TWI818812B - Smart hemostasis device - Google Patents
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- TWI818812B TWI818812B TW111144477A TW111144477A TWI818812B TW I818812 B TWI818812 B TW I818812B TW 111144477 A TW111144477 A TW 111144477A TW 111144477 A TW111144477 A TW 111144477A TW I818812 B TWI818812 B TW I818812B
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- 230000023597 hemostasis Effects 0.000 title abstract description 11
- 238000004891 communication Methods 0.000 claims abstract description 39
- 230000000740 bleeding effect Effects 0.000 claims abstract description 21
- 230000002439 hemostatic effect Effects 0.000 claims description 23
- 230000005540 biological transmission Effects 0.000 claims description 10
- 238000013186 photoplethysmography Methods 0.000 claims description 9
- 238000004146 energy storage Methods 0.000 claims description 8
- 210000002073 venous valve Anatomy 0.000 abstract 1
- 239000008280 blood Substances 0.000 description 27
- 210000004369 blood Anatomy 0.000 description 27
- 206010052428 Wound Diseases 0.000 description 24
- 208000027418 Wounds and injury Diseases 0.000 description 24
- 206010016717 Fistula Diseases 0.000 description 20
- 230000003890 fistula Effects 0.000 description 20
- 238000000502 dialysis Methods 0.000 description 8
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 5
- 230000017531 blood circulation Effects 0.000 description 5
- 239000001301 oxygen Substances 0.000 description 5
- 229910052760 oxygen Inorganic materials 0.000 description 5
- 238000010586 diagram Methods 0.000 description 4
- 238000001990 intravenous administration Methods 0.000 description 3
- 206010021143 Hypoxia Diseases 0.000 description 1
- WHXSMMKQMYFTQS-UHFFFAOYSA-N Lithium Chemical compound [Li] WHXSMMKQMYFTQS-UHFFFAOYSA-N 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 230000036770 blood supply Effects 0.000 description 1
- 230000004087 circulation Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 210000004177 elastic tissue Anatomy 0.000 description 1
- 239000007789 gas Substances 0.000 description 1
- 230000007954 hypoxia Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 229910052744 lithium Inorganic materials 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000003825 pressing Methods 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
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Abstract
Description
本發明關於一種智能止血裝置,特別是指一種具有可充氣止血帶的智能止血裝置。 The present invention relates to an intelligent hemostatic device, in particular to an intelligent hemostatic device with an inflatable tourniquet.
由於洗腎廔管內之血壓通常較大,所以當引流針拔離後,廔管插針穿孔處會大量漏血,故必須對插針處進行施壓,直至廔管穿孔處與手臂傷口處之血液凝固。 Since the blood pressure in the renal dialysis tube is usually high, when the drainage needle is removed, a large amount of blood will leak from the puncture point of the dialysis tube. Therefore, pressure must be applied to the needle insertion point until the puncture point of the dialysis tube and the wound on the arm are The blood coagulates.
請參閱圖1,圖1所繪示為傳統的止血帶7的示意圖。洗腎瘻管大多是以止血帶7纏繞束縛手臂傷口處的方式進行止血,止血帶7是由彈性纖維作為材質製成的綁帶。因此,當止血帶7纏繞束縛的壓力過大時容易造成洗腎瘻管窄縮而栓塞,使得末端循環供血不足而造成組織缺氧。反之,當止血帶7纏繞束縛的壓力不足時,會導致洗腎瘻管的傷口無法止血,患者會有失血過多的風險。
Please refer to FIG. 1 , which is a schematic diagram of a
傳統的止血帶7除了具有上述的問題之外,還有下列缺點:
In addition to the above-mentioned problems, the
1.無法控制正確的加壓時間。 1. Unable to control the correct pressurization time.
2.洗腎瘻管滲血時無法及時發現。 2. Blood leakage from renal dialysis fistula cannot be detected in time.
3.無法得知病患是否提早拔除止血帶。 3. It is impossible to know whether the patient removed the tourniquet early.
因此,如何改善上述的問題,便是本領域具有通常知識者值得去思量地。 Therefore, how to improve the above-mentioned problems is worthy of consideration by those with ordinary knowledge in this field.
