TWM592303U - An integrated emergency cardiac resuscitation equipment - Google Patents
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- TWM592303U TWM592303U TW108209295U TW108209295U TWM592303U TW M592303 U TWM592303 U TW M592303U TW 108209295 U TW108209295 U TW 108209295U TW 108209295 U TW108209295 U TW 108209295U TW M592303 U TWM592303 U TW M592303U
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本新型係有關於心臟急救設備的技術領域,具體來說係有關於一種整合自動心肺復甦器(cardiopulmonary resuscitator,CPR)與自動體外心臟電擊去顫器(automated external defibrillator,AED)或電擊器(shock generator)的心臟急救設備。 The present invention relates to the technical field of cardiac first aid equipment, specifically relates to an integrated automatic cardiopulmonary resuscitator (CPR) and automatic external defibrillator (AED) or shock (shock) generator).
當有緊急意外事故發生時,緊急救護的效率對於傷病患的救援成功率具有重大的影響。由於緊急救護是攸關人命的重大情事,一旦發生傷病患心跳停止的情形,無論是屬於到院前心跳停止(out-of-hospital cardiac arrest,OHCA),或是屬於院內心跳停止(in-hospital cardiac arrest,IHCA),心臟即無法正常輸出血液,此時若未即時施行急救,則身體各部位器官或組織將會在短時間內即嚴重缺氧,嚴重者甚至會演變為器官衰竭,進而造成死亡的後果,是以,如何在黃金時間內有效施行急救向來是醫界亟為重視的問題。 When an emergency occurs, the efficiency of emergency rescue has a significant impact on the success rate of rescue of injured patients. Because emergency ambulance is a life-threatening affair, once the heartbeat of the injured patient is stopped, whether it belongs to out-of-hospital cardiac arrest (OHCA) or in-hospital heartbeat (in- hospital cardiac arrest (IHCA), the heart cannot output blood normally. If first aid is not given immediately, organs or tissues in various parts of the body will be severely hypoxic in a short period of time. In severe cases, organ failure may even lead to organ failure. The consequence of death is that how to effectively implement first aid during prime time has always been a matter of great importance to the medical profession.
為因應醫護人員在緊急救護方面的需要,市面上已有相應的緊急醫療設備應運而生。舉例來說,自動心肺復甦器即是為方便緊急救護時,可對傷病患施行穩定且高品質的心肺復甦術,其僅需在傷病患身上完成架設後再啟 動儀器,即可自動為傷病患提供心外按摩服務,為處於送醫過程中或是在急診室進行急救中的醫護人員帶來許多便利,同時亦提高傷病患的救援成功率。 In order to meet the needs of medical personnel in emergency rescue, corresponding emergency medical equipment has been produced on the market. For example, an automatic cardiopulmonary resuscitation device is used to provide stable and high-quality cardiopulmonary resuscitation to injured patients during emergency rescue. It only needs to be installed after the patient is erected. The instrument can automatically provide extra-heart massage services for the injured and sick, which brings many conveniences to the medical staff in the process of being sent to the hospital or in the emergency room, and also improves the rescue success rate of the injured and sick.
然而,在緊急救護過程中,除了對傷病患施予心肺復甦術以外,醫護人員仍須同時注意傷病患的其他情形,並適時給予相應的醫療處置。舉例來說,會同時對傷病患架設自動體外心臟電擊去顫器或電擊器,並視需要施予電擊,其餘醫療處置尚包括對傷病患進行氣管插管、給氧、緊急注射點滴、靜脈注射藥物及抽血等。以心臟急救的部分來說,一般是會將心肺復甦術與心臟電擊動作二者相互配合使用,譬如在標準的急救流程中,先是進行2分鐘的心肺復甦術後,檢查傷病患心律並判斷是否需要電擊,若判斷需要電擊,則需接著以自動體外心臟電擊去顫器或電擊器施予電擊,或者判斷不需電擊,則再進行下一循環的心肺復甦術-電擊的程序。然而,現行的緊急醫療設備中,對於可遵循上述標準急救流程來進行的儀器付之闕如,例如現行的自動心肺復甦器雖可進行心肺復甦術,但卻沒有計時功能,以致無法準確計時心肺復甦術的施行時間,使得醫護人員在急救過程中,必須時而分心在留意自動心肺復甦器是否已準確施行2分鐘的心肺復甦術,或是時而暫停自動心肺復甦器的運作以進行心律檢查及評估脈搏,在此繁忙的過程中會有一定機率錯過對傷病患進行電擊的最佳時機,並且現行的自動心肺復甦器也沒有提示功能,導致醫護人員在急救過程中有可能延宕為傷病患注射必要藥物的時間。 However, in the emergency rescue process, in addition to cardiopulmonary resuscitation, the medical staff must also pay attention to other conditions of the injured patient and give appropriate medical treatment in due course. For example, an automatic external cardiac shock defibrillator or defibrillator will be set up for the injured and sick, and electric shocks will be given if necessary. Other medical treatments include tracheal intubation, oxygen supply, emergency injection drip, Intravenous drugs and blood draw. For the first aid part, cardiopulmonary resuscitation and cardiac shock are generally used together. For example, in the standard first aid procedure, the patient’s heart rhythm is checked and judged after 2 minutes of cardiopulmonary resuscitation. Whether an electric shock is required, if it is determined that an electric shock is required, then an electric shock should be administered with an automatic external cardiac defibrillator or defibrillator, or if an electric shock is not required, then the next cycle of CPR-shock procedure is performed. However, in the current emergency medical equipment, there is a lack of equipment that can follow the standard first-aid procedures. For example, although the current automatic cardiopulmonary resuscitator can perform cardiopulmonary resuscitation, it does not have a timing function, so it cannot accurately time cardiopulmonary resuscitation. The operation time of the operation makes the medical staff distracted from time to time to pay attention to whether the automatic cardiopulmonary resuscitation has been accurately performed for 2 minutes, or sometimes suspend the operation of the automatic cardiopulmonary resuscitation for heart rhythm examination During the busy process, there is a certain chance that the best time to shock the injured patient will be missed, and the current automatic cardiopulmonary resuscitator has no prompt function, which may cause the medical staff to delay the injury during the first aid process. The time for the patient to inject the necessary drugs.
