JP2001008913A - Esophageal stethoscope with esophagus induction electrode for heart operation - Google Patents
Esophageal stethoscope with esophagus induction electrode for heart operationInfo
- Publication number
- JP2001008913A JP2001008913A JP11234493A JP23449399A JP2001008913A JP 2001008913 A JP2001008913 A JP 2001008913A JP 11234493 A JP11234493 A JP 11234493A JP 23449399 A JP23449399 A JP 23449399A JP 2001008913 A JP2001008913 A JP 2001008913A
- Authority
- JP
- Japan
- Prior art keywords
- esophageal
- esophageal stethoscope
- stethoscope
- electrode
- esophagus
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Abstract
Description
【０００１】[0001]
【発明の属する技術分野】本発明は、生体から食道誘導
心電図波形を誘導する食道聴診器に関する。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an esophageal stethoscope for guiding an esophageal electrocardiogram waveform from a living body.
【０００２】[0002]
【従来の技術】心臓手術時には、心臓の状態が急速に変
化するため早期に適切な処置が必要である。その変化を
一 早く正確に把握するために心電図モニターが用いら
れている。2. Description of the Related Art At the time of cardiac surgery, an appropriate treatment is required at an early stage because the state of the heart changes rapidly. An ECG monitor is used to quickly and accurately grasp the change.
【０００３】通常のモニターは、Ｘ・Ｙ・Ｚ軸の３方向
からモニターしなくてはならない。Ｘ軸は心臓の側壁、
Ｙ軸は下壁、Ｚ軸は前壁・後壁の変化を現す。しかし、
装着できるのは四肢誘導でありＺ軸の胸部誘導は手術の
妨げになるため装着してない。An ordinary monitor must monitor from three directions of X, Y and Z axes. X axis is the side wall of the heart,
The Y axis represents the change in the lower wall, and the Z axis represents the change in the front and rear walls. But,
The limb lead can be attached, and the chest lead of the Z axis is not attached because it hinders the operation.
【０００４】心臓の調律や左室下壁の状態は四肢誘導で
モニターできるが、左冠動脈の還流領域である左室前壁
の心筋状態は、胸部誘導がないためにモニターできてい
ない。Although the rhythm of the heart and the condition of the lower wall of the left ventricle can be monitored by limb leads, the state of the myocardium of the anterior wall of the left ventricle, which is the return region of the left coronary artery, cannot be monitored because there is no chest lead.
【０００５】また、食道聴診器を挿入する場合体表よ
り、口から心臓までの長さを予測して挿入していたた
め、浅すぎていたり深く入りすぎ胃を傷つけたりしてい
た。In addition, when an esophageal stethoscope is inserted, the length from the mouth to the heart is predicted from the body surface and inserted, so that the stomach may be too shallow or too deep to damage the stomach.
【０００６】[0006]
【発明が解決しようとする課題】このように、心臓手術
中における不整脈の更なる解析及び、Ｚ軸の虚血性変化
のモニターや適切な食道聴診器の留置が問題となる。Thus, further analysis of arrhythmias during cardiac surgery, monitoring of Z-axis ischemic changes and placement of an appropriate esophageal stethoscope poses a problem.
【０００７】本発明は、この問題を解決するための心臓
手術用食道誘導電極付き食道聴診器である。[0007] The present invention is an esophageal stethoscope with an esophageal induction electrode for cardiac surgery to solve this problem.
【０００８】[0008]
【課題を解決するための手段】上記目的を達成するため
に本発明は図１に示すように、食道聴診器（１）内に外
径１ｍｍと非常に細く、柔軟性のあるカーボン繊維をビ
ニールで被覆した電極を通し、食道聴診器先端より抜き
出し、ビニール被覆を取り除きカーボン繊維（３）を出
した食道誘導電極付き食道聴診器を作製。According to the present invention, as shown in FIG. 1, a very thin and flexible carbon fiber having an outer diameter of 1 mm is formed in a esophageal stethoscope (1). An esophageal stethoscope with an esophagus-inducing electrode was prepared by removing the vinyl coating from the tip of the esophagus stethoscope through the electrode coated with the esophagus, and removing the carbon fiber (3).