本發明之目的在於提供一智能止血裝置,該智能止血裝置能控制止血帶的壓力及加壓時間,且還具有滲血偵測的功能。 The object of the present invention is to provide an intelligent hemostatic device that can control the pressure and pressurization time of the tourniquet and also has the function of detecting bleeding.
本發明的智能止血裝置包括一加壓器泵、一氣壓感測器、一分流室、一第一氣壓式止血帶、一洩壓閥、一靜脈氣閥、一第二氣壓式止血帶及一微處理器。其中,分流室是經由一第一連通管連結該加壓器泵。第一氣壓式止血帶是經由一第二連通管連結該分流室。洩壓閥是經由一第三連通管連結該分流室。靜脈氣閥是經由一第四連通管連結該氣壓感測器,且靜脈氣閥經由一第五連通管連結分流室。此外,第二氣壓式止血帶是經由一第六連通管連結該靜脈氣閥,且該靜脈氣閥用以開啟或關閉該第六連通管。另外,微處理器是電性連接加壓器泵、洩壓閥、氣壓感測器及靜脈氣閥。 The intelligent hemostasis device of the present invention includes a pressurizer pump, a pneumatic pressure sensor, a shunt chamber, a first pneumatic tourniquet, a pressure relief valve, a venous air valve, a second pneumatic tourniquet and a microprocessor. Wherein, the shunt chamber is connected to the pressurizer pump through a first communication pipe. The first pneumatic tourniquet is connected to the shunt chamber through a second communication tube. The pressure relief valve is connected to the shunt chamber through a third communication pipe. The venous air valve is connected to the air pressure sensor through a fourth communication tube, and the venous air valve is connected to the shunt chamber through a fifth communication tube. In addition, the second pneumatic tourniquet is connected to the venous air valve through a sixth communication tube, and the venous air valve is used to open or close the sixth communication tube. In addition, the microprocessor is electrically connected to the pressurizer pump, pressure relief valve, air pressure sensor and intravenous air valve.
在上所述之智能止血裝置還包括一第一滲血感測器,第一滲血感測器設置在該第一氣壓式止血帶上。 The above-mentioned intelligent hemostatic device further includes a first blood bleed sensor, and the first blood bleed sensor is disposed on the first pneumatic tourniquet.
在上所述之智能止血裝置還包括一第一光體積變化描記圖感測器,該第一光體積變化描記圖感測器設置在該第一氣壓式止血帶上。 The above-mentioned intelligent hemostatic device further includes a first photoplethysmogram sensor, and the first photoplethysmogram sensor is disposed on the first pneumatic tourniquet.
在上所述之智能止血裝置還包括一第二滲血感測器及,該第二滲血感測器設置在該第二氣壓式止血帶。 The above-mentioned intelligent hemostatic device further includes a second bleeding sensor, and the second bleeding sensor is provided on the second pneumatic tourniquet.
在上所述之智能止血裝置還包括一第二光體積變化描記圖感測器,該第二光體積變化描記圖感測器設置在該第二氣壓式止血帶。 The above-mentioned intelligent hemostatic device further includes a second photoplethysmography sensor, and the second photoplethysmography sensor is disposed on the second pneumatic tourniquet.
在上所述之智能止血裝置中,第一滲血感測器及該第二滲血感測器用以偵測一病患是否滲血,且第一光體積變化描記圖感測器及該第二光體積變化描記圖感測器用以測得該病患的心率值、血氧值及血流速值。 In the above-mentioned smart hemostatic device, the first blood bleed sensor and the second blood bleed sensor are used to detect whether a patient has bleeding, and the first photoplethysmogram sensor and the third The diphotoplethysmography sensor is used to measure the patient's heart rate value, blood oxygen value, and blood flow velocity value.
在上所述之智能止血裝置中,當該氣壓感測器感測到的氣壓到達一第一預定值,該微處理器命令該靜脈氣閥關閉該第六連通管,且當氣壓感測器感測到的氣壓到達一第二預定值,該微處理器命令該加壓器泵停止充氣。 In the above-mentioned intelligent hemostatic device, when the air pressure sensed by the air pressure sensor reaches a first predetermined value, the microprocessor commands the venous air valve to close the sixth communication tube, and when the air pressure sensor When the sensed air pressure reaches a second predetermined value, the microprocessor commands the pressurizer pump to stop inflating.