鑒於現行的緊急醫療設備存在上述問題,相關領域亟需一種新穎的整合式心臟急救設備來輔助進行上述的標準急救流程,以利醫護人員在緊急救護過程中能確實掌握為傷病患施予電擊的黃金時間,進而提高傷病患的救援成功率,並提升傷病患的預後品質。 In view of the above-mentioned problems in current emergency medical equipment, there is an urgent need for a novel integrated cardiac emergency equipment to assist in the above-mentioned standard first-aid procedures, so that medical personnel can truly grasp the electric shock to the injured patients during the emergency rescue process Prime time to further improve the rescue success rate of injured patients and improve the prognostic quality of injured patients.
新型內容旨在提供本揭示內容的簡化摘要,以使閱讀者對本揭示內容具備基本的理解。此新型內容並非本揭示內容的完整概述,且其用意並非在指出本新型實施例的重要/關鍵元件或界定本新型的範圍。 The new content is intended to provide a simplified summary of this disclosure so that readers can have a basic understanding of this disclosure. This new content is not a complete overview of the present disclosure, and it is not intended to point out important/critical elements of the embodiments of the novel or define the scope of the novel.
本新型創作人鑒於上述缺失而引發創新動機,於是著手蒐集相關資料加以反覆考量,並憑藉多年從事相關領域的臨床經驗,始得設計出本新型整合式心臟急救設備。 In view of the above-mentioned deficiency, the creator of this new model has initiated innovative motivation, so he began to collect relevant materials for repeated consideration, and with many years of clinical experience in the relevant field, he had to design this new integrated cardiac emergency device.
據此,本揭示內容的第一態樣在於提供一種用以對一個體進行緊急救護之整合式心臟急救設備,包含:一自動心肺復甦器;一自動體外心臟電擊去顫器;以及一控制裝置,其係與該自動心肺復甦器及該自動體外心臟電擊去顫器耦接,其中該控制裝置包含一中央處理單元、一記憶單元、一輸入單元、一輸出單元彼此耦接;其中該輸出單元包含一顯示介面及一音源輸出單元;其中該中央處理單元用以執行儲存於該記憶單元中的指令,包含下列步驟:(1)啟動該自動心肺復甦器,並持續一第一預設時間;(2)當步驟(1)之該第一預設時間結束後,停止該自動心肺復甦器的動作,並以該自動體外心臟電擊去顫器偵測該個體之心律;以及(3)基於步驟(2)之偵測結果,分析該個體接受電擊之必要性,並將分析結果顯示於該顯示介面,其中 (a)當分析結果指出該個體需進行電擊時,倒數計時一第二預設時間,其中(i)當該第二預設時間結束前進行電擊,則使該音源輸出單元不發送一第一語音提示;或是(ii)當該第二預設時間結束後未進行電擊,則使該音源輸出單元發送該第一語音提示;或是(b)當分析結果指出該個體無需進行電擊時,或完成步驟(a)的電擊後,重複步驟(1)至步驟(3)的步驟。 Accordingly, the first aspect of the present disclosure is to provide an integrated cardiac emergency device for emergency rescue of a body, which includes: an automatic cardiopulmonary resuscitator; an automatic external cardiac shock defibrillator; and a control device , Which is coupled with the automatic cardiopulmonary resuscitator and the automatic external cardiac shock defibrillator, wherein the control device includes a central processing unit, a memory unit, an input unit, and an output unit coupled to each other; wherein the output unit It includes a display interface and a sound source output unit; wherein the central processing unit is used to execute the instructions stored in the memory unit, including the following steps: (1) start the automatic cardiopulmonary resuscitator and continue for a first preset time; (2) When the first preset time of step (1) ends, stop the operation of the automatic cardiopulmonary resuscitator and use the automatic external cardiac shock defibrillator to detect the individual's heart rhythm; and (3) based on the step (2) The detection results, analyze the necessity of the individual receiving electric shock, and display the analysis results on the display interface, where (a) When the analysis result indicates that the individual needs to perform an electric shock, the countdown is a second preset time, where (i) when the electric shock is performed before the end of the second preset time, the sound source output unit is not sent a first Voice prompt; or (ii) when the electric shock is not performed after the second preset time is over, make the sound source output unit send the first voice prompt; or (b) when the analysis result indicates that the individual does not need to perform electric shock, Or after completing the electric shock in step (a), repeat the steps from step (1) to step (3).
依據本揭示內容的某些實施方式,本新型整合式心臟急救設備的中央處理單元更包含執行下列步驟:(4)使該音源輸出單元發送一第二語音提示,以指示測量該個體之脈搏。 According to some embodiments of the present disclosure, the central processing unit of the novel integrated cardiac emergency device further includes the following steps: (4) causing the sound source output unit to send a second voice prompt to instruct the measurement of the individual's pulse.
依據本揭示內容的其他實施方式,本新型整合式心臟急救設備的中央處理單元更包含執行下列步驟:(5)使該音源輸出單元發送一第三語音提示,以指示對該個體投予心臟急救藥物。 According to other embodiments of the present disclosure, the central processing unit of the novel integrated cardiac emergency device further includes the following steps: (5) causing the sound source output unit to send a third voice prompt to instruct the individual to be administered cardiac emergency drug.
在一特定實施方式中,本新型整合式心臟急救設備中的第一預設時間為2分鐘。在另一特定實施方式中,本新型整合式心臟急救設備中的第二預設時間為5秒鐘。 In a specific embodiment, the first preset time in the novel integrated cardiac emergency device is 2 minutes. In another specific embodiment, the second preset time in the novel integrated cardiac emergency device is 5 seconds.
依據本揭示內容的一較佳實施方式,本新型整合式心臟急救設備的控制裝置是設置在該自動心肺復甦器上。 According to a preferred embodiment of the present disclosure, the control device of the novel integrated cardiac emergency device is provided on the automatic cardiopulmonary resuscitator.
依據本揭示內容的其他實施方式,本新型整合式心臟急救設備中的記憶單元更包含儲存急救過程資訊。 According to other embodiments of the present disclosure, the memory unit in the integrated cardiac emergency device of the present invention further includes storing emergency procedure information.
