WO2008000111A1 - Vêtement pour mesurer le pouls de nouveaux-nés ou de nourrissons - Google Patents

Vêtement pour mesurer le pouls de nouveaux-nés ou de nourrissons Download PDF

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Publication number
WO2008000111A1
WO2008000111A1 PCT/CN2006/003077 CN2006003077W WO2008000111A1 WO 2008000111 A1 WO2008000111 A1 WO 2008000111A1 CN 2006003077 W CN2006003077 W CN 2006003077W WO 2008000111 A1 WO2008000111 A1 WO 2008000111A1
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WO
WIPO (PCT)
Prior art keywords
pulse
children
garment
child
newborns
Prior art date
Application number
PCT/CN2006/003077
Other languages
English (en)
French (fr)
Inventor
Sayed Nour
Original Assignee
Wu, Guifu
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Wu, Guifu filed Critical Wu, Guifu
Priority to US12/306,402 priority Critical patent/US20090203956A1/en
Priority to EP06817826A priority patent/EP2033614A4/en
Publication of WO2008000111A1 publication Critical patent/WO2008000111A1/zh

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H31/00—Artificial respiration or heart stimulation, e.g. heart massage
    • A61H31/004—Heart stimulation
    • A61H31/006—Power driven
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H9/00—Pneumatic or hydraulic massage
    • A61H9/005—Pneumatic massage
    • A61H9/0078—Pneumatic massage with intermittent or alternately inflated bladders or cuffs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/165—Wearable interfaces
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/1654—Layer between the skin and massage elements, e.g. fluid or ball
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H9/00—Pneumatic or hydraulic massage
    • A61H9/0007—Pulsating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H9/00—Pneumatic or hydraulic massage
    • A61H9/0021—Hydraulic massage

Definitions

  • the utility model relates to a medical device, and more particularly to a pulse garment for children and newborns in order to obtain a pulse flow.
  • the use of pulse therapy helps to increase venous return (by venous return).
  • Venous return restores the hemodynamic state to a normal state.
  • the above recovery operation can be performed by means of a suitable device that squeezes the muscles of the child in a gap consistent with the normal pulse of the child.
  • pulse clothing When performing a pulse recovery surgery, the pulse garment is worn on children or children. By regularly pressing the garment, a particular area of the pulse garment produces an appropriate impact on the muscles of the child or child, thereby gradually returning the hemodynamic state to its normal value.
  • the main object of the present invention is to provide a pulse garment for children and newborns, which is safe and reliable for newborns and children.
  • a pulse garment for use by a newborn and a child to obtain a pulse flow has a multi-layered structure including an elastic inner layer in contact with a child's body, an outer layer separated from a child's body, and a sandwich An intermediate layer between the elastic inner layer and the outer layer, the intermediate layer having a pulsating circulating liquid, the outer layer being more rigid than the elastic inner layer.
  • the outer layer of the multilayer mechanism is coupled to a gas connector by means of which the external gas supply means can drive the pulsating circulating liquid of the intermediate layer to produce a suitable pressure for the body of the child.
  • the pressure is mainly applied to the child's body rather than to the outer layer.
  • at least one relaxation hole for relaxing the body of the child is formed on the pulse garment.
  • the outer layer has at least one air safety valve for deflation of the heel.
  • the pulse garment is a pulse pants formed of a waistband, a crotch portion coupled to the waistband, and a pair of pant legs coupled to the crotch portion. At least one of the waist belt, the crotch portion and the leg has the multilayer structure.
  • the pulse garment is a pulse jacket composed of a chest and a back that covers a child's chest and back, a strap wrapped around the waist of the child, and a pair of sleeves that fit over the arm of the child.
  • At least one of the chest back, the belt and the sleeve portion has the multilayer structure.
  • the chest back, the strap and the sleeve portion are assembled to each other.
  • At least one of the chest back and the belt has a non-pulsating area.
  • Figure 1 is a plan view of a pulse pants for use by newborns and children in accordance with an embodiment of the present invention.
  • Figure 2 is a cross-sectional view showing the multilayer structure of the pulse pants shown in Figure 1.