在上所述之智能止血裝置還包括一顯示螢幕,該顯示螢幕電性連接至微處理器,其是用以顯示病患的心率值、血氧值及血流速值。 The above-mentioned intelligent hemostasis device also includes a display screen, which is electrically connected to the microprocessor and is used to display the patient's heart rate value, blood oxygen value and blood flow velocity value.
在上所述之智能止血裝置還包括一儲能模組,該儲能模組電性連接該微處理器、該加壓器泵、及該氣壓感測器。 The above-mentioned intelligent hemostasis device also includes an energy storage module that is electrically connected to the microprocessor, the pressurizer pump, and the air pressure sensor.
在上所述之智能止血裝置還包括一無線傳輸模組,該無線傳輸模組電性連接該微處理器,且該無線傳輸模組網路連接至一雲端伺服器。 The above-mentioned intelligent hemostasis device also includes a wireless transmission module, the wireless transmission module is electrically connected to the microprocessor, and the wireless transmission module is network connected to a cloud server.
本發明具有下述優點: The invention has the following advantages:
1.有助於控制正確的加壓力道 1. Helps control the correct pressure path
2.有助於控制正確的加壓時間。 2. Helps control the correct pressurization time.
3.有助於及時發現洗腎瘻管滲血。 3. Helps in timely detection of blood leakage from renal dialysis fistula.
4.可以得知病患是否提早拔除止血帶。 4. It can be known whether the patient removed the tourniquet early.
為讓本發明之上述特徵和優點能更明顯易懂,下文特舉較佳實施例,並配合所附圖式,作詳細說明如下。 In order to make the above-mentioned features and advantages of the present invention more obvious and easy to understand, preferred embodiments are given below and described in detail with reference to the accompanying drawings.
10:智能止血裝置 10: Intelligent hemostatic device
11:加壓器泵 11: Pressurizer pump
12:氣壓感測器 12:Air pressure sensor
13:分流室 13:Triage room
14:第一氣壓式止血帶 14: The first pneumatic tourniquet
15:洩壓閥 15: Pressure relief valve
16:靜脈氣閥 16:Venous air valve
17:第二氣壓式止血帶 17: Second pneumatic tourniquet
18:微處理器 18:Microprocessor
19:第一滲血感測器 19: The first blood bleed sensor
21:第一光體積變化描記圖感測器 21: First photoplethysmography sensor
22:第二滲血感測器 22: Second blood bleed sensor
23:第二光體積變化描記圖感測器 23: Second photoplethysmography sensor
24:顯示螢幕 24:Display screen
25:儲能模組 25:Energy storage module
26:無線傳輸模組 26:Wireless transmission module
7:傳統的止血帶 7: Traditional tourniquet
81:第一連通管 81:First connecting pipe
82:第二連通管 82:Second connecting pipe
83:第三連通管 83:Third connecting pipe
84:第四連通管 84:Fourth connecting pipe
85:第五連通管 85:Fifth connecting pipe
86:第六連通管 86:Sixth connecting pipe
圖1所繪示為傳統的止血帶7的示意圖。
Figure 1 shows a schematic diagram of a
圖2A及圖2B所繪示為本實施例之智能止血裝置10使用於手臂上的示意圖。
2A and 2B are schematic diagrams of the