依據本揭示內容的可任選的實施方式,本新型整合式心臟急救設備更包含一顯示器,其與該控制裝置耦接,用以顯示本新型整合式心臟急救設 備所發送的一訊息。所述訊息包含心電圖、急救程序項目、治療施行時間及過程資訊。 According to an optional embodiment of the present disclosure, the novel integrated cardiac emergency equipment further includes a display coupled to the control device for displaying the novel integrated cardiac emergency equipment Prepare a message sent. The message includes electrocardiogram, first aid procedure items, treatment execution time and process information.
本揭示內容的第二態樣在於提供另一種整合式心臟急救設備,包含:一自動心肺復甦器;一電擊器;以及一控制裝置,其係與該自動心肺復甦器及該電擊器耦接,其中該控制裝置包含一中央處理單元、一記憶單元、一輸入單元、一輸出單元彼此耦接;其中該輸出單元包含一顯示介面及一音源輸出單元;其中該中央處理單元用以執行儲存於該記憶單元中的指令,包含下列步驟:(1)啟動該自動心肺復甦器,並持續一第一預設時間;(2)當步驟(1)之該第一預設時間結束後,停止該自動心肺復甦器的動作,並以該電擊器偵測該個體之心律;以及(3)基於步驟(2)之偵測結果,分析該個體接受電擊之必要性,並將分析結果顯示於該顯示介面,其中(a)當分析結果指出該個體需進行電擊時,倒數計時一第二預設時間,其中(i)當該第二預設時間結束前進行電擊,則使該音源輸出單元不發送一第一語音提示;或是(ii)當該第二預設時間結束後未進行電擊,則使該音源輸出單元發送該第一語音提示;或是(b)當分析結果指出該個體無需進行電擊時,或完成步驟(a)的電擊後,重複步驟(1)至步驟(3)的步驟。 The second aspect of the present disclosure is to provide another integrated cardiac emergency device including: an automatic cardiopulmonary resuscitator; an electric shocker; and a control device, which is coupled to the automatic cardiopulmonary resuscitator and the electric shocker, The control device includes a central processing unit, a memory unit, an input unit, and an output unit coupled to each other; wherein the output unit includes a display interface and a sound source output unit; wherein the central processing unit is used to perform storage in the The instructions in the memory unit include the following steps: (1) Start the automatic cardiopulmonary resuscitator for a first preset time; (2) When the first preset time in step (1) ends, stop the automatic The action of the cardiopulmonary resuscitator and the shocker to detect the individual's heart rhythm; and (3) based on the detection result of step (2), analyze the necessity of the individual receiving the shock, and display the analysis result on the display interface , Where (a) when the analysis result indicates that the individual needs to perform an electric shock, the countdown is a second preset time, and (i) when the electric shock is performed before the end of the second preset time, the sound source output unit does not send a The first voice prompt; or (ii) when the electric shock is not performed after the second preset time is over, the sound source output unit is caused to send the first audio prompt; or (b) when the analysis result indicates that the individual does not need to perform an electric shock , Or after completing the electric shock in step (a), repeat the steps from step (1) to step (3).
依據本揭示內容的某些實施方式,本新型整合式心臟急救設備中的中央處理單元更包含執行下列步驟:(4)使該音源輸出單元發送一第二語音提示,以指示測量該個體之脈搏。 According to some embodiments of the present disclosure, the central processing unit in the new integrated cardiac emergency device further includes the following steps: (4) causing the sound source output unit to send a second voice prompt to instruct to measure the individual's pulse .
依據本揭示內容的其他實施方式,本新型整合式心臟急救設備中的中央處理單元更包含執行下列步驟:(5)使該音源輸出單元發送一第三語音提示,以指示對該個體投予心臟急救藥物。 According to other embodiments of the present disclosure, the central processing unit in the novel integrated cardiac emergency device further includes the following steps: (5) causing the sound source output unit to send a third voice prompt to instruct the individual to give the heart First aid medicine.
本揭示內容一或多個實施方式的詳細內容及說明闡述如下。在參閱以下的詳細說明及申請專利範圍後,本揭示內容的其餘特徵及優點將顯而易見。 The details and descriptions of one or more embodiments of the present disclosure are set forth below. After referring to the following detailed description and patent application scope, the remaining features and advantages of the present disclosure will be apparent.
本新型主要元件符號如下: The symbols of the main components of this new model are as follows:
100、200、300:整合式心臟急救設備 100, 200, 300: integrated cardiac emergency equipment
110、210、310:自動心肺復甦器 110, 210, 310: automatic cardiopulmonary resuscitator
120、220:自動體外心臟電擊去顫器 120, 220: Automatic external cardiac shock defibrillator
130、230、330:控制裝置 130, 230, 330: control device
140、340:執行指令 140, 340: execute instructions
1402-1414、3402-3414:步驟 1402-1414, 3402-3414: steps
250:顯示器 250: display
360:電擊器 360: shocker
在參閱以下的詳細說明、申請專利範圍及附隨圖式後,本揭示內容及其他特徵、態樣及優點將更明顯易懂,其中:第1A圖是依據本新型整合式心臟急救設備之一實施方式所繪示的配置示意圖;第1B圖是依據本新型整合式心臟急救設備之一實施方式所繪示的控制裝置配置示意圖;第1C圖是依據本新型整合式心臟急救設備之一實施方式所繪示的由中央處理單元所執行的步驟流程圖;第2A圖是依據本新型整合式心臟急救設備之另一實施方式所繪示的配置示意圖; 第2B圖是本新型整合式心臟急救設備(第2A圖)的外觀示意圖;第3A圖是依據本新型整合式心臟急救設備之再另一實施方式所繪示的配置示意圖;以及第3B圖是依據本新型整合式心臟急救設備之另一實施方式所繪示的由中央處理單元所執行的步驟流程圖。 After referring to the following detailed description, patent application scope and accompanying drawings, the disclosure and other features, appearances and advantages will be more obvious and understandable, among which: Figure 1A is one of the new integrated cardiac emergency equipment according to the present invention The schematic diagram of the configuration shown in the embodiment; FIG. 1B is a schematic diagram of the configuration of the control device according to one embodiment of the novel integrated cardiac emergency equipment; FIG. 1C is an embodiment of the novel integrated cardiac emergency equipment The flow chart of the steps performed by the central processing unit is shown; FIG. 2A is a schematic configuration diagram according to another embodiment of the new integrated cardiac emergency device; Figure 2B is a schematic diagram of the appearance of the new integrated cardiac emergency device (Figure 2A); Figure 3A is a schematic configuration diagram according to yet another embodiment of the new integrated cardiac emergency device; and Figure 3B is A flowchart of steps executed by the central processing unit according to another embodiment of the integrated cardiac emergency device of the present invention.
