Claims (8)
一種心內去顫導管系統，係具備有：被挿入在心內來進行去顫的去顫導管；及對該去顫導管的電極施加直流電壓的電源裝置，該導管系統之特徵為：前述去顫導管係具備有：絕緣性的管構件；第1電極群，其係由被裝設在前述管構件之前端領域的複數環狀電極所構成；第2電極群，其係由從前述第1電極群朝基端側分離而被裝設在前述管構件的複數環狀電極所構成；第1引線群，其係由在構成前述第1電極群的電極的各個連接有前端的複數引線所構成；第2引線群，其係由在構成前述第2電極群的電極的各個連接有前端的複數引線所構成；及記憶體，其係具有：記憶有前述去顫導管的序列資訊的導管序列記憶部、記憶電源裝置最初被連接在前述去顫導管的時刻及最初連接的電源裝置的序列資訊的初次連接資訊記憶部、以及將包含藉由前述去顫導管所為之去顫的事件的資訊，連同進行該事件的時刻及所連接的電源裝置的序列資訊一起加以記憶的事件資訊記憶部，前述電源裝置係具備有：DC電源部；導管連接連接器，其係被連接在前述去顫導管的第1引線群及第2引線群的基端側；
外部開關，其係包含：用以將前述電源裝置形成為去顫模式的模式切換開關、電氣能量的設定開關、及電氣能量的施加開關；及運算處理部，其係根據前述外部開關的輸入來控制前述DC電源部，並且具有來自該DC電源部的直流電壓的輸出電路，另外記憶前述電源裝置的序列資訊及導管的使用限制時間，且具有用以確定時刻的內部時鐘，控制對前述去顫導管的記憶體的寫入及讀出，在藉由前述去顫導管來進行去顫時，係在被測定出前述第1電極群與前述第2電極群之間的電阻值後，根據前述外部開關的輸入，由前述電源裝置的DC電源部，經由前述運算處理部的輸出電路、前述導管連接連接器，對前述去顫導管的前述第1電極群與前述第2電極群施加彼此不同極性的電壓，前述電源裝置之運算處理部係：(a)在將該電源裝置最初連接在前述去顫導管時，將最初連接的時刻及最初連接的該電源裝置的序列資訊寫入在前述去顫導管的記憶體中的初次連接資訊記憶部；(b)在藉由前述去顫導管來進行去顫時，取得前述第1電極群與前述第2電極群之間的電阻值、欲施加在前述第1電極群與前述第2電極群之間的電氣能量的設定值、輸出電壓及輸出時間的資訊，將該等資訊連同進行該去顫的時刻及所連接的該電源裝置的序列資訊一起寫入在前述去顫導管的記憶體中的事件記憶部；
(c)在測定出前述去顫導管的前述第1電極群與前述第2電極群之間的電阻值之後未進行去顫時，將電阻值的測定辨識為事件，將所被測定出的電阻值連同所被測定出的時刻及所連接的該電源裝置的序列資訊一起寫入在前述去顫導管的記憶體中的事件記憶部；(d)對已卸除原本使用的電源裝置後的去顫導管再連接相同或相異的該電源裝置時，將其辨識為事件，將再連接的時刻及再連接的該電源裝置的序列資訊寫入在前述去顫導管的記憶體中的事件記憶部；(e)按每個被寫入在前述去顫導管的記憶體中的事件記憶部的事件，判斷從被寫入在該去顫導管的記憶體中的初次連接資訊記憶部的連接時刻起、至進行該事件的時刻為止的經過時間是否超過前述使用限制時間，若判斷為超過時，係以不會執行藉由該去顫導管所為之接下來的事件的方式來進行控制。
An intracardiac defibrillation catheter system comprising: a defibrillation catheter inserted into a heart for defibrillation; and a power supply device for applying a DC voltage to an electrode of the defibrillation catheter, the catheter system characterized by: the aforementioned defibrillation The catheter system includes: an insulating tubular member; the first electrode group is composed of a plurality of annular electrodes installed in a front end region of the tubular member; and the second electrode group is derived from the first electrode The group is formed by a plurality of ring-shaped electrodes which are separated from the base end side and are provided in the tube member, and the first lead group is composed of a plurality of leads each having a tip end connected to each of the electrodes constituting the first electrode group; a lead wire group comprising: a plurality of lead wires each having a distal end connected to an electrode constituting the second electrode group; and a memory having a catheter sequence memory portion in which sequence information of the defibrillation catheter is stored, The memory power supply device is initially connected to the first defibrillation catheter and the initial connection information memory of the sequence information of the first connected power supply device, and will include defibrillation by the aforementioned defibrillation catheter The event information storage unit is stored with the information of the event and the sequence information of the connected power supply device. The power supply device includes a DC power supply unit and a conduit connection connector. a first lead group of the defibrillation catheter and a proximal end side of the second lead group;