  • Figure 3 is a plan view of the trousers of the horses moved by the intra aortic balloon pump or the Enhanced External Counterpulsation.
  • Fig. 4 is a plan view showing a pulse jacket for newborns and children according to another embodiment of the present invention.
  • Figure 5 is a cross-sectional view showing the multilayer structure of the pulse jacket shown in Figure 4.
  • Figure 6 is a plan view of a pulse jacket driven by an intra-arterial pump or an enhanced external counterpulsation device. detailed description
  • the utility model provides a pulse device for children and newborns which is safe and easy to use.
  • the garment can be trousers, jacket or any other suitable garment style so that it can be worn on newborns or children and gain pulse flow.
  • a pulse pants 10 for use in neonates and children is provided for obtaining a pulse flow.
  • the pulse pants 10 includes a waist belt 1, a trouser crotch portion 3 connected to the waist belt 1, and a pair of trouser legs connected to both sides of the crotch portion 3
  • At least one of the waist belt 1, the pants portion 3, and the pant leg 2 has a multi-layered structure.
  • the multilayer structure includes an elastic interior that is in contact with the body of a newborn or child.
  • the intermediate layer 8 has a circulating liquid therein, which is not soft and is harder than the elastic inner layer 7.
  • the pulse pants 10 When a pulse recovery is performed on a newborn or a child, the pulse pants 10 are worn on a newborn or a child, and the waist belt 1, the crotch portion 3, and the trousers 2 cover the corresponding portions of the newborn or the child's body. Specifically, the waist belt 1 is wrapped around the waist of the body, and the pants portion 3 encloses the perineum portion of the body, and the leg portions 2 enclose the legs. At this time, the elastic inner layer 7 of the multilayer structure is in contact with the skin of the child covered by the pulse pants 10. Then, the circulating liquid in the intermediate layer 8 is driven to flow in the intermediate layer 8, and the flowing liquid regularly exerts pressure on the portion of the child that is wrapped by the pulse pants 10.
  • the outer layer 9 is not soft and harder than the elastic inner layer 7, the above-mentioned regular pressure is mainly applied to the lower limbs, the buttocks muscles and the waist of the child's body, thereby reducing the venous capacitance and thereby improving the hemodynamic state. .
  • the circulating liquid of the intermediate layer may be subjected to an external gas supply device such as an intra aortic balloon pump (IABP) 12 (refer to FIG. 3) and an enhanced external counterpulsation device (Enhanced External Counterpulsation). ) or an electric pulse generating device or the like.
  • the electrical pulse generating device may be a high voltage pulsed direct current using two oppositely charged electrodes to generate an appropriate pressure for a child.
  • a plurality of gas connectors 5 can be mounted on the pulse pants for conveniently connecting the pulse pants to an external device such as an intra-arterial pump or an enhanced external counter-pulsation device. Experiments have shown that the pulse pants of the present invention are safer than existing devices.
  • the circulating liquid may have different viscosities and may be Any suitable liquid material such as normal saline or other gelatinous liquid.
  • the elastic inner layer has a thickness of 2.5 mm, the intermediate layer has a thickness of 1.5 mm, and the outer layer has a thickness of 1.5 n. These dimensions make the pulse pants work more ideal.
  • the elastic inner layer may be formed of any suitable material such as rubber to provide good elasticity.
  • the pulse pants of the present invention can be mated with the body of the child by any suitable means such as the tape 4 mounted on the pulse pants.
  • a relaxation hole may be formed in the pulse pants.
  • the relaxation aperture 6 may be formed in the middle of the waistband for relieving the umbilical cord; or formed in the trousers or leg.
  • the relaxation hole 6 located at the intermediate portion of the crotch portion 3 serves to prevent the pressure from acting on the genital organs of the child, and can serve as an outlet passage for the urinary catheter or the rectal tube or the like.
  • the relaxation hole 6 may also be formed on the pulse pants at a position corresponding to a part of the groin, knee and ankle of the child's body.
