CN219846653U - Left auricle plugging system capable of wirelessly supplying energy and wirelessly monitoring electrocardio - Google Patents

Left auricle plugging system capable of wirelessly supplying energy and wirelessly monitoring electrocardio Download PDF

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Publication number
CN219846653U
CN219846653U CN202320355737.XU CN202320355737U CN219846653U CN 219846653 U CN219846653 U CN 219846653U CN 202320355737 U CN202320355737 U CN 202320355737U CN 219846653 U CN219846653 U CN 219846653U
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electrocardio
module
left auricle
wireless
electrocardiosignal
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李毅刚
张文赞
张蕾蕾
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Abstract

The utility model discloses a left auricle plugging system for wireless energy supply and wireless electrocardiograph monitoring, which relates to the technical field of left auricle plugging instruments, including placing left auricle plugging device, the external electrocardio signal processing apparatus of left auricle in human body and the external wireless energy supply device, wherein: the left auricle occluder comprises an electrocardiosignal acquisition and processing module; the external electrocardiosignal processing device is connected with the left auricle occluder in a wireless mode; the external wireless energy supply device is in wireless connection with the left auricle occluder. The utility model has the advantages that by arranging the left atrial appendage occlusion device with the electrocardiosignal acquisition function and adopting a wireless energy supply mode for the left atrial appendage occlusion device, the utility model not only can monitor the electrocardiosignal of the human body after the left atrial appendage occlusion operation under the condition of not additionally wearing electrocardiograph monitoring equipment, prevent postoperative complications, but also can reduce the surgical risk caused by battery replacement in the prior art and reduce the damage of harmful substances of the battery to the human body.

Description

Left auricle plugging system capable of wirelessly supplying energy and wirelessly monitoring electrocardio
Technical Field
The utility model relates to the technical field of left auricle plugging instruments, in particular to a left auricle plugging system capable of wirelessly supplying energy and wirelessly monitoring electrocardio.
Background
Atrial fibrillation (atrial fibrillation) is one of the most clinically common arrhythmias, and in the last decades studies have demonstrated a close link between atrial fibrillation and stroke, systemic embolism, which is more closely linked with age. There have been a number of study report analyses that indicate that 90% of non-valvular atrial fibrillation patients have a stroke or systemic embolism related thrombus derived from the left atrial appendage; whereas in valve heart patients, about 40% of the patients' thrombi occur in the left atrial body and about 60% of the patients find thrombi in the left atrial appendage. The close correlation of left auricle thrombus and cerebral apoplexy and other thromboembolic events and the specific pathophysiological correlation thereof lay a foundation for the local positioning treatment of left auricle occlusion (LAAO). Surgical ligation of the left atrial appendage may reduce stroke events in patients with atrial fibrillation, and thus simultaneous removal of the left atrial appendage while performing an valvulotomy in patients with rheumatic valvular disease, particularly mitral stenosis, may reduce stroke by 50%. However, the possible complications of the operation include left atrial tear, local hemorrhage, postoperative pericarditis, suture opening, postoperative fever, suture opening thrombus, thromboembolism, etc. With the development of interventional devices, a treatment method which is less in wound, simple to operate and short in time consumption and is developed in recent years is percutaneous left auricle plugging, and currently, the main left auricle plugging in the world is percutaneous left auricle plugging; the special occluder is adopted to occlude the left auricle, thereby achieving the purpose of preventing cerebral apoplexy and other thromboembolic events caused by atrial fibrillation.
However, at present, the simple left auricle occlusion operation still needs to monitor the electrocardio of a patient, review the electrocardiogram, evaluate the arrhythmia attack conditions and characteristics such as atrial fibrillation after the occlusion device operation, and formulate a treatment scheme, a drug type and a dosage, so that electrocardiographic monitoring equipment is additionally worn after the operation.
Atrial fibrillation ablation is an effective means for controlling the rhythm of patients suffering from atrial fibrillation, and has been recommended by guidelines at home and abroad, but postoperative atrial fibrillation and other recurrence of atrial arrhythmia are always hot spots and problems of study in the academic world. Generally, the electrocardiogram and Holter have limited recording time, and can not accurately judge whether atrial fibrillation recurs or not, and whether other arrhythmia exists or not, so that an implantable long-term recording device is also required. In addition, the risk of thromboembolic events following atrial fibrillation ablation surgery is still determined by the stroke risk score, i.e., the CHA2DS 2-vacc score. Patients who are contraindicated for anticoagulants, cannot be used for a long period of time, or still have thromboembolic events when anticoagulants are administered are prescribed, a combination of atrial fibrillation ablation and left atrial appendage occlusion can be performed. This is also one of the important strategies for current management of atrial fibrillation.
Therefore, for patients with atrial fibrillation using atrial fibrillation ablation and left atrial appendage occlusion combined operation therapy, in order to well realize postoperative prevention and postoperative long-term monitoring, an implanted occluder is usually needed to be used for long-term recording, monitoring and management, however, at present, the implanted device must be provided with a power supply from the outside to realize wireless energy supply. Therefore, the application of the wireless power transmission technology to the field of medical instruments is a great difficulty in the current research.