根據慣常的作業方式,圖中各種特徵與元件並未依比例繪製,其繪製方式是為了以最佳的方式呈現與本新型相關的具體特徵與元件。此外,在不同圖式間,以相同或相似的元件符號來指稱相似的元件/部件。 According to the usual working methods, the various features and components in the figure are not drawn to scale. The drawing method is to present the specific features and components related to the present invention in the best way. In addition, between different drawings, the same or similar element symbols are used to refer to similar elements/components.
為了使本揭示內容的敘述更加詳盡與完備,下文針對了本新型的實施態樣與具體實施例提出了說明性的描述;但這並非實施或運用本新型具體實施例的唯一形式。實施方式中涵蓋了多個具體實施例的特徵以及用以建構與操作這些具體實施例的方法步驟與其順序。然而,亦可利用其他具體實施例來達成相同或均等的功能與步驟順序。 In order to make the description of the present disclosure more detailed and complete, the following provides an illustrative description of the implementation form and specific embodiments of the present invention; however, this is not the only form of implementing or using the specific embodiments of the present invention. The embodiments cover the features of multiple specific embodiments, as well as the method steps and their sequence for constructing and operating these specific embodiments. However, other specific embodiments can also be used to achieve the same or equal functions and sequence of steps.
I.定義 I. Definition
除非本說明書另有定義,此處所用的科學與技術詞彙之含義與本新型所屬技術領域中具有通常知識者所理解與慣用的意義相同。此外,在不和上下文衝突的情形下,本說明書所用的單數名詞涵蓋該名詞的複數型;而所用的複數名詞時亦涵蓋該名詞的單數型。具體而言,在本說明書與申請專利範圍中,除非上下文另有明確說明,單數形式「一」(a或an)及「該」(the)在本 文中包括複數對象。此外,在本說明書與申請專利範圍中,「至少一」與「一或多」表述方式的意義相同,兩者都代表包含了一、二、三或更多。 Unless otherwise defined in this specification, the meanings of scientific and technical terms used herein are the same as those understood and used by those with ordinary knowledge in the technical field to which this new type belongs. In addition, without conflicting with the context, the singular noun used in this specification covers the plural form of the noun; and the plural noun used also covers the singular form of the noun. Specifically, in the scope of this specification and patent application, unless the context clearly indicates otherwise, the singular forms "a" (a or an) and "the" (the) are The article includes plural objects. In addition, in this specification and the scope of patent application, the expressions of "at least one" and "one or more" have the same meaning, and both represent one, two, three, or more.
雖然用以界定本新型較廣範圍的數值範圍與參數皆是約略的數值,此處已儘可能精確地呈現具體實施例中的相關數值。然而,任何數值本質上不可避免地含有因個別測試方法所致的標準偏差。在此處,「約」通常係指實際數值在一特定數值或範圍的正負10%、5%、1%或0.5%之內。或者是,「約」一詞代表實際數值落在平均值的可接受標準誤差之內,視本新型所屬技術領域中具有通常知識者的考量而定。除了實施例之外,或除非另有明確的說明,當可理解此處所用的所有範圍、數量、數值與百分比(例如用以描述材料用量、時間長短、溫度、操作條件、數量比例及其他相似者)均經過「約」的修飾。因此,除非另有相反的說明,本說明書與附隨申請專利範圍所揭示的數值參數皆為約略的數值,且可視需求而更動。至少應將這些數值參數理解為所指出的有效位數與套用一般進位法所得到的數值。 Although the numerical ranges and parameters used to define the wider range of the present invention are approximate values, the relevant numerical values in the specific embodiments have been presented as accurately as possible. However, any numerical value inevitably contains standard deviations due to individual test methods. Here, "about" usually means that the actual value is within plus or minus 10%, 5%, 1%, or 0.5% of a specific value or range. Or, the term "about" means that the actual value falls within the acceptable standard error of the average value, depending on the consideration of those with ordinary knowledge in the technical field to which the new model belongs. Except for the examples, or unless clearly stated otherwise, all ranges, quantities, values, and percentages used herein can be understood (e.g. to describe the amount of materials, length of time, temperature, operating conditions, quantity ratios, and other similarities All) have been modified by "about". Therefore, unless otherwise stated to the contrary, the numerical parameters disclosed in this specification and the accompanying patent application are approximate values and can be changed as required. At least these numerical parameters should be understood as the indicated significant digits and the values obtained by applying the general rounding method.
在此所述之「個體」(subject)或「傷病患」(patient)一詞是指一種可利用本新型整合式心臟急救設備來進行緊急救護的動物,包括人類。除非有具體指出其中一種性別,否則「個體」或「傷病患」一詞意指男性及女性二者。據此,「個體」或「傷病患」一詞包含任一種可自本新型整合式心臟急救設備獲益的哺乳動物。 The term "subject" or "patient" referred to herein refers to an animal, including humans, that can be used for emergency care by using the new integrated cardiac emergency equipment. Unless there is a specific indication of one of the genders, the term "individual" or "injury" means both male and female. Accordingly, the term "individual" or "injury" includes any mammal that can benefit from the new integrated cardiac emergency equipment.
在本文中所述之「緊急救護」(emergency medical service)一詞是指緊急傷病患或大量傷病患之現場急救處理,或是在送醫途中或在醫療院所內對緊急傷病患所施行之醫療救護。「緊急傷病患」一詞是指緊急傷病之患者,包括,但不限於,因災害或意外事故急待救護者、路倒傷病無法行動者、孕婦 待產者。「大量傷病患」一詞是指單一事故、災害發生之傷病患人數達十五人以上,或預判可能達十五人以上者。 The term "emergency medical service" (emergency medical service) mentioned in this article refers to the emergency treatment of emergency patients or a large number of patients on the spot, or to emergency patients on the way to the hospital or in the medical institution. The medical assistance provided. The term "emergency injuries" refers to patients with emergency injuries, including, but not limited to, emergency medical personnel due to disasters or accidents, people unable to move due to road injuries, and pregnant women Waiters. The term "large number of injured patients" refers to those with a single accident or disaster where the number of injured patients reaches 15 or more, or the pre-judgment may reach 15 or more.