  • the outer layer 9 of the pulse pants of the above embodiment has at least one air safety valve 50 on each of the components of the pulse pants for avoiding an overfill accident.
  • each component of the pulse pants has a separate inflation/deflation safety control valve that allows for different pressures to be applied depending on the different body parts of the frail child.
  • the pulse pants can be easily reassembled by means of a tape or a zipper, so that children, especially those who have just undergone surgery, can easily put on the pulse pants in a supine state. . That is, when wearing the pulse pants, the children will be placed on the pulse pants that are pre-expanded and laid on the bed, and then the pulse pants are easily wrapped around the children's body.
  • the pulse pants provided by the present invention are non-invasive pulse heart assist devices and help to eliminate temporary or long-term hemodynamic disturbance problems, such as increased stagnant venous volume (increased stagnant) occurring in children or adults. Venous capacitance) and problems related to right ventricular failure.
  • the right atrial blood supply is dependent on preload ventricular diastolic filling, the right atrial blood supply is susceptible to environmental damage in which the preload is delayed for reasons such as increased stagnation.
  • the venous volume is reduced.
  • existing methods for treating right atrial failure are: atrial kick, 30% cardiac output by intravenous fluids and by the use of muscle contracting drugs, pacemakers. ) to increase the front load.
  • conventional treatment methods increase diastolic capacity and contractility in a non-direct and non-physiological manner. More specifically, these traditional methods are primarily directed to cardiac pumps rather than turbulent functional circulation systems due to increased stagnant venous volume, volume escape, and endothelial dysfimction.
  • the new method by means of the pulse pants of the present invention is directed to the affected cardiovascular system, which is a more physiological method and is carried out by increasing cardiac pump and endothelial function.
  • the pulse pants of the present invention can simultaneously serve as an endothelium by cooperation with other devices such as an intra-arterial pump or an enhanced external counterpulsation device.
  • Equipment for functional stimulation is also important to the pulse pants of the present invention.
  • a pulse jacket 100 for use by newborns and children to obtain pulse flow can be placed on the upper diaphragm of a child's body.
  • the supra-diaphragmatic area is reduced to 'stagnant venous capacitance'.
  • the pulse jacket 100 includes a chest back 1 for covering the chest and back of a child, a strap 2 for wrapping around a child's waist, and a pair of sleeve portions 3 for surrounding a child's arm.
  • At least one of the chest back 1, the belt 2 and the sleeve portion 3 has a multi-layered structure.
  • the multilayer structure comprises an inner layer 4 in contact with a child's body, an outer layer 6 isolated from the body, and an intermediate layer 5 sandwiched between the inner layer 4 and the outer layer 6.
  • the intermediate layer 5 has a pulsating circulating fluid in the interior.
  • the outer layer 6 is harder than the inner layer 4.
  • the pulse jacket 100 is worn on a newborn or a child, that is, the chest back 1 covers the chest and back of the body, and the belt 2 is wound around the waist, and the sleeve portion is wrapped. 3 is surrounded by the knees.
  • the inner layer 4 of the multilayer structure is in contact with the body of the child.
  • the pulsating circulating fluid in the intermediate layer 5 is driven to generate a regular pressure which acts on the arms and chest muscles of the child. Since the outer layer 6 is harder than the inner layer 4, the pressure acts on the upper limbs and chest of the child in a rhythm synchronized with the breathing movement of the child. This will increase the positive-negative respiratory pressure gradient and produce more venous return, which in turn will restore the hemodynamic state to normal.
  • the pulsatile circulating fluid of the intermediate layer may be externally supplied by an external gas supply device such as an intra aortic balloon pump (IABP) 13 (refer to FIG. 6) or an enhanced external counterpulsation device (Enhanced External Counterpulsation). ) or driven by an electrical pulse generating device.
  • the electrical pulse generating device may be a high voltage pulsed direct current using two oppositely charged electrodes to generate an appropriate pressure for a child.
  • a plurality of gas connectors 7 can be mounted on the pulse jacket, and these gas connectors 7 are connected to an external device such as an intra-arterial pump or an enhanced external counterpulsation device for conveniently driving the pulsating circulating fluid in the intermediate layer 5. .