In 2003, the japanese RF company developed an implantable endoscopic bio-telemetry system using this technology, and corresponding physical products were sequentially introduced in israel, korea, and europe. In 2005, masaya Watada in japan and y.um in korea proposed the concept of wireless power transmission to artificial hearts.
In 2008, the university of pisburg in united states applied wireless power transmission technology to in vivo implanted devices and conducted experimental studies in air, human head models, and pig living bodies. In 2013, the university of hong Kong city proposes a novel receiver structure aiming at the problem that weak flux linkage caused by coil imbalance in the application of retina prosthesis will seriously affect power efficiency.
In 2017, the scientific staff of the Ma province academy of engineering put forward a new technology of midfield coupling on the basis of the developed cochlear implant which is wirelessly charged by an external source, compared with near field coupling, the working frequency and the coupling efficiency are greatly improved, and the electric power is successfully transmitted to three receivers positioned in the esophagus, the stomach and the colon of a pig by using a transmitter positioned outside the pig body through experiments.
Furthermore, university of malaysia proposes an optimized inductively coupled WPT system for robotic capsule endoscopes. Indian pu NBN Sinhgad proposes a wearable pacemaker wireless power supply system based on magnetic resonance coupling. A wireless power transmission system for an implantable medical device with automatic power adjustment is proposed by the university of Qinghua.
Although the above research has made some breakthroughs, some key technologies are still to be further researched and explored, for example, most of the built-in batteries of the implanted monitoring devices in the above technologies are wireless power supply, but still require a part of batteries to realize energy storage.
From the above summary, the left atrial appendage occlusion device in the prior art still has the following problems:
1. after the installation of the current left auricle plugging device, in order to observe the postoperative condition of a patient to prevent complications, an electrocardiogram monitoring device is additionally required to be worn for monitoring, which is very troublesome;
2. most of the implanted monitoring devices have built-in batteries, which are wireless power supply, but still require a part of batteries to store energy, and the batteries contain substances harmful to human bodies, which are potentially dangerous.
Based on the above, the utility model provides a left auricle plugging system capable of wirelessly supplying energy and wirelessly monitoring electrocardio to solve the above problems.
Disclosure of Invention
The utility model aims to solve the defects in the prior art, and provides a left atrial appendage occlusion system capable of wirelessly supplying energy and wirelessly monitoring electrocardio, which does not need battery energy storage, supplies energy to a left atrial appendage occlusion device by an external wireless energy supply device and wirelessly transmits electrocardio signals to an external electrocardio signal processing device. The patient can wear after the plugging operation, real-time electrocardiograph monitoring is carried out, complications are prevented, the patient can be used as a long-term monitoring means after leaving a hospital, electrocardiograph data can be remotely transmitted to a hospital monitoring system, the arrhythmia attack condition of the patient can be accurately judged, the treatment cost of the patient can be reduced, and the load of the hospital is reduced.
In order to achieve the above purpose, the present utility model adopts the following technical scheme:
the utility model provides a wireless energy supply and wireless monitoring electrocardio's left auricle shutoff system, is including placing the left auricle stopper of left auricle in the human body for left auricle shutoff, left auricle shutoff system still includes setting up in external electrocardio signal processing device and the external wireless energy supply device of external, wherein:
the left auricle occluder comprises an electrocardiosignal acquisition and processing module, wherein the electrocardiosignal acquisition and processing module is used for acquiring an electrocardiosignal analog signal in a human body, converting the electrocardiosignal analog signal into a digital signal and then wirelessly transmitting the digital signal to the outside of the human body;
the external electrocardiosignal processing device is connected with the left auricle occluder in a wireless mode and is used for receiving electrocardiosignal digital signals transmitted by the left auricle occluder;
the external wireless energy supply device is in wireless connection with the left auricle occluder and is used for providing energy for the left auricle occluder in an alternating magnetic field mode.
Further, left auricle plugging device still includes braced skeleton, attach fitting, choked flow membrane and energy conversion module, wherein:
the supporting framework is formed into a foldable and contractible structure by a plurality of support structures, one ends of the support structures are converged to form an end part, a plurality of hook-shaped barbs extend outwards from the support structures, and a plurality of circles of barbs are symmetrically arranged around the support structures;
the connecting joint is arranged at the end part of the supporting framework and is in a screw structure, and a channel is arranged in the center of the connecting joint;
the choke film is arranged at the end part of the supporting framework and the circumferential part of the choke film;
the energy conversion module comprises a receiving coil and an energy conversion circuit integrated on a circuit board, the receiving coil is wound around and fixed on the periphery of the supporting framework, the receiving coil is connected with the energy conversion circuit integrated on the circuit board through a connecting wire, the circuit board is positioned in the supporting framework, and the energy conversion circuit is used for carrying out smoothing treatment on a high-frequency voltage signal output by the receiving coil so as to convert the high-frequency voltage signal into stable direct current to supply power for the electrocardiosignal acquisition and processing module.
Further, the electrocardiosignal acquisition and processing module comprises an electrocardiosignal electrode, an electrocardiosignal processing circuit and a transmitting antenna, wherein the electrocardiosignal processing circuit is integrated on a circuit board, the electrocardiosignal electrode is fixed on a supporting framework, the electrocardiosignal electrode is connected with the electrocardiosignal processing circuit integrated on the circuit board through an electrode connecting wire, the circuit board is positioned in the supporting framework, and the electrocardiosignal processing circuit is connected with the transmitting antenna.
