CN213993526U - Intestinal tract power detection device - Google Patents

Intestinal tract power detection device Download PDF

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CN213993526U
CN213993526U CN202021054006.4U CN202021054006U CN213993526U CN 213993526 U CN213993526 U CN 213993526U CN 202021054006 U CN202021054006 U CN 202021054006U CN 213993526 U CN213993526 U CN 213993526U
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intestinal
detection device
wave collector
module
slow wave
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吴国豪
谈善军
张知格
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Zhongshan Hospital Fudan University
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Zhongshan Hospital Fudan University
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Abstract

The utility model discloses an intestinal power detection device, it includes intestinal creeping wave collector, intestinal slow wave collector, signal processor, data processor, display, power module. This intestinal power detection device can real-time dynamic monitoring user's intestinal power, improves patient's intestinal power and detects compliance to thereby be applicable to internet of things and be favorable to implementing accurate medical treatment.

Description

Intestinal tract power detection device
Technical Field
The utility model belongs to the field of medical equipment, concretely relates to intestinal power detection device and an intestinal power real-time monitoring system based on thing networking.
Background
Monitoring of gastrointestinal motility is an important item for clinical examination, and particularly, monitoring of intestinal motility of a patient after surgery is an important examination means for guiding clinical treatment of the patient. At present, the gastrointestinal tract motility is clinically carried out by gastrointestinal transmission tests such as an X-ray-opaque marker method, a radionuclide imaging method, a hydrogen breath test and the like. Although the gastrointestinal transmission test is widely used, the gastrointestinal transmission test has a plurality of defects and limitations, and is difficult to be used for patients suffering from gastrointestinal tract function impairment such as postoperative enteroparalysis, which are mainly reflected in that: 1. the examination result only represents the intestinal motility within a period of time and cannot reflect the real-time gastrointestinal motility state. And 2, the inspection equipment is fixed, the requirement on the inspection environment is high, and the bedside operation is difficult to perform. 3. Before examination, contrast medium or imaging material is swallowed, which is not suitable for patients with intestinal obstruction. 4. The inspection cost is high, and the inspection is not suitable for multiple times of inspection. 5. The preparation steps before examination are complicated, and the patient compliance is low.
There are two types of electrical activity of the smooth muscles of the gastrointestinal tract: basic electrical rhythm (slow wave) and action potential (fast wave), and frequency of slow wave is 3-12 times/min. Electrogastrogram (EGG) is an electric signal for recording the electromyographic activity of the stomach and the muscle through an abdominal body surface electrode, can be used as an objective bioelectricity index of the functional activity of the stomach and the intestine, and is mostly used for researching the stomach power and providing objective basis for the curative effect of various treatment methods.
The periodic slow wave of the intestinal tract originates from the interstitial cells of cajal between the longitudinal muscles and the circular muscles of the digestive tract, does not depend on external nerve innervation, is considered as a pacing cell of the movement of the intestinal tract, is also the origin of the contraction starting potential of the smooth muscles of the gastrointestinal tract, and determines the direction, rhythm and speed of the movement of the digestive tract. When the smooth muscle of the digestive tract generates action potential (fast wave), the smooth muscle contracts to generate peristaltic wave to push the intestinal contents, so the fast wave of the intestinal tract is also called intestinal peristaltic wave. At present, an animal test method can monitor the electrical activity of the smooth muscle of the gastrointestinal tract of an animal, see patent document CN102727195A, but the operation is complex, the intestinal tract needs to be migrated to the outside of the body, and the test method causes great trauma to a detected object, so the test method is not suitable for clinical practice.
SUMMERY OF THE UTILITY MODEL
In order to overcome the defects of the existing intestinal tract dynamic detection technology, a special intestinal tract dynamic detection device capable of monitoring the intestinal tract dynamic of a patient in real time is designed. Particularly, the utility model comprises the following technical scheme.
An intestinal motility detection device, comprising: the device comprises an intestinal peristaltic wave collector (or called fast wave collector), an intestinal slow wave collector (or called slow wave collector), a signal processor, a data processor connected with the signal processor, a display connected with the data processor and a power module, wherein the intestinal peristaltic wave collector and the intestinal slow wave collector are respectively connected with the signal processor through leads.
The intestinal peristaltic wave collector and the intestinal slow wave collector can be collectively called as an electric signal collector.
Preferably, the signal processor, the data processor, the power supply module and the display can be assembled together to form an all-in-one machine with a display screen. The intestinal peristaltic wave collector and the slow wave collector are respectively connected with the all-in-one machine through electric wires.
The size of the integrated machine is suitable for bedside operation of a sickbed and used as bedside equipment.
In another embodiment, the unitary device is a miniaturized device having a size suitable for being worn by a user as a portable device.
When the intestinal motility detection device is a portable device, the intestinal motility detection device can also comprise a fixing strap for fixing the all-in-one machine on the patient.
