninterrupted nursing mode as the main body, skin temperature, body temperature and heart rate around a puncture point with exudation (extravasation) and infusion adverse reaction are monitored in an infusion process in a whole-course uninterrupted mode, the monitoring is associated with an infusion pipeline control module, and when the monitoring of an instrument is carried out, infusion is stopped, the instrument and a remote management system of a nurse station send sound and light warnings.
3. The sensors required for monitoring purposes can be flexibly collocated, and the sensor can be used for monitoring the object through: 1) the monitoring of the body temperature of the single-end temperature sensor probe, 2) the monitoring of the exudation of the double-end temperature sensor probe, 3) the exudation (extravasation) of the three-end temperature sensor probe plus the monitoring of the body temperature, and 4) the monitoring of the heart rate of the double-electrode sensor probe. The instrument body is a double-jack, so seven matching modes (1, 2, 3, 4, 1+4, 2+4 and 3+ 4) are provided, and nurses can select the monitoring purpose according to the characteristics of the used medicines.
4. In order to further make full use of the utility model discloses current functional characteristics reduce medical institution's medical cost, combine the daily needs of nursing work content, through the data ization processing, multiple spot skin temperature monitoring has been added, real-time body temperature monitoring, real-time rhythm of the heart monitoring, it is more convenient to bring for nursing work and patient, real-time monitoring when the basic vital sign through portable body temperature and rhythm of the heart, inpatient's security has been improved, in time discover patient's abnormal state, reduce the occurence of failure, bring tangible interests for patient and hospital.
1) Multipoint skin temperature monitoring: the temperature field of a certain region of a human body is formed by processing data of multipoint skin temperature monitoring in the region, the skin temperature fluctuation of the region is reflected, when a patient suffering from arterial embolism of limbs is subjected to percutaneous vascular puncture and in-vivo catheter thrombolysis treatment, a plurality of skin temperature monitoring probes can be placed on the limb at the tail end of an affected limb to reflect the skin temperature change in the tail end region of the affected limb, so that the thrombolysis treatment effect is monitored, the curative effect reference is provided, and when the blood vessel is re-passed after the embolus becomes small or disappears, the skin temperature at the tail end of the affected limb is in the rising recovery trend. If the patient places a plurality of skin temperature monitor probe around the incision after surgery again, the temperature in reaction postoperative incision region, the suitable temperature that the manual control of being convenient for incision resumes also can monitor whether postoperative infection appears, and when the infection takes place early, skin temperature fluctuation is the ascending trend, can in time inform medical personnel, and early treatment prevents that the infection from aggravating.
2) Real-time body temperature monitoring: body temperature reacts one of the basic vital sign of human situation, is the inspection item that inpatient must do every day, and the clinical thermometer that is used commonly at present is mostly single measurement, only patient's body temperature rises the back, and just can find when the rising value is great, meets countless children that easily generate febrile convulsion at clinical work for many years, and the busy old man looks after or self factor of work because of the head of a family, leads to children's body temperature to rise when arousing the convulsion, just finds child's high fever, the utility model discloses can real-time supervision patient's body temperature to change measuring frequency according to patient's body temperature's change, and present in nurse station in real time.
3) Monitoring the heart rate in real time: in recent years, several hospitalized patients have sudden cardiac arrest, some patients can find the sudden cardiac arrest in time, the treatment is not interrupted, some patients cannot find the sudden cardiac arrest in time, and the optimal treatment time is missed, so that the sequelae or the death of the cerebral anoxia is caused. Especially intracardiac branch of academic or vocational study's inpatient is the high crowd that sends out, and nurse work load is big, can not take into account every patient, and this equipment is small, portable, and more accurate than wrist formula and arm-type rhythm of the heart monitoring, also more laminate clinical demand, thereby the potential change measures the rhythm of the heart when monitoring the heart depolarization, the advantage lies in the utility model discloses a potentiometric sensor probe is detachable, and patient chest wall stiff end is disposable special fixed sticky tape, greatly reduces patient's economic burden and hospital's medical cost. When the heart rate is abnormal, the instrument sends out sound and light alarm to the nurse station in time in a remote way, so that the basic state of the heart of the patient can be placed in front of medical care personnel at any time, and the life safety of the patient is greatly improved.
