WO2015051620A1 - Moniteur destiné à surveiller le mouvement d'un diaphragme - Google Patents

Moniteur destiné à surveiller le mouvement d'un diaphragme Download PDF

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Publication number
WO2015051620A1
WO2015051620A1 PCT/CN2014/074312 CN2014074312W WO2015051620A1 WO 2015051620 A1 WO2015051620 A1 WO 2015051620A1 CN 2014074312 W CN2014074312 W CN 2014074312W WO 2015051620 A1 WO2015051620 A1 WO 2015051620A1
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WO
WIPO (PCT)
Prior art keywords
diaphragm
monitor
movement
information
module
Prior art date
Application number
PCT/CN2014/074312
Other languages
English (en)
Chinese (zh)
Inventor
刘洋
王澄
李勇
刘硕
骆永芳
陈亮
宋海波
刘进
左云霞
Original Assignee
深圳迈瑞生物医疗电子股份有限公司
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 深圳迈瑞生物医疗电子股份有限公司 filed Critical 深圳迈瑞生物医疗电子股份有限公司
Publication of WO2015051620A1 publication Critical patent/WO2015051620A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • A61B8/0833—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4416—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to combined acquisition of different diagnostic modalities, e.g. combination of ultrasound and X-ray acquisitions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/52—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/5215—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data
    • A61B8/5223—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data for extracting a diagnostic or physiological parameter from medical diagnostic data
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment

Definitions

  • the invention relates to the field of medical instruments, in particular to a monitor for monitoring the movement of the diaphragm.
  • the anesthesiologist directly measures the muscle strength of the voluntary muscle, such as raising the head, gripping force, blinking the eye, stretching the tongue, etc. Disadvantages: the patient needs to stay awake.
  • the muscle relaxation monitor monitors the mechanical effects/electrical effects/acceleration effects of muscle contraction of non-respiratory muscles (such as the adductor muscles, orbicularis oculi muscles).
  • non-respiratory muscles such as the adductor muscles, orbicularis oculi muscles.
  • the purpose of applying muscle relaxants is to relax the respiratory muscles for tracheal intubation and Intraoperative operation, different muscle groups are sensitive to muscle relaxants and recovery speed, so the evaluation of non-respiratory muscles can not directly reflect the respiratory muscles.
  • muscle relaxants can be monitored by measuring tidal volume, vital capacity, etc., which are affected by various factors, such as general anesthesia and central nervous system inhibitory drugs, and the measurement results are not accurate.
  • the muscle relaxation can be detected by observing the transverse movement under the X-ray.
  • the disadvantage is that the X-ray has radiation damage to the human body and cannot be monitored for a long time.
  • a monitor for monitoring diaphragmatic motion including:
  • the ultrasonic probe is fixed on the body surface of the user for transmitting ultrasonic waves to the user and scanning the diaphragm movement;
  • An ultrasonic detecting module coupled to the ultrasonic probe, for controlling the ultrasonic probe to transmit ultrasonic waves to a user, and receiving an echo signal obtained by the ultrasonic probe;
  • a diaphragm movement state generating module configured to generate curve information or image information indicating a diaphragm muscle motion state according to the echo signal received by the ultrasound detecting module;
  • the first display module is configured to display curve information or image information generated by the diaphragm movement state generating module.
  • the above monitor for monitoring the movement of the diaphragm muscle obtains the movement state of the diaphragm of the user in real time through an ultrasonic probe fixed on the surface of the user, and converts it into curve or image information, so as to provide the monitor with accurate information on the diaphragm movement, which can be accurately and safely monitored.
  • the degree of muscle relaxation is the degree of muscle relaxation.
  • FIG. 1 is a schematic structural view of monitoring the monitoring of diaphragmatic motion in an embodiment
  • FIG. 2 is a schematic structural view of a monitor for monitoring diaphragm movement in another embodiment
  • FIG. 3 is a graph showing a diaphragm motion signal extraction and a curve generation module generated by a monitor for monitoring diaphragmatic motion in an embodiment
  • FIG. 4 is a schematic structural view of a monitor for monitoring diaphragm muscle movement according to an embodiment
  • FIG. 5 is a schematic structural view of a monitor for monitoring diaphragm muscle movement according to an embodiment
  • FIG. 6 is a schematic structural view of a monitor for monitoring diaphragmatic motion in an embodiment
  • FIG. 7 is a schematic structural view of a monitor for monitoring diaphragm muscle movement according to an embodiment
  • FIG. 8 is a schematic structural view of a monitor for monitoring diaphragm muscle movement according to an embodiment
  • FIG. 9 is a schematic structural view of a monitor for monitoring diaphragm muscle movement according to an embodiment
  • FIG. 10 is a schematic structural view of a monitor for monitoring diaphragmatic movement in an embodiment
  • Figure 11 is a block diagram showing a monitor for monitoring the movement of the diaphragm muscles in a display mode
  • Figure 12 is a schematic view showing a monitor for monitoring the movement of the diaphragm.
  • Figure 13 is a schematic illustration of yet another embodiment of a monitor for monitoring diaphragmatic motion.
  • an embodiment of a monitor for monitoring diaphragmatic motion includes:
  • the ultrasonic probe 100 can be fixed on the body surface of the user for transmitting ultrasonic waves to the user and scanning the diaphragm movement. It will be appreciated that the ultrasound probe 100 can be one or more.
  • the ultrasonic detecting module 120 is connected to the ultrasonic probe 100 for controlling the ultrasonic probe 100 to transmit ultrasonic waves to a user and receiving an echo signal acquired by the ultrasonic probe 100.
  • the diaphragm movement state generating module 121 is configured to generate curve information or image information that characterizes the diaphragm muscle motion state according to the echo signal received by the ultrasound detecting module 120.
  • the first display module 122 is configured to display curve information or image information generated by the diaphragm movement state generating module 121.
  • the diaphragm movement state generation module 121 has two specific implementation forms, namely:
  • the diaphragm movement state generation module 121 is specifically: a diaphragm movement signal extraction and curve generation module 121, configured to automatically perform an echo signal received by the ultrasound detection module 120. Computation, extraction of the diaphragm boundary information, and conversion to curve information over time.
  • the graph is roughly as shown in Fig. 3, in which the horizontal axis represents time and the vertical axis represents scanning depth, and the diaphragm movement exhibits an elliptic curve substantially over time.
  • the monitor for monitoring the movement of the diaphragm muscle further includes a memory 123 for storing a curve representing the diaphragm movement state generated by the diaphragm movement signal extraction and curve generation module 121. information.
  • the monitor for monitoring the diaphragm movement condition further includes an alarm module 124 for performing motion according to the curve information stored by the memory 123 when the amplitude range of the diaphragm muscle movement exceeds the previous moment. An alarm message is issued when the amplitude range or the preset motion amplitude threshold is reached.
  • the diaphragm movement state generating module 121 is specifically configured to: a diaphragm movement signal extraction and image generation module 121, configured to generate a corresponding signal according to the echo signal received by the ultrasound detection module 120. Diaphragm image.
  • the monitor further includes:
  • the memory 123 is configured to store the image information of the diaphragm movement signal extraction and the image generation module 121 that is indicative of the diaphragm movement state.
  • the monitor further includes:
  • the alarm module 124 is configured to issue an alarm message according to the image information stored in the memory 123 when the amplitude range of the diaphragm movement indicated by the memory 123 exceeds the range of the motion amplitude of the previous moment or the preset threshold of the motion amplitude.
  • the monitor further includes:
  • the physiological detection module 125 is configured to detect one or more physiological parameters of the user's blood pressure, blood oxygen, respiration, and pulse rate by the detecting head 110.
  • the physiological detection module 125 may be a blood pressure detecting module, or a blood oxygen detecting module, or a breathing detecting module, or a pulse rate detecting module or the like;
  • the second display module 126 is configured to display one or more of blood pressure information, blood oxygen information, respiratory information, and pulse rate information measured by the pathological detecting module 125.
  • the first display module 122 shown in FIG. 9 is independent of the monitor, and the second display module 126 is located on the display screen of the monitor.
  • the first The display module 122 and the second display module 126 can also be displayed together on the display screen of the monitor.
  • the diaphragm movement curve displayed by the first display module 122 and other parameters detected by the physiological detection module 125 are simultaneously displayed on the display screen of the monitor by the second display module 126 .
  • the monitor displays other physiological parameters, such as blood pressure, blood oxygen, respiration, pulse rate, etc., by the second display module 126 in a normal layout without the ultrasound detection module 120 being connected.
  • the display area is automatically assigned to the first display module 122 of the ultrasonic detecting module 120, and the display area can be equally divided with other physiological parameters, or one-half or three of the other.
  • One of the display areas Alternatively, as shown in FIG. 12, a special button 127 is provided on the monitor. When the button 127 is pressed, the diaphragm display is displayed in full screen by the first display module 122. When the button 127 is not pressed, the second display module 126 is displayed. Display other physiological parameter information in full screen.
  • the ultrasonic state of the diaphragm is fixed in real time by the ultrasonic probe fixed on the surface of the user, and converted into a curve or image information to provide the monitor with accurate information on the diaphragm movement, which can be accurately Safely monitor the degree of muscle relaxation.
  • the storage medium may be a magnetic disk, an optical disk, or a read-only storage memory (Read-Only) Memory, ROM) or Random Access Memory (RAM).