【０００９】電極からモニターされる心電図波形を確認
しながら食道聴診器を口より挿入し心電図胸部誘導Ｖ２
の鏡像波形が確認される位置に留置する。While confirming the electrocardiogram waveform monitored from the electrodes, an esophageal stethoscope is inserted through the mouth and the electrocardiogram chest lead V2 is obtained.
Is placed at a position where the mirror image waveform is confirmed.
【００１０】この方法により食道聴診器を浅く・深く挿
入することなく留置できる。[0010] According to this method, the esophagus stethoscope can be indwelled without being inserted shallowly and deeply.
【００１１】またＺ軸である心臓の前壁・後壁の虚血性
変化や不整脈をモニターすることができる。It is also possible to monitor ischemic changes and arrhythmias of the anterior and posterior walls of the heart, which are the Z axis.
【００１２】本発明は、上記実施例に限定されず、その
要旨を変更しない範囲内で種々に変形実施可能である。The present invention is not limited to the above-described embodiment, but can be variously modified within a range that does not change its gist.
【００１３】[0013]
【発明の実施の形態】患者に四肢誘導心電図を装着後、
心臓手術用食道誘導電極付き食道聴診器の電極コネクタ
ー（２）に単極誘導（胸部誘導）を接続し口より挿入す
る。DESCRIPTION OF THE PREFERRED EMBODIMENTS After mounting a limb lead ECG on a patient,
A monopolar lead (chest lead) is connected to the electrode connector (2) of an esophageal stethoscope with an esophageal lead electrode for cardiac surgery and inserted through the mouth.
【００１４】電極からモニターされる心電図波形を確認
しながら食道聴診器を口より挿入し心電図胸部誘導Ｖ２
の鏡像波形が確認される位置に留置する。While confirming the electrocardiogram waveform monitored from the electrodes, an esophageal stethoscope is inserted through the mouth and the electrocardiogram chest lead V2 is obtained.
Is placed at a position where the mirror image waveform is confirmed.
【００１５】[0015]
【発明の効果】上記のように留置することにより、食道
誘導の本来の目的である不整脈の解析を含め、胸部誘導
Ｖ２の鏡像波形によるＺ軸の心臓虚血モニター及び食道
聴診器の適切な留置ができる。The indwelling as described above allows the proper placement of the Z-axis cardiac ischemia monitor and the esophageal stethoscope by the mirror image waveform of the chest lead V2, including the analysis of arrhythmia which is the original purpose of the esophageal induction. Can be.
【図１】本発明の全体図である。FIG. 1 is an overall view of the present invention.
１ 食道聴診器 ２ 電極コネクター ３ カーボン繊維 1 Esophageal stethoscope 2 Electrode connector 3 Carbon fiber
【手続補正書】[Procedure amendment]
【提出日】平成１１年１１月１日（１９９９．１１．
１）[Submission date] November 1, 1999 (1999.11.
1)
【手続補正１】[Procedure amendment 1]
【補正対象書類名】明細書[Document name to be amended] Statement
【補正対象項目名】全文[Correction target item name] Full text
【補正方法】変更[Correction method] Change
【補正内容】[Correction contents]
【書類名】明細書[Document Name] Statement
【発明の名称】心臓手術用食道誘導電極付き食道聴診器Title of the Invention Esophageal stethoscope with esophageal induction electrode for cardiac surgery
【特許請求の範囲】[Claims]
【発明の詳細な説明】DETAILED DESCRIPTION OF THE INVENTION
【０００１】[0001]
【発明の属する技術分野】本発明は、生体から食道誘導
心電図波形を誘導する食道聴診器に関する。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an esophageal stethoscope for guiding an esophageal electrocardiogram waveform from a living body.