請參閱圖2A及圖2B,圖2A及圖2B所繪示為本實施例之智能止血裝置10使用於手臂上的示意圖。在本實施例中,智能止血裝置10包括一加壓器泵11、一氣壓感測器(Pressure Sensor)12、一分流室13、一第一氣壓式止血帶14、一洩壓閥15、一靜脈氣閥16、一第二氣壓式止血帶17、一微處理器18、第一滲血感測器19、第一光體積變化描記圖(Photoplethy smography,PPG)感測器21、第二滲血感測器22、第二光體積變化描記圖(PPG)感測器23、一顯示螢幕24、一儲能模組25及一無線傳輸模組26。其中,微處理器18是電性連接加壓器泵11、洩壓閥15、氣壓感測器12、靜脈氣閥16、第一滲血感測器19、第一光體積變化描記圖感測器21、第二滲血感測器22、第二光體積變化描記圖感測器23。詳細來說,微處
理器18用以命令加壓器泵11、洩壓閥15、氣壓感測器12、靜脈氣閥16、第一滲血感測器19、第一光體積變化描記圖感測器21、第二滲血感測器22、第二光體積變化描記圖感測器23進行運作。
Please refer to FIGS. 2A and 2B , which are schematic diagrams of the
上述中,第一氣壓式止血帶14是纏繞束縛病患的動脈瘻管的傷口上,第一氣壓式止血帶14是經由一第二連通管82連結分流室13。並且,分流室13是經由一第一連通管81連結加壓器泵11。因此,當加壓器泵11接受到微處理器18的命令進行運作時,加壓器泵11便能透過第一連通管81、分流室13及第二連通管82對第一氣壓式止血帶14進行充氣,以使第一氣壓式止血帶產生壓迫力迫使該動脈瘻管的傷口止血。
In the above, the first
此外,第二氣壓式止血帶17是纏繞束縛病患的靜脈瘻管的傷口上,第二氣壓式止血帶17是經由一第六連通管86連結靜脈氣閥16,且靜脈氣閥16是經由一第五連通管85連結分流室13。因此,當加壓器泵11接受到微處理器18的命令進行運作時,加壓器泵11便能透過第一連通管81、分流室13及第五連通管85、靜脈氣閥16及第六連通管86對第二氣壓式止血帶17進行充氣,以使第二氣壓式止血帶產生壓迫力迫使該靜脈的傷口止血。
In addition, the second
在本實施例中,微處理器18能命令靜脈氣閥16開啟或關閉第六連通管86。舉例來說,當氣壓感測器12感測到的氣壓到達一第一預定值,靜脈氣閥16會關閉第六連通管86時;這樣一來,加壓器泵11所輸送的氣體僅會導入到第一氣壓式止血帶14,而不會導入第二氣壓式止血帶17中。如此一來,有助於第一氣壓式止血帶14繼續增加纏繞束縛的壓力於該動脈瘻管的傷口上(相較於靜脈瘻管的傷口,動脈瘻管的傷口需要更大的壓迫力進行止血)。
In this embodiment, the
此外,靜脈氣閥16是經由一第四連通管84連結氣壓感測器12,所以在靜脈氣閥16開啟第六連通管86時,根據帕斯卡原理(Pascal's principle),氣壓感測器12便能偵測到第一氣壓式止血帶14與第二氣壓式止血帶17的內部壓力。
In addition, the
在本實施例中,當氣壓感測器12感測到的氣壓到達一第二預定值,微處理器18命令加壓器泵11停止充氣。在此,第一預定值是指能使靜脈瘻管所對應的傷口不繼續滲血的壓力值,而第二預定值則是指能使動脈瘻管所對應的傷口不繼續滲血的壓力值。
In this embodiment, when the air pressure sensed by the
另外,洩壓閥15是經由一第三連通管83連結分流室13,洩壓閥15是透過第三連通管83、分流室13及第二連通管82對第一氣壓式止血帶14進行洩氣。類似的方式,洩壓閥15可透過第三連通管83、分流室13、第五連通管85、靜脈氣閥16及第六連通管86也對第二氣壓式止血帶17同時進行洩氣。因此,相較於傳統的止血帶7,本實施例之智能止血裝置10可透過加壓器泵11、氣壓感測器12及洩壓閥15調整適合動脈瘻管的傷口及靜脈瘻管的傷口之加壓力道。
In addition, the
此外,由於本案的加壓器泵11及洩壓閥皆是經由微處理器18的命令進行運作,所以智能止血裝置10能透過微處理器18來控制該傷口所需的加壓時間(一般壓抵傷口至止血所需的時間通常約為2小時)。
In addition, since the
請參閱圖2B,第一滲血感測器19是設置在第一氣壓式止血帶14上,而第二滲血感測器22是設置在第二氣壓式止血帶17。其中,第一滲血感測器19是對應到動脈瘻管的傷口的位置,而第二滲血感測器22是對應到靜脈瘻管的傷口的位置,第一滲血感測器19及第二滲血感測器22皆是用以偵測該病患的傷口是否滲血。在本實施例中,當偵測到輕微滲血時,本裝置發出兩聲長聲「嗶-嗶-」提示音,且立即增加該傷口的加壓時間。此外,當偵測到嚴重滲血時,本裝置會持續長聲「嗶」提示音,且立即提升該傷口之加壓力道。
Referring to FIG. 2B , the
另外,第一光體積變化描記圖感測器21是設置在第一氣壓式止血帶14上,而第二光體積變化描記圖感測器23設置在第二氣壓式止血帶17。其中,且第一光體積變化描記圖感測器21及第二光體積變化描記圖感測器23用以測得該病患的心率值、血氧值及血流速值。並且,顯示螢幕24是用以顯示所測得的心率值、
血氧值及血流速值。此外,無線傳輸模組26再將所測得的心率值、血氧值及血流速值上傳至一雲端伺服器(未繪製)。這樣一來,更能長時間觀察該病患的多項健康數據。另外,在持續加壓傷口的過程中,倘若該雲端伺服器沒有接收到該病患的健康數據,便能得知該病患可能已提早拔除第一氣壓式止血帶14或第二氣壓式止血帶17。
In addition, the
此外,儲能模組25例如為鋰電池,儲能模組25是電性連接微處理器18、加壓器泵11、氣壓感測器12及顯示螢幕24。詳細來說,儲能模組25是用以提供電力給微處理器18、加壓器泵11、氣壓感測器12及顯示螢幕24。
In addition, the
綜上所述,本發明之智能止血裝置10可根據動脈瘻管的傷口及靜脈瘻管的傷口,進行充氣加壓或排氣減壓。
To sum up, the