Drawings
Fig. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic view of the external integrated sensor of the present invention;
fig. 3 is a schematic structural diagram of a single sensor of the present invention;
FIG. 4 is a schematic view showing the distribution of the special fixing tape and the magnetic material of the present invention;
FIG. 5 is a side view of the special fixing tape and the magnetic material of the present invention;
FIG. 6 is a block diagram of the structure of a multifunctional medical transfusion related exudation, heart rate and body temperature detection system provided by the present invention;
fig. 7 is the safety monitoring process of the transfusion patient of the utility model.
In the figure, 1-a detector body, 2-an electric control valve, 3-an infusion tube temperature monitoring sensor, 4-a wireless module, 5-a display screen, 6-an alarm, 7-a transparent cover plate, 8-a fixing belt, 9-an infusion tube groove, 10-a charging and data interface, 11-an exudation monitoring mode key, 12-a body temperature monitoring mode key, 13-a multi-point skin temperature monitoring mode key, 14-a power key, 15-a heart rate monitoring key, 16-an electric control valve key, 17-a multi-temperature sensor integrated jack and 18-a heart rate monitoring jack;
19-seepage monitoring plug, 20, 21, 23, 25, 26, 27-high-precision temperature sensor, 22-real-time body temperature monitoring plug, 24-multipoint skin temperature monitoring plug, 28-heart rate detection plug, 29, 30-potential sensor,
31-single temperature sensor probe fixing adhesive tape, 32(A) -slow infusion double-temperature sensor probe fixing adhesive tape, 32(B) -fast infusion double-temperature sensor probe fixing adhesive tape, 33-heart rate sensor fixing adhesive tape, 34-probe, 35-magnetic material, 36-wiring harness, 37-exudation-body temperature detection plug, 38, 39-exudation monitoring sensor and 40-body temperature monitoring sensor.
Detailed Description
The present invention is described below with reference to specific examples. It will be understood by those skilled in the art that these examples are for illustrative purposes only and are not intended to limit the scope of the present invention in any way.
A multifunctional medical transfusion related exudation, heart rate and body temperature detector is shown in figure 1 and comprises a detector body 1, a transparent cover plate 7 covering the detector body 1 and an external integrated sensor; one side of the detector body 1 is connected with one side of the transparent cover plate 7 through a fixing belt 8, and the other fixing belt 8 is arranged on the corresponding side of the detector body 1 at the same time, so that the transparent cover plate 7 covers the detector body 1 and is connected with the other side of the transparent cover plate 7, and a patient is prevented from mistakenly touching the operation surface device of the detector body 1;
the operation surface of the detector body 1 is provided with a display screen 5, an electric control valve 2 and an infusion tube groove 9 for placing an infusion tube, the display screen 5 is positioned on the left side of the operation surface of the detector body 1, a seepage monitoring mode key 11, a body temperature monitoring mode key 12 and a multipoint skin temperature monitoring mode key 13 are transversely and sequentially arranged above the display screen 5, and a power key 14, a heart rate monitoring key 15 and an electric control valve key 16 are transversely and sequentially arranged below the display screen 5; the electric control valve 2 is positioned at the right side of the display screen 5, a clamping opening below the electric control valve 2 is vertically intersected with a running area of the infusion tube groove 9, and the electric control valve 2 is restored to an opening state when the instrument is powered off or the electric control valve key 16 is closed; the infusion tube groove 9 transversely penetrates through the operation surface of the detector body 1 in the direction of the groove, and an infusion tube temperature monitoring sensor 3 is arranged in the right end part of the infusion tube groove; the display screen 5 is used for displaying the monitored temperature data, battery information and the state of the electric control valve, and the background is green when the temperature of the frequency measurement monitoring point is in a normal state, and is yellow or red according to the temperature range when the temperature is abnormal;
the left end of the operation surface of the detector body 1 is sequentially provided with a charging and data interface 10 and a wireless module 4 from top to bottom, the wireless module 4 is positioned above the infusion tube groove 9, the right end of the operation surface of the detector body 1 is sequentially provided with a sensor jack 17, a heart rate monitoring jack 18 and an alarm 6 from top to bottom, and the sensor jack 17, the heart rate monitoring jack 18 and the alarm 6 are close to the right side of the display screen 5.