【０００２】[0002]
【従来の技術】心臓手術時には、心臓の状態が急速に変
化するため早期に適切な処置が必要である。その変化を
一 早く正確に把握するために心電図モニターが用いら
れている。2. Description of the Related Art At the time of cardiac surgery, an appropriate treatment is required at an early stage because the state of the heart changes rapidly. An ECG monitor is used to quickly and accurately grasp the change.
【０００３】通常のモニターは、Ｘ・Ｙ・Ｚ軸の３方向
からモニターしなくてはならない。Ｘ軸は心臓の側壁、
Ｙ軸は下壁、Ｚ軸は前壁・後壁の変化を現す。しかし、
装着できるのは四肢誘導でありＺ軸の胸部誘導は手術の
妨げになるため装着してない。An ordinary monitor must monitor from three directions of X, Y and Z axes. X axis is the side wall of the heart,
The Y axis represents the change in the lower wall, and the Z axis represents the change in the front and rear walls. But,
The limb lead can be attached, and the chest lead of the Z axis is not attached because it hinders the operation.
【０００４】心臓の調律や左室下壁の状態は四肢誘導で
モニターできるが、左冠動脈の還流領域である左室前壁
の心筋状態は、胸部誘導がないためにモニターできてい
ない。Although the rhythm of the heart and the condition of the lower wall of the left ventricle can be monitored by limb leads, the state of the myocardium of the anterior wall of the left ventricle, which is the return region of the left coronary artery, cannot be monitored because there is no chest lead.
【０００５】また、食道聴診器を挿入する場合体表よ
り、口から心臓までの長さを予測して挿入していたた
め、浅すぎていたり深く入りすぎ胃を傷つけたりしてい
た。In addition, when an esophageal stethoscope is inserted, the length from the mouth to the heart is predicted from the body surface and inserted, so that the stomach may be too shallow or too deep to damage the stomach.
【０００６】[0006]
【発明が解決しようとする課題】このように、心臓手術
中における不整脈の更なる解析及び、左室前壁の虚血性
変化のモニターや適切な食道聴診器の留置が問題とな
る。Thus, further analysis of arrhythmias during cardiac surgery, monitoring of ischemic changes in the anterior wall of the left ventricle , and placement of an appropriate esophageal stethoscope are problems.
【０００７】本発明は、この問題を解決するための心臓
手術用食道誘導電極付き食道聴診器である。[0007] The present invention is an esophageal stethoscope with an esophageal induction electrode for cardiac surgery to solve this problem.
【０００８】[0008]
【課題を解決するための手段】上記目的を達成するため
に本発明は、図１に示すように、食道聴診器（１）内に
電極（３）を通した食道誘導電極付き食道聴診器を作
製。According to the present invention, there is provided an esophageal stethoscope having an esophagus-inducing electrode through an electrode (3) in an esophagus stethoscope (1) as shown in FIG. Production.
【０００９】電極からモニターされる心電図波形を確認
しながら食道聴診器を口より挿入し心電図胸部誘導Ｖ２
・Ｖ３の類似鏡像波形が確認される位置に留置する。While confirming the electrocardiogram waveform monitored from the electrodes, an esophageal stethoscope is inserted through the mouth and the electrocardiogram chest lead V2 is obtained.
-It is placed at a position where a similar mirror image waveform of V3 is confirmed.
【００１０】この方法により食道聴診器を浅く・深く挿
入することなく留置できる。[0010] According to this method, the esophagus stethoscope can be indwelled without being inserted shallowly and deeply.
【００１１】またＺ軸である心臓の前壁・後壁の虚血性
変化や不整脈をモニターすることができる。食道聴診器
内に温度計など組み込めば同時に温度も観察できる。 It is also possible to monitor ischemic changes and arrhythmias of the anterior and posterior walls of the heart, which are the Z axis. Esophageal stethoscope
If you install a thermometer inside, you can observe the temperature at the same time.
【００１２】本発明は、上記実施例に限定されず、その
要旨を変更しない範囲内で種々に変形実施可能である。The present invention is not limited to the above-described embodiment, but can be variously modified within a range that does not change its gist.