Furthermore, the electrocardio electrode adopts a plurality of electrode plates positioned on the side surface of the supporting framework, and the electrode plates are connected with the circuit board through flexible wires;
the transmitting antenna adopts an on-board or patch type structure.
Furthermore, the electrocardio-electrode adopts a plurality of barb electrodes arranged on the outer side of the supporting framework, and the barb electrodes are connected with an electrocardio-signal processing circuit integrated on the circuit board by using a plurality of supporting frameworks as data transmission lines and are arranged in an insulating way with other supporting frameworks except the data transmission lines;
the transmitting antenna is coiled on the supporting framework by adopting a coil and is connected with an electrocardiosignal processing circuit integrated on the circuit board through a connecting wire.
Further, the external electrocardiosignal processing device comprises a first power module, an electrocardio data receiving and processing module, a data storage module and a data transmission module, wherein:
the first power module is connected with the electrocardio data receiving and processing module, the data storage module and the data transmission module and is used for supplying power to the external electrocardio signal processing device;
the electrocardio data receiving and processing module is in wireless connection with the left auricle plugging device and is used for receiving electrocardio data acquired by the left auricle plugging device and analyzing and processing the electrocardio data;
the data storage module is connected with the electrocardio data receiving and processing module and is used for storing the processed electrocardio data;
the data transmission module is connected with the data storage module and used for transmitting the processed electrocardio data outwards.
Further, the data transmission module includes a wired transmission sub-module and a wireless transmission sub-module, wherein:
the wired transmission sub-module is connected with the upper computer through a cable and is used for transmitting the processed electrocardio data to the upper computer;
the wireless transmission sub-module is connected with an upper computer in a hospital or a related data processing department in a wireless way and is used for transmitting the processed electrocardio data to the hospital or the related data processing department.
Further, the external wireless energy supply device comprises a second power module, a digital-to-analog conversion module and a transmitting coil, wherein:
the second power supply module adopts a direct-current stabilized voltage supply and is used for transmitting direct-current electric signals to the digital-to-analog conversion module;
the digital-to-analog conversion module is connected with the second power supply module and the transmitting coil and is used for converting the direct-current signal into an alternating-current signal so as to form an excitation source and drive the transmitting coil;
the transmitting coil adopts a coil resonance structure, the input end of the transmitting coil is connected with the digital-to-analog conversion module, and the output end of the transmitting coil is in wireless connection with the receiving coil and is used for transmitting energy to the receiving coil.
Further, the transmitting coil is located at a position around the human body, and the human body is located in a transmitting range of the transmitting coil.
Compared with the prior art, the utility model has the beneficial effects that:
(1) According to the utility model, the electrocardiosignal acquisition and processing module is additionally arranged on the basis of the existing left auricle plugging device, the electrocardiosignal of the left auricle in the human body is acquired, the external electrocardiosignal processing device and the external wireless energy supply device are additionally arranged outside the human body, so that wireless energy supply is provided for the electrocardiosignal acquisition and processing module on the left auricle plugging device, the electrocardiosignal of the human body can be monitored after the left auricle plugging operation without additionally wearing electrocardiograph monitoring equipment, postoperative complications are prevented, the plugging device with an electrocardiosignal recording function can prevent embolism events and can monitor whether atrial fibrillation is recurrent or not, the atrial fibrillation can be managed in a whole process and accurately, in addition, no battery design is realized at the implanted part in a wireless energy supply mode, the problem of battery energy storage can be effectively solved by using operation of a patient, the surgical operation risk caused by battery replacement is reduced, and the harm of harmful substances of the battery to the human body is reduced.
(2) Through the external electrocardiosignal processing device that sets up in vitro, wireless reception and processing are from the electrocardiosignal that the internal transmission comes out, can store human electrocardiosignal to can connect the host computer and read analysis data, can give appointed mechanism analysis with the data long-range and look over, very convenient, high-efficient.
Drawings
FIG. 1 is an overall system block diagram of the present utility model;
fig. 2 is a schematic structural view of a left atrial appendage occlusion device in accordance with an embodiment of the present utility model;
fig. 3 is a schematic structural view of a left atrial appendage occlusion device in accordance with a second embodiment of the present utility model;
fig. 4 is a schematic diagram of three wearing modes of the external wireless energy supply device in the utility model.
In the figure: 1. a left atrial appendage occlusion device; 11. an electrocardiosignal acquisition and processing module; 111. an electrocardio electrode; 1111. an electrode sheet; 1112. a barbed electrode; 112. an electrocardiosignal processing circuit; 113. a transmitting antenna; 12. a support skeleton; 13. a connection joint; 14. an energy conversion module; 141. a receiving coil; 142. an energy conversion circuit; 15. a barb;
2. an in vitro electrocardiosignal processing device; 21. a first power module; 22. an electrocardiograph data receiving and processing module; 23. a data storage module; 24. a data transmission module;
3. an external wireless energy supply device; 31. a second power module; 32. a digital-to-analog conversion module; 33. and a transmitting coil.
Detailed Description
The following description of the embodiments of the present utility model will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present utility model, but not all embodiments.