  • the pulse jacket of the present invention is safer than existing devices.
  • the circulating liquid may have a different viscosity and may be any suitable liquid material such as ordinary saline or other gelatinous liquid.
  • all components of the pulse jacket are independent of each other, so that the pulse jacket is easily worn on the body; in addition, in other embodiments, the components may also be appropriately They are assembled with each other in a way, such as by tape or elastic snaps.
  • the pulse jacket 100 can be combined with a child's body by a suitable means such as an adhesive tape 8 (refer to Fig. 4) mounted thereon.
  • a suitable means such as an adhesive tape 8 (refer to Fig. 4) mounted thereon.
  • each of the sleeve portions is formed with a zipper 10 so that the sleeve portion can be more easily fitted over the arm of a child.
  • the relaxation hole 11 can be formed on the pulse jacket 100.
  • the relaxation hole 11 may be formed on the chest back 1, the belt 2, and the sleeve portion 3.
  • the relaxation hole 11 on the chest back 1 is used for passing through an IV line or an ECG electrode, and the relaxation hole 11 on the sleeve portion 3 is used for relaxing children's Elbow.
  • a non-pulsating area 9 can be formed on the chest back or the belt, etc., so that the pulsating liquid has no side effect on the spine of the child.
  • the outer layer 6 of the pulse jacket of the above embodiment has at least one air safety valve 50 on each component of the pulse jacket for avoiding danger to children. Over-inflation accident.
  • each component of the pulse jacket has a separate inflation/deflation safety control valve that allows for different pressures to be applied depending on the different body parts of the frail child.