【００１３】[0013]
【発明の実施の形態】患者に四肢誘導心電図を装着後、
心臓手術用食道誘導電極付き食道聴診器の電極コネクタ
ー（２）に単極誘導（胸部誘導）を接続し口より挿入す
る。DESCRIPTION OF THE PREFERRED EMBODIMENTS After mounting a limb lead ECG on a patient,
A monopolar lead (chest lead) is connected to the electrode connector (2) of an esophageal stethoscope with an esophageal lead electrode for cardiac surgery and inserted through the mouth.
【００１４】電極からモニターされる心電図波形を確認
しながら食道聴診器を口より挿入し心電図胸部誘導Ｖ２
・Ｖ３の類似鏡像波形が確認される位置に留置する。While confirming the electrocardiogram waveform monitored from the electrodes, an esophageal stethoscope is inserted through the mouth and the electrocardiogram chest lead V2 is obtained.
-It is placed at a position where a similar mirror image waveform of V3 is confirmed.
【００１５】[0015]
【発明の効果】上記のように留置することにより、食道
誘導の本来の目的である不整脈の解析を含め、胸部誘導
Ｖ２・Ｖ３の類似鏡像波形によるＺ軸の心臓虚血モニタ
ー及び食道聴診器の適切な留置ができる。According to the present invention, the indwelling as described above allows the thoracic lead including the arrhythmia analysis which is the original purpose of the esophageal lead.
Appropriate placement of the Z-axis cardiac ischemia monitor and esophageal stethoscope using the similar mirror image waveforms of V2 and V3 is possible.
【図面の簡単な説明】[Brief description of the drawings]
【図１】本発明の全体図である。FIG. 1 is an overall view of the present invention.
【符号の説明】 １ 食道聴診器 ２ 電極コネクター ３ 電極[Description of Signs] 1 Esophageal stethoscope 2 Electrode connector 3 Electrode
Claims (3)
ニターすることを特徴とする、心臓手術用食道誘導電極
付き食道聴診器。1. An esophageal stethoscope with an esophageal lead electrode for cardiac surgery, wherein an esophageal lead electrocardiogram is recorded and monitored during cardiac surgery.
置に、食道誘導電極付き食道聴診器を留置、Ｚ軸即ち心
臓前壁・後壁の虚血性変化を、記録・モニターすること
を特徴とする請求項１記載の、心臓手術用食道誘導電極
付き食道聴診器。2. An esophageal stethoscope with an esophageal lead electrode is placed at a position where a V2 mirror image of an electrocardiographic chest lead can be recorded, and ischemic changes in the Z axis, ie, the anterior and posterior walls of the heart, are recorded and monitored. The esophagus stethoscope with an esophagus-leading electrode for cardiac surgery according to claim 1.
り、食道聴診器を適切な位置に留置することができるこ
とを特徴とする請求項１記載の、心臓手術用食道誘導電
極付き食道聴診器。3. An esophageal stethoscope with an esophageal lead electrode for cardiac surgery according to claim 1, wherein the esophagus stethoscope can be placed at an appropriate position by monitoring the esophageal lead electrocardiogram.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP11234493A JP2001008913A (en) | 1999-07-01 | 1999-07-15 | Esophageal stethoscope with esophagus induction electrode for heart operation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP11234493A JP2001008913A (en) | 1999-07-01 | 1999-07-15 | Esophageal stethoscope with esophagus induction electrode for heart operation |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| JP2001008913A true JP2001008913A (en) | 2001-01-16 |
Family
ID=16971902
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP11234493A Pending JP2001008913A (en) | 1999-07-01 | 1999-07-15 | Esophageal stethoscope with esophagus induction electrode for heart operation |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JP2001008913A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2010509970A (en) * | 2006-11-16 | 2010-04-02 | コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ | Feeding tubes, especially for complete parenteral nutrition and / or pharmaceutical administration |
-
1999
- 1999-07-15 JP JP11234493A patent/JP2001008913A/en active Pending
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2010509970A (en) * | 2006-11-16 | 2010-04-02 | コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ | Feeding tubes, especially for complete parenteral nutrition and / or pharmaceutical administration |
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