The signal processor comprises an A/D converter (namely an analog-to-digital converter), a signal filter and a signal amplifying circuit, and is used for processing the fast-wave and slow-wave electric signals collected by the intestinal peristaltic wave collector and the intestinal slow-wave collector.
The data processor is used for processing the frequency, frequency variation coefficient, amplitude variation coefficient and other information of the fast wave and the slow wave. The data concurrency processor preferably comprises a data receiving module, a signal feature extraction module, a database comparison module, a data storage module and a data output module.
The intestinal peristaltic wave collector comprises an afferent electrode plate and an efferent electrode plate which are arranged at intervals.
The intestinal slow wave collector comprises a silver chloride electrode plate adhered to a paster through a conductive adhesive.
The power module is used for providing power for the intestinal tract power detection device, can be a storage battery such as a lithium secondary battery, and can be charged through a charging port such as a USB (universal serial bus) socket. When the intestinal tract dynamic detection device is only used as bedside equipment, the power supply module can be only a power supply interface and/or a power line and a transformer.
In a preferred embodiment, the communication unit in the data processor further includes a bluetooth transmission module. With the help of this bluetooth transmission module's communication connection, the utility model discloses applicable thing networking medical system.
Therefore, according to another aspect, the utility model provides an intestinal power real-time supervision system based on thing networking, this system not only include foretell intestinal power detection device, still include cloud platform data management center, user app and doctor app, communicate through wiFi/cellular network between them.
The utility model discloses an intestinal power detection device can be in real time in intensity and the frequency of external monitoring patient's intestinal smooth muscle electrical activity, and the aassessment intestines and stomach power recovery condition guides the clinic to treat, helps medical personnel diagnose postoperative enteroparalysis as early as possible and in time give treatment scheme. The utility model discloses thereby it is favorable to implementing long-range accurate medical treatment still to be applicable to internet of things.
Drawings
Fig. 1 is a schematic structural diagram of an embodiment of an intestinal motility detection device according to the utility model.
Fig. 2 is a schematic diagram of the module composition of the present invention.
Fig. 3 is a schematic view of a wearing state of a human body according to another embodiment of the intestinal motility detecting device of the utility model.
Fig. 4 is an electrode schematic diagram of the midgut peristaltic wave collector of the present invention.
Fig. 5 is the utility model discloses a thing networking intestinal power real-time monitoring system work flow chart.
Detailed Description
The utility model discloses an intestinal power detection device can gather intestinal fast wave (action potential) signal of telecommunication and intestinal slow wave (basic electric rhythm) signal of telecommunication simultaneously. The portable device can be used as a bedside device and a portable device, so that the fast wave and the slow wave of the intestinal tract can be detected in real time. By means of the internet of things technology, the intestinal tract power detection device can be communicated with the cloud platform data management center, the user app and the doctor app to form an intestinal tract power real-time monitoring system to implement remote medical monitoring.
For the sake of simplicity of description, the term "intestinal motility detection device" is sometimes referred to herein simply as "detection device" or "device", and they are used interchangeably in the same sense. Similarly, the real-time intestinal motility monitoring system based on the internet of things may be referred to as the real-time intestinal motility monitoring system, the internet of things system or the system, which have the same meaning and can be used interchangeably.
When the device is used specifically, an intestinal peristaltic wave collector and an intestinal slow wave collector of the electric signal collector are respectively fixed at different parts of the abdomen of a patient, and one of the intestinal peristaltic wave collector and the intestinal slow wave collector is used for measuring the intestinal peristaltic speed and collecting fast wave electric signals at two ends of an intestinal tract with a certain length; and the other one is used for noise reduction analysis and collecting intestinal slow wave signals of the fixed part.
The signal processor is connected with the electric signal collector and is used for carrying out analog/digital conversion and protocol processing on the collected abdominal intestinal peristalsis electric signals, and then carrying out filtering and signal amplification processing.
The data processor is connected with the electric signal processor and used for storing the intestinal dynamic electric signals, extracting characteristics from the stored signals, comparing the characteristics with a pre-stored intestinal dynamic electric signal characteristic library, analyzing the intestinal dynamic condition, finding abnormal intestinal peristaltic waveforms and giving an early warning.
In this document, the term "connected" includes electrical and/or communication connections. One skilled in the art can determine whether to electrically or communicatively couple based on the context in which the term is used. When "connected" means communicatively connected (i.e., communicatively connected), it includes wired connections and wireless connections.
The data processor comprises a plurality of modules which sequentially complete respective functions, including a data receiving module, a signal feature extraction module, a database comparison module, a data storage module, a data output module (namely a communication module) and the like.
Herein, the terms "module" and "unit" mean the same meaning and may be used interchangeably as will be understood by those skilled in the art.