為解決現行的緊急醫療設備中並不存在可配合標準急救流程來進行的儀器,而導致醫護人員在進行急救的過程中容易錯失對傷病患施予最佳治療的時機之問題,本新型創作人從而構思出本新型整合式心臟急救設備以解決上述問題,主要在於,本新型整合式心臟急救設備整合自動心肺復甦器與自動體外心臟電擊去顫器及/或電擊器二者的功能,並內建計時系統據以準確計時對傷病患施行心肺復甦術的時間,且在心肺復甦術結束後自動分析傷病患的心律,再搭配自動體外心臟電擊去顫器及/或電擊器的使用,同時配合急救流程而提供多種不同的語音提示以提醒醫護人員對傷病患施行電擊、評估傷病患之脈搏,及/或為傷病患投予藥物的時間。此外,本新型整合式心臟急救設備尚可外接顯示器,以同步顯示傷病患心電圖以及急救過程等資訊,並在急救結束後具有自動分析計算數據而產出急救時間軸資訊的功能,該些資訊是可直接儲存於內建的記憶單元中,可供醫護人員後續利用。亦或是,本新型整合式心臟急救設備更可外接印表機,將儲存於記憶單元中中的資訊列印輸出。整體來說,本新型整合式心臟急救設備藉由整合上述在標準急救流程中所需之多種不同的功能,不但可協助醫護人員省去分心計時心外按摩時間及注射藥劑時間,進而減輕急救傷病患的心理壓力,也可大幅提升傷病患的存活率與急救成功率。 In order to solve the problem that the current emergency medical equipment does not exist with instruments that can be used in conjunction with the standard first-aid procedure, which causes medical staff to easily miss the timing of the best treatment for the injured patients during the first-aid process, this new creation Therefore, people conceived the new integrated cardiac emergency equipment to solve the above problems, mainly because the new integrated cardiac emergency equipment integrates the functions of both automatic cardiopulmonary resuscitator and automatic external cardiac shock defibrillator and/or defibrillator, and Built-in timing system to accurately time the time of performing cardiopulmonary resuscitation on the injured patient, and automatically analyze the heart rhythm of the patient after the cardiopulmonary resuscitation, and then use it with an automatic external cardiac defibrillator and/or defibrillator At the same time, a variety of different voice prompts are provided in conjunction with the first aid procedure to remind medical staff to apply electric shock to the injured patient, assess the pulse of the injured patient, and/or the time to administer the drug to the injured patient. In addition, the new integrated cardiac emergency equipment can still be connected to an external display to simultaneously display information such as the ECG of the injured patient and the first aid process, and has the function of automatically analyzing and calculating the data to produce first aid timeline information after the first aid is completed. It can be directly stored in the built-in memory unit, which can be used by medical staff in the future. Or, the new integrated cardiac emergency device can be connected to a printer to print out the information stored in the memory unit. Overall, the new integrated cardiac emergency equipment can not only help medical staff to save the time of distracting timing of extracardiac massage and injection of medicine, but also reduce emergency treatment by integrating the various functions required in the standard emergency procedure. The psychological pressure of the injured patients can also greatly improve the survival rate of the injured patients and the success rate of first aid.
II.新型敘述 II. New narrative
參照第1A圖,其是依據本新型之一實施方式所繪示的整合式心臟急救設備100配置示意圖。本新型整合式心臟急救設備100主要是由一自動心肺復甦器110、一自動體外心臟電擊去顫器120及一控制裝置130所組成,其中自動
心肺復甦器110、控制裝置130及自動體外心臟電擊去顫器120彼此相互耦接。控制裝置130具有控制自動心肺復甦器110及自動體外心臟電擊去顫器120的功能,可使二者之間的運作彼此配合。控制裝置130可單獨設置,或是與自動心肺復甦器110或自動體外心臟電擊去顫器120合併設置。在一特定實施方式中,控制裝置130是設置在自動心肺復甦器110上。在另一實施方式中,控制裝置130是設置在自動體外心臟電擊去顫器120上。在其他實施方式中,控制裝置130是單獨設置。
Referring to FIG. 1A, it is a schematic configuration diagram of an integrated
自動心肺復甦器110包含可執行心外按摩的主機及架設於傷病患身上用於固定傷病患的背帶/背墊,其中該主機主要包含電池、按壓器保護蓋、按壓器波紋管、電源接頭及其他外接器材接頭,其餘配件尚有充電座及連接線、充電座電源供應器、設備電源供應器、肩揹帶、設備保護袋等。本新型整合式心臟急救設備100可採用現有的自動心肺復甦器,並且本新型整合式心臟急救設備100也可與現有的自動心肺復甦器相容。或者是,也可自行設計符合本新型整合式心臟急救設備目的的自動心肺復甦器來使用。舉例來說,可設計按壓深度(例如4-7公分,較佳為5-6公分,更佳為5-5.6公分);按壓速率(例如90-130±1-5次/分鐘,較佳為100-120±1-3次/分鐘,更佳為102±2次/分鐘);按壓/通氣比(例如,可依據高級心臟救命術(advanced cardiac life support,ACLS)最新版本指南,具有連續按壓通氣模式(每分鐘連續按壓100次),及/或人工呼吸換氣模式30:2模式(心跳數每分鐘100±3次));適用之傷病患自身的條件(例如胸部高度17-30.3公分、最大胸部寬度45公分);按壓驅動方式(例如電動式、氣壓式、機械式);配合真空負壓吸盤,藉以在每次擠壓過程中幫助傷病患血液回
流與循環;電池操作時間(例如,可採用可重複充電之鋰電池,可採用蓄電量可達連續使用至少45分鐘以上的電池,預備一或多個備用電池)等。
The automatic