In this embodiment, as shown in fig. 2, the external integrated sensor includes a bleeding monitoring probe, a real-time body temperature monitoring probe, a multi-point skin temperature monitoring probe, a heart rate detecting probe, and a bleeding-body temperature detecting probe,
as shown in fig. 2(a), the seepage monitoring probe adopts a double-temperature sensor arrangement, and is wholly distinguished by green (or different sensor colors from fig. 2b, c and d), and comprises a seepage monitoring plug 19 and two high-precision temperature sensors (20 and 21) which are respectively electrically connected with the seepage monitoring plug 19, wherein the non-contact surfaces of the sensor probes are marked with numbers 1 and 2 for distinguishing,
as shown in fig. 2(b), the real-time body temperature monitoring probe adopts a single temperature sensor arrangement, and is entirely distinguished by blue (or a sensor color different from that of fig. 2a, c and d), and comprises a real-time body temperature monitoring plug 22 and a high-precision temperature sensor 23 electrically connected with the real-time body temperature monitoring plug 22,
as shown in fig. 2 (c), the multi-point skin temperature monitoring probe adopts a three-temperature sensor arrangement, and is wholly distinguished by yellow (or different sensor colors from fig. 2a, b and d), and comprises a multi-point skin temperature monitoring plug 24 and high-precision temperature sensors (25, 26 and 27) electrically connected with the multi-point skin temperature monitoring plug 24, wherein the non-contact surfaces of the sensor probe are marked with numbers 1, 2 and 3 for distinguishing,
as shown in fig. 2 (d), the heart rate detecting probe adopts a two-electrode sensor arrangement, and is generally distinguished by red (or a sensor color different from that of fig. 2a, b and c), and comprises a heart rate detecting plug 28 and potential sensors (29 and 30) electrically connected with the heart rate detecting plug 28,
as shown in fig. 2 (e), the exudation-body temperature detection probe includes an exudation-body temperature detection plug 37, two exudation monitoring sensors (38, 39) and a body temperature sensor 40, the two exudation monitoring sensors and the exudation-body temperature detection plug are respectively connected through two short wire bundles, and the body temperature sensor and the exudation-body temperature detection plug are connected through a long wire bundle; the exudation-body temperature detection plug is surrounded by blue and green in an alternate mode, two short wire harnesses, an exudation monitoring sensor and an exudation monitoring probe are in the same color, and one long wire harness, a body temperature sensor and real-time body temperature monitoring are in the same color.
In this embodiment, as shown in fig. 3, a single sensor for directly measuring and collecting related data includes a packaged probe 34 and a magnetic material 35, the probe 34 is approximately flat and has various shapes, the magnetic material 35 covers the side surface of the probe 34, the detection surface of the probe 34 protrudes out of the covering surface of the magnetic material 35 and is connected with a connection harness 36 of a plug, and meanwhile, the magnetic material is attracted and attached to the material around the detection hole of the special fixing tape through magnetic force action. In particular, in seepage monitoring and body temperature monitoring, the high-precision temperature sensors (20, 21 and 23) adopt PT100 type high-precision temperature sensors, and the precision is +/-0.1 ℃; the accuracy of the probes of the sensors (25, 26, 27) for multipoint skin temperature monitoring is +/-0.1 ℃, and the probes of the sensors (29, 30) for heart rate monitoring are high-sensitivity electrode sensors.
In this embodiment, as shown in fig. 4 and 5, the special fixing tape is divided into a single temperature sensor probe fixing tape 31, a slow infusion double temperature sensor probe fixing tape 32(a), a fast infusion double temperature sensor probe fixing tape 32(B) and a heart rate sensor fixing tape 33, the body of the special fixing tape is a breathable medical tape with a suitable aperture, the breathable medical tape is attached to the surface of a magnetic material or an ultrathin iron sheet, and when the special fixing tape is attached to a plurality of magnetic materials, the special fixing tape between every two soft magnetic materials is provided with absorbent cotton, so that when a small amount of leakage at a puncture point is prevented, liquid flows below the sensor probe, and misjudgment is caused. Specifically, the soft magnetic material is attached to the single-temperature-sensor-probe fixing adhesive tape 31, the slow-infusion double-temperature-sensor-probe fixing adhesive tape 32(A) and the fast-infusion double-temperature-sensor-probe fixing adhesive tape 32(B), and the center hole of the soft magnetic material is made of a thin film material, so that the head of the sensor is prevented from directly contacting with the skin of a patient. Two annular soft magnetic materials attached to the heart rate sensor fixing adhesive tape 33, wherein the center hole of the two annular soft magnetic materials is made of a flexible superconducting thin film material.