These components/modules may be components and functional circuitry that is present in existing gastric/intestinal motility monitors. The method for processing the electric signal can adopt the commonly used existing method.
In a practical manner, the application of the device can be adapted as follows:
in the bedside monitoring mode, the all-in-one machine is used as a bedside monitor and is arranged beside a sickbed; under the 24-hour dynamic monitoring mode, the all-in-one machine is taken as portable equipment to be worn by patients. At the moment, an adjustable back strap can be additionally arranged to bring convenience for the patient to carry the device, and the normal activity of the patient is not affected.
The display screen of the device is used for displaying the intestinal motility signals and the waveforms in real time, and can review the previous intestinal motility signals and provide basis for the diagnosis of doctors.
In the device, the electrodes of the intestinal peristaltic wave collector and the intestinal slow wave collector which are used as the electric signal collector are attached with adhesive devices around and used for fixing the electric signal collector on the abdominal skin of a patient.
The utility model discloses a thing networking intestinal power real-time supervision system during operation connects high in the clouds treater (or called cloud platform management center), doctor app and user app (here the user refers to patient and/or patient family members) through bluetooth transmission module. For the sake of brevity of description, the cloud processor and the doctor app may be referred to collectively as a "terminal processing platform".
The Bluetooth transmission module transmits the intestinal dynamic signals in real time through a WiFi/cellular network, the terminal processing platform is based on an electronic medical record system, is connected with the Bluetooth transmission module and is used for inputting the intestinal dynamic signals into a database and synchronously uploading the intestinal dynamic signals to the electronic medical record system, and real-time early warning is given out when the intestinal dynamic signals are abnormal.
When being used for thing networking intestinal power real-time supervision system specifically, can also add in the intestinal power detection device and establish identity identification module etc..
The novel device and the novel system have the following beneficial effects:
1. the speed and the intensity of the intestinal peristalsis can be measured in real time, the gastrointestinal tract dynamic state of a patient is monitored, abnormal conditions are found in time, and early prevention and treatment of postoperative enteroparalysis are facilitated.
2. When the intestinal tract power detection device is a portable device, the device is convenient to carry, the postoperative activity of a patient is limited to the minimum extent, and the early recovery of the patient is facilitated.
3. When the intestinal tract power detection device is bedside equipment, bedside operation can be realized, the patient adaptability is high, and the use compliance is improved.
4. Except for postoperative enteroparalysis, the intestinal motility detection device or the intestinal motility real-time dynamic monitoring system can find other gastrointestinal motility disorder related diseases by comparing and analyzing abnormal waveforms, and has wide application and high clinical practicability.
5. The intestinal motility monitoring time is long, weak signals can be found and compared with a pre-stored database, the accuracy is high, and accurate medical treatment is promoted to be realized.
Referring to fig. 1, 2 and 3, the intestinal motility detection device 10 provided by the present invention mainly includes: the intestinal slow wave collector comprises an intestinal slow wave collector 1, an intestinal peristaltic wave collector 2, a signal processor 3, a data processor 4 connected with the signal processor 3, a display 5 connected with the data processor 4 and a power supply module 6, wherein the intestinal peristaltic wave collector 2 and the intestinal slow wave collector 1 are respectively connected with the signal processor 3 through leads 6. Each of them is specifically described below.
Electric signal collector
The electric signal collector comprises an intestinal slow wave collector 1 (or called slow wave collector 1) and an intestinal peristaltic wave collector 2 (or called fast wave collector 2), which can be a slow wave collector and a fast wave collector commonly used in the existing stomach/intestinal tract dynamic electric signal monitor. For example, adhesive strips 23 may be attached around the electrodes of the fast wave harvester 2, as shown in fig. 4, for securing the spaced apart afferent and efferent electrode pads 21, 22 to the skin of the abdomen of the patient.
The slow wave collector 1 is a silver chloride electrode plate stuck on a sticker through conductive adhesive, and the conductive adhesive can be stuck on the sticker and fixed on the skin of the abdomen of a patient.
When in use, the slow wave collector 1 and the intestinal peristaltic wave collector 2 are respectively stuck on the skin of different parts of the abdomen of a patient.
Signal processor 3
As shown in fig. 2, the signal processor 3 mainly includes an a/D converter 31 (i.e., an analog-to-digital converter 31), a signal filter 32, and a signal amplifying circuit 33, and is configured to process the fast-wave and slow-wave electrical signals collected by the intestinal peristaltic wave collector 2 and the intestinal slow-wave collector 1, and then transmit the fast-wave and slow-wave electrical signals to the data processor 4.
Data processor 4
The data processor 4 is preferably a data concurrency processor 4 for processing information such as the frequency, frequency variation coefficient, amplitude variation coefficient, etc. of the fast and slow waves. Referring to fig. 2, it mainly includes a data receiving module 41, a signal feature extracting module 42, a database comparing module 43, a data storing module 44 and a data outputting module 45.
It is to be noted that the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.