The external switch includes: a mode switching switch for forming the power supply device in a debounce mode, a setting switch for electrical energy, and an application switch for electrical energy; and an arithmetic processing unit that is based on an input of the external switch Controlling the DC power supply unit and having an output circuit of a DC voltage from the DC power supply unit, and additionally storing the sequence information of the power supply device and the use limit time of the conduit, and having an internal clock for determining the time, controlling the defibrillation When the memory of the catheter is written and read, when the defibrillation is performed by the defibrillation catheter, the resistance value between the first electrode group and the second electrode group is measured, and then the external The input of the switch is applied to the first electrode group of the defibrillation catheter and the second electrode group by the DC power supply unit of the power supply device via the output circuit of the arithmetic processing unit and the catheter connection connector. Voltage, the arithmetic processing unit of the power supply device: (a) when the power supply device is initially connected to the defibrillation catheter, the first connection is The connected time and the sequence information of the power supply device that is initially connected are written into the initial connection information storage unit in the memory of the defibrillation catheter; (b) when the defibrillation catheter is defibrillated, the foregoing Information on the resistance value between the electrode group and the second electrode group, the set value of the electric energy to be applied between the first electrode group and the second electrode group, the output voltage, and the output time, and the like. Writing an event memory portion in the memory of the defibrillation catheter together with the timing of performing the defibrillation and the sequence information of the connected power supply device;
(c) When the defibrillation is not performed after the resistance value between the first electrode group and the second electrode group of the defibrillation catheter is measured, the measurement of the resistance value is recognized as an event, and the measured resistance is measured. The value is written in the event memory portion of the memory of the defibrillation catheter together with the measured time and the sequence information of the connected power supply device; (d) after the power device that has been used is removed When the vibrating catheter is connected to the same or different power supply device, it is recognized as an event, and the reconnection time and the reconnected sequence information of the power supply device are written in the event memory unit in the memory of the defibrillation catheter. (e) judging from the event of the event memory portion written in the memory of the defibrillation catheter, from the connection timing of the first connection information memory portion written in the memory of the defibrillation catheter Whether or not the elapsed time until the time when the event is performed exceeds the use restriction time, and if it is determined to be exceeded, the control is performed such that the next event by the defibrillation catheter is not performed.
如申請專利範圍第1項之心內去顫導管系統，其中，前述電源裝置之運算處理部係定期參照前述內部時鐘所示時刻，從被寫入在前述去顫導管的記憶體的初次連接資訊記憶部的連接時刻起經過前述使用限制時間之後，係以不會執行藉由該去顫導管所為之事件的方式來進行控制。
The intracardiac defibrillation catheter system according to claim 1, wherein the arithmetic processing unit of the power supply device periodically refers to the first connection information written in the memory of the defibrillation catheter with reference to the time indicated by the internal clock. The connection time of the memory unit is controlled such that the event by the defibrillation catheter is not performed after the use restriction time has elapsed.