As shown in fig. 1, the left atrial appendage occlusion system for wireless energy supply and wireless electrocardiograph monitoring in the utility model comprises a left atrial appendage occlusion device 1 with an electrocardiograph signal acquisition function, an external electrocardiograph signal processing device 2 and an external wireless energy supply device 3. Be used for left auricle shutoff, reduce the cerebral apoplexy risk of atrial fibrillation patient, can monitor patient's arrhythmia simultaneously, adopt wireless mode to supply energy for the system and with electrocardiosignal transmission to external.
Wherein, the left auricle occluder 1 with the electrocardio electrode 111 is placed on the left auricle, the external wireless energy supply device 3 supplies energy to the left auricle occluder 1 in an alternating magnetic field mode, and the external electrocardio signal processing device 2 is connected with the left auricle occluder 1 in a wireless mode and transmits electrocardio signals.
Specifically, the three parts of the system of the utility model are:
example 1
As shown in fig. 1 and 2, a left atrial appendage occlusion system for wireless power supply and wireless monitoring of electrocardiograph comprises a left atrial appendage occlusion device 1 placed in a human body for left atrial appendage occlusion.
The left atrial appendage occlusion device 1, a supporting framework 12, a connecting joint 13, a flow blocking film, an energy conversion module 14 and an electrocardiosignal acquisition and processing module 11, wherein:
the supporting framework 12 is a unitary structure formed by a plurality of bracket structures, which can be cage type, umbrella type, disc type, plug type and the like, and the supporting framework 12 is provided with a foldable and contractible structure, namely, if the size, the position and the attaching condition of the left atrial appendage occlusion device 1 are not properly selected or the left atrial appendage occlusion device 1 is unfolded poorly, the occlusion device can be taken into a conveying conduit again by utilizing the foldable property of the supporting framework 12, and the direction and the angle can be re-released for a plurality of times or replaced and replaced.
A plurality of hooks 15 in the shape of hooks extend outwards from a plurality of brackets on the supporting framework 12, and the hooks 15 are symmetrically arranged around the brackets for a plurality of circles; preferably two or more turns. The function of the barb 15 is that after the supporting framework 12 of the left auricle plugging device 1 is opened and the position is determined, the barb 15 fixes the left auricle plugging device 1 on the inner wall of the left auricle, so that the left auricle plugging device is strong in firmness and good in safety and can adapt to left auricles with most shapes and depths.
When the left atrial appendage occlusion device 1 is delivered into the left atrium, a propeller (or a conveyer) is usually used for assisting operation, and the propeller (or the conveyer) may be used as disclosed in patent application No. 201820410479.X under the name of "a left atrial appendage occlusion device", or may be used as various other propellers (or conveyers), and the present utility model is not repeated herein. The pusher typically cooperates with a connector fitting 13 on the left atrial appendage closure.
One ends of a plurality of support structures on the support framework 12 are gathered to form an end part, a connecting joint 13 is arranged at the end part of the support framework 12, the connecting joint 13 is in a screw structure, and a channel is arranged at the center of the connecting joint 13. The connection joint 13 is connected with the pusher through threads, is conveyed to a preset position by the pusher, and then is disconnected through threads to disconnect the left atrial appendage occlusion device 1 from the pusher. The threaded connection can realize reliable and safe connection of the plugging device and the pusher, and can realize controllable release.
When the left atrial appendage occlusion device 1 needs to be re-deployed or recovered, the present utility model adopts the following setting method: the supporting framework 12 is made of self-expansion nickel-titanium memory alloy suitable for medical instrument interventional products, has shape memory effect, and has the characteristics of high biocompatibility, super elasticity, wear resistance, corrosion resistance, low elastic modulus and the like. Based on the unique shape memory recovery temperature approaching the human body temperature, the ductile material has high ductility below the inversion temperature, can be molded under certain stress, and can become very hard above the inversion temperature. Therefore, when the left atrial appendage occlusion device 1 needs to be re-unfolded or recovered, the channel in the center of the connecting joint 13 is connected with the conveying conduit, cold saline can be sent into the left atrial appendage occlusion device 1 through the conveying conduit via the connecting joint 13, the left atrial appendage occlusion device 1 is flushed with cold saline to reduce the temperature below the reversing temperature, and the supporting framework 12 can be softened and then is collected into the conveying conduit, so that the left atrial appendage occlusion device 1 is recovered.
The end of the supporting frame 12 and the circumferential part thereof are provided with a choke film. The flow blocking film is used for inhibiting blood from passing through, and can be fabric, cloth, high polymer layer, etc., and can seal the inlet of left auricle and atrium, isolate left auricle and left atrial body, and prevent blood flow communication.
The energy conversion module 14 adopts a wireless mode to supply energy to the system, and comprises a receiving coil 141 and an energy conversion circuit 142 integrated on a flexible circuit board, wherein the receiving coil 141 is wound on the supporting framework 12 for a plurality of circles and is fixed on the periphery of the supporting framework 12, the receiving coil 141 is connected with the energy conversion circuit 142 integrated on the circuit board through a connecting wire, the circuit board is positioned in the supporting framework 12, the receiving coil 141 receives energy sent by a transmitting end of the external wireless energy supply device 3, and the energy conversion circuit 142 is used for carrying out smoothing processing on a high-frequency voltage signal output by the receiving coil 141 and supplying power to the electrocardiosignal acquisition and processing module 11 by converting the high-frequency voltage signal into stable direct current through a power management chip.