A multi-functional medical infusion-related leak, heart rate, and body temperature detection system, as shown in fig. 6, comprising:
the detection probes are used for detecting vital signs of a patient and sending a first signal to the main control unit sequentially through the signal conditioning unit and the signal acquisition unit;
the main control unit is used for receiving the first signal, performing operation corresponding to information contained in the first signal, such as stopping infusion, controlling the working state of the signal acquisition unit and controlling the on-off of the booster circuit 2, and meanwhile sending a second signal containing biological information of a patient to the monitoring terminal through the communication unit;
the monitoring terminal is used for simultaneously managing a plurality of seepage monitoring nodes, real-time data management and alarm prompt; and
the power control module comprises a charging management unit, a lithium battery electrically connected with the charging management unit, a booster circuit 1 and a booster circuit 2, wherein the lithium battery is electrically connected with the booster circuit 1 and the booster circuit 2 respectively; the output end of the booster circuit 2 is electrically connected with the communication unit, the signal conditioning unit and the signal acquisition unit to provide electric power, and the booster circuit 2 is electrically connected with the main control unit and is controlled to be switched on and off by the main control unit to realize energy conservation of a peripheral circuit.
As shown in fig. 7, the utility model discloses a use flow:
the infusion safety monitoring process comprises the following steps:
first, pre-processing and post-processing flow: patient information (basic information such as name, age, ward, bed number) is input according to the equipment number on the management system of nurse station, be fixed in patient's health with this instrument through fixed band 8, if the shallow venous transfusion of back of the hand or radiography, the instrument is fixed in wrist or forearm, starts power key 14, puts into infusion pipe groove 9 with the transfer line (this step is not needed in the monitoring of non-infusion patient's real-time body temperature, real-time rhythm of the heart, multiple spot skin temperature), the self-checking is accomplished to the instrument, closed apron. When the transfusion abnormal event is processed, the electric control valve key 16 is closed or the instrument power supply is closed, and the valve is automatically reset after the valve body is powered off.
Secondly, monitoring related to infusion patients:
1. and (3) monitoring seepage: the nurse station can set monitoring frequency according to different flow rates of patients, ordinary intravenous infusion can be monitored once in seconds, and rapid injection or high-pressure injection (such as high-pressure contrast agent injection) can be monitored several times in one second:
ordinary venous transfusion: after the preposed flow is completed, the puncture needle is fixed by the special adhesive tape after the successful puncture of the nurse, the puncture point is positioned below the absorbent cotton, the seepage monitoring plug 19 is inserted into the temperature sensor integrated socket 17, the temperature sensor probes (20 and 21) and the seepage monitoring special adhesive tape 32(A) are attached through a magnetic material, and the special adhesive tape can be additionally reinforced according to actual requirements. And (3) starting the seepage monitoring mode key 11 and the electric control valve 16, closing the cover plate 7, remotely setting the measuring frequency and the seepage time delay closing time of the electric control valve 2 in the nurse station, and remotely displaying the skin temperature monitoring data of the puncture points of all patients in real time. When skin temperature around the puncture point falls fast in short time, the temperature of the monitoring point rises gradually and approaches the original skin temperature, the phenomenon that excessive seepage occurs is indicated, the nurse station gives an alarm and prompts abnormal data and patient position information but does not stop infusion, when skin temperature around the puncture point falls fast and continuously and tends to the temperature of the infusion tube, the electric control valve 2 is closed to stop infusion and give an alarm, and meanwhile, the nurse station gives an alarm and prompts abnormal data and patient position information.
Rapid or high pressure intravenous injection: after the preposed flow is completed, the puncture needle is fixed by the special adhesive tape after the successful puncture of the nurse, the puncture point is positioned below the absorbent cotton, the seepage monitoring plug 19 is inserted into the temperature sensor integrated socket 17, the temperature sensor probes (20 and 21) and the seepage monitoring special adhesive tape 32(B) are attached through a magnetic material, and the special adhesive tape can be additionally reinforced according to actual requirements. And (3) starting the seepage monitoring mode key 11 and the electric control valve 16, closing the cover plate 7, remotely setting the measuring frequency and the seepage time delay closing time of the electric control valve 2 in the nurse station, and remotely displaying the skin temperature monitoring data of the puncture points of all patients in real time. When the skin temperature monitoring point 32 (B1) around the puncture point rapidly and continuously descends, the system (the instrument body and the workstation) sends out a warning alarm but does not stop injecting the liquid medicine, when the seepage continues, the descending skin temperature range continuously expands to the monitoring point 32 (B2), the electric control valve 2 is closed to stop transfusion and give an alarm to the monitoring terminal.