自動體外心臟電擊去顫器120主要包含心臟電擊器主機、成人/小兒電擊貼片,其餘配件尚有電池、使用說明等。本新型整合式心臟急救設備100可採用現有的自動體外心臟電擊去顫器,並且本新型整合式心臟急救設備100也可與現有的自動體外心臟電擊去顫器相容。當與現有的自動體外心臟電擊去顫器配合使用時,主要控制功能(例如包括計時設定、操作自動/手動電擊的控制按鈕、語音提示、螢幕顯示內容、螢幕顯示規格、警示燈、警示聲、程式設定等)可由控制裝置130來負責。或者是,也可自行設計符合本新型整合式心臟急救設備目的的自動體外心臟電擊去顫器來使用。舉例來說,可設計操作型態(例如半自動或手動強制執行);波形(例如採用雙相斜截頭式的指數(bipbasic truncated exponential);能量範圍(例如遞增式可變能量95-351焦耳,並預設200焦耳、300焦耳、300焦耳等定點);去顫電擊;同步電擊;自動偵測心律或偵測脈搏(可電擊或不可電擊之心律);獨立程式設定;電擊貼片(例如,總面積為100-400平方公分,較佳為228平方公分;材質為膠面狀、拋棄式使用);電線延長長度(例如1-3公尺,較佳為1.3公尺);設定儀器自動化自我測試時程及項目(例如每日、每週、每月不同時點各有不同的測試項目)等。
The automatic
參照第1B圖,控制裝置130包含一中央處理單元132、一記憶單元134、一輸入單元136、一輸出單元138彼此耦接。控制裝置130的表面可具有輸入單元136的介面,例如控制面板,其上可設置不同功能的按鍵,例如電源鍵、啟動/暫停鍵、計時設定鍵、選項設定鍵、預設運作模式鍵,或是觸控式螢幕等,或是具有可供銜接外接式的輸入單元136的連接埠。所述外接式的輸入單元136
可以是鍵盤、滑鼠、讀卡機、掃描器、手寫板、數位相機或麥克風。在一實施方式中,輸入單元136是控制面板。同時,控制裝置130的表面可具有輸出單元138的介面,例如顯示介面1382或音源輸出單元1384(包括提供語音提示或警示聲等),或是具有可供銜接外接式的輸出單元138的連接埠,此外尚有警示燈等。所述外接式的輸出單元138可以是顯示器(螢幕)、印表機、喇叭、繪圖機或智慧型終端機。在一實施方式中,輸出單元138是顯示器(螢幕),用以顯示心電圖、急救程序項目、治療施行時間及過程資訊。在另一實施方式中,輸出單元138是印表機,用以列印急救時間軸過程的資訊。輸入單元136與輸出單元138可以是相同或不同。舉例來說,是藉由控制裝置130表面的控制面板上的按鍵輸入操作指令,而由顯示介面1382或音源輸出單元1384輸出操作提示或操作結果。或者是,藉由控制裝置130表面的觸控式螢幕鍵入操作指令,並直接在該觸控式螢幕上顯示操作提示或操作結果。此外,可將一或多種輸入單元136與一或多種輸出單元138並用。在一特定實施方式中,輸入單元136是控制裝置130表面的控制面板,而輸出單元138則是顯示介面1382、音源輸出單元1384、外接式顯示器及印表機。顯示介面1382的尺寸可以是8-20公分(長)×4-15公分(寬),支援320×240(1/4 VGA)像素對角線映像TFT液晶顯示、解晰度4.47點/毫米等規格,並且顯示內容可涵蓋心電圖、急救程序項目、治療施行時間、過程資訊,或是在急救過程中顯示文字指示來指導使用者操作、電池狀態指示燈、維修指示燈、貼片指示燈及字幕顯示等資訊。
Referring to FIG. 1B, the
中央處理單元132可以是中央處理器(central processing unit,CPU)、圖形處理器(gaphics processing unit,GPU)、張量處理器(tensor processing unit,TPU)、類神經網路處理器(neural processing unit,NPU)、物理處理器 (physics processing unit,PPU)、數位信號處理器(digital signal processor,DSP)、影像訊號處理器(image signal processor,ISP)、向量處理器(synergistic processing element,SPU或SPE)或場式可程式閘陣列(field-programmable gate array,FPGA)。依據本揭示內容之一實施方式,中央處理單元132是中央處理器(CPU)。 The central processing unit 132 may be a central processing unit (CPU), a graphics processing unit (GPU), a tensor processing unit (TPU), or a neural processing unit (neural processing unit) , NPU), physical processor (physics processing unit, PPU), digital signal processor (DSP), image signal processor (ISP), vector processor (synergistic processing element, SPU or SPE) or field programmable gate Array (field-programmable gate array, FPGA). According to one embodiment of the present disclosure, the central processing unit 132 is a central processing unit (CPU).
記憶單元134包含主記憶體(main memory)及輔助記憶體(auxiliary memory)。主記憶體包括,但不限於,隨機存取記憶體(random access memory,RAM)(例如動態隨機存取記憶體(dynamic random access memory,DRAM)、靜態隨機存取記憶體(static random access memory,SRAM)、零電容隨機存儲器(zero-capacitor random access memory,Z-RAM)):唯讀記憶體(read-only memory,ROM)(例如可程式化唯讀記憶體(programmable read-only memory,PROM)、一次編程唯讀記憶體(one time programmable read only memory,OTPROM)、可擦拭可規劃式唯讀記憶體(erasable programmable read only memory,EPROM)、電子抹除式可複寫唯讀記憶體(electrically-erasable programmable read-only memory,EEPROM))。輔助記憶體包括,但不限於,快閃記憶體(flash memory)(例如安全數位(secure digital,SD)記憶卡、迷你SD(mini-SD)記憶卡、微SD(micro-SD)記憶卡、通用串列匯流排(universal serial bus,USB));磁記憶體(magnetic memory);光學記憶體(optical memory);硬碟記憶體(hard disk memory);外接記憶體(external memory)或其他電腦可讀取形式的儲存媒體。依據本揭示內容之一實施方式,記憶單元134是隨機存取記憶體(RAM)。依據本揭示內容之另一實施方式,記憶單元134是唯讀記憶體(ROM)。依據本揭示內容之其他實施方式,記憶單元134是硬碟記憶體。依據本揭示內容之某些實施方式,是將二個以上的記憶單元134配合使用,且該些
記憶單元134的具體項目可為相同或不同。舉例來說,可將中央處理單元132擬執行的指令儲存於唯讀記憶體中,而將執行後所獲得的急救過程資訊儲存於快閃記憶體中。記憶單元134的儲存內容包含中央處理單元132擬執行的指令、使用者輸入的指令,以及儲存急救過程資訊。
The