一種心內去顫導管系統，係具備有：被挿入在心內來進行去顫的去顫導管；及對該去顫導管的電極施加直流電壓的電源裝置，該導管系統之特徵為：
前述去顫導管係具備有：絕緣性的管構件；第1電極群，其係由被裝設在前述管構件之前端領域的複數環狀電極所構成；第2電極群，其係由從前述第1電極群朝基端側分離而被裝設在前述管構件的複數環狀電極所構成；第1引線群，其係由在構成前述第1電極群的電極的各個連接有前端的複數引線所構成；第2引線群，其係由在構成前述第2電極群的電極的各個連接有前端的複數引線所構成；及記憶體，其係具有：記憶有前述去顫導管的序列資訊的導管序列記憶部、記憶電源裝置最初被連接在前述去顫導管的時刻及最初連接的電源裝置的序列資訊的初次連接資訊記憶部、以及將包含藉由前述去顫導管所為之去顫的事件的資訊，連同進行該事件的時刻及所連接的電源裝置的序列資訊一起加以記憶的事件資訊記憶部，前述電源裝置係具備有：DC電源部；導管連接連接器，其係被連接在前述去顫導管的第1引線群及第2引線群的基端側；外部開關，其係包含：用以將前述電源裝置形成為去顫模式的模式切換開關、電氣能量的設定開關、及電氣能量的施加開關；及運算處理部，其係根據前述外部開關的輸入來控制前
述DC電源部，並且具有來自該DC電源部的直流電壓的輸出電路，另外記憶前述電源裝置的序列資訊及導管的使用限制時間，且具有用以確定時刻的內部時鐘，控制對前述去顫導管的記憶體的寫入及讀出，在藉由前述去顫導管來進行去顫時，係在被測定出前述第1電極群與前述第2電極群之間的電阻值後，根據前述外部開關的輸入，由前述電源裝置的DC電源部，經由前述運算處理部的輸出電路、前述導管連接連接器，對前述去顫導管的前述第1電極群與前述第2電極群施加彼此不同極性的電壓，前述電源裝置之運算處理部係：(a)在將該電源裝置最初連接在前述去顫導管時，將最初連接的時刻及最初連接的該電源裝置的序列資訊寫入在前述去顫導管的記憶體中的初次連接資訊記憶部；(b)在藉由前述去顫導管來進行去顫時，取得前述第1電極群與前述第2電極群之間的電阻值、欲施加在前述第1電極群與前述第2電極群之間的電氣能量的設定值、輸出電壓及輸出時間的資訊，將該等資訊連同進行該去顫的時刻及所連接的該電源裝置的序列資訊一起寫入在前述去顫導管的記憶體中的事件記憶部；(c)在測定出前述去顫導管的前述第1電極群與前述第2電極群之間的電阻值之後未進行去顫時，將電阻值的測定辨識為事件，將所被測定出的電阻值連同所被測定出的時刻及所連接的該電源裝置的序列資訊一起寫入在前
述去顫導管的記憶體中的事件記憶部寫入；(d)對已卸除原本使用的電源裝置後的去顫導管再連接相同或相異的該電源裝置時，將其辨識為事件，將再連接的時刻及再連接的該電源裝置的序列資訊寫入在前述去顫導管的記憶體中的事件記憶部；(e)在欲藉由前述去顫導管來執行新的事件時，判斷從被寫入在該去顫導管的記憶體中的初次連接資訊記憶部的連接時刻起、至前述內部時鐘所示的現在時刻為止的經過時間是否超過前述使用限制時間，若判斷為超過時，係以不會執行該事件的方式來進行控制。
An intracardiac defibrillation catheter system comprising: a defibrillation catheter inserted into a heart for defibrillation; and a power supply device for applying a DC voltage to an electrode of the defibrillation catheter, the catheter system being characterized by:
The defibrillating catheter system includes: an insulating tubular member; a first electrode group formed of a plurality of annular electrodes installed in a front end region of the tubular member; and a second electrode group from the foregoing The first electrode group is separated from the base end side and is formed by a plurality of ring-shaped electrodes provided in the tube member. The first lead group is formed by a plurality of leads connected to the electrodes of the first electrode group. The second lead group is composed of a plurality of leads each having a tip end connected to an electrode constituting the second electrode group, and a memory having a catheter sequence in which sequence information of the defibrillation catheter is stored. The first connection information storage unit in which the memory unit and the memory power source device are initially connected to the defibrillation catheter and the sequence information of the first connected power supply device, and the information including the event of defibrillation by the defibrillation catheter. An event information storage unit that is stored together with the time of the event and the sequence information of the connected power supply device, wherein the power supply device includes a DC power supply unit and a conduit connection a connector connected to a proximal end side of the first lead group and the second lead group of the defibrillation catheter; and an external switch including: a mode switch for forming the power supply device into a debounce mode, An electric energy setting switch and an electric energy application switch; and an arithmetic processing unit that controls the front of the external switch according to the input