2. Monitoring the body temperature in the infusion process: when the body temperature changes beyond the normal range value but does not reach the alarm value, the body temperature sensor can automatically increase the measurement frequency, and after the body temperature fluctuation is abnormal and the transfusion is stopped, the body temperature sensor continues to monitor and work:
accomplish leading flow, insert the integrated socket 17 of temperature sensor with real-time body temperature monitoring plug 19, paste single temperature sensor fixed sticky tape 31 in armpit axillary artery department, can additionally reinforce with the sticky tape according to the demand above, place temperature sensor 23, select real-time body temperature monitoring key 22 of person and automatically controlled valve key 16 on equipment, begin to monitor the body temperature and change. The nurse station can remotely set the measuring frequency of each sensor and the closing condition of the electric control valve when the temperature fluctuation is abnormal, when the temperature fluctuation exceeds a set normal range value, the electric control valve 2 is closed to stop transfusion, and simultaneously the nurse station gives an alarm to prompt abnormal data and position information of a patient;
when the intravenous infusion is monitored in real time, when the temperature of a patient with normal body temperature obviously fluctuates in a short time or the temperature of a patient with fever rises rapidly on the basis of the original body temperature, the patient is considered to have a heat source reaction, the infusion is stopped and an alarm is given. The nurse station can set the alarm value of the body temperature sensor, or raise the difference alarm based on the original body temperature, or set different measurement frequencies according to different time, such as one measurement in the first twenty minutes and five seconds and one measurement in the last ten minutes and 30 minutes. The patient nurse station that generates heat can set up by oneself according to the condition.
3. Monitoring the heart rate in the venous transfusion process: heart rate monitoring is used to measure heart rate by monitoring the change in electrical potential as the heart depolarizes. The utility model discloses not only can monitor the heart rate change during infusion reaction time, also can be used to the unusual patient of heart rhythm, through venous transfusion regulation heart rhythm medicine, when the heart resumes normal rhythm, automatically controlled valve is closed, stops the infusion to report to the police to nurse station and inform. For example, the heart rate of a patient with an upper ventricular rate is 180+, the heart rate of intravenous drip is flat, a nurse station sets a relevant value, when the heart rate of the patient is slowed down to reach the set value, the electric control valve is closed, infusion is stopped, and meanwhile, the nurse station sends relevant information;
accomplish leading flow, insert heart rate monitoring jack 18 with heart rate detection plug 28, paste heart rate monitoring sticky tape 33 chest wall department under the sternum handle (can adjust as appropriate according to actual operation), place electrode sensor in fixed sticky tape magnetism circle, start heart rate monitoring key 15 and automatically controlled valve key 16, when patient's heart rate change exceeded or reached the settlement range during the infusion, the automatically controlled valve is closed, stops the infusion, nurse station sends out the police dispatch newspaper simultaneously, suggestion abnormal data and patient position information.
Safety monitoring in the infusion process can be used alone or matched with various kinds of monitoring, when various monitoring functions are used for matching, when any monitored numerical value exceeds a set safety range, the electric control valve is closed, infusion is stopped, and meanwhile, an instrument and a nurse station give out sound and light alarms to prompt abnormal data and patient information.
Monitoring for seepage and monitoring for body temperature, wherein a multi-head sensor shown in fig. 2 is used, and on the basis of the original two processes, a seepage monitoring key 11, a body temperature monitoring key 12 and an electric control valve key 16 are required to be started;
monitoring the seepage and monitoring the heart rate, wherein on the basis of the two original processes, a seepage monitoring key 11, a heart rate monitoring key 15 and an electric control valve key 16 are required to be started;
the body temperature monitoring and the heart rate monitoring are carried out, and on the basis of the two original processes, a body temperature monitoring key 12, a heart rate monitoring key 15 and an electric control valve key 16 are required to be started;
seepage monitoring + body temperature monitoring + heart rate monitoring, on original three kinds of flows basis, need start seepage monitoring key 11, body temperature monitoring key 12, heart rate monitoring key 15, automatically controlled valve key 16.