In order to enable wireless communication with the terminal processing platform, the communication unit in the data processor 45 (including the data output module 45) further includes a bluetooth transmission module 46. With the help of the communication connection of the bluetooth transmission module 46, the intestinal tract power detection device 10 is applicable to the medical system of the internet of things.
Display 5 and power supply module 6
The display 5 can display the waveform information and data information of the frequency, amplitude and the like of the fast wave and the slow wave of the patient. Optionally, the display 5 may be further provided with an alarm indicator lamp (51), and when the detected object has abnormal intestinal motility signal, the red light is flashed to indicate.
The power module 6 is used for supplying power to the intestinal motility detection device 10, and can be a storage battery such as a lithium secondary battery, which can be charged through a charging port such as a USB socket. When the intestinal motility detection device 10 is used only as a bedside device, the power supply module 6 may be a power supply interface and/or a power line and a transformer provided if necessary.
Integrated machine 7
As shown in fig. 1 and 3, the signal processor 3, the data processor 4, the power supply module 6 and the display 5 may be assembled together to form an integrated unit 7 with a display screen 5. The intestinal peristaltic wave collector 2 and the slow wave collector 1 are respectively connected with the integrated machine 7 through electric wires 6.
The size of the integrated machine 7 can be suitable for bedside operation of a hospital bed and can be used as bedside equipment.
As shown in fig. 3, the all-in-one machine 7 can be more miniaturized, and has a size suitable for being worn by a user and used as a portable device. When the intestinal motility detection device 10 is a portable device, a fixing strap 70 for fixing the integrated machine 7 to the patient may be additionally provided.
Real-time intestinal tract dynamic monitoring system 100
The development of internet of things provides convenience for the real-time interaction of patients, doctors and family members, the utility model discloses an intestinal power detection device 10 is suitable for establishing an intestinal power real-time monitoring system 100 based on the internet of things.
Referring to fig. 5, the real-time intestinal motility monitoring system 100 includes, in addition to the intestinal motility detection device 10, a cloud processor (or cloud platform management center) 81, a user app 82, and a doctor app 83, which may communicate with each other through a WiFi/cellular network.
The cloud platform data management center 81 comprises a data storage server and data center management software, and is mainly responsible for storing and managing acquired massive patient training data, doctor registration data and evaluation and guidance of doctors on patients, and provides a real-time communication platform for doctors and patients.
The user app 82 may be installed on a smartphone or tablet, and on the all-in-one machine 7, and the doctor app 83 may be installed on a Personal Computer (PC), smartphone, or tablet.
In the real-time intestinal motility monitoring system 100, the communication among the all-in-one machine 7, the user app 82, the cloud platform data management center 81 and the doctor app 83 is implemented by a common method in the prior art, a conventional computer program or software. Those skilled in the art can also accomplish this without inventive effort, with minor modifications to well-established computer programs and software.
Use examples
When the intestinal motility detection device 10 with the size of the bedside device is used for detecting a subject, the method can be carried out according to the following steps:
1. selecting a proper part of the abdomen, taking the part as a circle center from inside to outside, and wiping the surrounding skin with an epidermal disinfectant to perform disinfection treatment.
2. The slow wave collector 1 is fixed at one part of the abdomen and is connected to a slow wave electrode interface 71 of the all-in-one machine 7 through a lead 6.
3. The electrode transmitting sheet 21 and the electrode transmitting sheet 22 of the intestinal peristalsis wave collector 2 are fixed at the other part of the abdomen through the adhesive tape 23 and are connected to the intestinal peristalsis electrode interface 72 of the all-in-one machine 7 through the lead 6.
3. And starting a power supply of the integrated machine 7, checking whether signals sent by the slow wave collector 1 and the intestinal peristaltic wave collector 2 are received or not, starting the Bluetooth module to be connected with the cloud platform data management center 81, the user app 82 and the doctor app 83, and setting the intestinal peristaltic monitoring duration and the monitoring mode.
4. Within a set monitoring time, the signal processor 3 receives signals every day, and after A/D conversion, signal filtering and signal amplification, a processed digital signal is obtained.
5. The data processor 4 receives the processed digital signal and displays the waveform, frequency and amplitude of the intestinal activity on the display screen 5 in real time. And simultaneously, extracting the digital signal characteristics and comparing the digital signal characteristics with a pre-stored database. And finally, the intestinal motility digital signal and the comparison result are transmitted to a cloud platform data management center 81 serving as a remote control terminal and a doctor app 83 through a Bluetooth module.
6. If desired, the subject may observe the waveform, frequency and amplitude of the intestinal activity through the phone of the user app 82.
7. After receiving the signal transmitted by the integrated machine 7, the remote control terminal stores the waveform, the frequency and the intensity change of the intestinal activity in real time. When abnormal intestinal activity occurs, the all-in-one machine 7 gives out early warning.
The above embodiments are only used to illustrate the technical solutions of the present invention, and not to limit the same. Those of ordinary skill in the art will understand that: the technical solutions described in the foregoing embodiments may still be modified, or some technical features may be equivalently replaced; and such modifications or substitutions do not depart from the spirit and scope of the present invention in its essence.