The receiving coil 141 can be made of flexible materials, and can be folded and unfolded along with the supporting framework 12, so that the whole receiving coil can be conveniently taken into the propeller.
The flexible circuit board in the energy conversion module 14 is sealed by waterproof sealant meeting the requirement of biocompatibility, so that the whole width of the circuit board is ensured to be smaller than the diameter of the folded propeller, and the circuit board can be taken in the propeller together after the supporting framework 12 is folded, and the contraction structure of the original plugging device is not influenced.
The whole energy conversion module 14 is used as a receiving end of wireless energy supply, is used for inducing the alternating magnetic field of the transmitting coil 33 in the external wireless energy supply device 3, and outputs a high-frequency voltage signal after being induced by the receiving coil 141. Since the whole energy conversion module 14 is designed to be battery-free, the current after energy conversion only needs to be stably supplied to the functional module, and the average power consumption is in microampere level, so that heat higher than the body temperature can not be generated.
The energy conversion module 14 mainly aims at the electrocardiosignal acquisition and processing module 11 so as to help the electrocardiosignal acquisition and processing module to acquire and output electrocardiosignals.
The electrocardiosignal acquisition and processing module 11 is used for acquiring an electrocardio analog signal in a human body, converting the electrocardio analog signal into a digital signal and then wirelessly transmitting the digital signal to the outside of the human body.
The electrocardiosignal acquisition and processing module 11 comprises an electrocardiosignal electrode 111, an electrocardiosignal processing circuit 112 and a transmitting antenna 113, wherein the electrocardiosignal processing circuit 112 is integrated on a circuit board, the electrocardiosignal electrode 111 is fixed on the side surface of the supporting framework 12, the electrocardiosignal electrode 111 is connected with the electrocardiosignal processing circuit 112 integrated on the circuit board through an electrode connecting wire, the circuit board is positioned in the supporting framework 12, and the electrocardiosignal processing circuit 112 is connected with the transmitting antenna 113.
The electrocardio electrode 111 adopts a plurality of electrode plates 1111 positioned on the side surface of the supporting framework 12, preferably 3 or more, the three electrode plates 1111 are connected with the electrocardio processing circuit 112 through flexible wires, and the collection effect between different electrodes can be switched and observed in the electrocardio monitoring process. After the left atrial appendage occlusion device 1 is installed, the electrocardio electrode 111 is just attached to the inner wall of the left atrial appendage, so that electrocardio signals can be stably collected. The electrocardio electrode 111 is made of pure platinum or platinum iridium alloy.
The electrocardiosignal processing circuit 112 is arranged on a flexible circuit board, is sealed by waterproof sealant meeting the requirement of biocompatibility, can be arranged on the same flexible circuit board with the conversion circuit of the energy conversion module part, and can also be arranged on two flexible circuit boards separately. The electrocardio signal processing circuit 112 receives the electrocardio analog signals acquired by the electrocardio electrode 111, converts the electrocardio analog signals into digital signals, and then transmits the electrocardio signals to the outside of the body in a wireless mode.
The transmitting antenna 113 transmits the electrocardiographic signal to the outside. The transmitting antenna 113 may be in a board-mounted or patch-type structure, and may also be folded along with the supporting frame 12.
The whole electrocardiosignal acquisition and processing module 11 can monitor the electrocardiosignal of the patients after the atrial fibrillation operation for a long time without battery energy storage.
The weight of the flexible circuit board and related micro devices (such as the electrocardio electrode 111, the receiving coil 141, the transmitting antenna 113 and the like) is only increased on the basis of the existing occluder, the whole weight can be controlled within 1 gram, and other hidden troubles on wearing stability can not be caused.
After the electrocardiosignals in the human body are collected and transmitted out, the left atrial appendage occlusion device 1 further comprises an external electrocardiosignal processing device 2 and an external wireless energy supply device 3 which are arranged outside the human body in order to realize the external processing of the electrocardiosignals and the energy supply of electrocardiosignal collection functional components on the left atrial appendage occlusion device 1.
The external electrocardiosignal processing device 2 is connected with the left auricle plugging device 1 in a wireless mode and is used for receiving electrocardiosignal digital signals transmitted by the left auricle plugging device 1.
The extracorporeal electrocardiosignal processing device 2 comprises a first power module 21, an electrocardio data receiving and processing module 22, a data storage module 23 and a data transmission module 24, wherein:
the first power module 21, including a rechargeable battery and a power related circuit, is connected with the electrocardio data receiving and processing module 22, the data storage module 23 and the data transmission module 24, and is used for supplying power to the external electrocardio signal processing device 2.
And the electrocardio data receiving and processing module 22 is in wireless connection with the left auricle plugging device 1 and is used for receiving electrocardio data acquired by the left auricle plugging device 1 in a wireless mode and analyzing and processing the electrocardio data.
And the data storage module 23 is connected with the electrocardio data receiving and processing module and is used for storing the electrocardio data processed by the electrocardio data receiving and processing module.