The utility model discloses extend the function:
1. and (3) continuous body temperature monitoring: the single-point monitoring adhesive tape 31 is fixed at the axillary artery or other body temperature monitoring points, the temperature sensor 23 is placed, the body temperature change is monitored, and the adhesive tape can be additionally used for reinforcement according to the requirement. The start-up lasts the body temperature monitoring, and show in real time and send body temperature data to nurse's station in real time, and can show at nurse's station display screen, nurse's station can set for this body temperature sensor's alarm value, or change the difference and report to the police on the basis of original body temperature, can set up different measuring frequency according to the different state of an illness and heat type (body temperature fluctuation curve when generating heat) simultaneously, the utility model discloses the dormancy of accessible self with regularly awaken up and realize that the master control is energy-conserving, when being in the normal value by monitoring human body temperature long time, instrument self extension measuring frequency, when patient's body temperature rises or surpasss normal range, the instrument is automatic to awaken, and according to body temperature value, increase self. If the body temperature of the patient is stabilized in the normal (36-37.5 ℃) range for a long time, the measurement is stopped or the measurement is carried out once, when the body temperature of the patient exceeds the normal range, the body temperature monitoring system wakes up and gives an alarm to remind relevant personnel of paying attention, but when the body temperature of the patient rises to be higher than 37.5 ℃, the measurement interval is shortened, the measurement frequency is increased, and when the body temperature of the patient continues to rise to be higher than 38.5 ℃, the measurement interval is further shortened, and the measurement frequency is further increased.
2. Continuous heart rate monitoring: accomplish leading flow, paste the special fixed sticky tape 33 of rhythm of the heart in patient chest bone handle under chest wall heart department, start rhythm of the heart monitoring key 15, start and implement the rhythm of the heart monitoring, when the rhythm of the heart surpasses the alarm threshold value that sets for, instrument and nurse station can send, audible and visual alarm for the nurse can in time handle the treatment, and the discovery of rhythm of the heart anomaly greatly in advance and the time of treatment, this aspect has absolute advantage than artifical nurse.
3. Continuous multipoint skin temperature monitoring: according to the clinical requirements of patients, a plurality of single-point adhesive tapes 31 are respectively fixed at the target points, sensors (25/26/27) are respectively placed, and the adhesive tapes can be additionally used for reinforcement according to the requirements. The start lasts the body temperature monitoring, and show in real time and send body temperature data to nurse's station in real time, and can show at nurse's station display screen, and nurse's station can set for the alarm value of each skin temperature sensor, or change the difference and report to the police on original skin temperature basis, or set up different measuring frequency according to the different times, the utility model discloses accessible self dormancy and regularly awaken up and realize that the master control is energy-conserving, when being in when predetermineeing the normal value by monitoring people skin temperature long time, instrument self extension measuring frequency, when patient skin temperature rises or surpasss normal range, the instrument is awaken automatically, sends tip information to the remote monitoring platform simultaneously.

Claims (10)

1. The utility model provides a relevant seepage of multi-functional medical infusion, rhythm of the heart and body temperature detector which characterized in that: the detector comprises a detector body, a transparent cover plate covering the detector body and an external integrated sensor;
the operation surface of the detector body is provided with a display screen, an electric control valve and an infusion tube groove for placing an infusion tube, the display screen is positioned on the left side of the operation surface of the detector body, the electric control valve is positioned on the right side of the display screen, a clamping opening below the electric control valve is vertically intersected with a walking area of the infusion tube groove, and the electric control valve is restored to an open state when the instrument is powered off or an electric control valve key is closed; the infusion tube groove transversely penetrates through the operation surface of the detector body in the direction, and an infusion tube temperature monitoring sensor is arranged in the right end part of the infusion tube groove;
the left end part of the operating surface of the detector body is sequentially provided with a charging and data interface and a wireless module from top to bottom, the wireless module is positioned above the infusion tube groove, the right end part of the operating surface of the detector body is sequentially provided with a sensor jack, a heart rate monitoring jack and an alarm from top to bottom, the sensor jack, the heart rate monitoring jack and the alarm are close to the right side of the display screen,
the external integrated sensor comprises an exudation monitoring probe, a real-time body temperature monitoring probe, a multi-point skin temperature monitoring probe, a heart rate detection probe and an exudation-body temperature detection probe.