Claims (8)

1. An intestinal motility detection device, comprising: an intestinal peristaltic wave collector for determining the intestinal peristaltic speed, an intestinal slow wave collector for carrying out noise reduction analysis, a signal processor, a data processor connected with the signal processor, a display connected with the data processor and a power module, wherein the intestinal peristaltic wave collector and the intestinal slow wave collector are respectively connected with the signal processor through leads, and when the intestinal slow wave collector and the intestinal slow wave collector are respectively stuck on the skin of different parts of the abdomen of a patient.
2. The intestinal motility detection device according to claim 1, wherein the signal processor, the data processor, the power module and the display are assembled together to form an integrated machine with a display screen, and the intestinal peristaltic wave collector and the slow wave collector are respectively connected with the integrated machine through wires.
3. The intestinal motility detection device according to claim 1, wherein said signal processor comprises an a/D converter, a signal filter, a signal amplification circuit.
4. The intestinal motility detection device according to claim 1, wherein the data processor comprises a data receiving module, a signal feature extraction module, a database comparison module, a data storage module and a data output module.
5. The intestinal motility detection device of claim 4, wherein said data processor further comprises a Bluetooth transmission module.
6. The intestinal motility detection device according to claim 1, wherein the intestinal peristaltic wave collector comprises an afferent electrode sheet and an efferent electrode sheet which are arranged at intervals.
7. The intestinal motility detection device of claim 1, wherein the intestinal slow wave collector comprises a silver chloride electrode.
8. The intestinal motility detection device of claim 1, wherein the power module is a battery.
CN202021054006.4U 2020-06-10 2020-06-10 Intestinal tract power detection device Active CN213993526U (en)

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Application Number Priority Date Filing Date Title
CN202021054006.4U CN213993526U (en) 2020-06-10 2020-06-10 Intestinal tract power detection device

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Application Number Priority Date Filing Date Title
CN202021054006.4U CN213993526U (en) 2020-06-10 2020-06-10 Intestinal tract power detection device

Publications (1)

Publication Number Publication Date
CN213993526U true CN213993526U (en) 2021-08-20

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CN202021054006.4U Active CN213993526U (en) 2020-06-10 2020-06-10 Intestinal tract power detection device

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