The data transmission module 24 is connected with the data storage module 23 and is used for transmitting the processed electrocardio data outwards.
The data transmission module 24 includes a wired transmission sub-module and a wireless transmission sub-module, wherein:
the wired transmission sub-module is connected with the upper computer through a cable, and the upper computer can be a mobile phone, a tablet personal computer, a computer and the like and is used for transmitting the processed electrocardio data to the upper computer.
The wireless transmission sub-module is connected with an upper computer in the hospital or related data processing department in a wireless way, and directly and remotely transmits the electrocardio data to the electrocardio data processed by the hospital or related data processing department under the condition of being separated from upper computer software.
It should be noted that the wireless transmission frequency band is different from the wireless power supply frequency band and has no collision.
The external wireless energy supply device 3 is in wireless connection with the left auricle occluder 1 and is used as a transmitting end of wireless energy supply and is used for providing energy for the left auricle occluder 1 in an alternating magnetic field mode.
The external wireless power supply device 3 comprises a second power supply module 31, a digital-to-analog conversion module 32 and a transmitting coil 33, wherein:
a second power module 31, which adopts a direct current stabilized power supply, such as an adapter or a battery, and is used for transmitting a direct current electric signal to the digital-to-analog conversion module 32;
the digital-to-analog conversion module 32 is connected with the second power module 31 and the transmitting coil 33, and is used for converting the direct current signal into an alternating current signal to form an excitation source and drive the transmitting coil 33. In this embodiment, a wireless power supply mode of magnetic coupling resonance is adopted, so that the power supply efficiency and the effective distance of wireless power supply are improved, an energy transmission channel is established by using the principle of coupling resonance between coils, and energy is efficiently transferred from a transmitting end to a receiving end through a transmitting coil 33.
The transmitting coil 33 may adopt a coil resonance structure, a two-coil resonance structure, or a four-coil resonance structure, which can more effectively improve system performance when the transmission distance and deflection angle of the transmitting coil 33 and the receiving coil 141 are increased.
The input end of the transmitting coil 33 is connected with the digital-to-analog conversion module 32, and the output end is connected with the receiving coil 141 in a wireless way and used for transmitting energy to the receiving coil 141.
The transmitting coil 33 is located at a position around the human body, and the human body is located within a transmitting range of the transmitting coil 33.
In one possible embodiment, the transmitting coil 33 may be sewn to a specially made back core with an inner diameter of the coil above 40 cm. In another possible embodiment, the coil may be fixedly wound in a specific area, and the subject is located in the coil. In yet another possible embodiment, the coil may be placed in a particular orientation, such as in a cushion or mattress near the back of the subject. As shown in fig. 3, a transmitting coil 33 is wound in a specific area in sequence from left to right, and a subject is positioned at the center; b. the transmitting coil 33 is sewn on the specially-made back core; c. the transmitting coil 33 is placed in the cushion or mattress near the back of the subject.
When a patient needs to collect electrocardiosignals, the patient wears the vest or is positioned in a specific area wound with coils, an alternating magnetic field is generated on the chest of the human body, an energy receiving coil 141 in the left auricle plugging device 1 implanted in the human body generates induced electromotive force, and an energy conversion module 14 provides stable and reliable electric energy for an electrocardiosignal collecting and processing module 11 in the left auricle plugging device 1 after rectification and voltage stabilization, so that the electrocardiosignals are successfully collected and wirelessly transmitted to an external electrocardiosignal processing device 2, and the electrocardiosignals are stored in the device and even continuously transmitted to an upper computer or a far-end medical station for timely checking by doctors.
Example two
The distinguishing technical features of this embodiment and the first embodiment are that: as shown in fig. 3, the electrocardiograph electrode 111 on the left auricle plugging device 1 adopts a plurality of barb electrodes 1112 arranged on the outer side of the supporting framework 12, the material of the barb electrodes 1112 can be different from that of other barbs, a plurality of supporting frameworks 12 with corresponding quantity are used as data transmission lines between the barb electrodes 1112 to be connected with the electrocardiograph signal processing circuit 112 integrated on the circuit board, the material or structure of the supporting frameworks 12 is different from that of other supporting frameworks 12 to be beneficial to signal transmission, and the connection parts between the barb electrodes 1112 and the supporting frameworks 12 except for the data transmission lines are arranged in an insulating way;
the insulation treatment mode can be as follows: if a conductive coating is added outside the self-expansion nickel-titanium memory alloy supporting framework 12 with signal transmission requirements, a biocompatible insulating protective coating is coated outside the conductive coating, wherein the barb electrode 1112 is connected with the conductive coating, and the electrocardiosignal processing circuit 112 is connected with the conductive coating.
The transmitting antenna 113 is coiled and wound on the supporting framework 12, and is connected with an electrocardiosignal processing circuit 112 integrated on the circuit board through a connecting wire.
Through the design, another embodiment is provided for realizing the electrocardio electrode 111, and different setting modes can be selected according to requirements during design.
Based on the two specific embodiments, the utility model also provides an application method of the left auricle plugging system for wireless energy supply and wireless electrocardiograph monitoring.