同時參照第1A至1C圖,中央處理單元132係用以執行儲存於記憶單元134中的指令140,主要包含下列步驟:(1)啟動該自動心肺復甦器,並持續一第一預設時間(步驟1402);(2)當步驟(1)之該第一預設時間結束後,停止該自動心肺復甦器的動作,並以該自動體外心臟電擊去顫器偵測該個體之心律(步驟1404);以及(3)基於步驟(2)之偵測結果,分析該個體接受電擊之必要性,並將分析結果顯示於該顯示介面(步驟1406),其中(a)當分析結果指出該個體需進行電擊時,倒數計時一第二預設時間(步驟1408),其中(i)當該第二預設時間結束前進行電擊,則使該音源輸出單元不發送一第一語音提示(步驟1410);或是(ii)當該第二預設時間結束後未進行電擊,則使該音源輸出單元發送該第一語音提示(步驟1412);或是(b)當分析結果指出該個體無需進行電擊(步驟1406)時,或完成步驟(a)的電擊後(步驟1410或1414),重複步驟(1)至步驟(3)的步驟。 Referring also to FIGS. 1A to 1C, the central processing unit 132 is used to execute the instructions 140 stored in the memory unit 134, and mainly includes the following steps: (1) activate the automatic cardiopulmonary resuscitator for a first predetermined time ( Step 1402); (2) When the first preset time of step (1) ends, stop the operation of the automatic cardiopulmonary resuscitator and use the automatic external cardiac shock defibrillator to detect the individual's heart rhythm (step 1404 ); and (3) Based on the detection result of step (2), analyze the necessity of the individual receiving electric shock, and display the analysis result on the display interface (step 1406), where (a) when the analysis result indicates that the individual needs When an electric shock is performed, a second preset time is counted down (step 1408), where (i) when the electric shock is performed before the end of the second preset time, the sound source output unit does not send a first voice prompt (step 1410) Or (ii) when the electric shock is not performed after the second preset time is over, the sound source output unit is caused to send the first voice prompt (step 1412); or (b) when the analysis result indicates that the individual does not need to perform an electric shock (Step 1406), or after completing the electric shock of step (a) (step 1410 or 1414), repeat the steps from step (1) to step (3).
依據本新型整合式心臟急救設備之一實施方式,本新型整合式心臟急救設備的使用方式如下。首先,在使用時,是先將本新型整合式心臟急救設備於傷病患身上完成架設,包含將傷病患置於自動心肺復甦器110的主機下,並利用背帶/背墊以固定傷病患,且將自動體外心臟電擊去顫器120的電擊貼片依
常規步驟貼於傷病患胸部適當的位置,再將自動心肺復甦器110、自動體外心臟電擊去顫器120及控制裝置130三者之間的連接線完成連接後,開啟電源。
According to one embodiment of the novel integrated cardiac emergency equipment, the usage of the novel integrated cardiac emergency equipment is as follows. First, in use, the new integrated cardiac emergency equipment is first installed on the injured patient, including placing the injured patient under the main body of the automatic
接著,在控制裝置130的顯示介面1382會顯示心電圖、急救程序項目、預設治療施行時間等資訊,或是音源輸出單元1384也可提供語音提示以指示使用者進行心臟急救的操作步驟。在確認傷病患須進行心臟急救後,即按下啟動鍵,以啟動自動心肺復甦器110的運作,並持續倒數計時一段第一預設時間(步驟1402)。所述第一預設時間可約為15秒鐘至30分鐘,例如約為15、20、25、30、35、40、45、50、55秒鐘、1、2、3、4、5、6、7、8、9、10、11、12、13、14、15、16、17、18、19、20、21、22、23、24、25、26、27、28、29或30分鐘,較佳為1至5分鐘。在一特定實施方式中,該第一預設時間為2分鐘。或者是,可依使用者的需要來調整該第一預設時間,或可依據ACLS最新版本指南的建議來設置該第一預設時間。
Then, the
當本新型整合式心臟急救設備完成倒數上述第一預設時間後,自動心肺復甦器110即會暫停對傷病患進行心外按摩的動作。之後,使自動體外心臟電擊去顫器120偵測傷病患之心律(步驟1404)。待收集完成傷病患之心律的偵測結果後,即據以分析該傷病患接受電擊之必要性(步驟1406),同時將分析結果顯示於顯示介面1382上。該分析結果將指出該傷病患是否需要接受電擊。當分析結果顯示該傷病患需要電擊時,在分析結果顯示於顯示介面1382上後,本新型整合式心臟急救設備即會倒數計時一第二預設時間(步驟1408)。所述第二預設時間可約為1秒鐘至10分鐘,例如約為1、2、3、4、5、6、7、8、9、10、11、12、13、14、15、16、17、18、19、20、21、22、23、24、25、26、27、28、29、30、31、32、33、34、35、36、37、38、39、40、41、42、43、
44、45、46、47、48、49、50、51、52、53、54、55、56、57、58、59秒鐘、1、1.5、2、2.5、3、3.5、4、4.5、5、5.5、6、6.5、7、7.5、8、8.5、9、9.5或10分鐘,較佳為1至10秒鐘。在一特定實施方式中,該第二預設時間為5秒鐘。或者是,可依使用者的需要來調整該第二預設時間。
After the new integrated cardiac emergency device finishes counting down the first preset time, the automatic
接著,當本新型整合式心臟急救設備完成倒數上述第二預設時間前,即對傷病患進行電擊,則此時音源輸出單元1384不會發送第一語音提示(步驟1410)。但是,若本新型整合式心臟急救設備完成倒數上述第二預設時間後,仍尚未對傷病患進行電擊,則此時音源輸出單元1384會發送第一語音提示(步驟1412)。所述第一語音提示的內容在於提示使用者啟動自動體外心臟電擊去顫器120對傷病患進行心臟電擊。或者是,可另外配合發送一警示聲,或在顯示介面1382上顯示應執行電擊的訊息,或發送一警示燈號等多重提示,據以達到提醒使用者對傷病患進行心臟電擊的目的。
Then, when the integrated cardiac emergency device of the present invention completes the countdown of the second preset time, an electric shock is given to the injured patient, then the sound source output unit 1384 does not send the first voice prompt (step 1410). However, if the integrated cardiac emergency device of the present invention completes the countdown of the second preset time, and no electric shock has yet been performed on the injured patient, then the sound source output unit 1384 will send a first voice prompt (step 1412). The content of the first voice prompt is to prompt the user to activate the automatic external
最後,當使用者以自動體外心臟電擊去顫器120對傷病患完成電擊(步驟1410或1414)後,或是在步驟1406中的分析結果即指出傷病患無需進行電擊時,本新型整合式心臟急救設備即會回到步驟1402,以執行下一循環的急救步驟。