  • the pulse jacket can be easily reassembled by means of a tape or a zipper, so that children, especially those who have just had surgery, can easily put on a pulse jacket in a supine position. . That is, when wearing a pulse jacket, the child will be placed on a pulse jacket that is pre-expanded and laid on the bed, and then the pulse jacket is easily wrapped around the child's body. It should be noted that the pulse jacket can achieve a disease elimination effect similar to the aforementioned pulse pants. A more detailed description of the pulse jacket is omitted here. Additionally, the pulse jacket can be used as a respiratory physiotherapy device.
  • the pulse garment has a multi-layer structure composed of three layers
  • the pulse garment may have other layers of structure, such as one layer or two layers, as long as it can provide for children.
  • the pulse can be.
  • the pulse garment having a moving thickness can promote blood circulation by increasing the body temperature of a hypothermia child.

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  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pulmonology (AREA)
  • Emergency Medicine (AREA)
  • Percussion Or Vibration Massage (AREA)

Description

少儿及新生儿用脉搏服装 技术领域
本实用新型涉及一种医学设备， 更具体地， 本实用新型涉及一种 用于少儿及新生儿的脉搏服装， 以便获得脉搏流。 背景技术
当新生少儿或儿童由于降低的前负荷 (preload)而具有较低的心量 输出（Cardiac Output)状态及血液动力 学紊乱 (hemodynamic disturbances)时， 使用脉搏治疗法有助于通过增加静脉血回流 (venous return)而将血液动力状态恢复到正常状态。 上述恢复操作可以借助适 当设备进行， 该设备以与少儿的正常脉搏一致的间隙挤压少儿的肌 肉。
目前市场上具有多种设备， 其中之一为脉搏服装。 当做脉搏恢复 手术时， 所述脉搏服装穿在少儿或儿童身上。通过与有规律地按压服 装，所述脉搏服装的特定区域对少儿或儿童的肌肉产生适当的冲击作 用， 从而逐渐将血液动力状态恢复到其正常值。
然而，传统脉搏 装对于新生少儿或儿童不安全， 因为新生少儿 或儿童在刚出生不久时体质通常很虛弱， 另外， 传统脉搏服装工作规 律性差。 这种较差的规律性导致手术对儿童造成危险。
因此必须提供一种改进的用于新生儿及少儿的脉搏服装，以便克 服现有技术的缺点。
确认本 发明内容
本实用新型的主要目的是提供一种少儿及新生儿用脉搏服装，该 服装对于新生儿及少儿安全可靠。
为达到上述目的，一种供新生儿及少儿使用以便获得脉搏流的脉 搏服装具有多层结构， 所述多层结构包括与少儿身体接触的弹性内 层、 与少儿身体隔离的外层、 夹设于所述弹性内层与外层之间的中间 层， 该中间层内具有脉动的循环液体， 所述外层比弹性内层硬度大。
所述多层机构的外层与气体连接器连接， 借助该气体连接器， 外 部气体供应装置可以驱动所述中间层的脉动循环液体，从而产生作用 于少儿身体的适当压力。 另外， 因为所述外层比弹性内层硬度大， 使 得压力主要施加到少儿身体， 而不是施加到所述外层。 并且， 所述脉 搏服装上至少形成一个用于放松少儿身体的放松孔。 出于安全考虑， 所述外层具有至少一个空气安全阀， 用于对跟装放气。