2. The multifunctional medical transfusion related effusion, heart rate and body temperature detector as claimed in claim 1, characterized in that: the infusion tube temperature monitoring sensor comprises an infusion tube temperature sensor probe.
3. The multifunctional medical transfusion related effusion, heart rate and body temperature detector as claimed in claim 1, characterized in that: the display screen top transversely is equipped with in proper order and oozes monitoring mode key, body temperature monitoring mode key and multiple spot skin temperature monitoring mode key, and the display screen below transversely is equipped with power key, rhythm of the heart monitoring key and automatically controlled valve key in proper order.
4. The multifunctional medical transfusion related effusion, heart rate and body temperature detector as claimed in claim 1, characterized in that: the wireless module adopts a wireless bidirectional module.
5. The multifunctional medical transfusion related effusion, heart rate and body temperature detector as claimed in claim 1, characterized in that: ooze the monitor probe and adopt two temperature sensor settings, and wholly with the colour that is different from other monitor function in order showing the differentiation, including oozing the monitor plug and two respectively with oozing the high accuracy temperature sensor that the monitor plug electricity is connected, sensor probe non-contact surface mark 1, 2 figures are in order showing the differentiation.
6. The multifunctional medical transfusion related effusion, heart rate and body temperature detector as claimed in claim 1, characterized in that: real-time body temperature monitoring probe adopts single temperature sensor setting, and wholly with the colour that is different from other monitor function in order showing the differentiation, including real-time body temperature monitoring plug and with the high accuracy temperature sensor that real-time body temperature monitoring plug electricity is connected.
7. The multifunctional medical transfusion related effusion, heart rate and body temperature detector as claimed in claim 1, characterized in that: the multi-point skin temperature monitoring probe is provided with three temperature sensors, and is integrally distinguished by colors of different other monitoring functions, and comprises a multi-point skin temperature monitoring plug and a high-precision temperature sensor electrically connected with the multi-point skin temperature monitoring plug, and the non-contact surface of the sensor probe is marked with numbers 1, 2 and 3 to distinguish.
8. The multifunctional medical transfusion related effusion, heart rate and body temperature detector as claimed in claim 1, characterized in that: heart rate test probe adopts bipolar electrode sensor to set up, and wholly with the colour that is different from other monitor function in order showing the differentiation, including heart rate detection plug and with the potential sensor that heart rate detection plug electricity is connected.
9. The multifunctional medical transfusion related effusion, heart rate and body temperature detector as claimed in claim 1, characterized in that: the exudation-body temperature detection probe comprises an exudation-body temperature detection plug, two exudation monitoring sensors and a body temperature sensor, wherein the two exudation monitoring sensors are respectively connected with the exudation-body temperature detection plug through two short wire harnesses, and the body temperature sensor is connected with the exudation-body temperature detection plug through a long wire harness; the exudation-body temperature detection plug adopts two colors of exudation function and body temperature function to surround alternately, two short wire harnesses and exudation monitoring sensors are in the same color as the exudation monitoring sensors, and one long wire harness and body temperature sensor are in the same color as the real-time body temperature monitoring sensors.
10. The utility model provides a relevant ooze of multi-functional medical infusion, heart rate and body temperature detector system which characterized in that includes:
the detection probes are used for detecting vital signs of a patient and sending a first signal to the main control unit sequentially through the signal conditioning unit and the signal acquisition unit;
the main control unit is used for receiving the first signal, performing operation corresponding to the information contained in the first signal and simultaneously sending a second signal containing biological information of the patient to the monitoring terminal through the communication unit;
the monitoring terminal is used for simultaneously managing a plurality of seepage monitoring nodes, real-time data management and alarm prompt; and
the power control module comprises a charging management unit, a lithium battery electrically connected with the charging management unit, a booster circuit 1 and a booster circuit 2, wherein the lithium battery is electrically connected with the booster circuit 1 and the booster circuit 2 respectively, and the output end of the booster circuit 1 is electrically connected with the main control unit; the output end of the booster circuit 2 is electrically connected with the communication unit, the signal conditioning unit and the signal acquisition unit, and the booster circuit 2 is electrically connected with the main control unit and is controlled to be switched on and off by the main control unit so as to save energy of a peripheral circuit.
CN201922119027.3U 2019-12-02 2019-12-02 Multifunctional medical infusion related exudation, heart rate and body temperature detector and system Expired - Fee Related CN211609747U (en)

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Application Number Priority Date Filing Date Title
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