The DC power supply unit has an output circuit of a DC voltage from the DC power supply unit, and further stores sequence information of the power supply device and a use limit time of the conduit, and has an internal clock for determining a time to control the defibrillation catheter When the memory is written and read, when the defibrillation is performed by the defibrillation catheter, the resistance value between the first electrode group and the second electrode group is measured, and then the external switch is used. In the input of the DC power supply unit of the power supply device, a voltage of a different polarity is applied to the first electrode group and the second electrode group of the defibrillation duct via an output circuit of the arithmetic processing unit and the catheter connection connector. The arithmetic processing unit of the power supply device: (a) when the power supply device is initially connected to the defibrillation catheter, writes the first connection time and the sequence information of the first power supply device to be connected to the defibrillation catheter. (b) acquiring the first electrode group and the second electrode group when defibrillation is performed by the defibrillation catheter in the memory; a resistance value, information on a set value, an output voltage, and an output time of electrical energy to be applied between the first electrode group and the second electrode group, and the information is connected to the time at which the defibrillation is performed and the connected The sequence information of the power supply device is written together in the event memory portion of the memory of the defibrillation catheter; (c) the resistance value between the first electrode group and the second electrode group of the defibrillation catheter is measured When defibrillation is not performed, the measurement of the resistance value is recognized as an event, and the measured resistance value is written together with the measured time and the sequence information of the connected power supply device.
The event memory portion of the memory of the defibrillation catheter is written; (d) when the defibrillation catheter after the power device that has been used is removed is connected to the same or different power supply device, it is recognized as an event. Writing the time of reconnection and the sequence information of the reconnected power supply device to the event memory portion in the memory of the defibrillation catheter; (e) judging when a new event is to be performed by the aforementioned defibrillation catheter Whether the elapsed time from the connection time of the first connection information storage unit written in the memory of the defibrillation catheter to the current time indicated by the internal clock exceeds the use restriction time, and if it is determined to be excessive, Control is performed in such a way that the event is not executed.
一種心內去顫導管系統，係具備有心電儀之如申請專利範圍第1項至第3項中任一項之心內去顫導管系統，其特徵為：前述電源裝置係具備有：心電儀連接連接器，其係連接於前述心電儀的輸入端子；及切換部，其係由1電路2接點的切換開關所構成，在共通接點連接有前述導管連接連接器，在第1接點連接有前述心電儀連接連接器，在第2接點連接有前述運算處理部，在藉由構成前述去顫導管的第1電極群及/或第2電極群的電極來測定心電位時，係在前述切換部中選擇第1接點，來自前述去顫導管的心電位資訊係經由前述電源裝置之前述導管連接連接器、前述切換部及前述心電儀連接
連接器而被輸入至前述心電儀，當藉由前述去顫導管來進行去顫時，係藉由前述電源裝置之前述運算處理部，前述切換部的接點切換成第2接點，由前述DC電源部，經由前述運算處理部的輸出電路、前述切換部及前述導管連接連接器，而對前述去顫導管的前述第1電極群、及前述第2電極群施加彼此不同極性的電壓。
An intracardiac defibrillation catheter system, comprising an intracardiac defibrillation catheter system having an electrocardiograph according to any one of claims 1 to 3, wherein the power supply device is provided with: an electrocardiogram The instrument is connected to the connector, and is connected to the input terminal of the electrocardiograph; and the switching unit is composed of a switch of a circuit 2 contact, and the catheter connection connector is connected to the common contact, at the first The electrocardiograph connection connector is connected to the contact, and the arithmetic processing unit is connected to the second contact, and the cardiac potential is measured by the electrodes of the first electrode group and/or the second electrode group constituting the defibrillation catheter. The first contact is selected in the switching unit, and the cardiac potential information from the defibrillation catheter is connected via the catheter connection connector, the switching unit, and the electrocardiograph of the power supply device.