在一个实施例中， 所述脉搏服装为由腰带、与腰带连接的裤裆部 及与裤裆部连接的一对裤腿构成的脉搏裤。 所述腰带、裤裆部及裤腿 中的至少一个具有所述多层结构。
在另一个实施例中 ,所述脉搏服装为由覆盖少儿的胸脯及脊背的 胸背部、缠绕在少儿腰部的带子及套在少儿胳膊上的一对袖筒部构成 的脉搏夹克。 所述胸背部、 带子及袖筒部中的至少一个具有所述多层 结构。 所述胸背部、 带子及袖筒部互相组装在一起。 所述胸背部及带 子中的至少一个具有非脉动区域。
下面将结合附图， 通过优选实施例详细描述本实用新型。 附图说明
图 1为本实用新型一个实施例所述供新生儿及少儿使用的脉搏裤 的平面图。
图 2为截面图， 展示了图 1所示脉搏裤的多层结构。
图 3为由动脉内嚢泵 (intra aortic balloon pump)或增强型体外反搏 装置 (Enhanced External Counterpulsation )马区动的脉 4萼裤平面图。
图 4 为本实用新型另一个实施例所述供新生儿及少儿使用的脉 搏夹克的平面图。
图 5为截面图， 展示了图 4所示脉搏夹克的多层结构。
图 6 为由动脉内嚢泵或增强型体外反搏装置驱动的脉搏夹克的 平面图。 具体实施方式
本实用新型提供一种安全及使用容易的少儿及新生儿用脉搏服 装。 该服装可以为裤子、 夹克或其它任何适当的服装样式， 以便可以 穿在新生儿或少儿身上并获得脉搏流。 参考图 1-3, 根据本实用新型 的一个实施例， 提供一种供新生儿及少儿使用的脉搏裤子 10, 用于 获得脉搏流。 该脉搏裤子 10包括腰带 (waist belt)l、 与所述腰带 1连 接的裤裆部 (trouser crotch portion)3及一对连接于所述裤裆部 3两侧 的裤腿 (trouser leg)2„
所述腰带 1、 裤档部 3及裤腿 2当中的至少一个具有多层结构。 如图 2所示，所述多层结构包括与新生儿或少儿的身体接触的弹性内 层 7、 与身体隔离的外层 9及夹在所述弹性内层 7与外层 9之间的中 间层 8。 所述中间层 8内具有循环流动的液体， 所述外层 9不柔软并 且比弹性内层 7坚硬。
当对新生儿或少儿进行脉搏恢复时， 所述脉搏裤 10穿在新生儿 或少儿身上， 并且其腰带 1、 裤裆部 3及裤腿 2覆盖在新生儿或少儿 身体的相应部位。 具体地， 所述腰带 1围绕在身体的腰部， 所述裤档 部 3包住身体的会阴部， 所述裤腿 2包住双腿。 此时， 所述多层结构 的弹性内层 7与少儿身上被所述脉搏裤 10覆盖的皮肤接触。 然后， 所述中间层 8内的循环液体被驱动而在中间层 8内流动，该流动的液 体有规律地对少儿身上被脉搏裤 10包裹的部分产生压力。 由于所述 外层 9不柔软并且比弹性内层 7更加坚硬，上述规律性压力主要施加 到少儿身体的下肢、 臀部肌肉及腰部， 从而减少了静脉容量 (venous capacitance), 进而改善血液动力学状态。
在该实施例中，所述中间层的循环液体可以被夕卜部气体供应装置 比如动脉内嚢泵 (intra aortic balloon pump ,IABP)12(参考图 3)、增强型 体外反搏装置 (Enhanced External Counterpulsation)或电脉搏产生装置 等驱动。所述电脉搏产生装置可以为使用两个相反带电电极的高压脉 冲直流电流， 以便对少儿产生适当的压力。 如图 1、 3所示， 所述脉 搏裤上可以安装多个气体连接器 5, 用于方便地将脉搏裤与外部装置 比如动脉内嚢泵或增强型体外反搏装置连接。实验证明本实用新型的 脉搏裤比现有装置安全。
在该实施例中， 所述循环液体可以具有不同的粘性， 并且可以为 任何适当的液体材料比如普通盐水 (normal saline)或其它凝胶状液体。 在该实施例中， 所述弹性内层的厚度为 2.5mm, 所述中间层的厚 度为 1.5mm, 而所述外层的厚度也为 1.5η皿。这些尺寸使得所述脉搏 裤工作更加理想。 而且， 所述弹性内层可以由任何适当材料比如橡胶 形成， 以便提供良好的弹性。
本实用新型脉搏裤可以借助任何适当方式比如安装在脉搏裤上 的胶带 4而实现与少儿身体的配合。 另外， 为适当减小作用于少儿的 压力， 所述脉搏裤上可以形成放松孔。 例如， 放松孔 6可以在腰带的 中间部位形成，用于舒緩脐带；或形成于裤档部或裤腿。在该情况下， 所述位于裤裆部 3的中间部位的放松孔 6用于避免压力作用于少儿的 性器官， 并且可以作为导尿管或直肠管等的出口通道。 所述放松孔 6 也可以形成于脉搏裤上与少儿身体的腹股沟、膝盖及脚踝等部位对应 的位置。