雖然本發明已以較佳實施例揭露如上,然其並非用以限定本發明,任何所屬技術領域中具有通常知識者,在不脫離本發明之精神和範圍內,當可作些許之更動與潤飾,因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。 Although the present invention has been disclosed above in terms of preferred embodiments, they are not intended to limit the present invention. Anyone with ordinary skill in the art may make slight changes and modifications without departing from the spirit and scope of the present invention. , therefore, the protection scope of the present invention shall be subject to the scope of the appended patent application.
10:智能止血裝置 10: Intelligent hemostatic device
11:加壓器泵 11: Pressurizer pump
12:氣壓感測器 12:Air pressure sensor
13:分流室 13:Triage room
14:第一氣壓式止血帶 14: The first pneumatic tourniquet
15:洩壓閥 15: Pressure relief valve
16:靜脈氣閥 16:Venous air valve
17:第二氣壓式止血帶 17: Second pneumatic tourniquet
18:微處理器 18:Microprocessor
24:顯示螢幕 24:Display screen
25:儲能模組 25:Energy storage module
26:無線傳輸模組 26:Wireless transmission module
81:第一連通管 81:First connecting pipe
82:第二連通管 82:Second connecting pipe
83:第三連通管 83:Third connecting pipe
84:第四連通管 84:Fourth connecting pipe
85:第五連通管 85:Fifth connecting pipe
86:第六連通管 86:Sixth connecting pipe
Claims (8)
Priority Applications (1)
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TW111144477A TWI818812B (en) | 2022-11-21 | 2022-11-21 | Smart hemostasis device |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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TW111144477A TWI818812B (en) | 2022-11-21 | 2022-11-21 | Smart hemostasis device |
Publications (2)
Publication Number | Publication Date |
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TWI818812B true TWI818812B (en) | 2023-10-11 |
TW202421069A TW202421069A (en) | 2024-06-01 |
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TW111144477A TWI818812B (en) | 2022-11-21 | 2022-11-21 | Smart hemostasis device |
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TW (1) | TWI818812B (en) |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN206526075U (en) * | 2016-12-07 | 2017-09-29 | 刘兴会 | A kind of artery pressure hemostat |
CN112120755A (en) * | 2019-06-25 | 2020-12-25 | 深圳市理邦精密仪器股份有限公司 | Pressure adjusting method in hemostasis process and medical equipment |
CN113316425A (en) * | 2018-10-25 | 2021-08-27 | M.A.S.医学全球公司 | Hemostat |
-
2022
- 2022-11-21 TW TW111144477A patent/TWI818812B/en active
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN206526075U (en) * | 2016-12-07 | 2017-09-29 | 刘兴会 | A kind of artery pressure hemostat |
CN113316425A (en) * | 2018-10-25 | 2021-08-27 | M.A.S.医学全球公司 | Hemostat |
CN112120755A (en) * | 2019-06-25 | 2020-12-25 | 深圳市理邦精密仪器股份有限公司 | Pressure adjusting method in hemostasis process and medical equipment |
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