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • Pathology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biophysics (AREA)
  • Surgery (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physiology (AREA)
  • Cardiology (AREA)
  • Databases & Information Systems (AREA)
  • Epidemiology (AREA)
  • Data Mining & Analysis (AREA)
  • Primary Health Care (AREA)
  • Pulmonology (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)

Abstract

La présente invention concerne un moniteur destiné à surveiller le mouvement du diaphragme, qui comprend : une sonde (100) à ultrasons, fixée sur la surface du corps de l'utilisateur afin de transmettre des ondes ultrasonores à l'utilisateur et de balayer le mouvement diaphragmatique de l'utilisateur ; un module (120) de détection à ultrasons, connecté à la sonde (100) à ultrasons, afin de commander la sonde (100) à ultrasons pour qu'elle transmette des ondes ultrasonores à l'utilisateur et reçoive les signaux d'écho acquis par la sonde (100) à ultrasons ; un module (121) de production d'état de mouvement de diaphragme, afin de produire des informations de courbe ou des informations d'image qui caractérisent l'état de mouvement du diaphragme en fonction des signaux d'écho reçus par le module (120) de détection d'ultrasons ; et un premier module (122) d'affichage, afin d'afficher les informations de courbe ou les informations d'image produites par le module (121) de production d'état de mouvement du diaphragme. Le moniteur peut obtenir la condition de mouvement en temps réel du diaphragme et la transformer en une image de mouvement ou une courbe de mouvement, de manière à détecter précisément et en toute sécurité le degré de décontraction musculaire.
PCT/CN2014/074312 2013-10-10 2014-03-28 Moniteur destiné à surveiller le mouvement d'un diaphragme WO2015051620A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN201310469968.4A CN104545987A (zh) 2013-10-10 2013-10-10 一种监测膈肌运动情况的监护仪
CN201310469968.4 2013-10-10

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WO2015051620A1 true WO2015051620A1 (fr) 2015-04-16

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106264573A (zh) * 2016-07-26 2017-01-04 吉林大学 便携式肌肉力学参数及肌肉力在体超声检测装置及方法

Families Citing this family (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2019104476A1 (fr) 2017-11-28 2019-06-06 深圳迈瑞生物医疗电子股份有限公司 Moniteur et son procédé de commutation d'écran d'affichage
CN112888359B (zh) * 2018-12-24 2023-08-01 深圳迈瑞生物医疗电子股份有限公司 用于医疗监护设备的界面展示方法及医疗监护设备
CN109998518B (zh) * 2019-03-05 2020-08-07 深圳先进技术研究院 一种膈运动辅助装置及膈运动辅助系统
CN111175760B (zh) * 2019-12-23 2023-12-19 北京航天特种设备检测研究发展有限公司 一种监测腔体内运动部件运行状态的方法及装置
CN110974298A (zh) * 2019-12-31 2020-04-10 苏州科技城医院 一种利用超声ai技术捕捉膈肌运动辅助判断呼吸机脱机的方法
CN116096299A (zh) * 2020-10-10 2023-05-09 深圳迈瑞生物医疗电子股份有限公司 结合生理信号的超声成像方法和电子设备
EP4265173A1 (fr) * 2020-12-25 2023-10-25 Shenzhen Mindray Bio-Medical Electronics Co., Ltd Dispositif médical et procédé d'affichage d'informations associé

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US5448995A (en) * 1994-02-14 1995-09-12 The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration Method and apparatus for non-invasive evaluation of diaphragmatic function
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JP2010158288A (ja) * 2009-01-06 2010-07-22 Konica Minolta Holdings Inc 画像表示装置およびプログラム
US20120245482A1 (en) * 2010-09-16 2012-09-27 Bolser Jeffrey W Anesthesia Monitoring Device and Method
CN102727236A (zh) * 2011-03-29 2012-10-17 三星电子株式会社 通过使用3d模型产生身体器官的医疗图像的方法和设备

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US5448995A (en) * 1994-02-14 1995-09-12 The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration Method and apparatus for non-invasive evaluation of diaphragmatic function
US20040167389A1 (en) * 2002-12-03 2004-08-26 Knut Brabrand Respiration monitor
CN1791359A (zh) * 2003-05-21 2006-06-21 皇家飞利浦电子股份有限公司 记录身体器官的运动的设备和方法
JP2010158288A (ja) * 2009-01-06 2010-07-22 Konica Minolta Holdings Inc 画像表示装置およびプログラム
US20120245482A1 (en) * 2010-09-16 2012-09-27 Bolser Jeffrey W Anesthesia Monitoring Device and Method
CN102727236A (zh) * 2011-03-29 2012-10-17 三星电子株式会社 通过使用3d模型产生身体器官的医疗图像的方法和设备

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106264573A (zh) * 2016-07-26 2017-01-04 吉林大学 便携式肌肉力学参数及肌肉力在体超声检测装置及方法
CN106264573B (zh) * 2016-07-26 2019-03-22 吉林大学 便携式肌肉力学参数及肌肉力在体超声检测装置及方法

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