Finally, after the user completes the electric shock to the injured patient with the automatic external cardiac shock defibrillator 120 (
或是或除此之外,中央處理單元132更包含執行儲存於記憶單元134的下列指令:使音源輸出單元1384發送一第二語音提示,以指示測量傷病患之脈搏。或者是,可另外配合發送一警示聲,或在顯示介面1382上顯示應測量脈搏的訊息,或發送一警示燈號等多重提示,據以達到提醒使用者對傷病患測量脈搏的目的。可依使用者的需要來調整發送所述第二語音提示的時機,例如,可在自動體外心臟電擊去顫器120偵測傷病患之心律(步驟1404)時,同
時發送該第二語音提示,或是在自動體外心臟電擊去顫器120對傷病患完成電擊(步驟1410或1414)後,同時發送該第二語音提示。
Alternatively or in addition, the central processing unit 132 further includes executing the following instructions stored in the memory unit 134: causing the sound source output unit 1384 to send a second voice prompt to instruct to measure the pulse of the injured patient. Alternatively, it can additionally cooperate with sending a warning sound, displaying a message that the pulse should be measured on the
可任選地,中央處理單元132更包含執行儲存於記憶單元134的下列指令:使該音源輸出單元1384發送一第三語音提示,以指示對傷病患投予心臟急救藥物。或者是,可另外配合發送一警示聲,或在顯示介面1382上顯示應投予心臟急救藥物的訊息,或發送一警示燈號等多重提示,據以達到提醒使用者對傷病患投予心臟急救藥物的目的。可依使用者的需要來調整發送所述第三語音提示的時機,例如,可在自動體外心臟電擊去顫器120偵測傷病患之心律(步驟1404)時,同時發送該第三語音提示,或是在自動體外心臟電擊去顫器120對傷病患完成電擊(步驟1410或1414)後,同時發送該第三語音提示。
Optionally, the central processing unit 132 further includes executing the following instructions stored in the memory unit 134: causing the sound source output unit 1384 to send a third voice prompt to instruct the patient to administer emergency cardiac medicine. Or, it can cooperate with sending a warning sound, or display the message that the first-aid medicine should be administered on the
參照第2A圖,其是依據本新型之一實施方式所繪示的整合式心臟急救設備200配置示意圖。基本上,本新型整合式心臟急救設備200的配置與整合式心臟急救設備100相似,差異在於,本新型整合式心臟急救設備200更包含一顯示器250,與控制裝置230耦接,該顯示器250可用以顯示整合式心臟急救設備200所發送的訊息,包括心電圖、急救程序項目、治療施行時間及過程資訊等,或是在急救過程中顯示文字指示來指導使用者操作、電池狀態指示燈、維修指示燈、貼片指示燈及字幕顯示等資訊。
Referring to FIG. 2A, it is a schematic configuration diagram of an integrated
參照第2B圖,其是依據本新型整合式心臟急救設備200所繪示的外觀示意圖,其中在控制裝置230的表面具有控制面板,其上包含不同功能的按鍵,例如電源鍵、自動體外心臟電擊去顫器220啟動/暫停鍵、自動心肺復甦器210啟動/暫停鍵、計時設定鍵(例如包含啟動鍵、設定鍵及計時鍵等)、警示燈等,並且在控制裝置230的表面具有顯示介面2382以顯示心電圖、急救程
序項目、治療施行時間及過程資訊,而音源輸出單元2384則用以提供提供語音提示或警示聲等。
Referring to FIG. 2B, it is a schematic view of the appearance of the integrated
第3A圖是本新型之另一態樣的整合式心臟急救設備300,其與整合式心臟急救設備100相似,差異在於,本新型整合式心臟急救設備300是以電擊器360(而非以自動體外心臟電擊去顫器),來對傷病患進行電擊。本態樣之整合式心臟急救設備300其餘部分與整合式心臟急救設備100相同,為求精簡,在此不另贅述。另外,使用本新型整合式心臟急救設備300來進行急救的指令340如第3B圖所示,該指令340基本上與第1C圖所述指令140相似,差異在於,是利用電擊器360來偵測傷病患之心律(步驟3404),並以電擊器360來對傷病患進行電擊(步驟3414)。該指令340的其餘部分與第1C圖所述指令140相同,為求精簡,在此不另贅述。
Fig. 3A is another aspect of the integrated
綜上所述,本新型整合式心臟急救設備藉由整合自動心肺復甦器與自動體外心臟電擊去顫器/電擊器,並依標準急救流程的進行程序使二者的使用順序互相配合,再藉由計時設定、語音提示或螢幕顯示等多重提示功能,使醫護人員在進行急救過程中可獲得適當的急救程序提示,以利其可專注進行急救工作,也可大幅提升傷病患的存活率與急救成功率。 To sum up, the new integrated cardiac emergency device integrates the automatic cardiopulmonary resuscitator and the automatic external cardiac shock defibrillator/shocker, and the sequence of use of the two matches with each other according to the standard emergency procedure. Multiple prompt functions such as timing settings, voice prompts or on-screen display enable medical personnel to obtain appropriate first aid procedure prompts during the first aid process, so that they can focus on the first aid work, and can greatly improve the survival rate of injured patients. First aid success rate.
雖然上文實施方式中揭露了本新型的具體實施例,然其並非用以限定本新型,本新型所屬技術領域中具有通常知識者,在不悖離本新型之原理與精神的情形下,當可對其進行各種更動與修飾,因此本新型之保護範圍當以附隨申請專利範圍所界定者為準。 Although the specific examples of the present invention are disclosed in the above embodiments, they are not intended to limit the present invention. Those with ordinary knowledge in the technical field to which the present invention belongs, without departing from the principles and spirit of the present invention, should Various changes and modifications can be made to it, so the scope of protection of this new model shall be as defined in the scope of the accompanying patent application.
140:執行指令 140: execute instruction
1402-1414:步驟 1402-1414: steps
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