The first, the intraoperative application process is:
s1) the left atrial appendage occlusion device 1 with the electrocardiosignal acquisition function, the external electrocardiosignal processing device 2 and the external wireless energy supply device 3 are prepared before operation, and the patient wears a special vest with the transmitting coil 33 sewn or is ensured to be wound in a specific area of the transmitting coil 33 or on a cushion.
S2) conveying the left auricle plugging device 1 to the left auricle by using an auxiliary pusher according to an interventional operation method;
s3) accurately obtaining the position of the left auricle plugging device 1, further determining whether the position of the left auricle plugging device 1 is reasonable, changing the position of the left auricle plugging device 1 by operating the pusher, and determining that the auricle is well attached so as to achieve more effective auricle plugging.
S4) accurately obtaining the opening size of the left auricle plugging device 1, operating the pusher to adjust the position and the opening degree of the left auricle plugging device 1, further optimizing the opening area of the left auricle plugging device 1, and achieving more effective auricle plugging. After the supporting and fixing of the plurality of brackets are completed, the energy conversion coil wound on the occluder is supported, the electrocardio electrode 111 is attached to the inner wall of the left auricle, and the energy conversion circuit and the electrocardio signal processing circuit 112 are both fixed in the left auricle occluder 1 (the circuit is covered by waterproof materials) and can be fixed on the inner wall of one side in the left auricle occluder 1.
S5) starting the external electrocardiosignal processing device 2 and the external wireless energy supply device 3, starting the upper computer electrocardiosignal acquisition software, connecting the external electrocardiosignal processing device 2 to the upper computer electrocardiosignal acquisition software, adjusting the position of the plugging device, and ensuring that high-quality electrocardiosignals can be acquired.
S6) a plurality of hook-shaped barbs 15 extending outwards from one end of the bracket are fixed on the inner wall of the left auricle.
S7) unscrewing the threaded structure between the bracket connecting joint 13 and the pusher, and continuously observing the electrocardiograph acquisition condition.
The second, postoperative application process is:
s1) when the electrocardio needs to be detected, the patient wears a special vest with the transmitting coil 33 sewn, or the transmitting coil 33 is connected with the external wireless energy supply device 3 in a specific area or on a cushion where the transmitting coil 33 is wound.
S2) starting an external electrocardio signal processing device 2 and an external wireless energy supply device 3, automatically acquiring and storing electrocardio data on the external electrocardio signal processing device 2, starting an upper computer electrocardio acquisition software, wherein the upper computer can be a mobile phone, a tablet personal computer, a computer and the like, and can display and store synchronously transmitted electrocardio data in real time. Preferably, the upper computer software can remotely transmit the electrocardio data to a relevant data processing department of a hospital through a wired network or a wireless network. More preferably, the in-vitro electrocardiosignal processing device 2 is provided with a wireless transmission module without upper computer software, and the acquired data is directly and remotely transmitted to a relevant processing department of a hospital.
S3) the vest is removed or the specific area of the transmitting coil 33 is left, and the acquisition of the electrocardiograph signal is finished.
The utility model sets the left auricle plugging device 1 with electrocardiosignal collecting function, the external electrocardiosignal processing device 2 and the external wireless energy supply device 3, wherein the left auricle plugging device 1 with the electrocardiosignal electrode 111 plugs the left atrium and collects electrocardiosignals, the external electrocardiosignal processing device 2 is connected with the left auricle plugging device 1 in a wireless mode and transmits electrocardiosignals, the external wireless energy supply device 3 supplies energy to the left auricle plugging device 1 in an alternating magnetic field mode, the whole system realizes power supply in a wireless energy transmission mode, reduces surgical operation risks caused by battery replacement, and is combined with external electrocardiosignal monitoring equipment to monitor human electrocardiosignals.
The foregoing is only a preferred embodiment of the present utility model, but the scope of the present utility model is not limited thereto, and any person skilled in the art, who is within the scope of the present utility model, should make equivalent substitutions or modifications according to the technical scheme of the present utility model and the inventive concept thereof, and should be covered by the scope of the present utility model.

Claims (9)

1. The utility model provides a left auricle shutoff system of wireless energy supply and wireless monitoring electrocardio, is including placing left auricle stopper (1) of left auricle in the human body for left auricle shutoff, its characterized in that, left auricle shutoff system still includes setting up in external electrocardio signal processing device (2) and external wireless energy supply device (3) outside the body, wherein:
the left auricle occluder (1) comprises an electrocardiosignal acquisition and processing module (11), wherein the electrocardiosignal acquisition and processing module (11) is used for acquiring an electrocardiosignal analog signal in a human body, converting the electrocardiosignal analog signal into a digital signal and then wirelessly transmitting the digital signal to the outside of the human body;
the external electrocardiosignal processing device (2) is connected with the left auricle plugging device (1) in a wireless mode and is used for receiving electrocardiosignal digital signals transmitted by the left auricle plugging device (1);
the external wireless energy supply device (3) is in wireless connection with the left auricle occluder (1) and is used for providing energy for the left auricle occluder (1) in an alternating magnetic field mode.