另外， 最优地， 上述实施例中脉搏裤的外层 9在所述脉搏裤的每 个部件上具有至少一个空气安全阀 50, 用于避免发生过充气事故。
最优地， 所述脉搏裤的每个部件均具有单独的充气 /放气安全控 制阀 , 从而允许根据虚弱少儿的不同身体部位而施加不同的压力。
而且，应当注意， 所述脉搏裤的部分或全部部件可以借助胶带或 拉链而容易地重新组装起来，用于使得少儿尤其是刚刚做过手术的少 儿可以容易地在仰卧的状态下穿上脉搏裤。 即， 当穿脉搏裤时， 少儿 将被放在预先展开并铺在床上的脉搏裤上，然后再将脉搏裤容易地包 裹在少儿的身体上。 本实用新型提供的脉搏裤属于非侵入性脉搏心脏辅助设备，并且 有助于消除暂时性的或长期性的血液动力紊乱问题，比如发生在少儿 或成人身上的与增加的停滞静脉容量 (increased stagnant venous capacitance)及右心房失效 (right ventricular failure)有关的问题。
通常情况下，由于右心房血液供应依赖于前负荷心房舒张期充盈 (preload ventricular diastolic filling), 右心房血液供应容易受到一些环 境的破坏，在这些环境中所述前负荷由于一些原因比如增加的停滞静 脉容量而减小。 相应地， 现有的治疗右心房失效的方法为:通过静脉 输液 (intravenous fluids)及通过使用肌肉收缩药物、起搏器 (pace maker) 来增强心房强力收缩 (atrial kick, 30%的心输出量)进而增加前负荷。 具体地，传统治疗方法通过非直接及非生理性方式来增加心脏舒张容 量及收缩性。更具体地， 由于增加的停滞静脉容量、容量减少 (volume escape)及内皮功能障碍 (endothelial dysfimction)等原因，这些传统方法 主要针对心脏泵而不是紊乱机能循环体系。
相比较而言，借助本实用新型脉搏裤而进行的新方法是针对受到 影响的心脏血管系统而进行的， 该方法属于更加生理性的方法， 并且 通过增加心脏泵及内皮功能而进行。
另外， 除了在治疗右心房失效方面具有优势外， 在患者心肌缺血 的情况下，通过与其它设备比如动脉内嚢泵或增强型体外反搏装置的 配合， 本实用新型脉搏裤可以同时作为内皮功能刺激用的设备。
参考图 4_6, 根据本实用新型的另一个实施例， 一种供新生儿及 少儿使用以便获得脉搏流的脉搏夹克 100 可以在少儿身体的上隔膜 区 (supra-diaphragmatic area)减小於) '带 'I "生静 容量 (stagnant venous capacitance)。
所述脉搏夹克 100包括用于覆盖少儿的胸部及脊背的胸背部 1、 用于缠绕在少儿腰部的带子 2及用于环绕少儿賂膊的一对袖筒部 3。
所述胸背部 1、 带子 2及袖筒部 3中的至少一个部件具有多层结 构。 如图 5所示， 该多层结构包括与少儿身体接触的内层 4、 与身体 隔离的外层 6及夹在所述内层 4与外层 6之间的中间层 5。 所述中间 层 5内具有脉动的循环流动液体。 所述外层 6比内层 4坚硬。
当对新生儿或少儿进行脉搏恢复时，所述脉搏夹克 100穿在新生 儿或少儿身上， 即所述胸背部 1覆盖身体的胸脯及脊背， 所述带子 2 缠绕在腰部， 而所述袖筒部 3则包围膝膊。 此时， 所述多层结构的内 层 4与少儿的身体接触。 然后， 所述中间层 5内的脉动循环流动液体 被驱动而产生规律性压力 , 该压力作用于少儿的胳膊及胸部肌肉。 由 于所述外层 6比内层 4更加坚硬，所述压力以与少儿的呼吸运动同步 的节奏作用于少儿的上肢及胸脯。 这将增加正负呼吸压力梯度 (Positive- negative respiratory pressure gradient) , 产生更多的静 _血液 回流 (venous return), 进而促使血液动力状态恢复到正常值。
在该实施例中 ,所述中间层的脉动循环液体可以被外部气体供应 装置比如动脉内嚢泵 (intra aortic balloon pump ,IABP)13(参考图 6)、增 强型体外反搏装置 (Enhanced External Counterpulsation)或电脉搏产生 装置所驱动。所述电脉搏产生装置可以为使用两个相反带电电极的高 压脉冲直流电流， 以便对少儿产生适当的压力。 如图 4、 6所示， 所 述脉搏夹克上可以安装多个气体连接器 7, 这些气体连接器 7又与外 部设备比如动脉内嚢泵或增强型体外反搏装置连接，用于方便地驱动 中间层 5内的脉动循环流动液体。实验证明本实用新型脉搏夹克比现 有装置安全。