The connector is input to the electrocardiograph, and when defibrillation is performed by the defibrillation catheter, the contact of the switching unit is switched to the second contact by the arithmetic processing unit of the power supply device. The DC power supply unit applies voltages of different polarities to the first electrode group and the second electrode group of the defibrillation duct via the output circuit of the arithmetic processing unit, the switching unit, and the catheter connection connector.
如申請專利範圍第4項之心內去顫導管系統，其中，前述去顫導管係具備有：電位測定電極群，其係由從前述第1電極群或前述第2電極群分離而被裝設在前述管構件的複數電極所構成；及電位測定用的引線群，其係由在構成前述電位測定電極群的電極的各個連接有前端的複數引線所構成，其基端側被連接於前述電源裝置之導管連接連接器，在前述電源裝置係形成有將前述導管連接連接器及前述心電儀連接連接器直接連結的路徑，藉由構成前述電位測定電極群的電極所測定出的心電位資訊係由前述電源裝置之前述導管連接連接器，不會經由前述切換部，而經由前述心電儀連接連接器而被輸入至前述心電儀。
The intracardiac defibrillation catheter system according to claim 4, wherein the defibrillation catheter system includes a potential measurement electrode group that is separated from the first electrode group or the second electrode group The plurality of electrodes of the tube member and the lead group for potential measurement are composed of a plurality of leads each having a tip end connected to an electrode constituting the potential measuring electrode group, and a base end side thereof is connected to the power source In the catheter connection connector of the device, the power supply device is provided with a path for directly connecting the catheter connection connector and the electrocardiograph connection connector, and the cardiac potential information measured by the electrodes constituting the potential measurement electrode group The catheter connection connector of the power supply device is input to the electrocardiograph via the electrocardiograph connection connector without passing through the switching portion.
如申請專利範圍第4項之心內去顫導管系統，其中，在前述心電儀連接有前述去顫導管以外的心電位測定手段。
The intracardiac defibrillation catheter system of claim 4, wherein the electrocardiograph is connected to a cardiac potential measuring means other than the aforementioned defibrillation catheter.
如申請專利範圍第6項之心內去顫導管系統，其中，前述心電位測定手段為電極焊墊或電極導管。
The intracardiac defibrillation catheter system of claim 6, wherein the cardiac potential measuring means is an electrode pad or an electrode catheter.
如申請專利範圍第4項至第7項中任一項之心內去顫導管系統，其中，前述電源裝置係具備有：與前述運算處理部及前述心電儀的輸出端子相連接的心電圖輸入連接器；及與前述運算處理部相連接的心電位資訊顯示部，被輸入至前述心電圖輸入連接器之來自前述心電儀的心電位資訊係被輸入至前述運算處理部，且另外顯示於前述心電位資訊顯示部。
The intracardiac defibrillation catheter system according to any one of claims 4 to 7, wherein the power supply device includes an electrocardiogram input connected to an arithmetic processing unit and an output terminal of the electrocardiograph a connector and a cardiac potential information display unit connected to the arithmetic processing unit, wherein the cardiac potential information from the electrocardiograph input to the electrocardiogram input connector is input to the arithmetic processing unit, and is displayed on the Heart potential information display unit.