2. The left atrial appendage occlusion system of claim 1, wherein the left atrial appendage occlusion device (1) further comprises a support skeleton (12), a connector (13), a choke and an energy conversion module (14), wherein:
the supporting framework (12) is formed into a foldable and contractible structure by a plurality of support structures, one ends of the support structures are converged to form end parts, a plurality of hook-shaped barbs (15) extend outwards from the support structures, and the barbs (15) are symmetrically arranged around the support structures for a plurality of circles;
the connecting joint (13) is arranged at the end part of the supporting framework (12) and is in a screw structure, and a channel is arranged in the center of the connecting joint (13);
the choke film is arranged at the end part of the supporting framework (12) and the circumferential part of the choke film;
the energy conversion module (14) comprises a receiving coil (141) and an energy conversion circuit (142) integrated on a circuit board, the receiving coil (141) is wound around and fixed on the periphery of the supporting framework (12), the receiving coil (141) is connected with the energy conversion circuit (142) integrated on the circuit board through a connecting wire, the circuit board is positioned in the supporting framework (12), and the energy conversion circuit (142) is used for carrying out smoothing treatment on a high-frequency voltage signal output by the receiving coil (141) so as to convert the high-frequency voltage signal into stable direct current to supply power for the electrocardiosignal acquisition and processing module (11).
3. The left auricle plugging system of wireless energy supply and wireless monitoring electrocardio according to claim 2, wherein the electrocardio signal acquisition and processing module (11) comprises an electrocardio electrode (111), an electrocardio signal processing circuit (112) and a transmitting antenna (113), wherein the electrocardio signal processing circuit (112) is integrated on a circuit board, the electrocardio electrode (111) is fixed on a supporting framework (12), the electrocardio electrode (111) is connected with the electrocardio signal processing circuit (112) integrated on the circuit board through an electrode connecting wire, the circuit board is positioned in the supporting framework (12), and the electrocardio signal processing circuit (112) is connected with the transmitting antenna (113).
4. A left auricle plugging system for wireless energy supply and wireless monitoring of electrocardio according to claim 3, wherein the electrocardio electrode (111) adopts a plurality of electrode plates (1111) positioned on the side surface of the supporting framework (12), and the electrode plates (1111) are connected with the circuit board through flexible wires;
the transmitting antenna (113) adopts a board-mounted or patch-type structure.
5. A left atrial appendage occlusion system for wireless energy supply and wireless monitoring of electrocardiograph according to claim 3, wherein the electrocardiograph electrode (111) adopts a plurality of barb electrodes (1112) arranged on the outer side of the supporting framework (12), the plurality of barb electrodes (1112) are connected with an electrocardiograph signal processing circuit (112) integrated on a circuit board by using a plurality of supporting frameworks (12) as data transmission lines, and are arranged in an insulating way with other supporting frameworks (12) except the data transmission lines;
the transmitting antenna (113) is coiled on the supporting framework (12) by adopting a coil, and is connected with an electrocardiosignal processing circuit (112) integrated on the circuit board through a connecting wire.
6. The left atrial appendage occlusion system of claim 2, wherein the external electrocardiograph signal processing device (2) comprises a first power module (21), an electrocardiograph data receiving and processing module (22), a data storage module (23) and a data transmission module (24), wherein:
the first power module (21) is connected with the electrocardio data receiving and processing module (22), the data storage module (23) and the data transmission module (24) and is used for supplying power to the external electrocardio signal processing device (2);
the electrocardio data receiving and processing module (22) is in wireless connection with the left auricle plugging device (1) and is used for receiving electrocardio data acquired by the left auricle plugging device (1) and analyzing and processing the electrocardio data;
the data storage module (23) is connected with the electrocardio data receiving and processing module and is used for storing the processed electrocardio data;
the data transmission module (24) is connected with the data storage module (23) and is used for transmitting the processed electrocardio data outwards.
7. The left atrial appendage occlusion system of claim 6, wherein the data transmission module (24) comprises a wired transmission sub-module and a wireless transmission sub-module, wherein:
the wired transmission sub-module is connected with the upper computer through a cable and is used for transmitting the processed electrocardio data to the upper computer;
the wireless transmission sub-module is connected with an upper computer in a hospital or a related data processing department in a wireless way and is used for transmitting the processed electrocardio data to the hospital or the related data processing department.
8. The left atrial appendage occlusion system of claim 2, wherein the external wireless energy supply device (3) comprises a second power module (31), a digital to analog conversion module (32), a transmitting coil (33), wherein:
the second power supply module (31) adopts a direct-current stabilized voltage supply and is used for transmitting direct-current electric signals to the digital-to-analog conversion module (32);
the digital-to-analog conversion module (32) is connected with the second power supply module (31) and the transmitting coil (33) and is used for converting direct-current signals into alternating-current signals so as to form an excitation source and drive the transmitting coil (33);
the transmitting coil (33) adopts a coil resonance structure, the input end of the transmitting coil is connected with the digital-to-analog conversion module (32), and the output end of the transmitting coil is connected with the receiving coil (141) in a wireless way and is used for transmitting energy to the receiving coil (141).
9. The left atrial appendage occlusion system of claim 8, wherein the transmitter coil (33) is positioned around a human body and the human body is positioned within a transmission range of the transmitter coil (33).
CN202320355737.XU 2023-03-01 2023-03-01 Left auricle plugging system capable of wirelessly supplying energy and wirelessly monitoring electrocardio Active CN219846653U (en)

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