在该实施例中， 所述循环液体可以具有不同的粘性， 并且可以为 任何适当的液体材料比如普通盐水或其它凝胶状液体。
另夕卜，在该实施例中，所述脉搏夹克的所有部件之间均互相独立， 从而使得脉搏夹克容易被穿在身上； 另夕卜， 在其它实施例中， 所述部 件也可以借助适当方式而互相组装在一起，比如通过胶带或弹性卡扣 的方式。
所述脉搏夹克 100 可以借助适当方式比如安装于其上的胶带 8(参考图 4)而与少儿身体结合在一起。 最优地， 每个袖筒部上形成具 有拉链 10, 从而使得所述袖筒部更加容易地套在少儿的胳膊上。
另外， 为适当减小作用于少儿的压力, 同时为便于医疗操作， 所 述脉搏夹克 100上可以形成放松孔 11。 例如， 所述放松孔 11可以在 胸背部 1、 带子 2及袖筒部 3上形成。 所述位于胸背部 1上的放松孔 11用于供静脉注射管线 (IV line)或心电图电极片（ECG electrode)等穿 过， 而所述位于袖筒部 3上的放松孔 11用于放松少儿的肘部。
另外， 为使操作更加安全， 所述胸背部或带子等部位上可以形成 非脉动区域 9, 从而使得脉动液体对少儿的脊推骨没有副作用。
最优地，上述实施例中脉搏夹克的外层 6在所述脉搏夹克的每个 部件上具有至少一个空气安全阀 50, 用于避免发生对少儿有危险的 过充气事故。
最优地 , 所述脉搏夹克的每个部件均具有单独的充气 /放气安全 控制阀， 从而允许根据虚弱少儿的不同身体部位而施加不同的压力。
而且，应当注意， 所述脉搏夹克的部分或全部部件可以借助胶带 或拉链而容易地重新组装起来，用于使得少儿尤其是刚刚做过手术的 少儿可以容易地在仰卧的状态下穿上脉搏夹克。即，当穿脉搏夹克时， 少儿将被放在预先展开并铺在床上的脉搏夹克上，然后再将脉搏夹克 容易地包裹在少儿的身体上。应当注意， 所述脉搏夹克可以获得与前 述脉搏裤类似的疾病消除效果。这里省略了关于脉搏夹克更进一步详 细的描述。 另外， 所述脉搏夹克可以作为呼吸物理治疗设备使用。
虽然在上述几个实施例中，所述脉搏服装具有由三层构成的多层 结构， 然而， 所述脉搏服装也可以具有其它层数的结构， 比如一层或 两层， 只要能够对少儿提供脉搏即可。 另外， 所述具有移动厚度的脉 搏服装可以通过提高低体温少儿的体温来促进其血液循环。
以上所揭露的仅为本实用新型的优选实施例而已，当然不能以此 来限定本实用新型之权利范围，因此依本实用新型申请专利范围所作 的等同变化， 仍属本实用新型所涵盖的范围。

Claims

权 利 要 求
1. 一种用以获得脉搏流的少儿及新生儿用脉搏服装， 其具有 多层结构， 所述多层结构包括与少儿身体接触的弹性内层、 与少儿身 体隔离的外层、 夹设于所述弹性内层与外层之间的中间层， 该中间层 内具有脉动的循环液体， 所述外层比弹性内层硬度大。
2. 根据权利要求 1所述的少儿及新生儿用脉搏服装， 其特征 在于： 所述脉搏服装为由腰带、 与腰带连接的裤裆部及与裤裆部连接 的一对裤腿构成的脉搏裤。
3. 根据权利要求 2所述的少儿及新生儿用脉搏服装， 其特征 在于： 所述腰带、 裤裆部及裤腿中的至少一个具有所述多层结构。
4. 根据权利要求 2所述的少儿及新生儿用脉搏服装， 其特征 在于： 所述多层结构的外层与一个气体连接器连接。
5. 根据权利要求 1所述的少儿及新生儿用脉搏服装， 其特征 在于： 所述脉搏服装上至少形成一个用于放松少儿身体的放松孔。
6. 根据权利要求 1所述的少儿及新生儿用脉搏服装， 其特征 在于： 所述外层具有至少一个空气安全阀。
7. 根据权利要求 1所述的少儿及新生儿用脉搏服装， 其特征 在于： 脉搏服装为由覆盖少儿的胸脯及脊背的胸背部、缠绕在少儿腰 部的带子及套在少儿胳膊上的一对袖筒部构成的脉搏夹克。
8. 根据权利要求 7所述的少儿及新生儿用脉搏服装， 其特征 在于： 所述胸背部、 带子及袖筒部中的至少一个具有所述多层结构。
9. 根据权利要求 7所述的少儿及新生儿用脉搏服装， 其特征 在于： 所述胸背部、 带子及袖筒部互相组装在一起。 '
10.根据权利要求 7所述的少儿及新生儿用脉搏服装， 其特征 在于： 所述胸背部及带子中的至少一个具有非脉动区域。
PCT/CN2006/003077 2006-06-23 2006-11-15 Vêtement pour mesurer le pouls de nouveaux-nés ou de nourrissons WO2008000111A1 (fr)

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